Yu kin si am se i nɔ kin izi fɔ yu fɔ blo wantɛm wantɛm we yu de wok? Ɔ yu kin kɔf, yu chɛst kin tayt, ɔ yu kin swɛt ɔltɛm? Sɔntɛnde, yu nɔ kin ivin no se dɛn tin ya gɛt fɔ du wit yu wok. Tide, wi de tɔk bɔt dis kayn sik, we na asma we gɛt fɔ du wit wok. Wi kin kɔl dis (Occupational Asthma).
Wetin na Ɔkupeshɔn Asma?
Fɔ tɔk am simpul wan, ɔkupeshɔnal asma na wan kayn asma we tin dɛn we de na yu wokples – lɛk dɔst, kemikal, ɔ mold – kin go insay yu aywe, we kin mek yu inflamɛns ɛn mek i nɔ izi fɔ blo. Dis kin mek yu gɛt asma atak, we na sɔm tɛm wae yu nɔr kin ebul fɔ blo fayn.
Sɔmtɛm, de sik kin kam kwik kwik wan afta yu dɔn blo dɛn tin ya. Ɔda tɛm, i kin tek lɔng tɛm fɔ mek di sayn dɛn de sho. So, nɔ tink se, "A dɔn de du dis wok fɔ lɔng tɛm, natin nɔ apin to mi."
Wetin na di kayn klos dɛn we pɔsin kin wɛr we gɛt fɔ du wit wok?
Tu men kayn asma wae gɛt fɔ du wit yu woke:
1. (Occupational Asthma): Dis na wae pɔrsin wae nɔr ɛva gɛt prɔblɛm wit in brith, dat na, wan sik lɛk asma, kin gɛt nyu asma simptom bikɔs i de blo pan tin dɛm na di wokples. Imajin, wan pɔsin we nem Kamal go wok na wan nyu pent shɔp. I nɔ ɛva gɛt ɛni prɔblɛm fɔ blo bifo. Bɔt afta sɔm mɔnt we i dɔn go wok, i kin bigin fɔ swɛt ɛn kɔf, mɔ we i de wok. Dis kin bi (Occupational Asthma).
2. (Work-exacerbated asthma): Dis na wae pɔrsin wae dɔn ɔlrɛdi gɛt asma de mek tin wɔs na in wokples (fɔ ɛgzampul, dɔst, smok). Dis min se dɛn kin gɛt mɔ asma atak pas aw dɛn kin gɛt, ɔr dɛn sayn kin apin bɔrku tɛm.
Wetin na di sayn dɛm fɔ Occupational Asthma?
De sayn dɛm kin rili fiba ɔda kayn asma. Dat na:
- Shot we yu de blo
- Wiz - Dis na wispa sawnd we de kɔmɔt na di chɛst we yu de blo.
- Chɛst tayt, pen ɔ prɛshɔn
- Kɔf – Sɔntɛnde dis kin bi dray kɔf, ɔ i kin bi kɔf wit blɔd.
If dɛn kin notis dɛn sik ya mɔ pan di de we dɛn de wok ɛn dɛn kin stɔp fɔ du ɔlide, i kin bi se na asma we pɔsin kin gɛt we i de wok.
Wetin na de tin wae kin mek pɔrsin gɛt asma wae de woke?
Di men rizin fɔ dis na di we aw yu bɔdi de biev to di tin dɛn we yu de gɛt na wokples. We yu de blo sɔm tin dɛn, yu aywe dɛn kin swel ɛn blok, ɛn dis kin mek i nɔ izi fɔ blo.
Dis kin apin tu we dɛn:
1. Bikɔs ɔf iritashɔn:Sɔm tin dɛn kin mek di say dɛn we di briz de blo vɛks dairekt wan. Sɔntɛnde dɛn kin kɔl dis Riaktiv Ayways Disfɔkshɔn Sindrom (RADS).
2. Alɛji riakshɔn: Dis na we yu imyun sistɛm tink se sɔntin de ambɔg yu bɔdi. So i kin tray fɔ pul am ɛn mek i gɛt inflamɛns. Dis kayn alɛji kin tek lɔng tɛm sɔmtɛm.
Jɔs lɛk aw yu kin fred we strenja kam insay yu os, na so di imyun sistɛm kin wok bak fɔ fɛt ɛnitin we bad we de kam insay yu bɔdi. Bɔt sɔntɛnde, prɔblɛm kin kam we dis prɔses go tu fa.
Infakt, dɔst na big tin we kin mek pɔsin in lɔng ɛn i kin mek pɔsin gɛt asma. Dɛn dɔn no pas 300 tin dɛn we kin mek pɔsin gɛt asma ɔ mek i wɔs. Na sɔm pan dɛn:
- Animal dander, fut, fεda
- Bil matirial, fɔ ɛgzampul insuleshɔn, kap, fom
- Kεmikכl - glu, kכt, day, plastic
- Pent, varnish, (polyurethane) sprɛy
- Latex - tin dɛn we dɛn mek wit rɔba
- Bred flawa, gren dɔst
- Wud paoda
Di tin we impɔtant pas ɔl fɔ mɛmba na dat, ilɛksɛf yu yuz mask fɔ mek yu ebul fɔ blo ɔ ɔda tin we yu kin yuz fɔ protɛkt yusɛf (PPE), yu kin stil gɛt asma we yu kin gɛt na yu wokples . So, if yu gɛt sɔm sayn dɛn, nɔ ignore dɛn.
Us wok dɛn wae gɛt bɔrku risk fɔ gɛt asma wae de woke?
Ɛni wok we de mek yu gɛt tin dɛn we de mek yu bɔdi vɛks kin gɛt dis prɔblɛm. Bɔt di risk kin pas smɔl fɔ di wan dɛn we de du dɛn wok ya:
- Bekeri woka, fama, granary woka, mil woka
- Pipul dɛm we de wok na di wɛlbɔdi sɛktɔ (e.g. nɔs dɛm, laboratori wokman dɛm) .
- Pipul dɛn we de wok na say dɛn we dɛn de mek mɛrɛsin, mɔ usay dɛn de pul famasi paoda na di ays
- Pipul dɛn we de wok wit animal (e.g. vetɛriana, animal kipa) .
- Pipul dɛn we kin wok wit tin dɛn fɔ klin bɔku tɛm
- Pipul dɛn we de wok wit mɛtal, plastic, ɛn wud (e.g., kapɛnta wok, fɔ mek fɔnicha, fɔ wok wit mɛtal)
- Pipul dɛn we de wok na motoka pent ɛn sprɛy bɔt
Aw a go no if na mi woke de mek a gɛt asma?
Aw yu go no if na yu woke de mek yu gɛt asma? I rili simpul. If yu sik kin bɛtɛ wae yu de blok frɔm woke, wae yu de go vaykashun, ɔr de na os fɔ di wikɛnd, den e go mɔs bi se na sɔmtin na yu woke de mek yu gɛt dis sik.
Bɔt sɔmtɛm, di sayn dɛm nɔr kin dɔn kwik kwik wan afta yu dɔn kɔmɔt na di wokples. I kin tek sɔm wiks fɔ si se di sayn dɛm wae de sho se yu gɛt dis sik dɔn go dɔŋ. So nɔ giv ɔp jɔs bikɔs dɛn nɔ go go insay wan ɔ tu dez.
Wetin na di prɔblɛm dɛn we kin apin we pɔsin gɛt asma we pɔsin kin gɛt we i de wok?
Sɔntɛnde, asma atak kin mek pɔsin in layf de pan denja, ɛn dis kin mek i nɔ izi fɔ blo. Dɔn bak, if yu kɔntinyu fɔ gɛt dɛn tin ya we de mek yu vɛks, dat kin pwɛl di lɔng dɛn, ɛn sɔntɛm i kin mek yu gɛt skata. Dis kin mek i nɔ ebul fɔ du di wok we di lɔng dɛn de du fɔ ɔltɛm.
Aw dɛn kin no se pɔsin gɛt Occupational Asthma?
Na wan dɔktɔ we de mɛn alɛji, dɔktɔ we spɛshal pan alɛji, ɔ dɔktɔ we sabi bɔt pulmonɔlɔjis, we na dɔktɔ we sabi bɔt sik dɛn we de mek pɔsin ebul fɔ blo, kin no dis. De dɔktɔ go aks yu bɔt yu sik ɛn aks yu bɔt yu ɛn yu famili in mɛrɛsin.
I rili impɔtant fɔ tɛl yu dɔktɔ wetin na yu wok. Da we de, di dɔktɔ kin no wetin de mek dɛn gɛt dɛn asma atak ya.
Bifo yu go to yu dɔktɔ, i go fayn fɔ mek yu rayt wan jɔnal fɔ no ustɛm yu sik kin apin, aw i kin tranga, ɛn if yu kin fil fayn we yu du sɔm tin dɛn. Dis go ɛp yu dɔktɔ fɔ no if dis na sik we gɛt fɔ du wit wok ɔ ɔda tin.
Us tɛst dɛn kin yuz fɔ no if pɔsin gɛt asma we pɔsin kin gɛt we i de wok?
Yu dɔktɔ kin du tɛst dɛn lɛk dɛn wan ya fɔ si aw yu lɔng dɛn de wok ɛn fɔ no ɔda tin dɛn we de apin to yu:
- Alɛji blɔd tɛst ɔr skin tɛst: Dɛn tin ya kin no if alɛji de mek yu gɛt asma sayn dɛm.
- Spirometry: Dis na di tεst we dεn kin du mכst kכmכn fכ di lכng fכnshכn tεst. I de mɛzhɔ aw di briz de muv fayn fayn wan na yu lɔng dɛn.
- Chɛst X-ray ɔ CT skan: Dis kin ɛp yu dɔktɔ fɔ pul ɔda tin dɛn we kin mek yu gɛt di sik.
- Pik flɔ mita: Dis na smɔl tin we kin mɛzhɔ aw yu aywe dɛn kin blok sɔm tɛm dɛn, lɛk we yu de wok. Yu dɔktɔ kin gi yu dis fɔ kɛr go na os ɛn aks yu fɔ tek mɛzhɔmɛnt difrɛn tɛm dɛn na di de ɛn rayt am.
Aw fɔ kɔntrol asma we pɔsin kin gɛt we i de wok?
Bɔku pipul dɛn kin ebul fɔ du dis wit tin dɛn we dɛn kin yuz fɔ blo ɛvride . Dɛn tin ya kin gɛt wan kɔmbayn mɛrɛsin we de ridyus di inflamɛns (bɔku tɛm na stɛroyd) ɛn wan mɛrɛsin we de opin di say dɛn we di briz de blo (bronchodilator). Di tin we impɔtant pas ɔl na fɔ yuz di inhala kɔrɛkt wan, ɛvride, lɛk aw yu dɔktɔ tɛl yu. Yu dɔktɔ advays yu bak fɔ avɔyd tin dɛn we de mek yu gɛt asma as yu ebul.
Apat frɔm dat, di dɔktɔ kin gi am mɛrɛsin dɛn bak lɛk:
- Wan rɛskɔ inhala: Yu fɔ kip wan inhala wit wan kwik-akt brɔnkodilɛta (e.g., albuterol) fɔ yuz if yu asma wɔs.
- (Nɛbulayza) Wan:Sɔm mɛrɛsin dɛn kin tek lɛk mist tru mask we dɛn kin wɛr na yu fes we yu de yuz nebulizer mashin, pas fɔ tek am tru inhala.
- Leukotriene modifiers: Na wan kayn pil we dɛn kin tek ɛvride. Dis kin ɛp fɔ ridyus di asma simptom dɛm ɛn ridyus di nɔmba fɔ di asma atak dɛm.
- (Biologic therapy): Dɛn ɔda mɛrɛsin ya kin nid fɔ pipul dɛm wae gɛt siriɔs sik wae nɔr dɔn du ɔda tritmɛnt.
Yu tink se kɔmplit mɛrɛsin de fɔ asma we pɔsin kin gɛt we i de wok?
Lɛk ɔda kayn asma, nɔr kɔmplit mɛrɛsin nɔr de fɔ asma wae de na woke. Bɔt yu kin kɔntrol am fayn fayn wan if yu avɔyd di tin dɛn we kin mek yu sik ɛn yuz di mɛrɛsin we yu dɔktɔ tɛl yu fɔ du.
Wetin a kin ɛkspɛkt if a gɛt (Occupational Asthma)?
If yu gɛt ɔkupeshɔnal asma, yu kin ridyus ɔ pul asma atak if yu ebul fɔ avɔyd di tin dɛn we kin mek yu gɛt asma. I nɔ kin izi ɔltɛm. Ivin if mɛrɛsin ɛp, if yu kɔntinyu fɔ gɛt tin dɛn we de mek yu gɛt dis sik, di sayn dɛn kin kɔntinyu fɔ de ɛn yu lɔng dɛn kin pwɛl fɔ ɔltɛm. So, tray fɔ de fa frɔm dɛn tin dɛn de we kin mek yu fil bad as yu ebul.
Aw lɔŋ e go tek fɔ fil fayn if yu de fa frɔm tin dɛm wae kin mek yu gɛt asma?
Afta yu dɔn chenj yu wok, yu kin bigin fɔ fil fayn insay sɔm dez ɔr wiks afta yu dɔn avɔyd de tin wae kin mek yu gɛt asma. Sɔntɛnde, i kin tek lɔng tɛm. Yu kin aks yu dɔktɔ aw lɔng i go tek fɔ mek yu fil fayn.
Yu tink se dɛn kin ebul fɔ avɔyd Occupational Asthma?
De impɔtant tin wae yu kin du fɔ ridyus dis risk na fɔ avɔyd fɔ blo wit tin dɛm wae de mek yu vɛks. Dis kin inklud fɔ aks fɔ mek dɛn transfa yu to difrɛn wok na yu wokples, ɔ ivin chenj yu wok ɔltogɛda if i pɔsibul.
Bɔku ɔda we dɛn de fɔ ridyus di risk fɔ mek asma wɔs:
- Wear respirator mask: If yu nɔ ebul fɔ avɔyd tin dɛn we de mek yu vɛks ɔltogɛda, i kin ɛp fɔ wɛr mask we dɛn dɔn gri fɔ filta di tin dɛn we yu de wok wit.
- Na say dɛn nɔmɔ we briz de blo fayn nɔmɔ fɔ wok: If yu opin winda ɛn domɔt dɛn, dat kin ɛp, bɔt i nɔ go du fɔ yu. If yu de wok wit tin dɛn we de mek yu gɛt prɔblɛm, mek shɔ se yu gɛt ɛgzoz sistem we de wok fayn.
- Yuz tin dɛn fɔ tek ples fɔ tin dɛn we de ambɔg yu: If i pɔsibul, yu bɔs kin yuz tin dɛn we nɔ de mek yu lɔng dɛn vɛks.
- Chek di wokples sef ɛn wɛlbɔdi standad: Yu kin tɔk to yu kɔntri in wokples sefty ɛjɛnshi (e.g., di Dipatmɛnt fɔ Leba na Sri Lanka) fɔ no if yu wokples gɛt di rayt standad.
Ustɛm a fɔ go to dɔktɔ?
If yu gɛt ɛni asma sayn we yu de wok, mek shɔ se yu go to dɔktɔ.Rayt yu sayn dɛm, ustɛm dɛn kin apin, ɛn if dɛn kin wɛl wit sɔm tritmɛnt dɛm. Yu dɔktɔ kin sɛn yu to spɛshal pɔsin.
Di dɔktɔ kin advays yu bak bɔt aw fɔ tɔk to yu bɔs bɔt dis.
Ustɛm a fɔ go na di Imejɛnsi Tritmɛnt Yunit (ETU) ?
If yu gɛt siriɔs asma atak, yu nid fɔ go to dɔktɔ wantɛm wantɛm. Di fɔs tin we yu fɔ du na fɔ yuz yu rescue inhaler.
If yu rescue inhaler nɔ ɛp, ɔ yu nɔ gɛt wan wit yu, go na di imejensi rum we de nia yu. Sayn dɛm fɔ se yu gɛt siriɔs asma atak na:
- Di skin kin tɔn blu, di lip, ɛn finga nel kin tɔn blu (fɔ pipul dɛn we gɛt fayn fayn skin) ɔ di lip ɛn gam kin tɔn grey ɔ wayt (fɔ pipul dɛn we gɛt dak skin) .
- A kin rili fil se a nɔ de rɛst ɛn a kin wɔri.
- Chɛst tayt ɔ pen
- Wi de swɛt lawd wan ɔ we yu de kɔf ɔltɛm
- I at fɔ tɔk.
- Fɔ blo kwik kwik wan
Us kwɛstyɔn dɛn a fɔ aks mi dɔktɔ?
We yu mit di dɔktɔ, i go fayn fɔ mek yu aks kwɛstyɔn dɛn lɛk dɛn wan ya:
- Aw a fɔ yuz dis mɛrɛsin/divays?
- Ustɛm a fɔ yuz mi rescue inhaler?
- Ustɛm a fɔ go na di imejensi rum?
- Aw a go mek a nɔ gɛt asma atak?
- A go ebul fɔ kɔntinyu fɔ du dis wok?
- Risk de fɔ mek mi lɔng dɛn pwɛl?
Fɔ dɔn, yu fɔ se...
We yu no se di say we yu de wok de mek yu sik, yu go rili fil bad ɛn yu at pwɛl. Kwɛshɔn dɛn lɛk, "Wetin a de du naw? A fɔ lɛf mi wok?" kin kam na yu maynd. Bɔt nɔr kin nid fɔ lɛf yu wok ɔltɛm fɔ mek yu wɛl frɔm asma wae yu kin gɛt na yu woke. Sɔntɛm ɔda we dɛn de fɔ protɛkt yu wɛlbɔdi.
De tin wae impɔtant pas ɔl na fɔ gɛt diagnosis, tɔk to yu dɔktɔ, ɛn lan bɔt aw fɔ mɛn yu asma. Tɔk to yu bɔs, bak, ɛn aks fɔ ɛp fɔ tek step fɔ protɛkt yusɛf ɛn ɔda pipul dɛm frɔm tin dɛm wae kin mek yu gɛt asma. Dis kin inklud ɛkstra tin dɛn fɔ protɛkt yusɛf ɔ chenj yu wok. Dɛn tin ya kin tan lɛk se na prɔblɛm, bɔt dɛn kin fayn fɔ du am as tɛm de go fɔ protɛkt yu wɛlbɔdi. Nɔto yu wan de, ɛn dɔktɔ ɛn wɛlbɔdi biznɛs pipul dɛn de we go ɛp yu we yu de go.
👩🏽 ⚕️ Ɔda kwɛstyɔn dɛn (FAQ dɛn)
💬 Yu tink se Occupational Asthma na asma we dɛn bɔn wit?
Nɔ! Dis nɔto sɔntin we pɔsin kin gɛt frɔm in mama ɛn papa ɔ we pɔsin kin gɛt frɔm am. Dɛn kɔl dis Alɛji Asma, we kin kam we pɔsin in imyun sistɛm kin ambɔg bikɔs ɔf sɔm dɔst, kemikal fכm, gas, ɔ animal dander we kin kam insay di bɔdi (tru we i de blo) na di ‘wokples/faktɔri’ nɔmɔ usay dɛn de wok.
💬 Aw yu go no if na wok mek dis dres?
Di big ɛn klia pruf fɔ dis na dat ‘we a go na os ɔ fɔ go ɔlide, di sik dɛn kin stɔp kpatakpata.’ Bɔt jɔs lɛk aw a kin go bak na wok (na di faktri) insay di wik, mi chɛst kin tayt, a kin kɔf, a kin mek ‘wheezing’ sawnd we a de blo, ɛn i kin rili at fɔ blo.
💬 I okay fo mi fo yus inhala fo avoid dis?
Inhala (Bronchodilators/Steroids) de jɔs gi sɔm tɛmporari rilif. Bɔt if yu kɔntinyu fɔ go na di ples usay da pɔyzin gas/dɔst de, yu lɔng dɛn kin pwɛl fɔ ɔltɛm (Permanent lung damage). So, di onli 100% pɔrmanent sɔlvishɔn fɔ dis na fɔ kɔmplit wan fɔ de fa frɔm da envayrɔmɛnt/wok de (Avoidance)!
` Asma, Ɔkupeshɔnal Asma, Difikulti fɔ Brith, Lɔng Sik, Respiratory Disease, Alɛji, Wokples Wɛlbɔdi
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