Mina míasrɔ̃ nu geɖe tso Anyidɔ alo Hansen ƒe Dɔléle ŋu.

Ne ègblɔ be ‘anyidɔ’ la, ɖewohĩ ètsia dzodzodzoe vie, alo? Tsã la, dɔléle sia nye dɔléle si woɖena ɖa le amewo ŋu eye wovɔ̃na na wo ne woxɔe. Gake le nyateƒe me la, fifia anyidɔ nye dɔléle si woate ŋu ada keŋkeŋ si mexɔna bɔbɔe o. Mina míaƒo nu tso esia ŋu tsitotsito egbea.

Kpuie ko la, anyidɔ nye dɔlékuiwo ƒe dɔléle. Ate ŋu agblẽ nu le wò lãmekawo, ŋutigbalẽ, ŋkuwo, lãmekawo, kple gbɔgbɔtsixe ŋu koŋ . Ɣeaɖewoɣi la, ate ŋu ana ŋutigbalẽ ƒe amadede natrɔ, wòazu nuwɔametɔ, eye wòazu nuwɔametɔ tegbee ne womewɔ atike nɛ o.

Ðe anyidɔ gakpɔtɔ le xexeamea?

Ẽ, anyidɔ gakpɔtɔ le xexeame. Wogblɔa dɔléle yeye siwo ade akpe alafa eve ƒe sia ƒe. Gake le dukɔ aɖewo me, le kpɔɖeŋu me, le dukɔwo abe Amerika ene me la, ƒã ŋutɔ. Ke hã, le Asia dukɔwo abe mía tɔ ene, Afrika kple Anyiehe Amerika dukɔwo me la, wogakpɔa dɔléle sia kokoko. Esi wònye be wogblɔa anyidɔlélawo le Sri Lanka ɣeaɖewoɣi ta la, nunya anɔ eme be nàdi atikewɔlawo ƒe aɖaŋuɖoɖo ne ède dzesi tɔtrɔ aɖewo siwo mebɔ o le wò ŋutigbalẽ ŋu.

Nukawoe nye Hansen ƒe Dɔlélea ƒe dzesiwo?

Anyidɔ ƒe dzesiwo dzena vivivi. Ɣeaɖewoɣi la, dzesiawo ate ŋu adze le ƒe geɖe, ƒe bla nanewo gɔ̃ hã, le dɔlékuiawo ƒe gege ɖe ŋutilãa me megbe . Dzesi vevi siwo woate ŋu akpɔe nye:

• Ŋutilã ƒe dzesiwo: Esiawo to vovo na ŋutigbalẽ si sɔ. Woate ŋu atrɔ (woƒe amadede azu blɔ), woazu dzo, woaƒo, woavuvu, alo woatsi . Tag siawo ƒe goawo hã ate ŋu adze abe ɖe wodo ɖe dzi ene.
• Dzĩ alo aŋutiɖiɖi: Ŋutilãa ate ŋu adze abe ƒuƒu alo ƒuƒu ene le teƒe aɖewo.
• Abi siwo me vevesese mele o le afɔkpodziwo ŋu: Abi siwo me vevesese mele o ate ŋu adzɔ, vevietɔ le afɔkpodzi. Esia nye afɔku gã aɖe, elabena ɖewohĩ mànya gɔ̃ hã be abi aɖe le ye ŋu o, si ate ŋu avuvu eye wòalolo.
• Lãmetsi siwo vuvu: Lãmetsi aɖewo ate ŋu avuvu eye woase veve ne woka asi wo ŋu.
• Gbɔdzɔgbɔdzɔ alo lãmetutudɔ: Lãmetsiwo ƒe gbɔdzɔgbɔdzɔ, eye le go aɖewo me la, abɔ kple afɔ ƒe dɔwɔwɔ ƒe bu (lãmesẽ) ate ŋu adzɔ.
• Ŋkume alo ŋkume ƒe taɖa ƒe vuvu: Esia hã nye dzesi si ame aɖewo kpɔna.
• Nukpɔkpɔ ƒe kuxiwo: Nukpɔkpɔ ate ŋu aɖiɖi eye ŋku ƒe kuxi bubuwo ate ŋu ado mo ɖa.

Aleke woxɔa anyidɔ?

Dɔlékui aɖe si woyɔna be Mycobacterium leprae gbɔe anyidɔ tsona. Ðɔktawo meka ɖe alesi wòkakana tso ame gbɔ yi ame gbɔ dzi 100% haɖe o. Gake anɔ eme godoo be ekakana to tsitete siwo gena ɖe ya me ne ame si ŋu dɔlélea le la kɔ alo ƒo aɖuɖɔ .

Ẽ, anyidɔ nye dɔléle si xɔa ame me. Gake kakaɖedzi mele eŋu kura o wu alesi nàsusui. Be anyidɔ nadze ŋuwò la, ele be nànɔ kadodo kplikplikpli me kple amesi ŋu dɔlélea le ɣleti geɖe . Azɔ hã, ame akpa gãtɔ ƒe dɔlélenutsiŋutete wɔa avu kple dɔlékuiawo eye wònana woɖua wo dzi.Nusi le vevie wue nye be ne ènya dze anyidɔ ƒe atikewɔwɔ gɔme ko la, màte ŋu akaka dɔlélea ɖe ame bubu aɖeke dzi o.

Mega tsi dzi o! Anyidɔ mexɔa ame bɔbɔe o. Ne wonya da dɔ nɛ ko la, dɔlékuiwo kaka nu tsona keŋkeŋ.

Amekawoe ate ŋu axɔ anyidɔ le afɔku me wu?

Ame siwo le nuto siwo me anyidɔ bɔ ɖo lae le afɔku gãtɔ me. Esia lɔ Asia, Afrika, kple Anyiehe Amerika ƒe akpa aɖewo ɖe eme. Wogblɔa anyidɔlélawo hã ɣeaɖewoɣi le Sri Lanka, eyata nunya anɔ eme be nàdi atikewɔlawo ƒe aɖaŋuɖoɖo ne ède dzesi tɔtrɔ aɖewo le wò ŋutigbalẽ ŋu.

Kuxi kawoe ate ŋu ado tso anyidɔ me?

Ne womeda anyidɔ nyuie o la, kuxi vovovowo ate ŋu ado mo ɖa. Esiawo dometɔ aɖewo ate ŋu anɔ anyi ɖaa:

• Lãmetsiwo ƒe lãmetutudɔ tegbee.
• Asiwo kple afɔwo ƒe gbegblẽ tegbee: Esia ate ŋu ana wo zazã nasesẽ.
• Dzedzeme ƒe tɔtrɔ tegbee: Tɔtrɔ ate ŋu ava mo kple ŋutigbalẽ me.
• Asibidɛ siwo le kpuie: Afɔwo ƒe asibidɛwo ate ŋu atso kpuie eye woazu nuwɔametɔwo.
• Abi siwo meda o: Abi, vevietɔ esiwo le teƒe siwo lãmetutudɔ le, ate ŋu anɔ anyi evɔ womahaya o.
• Ŋkuagbã.
• Vevesese si nɔa anyi didi.

Esia tae míegblɔ be ele vevie ŋutɔ be nàkpɔ ɖɔkta eye nàdze atikewɔwɔ gɔme ne ènya de dzesi dzesiawo ko .

Aleke ɖɔktawo dea dzesi anyidɔ?

Ne anyidɔ ƒe dzesiwo le ŋuwò la, ɖɔkta aɖe ado wò kpɔ. Woawɔe koŋ be:

• Ŋutilãmedodokpɔ: Woado wò ŋutigbalẽ kpɔ nyuie, eye woalé ŋku ɖe ŋuwò be lãmekawo le ʋuʋum eye wòvuvu hã.
• Ŋutilã alo lãmeka sue aɖe ɖeɖe (Biopsy): Be woaɖo kpe dɔlélea dzi la, woate ŋu aɖe ŋutigbalẽ sue aɖe (skin biopsy) ahadoe kpɔ le nusuekpɔmɔ̃ me. Ɣeaɖewoɣi la, woate ŋu axɔ lãmeka aɖe hã.
• Dodokpɔ bubuwo: Woate ŋu awɔ ʋudodokpɔ kple lãmekawo ƒe ʋuʋu ƒe dodokpɔ hã.

Wò ɖɔkta anɔ te ɖe wò dzesiwo dzi agblɔ anyidɔ ƒomevi si le ŋuwò na wò. Wole ƒomevi vevi geɖe:

• Tuberculoid leprosy / Paucibacillary leprosy: Zi geɖe la, dzesiawo fa wu le ƒomevi sia me. Teƒe ʋɛ aɖewo siwo ƒe ŋutigbalẽ biã alo biã, lãmekawo ƒe gbɔdzɔgbɔdzɔ fafɛ, kple lãmekawo ƒe ʋuʋu ʋɛ aɖewo bɔ. Dɔlékuiwo ƒe xexlẽme le sue le ƒomevi sia me.
• Lepromatous leprosy / Multibacillary leprosy: Dzesi geɖe wu le ƒomevi sia ŋu. Abi kple ƒunukpeƒewo ate ŋu adze le ŋutilã bliboa me. Lãmetsiŋusẽ, ŋutigbalẽ, kple ŋutinuwo ate ŋu agblẽ. Dɔlékui gbogbo aɖewo gbɔe esia tsona.
• Borderline leprosy / Dimorphous leprosy: Esia ate ŋu anye nɔnɔme siwo tso ƒomevi eve siwo míeyɔ ɖe etame la ƒe tsakatsaka.

Aleke wodaa anyidɔe?

Esiae nye nu vevitɔ kekeake: woate ŋu ada anyidɔ keŋkeŋ!Ðɔktawo zãa dɔlékuiwutikewo ƒokpli, si nye atike si woyɔna be Multidrug Therapy (MDT) tsɔ wua dɔlékuiawo.

Dɔlékuiwutike vevi siwo wonanae nye:

• `Dapsone`
• `Rifampin`
• `Klofazimin`

Ahiã be nàno atike sia atraɖii hena ɣleti 6 va ɖo 12 (anɔ abe ƒe ɖeka ene) . Ne wò dzesiwo nyo ɖe edzi hã la, ele be nàno atike la pɛpɛpɛ na ɣeyiɣiawo katã si wò ɖɔkta agblɔ na wò. Mehiã be nàɖe ɖokuiwò ɖe aga tso ame bubuwo gbɔ esime nèle atike wɔm o.

Ɣeaɖewoɣi la, ɖɔktawo ate ŋu aɖo aɖaŋu be woawɔ dɔ na ŋutigbalẽa ƒe ʋuʋudediwo eye wòakpe ɖe lãmekawo ƒe gbegblẽ ŋu.

Ɣekaɣie wòle be makpɔ ɖɔkta?

Ne ède dzesi ŋutigbalẽ ƒe abi, lãmetutudɔ, alo lãmekawo ƒe gbɔdzɔgbɔdzɔ la, yi ɖɔkta gbɔ enumake. Wò ɖɔkta ate ŋu anya nenye be anyidɔe alo atikewɔwɔ ƒe nɔnɔme bubu aɖee. Ne wokpɔe kaba la, enaa atikewɔwɔ nɔa bɔbɔe eye wòɖea kuxiwo dzi kpɔtɔna.

Bu eŋu kpɔ, ame aɖe li si ŋkɔe nye Nilanthi. Ede dzesi teƒe aɖe si ƒe amadede trɔ, eye wòtsi vie le eƒe asi ŋu. Eŋe aɖaba ƒu edzi. Le ŋkeke ʋɛ aɖewo megbe la, ŋutigbalẽ si ƒo xlã teƒea te ƒoƒo. Vɔvɔ̃ ɖoe eye wòyi ɖɔkta gbɔ, gake eva nya be anyidɔ ƒe gɔmedzedzee. Dzɔgbenyuietɔe la, wokpɔ dɔlélea le eŋu kaba eye wòhaya kaba esi wowɔ atike nɛ.

Ðe woate ŋu axe mɔ ɖe anyidɔ nua?

Abe alesi míegblɔe va yi ene la, anyidɔ mekakana bɔbɔe o. Gake ne èle kadodo kplikplikpli kple ame aɖe si ŋu anyidɔ le (le kpɔɖeŋu me, aƒe ɖeka me nɔnɔ) la, wò ɖɔkta ate ŋu aɖo aɖaŋu na wò be nàdoe kpɔ zi ɖeka le ƒea me. To mɔ sia dzi la, ne dɔlékui aɖe le ŋuwò la, woate ŋu ade dzesii ahadae hafi dzesiawo nadze.

Nukae dzɔna ne anyidɔ le ŋunye?

Ne wokpɔe be anyidɔ le ŋuwò la, dze edada gɔme enumake. Zi alesi nèdze atikewɔwɔ gɔme kaba la, zi nenemae dzesi sesẽwo alo esiwo anɔ anyi ɖaa madze ŋuwò o. Wò ɖɔkta alé ŋku ɖe ŋuwò ƒe geɖe le atikewɔwɔ vɔ megbe.

Dɔlékuiwutikewo ate ŋu ada dɔlékuia. Gake lãmekawo ƒe gbegblẽ kple nuwɔametɔnyenye si anyidɔ na xoxo ate ŋu anɔ anyi ɖaa. Ɣeaɖewoɣi la, nugbegblẽ sia ate ŋu agblẽ ɖe edzi le ƒe geɖe le atikewɔwɔ vɔ megbe gɔ̃ hã. Esia tae dɔlélea didi kaba kple edada le vevie ɖo.

Anyinɔ ƒe agbenɔƒe nenie?

Ne wowɔ atike na amesi ŋu anyidɔ fafɛ le nyuie la, ate ŋu akpɔ mɔ be yeanɔ agbe abe amesi le lãmesẽ me ene. Ke hã , ne womekpɔ atike na anyidɔ o ɣeyiɣi didi aɖe la, ate ŋu ahe kuxi sesẽwo vɛ eye wòaku gɔ̃ hã.

Ðe anyidɔlélawo ƒe ƒuƒoƒo gakpɔtɔ lia?

Ẽ, anyidɔ ƒe hatsotso aɖewo gakpɔtɔ li. Tsã la, amewo susuna be ele be woaɖe anyidɔlélawo ɖa tso ame bubuwo gbɔ le nugɔmesesemasemase kple vɔvɔ̃ na dɔlélea ta. Gake fifia míenya be menye nyateƒee o.Fifia wowɔa atike na dɔnɔ geɖe le kɔdzi, si fia be wole aƒeme. Gake ame aɖewo gakpɔtɔ le nuto mawo me, ɖewohĩ le esi wodoa vlo wo be woɖe wo ɖa ta, alo le esi wònye woƒe aƒe ƒe geɖe ta.

Le Sri Lanka la, anyidɔlélawo ƒe kɔdziwo nɔ teƒewo abe Hendala kple Manthivu ene tsã. Gake fifia, esi atikewɔwɔmɔnuawo nyo ɖe edzi ta la, megahiã be woaɖe wo ɖokui ɖe aga alea o.

Ðe anyidɔ nye gbɔdɔdɔ ƒe dɔléle (STD)a?

Ao, menye gbɔdɔdɔ ƒe dɔléle (STI) ye anyidɔ nye o. Wosusu be gbɔgbɔtsixe ƒe dɔwɔwɔ koŋue wòxɔna.

Ðe armadillos ate ŋu akaka anyidɔa?

Ẽ, armadillo aɖewo ate ŋui. Armadillo ƒomevi aɖewo siwo le United States kple Mexico ƒe dzigbe te ŋu tsɔa anyidɔlékui la ɖe woƒe ŋutilã me hetsɔnɛ naa amegbetɔwo. Gake esia mebɔ kura o.

Tsã la, amewo vɔ̃na na nya anyidɔ eye woƒoa asa na amesiwo ŋu dɔlélea le. Nusitae nye be womese dɔlélea gɔme nyuie ɣemaɣi o. Gake egbea míenya nusi hea anyidɔ vɛ, be woate ŋu adae, eye be mexɔa ame bɔbɔe o.

Nublanuitɔe la, nukpɔsusu totrowo gakpɔtɔ le ame aɖewo si ku ɖe dɔlélea ŋu. Lãmesẽdɔwɔla siwo le xexeame godoo le agbagba dzem ɣesiaɣi be yewoaɖe ameŋugblẽnya sia ɖa eye yewoatrɔ alesi amewo bua anyidɔe.

Eyata nu kawo dzie wòle be míaɖo ŋkui le ŋutinya sia me?

• Anyidɔ nye dɔlékuiwo ƒe dɔléle, ke menye dɔléle sesẽ aɖe si menya kpɔna dzea sii bɔbɔe o.
• Woateŋu ada esia keŋkeŋ to atike si woyɔna be ``Multidrug Therapy (MDT)'' me.
• Anyidɔ mekaka tso ame gbɔ yi ame bubu gbɔ bɔbɔe o. Ebia be woawɔ kadodo kplikplikpli ɣeyiɣi didi.
• Ne ènya dze atikewɔwɔ gɔme ko la, màte ŋu axɔ dɔa na ame bubu aɖeke o.
• Di atikewɔla enumake ne èkpɔ dzesiwo abe ŋutigbalẽ ƒe amadede ƒe tɔtrɔ, lãmetutudɔ, alo lãmekawo ƒe gbɔdzɔgbɔdzɔ ene. Ne wokpɔe dze sii kaba la, ate ŋu aɖe kuxiwo dzi akpɔtɔ.
• Susu aɖeke meli si ta woaɖe anyidɔlélawo ɖa alo avɔ̃ wo o. Wohiã míaƒe lɔlɔ̃, dɔmenyonyo, kple kpekpeɖeŋu.

` Anyidɔ, Hansen ƒe dɔléle, ŋutigbalẽdɔlélewo, lãmekawo ƒe gbegblẽ, atikewɔwɔ, kaka, dzesiwo, dɔlékuiwo, dɔlékuiwo, lãmetutudɔ, MDT