Yu dɔn ɛva yɛri bɔt liva fluk? Yu go de tink se, ‘O, a nɔ go ebul fɔ gɛt dɛn.’ Bɔt sɔm tin dɛn we wi kin du we wi nɔ no se kin mek wi gɛt dɛn kayn tin ya. So tide, lɛ wi tɔk bɔt wetin na liva fluk, aw i kin go insay di bɔdi, ɛn aw wi go protɛkt wisɛf.
Wetin na Liva Fluk?
Fɔ tɔk am simpul wan, liva fluk na parasayt wom dɛn . Dɛn de liv na wi bɔdi ɛn de sok di tin dɛn we wi nid. I tan lɛk se dɛn jɔs de kam insay yu os we dɛn nɔ invayt dɛn ɛn it ɔl di it ɛn drink we de na di os. Liva fluk kin pwɛl yu liva, gal blad, ɛn bayl dakt . Di men we dɛn we dɛn kin go insay yu bɔdi na fɔ it fish we dɛn nɔ kuk ɔ we dɛn nɔ kuk fayn, plant dɛn we de na wata (especially watercress), ɔ drink dɔti wata. Dɛn kin afɛkt animal dɛn we dɛn kin mɛn na fam lɛk kaw ɛn got, ɛn bak animal dɛn we dɛn kin mɛn lɛk dɔg ɛn pusi.
Pan ɔl we dɛn wom ya nɔ kin kil pɔsin dairekt wan, dɛn kin liv insay yu bɔdi fɔ lɔng tɛm . Infekshɔn we nɔ de dɔn lɛk dis kin mek di liva inflamɛns ɛn pwɛl di ɔgan dɛn. Sɔntɛnde, dis sik kin ivin mek pɔsin gɛt denja sik lɛk kansa.
Difrɛn kayn liva wom dɛn de?
Yɛs, bɔku kayn liva fluk de we kin afɛkt mɔtalman. Wi de tɔk mɔ bɔt tri kayn dɛn:
- Clonorchis sinensis: Dis na di kayn liva fluk infεkshכn we kכmכn pas כl. Di infεkshכn we dis kayn kin kam wit dεn kכl am klonorchiasis .
- Opisthorchis: Tu kayn dis parasayt de we de afɛkt mɔtalman. Dɛn na O. viverrini (Sɔwt Is Eshia liva flɔk) ɛn O. felineus (felin liva flɔk). O. viverrini na di sεkכn mכst kכmכn spεshal we de mek yu gεt liva fluk infεkshכn. Infεkshכn dεm we dεn spisis dεm ya kin mek dεn kכl dεm opisthorchiasis .
- Fasciola: Tu kayn dis de, F. hepatica ɛn F. gigantica, we kin infɛkt mɔtalman. Dɛn kɔl dɛn infɛkshɔn ya fascioliasis . Bɔt dis kayn Fasciola kin bɔku pan animal dɛn we dɛn kin mɛn na fam pas mɔtalman.
Wetin na di sayn dɛm wae de sho se yu gɛt liva wom infɛkshɔn?
Naw yu go mɔs de tink se, ‘Okay, aw a go no if a gɛt dis?’ Sɔm kɔmɔn sayn dɛm de wae kin kam pan ɔl kayn liva fluke infɛkshɔn. Dɛn na:
- Vɔmit
- Fɔ vɔmit
- Bɛlɛ de pen ɔ we i de fil lɛk se i gɛt sɔri-at
- Rɔnbɛlɛ
- Banbɛlɛ
- Fiva
- Fɔ fil kol (Chills) .
- Rash na di skin
- I nɔ izi fɔ blo (dyspnea) .
- Mɔsul dɛn kin at
- Di limf no dɛm we dɔn swel
- Di jɔyn dɛn we de sɔri
Impɔtant tin na dat, sɔm pipul dɛn nɔ kin gɛt ɛni sayn atɔl, ɔr dɛn nɔ kin pe atɛnshɔn tumɔs to di sayn dɛm if dɛn gɛt am.
Aw dɛn liva wom ya kin go insay di bɔdi?
Okay, naw lɛ wi si aw dɛn wom ya kin go insay wi bɔdi. di larva dεm fכ di Opisthorchis εn C. sinensis wכm dεm de liv insay di bכdi fכ fish dεm we de fכs wata lεk sist dεm we fulכp wit wata. yu kin si di Fasciola wom dεm sist dεm we de fכt insay di wata כ we de insay wata plant dεm lεk wata lili.
So, yu kin gɛt dis wom infεkshɔn if yu it sɔntin we gɛt dɛn infεkshɔn sist ya insay. We dɛn sist ya go insay yu dijestiv trakt , dɛn kin brok ɛn di larva dɛn kin kɔmɔt. Dɔn dɛn larva ya kin travul go na yu liva, gal blad, ɛn bayl dakt, usay dɛn kin gro to big wom.
So, jɔs aw dis kin skata?
Yu kin gɛt liva fluke infɛkshɔn frɔm tin dɛn lɛk:
- Risk de bak fɔ it fish we dɛn nɔ kuk ɔ we nɔ kuk fayn. Risk de bak fɔ it fish we gɛt smɔl sɔl, we dɛn smok, ɔ we dɛn pik.
- Fɔ it raw wata-krɛs ɔ ɔda plant dɛn we de na wata (dɛn kin gɛt wom larva).
- We yu drink dɔti wata we gɛt dɔti ɔ yu swɛla da kayn wata de bay mistek.
- Fɔ it vɛjitebul dɛn we dɛn was insay wata we gɛt dɔti, ɔ vɛjitebul dɛn we dɛn plant insay da kayn wata de.
Dis sik kin pas frɔm pɔsin to ɔda pɔsin?
Nɔ, liva fluke infɛkshɔn nɔ kin pas . Dis min se i nɔ kin pas.
Udat de pan big risk fɔ gɛt dis?
If yu de na say usay liva fluk kin bɔku, ɔ yu dɔn travul go na wan, ɛn if yu de wok wit animal dɛn lɛk kaw ɛn got, yu kin gɛt dis sik.
Usay dɛn liva wom ya kin bɔku pas ɔl?
di liva fluk dεm nid spεshal envayroment kכndishכn dεm fכ liv εn fכ bכn pikin. So, pan ɔl we dɛn kin si dɛn ɔlsay na di wɔl, dɛn kin de na sɔm patikyula say dɛn pas ɔl di kɔntri dɛn. Difrɛn kayn liva fluk de na difrɛn say dɛn na di wɔl. Fɔ ɛgzampul, di kayn `F. hepatica` kin de na ɔlmost ɔl kɔntinɛnt pas Antaktika. `C. sinensis` na kכmכn na kכntri dεm lεk Chaina, Sawt Koria, εn Vietnam. `O. viverrini` de na Eshia kɔntri dɛm lɛk Tayland ɛn Laos.
Us prɔblɛm dɛn kin apin if dɛn nɔ trit am?
If dɛn nɔ trit di liva flɔk infɛkshɔn fayn fayn wan, kɔndishɔn dɛn lɛk:
- Malnutrishɔn
- Liva we dɔn big (hepatomegaly) .
- Liva skata ɔ `fibrosis`
- Galblada inflameshn ɔ `kɔlesistaytis`
- Bayl dakt inflameshn ɔ `cholangitis`
- Kansa na di bayl dakt (cholangiocarcinoma) .
Nɔto dat nɔmɔ, bɔt dɛn liva fluk ya kin travul bak to ɔda pat dɛn na yu bɔdi. Fɔ ɛgzampul:
- Pankrias we de na di bɔdi
- Lɔng
- Kanda
- Yurinary trakt
- Yay
- Bren
Aw yu kin no dis sik kɔrɛkt wan?
Fɔ no fɔ tru if yu gɛt liva flɔk infɛkshɔn, dɔktɔ go tek wan stɔl sɛmpul ɛn luk fɔ parasayt dɛn we de insay. Dɛn kin tek sɛmpul pas wan tɛm, fɔ sɔm dez. Apat frɔm dat, dɛn kin du dɛn tɛst ya:
- Blɔd tɛst: Dɛn tin ya de chɛk fɔ si if di antibodi dɛn de agens di parasayt dɛn (we dɛn kɔl serology), di liva we de wok, ɛn we wan kayn sɛl we dɛn kɔl eosinophils de bɔku na di blɔd. we di eosinofil dεm inkrεs kin bi sayn fכ parasayt infεkshכn.
- Imej: If yu du ɔltra saund, CT skan (kɔmpyuta tomografi skan), ɔ MRI (magnetic resonance imaging), yu dɔktɔ go ebul fɔ si sayn dɛn fɔ se yu gɛt liva fluk infɛkshɔn (lɛk sist).
- Liva bayɔpsi: Dis kin min fɔ tek smɔl pat pan di liva ɛn chɛk am fɔ si if i gɛt sayn dɛn we de sho se i gɛt parasayt.
Aw a go pul dɛn liva wom ya? (Tritmɛnt)
Dɔktɔ dɛn kin trit di liva flɔk infɛkshɔn wit mɛrɛsin dɛn we de mek pɔsin nɔ gɛt parasayt . Sɔm ɛgzampul dɛn na:
- Triclabendazole (dɛn kin gi dis fɔ Fasciola infɛkshɔn) .
- Praziquantel (Dεn kin gi dis fכ Opisthorchis εn Clonorchis infεkshכn dεm)
- Albendazole (dɛn kin gi am bak fɔ Opisthorchis ɛn Clonorchis infɛkshɔn) .
Wetin fɔ ɛkspɛkt if yu gɛt livawɔm infɛkshɔn?
Antiparasitic drugs wae yu tek fɔ shɔt tɛm (lɛk wan to sɛvin dez) kin mɛn liva flukes. Bɔt if dɛn nɔ trit dɛn liva fluk ya kin de na yu bɔdi fɔ fayv to twɛnti fayv ia.Bɔt pipul dɛn we gɛt dis kayn infekshɔn fɔ lɔng tɛm kin gɛt siriɔs wɛlbɔdi prɔblɛm, lɛk fɔ pwɛl dɛn liva, gal blad, ɛn bayl dakt.
Aw yu kin mek dɛn nɔ gɛt dɛn livawɔm infɛkshɔn ya?
Bɔku tin dɛn de we yu kin du fɔ ridyus yu risk fɔ gɛt liva fluke infɛkshɔn:
- Nɔ it wata-krɛs ɛn ɔda plant dɛn we de na wata raw.
- Nɔ it fish we gɛt fresh wata we nɔ kuk ɔ we nɔ kuk fayn. Dis kin min fish we dɛn dɔn smok, pik, ɔ we dɛn dɔn sɔlt smɔl. We yu de kuk fish, kuk am to di tɛmpracha we di FDA (Food and Drug Administration) se.
- Wash vegjetabul dɛn fayn fayn wan, pul dɛn, ɔ kuk dɛn fayn fayn wan bifo yu it.
- If yu de na say we nɔ gɛt bɛtɛ say fɔ klin ɔ usay yu tink se di wata kin dɔti, yuz bɔtul wata fɔ drink ɛn kuk.
- Nɔ put wata we go gɛt dɔti na yu mɔt ɔ yu nos, mɔ frɔm ples dɛn lɛk swamp, pɔnd, ɔ mɛdɔ we wata dɔn ful-ɔp.
Ustɛm a fɔ go to dɔktɔ?
If yu gɛt sayn dɛn fɔ se yu gɛt liva flɔk, mɔ if yu de na say usay dɛn wom ya bɔku ɔ yu dɔn travul go na wan , mek shɔ se yu go to dɔktɔ. If yu tink se yu go dɔn it ɔ drink sɔntin we gɛt dɔti, ilɛksɛf na sɔm ia bifo dis tɛm , tɛl yu dɔktɔ .
Ustɛm a fɔ go na ɔspitul (ETU) kwik kwik wan?
If yu gɛt siriɔs sik lɛk dis, go na imejensi rum wantɛm wantɛm:
- If di fiva pas 103 Fahrenheit (40 Celsius).
- I nɔ bad if yu de vɔmit bad bad wan, ɔ if yu gɛt dayarɛa.
- If kɔnfyushɔn ɔ disorienteshɔn de.
- If yu skin ɔ yu yay tɔn yɔlɔ (jaundice).
- If yu gɛt sayn dɛm fɔ dɛhydration (e.g., yu tɔsti pasmak, yu nɔ de pis smɔl, yu wik, yu at de rit pasmak).
Us kwɛstyɔn dɛn yu fɔ aks di dɔktɔ?
We yu go to dɔktɔ, yu go si se i go fayn fɔ aks kwɛstyɔn dɛn lɛk dɛn wan ya:
- "Aw a go tek dis mɛrɛsin?"
- "Aw lɔŋ i go tek mi fɔ wɛl?"
- "Aw lɔŋ a dɔn gɛt dis infɛkshɔn?"
- "A don sofa eni long taim damej?"
- "Wetin bi mai outluk fo dis situeshɔn?"
Yu tink se dɛn liva fluk ya kin bɔku pan mɔtalman? Wetin mek dɛn kɔl am "liva fluke"?
Dɛn se na lɛk 50 milyɔn pipul dɛn ɔlsay na di wɔl gɛt sɔm kayn liva fluke. Dɛn sik ya kin rili bɔku na sɔm kɔntri dɛn lɛk Chaina, Tayland, ɛn Rɔshia.
Wetin mek dɛn kɔl dis ``Liver Fluke``? ``Fluke`` min seWan kɔmɔn nem we dɛn kin gi to wan kayn flatwɔm (`trematodes ɔ parasitic flatworm`). Sɔm pipul kin kɔnfyus dis wit wan kayn flatfish, we dɛn kin kɔl bak `fluke`. dεn kכl dεn wom dεm ya `liver flukes` biכs dεn de afekt di liva.
So, wetin na di impɔtant tin dɛn we wi fɔ kɛr go na os frɔm dis stori?
Pan ɔl we wi nɔ kin yɛri bɔt liva fluk na Sri Lanka bɔku tɛm, na sɔm say dɛn na di wɔl, bɔku bɔku pipul dɛn kin gɛt am, sɔntɛm dɛn nɔ kin ivin no. If yu de na say usay dɛn wom ya kin bɔku, ɔ if yu dɔn travul go na wan, i rili impɔtant fɔ no di sayn dɛm fɔ dis infekshɔn. If yu gɛt sɔm sayn dɛn, ɔ if yu tink se yu dɔn it ɔ drink sɔntin we nɔ klin, nɔ fɔgɛt fɔ tɛl yu dɔktɔ . Bikɔs, if dis kin de fɔ lɔng tɛm, i kin mek pɔsin gɛt siriɔs sik, bɔt bɔku tɛm, tritmɛnt kin de kwik ɛn we go wok fayn. So, if yu gɛt ɛni dawt ɔ sɔm sayn dɛn, i go fayn fɔ mek yu go to dɔktɔ.
` Liva fluk, Parasayt infεkshכn, Liva sik, Fɔ it raw fish, Akwatik plant, Wεlth











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