Fish na tin we wi ɔl lɛk fɔ it, mɔ di fayn fayn fish we dɛn kin kech na di si na Sri Lanka. Bɔt sɔntɛnde, we yu nɔ bin de tink se yu dɔn it am, yu bɛlɛ kin at wantɛm wantɛm, yu ed kin tɔn to yu ed, ɛn yu kin ivin fɔdɔm. Ivin if yu nɔ no di tin we kin mek yu gɛt am, i kin bi wan denja fish pɔyzin. Tide, wi go tɔk bɔt wan fish pɔyzin we siriɔs smɔl, bɔt we rili impɔtant fɔ no bɔt. Dɛn kɔl dis wan Ciguatera.
Wetin na Ciguatera? Fɔ tɔk am simpul wan...
Fɔ tɔk am simpul wan, Ciguatera na wan kayn fud pɔyzin we kin apin we wi it fish we gɛt pɔyzin we dɛn kɔl Ciguatoxin . Dis Ciguatoxin na wan kayn nyurotoksin . Dis min se i de afɛkt di we aw wi nervɔs sistɛm de wok dairekt wan .
Imajin, wan kayn si-sid (algae) we dɛn kɔl dinoflagelates (especially di spisis `Gambierdiscus toxicus`) we de gro nia di kɔral rif dɛm na di si, we tu smɔl fɔ si wit yu yay, de mek dis pɔyzin we dɛn kɔl ciguatoxin. Dɔn, di smɔl fish dɛn we de it dɛn plant ya kin gɛda dis pɔyzin na dɛn bɔdi. afta dat, di big fish dεm we de it dεn sכm fish dεm de – lεk di grupεr εn snap we wi de it – kin gɛda dis tכxin na dεn bכdi bak.
Di strenj tin na, dɛn pɔyzin ya nɔ de du bɔku bad tin to di fish. Bɔt di prɔblɛm na if wi it fish we gɛt dis kayn pɔyzin. Dɔn i nɔ kin jɔs afɛkt wi dijestiv sistɛm , wi nervɔs sistɛm , bɔt insay sɔm siriɔs kes dɛn, wi kadiovaskular sistɛm , dat na wi at.
Ciguatera nɔr kin bi sik wae kin mek pɔrsin in layf de pan denja. Bɔt if yu gɛt dɛn sik ya, i rili impɔtant fɔ go na ɔspitul imejensi rum (ER) wantɛm wantɛm . Dis na di onli we fɔ mek yu kɔndishɔn stebul ɛn fɔ mek yu nɔ gɛt siriɔs prɔblɛm.
Usay dɛn kin ripɔt dis pɔyzin mɔ?
Ɛnibɔdi na di wɔl kin gɛt dis pɔyzin. Dis kin apin mɔ we yu it fish na say dɛn we gɛt kɔral rif we gɛt di pɔyzin algae (Dinoflagellates) we a bin dɔn tɔk bɔt. Dis inklud eria dɛn lɛk di Karibian Si ɛn di Sawt Pasifik Oshɔn. Insay Amɛrika, dis prɔblɛm de pan fish dɛn we de na di si dɛn na Sawt Flɔrida, di Bahamas, di Vajin Ayland dɛn, Poto Riko, ɛn Awayi.
Bɔt afta dat, dɛn kin sheb di fish dɛn we dɛn kin kech na ples dɛn lɛk dɛn wan ya ɔlsay na di wɔl. So, no mata usay yu it fish frɔm, di tin we impɔtant pas ɔl na fɔ no us kayn si eria dɛn kech di fish we yu de it.Bikɔs wi gɛt kɔral rif dɛn bak na Sri Lanka, i rili impɔtant fɔ no bɔt dis.
Us kayn fish kin gɛt Ciguatoxin?
I pas 400 kayn big fish we de it smɔl fish kin gɛt dis siguatoxin. Dis min se if yu it ɛni wan pan dɛn fish ya, yu kin gɛt dis pɔyzin. Bɔku tɛm, dɛn fish ya na big fish dɛn we de nia kɔral rif dɛn ɛn it ɔda fish dɛn. Fɔ ɛgzampul, fish dɛn lɛk mɔray il, barakuda, ɛn amberjack.
Na sɔm pan di kayn fish dɛm we kin mek pɔsin gɛt Ciguatera pɔyzin:
- Amberjack bin de du am
- Barracuda we dɛn kɔl Barracuda
- Grup pɔsin
- Moray eel we dɛn kɔl
- Parrot fish we dɛn kin it
- Rɛd snapa
- Si bas na di si
- Spanish makrɛl
- Sturgeon we dɛn kɔl Sturgeon
- Sɔjɔn fish
Aw yu go no if fish gɛt siguatoxin?
Na dat na di prɔblɛm. No we nɔ de fɔ no fɔ tru pas yu tɛst am na lab. Insay Amɛrika, di Food and Drug Administration (FDA) gɛt lab dɛn we de tɛst fɔ dɛn pɔyzin ya na fish. Bɔt dat nɔ pɔsibul we yu de kuk fish na os ɔ yu de it fish wit yu padi fɔ it dina.
Fish we gɛt Ciguatoxin nɔ de chenj in smel, teist, ɔ aw i luk pan ɛni we. I jɔs tan lɛk ɛni ɔda nɔmal fish. Dɔn bak, dis pɔyzin nɔ kin dɔn ivin afta dɛn dɔn put am na ays ɔ kuk am fayn fayn wan. Dat na wan pan di big big prɔblɛm dɛn fɔ mek dɛn nɔ gɛt pɔyzin we dɛn kɔl Ciguatera fish. Di prɔblɛm na dat i nɔ pɔsibul fɔ no if dis pɔyzin de if yu nɔ luk na lab, ɛn dɛn nɔ go ebul fɔ pul di pɔyzin we dɛn de kuk.
Aw kɔmɔn tin fɔ Ciguatera?
Dis na di tin we dɛn kin ripɔt bɔt it pɔyzin we gɛt fɔ du wit fish. Na lɛk af ɔndrɛd tawzin (50,000) pipul dɛn kin gɛt di sik ɔlsay na di wɔl ɛvri ia. Bɔt i go mɔs bi se dɛn kin trit bɔku ɔda pipul dɛn fɔ dis ɛn dɛn nɔ kin ripɔt dɛn.
Sayɛnsman dɛn se di nɔmba fɔ di wan dɛn we gɛt Ciguatera kin bɔku we di klaymat chenj . Dis na bikɔs di chenj we di klaymat de chenj de mek di kɔral rif dɛn pwɛl mɔ ɛn mɔ. Di algae we dɛn kɔl `Gambierdiscus toxicus` we de mek di ciguatoxin de gro fayn fayn wan na di say we di kɔral rif dɛn we dɔn day ɔ we de day de. Bɔt bɔku ɔda tin dɛn kin afɛkt di we aw dis algae de gro, lɛk di tɛmpracha na di wata, di salt we i gɛt, ɛn di layt. Sayɛnsman dɛn stil de du risach bɔt dis.
Wetin na di sayn dɛm fɔ Ciguatera fish pɔyzin?
Bɔrku tɛm, di sayn dɛm kin bigin insay siks awa afta yu it fish we gɛt pɔyzin. Sɔntɛnde, di sayn dɛm kin sho as ali as 30 minit afta yu it di fish, ɔr kin delay fɔ wan de.
Di men sayn dɛm na dɛn wan ya:
- Nɔs ɛn vɔmit
- Dayarɛa (bɛlɛ de at) .
- Fɔ fil lɛk se yu taya ɛn yu taya
- Ed de at
- Di vishɔn we nɔ klia
- Hallucinations (we yu si tin dɛn we nɔ de) .
- Diziz ɛn vertigo
- Ebi ebi swet
- I de it bad bad wan
- Fɔ fil lɛk se yu tut de at ɔ yu tut de muf
- Wan teys we de bɔn, we tan lɛk mɛtal na di mɔt
- Mɔsul, jɔyn, ɔ bɛlɛ pen
- Di mɔt, di finga dɛn, ɛn fut finga dɛn kin swɛla ɔ swɛt
- Fɔ fil ɔt tin lɛk kol ɛn kol tin lɛk ɔt (dɛn kɔl dis `Allodynia`)
Apat frɔm dɛn tin ya, ɔda sayn dɛn de we kin rili bad, bɔt we nɔ kin bɔku smɔl:
- Fɔ fil kol, fɔ shek shek
- Skin de pwɛl
- Paralayz (we yu de lɔs yu an ɛn fut) .
- Wata frɔm di mɔt ɛn di yay
- I nɔ izi fɔ blo (Dyspnea) .
- Slow at rit (Bradycardia) .
- Lɔw blɔd prɛshɔn (Hypotension) .
If yu gɛt wan ɔ mɔ pan dɛn sik ya afta yu it dɛn kayn fish ya, yu fɔ go to dɔktɔ wantɛm wantɛm.
Wetin mek Ciguatera kin apin?
Ciguatera na di we aw wi bɔdi de riak to di pɔyzin we a bin tɔk bɔt , Ciguatoxin. Dis pɔyzin na wan kayn si-sid de mek am. as dis tכxin de muv כp di it chen – frכm sכm sכm fish to big fish εn afta dat to mכtalman – i de bi mכr pawaful εn mכr harmful. Fɔ ɛgzampul, big tropik fish dɛn we de it smɔl fish gɛt rili ay kɔnsɛntreshɔn pan Ciguatoxin na dɛn dijestiv sistɛm. Dis pɔyzin kin rili ay na di fish in ed, in intestinal, liva ɛn eg .
We yu it fish we gɛt pɔyzin, yu nervɔs sistɛm kin gɛt di pɔyzin. I kin chenj di we aw yu nerv dɛn de wok. Dis kin mek yu gɛt dɛn sayn ya:
- Dijestiv sistɛm we gɛt fɔ du wit am (lɛk nɔs, vɔmit) .
- I gɛt fɔ du wit di nervɔs sistɛm (lɛk fɔ swɛt, fɔ swɛt, fɔ fil pen) .
- Di at ɛn di blɔd sistɛm (lɛk we di at de bit sloslo) .
Aw dis kin skata?
Yu onli get Ciguatera if yu it poisonous fish.
Bɔt, wan tin de. Bɔku mama dɛn we de gi pikin dɛn bɛlɛ we dɔn gɛt Ciguatera dɔn ripɔt se dɛn pikin dɛn kin gɛt sɔm sayn dɛn bak lɛk dayarɛa ɛn skin rash . dis min se di tכxin kin pas to di pikin tru di bεlε. So, i bεst fכ stכp fכ gi pikin bεlε te yu rεkכva frכm dis kכndyushכn.
Wetin na di prɔblɛm dɛn we kin kam wit Ciguatera?
If yu vɔmit bɔku, yu nɔ go gɛt wata na yu bɔdi . Dis min se yu bɔdi nɔ gɛt bɛtɛ wata. Yu kin nid fɔ gi yu salin (IV fluid) na di imejensi rum (ETU) fɔ mek yu bɔdi gɛt wata bak. Di prɔblɛm dɛn we kin mek pɔsin in layf de pan denja na we i nɔ de blo fayn ɛn we i nɔ ebul fɔ blo fayn.Ok. Pan ɔl we Ciguatera nɔ kin kil pɔsin, i impɔtant fɔ go na di imejensi rum wantɛm wantɛm fɔ mek dɛn nɔ gɛt dɛn siriɔs prɔblɛm ya.
Aw fɔ no Ciguatera?
Di onli we fɔ no fɔ tru if yu gɛt Ciguatera na fɔ mek dɛn tɛst di fish we yu it na lab fɔ si if i gɛt di pɔyzin. Bɔt afta dat, tɛm nɔ de fɔ dat we yu go na di imejensi rum.
So, di dɔktɔ ɔ nɔs go chɛk yu bay di sayn dɛn we yu gɛt ɛn if yu jɔs it wan kayn fish we gɛt bɔku prɔblɛm .
Wetin na di tritmɛnt dɛm fɔ Ciguatera?
No patikyula antidote nɔ de fɔ dis pɔyzin, so di tritmɛnt na fɔ kɔntrol di sayn dɛm ɛn fɔ mek dɛn nɔ gɛt prɔblɛm dɛn we go mek pɔsin in layf de pan denja.
Wetin na dɛn tritmɛnt ya?
Dɛn kin du dɛn tin ya as tritmɛnt:
- Aktiv chakol: If yu it di fish insay 4 awa, ɛn yu nɔ de pan denja fɔ lɛ yu nɔ gɛt wata na yu bɔdi, yu dɔktɔ kin gi yu aktiv chakol fɔ mek yu vɔmit. Dis kin ridyus bak di absɔpshɔn fɔ sɔm pan di pɔyzin dɛn.
- Osmotic diuretics: Dɛn mɛrɛsin ya kin ɛp fɔ ridyus di wata we de na yu bɔdi ɛn ɛp fɔ ridyus di simptom dɛm we gɛt fɔ du wit di nervous system. If yu kɔndishɔn stebul ɛn yu nɔ de pan denja fɔ gɛt wata na yu bɔdi, dɛn kin gi yu wan mɛrɛsin we dɛn kɔl Mannitol (Osmitrol®) tru wan salin (IV) layn fɔ ridyus di sayn dɛm.
- Di mɛrɛsin fɔ pen: Dɛn kin gi yu Gabapentin ɔ Amitriptyline fɔ ridyus di pen na yu nerv. Dɛn tin ya kin ridyus bak di sayd ɛfɛkt dɛm lɛk fɔ it bad bad wan. Fɔ jenɛral pen, dɛn kin gi yu wan nonsteroidal anti-inflammatory drug (NSAID) ɔ acetaminophen (Tylenol®) .
Us it ɛn drink dɛn a fɔ avɔyd afta dɛn dɔn trit mi?
Sɔm it dɛn de we kin mek di sik kam bak pan pipul dɛn we dɔn wɛl frɔm Ciguatera. So, yu dɔktɔ go advays yu fɔ avɔyd dɛn it ya.
I bɛtɛ fɔ avɔyd dɛn tin ya fɔ at le siks mɔnt :
- Alkol (dis kin mek yu gɛt bɔku sik dɛn we gɛt fɔ du wit at).
- Fish (ivin fish we nɔ gɛt pɔyzin).
- Nat dɛn.
- Di kayn sid dɛn we dɛn kin gɛt.
Aw kwik a go wɛl afta dɛn dɔn trit mi?
Fɔ bɔku pipul dɛn, di sik kin stɔp insay sɔm dez ɔr wik . Bɔt sɔm tɛm, de sik kin te fɔ sɔm mɔnt, ɛn nɔr kin te fɔ ivin sɔm ia. Bɔrku tɛm, di sayn dɛm wae gɛt fɔ du wit di nervɔs sistɛm kin las fɔ lɔng tɛm.
Wetin go apin if yu gɛt Ciguatera?
Bɔrku pipul kin wɛl insay sɔm wiks. Bɔt i kin tek sɔm mɔnt, ivin sɔm ia fɔ mek ɔl di sayn dɛn we de sho se di nervɔs sistɛm nɔ de igen. If yu nɔ it ɛn drink (lɛk rɔm) we kin mek yu gɛt dɛn sik dɛn de, leta yu go wɛl kpatakpata.
Di pipul dɛm wae de day pan Ciguatera pɔyzin rili smɔl – lɛk wan pan ɛvri 1,000 pipul dɛm. Bɔku pan di wan dɛn we kin day kin bi bikɔs ɔf di prɔblɛm dɛn we kin afɛkt di at ɛn di lɔng dɛn. Dɛn kayn kɔmplikeshɔn ya kin avɔyd if yu go na imejensi rum kwik kwik wan.
Yu tink se dɛn kin mek dɛn nɔ gɛt pɔyzin we dɛn kin gɛt na Ciguatera fish?
Di wangren we fɔ mek yu nɔ it Ciguatera na fɔ avɔyd fɔ it fish we gɛt di pɔyzin. Di prɔblɛm na dat, no we nɔ de fɔ no if wan patikyula fish gɛt dis pɔyzin we yu nɔ tɛst am na lab.
Yu kin ridyus yu risk bay we yu avɔyd fish dɛn we dɛn kin si nia kɔral rif, we kin gɛt Ciguatera mɔ. If yu it dis kayn fish, mek shɔ se yu avɔyd di pat dɛn we go mɔs gɛt di pɔyzin – di ed, intestinal, liva, ɛn eg.
Ustɛm a fɔ go na ɔspitul (ETU) wantɛm wantɛm?
If yu jɔs dɔn it fish frɔm tropik ɛn sabtropik wata ɛn yu de gɛt ɛni wan pan di sayn dɛm fɔ Ciguatera, go na imejensi rum (ETU) wantɛm wantɛm. If yu du sɔntin kwik kwik wan, dat kin mek yu nɔ gɛt prɔblɛm dɛn we go mek yu day.
Us kwɛstyɔn dɛn a fɔ aks di dɔktɔ?
We yu go to dɔktɔ, i go fayn fɔ aks dɛn kwɛstyɔn ya:
- Us kayn tritmɛnt a nid fɔ kɔntrol mi sik dɛn?
- We a de wɛl, ɔmɔs tɛm dɛn go chɛk mi?
- Us it ɛn drink dɛn a fɔ avɔyd insay di de/wik/mɔnt dɛn we de kam?
- Aw a go gɛt wɛlbɔdi ɛn aktif we a de wɛl frɔm dis it pɔyzin?
- Yu tink se a fɔ avɔyd fɔ it kɔral rif fish kpatakpata tumara bambay?
Mɛsej we dɛn kin kɛr go na os
Ciguatera na sik we kin mek yu go na ɔspitul wantɛm wantɛm afta yu dɔn it fayn fayn fish. Di onli we fɔ mek yu nɔ gɛt am – we na fɔ stɔp fɔ it tropik fish ɔltogɛda – kin at smɔl bikɔs i min fɔ giv ɔp yu fav it. Nɔto ɔl rɛd snɛp ɔ rɔk fish we yu it gɛt dis pɔyzin. Bɔt i impɔtant fɔ no us sayn dɛn yu fɔ go to dɔktɔ bɔt wantɛm wantɛm.
If yu it wan pan dɛn denja fish dɛn de ɛn yu bɛlɛ at, yu wik, yu nɔ de fil fayn, yu de swɛt, ɔ yu gɛt ɔda tin dɛn we de sho se yu gɛt nyurolɔjik, go na imejensi rum (ETU) wantɛm wantɛm. Dat na di bɛst tin we yu go ebul fɔ du.
`Ciguatera, fish pɔyzin, ciguatoxin, it pɔyzin, nyurotoksin, kɔral rif fish, simptom dɛm
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