Yu want fɔ no gud gud wan wetin na Meningococcal Disease? Lɛ wi tɔk bɔt am!

Sɔm sik dɛn de we kin mek pɔsin fred smɔl ivin we yu yɛri dɛn nem, yu nɔ tink? Tide wi go tɔk bɔt wan sik we siriɔs smɔl, bɔt yu kin kɔntrol am if yu no bɔt am bifo tɛm. Dɛn kɔl dis sik we dɛn kɔl meningococcal disease. Nɔ wɔri, lɛ wi tɔk bɔt ɔltin klia wan.

Wetin na Meningococcal Disease?

Fɔ tɔk am simpul wan, di sik we dɛn kɔl meningococcal disease na baktriyal infɛkshɔn . Na wan baktri we dɛn kɔl Neisseria meningitidis kin mek am. Sɔntɛnde dɛn kin kɔl am meningococcus. Dis baktri kin infɛkt di prɔtɛktiv mɛmbran dɛn we de rawnd wi bren ɛn spɛshal kɔd (we dɛn kɔl di mɛninges) ɛn di blɔd . Dɛn infɛkshɔn ya kin rili denja ɛn sɔntɛnde kin mek pɔsin in layf de pan denja . we di meninges infεkt dis we, dεn kכl am meningococcal meningitis, εn we di bכdi infεkt, dεn kכl am meningococcal septicemia (lεk bכdi pכyzin).

fכ εksplen di tεm `meninges` sכmtεm, i min wi Sεntri Nεv Sεstem , dat na di tri mεmbran dεm we de rawnd wi bren εn spεnal kכd. Jɔs lɛk di dilik mɛmbran dɛn we de sheb di pith na ɔrɛnj, dɛn tin ya de protɛkt wi bren ɛn spɛshal kɔd bak. Infakt, wi skin na di big wan we de protɛkt wi bɔdi. dis tri mεninge dεm na di pia mater, di arachnoid, εn di dura mater.

Wetin na di difrɛns bitwin di sik we dɛn kɔl meningococcal disease ɛn meningitis?

Naw yu go de tink se, ‘So, yu tink se di sik we dɛn kɔl meningococcal disease ɛn meningitis na di sem tin?’ Yɛs, smɔl difrɛns de. Meningococcal disease na di patikyula baktri dɛm we wi bin dɔn tɔk bɔt, Neisseria meningitidis . כltu, ‘mεningaytis’ na jεnarכl tεm fכ eni kכndyushכn we de mek di mεmbran dεm (mεninges) we de rawnd di bren inflameshn . So, meningitis kin apin pan meningococcal sik. Bɔt nɔto ɔl di mɛningayt na di baktri dɛm we de mek pɔsin gɛt di sik we dɛn kɔl meningococcal disease. Meningitis kin kam bak wit ɔda vayrɔs, baktri, ɛn fɛns, yu gɛt am?

Udat dɛn kin gɛt mɔ sik we dɛn kɔl meningococcal disease?

Pan ɔl we ɛnibɔdi kin gɛt meningococcal disease, sɔm pipul dɛn kin gɛt dis sik. Lɛ wi tek wan luk pan udat dɛn bi:

• Bay di ej grup: Bebi dɛn we nɔ rich wan ia yet, yɔŋ pipul dɛn (espɛshali di wan dɛn we ol bitwin 16-23 ia), ɛn yɔŋ pipul dɛn. Di risk kin ivin big if dɛn ej grup ya de pan sɛkɔnhand smok (pasiv smok ɔ aktif smok) .
• Fɔ travul na ɔda kɔntri: Fɔ di wan dɛn we de travul go na sɔm kɔntri dɛn usay di sik we dɛn kɔl meningococcal disease bɔku.
• Di tin dɛn we de apin to pɔsin in wɛlbɔdi:
• Pipul dεm we nכ gεt spεlin כ we gεt spεlin dεm we dεn pwεl (di splin na imכtant כgan na wi imyun sistεm).
• Pipul dɛn we gɛt siklɛt sik.
• Pipul dεm we gεt sכm wikɛd tin dεm na dεn imyun sistεm, spεshal wan dεm we gεt prכblεm wit wan pat pan di imyun sistεm we dεn kכl ``Kכmpliment.''
• Pipul dɛn we de tek drɔgs we dɛn kɔl ``complement inhibitors`` (fɔ ɛgzampul ``Eculizumab (Soliris®)`` ɛn ``Ravulizumab (UltomirisTM)``) we dɛn kin yuz fɔ sɔm mɛrɛsin dɛn we nɔ kin apin so ɔltɛm.
• Di we aw pipul dɛn de liv dɛn layf ɛn di say we dɛn de:
• Fɔ di wan dɛn we de na say dɛn we bɔku pipul dɛn de nia dɛnsɛf, lɛk yunivasiti dɔm ɛn sojaman dɛn barɔk. Jɔs tink bɔt dat, we bɔku pipul dɛn de na wan rum, i izi fɔ mek di jem dɛn skata tru kɔf ɔ sniz, nɔto so?
• Pipul wae kin gɛt dis sik wae de sik bɔrku.
• Fɔ di wan dɛn we de wok wit dis baktri na risach laboratori.

Aw dis sik kin bɔku?

Insay kɔntri dɛn lɛk Amɛrika, di nɔmba fɔ pipul dɛn we gɛt dis sik dɔn go dɔŋ smɔl smɔl frɔm di sɛkɔn wɔl wɔ. Insay 2019, na 371 kes dɛn nɔmɔ dɛn bin ripɔt de. Bɔt smɔl smɔl sik dɛn kin apin wan wan tɛm, mɔ pan pipul dɛn we de nia dɛnsɛf. Dɔktɔ dɛn na Sri Lanka de pe atɛnshɔn bak to dis sik, bikɔs i kin skata kwik kwik wan. So, e fayn fɔ no bɔt de sik.

Wetin na di sayn ɛn simptom dɛm fɔ meningococcal disease?

Bɔrku sayn de fɔ dis sik. If yu gɛt ɛni wan pan dɛn tin ya, yu fɔ go to dɔktɔ wantɛm wantɛm. I rili impɔtant fɔ no di sik kwik kwik wan.

Di men sayn dɛm kin bi:

• A de gɛt ay fiva .
• A gɛt bad bad ed we de at .
• Stif nɛk . Dis na wan kɔmɔn sayn we gɛt fɔ du wit di sik we dɛn kɔl meningococcal disease ɛn meningitis. I kin fil lɛk se yu nɔ ebul fɔ bɛn yu nɛk fɔ go bifo, ɛn i kin mek yu fil pen we yu tray fɔ tuck yu chin na yu chɛst.
• I kin at fɔ luk brayt layt , ɛn i kin tan lɛk se di yay dɛn tɔn blu. Dɛn kin kɔl dis bak ``Photophobia``.
• Nɔs, vɔmit ɛn/ɔ bɛlɛ at ɛn dayarɛa kin apin.
• Wan rash kin kɔmɔt na di skin we tan lɛk smɔl smɔl rɛd ɔ pepul dɔt dɛn . dis dεm nכ de tכn pale we dεn de prεshכn (a non-blanching rash). Sɔntɛnde, dɛn tin ya kin big ɛn tan lɛk brus. Dis na wan sayn we rili patikyula ɛn we de mek pɔsin denja.

Apat frɔm dis, dɛn kin sho sɔm ɔda kwaliti dɛn bak:

• Di it nɔ de te.
• Fɔ fil se yu kɔnfyus ɔ yu de vɛks.
• A kin fil slip ɔltɛm ɛn i nɔ kin izi fɔ wek.
• Pen na di mɔsul ɛn jɔyn dɛn.
• Sawnd de lɛk fɔ snor, fɔ kray.
• I kin at fɔ waka ɔ tinap stret.

Yɔŋ pikin dɛn kin sho dɛn sik ya difrɛn we. Fɔ ɛgzampul:

• Dɛn nɔ want fɔ drink milk ɛn dɛn kin vɔmit.
• Di bɔdi kin twitch ɔ flop.
• Taya pasmak, tray fɔ slip ɔltɛm, at fɔ wek.
• Kray wit ay-pitch tɔyn (hay-pitch kray).
• di sכft say we de na di tכp pat pan di ed (fontanelle) kin swεla εn i kin at.

Wetin kin mek pɔsin gɛt di sik we dɛn kɔl meningococcal?

As wi bin dɔn tɔk, wan baktri kin mek pɔsin gɛt di sik we dɛn kɔl meningococcal . Na sik we pɔsin kin pas . I de spre frɔm pɔsin to ɔda pɔsin tru di tin dɛn we de kɔmɔt na di say we i de blo (myukus/drɔplɛt dɛn we de mek pɔsin blo) . Fɔ tɔk am simpul wan, dis jem kin pas we pɔsin we gɛt di sik kɔf, sniz, ɔ kam nia pɔsin we gɛt di sik (fɔ ɛgzampul, it frɔm di sem plet, drink frɔm di sem kɔp, kis, ɛn ɔda tin dɛn).

Impɔtant: Di baktri dɛm we de mek pɔsin gɛt meningococcal disease nɔ kin ebul fɔ liv fɔ lɔng tɛm ausayd di bɔdi. So, i nɔ go izi fɔ mek i skata frɔm say dɛn lɛk tebul ɛn chia. Bɔt i bɛtɛ fɔ tek tɛm wit tin dɛn lɛk hankɛf ɛn tisu dɛn we di pɔsin dɔn yuz.

Aw dɛn kin no di sik we dɛn kɔl meningococcal disease?

Sɔntɛnde, i nɔ kin izi fɔ no bɔt di sik we dɛn kɔl meningococcal disease bikɔs di sayn dɛn we i kin gɛt kin tan lɛk ɔda sik dɛn lɛk di kɔmɔn kol ɔ flu . So, fɔ kɔnfirm di sik, dɔktɔ nid fɔ fɛn di baktri we dɛn kɔl Neisseria meningitidis.

So, di dɔktɔ kin du:

• Dɛn kin tek blɔd sɛmpul ɛn tɛst am.
• Sɔntɛnde dɛn kin du wan lumbar pankchɔ (Spinal Tap) . dis involv fכ tek sכm sכm sεmpl fכ di wata we de rawnd di spεnal kכd (sεribrospεnal fכluid - CSF) εn tεst am. Dis kin tan lɛk se yu de mek yu fred smɔl, bɔt i rili impɔtant fɔ no if yu gɛt di sik. Dis na bikɔs i kin si dairekt wan if baktri dɛm de insay di wata.

dεn kin sεnd dεn sεmpl dεm ya na labכtכri fכ si if dεn kin gro di baktri dεm (kכlt). If di baktri de gro, dɛn kin kɔnfyus di sik. If dɛn tɛst ya nɔ klia, di dɔktɔ kin ɔda fɔ mek dɛn du ɔda tɛst dɛn.

Aw dɛn kin trit di sik we dɛn kɔl meningococcal disease?

Dɛn kin trit di mɛningokɔk sik wit antibayɔtik . If yu dɔktɔ saspek se yu gɛt di sik, dɛn kin stat yu fɔ tek antibayɔtik ivin bifo dɛn ebul fɔ kɔnfirm di sik. I rili impɔtant fɔ bigin tritmɛnt kwik kwik wan. Dɛn kin gi dɛn antibayɔtik ya as antibayɔtik we dɛn kin put insay yu bɛlɛ, we kin ɛp yu fɔ gɛt rizɔlt kwik kwik wan.

Apat frɔm di antibayɔtik, dɛn kin nid ɔda tritmɛnt dɛn we go ɛp am dipen pan di sik we di pɔsin gɛt. Fɔ ɛgzampul:

• If i nɔ izi fɔ blo, dɛn kin gi am ɔksijɛn tritmɛnt , sɔntɛm dɛn kin ivin kɔnɛkt am to ventilator.
• If blɔd prɛshɔn smɔl, gi am mɛrɛsin .
• Fɔ kɔntrol di bɔdi we de kɔmɔt na di bɔdi.
• Sɔntɛnde, if di skin dɔn pwɛl ɛn di tisu dɔn day, i kin ivin nid fɔ du ɔpreshɔn fɔ trit am.

Kɔmplikɛshɔn dɛn we gɛt fɔ du wit di sik we dɛn kɔl meningococcal

Dis na sik we rili siriɔs . Ivin if dɛn trit dɛn wit antibayɔtik, 10 to 15 pan ɛvri 100 pasɛnt dɛn go day . Dɔn bak, lɛk 20% pan di wan dɛn we kin wɛl frɔm dis sik kin gɛt prɔblɛm dɛn we go de fɔ lɔng tɛm . Dɛn tin ya na:

• Def we pɔsin kin dɛf
• Limb loss, espeshali if di septicemia de kam bad bad wan.
• Nɛv dɛn we dɔn pwɛl
• Kidni dɛn we dɔn pwɛl
• Bren wae de pwɛl kin mek pɔrsin gɛt tin dɛm lɛk wae yu nɔr de lan fayn, yu nɔr de mɛmba fayn, ɛn epilepsy.
• Skin we gɛt skata.

I kin tek sɔm tɛm fɔ mek i wɛl ɔltogɛda. Dɛn kin gi antibayɔtik fɔ 7 to 10 dez. Bɔt i kin tek lɔng tɛm fɔ mek yu wɛl, mɔ if yu gɛt prɔblɛm dɛn.

Aw yu go ridyus di risk fɔ gɛt meningococcal disease?

Bɔku tin dɛn de we wi kin du fɔ protɛkt wisɛf frɔm dis bad bad sik.

1. Gɛt di vaysin

Na kɔntri dɛm lɛk Amɛrika, tu kayn vaysin de fɔ fɛt di sik we dɛn kɔl meningococcal disease. Na Sri Lanka, yu kin gɛt dɔktɔ advays bak bɔt dis. I fayn mɔ fɔ di wan dɛn we de na grup dɛn we gɛt ay risk (e.g., bebi dɛn we nɔ rich wan ia yet, yɔŋ pipul dɛn, pipul dɛn we de na dɔm, ɛn di wan dɛn we gɛt sɔm wɛlbɔdi kɔndishɔn) fɔ tɔk to dɔktɔ bɔt dɛn vaysin ya. Dis vaysin kin bi mandatory we yu de travul go na sɔm kɔntri dɛm.

2. Tek Prɛventiv Antibaytik if nid de

If yu de tek mɛrɛsin lɛk di ``complement inhibitor'' we wi bin dɔn tɔk bɔt, yu dɔktɔ kin advays yu fɔ tek antibayɔtik fɔ mek yu nɔ gɛt meningococcal sik we yu de tek dɛn mɛrɛsin dɛn de. dis ``complement inhibitor'' mεdikeshכn dεm dεn kin gi fכ rεr kכndyushכn dεm lεk:

• `Atypical hemolytic uremic syndrome` (Dis na sik we gɛt fɔ du wit blɔd)
• Paroxysmal nocturnal hemoglobinuria (dis na blɔd sik bak) .
• Jɛnɛral myasthenia gravis (dis kin mek di mɔsul dɛn wik) .

Dɔn bak, if yu de liv wit pɔsin we gɛt meningococcal disease ɔ yu bin dɔn de nia am (e.g., na di sem os, na di sem klas), yu dɔktɔ kin tɛl yu bak fɔ tek antibayɔtik as tin fɔ mek yu nɔ gɛt di sik (preventive antibiotics / chemoprophylaxis) . Dis na fɔ kil di baktri if dɛn dɔn ɔlrɛdi de na yu bɔdi, fɔ mek dɛn nɔ gɛt di sik, ɛn fɔ stɔp yu fɔ mek i nɔ go to ɔda pipul dɛn.

3. Praktis fɔ avɔyd ɛn fɔ mek yu nɔ gɛt infɛkshɔn

Bɔku tɛm, nɔ de nia pipul dɛn we sik, mɔ di wan dɛn we gɛt fiva ɔ kɔf, ɛnitɛm we i pɔsibul . Wash yu an bɔku tɛm ɛn fayn fayn wan wit sop ɛn wata., fɔ at le 20 sɛkɔn. Yuz han sɛnitayza we gɛt alkol we sop ɛn wata nɔ de. Nɔ tɔch yu yay, yu nos, ɛn yu mɔt wit yu an we yu nɔ was. Kɔba yu mɔt ɛn nos wit tisu ɔ yu ɛlb we yu de kɔf ɔ sniz. Pan ɔl we dɛn tin ya na kɔmɔn wɛlbɔdi biznɛs, dɛn kin ɛp bak fɔ protɛkt yu frɔm dɛn denja sik ya.

Wetin yu kin ɛkspɛkt if yu gɛt meningococcal disease?

Meningococcal disease na wan sik we rili siriɔs . I kin mek yu gɛt `Meningococcal Meningitis` ɔ `Meningococcal Septicemia`. I kin ivin kil pɔsin . So, i impɔtant fɔ go to tritmɛnt kwik kwik wan .

Dɛn kin bigin fɔ gi antibayɔtik bifo di dɔktɔ kɔnfirm se yu gɛt meningococcal disease, bikɔs di tritmɛnt kwik kwik wan kin mek yu gɛt mɔ chans fɔ wɛl ful wan.

Ivin wit tritmɛnt, sɔm prɔblɛm dɛn kin apin. Dis kin mek di skin ɔ di ɔgan dɛn we de insay di bɔdi pwɛl sote go. Ɔ, i kin mek yu gɛt prɔblɛm dɛn fɔ sɔm tɛm, lɛk aw i nɔ kin izi fɔ pe atɛnshɔn pan sɔntin.

Impɔtant tin na dat, nɔr lɛk sɔm ɔda infekshɔn dɛm, yu kin gɛt meningococcal disease pas wan tɛm na yu layf. If yu gɛt am wan tɛm, dat nɔ de gi yu layf-lɔng imyuniti. If yu dɔn gɛt am pas wan tɛm, yu dɔktɔ go want fɔ tɛst yu imyun sistɛm.

Ustɛm yu fɔ go to dɔktɔ if yu tink se yu gɛt meningococcal disease ɔ yu gɛt sɔm sayn dɛn?

If yu gɛt sayn dɛm fɔ meningococcal disease, ɔ yu tink se yu gɛt am, yu fɔ go to dɔktɔ wantɛm wantɛm, ɛn nɔ de te. Dɛn fɔ trit dis lɛk se na imejensi.

If yu gɛt ɛni bad tin fɔ du wit di tritmɛnt, ɔ if yu fil se yu sik de wɔs, tɛl yu dɔktɔ wantɛm wantɛm.

Pan ɔl we sɔm pan di sayn dɛm fɔ meningococcal disease, lɛk fiva ɛn bɔdi pen kin tan lɛk ɔda sik dɛm wae nɔr kin siriɔs, i impɔtant fɔ no ɛn trit di sik kwik kwik wan bikɔs i kin bi siriɔs kwik kwik wan. If yu ɔ yu pikin gɛt ɛni wan pan dɛn sik ya, mɔ we in nɛk stif , fiva, ɛn skin rɔsh , mek shɔ se yu go to dɔktɔ. Fɔ gɛt di vaysin na wan pan di impɔtant tin dɛn fɔ mek dis nɔ apin.

Di impɔtant tin dɛn we wi nid fɔ mɛmba frɔm dis stori (Take-Home Message) .

Okay, so naw yu dɔn ɔndastand mɔ bɔt wetin wi bin de tɔk bɔt, meningococcal disease. Mɛmba:

• Meningococcal disease na wan sik we rili siriɔs, we kin skata kwik kwik wan we baktri dɛm kin kam wit .
• Fiva, ed we de at bad bad wan, nɛk we stif , ɛn rɛd/pɔpul spat na di skin (especially spat we nɔ de tɔn pale we yu prɛs am) na di men sayn dɛn we de wɔn pɔsin. If yu notis dɛn tin ya , go to dɔktɔ wantɛm wantɛm .Taym rili impɔtant.
• Fɔ no di sik kwik kwik wan ɛn fɔ trit am wit antibayɔtik rili impɔtant fɔ sev pipul dɛn layf ɛn fɔ ridyus di prɔblɛm dɛn we kin apin fɔ lɔng tɛm.
• Vaksin na di bɛst we fɔ protɛkt yusɛf frɔm dis sik, mɔ fɔ di wan dɛn we de na grup dɛn we gɛt ay risk. Tɔk to yu dɔktɔ bɔt dis.
• Yu fɔ klin yusɛf (fɔ was yu an ɔltɛm, fɔ kɔba yu mɔt we yu de kɔf/sniz) ɛn fɔ de fa frɔm pipul dɛn we sik impɔtant bak.
• Bifo yu fred dis sik, i fayn fɔ mek yu tɛl yu di rayt tin ɛn du di tin dɛn we yu nid . If yu ɔ sɔmbɔdi na yu famili gɛt kwɛstyɔn bɔt dis, nɔ ɛva shem fɔ tɔk to dɔktɔ.

` Meningococcal Disease, Meningococcal Disease, Bakterial Infεkshכn, Meningitis, Simptom dεm, Vaksin, Antibaytik, Neisseria meningitidis