Yu gɛt sɔri na yu skin we nɔ go wɛl? Yu tink se na di sik we dɛn kɔl Leishmaniasis? Lɛ wi tɔk bɔt am!

Yu dɔn ɛva notis se sɔm pipul dɛn kin gɛt sɔri na dɛn skin we kin tek lɔng tɛm fɔ wɛl, ɛn sɔntɛnde dɛn kin lɛf dɔti skata? Ɔ fiva we kin de fɔ sɔm dez, we kin lɛf fɔ it bɔku bɔku it dɛn, ɛn we in bɛlɛ kin swel? Dɛn tin ya kin bi sayn dɛm fɔ wan sik wae sɔmtɛm wi nɔr kin pe atɛnshɔn to, lɛk smɔl animal lɛk flay. Wan pan dɛn sik ya na Leishmaniasis. Tide, wi go tɔk bɔt dis ditayli, rili simpul wan.

Wetin na di sik we dɛn kɔl Leishmaniasis?

Fɔ tɔk am simpul wan, Leishmaniasis na wan grup fɔ sik dɛn we wan parasayt we dɛn kɔl Leishmania . Dis parasayt so smɔl dat yu nɔ go ebul fɔ si am wit yu yay pas nɔmɔ if yu yuz maykroskɔp. Fɔ tɔk strikt wan, i de pan wan grup we gɛt tin dɛn we dɛn kɔl protozoa, we na wan sɛl ɔrganizm dɛn.

Dis sik kin pas to wi we wan kayn san flay bit wi. Dɛn flay dɛn ya rili smɔl, sɔntɛnde dɛn kin smɔl pas mɔskito. Dis sik kin mek yu gɛt difrɛn kayn tin dɛn, frɔm ɔlsa we nɔ fayn na di skin to prɔblɛm dɛn we kin mek pɔsin in layf de pan denja we kin afɛkt di ɔgan dɛn we de insay di bɔdi.

Tu men we dɛn de we wi kin si dis bɔku tɛm:

1. Leishmaniasis we de kɔmɔt na di bɔdi (`(Leishmaniasis we de kɔmɔt na di bɔdi)`) .

2. Visceral leishmaniasis ( we de afekt di intanεt כgan dεm ) .

Udat go mɔs gɛt dis?

Leishmaniasis kin bɔku na di rural eria dɛn, mɔ na say dɛn we nɔ gɛt bɛtɛ saniteshɔn . Pipul dɛn we gɛt wikɛd imyun sistɛm , lɛk di wan dɛn we gɛt HIV ɔ di wan dɛn we gɛt ɔda imyun sistɛm, kin gɛt dis sik if dɛn gɛt di Leishmania parasayt.

Aw kɔmɔn wan sik we dɛn kɔl Leishmaniasis? Yu tink se i de na Sri Lanka?

Ɔlsay na di wɔl, sɔm pipul dɛm wae gɛt di Leishmania parasayt nɔr kin gɛt dis sik. So i nɔ kin izi fɔ tɔk klia wan aw i kɔmɔn. Bɔt masta sabi bukman dɛn tɔk se bitwin 1.5 ɛn 2 milyɔn pipul dɛn ɔlsay na di wɔl de sɔfa wit dis sik wit sɔm sayn dɛn ɛvri ia .

Yɛs, i sɔri fɔ no se, Liishmaniasis de bak na Sri Lanka. Ɛspɛshali di kɔtnɛs fɔm (`(Cutaneous leishmaniasis)`) dɔn ripɔt na di dray zon dɛm na wi kɔntri, fɔ ɛgzampul na distrikt dɛm lɛk Anuradhapura, Polonnaruwa, Hambantota, ɛn Matara. So, i rili impɔtant fɔ mek wi no bɔt dis.

Usay na di wɔl dis kin apin mɔ?

Di Leishmania parasayt de na pas 90 kɔntri dɛn ɔlsay na di wɔl. Yu kin si difrɛn kayn Leishmania na difrɛn say dɛn na di wɔl. di masta sabi pipul dεm sheb am to tu kayn, "Old World leishmaniasis" εn "New World leishmaniasis," dipכnt pan usay dεn de fכn am.

• Old World leishmaniasis (`(Old World leishmaniasis)`) na di Istan Ɛmisfya, dat na:
• Sɔm pat dɛn na Eshia
• Insay Afrika, mɔ di kɔntri dɛn we gɛt tropik ɛn Nɔt Afrika
• Sawt pat na Yurop
• Midul Is
• Nyu Wɔl leishmaniasis (`(Nyu Wɔl leishmaniasis)`) na di Wɛstɛn Ɛmisfya, dat na:
• Sɛntral Amɛrika
• Sawt Amɛrika
• Sɔm eria dɛn na Mɛksiko

Pan ɔl we i nɔ kin bɔku na Amɛrika, dɛn dɔn ripɔt di kes dɛm we gɛt cutaneous leishmaniasis frɔm stet dɛm lɛk Tɛksas ɛn Ɔklahoma.

Wetin na di men kayn Leishmaniasis?

Dɛn kin sheb di lɛshmaniasis to tri men kayn: di kɔt, di mכkus, ɛn di vishכral.

Leishmaniasis we de kɔmɔt na di bɔdi (CL) .

Dis na infekshɔn we kin apin na di skin usay san flay dɔn bit . I kin bigin lɛk smɔl nodul ɛn afta dat i kin tɔn to big ɔlsa. Dɛn ɔlsa ya kin tek lɔng tɛm fɔ wɛl, ɛn sɔntɛnde dɛn nɔ kin wɛl fɔ dɛnsɛf. Di sayn dɛm kin bigin insay sɔm wik to sɔm mɔnt afta we sand flay dɔn bit am.

Na smɔl tɛm nɔmɔ, sɔm pipul dɛn kin gɛt dɛn lumps ɔr lɛsin ya na bɔku say dɛn na di skin. dis dεn kכl am `(difכs kכtan leishmaniasis)`. Dɛn tin ya kin kam bak ivin afta dɛn dɔn trit am.

Mucosal/Mucocutaneous Leishmaniasis (ML) we gɛt fɔ du wit di sik.

dis kin apin as komplikashכn fכ di kכtan leishmaniasis . I kin afɛkt di mכkus mεmbran dεm we de insay di nos, mכt, כ trot. Dis sik nɔ kin sɔlv fɔ insɛf ɛn bɔku tɛm i kin kil pɔsin if dɛn nɔ trit am . I kin mek bak in fes nɔ fayn.

Visceral Leishmaniasis (VL) / Kala-azar we gɛt di sik

Dis na di kayn sik we kin rili bad . Na wan patikyula kayn Leishmania kin kam wit am. I kin afɛkt di ɔgan dɛn we de insay yu bɔdi, mɔ yu splin ɛn liva . Di sayn dɛm kin tek ɛnisay frɔm sɔm mɔnt to wan ia ɔr mɔr fɔ sho afta yu dɔn bit yu bay wan flay we gɛt di sik. Dis sik (VL) kin tranga kwik kwik wan ɛn i kin kil pɔsin ɔltɛm if dɛn nɔ trit am .

Wetin na di sayn dɛm fɔ dis sik?

De sayn dɛm fɔ leishmaniasis kin difrɛn difrɛn wan fɔ di kayn wae yu gɛt. di kayn dεm we de afekt di skin εn di mכkus mεmbran dεm kin mek big big sכm dεm we de hεl sloslo. di kayn dεm we de afekt di intanεt כgan dεm kin mek jεnarכl simptom dεm lεk fiva, weit lכs, εn bכdi swεla.

Di simptom dɛm fɔ Cutaneous Leishmaniasis

Wan bɔmp kin fɔm na di skin usay di sanflay dɔn bit. I kin gɛt skab/krɔst pan tap. As tɛm de go, dis kin tɔn to sɔri, .Wan had ed de rawnd am, ɛn wan sɛnt we dɔn sink (jɔs lɛk volkeno).

Di simptom dɛm fɔ Mucosal Leishmaniasis

Sɔl na di mכkus mεmbran dεm we de insay di nos, mכt, כ trot. Dɛn sos ya kin gɛt wan ɔ mɔ skin sos bifo ɔ kam wit am.

Di simptom dɛm fɔ Visceral Leishmaniasis

Dɛn sayn ya na:

• Fiva: Dis kin bigin wantɛm wantɛm ɛn i kin kam ɛn go fɔ sɔm wiks.
• Fɔ fil kol ɛn swet.
• Di limf no dɛm we dɔn swel.
• Di bɛlɛ de swel bikɔs ɔf di splin we dɔn big.
• We yu de lɔs yu wet.
• Taya pasmak, taya.
• Wik.
• Sɔm say dɛn na di skin we kin dak ɔ we di kɔlɔ kin chenj.

Wetin kin mek pɔsin gɛt Leishmaniasis? Aw i kin pas?

Leishmaniasis na parasayt dɛm we dɛn kɔl Leishmania. Dɛn parasayt ya de liv na mɔtalman ɛn bak na animal dɛn lɛk dɔg, pusi, opossum, rat, ɛn fɔks.

I kin pas mɔ tru di bayt we wan kayn flay we dɛn kɔl di flebotomine sand flay . We dis flay bit pɔsin ɔ animal we gɛt di sik, ɛn afta dat i bit ɔda pɔsin, i kin injɛkt di Leishmania parasayt insay di ɔda pɔsin in bɔdi.

Apat frɔm dis, ɔda we dɛn we yu kin gɛt di sik we dɛn kɔl Leishmania, we nɔ kin bɔku, na:

• Na bay we dɛn de sheb nidul dɛn.
• Tru blɔd transfyushɔn.
• Frɔm mama we gɛt bɛlɛ to di pikin we de na di bɛlɛ.

Impɔtant: Yu nɔ go ebul fɔ gɛt leishmaniasis dairekt frɔm dɔg ɔ ɛni ɔda animal. Bɔt pruf de fɔ se dɔg kin pas am to ɔda dɔg dɛn. Bikɔs dɔg kin pas am bak to mɔtalman tru san flay, i impɔtant fɔ mek dɔg nɔ gɛt am.

Aw yu go no if yu gɛt Leishmaniasis?

Dɔktɔ kin chɛk fɔ di sik bay we i kin tek tisu sɛmpul frɔm yu bɔdi ɛn tɛst dɛn fɔ di Leishmania parasayt. Dɛn kin tek dɛn sɛmpul ya frɔm wund, splin, limf no, ɔ bon mɛro. Insay kɔntri dɛn usay di sik we dɛn kɔl leishmaniasis bɔku, bɔku tɛm dɔktɔ dɛn kin no di sik bay we dɛn de lisin to di sayn dɛn we i de sho ɔ chɛk di skin.

Us tɛst dɛn dɛn kin du?

• Nidul bayɔpsi: Dɔktɔ kin yuz nidul fɔ tek sɔm tisu frɔm yu splin, limf node, ɔ bon mɛro. Wan lab tɛknishian de luk am ɔnda maykroskɔp fɔ si if Leishmania de. Dis na di bɛst we fɔ no di visceral leishmaniasis.
• Skin biopsy: Dɔktɔ kin tek wan tisu sɛmpul frɔm wan wund we de na yu skin, yu nos, ɔ yu mɔt. Dɛn kin tɛst am fɔ si if i gɛt Leishmania. Dis kin ɛp fɔ no di sik we dɛn kɔl cutaneous ɔ mucosal leishmaniasis.
• Blɔd tɛst (Serology) : Sɔntɛnde, dɔktɔ kin chɛk yu blɔd fɔ si if yu gɛt sayn dɛn we de sho se yu gɛt Leishmania infɛkshɔn. Bɔt, blɔd tɛst nɔ kin rili yus fɔ no if pɔsin gɛt di sik we dɔn de. Bikɔs sɔm pipul dɛn kin gɛt am we nɔ gɛt ɛni sayn, if yu du blɔd tɛst, yu kin gɛt di sik ivin if yu nɔ gɛt di sik naw.

Wetin na di tritmɛnt dɛm fɔ dis?

Bɔku kayn anti-parasitic mɛrɛsin dɛn de we dɛn kin yuz fɔ mɛn Leishmaniasis. Di mɛrɛsin we yu dɔktɔ go gi yu go dipen pan di kayn Leishmaniasis we yu gɛt. Dɛn mɛrɛsin ya kin kam difrɛn we dɛn:

• Pils fɔ swɛla.
• Krim ɔ loshan dɛn we de mek di skin kol.
• Fluid we dɔktɔ gi tru wan salin tiub (IV kateta) we dɛn put insay wan vein.

If yu gɛt cutaneous leishmaniasis, yu dɔktɔ kin yuz ɔt tɛrapi (tɛmotɛrapi), kol tɛrapi (krayotɛrapi), ɔ lɛsa tɛrapi dairekt pan di lɛsin dɛn. Dɛn tin ya kin kil di parasayt ɛn ɛp di lɛsin dɛn fɔ wɛl.

Di mɛrɛsin dɛn fɔ di sik we dɛn kɔl Leishmaniasis:

• Amfɔterisin we dɛn kɔl
• Miltefosin we dɛn kɔl
• Pεntavalεnt antimonial dεm, fכ egzampl sכdiכm stiboglukonayt
• Paromomycin we dɛn kɔl Paromomycin

Sɔntɛnde dɛn kin gi ɔda tritmɛnt fɔ di sik we dɛn kɔl cutaneous leishmaniasis. Dɛn tin ya na:

• Tɛmotɛrapi : Di dɔktɔ kin put ɔt pan di wund ɛn di say we de rawnd am.
• Krayotɛrapi : Di dɔktɔ kin kol di wund ɛn di say we de rawnd am fɔ lɛk 10-30 sɛkɔn.
• Laser therapy : Di dɔktɔ de yuz wan tin we dɛn kin ol na in an fɔ dayrɛkt di laser bim dɛn na di wund ɛn di say we de rawnd am.

Aw fɔ avɔyd Lishmaniasis?

Di bɛst we fɔ avɔyd ɔl kayn Leishmaniasis na fɔ avɔyd fɔ mek san flay bit yu , mɔ na di say dɛn we Leishmania kin bɔku. Na sɔm we dɛn ya fɔ avɔyd fɔ mek san flay bit:

• Wear klos we de kɔba yu bɔdi fayn fayn wan: lɔng pant, lɔng sliv shit, sɔks, ɛn ɔda tin dɛn.
• Yuz wan tin we EPA dɔn gri fɔ mek yu nɔ gɛt insɛkt. Di repelent dɛn we kin wok fayn pas ɔl kin gɛt DEET.
• Sprɛy insɛktisayd fɔ kil san flay dɛn insay os, lɛk bedrum ɛn living rum.
• Slip na rum we di winda dɛn lɔk ɔ we gɛt skrin na di winda dɛn.
• Slip ɔnda wan mɔskito bed nɛt. Dɛn kin trit sɔm nɛt dɛn bifo tɛm wit insɛkt ripɛlɛnt fɔ mek dɛn protɛkt dɛn mɔ. Sand flay dɛn smɔl pas mɔskito dɛn fa fawe. So di ol dɛn na di nɛt fɔ rili smɔl fɔ mek di flay dɛn nɔ go insay.

Wetin kin apin if yu gɛt Leishmaniasis? Yu tink se dɛn kin mɛn am?

If yu gɛt dis sik, yu prɔgnosis de dipen pan di kayn we aw yu gɛt ɛn di wɛlbɔdi fɔ yu imyun sistɛm. di tכp we de afekt di intanεt כgan dεm (VL) εn di tכp we de afekt di mכkus mεmbran (ML) nid fכ trit kwik. Klosap ɔltɛm, dɛn ɔl tu kin kil if dɛn nɔ trit dɛn.

Cutaneous leishmaniasis kin sɔlv fɔ insɛf ɔ wit tritmɛnt. Bɔt i kin tek sɔm mɔnt fɔ mek i wɛl ɔl, ɛn i kin gɛt skata fɔ ɔltɛm.

Yu kin nid fɔ kɔntinyu fɔ tek di mɛrɛsin fɔ sɔm wik ɔ mɔnt fɔ mek shɔ se di sik dɔn go ɔlsay. Aks yu dɔktɔ bɔt tritmɛnt ɛn di tɛm fɔ wɛl.

Bɔku tɛm, dɛn kin mɛn di sik we dɛn kɔl Leishmaniasis if dɔktɔ no di sik kwik kwik wan ɛn trit am wit mɛrɛsin. wit di εli tritmεnt, di kכryu rεt fכ vishכnal leishmaniasis de pas 90%, εn fכ mכkus leishmaniasis, i pas 75%. Sɔm pipul kin sik bak sɔm mɔnt afta dɛn dɔn wɛl ɛn nɔr gɛt di parasayt (dɛn kin kɔl dis rilaps).

Visceral ɛn mucosal leishmaniasis at fɔ trit if dɛn nɔ trit am. I at bak fɔ trit pan pipul dɛm wae gɛt wik imyun sistɛm.

Wetin na de prɔblɛm wae kin kam wit dis sik?

di kכmplikεshכn dεm fכ leishmaniasis kin bi siriכs כ layf-thrεtεn, spεshal wan na di vishכnal εn mכkus fכm dεm. Dɛn tin ya na:

• Baktri infεkshכn: dεn kin kכl dεm bak sεkכnd infεkshכn. Dɛn tin ya kin mek di wund dɛn wɔs. Baktri kin travul dip insay di bɔdi ɛn mek pɔsin gɛt siriɔs sik.
• Ska: Di leishmaniasis we de na di skin ɛn di mucosal kin mek di skin, di mɔt, ɛn di nos pwɛl fɔ ɔltɛm ɛn i kin mek di skin, di mɔt, ɛn di nos gɛt bad bad skata.
• Rilaps: Sɔm pipul kin gɛt sɔm kayn sik wae kin go wit tritmɛnt ɛn kam bak. di skin lεsin dεm we de kam bak dεn kכl dεm ``leishmaniasis recidivans.'' If dis apin, dεn kin nid כda tritmεnt.
• Septal perforeshכn כ kolכpshכn:di mכkus leishmaniasis kin mek wan ol na di tisu bitwin di tu nos pasej dεm (di wכl bitwin di nos dεm - ``(septum)``). di strכkchכ fכ di nos kin kolכp. Dis kin mek i nɔ ebul fɔ du wɛl, i kin gɛt infɛkshɔn, ɛn i kin mek i nɔ izi fɔ blo.
• Nyumonia ɔ gεstrointestinal trakt infεkshכn (GI (gastrointestinal) tract infεkshכn): Mucosal εn visceral leishmaniasis kin mek infεkshכn na כda pat dεm na di bכdi.

Atikul komplikashכn dεm fכ vishכnal leishmaniasis:

• Post kala-azar dermal leishmaniasis (PKDL): PKDL na wan kכndyushכn we de mek big, lumpy lεsin dεm na di fes כ כda pat dεm na di bכdi. I kin apin di tɛm ɔ afta di visceral leishmaniasis. I kin las fɔ lɔng tɛm ɛn i kin mek yu gɛt siriɔs skata.
• Blɔd we de kɔmɔt bad bad wan: If yu blɔd pasmak, dat kin mek yu day.
• hεmophagocytic lymphohistiocytosis: Dis na wan kכndyushכn we de mek yu layf de pan denja, we de damej di כgan dεm.
• Sepsis: Sεpsis na di bכdi in layf de pan denja we i gεt bad bad infεkshכn.

Aw a fɔ kia fɔ misɛf?

Aks yu dɔktɔ aw fɔ kia fɔ yusɛf te yu wɛl. If yu gɛt cutaneous leishmaniasis, yu dɔktɔ go tɛl yu aw fɔ klin ɛn kia fɔ di wund dɛn te dɛn wɛl. Wit ɔl kayn leishmaniasis, wach fɔ di sayn dɛm wae de kam bak ivin afta yu tink se yu dɔn wɛl.

Ustɛm a fɔ go to dɔktɔ?

Si yu dɔktɔ pan dɛn kayn tin ya:

• If yu de na eria usay Leishmania de kɔmɔn ɔr yu dɔn travul ɛn gɛt sɔm sayn dɛm.
• If wund na yu skin tek lɔng tɛm fɔ wɛl.
• If yu imyun sistɛm wik ɔ yu gɛt ɛni sayn fɔ se yu gɛt di sik, go to dɔktɔ.

If yu nɔ gɛt ɛni sayn afta yu dɔn bit yu bay sand flay, yu nɔ nid fɔ go to dɔktɔ. Nɔto ɔl san flay dɛn kin skata sik. Sɔntɛnde wi bɔdi kin fɛt wan Leishmania infɛkshɔn we nɔ kin mek wi sik. If yu imyun sistɛm wik ɔ yu dɔn ɔlrɛdi sik, bɔku tɛm dɔktɔ dɛn nɔ go trit yu.

Ustɛm yu fɔ go na Imejɛnsi Tritmɛnt Yunit (ETU) ?

If yu gɛt dɛn kayn bad bad sik ya, go na di imejensi rum we de nia yu:

• If yu gɛt ay fiva (we pas 103 Fahrenheit / 40 Celsius) we nɔ de go dɔŋ.
• I nɔ kin izi fɔ yu fɔ blo.
• Wan swel we pɔsin kin si na di bɛlɛ we pɔsin kin si.
• Di skin ɔ di yay we de yɔlɔ (jaundice).
• Blu kɔlɔ na di skin, lip, ɔ finga nel (cyanosis, na sayn fɔ se ɔksijɛn nɔ de na di blɔd).

Us kwɛstyɔn dɛn a fɔ aks di dɔktɔ?

I go fayn fɔ aks yu dɔktɔ dɛn kwɛstyɔn ya:

• Us tritmɛnt opshɔn dɛn a gɛt?
• Aw a fɔ kia fɔ mi wund dɛn?
• Ustɛm a go bɛtɛ/mi injuri dɛn go wɛl?
• Aw siriɔs mi sik?
• Aw a fɔ tek mi mɛrɛsin?
• Ustɛm a fɔ go na di imejensi rum?
• Ustɛm a fɔ si yu bak?

Mɛmba as sɔmari

Leishmaniasis na wan parasayt sik wae kin mek pɔrsin fil pen, wae kin mek pɔrsin in layf de pan denja. If yu de na ɔ yu de travul go na say usay Leishmania bɔku, tek step fɔ protɛkt yusɛf. If yu gɛt sɔm kayn sik wae de mɛk yu gɛt Lishmaniasis, ɔr if yu gɛt sɔri wae nɔr de wɛl ɔr de wɔs, mek shɔ se yu go to dɔktɔ. Bɔrku pipul wae kin gɛt tritmɛnt bifo i wɔs kin mek dɛn wɛl ful wan. So, e fayn fɔ no bɔt dɛn sik ya ɛn go to tritmɛnt kwik kwik wan.

` leishmaniasis, kala-azar, san flay, skin ɔlsa, parasayt