Ðe abi aɖe le wò ŋutigbalẽ ŋu si mahaya oa? Ðe wòate ŋu anye Leishmaniasis? Mina míaƒo nu tso eŋu!

Ède dzesii kpɔ be abi le ame aɖewo ƒe ŋutigbalẽ ŋu si xɔa ɣeyiɣi didi hafi hayana, eye ɣeaɖewoɣi la, wogblẽa abi nyɔŋuwo ɖia? Alo asrã si nɔa anyi ŋkeke geɖe, lolo dzi ɖena kpɔtɔna, eye ƒodo vuvua? Esiawo ate ŋu anye dɔléle aɖe si ŋu míeléa ŋku ɖo boo ɣeaɖewoɣi o, abe lã sue aɖe abe ʋetsuvi ene, ƒe dzesiwo. Dɔléle mawo dometɔ ɖekae nye Leishmaniasis. Egbea, míaƒo nu tso esia ŋu tsitotsito, bɔbɔe ŋutɔ.

Nukae nye Leishmaniasis?

Kpuie ko la, Leishmaniasis nye dɔlélewo ƒe ƒuƒoƒo aɖe si dɔlékui aɖe si woyɔna be Leishmania hena vɛ. Dɔlékui sia le sue ale gbegbe be womate ŋu akpɔe kple ŋku dzro ko negbe le nusuekpɔmɔ̃ me ko. Ne míagblɔe tututu la, ele nugbagbewo ƒe ƒuƒoƒo aɖe si woyɔna be protozoa, siwo nye nugbagbevi siwo me lãmenugbagbevi ɖeka le la me.

Dɔléle sia xɔa mía me ne ke me ʋetsuvi ƒomevi aɖe ɖu mí. Akpɔkplɔ siawo le sue ŋutɔ, ɣeaɖewoɣi la, wonɔa sue wu nudzodzoewo. Dɔléle sia ate ŋu ahe nɔnɔme vovovowo vɛ, tso ŋutigbalẽ ƒe abi siwo medzea ame ŋu o dzi va ɖo kuxi siwo ate ŋu ade ame ƒe agbe afɔku me siwo gblẽa nu le ŋutinu siwo le ememe ŋu dzi.

Mɔ vevi eve li siwo dzi míetona kpɔa esia zi geɖe:

1. Leishmaniasis si le ŋutigbalẽ me (`(Cutaneous leishmaniasis)`) .

2. Visceral leishmaniasis ( si gblẽa nu le ŋutinu siwo le ememe ŋu ) .

Amekae ate ŋu axɔ nusia wu?

Leishmaniasis bɔ ɖe kɔƒenutowo me wu, vevietɔ le nuto siwo me dzadzɛnyenye mele nyuie o me . Amesiwo ƒe dɔlélenutsiŋutete gbɔdzɔ , abe amesiwo ŋu HIV dɔlékuia le alo amesiwo ŋu dɔlélenutsiŋutete ƒe gbɔdzɔgbɔdzɔ bubuwo le ene, ate ŋu axɔ dɔlélea ne woxɔ dɔlékui si nye Leishmania.

Aleke gbegbee Leishmaniasis bɔe? Ðe wòle Sri Lanka?

Le xexeame katã la, ame aɖewo siwo ŋu Leishmania dɔlékuia le la mekpɔa dzesi aɖeke o. Eyata esesẽ be míagblɔ alesi tututu wòbɔe. Gake eŋutinunyalawo bu akɔnta be ame siwo ade miliɔn 1.5 va ɖo 2 le xexeame katã kpea fu le dɔlélea kple dzesiwo ƒe sia ƒe .

Ẽ, nublanuitɔe la, Leishmaniasis hã le Sri Lanka. Vevietɔ woka nya ta tso ŋutigbalẽ ƒe nɔnɔme (`(Cutaneous leishmaniasis)`) ŋu le míaƒe dukɔa ƒe nuto ƒuƒuiwo me, le kpɔɖeŋu me le nutomewo abe Anuradhapura, Polonnaruwa, Hambantota, kple Matara ene me. Eyata ele vevie ŋutɔ be míanya esia.

Afikae esia bɔ ɖo wu le xexeame?

Leishmania dɔlékui sia le dukɔ siwo wu 90 me le xexeame godoo. Woate ŋu akpɔ Leishmania ƒomevi vovovowo le xexeame ƒe akpa vovovowo. Eŋutinunyalawo mae ɖe hatsotso eve me, "Xexeme Xoxoa me leishmaniasis" kple "Xexeme Yeye ƒe leishmaniasis," le afisi wokpɔe le nu.

• Xexeme Xoxoa me leishmaniasis (`(Xexeme Xoxoa me leishmaniasis)`) le Ɣedzeƒenutome, si nye:
• Asia ƒe akpa aɖewo
• Le Afrika, vevietɔ dukɔ xɔdzowo kple Dziehe Afrika
• Anyiehe Europa
• Titina Ɣedzeƒe
• Xexeme Yeye ƒe leishmaniasis (`(Xexeme Yeye ƒe leishmaniasis)`) le Ɣetoɖoƒenutowo me, si nye:
• Titina Amerika
• Anyiehe Amerika
• Mexico ƒe nuto aɖewo

Togbɔ be mebɔ le United States o hã la, wogblɔ be ŋutigbalẽ me leishmaniasis ƒe dɔlélewo tso nutowo abe Texas kple Oklahoma ene me.

Nukawoe nye Leishmaniasis ƒomevi veviwo?

Woate ŋu ama leishmaniasis ɖe hatsotso vevi etɔ̃ me: ŋutigbalẽ, lãkusi, kple lãkusi.

Leishmaniasis si le ŋutigbalẽ me (CL) .

Esia nye dɔlékui si dzɔna ɖe ŋutigbalẽ dzi le afisi ke ʋetsuvi aɖe ɖu . Edzea egɔme abe ƒunukpeƒetetedɔ sue aɖe ene eye emegbe wòtrɔna zua abi gã aɖe. Abi siawo xɔa ɣeyiɣi didi hafi wohayana, eye ɣeaɖewoɣi la, womehayana le wo ɖokui si o. Dzesiawo ate ŋu adze egɔme le kwasiɖa ʋɛ aɖewo va ɖo ɣleti ʋɛ aɖewo me le sand fly ƒe ɖuɖu vɔ megbe.

Ƒã ŋutɔ hafi ame aɖewo ate ŋu axɔ ƒunukpeƒetetedɔ alo abi siawo le ŋutigbalẽa ƒe akpa vovovowo. Woyɔa esia be `(diffuse cutaneous leishmaniasis)`. Esiawo ate ŋu agadzɔ le atikewɔwɔ vɔ megbe gɔ̃ hã.

Leishmaniasis si le lãmekawo me/lãmekawo me (ML) .

Zi geɖe la , esia dzɔna abe ŋutigbalẽ me leishmaniasis ƒe kuxi ene . Ekpɔa ŋusẽ ɖe lãkusi siwo le ŋɔti, nu, alo ŋɔti me dzi. Ƒã hafi dɔlélea nu tsona le eɖokui si eye zi geɖe la , ewua ame ne womewɔ atike nɛ o . Ate ŋu ana mo ƒe nɔnɔme natrɔ hã.

Leishmaniasis si le lãkusi me (VL) / Kala-azar

Esiae nye dɔlélea ƒe ƒomevi si nu sẽ wu . Leishmania ƒomevi aɖe koŋ gbɔe wòtsona. Egblẽa nu le wò ŋutinuwo ŋu, vevietɔ wò dɔgbo kple aklã . Dzesiawo ate ŋu axɔ tso ɣleti ʋɛ aɖewo va ɖo ƒe ɖeka alo esi wu nenema hafi adze le ʋetsuvi si ŋu dɔlélea le ɖu wò vɔ megbe. Nɔnɔme sia (VL) ate ŋu asẽ kaba eye wòwua ame ɣesiaɣi kloe ne womewɔ atike nɛ o .

Nukae nye dɔléle sia ƒe dzesiwo?

Leishmaniasis ƒe dzesiwo toa vovo le ƒomevi si le ŋuwò nu. Ƒomevi siwo gblẽa nu le ŋutigbalẽ kple lãkusiwo ŋu la hea abi gã siwo hayana blewu vɛ. Ƒomevi siwo gblẽa nu le ŋutinuwo ŋu la hea dzesi siwo bɔ abe dzoxɔxɔ, lolo dzi ɖeɖe kpɔtɔ, kple ƒodo ƒe vuvu ene vɛ.

Cutaneous Leishmaniasis ƒe dzesiwo

Kpe aɖe dzɔna ɖe ŋutigbalẽ si me sandfly ɖu la dzi. Ate ŋu anye be ʋuʋudedi/aŋɔ le etame. Le ɣeyiɣi aɖe megbe la, esia ate ŋu atrɔ azu abi, .Nugbɔ sesẽ aɖe ƒo xlãe, eye titina si nyrɔ (abe dzoto ene).

Mucosal Leishmaniasis ƒe dzesiwo

Abi siwo le lãkusi siwo le ŋɔti, nu, alo ŋɔti me. Zi geɖe la, ŋutigbalẽ ƒe abi ɖeka alo esi wu nenema doa ŋgɔ na abi siawo alo kpena ɖe wo ŋu.

Visceral Leishmaniasis ƒe dzesiwo

Dzesi siawo dometɔ aɖewoe nye:

• Asrã: Esia ate ŋu adze egɔme kpata eye ate ŋu ava eye wòadzo kwasiɖa geɖe.
• Vuvɔ kple fifia ƒe seselelãme.
• Lãmetsiŋusẽ ƒe ʋuka siwo vuvu.
• Ƒodo ƒe vuvu le dɔgbo si lolo ta.
• Kpekpeme dzi ɖeɖe kpɔtɔ.
• Ðeɖiteameŋu si gbɔ eme, ɖeɖiteameŋu.
• Gbɔdzɔgbɔdzɔ.
• Ŋutilã ƒe akpa aɖewo ƒe viviti dodo alo woƒe amadede ƒe tɔtrɔ.

Nukae hea Leishmaniasis vɛ? Aleke wokakae?

Dɔlékui siwo woyɔna be Leishmania ye hea leishmaniasis vɛ. Dɔlékui siawo nɔa amegbetɔwo kpakple lãwo abe avu, avu, opossum, sisiblisi, kple akpɔkplɔ ene me.

To ʋetsuvi ƒomevi aɖe si woyɔna be phlebotomine sand fly ƒe ɖuɖu koŋ dzi . Ne ʋetsuvi sia ɖu ame alo lã si ŋu dɔlélea le, eye emegbe wòɖu ame bubu la, edoa Leishmania dɔlékui la ɖe ame kemɛa ƒe ŋutilã me.

To vovo na esia la, mɔ bubu siwo dzi nàto axɔ Leishmania, si mebɔ kura o lae nye:

• To aŋewo mama me.
• To ʋudodo me.
• Tso vidada funɔ dzi va ɖo ɖevi si le vidzidɔ me dzi.

Vevietɔ: Màte ŋu axɔ leishmaniasis tso avu alo lã bubu aɖeke gbɔ tẽ o. Gake kpeɖodziwo li be avuwo ate ŋu akakae na avu bubuwo. Esi wònye be avuwo hã te ŋu toa ke me ʋetsuviwo dzi kakaa amegbetɔwo ta la, ele vevie be woaxe mɔ na avuwo be woagaxɔe o.

Aleke nàwɔ anya ne Leishmaniasis le ŋuwò?

Ðɔkta aɖe léa ŋku ɖe dɔlélea ŋu to lãkusiwo ɖeɖe le wò ŋutilã me kple wo dodokpɔ be Leishmania dɔlékui aɖe le wo me hã. Woate ŋu axɔ kpɔɖeŋu siawo tso abi, dɔgbo, ʋuka siwo me ʋu sina tona, alo ƒumeŋuɖui me. Le dukɔ siwo me leishmaniasis bɔ ɖo me la, zi geɖe la, ɖɔktawo dea dzesi dɔlélea to toɖoɖo dzesiawo alo ŋutigbalẽa me dzodzro me.

Dodokpɔ kawoe wowɔna?

• Needle biopsy: Ðɔkta zãa aŋe tsɔ ɖea lãkusi aɖe tso wò dɔgbo, ʋuka, alo ƒumeŋuɖui me. Nudokpɔƒe ƒe mɔ̃ɖaŋudɔwɔla aɖe léa ŋku ɖe eŋu le nusuekpɔmɔ̃ me be yeakpɔe ɖa be Leishmania le eme hã. Esiae nye mɔ nyuitɔ si dzi woato anya visceral leishmaniasis.
• Ŋutilã ƒe lãmenugbagbeviwo ɖeɖe: Ðɔkta ɖea lãkusi aɖe tso abi si le wò ŋutigbalẽ, ŋɔti, alo nu me la me. Wodonɛ kpɔna be Leishmania hã le eme. Esia kpena ɖe ame ŋu wòkpɔa ŋutigbalẽ alo lãkusi me leishmaniasis.
• Ʋudodokpɔ (Serology) : Ɣeaɖewoɣi la, ɖɔkta ate ŋu alé ŋku ɖe wò ʋu ŋu be Leishmania dɔlékui ƒe dzesiwo le ŋuwò hã. Gake zi geɖe la, ʋudodokpɔ meɖea vi boo aɖeke le dɔléle aɖe si li xoxo didi me o. Esi wònye be ame aɖewo ate ŋu axɔe dzesi aɖeke manɔmee ta la, ʋudodokpɔ ate ŋu akpɔe be dɔlélea mele ŋuwò fifia o gɔ̃ hã.

Nukawoe nye atike siwo wozãna na esia?

Atike ƒomevi vovovowo li siwo tsia dɔlékuiwo nu siwo woate ŋu azã atsɔ ada Leishmaniasis. Atike si wò ɖɔkta aŋlɔ na wò la anɔ te ɖe Leishmaniasis ƒomevi si le ŋuwò dzi. Atike siawo ate ŋu ava le nɔnɔme vovovowo me:

• Atikekuiwo mimi.
• Atike alo atike siwo naa ŋutigbalẽ fa.
• Lãmetsi siwo ɖɔkta naa to saline tube (IV catheter) si wotsɔ de ʋuka me.

Ne ŋutigbalẽ me leishmaniasis le ŋuwò la, wò ɖɔkta ate ŋu azã dzoxɔxɔ ƒe atike (dzoxɔxɔ ƒe atikewɔwɔ), vuvɔ ƒe atikewɔwɔ (cryotherapy), alo laser ƒe atikewɔwɔ ɖe abiawo ŋu tẽ. Esiawo ate ŋu awu dɔlékui la eye wòakpe ɖe abiawo ŋu woahaya.

Atike Siwo Wozãna Na Leishmaniasis:

• Amphotericin si nye atike si woyɔna be Amphotericin
• Miltefosine ƒe atike
• Dɔlékuiwutike siwo ƒe ŋusẽ le atɔ̃, le kpɔɖeŋu me, sodium stibogluconate
• Paromomycin ƒe atike

Wodoa atike bubuwo na ŋutigbalẽ me leishmaniasis ɣeaɖewoɣi. Esiawo dometɔ aɖewoe nye:

• Dzoxɔxɔ ƒe atikewɔwɔ : Ðɔktaa tsɔa dzoxɔxɔ dea abi la kple nuto siwo ƒo xlãe me.
• Cryotherapy : Ðɔkta naa abi la kple nusiwo ƒo xlãe fa abe sɛkɛnd 10-30 ene.
• Laser-dɔdamɔnu : Ðɔktaa zãa mɔ̃ aɖe si wotsɔ asi wɔe tsɔ fiaa mɔ laser-yawo yia abi la kple nuto siwo ƒo xlãe gbɔ.

Aleke woawɔ aƒo asa na Leishmaniasis?

Mɔ nyuitɔ si dzi nàto aƒo asa na Leishmaniasis ƒomevi ɖesiaɖee nye be nàƒo asa na sand fly , vevietɔ le teƒe siwo Leishmania bɔ ɖo. Mɔ siwo dzi nàto aƒo asa na sand fly ƒe ɖuɖu dometɔ aɖewoe nye esi:

• Do awu siwo tsyɔa wò ŋutilã dzi nyuie: pantalon legbewo, awudziwui siwo ƒe abɔwo didi, soxwo, kple bubuawo.
• Zã nudzodzoeviwutike si dzi EPA da asi ɖo. Zi geɖe la, DEET nɔa atike siwo tsia lãme na ame siwo wɔa dɔ wu la me.
• Tsɔ nudzodzoeviwutike ƒu gbe be wòawu ke me ʋetsuviwo le aƒewo me, abe xɔdɔmewo kple xɔdɔmewo ene.
• Mlɔ xɔ si me wotu fesrewo alo xɔmetsovɔwo le me.
• Mlɔ nudzodzoeviwo ƒe aba te. Wotsɔa nudzodzoeviwutike doa ŋgɔ na ɖɔ aɖewo be woakpɔ wo ta geɖe wu. Sand flywo le sue sã wu nudzodzoewo. Eyata ele be do siwo le ɖɔa me nanɔ sue ŋutɔ be ʋetsuviawo nagage ɖe eme o.

Nukae dzɔna ne èxɔ Leishmaniasis? Ðe woate ŋu adaea?

Ne dɔléle sia dze dziwò la, wò ŋgɔdonya nɔ te ɖe ƒomevi si le ŋuwò kple wò dɔlélenutsiŋutete ƒe lãmesẽ dzi. Ele be woawɔ atike na ƒomevi si gblẽa nu le ŋutinu ememetɔwo ŋu (VL) kple ƒomevi si gblẽa nu le lãkusiwo ŋu (ML) kaba. Ɣesiaɣi kloe la, wo ame evea siaa wua ame ne womewɔ atike na wo o.

Leishmaniasis si tso ŋutigbalẽ me ate ŋu adzo le eɖokui si alo ne wodae. Gake ate ŋu axɔ ɣleti geɖe hafi wòahaya keŋkeŋ, eye abi ate ŋu anɔ ame ŋu tegbee.

Ðewohĩ ahiã be nàyi atikeawo nono dzi kwasiɖa alo ɣleti geɖe be nàkpɔ egbɔ be dɔlékuia nu yi keŋkeŋ. Bia wò ɖɔkta tso atikewɔwɔ kple ɣeyiɣi si nàhaya ŋu.

Zi geɖe la, woate ŋu ada leishmaniasis ne ɖɔkta kpɔ dɔlélea kaba eye wòtsɔ atike dae. Ne wodae kaba la, visceral leishmaniasis ƒe dɔyɔyɔ ƒe agbɔsɔsɔme wu 90%, eye le mucosal leishmaniasis gome la, ewu 75%. Ame aɖewo ate ŋu agadze dɔ le ɣleti ʋee aɖewo megbe le woƒe hayahaya megbe eye dɔlékui la megale wo ŋu o (woyɔa esia be dɔlélea gbugbɔgadze).

Esesẽna be woada leishmaniasis si le lãkusi kple lãkusi me ne womedae o. Esesẽna hã be woadae na amesiwo ƒe dɔlélenutsiŋutete gbɔdzɔ.

Nukawoe nye dɔléle sia ƒe kuxiwo?

Leishmaniasis ƒe kuxiwo ate ŋu asẽ alo ade ame ƒe agbe afɔku me, vevietɔ le lãkusi kple lãkusi me. Wo dometɔ aɖewoe nye:

• Dɔlékuiwo ƒe dɔléle: Wogayɔa esiawo be dɔlékui evelia. Esiawo ate ŋu ana abiwo nagado gã ɖe edzi. Dɔlékuiwo ate ŋu azɔ ayi ŋutilãa me goglo eye woahe dɔléle sesẽwo vɛ.
• Abi: Lãmetsi kple lãkusi me leishmaniasis ate ŋu agblẽ nu le ŋutigbalẽ, nu, kple ŋɔti ŋu tegbee eye wòaxɔ abi vevie.
• Gbugbɔgadzɔ: Dzesi aɖewo nu yina ne wowɔ atike na wo eye wogatrɔna vaa wo gbɔ. Woyɔa ŋutigbalẽ ƒe abi siwo trɔna vɛ be ``leishmaniasis recidivans.'' Ne esia dzɔ la, ate ŋu ahiã be woawɔ atike bubuwo.
• Septal ƒe do alo eƒe mumu:Mucosal leishmaniasis ateŋu ana do nado le lãkusi me le no me mɔ eveawo dome (gli si le ŋɔti dome - ``(septum)``). ŋɔti ƒe wɔwɔme ate ŋu agbã. Esia ate ŋu ana ame nazu nuwɔametɔ, dɔlékuiwo, kple gbɔgbɔtsixetsixe.
• Aklãdɔ alo dɔgbo ƒe dɔléle (GI (gastrointestinal) tract infections): Mucosal kple visceral leishmaniasis ate ŋu ahe dɔlékuiwo vɛ le ŋutilã ƒe akpa bubuwo.

Kuxi bubu siwo dona tso visceral leishmaniasis me:

• Post kala-azar dermal leishmaniasis (PKDL): PKDL nye dɔléle si naa abi gã siwo le abe ƒu ene le mo alo ŋutilã ƒe akpa bubuwo. Ate ŋu adzɔ le visceral leishmaniasis alo emegbe. Ate ŋu anɔ anyi eteƒe nadidi eye ate ŋu ahe abi sesẽwo vɛ.
• Ʋu si le dodom vevie: Ʋu si le dodom fũ ate ŋu awu ame.
• Hemophagocytic lymphohistiocytosis: Esia nye dɔléle si dea ame ƒe agbe afɔku me, si gblẽa nu le ŋutinuwo ŋu.
• Dɔlékuiwutike: Dɔlékuiwutike nye alesi ŋutilãa wɔa nui ne exɔ dɔlékui sesẽ aɖe si ate ŋu awu ame.

Aleke wòle be malé be na ɖokuinye?

Bia wò ɖɔkta alesi nàlé be na ɖokuiwò vaseɖe esime nàhaya. Ne ŋutigbalẽ me leishmaniasis le ŋuwò la, wò ɖɔkta agblɔ alesi nàkɔ abiawo ŋu ahalé be na wo vaseɖe esime woahaya. Le leishmaniasis ƒomevi ɖesiaɖe gome la, lé ŋku ɖe dzesi siwo atrɔ ava ne èsusu be yehaya gɔ̃ hã ŋu.

Ɣekaɣie wòle be makpɔ ɖɔkta?

Kpɔ wò ɖɔkta le nɔnɔme siawo me:

• Ne èle nuto si me Leishmania bɔ ɖo me alo nèzɔ mɔ kpɔ eye dzesiwo dze le ŋuwò.
• Ne abi aɖe si le wò ŋutigbalẽ ŋu xɔ ɣeyiɣi didi hafi wòhaya.
• Ne wò dɔlélenutsiŋutete gbɔdzɔ alo dɔléle ƒe dzesi aɖewo le ŋuwò la, yi ɖɔkta gbɔ.

Ne dzesi aɖeke medze le ŋuwò le sand fly ƒe ɖuɖu vɔ megbe o la, mehiã be nàyi ɖɔkta gbɔ o. Menye sand flywo katãe kakaa dɔléle o. Ɣeaɖewoɣi la, míaƒe ŋutilã ate ŋu awɔ avu kple Leishmania dɔlékui aɖe evɔ mahe dɔléle vɛ o. Negbe ɖe wò dɔlélenutsiŋutete gbɔdzɔ alo nèle dɔ lém xoxo hafi la, zi geɖe la, ɖɔktawo mada dɔ na wò o.

Ɣekaɣie wòle be nàyi Atikewɔwɔ Kpata ƒe Dɔwɔƒe (ETU) ?

Ne dzesi sesẽ siawo le ŋuwò la, yi xɔ si te ɖe ŋuwò si kpɔa nudzɔdzɔ kpatawo gbɔ:

• Ne asrã sesẽ aɖe le ŋuwò (si wu Fahrenheit 103 / Celsius 40) la, meɖiɖina o.
• Yagbɔgbɔ sesẽ.
• Ƒodo ƒe vuvu si wokpɔna ŋutɔ.
• Ŋutilã alo ŋku ƒe ɣie (jaundice).
• Ŋutilã, nuyi, alo asibidɛ ƒe amadede blɔ (cyanosis, si nye dzesi be oxygen mesɔ gbɔ ɖe ʋua me o).

Nya kawoe wòle be mabia ɖɔktaa?

Anyo be nàbia nya siawo wò ɖɔkta:

• Atikewɔwɔmɔnu kawoe le asinye?
• Aleke wòle be malé be na nye abiwoe?
• Ɣekaɣie nye lãme asẽ/ɖe nye abiawo ahaya?
• Aleke gbegbe nye dɔlélea nu sẽe?
• Aleke wòle be mano nye atike?
• Ɣekaɣie wòle be mayi xɔ si me wowɔa dɔ kpata le?
• Ɣekaɣie wòle be magakpɔ wò ake?

Ðo ŋku edzi abe nya kpui aɖe ene

Leishmaniasis nye dɔléle si tsoa dɔlékuiwo gbɔ, si ate ŋu ahe nɔnɔme siwo me vevesese le, siwo ate ŋu ade ame ƒe agbe afɔku me vɛ. Ne èle nuto aɖe si me Leishmania bɔ ɖo me alo nèle mɔ zɔm yina la, ke ɖe afɔ aɖewo nàtsɔ akpɔ ɖokuiwò ta. Ne Leishmaniasis ƒe dzesiwo le ŋuwò, alo ne abi aɖe le ŋuwò si mehaya o alo le sesẽm ɖe edzi la, kpɔ egbɔ be yeyi atikewɔƒe. Ame akpa gãtɔ siwo xɔa atike hafi wògblẽna ɖe edzi la ate ŋu ahaya bliboe. Eyata ele vevie be nànya dzesi siawo eye nàdi atike enumake.

` leishmaniasis, kala-azar, ke me ʋetsuvi, ŋutigbalẽ ƒe abi, dɔlékuiwutike