We yu yɛri di wɔd TB, yu kin fred smɔl, nɔto so? Yu kin tink tin dɛn lɛk, "O, a go gɛt am bak?" ɔ "Dis nɔto sik we denja?" Bɔt we yu no gud gud wan wetin na dis sik, aw i kin kam, ɛn wetin wi kin du fɔ am, da fred de go ridyus bad bad wan. Tide, lɛ wi tɔk bɔt TB, ɔ `(Tuberculosis – TB)`, simpul wan, insay wan we we yu go ɔndastand gud gud wan.
Wetin na Tubakulosis? Fɔ tɔk am simpul wan...
Tubakulosis na sik we pɔsin kin gɛt we i gɛt baktriyal . fכ bi prεsis, wan sכmכl baktri כganism we dεn kכl `(Mycobacterium tuberculosis)` de rispansabl fכ dis. Bɔku tɛm i kin afɛkt wi lɔng dɛn . Bɔt sɔntɛnde, i kin afɛkt ɔda impɔtant pat dɛn na wi bɔdi bak, lɛk wi spayna, bren, ɛn kidni.
Ɔlman kin gɛt sayn dɛm fɔ TB? Latent ɛn Aktiv TB
Na wan tin we rili impɔtant. Nɔto ɔlman we gɛt di TB baktri go gɛt di sayn dɛm. Yu nɔ tink se dat de mek wi sɔprayz?
- Latent TB: Sɔm pipul dɛn kin gɛt dis baktri insay dɛn bɔdi ɛn dɛn kin kɔntinyu fɔ gɛt wɛlbɔdi ɛn nɔ gɛt ɛni sayn. Wi kin kɔl dis ‘latent TB’. Tink bɔt am lɛk ɛnimi we de slip insay yu bɔdi. If yu imyun sistɛm strɔng , i kin kɔntrol dis baktri ɛn mek i nɔ de slip. Dis we ya, sɔm pipul dɛn kin nɔr gɛt ɛni sik fɔ ɔl dɛn layf. Dɛn se na lɛk 13 milyɔn pipul dɛn na Amɛrika de liv wit dis kayn ‘Latent TB’.
- Aktiv TB: Bɔt... if yu imyun sistɛm wik pan sɔm we – sɔntɛm bikɔs ɔf ɔda sik, wan mɛrɛsin we yu de tek, ɔ jɔs bikɔs yu de ol – dɛn bɔdi baktri dɛm we de slip kin wek ɛn bi aktif. Na da tɛm de di sik kin bi ‘aktiv TB’. Na da tɛm de di sayn dɛn kin sho.
Wetin na di sayn dɛm fɔ aktif TB?
Naw lɛ wi luk di sayn dɛm fɔ pɔrsin wae gɛt aktif TB. If yu gɛt wan ɔ mɔ pan dɛn tin ya, yu tink se i go fayn fɔ mek yu go to dɔktɔ?
- Wan bad bad kɔf we kin te fɔ pas tu wiks: Dis na wan pan di men sayn dɛm.
- Chɛst pen: Yu kin fil pen na yu chɛst we yu de blo ɔ kɔf.
- Fɔ kɔf blɔd ɔ blɔd: If yu kɔf blɔd (sputum/mucus) wit smɔl blɔd, dat na sɔntin bak fɔ pe atɛnshɔn to.
- Fɔ fil taya pasmak ɛn nɔr gɛt layf (Fatigue/Weakness): Yu kin fil so taya dat yu nɔr kin ebul fɔ du ɛni wok.
- Yu nɔ go want fɔ it: Yu nɔ go want fɔ it igen.
- We yu de lɔs yu wet: If yu lɔs yu wet we yu nɔ bin de ɛkspɛkt.
- Chil ɛn Fiva: Nɔto jɔs ɛni fiva, bɔt na fiva we kin mek pɔsin kol.
- Nayt swet: Yu kin swet so we yu de slip dat yu bed sheet kin wet.
Mɛmba: Yu kin gɛt layt TB, we min se yu nɔ go sho ɛni sayn. Bɔt if yu tek TB tɛst, i kin bi pɔsitiv.
Wetin kin mek pɔsin gɛt TB?
As a bin se bifo, di tin we kin mek dis apin na wan baktri we dɛn kɔl `(Mycobacterium tuberculosis)`. Dis jem de spre tru di briz . We pɔsin we gɛt TB kɔf, sniz, tɔk, siŋ, ɔ laf, dɛn jem ya kin kɔmɔt na di briz, ɛn we wi de blo da briz de, dɛn kin go insay wi lɔng. Sɔmtɛm, di baktri dɛm we de kam insay di bɔdi dis we kin go bak na ɔda pat dɛm na di bɔdi.
Difrɛn kayn TB de?
Yɛs, di men ɛn kɔmɔn kayn TB na TB we kin afɛkt di lɔng dɛn. Wi kin kɔl am Pulmonary Tuberculosis .
Bɔt dis baktri kin afɛkt ɔda pat dɛn na di bɔdi bak. Wi kin kɔl dis ɛkstrapulmonari TB .
Yu go dɔn yɛri bak bɔt wan sik we dɛn kɔl Miliary Tuberculosis . I kin skata ɔlsay na di bɔdi ɛn i kin mek pɔsin gɛt siriɔs sik lɛk:
- inflameshn na di bren layn - Wi kכl dis `(Meningitis)`.
- Spinal Tuberculosis - Dɛn kɔl dis `(Pott’s disease)` ɔ `(Spinal Tuberculosis)`.
- Addison’s disease, na wan sik wae gɛt fɔ du wit di adrenal gland dɛm.
- Epataytis we gɛt di sik.
- di limf no dεm na di nεk de swεla - dεn kכl dis `(Scrofula)`.
Aw TB kin pas?
Dis na sɔntin we wi nid fɔ no fɔ tru. Tubakulɔsis kin prɛd we pɔsin we gɛt aktif lɔng TB kɔf, sniz, tɔk, siŋ, ɔ laf. Di tin we impɔtant pas ɔl na dat, na pipul dɛn nɔmɔ we gɛt aktif infɛkshɔn na dɛn lɔng dɛn kin prɛd am .
Jɛnɛral wan, fɔ mek yu gɛt dis sik, yu fɔ de nia pɔsin we gɛt dis sik fɔ lɔng tɛm . I nɔ izi fɔ kech am frɔm pɔsin we yu jɔs mit na strit.
Bɔrku pipul dɛm wae de inhal di TB baktri gɛt di abiliti fɔ fɛt di baktri ɛn stɔp am fɔ gro. Na da tɛm de di layt TB we a bin dɔn tɔk bɔt fɔs kin apin.
Udat dɛn gɛt mɔ risk fɔ gɛt TB?
Sɔm pipul dɛn kin gɛt di TB jem mɔ. Lɛ wi luk udat dɛn bi:
- Tubakulosis kin izi fɔ pas to pipul dɛn we de liv ɔ wok na say dɛn we pipul dɛn kin bɔku, lɛk prizin, os fɔ ol pipul dɛn, os fɔ ol pipul dɛn, say dɛn we dɛn kin kia fɔ wɛlbɔdi biznɛs, ɛn say dɛn we dɛn kin kip pipul dɛn.
- Fɔ di wan dɛn we de wok na maykrobayoloji laboratori (Mycobacteriology laboratory).
- Na say dɛn we TB bɔku, lɛk Latin Amɛrika, di Karibian, Afrika, Eshia, Istan Yurop, ɛn RɔshiaFɔ di wan dɛn we dɔn liv ɔ travul.
- Fɔ di wan dɛn we dɔn de nia pɔsin we dɛn no ɔ we dɛn tink se gɛt TB.
Udat de pan ay risk fɔ gɛt layt TB ɔ aktif TB?
Dɛn pipul ya de pan ay risk fɔ gɛt layt TB fɔ bi aktif TB:
- Fɔ di wan dɛn we de injekt drɔgs we dɛn kin put insay dɛn bɛlɛ.
- Fɔ di wan dɛn we gɛt wikɛd imyun sistɛm. Fɔ ɛgzampul, bebi dɛn, smɔl pikin dɛn, pipul dɛn we gɛt HIV, ɛn pipul dɛn we de tek mɛrɛsin we de mek dɛn nɔ ebul fɔ fɛt di sik.
- Fɔ di wan dɛn we gɛt sik dɛn we nɔ de mɛn lɛk kidni sik ɛn dayabitis.
- Fɔ di wan dɛn we dɔn gɛt ɔgan transplant.
- Fɔ di wan dɛn we de du kemotɛrapi fɔ kansa.
Aw dɔktɔ dɛn kin no if pɔsin gɛt TB?
If yu tink se yu gɛt TB, we yu go to dɔktɔ, dɛn kin du dɛn tɛst ya:
- Skin test ɔr blɔd tɛst: Dis na di men we fɔ chɛk if yu dɔn gɛt di TB baktri.
- Lab test pan sputum ɛn lung fluid: Dɛn kin tek wan sɛmpul pan yu sputum ɛn chɛk fɔ baktri.
- Chɛst X-ray: Fɔ si if ɛni chenj de na di lɔng dɛn.
- CT skan: Sɔntɛnde dis kin ɛp fɔ gɛt klia pikchɔ pas ɛkstrem rayt.
Aw dɛn kin trit TB? Yu tink se dɛn kin mɛn am?
Yɛs! Tubakulosis na sik we pɔsin kin mɛn! Bɔt dɛn nid fɔ trit am di rayt we.
Dɔktɔ dɛn kin trit ɔl tu di aktif ɛn layt TB wit patikyula kayn antibayɔtik . Fɔ mek di infekshɔn klia kpatakpata, yu go nid fɔ tek sɔm kayn mɛrɛsin di sem tɛm.
I rili impɔtant: Yu nid fɔ tek dis mɛrɛsin fɔ lɔng tɛm – at le siks to nayn mɔnt . I rili impɔtant fɔ dɔn di wan ol mɛrɛsin jɔs lɛk aw yu dɔktɔ tɛl yu fɔ tek, ɛn yu nɔ fɔ mis wan de. Na da tɛm de nɔmɔ yu go ebul fɔ pul dis bɔdi kɔmɔt na yu bɔdi kpatakpata.
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Wetin kin apin if yu nɔ tek di mɛrɛsin fayn ɔ yu stɔp fɔ tek am af-af? Di sik kin kam bak. Wetin ivin denja pas ɔl na dat di bɔdi kin chenj fɔ mek i nɔ ebul fɔ tek di mɛrɛsin (drug resistance). If dat apin, i kin rili at fɔ trit.
Mɛrɛsin fɔ TB
Na sɔm kayn mɛrɛsin dɛn we yu dɔktɔ kin gi yu:
- `(Isoniazid)`
- `(Rifampin)`
- `(Etambutol)`
- `(Pirazinamid)`
- `(Rifapentin)`
(Dis na di kayn mɛrɛsin wae dɛn kin gi yu. Di dɔktɔ go asɛs yu kɔndishɔn ɛn gi yu di kɔmbayn mɛrɛsin ɛn di doz we fit yu pas ɔl.)
Aw lɔng i kin tek fɔ mek i wɛl?
Afta sɔm wiks we yu bigin fɔ tek di mɛrɛsin, yu go fil fayn smɔl, ɛn yu sik go bigin fɔ stɔp. Yu kɔf go stɔp, ɛn yu go want fɔ it mɔ ɛn mɔ. Bɔt nɔ stɔp fɔ tek di mɛrɛsin jɔs bikɔs yu fil fayn! Di ɔl tritmɛnt tɛm go tek bitwin 6 ɛn 9 mɔnt. Yu nid fɔ tek di mɛrɛsin fayn fayn wan ɔl da tɛm de.
Ustɛm a fɔ go to dɔktɔ?
- If yu tink se yu dɔn gɛt TB, go to dɔktɔ wantɛm wantɛm.
- If yu gɛt sayn dɛm fɔ TB (kɔf, fiva, we yu de lɔs), mek shɔ se yu du tɛst, bikɔs yu kin spre am to ɔda pɔsin.
- If yu de tek mɛrɛsin fɔ TB ɛn yu fil lɛk se yu de gɛt ɛni sayd ɛfɛkt frɔm di mɛrɛsin (e.g., yu yay we de yɔlɔ, yu bɔdi de at, yu nɔs), tɛl yu dɔktɔ bɔt dat bak.
Wetin wi kin du fɔ mek wi nɔ gɛt TB ɛn fɔ mek i nɔ go skata?
Dis rili impɔtant. Wi ɔl kin ɛp fɔ du dis.
- Wash yu an fayn fayn wan wit sop ɔltɛm.
- Kɔba yu mɔt ɛn nos wit yu ɛlb ɔ tisu we yu de kɔf ɔ sniz. I impɔtant bak fɔ avɔyd fɔ kɔf ɔ sniz bifo ɔda pipul dɛn we yu de na do.
- If yu gɛt sayn dɛm fɔ TB, nɔr fɔ de nia ɔda pipul dɛm as mɔr as yu ebul.
- If dɛn de trit yu fɔ TB, tek ɔl di mɛrɛsin dɛn we dɛn gi yu di rayt we ɛn fɔ di tɛm we dɛn tɛl yu fɔ tek.
- If yu gɛt aktif TB, nɔ go bak na wokples ɔ skul te yu dɔktɔ gi yu permishɔn.
Insay ɔspitul, di tin dɛn we impɔtant pas ɔl fɔ stɔp di sik we dɛn kɔl TB na fɔ mek di briz kɔmɔt fayn ɛn fɔ yuz Pɔsin we de protɛkt pɔsin in prɔpati (PPE) (lɛk mask) we di mɛdikal wokman dɛn de yuz.
Vaysin de fɔ TB?
Yes, wan vaysin de we dɛn kɔl `(BCG - Bacillus Calmette-Guerin)`. Sɔm kɔntri dɛn (dɛn nɔ de yuz am bɔku bɔku wan na kɔntri dɛn lɛk Amɛrika, bɔt dɛn de yuz am na kɔntri dɛn lɛk Sri Lanka) de yuz am. Ɛspɛshali na kɔntri dɛn usay TB kin bɔku, dɛn kin gi dis vaysin to yɔŋ pikin dɛn fɔ protɛkt dɛn frɔm di siriɔs kayn sik.
Aw kɔmɔn tin fɔ gɛt TB?
Di Wol Ɛlth Ɔganayzeshɔn bin tɔk se insay 2020, na lɛk 10 milyɔn pipul dɛn ɔlsay na di wɔl bin gɛt TB, ɛn na lɛk 1.5 milyɔn pipul dɛn bin day. Wan tɛm, TB na bin di men tin we kin mek pipul dɛn day na Amɛrika. Bɔt we dɛn bigin fɔ yuz nyu tritmɛnt dɛn, di nɔmba fɔ dɛn sik pipul ya bin go dɔŋ kwik kwik wan insay di 1940 ɛn 1950 dɛm. Tubakulosis na big wɛlbɔdi prɔblɛm bak na Sri Lanka.
Bɔt mɛmba se TB na sik we pɔsin kin mɛn if yu fala di advays we dɔktɔ gi yu ɛn tek di rayt mɛrɛsin.
Fɔ dɔn, tin dɛn we yu nid fɔ mɛmba (Take-Home Message) .
So, a op se yu go ebul fɔ mɛmba sɔm pan di impɔtant pɔynt dɛm frɔm wetin wi dɔn tɔk bɔt tide bɔt TB.
Tubakulosis nɔto sɔntin we pɔsin fɔ fred, bɔt i nɔto sɔntin we pɔsin fɔ tek am layt sɛf.
- If yu gɛt sɔm sayn dɛn lɛk kɔf we de te pas tu wik , fiva, swet na nɛt, ɛn we yu de lɔs yu wet, mek shɔ se yu go to dɔktɔ.
- If yu bin dɔn de nia pɔsin we gɛt TB, tɛl di dɔktɔ.
- Tritmɛnt de fɔ TB, ɛn if dɛn du di tritmɛnt kɔrɛkt wan ɛn fɔ di tɛm we dɛn tɛl am fɔ du, i kin wɛl ɔl.
- Ivin if yu fil fayn smɔl we yu bigin fɔ tek di mɛrɛsin, nɔ stɔp fɔ tek am te yu dɔktɔ tɛl yu fɔ tek am.
- De tin wae impɔtant pas ɔl na fɔ tink bɔt yu yone wɛl bɔdi ɛn de wɛl bɔdi fɔ pipul dɛm wae de arawnd yu ɛn du tin wae fayn.
If yu gɛt ɛni ɔda kwɛstyɔn bɔt dis, nɔ shek fɔ aks yu famili dɔktɔ ɔ di gɔvmɛnt wɛlbɔdi sɛnta we de nia yu. Stay wit wɛlbɔdi!
` Tubakulosis, TB, kɔf, lɔng, infɛkshɔn, tritmɛnt, simptom dɛm
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