Sɔntɛnde yu kin gɛt wayt spat na yu bɔdi we tan lɛk ‘ grey skin ’? Ɔ yu taya wit prɔblɛm we gɛt ia we nɔ de ɛva go? Sɔntɛm wan pan yu finga nel ɔ yu fut nel dɔn tɔn yɔlɔ, i dɔn rɔf, ɛn i de brok. Bɔku pan dɛn tin ya kin kɔmɔt frɔm wan smɔl tin we de liv na wi bɔdi we dɛn kɔl fɛns . So tide wi go tɔk bɔt wetin na dɛn fɛns infɛkshɔn ya, ɛn di mɛrɛsin dɛn we dɛn kin gi fɔ dɛn, dat na antifungals .
Fɔ tɔk am simpul wan, wetin na dɛn antifungals ya?
Antifungals na wan kayn mɛrɛsin we dɔktɔ dɛn kin gi fɔ mɛn fungal infɛkshɔn. Jɔs lɛk aw dɛn kin gi antibayɔtik fɔ baktriyal infɛkshɔn, na so dɛn kin gi antifɔngal fɔ fɛns infɛkshɔn. Dɛn mɛrɛsin ya kin du tu tin.
1. Kil di fכns we mek di infεkshכn kכmplit wan .
2. If nɔto dat, i de stɔp di fɔŋ fɔ gro ɛn skata insay di bɔdi.
Bɔt di ɛnd rizulyt na fɔ ɛp wi bɔdi fɔ pul da fɛns infɛkshɔn de.
So wetin na dis ‘fungus’?
Bifo wi tɔk bɔt fungicides, lɛ wi ɔndastand smɔl bɔt wetin na dɛn fungis ya. Fɔngi na smɔl smɔl tin dɛn we wi kin si ɛnisay na di say we wi de. Dɛn kin bi yist, mold, ɔ dɛn ɔl tu we dɛn jɔyn. Dɛn kin bɔn pikin bay we dɛn de mek 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 smɔl smɔl smɔl smɔl smɔl smɔl. Dɛn spot ya kin de na di grɔn ɔ flɔt na di ays.
Tink bɔt am, sɔm fɛns dɛn kin de na wi bɔdi bay wilful. Fɔ ɛgzampul, wan kayn yist we dɛn kɔl Kandida . Dɛn tin ya de liv na say dɛn lɛk wi skin, di dijestiv sistɛm, ɛn di vagina na uman dɛn we nɔ de du bad tin. Bɔt sɔntɛnde, we wi bɔdi in imyun sistɛm wik ɔ fɔ ɔda rizin, dɛn fɛns ya kin bigin fɔ bɔku we wi nɔ ebul fɔ kɔntrol am. Na da tɛm de infɛkshɔn kin apin.
Udat de pan ay risk fɔ gɛt fungal infɛkshɔn?
Infakt, ɛnibɔdi kin gɛt fungal infection. Bɔku tɛm, di kɔmɔn tin dɛn we wi kin si rawnd wi, lɛk ringwɔm, ɛkzema , ɛn dandruff, nɔ kin siriɔs ɛn i kin izi fɔ mɛn dɛn.
Bɔt fɔ sɔm pipul dɛn, dɛn fɛns infɛkshɔn ya kin rili denja. Dat na pipul dɛn we gɛt wikɛd imyun sistɛm .. Dɛn bɔdi kin gɛt prɔblɛm fɔ fɛt ivin smɔl fɛns infɛkshɔn. Wi kin kɔl dɛn kayn infɛkshɔn ya "opportunistic infections." Dat min se, infεkshכn dεm we de tek advantej pan di bכdi in wik εn spre to siriכs mak. Pipul dɛn we de pan denja na:
- Pipul dɛn we gɛt AIDS .
- Pipul wae gɛt ɔtoimyun sik dɛm lɛk lupus.
- Di wan dɛn we gɛt kansa (espɛshali di wan dɛn we de du kemotɛrapi).
- Pipul dɛn we dɔn gɛt ɔgan transplant.
- Pipul dεm we dεn bin gεt bon mכro transplant (stεm sεl transplant).
Fɔng infɛkshɔn lɛk dis kin mek yu layf de pan denja sɔntɛnde, so yu nid fɔ tek tɛm bad bad wan bɔt am.
Wetin na di kɔmɔn ɛn siriɔs infɛkshɔn dɛn we dɛn kin trit wit antifɔngal?
Di rεnj כf infεkshכn dεm we dεn kin trit wit antifכngal dεm rili bכku. Dɛn kin kɔmɔt frɔm smɔl smɔl infɛkshɔn dɛn na di skin to infɛkshɔn dɛn we kin afɛkt di bren. Lɛ wi sheb dɛn tin ya to tu kategori.
| Kɔmɔn fungal infɛkshɔn bitwin wi | |
|---|---|
| Nem fɔ di infɛkshɔn | Simpul ɛksplen |
| Atlet in fut, Jɔk it, Ringwɔm | As wi no, dis na wetin dεn kכl "ekzema". I kin apin insay sɛklɔ na di leg, di groin, ɛn difrɛn pat dɛn na di skin, ɛn i kin mek i it. |
| Dandruff na di bɔdi | Dandruff kin kam bikɔs ɔf wan fɛns infɛkshɔn na di skel. Fɔ mɛn pipul dɛn, dɛn kɔl dis Sɛborrheic Dermatitis . |
| Nail fungus we de na di nel | di nel dεm de sho sayn dεm lεk yכlכ/brawn kכla, tik, εn brok izi. Dɛn kin tek lɔng tɛm fɔ mek dɛn wɛl. |
| Thrush / Esophageal kandidiasis we pɔsin kin gɛt | Yist infεkshכn na di mכt, trot, כ εsophagus. I kin mek wan wayt, stika kɔtin na di mɔt. I kin apin to yɔŋ pikin dɛn. |
| Vagina yist infεkshכn | di sayn dεm fכ dis infεkshכn na fכ it, bכn, εn wayt wata we de kכmכt na di vagina na uman dεm. |
Apat frɔm dɛn tin ya, sɔm fɛns infɛkshɔn kin afɛkt di insay pat dɛn na di bɔdi, we kin mek pɔsin gɛt mɔ siriɔs kɔndishɔn.
| Di mɔs siriɔs ɛn kɔnsyus fɔngus infɛkshɔn | |
|---|---|
| Di bɔdi sistɛm we dɛn afɛkt | Ɛgzampul dɛn |
| Infεkshכn dεm na di lכng | Aspergillosis, Nyumocystis nyumonia, Vali fiva |
| Infεkshכn dεm we de kכmכt frכm blɔd | Kandidemia (yist infεkshɔn na di blɔd) . |
| Infɛkshɔn dɛn we gɛt fɔ du wit di bren | Meningitis (meningitis kin kam bak bay fεn) . |
| Infεkshכn dεm na di yay | Okul histoplasmosis sεndrכm |
| Sayn infεkshכn dεm | Raynosinusitis we gɛt di sik |
Aw dis mɛrɛsin de wok insay di bɔdi?
Antifungals nɔto ɔl di sem. Dɛn sheb dɛn to sɔm men kategori dɛn bay aw dɛn de wok. Yu dɔktɔ go pik di mɛrɛsin we go fayn fɔ yu bay di kayn infekshɔn we yu gɛt, aw i siriɔs, ɛn yu wɛlbɔdi. Lɛ wi tek wan kwik luk pan tri men kategori dɛn.
- Azoles: Dis na sintetik fungicides. dεn de wok bay we dεn de stכp fכ mek wan εnzym we implεnt fכ fכn sεl dεm. Dis min se di fεns nɔ kin ebul fɔ gro ɔ bɔn pikin. I tan lɛk se yu kil bas we nid fɔ bil os. Example: `Flukonazol (Diflucan®)`.
- Echinocandins: Dis na nyu jɛnɛreshɔn fɔ drɔgs. Dɛn kin wok bay we dɛn de atak di sɛl wɔl na di fɛns dairekt wan. Jɔs lɛk we yu brok wɔl na os, i nɔ kin ebul fɔ de insay, we di wɔl pwɛl, di fɛns sɛl kin pwɛl. Example: `Maykafungin (Maykamin®)`.
- Polyenes: Dɛn tin ya na antifɔngal dɛn we de na di wɔl. dεn de wok bay we dεn de atak di כta mεmbran na di fכn sεl εn mek ol dεm insay. dis kin mek di imכtant tin dεm we de insay di sεl lik kכmכt εn di sεl de day. Ɛgzampul: `Nystatin (Bio-Statin®)`.
Di tin we impɔtant pas ɔl na dat yu dɔktɔ go disayd us mɛrɛsin fayn fɔ yu ɛn aw lɔng yu nid fɔ tek am. Nɔ ɛva yuz mɛrɛsin we ɔda pɔsin dɔn bay we yu nɔ gɛt dɔktɔ advays.
Wetin na di we dɛn fɔ gɛt antifɔngal?
Dɛn mɛrɛsin ya kin kam difrɛn we, i kin dipen pan usay di sik de ɛn aw i siriɔs.
- Tɔpik: Dɛn tin ya kin kam lɛk krim, ɔntmɛnt, jel, loshan, ɛn sprɛy. Dɛn kin yuse dɛn tin ya mɔ fɔ di skin ɛn nel infɛkshɔn.
- Mεdikeshכn dεm we dεn kin tek fכ it: Dεn kin kam lεk pils כ likid. Dɛn kin gi dɛn fɔ di sik dɛn we de na di skin we dɔn skata to ɔda say dɛn, lɛk di nel ɛn di ia.
- Injɛkshɔn/IV: Dɛn kin gi dɛn mɛrɛsin ya insay di bɛlɛ (IV) ɔ as injɛkshɔn fɔ siriɔs, sistɛm infɛkshɔn. Dɛn kin gi dɛn tin ya na ɔspitul.
- Vagina suppositories: Dɛn kin yuz dɛn tin ya fɔ trit di vagina yist infɛkshɔn.
Pan ɔl we yu kin bay tin dɛn lɛk sɔm krim dɛn na famasi we yu nɔ gɛt dɔktɔ in prɛskrishɔn (Over-the-Counter - OTC), if di prɔblɛm kɔntinyu ɔ i kin apin bɔku tɛm, yu fɔ rili go to dɔktɔ.
Ɛni bad bad tin dɛn de we kin apin to am?
Lɛk ɛni mɛrɛsin, antifungals kin mek sɔm sayd ɛfɛkt dɛn. Bɔt, nɔto ɔlman kin gɛt dɛn. Dɛn kin difrɛn bak fɔ di kayn mɛrɛsin ɛn di doz.
| Tayp fɔ di sayd ɛfɛkt | Karakta |
|---|---|
| Kɔmɔn sayd ɛfɛkt dɛn | Bɛlɛ de at, nɔs, dayarɛa, skin it, inflamɛns usay dɛn put di mɛrɛsin, ɛn skin rash. |
| Rare, bɔt siriɔs sayd ɛfɛkt dɛn |
|
| We yu fɔ go to dɔktɔ wantɛm wantɛm | |
| If yu gɛt ɛni wan pan di siriɔs sayd ɛfɛkt dɛn we nɔ kin apin we wi dɔn tɔk bɔt, stɔp fɔ tek di mɛrɛsin ɛn go to yu dɔktɔ wantɛm wantɛm ɔ go na di Imejɛnsi Dipatmɛnt (ETU) na di ɔspitul we de nia yu. | |
Wetin min we di fεnshכn dεm de bi ‘resistant’ to drog? (Antifungal Resistɛns) .
Dis na wan pan di impɔtant tɔpik dɛn we wi de tɔk bɔt tide. Antifungal Resistance na we fכns de rεsist to wan patikyula antifungal dכg. Fɔ tɔk am simpul wan, di fɛns dɔn bi ‘adikshɔn’ to da drɔg de, ɛn i dɔn bi ‘strɔng’ pas di drɔg. Dɔn, da drɔg de nɔ go ebul fɔ kil di fɛns igen.
Bɔku men rizin dɛn de we mek dis kin apin:
- Fɔ stɔp di mɛrɛsin bifo yu dɔn di tɛm we dɛn tɛl yu fɔ tek am: Di big mistek na fɔ stɔp di mɛrɛsin jɔs afta yu fil fayn smɔl. Dis kin mek di fכn dεm we strכng pas כl we nכ day kכmplit εn adap to di mεdikeshכn.
- Nɔ tek di kɔrɛkt doz: If yu nɔ tek di mɛrɛsin di rayt tɛm ɔ yu skip di doz, dat kin mek yu nɔ gɛt bɛtɛ drɔgs na di bɔdi, ɛn dis kin mek di fɛns dɛn nɔ ebul fɔ tek di mɛrɛsin.
- Yuz antifungals we nɔ nid: Sɔntɛnde, dɛn kin put antifungal krim pan sɔntin we nɔto fɔngal infɛkshɔn. Dis kin mek di fungus de pan dɛn mɛrɛsin dɛn de bak ɛn mek i nɔ ebul fɔ fɛt dɛn.
If di fungus nɔ ebul fɔ tek mɛrɛsin, i kin rili at fɔ mɛn di infekshɔn. Sɔntɛnde, yu fɔ gi strɔng mɛrɛsin wit mɔ sayd ɛfɛkt. So, i rili impɔtant fɔ yu wɛlbɔdi ɛn di wɛlbɔdi fɔ di wan ol kɔmyuniti fɔ tek di mɛrɛsin we yu dɔktɔ tɛl yu fɔ tek, insay di kɔrɛkt doz ɛn fɔ di kɔrɛkt tɛm.
Mɛsej we dɛn kin kɛr go na os
- Antifungals na wan kayn mɛrɛsin we de mɛn fungal infɛkshɔn. Dɛn kin kil fɔŋ ɔ stɔp dɛn fɔ gro.
- Infεkshכn kin kכmכn frכm kכmכn skin rεsh εn hayv to mכr siriכs kכndyushכn dεm we de afekt di bכdi εn lכng.
- Antifungals kin gɛt difrɛn we dɛn lɛk krim, pils, ɛn injɛkshɔn. Yu dɔktɔ go disayd wetin bɛtɛ fɔ yu.
- Di tin we impɔtant pas ɔl: Tek di ful doz fɔ di mɛrɛsin we yu dɔktɔ gi yu fɔ di ful tɛm. Nɔ stɔp fɔ tek di mɛrɛsin jɔs bikɔs yu fil fayn. dis rili imכtant fכ mek di fכns nכ de rεsist di mεdikeshכn (antifungal resistance).
- If yu gɛt siriɔs sayd ɛfɛkt (di skin yɔlɔ, i nɔ izi fɔ blo, yu skin gɛt blista) we yu de tek di mɛrɛsin, go to dɔktɔ wantɛm wantɛm.
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