Wan denja fungus we de afɛkt di bren: Lɛ wi lan bɔt Cryptococcal Meningitis

Yu go dɔn yɛri bɔt ‘bren fiva’ ɔr mɛningaytis. Bɔt yu no se fɔŋ kin mek pɔsin gɛt dis bad bad tin bak? Tide wi go tɔk bɔt wan siriɔs, bɔt bɔku pan dɛn nɔ no bɔt am. Dɛn kɔl am Kryptococcal Meningitis. I impɔtant fɔ no bɔt dis, mɔ if yu gɛt wikɛd imyun sistɛm .

Fɔ tɔk am simpul wan, wetin na Cryptococcal Meningitis?

Okay, mek wi stat na di biginin. Kriptokɔk na wan kayn yist, we na wan kayn fɛns. Dis fεnshכn nכ kin du bכku harm to pכsin we hεlth εn gεt gud imyun sistεm. Bɔt if pɔsin in imyun sistɛm wik, dis fɛns kin gɛt big chans.

Dis fכns lεk wi nεv sεstem, spεshal wan di bren εn di spεnal kכd. So, dis infεkshכn de afekt di prכtektiv mεmbran dεm we de rawnd wi bren dairekt wan. Wi kin kɔl dɛn mɛmbran ya pan mɛrɛsin ‘mɛninges’. So, we dεn mεmbran dεm ya gεt infεkshכn εn swεla, wi kin kכl am mεningaytis כ ‘bren fiva’. we dis kכndyushכn na di Kryptococcus fכns, wi kin kכl am kriptococcal meningitis .

Dis sik kin kam bikɔs di prɛshɔn we de insay di bren kin go ɔp wantɛm wantɛm. Dis ay prɛshɔn kin pwɛl difrɛn pat dɛn na di bren. Nɔto dat nɔmɔ, bɔt sɔntɛnde di yay ɛn yes kin pwɛl bak. Tu men kayn fεn dεm de we de mek dis sik. Dɛn na `Kriptokɔk niɔfɔmans` ɛn `Kriptokɔk gattii`. Pan dɛn wan ya, di fɔs kayn na di wan we bɔku pipul dɛn kin gɛt.

Udat dɛn kin gɛt dis sik pasmak?

As wi bin dɔn tɔk, dis fɛns kin tek chans. Dis min se i de wet te di bɔdi in difɛns, di imyun sistɛm, wik ɛn afta dat i de atak.

Apat frɔm HIV, bɔku ɔda tin dɛn de we kin mek di imyun sistɛm wik . If yu gɛt wan pan dɛn sik ya, e fayn fɔ no bɔt dɛn kayn sik ya.

• Pipul wae gɛt sik wae de kam wit blɔd (Diseases of the blood) .
• Pipul wae gɛt ɔrgan failure syndrome, lɛk wae dɛn liva nɔr de woke fayn
• Kidni, liva, ɛn ɔda tin dɛn.Pipul dɛn we dɛn dɔn transplant ɔgan ɛn we de tek mɛrɛsin dɛn we de mek dɛn nɔ ebul fɔ fɛt dɛnsɛf
• Pipul wae gɛt ɔda imyunodeficiency syndromes
• Pipul dεm wae de yuse immunosuppressive drugs lεk stεroyd fכ lכng tεm

Aw dis fכs de go insay wi bכdi?

dis Kryptococcus fכns de spre na di envayroment lεk spכr. Dɛn kin bɔku mɔ na grɔn, bɔd dɛn dɔti (espɛshali pijin dɔti), ɛn wud we de rɔtin.

So, we wi de blo, dɛn spɔt ya kin go insay wi lɔng . Bɔt nɔr wɔri, e nɔr de spre frɔm pɔrsin to pɔrsin lɛk kɔmɔn kol.

we dεn spכr dεm ya go insay di bכdi fכ pכsin we gεt gud imyun sistεm, di sεl dεm we de protεkt na di lכng dεm (alveolar macrophages) de pwεl dεm. Bɔt sɔmtin we difrɛn kin apin na pɔsin in bɔdi we nɔ gɛt bɛtɛ trɛnk fɔ fɛt di sik.

Fɔ tɔk am simpul wan, na dis kin apin:

1. di fכn spכr dεm de go insay di l כng dεm tru di brith.

2. bikoz fכ wik imyuniti, di protεktiv sεl dεm na di lכng dεm nכ kin ebul fכ pwεl dεn wan ya.

3. frכm de, di fכns de travul go na di limf no dεm, usay i de divayd kwik kwik wan εn mek bכku fכn sεl dεm.

4. afta dat, dεn fכn sεl dεm ya de travul tru di bכdi εn rich na di bren εn di spεnal kכd.

5. Na de, dεn sεl dεm ya kin bigin fכ gro na di mεmbran dεm we de rawnd di bren. Smɔl smɔl, di sayn dɛn kin sho.

Wetin na di sayn dɛm fɔ dis sik?

di simptom dεm fכ kriptococcal meningitis kin divεlכp sכmtεm sכmtεm. Sɔntɛm yu nɔ go notis big difrɛns wantɛm wantɛm. So e fayn fɔ no bɔt dɛn sik ya.

Aw fɔ no di sik kɔrɛkt wan?

If yu gɛt wan ɔ mɔ pan dɛn sik ya ɛn yu de pan wan pan di risk grup dɛn we wi dɔn tɔk bɔt, go to dɔktɔ wantɛm wantɛm . I rili impɔtant.

Yu dɔktɔ go chɛk yu ɛn sɔprayz se yu gɛt mɛningɔyt. If yu de pan denja, dɛn go tink bak bɔt di pɔsibiliti fɔ gɛt kriptokɔk mɛningɔyt.

Fɔ mek yu no se yu gɛt di sik, yu dɔktɔ kin du yu lumbar pankchɔ.Dɛn kɔl am spɛshal tap. Nɔ wɔri, dis nɔ de mek pɔsin fred lɛk aw bɔku pipul dɛn kin tink. i involv fכ put wan rili fayn nidul insay yu lכw bכk εn tek sכm sכm sεmpl fכ di wata we de rawnd yu bren εn spεnal kכd (Sεribrospinal Fluid - CSF). dis wata na di tin we de gi yu sεntri nεv sεstem fכ it εn mכs.

afta dat dεn de tεst dis CSF sεmpl na di labכtכri fכ si if di Kryptococcus fכns de.

Apat frɔm dat, yu dɔktɔ kin tɛl yu bak fɔ du CT skan ɔ MRI skan fɔ yu bren.

Yu tink se dis sik rili denja?

Yɛs, dis na sik we rili siriɔs, we kin ivin mek pɔsin in layf de pan denja. If dɛn nɔ trit am, i kin mek di bren pwɛl bad bad wan. Sɔm pan di damej dɛn kin bi we pɔsin nɔ go ebul fɔ chenj.

If dɛn nɔ trit am, i kin mek i gɛt sik, i nɔ kin no natin, i kin kam na kɔma, ɛn ivin day.

Ivin wit di bɛst tritmɛnt dɛm na di wɔl, di nɔmba fɔ pipul dɛm wae de day pan dis sik de bitwin 15% ɛn 30% . Dat fɔ mek yu no aw dis sik siriɔs.

Aw dɛn kin trit am?

Dɛn kin trit dis wit antifungal drɔgs. Bɔt dis tritmɛnt nɔ kin dɔn insay wan ɔ tu dez. I kin tek sɔm mɔnt fɔ mek i wɛl ɔl.

Tu men gol dɛn de fɔ tritmɛnt:

1. Fɔ manej di ɔndalayn mɛdikal kɔndishɔn: Fɔ ɛgzampul, if yu gɛt HIV, i impɔtant fɔ gɛt di rayt tritmɛnt (antiretroviral therapy) ɛn fɔ mek di bɔdi gɛt di sik bak.

2. Tritmɛnt fɔ fɛns infɛkshɔn: Dɛn kin yuz drɔgs lɛk Amphotericin B, Fluconazole, Flucytosine, ɛn Itraconazole fɔ dis.

Yu go nid fɔ de na ɔspitul di tɛm we yu de bigin fɔ trit yu. Di sakses fɔ tritmɛnt de dipen pan aw dɛn kin no di sik kwik kwik wan ɛn wetin na yu ɔndalayn kɔndishɔn.

So, if yu de pan denja fɔ gɛt dis sik, na fɔ no ɔltɛm bɔt di fɔs sayn dɛm. If yu ivin gɛt smɔl dawt, nɔ ɛva shem fɔ tɔk to dɔktɔ . Fɔ no am kwik ɛn fɔ trit yu kwik kwik wan na di bɛst we fɔ sev yu layf.