Yu don eva yehri boht Legionnaires’ disease? Di nem kin tan lɛk se i strenj smɔl, nɔto so? Bɔt fɔ tru, na infɛkshɔn we kin afɛkt wi lɔng, ɛn sɔntɛnde i kin rili denja. Na wan baktri de mek am. Tide, wi go tɔk bɔt Legionnaires’ Disease insay wan simpul, izi fɔ ɔndastand.
Wetin na di Sik we di Lijinɛri dɛn gɛt?
Fɔ tɔk am simpul wan, di sik we dɛn kɔl Legionnaires na siriɔs infεkshɔn na wi lכng dεm we wan kayn baktri we dεn kכl `(Legionella)` de kכz. I tan lɛk nyumonia. I nɔ kin afɛkt wi lɔng dɛn nɔmɔ, bɔt sɔntɛnde wi bren ɛn ivin wi bɛlɛ intestinal trakt.
Wan ɔda smɔl fiva de we di sem bɔdi kin kam wit, we dɛn kɔl Pɔntiak fiva. I nɔr kin tranga lɛk Legionnaires’ disease, ɛn kin mek pɔrsin gɛt sayn dɛm wae fiba kɔmɔn kol, lɛk fiva ɛn bɔdi pen. Bɔt, di sik we di Lijinɛri dɛn gɛt kin mek pɔsin in layf de pan denja, so i impɔtant fɔ no bɔt dis.
Wetin na di difrɛns bitwin nyumonia ɛn Legionnaires’ disease?
Naw yu go mɔs de tink se, "So nyumonia ɛn Legionnaires' disease na tu difrɛn tin?" Yɛs, na so dɛn de. Nyumonia na wan kɔmɔn nem fɔ pɔsin we gɛt infekshɔn na in lɔng. Legionnaires’ disease na di sem kayn nyumonia, bכt i kin spεshal wan we wan baktri we dεn kכl `(Legionella)` go insay di lכng dεm.
Bɔrku pipul dɛm wae gɛt dis sik ɛn de na ɔspitul kin gɛt sɔm sayn dɛm lɛk fiva ɛn kɔf. Bɔt sɔm kin gɛt ɔda sayn dɛm bak lɛk dayarɛa ɛn kɔnfyushɔn (we nɔr kin no natin).
Udat kin gɛt di sik we dɛn kɔl Legionnaires’ disease?
Infakt, nɔto ɔlman we gɛt di `(Legionella)` baktri go gɛt dis sik. Bɔt sɔm pipul dɛn kin gɛt dis sik. Si if dɛn tin ya apin to yu:
- If yu dɔn pas 50 ia.
- If yu na pɔsin we de smok, ɔ yu dɔn smok trade.
- If yu bɔdi in imyun sistɛm wik. Sɔm mɛrɛsin (fɔ ɛgzampul, HIV infɛkshɔn, dayabitis, kansa, kidni ɔ liva sik) ɛn sɔm mɛrɛsin dɛn kin mek yu imyuniti nɔ bɔku bak.
- If yu gɛt wan sik we yu de blo fɔ lɔng tɛm, lɛk COPD (Chronic Obstructive Pulmonary Disease) ɔ Emphysema.
- If yu de na say usay dɛn de kia fɔ pipul dɛn we dɔn ol fɔ lɔng tɛm, lɛk say usay dɛn de kia fɔ ol pipul dɛn.
- If yu jɔs dɔn go na ɔspitul.
- If dɛn jɔs dɔn du ɔpreshɔn pan yu ɔnda anestezi.
- If yu jɔs dɔn du ɔgan transplant.
Dɛn pipul ya kin gɛt dis sik pas ɔda pipul dɛm.
Aw kɔmɔn sik na Legionnaires’ disease?
Na kɔntri lɛk Amɛrika, na lɛk 18,000 pipul dɛn kin de na ɔspitul ɛvri ia bikɔs ɔf dis sik. Bɔku tɛm, dɛn kin si am frɔm Jun to Ɔktoba. Dɛn kin ripɔt dɛn sem kayn tin ya na Sri Lanka bak, so i fayn fɔ mek wi no.
Wetin na di sayn dɛm fɔ di sik we dɛn kɔl Legionnaires’ disease?
Di sayn dɛm fɔ Legionella kin bigin fɔ sho insay tu to fɔtin dez afta yu dɔn gɛt di baktri. Di sayn dɛm wae tan lɛk nyumonia na dɛn fɔs kin sho. pan tap dat, di simptom dεm we de involv di nεv sεstem (bren) εn di gεstrointestinal sistεm (intestinal) kin apin bak.
Lɛ wi luk sɔm pan de men sayn dɛm:
- Fiva (bɔku tɛm i kin pas 40 digri sɛlshiɔs (1040 F/400 C))
- Kɔf (bɔku tɛm na dray kɔf) .
- I nɔ izi fɔ blo (Dyspnea) .
- Rɔnbɛlɛ
- Mɔsul dɛn kin pen
- Ed de at
- Nɔs (fɔ fil se yu sik) .
- Kɔnfyushɔn (kɔnfyushɔn, disoriɛnteshɔn) .
- Fɔ kɔf blɔd (Hemoptysis) .
- Pɔsin we de fil pen na di bɛlɛ
If yu gɛt wan ɔ mɔ pan dɛn sayn ya, yu fɔ go to dɔktɔ wantɛm wantɛm.
Wetin kin mek pɔsin gɛt di sik we dɛn kɔl Legionnaires?
As wi bin dɔn tɔk, di men tin we kin mek pɔsin gɛt dis sik na di baktri we dɛn kɔl `(Legionella)`. pan ɔl we na lɛk 60 kayn `(Legionella)` baktri dɛm de, di wan we kin mek pɔsin gɛt Legionnaires in sik na `(Legionella pneumophila). Dis sik kin kam we dis baktri de go insay wi lכng dεm εn mek wi gεt infεkshכn.
dis `(Legionella)` baktri de liv in nכmal tin na lek, strim, εn grכn. Bɔt bɔku tɛm, i kin pas to pipul dɛn tru ples dɛn lɛk di wata sistɛm ɛn di ay kɔndishɔn sistem na big bildin dɛn. Fɔ ɛgzampul, if dɛn nɔ de kia fɔ dɛn tin ya we de na ɔtel, ɔspitul, ɛn big ɔfis dɛn fayn, dis bɔdi kin gro ɛn kɔmɔt na di ays lɛk wata drɔp. We wi de blo dɛn wata drɔp dɛn de, dɛn kin go dairekt na wi lɔng. כ, wata we kכntamin na wi mכt kin aksidεntli "go כp di trot" εn insay wi lכng (dεn kכl dis `(aspiration)`).
Aw di sik we di Lijinɛri dɛn gɛt kin skata to wi?
Dis sik kin pas am mɔ bay we yu blo smɔl smɔl wata (aerosolized wata ɔ mist) we gɛt Legionella baktri dɛm. Ɔ, bay we yu inhal wata we gɛt dɔti dairekt insay di lכng (aspiration).
Dɛn dɔn ripɔt se di sik we dɛn kɔl Legionnaires’ disease dɔn bɔku na say dɛn lɛk ɔtel, ɔspitul, nɔs os, ɛn kruk ship dɛn. Bɔt bɔku tɛm, dɛn kin ripɔt dɛn tin ya as tin dɛn we kin apin wansay.
Bɔrku say dɛn de wae dis sik kin pas:
- Hot tub ɛn jakuzi dɛn
- Shawa ed (shawa na batrum) .
- Wata tap
- Humidifiers dɛn we dɛn kin yuz
- Di tin dɛn we dɛn kin yuz fɔ dekɔret wata lɛk watasay dɛn
- Di tin dɛn we dɛn kin yuz fɔ ɔt ɛn kol na big bildin dɛn
- Intubation (we dɛn put wan tiub insay di aywe we dɛn de du ɔpreshɔn) .
- Soil (especially frɔm we yu de blo dɔst na kɔnstrɔkshɔn sayt dɛn) .
Impɔtant: Legionnaires’ disease nɔr kin pas frɔm pɔrsin to ɔda pɔrsin. Dat min se, i nɔto sik we pɔsin kin pas. Yu kin gɛt am nɔmɔ if yu gɛt di baktri frɔm di say we yu de.
Aw dɛn kin no di sik we di Legionnaires gɛt?
If yu gɛt sayn dɛm fɔ di sik we dɛn kɔl Legionnaires’ disease, we yu go to dɔktɔ, dɛn go aks yu fɔs bɔt yu sik, yu wɛlbɔdi istri, ɛn ɛni travul histri we yu jɔs dɔn travul. Dɔn dɛn go du ɛgzam fɔ dɛn bɔdi.
Dɛn kin du dɛn tɛst ya fɔ no if yu gɛt di sik:
- Yurin tɛst ɔ sputum tɛst: Dɛn tɛst ya na di tɛst dɛn we dɛn kin du mɔ. Dɛn kin luk fɔ Legionella baktri dɛm na wan sampul fɔ yu urine ɔ wan sampul fɔ sputum we kɔmɔt na yu kɔf.
- Blɔd tɛst: Dɛn kin tek wan sɛmpul pan yu blɔd fɔ chɛk fɔ antibodi ɔ pat pan di baktri we yu bɔdi dɔn mek agens di Legionella baktri. Dis kin chɛk bak aw yu ɔda ɔgan dɛn de wok fayn fayn wan.
- Chɛst X-ray ɔ CT skan: Dɛn pikchɔ ya kin ɛp fɔ chɛk fɔ si if infɛkshɔn de na yu lɔng, lɛk nyumonia.
- Bronchoscopy: Sɔntɛnde, di dɔktɔ kin nid fɔ put wan tint tiub we gɛt kamɛra insay di lɔng dɛn. Dis kin mek di dɔktɔ ebul fɔ chɛk di insay pat pan di lɔng dɛn dairekt wan ɛn tek sɛmpul dɛn fɔ tɛst am.
- Thoracentesis: If wata de rawnd di lכng, dεn kin tek sεmpl fכ da wata de εn tεst fכ Legionella baktri dεm.
Dɛn tɛst ya na di wangren we fɔ no kɔrɛkt wan if yu gɛt di sik we dɛn kɔl Legionnaires’ disease ɔ yu nɔ gɛt am.
Aw dɛn kin trit di sik we di Legionnaires gɛt?
Dɛn kin trit di sik we di lɛjiɔn dɛn gɛt wit antibayɔtik . Dɛn kin gi dɛn antibayɔtik ya as injɛkshɔn insay wan vein (IV - intravenous) ɔ as pils, i dipen pan aw di sik siriɔs.
If i nɔ izi fɔ yu fɔ blo, yu go nid fɔ gi yu ɔksijɛn. Bɔku tɛm fɔ trit dis sik kin nid fɔ de na ɔspitul.
Sɔm pan di men kayn antibayɔtik dɛm we dɛn kin yuz fɔ trit na:
- Azitromaysin we dɛn kɔl
- Lɛvoflɔksasin, Mɔksiflɔksasin ɔ Siproflɔksasin
- Tɛtrasayklin, dɔksisayklin , ɔ maynosayklin
- Rifampin (dɛn kin gi am togɛda wit ɔda antibayɔtiks) .
Sɔntɛnde, if yu nɔ ebul fɔ blo fɔ yusɛf, dɛn kin nid fɔ gi yu ɛp fɔ blo wit di ɛp fɔ mashin (mɛkanikal ventilashɔn).
Wetin wi kin du fɔ protɛkt wisɛf frɔm di sik we dɛn kɔl Legionnaires’ disease?
Tin dɛn de we wi, ɛn di wan dɛn we de oba di bildin, kin du fɔ ridyus dis risk.
- Di wan dɛn we de oba big bildin dɛn: I impɔtant fɔ mek yu mentenɛt ɛn disinfɛkt yu bildin in plaba, ay kɔndishɔn, ɛn kɔling tawa dɛn fayn fayn wan . Dis kin ɛp fɔ kɔntrol di growth fɔ di Legionella baktri dɛm.
- Tin dɛn we wi kin du na os:
- Klin tin dɛn lɛk shawa ed, pɔt, ɔt tub, ɛn humidifier ɔltɛm.
- Nɔ yuz klin wata instead fɔ yuz winda waypa fluid na yu motoka, bikɔs dis baktri kin gro na da wata tank de bak.
Wetin yu kin ɛkspɛkt if yu gɛt Legionnaires’ disease?
Legionnaires’ disease kin mek yu sik bad bad wan, bɔku tɛm yu kin nid fɔ gɛt tritmɛnt na ɔspitul. Bɔt di gud nyus na dat dɛn kin trit am wit antibayɔtik.
Yu go nid fɔ tek mɛrɛsin ivin afta yu dɔn kam na os frɔm ɔspitul te di infekshɔn dɔn kɔmɔt kpatakpata. Sɔm pipul kin gɛt dɛn kayn sik ya fɔ sɔm mɔnt afta dɛn dɔn wɛl:
- Fɔ fil taya bad bad wan (Fatigue) .
- Prɔblɛm dɛn wit balans ɔ kɔdineshɔn
- I nɔ izi fɔ waka
- Fɔ tɔk we nɔ de tɔk fayn
- Mɔsul dɛn kin pen
If di sayn dɛm lɛk dis nɔ de apin, i impɔtant fɔ tɔk to yu dɔktɔ.
Kɔmplikɛshɔn dɛm fɔ di sik we di Lijinɛri dɛn gɛt
Sɔntɛnde, di sik we di Legionnaires kin gɛt kin mek yu gɛt siriɔs prɔblɛm. Dɛn tin ya kin afɛkt wi ɔgan ɛn mɔsul dɛn.
- Respiratory failure: We di lכng dεm nכ ebul fכ gi inof כksijεn to di bכdi, dεn kכl am respiratory failure. insay dis kes, dεn de gi di brith wit di εp fכ mashin (mεkanikal ventilashכn).
- Akyu kidni injuri (AKI): We di kidni dɛn stɔp fɔ wok, dɛn nɔ kin ebul fɔ filta di dɔti tin dɛn we de kɔmɔt na di blɔd. Dɛn kin trit dis wit mɛrɛsin ɔ mashin we de klin blɔd (dayalis).
- Ɛnsɛfalɔpati: Di sayn dɛm we gɛt fɔ du wit di nervɔs sistɛm (kɔnfyushɔn, prɔblɛm wit balans, prɔblɛm fɔ tɔk) kin wɔs.
- Empyema: Na wan ples we ful-ɔp wit pus na di spes we de rawnd di lכng. Dis kin nid fɔ gɛt chɛst tiub fɔ mek di pus kɔmɔt.
- Inflameshɔn na yu at: Baktri infɛkshɔn na yu at kin mek yu at inflamɛns. Sɔntɛnde, dɛn kin trit dɛn tin ya wit mɛrɛsin.
- Rhabdomyolysis: Na wan sik we kin kam bikɔs di mɔsul dɛn kin pwɛl ɛn brok. Dɛn kin trit dis bay we dɛn de pul di pɔyzin dɛn na di bɔdi.
Dɛn kɔmplikeshɔn ya nɔ kin apin to ɔlman, bɔt if di sik kam tranga, dɛn tin ya kin apin, so i rili impɔtant fɔ go to tritmɛnt kwik kwik wan.
Yu kin sev frɔm di sik we di Legionnaires gɛt?
Pan ɔl we di sik we dɛn kɔl Legionnaires na siriɔs sik, bɔku pipul dɛn kin wɛl frɔm am. If yu trit am fayn, di rεt we de day frכm lכng infεkshכn we Legionella de kכz de bitwin 5% εn 10%. Bɔt if dɛn nɔ trit am, di risk fɔ day kin rich 30% to 80%. So, fɔ go to dɔktɔ jɔs afta yu si di sik, dat kin sev yu layf.
Ustɛm a fɔ go to dɔktɔ?
If yu gɛt sayn dɛn fɔ di sik we dɛn kɔl Legionnaires’ disease (lɛk di fiva, kɔf, yu nɔ de blo fayn, yu gɛt dayarɛa, ɛn yu kɔnfyus we wi bin dɔn tɔk bɔt), go to dɔktɔ wantɛm wantɛm.
Dɔn bak, if yu kam fɔ no se wan sik we dɛn kɔl Legionnaires’ disease dɔn bɔku usay yu de wok ɔ usay yu de, aks yu dɔktɔ wetin yu fɔ tek tɛm wit.
Ustɛm a fɔ go na Imejɛnsi Tritmɛnt Yunit (ETU) ?
If yu gɛt ay fiva, i nɔ izi fɔ yu fɔ blo bad bad wan, yu de kɔf blɔd, ɔ yu gɛt sɔm sayn dɛn we gɛt fɔ du wit yu nervɔs sistɛm (prɔblɛm fɔ balans, yu nɔ de tɔk fayn, yu nɔ de kɔnfyus), go na di imejensi rum we de nia yu wantɛm wantɛm.
Us kwɛstyɔn dɛn a fɔ aks mi dɔktɔ?
If dɛn no se yu gɛt di sik we dɛn kɔl Legionnaires’ disease, yu kin aks yu dɔktɔ kwɛstyɔn dɛn lɛk dɛn wan ya:
- Aw lɔng i go tek fɔ mek a wɛl?
- Aw ɛksaktɔli a fɔ yuz dis mɛrɛsin?
- Us nyu ɔr sayn dɛm wae de kɔntinyu fɔ de a fɔ wɔri bɔt?
Fɔ dɔn, wetin fɔ mɛmba (Take-Home Message) .
So, Legionnaires’ Disease, we wi bin tɔk bɔt tide, na wan kɔndishɔn we wi rili nid fɔ wɔri bɔt, ɛn sɔntɛnde i kin mek wi layf de pan denja. Bɔt, di tin we impɔtant pas ɔl na dat na sik we pɔsin kin mɛn ɛn we pɔsin kin mɛn .
Mɛmba:
* If yu gɛt sayn dɛn fɔ dis sik, nɔ west tɛm ɛn go to dɔktɔ wantɛm wantɛm.
* Tek tɛm mɔ bɔt dis if yu de na grup we gɛt prɔblɛm (lɛk pas 50 ia, pɔsin we de smok, ɔ pɔsin we in bɔdi nɔ gɛt bɛtɛ wɛlbɔdi).
* Fɔ mek wi de kia fɔ di wata we de rawnd wi fayn fayn wan, mɔ di wan dɛn we de na big bildin ɛn ɔtel dɛn, rili impɔtant fɔ mek dis sik nɔ go ɔlsay.
* Kip tin dɛn lɛk pɔt ɛn shawa ed klin na os.
A op se dis infɔmeshɔn go yusful to yu. Stay wit wɛlbɔdi!
👩🏽 ⚕️ Ɔda kwɛstyɔn dɛn (FAQ dɛn)
💬 Na Legionnaires’ disease na sik we pɔsin kin pas lɛk korona?
Nɔ! Dis nɔto sik wae kin pas frɔm pɔrsin to ɔda pɔrsin tru kɔf ɔr sniz. Dis na siriɔs nyumonia (lɔng infɛkshɔn) we wan baktri we dɛn kɔl Legionella kin mek. I kin pas tru wata we gɛt di bɔdi we gɛt di bɔdi.
💬 If i nɔ transmit frɔm mɔtalman, aw i go go insay di bɔdi?
Dis baktri kin de mɔ na big AC mashin (Cooling towers) na ɔtel ɛn big bildin, na hot tub, ɛn ɔnda shawa. We wi de blo di smɔl smɔl wata drɔp dɛm (Mist / Aerosols) frɔm da wata de, dis sik kin apin.
💬 Wetin na di sayn dɛm fɔ dis sik? Yu tink se na kɔmɔn kol?
Nɔto kɔmɔn flu, i kin bigin wit ay fiva, bad bad bɔdi pen, ɛn ed we de at. Afta sɔm dez, kɔf we gɛt yɔlɔ (blɔd) mכkus de apia. Di tin we spɛshal pas ɔl na dat, wit di prɔblɛm dɛn we de na di lɔng, dayarɛa ɛn kɔnfyushɔn kin apin. If dɛn tin ya de, yu fɔ go na ɔspitul wantɛm wantɛm fɔ tek antibayɔtik.
Legionnaires ' Disease, Nyumonia, Legionella, Lכng Infεkshכn, Baktri, Difεlεns fכ Brith, Antibaytik
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