Ðe wò aɖu hã tsia? Mina míasrɔ̃ nu tso tetanus ŋu pɛpɛpɛ!

Èse "tetanus" alo "lockjaw dɔléle" ŋkɔ kpɔa? Ðewohĩ ne ènye ɖevi, ne èdze anyi alo xɔ abi la, dawò agblɔna be, "Oo, kpɔ nyuie, ehiã be woado tetanus ƒe atike na wò." Le nyateƒe me la, esia doa vɔvɔ̃ na ame vie, gake ne wona nènya nyuie la, ele bɔbɔe ŋutɔ be nàxe mɔ ɖe enu. Egbea, mina míaƒo nu tso nusi tetanus nye, alesi wòdzɔnae, kple nusi míate ŋu awɔ tso eŋu ŋu.

Nukae nye Tetanus? Mina míase egɔme bɔbɔe

Kpuie ko la, tetanus nye nɔnɔme si me wò lãmekawo tena zi ɖeka henɔa ʋuʋum le mɔ si dzi womate ŋu aɖu o nu. Esia tsoa dɔlékui aɖe si woyɔna be Clostridium tetani si gena ɖe wò ŋutilã me gbɔ. Ne dɔlékui sia ge ɖe eme la, ewɔa aɖi aɖe . Aɖi sia gblẽa nu le wò lãmekawo ŋu eye wògblẽa wò lãmekawo ƒe dɔwɔwɔ me. Esia ate ŋu ade ame ƒe agbe afɔku me ɣeaɖewoɣi . Gake nu nyuitɔ kekeakee nye be woate ŋu axe mɔ ɖe nɔnɔme sia nu to atikewɔmɔnu zazã me . Esia tae dɔléle sia mebɔ kura le dukɔ deŋgɔwo abe United States ene me o.

Ðe aɖuɖɔ ƒomevi vevi aɖewo lia?

Ẽ, ɖɔktawo de dzesi aɖuɖɔtoe ƒomevi vevi ene:

• Tetanus si bɔ: Esiae nye esi bɔ wu . Le esia me la, ŋutilã bliboa ƒe lãmekawo , vevietɔ kɔ kple aɖu, ƒoa ƒu sesĩe. Woate ŋu akpɔ esia le ŋutete si mele ame si be wòaʋu nu o kple kɔa hehe ɖe megbe me.
• Vidzĩ ƒe tetanus: Esia dzea vidzĩ siwo wodzi le ŋkeke 28 me tso esime wodzi wo dzi . Ƒã le dukɔ deŋgɔwo me elabena wodoa atike na vidadawo be woatsi tetanus nu le fufɔɣi . Gake ate ŋu adzɔ le teƒe siwo lãmesẽnyawo gbɔ kpɔkpɔ medea ame dzi o eye womekpɔa atikewɔmɔnu si sɔ o. Dɔlékuia gena ɖe vidzĩa me to vidzidɔa me.
• Tetanus si le teƒe ɖeka: Esiae nye esime lãmeka siwo ƒo xlã abi si me dɔlékuiawo ge ɖe ŋutilãa me le koe tena . Esia mebɔ boo o, gake ɣeaɖewoɣi la, ate ŋu ava zu tetanus si bɔ.
• Tagbɔdɔléle: Esia sɔ kple tetanus si le teƒea, gake ekpɔa ŋusẽ ɖe lãmeka siwo le wò tagbɔ (tagbɔ ƒe lãmekawo) dzi . Esia fia be wò ta kple mo koŋue dzesiawo dzena le.

Nukawoe nye fuɖeɖe ƒe dzesiwo? Aleke nèwɔ dea dzesii?

Dɔlékui ƒe aɖi si míeyɔ va yi ƒe ŋusẽkpɔɖeamedzi ɖe wò lãmekawo dzi gbɔe wòtsona be ʋu ƒe ŋeŋe dzena. Zi geɖe la, míaƒe lãmekawo ƒoa ƒu heɖea dzi ɖi le dzesi siwo tso lãmekawo gbɔ nu. Gake aɖi sia si naa lãmekawo mete ŋu xɔa dzesi be woaɖe dzi ɖi o. Esia nana lãmekaawo me sẽna eye woʋuʋuna le mɔ si dzi womate ŋu aɖu o nu . Dzesi veviawo ate ŋu anye:

• Nu mimi sesẽ (nuɖuɖu ƒe kuxi) alo gbɔgbɔ sesẽ (gbɔgbɔtsixe) .
• Aɖuɖɔɖɔɖɔ .
• Alɔgbɔnukoko sesẽ nye alɔgbɔnukoko si womelɔ̃na o si dzɔna le mo ƒe lãmekawo ƒe tete ta.
• Nu megate ŋu ʋuna o le lãmeka siwo le aɖu ƒe akpa si le aɖua ƒe akpa si le tete ta (`trismus`) . Wogayɔa esia be "aɖuɖɔtoe".
• Lãmetsiwo ƒe ʋuʋu le dɔgbo, akɔta, abɔwo, alo afɔwo me. Ɣeaɖewoɣi la , kekeli alo toɣliɖeɖe si klẽna ate ŋu ana ʋuʋudedi siawo nagado gã ɖe edzi .
• Lãmetsiwo ƒe tete nana be wohea kɔ kple akɔta ɖe megbe (opisthotonos) . Ele abe dati ene.
• Alɔ̃madɔmadɔ ate ŋu adzɔ.

Vevietɔ: Ne èkpɔ dzesi siawo dometɔ ɖeka alo esi wu nenema, vevietɔ le abixɔxɔ vɔ megbe la, ele be nàdi atikewɔlawo ƒe aɖaŋuɖoɖo enumake.

Nuteɖeamedzi ate ŋu akpɔ ŋusẽ ɖe wò autonomic nervous system hã dzi , si nye wò ŋutilã ƒe akpa si kpɔa nuwo abe gbɔgbɔ kple dzi ƒe tsotso ene dzi. Ate ŋu axɔ ŋkeke ʋɛ aɖewo hafi dzesi siawo nadze. Wo dometɔ aɖewoe nye:

• Asrã kple fifia .
• Ʋusɔgbɔdɔ .
• Dzi ƒe tsotso ƒe dzidziɖedzi ( tachycardia ).
• Aɖuɖɔtoe si dzi womeɖu o (`aɖuɖɔtoe ƒe dɔmawɔmawɔ nyuie`) kple aɖuɖɔtoe ƒe ʋuʋu (`aɖuɖɔtoe ƒe dɔmawɔmawɔ nyuie`).

Nukae hea aklãdɔ vɛ? Aleke dɔlékui sia gena ɖe ŋutilãa me?

Aɖi aɖe si dɔlékui si nye Clostridium tetani (C. tetani) wɔna gbɔe tetanus tsona. Tetanus mexɔa ame tso ame ɖeka gbɔ yia ame bubu gbɔ o . Tetanus dɔlékui ate ŋu age ɖe abi me abe spore alo abe dɔlékui siwo le dɔ wɔm (bacilli) ene . Esesẽna be woawu spores eye woate ŋu anɔ agbe le tsi ƒoƒo me. Anyigba koŋ mee wokpɔa spore siawo le, vevietɔ anyigba si me lãwo ƒe aɖuɖɔ ƒo ɖi le.. Lãɖeɖe goglowo kple teƒe siwo woto woe nye afisiwo dɔlékui sia ate ŋu age ɖo wu. Zi geɖe la, dɔdzẽ si kpena ɖe abi goglowo ŋu ate ŋu asẽ ŋutɔ. Mɔ siwo dzi dɔlékui sia ate ŋu ato age ɖe abi me dometɔ aɖewoe nye:

• Abi siwo me ƒuwo gbãna hedona to ŋutigbalẽa me (`compound fractures`) .
• Abi siwo woxɔna le dzobibi me.
• Migbã abi siwo woxɔ.
• Aɖudɔlékuiwo.
• Ne nudzodzoewo ƒe ɖuɖu alo avu ƒe ɖuɖu va ƒo ɖi.
• Amekoko ƒe abi siwo woxɔ.
• Aŋe ƒoɖiwo alo atikewɔnuwo zazã.
• Nuwo abe abi suewo, ƒoƒo, kple ɖa ɖuɖu siwo dzɔna le aƒeme ene.

Kpɔe ɖa le susu me be ènɔ dɔ wɔm le abɔ me eye nètsi ɖa si xɔ dzo la me, alo èdze anyi hexɔ abi sue aɖe esime nèle fefem. Esiae nye ɣeyiɣi si me wòle be nàlé be na wò ŋutigbalẽ.

Togbɔ be abiwoe nye mɔ si dzi dɔlékuia tona gena ɖe eme wu hã la, ame geɖe meɖoa ŋku abi si gbɔ ʋuʋudedia tso dzi o . Numekukuwo ɖee fia be le ɖewohĩ dɔnɔ 50% gome la, womate ŋu ade dzesi abi aɖe koŋ o.

Amekawoe le afɔku gã me be woaxɔ eczema?

Nu vevi geɖewo li siwo ate ŋu ana ame naxɔ aklãdɔ:

• Ƒe: Ðewohĩ ame siwo xɔ wu ƒe 65 makpɔ ta na aɖitsidɔlékuiwutikea nenema gbegbe o elabena atikewɔmɔnua ƒe dɔwɔwɔ dzi ɖena kpɔtɔna le ɣeyiɣi aɖe megbe. Azɔ hã, wodzi ame geɖe le ƒe sia me hafi aɖitsi ƒe atike la va bɔ.
• Atikea dodo vɔ megbe o: Wodoa aɖitsi ƒe atike la le agbɔsɔsɔ vovovowo me. Ne mèwu wo katã nu o la, womakpɔ tawò bliboe o.
• Suklidɔ: Le Amerikatɔwo ƒe akɔntabubuwo nu la, nɔnɔme aɖe li na suklidɔlélawo be woaxɔ aklãdɔ.
• Amesiwo ƒe dɔlélenutsiŋutete mesẽ o: Anɔ bɔbɔe be dɔlékui sia axɔ amesiwo ƒe dɔlélenutsiŋutete gbɔdzɔ.
• Ame siwo doa atike: Ame siawo hã le afɔku me wu le aŋe ƒoɖiwo zazã ta.

Aleke vidzĩ yeyewo va xɔa aklala ƒe ʋuʋudedi? Nukawoe gbɔ wòtsona?

Zi geɖe la . Ne womedo atike na vidadaa o la, womakpɔ vidzĩa ta o. Emegbe vidzĩa ate ŋu ato abi ɖesiaɖe me axɔ dɔlékuia. Le vidzĩwo gome la, zi geɖe la , vidzidɔ ƒe ka si wotso gbɔe wòtsona . Nu vevi siwo ate ŋu ana vidzĩwo naxɔ tetanus enye:

• Vidada si womedo atike na o alo esi womedo atike na bliboe o.
• Dɔlékuiwo ƒe gege ɖe abi si le vidzidɔa me le nuwo abe dɔwɔnu ƒoɖiwo zazã atsɔ atso vidzidɔa alo vidzidɔa ƒe ka manɔmanɔ ta .

Nukawoe nye kuxi siwo ate ŋu ado tso excoriation me?

Kuxi vovovowo ate ŋu ado mo ɖa le agbagbadzedze fũu akpa ta. Wo dometɔ aɖewo tsoa lãmekawo ƒe ʋuʋu gbɔ, eye bubuwo hã tsoa lãmeka siwo wɔa dɔ le wo ɖokui si ƒe dɔmawɔmawɔ nyuie gbɔ. Kuxi siawo dometɔ aɖewoe nye:

• Gbɔgbɔtsixe le lãmeka siwo le yaƒoƒomɔ̃a me ƒe ʋuʋu ta.
• Ʋu ƒe sisi.
• Ayiku ƒe dɔmawɔmawɔ nyuie.
• Sepsis ( ʋumenugbagbeviɣidɔ).
• Ku.

Esia nye nɔnɔme sesẽ aɖe, eyata mele be woabu abi sue aɖe gɔ̃ hã nu tsɛe o.

Aleke ɖɔktawo wɔa dea dzesi dɔléle si nye thrush?

Womewɔ dodokpɔ aɖeke koŋ le dodokpɔxɔ me be woatsɔ anya ʋumenugbagbeviɣidɔ alo aɖo kpe edzi o. Wò ɖɔkta anɔ te ɖe wò dzesiwo dzi akpɔ tsinyegoe . Woado wò ŋutilã kpɔ eye woabia wò atikewɔwɔ ŋutinya. Ɣeaɖewoɣi la, wò ɖɔkta ate ŋu azã nusi woyɔna be " spatula dodokpɔ " hã. Esia bia be nàtsɔ dɔwɔnu falɛfalɛ aɖe, alo spatula, eye nàka asi eŋu vaseɖe wò ŋɔti ƒe megbe tso wò nu me. Zi geɖe la, esia ana nànɔ nu ƒom eye nàdi be yeaɖe ta ɖe eme (gag reflex). Gake ne amesi ŋu ʋuʋudedi le wɔ esia la, woƒe lãmekawo atsi eye woƒe aɖuwo asẽ.

Aleke woawɔ ada eczema?

Ne ɖɔkta aɖe susui be strep throat le ŋuwò la, woadze atikewɔwɔ gɔme enumake . Atikewɔwɔ siawo ate ŋu anye:

• Abidzikpɔkpɔ: Ne wokɔ abi la ŋu nyuie (si woyɔna hã be debriding) kple lãkusi kukuwo ɖeɖe ɖa ate ŋu akpe ɖe ame ŋu wòawu dɔlékuiwo, si ana woagawɔ aɖi o. Esia ate ŋu aɖe ɣeyiɣi si wòxɔna hafi dɔlékuia nu fa.
• Atikewo:
• Tetanus antitoxin: Esia wɔnɛ be aɖia megagblẽa nu le ŋutilãa ŋu geɖe wu o.
• Dɔlékuiwutikewo: Dɔlékuiwutikewo abe metronidazole ene ate ŋu akpe ɖe ame ŋu wòawu dɔlékui ɖesiaɖe si susɔ.
• Wona atikewo abe lãmekawo ƒe gbɔdzɔe kple benzodiazepines ene hã be woatsɔ aɖu dzesiawo dzi.
• Gbɔɖeme: Esi kekeli kple toɣliɖeɖe ate ŋu ana lãmekawo natsi ta la, wò ɖɔkta ate ŋu agblɔ na wò be nàɖi ɖe eme le xɔ si me do viviti eye tomefafa le me .
• Gbɔgbɔtsixe ƒe kpekpeɖeŋu: Wò yaƒoƒomɔ̃a ƒe ʋuʋu nye nu vevitɔ kekeake. Ne gbɔgbɔ sesẽ na wò la, ahiã be woatsɔ wò ade yagbɔgbɔmɔ̃ (intubation) me eye woana mɔ̃ si woatsɔ agbɔ yae . Woate ŋu ana atike si naa ame ƒe dzi dzea eme hã be wò dzi nadze eme.

Ɣeyiɣi didi kae wòxɔna hafi wòhayana?

Ne aɖitsi ƒe dzesiwo nya dze ko la, ate ŋu axɔ abe kwasiɖa eve va ɖo etɔ̃ ene hafi dɔlélea nu ayi keŋkeŋ . Ke hã, yɔmekpeAte ŋu axɔ ɣleti geɖe hafi wòahaya keŋkeŋ. Wò ɖɔkta ate ŋu agblɔ ɣeyiɣi didi si wòaxɔ le wò nɔnɔme tɔxɛa nu na wò.

Ðe womate ŋu axe mɔ ɖe esia nu oa? Mina míasrɔ̃ nu tso atike si woatsɔ axe mɔ ɖe dɔlélea nu ŋu!

Aɖuɖɔtoedɔ nye dɔléle si woate ŋu axe mɔ na ŋutɔ to atikewɔmɔnu me . Le Sri Lanka la, wonaa atike sia abe ɖeviwo ƒe atikewɔmɔnu ƒe ɖoɖowɔɖi ƒe akpa aɖe ene (zi geɖe la, wotsɔa atike si nye Triple, eye wotsɔa DT ƒe atike, kple Ame Tsitsiwo ƒe DT alo Td atike kplɔnɛ ɖo).

Mègasusui be ne èxɔ aɖitsi zi ɖeka la, mana nàgazu ame si ŋu dɔlélea mele o. Menaa dɔlélenutsiŋutete o. Mɔ ɖeka kolia si dzi woato akpɔ dɔlélenutsiŋutete enye be woado atike na ame.

Azɔ hã, ametakpɔkpɔ si atikewɔmɔnua nana la dzi ɖena kpɔtɔna le ɣeyiɣi aɖe megbe . Esia tae nèhiã be woado atike na wò abe ƒe 10 ɖesiaɖe ene . Esia nye susu siwo ta ame tsitsiwo le afɔku me wu be woaxɔ aɖitsi la dometɔ ɖeka. Ne wò atikewɔmɔnu do xoxo hã la, aɖitsi ƒe atike xɔxɔ ate ŋu axɔ wò agbe. Zi geɖe la, wokpɔa amesiwo xɔ aɖitsi ƒe atike etɔ̃ ya teti ta tso dɔlélea me. Ne womedo atike na wò bliboe o hã la, woate ŋu aɖe dɔlélea ƒe sesẽ dzi akpɔtɔ. Le goawo katã me la, ehiã be woado atike si doa ŋusẽ aɖitsi ne abi yeye, goglo alo ƒoɖi le ŋuwò, eye nusiwo gbɔna dometɔ aɖe ku ɖe ŋuwò:

• Ne èxɔ aɖitsi ƒe atike siwo kplɔ wo nɔewo ɖo ƒe agbɔsɔsɔme si mede etɔ̃ o .
• Ne mènya wò atikewɔmɔnu ƒe nɔnɔme o la .
• Ne ƒe 10 alo esi wu nenemae nye sia tso esime wodo atike na wò mamlɛtɔ si doa ŋusẽ ame la .

Nukae nàte ŋu akpɔ mɔ na ne aɖuɖɔtoe aɖe va dze dziwò?

Strep throat nye dɔléle sesẽ aɖe si ate ŋu ade ame ƒe agbe afɔku me . Gake ne wowɔ atike nɛ nyuie la, ame akpa gãtɔ hayana . Zi geɖe la, dzesiawo dzena le abe kwasiɖa ɖeka ene le dɔlékuiawo ƒe gege ɖe ŋutilãa me megbe. Gake ɣeaɖewoɣi la, dzesiawo te ŋu dzena le ŋkeke eve megbe alo kwasiɖa etɔ̃ megbe. Lãmetsiwo ƒe ʋuʋu dzea egɔme tso afisi dɔlélea le. Emegbe lãmeka siwo ƒo xlã ŋkuawo dzea ʋuʋu gɔme eye wòsesẽna be woaʋu nu. Ʋuʋudedi siawo ate ŋu ave ame eye vivivi la, akaka ɖe kɔ kple akɔta. Wò atikewɔlawo ƒe ƒuƒoƒoa adze agbagba gbã be yewoana wò yaƒoƒomɔ̃a nanɔ ʋuʋu ɖi (`intubation`) . Le ema megbe la, woadze dzesi bubuwo dada gɔme. Esia ate ŋu alɔ lãmekawo ƒe ʋuʋu ƒe atikewo nana wò, vevesesenutsitikewo, kple wò dziɖeɖi nana wò alesi nàte ŋui. Alesi wò strep throat ƒe sesẽ ate ŋu ato vovo le nu geɖe nu. Wò ɖɔkta ate ŋu agblɔ nu geɖe tso nusiwo nàte ŋu akpɔ mɔ na ŋu na wò. Woate ŋu aɖo aɖaŋu na wò hã le nu siwo ate ŋu akpe ɖe ŋuwò ne èle hayahayam. Gake ne wowɔ atike nɛ nyuie la, mɔnukpɔkpɔ si li be woatsi agbe ahahaya tso ʋuʋudedia me la nyo.

Ðe gbeɖuɖɔe hea ʋuʋudedia vɛ nyateƒea?

Ao, menye gbeɖuɖɔe hea ʋuʋudedia vɛ o.. Gake gbeɖuɖɔ nye dzesi be nane do xoxo eye dɔlékui bubuwo ate ŋu anɔ eme, eye dɔlékui si hea aɖitsi vɛ hã le eme. Tsɔe be ènɔ dɔ wɔm le abɔ me eye nède abi goglo aɖe, alo èɖo afɔ ɖa aɖe si xɔ dzo esime nèle aƒemedɔwo wɔm. Woate ŋu aƒo asa na aɖitsi ƒe afɔku le nɔnɔme mawo me bɔbɔe ne wokpɔ egbɔ nyuie. Ne èsusu be yehiã aɖitsi ƒe `booster` ƒe atike la, ƒo nu kple wò ɖɔkta alo yi xɔ si me wowɔa dɔ kpata le. Woateŋu ana `booster` shot wò esime wole wò abi dam.

Ne ʋusɔgbɔdɔ ƒe dzesi aɖewo le ŋuwò la, yi kɔdzi ƒe xɔ si te ɖe ŋuwò kpata me enumake. Ne womewɔ atike nyuie na ʋusɔgbɔdɔ o la, ate ŋu anye afɔku. Gake ne wowɔ atike na wò la, mɔnukpɔkpɔ si li be nàtsi agbe ahahaya la nyo.

Nusiwo dzi wòle be míaɖo ŋkui tso ŋutinya sia me (Take-Home Message) .

Togbɔ be aɖitsi nye dɔléle dziŋɔ aɖe hã la, míate ŋu akpɔ mía ɖokui ta tso eme ne wona míenya nu tso eŋu nyuie.

• Aɖi aɖe si dɔlékui aɖe si woyɔna be Clostridium tetani wɔ gbɔe tetanus tsona. Woate ŋu akpɔ dɔlékui sia le anyigba, ke, kple lãwo ƒe gbeɖuɖɔ me.
• Dɔlékui sia toa abi me gena ɖe ŋutilãa me. Ate ŋu adzɔ tso nusianu dzi tso abi sue aɖe dzi va ɖo abi gã aɖe dzi.
• Gbeɖiɖi, lãmekawo ƒe ʋuʋu, kple nu mimi sesẽe nye dzesi vevitɔwo.
• Mɔ nyuitɔ si dzi woato axe mɔ ɖe enue nye be woado atike nɛ. Na atike siwo wona wò esime nènye ɖevi. Mègaŋlɔ be be yeado booster shot ƒe 10 ɖesiaɖe o.
• Ne èxɔ abi, vevietɔ abi si me goglo eye wòƒo ɖi la, di atikewɔlawo ƒe aɖaŋuɖoɖo enumake. Kpɔ egbɔ be wò tetanus-tikea sɔ ɖe ɣeyiɣia nu.
• Ne dzesiwo le ŋuwò la, yi kɔdzi kaba. Atikewɔwɔ kabakaba ate ŋu akpe ɖe ame ŋu woaɖe amewo ƒe agbe.

Ðo ŋku edzi be wò lãmesẽ le asiwò. Kpɔ ɖokuiwò dzi! Aɖuɖɔtoedɔ, Gavriil, Tetanus, Clostridium tetani, Abi ƒe Dɔlékuiwo, Aɖuɖɔtoedɔlékuiwutike, Atike si doa ŋusẽ ame