Ðe wò afɔwo tsina ɣesiaɣi eye vuvɔ wɔna abe tsikpe enea? Mina míaƒo nu tso ‘Trench Foot’ ŋu!

Èse nane si woyɔna be ‘Trench Foot’ ŋu nya kpɔa? Ðewohĩ ŋkɔ sia anye nu yeye na wò. Gake enye nɔnɔme si ate ŋu akpɔ ŋusẽ ɖe míaƒe afɔwo dzi eye wòhiã be míalé ŋku ɖe eŋu vie. Ele vevie ŋutɔ be nànyae ne wò afɔwo le tsi kple vuvɔ me ɣeyiɣi didi aɖe. Mina míalé ŋku ɖe nusi ‘Trench Foot’ nye, nusita wòdzɔna, kple alesi míaƒo asa nɛ ŋu.

Nukae nye Trench Foot? Kpuie ko la,...

Kpuie ko la, ‘Trench Foot’ nye nɔnɔme si dzɔna ne wò afɔwo xaxa ɖe sox alo afɔkpa xɔdzowo me ɣeyiɣi didi aɖe, ŋkeke geɖe gɔ̃ hã, eye nèle vuvɔ me. Ame aɖewo hã yɔa esia be ‘Immersion Foot Syndrome’. Bu eŋu kpɔ ko, ne míenɔ teƒe si tsi le, fafa, eye ɖewohĩ ƒo ɖi ɣesiaɣi la, míaƒe afɔwo ƒe ŋutigbalẽ kple lãkusiwo dzea gbegblẽ gɔme.

Esia nye abi si woxɔna le vuvɔ me si mexɔa tsikpe o ƒomevi aɖe . Esia fia be mehiã be dzoxɔxɔa nabɔbɔ abe tsikpe ene hafi nɔnɔme sia nado mo ɖa o, gake ate ŋu adzɔ le dzoxɔxɔ si wu tsikpe vie me. Nɔnɔme bubuwoe nye `(Chilblains)` (siwo le abe ʋuʋudedi ene), `(Frostnip)` (ŋutilã ƒe tsikpe), kple `(Raynaud ƒe nudzɔdzɔ)` (nɔnɔme si me ʋukawo tsia eye asibidɛwo trɔna zua ɣie). Ne ŋutigbalẽa kple lãkusiwo gblẽ le ‘trench foot’ ta la, afɔku gã aɖe li be woaxɔ dɔlékuiwo . Esia ate ŋu ave ame ŋutɔ, gake nya nyuiae nye be woate ŋu adae ahaxe mɔ ɖe enu .

Nukatae woyɔ esia be ‘Trench Foot’?

Ŋkɔ ‘trench foot’ tso ŋutinya xoxo aɖe me. Franseawo ƒe asrafo amekola aɖe si nɔ dɔ wɔm na asrafo siwo nɔ Napoleon ƒe asrafoha me lae ƒo nu tso nɔnɔme sia ŋu zi gbãtɔ le ƒe 1812 me. Gake exɔ ŋkɔ le xexeame katã le Xexemeʋa Gbãtɔ me. Ɣemaɣi la, ele be asrafowo nanɔ do siwo me tsi yɔ fũu, siwo me ʋuʋudedi le la me ŋkeke geɖe, ɣeaɖewoɣi kwasiɖa geɖe. Vuvɔ, tsidzadza, kple ɖiƒoƒo na asrafo gbogbo aɖewo va xɔ dɔléle sia. Le ƒe 1914 kple 1915 dome ɖeɖe dzaa la, wowɔ atike na Britain-srafo siwo wu 20,000 le ‘trench foot’ ta. Dzɔgbenyuietɔe la, mɔ nyuitɔwo li siwo dzi woato axe mɔ ɖe enu ahadae egbea. Gake nɔnɔmea gakpɔtɔ dzɔna ɣeaɖewoɣi .

Amekae ate ŋu axɔ ‘trench foot’ wu?

Nɔnɔme si woyɔna be ‘trench foot’ la dzena wu le amesiwo le asrafowo dome, le woƒe hehexɔxɔ kple aʋawɔwɔ me. Gake ate ŋu agblẽ nu le ame siwo le hatsotso bubuwo me hã ŋu. Le kpɔɖeŋu me:

• Le aƒemanɔsitɔwo gome: Zi geɖe la, ele be woado sox kple afɔkpa ɖeka. Wonɔa fafa kple vuvɔ me ɣeyiɣi didi aɖe elabena teƒe nyui aɖeke mele wo si woanɔ o.
• Le amesiwo yia haƒoƒo ƒe kɔnsɛtwo me gome: Esia ate ŋu adzɔ hã na amesiwo yia haƒoƒo ƒe kɔnsɛt gã siwo wowɔna le gota ŋkeke geɖe eye wodoa go teƒe siwo vuvɔ le, tsidzadza, eye ɖewohĩ woƒo ɖi la hã.
• Ame siwo wɔa dɔ ƒo xlã tsi: Tɔƒodelawo, melidzeƒedɔwɔlawo, alo ame bubu siwo nɔa tsi me ɣeyiɣi didi le woƒe dɔwo ta hã ate ŋu atu ‘trench foot’ ɖo. Le míaƒe dukɔa me gɔ̃ hã la, ele be amesiwo wɔa dɔ le agble me le tsidzaɣi, alo amesiwo nɔa tsi me ɣeyiɣi didi le nɔnɔme siwo ɖi tsiɖɔɖɔ me hã nakpɔ nyuie le esia ŋu, vevietɔ ne vuvɔ le nutoa me.
• Le amesiwo ƒoa wo ɖokui ɖe gota gome nuwɔnawo me gome: Amesiwo ƒe modzakaɖeɖewo abe tolili kple ave me todzizɔzɔ ene ate ŋu axɔ nɔnɔme sia bɔbɔe ne wometrɔ woƒe soxle kple afɔkpa xɔdzowo le ɣeyiɣi nyuitɔ dzi o. Anyo be esia nanɔ susu me na wò ne èle nu mawo wɔm le Sri Lanka ƒe tonyigbawo dzi (abe Nuwara Eliya, Haputale ene) kple ne nutoa me fa miamiamia eye tsi le dzadzam.

Nukae nye ‘trench foot’ ƒe dzesiwo?

Ne trench foot va le sesẽm ɖe edzi la, alesi wòdzena kple alesi wòsena le eɖokui me hã trɔna.

Gbã la, àte ŋu ase le ɖokuiwò me be yeƒe afɔwo le ʋuʋum, wole ʋuʋum, alo wole ʋuʋum keŋkeŋ . Ame aɖewo ate ŋu ase le wo ɖokui me abe ɖe wole nane tum ɖe woƒe afɔwo me ene, alo woƒe afɔwo ate ŋu ase le wo ɖokui me be yewole kpekpem ŋutɔ, abe ati ene. Esia ate ŋu ana azɔlizɔzɔ nasesẽ na wò. Gbã la, wò afɔwo ate ŋu abiã . Gake le ɣeyiɣi aɖe megbe la, ne ʋukawo le ʋuʋum la, wò afɔwo azu ɣie, azu ƒuƒuie, eye woazu ɣie .

Ne ènya do le vuvɔa me ko la, wò afɔwo ƒe ŋutigbalẽ agadze amadede tɔtrɔ gɔme ake. Ne ŋutigbalẽ le ɣie la, wò afɔwo ate ŋu azu blɔ alo aŋutiɖiɖi le ʋu ƒe sisi si dzi ɖe kpɔtɔ ta . Ne ŋutigbalẽ si do viviti wu le ŋuwò la, ɖewohĩ amadede ƒe tɔtrɔ sia madze ƒã nenema o. Ŋutilãa ate ŋu afa hã eye wòaƒo ɖi le teƒe aɖewo . Tsɔ kpe ɖe eŋu la, ate ŋu adzɔ be avuvu . Le nɔnɔme sesẽ aɖewo me la, wò afɔwo ate ŋu alolo zi gbɔ zi eve gɔ̃ hã!

Ne wò afɔwo gaxɔ dzo ake la, woate ŋu agatrɔ azu dzĩ ake . Àte ŋu ase veve vevie alo seselelãme siwo mebɔ o ne ʋu gatrɔ va wò afɔwo dzi. Àte ŋu axɔ ʋuʋudedi, abi, alo abi siwo le ʋuʋu ɖi hã le wò afɔwo ŋu. Esiawo ate ŋu ana nàxɔ fungi kple dɔlékuiwo bɔbɔe wu. Wò ŋutigbalẽ ate ŋu ase veve ŋutɔ ne dzoxɔxɔ ƒe tɔtrɔ alo ne èka asi eŋu ko gɔ̃ hã.

Nukae hea trench foot vɛ?

Trench foot dzɔna ne wò afɔwo le vuvɔ kple tsidzadza ƒe nɔnɔmewo me ɣeyiɣi didi aɖe. Ðo ŋku edzi be mehiã be dzoxɔxɔa nanye vuvɔ si me fa miamiamia o. Trench foot ate ŋu adze le dzoxɔxɔ si mede Celsius degree 16 (Fahrenheit degree 60) gɔ̃ hã me .

Ne vuvɔ kple fafa ƒo ƒu la, ʋuka suesuesue siwo le wò afɔwo me (capillaries) dzea gbɔdzɔgbɔdzɔ gɔme . Esia ate ŋu agblẽ nu le lãkusi siwo ƒo xlãe ŋu. Tsɔ kpe ɖe eŋu la, ʋu ƒe sisi ƒe mɔxexe ate ŋu akpɔ ŋusẽ ɖe wò ʋu ƒe sisi kple lãmekawo ƒe dɔwɔwɔ dzi.

Afɔ siwo fifia akpa (Hyperhidrosis) hã ateŋu anye nusi gbɔ ‘trench feet’ tsona.

Zi geɖe la, ɣeyiɣi didi kae wòxɔna hafi trench foot la tsina?

Zi geɖe la, trench foot bia be woatsɔe ade vuvɔ kple tsidzadza me ŋkeke ɖeka va ɖo etɔ̃. Gake ɣeaɖewoɣi la, dɔlélea ate ŋu adze egɔme le gaƒoƒo 10 va ɖo 14 pɛ ko me . Eyata ele vevie be míanɔ ŋudzɔ.

Aleke ɖɔkta awɔ akpɔ esia adze sii be enye ‘trench foot’?

Wò ɖɔkta awɔ ŋutilãmedɔdada gbã atsɔ anya trench foot. Ado wò afɔwo kpɔ ahabia wò dzesiwo. Abia nya tso nuto si me nèle nyitsɔ laa hã ŋu. Ne èdo go vuvɔ kple tsidzadza gaƒoƒo ʋɛ aɖewo gɔ̃ hã la, wò ɖɔkta ate ŋu asusui be trench foot.

Wò ɖɔkta adi be yeakpɔ egbɔ be menye dɔlékui alo nɔnɔme bubu aɖe abe vuvɔ ene gbɔe wò dzesiawo tso o. Ate ŋu abia be woawɔ ʋumenugbagbevi ɣiwo ƒe xexlẽme alo ESR (Erythrocyte Sedimentation Rate) dodokpɔ. ESR dodokpɔa léa ŋku ɖe dɔdzẽ le wò ŋutilã ŋu hã. Woate ŋu abia tso asiwò hã be nàwɔ X-ray alo ƒu ƒe foto ne wosusu be ƒumeŋuɖui (osteomyelitis) le ŋuwò.

Ðe atike aɖe li na ‘trench foot’a? Ðe woate ŋu adaea?

Ẽ, keŋkeŋ! Woate ŋu ada trench foot keŋkeŋ ne wokpɔe kaba . Atikewɔwɔ na trench foot dometɔ aɖewoe nye:

• Afɔwo gbugbɔgaxɔ tufafatɔe: Ne èdo dzo na wo kaba akpa la, ate ŋu ana woase veve vevie eye woavuvu. Eyata anyo wu be nàdo dzo wo vivivi.
• Wò afɔwo nana dzadzɛ, woaƒu, eye woaxɔ dzo: Wò ɖɔkta aɖo aɖaŋu na wò be nàkɔ wò afɔwo ŋu eye nàna woaƒu eye dzoxɔxɔ nanɔ wo ŋu.
• Gbɔɖeme kple wò afɔwo dzi ɖeɖe kpɔtɔ wu wò dzi: Esia kpena ɖe ame ŋu be abi yeyewo kple ʋuʋudedi yeyewo nagadzɔ o.
• Dɔlékuiwutikewo: Ðɔkta ate ŋu aŋlɔ dɔlékuiwutikewo na ame be wòaxe mɔ ɖe dɔlékuiwo xɔxɔ nu.
• Tetanus ƒe atike si doa ŋusẽ ame: Woado esia hã ne ehiã.
• Vevesesenutsitikewo: Àte ŋu ano vevesesenutsitikewo abe ``NSAIDs`` (atike siwo me steroid mele o siwo tsia dzodzodzoetsitsi nu) alo ``Acetaminophen`` (paracetamol). Ke hã, ɣeaɖewoɣi la, ɖɔkta ate ŋu aŋlɔ atike aɖe si woyɔna be ``Amitriptyline`` hã.

Aleke malé be na ɖokuinye le atikewɔwɔ vɔ megbe?

Ne wowɔ dɔ na wò le trench foot ŋu vɔ la, nu ʋɛ aɖewo li siwo wòle be nàwɔ be nàkpɔ egbɔ be wò afɔwo yi edzi le hayahayam. Esiawoe nye:

• Do soxle dzadzɛ si ƒu gbe sia gbe.
• Mègado sox ne èle alɔ̃ dɔm o. To mɔ sia dzi la, àte ŋu ana wò afɔwo naƒu.
• Kpɔ wò afɔwo ɖa gbesiagbe.Kpɔ dzesi siwo fia be dɔlélea ƒe dzesiwo le sesẽm ɖe edzi alo dɔlélea ƒe dzesi ɖesiaɖe hã.
• Ƒo asa na atamanono kple atike bubu siwo me nicotine le zazã. Nicotine ate ŋu aɖe ʋu ƒe sisi ɖe wò afɔwo ŋu dzi akpɔtɔ.
• Ƒo nuɖuɖu si me protein sɔ gbɔ ɖo. Esia akpe ɖe dɔyɔyɔ ƒe ɖoɖoa ŋu.

Aleke woawɔ axe mɔ ɖe ‘trench foot’ ƒe tsitsi nu?

Le nyateƒe me la, trench foot nye nɔnɔme si woate ŋu axe mɔ na . Afɔɖeɖe siwo gbɔna ate ŋu akpe ɖe ŋuwò be nàƒo asa na dɔléle sia xɔxɔ:

• Trɔ sox kple afɔkpa/afɔkpa siwo xɔ dzo kaba ale si nàte ŋui.
• Na wò afɔwo naƒu to wo tsɔtsɔ de ya me me. Kpɔ egbɔ be yeƒe afɔwo naƒu ɣesiaɣi.
• Na wò afɔwo nakɔ ɖe dzi ɣesiaɣi si wòanya wɔ.
• Trɔ ɖe sox yeye ŋu zi ɖeka ya teti gbesiagbe.
• Do afɔkpa alo afɔkpa siwo sɔ na wò nyuie eye womebla ɖe ŋuwò akpa o.

Ðo ŋku edzi be nyagbɔgblɔ "mɔxexe ɖe enu nyo wu atikewɔwɔ" ku ɖe 'trench foot' sia hã ŋu.

Nukae dzɔna ne ‘trench foot’ va le ŋuwò? Ðe wònye nusi wòle be woavɔ̃ na?

Tsã la, trench foot nye nɔnɔme sesẽ aɖe si ate ŋu ana ame naku gɔ̃ hã. Gake egbea la, ne wokpɔ dɔlélea le eŋu hedae kaba la, woate ŋu ada afɔ si woɖe le do me ƒe akpa gãtɔ keŋkeŋ . Àte ŋu akpɔ mɔ be yeahaya bliboe tso nɔnɔme sia me. Gake vevesese aɖe ate ŋu anɔ anyi hena ɣeyiɣi aɖe esime afɔa ƒe seselelãme blibo gaɖo eŋu.

Ðe ‘trench foot’ ate ŋu ahe kuxi siwo me afɔku le vɛa?

Ẽ, ne womewɔ atike nɛ o la, kuxi sesẽwo ate ŋu ado mo ɖa. Nɔnɔmewo abe `(Cellulitis)` (dɔlékui si xɔa ŋutigbalẽa) alo `(Gangrene)` (lãmekawo ƒe ku) ateŋu adzɔ. Le nɔnɔme sesẽwo me la, ate ŋu ahiã be woalã afɔa ƒe akpa aɖe be `(Gangrene)` nɔnɔmea nagakaka ɖe edzi o. Kuxi bubuwoe nye `(Sepsis)` (ʋu me aɖi) kple ku gɔ̃ hã.

‘Trench foot’ nye nɔnɔme si me vevesese le si xɔ ŋkɔ tso do siwo me wòle be asrafowo nado dzi le le Xexemeʋa I. Asrafo geɖe ƒe abɔwo kple afɔwo bu eye wo dometɔ aɖewo ku le eme. Gake egbea la, míenya nu geɖe tso alesi míaxe mɔ ɖe enu ahadae ŋu.

Mlɔeba la, ɖo ŋku esia dzi !

Atike nyuitɔ kekeake si woate ŋu azã na trench foot enye mɔxexe ɖe enu ŋutɔŋutɔ . Ne ènya be yeanɔ teƒe si fa miamiamia eye tsi dzana le ɣeyiɣi didi aɖe la, ke kpɔ nyuie godoo . Tsɔ sox bubu ɖe asi ɣesiaɣi, eye nàkpɔ egbɔ be wò afɔkpawo sɔ nyuie. Ne èwɔ nu bɔbɔewo abe esiawo ene la, màtsi dzi ɖe trench foot ŋu o. Lé be na wò afɔwo, eye nàna woanɔ lãmesẽ me!

` trench foot, immersion foot syndrome, afɔ xɔdzo, afɔ fafɛ, afɔ ƒe vevesese, afɔ ƒe ʋuʋu, afɔdzikpɔkpɔ, afɔ, vuvɔ, tsidzadza