Yu dɔn ɛva yɛri bɔt wan sik we dɛn kɔl ‘Melioidosis’? Di nem kin tan lɛk se i strenj smɔl. Bɔt dis na sik we dɛn fɔ tek tɛm tink bɔt na kɔntri dɛn we wam ɛn wet lɛk wi yon, mɔ fɔ di wan dɛn we de na grɔn ɛn wata. So natin nɔ de fɔ fred, lɛ wi tɔk bɔt dis simpul wan, di we we yu go ɔndastand.
Wetin na Melioidosis?
Fɔ tɔk am simpul wan, melioidosis na sik we wan baktri kin kam wit . na wan kayn baktri we dεn kכl Burkholderia pseudomallei (B. pseudomallei) de kכz am. I kin pas to wi tru dairekt kɔntakt wit dɔti dɔti dɔti ɔ wata we gɛt dis baktri. De sayn wae yu kin gɛt kin difrɛn frɔm pɔrsin to ɔda pɔrsin. I dipen pan aw yu gɛt di sik ɛn if yu gɛt ɔda ɔndalayn kɔndishɔn.
Dis sik kin ambɔg mɔtalman ɛn animal. Bɔt i nɔ kin kɔmɔt frɔm animal to mɔtalman . I impɔtant bak fɔ mɛmba se sɔmtɛm dɛn kin kɔl dis sik "Whitmore's disease".
Usay Melioidosis kin bɔku pas ɔl?
Di baktri dεm `B. pseudomallei` na di grɔn ɛn wata sɔs dɛm na di nɔt pat na Ɔstrelia ɛn Sawt Is Eshia - mɔ na wi neba kɔntri dɛm lɛk Tayland, Singapɔ, ɛn Malezya. Bɔt dɛn dɔn ripɔt dɛn sik ya bak frɔm ɔda say dɛn na di wɔl.
Imajin, dɛn bin fɛn dis baktri na di kɔstal ɛnvayrɔmɛnt na Misisipi, Amɛrika, insay 2022. Dɔn bak, insay 2021, dɛn bin fɛn dis baktri insay wan tin we dɛn bin de yuz fɔ sprɛy aromatɛrapi, ɛn bɔku pipul dɛn dɔn gɛt dis sik frɔm am. Dis min se dɛn kin fɛn dis baktri na say dɛn we dɛn nɔ bin de ɛkspɛkt.
Udat dɛn kin afɛkt mɔ wit Melioidosis?
Na say dɛm wae dis bɔrku bɔrku bɔrku bɔrku bɔrku bɔrku bɔrku bɔrku bɔrku bɔrku bɔrku bɔrku bɔrku bɔrku bɔrku bɔrku bɔrku bɔrku bɔrku bɔrku bɔrku bɔrku bɔrku bɔrku bɔrku bɔrku bɔrku bɔrku bɔrku bɔrku bɔrku pipul dɛm wae gɛt dis sik kin pasmak, bɔrku tɛm wae dɛn ol bitwin 40 ɛn 60. I sɔprayz fɔ no se pikin dɛm wae nɔr rich 15 ia nɔr kin gɛt dis sik.
Udat de pan big risk fɔ gɛt melioidosis?
Yu de pan big risk fɔ gɛt dis sik if yu de liv ɔ wok na say usay B. pseudomallei baktri dɛn kin bɔku, ɛn if yu gɛt ɛni wan pan dɛn wɛlbɔdi prɔblɛm ya:
- Dayabitis : Dis na prɔblɛm wae bɔrku pipul kin gɛt.
- Dizayd fɔ yuz rɔm
- Kidni sik we nɔ de mɛn
- Krכnik lכng sik dεm : fכ egzampl, `(Cystic fibrosis)` כ `(COPD)`.
- Kansa ɔ ɔda sik dɛn we de mek di imyun sistɛm wik : Bɔt i nɔ tan lɛk se HIV infɛkshɔn de mek di risk fɔ gɛt melioidosis bɔku.
- Thalassemia we dɛn kɔl Thalassemia
כlso, na di εria dεm we di baktri dεm `B. pseudomallei` na di wan we bɔku pipul dɛn kin yuzPipul dɛn we de du wok ɔ ɛnjɔymɛnt we gɛt fɔ du wit di kɔntakt wit di grɔn ɛn wata we de ɔp di grɔn ɔltɛm, lɛk fɔ mek gadin, fɔ mek di land fayn, ɛn fɔ wok na fam, dɛnsɛf kin gɛt mɔ prɔblɛm. Imajin, Ɔnkul Kamal, we gɛt dayabitis na wi vilej, de wok na fam, ɛn bɔku tɛm i kin step insay wata we gɛt dɔti. I gɛt fɔ tek tɛm wit dis kayn sik.
Wetin na di sayn dɛm fɔ Melioidosis?
De sayn dɛm wae yu kin gɛt go difrɛn difrɛn wan wae de na yu bɔdi di infekshɔn. Yu kin gɛt sɔm sayn dɛn na yu lɔng, skin, blɔd, ɔ bɔku say dɛn wan tɛm.
Di simptom dɛm fɔ melioidosis na di lɔng dɛm (Pulmonary melioidosis) .
If yu gɛt infekshɔn na yu lɔng, yu kin gɛt sɔm sayn dɛn lɛk:
- Kɔf
- I nɔ izi fɔ blo (dyspnea) .
- Chɛst de pen
- Fiva
- Fil fɔ it
- Ed de at
Melioidosis na yu skin (localized) simptom dɛm
If na infεkshכn na di skin, yu kin si tin dεm lεk:
- Wund, ɔlsa, ɔ abses
- Di limf no dɛm we dɔn swel
- Fiva
Di sayn dɛm fɔ Melioidosis na yu blɔd
Sɔntɛnde, wit sayn dɛm fɔ infekshɔn na di skin ɔr lɔng, sayn dɛm kin de bak fɔ infekshɔn na di blɔd (septicemia). Dɛn kin kɔl dis bak blɔd pɔyzin. Di sayn dɛm na:
- Ay fiva
- Ekstrim taya/taya
- Ed de at
- I nɔ izi fɔ blo/shɔt fɔ blo
- Bɛlɛ de pen
- Pen na di jɔyn dɛn
- Di chenj dɛm na yu maynd lɛk fɔ kɔnfyus ɛn nɔr de mɛmba fayn fayn wan
Di simptom dɛm fɔ Kronik (diseminated) melioidosis
Sɔntɛnde di sayn dɛm kin te fɔ tu mɔnt ɔr mɔr . insay dis tεm, di B. pseudomallei baktri dεm kin spre to difrεn pat dεm na di bכdi. Di sayn dɛm kin bi:
- Kɔf we nɔ de dɔn
- Fiva
- We yu de lɔs yu wet
- Nayt swet dɛn
- Fɔ kɔf blɔd
- Bɛlɛ ɔ chɛst de pen
- Mɔsul ɔ jɔyn pen
- Ed de at
- Epileptic stet (we yu kin gɛt sik) .
Aw lɔŋ afta yu dɔn gɛt di baktri, di sayn dɛn kin sho?
Fɔ bɔrku pipul dɛm, de sik kin kam insay wan to 4 wiks wae dɛn dɔn gɛt di baktri. Dɛn kɔl dis di inkubashɔn tɛm. Bɔt i sɔprayz fɔ no se sɔm pipul dɛn kin gɛt di sik fɔ sɔm mɔnt, ivin sɔm ia afta dɛn dɔn gɛt di bɔdi. So i kɔmplikt smɔl.
Wetin kin mek pɔsin gɛt melioidosis?
Di tin we kin mek dis apin, lɛk aw a bin dɔn tɔk, na wan baktri we dɛn kɔl `B. pseudomallei` we dɛn kɔl. I de liv na wata we de ɔp (pɔnd, riva, lek) ɛn grɔn. Dis baktri de kכmכn spεshal wan na tropik כ sabtropik rijyכn dεm.
Aw pipul dɛn kin gɛt melioidosis?
Yu kin gɛt dis sik tru dairekt kɔntakt wit grɔn ɔ wata we gɛt di baktri dɛm `B. pseudomallei` we dɛn kɔl. Bɔku we dɛn de we dis bɔdi kin go insay yu bɔdi:
- Tru wund na yu skin, lɛk we dɛn kɔt ɔ skrach.
- Inhalashכn : Dis min se dis baktri kin go insay yu rεspiretכri sistεm wit di dכst patikyula dεm na di grכn.
- Aspirashכn fכ wata we kכntamin insay di lכng : Dis kin apin we yu de wok na wata כ we yu de was.
- Na bay we yu drink ɔ it wata we gɛt dɔti.
B. pseudomallei infεkshכn kin kכmכn mכr insay di ren sizin, εspεshali afta ebi ebi ren, biכs na da tεm de di baktri dεm we de na di grכn kin kam na di sכfa εn go insay di wata sכs dεm.
Yu tink se Melioidosis kin pas frɔm pɔsin to ɔda pɔsin?
Dis na prɔblɛm we bɔku pipul dɛn gɛt. Melioidosis nɔ kin apin so ɔltɛm we i kin pas frɔm wan pɔsin to ɔda pɔsin. Di men we fɔ gɛt di sik na bay we yu tɔch di grɔn ɔ wata we gɛt dɔti. So nɔ mek yu fred we yu nɔ nid fɔ fred.
Aw dɛn kin no se pɔsin gɛt Melioidosis?
Yu dɔktɔ go aks yu fɔs bɔt yu sik dɛn, i go chɛk yu, dɔn i go tek yu blɔd ɔ ɔda wata na yu bɔdi fɔ tɛst yu. Dɛn kin aks yu bak bɔt di wok we yu de du, di tin dɛn we yu lɛk fɔ du, ɔ di istri we yu jɔs dɔn travul.
Dɛn kin sɛn di sɛmpul dɛn to wan lab, usay di tɛknishian dɛn go chɛk yu sɛmpul dɛn fɔ si if di B. pseudomallei baktri de ɛn fɔ antibodi dɛn we de agens am. di sεmpl dεm we dεn yuz fכ kכnfכm melioidosis na:
- Blɔd
- Urine we dɛn kin yuz
- Sputum we dɛn kɔl Sputum
- Pus frɔm wan wund
Aw dɛn kin trit Melioidosis?
Dɔktɔ dɛn kin trit dis sik wit tu kayn antibayɔtiks insay tu stej. Dis na tritmɛnt we kin tek lɔng tɛm smɔl.
- Insay di fɔs (intensif) pat : Dɛn go gi yu antibayɔtiks we dɛn kin put insay yu bɛlɛ (IV) fɔ at le tu wiks. Dis na tritmɛnt we nid fɔ de na ɔspitul.
- Insay di sɛkɔn (eradication phase) : Yu go nid fɔ tek ɔral antibayɔtik fɔ at le tri mɔnt.
Dipen pan aw yu sik tranga, yu kin nid ɔda tritmɛnt, lɛk fɔ pul wata we de kɔmɔt na di bɔdi if i de.
Us antibayɔtiks dɛn kin yuz fɔ melioidosis?
Pan di antibayɔtik dɛn we dɛn kin put insay di bɛlɛ (we dɛn kin injɛkt), yu dɔktɔ kin gi yu:
- `Sεftazidim` `(Sεftazidim)`
- `Meropenem` `(Mɛropenem)`
- `Imipenem` `(Imipenem)`
Dɛn kin gi dɛn tin ya as antibayɔtik we dɛn kin it:
- `Traymɛtɔprim/sɔlfamɛtɔksazɔl` `(Traymɛtɔprim/salfamɛtɔksazɔl - TMP/SMX)`
- `Amoksisilin/klavulanik asid` `(Amoksisilin/klavulanik asid - ko-amoxiclav)`
Di tin we impɔtant pas ɔl na fɔ tek di mɛrɛsin jɔs fɔ di ful kɔs fɔ di tritmɛnt we di dɔktɔ gi yu. Nɔ stɔp af-af jɔs bikɔs yu fil fayn smɔl.
Aw wi kin protɛkt wisɛf frɔm Melioidosis?
Na say dɛm we B. pseudomallei baktri dɛm kin bɔku, yu kin tek dɛn step ya fɔ protɛkt yusɛf frɔm dis sik:
- If yu gɛt dayabitis ɔ krɛse sik , nɔ fɔ tɔch di grɔn ɛn wata we tinap as yu ebul.
- Wear but we nɔ de mek wata pas we yu de waka na wet grɔn, wata we tinap, ɔ dɔti.
- Wear glɔv we yu de wok na gadin ɔ wit dɔti.
- If yu gɛt ɛnitin we yu kɔt ɔ skrap na yu bɔdi, kɔba am wit tin we nɔ de mek wata pas . Nɔ alaw dɔti ɔ wata fɔ go insay di wund dɛn, we kin dɔti dɛn.
- Shawa ɔ was fayn fayn wan afta yu dɔn wok wit dɔti, wata we gɛt dɔti, ɔ yu dɔn wok na do.
- Wear mask we de kɔba yu nos ɛn yu mɔt we yu de kɔt gras, kɔt gras, ɔ yuz ay prɛshɔn wata sprɛy na grɔn.
- If yu tink se yu kin dɔn gɛt di baktri `B. pseudomallei`, yu dכkta kin se yu fכ tek antibaytik (post-exposure prophylaxis) fכ mek yu nכ gεt melioidosis.
Wetin a kin ɛkspɛkt if a gɛt melioidosis?
Bɔrku pipul wae nɔr gɛt ɔda siriɔs ɔndalayn kɔndishɔn ɛn wae gɛt tritmɛnt kwik kwik wan kin wɛl kpatakpata frɔm dis sik. Bɔt dɛn kin nid fɔ kɔntinyu fɔ gɛt di tritmɛnt fɔ sɔm mɔnt fɔ mek dɛn nɔ gɛt di sik kpatakpata. Sɔmtɛm di sik kin kam bak ivin afta di tritmɛnt dɔn (relaps). So, i rili impɔtant fɔ fala wetin yu dɔktɔ tɛl yu fɔ du.
Bɔt fɔ di wan dɛn we gɛt ɔndalayn mɛdikal kɔndishɔn, ɔ di wan dɛn we nɔ bin ebul fɔ gɛt di sik ɛn tritmɛnt kwik kwik wan, di tin kin rili bad.
Yu tink se dɛn kin mɛn Melioidosis?
Yes, dɛn kin mɛn melioidosis wit tu stej antibayɔtik tritmɛnt rijim. Bɔt sɔm infɛkshɔn kin wɔs kwik kwik wan, ɛn di tritmɛnt nɔ kin fayn ɔltɛm. So, fɔ no di sik kwik kwik wan ɛn fɔ trit am rili impɔtant.
Yu tink se Melioidosis kin kil pɔsin?
Wit kwik, aprכpriet tritmεnt, di mכtalman rεt de bitwin 10% εn 20% . Bɔt di risk fɔ gɛt siriɔs sik ɛn day frɔm melioidosis kin bɔku wit:
- If yu gɛt ɛni ɔda sik we de ɔnda yu ɔ yu nɔ gɛt am.
- Di ebul fɔ gɛt gud kwaliti wɛlbɔdi biznɛs.
- Us ɔgan dɛn gɛt di sik?
Aw a go tek kia ɔf misɛf as pɔsin we gɛt Melioidosis?
If dɛn no se yu gɛt melioidosis, tek ɔl di mɛrɛsin dɛn jɔs lɛk aw yu dɔktɔ tɛl yu . If yu stɔp fɔ tek antibayɔtik tumɔs, yu kin sik bak.
Mek shɔ se yu go to dɔktɔ di de dɛn we dɛn gi yu fɔ si am. If yu sik dɔn go ɛn kam bak, ɔr if yu gɛt nyu sik, ɔr if yu sik de wɔs, tɛl yu dɔktɔ.
Di kɔmplikɛshɔn dɛn we de kam wit Melioidosis
Melioidosis kin spre to bɔku pat dɛm na yu bɔdi ɛn kin mek yu gɛt prɔblɛm lɛk:
- Bon infεkshכn `(Osteomyelitis)`
- Jɔyn infɛkshɔn `(Sɛptik atraytis)`
- di kכlekshכn fכ pus (absεs) na di skin, lכng, liva, splin, bren, כ כda כgan dεm
- Akyu Respiratɔri Distres Sindrɔm (ARDS) .
- Sepsis - Dis kin mek yu layf de pan denja, na bad bad tin we di bɔdi de du to infɛkshɔn we de pwɛl di ɔgan dɛm.
Ustɛm a fɔ go to dɔktɔ?
If yu gɛt sayn dɛn fɔ melioidosis, mɔ if yu de na say usay B. pseudomallei bɔku ɔ yu jɔs dɔn travul, go to dɔktɔ wantɛm wantɛm . Fɔ trit yu kwik kwik wan de gi yu di bɛst chans fɔ mek yu wɛl ful wan.
If yu tink se yu go dɔn gɛt di B. pseudomallei baktri i nɔ tu te yet, go to dɔktɔ. I kin ebul fɔ gi yu post-exposure prophylaxis fɔ mek yu nɔ gɛt di sik.
Ustɛm a fɔ go na Imejɛnsi Tritmɛnt Yunit (ETU) ?
If yu gɛt dɛn bad bad sayn ya, go na imejensi rum wantɛm wantɛm:
- Ay fiva (we pas 103 Farenheit/39.4 Sɛlshiɔs) .
- I nɔ kin izi fɔ yu fɔ blo wantɛm wantɛm ɔ bad bad wan
- Bɛlɛ pen bad bad wan
- Kɔnfyushɔn ɔ ɔda chenj dɛn we kin apin to pɔsin in maynd
- Chɛst de pen
- Epileptic stet (we yu kin gɛt sik) .
Us kwɛstyɔn dɛn a fɔ aks mi dɔktɔ?
I go fayn fɔ aks yu dɔktɔ dɛn kwɛstyɔn ya:
- Aw a fɔ tek mi mɛrɛsin?
- Ustɛm a fɔ kam si yu bak?
- Ustɛm a go wɛl?
- Us sayn dɛn a fɔ go na di imejensi rum fɔ?
- Wetin a kin du fɔ kɔntrol mi sik dɛn na os?
- Yu tink se dis sik kin pas? (A no naw se dis nɔ bɔku, bɔt i fayn fɔ mek shɔ)
Fɔ dɔn, wetin fɔ mɛmba (Take-Home Message) .
Melioidosis na sik we nid sɔm atɛnshɔn ɛn i kin at fɔ no . Na bikɔs in sik kin tan lɛk ɔda sik dɛn we kɔmɔn, we nɔ kin rili siriɔs. If dɛn nɔ trit am, i kin mek pɔsin in layf de pan denja.. So if yu tink se yu kin dɔn ɛksplɔz di `B. pseudomallei` bacteria, ɔ if yu gɛt sayn dɛm fɔ melioidosis, ɔ if yu de na wan risk grup wae kin pasmak, nɔr shem fɔ go to yu dɔktɔ ɛn tɔk bɔt wetin de mɔna yu . Fɔ du sɔntin kwik kwik wan na di bɛst we fɔ mek yu gɛt wɛlbɔdi!
` Melioidosis, Burkholderia pseudomallei, infεkshכn na di grכn, wata infεkshכn, baktriyal infεkshכn, prεvεnshכn
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