Ènya nu tso asrã wɔnuku sia si dona tso wò agblemelãwo me ŋua? (Q Fever) Mina míaƒo nu!

Èse dɔléle sia si woyɔna be Q Fever ŋu ​​nya kpɔa? Ðewohĩ menye nenemae o, alo? Elabena esia menye dɔléle si wokpɔna zi geɖe le míaƒe dukɔa me o. Gake, vevietɔ nenye be ènye amesi wɔa dɔ kple lãwo, agblemelãwo, alo le nɔnɔme sia tɔgbe me la, ele vevie ŋutɔ be nànya esia vie. Le nyati sia me egbea la, míaƒo nu tso nusi Q asrã sia nye, alesi wòdzɔnae, dzesi siwo le eŋu, kple alesi míate ŋu akpɔ mía ɖokui ta tso eme ŋu.

Nukae nye Q Fever? Kpuie ko la,...

Q fever nye dɔléle si míexɔna ne míegbɔ ke ƒe akpa siwo me dɔlékui aɖe si woyɔna be `Coxiella burnetii` le alo to nusiwo tso lã siwo ŋu dɔlélea le me ɖuɖu me. Lãwo abe alẽwo, gbɔ̃wo, kple nyiwo ƒe ŋutilã me koŋue dɔlékui sia le. Dɔlékuiawo ate ŋu aƒo ƒu ɖe anyigba si dzi lã siawo le la me. Emegbe ate ŋu ato ke suesuesue siwo dona tso anyigba ma me dzi, alo to notsi, aɖuɖɔ, kple vevietɔ tsi siwo dona le vidzidzi me dzi axɔe ayi amegbetɔwo gbɔ.

Nukatae woyɔnɛ be Q fever? Nukae ŋkɔa fia?

Esia hã nye ŋutinya si wɔ nuku vie. Ŋɔŋlɔdzesi ‘Q’ le Q dzoxɔxɔ me tsi tre ɖi na ‘Biabia’ . 'Nyabiase' gɔmee nye 'biabia' alo 'biabia'. Tsã la, le Australia le ƒe 1930-awo me eye emegbe le Amerika le ƒe 1940-awo me, esime amewo te dzoxɔxɔ wɔnuku sia xɔxɔ la, le gɔmedzedzea me la, ɖɔktawo mete ŋu dea dzesi nusi gbɔ wòtso o. Eyata ‘nyabiase’ geɖe nɔ wo si ku ɖe asrã sia ŋu. Esia tae woyɔe be ‘Query Fever’ alo Q fever ɖo. Ele bɔbɔe ŋutɔ, alo?

Nukae nye Q dzoxɔxɔ si nɔa anyi didi? Ðe wònye afɔkua?

Ẽ, esia nye nusi ŋu wotsi dzi ɖo vie. Nya ‘si nɔa anyi didi’ gɔmee nye ɣeyiɣi didi . Eyata Q asrã si nɔa anyi didi nye Q asrã ƒomevi si nu sẽ wu, si nɔa anyi didi. Ate ŋu akpɔ ŋusẽ ɖe wò dzi, ʋukawo, ƒuwo , kple ŋutinu vevi bubuwo dzi. Nɔnɔme sia si nɔa anyi didi la dzɔna le amesiwo ŋu C. burnetii dɔlékuia le ƒe alafa memamã sue aɖe ŋutɔ me, le 1% va ɖo 5% dome .

Kuxi ɖeka si le esia ŋue nye be nɔnɔme sia si nɔa anyi didi ate ŋu adze egɔme ɣleti alo ƒe geɖe gɔ̃ hã le Q asrã ƒe dzesi gbãtɔwo ƒe ɖeɖeɖa megbe. Ðewohĩ ame aɖewo maɖe dzesi aɖeke afia le dɔlélea xɔxɔ le gɔmedzedzea me o gake emegbe wova xɔa Q asrã si nɔa anyi didi. Kuxi si bɔ wu le Q dzoxɔxɔ si nɔa anyi didi me enye dɔlékui si le dzia ƒe lãkusi me. Ðɔktawo yɔnɛ be ``endocarditis''. Esia nye kuxi si ate ŋu ade ame ƒe agbe afɔku me.

Q Nukae dzɔna ne asrã dze dziwò?

Q dzoxɔxɔ ate ŋu ahe dzesi vovovowo vɛ. Gake dzesi siwo bɔ wue nye dzamezã si bɔ, abe dzoxɔxɔ kple ŋutilã ƒe vevesese ene . Dɔlékui siwo nye `C. burnetii` ate ŋu axɔ wò lãkusi, dzi, ahɔhɔ̃, ƒuwo, alo wò ŋutilã ƒe akpa bubuwo. Dzesiawo toa vovo le esia nu. Ðeɖi tea ame aɖewo ŋu vevie.kple dzesi bubuwo ate ŋu anɔ anyi ɣleti geɖe, ƒe geɖe gɔ̃ hã. Abe alesi míegblɔe va yi ene la, Q asrã si nɔa anyi didi ate ŋu ade ame ƒe agbe afɔku me.

Amekae ate ŋu axɔ Q asrã wu?

Q flu dzea amesiwo le agblewo dzi alo amesiwo doa ka kple agblemelãwo dome kplikplikpli wu . Le kpɔɖeŋu me, ne lãmesẽdɔwɔlae nènye, amesi kpea asi ɖe nyiviwo dzidzi ŋu, amesi wɔa dɔ le agble, lãnyiƒe, alo lãwuƒe la, ke èle afɔku gã aɖe me be nàxɔ dɔlélea. Esia le alea elabena zi geɖe la, ame siawo doa ka kple lã siwo ŋu dɔlélea le kple nuto si me wole.

Q Amekae le afɔku gã me be wòadze dɔ vevie le asrãdɔa ta?

Ame aɖewo ate ŋu axɔ nɔnɔme sesẽwo tso Q asrã me, vevietɔ:

• Afɔku le afɔku me be funɔwo nate ŋu ado go kuxiwo le fufɔɣi kple fuɖeɖe me.
• Afɔku gã aɖe le ŋuwò be Q asrã si nɔa anyi didi nadze dziwò ne nɔnɔme siawo le ŋuwò:
• Ne `(Endocarditis)` (dzi ƒe akpa si le eme ƒe dɔdzẽ) nɔ ŋuwò va yi.
• Ne kuxiwo le dzitodzito me ʋukawo ŋu.
• Ne ʋuka siwo me ʋu sina tona (ʋukawo ƒe gliwo ƒe gbɔdzɔgbɔdzɔ kple woƒe ʋuʋu) le wò ʋukawo me.
• Ne ayiku ƒe dɔmawɔmawɔ nyuie o (Ayiku ƒe dɔmawɔmawɔ nyuie).
• Ne mɔ̃ aɖe si wotsɔ dea ʋukawo me tegbee (vascular prosthesis) le asiwò be wòado ŋusẽ ʋukawo eye wòana ʋu nazɔ nyuie wu.
• Ne wò dɔlélenutsiŋutete gbɔdzɔ (le kpɔɖeŋu me, amesiwo ŋu HIV dɔlékuia le, kansadɔnɔwo, amesiwo noa dɔlélenutsiŋutete ƒe atikewo).

Q Aleke gbegbee dzamezã bɔe?

Le nyateƒe me la, Q dzoxɔxɔ nye dɔléle si mebɔ kura o . Le kpɔɖeŋu me, le dukɔ abe Amerika ene gɔ̃ hã me la, ame siwo ade 200 koe wokpɔna ƒe sia ƒe. Womegblɔnɛ zi geɖe le Sri Lanka hã o. Gake ele vevie be amesiwo le afɔku ƒe hatsotsowo me nanya.

Q Nukae nye dzoxɔxɔ ƒe dzesiwo?

Q dzoxɔxɔ ƒe dzesiwo toa vovo le alesi wòxɔe le gɔmedzedzea me (si nu sẽ) kple nɔnɔme bubu siwo ate ŋu ado mo ɖa emegbe nu.

Acute Q fever ƒe dzesiwo

Zi geɖe la, dzesi siawo dzea egɔme dzena le ŋkeke 3 va ɖo 30 le dɔlékuiawo ƒe gege ɖe ŋutilãa me megbe. Zi geɖe la, woɖia dzamezã alo dzamezã tɔ.

• Asrã sesẽ
• Ðeɖiteameŋu kple ɖeɖiteameŋu si gbɔ eme
• Vuvɔ le wɔwɔm
• Fifia ƒe ʋuʋu
• Ŋutilã ƒe vevesese, lãmekawo ƒe vevesese
• Kekeli ƒe seselelãme, ŋku siwo le blɔ (Photophobia) .
• Taɖuame sesẽ ŋutɔ
• Aɖuɖɔtoe kple ʋuʋudedi
• Dɔmetɔtrɔ
• Kpe
• Akɔtave
• Dɔgbo ƒe vevesese
• Teƒe dzĩ siwo le ŋutigbalẽa te (Purpura) .
• Yagbɔgbɔ sesẽ (Dyspnea) .

Ɣeaɖewoɣi la, Q dzoxɔxɔ sesẽ sia ate ŋu ahe nɔnɔmewo abe lãkusi me dɔlékuiwo (Aklãdɔ), ahɔhɔ̃ alo lãkusi siwo tsyɔ ahɔhɔ̃a dzi ƒe dɔdzẽ (Encephalitis alo Meningitis), alo aklã ƒe dɔdzẽ (Hepatitis) vɛ.

Q fever fatigue syndrome (QFS) ƒe dzesiwo .

Ame siwo xɔa Q asrã la dometɔ siwo ade 20% ate ŋu axɔ ɖeɖiteameŋu kple dzesi bubu siwo nɔa anyi ɣleti geɖe, ɣeaɖewoɣi ƒe geɖe, le dɔlékui gbãtɔ xɔxɔ vɔ megbe. Woyɔa esia be Q dzoxɔxɔ ƒe ɖeɖiteameŋu ƒe dɔléle.

• Ðeɖi te eŋu ŋutɔ
• Taɖuame
• Fifia ƒe ʋuʋu
• Ƒunukpeƒewo ƒe vevesese
• Lãmetsiwo ƒe vevesese

Q dzoxɔxɔ si nɔa anyi didi ƒe dzesiwo

Q dzoxɔxɔ si nɔa anyi didi dzea egɔme ɣleti geɖe, alo ƒe geɖe gɔ̃ hã, le C. burnetii dɔlékui la xɔxɔ zi gbãtɔ megbe. Ate ŋu adze egɔme ne dzesi aɖeke mele ŋuwò le dɔlélea xɔxɔ zi gbãtɔ me o gɔ̃ hã. Zi geɖe la, edzea dzi, dzitodzitowo, kple ʋukawo dzi, gake dzesiawo ate ŋu ato vovo le ŋutilã ƒe akpa si ŋu wògblẽ nu le nu.

• Asrã si mebɔ o
• Zã me fifia
• Kpekpeme dzi ɖeɖe kpɔtɔ
• Ɖeɖiteameŋu
• Yagbɔgbɔ sesẽ
• Afɔwo alo afɔwo ƒe vuvu

Q Nukae hea dzoxɔxɔ vɛ?

Nusi koŋ gbɔ Q asrã tsonae nye dɔlékui si nye Coxiella burnetii . Dɔlékui sia ate ŋu anɔ lãwo, vevietɔ nyiwo, alẽwo, kple gbɔ̃wo me, evɔ maɖe dzesi aɖeke afia o. Lã siwo ŋu dɔlélea le ƒe ŋutilã me tsiwo (abe aɖuɖɔ, aɖuɖɔ, notsi, kple vidzidɔ me tsi ene) ate ŋu aƒo ɖi anyigba si me wole.Amewo xɔa dɔlékui sia koŋ ne wogbɔ ke alo tsi si dona tso anyigba si me dɔlékuia le me.

Q Aleke woxɔa asrãdɔa?

Mɔ vevitɔ si dzi Q asrã tona kakanae nye be woagbɔ ke alo tsi ƒe dzoxɔxɔ si me `C. burnetii` dɔlékuiwo . Esia ate ŋu adzɔ ne èle alo le dɔ wɔm le nuto si me lãwo le, vevietɔ agbledelawo. Elabena `C. burnetii` dɔlékuiwo ate ŋu azɔ mɔ didi aɖe to yame, mehiã be nànɔ kadodo me kple lãwo tẽ hafi axɔe o.

Mɔ bubu siwo dzi woato axɔ Q asrã, gake mebɔ boo o, enye:

• Notsi siwo me dɔlékuiwutike mele o ɖuɖu alo nono (e.g. notsi, cheese, ice cream).
• Ʋetsuvi si ŋu dɔlélea le ƒe ɖuɖu .
• Tso vidada funɔ dzi va ɖo via dzi le fufɔɣi alo vidzidzi me .
• To ʋudodo me (esia mebɔ kura o).

Vevietɔ: Zi geɖe la, womexɔa Q asrã tso ame gbɔ yi ame bubu gbɔ o . Ƒã hafi wogblɔ be dɔlélea kaka tso vidada si fɔ fu gbɔ yi via gbɔ.

Q Aleke wokpɔa dzoxɔxɔ dzea sii?

Wò ɖɔkta akpɔ Q asrã to wò dzesiwo biabia , wò atikewɔwɔ ŋutinya me toto , kple ʋu dodokpɔ me . Woate ŋu abia hã be lãwoe nèle alo wɔa dɔ kpli wo hã.

Dodokpɔ me tsonu na C. burnetii ate ŋu axɔ kwasiɖa geɖe hafi atrɔ ava, eyata ne wò ɖɔkta susu be Q asrã le ŋuwò la, woate ŋu adze atikewɔwɔ gɔme evɔ womalala dodokpɔa me tsonu o.

Q Dodokpɔ kawoe wowɔna hena asrã?

Be nàdo Q asrã kpɔ la, wò ɖɔkta atsɔ aŋe sue aɖe axɔ wò ʋu . Woaɖo kpɔɖeŋu sia ɖe dodokpɔxɔ aɖe be woadi dzesiwo (dɔlékuiwutikewo) be C. burnetii dɔlékui aɖe le ame ŋu. Woate ŋu adze agbagba hã be yewoade C. burnetii dɔlékuiawo tso wò kpɔɖeŋua me.

Ðewohĩ ahiã be nàdo ʋu zi geɖe le ɣeyiɣi aɖe me be woakpɔ dɔlélea si ŋu kakaɖedzi le.

Q Aleke wodaa asrãe?

Wotsɔa dɔlékuiwutikewo daa Q asrã sesẽ . Zi geɖe la, wotsɔa dɔlékuiwutikewo kple atike siwo wua dɔlékuiwo tsakana daa Q asrã si nɔa anyi didi, gake edada ate ŋu asesẽ wu. Wò ɖɔkta awɔ atikewɔwɔ ƒe ɖoɖo aɖe koŋ si anɔ te ɖe wò nɔnɔmea dzi.

Ne wokpɔ be Q asrã le ŋuwò eye dzitodzito alo ʋukawo ƒe dɔlélewo nɔ ŋuwò do ŋgɔ la, ƒo nu kple wò ɖɔkta tso atikewɔwɔ kaba ŋu be nàɖe Q asrã si nɔa anyi didi ƒe afɔkua dzi akpɔtɔ.

Atike/atike kawoe wozãna?

Ðɔktaa ate ŋu aŋlɔ atike siwo gbɔna na wò:

• `( Doxycycline ( Doxycycline) ) `. Nusiwo wotsɔna ƒoa ƒui
• `(Haidroksikloroquine)`
• `(Trimethoprim-sulfametoxazole (TMP-SMX)) ƒe atike si wozãna tsɔ wɔa dɔe
• `(Rifampin)`
• `(Fluoroquinolones)` (le kpɔɖeŋu me, `(Ciprofloxacin)`, `(Ofloxacin)`)
• `(Klarithromycin)`

Q Ðe woate ŋu ada asrã keŋkeŋa?

Ẽ, ame akpa gãtɔ ate ŋu ahaya keŋkeŋ tso Q asrã sesẽ me ne wozã dɔlékuiwutikewo. Gake le ame ʋɛ siwo ŋu Q asrã sesẽ le gɔ̃ hã gome la, dzesiawo ate ŋu anɔ anyi ɣleti geɖe alo ƒe geɖe gɔ̃ hã, ne wodae gɔ̃ hã. Q dzoxɔxɔ si nɔa anyi didi la dada sesẽ vie wu.

Aleke mawɔ aɖe Q asrã ƒe afɔkua dzi akpɔtɔ?

Nu geɖe li nàte ŋu awɔ atsɔ aɖe Q asrã ƒe afɔkua dzi akpɔtɔ:

• Do ametakpɔnu kple asigɛ ne èle lãwo ƒe ŋutilã me tsiwo zãm, vevietɔ esiwo dona le vidzidzi me .
• Ƒo asa na nyinotsi siwo me dɔlékuiwutike mele o ɖuɖu alo nono .
• Numekuku aɖewo ɖee fia be dzitodzito me kuxiwo dodokpɔ kple wo dada le amesiwo ŋu wokpɔ Q asrã le ŋu ate ŋu axe mɔ ɖe Q asrã si nɔa anyi didi nu.
• Ne èle dɔ wɔm le dɔ si me afɔku le ŋutɔ me eye nèle nuto si me woate ŋu akpɔ Q asrã ƒe atike le (fifia Australia koe woate ŋu akpɔe le) la, bia wò ɖɔkta tso atikewɔmɔnu ŋu.

Ne èle agblemelãwo gbɔ alo le dɔ wɔm kpli wo, eye nèle afɔku me wu be kuxi siwo tso Q asrã gbɔ nado mo ɖa (e.g., amesiwo ŋu dzitodzito alo ʋukawo ƒe kuxiwo le, funɔwo, amesiwo ƒe dɔlélenutsiŋutete gbɔdzɔ), ƒo nu kple wò ɖɔkta tso alesi nàwɔ axe mɔ ɖe Q asrã nu ŋu.

Nukae wòle be makpɔ mɔ na ne Q asrã le ŋunye?

Q fever ƒe dzesiwo ate ŋu anɔ anyi ɣeyiɣi didi aɖe , tso ŋkeke 10 va ɖo 90 . Gake ame akpa gãtɔ hayana keŋkeŋ . Ne woŋlɔ dɔlékuiwutikewo na wò la, ahiã be nàno wo kwasiɖa eve ya teti. Ame abe ame 1 le 5 ɖesiaɖe me (20%) ate ŋu axɔ ɖeɖiteameŋu ƒe seselelãme (`(Q fever fatigue syndrome)`) si anɔ anyi ɣleti alo ƒe geɖe.

Ame ʋɛ aɖewo ŋutɔ (siwo le 1% va ɖo 5%), vevietɔ amesiwo ŋu atikewɔwɔ me dɔléle bubu siwo le ete le, ate ŋu axɔ Q asrã si nɔa anyi didi. Ne Q asrã si nɔa anyi didi le ŋuwò la, ahiã be woawɔ atike na wò ɣleti 18 alo esi wu nenema .

Q Nukawoe nye dzoxɔxɔ ƒe kuxiwo?

Kuxiwo ate ŋu ado mo ɖa le Q asrã sesẽ kple Q dzoxɔxɔ si nɔa anyi didi siaa ŋu. Gake esiawo bɔ wu eye zi geɖe la, wo nu sẽna wu le Q asrã si nɔa anyi didi me. Kuxi siwo dona tso eme dometɔ aɖewoe nye:

• Ʋuka si gbɔdzɔ, si le dodom (Aneurysm) .
• Arterial fistula, si nye nɔnɔme si me ʋu sina nyuie o
• Dzitodzito me dɔléle
• Aɖuɖɔtoewo ƒe abi (Fibrosis) .
• Yagbɔgbɔ ƒe kuxi sesẽ (ARDS) .
• Dzi ƒe dɔmawɔmawɔ nyuie
• Ƒumeŋuɖui (Osteomyelitis) .
• Fuɖeɖe
• Vidzidzi ƒe kpekpeme si bɔbɔ

Q Nukae nye mɔkpɔkpɔ na dzamezã?

Zi geɖe la, Q dzoxɔxɔ sesẽ ƒe nyagblɔɖi nyo ne wotsɔ dɔlékuiwutikewo dae. Ame siwo kuna le Q asrã sesẽ ta le 0.5% va ɖo 1.5% dome . Ame siwo xɔa Q asrã si nɔa anyi didi la le afɔku gã aɖe me be woakpɔ kuxiwo eye woaku. Ame siwo kuna le Q asrã si nɔa anyi didi ta le 12% va ɖo 25% dome .

Aleke malé be na ɖokuinye?

Ne wokpɔ be Q asrã le ŋuwò la, ele vevie ŋutɔ be nàno atike siwo katã woŋlɔ na wò ɖe game dzi . Bia wò ɖɔkta alesi nàwɔ akpɔ wò dzesiwo gbɔe kple ne mɔ aɖewo li siwo dzi nàto aɖe dzesi siwo nɔa anyi didi alo Q asrã si nɔa anyi didi ƒe afɔkua dzi akpɔtɔ hã.

Ɣekaɣie wòle be makpɔ ɖɔkta?

Ne èle dɔ wɔm alo le nyiwo, gbɔ̃wo, alo alẽwo gbɔ, eye Q asrã ƒe dzesiwo dze ŋuwò la, yi ɖɔkta gbɔ enumake . Ne Q dzoxɔxɔ si nɔa anyi didi ƒe dzesiwo le ŋuwò, eye nèsusu be ɖewohĩ yedo go `C. burnetii` dɔlékuiwo va yi (ne ɣeyiɣi aɖee nye esia gɔ̃ hã), gblɔe na wò ɖɔkta.

Nya kawoe wòle be mabia nye ɖɔkta?

• Ðe wòle be mano atike do ŋgɔ be maɖe Q asrã si nɔa anyi didi ƒe afɔkua dzi akpɔtɔa?
• Ðe wòle be woadom kpɔ be dzi kple ʋukawo me kuxiwo le ŋunyea?
• Aleke mawɔ ano atike sia?
• Ɣekaɣie magava kpɔ wò ake?
• Nukae mate ŋu awɔ be makpɔ nye dɔlélea ƒe dzesiwo gbɔ?

Mlɔeba la, nusiwo dzi wòle be woaɖo ŋkui (Take-Home Message) .

Togbɔ be Q fever nye dɔléle si mebɔ o hã la, ele vevie be nànyae eye nàwɔ ametakpɔnuwo ne èle dɔ wɔm alo le nɔnɔme si me afɔku le ŋutɔ me. Nu bɔbɔewo abe ametakpɔnu dodo, asigɛwo dodo, kple asaƒoƒo na nyinotsi siwo me dɔlékuiwutike mele o ate ŋu ana tɔtrɔ gã aɖe nava, vevietɔ ne wole dɔ wɔm kple agbledelãwo .

Togbɔ be ame ʋɛ aɖewo koe Q asrã si nɔa anyi didi gblẽa nu le eŋu hã la, ate ŋu ahe kuxi siwo ate ŋu ade woƒe agbe afɔku me vɛ. Eyata ne èsusu be Q asrã ate ŋu anɔ ye ŋu, alo ne nane tsi dzi ɖe eŋu le eŋu la, mègahe ɖe megbe le atikewɔlawo ƒe aɖaŋuɖoɖo didi me o . Ne ègblɔ wò lãmesẽ ŋutinya kple wò dɔwɔwɔ ŋutinya na wò ɖɔkta la, akpe ɖe eŋu wòase wò afɔkuwo gɔme eye wòana atike nyuitɔ kekeake.

` Q dzoxɔxɔ, Coxiella burnetii, dɔléle siwo do ƒome kple lãwo, dzoxɔxɔ ƒe dzesiwo, Q dzoxɔxɔ si nɔa anyi didi, agblemenukuwo ƒe lãmesẽ, dɔlékuiwo ƒe dɔlélewo