Yu, we de wok na fam, kin gɛt dis sik bak? Lɛ wi lan ɛksaktɔli bɔt (Farmer’s Lung)!

Yu na fama? Ɔ yu na pɔsin we de wok na fam ɛn yu kin gɛt tin dɛn lɛk hay, bali, ɛn dray gras ɔltɛm? Sɔntɛnde, yu kin fil lɛk se yu nɔ de blo fayn, yu kin kɔf, yu kin fil wik, ɔ yu kin gɛt fiva we yu de wok wit dɛn tin ya? If na so i bi, dis na sɔntin we go rili impɔtant to yu. Tide wi de tɔk bɔt wan kɔndishɔn we dɛn kɔl "Farmer's Lung."

Wetin na "Farmer's Lung"?

Fɔ tɔk am simpul wan, dis na wan kayn alɛji we kin afɛkt wi lɔng dɛn. Fɔ tɔk di kɔrɛkt tin, i kin mek di smɔl smɔl ay sak dɛn we de insay wi lɔng, we na di alvɔlɔ, usay ɔksijɛn kin chenj we wi de blo, inflamɛns. Dɛn kɔl dis pan mɛrɛsin Hypersensitivity Pneumonitis .

Di men tin we kin mek dis apin na we pɔsin de blo dɔst frɔm hay we gɛt mold, dray gras, grens, ɔ ɔda tin dɛn we gɛt fɔ du wit fam. Dis difrɛn smɔl frɔm di `allergic rhinitis` we wi kin gɛt frɔm dɔst ɔ pet dander. Sɔntɛnde, i kin siriɔs pas dɛn kayn alɛji ya. Bikɔs, if wi kɔntinyu fɔ blo dɛn mɔld patikyula dɛn ya, chans de fɔ mek wi lɔng dɛn pwɛl sote go .

Men kayn "Farmer's Lung" de?

Yɛs, dɛn kin sheb dis sik to tri men kayn. Dɛn na:

• `Acute Farmer's Lung`: Imajin se yu dɔn wok wit wan pila we gɛt mɔld hay. Insay sɔm awa we yu dɔn wok, yu kin gɛt sɔm sayn dɛn lɛk fiva, kɔf, ɛn yu nɔ kin blo fayn wantɛm wantɛm. Bɔt dɛn sayn ya kin stɔp insay sɔm awa ɔr dez, mɔ afta yu dɔn de fa frɔm di say we gɛt mold.
• Subacute Farmer’s Lung: Dis kin apin afta we yu dɔn gɛt mɔld fɔ lɔng tɛm, we nɔ gɛt bɛtɛ lɛvɛl. Di sayn dɛm kin kam smɔl smɔl ɛn kin te fɔ lɔng tɛm. Yu kin tink se, "O, dis na jɔs bad kol." Di sayn dɛm kin de ɔltɛm ɔr kin kam ɛn go.
• Kronik Fama in Lכng: Dis kin divεlכp as tεm, sכmtεm afta dεn dכn εkspos am bכku akyu, כ afta dεn εkspos to hכy lεvεl כf mכld. Di sayn dɛm kin kam smɔl smɔl ɛn smɔl smɔl. Dis inflamɛns we nɔ de dɔn kin mek di lɔng dɛn gɛt skata we nɔ go ɛva chenj . Dis na di kɔndishɔn we denja pas ɔl.

Wetin na di sayn dɛm fɔ dis?

Di sayn dɛm kin difrɛn smɔl fɔ di kayn sik.

Di simptom dɛm fɔ `Acute` kɔndishɔn:

Dɛn tin ya kin apin insay sɔm awa afta dɛn dɔn gɛt mold:

• I nɔ izi fɔ blo (dyspnea) .
• Kɔf(bɔku tɛm na dray kɔf)
• Fɔ fil se yu chɛst tayt ɛn tayt
• Chil (we de shek shek ɛn fiva) .
• Taya
• Fiva
• Bɔdi de at, mɔsul dɛn de at

Di simptom dɛm fɔ `Subacute` ɛn `Kronik` kɔndishɔn dɛm:

Dɛn sayn ya kin tan lɛk de sik wae de kam pan pɔrsin wae gɛt dis sik, bɔt dɛn kin kam smɔl smɔl ɛn kin tranga pasmak as tɛm de go.

• Na di `subacute` stej, yu kin fil lɛk se yu gɛt kol we nɔ de dɔn .
• Na `Krכnik` kכndishכn, yu kin εkspiriεns:
• A kin fil shɔt fɔ blo ɛn a kin fɔdɔm kwik pas aw a bin de fil (espɛshali we a de du ivin di smɔl smɔl wok).
• Di kɔf ɛn taya de go ɔp smɔl smɔl, nɔto fɔ go dɔŋ.
• Di wet we pɔsin kin lɔs kin apin we pɔsin nɔ bin want fɔ du am.
• Finga ɔ fut klab (finga ɔ fut klab) .

Wetin mek dis "Farmer's Lung" de divεlכp?

Di men rizin fɔ dis na bikɔs sɔm kayn mold kin gro pan tin dɛn lɛk hay, dray gras, ɛn gren. we sɔntin we de na do ambɔg dɛn mold ya (fɔ ɛgzampul, we dɛn brok wan bɛl we gɛt hay ɔ pul wan bag we gɛt gren), di mold de pul patikyula tin dɛn (`patikul dɛn`) we tu smɔl fɔ si wit yu yay na di ays.

We wi de blo dɛn patikyula tin ya, di imyun sistɛm na wi bɔdi kin riak pasmak , ɛn dis kin mek di lɔng dɛn inflamɛns. Dis kin tan lɛk we pɔsin kin gɛt alɛji.

Imajin, wi bɔdi de no dɛn mɔld patikyula ya as "ɛnimi." We wi fɔs riak to dɛn mol dɛn ya, wi bɔdi kin mek spɛshal kemikal dɛn fɔ no dɛn tumara bambay. bכt wetin de apin na "fama in lכng" εn כda `hypersensitivity pneumonitis` kכndishכn dεm na dat as wi de kכntinyu fכ de pan dis alergen, wi bכdi de bi mכr `sεnsitized`, we de mek di nεks riakshכn ivin wכs. As tɛm de go, dis bad bad tin we kin apin kin pwɛl di ay sak dɛn (alveoli) we de na wi lɔng ɛn di smɔl smɔl aywe dɛn we de go to dɛn. Dis damej na in kin mek de sik kin bɔku smɔl smɔl.

Udat de pan big risk fɔ gɛt dis?

If yu de wok wit mɔld hay ɔ gren, ɔ if yu kin de na say lɛk dat bɔku tɛm, yu kin gɛt dis sik. Dis kin apin mɔ insay di let winta ɛn ali spring, we hay ɛn gren kin wet ɛn i kin mek mold gro. So, de risk kin ivin pasmak insay dɛn tɛm ya.

Dɛn pipul ya de pan ay risk fɔ gɛt "fama in lɔng":

• Pipul dɛn we de wok na dairy farm
• Di wan dɛn we de prosɛs ɛn lod grens
• Pipul dɛn we de ol hay ɔ dray gras (especially we dɛn de brok bales of hay we kin bi mold) .
• Pipul dɛn we kin spɛn bɔku tɛm na stɛbul
• Pipul dɛn we de wok na zoo dɛn
• Pipul dɛm we nɔ de yuz ɔtomatik ikwipmɛnt fɔ handle tin dɛm lɛk hay ɛn gren (i.e., pipul dɛm we de du bɔku pan dis wok wit dɛn an)
• Pipul dɛn we ol bitwin 50 ɛn 70 ia (dɛn kin bɔku pan dis ej grup) .

Us prɔblɛm dɛn dis kin mek?

if yu kɔntinyu fɔ de wit di mold dɛm we de mek "fama in lɔng" i kin mek yu gɛt siriɔs kɔmplikeshɔn. Di tin dɛn we impɔtant pas ɔl na:

• Ska na di lכng dεm (pulmonary fibrosis): Dis kin mek di lכng dεm lכs fכ fleksibul εn dεn nכ de wok fayn. I kin at fɔ blo mɔ ɛn mɔ.
• di ay bכdi prεshכn bitwin di at εn di lכng (pulmonary hypertension): We di lכng dεm dכn pwεl, di at gεt fכ wok tranga wan fכ pכmp blכd tru di lכng. Dis kin afɛkt di at bak.

Aw yu kin no bɔt dis?

Wan dɔktɔ kin no se "Farmer's Lung" afta i dɔn tink bɔt sɔm tin dɛn.

• Yu simptom dɛm (wetin yu de fil, aw lɔng yu dɔn gɛt dɛm, ɛn ɔda tin dɛm)
• Yu wɛl bɔdi histri (di sik dɛn we yu bin dɔn gɛt bifo, di mɛrɛsin dɛn we yu bin de tek) .
• Wan ɛgzamin fɔ yu bɔdi (di dɔktɔ de chɛk yu) .
• Speshal tɛst dɛn:
• Blɔd tɛst: Spɛshal blɔd tɛst, lɛk di `Hypersensitivity pneumonitis panel`, kin chɛk if yu bɔdi dɔn riak to di protin dɛm we de mek `Farmer's lung` ɛn ɔda `hypersensitivity pneumonitis` kɔndishɔn.
• Imajin fɔ di lɔng dɛn: Dɛn kin du ɛkstrem rayt ɔ CT skan na di chɛst fɔ chɛk if di lɔng dɛn dɔn pwɛl, if i gɛt inflamɛns, ɔ if i gɛt skata.
• Pɔlmonari wok tɛst: Dis na fɔ mek yu blo ɛn kɔmɔt na wan spɛshal mashin fɔ no aw yu lɔng dɛn de wok fayn ɛn ɔmɔs briz yu kin blo ɛn pul.
• Bronchoscopy: Sɔntɛnde, ɔnda anestezi, dɛn kin pas wan tiub wit smɔl kamɛra tru di nos ɔ mɔt insay di lכng fɔ si insay di lכng εn tek sכm sכm tisu sεmpl dεm (bayopsi) fכ tεst.
• I rili impɔtant bak fɔ mek dɛn no di sik fɔ no if i pɔsibul fɔ mek yu gɛt mold na di say we yu de wok ɔ usay yu de .

Wetin na di tritmɛnt fɔ dis?

fכ trit "fama in lכng" fayn fayn wan, i implεnt fכ avכyd di mold dεm we de mek i kכmplit wan. Dis na di tin we impɔtant pas ɔl. Apat frɔm dat, yu dɔktɔ kin gi yu tritmɛnt dɛn lɛk:

• Di mɛrɛsin dɛn we dɛn kin yuz:
• Kɔtikosterɔyd ɔ mɛrɛsin dɛn we de mek pɔsin nɔ ebul fɔ fɛt di sik:Dɛn tin ya kin ɛp fɔ ridyus di inflamɛns na di lɔng dɛn. fכ egzampl, dεn kin gi mεdikeshכn dεm lεk `prednisone`, `mycophenolate`, εn `azathioprine`.
• Anti-fibrotic drugs: Drugs lεk pirfenidone εn nintedanib kin slo dכn di rεt fכ skata na di lכng.
• Pulmonary rehabilitation: Speshal eksasaiz fɔ brith, fyzikal ɛksesaiz, ɛn advays kin ɛp fɔ mek i izi fɔ blo ɛn mek yu layf bɛtɛ.
• Ɔksijɛn tɛrapi: If yu blɔd ɔksijɛn nɔ bɔku, dɛn kin gi yu ɛkstra ɔksijɛn tru wan kanula na yu nos ɔ wan fes mask.
• Lɔng transplant: If di lɔng dɛn dɔn pwɛl bad bad wan ɛn gɛt skata, i kin nid fɔ transplant di lɔng dɛn as las tin.

Di tin we impɔtant pas ɔl: Ivin wit dis mɛrɛsin ɛn ɔda tritmɛnt dɛn, if yu kɔntinyu fɔ gɛt mold, di sik kin kam bak. Ɛn chans de fɔ mek di lɔng dɛn pwɛl fɔ ɔltɛm. insay krεse "fama in lכng," di damej pan di lכng kin kכntinyu fכ bכku sכmtεm ivin afta yu avכyd mכld kכmplit wan.

Aw kwik a go wɛl afta dɛn dɔn trit mi?

If yu gɛt `Acute` (severe) `Farmer`s Lung`, yu kin bigin fɔ fil fayn jɔs afta yu dɔn avɔyd di mold we de mek yu gɛt di sik (sɔntɛm insay sɔm awa ɔ dez). Bɔt i kin tek sɔm mɔnt fɔ mek di inflamɛns na yu lɔng dɛn wɛl ɔl. Insay ɔl tu di `Acute` ɛn `Chronic` kɔndishɔn dɛm, sɔm pan di damej kin bi fɔ ɔltɛm .

Wetin pɔsin we gɛt "Farmer's Lung" kin ɛkspɛkt?

Dis dipכnt pan aw lכng yu bin gεt "fama in lכng" εn aw i siriכs.

• `Acute` kondishכn dεm kin bεtε insay fכ de, bכt na if yu nכ de pan mold igen.
• di ``subacute`` kכndishכn kin las fכ sεvεra mכnt. Bɔku tɛm, dis kin nid fɔ gɛt drɔgs.
• Krכnik "fama in lכng" kin at fכ kכmplit. Bɔt, mɛrɛsin kin ɛp fɔ kɔntrol di sayn dɛm ɛn mek layf izi smɔl.

Yu kin rikova komplitli frɔm "Farmer's Lung"?

akyu εn subakyu fכm dεm fכ "fama in lכng" kin trit , bכ t i imכtant fכ avכyd fכ εkspos to mold. Dɛn kin nid mɛrɛsin bak fɔ ridyus di inflamɛns.

כltu, di krεse "fama in lכng" kin mek di lכng damej (especially ska - fibrosis).I nɔ go ebul fɔ chenj. Bɔt fɔ trit ɛn avɔyd fɔ gɛt mold kin mek di prɔblɛm nɔ apin kwik kwik wan.

Dis kin afɛkt di layf we pɔsin kin liv?

di tεm we di lכng dεm de liv afta dεn no se i gεt `Chronic` Farmer`s Lung de dipכnt pan if di lכng dεm dεn dכn pwεl εn aw di damej bad. we yu kכmpεr am wit כda `hypersensitivity pneumonitis` kכndishכn dεm, di aprכksimat tεm we dεn de liv na dis:

• Pɔsin we nɔ gɛt skata (fibrosis) na in lɔng kin liv fɔ pas 15 ia afta dɛn dɔn no se i gɛt dis sik.
• Pɔsin we gɛt skata (fibrosis) na in lɔng, bɔt nɔ gɛt ɔda bad bad damej (e.g., ɔnikɔm na di lɔng), kin liv fɔ lɛk 8 ia afta dɛn dɔn no se i gɛt am.
• Pɔsin we gɛt siriɔs lɔng damej (ɔl tu di fibrosis ɛn ɔnikɔm) kin liv fɔ lɛk 3 ia afta dɛn dɔn no se i gɛt am.

Bɔt we dɛn transplant dɛn lɔng, dat kin mek dɛn tɛm ya lɔng. No alarm wit dis figa dem, na jos rough estimate. I bɛtɛ fɔ mek yu tɔk to dɔktɔ fɔ no di rayt tin we de apin to yu.

Aw fɔ mek dis nɔ apin?

di bεst εn כnli we fכ protεkt yusεf frכm "fama in lכng" na fכ avכyd fכ εkspos to di mכld dεm we de kכz am. If yu de wok wit tin dɛn we kin mek mold gro, yu kin du dɛn tin ya fɔ ridyus di prɔblɛm we yu gɛt:

• Dɛn fɔ alaw wet hay, gren, ɛn ɔda tin dɛn we dɛn kin plant na fam fɔ dray fayn fayn wan bifo dɛn yuz am ɔ kip am.
• Stɔr di tin dɛn na say dɛn we briz kin blo fayn fɔ mek mold nɔ fɔm .
• Ɛnitɛm we i pɔsibul, yuz ɔtomatik mashin dɛn instead fɔ yuz yu an fɔ ol tin dɛn we kin gɛt mɔld lɛk hay ɛn gren.
• We yu de wok wit tin dɛn we kin mek mold gro, lɛk hay ɛn gren, i impɔtant fɔ wɛr Personal Protective Equipment (PPE). I rili impɔtant fɔ wɛr gud mask we de filta smɔl smɔl tin dɛn .
• We yu de klin say dɛn we gɛt dɔti, yuz klos we wet fɔ klin ɛn nɔ stɔp di dɔst. Dis go mek di mɔld patikyula dɛn we de kɔmɔt na di ays nɔ bɔku.
• Mek shɔ se di bildin dɛn we gɛt tin dɛn we kin mek pɔsin gɛt mold, gɛt fayn briz.

Aw a go tek kia ɔf misɛf (Self-care)?

If dɔktɔ dɔn no se yu gɛt Farmer’s Lung, wok wit yu dɔktɔ fɔ mek wan plan fɔ mek yu nɔ gɛt mɔ damej pan yu lɔng.

• Tek ɔl di mɛrɛsin dɛn we di dɔktɔ gi yu di rayt we ɛn di rayt tɛm.
• Tin dɛn we yu kin du na os fɔ mek yu lɔng dɛn wok faynAks yu dɔktɔ bɔt spɛshal ɛksesaiz dɛn fɔ yu bɔdi ɔ fɔ du ɛksɛsayz fɔ blo.

Ustɛm a fɔ go to dɔktɔ?

• If yu gɛt sayn dɛn we nɔ de dɔn lɛk fɔ kɔf ɛn i nɔ izi fɔ blo, ɔ if i tan lɛk se dɛn de wɔs as tɛm de go, mek shɔ se yu go to dɔktɔ.
• If yu dɔn gɛt Farmer’s Lung, go to yu dɔktɔ wantɛm if yu gɛt nyu sik, ɔ if yu sik de wɔs .

Us kwɛstyɔn dɛn yu fɔ aks di dɔktɔ?

We yu go to dɔktɔ, i go fayn fɔ aks dɛn kwɛstyɔn ya:

• Aw a go avɔyd fɔ gɛt mold we de mek "fama in lɔng"?
• Mi lɔng dɛn dɔn pwɛl? Aw bad i bi?
• Yu tink se dɛn go ebul fɔ chenj dis damej?
• Aw a fɔ yuz dɛn mɛrɛsin ya? Ɛni bad bad tin dɛn de we kin apin to am?
• Aw lɔng a go tink se a go wɛl?
• Ustɛm a fɔ kam si di dɔktɔ bak?

Fɔ dɔn, tin dɛn we wi fɔ mɛmba

"Farmer's lung" na sik we kin damej yu lכng if yu de כltεm wit tin dεm lεk mכld hay εn gren. Bɔt if dɛn kech am kwik, yu kin avɔyd siriɔs damej we go de sote go.

So, if yu gɛt ɛni sik we de kɔntinyu fɔ de na yu lɔng – ɔ if yu tink se "dis na jɔs bad kol" – i rili impɔtant fɔ go to dɔktɔ wantɛm wantɛm.

If dɛn dɔn no se yu gɛt Farmer’s Lung, tɔk ɔnɛs wit yu dɔktɔ bɔt aw yu sik bad. Yu dɔktɔ kin ɛp yu fɔ mek wan plan fɔ wetin fɔ ɛkspɛkt ɛn wetin yu go du fɔ mek yu brith izi ɛn mek yu kwaliti layf bɛtɛ.

` Fama in Lɔng, Fama in Lɔng, lɔng sik, alɛji, mold, fam, prɔblɛm wit di we aw pɔsin de blo