Wan wom na di yay? I dɔn go, nɔto so? Mek wi tok abaut dis Loiasis!

Yu dɔn ɛva tink bɔt fɔ si wan smɔl wom de muf rawnd insay yu yay? Oh, i kin mek yu shek jɔs we yu de tink bɔt am, nɔto so? Bɔt, dis na rial tin. Dis na wetin dɔktɔ dɛn kin kɔl `Loiasis`. Sɔm pipul dɛn kin kɔl am bak `African eyeworm.` So tide, lɛ wi tɔk smɔl mɔ bɔt dis sik, dis wom sik. Bikɔs i rili impɔtant fɔ mek ɔlman no bɔt tin dɛn lɛk dis.

Wetin na `Loiasis`? Fɔ tɔk am simpul wan...

Fɔ tɔk am simpul wan, `Loiasis` na infɛkshɔn we wan spɛshal kayn wom we dɛn kɔl `Loa loa` kin mek. Dis na wan sik we dɛn kɔl parasayt we gɛt wom. fכ bi prεsis, i de pan di grup fכ wom sik dεm we dεn kכl `filariasis`. `Filariasis` na sik we `filarial wom`, dat na wan kayn tin we tan lɛk trɛd.

So aw dis wom kin go insay wi bɔdi? Dis kin apin we wan kayn flay we dɛn kɔl `deerfly` (sɔm pipul dɛn kin kɔl am bak `mango fly` ɔ `mangrove fly`) bit wi. Bɔt dɛn flay dɛn ya nɔ de ɔlsay. Dɛn kin de mɔ ɛn bɔn dɛn na sɔm ren fɔrɛst dɛn na Wɛst ɛn Sɛntral Afrika. So pipul dɛn we de na dɛn eria dɛn de ɔ we de travul go na dɛn eria dɛn de, de pan denja.

We dɛn Loa loa wom ya dɔn go insay wi bɔdi, dɛn kin bigin fɔ liv ɛn bɔn pikin. Bɔku tɛm, dɛn kin lɛk fɔ de na dɛn ples ya na wi bɔdi:

• Na yu blɔd (`Blɔd`) .
• Na di lɔng dɛn (`Lungs`) .
• di limfatik sistεm - dis na pat pan wi bכdi in imyun sistεm, εn sכm bכdi sεl dεm de prodyuz ya.
• insay di tisu dεm we de כnda di skin (`Subcutaneous tissues`) .

Udat go ebul fɔ divɛlɔp dis pas ɔlman?

Loiasis na big prɔblɛm na sɔm pat dɛm na Wɛst ɛn Sɛntral Afrika. Dɛn se i pas 29 milyɔn pipul dɛn we de pan denja fɔ gɛt dis sik. Dat na bɔku pipul dɛn, nɔto so?

Yu tink se wom go rili blayn if i go insay yu yay? (Dis na sɔntin we bɔku pipul dɛn kin fred)

Infakt, we yu si wom de muv insay yu yay, i kin rili nɔ fayn ɛn i kin mek yu fred. I at fɔ imajin. Bɔt di impɔtant tin na dat dɛn `Loa loa` wom ya (we lɔng lɛk 2.5 to 7.5 sɛntimita) nɔ kin blayn yu. Ɛn dɛn nɔ kin rili pwɛl di yay bad bad wan.

Na dis kin apin: Di wom kin pas na di yay ɛn afta dat i kin go bak insay di bɔdi afta sɔm tɛm. Dɔktɔ kin pul wan wom we pɔsin kin si ɔp di yay wit smɔl ɔpreshɔn. Bɔt mɛmba se if yu pul wom lɛk dis, i nɔ go mɛn di wan ol infekshɔn. I nid fɔ trit am wan bay wan.

Wetin na di sayn dɛm fɔ Loiasis?

I sɔprayz fɔ no se bɔku pipul dɛn we gɛt loiasis nɔ kin gɛt ɛni sayn. Dɛn nɔ ivin no se dɛn gɛt di wom na dɛn bɔdi. Bɔt sɔm pipul dɛn kin gɛt sɔm kayn sik lɛk:

• Fɔ fil se yu taya bad bad wan (`Fatigue`).
• I de it ɔlsay na di bɔdi.
• di say dεm we de it, swεla, כ we de at de sho na di bכdi, spεshal wan arawnd di jכint dεm lεk di ni dεm εn di εlbo dεm. Dɛn kɔl dis ``Calabar swellings.'' Dis swel kin stɔp insay sɔm dez, bɔt i kin kam bak afta sɔm de ɔ wik.
• Pen na di mɔsul ɔ di jɔyn dɛn.
• Yu kin si wan wom de muv rawnd ɔnda di skin. I tan lɛk wef we de na di skin.
• yu kin si wom de kray tru di konjunktiva (di tin we de kכba di wayt pat na di yay εn di insay pat pan di aylid). Dis na wetin de mek bɔku pipul dɛn fred.

Imajin, we yu de lɔs, yu kin fil sɔntin we de muf bifo yu yay wantɛm wantɛm. We yu luk na di miro, yu kin fil sɔntin lɛk smɔl trɛd we de muf rawnd bifo yu yay! Aw dat go mek pɔsin fred?

Wetin kin mek pɔsin gɛt Loiasis? Aw i kin skata?

As wi bin dɔn tɔk, Loiasis kin prɛd we flay we gɛt di sik bit yu skin. Di flay dɛm we de kɛr di Loa loa wom infɛkshɔn na dia flay ɛn mangro flay. Na Afrika nɔmɔ dɛn kin si dɛn flay ya. We dɛn flay ya bit pɔsin we gɛt di sik, dɛn kin sok blɔd ɛn injɛkt di wom dɛn (we dɛn kɔl maykrofilaria, we na rili smɔl, maykroskɔpik wom dɛn) insay di flay. Dɔn, we di flay bit ɔda pɔsin, di wom dɛn kin go insay da pɔsin de in bɔdi.

wans dεn sכm sכm wכm dεm we dεn kכl ``maykrofilariae,'' go insay yu bכdi, i kin tek sεvεra mכnt fכ dεn gro to big wכm dεm. As dɛn de gro, dɛn kin travul go na yu bɔdi in tisu ɛn ɔgan dɛn lɛk yu lɔng. Na we di big wom dεm de insay yu bכdi yu kin si dεm sכmtεm dεn de muv כnda yu skin כ tru yu yay.

Bɔt i impɔtant fɔ no se di chans fɔ mek yu gɛt loiasis jɔs frɔm shɔt trip to Afrika rili smɔl. Bɔrku pipul dɛm wae gɛt dis sik kin gɛt fɔ bit dɛn bay flay wae gɛt dis sik bɔrku tɛm fɔ sɔm mɔnt. Dis min se yu nɔ de gɛt di sik frɔm jɔs wan flay.

Yu tink se Loiasis kin pas frɔm pɔsin to ɔda pɔsin?

Dis na prɔblɛm fɔ bɔku pipul dɛn. Nɔ, Loiasis nɔ kin pas dairekt frɔm wan pɔsin to ɔda pɔsin. Dis min se yu nɔ go ebul fɔ kech di sik bay we yu tɔch pɔsin we gɛt di sik, sheb it ɔ drink wit am, ɔ yuz tawɛl we dɛn yuz. Fɔ kech am, da patikyula flay de fɔ bit yu.

Aw yu kin no di sik we dɛn kɔl Loiasis kɔrɛkt wan? (Diagnosis) .

If yu dɔn go ɔ yu de na wan pan di say dɛn we pɔsin kin gɛt prɔblɛm na Afrika ɛn yu gɛt sayn dɛn fɔ loiasis, yu dɔktɔ kin tɛl yu fɔ du blɔd tɛst.Dis blɔd tɛst kin chɛk fɔ si if Loa loa microfilariae de na yu blɔd.

Dɔn bak, di dɔktɔ go chɛk yu (`physical exam`) fɔ si if yu gɛt ɛni simptom fɔ `loiasis`, dat na tin dɛm lɛk `Calabar swellings`.

Wetin na di tritmɛnt fɔ Loiasis?

Antiparasitic mεdikeshכn dεm de wae dεn kin yuse fכ trit Loiasis. Di men wan dɛn we dɛn kin yuz na Ivermectin ɛn Diethylcarbamazine (DEC) .

Impɔtant pɔynt dɛn we yu fɔ tink bɔt we yu de gi yu mɛrɛsin

Bɔt na sɔntin we rili impɔtant. If dɛn gi dɛn drɔgs ya (especially DEC) to pipul dɛn we gɛt rili ay levul fɔ Loa loa microfilariae na dɛn blɔd, dɛn kin gɛt siriɔs, layf-threating riakshɔn. So, bifo dɔktɔ gi yu Ivermectin ɔ DEC, dɛn fɔ du tɛst fɔ no di nɔmba fɔ di maykrofilaria na yu blɔd.

Imajin aw i go bad if di sem mɛrɛsin we dɛn gi am fɔ mɛn di sik mek big prɔblɛm? Na dat mek dɛn tɛst ya rili impɔtant.

If yu gɛt pas 8,000 maykrofilaria pan wan mililita blɔd, Ivermectin ɛn DEC nɔ sef fɔ yu. If na so i bi, yu dɔktɔ kin tɛl yu fɔ yuz wan mɛrɛsin we dɛn kɔl Albendazole fɔs ɔ wan we fɔ filta blɔd. Albendazole ɛn blɔd filta go ridyus di nɔmba fɔ di maykrofilaria na yu blɔd. Na da tɛm de nɔmɔ i go sef fɔ mek yu yuz Ivermectin ɔ DEC.

Loiasis na sik we nɔ kin bɔku na kɔntri dɛn lɛk Sri Lanka, so yu dɔktɔ kin go to spɛshal pɔsin we sabi bɔt tropik mɛrɛsin we i de trit am. If yu gɛt siriɔs infekshɔn, yu fɔ rili go to da kayn spɛshal pɔsin de we gɛt ɛkspiriɛns.

Aw yu go avɔyd fɔ gɛt Loiasis? (Prɛvenshɔn) .

Bɔt i sɔri fɔ no se, dɛn stil nɔ gɛt ɛni vaysin fɔ mek dɛn nɔ gɛt Loiasis.

Bɔt if yu de travul go na Wɛst ɔ Sɛntral Afrika, mɔ if yu plan fɔ de de fɔ lɔng tɛm, bɔku tin dɛn de we yu kin du fɔ mek yu nɔ gɛt dis sik:

• Fɔ tek 300 miligram diethylcarbamazine (DEC) wan tɛm insay di wik. (Dɛn fɔ jɔs du dis bay di advays we dɔktɔ gi dɛn.)
• Yuz insekt ripelent we gɛt DEET (N,N-Diethyl-meta-toluamide). Dis na wata we dɛn kin put na di bɔdi.
• If yu wɛr lɔng pant ɛn lɔng sliv shit, dat go mek yu nɔ gɛt chans fɔ mek flay bit yu skin.
• Fɔ put wan insektisayd we dɛn kɔl `permethrin` pan yu klos. Dis kin drɛb insɛkt dɛn lɛk flay.

Wetin kin apin if yu gɛt `Loiasis`? Yu fɔ wɔri?

Infakt, bɔrku pipul dɛm wae gɛt loiasis nɔr kin ivin no am, ɛn i nɔr kin kɔz dɛn ɛni big wɛl bɔdi prɔblɛm. Dat min se nɔto ɔlman go gɛt siriɔs sik.

Bɔt if yu gɛt sɔm sayn dɛn ɔ ivin yu tink se yu gɛt loiasis, mek shɔ se yu tɔk to dɔktɔ. Mɛrɛsin de fɔ trit am, we kin ɛp fɔ klin di infekshɔn ɛn mek i nɔ gɛt prɔblɛm dɛn.

Wetin na di bɛst tɛm fɔ go to dɔktɔ?

If dɛn kayn tin ya apin, yu fɔ rili go to dɔktɔ:

• If yu dɔn go na Wɛst Afrika ɔ Sɛntral Afrika ɛn yu de sho sayn dɛm fɔ Loiasis (e.g., it, Calabar swelling, ɔ sɔntin we de luk insay yu yay).
• If yu de plan fɔ travul go na Wɛst Afrika ɔ Sɛntral Afrika ɛn yu tink se yu go nid DEC tritmɛnt fɔ mek yu nɔ gɛt di sik, i bɛtɛ fɔ go to dɔktɔ kwik kwik wan bifo yu travul, bikɔs i kin tek sɔm wik fɔ gɛt di DEC mɛrɛsin.

Mɛsej we dɛn kin kɛr go na os

Okay, so frɔm wetin wi dɔn tɔk bɔt, a op se yu dɔn gɛt gud aidia bɔt `Loiasis` ɔ `African eyeworm.`

Mɛmba se, Loiasis na wan parasayt wom infɛkshɔn. I kin mek yu gɛt difrɛn sayn dɛm, ɔr i nɔr kin gɛt ɛni sayn.

We yu si wom na yu yay, na tin we de mek yu fred. Bɔt di wom kin pas na di yay ɛn i kin lɔs insay sɔm awa. Ɔ dɔktɔ kin pul am wit smɔl ɔpreshɔn.

Di impɔtant tin na dat if yu de travul go na say dɛn we gɛt prɔblɛm na Afrika, yu kin tek stɛp fɔ mek yu nɔ gɛt loiasis. Dɔn bak, if yu gɛt di infekshɔn, dɔktɔ kin trit am wit mɛrɛsin dɛn we de mek yu nɔ gɛt parasayt.

So, nɔ fred dis we yu nɔ nid, bɔt nɔ tek am layt sɛf. Di tin we impɔtant pas ɔl na fɔ mek dɛn no bɔt am. If yu gɛt ɛni kwɛstyɔn ɔ dawt, i nɔ kin ɛva let fɔ tɔk to dɔktɔ.

` Loiasis, Afrikan ay wom, parasayt wom sik, flay bayt, skin wom, Calabar swellings, diethylcarbamazine, filariasis, microfilariae, ivermectin, albendazole, DEET, wom simptom, Afrikan flay