Yu gɛt bad bɛlɛ bak? Lɛ wi lan bɔt dis kɔlera!

Yu mɛmba aw sɔntɛnde yu kin gɛt dayarɛa wantɛm wantɛm? Sɔntɛnde, i kin jɔs las fɔ wan ɔ tu dez ɛn afta dat i kin bɛtɛ fɔ insɛf. Bɔt, imajin, if yu gɛt dayarɛa we gɛt wata ɔltɛm, yu kin fil wik, ɛn yu kin bigin fɔ vɔmit... Dɔn yu nid fɔ tek tɛm smɔl. Bikɔs, i kin bi sayn fɔ wan sik we dɛn kɔl Kɔlera, we kin denja smɔl. Nɔ fred, tide wi go tɔk bɔt dis kɔlera simpul wan, insay wan we we yu go ɔndastand. I rili impɔtant fɔ no bɔt dis, bikɔs da tɛm de wi kin protɛkt wisɛf ɛn gɛt tritmɛnt kwik if nid de.

Wetin na kɔlera? Fɔ tɔk am simpul wan...

Fɔ tɔk am simpul wan, kɔlera na baktriyal infɛkshɔn we kin apin na wi intestinal. Dis kin mek yu gɛt dayarɛa pasmak, we gɛt wata. Fɔ tɔk di kɔrɛkt tin, ɔl di wata we de na di bɔdi dɔn lɔs. Wi kin kɔl dis kɔndishɔn dɛhaydreshɔn . Nɔto dat nɔmɔ, bɔt wi bɔdi kin lɔs ilɛktrɔlayt dɛn bak , we na impɔtant minral dɛn we de ɛp di bɔdi fɔ wok.

Impɔtant: Kɔlera na sik we kin kil pɔsin if dɛn nɔ trit am fayn. If yu gɛt dayarɛa, bigin fɔ drink bɔku wata lɛk wata ɛn jus. If di dayarɛa bad bad wan, if yu de vɔmit bɔku, ɔ if yu gɛt sayn dɛn fɔ se yu nɔ gɛt wata na yu bɔdi, yu fɔ go na ɔspitul wantɛm wantɛm .

Kɔlera kin bɔku na say dɛn we nɔ gɛt klin wata ɛn say dɛn we nɔ gɛt fayn say fɔ klin. I kin gɛt am bak we yu it raw sifud lɛk shel fish. Sɔntɛnde, kɔlera kin skata pan bad bad sik dɛn afta natura disasta, lɛk ebi ebi ren, atkwek, ɛn ebi ebi ren.

Us rijyɔn dɛn kɔlera kin bɔku pas ɔl?

Frɔm trade trade, kɔlera sik dɔn de ɔlsay na di wɔl. Bɔt dis biɛn tɛm, dɛn dɔn ripɔt di sik dɛn we dɔn kam dis biɛn tɛm na:

• Frɔm sɔm kɔntri dɛn na Eshia
• Kɔntri dɛn we de na di sawt pat na di Sahara Dɛzat na Afrika (Sɔb-Sahara Afrika)
• Frɔm di Karibian Ayland dɛn

Dɛn se bitwin wan ɛn 4 milyɔn pipul dɛn ɔlsay na di wɔl kin gɛt kɔlera ɛvri ia, ɛn bitwin 20,000 ɛn pas 100,000 pipul dɛn kin day pan am ɛvri ia. So dis nɔto sik we wi fɔ tek am layt.

Wetin na di sayn dɛm fɔ kɔlera? Aw yu no dɛn?

Di men tin we de sho se pɔsin gɛt kɔlera na we yu gɛt wata we de na yu stɔl . Dis kin bi dayarɛa we gɛt greysh, we gɛt smɔl klawd, we tan lɛk mɔkus. Tink bɔt di wata we kin kɔmɔt we wi was rays bifo wi kuk am... na dat i bi. Sɔntɛnde yu kin si smɔl smɔl mucus de flɔt na di stɔl. Dɔktɔ dɛn kin kɔl dis bak ‘rays wata stɔl’ . Dis dayarɛa kin kam bad bad wan wantɛm wantɛm ɛn i kin mek yu nɔ gɛt wata na yu bɔdi we go mek yu layf de pan denja.

Ɔda sayn dɛn we de sho se yu gɛt dis sik na:

• Fɔ vɔmit
• Intɛns tɔsti
• Taya
• Mɔsul dɛn kin kramp ɔ wik
• Diziz we pɔsin kin gɛt
• Rid ridyus ɔ stɔp fɔ pis
• Fast at rit

Bɔt yu fɔ no bak se bɔku pipul dɛn we gɛt kɔlera nɔ kin sho ɛni sayn. Dɛn kin spre dis sik to ɔda pipul dɛn, ɛn dɛn nɔ kin ivin no se dɛn sik.

Wetin kin mek pɔsin gɛt kɔlera? Aw wi kin gɛt am?

Kɔlera na wan kayn bɔdi we dɛn kɔl Vibrio cholerae (ɔ V. cholerae) . Dis baktri de liv insay wata we wam, we gɛt sɔl smɔl (brak). So, we wi drink wata ɔ it it we gɛt dis V. cholerae baktri, dis baktri de atak di wɔl dɛn na wi smɔl intestin ɛn mek pɔyzin de. Na bikɔs ɔf dɛn pɔyzin ya wi kin gɛt dayarɛa.

So, di men we dɛm wae wi kin gɛt kɔlera na:

• Na bay we yu it raw sifud lɛk ɔysta.
• Na bay we yu drink wata we gɛt di poop/feces we gɛt di V. cholerae baktri dɛm.
• bay we yu it it we dεn pripia wit wata we gεt V. cholerae baktri dεm.

Yu tink se kɔlera kin pas frɔm pɔsin to ɔda pɔsin?

Kɔlera nɔr kin pas dairekt frɔm pɔrsin to ɔda pɔrsin, lɛk kol. Dat min se, i nɔ de skata bay we pɔsin de tɔk ɔ de nia pɔsin. Bɔt i kin skata indaykt wan . Yu sabi aw fɔ du am ? Na ples we klin wata nɔ de ɛn tɔylɛt nɔ bɔku, if pɔsin we gɛt kɔlera in fes (poop) dɔti ɛn go insay di envayrɔmɛnt, i kin dɔti wata (fɔ ɛgzampul, wɛl wata, riva wata). If yu drink da wata de, ɔ kuk wit da wata de, ɔ was yu an wit am, yu kin spre di sik to ɔda pipul dɛn. Na dat mek i rili impɔtant fɔ klin.

Udat dɛn gɛt mɔ risk fɔ gɛt kɔlera?

Kɔlera kin apin mɔ na say dɛn we nɔ gɛt klin wata, say we dɛn nɔ de klin fayn, ɛn we dɛn fɔ klin wata we dɛn de drink ɛn kuk. Dis risk kin bɔku bak na di say dɛn we natura disasta (lɛk atkwek ɔ wata we kin rɔn) kin afɛkt.

Pan ɔl we ɛnibɔdi we gɛt di V. cholerae baktri kin gɛt kɔlera, sɔm pipul dɛn kin gɛt mɔ risk. Yu kin gɛt ay risk bak fɔ gɛt kɔlera if yu:

• If yu na uman.
• If yu blɔd tayp na ‘O’.
• If yu bɛlɛ asid smɔl, dat na if yu gɛt wan sik we dɛn kɔl haypoklɔraydria (fɔ ɛgzampul, if yu de tek antisid ɔ protɔn pɔmp inhibito ɔltɛm fɔ gastritis).
• If yu dɔn gɛt ɔpreshɔn fɔ pul wan pat ɔ ɔl yu bɛlɛ (gastrectomy).
• If yu gɛt H. pylori infɛkshɔn .

Wetin na di prɔblɛm dɛn we pɔsin kin gɛt we i gɛt kɔlera? Yu tink se dɛn tin ya denja?

Kɔlera denja mɔ bikɔs ɔf tu tin dɛn : di wata we de kɔmɔt na di bɔdi ɛn we di ilɛktrɔlayt dɛn we de na di bɔdi de lɔs . Kɔmplikɛshɔn wae kin kam wit dɛn kayn tin ya kin kil pɔrsin kwik kwik wan. Dɛn kayn prɔblɛm dɛn ya na:

• Hypovolemic shock: Dis na shok kכndyushכn we de kכz we di bכdi εn wata we de na di bכdi de dכn.
• Di prɔblɛm dɛn we gɛt fɔ du wit di at ritm.
• Ɔgan dɛn we nɔ de wok fayn, mɔ di kidni dɛn.

Dis na di rizin we mek wi se if dɛn tink se pɔsin gɛt kɔlera, i rili impɔtant fɔ go to tritmɛnt kwik kwik wan.

Aw dɛn kin no kɔrɛkt wan bɔt kɔlera?

Dɔktɔ dɛn kin no kɔlera bay we dɛn tek wan stɔl sɛmpul ɛn chɛk fɔ si if di V. kɔlera baktri de. Sɔntɛnde, yu dɔktɔ kin du blɔd tɛst bak fɔ chɛk yu sɔl lɛvɛl ɛn yu nɔ gɛt wata na yu bɔdi.

Wetin na di tritmɛnt fɔ kɔlera?

Di tin we impɔtant pas ɔl we yu fɔ du we yu de trit kɔlera na fɔ mek yu nɔ gɛt wata na yu bɔdi . Dis kin bi bay we yu drink bɔku wata, ɔ yu kin gi yu wata we yu kin put insay yu bɛlɛ (IV fluid) if nid de. Apat frɔm dat, sɔntɛnde dɔktɔ dɛn kin gi yu antibayɔtik lɛk dɔksisayklin, ɛrythromycin, ɔ azithromycin fɔ ɛp yu fɔ wɛl kwik kwik wan.

Fɔ gi zink sɔpɔtmɛnt to yɔŋ pikin dɛn we ol bitwin 6 mɔnt ɛn 5 ia na pat pan di tritmɛnt bak.

Impɔtant: Dɛn nɔ kin advays fɔ tek mɛrɛsin fɔ mɛn dayarɛa fɔ kɔlera. Dɛn kin mek di sayn dɛn we de sho se di sik wɔs. Dis na bikɔs dayarɛa na rili we fɔ mek di bɔdi pul di jem dɛn.

Aw fɔ protɛkt yusɛf frɔm kɔlera? Wetin na di we dɛn fɔ mek dɛn nɔ gɛt dis sik?

Di bɛst we fɔ avɔyd kɔlera na:

• Na wata we dɛn dɔn sanitayz nɔmɔ yu fɔ drink. Boil di wata gud gud wan. Ɔ trit am wit klorin fɔ mek i klin.
• Was yu an fayn fayn wan wit klin wata ɛn sop, mɔ bifo yu it, pripia it, ɛn afta yu dɔn yuz tɔylɛt.
• If yu nɔ shɔ bɔt aw di wata we yu de liv klin, na bɔtul wata nɔmɔ yu fɔ drink ɛn kuk.

If yu de na eria usay yu gɛt bɔku risk fɔ gɛt kɔlera, ɔ if yu de travul go na wan, vaysin dɛn de we dɛn kin tek bay mɔt. Yu fɔ mɛmba se pan ɔl we dɛn tin ya kin ɛp fɔ ridyus di risk fɔ gɛt di sik, dɛn nɔ kin pul di prɔblɛm kɔmɔt kpatakpata.

If yu luk am big, di bɛst we fɔ mek yu nɔ gɛt kɔlera na fɔ gi ɔlman klin wata fɔ drink ɛn fɔ klin fayn. Dis nid fɔ gɛt di wɔl klas umanitarian ɛn pɔblik wɛlbɔdi program dɛn.

Wetin fɔ du if yu gɛt kɔlera? Ustɛm yu fɔ go na ɔspitul wantɛm wantɛm?

If yu gɛt kɔlera – ɔ ɛni sik we de mek yu gɛt dayarɛa ɔ vɔmit – di tin we impɔtant pas ɔl na fɔ drink bɔku wata bifo yu nɔ gɛt wata na yu bɔdi .

• Wetin gud fɔ drink?Wata, sɔl pɔrij, sup, ɛn ɔral rihaydreshɔn sɔlvushɔn (ORS), lɛk wi Jeevani, ɔ Pedialyte® ɔ Ceralyte®, we yu kin bay na di famasi, na di bɛst tin dɛn fɔ yuz fɔ mek yu kɔntinyu fɔ gɛt wata.
• Wetin nɔ fɔ drink? Swit drink lɛk spɔt drink, frut jus, ɛn soda kin mek dayarɛa wɔs bikɔs dɛn gɛt bɔku shuga. Dɔn bak, nɔ tek mɛrɛsin dɛn we de mek yu nɔ gɛt dayarɛa.

Ustɛm yu fɔ go na ɔspitul (ETU) wantɛm wantɛm?

Dayarɛa kin mek yu nɔ gɛt wata kwik kwik wan. If yu gɛt bad bad dayarɛa ɔ yu de vɔmit, go na ɔspitul ɔ go to dɔktɔ wantɛm wantɛm. If yu gɛt dayarɛa ɔ vɔmit ɛn dɛn sayn ya, kɔl 911 (1990 Suwaseriya na Sri Lanka) wantɛm wantɛm ɔ go na ɔspitul wantɛm wantɛm:

• Mɔsul dɛn we kin kramp
• Intɛns tɔsti
• di urine we de kכmכt rεdכks כ kכmplit lכs
• Diziz we pɔsin kin gɛt
• Wik
• Fast at rit
• Kɔnfyushɔn ɔ chenj di we aw pɔsin de tink

Yu tink se kɔlera go wɛl if dɛn nɔ gɛt tritmɛnt?

Yɛs, dɛn kin mɛn kɔlera if dɛn nɔ gɛt antibayɔtik. Bɔt i impɔtant fɔ mek yu ebul fɔ kɔntrol di sayn dɛn fayn fayn wan . Dis min se yu fɔ drink bɔku wata, fɔ chenj di ilɛktrɔlayt dɛn, ɛn fɔ mek yu nɔ gɛt siriɔs sik.

Wit tritmεnt – dat na, wit di rayt fכ mεnejmεnt fכ fכ mek di wata nכ de – di mכtalman rεt frכm kolεra sכmtεm sכmtεm 1%. Bɔt if dɛn nɔ trit am, dis rεt kin pas 50% . Dat de sho se i impɔtant fɔ gɛt tritmɛnt, nɔto so?

Us kwɛstyɔn dɛn yu fɔ aks di dɔktɔ?

If yu tink se yu gɛt kɔlera, i go fayn fɔ aks dɛn kwɛstyɔn ya we yu go to dɔktɔ:

• Wetin na di bɛst we fɔ mek yu gɛt bɔku wata?
• Wetin a fɔ du if a fil se a nɔ gɛt wata na mi bɔdi?
• Wetin a fɔ du fɔ mek kɔlera nɔ go pas to ɔda pipul dɛn?

If a go na ples usay kɔlera de, aw a go protɛkt misɛf?

Insay Amɛrika, wan ɔganayzeshɔn de we dɛn kɔl CDC (Centers for Disease Control and Prevention). Na dɛn wɛbsayt (Travel Health Notices), pipul dɛn we de travul kin fɛn infɔmeshɔn bɔt di say dɛn we sik dɛn lɛk kɔlera bɔku.

If yu de na say usay kɔlera bɔku, ɔ if yu de plan fɔ travul go na wan, tek tɛm bad bad wan bɔt di wata we yu de drink. Was yu an fayn fayn wan, ɛn tek tɛm we yu de pripia it. Dɛn tin ya kin ɛp yu:

• Wata we dɛn put insay bɔtul
• Klorin tablɛt - klin wata
• Blich we de na os - fɔ mek wata klin (yuz di rayt amɔnt) .
• Ayodin tablɛt - klin wata
• Fɔd dɛn we dɛn dɔn pak bifo tɛm

Fɔ dɔn, tin dɛn fɔ mɛmba (Take-Home Message) .

So, if yu gɛt bad bad dayarɛa, ilɛksɛf na kɔlera ɔ ɛni ɔda tin, go to dɔktɔ wantɛm wantɛm . Yu fɔ chenj di wata ɛn ilɛktrɔlayt dɛn fɔ mek yu nɔ gɛt wata na yu bɔdi. Dis prɔblɛm we dɛn kɔl dehydration kin mek yu gɛt siriɔs wɛlbɔdi prɔblɛm ɛn ivin day.

Pan ɔl we wi nɔ kin yɛri bɔt kɔlera bɔku tɛm, i stil na big prɔblɛm fɔ wɛlbɔdi biznɛs ɔlsay na di wɔl. Di pɔblik wɛlbɔdi dipatmɛnt dɛn de wok togɛda fɔ ridyus di kɔlera we de kam ɛn di wan dɛn we de day, mɔ na di say dɛn we di sik dɔn ambɔg.

If yu de travul go na say usay kɔlera kin bɔku, fɔ gɛt vaysin kin ɛp fɔ protɛkt yu ɛn ɔda pipul dɛn. Drink bɔku wata, pɔrit we gɛt sɔl, ɛn jeevani jɔs afta yu gɛt dayarɛa. If yu nɔ shɔ if yu go ebul fɔ gɛt wata, go to dɔktɔ ɛn nɔ de te . Mɛmba se fɔ klin na di bɛst tin fɔ protɛkt yusɛf frɔm kɔlera!

` Kɔlera, dayarɛa, vɔmit, dɛhaydreshɔn, baktriyal infɛkshɔn, Vibrio kɔlera, klin wata, saniteshɔn, sik dɛn we kin pas