Ðe jaketi ɣi aɖe ƒo wò kpɔa? (Yellow Jacket Sting) Nukae nèwɔna ne èwɔe?

Le míaƒe aƒewo kple abɔwo me la, ʋetsuvi ƒomevi aɖe si ƒe fliwo le ɣie kple yibɔ la li. Ame aɖewo tɔtɔa wo kple anyiwo gɔ̃ hã. Gake afɔku le ʋetsuvi siawo ŋu vie wu. Nusi dzɔna ne woƒo wo, si nye ``Yellow Jacket Sting'', nukae nye dzesiawo, alesi woadae, kple nu bubu geɖe siwo ŋu míele nu ƒom tsoe egbea. Ele vevie ŋutɔ be nànya esia.

Ðe Jacket Dzĩ siawo ɖua ame ŋutɔŋutɔa?

Ẽ, ʋetsuvi siawo siwo ƒe amadede nye ɣi kple yibɔ, siwo woyɔna be ``Yellow Jackets'', ƒoa nu. Zi geɖe la, wotua woƒe atɔ ɖe anyigba te, le atiwo ƒe dowo me, ɖe ati siwo le gbegblẽm la me, eye ɣeaɖewoɣi la, wotua wo ɖe aƒewo ƒe gliwo dome. Woate ŋu atu woƒe atɔ ɖe gbeɖuɖɔwo gbɔ, ati xoxowo te, kple do suesuesue siwo le xɔtaxɔwo me hã. Le woƒe amadede ta la, ame geɖe tɔtɔa wo kple anyiwo. Gake ɖo ŋku edzi be to vovo na anyiwo la, ʋetsuvi siawo ate ŋu aƒo wò wu zi ɖeka, zi geɖe. Le nyateƒe me la, le dutadukɔwo me la, wobua ʋetsuvi siawo be wonye nudzodzoewo ƒe ƒoƒo wu.

Akpɔkplɔ ɖua wò ale: Etsɔa eƒe aɖuɖɔ toa wò ŋutigbalẽ me eye wòdoa aɖi ɖe wò ŋutigbalẽ me. Le ame akpa gãtɔ gome la, stinger ƒe aɖi nana wosea veve, wovuvuna, eye woƒe lãme ʋãna. Gake le amesiwo ŋu nulɔdɔ le gome la, ate ŋu ahe dzesi sesẽwo abe taɖuame, aɖuɖɔtoe, ʋuʋudedi, gbɔgbɔ sesẽ, kple nu mimi sesẽ (anaphylaxis) vɛ.

Ne wò alo ame aɖe si nènya ƒe nulɔdɔ sesẽ aɖe le anyi ƒe ƒoƒo ŋu la, ele be nàƒo ka na 1990 (Sri Lanka ƒe dɔnɔdzikpɔƒe si kpɔa dɔnɔwo gbɔ kpata) enumake. Ne EpiPen le asiwò la, zãe. Esia nye atikewɔwɔ kpata eye wòhiã be woawɔ atike nɛ enumake.

Dzesi kawoe dzena le da si ƒe ʋuƒo eve ŋu?

Dzesi siawo ate ŋu ato vovo tso ame ɖeka gbɔ yi bubu gbɔ. Zi geɖe la, amesiwo ƒe aɖi melɔ̃a anyiwo o la toa nusiwo gbɔna me:

• Vevesese sesẽ
• Dzobibi le afisi wodoe ɖo
• Tete
• Dzobibi ƒe seselelãme
• Ʋuʋudedi
• Dɔmetɔtrɔ si nɔa anyi didi

Ke hã, le amesiwo ƒe nulɔ le anyiwo ƒe aɖi ŋu gome la, afɔku li be woakpɔ nulɔdɔ sesẽ aɖe si ate ŋu ade woƒe agbe afɔku me gɔ̃ hã si woyɔna be ``Anaphylaxis''.

Esiawo ateŋu anye `(Anaphylaxis)` ƒe dzesiwo:

• Ʋuʋudedi
• Kpe
• Yagbɔgbɔ sesẽ
• Nuɖuɖu mimi sesẽ (Dysphagia) .
• Sese le ɖokuiwò me be yeƒe ŋɔti xaxa
• Aɖuɖɔtoewo
• Fifia ƒe ʋuʋu
• Dzitsitsi
• Taɖuame
• Alɔ̃madɔmadɔ
• Aɖuɖɔtoe alo ʋuʋudedi
• Dɔmetɔtrɔ

Nukatae ame ƒe nuwɔna sia tɔgbe dzea eŋu ne dɔlékui aɖe dze edzi?

Ne ʋetsuvi aɖe ɖu nu la, edoa aɖi si woyɔna be ``Mastoparan'' kple enzyme si woyɔna be ``Phospholipase A1'' ɖe míaƒe ŋutilã me kpe ɖe woƒe aɖi ŋu. Nu siawo evea siaa ʋãa míaƒe ŋutilã ƒe dɔdzẽ ƒe dɔwɔwɔ.

Bu eŋu kpɔ, ɖeko wòle abe míaƒe ŋutilã ƒe ametakpɔnu dze dɔwɔwɔ gɔme ene, hele gbɔgblɔm be, ‘Kuxi aɖe le afisia!’ Esia tae wòbiãna eye wòvuvuna ɖo.

Nusiwo le ʋetsuviwo ƒe aɖi me to vovo na anyiwo ƒe aɖi. Eyata anɔ eme be ame si ƒe aɖi si nye wasp melɔ̃na o la melɔ̃a anyiwo ƒe aɖi o. Eye le go bubu me hã.

Kuxi kawoe ate ŋu ado tso nyɔnu ƒe vidzidɔ me toto me?

Tsɔ kpe ɖe vevesese, abi, kple ʋuʋudedi ŋu la, aŋɔsisi ate ŋu ahe lãmesẽkuxi bubuwo vɛ ɣeaɖewoɣi – vevietɔ ne èxɔe zi gbɔ zi geɖe. Nɔnɔme siawo ate ŋu anye:

• Ʋusɔgbɔdɔ (Hypotension) .
• Dzi ƒe tsotso si mesɔ o (Arrhythmia) .
• Hemolysis (ʋumenugbagbevi dzĩwo tsɔtsrɔ̃) .
• Bronchospasm (esiae nye esime lãmeka siwo ƒo xlã wò aɖuɖɔtoewo me sẽna, si wɔnɛ be wò yaƒoƒomɔ̃wo le kpuie) .
• Aklã me ʋu ƒe sisi
• Ahɔhɔ̃ me dɔléle sesẽ aɖe (Encephalitis) .
• Ayiku ƒe dɔmawɔmawɔ nyuie (esia nye ne wò ayikuwo mete ŋu wɔa dɔ nyuie o) .
• Lãmetsiwo ƒe gbagbã (Rhabdomyolysis) (esia ate ŋu anye nɔnɔme si ate ŋu ade ame ƒe agbe afɔku me) .

Ne ʋetsuvi aɖe ɖu wò zi geɖe la, ne nulɔdɔ mele ŋuwò o gɔ̃ hã la, ele be nàyi ɖɔkta gbɔ enumake.

Aleke ɖɔktawo wɔa anya be ʋuka me ʋu ƒe sisi le ame ŋu nyuie?

Ne ʋetsuvi aɖe ƒo wò la, àse le ɖokuiwò me nyuie ŋutɔ. Gake ɖewohĩ màte ŋu anya nudzodzoe ƒomevi si tututu wònye o, vevietɔ ne mèkpɔe kpɔ o.

Zi geɖe la, mehiã be nànya nudzodzoe si tututu ɖu wò hafi nàte ŋu akpɔ atike nyuitɔ o. Gake ne nulɔdɔ sesẽ aɖe le ŋuwò la, ele vevie be nànya nyatakaka siawo ale be nàte ŋu anya nu tso nusiwo aɖu wò le etsɔme ŋu. Ne ehiã la, ɖɔktawo ate ŋu ado ʋu kpɔ atsɔ anya nudzodzoe si ɖu wò.

Aleke wodaa ƒunukpeƒetetedɔ?

Negbe ɖe aɖia melɔ̃a wò o ko hafi la, zi geɖe la, àte ŋu atsɔ atike siwo womeƒlena le atikedzraƒe o kple aƒeme atikewo adae.

Gake ne anyiwo ƒe aɖi melɔ̃a wò o la, ke ehiã be woawɔ atike na wò kpata. Ƒo ka na 911 enumake – ne EpiPen le asiwò la, zãe. (Da EpiPen ƒe nugbɔ si ƒe amadede nye aŋutiɖiɖi la wò afɔ ƒe megbe titina (zi geɖe la, wò ata), te abɔta eye nàdo atike la, nàxlẽe vaseɖe etɔ̃ hafi aɖee ɖa.) Lala be kpekpeɖeŋu nava.

Aleke nàwɔ aɖe ŋù si ƒoa nu la ɖa?

Ne nusi woɖe ɖe ŋutigbalẽa me gakpɔtɔ le ŋutigbalẽa me la, ele be woaɖee ɖa. Tsɔ asi hee do goe, alo nàtsɔ nu dzadzɛ si me mekɔ o (le kpɔɖeŋu me, gaxɔgbalẽvi ƒe nugbɔ alo hɛ ƒe axa si me mekɔ o) ƒoe. Mègamimi abi la o, elabena esia ate ŋu ana aɖi geɖe nage ɖe ŋutilãa me. Emegbe, tsɔ adzalẽ si wua dɔlékuiwo kple tsi klɔ teƒea nyuie.

Aleke woawɔ ada ringworm le aƒeme?

Ne èɖe nusi wotsɔ ƒoe la ɖa eye nèƒu teƒea vɔ la, tsɔ tsikpe (alo tsikpe siwo woxatsa ɖe avɔ me) de eme abe miniti 10 ene. Esia ate ŋu akpe ɖe ame ŋu be vevesese kple abi si dona enumake dzi naɖe akpɔtɔ. Emegbe, di atike aɖe si akpe ɖe ŋuwò nàkpɔ dzesi ɖesiaɖe si susɔ la gbɔ. Ðewohĩ nu aɖewo le wò aƒeme atikeɖaka me xoxo siwo nàte ŋu azã atsɔ ada atike si woɖe ɖe ŋuwò, abe:

• Atike siwo wua ʋumenugbagbeviɣidɔ (e.g. Piriton) .
• Hydrocortisone cream (na ʋuʋudedi kple ʋuʋudedi) .
• Calamine lotion (ɖea ʋuʋudedi dzi kpɔtɔna) .

Ne vevesese si le afisi wodoe ɖo meɖiɖi o la, àte ŋu ano vevesesenutsitike si womeƒlena o, abe acetaminophen (Tylenol®) alo ibuprofen (Advil®) ene.

Ðeviwo kple ame tsitsiwo siaa ate ŋu azã atike siawo, gake ele be nàxlẽ atikeawo ƒe agbɔsɔsɔme ŋuti mɔfiame siwo le atikeawo ƒe ŋkɔ dzi eye nàzã wo abe alesi wogblɔe ene pɛpɛpɛ.

Ɣekaɣie wòhiã be woawɔ atike na ame kpata ne ame aɖe atɔ ame?

Ne ``anaphylactic'' ƒe dzesiwo le ŋuwò (abe gbɔgbɔ sesẽ, nu mimi sesẽ ene) ko hafi nèhiã atikewɔwɔ kpata. Ne wò alo ame aɖe si gbɔ nèle la ƒe nulɔdɔ sesẽ aɖe le nuveviwɔame ŋu:

• Ƒo ka na 1990 enumake.
• Ne EpiPen le asiwò la, zãe.
• Ne amea mele gbɔgbɔm o la, dze CPR (dzitodzito me gbɔgbɔtsixetsixe) gɔme ne anya wɔ.

Ne atikewɔlawo ƒe ƒuƒoƒoa nya va ɖo ko la, woadze atikewɔwɔ kpata gɔme. Esia ate ŋu alɔ:

• Epinephrine (adrenaline) si wotsɔna ƒoa ƒui .
• Atike siwo wotsɔna tsia ʋuka me (IV).
• Corticosteroids ƒe atikewo
• Oxygen alo gbɔgbɔtsixe ƒe kpekpeɖeŋunu bubu
• Dodokpɔ siwo wowɔna le dodokpɔxɔ me, abe ʋudodokpɔ ene, ne ehiã

Ɣeyiɣi didi kae vevesesea nɔa anyi le herniated disc megbe?

Ame geɖe ka nya ta be afisi wodoe ɖo la sena le eɖokui me abe ɖe wòle dzo dam eye wòle ƒoƒom ene. Esia ate ŋu anɔ anyi gaƒoƒo ɖeka alo eve. Ate ŋu abiã eye wòavuvu ŋkeke ʋɛ aɖewo. Zi geɖe la, abi la nu ayi le kwasiɖa ɖeka me.

Ðe nàte ŋu aku le esi woƒo wò zi eve ta?

Le amesiwo ƒe nu melɔ̃a aɖi o gome la, ne woƒo wo zi ɖeka gɔ̃ hã ate ŋu awu wo.Gake ne nulɔdɔ mele ŋuwò o la, wogblɔna be ehiã be woaƒo wò abe zi 1,500 ene hafi wòate ŋu awu ame.

Ema fia be, naneke meli si wòle be nàvɔ̃ tso ɖuɖu zi ɖeka me o, negbe ɖe nulɔdɔ sesẽ aɖe le ŋuwò ko hafi. Gake anyo wu be nàɖɔ ŋu ɖo.

Aleke nàwɔ aƒo asa na da ƒe ɖuɖu?

Anyidiwo nye míaƒe lãwo ƒe agbenɔnɔ ƒe akpa aɖe. Togbɔ be adze nublanuinya hã la, míate ŋu aɖe wo ɖa alo agblɔ na wo be wodzo o. Gake nanewo li nàte ŋu awɔ be anyidi ƒe ɖuɖu ƒe afɔkua dzi naɖe akpɔtɔ ne èle ɣeyiɣi zãm le gota:

• Te ɖa le teƒe siwo ʋetsuviwo tua atɔ ɖo zi geɖe (gbeɖuɖɔgoewo, atiwo ƒe kewo, ati gbegblẽwo, aƒewo ƒe dzogoe dovivitiwo).
• Ƒo asa na awu siwo ƒe amadede le keklẽm kple awu siwo ŋu seƒoƒo ƒe nɔnɔme le (esiawo ate ŋu ahe nudzodzoewo).
• Mègazã ami ʋeʋĩ, cologne, alo atsyɔ̃ɖomi bubu siwo ʋẽna lilili o.
• De nudzodzoeviwutike si wotsɔna tsia nudzodzoeviwo nu.
• Mègazɔ afɔ ƒuƒlu le gota o, vevietɔ le gbe dzi.
• Tsɔ gbeɖuɖɔwo ƒu gbe nyuie, eye nàtsyɔ nu nuɖuɖu dzi ne èɖu nu vɔ. Ne èle kplɔ̃ɖoƒe sue aɖe ɖum le wò abɔ me la, tsyɔ nuɖuɖu kple nunono dzi nyuie ne wodo go. Nuwo abe aha fafɛ kple atikutsetsewo ene dzɔa dzi na wo bɔbɔe. Kpɔ nyuie ne ègblẽ ahagoe ɖe gota, alo akpɔkplɔ aɖe ate ŋu age ɖe eme le adzame.
• Ne da aɖe te ɖe ŋuwò la, dze agbagba nànɔ anyi kpoo. Mègaʋuʋu asi o, ɖeko nàdzo. Ne èƒoe la, ɖeko wòana wòate ŋu aɖu wò.

Ðe wòhiã be makpɔ ɖɔkta ne asrã le ŋunyea?

Ne nulɔdɔ mele ŋuwò o, eye zi ɖeka koe woƒo wò la, ɖewohĩ mahiã be nàyi ɖɔkta gbɔ o. Gake ne nulɔdɔ sesẽ aɖe dzɔ ɖe dziwò le ƒoƒo aɖe si nèɖu nyitsɔ laa ta, alo ne woƒo wò zi geɖe la, kpɔ egbɔ be yegblɔe na wò ɖɔkta. Anɔ eme be woate ŋu awɔ dodokpɔwo atsɔ anya nudzodzoe ƒomevi si ɖu wò, alo woatsɔ wò ayi nulɔdɔŋutinunyala gbɔ.

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

Ne èkpɔ hũɖeɖe, nu mimi sesẽ, nuƒoƒo sesẽ, aɖuɖɔtoe, mo alo ŋɔti vuvu, taɖuame sesẽ, alo ``anaphylactic`` ƒe dzesi siwo míeyɔ va yi le nyati sia me dometɔ aɖe la, ƒo ka na 911 enumake alo yi xɔ si te ɖe ŋuwò kpata. Esia menye nusi woahe ɖe megbe o.

Ðe ame aɖe si woɖe ɖe lãme na ame ate ŋu ahe lãmenugbagbeviwo ƒe dɔléle vɛa?

Nudzodzoe mate ŋu ana cellulitis (dɔlékui sesẽ aɖe si xɔa ŋutigbalẽa) wò tẽ o. Gake abi si tso ƒoƒo me, vevietɔ ne èƒoe alo tsɔ asi ƒoɖi ka asi eŋu la, ate ŋu ana dɔlékuiwo nage ɖe eme eye wòana dɔlékui sia ƒomevi nate ŋu axɔ wò bɔbɔe.

`(Cellulitis)` ƒe dzesiwo ateŋu anye:

• Dzoxɔxɔ le teƒe si woɖe doa le kple eƒe golɔgoewo (bibiã sia ate ŋu akaka) .
• Tete
• Dzoxɔxɔ ne woka asi abi la ŋu
• Edzena abe fli dzĩwo ene
• Aɖu ɣi si le dodom tso abi la me
• Lãmetsiŋusẽ siwo vuvu ( le ŋɔti , akɔta, alo akɔta) .
• Asrã

Ne èkpɔ dzesi siawo dometɔ aɖe la, yi ɖɔkta gbɔ enumake. Woate ŋu ana dɔlékuiwutikewo wò be nàkɔ dɔlékuia ŋu eye woaɖo aɖaŋu na wò be nàzã atike bubuwo ne ehiã.

Eyata nukae nye nu vevitɔ kekeake si dzi wòle be míaɖo ŋkui tso ŋutinya sia me?

Anyiwo nye míaƒe lãwo ƒe agbenɔnɔ ƒe akpa vevi aɖe, eye wokpena ɖe ame ŋu be aŋɔwo nado. Gake woƒe adãwɔwɔ, anyigbamama me nɔnɔ ate ŋu ana woanye afɔku na amegbetɔwo, vevietɔ amesiwo ƒe aɖi melɔ̃na o.

Gake sidzedze nye ŋusẽ. Ne èwɔ ɖoɖo vie eye nèlé ŋku ɖe eŋu vie la, àte ŋu ase vivi na gota kplɔ̃ɖoƒe alo aɖaɖu nu le megbexɔ me kokoko.

Wowɔa dɔ wu le ɣleti siwo me dzoxɔxɔ le wu me, vevietɔ le dzomeŋɔli ƒe nuwuwu kple adame ƒe gɔmedzedze. Nɔ ŋudzɔ geɖe wu le ɣeyiɣi siawo me. Ne nulɔdɔ sesẽ aɖe le ŋuwò la, ele vevie be nàtsɔ EpiPen ɖe asi ɣesiaɣi, abe alesi wò ɖɔkta ɖo aɖaŋu na wò ene. Kpɔ ɖokuiwò dzi!

` Jacket ɣi ƒe sting, jacket ɣi, nudzodzoewo ƒe aɖi, nulɔdɔ, anaphylaxis, kpekpeɖeŋu gbãtɔ, EpiPen, cellulitis