Dis baktri de kɔz prɔblɛm fɔ yu lɔng? Lɛ wi lan ɛksaktɔli bɔt (MAC Lung Disease)!

Sɔntɛnde yu kin fil taya fɔ natin, ɔ yu kin kɔf we kin te fɔ lɔng tɛm? Pan ɔl we wi nɔ de pe atɛnshɔn tumɔs pan dɛn kayn smɔl smɔl tin dɛn de na wi layf ɛvride, rizin dɛn de biɛn dɛn we wi fɔ wɔri bɔt smɔl. Wɛl, tide wi go tɔk bɔt wan sik we wan spɛshal grup we gɛt bɔdi we kin afɛkt wi lɔng. Dɛn kɔl dis MAC Lɔng Sik .

Wetin na MAC lɔng sik?

Fɔ tɔk am simpul wan, MAC lɔng sik na infεkshɔn na wi lכng we wan grup ɔf baktri dɛm we dɛn kɔl Mycobacterium avium complex (MAC) . Dis baktri kin rili de rawnd wi ɔltɛm, na dɔst, dɔti, ɛn wata. Pan ɔl we dɛn bɔdi ya kin go insay di bɔdi we wi de blo ɔ swɛla sɔntin, bɔku pipul dɛn nɔ kin sik. Bɔt fɔ sɔm pipul dɛn, mɔ di wan dɛn we dɔn ɔlrɛdi gɛt sɔm wikɛd tin dɛn na dɛn lɔng ɔ di wan dɛn we nɔ gɛt bɛtɛ imyun sistɛm, we dis MAC baktri de go insay di say we dɛn de blo, siriɔs infɛkshɔn kin kam. Dis infekshɔn kin mek i nɔ izi fɔ blo. If dɛn no di sik let, i kin at bak fɔ trit am smɔl. Di tin we impɔtant pas ɔl na dat dis MAC lɔng sik nɔto sik we pɔsin kin pas frɔm pɔsin to ɔda pɔsin.

Aw di MAC baktri dɛm tan lɛk?

MAC baktri dεm na mεmba dεm fכ wan big famili fכ baktri dεm we dεn kכl Nontuberculous mycobacteria (NTM) . Na lɛk 200 kayn NTM dɛn de. MAC baktri dεm de rispansabl fכ bכt 80% pan di NTM infεkshכn dεm na di lכng dεm na kכntri dεm lεk Amɛrika.

Tink bɔt am, dis NTM infɛkshɔn nɔ tan lɛk di Tuberculosis (TB) we wi ɔl no. Tubakulosis na sik wae kin pas frɔm pɔrsin to ɔda pɔrsin ɛn kin kam siriɔs kwik kwik wan. di baktri dεm we de mek am dεn tu difrεn, dεn kכl dεm `(Mycobacterium tuberculosis)`.

Bɔku difrɛn kayn maykobakteria de insay di MAC grup, bɔt di tritmɛnt ɛn manejmɛnt fɔ di sik bɔku pan dɛn na di sem.

Aw kɔmɔn na MAC lɔng sik?

Na pas 86,000 pipul dɛm wae gɛt NTM infɛkshɔn na Amɛrika nɔmɔ. MAC lכng sik na di mכst kכmכn, we de mek bכt 80% pan di NTM infεkshכn dεm. Di nɔmba fɔ di wan dɛn we gɛt NTM lɔng dɔn de go ɔp ɔltɛm fɔ di pas tu dikɔs , ɛn masta sabi pipul dɛn se dis tin go kɔntinyu.

Us kayn MAC infεkshכn de?

MAC infεkshכn kin sheb to sεvεra men tכp dεm:

• Pulmonary MAC infεkshכn: Dis na dεn wan dεm we de afekt wi lכng dεm εn wi rεspiretכri sistεm dεn wan dεm.
• Disseminated MAC infections: Dis na infεkshכn dεm we de spre כlsay na di b כdi tru di bכdi. Bɔku tɛm dɛn kin si dɛn pan pipul dɛn we dɛn imyun sistɛm kin wik bad bad wan bikɔs ɔf tin dɛn lɛk AIDS .
• MAC-asɔsiet limfadɛnaytis:Dis kin afɛkt pikin dɛn we gɛt wɛlbɔdi mɔ. di limf no dεm na ples dεm lεk di nεk kin swεla.

Tu men kayn MAC lɔng sik de...

Tu men kayn MAC lכng sik de we wi de si:

1. Nodular bronchiectasis: Dis na we di infεkshכn de divεlכp na di sכm sכm aywe dεm εn di ay sak dεm na di lכng dεm, εn dεn de luk lεk sכm sכm nodul dεm na di lכng dεm we dεn egzamin dεm. dis nodul dεm kin gro bכku bכku wan. Dis infekshɔn we kin tek lɔng tɛm kin mek pɔsin gɛt wan sik we dɛn kɔl bronchiectasis . dis min se di say dεm we di briz de fכm kin dilayt we i nכ go ebul fכ chenj, lεk wan ol rכba tכb we dεn strεch. Dis kin mek i nɔ izi fɔ trit infɛkshɔn ɛn i kin mek di risk fɔ gɛt nyu infɛkshɔn bɔku. Dɛn kin si dis kayn tin pan uman dɛn we dɔn ol, we tan lɛk bɔdi, we nɔ de smok. If dɛn nɔ trit am, tin dɛn lɛk brɔnkayt ɛn nyumonia kin kam.

2. Fibrocavitary disease: Dis na di mכst siriכs fכm fכ MAC lכng sik. I nid fɔ trit am kwik kwik wan. If di infεkshכn mek ol (cavities) dεm na di lכng tisu, di infεkshכn de rili dip εn i kin tranga fכ trit. Dis sik kin mɔs pan pipul dɛm wae de smok ɔr pipul dɛm wae gɛt sik lɛk ɛmfisema.

Aw MAC lכng sik kin divεlכp?

Wi dɔn tɔk bɔt aw MAC baktri dɛn kin de na di grɔn ɛn wata na di wɔl. We wi dig grɔn ɛn stɔp dɔst, dis bɔdi kin kɔmɔt na di ays ɛn i kin go insay wi bɔdi we wi de blo. Pipul dɛn we de wok na plantɛshɔn ɛn we kin gɛt kɔntakt wit grɔn bɔku tɛm kin gɛt MAC baktri pas ɔda pipul dɛn. Dɔn bak, dis baktri de insay wata, ɛn i kin de insay di wata we wi de yuz na os. Klorin, disinfɛktan, ɛn sɔntɛnde ivin wam di wata nɔ kin kil dis baktri. Dis kin tan lɛk se i de mek pɔsin fred smɔl, bɔt bɔku pipul dɛn nɔ kin du dis bad tin to dis bɔdi. Wi ɔl kin gɛt NTM baktri ɔlmost ɛvride, bɔt bɔku pipul dɛn nɔ kin gɛt infɛkshɔn.

Bɔt pan smɔl pipul dɛn we gɛt sɔm tin dɛn we kin mek dɛn gɛt dis sik, di bɔdi kin travul go na di lɔng dɛn ɛn gro sloslo, sɔm tɛm dɛn de fɔ lɔng lɔng tɛm. Dis MAC lכng infεkshכn de mek lכw lεvεl inflameshn εn chenj dεm we nכ de rivεrs na di aywe dεm, te dεn no di sik εn trit am.

Udat de pan ay risk fɔ gɛt MAC lɔng sik?

MAC lכng sik kin kam pan εni ej εn pan εni jεnda, bכt pipul dεm we pas 65 ia εn uman dεm we dεn go tru mεnopos kin gεt hכy risk.

Apat frɔm dat, yu kin gɛt MAC lɔng sik if:

• If yu na pɔsin we de smok.
• If yu imyun sistɛm wik.
• If yu gɛt lɔng sik lɛk dis:
• (Brɔnkiɛktasis) .(ɛn kɔndishɔn dɛn we kin mek pɔsin gɛt brɔnkiɛktasis) .
• (Kronik ɔbstrɔktiv pulmonari sik - COPD )
• (Sistik faybrosis) .
• (Ɛmfisɛma) .
• If yu bin dɔn gɛt TB (TB) bifo.

Wetin na di sayn dɛm fɔ MAC lɔng sik?

Di simptom dɛm fɔ MAC lɔng sik kin difrɛn, ɛn bikɔs dɛn nɔr kin spɛsifi k, dɛn kin delay fɔ no di sik. Sɔm pipul dɛn kin gɛt sɔm kayn sik wae nɔr kin pasmak ɔr kin ivin nɔr kin notis. Sɔntɛnde, di sayn dɛm nɔ kin gɛt ɛnitin fɔ du wit di we aw pɔsin de blo. If di sayn dɛm de apin, yu kin gɛt:

• Kɔf we nɔ de dɔn (wit ɔ atɔl blɔd). Imajin pɔsin lɛk Nilanthi, we dɔn kɔf fɔ sɔm mɔnt, ɛn di blɔd de kɔmɔt smɔl smɔl, bɔt i tink se na jɔs kɔmɔn kol.
• Fɔ kɔf blɔd (Hemoptysis) .
• Taya .
• lכw grεd fiva (dεn kin bi bitwin 37.5 εn 37.9 digri sεlshiכs - 99.6 F to 100.3 F).
• We yu de swet na nɛt.
• Di shɔt we aw yu de blo .
• We yu nɔ ebul fɔ ɛksplen yu wet ɛn yu nɔ de want fɔ it.
• Chɛst de pen.
• Wɔri.

Aw dɛn kin no bɔt MAC lɔng sik?

Yu dɔktɔ go fɔs chɛk yu ɛn aks yu bɔt di sik dɛn we yu gɛt.

Tεst dεm we dεn kin yus fכ no MAC lכng sik inklud:

• Chɛst X-ray ɛn mɔ CT skan. dis kin no di chenj dεm na di lכng dεm we infεkshכn de kכz.
• Sputum kɔlchɔ dɛn. dis involv fכ tek wan sεmpl fכ flegm frכm yu lכng εn tεst am fכ si if i de gro di MAC baktri dεm. Bikɔs wi ɔl kin gɛt MAC baktri ɛvride, dɛn kin du dis tɛst bɔku tɛm fɔ sɔm dez fɔ mek shɔ se di baktri de rili kɔmɔt na yu lɔng.
• Bronkoskɔpi we dɛn kin du. dis lεk di kכlon sכkכpi, bכt dεn de du am pan di lכng dεm (dεn de yuz difrεn, sכm instrכmεnt). Dɛn kin du am we dɛn nɔ kin ebul fɔ no if pɔsin gɛt di sik wit sputum tɛst.

Wetin na di tritmɛnt fɔ MAC lɔng sik?

Bikɔs MAC lɔng sik at fɔ trit smɔl, yu go nid fɔ go to spɛshal pɔsin we sabi bɔt infɛkshɔn ɔ spɛshal pɔsin we sabi bɔt pulmonari. Dɛn tu dɔktɔ ya gɛt spɛshal no fɔ no ɛn trit infɛkshɔn.

Di tritmɛnt fɔ MAC lɔng sik kin difrɛn difrɛn wan dipen pan aw di simptom dɛn siriɔs. Dɛn tin ya kin bi:

• We wi de wach:Di wan dɛn we nɔ gɛt bɛtɛ simptom ɛn we nɔ gɛt ɛni big chenj na dɛn lɔng we dɛn de du tɛst, nɔ kin nid tritmɛnt wit antibayɔtik fɔs. Bɔt dɛn go nid fɔ go to dɛn dɔktɔ ɔltɛm ɛn du tɛst fɔ no aw fɔ blo ɛn fɔ mek dɛn swɛt.
• di klin we di briz de kכmכt: Dis na grup fכ tritmεnt dεm we de εp di lכng dεm fכ kכl mכkus (εn di baktri dεm we de insay) frכm di aywe dεm we sik. Bɔrku tɛm dɛn kin yuse am fɔ brɔnkiɛktasis. I inklud difrɛn tritmɛnt dɛn fɔ brith we dɛn kin gi tru wan nebulizer , ɛn bak fɔ yuz sɔm tin dɛn we kin ɛp fɔ klin di mכkus frɔm di lכw pat dεm na di lכng.
• Mɛrɛsin: If fɔ klia yu aywe nɔr go du, yu dɔktɔ kin gi yu antibayɔtik . Di disayd fɔ bigin tritmɛnt go dipen pan bɔku tin dɛn ɛn fɔ tɔk to yu spɛshal pɔsin. Sɔmtɛm baktri kin bi resistant to antibiotics , we min se dɛn nɔr kin kil dɛn bay di drɔgs. Fɔ ridyus dis risk ɛn kil di baktri kpatakpata, yu kin nid fɔ tek tri difrɛn kayn antibayɔtik fɔ 12 to 18 mɔnt. Fɔ pipul dɛm wae nɔr de ansa ɔda antibayɔtik insay siks mɔnt, di US Food and Drug Administration (FDA) nɔ tu te yet dɔn gri fɔ gi antibayɔtik we dɛn kin inhal.
• Ɔpreshɔn: Na smɔl tɛm nɔmɔ, if antibayɔtik nɔ ɛp, dɛn kin nid ɔpreshɔn fɔ pul di pat pan di lɔng we gɛt di sik. Afta yu dɔn ɔpreshɔn, yu go nid fɔ tek antibayɔtik fɔ shɔt tɛm fɔ kil ɛni baktri we lɛf.

Aw wi de liv wit MAC lɔng sik? (Fɔ manɛj)

Dɛn tin ya kin ɛp fɔ pul di sayn dɛm fɔ MAC lɔng sik:

• Fɛn we fɔ klin di mכkus na yu aywe. Dɛn tin ya na fɔ gɛt at le 150 minit ɛksesaiz we gɛt mɔdaret-intɛnsity insay di wik (especially if yu kwalifay fɔ pulmonary rehab ), lan bɔt chɛst ɛn brith tɛknik frɔm respiratory therapist, kɔntrol kɔf, postural drenage (postural drenage (postural we de ɛp fɔ klia di mכkus frɔm di lכng), ɛn chεst percussion fכ lכs mכkus.
• Gɛt ɛp fɔ lɛf fɔ smok , ɛn avɔyd fɔ smok sɛkɔn-han ɛn ɔda tin dɛn we go ambɔg yu lɔng.
• Gɛt di vaysin. Protɛkt yusɛf frɔm ɔda sik dɛn we yu kin gɛt we yu de blo lɛk flu, nyumonia, ɛn COVID-19.
• Mek yu gɛt wɛlbɔdi wet tru it we gɛt fayn fayn tin dɛn fɔ it. Bɔku sɛnta dɛn gɛt pipul dɛn we sabi bɔt it we kin ɛp wit di tin dɛn we nɔ gɛt bɛtɛ tin fɔ it we kin kam bikɔs ɔf infɛkshɔn dɛn we kin wɛl sloslo lɛk MAC.

Wetin na di poshubul kɔmplikeshɔn dɛm fɔ MAC lɔng sik?

Yuz antibayɔtik fɔ lɔng tɛmDi risk fɔ mek yu nɔ gɛt antibayɔtik kin bɔku. Dɔn bak, di sayd ɛfɛkt dɛn we di mɛrɛsin dɛn kin gɛt, lɛk fɔ nɔs, dayarɛa, ɛn bɛlɛ pen kin apin. Bikɔs ɛni antibayɔtik gɛt in yon patikyula sayd ɛfɛkt, i impɔtant fɔ tɔk to yu dɔktɔ bɔt dɛn.

Pipul dɛn we dɔn ol kin gɛt wan sik we dɛn kɔl Clostridium difficile (C. diff) we dɛn tek antibayɔtik fɔ lɔng tɛm. Dis kin apin bikɔs antibayɔtik kin kil di gud baktri dɛm na di gut we de ɛp fɔ digest. C. diff infεkshכn de afekt di dijestiv sistεm εn i de mek yu gεt siriכs, krεse dayariya. Dis kin mek pɔsin in layf de pan denja.

Siriɔs MAC lɔng sik kin mek yu nɔr de du di tin dɛm wae yu bin de ɛnjɔy. Dis kin mek yu fil bad ɔ wɔri.

Aw a go ridyus di risk fɔ gɛt MAC lɔng sik?

Dɛn step ya kin ridyus yu risk fɔ gɛt MAC baktri dɛm:

• If yu dɔktɔ tink se di say we yu MAC baktri de kɔmɔt kin bi ɔt tub ɔ sawna, nɔ yuz ɔt, stim, ɛn say dɛn we wata kin ripit.
• On di ventilashɔn sistem dɛn na di bafa ɛn kichin fɔ pul di stim.
• Sɛt di ɔt wata hita na yu os to at le 54.4 digri sɛlshiɔs (130 Fɛnayt).
• Wear dɔst mask we yu de wok na gadin ɔ we yu de mek gadin.
• Bifo yu wok wit pɔt grɔn, sprink sɔm wata pan am fɔ mek di dɔst nɔ bɔku.
• Adara to wan agresiv aywe kliarens rijim.

Yu tink se dɛn kin mɛn MAC lɔng sik ɔltogɛda?

If sputum test sho se nɔ infekshɔn fɔ 12 mɔnt, dɔktɔ dɛn kin tek MAC lɔng sik dɔn wɛl. Bɔt di sik kin kam bak. dis kin bi bikoz fכ nyu εkspos to di baktri כ to baktri dεm we dεn rεst na di lכng, spεshal wan if yu stil gεt di kכndyushכn we mek MAC fכs ples (lεk di lכng wik).

Yu dɔktɔ go wach yu fɔ si if di infekshɔn de kam bak. Di damej we de pan yu lכng dεm frכm MAC lכng sik nכ kin rεvεs. Yu kin stil gɛt prɔblɛm fɔ blo afta yu dɔn gɛt tritmɛnt. So, e fayn fɔ gɛt klia gol ɛn ɛkspɛkteshɔn bifo yu bigin tritmɛnt.

Tin dɛn fɔ aks yu dɔktɔ...

Yu kin aks yu dɔktɔ tin dɛn lɛk:

• Aw a bin gɛt MAC lɔng sik?
• Us kayn MAC lɔng sik a gɛt?
• A nid tritmɛnt?
• Us tritmɛnt opshɔn dɛn a gɛt?
• Yu tink se ɔpreshɔn rayt fɔ mi? Wetin na di prɔblɛm dɛn we kin apin we pɔsin du ɔpreshɔn?
• Tin dɛn de we a kin du na os fɔ mek i izi fɔ mek a blo?
• Aw a go avɔyd MAC lɔng infɛkshɔn tumara bambay?

Dis kin pas frɔm pɔsin to ɔda pɔsin?

Pan ɔl we yu nɔ kin ebul fɔ kech MAC frɔm ɔda pɔsin, sɔntɛnde di sik kin afɛkt sɔm pipul dɛn na di sem famili. Masta sabi pipul dεm biliv se sɔm pipul dεm gεt jεnεtik mכtεshכn we de mek dεn kin gεt MAC infεkshכn mכr.

Yu tink se MAC lɔng sik kin kil pɔsin?

Na sɔm pipul dɛm, MAC lɔng sik kin mek dɛn nɔ ebul fɔ blo fayn ɛn ivin day. Bɔt dis kin apin fɔ lɔng tɛm. Na lɛk 1 pan ɛvri 4 pipul dɛm wae gɛt wik imyun sistɛm ɛn kavita tayp MAC lɔng sik kin day insay fayv ia afta dɛn dɔn no se dɛn gɛt am.

If yu no di sik kwik kwik wan ɛn trit yu, dat kin rili ridyus di prɔblɛm dɛn we kin apin fɔ lɔng tɛm.

Bɔrku pipul nɔr kin sik frɔm MAC baktri dɛm. Fɔ di wan dɛn we de du dat, MAC lɔng sik kin mek dɛn gɛt siriɔs prɔblɛm wit dɛn brith, sɔntɛnde kin mek dɛn layf de pan denja. If yu kɔf blɔd, ɔ if yu de kɔf ɔltɛm ɛn fil se yu taya bad bad wan, yu fɔ rili go to dɔktɔ. Pipul wae gɛt wik imyun sistɛm ɛn di wan dɛm wae gɛt ɔda lכng sik kin gɛt MAC lכng sik mɔ. Dɛn kin trit MAC lɔng sik wit antibayɔtik, bɔt yu kin nid fɔ tek di mɛrɛsin fɔ pas wan ia.

Fɔ dɔn, tin dɛn fɔ mɛmba...

MAC lɔng sik na wan kɔndishɔn we wi fɔ wɔri bɔt smɔl. Bɔt, natin nɔ de fɔ wɔri bɔt. De tin wae impɔtant pas ɔl na fɔ go to dɔktɔ kwik kwik wan if yu gɛt sɔm sayn dɛm, gɛt kɔrɛkt diagnosis, ɛn gɛt di rayt tritmɛnt. If na so, wi kin liv nɔmal layf wit dis sik. If yu gɛt ɛni ɔda kwɛstyɔn bɔt dis, nɔ shek fɔ aks yu dɔktɔ. Stay wit wɛlbɔdi!

` MAC lכng sik, Mycobacterium avium complex, NTM infεkshכn, lכng infεkshכn, krεse kכf, rεspiretכri sik, baktriyal infεkshכn