Wi ɔl kin tɔk bɔt sik, bɔt sɔm sik dɛn de we gɛt fɔ du wit sɔm patikyula tin dɛn we apin na di istri. Wan pan dɛn kayn sɔri stori ya na Ejen Ɔrɛnj, we wi de tɔk bɔt tide. Sɔntɛm yu nɔ bin dɔn yɛri di nem bifo. Bɔt i rili impɔtant fɔ no bɔt di impak we i bin gɛt pan bɔku bɔku pipul dɛn layf.
Wetin na dis Ejen Ɔrɛnj?
Fɔ tɔk am simpul wan, Ejen Ɔrɛnj na wan rili pawaful ɛbisayd . Di Amɛrikan sojaman dɛn bin de yuz am insay di Vietnam Wɔ frɔm 1962 to 1971. Dɛn bin want fɔ pwɛl di bɔku bɔku jɔŋgrɔn ɛn tik dɛn usay di ɛnimi sojaman dɛn bin de ayd kpatakpata. Imajin, insay dis tɛm, dɛn bin sprɛy 11 milyɔn galɔn Ejen Ɔrɛnj pan wan eria we gɛt lɛk 20 milyɔn eka na Vietnam.
Bɔt afta we pruf dɔn sho se i denja, dat na di bad bad tin dɛn we i de du to mɔtalman, Amɛrika bin ban kpatakpata fɔ mek dɛn nɔ mek ɛn yuz dis ɛbisayd insay 1971. Bɔt da tɛm de, di damej bin dɔn ɔlrɛdi apin.
Ɔmɔs pipul dɛn bin gɛt dis kemikal we de kil pipul dɛn?
Infakt, nɔbɔdi nɔ no ɔmɔs pipul dɛn bin afɛkt. Bɔt dɛn tɔk se i go bi se na lɛk 3 milyɔn Amɛrikan sojaman dɛn we bin de wok na Vietnam da tɛm de ɛn pas 3 milyɔn sivilian dɛn we bin de na Vietnam bin dɔn gɛt dis kemikal. Dis sho aw dis bin rili pwɛl wi at.
Wetin na di sayn dɛm wae de sho se yu gɛt Ejen Ɔrɛnj?
Di tin dɛn we dis kemikal kin du kin difrɛn frɔm wan pɔsin to ɔda pɔsin. Pan ɔl we sɔm pipul dɛn kin gɛt sɔm kayn sik dɛn we nɔ kin izi fɔ dɛn, ɔda pipul dɛn kin gɛt siriɔs sik dɛn we rili siriɔs. Na sɔm pan de sik wae kin kam pan pɔrsin.
| Di sayn we de sho se di sik de | Simpul ɛksplen |
|---|---|
| Akni na di fes | Sivɛri akni, mɔ wit blak hεd. |
| Infekshɔn dɛn we kin kam bɔku tɛm | Sik ɛn infɛkshɔn kin apin ɔltɛm bikɔs di imyun sistɛm wik. |
| Di limb dɛn we de na di an ɛn fut dɛn kin swɛla | Wan tin we de mek yu an ɛn fut de swɛt, yu de fil lɛk se ant de rɔn rawnd, ɔ yu de fil lɛk se yu de tik. |
| Fɔ taya pasmak (Fatigue) . | Taya pasmak ɛn taya fɔ natin. |
| I nɔ kin izi fɔ yu fɔ blo | Fɔ blo shɔt ɔ i nɔ kin izi fɔ blo. |
| Di bɔdi we de swel (Edima) . | Swel, mɔ na di leg ɛn anklɛ eria. |
| Mɔsul dɛn we de shek (Tremors) . | di mכsul dεm lεk di limb dεm kin shek ivin we dεn de rεst, dat na fכ jכs tinap wansay. |
Us siriɔs sik dɛn dis kin mek wi gɛt?
Di wɛlbɔdi prɔblɛm dɛn we kin kam we pɔsin gɛt Ejen Ɔrɛnj, rili siriɔs. Pan ɔl we na 14 sik dɛn nɔmɔ dɛn bin no fɔs, risach dɔn sho se bɔku ɔda sik dɛn gɛt fɔ du wit am.
De tin wae denja pas ɔl bɔt dis na dat dɛn tin ya kin apin ivin sɔm ia afta yu dɔn gɛt dis sik. Dɔn bak, bikɔs dis bin afɛkt di mama ɛn papa, ivin di pikin dɛn we dɛn bɔn bin gɛt siriɔs prɔblɛm dɛn we dɛn bɔn .
Di list we de dɔŋ ya gɛt sɔm pan di sik dɛn we dɛn dɔn no.
- Di kayn Kansa dɛn:
- Blada kansa
- B-sɛl lukimiya
- Hodgkin limfoma we dɛn kɔl limfoma
- Bɔku bɔku mayloma
- Limfoma we nɔto Hɔdgkin
- Prɔstat kansa
- Kansa na di rεspiretכri sistεm (e.g. lכng kεnsar) .
- Sɔft tisu sarkoma
- Ɔda siriɔs sik dɛn:
- AL amyloidosis - diposishכn fכ wan abnכmal protin insay כgan dεm.
- Klɔrakni - na wan bad bad sik na di skin.
- Tayp 2 Dayabitis
- haypotayroydism - we di tayroyd gland de wok dכn dכn.
- Ischemic hat sik - di bכdi we de blכk di bכdi we de gi bכdi to di at.
- Pakinsin sik ɛn Pakinsin sik
- Nyuropathy we de na di periferik
- Pɔfyria - na sik we de afɛkt di skin ɛn di nervɔs sistɛm.
- di pikin dεm we dεn bכn bad bad wan, we dεn kin bכn, εn di pikin in bכdi we nכ de gro fayn fayn wan.
Aw Ejen Ɔrɛnj gɛt dɛn ifɛkt ya?
Di rut fɔ ɔl dis pwɛl pwɛl na wan kemikal kɔmpawnd we dɛn kɔl dayɔksin we de insay Ejen Ɔrɛnj. Dayɔksin na tin we gɛt bɔku pɔyzin we kin mek we dɛn bɔn klorin, kabɔn, ɛn haydrojɛn. I rili bad fɔ mɔtalman, animal, ɛn plant dɛn.
We dayɔgsin kam insay di bɔdi, i kin pwɛl wi impɔtant ɔgan dɛn, sɛl dɛn, di imyun sistɛm, ɛn di ɔmon sistɛm. Dayɔksin na pawaful tin we kin mek pɔsin gɛt kansa .
Di tin dɛn we bin apin bin wɔs bikɔs dɛn bin sprɛy 20 tɛm pas di wan we di wan we mek am bin se dɛn fɔ sprɛy am na di envayrɔmɛnt. Dɛn stil de si di bad tin dɛn we dis dɔn du tide na sɔm say dɛn na Vietnam ɛn pan di wan dɛn we bin tek pat pan di wɔ.
Aw dis bin apin to pipul dɛn?
- Na bay we yu de blo pɔyzin fum.
- Na bay we yu de drink it ɔ wata we gɛt di kemikal.
- bay we i kכntakt wit di skin sεf εn we i de abzכp insay di bכdi tru di skin.
- Kεmεkal dεm we de na di ays kin go insay di bכdi tru di yay, mכt, כ skin wund dεm.
Aw dɛn kin trit dɛn sik ya?
Nɔr wan tritmɛnt nɔr de fɔ di ifɛkt dɛm wae Ejen Ɔrɛnj ɛksplɔshɔn kin gɛt. Di tritmɛnt dipen pan di patikyula kɔndishɔn we pɔsin gɛt.
- Ɔpreshɔn fɔ pul di tumbu dɛn ɔ redyushɔn tɛrapi fɔ kansa .
- Ɔpreshɔn fɔ kɔrɛkt di prɔblɛm dɛn we dɛn bɔn pikin .
- Fɔ gi mɛrɛsin fɔ sik dɛn lɛk dayabitis ɛn Pakinsin .
- Fɔ it tin dɛn we gɛt wɛlbɔdi ɛn we balans.
Di tin we impɔtant pas ɔl na fɔ mek yu dɔktɔ chɛk yu ɛn no di bɛst tritmɛnt fɔ yu. De tritmɛnt wae de woke fɔ wan pɔrsin nɔr kin woke fɔ ɔda pɔrsin.
Di impɔtant lɛsin we wi kin lan frɔm dis stori na aw lɔng tɛm, bitwin jɛnɛreshɔn dɛn kin ambɔg mɔtalman bay pɔyzin kemikal dɛn we dɛn kin pul na di envayrɔmɛnt.
So, if yu gɛt pas wan pan di sayn dɛm we wi dɔn tɔk bɔt na dis atikul (e.g., yu taya pasmak fɔ no rizin, yu an ɛn yu fut kin swɛla, yu kin gɛt infɛkshɔn ɔltɛm) di sem tɛm ɛn fɔ lɔng tɛm, nɔ wɔri bɔt am ɛn go to dɔktɔ wantɛm wantɛm fɔ advays .
Mɛsej we dɛn kin kɛr go na os
- Ejen Ɔrɛnj na wan ɛbisayd we gɛt bɔku pɔyzin we dɛn bin de yuz insay di Vietnam Wɔ.
- Di kemikal we de ya na dayɔksin, we kin mek pɔsin gɛt bɔku siriɔs sik dɛn, lɛk kansa.
- Di tin dɛn we kin apin we pɔsin gɛt dis kemikal kin apin ivin afta bɔku ia.
- Dis kin afɛkt mama ɛn papa dɛn ɛn ivin mek dɛn pikin dɛn bɔn bad bad wan.
- Pan ɔl we dis nɔ gɛt ɛnitin fɔ du wit Sri Lanka, na rili impɔtant lɛsin we de tich wi bɔt di pwɛl pwɛl we di pwɛl pwɛl we di envayrɔmɛnt kin pwɛl mɔtalman wɛlbɔdi.
- I impɔtant ɔltɛm fɔ go to dɔktɔ if yu gɛt sɔm kayn sik wae nɔr ɛksplen, wae kin teik lɔng tɛm.
👩🏽 ⚕️ Ɔda kwɛstyɔn dɛn (FAQ dɛn)
💬 Pirfenidone (Esbriet) kapsul/tablɛt na wan mɛrɛsin we dɛn kin gi fɔ us sik?
Dis nɔto ɔdinari mɛrɛsin! Dis na di mɔs pawaful ɛn dia anti-fibrotic mɛrɛsin na di wɔl we de slo di rit we di lɔng skata ɛn di lɔng we nɔ de wok fayn pan di sik we de kil pipul dɛn we dɛn kɔl ‘Idiopathic Pulmonary Fibrosis (IPF)’, we na sik we wi lɔng dɛn kin gɛt skata/ska ɛn wi nɔ kin ebul fɔ blo (sufɔk) fɔ no rizin!
💬 We di lכng dεm sכmtεm, aw fכ tek dεn pils ya (Esbriet) de εp di lכng dεm fכ bכn bak?
we wi lכng dεm inju, di fibroblast sεl dεm de kam insay εn mek kolagen, we de mek ska, bכt insay IPF, dεn sεl dεm de kray εn ska di wan ol lכng. we dis pil go insay wi lכng, i de blכk/lכk dכn di protin we dεn kכl TGF-beta (we na di tin we de tεl di bכdi fכ mek kolagen). dis de ridyus di rεt fכ skata na di lכng dεm bכku bכku wan.
💬 Wetin mek dɛn de tɛl pipul dɛn we de tek dis drɔg (Pirfenidone) nɔ fɔ go na do na di san (Photosensitivity)? Wetin na di prɔblɛm dɛn we kin apin?
Di big prɔblɛm na dat we yu tek dis pil, yu skin kin rili sɛnsitiv to ‘san layt (UV rayt)’ (Fotosensitivity)! Ivin if yu go na di san fɔ smɔl tɛm, yu skin go bɔn lɛk faya (Sunburn) ɛn lɛf big skata (so tin fɔ protɛkt yusɛf frɔm di san ɛn klos we yu lɔk impɔtant). Dɔn bak, dis kin mek yu liva pwɛl bad bad wan ɛn sik (Elevated Liver Enzymes), so if yu gɛt jaundice wit nɔs/vomit, yu fɔ tɛl yu dɔktɔ wantɛm wantɛm.
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