Yu de wɔri bak bɔt Tubakulosis (TB)? Kam on, mek wi tok abaut di TB Test!

Tuberculosis, ɔr TB as wi ɔl no am, na sik we bɔku pipul dɛn dɔn yɛri bɔt, ɛn i kin mek pɔsin fred smɔl. So, dis TB tɛst na tɛst we dɛn kin du fɔ no if yu gɛt dis sik ɔ yu nɔ gɛt am. fכ bi prεsis, i de chεk if di baktri dεm we de mek yu gεt TB, dat na di jεm `(Mycobacterium tuberculosis complex)`, dכn go insay yu bכdi. Mek wi tok abaut dis fo likl mo ditel, okay?

Us kayn TB tɛst dɛn de?

Naw luk, tu men kayn TB tɛst de. Yu go mɔs dɔn yɛri bɔt dɛn tin ya bak.

1. Skin Test: Dɛn kin kɔl dis bak ``Mantoux test'' ɔ ``tuberculin skin test (TST)''. Dis na di tɛst we dɛn kin yuz mɔ, mɔ fɔ pikin dɛn we nɔ rich 5 ia yet.

2. Bכdi tεst: dεn kכl dis di ``Interferon-Gamma Release Assay - IGRA''. Dɛn de yuz dis blɔd tɛst mɔ ɛn mɔ, mɔ fɔ di wan dɛn we de wok na di wɛlbɔdi biznɛs, pipul dɛn we gɛt wik imyun sistɛm (i.e. di wan dɛn we dɛn bɔdi nɔ ebul fɔ fɛt sik), ɔ di wan dɛn we dɛn imyun sistɛm wik bikɔs ɔf sɔm mɛrɛsin dɛn.

Bɔt sɔntin de we rili impɔtant we yu nid fɔ mɛmba na ya. Ɛni wan pan dɛn tu tɛst ya de jɔs tɛl yu if yu dɔn ɛva gɛt di TB jem na yu bɔdi. Dat min se dɛn tɛst ya nɔ kin no dairekt if di jem de slip (latent) na yu bɔdi ɔ i de aktif (aktiv) ɛn de mek di sik. Fɔ no fɔ tru if yu gɛt aktif TB, yu go nid fɔ du ɔda tɛst dɛn lɛk ɛkstrem rayt na yu chɛst ɛn tɛst fɔ sputum.

Udat nid fɔ tek dis TB tɛst?

Naw yu kin de tink se, "A nid fɔ du dis bak?" Dɔktɔ dɛn kin tɛl yu fɔ du TB tɛst pan dɛn tin ya:

• If yu gɛt sayn dɛm fɔ aktif TB sik (e.g. kɔf we nɔ de dɔn, pen na yu chɛst, fiva we kin kam na ivintɛm, we yu de lɔs yu wet, yu taya).
• If yu de pan big risk fɔ gɛt TB , dis min se:
• If yu na wɛlbɔdi wokman (pɔsin we kin tɔk to di sik pipul dɛn bɔku tɛm, lɛk dɔktɔ ɔ nɔs).
• If yu de liv ɔ wok na say usay TB kin bɔku, lɛk na os fɔ slip, os fɔ ol pipul dɛn, ɔ na prizin.
• If yu jɔs dɔn de nia wan aktif TB pasɛnt .
• If yu gɛt wikɛd imyun sistɛm, ɔ na bikɔs ɔf ɔda sik ɔr mɛrɛsin wae yu de tek.
• If yu nɔ tu te yet we yu travul go na kɔntri usay TB kin bɔku (e.g., sɔm kɔntri dɛn na Eshia, sɔm kɔntri dɛn na Afrika), yu fɔ rili tɛl yu dɔktɔ if yu dɔn travul go na da kayn kɔntri de.
• Sɔntɛnde, we yu bigin fɔ du nyu wok (espɛshali na ples dɛn lɛk say dɛn we dɛn kin kia fɔ pikin dɛn ɛn ɔspitul), dɛn kin aks yu fɔ mek dɛn du dis TB tɛst.

Aw ɔltɛm a fɔ tek TB tɛst?

Dis kin difrɛn fɔ ɛnibɔdi. I dipen pan aw bɔku risk yu gɛt fɔ gɛt TB.

• If yu de pan big risk (as wi bin dɔn tɔk ɔp), yu dɔktɔ go mɔs tɛl yu fɔ du dis tɛst wan tɛm insay di ia.
• If yu risk nɔr , yu kin jɔs nid fɔ du dis wan tɛm ɛvri sɔm ia.

Bɔt di bɛst advays bɔt dis na frɔm yu famili dɔktɔ, so i go fayn fɔ aks am .

Aw dɛn TB tɛst ya kin wok? I rili simpul!

dis skin tεst, כ bכdi tεst, de jכs luk aw yu imyun sistεm de ansa to spεsifi k pat dεm (wi kכl dεn ya ``antigen'' - ``antigen'' na enitin we wi bכdi nכ de no εn dat mek i de tray fכ fכt) frכm di baktri dεm we de mek yu gεt TB (``Mycobacterium tuberculosis''). I tan lɛk se wi bɔdi in difens dɛn de mek wɔnin we ɛnimi kam nia wi.

Aw di TB Skin Tɛst De Wok

Dis na wetin kin apin:

Dɔktɔ ɔ tren nɔs go injɛkt wan rili smɔl smɔl spɛshal prɔtin sɔlvushɔn (we dɛn kɔl PPD - purified protein derivative) we dɛn mek wit di baktri we nem Mycobacterium tuberculosis, ɔnda di skin we de bifo yu an.

Natin nɔ de fɔ fred ya! Dis `(PPD)` nɔto baktri we gɛt layf. So, i nɔ go mek yu gɛt TB.

So, if yu dɔn ɛva gɛt di TB jem bifo, yu skin go riak to dis ``(PPD)''. Insay tu to tri dez, di say we dɛn injɛkt di mɛrɛsin go rɛd, i go at smɔl, ɛn smɔl lump go kɔmɔt.

Aw di TB Blɔd Tɛst De Wok

Dis na wetin kin apin:

Dɛn kin tek blɔd sɛmpul frɔm yu ɛn sɛn am na lɛb. insay di lab, sכm pan di wayt bכdi sεl dεm na yu bכdi (dεn wan ya we de fכt sik na wi bכdi) de miks wit di `(antigens)` dεm we wi bin dכn tכk bכt frכm di baktri dεm we de fכm `Mycobacterium tuberculosis`.

If yu bin dɔn gɛt TB bifo, yu wayt blɔd sɛl dɛn kin pul wan spɛshal prɔtin we dɛn kɔl intafɛron-gama (IFN-gamma).

di lab staf de mכsu dis riakshכn yuz wan spεshal mεtכd we dεn kכl ``immunoassay.'' dεn kin ripot di risכlt as ``nεgεtiv'' (we min se nכ infεkshכn de), ``positiv'' (we min se infεkshכn kin de), כ ``indeterminate'' (we min se di risכlt nכ klia εn nכ sכri).

Wetin fɔ ɛkspɛkt we dɛn de du di tɛst?

Di we aw dɛn kin du dɛn tu tɛst ya difrɛn smɔl. Lɛ wi si aw i de go.

Aw fɔ du TB skin tɛst

Yu go gɛt fɔ go to dɔktɔ ɔ nɔs tu tɛm, sɔntɛm tri tɛm, fɔ dis skin tɛst.

Fɔs Visit:

• Dɔktɔ ɔ nɔs go klin di skin fayn fayn wan na di fɔs pat pan yu an (dɔŋ di ɛlbo, insay).
• afta dat, dεn kin injεkt di ``(tuberculin)`` כ ``(PPD)`` likwid כnda di skin wit wan rili sכm nidul.
• Sɔntɛnde, di dɔktɔ go drɔ wan sɛklɔ wit pen usay dɛn mek di injɛkshɔn. Dis go mek am izi fɔ fɛn di ples we yu luk am insay tu-tri dez.
• Wan smɔl blista go apia usay dɛn injɛkt di mɛrɛsin. I go go fɔ insɛf afta sɔm awa. Natin nɔ de fɔ wɔri bɔt.

Dɔn dɛn go tɛl yu fɔ kam bak insay ɛksaktɔli 48 to 72 awa (dat na, insay tu to tri dez). Dis na fɔ si us kayn riakshɔn di skin dɔn gɛt usay dɛn injɛkt di mɛrɛsin. If ɛni swɛlin, rɛd, ɔ tɛndnɛs de de, i kin sho se yu gɛt TB infɛkshɔn.

I rili, rili impɔtant fɔ go na di rayt tɛm dis sɛkɔn tɛm! Bikɔs if yu nɔ go insay ɛksaktɔli 72 awa, yu go nid fɔ tek di wan ol tɛst bak. So mɛmba fɔ go na di rayt tɛm.

Wan ɔda tin na dat fɔ pipul dɛn we gɛt rili wik imyun sistɛm, ɔ di wan dɛn we gɛt sɔm kayn sik dɛn na dɛn skin, smɔl chans de fɔ mek di rizɔlt fɔ dis skin tɛst nɔ rili kɔrɛkt ɔ dɛn nɔ go abop pan.

Aw fɔ du TB blɔd tɛst

Dis na di nɔmal we aw yu de gi blɔd.

• As yu sidɔm na chia, di pɔsin we de mɛn blɔd (dɛn kin kɔl am bak blɔd) go luk fɔ wan vein na yu an we izi fɔ pul blɔd pan. Bɔku tɛm dɛn kin du dis jɔs ɔp di ɛlb, na di insay pat pan yu an.
• We dɛn fɛn vein, dɛn kin klin di say fayn fayn wan.
• Dɔn, dɛn kin put smɔl nidul insay wan vein ɛn pul smɔl blɔd. Dis tɛm ya, yu go fil smɔl smɔl sting, lɛk se ant bit yu.
• Afta dɛn dɔn put di nidul, dɛn kin gɛda smɔl blɔd insay wan tɛst tyub.
• Afta dɛn dɔn tek di blɔd we dɛn nid fɔ du di tɛst, dɛn kin pul di nidul, dɛn kin pres di say wit kɔtɔn ɔ goz fɔ sɔm tɛm, ɛn put plasta. Na dat na so!
• Ɔl dis kin tek less dan 5 minit.

Afta dɛn dɔn tek di blɔd sɛmpul, dɛn kin sɛn am na lab fɔ mek dɛn tɛst am. We di rizɔlt dɔn kam, yu dɔktɔ go ɛksplen am to yu.

Yu tink se di TB tɛst de mek pɔsin fil bad?

Dis na sɔntin we bɔku pipul dɛn kin fred.

• We yu de du di skin tɛst ɛn blɔd tɛst, yu kin fil smɔl sting (lɛk ant we de sting) we di nidul nak di skin. Bɔt i kin jɔs las fɔ sɔm sɛkɔn dɛn.
• We dɛn de du di skin tɛst, nɔbɔdi nɔ de bɔn ɔ ɔda tin we nɔ de mek pɔsin fil fayn bikɔs ɔf di wata we dɛn injɛkt ɔnda di skin.

Ɛni sayd ɛfɛkt de frɔm dɛn TB tɛst ya?

Dis na kwɛstyɔn we bɔku pipul dɛn kin aks. Laki, siriɔs sayd ɛfɛkt frɔm dɛn TB tɛst ya nɔ kin bɔku.

• Fɔ di tɛst fɔ di skin: Apat frɔm we sɔm pipul dɛn kin fil smɔl smɔl we dɛn put di nidul, dɛn kin gɛt smɔl kɔla, dɛn kin swel smɔl, ɛn dɛn kin gɛt smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl. Bɔku tɛm, dɛn tin ya kin sɔlv insay sɔm dez.
• Fɔ di blɔd tɛst:Di say we dɛn pul di blɔd kin at smɔl ɛn i kin ivin tɔn blu smɔl. Dis go kam bak to nɔmal insay wan ɔ tu dez.

Wetin na di rizɔlt fɔ TB tɛst?

Okay, naw lɛ wi si wetin na di rizɔlt fɔ dɛn tɛst ya ɛn wetin dɛn se.

Di rizulyt kin bi `negativ` (we min "nɔ") ɔ `positiv` (we min "yes").

Di tin we impɔtant pas ɔl fɔ mɛmba na dis: Dɛn tɛst ya jɔs de sho if yu dɔn ɛva gɛt di TB jem, we min se i dɔn go insay yu bɔdi. Dɛn nɔ kin ebul fɔ no if na aktif sik ɔ na layt sik.

Wan ɔda tin, if yu dɔn gɛt di BCG vaysin (vaysin we de protɛkt pɔsin frɔm TB) we yu bin smɔl, sɔntɛnde di skin tɛst rizɔlt kin bi lay lay pɔsitiv. Dɛn kɔl dis wan lay lay-pɔzitiv rizɔlt. So if yu dɔn gɛt di BCG vaysin, tɛl yu dɔktɔ .

Wetin fɔ du if di TB tɛst pɔsitiv?

If yu TB tɛst rizɔlt kam bak `positiv`, dat min se yu go mɔs gɛt di baktri we de mek yu gɛt TB .

Dis tɛm, yu dɔktɔ go ɔda sɔm ɔda tɛst fɔ no if yu gɛt aktif TB infɛkshɔn ɔ wan we de slip. Dɛn ɔda tɛst ya kin bi fɔ tek ɛkstrem rayt na di chɛst ɛn fɔ tek sputum. di sputum we de ya nכto di nכmal mכkus we de kכmכt na di trot, bכt na tik mכkus we de kכmכt na di lכng.

Di tin we impɔtant pas ɔl na, ilɛksɛf yu gɛt layt TB ɔ aktif TB, yu rili nid fɔ gɛt tritmɛnt fɔ am.

Wetin fɔ du if di TB tɛst nɔ fayn?

If yu TB tɛst rizɔlt na `nɛgitiv`, i min se yu mɔs nɔ bin dɔn gɛt TB baktri dɛm . Insay skin tɛst, `nɛgitiv` min se nɔ bin gɛt ɛni skin riakshɔn (rɛd, swɛlin) usay dɛn injɛkt di mɛrɛsin.

Bɔt sɔmtɛm ivin if di rizɔlt na `negativ`, if yu gɛt TB simptom (lɛk kɔf, fiva), yu dɔktɔ kin invɛstigat mɔ.

Ustɛm a go no di TB tɛst ripɔt?

• Di tɛst fɔ di skin kin tek bitwin 48 ɛn 72 awa fɔ dɔn. So, we yu go si dɔktɔ fɔ di sɛkɔn tɛm, di dɔktɔ go ebul fɔ tɛl yu rayt de bay we i luk di riakshɔn pan yu skin if yu gɛt TB infɛkshɔn ɔ yu nɔ gɛt am.
• Di ripɔt fɔ blɔd tɛst kin de insay wan to tu dez. Bɔt sɔntɛnde i kin tek smɔl tɛm dipen pan di wok we di lab de du.

Aw pɔsitiv TB tɛst kin tan lɛk (pan skin tɛst)?

``positiv`` risכlt pan skin tεst min se di εria we dεn injεkt di mεdisin at , lεk rεd bכmp . Di dɔktɔ kin mɛzhɔ di indurashɔn fɔ di bɔmp insay milimita.

Na ya, di dɔktɔ go tink bɔt yu ɔda tin dɛn we kin mek yu gɛt prɔblɛm (e.g., if yu na wɛlbɔdi wokman ɔ yu gɛt wik imyun sistɛm) fɔ no di rizɔlt. Tipikli, dεn kin tek di tεst as `positiv` if i de insay dεn rεnj dεm ya:

• 5 milimita (`mm`) ɔ mɔ ɛn yu gɛt wik imyun sistɛm (e.g., pɔsin we gɛt HIV, pɔsin we dɔn gɛt ɔgan transplant, pɔsin we tek sɔm mɛrɛsin dɛn).
• 10 milimita (`mm`) ɔ less ɛn yu na wɛlbɔdi wokman, ɔ pɔsin we jɔs kam bak frɔm kɔntri usay TB kin bɔku, pɔsin we de tek injɛkshɔn drɔgs, ɔ pikin we nɔ rich 4 ia yet.
• 15 milimita (`mm`) ɔ less ɛn yu nɔ gɛt ɔda patikyula risk factor fɔ gɛt TB.

Ivin if yu notis se yu an de swel ɛn rɛd afta 48-72 awa ɛn tink to yusɛf se, "Oh, dis fɔ bi pɔsitiv/nɛgitiv," i stil rili impɔtant fɔ go to dɔktɔ ɛn sho am. Na di dɔktɔ go luk am gud gud wan, mɛzhɔ am, disayd wetin na di kɔrɛkt rizɔlt, ɛn rayt am.

Ustɛm a fɔ tɔk to mi dɔktɔ bɔt TB?

Yu nid fɔ tek tɛm smɔl bɔt dɛn tin ya:

• If yu gɛt sɔm sayn dɛm fɔ TB (e.g., kɔf we de te pas tu wik, sɔmtɛm wit blɔd na yu blɔd, chɛst pen, i nɔ izi fɔ blo, fiva we kin kam na ivintɛm, yu kin swet na nɛt, yu kin lɔs yu wet, yu nɔ kin want fɔ it, yu kin taya pasmak ), .
• Ɔ if yu tink se yu dɔn de nia wan aktif TB pasɛnt , .

I rili impɔtant fɔ go to dɔktɔ ɛn aks fɔ advays kwik kwik wan, ɛn nɔ de te.

Tubakulɔsis na sik we kin kil pɔsin if dɛn nɔ trit am fayn. Bɔt, di bɛst pat na dat, if yu tek antibayɔtik jɔs lɛk aw dɛn tɛl yu fɔ tek, fɔ di rayt tɛm, bɔku pan di kes dɛm fɔ TB kin wɛl ɔl.

If yu gɛt aktif TB ɔ layt TB, dɛn ɔl tu nid fɔ trit. Bɔt di kayn mɛrɛsin dɛn we dɛn kin gi ɛn di tɛm we dɛn kin tek di mɛrɛsin kin difrɛn pan dɛn tu kes ya.

Faynal Mɛsej fɔ Tek-Hom

Okay, frɔm wetin wi jɔs tɔk bɔt, dɛn tin ya na di impɔtant tin dɛn we wi fɔ mɛmba:

• TB tɛst rili impɔtant fɔ pɔblik wɛlbɔdi na wi kɔntri ɛn ɔlsay na di wɔl, bikɔs i de ɛp fɔ no di sik kwik kwik wan ɛn kɔntrol aw i de skata.
• Tubakulosis kin kil ɛn i kin izi fɔ mek i pas frɔm pɔsin to ɔda pɔsin tru di briz. So, if yu gɛt sɔm sayn dɛn, ɔ if yu de na grup we gɛt bɔku prɔblɛm, i go fayn fɔ mek dɛn du tɛst.
• We di tɛst rizɔlt dɔn, yu dɔktɔ go tɛl yu wetin fɔ du nɛks ɛn if yu nid fɔ du mɔ tɛst.
• Nɔ fred ɛnitin. Aks di dɔktɔ ɛni kwɛstyɔn ɔ dawt we yu gɛt. Di dɔktɔ ɛn nɔs dɛn de fɔ ɛp yu. Dɛn go ɛksplen ɔltin to yu.

I impɔtant fɔ mek yu kɔntinyu fɔ gɛt wɛlbɔdi!

` Tubakulosis, TB tɛst, TB tɛst, Mantoux tɛst, TST, IGRA, TB simptom dɛm, TB tritmɛnt, PPD, Intɛrfɛron-Gamma Rilis Assay