Èse ŋutigbalẽdɔléle aɖe si woyɔna be ‘Yaws’ ŋu nya kpɔa? Ðewohĩ ŋkɔ sia nye nu yeye na wò. Gake enye dɔlékui si nɔa anyi ɣeyiɣi kpui aɖe si woate ŋu akpɔ le teƒe aɖewo, vevietɔ le ɖeviwo dome, eye ɣeaɖewoɣi la, ate ŋu agblẽ nu le ŋutigbalẽa ɖeɖeko ŋu o, ke ate ŋu agblẽ nu le ƒuwo hã ŋu. Eyata, naneke meli si ŋu míatsi dzi ɖo o, mina míaƒo nu tso ‘Yaws’ sia ŋu tsitotsito eye wòanɔ bɔbɔe ŋutɔ egbea, enyoa?
Nukae nye Yaws? Kpuie ko la,...
Yaws nye dɔlékuiwo ƒe ŋutigbalẽdɔléle si nɔa anyi didi . Dɔlékui ƒomevi sue tɔxɛ aɖe si nye `Treponema pallidum` (subspecies pertenue) gbɔe wòtsona. Edzea egɔme abe ƒunukpeƒetetedɔ ene le ŋutigbalẽa ƒe akpa ɖeka eye ate ŋu akaka ɖe ŋutilã ƒe akpa bubuwo le ɣeyiɣi aɖe megbe. Ne womedae nyuie o la, ate ŋu agava le ɣleti geɖe alo ƒe geɖe gɔ̃ hã megbe. Ne edzɔ alea la, ate ŋu agblẽ nu le ŋutigbalẽa, ƒuwo, kple lãmenugbagbevi bubuwo ŋu tegbee.
Yaws le dɔlékuiwo ƒe dɔlékuiwo ƒe ƒuƒoƒo aɖe si woyɔna be `endemic treponematoses` me. Wonyae hã le nuto aɖewo me kple ŋkɔ siwo nye `pian`, `framboesia` kple `bouba`.
Nukawoe nye Yaws ƒe afɔɖeɖewo?
Yaws ƒe akpa vevi enee li. Na míalé ŋku ɖe nusiwo wonye ŋu.
Akpa gbãtɔ (Primary Yaws) .
Esiae nye afisi nèdzea dzesiwo kpɔkpɔ gɔme zi gbãtɔ . Edzea egɔme abe ʋuʋudedi sue aɖe si le ŋutigbalẽa ŋu ene, si va lolona vivivi eye ate ŋu awɔ ƒuƒuiƒe gɔ̃ hã le etame. Zi geɖe la, esia nɔa anyi abe ɣleti etɔ̃ va ɖo ade ene.
Akpa evelia (Secondary Yaws) .
Akpa evelia dzea egɔme ɣleti ʋɛ aɖewo le dzesi gbãtɔwo ƒe dzedze vɔ megbe. Le afɔɖeɖe sia me la , ƒunukpeƒewo ate ŋu adze le ŋutigbalẽa ƒe akpa vovovowo . Ɣeaɖewoɣi la, nusiawo ate ŋu akaka ɖe ƒuwo me.
Yaws ɣaɣlawo
Le ɣeyiɣi sia me la, ne wodoe kpɔ be T. pallidum dɔlékui le ŋuwò hã la, ɖewohĩ dzesi aɖeke madze le ŋuwò o . Esia ate ŋu anɔ anyi ƒe geɖe. Ke hã, wogblɔna be àte ŋu axɔ dɔa na ame bubu kokoko le ɣeyiɣi sia me.
Yaws si nye Tertiary/Late Yaws
Ne womewɔ atike nɛ o la, amesiwo xɔa yaws la dometɔ siwo ade 10% axɔ akpa etɔ̃lia sia le ƒe atɔ̃ va ɖo ewo le dzesi gbãtɔawo ƒe dzedzeme megbe. Wogayɔa esia be "late yaws." Le afɔɖeɖe sia me la , abi siwo kaka ɖe teƒe geɖe siwo gblẽa nu ate ŋu ado mo ɖa le ŋutilã bliboa me .
Vovototo kae le Yaws kple Syphilis dome?
Anɔ eme be èse nu tso yɔmekpe ŋu kpɔ. Dɔlékui siwo hea yaws vɛ la ɖi dɔlékui siwo hea syphilis vɛ ŋutɔ. Gake nu vevitɔe nye be yaws menye gbɔdɔdɔ ƒe dɔléle o . Ekakana to ŋutigbalẽa ƒe gbagbã abe lãɖeɖe alo abi ene me.
Nukae nye Yaws ƒe dzesiwo?
Dzesi vevi siwo dzena le yaws ŋue nye akpa etɔ̃ siwo míeyɔ ɖe etame, siwo dometɔ aɖewoe nye ƒoƒo, abi, kple abi siwo dzena le ŋutigbalẽa ŋu, siwo kakana hetrɔna le ɣeyiɣi aɖe megbe. Tsɔ kpe ɖe eŋu la, woate ŋu akpɔ dzesi siwo gbɔna hã:
- Lãmetsiŋusẽ ƒe ʋuka siwo vuvu
- Vevesese kple ƒuwo ƒe vuvu
- Ðeɖiteameŋu
- Malaise ƒe dɔléle
Azɔ na míakpɔ alesi dzesiawo le le afɔɖeɖe ɖesiaɖe me ɖa.
Dzesi siwo dzena le afɔɖeɖe gbãtɔ me
Esiae nye ƒu gbãtɔ si dzena le ŋutigbalẽa dzi ne yaws va do. Dɔlékui si nye `Treponema pallidum pertenue` gbɔe wòtsona. Ate ŋu adze le ŋutilãa ƒe akpa sia akpa, gake zi geɖe la, wokpɔnɛ le afɔ alo afɔwo dzi . Woyɔa esia ɣeaɖewoɣi be "dada yaw". Edzea egɔme abe ʋuʋudedi sue aɖe ene, emegbe etrɔna zua abi gã aɖe si me ʋuʋudedi le. Ðewohĩ ʋuʋudedi kple ƒunukpeƒetetedɔ ayɔe fũ. Zi geɖe la, edaa gbe le eɖokui si le ɣleti ʋɛ aɖewo megbe, eye wògblẽa abi ɖi.
Akpa evelia ƒe dzesiwo
Zi geɖe la, akpa evelia ƒe dzesiwo dzea egɔme abe ɣleti ɖeka alo eve ene le ʋuʋudedi gbãtɔ ƒe dodo megbe. Gake ɣeaɖewoɣi la, ate ŋu adze egɔme le ƒe eve megbe. Le afɔɖeɖe sia me la , ʋuʋudediwo dzena le ŋutigbalẽa ƒe akpa vovovowo , vevietɔ le abɔwo, afɔwo, kple afɔwo dzi. Woate ŋu adze ale:
- Abe ʋuʋudedi ene
- Abi- alo abi si le abe abi ene
- Wokɔe ɖe dzi eye wòle togbɛwo dzi / “si le abe raspberry ene” .
- Amadede ɣi si le dzo dam
- Gbadza, abe koral ene
- Dzɔdzɔme si le ɣie, si sesẽ
Le ɣeyiɣi sia me la, yaws ate ŋu akaka ɖe ƒuwo me , si ana asibidɛwo, afɔbidɛwo, asiwo, kple afɔwo nase veve eye woavuvu.
Akpa etɔ̃lia ƒe dzesiwo
Ne womewɔ atike nɛ o la, ame aɖewo va xɔa yaw ƒe akpa sia si tsi megbe le ƒe atɔ̃ va ɖo ewo le dzesi gbãtɔawo ƒe dzedzeme megbe. Kaka ɣeyiɣi sia naɖo la, ɖewohĩ yaws ƒe abiawo kaka ɖe ŋutilã ƒe akpa geɖe . Àte ŋu ade dzesi nuwo abe:
- Kpe gã siwo te ɖe ƒunukpeƒewo ŋu
- Ʋuʋu abi siwo gena ɖe ŋutigbalẽ, ƒunukpeƒe, alo ƒu me goglo
- Afɔkpodzi ƒe asibidɛwo kple afɔkpodziwo ƒe akpa siwo le ɣie eye sesẽ (plaques).
Nukae hea yaws vɛ?
Dɔlékui si nye Treponema pallidum ƒe hatsotso sue tɔxɛ aɖe si woyɔna be pertenue gbɔe yaws tsona. Le yaw ƒe akpa gbãtɔ kple evelia me la, dɔlékuiawo nɔa ŋutigbalẽ ƒe abi kple abi me. Eyata, dɔlélea kakana ɖe ame bubuwo me to eƒe kadodo kple amesi ŋu abi le ƒe abi kple abi me .
Ðe Yaws xɔa ame mea?
Ẽ, yaws nye dɔléle si xɔa ame me.Yaws kaka tso ame ɖeka yi ame bubu me to ŋutigbalẽ kple ŋutigbalẽ ƒe kadodo kple ʋuʋudedi me. Le kpɔɖeŋu me, ne ɖevi suewo le fefem ɖekae la, ne ɖevi si ŋu yaws rash le la xɔ dɔlékuiwo le ɖevi bubu ƒe ŋutigbalẽ si wotso alo abi sue aɖe dzi la, dɔlélea ate ŋu akaka. Yaws xɔa ame me le akpa eve gbãtɔwo me. Mexɔa ame le akpa etɔ̃lia me o.
Amekae xɔa yaws wu?
Le xexeame ƒe nuto siwo me yaws bɔ ɖo la, dɔlélea bɔ ɖe ɖevi siwo mexɔ ƒe 15 haɖe o dzi wu . Gake ame tsitsiwo hã ate ŋu axɔe. Eŋutinunyalawo xɔe se be ame tsitsi siwo le nuto mawo me va zua dɔlélenutsiŋutete ɖe eŋu le ɣeyiɣi aɖe megbe. Gake ame aɖe si zɔa mɔ tso nuto si me yaws mebɔ le nuto siawo dometɔ ɖeka me o la ate ŋu axɔ dɔlélea elabena dɔlélenutsiŋutete ma tɔgbe mele wo si o.
Afikae Yaws bɔ ɖo wu?
Wokpɔa yaws wu (enɔa afima) le nuto xɔdzo siwo me yame ƒe dzoxɔxɔ kple fafa le me . Le kpɔɖeŋu me:
- Dukɔ aɖewo le Anyieheɣedzeƒe Asia
- Dukɔ siwo le Ɣetoɖoƒe kple Titina Afrika
- Le Pasifik Ƒukpowo dzi
Zi geɖe la, esia bɔ ɖe kɔƒenutowo me wu.
Nukawoe nye kuxi siwo ate ŋu ado tso yaws me?
Ne womeda yaws nyuie o la, kuxiwo abe:
- Asibidɛwo kple afɔbidɛwo ƒe vuvu (dactylitis) .
- Dɔlékui siwo le ƒuwo alo woƒe gotagome nutsyɔnu (periostitis) .
- Lãmetsiŋusẽ ƒe ku (necrosis) .
- Nɔnɔme ƒe Tɔtrɔ
- Ƒuwo kple ŋɔti ƒe ƒunukpeƒewo tsɔtsrɔ̃ (`gangosa`) .
- Dɔlékui bubuwo ƒe dɔlékuiwo
- Azɔlizɔzɔ sesẽ alo ŋutilã ƒe gbɔdzɔgbɔdzɔ bubuwo le kpe gbadzɛwo alo nu bubu siwo gblẽ le asibidɛwo kple afɔkpodziwo ŋu ta.
Kuxi siawo nu sẽ ŋutɔ, alo? Esia tae wòle vevie be nàkpɔ ɖɔkta enumake ne yaws ƒe dzesiwo le ŋuwò.
Aleke wowɔna dea dzesi Yaws dɔlélea?
Ðɔkta akpɔ yaws to wò ŋutigbalẽ me dzodzro kple wò atikewɔwɔ ŋutinya biabia me. Woate ŋu ado abi siwo woɖe tso abi me alo ʋu siwo woɖe tso ʋu me hã akpɔ be dɔlékui si nye T. pallidum hã le eme hã. Ne wotsɔ nusuekpɔmɔ̃ kpɔe la, dɔlékui siwo naa yaws kple dɔlékui siwo hea syphilis vɛ la ɖi wo nɔewo ŋutɔ. Mɔ ɖeka kolia si dzi nàto anya vovototoae nye wò dzesiwo.
Ðe woate ŋu ada yaws?
Ẽ, nya nyuiae nye be woate ŋu ada yaws! Zi geɖe la, dɔlékuiwutikewo zazã zi ɖeka si sɔ gbɔ ate ŋu adae keŋkeŋ. Zi geɖe la, ɖɔktawo naa atikekui si woyɔna be `azithromycin` alo atike si woyɔna be `benzathine penicillin G`. Woate ŋu ada yaws le afɔɖeɖe ɖesiaɖe me. Gake ne èxɔ atike le gɔmedzedzea me la, àte ŋu aɖe kuxi sesẽwo ƒe afɔkua dzi akpɔtɔ ŋutɔ.
Nukae dzɔna ne èxɔ yaws? Nukae nye mɔkpɔkpɔa?
Zi geɖe la, yaws nyea dɔléle si woate ŋu ada . Nusiwo dona tso eme nyo ŋutɔ, vevietɔ ne wodae le dɔlélea ƒe gɔmedzedze. Gake ne womewɔ atike nɛ o la, ate ŋu agblẽ abi siwo anɔ anyi ɖaa eye wòagblẽ nu le ame ƒe nɔnɔme ŋu .
Aleke nàwɔ akpɔ ɖokuiwò ta tso Yaws si me?
Be nàkpɔ ɖokuiwò ta tso yaws me la, ele be nàƒo asa na ŋutigbalẽ kple ŋutigbalẽ ƒe kadodo kple amesi ŋu yaws le . Yaws mekaka to ŋutigbalẽ ƒe ʋuʋu le akpa etɔ̃lia me o. Azɔ hã, ɖɔktawo ate ŋu ana dɔlékuiwutikewo amesiwo do go ame si ƒe yaws le kplikplikpli be woaxe mɔ ɖe dɔlékuiwo xɔxɔ nu.
Xexeame ƒe Lãmesẽ Habɔbɔ (WHO) hã le ɖoɖo gã aɖe wɔm be woatsɔ aɖe Yaws ɖa keŋkeŋ. Nusi wɔm wole enye be wole atike wɔm na amesiame le nuto siwo me Yaws bɔ ɖo me, ke menye amesiwo ŋu dzesiwo le ɖeɖeko o.
Ɣekaɣie wòle be nàkpɔ ɖɔkta?
Ne èle nɔnɔme sia me la, yi ɖɔkta gbɔ godoo:
- Ne èzɔ mɔ yi alo nènɔ nuto aɖe si me yaws bɔ ɖo, eye dzesiwo le ŋuwò.
- Ne wokpɔe be wò ƒometɔ kplikplikpli aɖe le yaws.
- Ne abi aɖe le wò ŋutilã ŋu si mele hayahayam o, alo ne egatrɔna gbɔna.
Ne woda dɔa kaba la, woate ŋu ada dɔlékuia hafi wòagblẽ nu le eŋu tegbee.
Ɣekaɣie wòle be nàyi Atikewɔwɔ Kpata ƒe Dɔwɔƒe (ETU) ?
Ne dɔlékui sesẽ aɖe abe esiawo ene ƒe dzesiwo le ŋuwò la, yi xɔ si me wowɔa dɔ kpata le enumake:
- Asrã sesẽ (si wu Celsius 103/40) .
- Ne ŋutigbalẽ si ƒo xlã abi la biã, ese le eɖokui me be yexɔ dzo, alo ele veve sem vevie
- Taɖuame, gbɔdzɔgbɔdzɔ
- Dzi ƒe tsotso
- Ʋu ƒe sisi ƒe ɖiɖi
- Aɖuɖɔtoe dzi ɖe kpɔtɔ alo bu
Nya siwo wòle be nàbia wò ɖɔkta
Ne èyi wò ɖɔkta gbɔ la, anyo be nàbia nya siawo:
- Dɔlélea ƒe akpa kae nye esia?
- Ðe nye ŋutigbalẽ anyo ɖe edzia?
- Aleke mawɔ akpɔ nye ŋutigbalẽ ta vaseɖe esime wòahaya?
- Ðe wòhiã be nye ƒometɔ kplikplikpliwo hã nano dɔlékuiwutikewoa?
- Ɣeyiɣi didi kae mate ŋu axɔ dɔa na ame bubu?
Mlɔeba la, ɖo ŋku edzi
Yaws nye ŋutigbalẽdɔ si ate ŋu adze egɔme tso sue eye wòakaka ɖe ŋutilã bliboa me, si agblẽ nu le ame ŋu le teƒe geɖe. Ebɔ wu le nuto siwo me lãmesẽdɔwɔƒewo mete ŋu yina bɔbɔe o. Ne èsusu be yaws le ye ŋu la, yi ɖɔkta gbɔ enumake. Zi geɖe la, woate ŋu atsɔ dɔlékuiwutike ɖeka adae bɔbɔe. Gake le eƒe nuwuwu la, ɖewohĩ womate ŋu atrɔ nusiwo gblẽ la o. Eyata atikewɔwɔ kaba nyo wu!
`yaws, framboesia, pian, treponema pallidum pertenue, ŋutigbalẽ ƒe dɔléle, teƒe xɔdzowo ƒe dɔléle, ɖeviwo ƒe lãmesẽ

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