Wi ɔl de blo ɛvride. Bɔt wi nɔ no ɔmɔs tin dɛn de na di briz we wi de blo we wi nɔ de si. yu no se wan kayn mold de we dεn kכl `Aspergillus`, we in spכr dεm de fכt כlsay na dis εya? Bɔrku tɛm, dis nɔr kin kɔz ɛni prɔblɛm fɔ pɔrsin wae gɛt wɛl bɔdi, bikɔs di difens sistɛm na wi bɔdi nɔr kin mek i kam insay. Bɔt fɔ sɔm pipul dɛn, mɔ di wan dɛn we gɛt lɔng sik ɔ di wan dɛn we nɔ gɛt bɛtɛ wɛlbɔdi, dis kin bi big prɔblɛm. Na di kɔndishɔn we wi de tɔk bɔt tide, we dɛn kɔl `Aspergillosis`.
Fɔ tɔk am simpul wan, wetin na Aspergillosis?
`Aspergillosis` na infεkshכn na wi bכdi we de kכz fכ wan kayn mכld we dεn kכl `Aspergillus`. Dis na wan infεkshכn we dεn kin gεt fכ fכn. Dis kayn mold kin de na wi envayrɔmɛnt, mɔ na say dɛn lɛk dɔti, dray lif dɔti, ɛn kɔmpɔst hip. Sɔntɛnde, dis kayn mold kin gro na say dɛn we wet insay os, ivin na di filta dɛn na di ay kɔndishɔn (AC) we dɛn nɔ klin fayn.
We wi de blo, di spot dɛm fɔ dis mold de go insay wi lɔng tru wi nos. Pɔsin we gɛt wɛlbɔdi in imyun sistɛm kin no ɛn pwɛl dɛn invayda ya. Bɔt sɔm pipul dɛn bɔdi nɔ kin ebul fɔ du dis. Dis na we wan kכndyushכn we dεn kכl `Aspergillosis` de apin. Bɔku men kayn dɛn de fɔ dis. Sɔm pan dɛn kin tan lɛk alɛji, ɛn ɔda wan dɛn kin jɔs de na di lɔng dɛn. Bɔt di kayn we we denja pas ɔl na di invasiv `Aspergillosis`, we de skata ɔlsay na di bɔdi.
Bɔku pipul dɛn kin wɔnda if dis na "blak mold." Nɔ, na difrɛn kayn mold (Stachybotrys chartarum). Bɔt dɛn ɔl tu na kayn mold we de na di say we wi de ɛn we kin mek sɔm pipul dɛn sik.
Udat kin gɛt dis sik pas ɔlman? Udat dɛn de pan denja?
Nɔto ɔlman kin gɛt Aspergillosis. Sɔm risk grup dɛn de fɔ am. Dat min se, pipul dɛm wae kin sik pasmak if dɛn gɛt dis mold. If yu de na wan pan dɛn grup ya, i rili impɔtant fɔ tek tɛm mɔ bɔt dis.
| Risk grup | Simpul ɛksplen |
|---|---|
| Pipul wae gɛt asma ɔr ɔda kayn alɛji | Dɛn lɔng ɛn di we aw dɛn de blo kin fil lɛk se natin nɔ de apin. we di Aspergillus spot dεm de kam insay, di bכdi de riak pasmak. Dis kin mek yu gɛt wan sik we dɛn kɔl Allergic Bronchopulmonary Aspergillosis (ABPA) . |
| Pipul wae gɛt krɛse sik | Pipul dɛn we bin dɔn gɛt TB (TB) bifo ɛn we gɛt kaviti na dɛn lɔng, ɔ di wan dɛn we gɛt sik lɛk COPD (Chronic Obstructive Pulmonary Disease), ɔ Sarcoidosis, gɛt say dɛn we dɔn pwɛl na dɛn lɔng. Aspergillus mold kin izi fɔ setul insay dɛn kaviti ya ɛn mek wan fɛns bɔl. Dɛn kɔl dis Aspergilloma . |
| Pipul dɛn we gɛt rili wik imyun sistɛm | Dis na di grup we denja pas ɔl ɛn we de pan denja. Bikɔs di bɔdi in difɛns sistɛm (di sojaman dɛn) wik, di mold kin izi fɔ go insay di bɔdi, go insay di blɔd frɔm di lɔng dɛn, ɛn spre to ɔda pat dɛn lɛk di bren, di kidni dɛn, ɛn di at. Dɛn kɔl dis Invasive Aspergillosis . Sɔm ɛgzampul dɛn bɔt dis na:
|
Wetin na di sayn dɛm fɔ dis sik?
Di sayn dɛm fɔ aspergillosis kin difrɛn difrɛn wan bay di kayn infekshɔn ɛn di pat pan di bɔdi we i afɛkt. Bɔku tɛm dɛn kin tan lɛk di sayn dɛn we pɔsin kin gɛt we i de blo, ɛn dis kin mek i nɔ izi fɔ no bɔt dɛn.
| Di kayn we aw pɔsin kin gɛt aspergillosis | Di kɔmɔn sayn dɛm |
|---|---|
| Di kayn alɛji (ABPA) . |
|
| Mold (Aspergilloma) we gɛt di sik. | |
| Invasiv Aspergillosis we de mek pɔsin gɛt sik |
Dis na sik we pɔsin kin pas?
Nɔ, `Aspergillosis` nɔto sik we kin kɔmɔt frɔm wan pɔsin to ɔda pɔsin. I kin kam we yu de blo di mold spot dɛm we de na di envayrɔmɛnt. So, yu nɔ go ebul fɔ gɛt dis sik jɔs we yu de nia pɔsin we sik.
Aw di dɔktɔ kin no bɔt dis sik?
Yu dɔktɔ go sɔspɛkt dis bay yu simptom ɛn yu wɛl bɔdi histri (fɔ ɛgzampul, yu gɛt asma ɔ yu de gɛt kansa tritmɛnt?). Dɛn go rɔn sɔm tɛst fɔ kɔnfirm di diagnosis.
- di chεst εks-ray כ CT skan: dis kin luk fכ abnכmal mak dεm, kכva dεm, כ wan lump we dεn kכl ``Aspergilloma'' na di lכng dεm.
- Sputum Culture: Dɛn kin tek wan sampul pan yu sputum ɛn tɛst am na lab fɔ si if di mold Aspergillus de gro insay. dεn kin egzamin am bak כnda maykroskכp fכ si if εni filamentous patikyula dεm de na di sputum.
- Blɔd tɛst: If dɛn tink se na wan kayn invasiv, dɛn kin tɛst di blɔd fɔ antibodi ɔ antijen dɛn we spɛshal fɔ di Aspergillus mold. Dis kin ɛp fɔ no di sik kwik kwik wan.
- Bayopsi: Dɛn kin tek smɔl pat pan di tisu frɔm di lɔng ɔ frɔm say we dɛn tink se gɛt di sik ɛn chɛk am ɔnda maykroskɔp fɔ si if ɛni pus de insay.
- Alɛji Tɛst: If yu tɛst yu skin ɔ yu blɔd tɛst if yu bɔdi gɛt alɛji fɔ Aspergillus.
Wetin na di tritmɛnt dɛn? Yu tink se dɛn go ebul fɔ mɛn dis?
Di tritmɛnt fɔ aspergillosis dipen pan di kayn sik we yu gɛt, aw i siriɔs, ɛn yu ɔl wɛl bɔdi.
1. Antifungal Medikeshɔn dɛn
Dis na di men tritmɛnt. Dɛn mɛrɛsin ya de wok bay we dɛn de pwɛl di fɔŋ we de insay di bɔdi. Drug dεm lεk `Voriconazole`, `Isavuconazole`, `Amphotericin B` na dεn kin yus fכ dis. Dɛn kin gi sɔm pan dɛn as pils fɔ tek, ɛn dɛn kin gi sɔm as injɛkshɔn insay vein wit salin. De tritmɛnt tɛm kin de frɔm sɔm wiks to sɔm mɔnt, ɔr ivin in layf.
2. Stɛroyd drɔgs (Kɔtikosterɔyd) .
Dɛn kin yuz dɛn tin ya fɔ mɛn alɛji raynayt (ABPA) . Bifo dɛn mɛrɛsin ya kil di mold, dɛn kin kɔntrol di bɔku bɔku inflamɛns ɛn alɛji we di mold we de na di bɔdi kin mek. Dɛn kin gi pils lɛk `Prednisolone` fɔ dis.
3. Ɔpreshɔn
if wan lump de na di lכng (`Aspergilloma`) na di lכng εn i de mek kכmplikεshכn lεk we de kכntinyu fכ bכn, dεn kin du כpεrayshכn fכ pul di כl lכng we gεt di lכmp. Dis kin mɛn di sik kpatakpata.
Di tin we impɔtant pas ɔl na fɔ tek di mɛrɛsin we yu dɔktɔ gi yu fɔ di tɛm we yu tɛl yu fɔ tek. If yu stɔp fɔ tek di mɛrɛsin af-af, di sik kin kam bak.
Aw yu go protɛkt yusɛf frɔm dis sik?
Aspergillus mold de ɔlsay na di envayrɔmɛnt, so i nɔ pɔsibul fɔ avɔyd am 100% pan di tɛm. Bɔt if yu de na grup we gɛt bɔku prɔblɛm, tin dɛn de we yu kin du fɔ mek yu nɔ gɛt bɔku prɔblɛm dɛn:
- Nɔ yuz ples dɛn we gɛt dɔti: Nɔ go na say dɛn we dɛn de bil, say dɛn we dɛn de pwɛl ol bildin dɛn, ɛn rod dɛn we gɛt dɔti as yu ebul.
- Tek tɛm wit gadin wok: Tin dɛn lɛk fɔ dig grɔn, fɔ mek kɔmpɔst pail, ɛn fɔ kɔt lawn kin mek di mold spɔ dɛn kɔmɔt na di ays. If yu de du dɛn kayn wok ya, mek shɔ se yu wɛr gud kwaliti N95 mask .
- Kɔntrol di humidity na yu os: If ɛni wet ples de insay yu os ɔ say we mold de gro na di wɔl, ripɛnt am wantɛm wantɛm. Mek shɔ se di say dɛn lɛk di bafa ɛn di kichin gɛt fayn fayn briz.
- Kip di ay kɔndishɔn (AC) ɛn di ay filta dɛn klin: Dɛn filta dɛn ya kin mek mold gro, so klin dɛn ɔltɛm akɔdin to di instrɔkshɔn dɛn we di wan we mek dɛn gi.
Ustɛm a fɔ go to dɔktɔ? Ustɛm a fɔ go na di ETU?
If yu de pan wan pan di risk grup dɛm wae wi dɔn tɔk bɔt ɛn yu gɛt sɔm kayn sik wae gɛt fɔ du wit yu lɔng (kɔf, at fɔ blo, fiva), .Si yu dɔktɔ wantɛm wantɛm.
If yu gɛt ɛni wan pan dɛn wɔnin sayn ya , go na di ɔspitul Imejɛnsi Dipatmɛnt (ETU) we de nia yu ɛn nɔ de te.
- Fiva we rili ay (we pas 103 Farenheit/40 Sɛlshiɔs) .
- Di briz we kin shɔt bad bad wan
- Bɔku bɔku blɔd de kɔmɔt we yu de kɔf
- Disorientation, confusion , ɔr chenj na yu bihayvya
- Di sik dɛn we kin mek pɔsin sik
- blu di kכla we di lip כ skin de chenj (dis na sayn fכ no כksijεn nכ de na di bכdi - `Cyanosis`)
Mɛsej we dɛn kin kɛr go na os
- `Aspergillus` na wan kayn mold we de kכmכn na wi envayroment. Bɔku tɛm, i nɔ kin ambɔg pipul dɛn we gɛt wɛlbɔdi.
- Di risk kin big pas ɔl fɔ di wan dɛn we gɛt sik dɛn we dɔn de na dɛn lɔng (asma, COPD) ɛn di wan dɛn we gɛt wik imyun sistɛm (di wan dɛn we gɛt kansa, di wan dɛn we gɛt ɔgan transplant).
- Di sayn dɛm kin tan lɛk di wan dɛm wae de kam wit kɔmɔn infεkshɔn wae de kam pan pɔrsin wae gɛt dis sik, so if yu de na grup wae gɛt dis sik, no bɔt de sayn dɛm.
- Dis sik nɔ kin pas frɔm wan pɔsin to ɔda pɔsin.
- Tritmɛnt dɛn de we go wok fayn. If yu no di sik kwik kwik wan ɛn trit am fayn lɛk aw di dɔktɔ tɛl yu, dat kin ɛp fɔ kɔntrol ɛn mɛn di sik.
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