Le ŋkeke siawo me la, amesiame le nu ƒom tso dɔgbo ƒe vevesese ŋu, alo? Edoa dziku ŋutɔŋutɔ ne kasia dɔgbo le veve sem eye wòva hiã be nàyi nugododeƒe zi geɖe gbesiagbe. Gake ne asrã le ŋuwò hã, nèsena le ɖokuiwò me be yeaɖe aɖuɖɔ, eye vevietɔ ne ʋu alo ʋuʋudedi aɖe le wò aɖuɖɔ me la, ɖewohĩ manye dɔgbo ƒe vevesese dzro aɖe ko o. Míele nu ƒom tso nɔnɔme mawo dometɔ ɖeka ŋu egbea, si nye Shigellosis. Ðewohĩ ŋkɔa nye nu yeye na wò, gake esia nye dɔlékui si bɔ si míekpɔna le mía dome, vevietɔ le ɖevi suewo dome.
Nuka tututue nye Shigellosis?
Kpuie ko la, shigellosis nye dɔlékui si dzɔna ne dɔlékui aɖe si woyɔna be Shigella ge ɖe míaƒe ŋutilã me. Míaƒe nuɖuɖumeŋusẽ, si nye dɔgbowo, koŋue wògblẽa nu le. Dɔlékui sia gblẽa nu le dɔgboa ƒe lãkusi ŋu. Esia tae míekpɔa dzesiwo abe dɔgbo ƒe veve kple aɖuɖɔtoe ene ɖo.
Bu eŋu abe futɔ sue aɖe si gena ɖe míaƒe ŋutilã me ene. Futɔ sia gena ɖe míaƒe dɔgbowo me eye wòhea kuxiwo vɛ le afima. Exɔa ame me ŋutɔ. Ema fia be woate ŋu akaka tso ame ɖeka me ayi ame bubu gbɔ bɔbɔe ŋutɔ. Nusitae nye be dɔlékui sia ƒe agbɔsɔsɔ sue aɖe ko gɔ̃ hã sɔ gbɔ be wòana ame aɖe nadze dɔ.
Dzesi kawoe dzena ne dɔléle sia dze ame dzi?
Shigellosis ƒe dzesiwo ate ŋu ato vovo vie tso ame ɖeka gbɔ yi bubu gbɔ, gake dzesi aɖewo li siwo bɔ. Mina míalé ŋku ɖe wo ŋu nyuie.
| Dzesi si dzena | Numeɖeɖe aɖe tso eŋu |
|---|---|
| Dɔmetɔtrɔ | Esiae nye dzesi vevitɔ. Gbã la, ate ŋu anye tsi. Gake emegbe la, ʋu, ʋuʋudedi (abe ʋuʋudedi ene), alo ʋuʋudedi ate ŋu anɔ aɖuɖɔa me . Ðewohĩ ahiã be nàyi tsileƒe zi geɖe gbesiagbe. |
| Dɔgbo ƒe vevesese kple vevesese | Vevesesea ate ŋu ase le eɖokui me abe ɖe wòle veve sem ne èka asi dɔgboa ŋu ene, alo abe ɖe wòyɔ fũ ene. Vevesese sia hã ate ŋu ase le eɖokui me abe ɖe wòva eye wòdzona ene. |
| Asrã | Asrã hã nye dzesi si bɔ. Ɣeaɖewoɣi la, ŋutilãa ate ŋu axɔ dzo eye asrã naxɔ ame tsɔ kpe ɖe ŋutilã ƒe vevesese ŋu. |
| Ʋuʋudedi | Ame aɖewo hã ate ŋu ase veve kple aɖuɖɔtoe. |
Ðɔktawo yɔa dzesi siawo ƒokpli ɣeaɖewoɣi be bacillary dysentery , si fia aɖuɖɔtoe si dɔlékuiwo hena vɛ.
Nu vevitɔe nye be ame aɖewo mate ŋu aɖe dzesi aɖeke afia o ne Shigella dɔlékui sia le woƒe ŋutilã me gɔ̃ hã. Ke hã, ne dzesi aɖeke mele wo ŋu o hã la, woate ŋu akaka dɔlélea ɖe ame bubuwo me kokoko. Esia tae dzadzɛnyenye le vevie ŋutɔ ɣesiaɣi ɖo.
Eyata aleke dɔléle sia kaka ɖe mía me?
Dɔlékui siwo le ame si ŋu dɔlélea le ƒe aɖuɖɔ me, siwo toa nu me gena ɖe míaƒe ŋutilã me la koŋue kakanɛ. "Aleke wòdzɔnae?" ɖewohĩ èle tame bum. Mɔ vovovowo li siwo dzi wòate ŋu ato.
- Amewo ƒe kaka tẽ: Esiae nye mɔ si bɔ wu. Ekaka kabakaba, vevietɔ le teƒe siwo amewo sɔ gbɔ ɖo abe ŋkeke ɖeka dzikpɔƒewo kple xɔdɔmewo ene. Le kpɔɖeŋu me, ne ame aɖe trɔ ɖevi si dze dɔ ƒe aklala eye meklɔ asi nyuie o la, ate ŋu akaka dɔlélea ɖe ɖevi bubu dzi. Azɔ hã, ame aɖe si le ɖevi si dze dɔ dzi kpɔm la ɖo afɔku me.
- Tso nuɖuɖu ƒoɖiwo me: Ne dɔnɔ aɖe dzra nuɖuɖu ɖo evɔ meklɔ asi nyuie o la, dɔlékui siwo le woƒe asiwo dzi ate ŋu age ɖe nuɖuɖua dzi eye woaxɔ dɔ le amesiwo ɖunɛ me. Esia ate ŋu adzɔ tso amagbewo kple atikutsetse siwo woklɔ le tsi ƒoɖi me hã ɖuɖu me.
- Tso tsi ƒoɖi me: Àte ŋu axɔ dɔa ne èmi tsi aɖe le vo me esime nèle tsi ƒum alo le tsi me kamedefefewo wɔm le teƒewo abe tɔsisiwo, tɔsisiwo, alo ta siwo me Shigella dɔlékuiwo le ene.
- To gbɔdɔdɔ me: Dɔlékui sia ate ŋu atso ame me ayi ame bubu gbɔ to gbɔdɔdɔ ƒe nuwɔna aɖewo hã me.
Amekawoe le afɔku me wu be woaxɔ dɔléle sia?
Togbɔ be ame sia ame ate ŋu axɔ shigellosis hã la, ame aɖewo le afɔku me wu.
- Ðevi siwo mexɔ ƒe 5 haɖe o: Ðevi suewo ate ŋu axɔ dɔlékui sia bɔbɔe elabena zi geɖe la, wotsɔa woƒe asiwo dea nu me, tsɔa nuwo abe fefenuwo ene dea nu me, eye woƒe dɔlélenutsiŋutete gakpɔtɔ le tsitsim.
- Ame siwo le nuto siwo me tsi dzadzɛ kple dzadzɛnyenye mele nyuie o me alo zɔa mɔ.
- Ame siwo ƒe dɔlélenutsiŋutete gbɔdzɔ: Dɔlékui sia ate ŋu agblẽ nu le amesiwo ŋu dɔlélewo abe HIV, kansa, alo amesiwo noa atike siwo tea dɔlélenutsiŋutete ɖe to ene ŋu vevie wu.
- Ŋutsu siwo dɔa ŋutsuwo gbɔ: Gbɔdɔdɔ ƒe nuwɔna aɖewo ate ŋu ana dɔlékuiawo kaka ƒe afɔkua nadzi ɖe edzi.
- Ame siwo le agbe aƒemanɔsitɔ.
Ðe esia ate ŋu anye afɔkua? Nukawoe nye kuxi siwo dona tso eme?
Zi geɖe la, shigellosis dɔlékuia nu tsona le eɖokui si le kwasiɖa ɖeka me. Gake le go aɖewo me la, vevietɔ ne womewɔ atike nɛ o alo le amesiwo ƒe dɔlélenutsiŋutete gbɔdzɔ gome la, ate ŋu ahe kuxiwo vɛ.
1. Tsikunɔamesi: Aɖuɖɔtoe kple ʋuʋudedi nana be tsi kple dze gbogbo aɖe buna le ŋutilãa me. Woyɔa esia be tsikuɖiɖi. Ne eva nu sẽ la, ate ŋu ade ame ƒe agbe afɔku me. Nu ƒe ƒuƒu, ŋku siwo nyrɔ, aɖuɖɔtoe dzi ɖeɖe kpɔtɔ (aɖuɖɔ zua ɣie), kple ɖeɖiteameŋu si gbɔ eme nye tsikuɖiɖi ƒe dzesiwo.
2. Dɔlékui ƒe kaka ɖe ʋukawo me: Ƒã ŋutɔ hafi dɔlékui sia ate ŋu age ɖe ʋukawo me tso dɔgbowo me eye wòakaka ɖe ŋutilã bliboa me.
3. Alɔ̃madɔmadɔ: Alɔ̃madɔmadɔ ate ŋu atso asrã sesẽ ta, vevietɔ le ɖevi suewo gome.
4. Ƒunukpeƒetetedɔ si wɔa dɔ: Ne dɔlékuia kɔ vɔ la, ame aɖewo ate ŋu avuvu eye woase veve le woƒe ƒunukpeƒewo.
5. Hemolytic Uremic Syndrome (HUS): Esia nye kuxi si mebɔ o gake afɔku le eme ŋutɔ. Edzɔna ne aɖi aɖe si dɔlékuiwo wɔ gblẽ nu le ʋuka siwo le ayiku me ŋu, si ate ŋu ana ayiku nawɔ dɔ nyuie o.
Aleke mawɔ ayi ɖɔkta gbɔ ahaxɔ atike?
Ne dzesi siwo míeyɔ ɖe etame dometɔ aɖe le ŋuwò alo wò ƒomea me tɔ aɖe ŋu la, kpɔ egbɔ be yeyi ɖɔkta gbɔ.
Aleke nèwɔ kpɔ esia, Ðɔkta?
Ðɔktaa abia nya wò tso wò dzesiwo ŋu eye wòado wò kpɔ. Zi geɖe la, dzesiawo ɖeɖe ate ŋu afia be shigellosis le ŋuwò. Gake be woaɖo kpe esia dzi la, woawɔ aɖuɖɔ dodokpɔ . Esia aɖee afia ne Shigella dɔlékuiawo le eme.
Nukawoe nye atikewɔmɔnuawo?
Ne wò dzesiawo mesẽ akpa o la, àte ŋu aɖi ɖe eme ahahaya le aƒeme. Nu vevitɔ kekeakee nye be nàƒo asa na tsikuɖiɖi.
- No tsi geɖe: No nuwo abe tsi, detsiƒonu, mɔli, akɔɖutsi, kple mɔli ene enuenu.
- Gbɔɖeme: Gbɔɖeme na wò ŋutilã kpena ɖe eŋu wòhayana kabakaba.
Vevietɔ ŋutɔ: Mègano atike siwo wua aɖuɖɔtoe (abe Loperamide ene) ne mèbia wò ɖɔkta gbã o .Elabena ɣeaɖewoɣi la, woxea mɔ na dɔlékuiawo be woagadzo le ŋutilãa me o eye wònana dɔlélea gagblẽna ɖe edzi.
Ne dɔlékuia nu sẽ alo wò dɔlélenutsiŋutete gbɔdzɔ la, wò ɖɔkta aŋlɔ dɔlékuiwutikewo (abe ciprofloxacin alo azithromycin ene) na wò. Ne wowɔe la, ele be nàno atikeawo le ŋkeke agbɔsɔsɔme si woŋlɔ na wò nu pɛpɛpɛ, ne èse le ɖokuiwò me be yeƒe lãme sẽ gɔ̃ hã.
Ne tsikuɖiɖi sesẽ la, ahiã be woaxɔ wò ɖe kɔdzi eye woado saline (IV fluids) wò ɖe ʋuka me.
Ɣekaɣie wòle be nàyi ɖɔkta gbɔ enumake?
Ne aɖuɖɔtoe si sɔ meva nyo ɖe edzi le ŋkeke eve va ɖo etɔ̃ me o la, anyo wu be nàyi ɖɔkta gbɔ. Gake ne dzesi siwo gbɔna le ŋuwò la, yi kɔdzi ƒe Dɔwɔƒe si Kpɔa Nudzɔdzɔ Kpatawo Gbɔ (ETU) enumake .
- Aɖuɖɔtoetetedɔ sesẽ (ne wòxɔe zi geɖe gbesiagbe) .
- Ʋuʋudedi si womate ŋu atɔ te o
- Dɔgbo ƒe vevesese sesẽ
- Ne ʋu geɖe le aɖuɖɔ me
- Tsikuɖiɖi ƒe dzesiwo (nu me ƒuƒu, nuyiwo, ŋku siwo nyrɔ, aɖuɖɔ si mebɔ kura o, alɔ̃dɔdɔ fũ alo ɖiɖiɖeme) .
Aleke nàwɔ akpɔ ɖokuiwò ta tso dɔléle sia si me? Mɔxexe ɖe enue nye nyuitɔ kekeake!
Shigellosis nye dɔléle si míate ŋu axe mɔ na bɔbɔe. Nu vevitɔ si wòle be míawɔe nye be míalé be na dzadzɛnyenye.
| Nusi woawɔ | Nukatae ema le vevie? |
|---|---|
| Klɔ asi nyuie kple adzalẽ ɣesiaɣi. | Klɔ asi ɣesiaɣi hafi nàɖu nu, hafi nàɖa nuɖuɖu, ne èzã tsileƒe vɔ, kple ne èɖɔ viwòa ƒe aklala vɔ. Esiae nye mɔ nyuitɔ si dzi woato axe mɔ ɖe dɔléle sia nu. |
| Klɔ amagbewo kple atikutsetsewo nyuie. | Klɔ amagbewo kple atikutsetse siwo woɖu ƒuƒui la nyuie kple tsi dzadzɛ si le sisim. |
| Ƒo asa na tsinyenye le tsiƒuƒewo, tawo, kple tɔsisiwo me. | Dɔlékuiwo ate ŋu anɔ tsi si le teƒe siawo me, eyata mègade tsi wò nu me ne èle tsi ƒum o. |
| Ðeviwo ƒe aklala ƒoɖiwo tsɔtsɔ ƒu gbe dedie. | De aŋekotoku siwo nèzã la gbeɖuɖɔgoe si wotsyɔ nyuie me. |
| Tsinono dzi kpɔkpɔ. | Ne mèka ɖe tsi si le miaƒe nutoa me ƒe dzadzɛnyenye dzi o la, zã tsi si woɖa alo tsigoe me. |
| Ƒo asa na gbɔdɔdɔ ne aɖuɖɔtoe le ŋuwò. | Ne aɖuɖɔtoe le wò alo wò zɔhɛa ŋu la, nunya anɔ eme be nàƒo asa na gbɔdɔdɔ kwasiɖa ɖeka vaseɖe esime wò lãme nasẽ bliboe. |
Ame akpa gãtɔ hayana tso shigellosis me le kwasiɖa ɖeka me. Gake le dɔléle sesẽ aɖewo me la, dɔlélea te ŋu nɔa anyi kwasiɖa geɖe. Ɣeaɖewoɣi ne dɔlélea nu tso gɔ̃ hã la, ate ŋu axɔ ɣleti geɖe hafi wò dɔgbo ƒe dɔwɔwɔ natrɔ ava nɔ abe tsã ene. Eyata ele vevie be nàgbɔ dzi ɖi.
Gbedasi si Wotsɔ Yi Aƒeme
- Shigellosis nye aɖuɖɔtoedɔléle si nu mesẽ o si xɔa ame me ŋutɔ si Shigella dɔlékuiwo hena vɛ.
- Dzesi vevitɔwoe nye aɖuɖɔtoe si me ʋu alo ʋuʋudedi yɔ fũ, dɔgbo ƒe ʋuʋu, kple dzoxɔxɔ.
- Mɔ nyuitɔ si dzi nàto akpɔ ɖokuiwò ta tso esia mee nye be nànɔ dzadzɛnyenye nyui me, eye nàtsɔ adzalẽ aklɔ asi nyuie hã le eme.
- Ele vevie ŋutɔ be nàƒo asa na tsikuɖiɖi ne aɖuɖɔtoe le ŋuwò, eyata no tsi geɖe.
- Mègano atike siwo tsia aɖuɖɔtoetetedɔ nu ɖɔktawo ƒe aɖaŋuɖoɖo manɔmee o.
- Ne dzesiawo nu sẽ, vevietɔ ne ʋu le aɖuɖɔ me alo tsi vɔ le lãme na ame ƒe dzesiwo la, yi ɖɔkta gbɔ enumake.
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