Lɛ wi lan mɔ bɔt Leptospirosis - Aw fɔ de sef frɔm am!

Tide wi go tɔk bɔt wan sik we de mek pɔsin fred smɔl we dɛn kin tɔk bɔt bɔku tɛm insay ren sizin na wi kɔntri. Yu don yehri boht 'bi fiva' ? Na dat i bi. Bɔt we wi de tɔk bɔt mɛrɛsin, dɛn kɔl am Leptospirosis. So tide, lɛ wi tɔk bɔt wetin na dis, aw i kin kam, wetin na di sayn dɛm, ɛn aw fɔ protɛkt yusɛf frɔm am.

Wetin na Lɛptospirosis? In simpul wɔd dɛn...

Leptospirosis na wan infεkshכn we wan kayn baktri we dεn kכl Leptospira kin kכz. Dis baktri kin go insay yu bɔdi tru smɔl skrach ɔ kɔt na yu skin, ɔ tru say dɛn we opin lɛk yu yay, yu nos, ɔ yu mɔt. Tink bɔt am lɛk se tifman de brok insay yu os.

Dis na wan sik we dɛn kɔl zoonotic . Dis min se yu kin gɛt di sik if yu kam nia di urine (wi kɔl am urine ) ɔ wata we kɔmɔt na di riprodaktiv sistɛm fɔ animal we gɛt di sik, ɔ if yu it wata, grɔn, ɔ it we gɛt dis baktri.

Udat de pan denja fɔ gɛt dis?

Fɔ tru, ɛnibɔdi na di wɔl kin gɛt lɛptospirosis. Bɔt i kin apin mɔ na kɔntri dɛn we wam ɛn tropik, mɔ na say dɛn we ren kin kam fayn ɔlsay na di ia . Wi kɔntri, Sri Lanka, na wan pan dɛn. So, if yu de na dis kayn eria, ɔ if yu de travul, di risk go bɔku.

Tink bɔt am dis we:

• Fama dɛn we de wok na fam , pipul dɛn we de wok na di swamp.
• Pipul dɛn we de klin dreyn sistem , munisipaliti wokman dɛn.
• Pipul dεm we de wok klos wit animal dεm na fam (animal dεm lεk kaw, got, pig, εn dכg).
• Fɔ di wan dɛn we de wata na dɔti wata we natura disasta lɛk wata , ɛn fɔ di wan dɛn we de wok fɔ ɛp pipul dɛn.
• Sɔntɛnde, dis risk kin de ivin we yu de swim na riva, kanal, strim, ɔ lek fɔ ɛnjɔy yusɛf , mɔ na say dɛn we dɛn tink se di wata dɔti, ɔ we yu de du wata spɔt (lɛk fɔ raf wit wayt wata). Dis risk kin ivin big insay di ren sizin ɛn afta wata dɔn kam.

Ivin na Amɛrika, dis sik dɔn skata afta wata we dɔn rɔn na stet dɛn lɛk Awayi ɛn Flɔrida. So dis nɔto sɔntin we wi fɔ tek am layt.

Aw dis sik kin bɔku? Aw i de bitwin pipul dɛn?

Ɔlsay na di wɔl, dɛn se i pas wan milyɔn pipul dɛn we kin gɛt lɛptospirosis ɛvri ia . Fɔ dɛn pipul ya , na lɛk siksti tawzin pipul dɛn kin day . Dis min se dis na sik we kin kil pɔsin. Na dat mek i impɔtant fɔ lɛ wi no bɔt dis.

Wetin na di stej dɛm fɔ lɛptospirosis?

Tu men stej dεm de fכ lεptospirosis.

1. Leptospiremic fεz כ akyu fεz:Dis na di fɔs stej. dis stej kin bigin tu to fכtin de afta di `Leptospira` baktri dεm go insay di bכdi. Bɔku tɛm, i kin tek lɛk tri to tɛn dez so. Insay dis tɛm, di bɔdi kin go na yu blɔd ɛn travul go na yu bɔdi ɔgan dɛn . If yu du blɔd tɛst dis tɛm, i kin sho sayn dɛn fɔ se yu gɛt di sik. Sɔm pipul kin gɛt sɔm kayn sik lɛk fiva insay dis tɛm, ɔda wan dɛn nɔ kin gɛt ɛni sayn atɔl.

2. Immune phase (let phase): Insay dis faz, di baktri dεm dכn spre frכm di bכdi to yu כgan dεm. Dis baktri kin gɛda na di kidni dɛn, mɔ na di kidni dɛn . (Di kidni dεm lεk filta na wi bכdi we de klin di bכdi). So, if yu du urine test dis tεm, yu kin fכn sayn dεm fכ di baktri. yu kin si bak antibodi dεm we de agens di `Leptospira` baktri dεm na yu bכdi.

Na insay dis imyun rεspכns, sɔm pipul dεn kin gεt wan siriɔs kכndyushכn we dεn kɔl Weil’s syndrome . Dis kin mek yu gɛt siriɔs prɔblɛm lɛk we yu de blɔd insay yu bɔdi, yu kidni de pwɛl, ɛn yu yay ɛn yu skin de yɔlɔ (jaundice).

Wetin na di sayn dɛm fɔ lɛptospirosis?

Sɔm pipul dɛn kin gɛt sɔm kayn sik lɛk fiva, ɔda wan dɛn nɔ kin gɛt ɛni sayn atɔl. If i tranga, di sayn dɛm na we yu de blɔd insay yu bɔdi ɛn di ɔgan dɛm we de pwɛl.

Di simptom dɛm wae kin apun wantɛm wantɛm pan akyu lɛptospirosis:

• Fɔ gɛt ay fiva
• di yay dεm we de rεd (conjunctival injection) .
• Ed de at
• Chills ( fil kol ) .
• Mɔsul dɛn kin at
• Pɔsin we de fil pen na di bɛlɛ
• Nɔs ɛn vɔmit
• Rɔnbɛlɛ
• Yu skin ɛn yu yay de yɔlɔ (Jaundice) - Dis na sayn we yu fɔ pe sɔm atɛnshɔn to.
• Wan skin rash, wan rash

di simptom dεm fכ siriכs lεptospirosis ``Weil's syndrome'' (i kin apin 3-10 de afta di fכs simptom dεm bigin):

• We yu de kɔf blɔd (ɛmoptaysis) .
• Chɛst de pen
• Trobul fɔ blo
• Dak yɔlɔ na di skin ɛn di yay
• Blak , tarry stool - Dis kin bi sayn fɔ blɔd we de kɔmɔt insay.
• Blɔd we de na di urine (hematuria) .
• Di we aw yu de pis de go dɔŋ
• Flat rɛd spat dɛn na di skin, we tan lɛk rash (petechiae) .

If yu gɛt ɛni wan pan dɛn bad bad sayn ya, yu fɔ go na ɔspitul wantɛm wantɛm .

Di tin dɛn we kin mek pɔsin gɛt lɛptospirosis ɛn i kin skata

as wi bin dכn tכk, lεptospirosis na wan baktri we dεn kכl `Lεptospira`. Dis baktri de go insay yu bɔdi tru yu mɔt, yu nos, yu yay, ɔ we yu skin brok. Dɔn i kin travul tru yu blɔd to yu ɔgan dɛn, mɔ yu kidni dɛn. di kidni dεm na di say we wi bכdi de "klin".

di kidni dεm de kכl west prכduk dεm εn tכxin dεm tru di urine. So, dis baktri dεm we de na di kidni dεm de kכmכt bak na di bכdi tru urine. Na so di lɛptospirosis kin pas to ɔda pɔsin ɔ animal.

כltu, mכtalman kin gεt dis sik tru di urine fכ animal dεm we gεt di `Leptospira` baktri dεm. Rat na di men wan dεm we de kכri, na dat mek dεn kכl am `rat fiva'. Bɔt nɔto rat nɔmɔ, bɔt ɛni animal we de gi pikin milk lɛk dɔg, kaw, ɔs, pig kin gɛt dis sik, ɛn wi kin gɛt am frɔm dɛn. Sɔm animal dɛn nɔ kin sho sɔm sayn dɛn we dɛn gɛt di sik.

So, if yu kam in kɔntakt wit wata (padi fil wata, dɔti wata, wata we de flɔd) ɔ grɔn we gɛt di urine fɔ dɛn animal ya, yu kin sik. Na jɔs:

• Dairekt kɔntakt wit di urine ɔ ɔda bɔdi wata fɔ animal we gɛt di sik.
• We yu put dɔti wata ɔ dɔti na yu yay, yu nos, ɔ yu mɔt, ɔ bay we yu tɔch wan skin we dɔn brok .

Afta ebi ebi ren ɔ wata dɔn kam, bɔku pipul dɛn kin gɛt dis sik wan tɛm. As wata we kin flɔd kin flɔd, dis bɔdi kin gɛda na riva dɛn, strim dɛn, ɛn lek dɛn.

Di tin we impɔtant pas ɔl na dat, lɛptospirosis nɔ kin pas frɔm wan pɔsin to ɔda pɔsin. Dis min se i nɔ go ebul fɔ pas we pɔsin tɔk to ɔ shek an wit pɔsin we sik.

Aw dɛn kin no dis sik? (Diagnosis) .

If yu gɛt sayn dɛm fɔ lɛptospirosis, dɔktɔ go chɛk yu ɛn aks yu bɔt yu sayn dɛm, usay yu dɔn go (especially if yu dɔn gɛt wata we gɛt dɔti), ɛn wetin yu de du. Dɔn, dɛn kin du dɛn tɛst ya:

• Blɔd ɛn urine tɛst: Dɛn kin tek smɔl blɔd na yu an, ɔ tek urine sɛmpul, ɛn dɛn kin du di tɛst fɔ chɛk if sayn dɛn de fɔ di Leptospira baktri.
• Imej tɛst: If yu gɛt siriɔs sik, yu dɔktɔ kin du yu chɛst ɛkstrem rayt ɔ CT skan . Dɛn tin ya kin chɛk fɔ si if yu insay ɔgan dɛn dɔn pwɛl.

Aw dɛn kin trit lɛptospirosis?

Dɔktɔ dɛn kin trit lɛptospirosis wit antibayɔtik . If yu gɛt simpul, smɔl sik, dɛn kin tɛl yu fɔ si if yu go wɛl if yu nɔr gɛt tritmɛnt, bɔt yu fɔ de wach yu sik.

If yu gɛt siriɔs lɛptospirosis (lɛk Weil’s syndrome), yu go mɔs nid fɔ go na ɔspitul.Dɔn dɛn kin gi antibayɔtik dɛn dairekt insay di blɔd tru wan salin sɔlvushɔn (IV). Dipen pan us pat pan yu ɔgan dɛn we di sik afɛkt, yu kin nid fɔ tek ɔda mɛrɛsin ɔ tritmɛnt dɛn.

Drug ɛn di we aw dɛn kin yuz fɔ trit am:

• Antibayɔtik: Dɛn kin yuz antibayɔtik lɛk dɔksisayklin, amɔksisilin , ampisilin, penisilin-G, ɛn sɛftriakson fɔ dis. De dɔktɔ go disayd us mɛrɛsin fɔ gi yu bay aw yu sik bad ɛn yu wɛl bɔdi istri.
• Mekanikal ventileshɔn: If di infekshɔn dɔn spre to yu lɔng ɛn yu de gɛt prɔblɛm fɔ blo, dɛn kin nid fɔ gi yu mashin fɔ blo. Insay dis tɛm, dɛn go put yu na slip.
• Plasmapheresis: Dɛn kin kɔl am bak plasma exchange, dis tritmɛnt kin ɛp pipul dɛm wae de pan risk fɔ pwɛl ɔgan dɛm bikɔs ɔf lɛptospirosis. Dis min se yu fɔ tek yu blɔd tru wan tiub we gɛt kɔnekshɔn to wan vein, yu fɔ yuz mashin fɔ separet di plasma frɔm yu blɔd, put sɔntin we go tek di plasma in ples, dɔn yu put di blɔd bak insay yu bɔdi.

Aw fɔ kɔntrol di sayn dɛm?

If yu gɛt sɔm kayn sik, yu dɔktɔ go tɛl yu wetin fɔ du fɔ ɛp fɔ pul dɛn sik. Fɔ fiva ɛn bɔdi pen, yu kin tek ɔva-di-kɔnta pen rilijɔn lɛk ibuprofen (e.g., Advil®, Motrin®) ɔ acetaminophen (e.g., Tylenol®, Panadol®). Bɔt nɔ tek ɛni mɛrɛsin ɔltɛm if yu dɔktɔ nɔ advays yu .

Aw fɔ protɛkt yusɛf frɔm lɛptospirosis? (Prɛvenshɔn) .

Naw, no vaysin nɔ de fɔ dis na Amɛrika, ɛn na di sem tin na wi kɔntri. So, di bɛst we fɔ protɛkt yusɛf frɔm lɛptospirosis na fɔ avɔyd fɔ swim insay ɔ wata insay wata we kin gɛt animal urine . Ɛspɛshali, yu fɔ de fa frɔm wata we kin flɔd.

Na sɔm ɔda we dɛn we yu go ebul fɔ ridyus di prɔblɛm we yu gɛt:

• Tek Prɔfylaksis: If yu de travul go na say we gɛt bɔku prɔblɛm ɔ yu de du wok we gɛt bɔku prɔblɛm (e.g., wok fɔ rilif wata), aks yu dɔktɔ if yu kin tek mɛrɛsin (e.g., dɔksisayklin) fɔ mek di sik nɔ kam.
• Stay away frɔm animal dɛm wae kin gɛt leptospirosis. Nɔ go ɛnisay usay rat de.
• If yu de wok wit animal ɔ yu de na say we animal dɛn de, wɛr klos ɛn fut we de protɛkt yu (e.g., but we yu de go na fil).
• If yu gɛt fɔ put yu an insay wata ɔ dɔti we go gɛt dɔti, wɛr sus ɛn klos we go protɛkt yu.
• Stɔp fɔ was ɛn ple wata spɔt na lek, riva, ɛn strim afta wata dɔn kam.
• Na wata we dɛn dɔn klin nɔmɔ yu fɔ drink. Nɔ drink wata dairekt frɔm lek, riva, ɔ strim. At least boil am gud gud wan en drink am.
• If yu gɛt fɔ ol animal dɛn we dɔn day, wɛr glɔv. Nɔ tɔch dɛn wit an we nɔ gɛt natin, ɛn was yu an dɛn fayn fayn wan wit sop afta dat.
• Kɔba di wund dɛn we opin ɛn di skrat dɛn na yu skin wit dresin we nɔ de mek wata pas.

Wetin kin apin if yu gɛt lɛptospirosis? (Prɔgnosis) .

Bɔrku pan di kes dɛm wae gɛt lɛptospirosis nɔr kin bɔrku, ɛn sɔmtɛm i kin sɔlv if yu nɔr gɛt tritmɛnt . Bɔt, dɔktɔ go wach yu sik dɛn.

If yu sik de wɔs, ɔr if yu gɛt nyu sik, tɛl yu dɔktɔ wantɛm wantɛm. If yu gɛt ɛni sayn fɔ di sik we dɛn kɔl Weil’s syndrome, go na di imejensi rum na di ɔspitul we de nia yu.

Aw lɔng lɛptospirosis kin las?

Mild leptospirosis kin te frɔm sɔm dez to sɔm wiks. If yu gɛt siriɔs lɛptospirosis, yu go nid fɔ de na ɔspitul fɔ lɛk tu wiks. Bɔrku kayn sik kin tek sɔm mɔnt fɔ mek dɛn wɛl ɔl.

Ustɛm a kin go bak na wok/skul?

Leptospirosis nɔr kin pas frɔm wan pɔrsin to ɔda pɔrsin, so wae yu dɔn wɛl ɛn fil fayn, yu kin go bak na woke ɔr skul.

Pipul dɛn kin sev frɔm lɛptospirosis?

Yɛs, na fɔ tru. Bɔrku pipul dɛm wae gɛt lɛptospirosis nɔr kin gɛt ɛni sayn, ɔr kin gɛt siriɔs sik, ɛn dɛn kin sɔlv fɔ dɛnsɛf.

Na lɛk 1% pan di pipul dɛm wae gɛt lɛptospirosis kin gɛt dis bad bad sik wae dɛn kɔl `Weil's syndrome.` Weil's syndrome kin kil pipul dɛm if dɛn nɔr trit dɛn kwik ɔ if dɛn delay di tritmɛnt. Bɔt if dɛn no am kwik ɛn trit am fayn, chans de fɔ mek i wɛl ful wan.

Aw a kin kia fɔ misɛf?

If dɛn dɔn no se yu gɛt lɛptospirosis, kip yu yay gud gud wan pan yu sayn dɛm. Tɛl yu dɔktɔ if dɛn de wɔs ɔr if yu gɛt nyu sayn dɛm. Drink bɔku wata ɛn rɛst.

Ustɛm a fɔ go to dɔktɔ?

If yu dɔn gɛt wata ɔ grɔn we kin gɛt dɔti ɛn afta dat yu gɛt ɛni sayn fɔ lɛptospirosis, go to dɔktɔ.

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

If yu gɛt dɛn sik ya, go na di ɔspitul we de nia yu wantɛm wantɛm:

• If yu kɔf ɛn blɔd
• If yu gɛt pen na yu chɛst
• If yu gɛt prɔblɛm fɔ blo
• If di yay ɛn di skin tɔn yɔlɔ
• If yu gɛt blak, tarry stɔl
• If blɔd de na di urine
• If di urine we dɛn de mek dɔn go dɔŋ
• If yu gɛt rɛd spat na yu skin (lɛk rash) .

Us kwɛstyɔn dɛn yu fɔ aks di dɔktɔ?

We yu go to yu dɔktɔ, yu kin aks dɛn kwɛstyɔn ya:

• Aw a bin gɛt dis sik?
• Ustɛm a fɔ go to di dɔktɔ bak?
• Us sayn dɛn a fɔ luk fɔ, ɛn a fɔ tɔk to yu if dɛn apin?
• Us sayn dɛn a fɔ go na di imejensi rum fɔ?

Fɔ dɔn, tin dɛn fɔ mɛmba (Take-Home Message) .

Leptospirosis, ɔr ‘rat fiva’ lɛk aw wi kin kɔl am, na wan infekshɔn we kin mek yu gɛt smɔl smɔl sayn dɛm, bɔt sɔmtɛm i kin tranga. E fayn fɔ no if yu de pan denja fɔ gɛt dis sik bikɔs ɔf yu wok ɔr tin dɛm wae yu lɛk fɔ du.

Bɔt dat nɔ min se yu fɔ stɔp fɔ padul yu kenu ɛn fɔ padul na di fil. If yu no di bad tin dɛn we kin apin to yu, tek tɛm wit di sik, ɛn no bɔt di sayn dɛm, yu kin gɛt wɛlbɔdi ɛn sef. Tek tɛm mɔ di tɛm we ren kin kam ɛn we wata kin rɔn. Fɔ kip di say dɛn we yu de klin na fayn we bak fɔ mek yu nɔ gɛt dɛn sik ya.

` Rat fiva, Leptospirosis, Leptospirosis, Baktri infεkshכn, Animal sik, Kidni sik, Prεvεnshכn