Yu no bɔt dis strenj nyumonia? (Legionnaires’ Disease) Lɛ wi tɔk!

Wi ɔl dɔn yɛri bɔt "nyumonia," nɔto so? Sɔm pan wi go dɔn du am. Wi kin tink bɔt nyumonia as wan sik. Bɔt fɔ tru, bɔku difrɛn kayn jem dɛn de we kin mek pɔsin gɛt nyumonia. Tide wi go tɔk bɔt wan kayn nyumonia we spɛshal smɔl, ɛn we kin denja. Dɛn kɔl dis "Legionnaires' Disease." Sɔntɛm yu nɔ yɛri bɔt dis nem, bɔt i impɔtant fɔ no bɔt am.

Fɔ tɔk am simpul wan, wetin na Legionnaires’ Disease?

Legionnaires’ Disease na infεkshכn na yu lכng, na wan kayn nyumonia fכ bi prεsis. Na wan kayn bɔdi we dɛn kɔl Legionella . Yu kin gɛt dis sik we yu blo smɔl smɔl wata we gɛt dis bɔdi.

Dis sik kin afɛkt yu lɔng dɛn mɔ. Bɔt sɔmtɛm i kin afɛkt yu bren ɛn di dijestiv sistɛm (intestines) bak. Wan ɔda smɔl sik de we dis Legionella baktri kin kam wit, we dɛn kɔl Pontiac fiver . I nɔr siriɔs lɛk dis, i kin kam lɛk kɔmɔn kol ɛn afta dat i kin go. Bɔt Legionnaires’ Disease kin mek wi layf de pan denja, so wi nid fɔ tek tɛm wit am.

Udat de pan denja fɔ gɛt dis sik?

Infakt, pan ɔl we di Legionella bacteria de na di envayrɔmɛnt, nɔto ɔlman we de inhal am go gɛt dis sik. If wi bɔdi in imyun sistɛm strɔng, i go fɛt dis baktri ɛn protɛkt wi. Bɔt sɔm pipul dɛn kin gɛt dis sik pas ɔda pipul dɛn. Lɛ wi si udat dɛn bi.

Wetin na di sayn dɛm fɔ dis sik?

Di sayn dɛm fɔ Legionella kin bigin fɔ sho bitwin tu ɛn 14 dez afta yu dɔn gɛt di baktri. Pan ɔl we dɛn tin ya fiba di wan dɛn we gɛt nyumonia, sɔm tin dɛn de we difrɛn.

• Ay fiva: .Bɔku tɛm, di fiva kin pas 40 digri sɛlshiɔs (104 Fahrenheit).
• Kɔf: I kin bigin lɛk dray kɔf. Sɔntɛnde, smɔl blɔd kin kɔmɔt wit di blɔd (ɛmoptaysis).
• I nɔ kin izi fɔ yu fɔ blo: Yu kin fil shɔt fɔ blo ivin if yu tray smɔl (dyspnea).
• Mɔsul pen: Bɔrku pen kin apin na di bɔdi.
• Ɛd we de at: I kin gɛt siriɔs ed pen.

Apat frɔm dat, sɔm ɔda tin dɛn de we kin mek dis sik nɔr de pan dis sik.

• Daya: Daya wit nyumonia na wan big sayn fɔ di Legionnaires’ Disease.
• Vɔmit ɛn nɔs: Vɔmit kin kam wit bɛlɛ we nɔ fayn.
• Kɔnfyushɔn: Sɔm kayn sik wae gɛt fɔ du wit yu bren lɛk fɔ kɔnfyus, fɔ de agyu, ɛn nɔr ebul fɔ mɛmba usai yu de ɔr ustɛm i de kin apin.

Yu kin si se dis na rili difrɛn ɛn siriɔs sayn pas fɔ kol ɔltɛm.

Aw dis sik kin pas? Di tin we impɔtant pas ɔl!

Dis na di tin we impɔtant pas ɔl we ɔlman nid fɔ no. Legionnaires’ Disease nɔto sik wae kin pas frɔm pɔrsin to ɔda pɔrsin. Dis min se yu nɔ go ebul fɔ kech am frɔm we yu de nia pɔsin we gɛt am, we dɛn de kɔf ɔ sniz. I de skata tru di envayrɔmɛnt.

Legionella baktri dɛn kin de na di lek, pɔnd, riva, ɛn grɔn. Bɔt dɛn nɔ kin du wi bɔku bad tin we dɛn de na dɛn ples dɛn de. Di prɔblɛm kin bigin we dis bɔdi go insay di wata we mɔtalman mek ɛn bigin fɔ gro kwik kwik wan na di wam ples we de de.

Tink bɔt wan ay kɔndishɔn sistem (AC) we de na big ɔtel, ɔfis, ɔ ɔspitul. Dɛn big big sistɛm dɛn ya kin yuz wata fɔ mek dɛn kol. Di tɛmpracha we de na dɛn wata tank dɛn de na di say we dis bɔdi kin bɔn. Di smɔl smɔl wata (aerosolized wata) we kin kɔmɔt frɔm da wata de kin skata ɔlsay na di bildin tru di ay kɔndishɔn sistem. We pipul dɛn de blo da briz de, di bɔdi kin go stret na dɛn lɔng.

כlso, sכmtεm we wi de drink wata כ rins wi mכt, if wi aksidentali "aspirate" sכm wata, dat na if i go insay di aywe, i kin mek infεkshכn if baktri de insay da wata de.

Dis baktri kin de mɔs pan:

• Hot tub: Dis baktri de gro fayn fayn wan na hot wata.
• Shawa ed ɛn pɔt: Ɛspɛshali we yu de yuz shawa we dɛn nɔ dɔn yuz fɔ lɔng tɛm.
• Eya kondishɔn (AC) ɛn wata sistem na big bildin dɛn: ɔtel, ɔspitul, ɔfis kɔmpleks.
• Di tin dɛn we dɛn kin yuz fɔ mek wata fayn: Di tin dɛn we dɛn kin si na di say dɛn we dɛn kin bay tin dɛn.
• Humidifiers: Divays dɛn we de ad mɔstɔ to di briz.
• Fayv:I kin bi bak, rili smɔl, bay we yu inhal dɔst frɔm di grɔn we yu de mek gadin.

Aw fɔ no di sik?

If yu gɛt di sayn dɛn we wi dɔn tɔk bɔt, yu dɔktɔ go chɛk yu fɔs. I go aks bak bɔt yu travul istri we yu jɔs dɔn travul (e.g., yu bin de na ɔtel?), yu wok istri, ɛn ɛni ɔda mɛrɛsin we yu go gɛt.

Dɛn kin du bɔku tɛst fɔ no if pɔsin gɛt di sik.

• Yurin ɛn sputum tɛst: Dis na di tɛst we dɛn kin du mɔ. yu kin tεst wan sεmpl fכ yu urine fכ Legionella antigens. Yu kin tek sεmpl bak pan yu sputum εn dεn kin kכlt di baktri dεm.
• Blɔd tɛst: Blɔd tɛst de luk fɔ antibodies agens di baktri dɛm we de na di blɔd. Blɔd tɛst kin ɛp bak fɔ si aw di bɔdi in ɔgan dɛm (kidni, liva) de wok.
• Chɛst X-ray ɔ CT skan: Dɛn tɛst ya kin ɛp fɔ si wetin di nyumonia gɛt na di lɔng ɛn aw fa i dɔn skata.
• brכnkoskopi: insay sכm tεm dεm we kin tranga, dεn kin pas wan tin tכb we gεt sכmכl kεmεra we dεn tay tru di nos כ mכt insay di lכng dεm, usay dεn kin tek sεmpl fכ di sεl dεm εn egzamin.
• Thoracentesis: If wata de rawnd di lכng dεm (pleural effusion), dεn kin put wan tin nidul insay di chεst εn pul sכm sכm pan di wata fכ tεst fכ baktri dεm.

Aw dɛn kin trit am?

Di gud nyus na dat, Legionnaires’ Disease kin wɛl ɔl wit antibayɔtik , bɔt i impɔtant fɔ bigin tritmɛnt kwik kwik wan.

Bɔku tɛm, dɛn kin trit di wan dɛn we sik bay we dɛn de put dɛn na ɔspitul.

• Antibayɔtik: Fɔs, dɛn kin gi dɛn as IV antibayɔtik. Wae yu fil fayn, yu kin chenj to antibayɔtiks wae yu kin it. Di antibayɔtik dɛn we dɛn kin yuz mɔ na Azithromycin, Levofloxacin, ɛn Doxycycline .
• Fɔ gi ɔksijɛn: If i nɔ izi fɔ yu fɔ blo, dɛn kin gi yu ɔda ɔksijɛn tru wan nos tyub ɔ mask.
• Mɛkanikal Ventileshɔn: If di sik rili bad ɛn di lɔng dɛn nɔ ebul fɔ wok fɔ insɛf, dɛn kin admit di pɔsin na di Intensive Care Unit (ICU) ɛn kɔnɛkt am to mashin fɔ ɛp am fɔ blo.

Wetin kin apin afta pɔsin dɔn wɛl?

Ivin afta yu dɔn go na os frɔm ɔspitul, i impɔtant fɔ tek di ful kɔs fɔ di antibayɔtiks we yu dɔktɔ gi yu fɔ di ful tɛm. Dis go ɛp di infɛkshɔn fɔ klin ɔltogɛda.

Dɔn bak, i kin tek sɔm tɛm fɔ mek di bɔdi wɛl frɔm dis kayn bad bad infekshɔn. Fɔ sɔm mɔnt, yu kin gɛt dɛn tin ya:

• Taya
• Bɔdi de at
• Balans prɔblɛm dɛn we yu de waka
• Smɔl prɔblɛm fɔ tɔk

If dɛn sayn ya nɔ de igen, tɔk to yu dɔktɔ bɔt am.

Sɔm prɔblɛm dɛn we kin apin to dis sik

If dɛn nɔ trit am di rayt tɛm ɔ if di sik rili bad, sɔm prɔblɛm dɛn kin apin we kin mek pɔsin in layf de pan denja.

• Respiratory failure: Di lכng dεm nכ kin ebul fכ gi di bכdi di כksijεn we i nid. If na so i bi, i kin bi se i nid fɔ yuz mashin fɔ mek di briz go insay.
• Akyu kidni injuri (AKI): Di kidni dɛn nɔ kin ebul fɔ filta di dɔti tin dɛn we de kɔmɔt na di blɔd. Dis nid fɔ tek mɛrɛsin ɔ dayalaysis.
• Ɛnsɛfalɔpati: Di ​​sayn dɛm lɛk fɔ kɔnfyus ɛn fɔ gɛt prɔblɛm wit balans kin kam tranga.
• Septic Shock: Di infekshɔn dɔn spre ɔlsay na di blɔd, we dɔn mek di blɔd prɛshɔn go dɔŋ bad bad wan, ɛn di ɔgan dɛn nɔ de wok fayn.
• Rhabdomyolysis: Di mɔsul dɛn kin pwɛl, ɛn dɛn prɔtin kin gɛda na di blɔd ɛn pwɛl di kidni dɛn.

Ustɛm yu fɔ go to dɔktɔ? Ustɛm yu fɔ go na di ETU?

If yu gɛt sɔm sayn dɛn fɔ di Legionnaires’ Disease, mɔ di ay fiva, kɔf, ɛn dayarɛa, go to yu dɔktɔ wantɛm wantɛm.

Dɔn bak, if yu jɔs dɔn de na ɔtel ɔ ɔstɔl ɛn nyus de se di Lijinɛri sik de skata de, i go fayn fɔ mek yu tɔk to dɔktɔ fɔ advays, ilɛksɛf yu nɔ gɛt ɛni sik.

If yu gɛt ɛni wan pan dɛn bad bad sayn ya, go na di ɔspitul Imejɛnsi Dipatmɛnt (ETU) we de nia yu ɛn nɔ de te.

• Fiva we rili ay
• I nɔ kin izi fɔ yu fɔ blo bad bad wan
• Fɔ kɔf blɔd
• Kɔnfyushɔn, kɔnfyushɔn na yu maynd, ɔ i nɔ izi fɔ tɔk
• Bɔrku pen na yu chɛst