Wi ɔl dɔn yɛri bɔt it pɔyzin, nɔto so? Sɔntɛnde, wi kin sik bikɔs wi it tin dɛn we dɛn put insay tin ɔ it we wi nɔ kuk fayn. Bɔt yu no se dɛn tin ya kin mek pɔsin gɛt wan sik we rili denja, ivin we kin mek pɔsin in layf de pan denja? Tide wi de tɔk bɔt wan pan dɛn kayn tin ya we nɔ kin apin so ɔltɛm, bɔt we rili impɔtant fɔ no bɔt. Dat na botulism.
Fɔ tɔk am simpul wan, wetin na botulism?
Bɔtulism na wan sik we rili siriɔs, bɔt we nɔ kin apin so ɔltɛm. na wan baktri we dεn kכl `Clostridium botulinum` de kכz am. Dis baktri de mek wan pɔyzin we rili pawaful, dat na , pɔyzin . Dis pɔyzin de atak wi bɔdi in nervɔs sistɛm. dis pכyzin de akt lεk se i de ‘sכt-sכt' di ‘wayring sistεm’ na wi bכdi. Dis kin mek wi mɔsul dɛn bigin fɔ lɔs trɛnk, dat min se dɛn kin paralayz. If dɛn nɔ trit am insay di rayt tɛm, dis kin kil pɔsin.
Wi kin tɔk bɔt tri men kayn botulism:
1. Foodborne botulism: Dis na di kayn we we pipul dɛn kin gɛt mɔ. dis kכndyushכn kin apin we yu it it we kכntamin wit di baktri dεm `Clostridium botulinum`. Dis risk kin bɔku mɔ wit it dɛn we dɛn kin put insay tin na os we dɛn nɔ sterilayz fayn.
2. Wound botulism: Dis kayn tin kin apin we dis baktri de go insay wan wund na yu bɔdi ɛn bigin fɔ mek pɔyzin insay di wund.
3. Infant botulism: Dis na wan kayn botulism we kin afɛkt pikin dɛn we nɔ rich wan ia yet. If pikin it sɔntin we gɛt dis bɔdi we gɛt dis bɔdi lɛk ɔni, di spɔt dɛn kin gro to baktri na di pikin in intestin ɛn mek pɔyzin.
Apat frɔm dɛn wan ya, sɔm ɔda kayn dɛn de, bɔt dɛn kin rili, rili rare.
Wetin na di sayn dɛm fɔ dis denja sik?
Di sayn dɛm fɔ botulism kin difrɛn smɔl dipen pan aw di pɔyzin go insay di bɔdi. Bɔt, in jɛnɛral, dis na sayn dɛm wae gɛt fɔ du wit di nervɔs sistɛm, so yu fɔ de wach fɔ dɛn.
Di sayn dɛm fɔ di botulism we pɔsin kin gɛt we i de it
Di sik kin bigin jɔs afta sɔm awa afta yu it it we gɛt dɔti, ɔ sɔm tɛm dɛn kin bigin tu wiks.
De tin wae impɔtant pas ɔl na wae dɛn sik ya kin skata frɔm ɔp to dɔŋ pat na di bɔdi. Ɛn dɛn kin afɛkt ɔl tu di say dɛn na di bɔdi ikwal wan. Bɔt nɔbɔdi nɔ de we nɔ gɛt bɛtɛ trɛnk, na jɔs di mɔsul dɛn we wik.
Lɛ wi ɔndastand dɛn sik ya klia wan frɔm di tebul we de dɔŋ ya.
| Di sayn we de sho se di sik de | Wan simpul ɛksplen |
|---|---|
| Di simptom dɛm we kin kam pan di fɔs stej | Tin dɛm lɛk bɛlɛ we de at, nɔs ɔ vɔmit, ɛn blo. |
| Blɔr vishɔn/dɔbul vishɔn | We di yay mɔsul dɛn wik, dat kin mek di yay si tu tin dɛn lɛk di sem. |
| Aylid we de drɔp (Ptosis) . | Di mɔsul dɛn we de kɔntrol di yaylid dɛn wik, ɛn di yay dɛn kin tray fɔ lɔk, lɛk se dɛn de slip. |
| I nɔ kin izi fɔ tɔk (Dysarthria) . | Bikɔs di mɔsul dɛn na di tɔŋ ɛn mɔt wik, di wɔd dɛn kin slɔp ɛn i nɔ kin izi fɔ tɔk fayn. |
| I nɔ kin izi fɔ swɛla (Dysphagia) . | Di mɔsul dɛn na di trot we wik kin mek i nɔ izi fɔ swɛla ivin smɔl smɔl saliva. |
| Di mɔsul dɛn we de na di fes wik | Di fes nɔ kin sho ɛni filin, i kin stil de di sem. |
| We di sik de wɔs | |
| I nɔ izi fɔ blo (Dyspnea) . | Dis na di sayn we denja pas ɔl. Di mɔsul dɛm na yu chɛst ɛn bɛlɛ we de ɛp yu fɔ blo nɔ de wok igen. |
| Banbɛlɛ | di intestinal fכnshכn de stכp εn di stכl nכ kin kכmכt. |
| I kin wik bad bad wan na di an ɛn fut dɛn | Di mɔsul dɛn na di an ɛn leg kin wik, ɛn dis kin mek i nɔ ebul fɔ waka ɔ ivin es wan an. |
Difrɛns pan wund-bɔrn botulism
Dis kin inklud bak di nyurolɔjik simptom dɛm wae wi bin dɔn tɔk bɔt, bɔt sɔm smɔl difrɛns de.
- Fɔs, di bɛlɛ nɔ de pwɛl bikɔs di pɔyzin de kɔmɔt insay di wund, nɔto insay di dijestiv trakt.
- Fiva kin apin. Fiva kin kam bikɔs ɔf infekshɔn na di wund.
- Di sayn dɛm kin tek lɔng tɛm fɔ sho, bɔrku tɛm na wan to tri wik.
I rili impɔtant: Bɔtulism na sik we nɔ kin bɔku. Bɔt if yu ɔ pikin we yu de kia fɔ gɛt wan ɔ mɔ pan dɛn sik ya, trit am lɛk se na mɛdikal imejensi. Go na di ɔspitul imejensi rum (ETU) we de nia yu wantɛm wantɛm. Nɔ delay.
Aw dis baktri kin go insay wi bɔdi?
di spot dεm fכ di baktri we nem Clostridium botulinum de na di grכn כlsay na di wכl. Dɛn spot ya kin rili ebul fɔ bia. Bɔt we dɛn fɛn fayn ples, dɛn kin:
- Ples we nɔ gɛt bɛtɛ ɔksijɛn (lɛk insay tin ɔ bɔtul) .
- Wan ples we gɛt smɔl asid
- Ples we nɔ gɛt bɛtɛ shuga ɔ sɔl
- If dɛn dɔn kip am hot pas di tɛmpracha we dɛn dɔn tɔk bɔt
...Dεn spot dεm ya kin tכn to baktri dεm bak, gro, εn bigin fכ mek da denja tכxin de.
Fɔ it: Dis risk kin de if dɛn nɔ sterilayz pikɛl, jam, ɛn sos we dɛn mek na os fayn ɛn kuk dɛn prɛshɔn na di kɔrɛkt tɛmpracha. Sɔntɛnde dis kin apin wit tin dɛn we dɛn kin bay na stɔ. If di tin luk lɛk se i dɔn blo ɔ i dɔn swel, i kin bi sayn fɔ se baktri dɛn de wok.
Wund dεm: εni wund kin introdכks dεn baktri spכr dεm ya, we de insay di grכn. Dis risk kin pasmak pan pipul dɛm wae de injekt drɔgs. I kin apin bak tru injury frɔm siriɔs aksidɛnt, lɛk gɔn shot wund.
bεlε pikin dεm: biכs di imyun sistεm we de na di intestכn dεm fכ bebi dεm we nכ rich wan ia nכ de divεlכp ful wan, if di spכr dεm we de insay sכmtin lεk כni go insay di bכdi, dεn go bigin fכ mek tכxin dεm na di intestכn dεm. Na dat mek dɛn se dɛn nɔ fɔ gi pikin dɛn we nɔ rich wan ia yet ɔni.
Aw dɛn kin no di sik ɛn trit am?
We yu go na ɔspitul, di dɔktɔ go tek tɛm lisin to yu sayn dɛn. I go aks yu kwɛstyɔn dɛn bɔt wetin yu dɔn it dis biɛn tɛm, lɛk if yu dɔn it ɛnitin we dɛn put insay tin. Dɔn i go chɛk yu bɔdi ɛn du nyurolɔjik ɛgzam.
Labɔrɔtɔri tɛst impɔtant fɔ no if pɔsin gɛt di sik. Dɛn go tɛst yu stɔl, yu blɔd, ɔ yu vɔmit fɔ si if ɛni pɔyzin de de.
Yu dɔktɔ kin ɔda bak fɔ mek dɛn du tɛst lɛk CT skan ɔ MRI skan fɔ no ɔda tin dɛn we gɛt di sem sayn dɛn we gɛt fɔ du wit botulism, lɛk strok, mɛningaytis, ɛn Guillain-Barré syndrome.
Di we aw dɛn kin trit am
Di men gol fɔ trit botulism na fɔ mek di pɔyzin we de na di bɔdi nɔ wok kwik kwik wan ɛn stɔp di tin dɛn we i de du we de mek pɔsin in layf de pan denja.
- Botulinum antitoxin: Dis na di men mɛrɛsin. I tan lɛk wan mɛrɛsin we de mek pɔsin nɔ gɛt pɔyzin. I de kech di pɔyzin we fri na di bɔdi ɛn mek i nɔ wok.
- Sɔpɔt fɔ brith: If di mɔsul dɛn we de blo nɔ wok, di pɔsin nɔ kin ebul fɔ blo insɛf. Da tɛm de, dɛn kin kɔnɛkt dɛn to mashin we dɛn kin yuz fɔ blo (ventilator) fɔ sev dɛn layf.
- Tritmɛnt fɔ wund: If na wund mek di wund, dɛn go ɔpreshɔn di wund fayn fayn wan, ɛn dɛn go gi antibayɔtik fɔ kil ɛni baktri we lɛf, ɛn dɛn go gi am antibayɔtik.
- Spɛshal tritmɛnt fɔ pikin dɛn: Dɛn kin gi spɛshal tritmɛnt we dɛn kɔl botulinum immune globulin (bebi BIG) to smɔl pikin dɛn.
Fɔ wɛl kin tek sɔm mɔnt, ɛn insay dis tɛm, yu go nid fɔ de ɔnda di sɔpɔtishɔn fɔ spɛshal dɔktɔ ɛn nɔs wokman dɛn na di ɔspitul in intensiv kia yunit.
Wi nɔ go ebul fɔ protɛkt wisɛf frɔm dis?
Na tru se i pɔsibul! Bɔtulism na wan sik we dɛn kin ebul fɔ avɔyd bɔku tɛm. Wi jɔs gɛt fɔ rili tek tɛm, mɔ we i kam pan it.
| Di we aw fɔ mek dɛn nɔ gɛt di sik | Wetin fɔ du |
|---|---|
| Fɔd sef | |
| Fɔ kip tin fɔ it | Put di it we yu dɔn kuk na frij insay tu awa. If yu lɛf am, i kin mek di baktriyal spɔr dɛn gro. |
| Fɔ kuk fayn fayn wan | Yu kin kil baktri bay we yu wam am we di ples wam pas 100 digri sɛlshiɔs (100°C) fɔ 10 minit. |
| Fɔd we dɛn kin put insay tin fɔ it | Trowe tin dɛn we dɔn swel ɔ we dɔn blo insay. If dɛn de smɛl bad we yu opin dɛn, nɔ it dɛn. |
| Fɔ kip it na os | If yu de tin ɔ bɔtul it na os, fala di rayt we fɔ sterilayz. If yu yuz prɛshɔn kuka, fɔ stim am na 121 digri sɛlshiɔs (250°F) fɔ 30 minit, i go fayn. |
| Protɛkshɔn frɔm injuri | |
| Fɔ kia fɔ wund | Wash ɛni wund fayn fayn wan wit sop ɛn kip am klin. If wund nɔ wɛl insay sɔm dez ɛn bigin fɔ bɔn, go to dɔktɔ wantɛm wantɛm. |
| Ɔda | Nɔ yuz drɔgs we nɔ rayt. If yu de gɛt Botulinum toxin injɛkshɔn fɔ kɔsmɛtik, na dɔktɔ we gɛt laysens ɛn kwalifay nɔmɔ du am. |
Pan ɔl we botulism na sɔntin we wi fɔ fred, wi kin rili sef bay we wi no bɔt am ɛn tek tɛm. I impɔtant mɔ fɔ tek tɛm we yu de kuk ɛn kip it. If yu ɛva gɛt smɔl dawt bɔt dis, nɔ de te fɔ go to dɔktɔ. Bikɔs tritmɛnt kwik kwik wan kin sev pɔsin in layf.
Mɛsej we dɛn kin kɛr go na os
- Botulism na siriɔs sik we de afɛkt di nervɔs sistɛm we wan pɔyzin we di baktri we dɛn kɔl Clostridium botulinum de mek.
- Di men sayn dɛm na fɔ si tu tɛm, i nɔ kin izi fɔ tɔk ɛn swɛla, di yaylid kin drɔp, ɛn i kin at fɔ blo.
- If yu gɛt dɛn sik ya, na mɛdikal imejensi. Go na ɔspitul in Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm.
- Nɔ it tin dɛn we yu kin put insay tin fɔ it na os, tin dɛn we kin bɔl, ɛn tin dɛn we nɔ kin smɛl bad. I rili impɔtant fɔ kuk it fayn fayn wan.
- Nɔ gi ɔni to bebi dɛn we nɔ rich wan ia yet fɔ ɛni rizin.
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