Yu dɔn ɛva fil bad bad pen na yu trot wantɛm wantɛm we mek i nɔ izi fɔ swɛla ivin smɔl saliva? Na di sem tɛm, yu kin fil se i nɔ izi fɔ yu fɔ blo smɔl? Dis sik, mɔ if i apin to smɔl pikin, kin mek wi rili fred as mama ɛn papa. Tide wi de tɔk bɔt wan sik we dɛn kɔl Epiglottitis, we kin mek dɛn gɛt dɛn sik ya ɛn dɛn kin tek am se na mɛdikal imejensi.
Fɔ tɔk am simpul wan, wetin na epiglottitis?
Okay, mek wi put am dis we. na di bכs pat pan wi tכng, insay wi trot, wan sכmכl flap de fכ di katilej we dεn kכl di epiglottis. Di men wok we i de du na fɔ mek tin nɔ go insay wi winda we wi de it ɔ drink. I tan lɛk domɔt, we de lɔk di briz we wi de swɛla.
Epiglottitis na we, fɔ sɔm rizin, bɔku tɛm na baktriyal infɛkshɔn, di epiglottis kin swel, rɛd, ɛn infɛkshɔn.
Imajin, wetin go apin if dis smɔl domɔt we de lɔk wi aywe swel? Di say we di briz de blo kin bigin fɔ blok. Dis na de tin wae denja pasmak pan dis sik. If di say we di briz de blok ɔltogɛda, i kin ivin mek pɔsin in layf de pan denja.
Trade, dis sik bin rili kɔmɔn pan yɔŋ pikin dɛn. Di kɔz na di baktri we nem Haemophilus influenzae tayp b (Hib). Bɔt naw we dɛn dɔn put di Hib vaysin insay di vaysin siriɔs we dɛn kin gi pikin dɛn na wi kɔntri, dis sik nɔ kin bɔku pan pikin dɛn. So, naw dis kכndyushכn dεn kin si sכmtεm pan big pipul dεm. Bɔt bikɔs di say dɛn we pikin dɛn kin blo rili smɔl, i kin denja mɔ if dɛn gɛt dis.
Wetin na di men tin wae kin mek pɔrsin gɛt Epiglottitis?
As a bin dɔn tɔk bifo tɛm, di men tin we kin mek dis sik na baktriyal infɛkshɔn . Pan dɛn wan ya, dɛn wan ya na di wan dɛn we bɔku pipul dɛn kin du:
- Ɛmofilis inflɔɛnsa
- Streptococcus nyumonia we gɛt di sik
- Streptococcus grup A, B, ɛn C
- Stafylokokɔs ɔriɔs
Apat frɔm dɛn baktriyal infɛkshɔn ya, sɔntɛnde dis sik kin bi bikɔs ɔf fɔngal infɛkshɔn. כlso, afta vayral infεkshכn (e.g. chikinpoks) pan pכsin we in imyun sistεm wik, baktri infεkshכn kin divεlכp εn mek epiglotaytis.
Apat frɔm di sik dɛn we pɔsin kin gɛt, ɔda tin dɛn de we kin mek pɔsin gɛt dis sik. Dɛn tin ya na:
- Trot injury: Fɔ bɔn di trot bikɔs yu de drink it ɔ wata we rili wam, we yu inhal ɔ swɛla kemikal, smok (especially krak kɔkɛyn), ɔ we yu gɛt trauma we de na do na yu trot.
- Ɔda sik dɛm: Dis kin apin bak as sayd ɛfɛkt fɔ sɔm kansa tritmɛnt dɛm.
Yu tink se dis sik kin pas?
Yɛs. Di baktri ɔ vayrɔs we de mek pɔsin gɛt di sik kin skata na di briz we pɔsin we gɛt di sik kɔf ɔ sniz. So, i rili impɔtant fɔ fala gud wɛlbɔdi biznɛs, lɛk fɔ was yu an ɔltɛm ɛn fɔ de fa frɔm pipul dɛn we sik.
No! Dis na di sayn dɛm fɔ epiglottitis!
De tin wae denja pasmak pan dis sik na wae de sik kin kam tranga kwik kwik wan, insay sɔm awa. I nɔ kin tek lɔng fɔ mek i bigin lɛk simpul trot we de at ɛn bi tin we kin mek pɔsin in layf de pan denja.
Dɔktɔ dɛn kin no 4 men sayn dɛm fɔ dis sik. Fɔ mek i izi fɔ mɛmba, dɛn kin kɔl dɛn tin ya di "4 D's." Lɛ wi tek wan luk pan wetin dɛn bi.
| Di lɛta "D". | Simptom ɛn wetin i min |
|---|---|
| Disfagia we pɔsin kin gɛt | I nɔ kin izi fɔ swɛla: I nɔ kin ebul fɔ swɛla ivin smɔl smɔl saliva bikɔs i kin gɛt bad bad trot pen. |
| Disfɔnia we pɔsin kin gɛt | Di vɔys kin chenj: i kin mek pɔsin ala lawd wan, i kin tɔk smɔl smɔl, ɔ i kin mek pɔsin nɔ ebul fɔ tɔk lɛk se sɔntin dɔn stɔp na di trot. |
| Drooling we yu de drɔl | Drooling: di saliva de lik we yu nɔ want frɔm di mɔt bikɔs i nɔ ebul fɔ swɛla. Dis kin apin mɔ pan yɔŋ pikin dɛn. |
| Trɔbul | Difεlεnt fכ brith: wisεl sawnd (stridor) we yu de brith, labored breathing, rεstlessness. |
Apat frɔm dɛn 4 men sayn ya, i kin gɛt bak ay fiva ɛn big big rεstlɛs ɔ wɔri .
Di pɔsin we sik, mɔ di pikin, go tray fɔ ledɔm bifo ɛn rɔta dɛn nɛk ɔp fɔ mek i izi fɔ blo. Wi kɔl dis di "tripod pozishɔn." We yu ledɔm, dat kin mek i nɔ izi fɔ yu fɔ blo.
Ustɛm yu fɔ go na ɔspitul wantɛm wantɛm?
Dis na sɔntin we wi fɔ mɛmba. If yu ɔ yu pikin gɛt ɛni wan pan di "4 D" dɛm we wi dɔn tɔk bɔt, nɔto sik we dɛn kin kip na os. Dis na mɛdikal imejensi. Nɔ delay fɔ wan sɛkɔn, go wantɛm wantɛm na di Imejɛnsi Dipatmɛnt (ETU) na di ɔspitul we de nia yu.
εspεshali if di skin tכn blu (cyanosis), i min se di bכdi nכ de gεt inof כksijεn. Dat na sayn we rili denja!
Impɔtant: Nɔ tray fɔ chɛk yu pikin in trot ɔ put ɛnitin na in mɔt na os. If yu du dat, i kin mek yu swel mɔ ɛn mek yu ebul fɔ blo wantɛm wantɛm. Kip yu pikin kol, sidɔm, ɛn blo izi wan, ɛn kɛr am go na ɔspitul wantɛm wantɛm.
Aw dɔktɔ dɛn kin no bɔt dis sik?
Fɔ no bɔt dis sik kin mek yu gɛt prɔblɛm smɔl. Bikɔs we dɛn de chɛk di epiglotis, di say we di briz de blo kin blok wantɛm wantɛm bikɔs i de swel. So, dɔktɔ dɛn kin tek tɛm du dis ɛgzamin, ɛn dɛn kin kip ɔl di tin dɛn we dɛn nid (lɛk tyub fɔ blo) nia dɛn if ɛnitin apin.
- Laryngoscopy: Dɛn kin pas wan tiub we gɛt smɔl kamɛra tru di nos ɛn dɔŋ di trot fɔ chɛk aw di epiglotis de.
- X-ray: We yu tek ɛkstrem rayt na di nɛk, i kin no se di epiglotis dɔn swel.
- Blɔd tɛst: Dɛn kin du blɔd tɛst fɔ no wetin mek di sik kam.
Yu tink se dɛn kin kɔnfyus dis sik wit ɔda sik dɛn?
Yɛs. Sɔmtɛm dɛn kin kɔnfyus dis sik wit tin dɛn we dɛn kɔl strep trot ɔ krop.
| Epiglotaytis we gɛt di sik | Krɔp |
|---|---|
| I kin wɔs kwik kwik wan (insay sɔm awa). | Di sayn dɛm kin kam smɔl smɔl fɔ sɔm dez. |
| Di trot pen bad bad wan, i nɔ kin izi fɔ swɛla, ɛn drɔl na di men sayn dɛm. | Wan kayn kɔf de we de mek pɔsin bark, we fiba lɛk we dɔg de bark. I nɔ kin izi fɔ swɛla. |
| Bɔku tɛm, i kin gɛt ay fiva. | Bɔku tɛm, pɔsin kin gɛt fiva we nɔ gɛt bɛtɛ grad. |
Aw dɛn kin trit am?
If dɛn no se yu gɛt epiglottitis, dɛn go put yu na ɔspitul wantɛm wantɛm. Di men gol fɔ tritmɛnt na fɔ kip yu aywe opin.
1. Fɔ gi ɔksijɛn: If i nɔ izi fɔ blo, dɛn kin gi ɔksijɛn tru mask.
2. Ɛp fɔ brith: If swel de mek di say we di briz de blok, dɔktɔ dɛn kin put wan tiub insay di winda paip tru di nos ɔ yu mɔt (intubeshɔn) fɔ sɔm dez te di swel go dɔŋ. Na smɔl tɛm nɔmɔ, if di swɛlin na di trot bad bad wan, dɛn kin kɔt smɔl pat na di ɔdasay na di nɛk ɛn dɛn kin put wan tiub fɔ blo (cricothyroidotomy).
3. Antibayɔtik: Dɛn kin stat antibayɔtik kwik kwik wan tru wan vein (IV).
4. IV fluid: Dɛn kin gi wata lɛk salin tru wan vein te yu ebul fɔ swɛla nɔmal wan.
5. Kɔtikosterɔyd: Dɛn kin yuz dɛn mɛrɛsin ya fɔ ridyus di swel.
Us prɔblɛm dɛn dis kin mek?
Di men ɛn denja kɔmplikeshɔn na we di say we di briz de blo kɔmplit wan ɛn day.
Apat frɔm dat, di baktri dɛm we mek di sik kin go na ɔda pat na di bɔdi, .
- Nyumonia
- Meningitis (infεkshכn pan di mεmbran dεm we de kכba di bren) .
- Infεkshכn dεm na di skin
- Sepsis (blɔd pɔyzin) .
Sɔm bad bad tin dɛn kin apin.
Yu nɔ tink se dɛn go ebul fɔ stɔp am? Di impɔtant tin bɔt di Hib vaysin
Di gud nyus na dat, wan vaysin de we rili wok fɔ protɛkt yusɛf frɔm di Hib baktri dɛm, we na di men tin we de mek pɔsin gɛt dis sik. Dis de insay di nashɔnal vaksin program fɔ pikin dɛn na wi kɔntri. So, if yu gi yu pikin ɔl di vaysin dɛn di rayt tɛm, yu kin protɛkt am frɔm dis denja sik.
Dɛn nɔ kin gi dis vaysin fɔ pipul dɛn we dɔn pas 5. Bɔt dɔktɔ kin tɛl pipul dɛn we gɛt wikɛd imyun sistɛm (e.g., pipul dɛn we gɛt HIV, pipul dɛn we gɛt kansa).
Mɛsej we dɛn kin kɛr go na os
- Epiglottitis na infεkshכn εn swel na di epiglottis, we na wan flap na di trot. Dɛn kin tek dis as mɛdikal imejensi bikɔs i kin blok di say we di briz de blo.
- Di men sayn dɛm na di trot we de at bad bad wan, i nɔ kin izi fɔ swɛla, i kin ala lawd lawd wan, i kin drɔl, ɛn i kin at fɔ blo (di 4 D dɛm) .
- If yu gɛt ɛni wan pan dɛn sik ya, go na ɔspitul in Imejɛnsi Tritmɛnt Yunit (ETU) wantɛm wantɛm. Nɔ tray fɔ trit yusɛf na os.
- Hib vaksin kin protεkt pikin dεm bכku bכku wan frכm dis sik. Kip yu pikin in vaksin kad kɔrɛkt.
- If dɛn no bɔt di sik ɛn trit dɛn kwik kwik wan, bɔku pipul dɛn kin wɛl kpatakpata. If yu de delay, dat kin mek yu layf de pan denja.
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