Wan strenj sik we kin kam afta yu dɔn waka na jɔŋgrɔn? Yu tink se na Laym Sik?

Yu go mɔs dɔn si smɔl animal dɛn we de tay pan yu bɔdi we yu dɔn de waka na fɔrɛst ɔ na fil usay lɔng lɔng gras dɛn de. Pan dɛn tin ya, tik na animal we yu nid fɔ tek tɛm wit smɔl. Bikɔs, sɔm tik kin mek pɔsin gɛt sik. Wan pan dɛn kayn sik ya we tik kin kam wit we wi go tɔk bɔt tide na Laym Sik.

Wetin na Laym Sik?

Fɔ tɔk am simpul wan, Laym sik na infεkshɔn we wan baktri (wan kayn baktri we dɛn kɔl Borrelia burgdorferi) kin kam wit. I kin pas to wi, fɔ bi prɛsis, we wan patikyula tik we de kɛr dis baktri – we dɛn kin kɔl bak dia tik ɔ blak-lɛg tik – bit wi. Nɔto ɔl tik dɛn we wi kin si kin gɛt di sik. Sɔm wud tik ɔ dɔg tik nɔ kin kɛr di jem.

Sɔmtɛm dɛn kin kɔl dis sik ``borreliosis.`` Dɛn bin fɔs no bɔt di sik we dɛn kɔl Laym insay 1975 na di tɔŋ we nem Laym, Amɛrika. Na de, bɔku pikin dɛn bin gɛt sayn dɛn wantɛm wantɛm we fiba ``juvenile rheumatoid arthritis.`` Risach pipul dɛn leta kam fɔ no se di kɔz na di bayt we di dia tik dɛn we gɛt di sik bin de bit we bin de na di eria.

Wetin na di difrɛn stej dɛm wae de kam pan Laym Sik?

Laym sik kin kam smɔl smɔl. Sɔntɛnde, dɛn stej ya kin ɔvalap ɛn ɔvalap. Di sayn dɛm kin afɛkt di skin, di jɔyn dɛm, di at, ɔr di nervɔs sistɛm. Tri men stej dɛn de:

• di εli lokalizεd Laym sik: Dis kin te lεk wan to 4 wik afta di tik bayt.
• Laym sik we kin skata kwik kwik wan: Dis kin afɛkt pipul dɛn wan to 4 mɔnt afta dɛn dɔn gɛt di sik.
• Let persistent, let disseminated or just let Lyme disease: Dis kin afɛkt te to 4 mɔnt, sɔmtɛm ivin ia, afta yu dɔn gɛt am.

Aw kɔmɔn tin na Laym Sik?

Na kɔntri dɛn lɛk Amɛrika, dɛn kin se na lɛk 30,000 pipul dɛn kin gɛt Laym Disease ɛvri ia. Bɔt kin gɛt mɔ sik pipul dɛn we dɛn nɔ kin ripɔt ɛn no se dɛn gɛt dis sik. Pan ɔl we dɛn nɔ gɛt ɛni rayt statystik bɔt di tin dɛn we de apin na Sri Lanka, i rili impɔtant fɔ no bɔt dis if yu de na say usay tik dɛn de. Bikɔs, na wi kɔntri sɛf, tik de na ples dɛn lɛk fɔrɛst eria, ti plantɛshɔn, ɛn gras.

Wetin na di sayn dɛm wae de sho se yu gɛt Laym Sik?

Okay, naw lɛ wi si wetin na di sayn dɛm fɔ Laym Sik. Dɛn tin ya bak kin difrɛn difrɛn wan bay di stej we wi bin dɔn tɔk bɔt.

di εli lokalizεd simptom dεm (1-4 wik) .

Insay dis tɛm, yu kin si tin dɛn lɛk dis:

• Wan rɛd spat ɔ pat pan di skin: Dɔktɔ dɛn kɔl dis `erythema migrans` (EM) .Dis na di sayn wae kin kam pan pɔrsin. Di tik bayt kin bigin as smɔl rɛd ples insay wan ɔ 4 wik. Insay sɔm dez ɔ wik, dis ples kin big ɛn i kin gɛt rawnd, triangul, ɔ ɔval. Bɔku tɛm i kin tan lɛk ‘bul in yay’. Dat min se, wan klia eria de na di midul wit wan rɛd ring rawnd am. Dis ples kin bigin frɔm di sayz we kɔyn gɛt te to we i kɔba pɔsin in wan ol bak. as di infεkshכn de spre, sεvεra `(EM)` spat dεm kin apia na difrεn pat dεm na di bכdi.
• Fiva
• Ed de at
• Nek stiffness
• Bɔdi kin at ɛn di jɔyn dɛn kin pen
• We pɔsin taya
• Di limf no dɛm we dɔn swel

Di simptom dɛm wae kin skata kwik kwik wan (1-4 mɔnt) .

Insay dis sɛkɔn stej, dɛn sayn ya kin apin:

• Di apinɛns fɔ spat (rash) lɛk aw wi bin dɔn tɔk bɔt na sɔm pat dɛn na di bɔdi.
• Facial paralysis (Bɛl in palsi). Dis min se i tan lɛk se wan say na di fes de drɔp.
• di at ritm we nכ de rεgεl, lεk we di at in ilektrikal sistεm de ambɔg (at blכk).
• Numbness ɔ abnɔmal sɛns na sɔm eria (nyuropathy).

Let stej simptom dɛm (mɔnt ɔ ia afta dat) we kin apin if dɛn nɔ trit am

If dɛn nɔ trit di sik fayn, dɛn tin ya kin apin afta sɔm mɔnt:

• di joyn dεm we de swεla bak (atraytis), spεshal wan we de afekt big joyn dεm lεk di ni dεm.
• I nɔ izi fɔ pe atɛnshɔn, fil lɛk se yu bren kɔba wit fɔg. Dɛn kin kɔl dis bak `brɛyn fɔg` . Dis kin bi bikɔs di bren dɔn pwɛl (`ɛnsɛfalopati`).
• Polyneuropathy na wan sik wae de afekt di nerv dεm na di bכdi, i de afekt di skin, di mכsul dεm, εn di כgan dεm we de insay di bכdi.

Aw dɛn kin no se pɔsin gɛt Laym Sik?

Wɛl, den aw ɛksaktɔli dɛn kin no se pɔsin gɛt Laym Sik?

Dɔktɔ go no dis sik bay di sayn dɛm we yu gɛt, wetin dɛn si we dɛn de du ɛgzam na yu bɔdi (lɛk di say we dɛn kɔl ``(EM)'' spat), ɛn if yu dɔn de na say usay tik dɛm we gɛt di sik kin de.

Tink bɔt am, bɔku pipul dɛn nɔ kin ivin mɛmba ɔ no se tik dɔn bit dɛn. Di rizin na bikɔs dɛn tik ya so smɔl dat dɛn nɔ kin fil ɛni pen we dɛn de bit.

Di dɔktɔ go du blɔd tɛst fɔ no if pɔsin gɛt di sik. If yu fɔs blɔd tɛst nɔ gɛt Laym sik, yu nɔ go nid fɔ du ɔda tɛst. Bɔt if di fɔs tɛst pɔsitiv ɔ i nɔ gɛt wan dawt, yu dɔktɔ go du ɔda tɛst. Fɔ mek shɔ se yu gɛt Laym sik , yu nid tu fayn rizɔlt (sɔntɛm wan fayn ɛn wan nɔ go ebul fɔ no).

Aw dɛn kin trit Laym Sik?

Dɛn kin trit laym sik wit antibayɔtik . Bɔku tɛm, dɛn kin yuz dɔksisayklin ɔ amɔksisilin. Dɛn mɛrɛsin ya kin rili wok fɔ di Laym sik.

Aw lɔng yu nid fɔ tek mɛrɛsin dipen pan us stej yu de pan di sik.Dɛn kin se di kwik we yu bigin fɔ tek tritmɛnt, na di mɔ yu go wɛl kwik ɛn kɔmplit.

uman dεm we bεlε fכ go fכ tritmεnt bak if dεn gεt Laym sik. כltu, nכ pruf nכ de yet fכ se di infεkshכn kin kכmכt frכm mama to di pikin we de insay di pikin. Nɔr strɔng pruf nɔ de bak fɔ se Laym sik kin mek di pikin gɛt bɛlɛ mɔ ɛn mɔ. So nɔ panik, jɔs fala yu dɔktɔ in advays.

Wetin fɔ du if tik bit yu?

Imajin se tik dɔn bit yu. Wetin yu de du? Nɔ panik. Na dis na aw fɔ pul di tik:

• wit blunt twiza, grap di tik in ‘hed’, dat na usay i tay pan yu skin, ɛn pul am jisnɔ bɔt fayn fayn wan ɔp te i kɔmɔt na yu skin.
• Nɔ tray fɔ swɛt di tik in bɔdi. Nɔ ivin tɔch am wit yu an dɛn we nɔ gɛt natin. If yu du dat, i go mek yu gɛt di baktri dɛn we de na di tik in bɔdi.
• Wash di say we tik bayt fayn fayn wan wit sop ɛn wata.
• Nɔ yuz kerosin ɔ petrolium jeli (lɛk Vaseline®) fɔ pul tik dɛn. Nɔ yuz sigrɛt we dɛn dɔn ɔt fɔ pul tik dɛn. Dis na we dɛn we nɔ kɔrɛkt.
• Nɔ swɛt di tik in bɔdi wit yu finga ɔ pliers.

Yu tink se dɛn kin ebul fɔ avɔyd Laym Sik?

Yu tink se dɛn kin rili ebul fɔ avɔyd Laym sik bifo i apin? Yɛs, bɔku tɛm i pɔsibul.

Bɔrku pipul dɛn kin gɛt Laym sik na di let spring, sɔm, ɛn ali fɔl. Dis na di tɛm we tik dɛn we nɔ machɔ kin kɔmɔt fɔ it. We di ples wam, di tik dɛn nɔ kin it bɔku tin dɛn insay di kol sizin.

Dɛn tin ya we dɛn kɔl ``diya tik`` kin bɔku na di fɔrɛst eria ɛn na di mɛdɔ we de nia dɛn. Ɛspɛshali na di ed pat dɛn na dɛn fɔrɛst ɛn mɛdɔ dɛn ya, sɔntɛnde yu kin si dɛn tik ya na gadin usay dia dɛn kin waka waka. Bɔt na say dɛn we gɛt gras we gɛt san, tik dɛn nɔ kin liv lɔng. Dɛn kin dray kwik kwik wan ɛn day.

Tipikli, na כnli lεk 1% pan כl di dia tik dεm kin kכri di baktri dεm we de mek Laym sik. Bɔt na sɔm say dɛn, pas 50% pan di tik dɛn kin kɛr di baktri. Tik dɛm wae kin gɛt dis sik kin bɔrku pasmak na di Nɔt-Ist ɛn Nɔt Midwɛst na Amɛrika, ɛn na di say dɛm wae de nia di si.

Tik we gɛt blak leg kin pas dis infɛkshɔn nɔto jɔs frɔm dia, bɔt i kin pas bak frɔm mays, vol, ɛn sɔm kayn skwakul.

Wetin yu fɔ du fɔ mek yu nɔ gɛt tik?

Fɔ mek yu nɔ gɛt tik, mɛmba dɛn tin ya:

• Ripel tik, pan yu klosYu kin sprɛy wan insɛktisayd we dɛn kɔl `(permethrin)` . Dis de na di say dɛn we dɛn kin sɛl tin dɛn fɔ mek gadin. yu kin put insekt repelent we gɛt di kemikal `(DEET)` pan klos ɔ dairekt pan di skin. Bɔt tek tɛm rid di lɛbl. Nɔ yuz am tumɔs. If yu put am tumɔs, dat kin ambɔg yu.
• Wear lɔng pant ɛn lɔng-sliv shit. We yu wɛr klos we tayt rawnd di anklɛ ɛn yu an, i de ridyus di chans fɔ mek tik dɛn rich na di skin, ɛn i de ridyus bak fɔ mek yu nɔ gɛt mɛrɛsin we de mek yu nɔ gɛt insɛkt.
• Wear hat, put yu pant insay yu sɔks, ɛn wɛr sus we go kɔba yu fut ɔlsay.
• Wear klos we gɛt layt kɔlɔ so dat i go izi fɔ si tik if i de pan yu.
• We yu de waka na fɔrɛst rod ɛn tred, waka na di midul. Da we de, i nɔ go izi fɔ mek tik dɛn we de kɔmɔt na di gras ɛn bush dɛn we de ɔp ɔp na di tu say dɛn bit yu.
• Afta yu dɔn spɛn tɛm na do na say we yu tink se tik kin de, mek shɔ se yu chɛk yu bɔdi fɔ tik (dɛn kin kɔl am bak `tik chɛk`). I impɔtant bak fɔ was ɛn shaw fayn fayn wan afta yu dɔn, ɛn fɔ rɔb yusɛf fayn wit klos ɔ sɔntin we de rɔb yu bɔdi.
• If yu gɛt tik na yu klos, put am na di drɔya fɔ lɛk 15 minit so. Di tik dɛn go dray ɛn day.
• Tik kin kam insay yu os bak frɔm animal dɛn we yu de mɛn , so tɔk to yu vetɛriana bɔt aw fɔ protɛkt yu animal frɔm tik.

Wetin na di tumara bambay fɔ pɔrsin wae gɛt Laym Disease?

Bɔrku tɛm, dɛn kin trit Laym sik if dɛn trit am kwik. Tritmɛnt kin mɛn Laym sik. Bɔt sɔntɛnde, sɔm tin dɛn kin apin we kin apin fɔ lɔng tɛm. If dɛn nɔ trit am, Laym sik kin kam wit ɔda siriɔs prɔblɛm dɛn, bɔt i nɔ kin kil pɔsin.

Di sik we dɛn kɔl Laym sik (PTLDS) afta dɛn dɔn trit am .

Sɔmtɛm, ivin afta dɛn dɔn gɛt tritmɛnt, sɔm pipul dɛm (bitwin 5% ɛn 15% pan pipul dɛm) kin kɔntinyu fɔ gɛt taya, bɔdi at, ɛn ed kin at. Dɛn kɔl dis sik we dɛn kɔl post-treatment Lyme disease syndrome (PTLDS) .

If yu gɛt dɛn sik ya, dat nɔ min se yu stil gɛt di sik. PTLDS nɔ de ansa to mɔ antibayɔtiks. Fɔ bɔku pipul dɛn na dis grup, dɛn sik ya kin stɔp smɔl smɔl afta lɛk siks mɔnt so.

Kronik Laym sik we nɔ de mɛn

Sɔm pipul dɛn kin yuse di wɔd ``Kronik Laym sik'' fɔ tɔk bɔt pɔrsin wae dɔn gɛt Laym sik ɛn gɛt sɔm sayn dɛm fɔ ``PTLDS''. Sɔm pipul dɛn kin tink se krɛse sik ɛn ``PTLDS'' na di sem tin. Bɔt sɔm tɛm de we dɛn kin no se sɔm pipul dɛn gɛt ``Kronik Laym sik'' we dɛn nɔ bin dɔn no bifo tɛm se dɛn gɛt Laym sik. Sɔntɛnde, dɛn kin se if yu kɔntinyu fɔ tek antibayɔtiks, dat go ɛp.

Dis wɔd kin bi di rizin we mek sɔm pipul dɛn kin tink se yu kin gɛt Laym sik we tik nɔ go bit yu. Nɔto inɔf pruf stil de fɔ pruv se mɔskito kin transmit Laym sik. Bɔrku pipul dɛm wae de du risach nɔr kin lɛk fɔ yuse di wɔd ‘chronic Lyme disease’ bikɔs i kin kɔnfyus smɔl ɛn gɛt kɔntroversi.

Ustɛm yu fɔ go to dɔktɔ?

So, ustɛm yu fɔ go to dɔktɔ?

• If yu fil sik afta yu dɔn de na say usay tik kin de, mek shɔ se yu go to dɔktɔ.
• If dɛn dɔn no se yu gɛt Laym sik ɛn yu stil nɔ de fil fayn pan ɔl we yu de tek ɔl di antibayɔtiks we dɛn dɔn gi yu, yu fɔ tɛl yu dɔktɔ. Dis kin impɔtant mɔ if yu gɛt sɔm sayn dɛn lɛk we yu nɛk stif ɔ yu kɔnfyus.

Yu tink se dɛn kin mɛn Laym Sik kpatakpata?

Yɛs! Laym sik kin klin afta tu to 4 wiks we yu tek antibayɔtik we yu de it. Sɔntɛnde, dɛn kin nid fɔ put antibayɔtik insay di bɛlɛ fɔ te 4 wiks mɔ. Bɔt nɔr rizin nɔr de fɔ tink se Laym sik go de na yu bɔdi sote go afta yu dɔn trit yu.

Tin dɛn fɔ mɛmba frɔm dis atikul (Take-Home Message)

Okay, so lɛ wi mɛmba yu bɔt sɔm tin dɛn we wi bin tɔk bɔt tide bɔt Laym Sik we wi tink se impɔtant:

• Wear klos fɔ protɛkt yusɛf we yu de go na say dɛn we tik kin de (fɔrɛst, mɛdɔ). Tin dɛn lɛk lɔng pant, lɔng sliv shit, ɛn sus.
• Yuz tin we de mek insɛkt nɔ kam, bɔt tek tɛm.
• Afta yu dɔn spɛn tɛm na do , tek tɛm chɛk yu bɔdi fɔ si if tik dɛn de.
• If tik de, pul am fayn fayn wan. Nɔ panik.
• If yu gɛt fiva, yu bɔdi de at, ɔ yu gɛt wan strenj spat na yu skin (especially wan we tan lɛk target), ilɛksɛf na afta tik bit yu ɔ afta yu go na say usay tik de, go to dɔktɔ wantɛm wantɛm.
• Laym sik kin wɛl if dɛn trit am kwik. Tek di antibayɔtiks we yu dɔktɔ gi yu di rayt we ɛn fɔ di tɛm we yu tɛl yu fɔ tek.

If yu mɛmba dɛn tin ya, dat go ɛp yu fɔ protɛkt yu frɔm Laym sik, we tik kin pas. Stay wit wɛlbɔdi!

` Laym Sik, tik, tik bayt, Borrelia burgdorferi, erythema migrans, simptom, tritmɛnt, prɛvɛnshɔn