Imajin se yu smɔl pikin de ple fayn ɛn wantɛm wantɛm i gɛt prɔblɛm fɔ blo, saliva bigin kɔmɔt na in mɔt, ɛn in vɔys kin chenj we i de tɔk. Ɔ big pɔsin kin gɛt bad bad trot we kin at fɔ tu ɔ tri dez wantɛm wantɛm ɛn i nɔ kin ebul fɔ blo. Dis nɔ ɛva bi sɔntin we pɔsin fɔ tek tɛm tink bɔt. Dis denja, imejensi kɔndishɔn kin bi bikɔs ɔf wan sik we dɛn kɔl Epiglottitis. Dis kin mek wi layf de pan denja, so lɛ wi no bɔt dis.
Wetin na Epiglottitis? Lɛ wi ɔndastand am simpul wan.
Fɔ tɔk am simpul wan, wan smɔl flap de na wi trot, jɔs biɛn di tɔŋ. Dis na wetin wi kin kɔl di mɛrɛsin we dɛn kɔl epiglottis . di men wok we i de du na fכ mek it εn drink nכ go stret insay wi windpaip (trachea) εn insay wi εsophagus. I de wok lɛk lev we de chenj trak na rod.
So, Epiglottitis na we di epiglottis swel, rεd, εn inflamed wan wan, biכs fכ infεkshכn כ כda rizin.
Naw imajin, wetin go apin if dis flap we de oba di say we di briz de blo swel? Di say we di briz de blo, we na di trachea , kin blok ɔltogɛda. Dɔn yu nɔ ebul fɔ blo. Bikɔs di say dɛn we yɔŋ pikin dɛn kin blo kin rili smɔl ɛni we, dis swɛlin kin rili denja fɔ dɛn. Na dat mek dɛn kin tek am se na mɛdikal imejensi.
Di tin we impɔtant pas ɔl na dat, if yu gɛt dɛn sik ya, nɔ ivin tink bɔt fɔ bɔyl kɔriandr lif na os ɔ fɔ tray ɔda mɛrɛsin dɛn na os. Yu fɔ kɛr di pɔsin go na ɔspitul in Imejɛnsi Tritmɛnt Yunit (ETU) kwik kwik wan.
Aw dis sik kin kɔmɔn?
Epiglottitis nɔto sik we kin bɔku, bɔt i kin apin to pipul dɛn we gɛt ɛni ej.
Trade, dat na bifo 1985, dis sik bin de apin mɔ pan pikin dɛn we ol bitwin 3 ɛn 5. Di men tin we mek dis sik na di baktri we dɛn kɔl Haemophilus influenzae type b (Hib) . Bɔt naw dɛn dɔn put di Hib vaysin insay di nashɔnal vaksin program we dɛn kin gi pikin dɛn we dɛn smɔl na wi kɔntri. Yu kin mɛmba di pentavalɛnt vaysin we dɛn kin gi pikin dɛn we dɛn ol 2, 4, ɛn 6 mɔnt. Dat de gi protɛkshɔn bak agens dis Hib infɛkshɔn. Na dat mek naw dɛn nɔ kin si dis sik pan pikin dɛn.
Bɔt i sɔprayz fɔ no se naw pipul dɛn de si dis sik mɔ ɛn mɔ pan big pipul dɛn. Nɔto di Hib baktri dɛm de mek am, bɔt na ɔda kayn baktri dɛm lɛk Streptococcus pneumoniae ɛn Staphylococcus .
Wetin na di sayn dɛm wae de sho se yu gɛt epiglottitis? Aw fɔ pul am kɔmɔt?
Bɔrku tɛm, dɛn sik ya kin kam wantɛm wantɛm ɛn dɛn kin tranga kwik kwik wan insay sɔm awa. Mɔ yɔŋ pikin dɛn kin gɛt dɛn sik ya we dɛn nɔ wɔn dɛn bikɔs di say dɛn we dɛn kin blo kin rili smɔl. Big pipul dɛn kin gɛt sɔm sayn dɛn we kin las fɔ wan ɔ tu dez, lɛk we dɛn trot kin at, dɔn dɛn kin tranga.
4 men sayn dεm de wae dכkta dεn kin yuse fכ no dis sik. Dɛn kin kɔl dɛn tin ya bak di "4 D's".
| Di "D" Simptom | Simply minin |
|---|---|
| Disfagia we pɔsin kin gɛt | I nɔ izi fɔ swɛla: Dis nɔ tan lɛk nɔmal trot we de at. I kin fil pen sote yu nɔ kin ivin swɛla wan drop pan saliva. |
| Disfɔnia we pɔsin kin gɛt | Di vɔys kin chenj: Di vɔys kin de ala, ɔ i kin rili saf, lɛk se yu de tɔk we yu de wispa. Sɔm pipul kin kɔl dis "hot potato voice," lɛk se yu de tɔk wit hot potato na yu mɔt. |
| Drooling we yu de drɔl | Drooling: Di bad bad pen na di trot de mek i nɔ pɔsibul fɔ swɛla saliva, so saliva de kɔmɔt na di mɔt we yu nɔ no. |
| Trɔbul | I nɔ izi fɔ blo: I nɔ izi fɔ blo, i kin fil se yu dɔn swɛla. Chɛst kin pul insay we yu de blo. I tan lɛk se di pɔsin we sik rili vɛks. |
Apat frɔm dɛn men tin ya, yu kin si sɔm ɔda tin dɛn:
- Wan trot we kin at we pɔsin nɔ go ebul fɔ imajin .
- Fiva we pas 38 digri sɛlshiɔs (100.4 Fahrenheit).
- Wan lɔw, ay-pitch sawnd, lɛk ‘whoosh’, dɛn kin yɛri we yu de blo.
- Ɛspɛshali yɔŋ pikin dɛn kin opin dɛn mɔt, ledɔm bifo, ɛn put dɛn an pan dɛn ni fɔ ɛp dɛn fɔ blo. Wi kin kɔl dis di ‘tripod pozishɔn’. Dis na abit we rili impɔtant.
- Di pikin nɔ kin rɛst ɛn i kin vɛks bad bad wan .
Sɔmtɛm dɛn sayn ya kin tan lɛk ɔda sik dɛn lɛk krɔp. Bɔt, krɔp kin gɛt fɔ du wit kɔf, ɛn krɔp nɔ kin bi dis siriɔs wan ɔltɛm. So, i impɔtant fɔ go to dɔktɔ wantɛm wantɛm fɔ no difrɛns bitwin dɛn tu ɛn trit dɛn fayn fayn wan.
Wetin kin mek pɔsin gɛt epiglottitis?
Di men tin we kin mek dis apin na baktriyal infεkshכn, bכt כda tin dεm kin de bak.
- Baktri infεkshכn: As wi bin dכn tכk bכt, dis kin kכz bay Hib baktri dεm na pikin dεm, εn כda kayn baktri dεm na big pipul dεm.
- Vayral infεkshכn: Sɔmtεm, we wi gεt vayral infεkshכn lεk chikinpoks (varicella-zoster virus) εn hεpi (hεpi simpul vayrus), wi imyuniti kin wik εn baktri infεkshכn kin izi fכ go insay tru am.
- Fɔngal infɛkshɔn: Pipul dɛn we gɛt rili wik imyun sistɛm (e.g., pipul dɛn we gɛt HIV, pipul dɛn we de du kansa tritmɛnt) kin gɛt dis sik bak bikɔs ɔf fɔngal infɛkshɔn lɛk Kandida.
- Trot damej: Dis sik kin kam bikɔs yu blo yu trot tranga wan, yu chok pan sɔntin we shap (lɛk fish bon), ɔ yu drink wan wata we rili wam wantɛm wantɛm, lɛk wan kɔp ti.
- Smok: Fɔ smok ɔltɛm, vap, ɔ inhal drɔg smok lɛk krak kɔkɛyn kin bi bak wan rizin.
- Kεmikכl dεm: Dis kכndyushכn kin apin afta yu drink wan tכxik kεmikכl (e.g., asid) we de bכn di trot.
Yu tink se dis sik kin pas?
Epiglottitis nɔ kin spre dairekt frɔm pɔsin to ɔda pɔsin. Bɔt di baktri ɔ vayrɔs we de mek i kam kin skata. Di jem dεm de spre tru dכp dεm we de go insay di briz we pכsin kכf כ sniz. Bɔt yu nɔ kin rili gɛt di jem dɛn we yu gɛt epiglotaytis. I kin apin nɔmɔ if di jem dɛn go insay yu epiglotis ɛn mek yu gɛt infɛkshɔn.
Aw dɛn kin du diagnosis ɛn tritmɛnt na ɔspitul?
Bikɔs dis na imejensi, di fɔs tin we dɔktɔ dɛn go du we dɛn kam wit yu na di ETU na fɔ mek yu brith stebul pas fɔ no wetin na di sik. Na bikɔs fɔ sev yu layf na di fɔs tin we yu fɔ du. Wae yu brith dɔn stebul, dɛn kin du dɛn tɛst ya fɔ ɛp fɔ no di sik:
- Fɔ chɛk di trot: spɛshal dɔktɔ kin yuz wan tin tiub wit kamɛra (laryngoscopy) fɔ chɛk insay di trot ɛn chɛk dairekt wan fɔ si if di epiglotis dɔn swel.
- X-ray tɛst dɛn:We dɛn tek ɛkstrem rayt na di nɛk, di epiglotis we dɔn swel kin tan lɛk sayn we de sho se pɔsin in an .
- Blɔd ɛn trot swab tɛst: Dɛn kin yuz blɔd tɛst fɔ chɛk if infɛkshɔn de na di bɔdi. Dɛn kin sɛn trot swab bak na lɛbɔtri fɔ no di rayt baktri ɔ vayrɔs we de mek di sik.
Dɛn kin fala tri men tin dɛn we dɛn de du di tritmɛnt.
| Di stɛp dɛn fɔ trit | Wetin dɛn de du |
|---|---|
| 1. Fɔ mek di say we di briz de kɔmɔt fayn | Fɔs, dɛn kin put ɔksijɛn mask ɛn gi am ɛkstra ɔksijɛn. If di say we di briz de blok bad bad wan, dɛn kin put wan tiub tru di mɔt insay di briz paip (intubeshɔn) wit di ɛp we dɔktɔ we de mɛn pipul dɛn we de anestezi kin gi. If dis nɔ pɔsibul ivin if ɛnitin apin, dɛn kin kɔt smɔl pat na di nɛk ɛn put wan tiub insay di winda paip. Dɛn kɔl dis tracheostomy. Bɔt bɔku tɛm, i nɔ kin nid fɔ du dis. |
| 2. Gi salin ɛn wata | Fiva ɛn i nɔ kin izi fɔ swɛla kin mek yu nɔ gɛt wata na yu bɔdi. Fɔ mek dis nɔ apin, dɛn kin gi salin insay wan vein (IV drip). |
| 3. Antibayɔtiks | di men rizin fכ dis na baktri infεkshכn, so dεn injekt di rayt antibaytik dεm na di vein. Bay di tɛst rizɔlt, dɛn kin gi di mɛrɛsin we fayn fɔ di ɛksaktɔl baktri dɛm we mek di infekshɔn. |
Aw lɔng i kin tek fɔ wɛl ɛn aw a go protɛkt misɛf?
Bɔku tɛm, i kin tek lɛk wan wik so fɔ mek i wɛl ɔl. Yu go gɛt fɔ de na di ɔspitul fɔ lɛk tri to fayv dez. Ivin if dɛn put tiub fɔ ɛp fɔ blo, dɛn go pul am afta tu to tri dez we di swɛlin dɔn go dɔŋ ɛn yu go ebul fɔ blo yusɛf.
Di tin we impɔtant pas ɔl na dat yu fɔ dɔn di ful kɔs fɔ di antibayɔtiks we yu dɔktɔ gi yu (bɔku tɛm na 7 dez). I nɔ fayn fɔ stɔp fɔ tek dɛn af-af jɔs bikɔs di pen dɔn stɔp. If yu du dat, i kin mek di infekshɔn kam bak.
Pan ɔl we i nɔ pɔsibul fɔ protɛkt yusɛf ɔlsay frɔm dis sik, yu kin du dɛn tin ya fɔ ridyus di prɔblɛm we yu gɛt:
- Vaksin: Mek shɔ se yu pikin gɛt di fayv-komponent vaysin, we inklud di Hib vaysin, di rayt tɛm. Na di bɛst we fɔ protɛkt pikin dɛn.
- Gud klin: Was yu an fayn fayn wan wit sop ɛn wata ɔltɛm. Nɔ tɔch yu yay, yu nos, ɛn yu mɔt we yu nɔ nid.
- Protɛkt yusɛf frɔm infɛkshɔn: Nɔ de fa frɔm pipul dɛn we de kɔf ɛn sniz as yu ebul.
- Fɔ avɔyd tin dɛn we kin pwɛl yu trot: Nɔ it tin dɛn we kin pwɛl yu trot, lɛk fɔ drink tin dɛn we rili wam ɛn fɔ smok.
Mɛsej we dɛn kin kɛr go na os
- Epiglottitis na wan mɛdikal imejensi we kin mek pɔsin in layf de pan denja we di epiglottis, we na wan pat pan di trot, kin swel wantɛm wantɛm ɛn stɔp fɔ blo.
- I nɔ kin izi fɔ swɛla, yu vɔys kin chenj, yu kin drɔl, ɛn i nɔ kin izi fɔ blo na di men sayn dɛm.
- If yu notis wan ɔ mɔ pan dɛn sayn ya, kɛr di pɔsin go na ɔspitul in Imejɛnsi Tritmɛnt Yunit (ETU) ɛn nɔ de te. Nɔ tray fɔ trit am na os.
- Di Hib vaysin we dɛn gi pikin dɛn dɔn rili mek dis sik nɔ apin to pikin dɛn.
- I nɔ mata aw dis sik siriɔs, bɔku pipul dɛn kin wɛl if dɛn gɛt tritmɛnt di rayt tɛm ɛn di rayt we . Di tin we impɔtant pas ɔl na fɔ du sɔntin kwik kwik wan.
💬 Comments (0)
No kɔmɛnt nɔ de yet. Ad yu kɔmɛnt ya fɔ di fɔs tɛm.
Ad yu kɔmɛnt