Sik dɛn de we wi nɔ yɛri bɔt, bɔt dɛn kin bɔku na sɔm kɔntri dɛn na di wɔl. Tide wi go tɔk bɔt wan sik we de skata na sɔm kayn we we strenj, mɔ na Nɔt, Sɛntral ɛn Sawt Amɛrika kɔntri dɛn. Dɛn kɔl dis Chagas Sik. Sɔm pipul dɛn kin kɔl am bak "American Trypanosomiasis". Pan ɔl we di nem kin tan lɛk se yu de mek yu fred, i rili impɔtant fɔ no bɔt dis, mɔ if yu de travul go na da kayn kɔntri de.
Fɔ tɔk am simpul wan, wetin na Chagas sik?
Chagas sik na infεkshכn we wan sכmכl parasayt we dεn kכl `(Trypanosoma cruzi)` . Dis parasayt na wan spɛshal insɛkt de kɛr am. Dɛn kɔl dis insɛkt "Triatomine bug". Bɔt dɛn sabi dis wan mɔ as di "Kissing Bug".
Naw yu kin de wɔnda wetin mek dɛn kɔl dis insɛkt "kissing bug." Di rizin na bikɔs dis insɛkt kin kam na nɛt we pipul dɛn de slip ɛn i kin bit dɛn fes, mɔ di say dɛn we de rawnd di lip ɔ yay. I gɛt in nem bikɔs i de bit di we we tan lɛk se i de gi dɛn kis.
Bɔt di sik nɔ kin jɔs pas we di insɛkt dɛn bit am. Dis na wetin kin apin:
1. As di "kissing bug" de sok bכdi na yu bכdi, i de fכk nia di say we yu bayt.
2. Di parasayt `(Trypanosoma cruzi)` we a bin tok bifo de insay dis insekt in fes.
3. If yu aksidɛntli skrach ɔ tɔch di say we yu bayt, di parasayt in fes kin go insay yu bɔdi tru di wund, yu yay, yu nos, ɔ yu mɔt.
Di tin we impɔtant pas ɔl na dat, di Chagas sik nɔ kin pas tru di bayt we insɛkt de bit, bɔt na we pɔsin it di insɛkt in fes.
De tin wae denja pasmak pan dis sik na wae bɔrku pipul nɔr kin sho ɛni sayn wae de sik na di fɔs stej wae de sik. So dɛn nɔ kin ivin no se dɛn gɛt dis sik. If dɛn nɔ trit dis infekshɔn, i kin te ɛn i kin mek di at ɛn di dijestiv sistɛm pwɛl bad bad wan fɔ lɔng lɔng tɛm, ivin fɔ lɔng lɔng tɛm.
Wetin na di sayn dɛm fɔ Chagas sik?
Chagas sik gɛt tu men pat: di akyu faz ɛn di kronik faz.
Di fɔs simptom dɛm (akyu stej) .
Dɛn sayn ya kin apia insay di fɔs wik ɔr tu mɔnt afta yu gɛt di sik. Bɔt bɔrku pipul dɛn nɔr kin gɛt ɛni sayn at ɔl , ɔr de sayn dɛm wae dɛn kin gɛt nɔr kin pasmak, lɛk nɔrmal flu.
- Fiva
- Bɔdi pen
- We pɔsin taya
- Ed de at
- Dayarɛa ɛn vɔmit
- Di say we di insɛkt bit yu kin rɛd, swel, ɛn sɔntɛnde i kin tɔn to sɔri (chagoma).
- Di aylid kin swel bad bad wan. Dɛn kɔl dis "Romaña in sayn" insay mɛrɛsin. Dis na wan rili patikyula sayn.
Simptom dɛm wae kin kam as tɛm de go (chronic stej) .
If dεn nכ trit di fכs stej, di infεkshכn de stil de na di bכdi. Bɔt i kin de fɔ lɔng lɔng tɛm ɛn nɔ kin sho ɛni sayn. Na lɛk 30% - 40% pan di pipul dɛm we gɛt di sik go dɔn gɛt siriɔs kɔmplikeshɔn. Dis na di sayn dɛm wae de mek yu denja pas ɔl:
| Di bɔdi sistɛm | Aw e kin afɛkt ɛn de simptom dɛm |
|---|---|
| Di sayn dɛm we gɛt fɔ du wit di at |
|
| Di simptom dɛm we gɛt fɔ du wit di dijestiv sistɛm |
Na di "kisin bug" nכmכ de spre dis sik?
Dis sik kin pas am mɔ bay di "kissing bug". Bɔt i kin skata bak pan bɔku ɔda we dɛn.
- Frɔm mama to pikin: If mama we gɛt bɛlɛ gɛt dis infekshɔn, i kin pas to in pikin tru di plasɛnta, we i de bɔn pikin, ɔ we i de gi in bɛlɛ.
- Tru it we gɛt di sik: Na bay we yu drink it ɔ frut jus (especially unpasteurized) we gɛt di parasayt.
- Blɔd transfyushɔn ɔ ɔgan transplant: Fɔ gɛt blɔd ɔ ɔgan frɔm pɔsin we gɛt di sik. Bɔt dis risk dɔn smɔl naw na bɔku kɔntri dɛn bikɔs naw dɛn de chɛk di wan dɛn we de gi blɔd fɔ si if dɛn gɛt Chagas sik.
Udat dɛn kin gɛt dis sik?
Dis sik nɔr kin bɔrku na Sri Lanka, bɔt de risk kin bɔrku fɔ di wan dɛm wae gɛt dis sik:
- If yu de ɔ yu dɔn liv na rural eria na Sawt Amɛrika, Sɛntral Amɛrika, ɔ Mɛksiko, mɔ na os dɛn we gɛt dɔti wɔl, ruf we dɛn mek wit gras, ɛn we nɔ gɛt skrin na di winda, di "kissing bug" go mɔs de na dɛn kayn ples dɛn de.
- If di mama gɛt Chagas sik ɛn dɛn bɔn di pikin.
- If dɛn bin gɛda di blɔd bifo dɛn bin gɛt we fɔ tɛst blɔd (na bɔku kɔntri dɛn bitwin 1990-2007).
Siriɔs kɔmplikeshɔn dɛm wae kin kam bikɔs ɔf Chagas sik
Wi nid fɔ wɔri mɔ bɔt dis sik bikɔs ɔf di prɔblɛm dɛn we i kin gɛt fɔ lɔng tɛm.
di fכs stej dεm, spεshal wan pan pipul dεm we di imyun kכmprכmis εn yכng pikin dεm, kכndyushכn dεm we de mek dεn layf de pan denja lεk fכ inflameshn na di at mכsul (myocarditis) כ inflameshn na di bren εn meninges (meningoencephalitis) kin apin. Dis na tin dɛn we nid fɔ gɛt mɛrɛsin kwik kwik wan.
di men komplikashכn dεm we kin apin na di krεse fכs na:
- At nɔ de bit ɔltɛm (Arrhythmia): At nɔ de bit ɔltɛm.
- Cardiac arrest: Di at kin stɔp fɔ wok wantɛm wantɛm.
- Dilated cardiomyopathy: Di at mɔsul kin wik, di at kin big, ɛn i nɔ kin ebul fɔ pɔmp blɔd fayn fayn wan.
- At nɔ de wok fayn: Di at nɔ kin ebul fɔ pɔmp inof blɔd to di bɔdi.
- Di εsophagus we dɔn big: I nɔ kin izi fɔ swɛla it.
- Kɔlɔn we big: Siriɔs kɔnstipɛshɔn kin apin.
Aw yu go no if yu gɛt dis sik?
Di men we fɔ no if yu gɛt Chagas sik na fɔ du blɔd tɛst . dis de chεk fכ antibodi dεm na di bכdi, we na di bכdi in imyun sistεm in difεns εgεst di T. cruzi parasayt.
If yu gɛt ɛni sayn we gɛt fɔ du wit yu at ɔ yu dijestiv sistɛm, yu dɔktɔ kin tɛl yu fɔ du ɔda tɛst.
- Echocardiogram: Na skan fɔ luk aw di at de wok ɛn aw i tan.
- Ilɛktrokardiogram (EKG/ECG): Na tɛst fɔ di ilɛktrik aktiviti na di at.
- X-ray ɔ CT skan: Fɔ tek pikchɔ fɔ di chɛst ɔ di bɛlɛ.
- כp εndoskopi: fכ egzamin di εsophagus bay we dεn de yuz tכb wit kεmεra.
- Kolonoskopi: Fɔ chɛk di big intestinal.
Ɛni tritmɛnt de?
Yɛs, fɔtunate wan tritmɛnt de fɔ dis. Dɛn kin yuz tu drɔgs dɛn we kin kil parasayt dɛn mɔ. Dɛn na `bɛnznidazɔl` ɛn `nifurtimox` .
Impɔtant tin na dat, dɛn mɛrɛsin ya kin wok fayn pasmak we dɛn tek am di fɔs, ɔ akyu stej fɔ di infɛkshɔn. Pan ɔl we dɛn mɛrɛsin ya nɔ kin pul di parasayt kɔmɔt kpatakpata na di stej we de te, dɛn kin ridyus di risk fɔ gɛt siriɔs prɔblɛm dɛn.
Sɔm pipul dɛn kin gɛt sayd ɛfɛkt we dɛn de tek dis mɛrɛsin. Fɔ ɛgzampul, i nɔ kin want fɔ it igen, i nɔ kin fil fayn, i kin vɔmit, i kin gɛt ed we kin at , ɛn di mɔsul dɛn kin at. If ɛnitin lɛk dis apin, nɔ stɔp fɔ tek di mɛrɛsin, bɔt tɔk to yu dɔktɔ wantɛm wantɛm. I go gi yu sɔlv.
Ustɛm yu fɔ go to dɔktɔ?
If yu dɔn liv ɔ travul go na say usay Chagas sik kin bɔku, i rili impɔtant fɔ go to dɔktɔ fɔ advays pan dɛn tin ya:
- If yu gɛt at sik ɔ yu gɛt prɔblɛm wit yu dijestiv sistɛm.
- If yu saspek se yu gɛt dis sik ɛn yu want fɔ du tɛst (espɛshali bifo ɔ we yu gɛt bɛlɛ).
Ustɛm yu fɔ go na di Imejɛnsi Tritmɛnt Yunit (ETU)?
If ɛni wan pan dɛn bad bad sayn ya apin, go na di Imejɛnsi Dipatmɛnt (ETU) na di ɔspitul we de nia yu wantɛm wantɛm.
- Rili bad bad ed pen
- Nek stiffness
- Bɔrku pen na yu chɛst
- Sivɛri dayarɛa ɔ vɔmit
- Kɔnfyushɔn ɔ dis maynia sik
Yu tink se dɛn go ebul fɔ avɔyd dis sik?
Yɛs, we dɛn de fɔ protɛkt yusɛf, mɔ if yu de na say dɛn ɔ yu de travul go na say dɛn we gɛt bɔku prɔblɛm dɛn.
- Sprɛy insektisayd insay ɛn rawnd os.
- Sial di ol dɛm na do ɛn winda dɛm fayn fayn wan so dat "kissing bugs" nɔ go ebul fɔ go insay di os.
- Yuz nɛt, lɛk mɔskito nɛt, we yu de slip.
- Nɔ drink frut jus we nɔ pasteurized ɛn it tin dɛn we kin gɛt di parasayt.
If yu dɔn travul go na say we yu kin gɛt bɛlɛ ɛn yu de op fɔ gɛt bɛlɛ, tɔk to yu dɔktɔ bɔt fɔ du tɛst fɔ Chagas sik.
Mɛsej we dɛn kin kɛr go na os
- Chagas sik na infεkshכn we de kכz fכ wan parasayt we de na di fes fכ wan insekt we dεn kכl "kissing bug."
- Bɔrku tɛm, di fɔs stej dɛm fɔ infekshɔn nɔr kin gɛt ɛni sayn, ɔr kin sho smɔl smɔl sayn dɛm lɛk fiva ɛn bɔdi pen.
- If dɛn nɔ trit am, siriɔs, layf-lɔng damej to di at ɛn dijestiv sistɛm kin apin afta bɔku ia.
- Dɛn kin avɔyd kɔmplikɛshɔn bay we dɛn no ɛn trit di sik kwik kwik wan.
- If yu dɔn travul go na kɔntri usay Chagas sik kin bɔku ɛn yu gɛt ɛni dawt ɔ sayn, mek shɔ se yu go to yu dɔktɔ fɔ advays.
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