Lɛ wi lan mɔ bɔt Limfatik Filariasis / Ɛlifantiasis.

yu don eva yehri boht di sik we dem kol "elephant foot" o "barawa"? Yu go dɔn si sɔm pipul dɛn an ɛn fut kin swel we nɔ kɔmɔn, dɛn skin kin tik, ɛn sɔntɛnde dɛn kin pwɛl, nɔto so? Dis na rili wan sik we kin pas we mɔskito kin pas we kin afɛkt wi limfatik sistɛm. Natin nɔ de fɔ fred, lɛ wi tɔk bɔt dis ditayli ɛn rili simpul.

Wetin dis ɛlifant de tramp? Fɔ tɔk am simpul wan...

Ɛlifantiasis, ɔ we wi de tɔk bɔt mɛrɛsin, Limfatik Filariasis, na smɔl smɔl parasayt wom dɛm (filarial wom dɛm) we de kam insay wi limfatik sistɛm ɛn ambɔg in wok. Dɛn wom ya rili smɔl, lɛk ia, ɛn na maykroskɔp nɔmɔ yu kin si dɛn.

Imajin se wi bɔdi gɛt spɛshal sistɛm we de pul dɔti ɛn ɛp fɔ mek wi nɔ ebul fɔ fɛt di sik, we na di limfatik sistɛm. dis sistεm gεt wan wata we dεn kכl limf we de fכlכ tru di limfatik kapilari dεm. we di wom dεm we a mεnshכn de blכk dεn limfatik kapilari dεm ya, di wata nכ de fכlכ fayn εn i de stכk na wan ples. Na da tɛm de simptom lɛk fɔ swel ɛn tik na di skin kin apia. Sɔmtɛm we dis sik kin tranga, i kin swel lɛk ɛlifant in leg, na dat mek dɛn kin kɔl am "ɛlifant in fut."

Aw dis sik de ɔlsay na di wɔl?

Naw, lɛk 1.5% pan di pipul dɛm na di wɔl, ɔr lɛk 120 milyɔn pipul dɛm, de sɔfa wit dis sik. I kin apin mɔ na kɔntri dɛn we wam ɛn we gɛt kol . Kɔntri dɛn lɛk Eshia, Afrika, ɛn Sawt Amɛrika gɛt di wan dɛn we sik pas ɔlman. Bikɔs wi Sri Lanka na kɔntri bak we gɛt tropik, i rili impɔtant fɔ wɔri bɔt dis.

Bɔt mɛmba wan tin, di chans fɔ gɛt dis sik jɔs bikɔs yu dɔn go na shɔt trip to kɔntri lɛk dat, rili smɔl. Fɔ mek yu gɛt dis sik, yu fɔ de na say usay di sik de bɔku fɔ mɔnt, sɔntɛm ivin fɔ lɔng tɛm, ɛn yu fɔ de na say we mɔskito de bit yu ɔltɛm.

Wetin na di sayn dɛm wae de sho se yu gɛt Barawa sik?

Bɔrku tɛm, nɔr to ɔlman wae gɛt Bara sik go gɛt siriɔs sik. Na lɛk tu-tɛd pan pipul dɛm nɔr kin gɛt ɛni big sik. Bɔt bɔku tɛm, di sik kin mek di imyun sistɛm wik.

Sɔm pipul dɛn kin gɛt sɔm kayn sik lɛk dis:

• Inflameshɔn: Dis na sik we kin apin we di imyun sistɛm kin wok pasmak.
• Limfεdima: I de swεla we di wata we de kכmכt na di limfatik sistεm.
• Hydrocele: Na di tɛstikul dɛn we de swel na man dɛn.
• Ɛdima: I kin swel we wata kin gɛda na difrɛn tisu dɛn na di bɔdi.

Dɛn sayn ya we tan lɛk swɛlin kin afɛkt dɛn say ya na di bɔdi:

• An dɛn
• Leg dɛn
• Brɛst
• Testikul dɛn
• Man jɛnɛral
• di eria we de rawnd di vagina (vulva) .
• Fes (rarely) .

Wetin mek dis wet de bɔku? Wetin na di rizin?

Fɔ tɔk am simpul wan, wan parasayt infɛkshɔn we dɛn kɔl filariasis kin kam wit filariasis. Na wan kayn rawndwɔm kin mek am. Di wom dɛn so smɔl dat yu nɔ go si dɛn wit yay . We yu luk dɛn wom dɛn ya wit maykroskɔp, dɛn kin tan lɛk trɛd.

Difrɛn kayn filarial wom dɛn de:

• Wuchereria bancrofti: Dis kayn wom de mek 9 pan 10 infekshɔn.
• Brugia malayi: Dis na di tin we kin mek bɔku pan di sik dɛn we kin lɛf.
• Brugia timori: Dis spisis kin mek yu gɛt infɛkshɔn bak.

Aw dis sik kin pas?

Dis na di tin we impɔtant pas ɔl. Na mɔskito dɛn kin mek pɔsin gɛt malaria. Imajin, mɔskito bit pɔsin we gɛt Malaria. Dɔn, di filarial wom dɛn (microfilariae) we de na da pɔsin in blɔd de go insay di mɔskito in bɔdi. Dɔn, we da mɔskito de we gɛt di sik bit ɔda pɔsin we gɛt wɛlbɔdi, dɛn wom dɛn de kin go insay di ɔda pɔsin in blɔd.

Bɔku tɛm, we mɔskito it wan tɛm nɔmɔ i nɔ kin mek di sik kam. Fɔ mek yu gɛt dis sik, yu nid fɔ kɔntinyu fɔ de nia di bayt we mɔskito dɛn we gɛt di sik de bit yu fɔ sɔm mɔnt, sɔntɛnde ivin fɔ lɔng lɔng tɛm.

We dɛn wom ya dɔn go insay yu blɔd, dɛn kin go stret na yu limfatik sistɛm. Na de dɛn kin gro ɛn bi smɔl smɔl wom. Dɛn smɔl smɔl wom ya kin liv insay yu bɔdi fɔ te 7 ia. Dɔn dɛn kin bɔku ɛn pul bɔku bɔku ɔda wom dɛn (maykrofilaria) insay yu blɔd.

Impɔtant: Dɛn maykrofilaria ya kin go ɔlsay na di blɔd na nɛt. Na dat mek dɛn nid fɔ du blɔd tɛst na nɛt.

Wetin na di kɔmplikeshɔn dɛm wae de kam wit Barawa sik?

We yu limfatik sistɛm dɔn pwɛl as tɛm de go, di ebul we yu bɔdi ebul fɔ fɛt di infɛkshɔn dɛn kin go dɔŋ. Dis dכn dכn imyuniti kin mek yu gεt kכndyushכn dεm lεk:

• Baktri infekshɔn dɛn we kin kam bɔku tɛm . Sɔntɛnde di skin kin krak ɔ wund, we kin mek di infekshɔn go insay.
• Di skin kin tik ɛn di wata we de na di bɔdi kin gɛt wata, we kin mek di pat dɛn na di bɔdi swel, i kin fil pen, ɛn i kin big .
• Tropical pulmonary eosinophilia syndrome: Dis na wan sik we di nɔmba fɔ di eosinophils, we na wan kayn wayt blɔd sɛl, de go ɔp. Dis kin mek yu kɔf ɛn i nɔ kin izi fɔ yu fɔ blo.

Aw dɛn kin du di diagnosis?

Fɔ no fɔ tru if yu gɛt Bara sik, dɔktɔ go nid fɔ tɛst yu blɔd. Yu kin du dis bay we yu yuz dɛn we ya:

• Maykroskɔpik blɔd tɛst: Dɛn kin chɛk yu blɔd sɛmpul ɔnda maykroskɔp. Dis go luk fɔ filarial wom dɛn na di blɔd. As a bin dɔn tɔk, dɛn wom ya kin wok na di blɔd na nɛt. So, yu go nid fɔ gi blɔd na nɛt.
• Antibodi tɛst: .Dɛn kin tɛst yu blɔd sɛmpul fɔ si if i gɛt antibodi. Antibodi na tin dεm we yu bכdi de mek fכ ansa to infεkshכn. Dɛn kin du dis tɛst insay di de.

Wetin na di tritmɛnt fɔ Barawa sik?

De tritmɛnt plan wae yu go gɛt go dipen pan us sayn dɛm wae yu gɛt ɛn aw dɛn kin tranga. Dɛn kin trit Bara sik lɛk dis:

• Antiparasitic drugs: Dɛn kin gi yu mɛrɛsin lɛk ivermectin (Stromectol®), diethylcarbamazine (Hetrazan®), ɔ albendazole (Albenza®) . Dɛn mɛrɛsin ya kin kil di tepwɔm dɛn we de na yu blɔd ɔ stɔp dɛn fɔ bɔku. If yu tek dɛn mɛrɛsin ya, dat kin mek yu nɔ pas di sik to ɔda pipul dɛn bak. Bɔt bikɔs di wom dɛn kin stil de na yu bɔdi, yu go nid fɔ tek dɛn mɛrɛsin ya wan tɛm insay di ia fɔ sɔm wiks .
• Ɔpreshɔn: Sɔntɛm yu go nid ɔpreshɔn fɔ pul di wom dɛn we dɔn day na yu blɔd. If filariasis dɔn mek wan haydrosɛl (di tɛstikul dɛn swel), dɛn kin nid fɔ du ɔpreshɔn bak fɔ pul di wata we dɔn gɛda.
• Aw fɔ mɛn ɛlifant: Yu dɔktɔ kin tɛl yu aw fɔ ɛp fɔ kɔntrol di swɛlin, lɛk fɔ es di an ɔ leg we dɔn swel, ɔ fɔ yuz kɔmpreshɔn klos.

Ɛni bad tin de we di tritmɛnt kin du?

If yu de tek mɛrɛsin fɔ malaria, i rili impɔtant fɔ de ɔnda dɔktɔ in klos sɔpɔtishɔn , bikɔs dɛn mɛrɛsin ya we de agens parasayt kin mek sɔm siriɔs sayd ɛfɛkt dɛn. Fɔ ɛgzampul:

• Diziz we pɔsin kin gɛt
• Fiva
• Ed de at
• Mɔsul ɔ jɔyn pen
• Vɔmit

So, i rili impɔtant fɔ fala di advays we dɔktɔ gi yu di rayt we.

Yu tink se dɛn go ebul fɔ mɛn dis sik kpatakpata?

Fɔ tɔk tru, naw, no patikyula mɛrɛsin nɔ de fɔ tepwɔm. Mɛrɛsin kin kil bɔku pan di wom dɛm ɛn stɔp yu fɔ pas di sik to ɔda pipul dɛm. Tritmɛnt kin ridyus yu sik dɛn bak.

Wetin kin apin if yu gɛt dis sik? Wetin na di soshal impak?

Sɔmtɛm pipul dɛm wae gɛt rεumatoid arthritis kin gɛt bad bad sɔshal kɔnsikuns dɛm . Ɛspɛshali if dɛn gɛt siriɔs sik dɛn we pɔsin kin si, lɛk we dɛn an ɛn fut dɛn kin swel pasmak, dɛn kin fil se dɛn nɔ de nia dɛnsɛf ɛn dɛn kin shem. Apat frɔm dat, we pɔsin kin swel ɔ we i de fil pen fɔ lɔng tɛm, i kin afɛkt di we aw pɔsin kin ebul fɔ du tin dɛn we i kin du ɛvride ɛn fɔ ol in wok.

Bɔt mɛmba se pan ɔl we dɛn nɔ gɛt kɔmplit mɛrɛsin fɔ Bara sik, yu kin kɔntrol di sik, ridyus di sayn dɛm, ɛn liv nɔmal layf. Na wetin yu nid fɔ du na fɔ fala di rayt advays we dɔktɔ gi yu ɛn kia fɔ yu wɛlbɔdi.

Aw dɛn go ebul fɔ avɔyd dis sik?

Wetin dɛn kin du fɔ mek dɛn nɔ gɛt Barawa sik?Di bɛst we fɔ protɛkt yusɛf frɔm di mɔskito dɛn we de bit yu na fɔ avɔyd dɛn. Dis impɔtant mɔ na say dɛn we kol. If yu de na say usay yu de pan denja fɔ gɛt malaria, ɔ if yu de travul go na wan, fala dɛn tin ya fɔ mek mɔskito nɔ bit yu:

• Slip ɔnda mɔskito nɛt.
• Put insekt repelent pan di skin we de na do, mɔ na nɛt.
• Wear lɔng pant ɛn klos we gɛt lɔng sliv.
• Kip yu gadin ɛn di say we de rawnd am klin. Rimov di say dɛn we mɔskito dɛn de bɔn (taya, kokonat shɔɛl, tin tin dɛn, ɛn ɔda tin dɛn) .

Di Wol Ɛlth Ɔganayzeshɔn (WHO) se na say dɛn we malaria bɔku, dɛn fɔ gi di wan ol kɔmyuniti kemotɛrapi we go mek dɛn nɔ gɛt malaria . Insay dis we, dɛn kin gi pipul dɛn we de pan denja fɔ gɛt di sik wan tɛm insay di ia. Pan ɔl we dɛn mɛrɛsin ya nɔ kin afɛkt di big wom dɛn bɛtɛ, dɛn kin mek di yɔŋ wom dɛn nɔ bɔku. Dɛn kin mek bak di parasayt dɛn nɔ pas to mɔskito.

Ustɛm yu fɔ go to dɔktɔ?

If yu gɛt ɛni swel ɔ tik na yu skin we yu nɔ ɛksplen – mɔ na yu an, yu leg, yu bɔdi, yu skrotum, ɔ yu vagina eria – mek shɔ se yu mek dɔktɔ no. Dɔn di dɔktɔ kin du di tɛst dɛn we i nid fɔ no if pɔsin gɛt di sik ɔ fɔ mek i nɔ no se i gɛt di sik.

Wetin na di impɔtant kwɛstyɔn dɛn we wi fɔ aks di dɔktɔ?

We yu go si dɔktɔ, yu kin aks kwɛstyɔn dɛn bak lɛk dɛn wan ya:

• Yu tink se dis tin we a de insay kin bi bikɔs ɔf mi wet?
• Aw a go ebul fɔ kɔntrol di sayn dɛn we gɛt fɔ du wit di wet we a de gɛt?
• Us tritmɛnt dɛn yu kin kɔmɛnt fɔ mi?
• Wetin na di sayd ɛfɛkt dɛm we di tritmɛnt kin gɛt?
• Wetin na di chans fɔ mek di sik kam bak afta dɛn dɔn trit am?
• Aw a go protɛkt misɛf frɔm Barawa sik?

Aw fɔ mɛn di sayn dɛm fɔ limfedema?

Ivin if di mɛrɛsin kil di filarial wom dɛm, yu kin stil gɛt wan sik we de swel we dɛn kɔl lymphedema. Yu kin du dɛn tin ya fɔ kɔntrol dɛn sik ya we de mek yu swel:

• Disinfɛkt ɛn kɔba ɛni wund fayn fayn wan.
• Ɛlevɛt yu an ɔ yu fut we dɔn swel.
• inkrεs yu aktiviti lεvεl (dis de inkrεs di limf fכ fכlכ).
• Wash ɛn drɛy di say dɛn we yu bɔdi dɔn swel ɛvride.
• Ridyus di risk fɔ fɔdɔm ɛn wund bay we yu wɛr sus we fit fayn fayn wan.

Faynal Mɛsej fɔ Tek-Hom

Malaria na sik we kin apin na sabtropik ɛn tropik klaymat usay filarial wom kin bɔku. Bɔku tɛm, mɔskito dɛn we gɛt di sik kin bit pɔsin bɔku tɛm fɔ mek i gɛt dis sik. So, bɔrku tɛm na pipul dɛm wae de liv na say dɛm wae gɛt bɔrku prɔblɛm kin gɛt dis sik.I nɔ kin izi fɔ mek pipul dɛn we de travul fɔ shɔt tɛm kin stɔp.

Bɔt if yu gɛt sɔm sayn dɛn, i rili impɔtant fɔ tɛl dɔktɔ. Wan simpul blɔd tɛst kin kɔnfirm if yu gɛt parasayt infɛkshɔn. Nɔ panik, di tin we impɔtant pas ɔl na fɔ mek dɛn no bɔt yu ɛn tek di step dɛn we yu nid.

` Barawa, Ɛlifantiasis, Limfatik Filariasis, Ɛlifantiasis, Mɔskito Sik, Limfatik Sistɛm, Filariasis