Sɔntɛnde yu kin gɛt smɔl smɔl rash na yu skin, yu kin it, ɔ yu nel kin tɔn blak ɛn ɔg? Sɔntɛm yu dɔn tek mɛrɛsin fɔ wan sik we dɛn kɔl "thrush." Di tin we kin mek ɔl dɛn tin ya apin na wan smɔl ɔganism we dɛn kɔl fɛns. So tide, lɛ wi tɔk bɔt di mɛrɛsin dɛn we dɔktɔ dɛn kin gi fɔ dɛn fɛns infɛkshɔn ya, we na antifɔngal.
Fɔs, lɛ wi si, wetin na dɛn fɛns ya?
Fɔ tɔk am simpul wan, fɔŋ na wan grup we gɛt smɔl smɔl tin dɛn we wi kin si ɛnisay na wi envayrɔmɛnt. jכs lεk di "pus" we de fכm pan wan pis bred, dεn fכn dεm ya kin kam bak insay difrεn fכm dεm lεk `yist` εn `mכld`. Yu kin si dɛn 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 smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl.
Tink bɔt am, pan ɔl we dis kin mek wi sɔprayz, sɔm kayn fɛns dɛn kin liv na wi bɔdi bay wilful. fכ egzampl, wan kayn yist we dεn kכl `Candida` de liv witout nכ prכblεm pan wi skin, na wi dijestiv trakt, εn na uman in vagina. Bɔt we dɛn tin ya gro tumɔs fɔ sɔm rizin, infɛkshɔn kin apin.
Antifungal na drɔgs we dɛn kin yuz fɔ kɔntrol di fungal infɛkshɔn, pwɛl di fɛns sɛl dɛn, ɔ stɔp dɛn fɔ gro.
Udat de pan ay risk fɔ gɛt fungal infɛkshɔn?
Infakt, ɛnibɔdi kin gɛt fungal infection. Bɔrku pan di skin kɔndishɔn dɛm wae wi kin si na simpul fεn infεkshכn. Bɔku tɛm, dɛn kin izi fɔ trit.
Bɔt if pɔsin we in imyun sistɛm wik gɛt fɔŋs infɛkshɔn, i kin rili siriɔs. Wi kin kɔl dɛn kayn infɛkshɔn ya `opportunistic infections`. Dat min se dɛn infɛkshɔn ya kin tek advantej pan bɔdi we wik. Dis sik kin rili denja:
- Fɔ di wan dɛn we gɛt AIDS
- Fɔ pipul dɛm wae gɛt ɔtoimyun sik dɛm lɛk lupus
- Fɔ di wan dɛn we de du tritmɛnt fɔ kansa
- Fɔ di wan dɛn we dɔn gɛt ɔgan transplant
- Fɔ di wan dɛn we dɔn gɛt bon mɛrɔ transplant (stem sɛl transplant) .
Us infεkshכn dεm dεn kin trit wit antifכngal?
Antifɔngal dɛn kin trit bɔku bɔku tin dɛn, frɔm di kɔmɔn tin dɛn we kin apin na di skin to siriɔs infɛkshɔn dɛn we kin mek pɔsin in layf de pan denja. Lɛ wi sheb dɛn tin ya to tu kategori.
| Tayp fɔ infɛkshɔn | Ɛgzampul dɛn |
|---|---|
| Kɔmɔn skin ɛn ɛksternal infɛkshɔn |
|
| Mɔ siriɔs sistɛm infɛkshɔn dɛn |
Aw dis mɛrɛsin de wok?
Bɔku we dɛn de we di antifɔngal dɛn kin wok. Yu dɔktɔ go pik di kayn mɛrɛsin we go fayn fɔ yu, dipen pan di kayn sik we yu gɛt. Di men wan:
- fכ pwεl di fכn sεl: sכm dכg dεm (e.g., Nystatin frכm di Polyenes grup) de pwεl di fכn sεl wכl εn pwεl am.
- fכ stכp di fכn fכ gro: כda dכg dεm (e.g., Fluconazole frכm di azoles grup) de stכp di fכn sεl dεm fכ divayd, gro, εn spred.
- atak di fכn sεl wכl: nyu dכg dεm (e.g. Micafungin frכm di Echinocandins grup) de intafεr di fכmeshכn fכ di fכn sεl wכl εn wik am.
Aw fɔ yuz fungicides
Dɛn mɛrɛsin ya kin kam insay difrɛn we dɛn. Yu dɔktɔ go gi yu di we we go fayn fɔ yu, i go dipen pan di sik we yu gɛt.
- Topical: Dɛn kin put am na di skin lɛk krim, jel, loshan, ɛn sprɛy.
- Di mɛrɛsin dɛn we dɛn kin tek bay mɔt: Dɛn kin gi dɛn tin ya as pils ɔ likwid.
- Injɛkshɔn/IV: Insay siriɔs infɛkshɔn, dɛn kin gi am insay di bɛlɛ (IV) ɔ as injɛkshɔn.
- di suppositories: dεn kin put dεm ya insay di vagina fכ vagina infεkshכn.
Yu tink se di fungicides gɛt sayd ɛfɛkt?
Lɛk ɛni mɛrɛsin, antifungals kin mek sɔm sayd ɛfɛkt dɛn. Bɔt, nɔto ɔlman kin gɛt dɛn. Dɔn bak, dɛn tin ya kin difrɛn difrɛn wan bay di kayn mɛrɛsin ɛn di doz.
| Tayp fɔ di sayd ɛfɛkt | Karakta |
|---|---|
| Kɔmɔn sayd ɛfɛkt dɛn | - Bɛlɛ de at, bɛlɛ de at ɛn dayarɛa - I de it, bɔn, ɔ sting na di skin |
| Rare bɔt siriɔs sayd ɛfɛkt dɛm we nid fɔ pe atɛnshɔn kwik kwik wan | - Liva damej (di yay ɛn skin de yɔlɔ - Jaundice) . - Siriv alɛji riakshɔn (difεkshɔn fɔ brith, fes swel - Anafylaksis) . - Siriɔs alɛji na di skin we kin mek yu gɛt blista ɛn di skin kin pul |
Impɔtant: If yu gɛt ɛni wan pan dɛn siriɔs sayd ɛfɛkt ya, stɔp fɔ tek di mɛrɛsin wantɛm wantɛm ɛn go to yu dɔktɔ. If nɔto dat, go na di Imejɛnsi Dipatmɛnt (ETU) na di ɔspitul we de nia yu.
Wan rili impɔtant tin: Antifungal Resistance
Dis na sɔntin we wi ɔl nid fɔ ɔndastand. Imajin wan fungus we dɔn bi "smat" ɛn fɛn we fɔ avɔyd di ifɛkt dɛm we di mɛrɛsin we wi de gi am gɛt. I tan lɛk ɛnimi we de wɛr klos we go ebul fɔ bia wit wi wɛpɔn dɛn. Fɔ tɔk am simpul wan, wi kin kɔl ‘resistance’ di inability fɔ di mɛrɛsin fɔ kɔntrol di fungus.
Bɔku men rizin dɛn de we mek dis kin apin:
- Nɔr fɔ dɔn di tɛm we dɛn tɛl yu fɔ tek di mɛrɛsin: If di dɔktɔ tɛl yu fɔ tek di mɛrɛsin fɔ 7 dez, stɔp di mɛrɛsin we di sik dɔn go dɔŋ insay lɛk 3 dez.
- Mis doz: Nɔ tek mɛrɛsin di rayt tɛm.
- Ɔndados: Fɔ tek wan doz we smɔl pas aw dɛn tɛl yu fɔ tek.
- Yuz am fɔ lɔng tɛm we yu nɔ nid fɔ yuz am.
Dis rεsistεns min se if yu כ כda pכsin gεt dis fכn infεkshכn tumara bambay, i nכ go ebul fכ kכl am wit di mεdikeshכn dεm we dεn kin yus. So, yu go gɛt fɔ yuz mɛrɛsin dɛn we strɔng, we dia wit mɔ sayd ɛfɛkt.
Mɛsej we dɛn kin kɛr go na os
- Nɔ ɛva yuz antifungal mɛrɛsin if yu nɔ go to dɔktɔ. Nɔ bay dɛn na famasi.
- Tek di mɛrɛsin fɔ di ful tɛm we yu dɔktɔ tɛl yu fɔ tek, insay di doz we dɛn tɛl yu. Ivin if yu sik dɛn dɔn bɛtɛ, tek di mɛrɛsin fɔ di ful tɛm we dɛn tɛl yu fɔ tek.
- Nɔ ɛva gi ɔda pɔsin di mɛrɛsin we dɛn tɛl yu fɔ du, ilɛksɛf da pɔsin de in sik tan lɛk yu yon.
- If yu gɛt ɛni siriɔs sayd ɛfɛkt we yu de tek di mɛrɛsin, tɛl yu dɔktɔ wantɛm wantɛm.
- Di we aw pɔsin nɔ de tek di mɛrɛsin we dɛn kɔl fungicides na siriɔs wɛlbɔdi prɔblɛm. Wi kin ɛp fɔ mek i nɔ gɛt am bay we wi de yuz di rayt mɛrɛsin.
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