Yu dɔn ɛva waka wit yu fut na wet grɔn, mɔ na dɔti grɔn? Sɔntɛm na we dɛn bin de wok na di gadin ɔ we dɛn bin de ple. Bɔt yu no se smɔl ɛnimi we wi nɔ de ivin tink bɔt kin ayd na dis grɔn? Dat ɛnimi na di ‘hukwɔm’. Dis na parasayt we kin go insay wi intestinal ɛn mek wi gɛt bɔku sik. Lɛ wi tɔk bɔt ɔltin insay simpul wɔd tide.
Fɔ tɔk am simpul wan, udat na dis Hukwɔm?
Hukwɔm na parasayt dɛn we de liv na wi insay. Parasayt na pɔsin we nid ɔda tin we gɛt layf (animal ɔ mɔtalman) in bɔdi fɔ mek i go liv. Hukwɔm, lɛk aw di nem sho, na smɔl wom dɛn we gɛt ed we bɛn lɛk huk. Dɛn kin yuz dis ed fɔ tay dɛnsɛf na di wɔl na wi insay. Dɛn de sok wi blɔd.
Tu men kayn hukwɔm de we kin ambɔg mɔtalman. Dɛn na `(Ancylostoma duodenale)` ɛn `(Necator americanus)`. di eg dεm (larvae) dεm fכ dεn wom dεm de go insay wi skin, go insay di bכdi, travul tru di bכdi, εn leta i de rich na di intestכn dεm, usay dεn de divεlכp to big wom dεm.
Imajin aw dis kin apin, wit lɛk 740 milyɔn pipul dɛn ɔlsay na di wɔl we gɛt hukwɔm infekshɔn. I kin kɔmɔn mɔ na tropik ɛn sabtropik rijyɔn dɛn, usay dɛn nɔ kin klin ɛn pipul dɛn kin waka barefut na dɔti grɔn.
Aw dis wom de go insay wi bɔdi?
Dis na saykl we rili simpul. Lɛ wi ɔndastand am stɛp bay stɛp.
1. Di dɔti we de na di grɔn: Dɛn kin pul di hukwɔm eg dɛn na di envayrɔmɛnt tru di fes (poop) fɔ pɔsin we gɛt hukwɔm infɛkshɔn. Dɛn eg ya kin bɔku mɔ na say dɛn we nɔ gɛt tɔylɛt, lɛk fɔ pul dɔti na do ɔ fɔ yuz mɔtalman fes as fɛtilayza.
2. Enta tru di skin: Naw, if yu waka barefut na grɔn wit eg lɛk dis, di larva dɛn we de kɔmɔt frɔm dɛn eg dɛn de kin pas di skin na yu fut ɛn go insay yu bɔdi.
3. Travul tru di bodi: Afta dεn dכn go insay di skin, dεn larva dεm ya de travul tru di bכdi go na yu at εn afta dat go na yu lכng.
4. Fɔ go insay di insay: Afta yu rich na di lɔng, yu kin kɔf ɛn dɛn tin ya kin kam ɔp na yu trot. Dɔn, we yu nɔ no, yu de swɛla dɛn. di larva dεm we dεn sכlow de pas tru di bεlε εn go insay di sכmכl intestin, usay dεn de atak di wכl dεm.
. Dɔn dɛn kin bigin fɔ le eg. Dɛn eg ya kin pas bak na yu stɔl, usay dɛn kin miks wit di grɔn ɛn infɛkt ɔda pipul dɛn.
Dis ɔltin kin tek lɛk tu to tri mɔnt. Di wɔndaful tin na dat dɛn wom dɛn ya kin liv insay yu bɔdi fɔ tu ia ɔ ivin pas dat .
Aw a go no if a gɛt hukwɔm infɛkshɔn?
Bɔrku tɛm, bɔrku pipul dɛm wae gɛt dis infekshɔn nɔr kin sho ɛni sayn. Bɔt as di infekshɔn de wɔs, di sayn dɛn kin bigin fɔ sho. Fɔs, sɔm smɔl smɔl sayn dɛn kin de.
| Tayp fɔ di simptom | Tɔk bɔt |
|---|---|
| Di sayn dɛn we pɔsin kin si na di skin | Rɛd rash kin kɔmɔt na di say we di wom go insay di skin, bɔku tɛm na di fut dɛn we de na di fut. |
| di kכntribyushכn dεm fכ di rεspiretכri sistεm | As di wom larva dεm de travul tru di lכng, sayn dεm lεk fiva, kכf, כ sכt brith kin apin. |
| di kכntribyushכn dεm fכ di dijestiv sistεm | Bɛlɛ kin fil pen, blo, dayarɛa, nɔ kin want fɔ it, ɛn i kin mek i nɔ gɛt bɔku bɔku bɔdi. |
| Di sayn dɛm wae kin kam wae pɔrsin nɔr gɛt bɛtɛ blɔd | As dɛn wom ya de kɔntinyu fɔ sok blɔd, di bɔdi de lɔs blɔd. Dɛn kɔl dis anemia we nɔ gɛt ayɔn . Dis kin mek yu taya, yu ed kin tɔn, yu nɔ kin ebul fɔ blo fayn, ɛn yu skin kin gɛt blɛsin. |
Yu tink se dis kin rili siriɔs?
Yɛs. If dɛn nɔ trit dis infɛkshɔn fɔ lɔng tɛm, i kin bi siriɔs. Dis kin ambɔg pikin dɛn mɔ.
- Di tin dɛn we kin apin to pikin dɛn: If pikin dɛn nɔ gɛt blɔd ɛn prɔtin na di bɔdi fɔ lɔng tɛm , dat kin mek dɛn nɔ ebul fɔ gro fayn na dɛn bɔdi ɛn maynd. Disabiliti fɔ lan kin apin bak.
- Di tin dɛn we kin apin to big pipul dɛn: We pɔsin gɛt siriɔs anemia, i kin mek i taya, in ed kin tɔn, i kin mek i nɔ ebul fɔ blo fayn, i kin mek in chɛst pen, ɛn in mɔsul dɛn kin twitch.
Wi kin gɛt dis frɔm animal dɛn we wi kin mɛn na os?
Dis na prɔblɛm fɔ bɔku pipul dɛn. Di kayn hukwɔm we dɔg ɛn pusi kin gɛt difrɛn frɔm di kayn huk we pipul dɛn kin gɛt. Pan ɔl we dɛn animal dɛn de larva kin go insay wi skin ɛn go insay, dɛn nɔ kin ebul fɔ gro to big wom ɛn le eg insay wi intestinal.
Bɔt we dɛn animal ya in larva dɛn de travul ɔnda di skin, dɛn kin mek di skin gɛt rɛd ɛn it. dis na mεdikal kכl am ``cutaneous larva migrans''.
Aw dɔktɔ kin no ɛn trit dis?
If yu gɛt di sayn dɛm we wi dɔn tɔk bɔt, yu dɔktɔ go tek wan sɛmpul fɔ yu stɔl fɔs. Dɛn kin luk am ɔnda maykroskɔp fɔ si if hukwɔm eg dɛn de.
Sɔntɛnde, if yu nɔ tu te yet we yu travul go na say usay di sik kin bɔku, yu dɔktɔ kin ɔda fɔ mek dɛn du blɔd tɛst bak (Complete Blood Count - CBC). Dis tɛst kin chɛk fɔ si if wan kayn wayt blɔd sɛl (eosinophils) de go ɔp na yu blɔd, ivin sɔm wiks bifo dɛn fɛn eg na yu stɔl.
Di tritmɛnt rili simpul ɛn i kin wok fayn. Di dɔktɔ go gi yu wan mɛrɛsin we de mek yu nɔ gɛt anthelmintic, lɛk Mebendazole ɔ Albendazole, we yu go tek fɔ wan to sɛvin dez fɔ pul di parasayt dɛn kɔmɔt kpatakpata.
If yu gɛt anemia, yu dɔktɔ go advays yu bak fɔ tek tin dɛn we gɛt ayɔn . Afta yu dɔn tek di mɛrɛsin, na lɛk ɔl di sayn dɛm kin dɔn.
Aw wi go protɛkt wisɛf frɔm dis hukwɔm sik?
Fɔ avɔyd dis kin izi pas fɔ trit am. Wi jɔs nid fɔ du sɔm tin dɛn we rili simpul.
| Di we aw dɛn kin protɛkt pɔsin | Wetin fɔ du |
|---|---|
| Fɔ put sus pan sus | Ɔltɛm wɛr sus ɔ sandal we yu de waka na grɔn we kin gɛt dɔti wit dɔti, mɔ we yu de wok na gadin. Dis na di tin we impɔtant pas ɔl. |
| Gud hajɛns | Wash yu an fayn fayn wan wit sop afta yu dɔn yuz tɔylɛt ɛn bifo yu it. Dis abit de protɛkt wi frɔm bɔku sik dɛn. |
| Di rayt we fɔ trowe dɔti | Yuz di rayt tɔylɛt ɔltɛm. Nɔ mek yu dɔti na ples we opin. |
| Fɔ yuz fɛtilayza | Nɔ ɛva yuz mɔtalman fes as fɛtilayza fɔ krop. |
If yu gɛt it na yu fut, yu de lɔs yu wet we yu nɔ ebul fɔ ɛksplen, yu nɔ want fɔ it, yu taya ɔltɛm, ɔ yu ed de tɔn, mek shɔ se yu go to yu dɔktɔ fɔ advays. Nɔ panik, dis na wan sik we dɛn kin trit bad bad wan.
Mɛsej we dɛn kin kɛr go na os
- Hukwɔm sik na infekshɔn we wan parasayt we de na dɔti grɔn kin kam wit.
- Dɛn wom larva dɛn ya kin dig tru di skin we de na wi fut dɛn, go insay di bɔdi, ɛn travul go na di insay fɔ sok blɔd.
- Pan ɔl we bɔku pipul dɛn nɔ kin gɛt ɛni sayn, dɛn kin gɛt bɛlɛ pen, dɛn kin lɔs dɛn wet, ɛn dɛn nɔ kin gɛt bɛtɛ ayɔn.
- Dis kin gɛt big impak, mɔ pan di divɛlɔpmɛnt pan pikin dɛn bɔdi ɛn maynd.
- Yu kin protɛkt yusɛf ɔltogɛda frɔm dis sik bay we yu de wɛr sus ɔltɛm we yu de waka na dɔti grɔn ɛn du gud abit fɔ klin.
- If yu gɛt sɔm sayn dɛn, go to dɔktɔ. Dis kin izi fɔ trit wit mɛrɛsin.
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