Asrã si ʋetsuviwo hena vɛ! Mina míasrɔ̃ nu tso Rocky Mountain Spotted Fever ŋu

Ðe nèdo go nɔ zɔzɔm le ave me, le gbe kɔkɔwo me, alo nɔ fefem kple wò aƒemelã eye nèdo go nuwɔwɔ sue aɖe si le abe ʋetsuvi ene kpɔa? Ɣeaɖewoɣi la, nuwɔwɔ sue siawo ate ŋu anye fuɖename ŋutɔŋutɔ. Egbea míele nu ƒom tso dɔléle aɖe si ʋetsuviwo ate ŋu axɔ ŋu, eye ate ŋu anye afɔku vie. Woyɔa esia be Rocky Mountain Spotted Fever. Ðewohĩ adze abe ŋkɔa meku ɖe Sri Lanka ŋu o ene, gake ele vevie ŋutɔ be nànya dɔléle siwo ʋetsuviwo tsɔna abe esia ene.

Nukae Nye Rocky Mountain Spotted Fever?

Kpuie ko la, Rocky Mountain Spotted Fever (RMSF) nye dɔléle si dɔlékui aɖe si woyɔna be Rickettsia rickettsii hena vɛ. Wokakanɛ to ʋetsuviwo ƒe ɖuɖu me. Dzesi gbãtɔwo – abe dzoxɔxɔ, taɖuame, kple ŋutigbalẽ ƒe ʋuʋu ene – ateŋu asɔ kple dɔléle bubu siwo bɔ. Gake ne womewɔ atike na RMSF kaba o la, ate ŋu ade ame ƒe agbe afɔku me.

Dɔléle sia, RMSF, le dɔlélewo ƒe hatsotso gã aɖe si woyɔna be `Spotted Fever Rickettsiosis (SFR)` me.

Ðe Rocky Mountain Spotted Fever (RMSF) kple Lyme dɔlélea nye nu ɖeka?

Ẽ, togbɔ be wo ame evea siaa nye dɔlékui siwo ʋetsuviwo hena vɛ hã la, Rocky Mountain Spotted Fever kple Lyme dɔléle nye dɔléle vovovo eve. Dɔlékui bubu si to vovo na RMSF gbɔe Lyme dɔlélea tsona, eye dzesiawo to vovo. Ame aɖe si ŋu RMSF le la maxɔ Lyme dɔlélea o.

Amekae ate ŋu axɔ Rocky Mountain Spotted Fever (RMSF)?

Ame sia ame si le nɔnɔme si me ʋetsuviwo le – abe gbe kɔkɔwo, avewo, alo aƒemelã siwo le gota ene – ate ŋu axɔ dɔlélea. Woka nya ta be RMSF dɔlékuiwo le United States, Canada, Mexico, kple Anyiehe kple Titina Amerika. Togbɔ be dɔléleawo ate ŋu adzɔ le ƒea ƒe ɣeyiɣi ɖesiaɖe me hã la, ɣleti siwo me dzoxɔxɔ le wu mee wokpɔa dɔlélea ƒe xexlẽme si sɔ gbɔ wu.

Amekae le afɔku me wu?

Ame sia ame ate ŋu axɔ RMSF le ƒe ɖesiaɖe me. Gake woka nya ta be ebɔ ɖe ŋutsuwo kple amesiwo xɔ wu ƒe 40. Afɔku gã aɖe me na wò be nàxɔ RMSF sesẽ ne è:

• Ne mèxɔ ƒe 10 haɖe o alo mexɔ wu ƒe 70 o.
• Ne `Glucose-6-phosphate dehydrogenase (G6PD) ƒe anyimanɔmanɔ` le ŋuwò.
• Ne dɔlélenutsiŋutete si gblẽ le ŋuwò.

Aleke gbegbee Rocky Mountain Spotted Fever (RMSF) bɔe?

Le United States la, wogblɔa RMSF dɔlékui siwo ade 6,000 ƒe sia ƒe. Togbɔ be wotsɔ ŋkɔ nɛ be "Agakpe To" hã la, le nyateƒe me la, ebɔ wu le nutowo abe North Carolina, Tennessee, Missouri, Arkansas, kple Oklahoma ene me. RMSF te ŋu dzɔna le dzomeŋɔli, esime ʋetsuviwo sɔ gbɔ wu eye amewo nɔa gota wu.

Aleke Rocky Mountain Spotted Fever (RMSF) kpɔa ŋusẽ ɖe nye ŋutilã dzii?

Dɔlékui si hea RMSF vɛ, `R. rickettsii`, gena ɖe wò ʋu me to ʋetsuvi ƒe ɖuɖu me. Emegbe dɔlékuiawo dzea wò ʋukawo, lãmekawo, kple lãmekawo dzi. Esia ate ŋu ana ʋu nado le wò ʋukawo me, tsi naƒo ƒu ɖe wò lãmekawo me, eye wòagblẽ nu le wò lãmekawo, lãmekawo, kple ŋutinuwo ŋu.

Nukae nye Rocky Mountain Spotted Fever (RMSF) ƒe dzesiwo?

Ne ʋetsuvi si ŋu dɔlélea le ɖu wò la, àte ŋu adze RMSF ƒe dzesiwo dzedze gɔme le ŋkeke eve va ɖo kwasiɖa eve me. Zi geɖe la, dzesiawo dzena vivivi le ŋkeke geɖe megbe. Le gɔmedzedzea me la, woate ŋu anye dzoxɔxɔ, taɖuame, ʋuʋudedi, ʋuʋudedi, kple lãmekawo ƒe vevesese .

Vevietɔ wu: Ame aɖewo axɔ ʋuʋudedi le ŋkeke etɔ̃ me (anɔ abe 50%). Gake ele vevie be nàdi atike evɔ màlala be ʋuʋudedia nadze o.

RMSF ƒe dzesi veviwoe nye:

• Asrã sesẽ
• Taɖuame
• Nudzroame
• Lãmetsiwo ƒe vevesese alo vevesese
• Ŋutilã ƒe ʋuʋudedi – zi geɖe la, edzea egɔme tso asibidɛwo kple afɔkpodziwo dzi eye wòkakana ɖe ŋutilã ƒe akpa bubuwo.
• Aɖuɖɔtoe kple ʋuʋudedi
• Dɔgbo ƒe vevesese
• Kekeli ƒe seselelãme (fotovɔvɔ̃) .

Dzesi sesẽ siwo ate ŋu ado mo ɖa emegbe:

• Tɔtɔ
• Yagbɔgbɔ sesẽ (gbɔgbɔtsixetsixe) .
• Dzimaɖitsitsi, dziɖeleameƒo, alo zitɔtɔ
• Alɔ̃madɔmadɔ
• Afɔ kple afɔwo ƒe ʋuʋu alo gbɔdzɔgbɔdzɔ

Aleke Rocky Mountain Spotted Fever (RMSF) kakae?

Akpɔkplɔwo tsɔa RMSF eye wokakanɛ. Le United States la, Amerikatɔwo ƒe avu ʋetsuvi kple Rocky Mountain atiglinyi koŋue xɔa dɔlékuiawo. Le nuto aɖewo me la, ʋetsuvi ƒomevi bubuwo abe avu ʋetsuvi si ƒe amadede nye aŋutiɖiɖi ene hã ate ŋu akaka RMSF.

Ðe RMSF xɔa ame me yi ame bubu gbɔa?

Ao, Rocky Mountain Spotted Fever mexɔa ame o (si fia be menye dɔléle si xɔa ame me o).

Aleke nàwɔ anya ne ʋetsuvi aɖe ɖu?

Ne mèkpɔ ʋetsuvi le wò ŋutilã ŋu o la, ate ŋu asesẽ ɣeaɖewoɣi be nànya ne ʋetsuvi aɖe ɖu wò. Akpɔkplɔ ate ŋu agblẽ dzesi aɖe ɖi le afisi woɖui le, ate ŋu agblẽ ʋuʋudedi ɖi, alo ate ŋu adzo evɔ dzesi aɖeke manɔ eŋu kura o.

Aleke wokpɔa Rocky Mountain Spotted Fever (RMSF) le?

Wò ɖɔkta anɔ te ɖe ŋutilãmedɔdada, wò dzesiwo, kple nenye be ʋetsuvi aɖe ɖu wò dzi akpɔ RMSF. Togbɔ be ʋudodokpɔ kple ŋutigbalẽdodokpɔ ate ŋu akpe ɖe ame ŋu wòanya RMSF hã la, dodokpɔ siawo me tsonu mete ŋu dzena kaba be woate ŋu adze atikewɔwɔ gɔme o.

Ne èzɔ mɔ yi nuto aɖe si me ʋetsuviwo ate ŋu anɔ le kwasiɖa eve siwo va yi me la, ne mèɖo ŋku edzi be ʋetsuvi aɖe ɖu wò alo ʋetsuvi aɖe nɔ wò ŋutilã ŋu o gɔ̃ hã la, kpɔ egbɔ be yegblɔe na wò ɖɔkta. Esia le vevie ŋutɔ na wo be woatso nya me nenye be woada RMSF.

Dodokpɔ kawoe wozãna tsɔ dea dzesi RMSF?

Wò ɖɔkta ate ŋu akpɔ RMSF to ʋudodokpɔ kple ŋutigbalẽdodokpɔ me, gake ate ŋu axɔ ɣeyiɣi aɖe hafi emetsonuwo nagatrɔ ava. Anɔ eme be ahiã be wò ɖɔkta natso nya me nenye be yeada RMSF hafi wò dodokpɔ me tsonu natrɔ ava.

• Ʋudodokpɔ: Woɖea wò ʋu ƒe kpɔɖeŋu aɖe tsɔ léa ŋku ɖe dɔlékui siwo hea RMSF vɛ ŋu. Zi geɖe la, womedoa wò ʋu kpɔna be RMSF le ŋuwò o vaseɖe ŋkeke 7-10 le wò dɔléle megbe. Ðewohĩ ahiã be nàgado ʋu kpɔ ne wò dɔlélea gagblẽ ɖe edzi alo ne èhaya vɔ.
• Ŋutilã dodokpɔwo: Wozãa dɔwɔnu tɔxɛ aɖe si woyɔna be punch tsɔ ɖea ŋutigbalẽ sue aɖe tso abi si le wò ŋutigbalẽ ŋu me (esia ate ŋu ase le eɖokui me abe ƒoƒo alo ʋuʋudedi vi aɖe ene). Emegbe wodoa ŋutigbalẽa ƒe kpɔɖeŋua kpɔna be R. rickettsii dɔlékui ƒe dzesiwo le eŋu hã.

Aleke wodaa Rocky Mountain Spotted Fever (RMSF)e?

Wotsɔa dɔlékuiwutikewo daa dɔ na RMSF , eye zi geɖe la, wonoa wo ŋkeke 7 va ɖo 10.

Dɔdamɔnua wɔa dɔ wu ne èdze atikewɔwɔ gɔme le ŋkeke atɔ̃ me tso esime wò dzesiawo dze egɔme. Ne èdze dɔlékuiwutikewo zazã gɔme megbe akpa la, RMSF ate ŋu agblẽ nu le wò ŋutilã ŋu eye wòahe kuxi siwo ate ŋu ade wò agbe afɔku me vɛ.

Ne kuxiwo do mo ɖa la, ɖewohĩ ahiã be woawɔ atike bubuwo na wò. Esia ate ŋu alɔ ʋudodo, mɔ̃ si wotsɔ dea yae, alo dɔdamɔnu bubuwo ɖe eme.

Atike kawoe wozãna na RMSF?

Doxycycline koe nye dɔlékuiwutike si wokafu be woatsɔ ada RMSF. Ne doxycycline , ƒe nulɔdɔ le ŋuwò la, wò ɖɔkta ate ŋu ana chloramphenicol wò abe atike bubu ene. Gake esesẽ be woakpɔ chloramphenicol le dukɔ aɖewo me, eye mewɔa dɔ na RMSF abe doxycycline ene o.

Aleke woawɔ akpɔ RMSF ƒe dzesiwo gbɔe?

Ne wò dzesiawo mesẽ o la, àte ŋu akpɔ wo gbɔ le aƒeme kple atike siwo womeƒlena le atikedzraƒe o. Gake ele vevie be nàbia wò ɖɔkta be atike siwo zazã le dedie hã.

Aleke gbegbee mahaya kaba le RMSF ƒe atikewɔwɔ vɔ megbe?

Ne èdze dɔlékuiwutikewo zazã gɔme ne wò RMSF ƒe dzesiwo dze egɔme ko la, ele be nàse le ɖokuiwò me be yeƒe lãme sẽ le gaƒoƒo 48 me. Gake ahiã be nàno dɔlékuiwutikewo ŋkeke ʋɛ aɖewo. Ne èse le ɖokuiwò me be yeƒe lãme sẽ hã la, yi edzi nàno atikeawo katã abe alesi wogblɔe na wò ene. Ne wò dzesiwo meva nyo ɖe edzi o la, yi ɖɔkta gbɔ enumake.

Aleke mawɔ aɖe Rocky Mountain Spotted Fever (RMSF) ƒe afɔkua dzi akpɔtɔ?

Ƒo asa na ʋetsuviwo ƒe ɖuɖu nye mɔ nyuitɔ si dzi woato aɖe RMSF ƒe afɔkua dzi akpɔtɔ.

• Lã wò gbea edziedzi. Gbe siwo kɔkɔ wu sentimeta 5 hea ʋetsuviwo.
• Ne èle zɔzɔm le avetsuwo me la, mɔ siwo woɖe ɖa koe nàzã.
• Zã nudzodzoeviwutike siwo me nusiwo tsia ʋetsuviwo nu le (le kpɔɖeŋu me, esiwo me DEET le).
• Ne èle yiyim ɖe ave me alo teƒe siwo gbe kɔkɔwo le la, do awu siwo atsyɔ wò ŋutilã ƒe akpa gãtɔ alesi nàte ŋui. Wowɔa atike na awu aɖewo do ŋgɔ be woakpɔ wo ta tso ʋetsuviwo si me.
• Kpɔ wò ŋutilã ɖa be ʋetsuviwo le eme hã ne ètrɔ gbɔ tso gota. Ne anya wɔ la, na ame bubu nalé ŋku ɖe teƒe siwo màte ŋu akpɔ o (abe wò akɔta alo taɖa ene) ŋu.
• Kpɔ wò aƒemelãwo ta tso ʋetsuviwo si me to atikewɔwɔ siwo wò lãmesẽdɔwɔla kafu dzi. Kpɔe ɖa ɣesiaɣi be ʋetsuviwo hã le wo me ne wodo go.

Nukae nàte ŋu akpɔ mɔ na ne èxɔ Rocky Mountain Spotted Fever (RMSF)?

Ame akpa gãtɔ hayana tso RMSF me kuxi aɖeke manɔmee ɣeyiɣi didi aɖeke ne woxɔ atike kaba le dzesiawo ƒe gɔmedzedze megbe. Ame aɖewo ate ŋu axɔ kuxi siwo nu sẽ ale gbegbe be wòahiã be woaxɔ wo ɖe kɔdzi be woawɔ atike na wo.

Ne èle lãmesẽ me hã la, ɣeaɖewoɣi la, lãmesẽkuxi siwo nɔa anyi didi ate ŋu ado mo ɖa.

Rocky Mountain Spotted Fever (RMSF) ƒe kuxiwo .

Ne wozã dɔlékuiwutikewo gɔ̃ hã la, ame aɖewo siwo ŋu RMSF le ate ŋu axɔ kuxi sesẽwo alo esiwo ate ŋu ade woƒe agbe afɔku me, siwo dometɔ aɖewoe nye:

• Yagbɔgbɔ ƒe kuxi sesẽ (ARDS) .
• Ayiku ƒe abixɔxɔ sesẽ
• Aklã me ʋuʋu
• Ʋusɔgbɔdɔ
• Dzidɔ
• Ʋu si le dodom le ememe
• Sepsis (nɔnɔme si ɖi aɖi si le ʋu me) .
• Lãmetsiŋusẽ ƒe akpa aɖe ƒe lãmetutudɔ
• Aɖuɖɔtoe ƒe sisi dzi ɖuɖu ƒe ŋutetemanɔamesi (`aɖuɖɔtoe ƒe dɔmawɔmawɔ nyuie`) alo aɖuɖɔtoe (`aɖuɖɔtoememaɖumaɖu`) .
• Gangrene si hiã be woalã lãme na ame
• Ahɔhɔ̃medɔléle/dɔdzẽ (tagbɔdɔléle) .
• Lãmenugbagbeviwo ƒe kpododonu

Nukpɔsusu na RMSFwo

Mɔnukpɔkpɔ si li be woahaya tso RMSF me nyo ne wodae kaba. Le United States la, amesiwo kuna le RMSF ta, ne wowɔ atike nɛ gɔ̃ hã, le 5% va ɖo 10% dome. Le dukɔ aɖewo abe Mexico kple Brazil ene me la, alafa memamã sia sɔ gbɔ wu sã.

Ne RMSF le dɔ lém vevie la, ate ŋu akpɔ ŋusẽ ɖe dziwò ɣeyiɣi didi le wò hayahaya megbe gɔ̃ hã. Le kpɔɖeŋu me:

• Lãmetsiŋusẽ ƒe gbegblẽ alo lãmetutudɔ
• Tosese ƒe dɔmawɔmawɔ nyuie
• Nuƒoƒo sesẽ
• Nukpɔkpɔ ƒe bu
• Lãmetsiŋusẽ ƒe kuxiwo, abe dadasɔ ƒe kuxiwo alo taɖuame (vertigo) ene .

Ðe woate ŋu ada Rocky Mountain Spotted Fever (RMSF) keŋkeŋa?

Zi geɖe la, RMSF nu tsona ne wowɔ atike nɛ. Gake dzesiawo ate ŋu ayi edzi anɔ ame aɖewo ŋu ne dɔlékuia nu yi gɔ̃ hã, le lãmekawo kple lãkusiwo ƒe gbegblẽ ta.

Ne womewɔ atike nɛ o la, mɔnukpɔkpɔ si li be RMSF naku la le 20% va ɖo 30% dome.

Ðe RMSF ate ŋu adzɔ wu zi ɖekaa?

Manya wɔ kura be nàxɔ RMSF wu zi ɖeka o. Eŋutinunyalawo susu be ne ènya xɔ RMSF ko la, ètua `dɔlélenutsiŋutete` ɖo ɖe eŋu. Esia fia be wò ŋutilã nya alesi wòawɔ avu kplii, eyata magadzɔ ake o.

Aleke mawɔ akpɔ ɖokuinye dzi ne RMSF le ŋunye?

Ne wò ɖɔkta le atike wɔm na wò le RMSF ta la, kpɔ egbɔ be yeno wò atikewo katã abe alesi wogblɔe ene. Ne èdzudzɔ dɔlékuiwutikewo nono kaba la, àte ŋu agadze dɔ ake.

Wò ɖɔkta agblɔ alesi nàwɔ akpɔ wò dzesiwo gbɔ nyuie wu le aƒeme na wò. RMSF ate ŋu agblẽ ɖe edzi kabakaba. Ne dzesi yeyewo va dze ŋuwò alo ne wò dzesiawo gagblẽ ɖe edzi la, yɔ wò ɖɔkta enumake.

Ɣekaɣie wòle be nàkpɔ ɖɔkta tso Rocky Mountain Spotted Fever (RMSF) ŋu?

Ne ʋetsuvi aɖe ɖu wò, alo ne ènɔ teƒe aɖe si ʋetsuviwo le eye RMSF ƒe dzesiwo le ŋuwò la, yi ɖɔkta gbɔ enumake.

Ne ʋetsuvi aɖe ɖu wò gake dzesi aɖeke mele ŋuwò o hã la, mehiã be nàkpɔ ɖɔkta haɖe o - dɔlékuiwutikewo nono evɔ mèdze dɔ o makpe ɖe ŋuwò nàxe mɔ ɖe RMSF nu o.

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

Ne dzesi siawo dometɔ aɖe le ŋuwò la, yi xɔ si te ɖe ŋuwò le dɔnɔdzikpɔƒe si te ɖe ŋuwò kpata:

• Ne dzoxɔxɔa sɔ gbɔ wu Celsius 39.4 (Fahrenheit 103) .
• Ne èkɔ ʋu ɖe enu
• Ne wò asiwo alo afɔwo vuvu
• Ne ƒodo le veve sem vevie
• Ne tɔtɔ alo susu me tɔtrɔ bubuwo le ŋuwò
• Ne alɔ̃madɔmadɔ dzɔ
• Ne wò abɔwo kple afɔwo vuvu alo gbɔdzɔgbɔdzɔ le ŋuwò
• Ne èle ʋu ɖum vevie

Nya kawoe wòle be mabia nye ɖɔkta?

• Aleke wòle be mano nye atike?
• Dzesi yeye alo esiwo le gbegblẽm ɖe edzi kawo ŋue wòle be malé ŋku ɖo?
• Aleke gbegbee nye lãme asẽ kabae?
• Ɣekaɣie magava kpɔ wò ake?

Nusiwo Dzi Nàɖo Ðo (Take-Home Message) .

Menye ɖeko ʋetsuviwo doa dziku na ame ko o - woƒe ɖuɖu sue la ate ŋu ana nàdze dɔ vevie. Mɔ nyuitɔ si dzi woato axe mɔ ɖe Rocky Mountain Spotted Fever (RMSF) nue nye be woaƒo asa na ʋetsuviwo ƒe ɖuɖu. Gake ne ʋetsuvi aɖe ɖu wò eye dzesiwo le ŋuwò la, yi ɖɔkta gbɔ enumake. Atikewɔwɔ kabae nye mɔ nyuitɔ si dzi nàto ahaya kaba. Lé be na wò lãmesẽ eye nànɔ dedie!

` Akpɔkplɔ, Rocky Mountain Spotted Fever, Dzoxɔxɔ, Ŋutilã ƒe Ʋuʋudedi, Dɔlékuiwo ƒe Dɔléle, Akpɔkplɔwo Takpɔkpɔ, Dɔlékuiwutikewo