Yu no bɔt dis denja ‘flesh-melting’ sik (Necrotizing Fasciitis)? Mek wi tok!

We yu gɛt smɔl wund, i nɔmal fɔ mek i fes smɔl ɛn wɛl insay sɔm dez. Bɔt yu dɔn ɛva yɛri bɔt wan siriɔs sik we kin mek yu layf de pan denja, we kin bigin frɔm smɔl wund ɛn smɔl smɔl i kin mɛlt di bɔdi? Dat na wan pan dɛn denja kɔndishɔn wae wi go tɔk bɔt tide, wae dɛn kɔl Necrotizing Fasciitis. Sɔm pipul dɛn kin kɔl am bak di Flesh-Eating Disease.

Wetin na Necrotizing Fasciitis?

Fɔ tɔk am simpul wan, Necrotizing Fasciitis na wan rili siriɔs baktri infɛkshɔn we kin skata kwik kwik wan ɛn i kin ivin mek pɔsin day. Di wɔd ‘necrotizing’ min ‘fɔ mek ɔda tin day’. ‘Fasciitis’ de tכk bכt inflameshn na di fascia.

Naw yu go de wɔnda wetin na fascia. Na wan tin we tan lɛk mɛmbran we de rawnd di mɔsul dɛn, di nɛv dɛn, di fat dɛn, ɛn di blɔd vesel dɛn we de ɔnda wi skin. Fɔ tɔk di kɔrɛkt tin, dis na di tisu we de ɔnda di bɔdi.

Necrotizing Fasciitis na wan kayn infεkshכn we dεn kכl Necrotizing Soft Tissue Infection (NSTI). dis NSTI inklud כda infεkshכn dεm, lεk Necrotizing Myositis (infεkshכn we de mek di mכsul dεm day) εn Necrotizing Cellulitis (infεkshכn we de mek di sεl dεm we de כnda di skin day).

Yu tink se kayn Necrotizing Fasciitis de?

Yɛs, tu kayn dɛn de mɔ:

1. Pכlymikrobial כ Tayp I: Dis kin kכz fכ mכr dan wan tכp baktri dεm. Bɔrku tɛm, ɔl tu di aerobic ɛn anaerobic baktri dɛm kin involv insay di infεkshɔn.

2. Monomicrobial ɔ Type II: Dis kin bi bikɔs ɔf wan kayn baktri. כlsay na di bכdi, na di baktri dεm we dεn kכl ``Grup A Streptococcus`` כ ``Staphylococcus aureus``.

Udat kin gɛt dis sik pas ɔlman?

Sɔm pipul dɛn kin gɛt ay risk fɔ gɛt ``Necrotizing Fasciitis.`` Lɛ wi luk udat dɛn bi:

• Pipul dεm we gεt wund dεm na di skin כ wund dεm na di mכkus mεmbran dεm (e.g. insay di mכt, nos): Dis inklud di kכt dεm we dεn kכt we dεn de du כpεrayshכn. Ivin smɔl skrach kin bi prɔblɛm sɔntɛnde.
• Pipul dɛn we fat pasmak: Dat na pipul dɛn we fat pasmak.
• Pipul wae gɛt Dayabitis: Yu no se wae yu gɛt shuga, wund kin wɛl smɔl smɔl ɛn infekshɔn kin kam izi wan. Pipul dɛm lɛk dat kin gɛt dis sik bak.
• Pipul wae gɛt disɔda fɔ drink rɔm: Fɔ drink pasmak kin gɛt dis sik bak.
• Pipul wae gɛt wik imyun sistɛm: Dat na, pipul dɛm wae dɛn bɔdi nɔr kin ebul fɔ fɛt sik.
• Pipul wae gɛt prɔblɛm wit di vaskul sistɛm.
• Pipul dɛn we de sɔfa wit kansa.
• Uman dɛn we gɛt bɛlɛ.

Aw dis sik kin bɔku? Yu tink se i denja?

Necrotizing Fasciitis nɔto sik we kin rili bɔku. Frɔm wetin dɛn dɔn tɔk, di wan dɛn we kin gɛt dis sik kin de bitwin 0.3 ɛn 15 pan ɛvri 100,000 pipul dɛn. Bɔt dɛn biliv se di rial nɔmba fɔ di wan dɛn we sik kin bɔku. Fɔ ɛgzampul, dɛn ripɔt se Necrotizing Fasciitis, we kin kam wit Grup A strep, kin apin pan 700 to 1,200 pipul dɛn ɛvri ia.

Dis sik so siriɔs dat, ivin if dɛn trit am, na lɛk wan pan ɔl tri pipul dɛn we gɛt dis sik go day. Na dat mek i impɔtant fɔ trit am kwik kwik wan.

Wetin na di sayn dɛm fɔ Necrotizing Fasciitis?

Di fɔs sayn dɛm fɔ dis sik kin tan lɛk di wan dɛm wae kin kam wit kɔmɔn kol, so sɔmtɛm i kin at fɔ no am fɔs.

Di fɔs tin dɛn we kin apin to pɔsin:

• Di bɔdi de pen
• Fiva
• Chills we de mek pɔsin kol
• Vɔmit
• Rɔnbɛlɛ
• Siriɔs pen we pɔsin nɔ go ebul fɔ bia na di say we di wund de. Dis na wan rili impɔtant fɔs sayn. Di pen kin pas di sayz we di injuri gɛt.

Necrotizing Fasciitis na wan sik wae de pas kwik kwik wan, so de sik kin kam kwik kwik wan.

Di sayn dɛn we kin kam leta:

• di skin de rεd εn di kכla de chenj na di say we di injuri de (dak pepul, blak).
• Di tisu we dɛn afɛkt de swel .
• Blɔd flɔ nɔ stebul.
• Blista dɛn we ful-ɔp wit blɔd ɔ yɔlɔ wata.
• Tisu nekrɔsis we de na di bɔdi.
• Lɔw blɔd prɛshɔn.
• Sepsis (blɔd pɔyzin).

De tin wae impɔtant pas ɔl na dat if yu gɛt sɔm kayn sik lɛk dis, mɔr lɛk wae yu de fil bad bad wan wit wund ɛn yu skin de chenj in kɔlɔ ɛn swel, yu fɔ go to dɔktɔ wantɛm wantɛm.** Dis infekshɔn kin skata wit spid we yu nɔ go biliv.

Wetin na di tin dɛm wae kin mek dis ‘flɛsh-mɛltin sik’?

כltεm, ``Necrotizing Fasciitis`` kin apin we baktri dεm de kam insay yu bכdi tru wan kכt כ skrach pan yu skin. Bɔt sɔntɛnde i kin apin we yu nɔ gɛt wund na yu skin, lɛk frɔm ɔda tin we de insay yu bɔdi, lɛk we yu gɛt brus.

Aw baktri kin go insay di bɔdi:

• Kɔt, skrap, bɔn.
• Insekt bayt wund dεm (e.g., wan bad bad mכskito bayt).
• Pankchɔ wund dɛn we tin dɛn lɛk nidul kin mek.
• Afta dɛn dɔn du di ɔpreshɔn.
• pan ɔl we di men tin we kin mek i gɛt dis sik na di baktri dɛm we dɛn kɔl ``Group A strep``, na bɔku ɔda baktri dɛm kin mek am. Sɔm baktri dɛm we de liv na wata kin mek am bak. Dis min se if yu kam mit wund na say dɛn we dɔti wata de, yu de pan denja bak.

Aw dɔktɔ dɛn kin no bɔt dis?

If yu dɔktɔ sɔspɛkt dis ‘flesh-melting disease’ afta dɛn dɔn chɛk yu ɛn lisin to yu sayn dɛm, dɛn go ɔda sɔm tɛst dɛm:

• Blɔd tɛst: Fɔ ɛgzampul, wan kɔmplit blɔd kɔnt (CBC).
• Dip tisu kɔlchɔ: Dɛn kin tek wan smɔl tisu frɔm di say we di sik gɛt ɛn dɛn kin tɛst am fɔ si us baktri dɛn de.
• Tisu biopsy: Dɛn kin tek wan pat pan di tisu ɛn chɛk am ɔnda maykroskɔp fɔ no if di tisu dɔn day.
• Imej tɛst: Bɔku tɛm dɛn kin du CT skan (Computed Tomography scan).

Apat frɔm dat, di dɔktɔ go du ɔpreshɔn fɔ no if na Necrotizing Fasciitis. Dɔn bak, di ɔpreshɔn go bigin wit fɔ pul di tisu we dɔn day.

Aw dɛn kin trit Necrotizing Fasciitis?

I impɔtant fɔ mek dɛn du tin kwik kwik wan fɔ kɔntrol dis sik.

• כpεrayshכn: dεn nid כpεrayshכn we dεn kכl ``debriding'' fכ kכnfכm di diagnosis εn pul כl di dεd tisu . Sɔntɛnde, wan ɔpreshɔn nɔ kin du fɔ dɛn. Bɔku ɔpreshɔn (bɔku tɛm na lɛk tri) kin nid fɔ du te dɛn kɔntrol di infekshɔn ɔltogɛda.
• Antibayɔtik: Dɛn kin gi strɔng antibayɔtik insay di bɛlɛ (IV).
• Fluid we dɛn kin put insay di bɛlɛ (IV fluid): Dis kin ɛp fɔ mek di wata we de na di bɔdi kɔntinyu fɔ de ɛn fɔ mek di blɔd prɛshɔn stebul.

Afta dɛn dɔn du di ɔpreshɔn, dɛn kin nid fɔ put di wund dɛn na di skin ɔ dɛn kin du plastic ɔpreshɔn fɔ mek di wund dɛn wɛl ɔlsay.

Wetin na de prɔblɛm wae kin kam wit dis sik?

Bɔrku pan di kɔmplikɛshɔn dɛm wae kin kam wit ``Necrotizing Fasciitis'' na siriɔs tin. Dɛn tin ya na:

• Ska dɛn we de na di wɔl
• di limb dεm we de lכs (if di infεkshכn spre, dεn go gεt fכ kכt dεn pat dεm) .
• Tɔxik shɔk sindrom
• Sepsis (blɔd pɔyzin) .
• Day

Aw fɔ protɛkt yusɛf frɔm Necrotizing Fasciitis?

Naw, no vaysin nɔ de fɔ dis. Bɔt tin dɛn de we yu kin du fɔ ridyus di risk fɔ gɛt baktriyal infɛkshɔn na yu skin, lɛk Necrotizing Fasciitis:

• As mɔ as i pɔsibulNɔ kɔt, skrap, bɔn, ɛn insɛkt bit.
• If yu gɛt wund, was am fayn fayn wan wit sop ɛn wata ɛn kɔba am wit klin bandej te i wɛl.
• If yu gɛt dip ɔ siriɔs kɔt ɔ pank wund, go to dɔktɔ.
• Kip yu an dɛn klin bay we yu de was dɛn wit sop ɔltɛm ɔ yuz wan tin we gɛt alkol we de mek yu an klin yu an.
• If yu gɛt wund ɔ kɔt na yu skin, nɔ go na swimin pul, hot tub, ɔ wata we de na do (lɛk lek, riva).

Ustɛm yu fɔ go to dɔktɔ? (Wan mɛmba)

If yu gɛt dɛn sik ya, go to dɔktɔ wantɛm wantɛm:

• If di skin kɔlɔ dɔn chenj ɛn i tan lɛk se di say de big kwik kwik wan wit swel .
• If pen de we pɔsin nɔ go ebul fɔ bia .
• If yu gɛt fiva .

Wetin yu go ɛkspɛkt if yu gɛt dis sik?

If yu gɛt dis sik, yu go gɛt di bɛst rizɔlt if yu no di sik kwik kwik wan, yu gi yu antibayɔtik, ɛn yu du ɔpreshɔn fɔ pul di tisu we dɔn day.

Necrotizing Fasciitis na sik we kin wɔs kwik kwik wan, i kin pwɛl yu tisu dɛn ɛn mek yu ɔgan dɛn nɔ wok fayn. Ivin wit tritmɛnt, lɛk aw wi bin dɔn tɔk, lɛk wan pat pan tri pan di wan dɛn we gɛt di sik kin day.

Bɔku tɛm, dɛn kin nid fɔ du pas wan ɔpreshɔn, ɛn skata kin apin.

Wetin na di difrɛns bitwin Gas Gangrene ɛn Necrotizing Fasciitis?

Gas gangrene (clostridial myonecrosis) na sik we de afɛkt di wɛlbɔdi tisu, we de mek gas (air) kam insay di tisu. Dɛn kin mek dis gas as dɔti tin frɔm jem dɛn. Gas kin bil bak insay di tisu insay gas gangrene ɛn Type I Necrotizing Fasciitis. Bɔt di kayn smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl. Gas gangrene kin afɛkt di mɔsul dɛn bak.

Usay na di bɔdi dɛn kin si nekrɔtizing fasciitis mɔ?

Dɛn kin si dis mɔr na yu an ɛn fut, mɔr lɛk if yu gɛt shuga. Yu kin gɛt dis sik na yu leg (espɛshali yu fut ɛn fut finga dɛm).

pan tap dat, dis sik kin apin na di bכdi εn di ed εn nεk εria.

Yu kin liv if yu gɛt Necrotizing Fasciitis?

Yɛs, yu kin ebul fɔ liv. Di tin we impɔtant pas ɔl na fɔ no di sik kwik kwik wan ɛn bigin fɔ trit am kwik kwik wan. Di mɔ we i de delay, na di mɔ di tin kin wɔs.

Yu tink se Necrotizing Fasciitis kin pas?

Dis nɔ kin bɔku frɔm wan pɔsin to ɔda pɔsin.So, bɔku tɛm i nɔ kin nid fɔ gi di pɔsin in fambul dɛn we de nia am antibayɔtik. Bɔt if di sik rili bad, di dɔktɔ kin aks di pɔsin in fambul dɛn we de nia am fɔ tek antibayɔtik we go mek i nɔ gɛt dis sik as fɔ tek tɛm wit am.

Aw lɔŋ i kin tek fɔ mek di nekrɔtizing fasciitis bigin?

Di sayn dɛm kin sho insay 24 awa afta yu gɛt skrap, kɔt, ɔ insɛkt bayt. Dis kin wɔs kwik kwik wan. So kip yu yay pan di wund fɔ si if i swel, rɛd, ɛn if i big.

If yu gɛt wund, yu kɔt, ɔ yu bɔn, was am fayn fayn wan wit sop ɛn wata. If yu gɛt fiva, yu gɛt bad bad pen, ɛn/ɔ yu gɛt rɛd ɔ di kɔlɔ we de skata kwik kwik wan we yu fil wam we yu tɔch yu, go to dɔktɔ wantɛm wantɛm. Di kwik we yu bigin fɔ trit, na di mɔ yu chans fɔ pul Necrotizing Fasciitis.

Mɛsej we dɛn kin kɛr go na os

Okay, so naw yu dɔn ɔndastand di siriɔs sik we wi bin tɔk bɔt we dɛn kɔl ``Necrotizing Fasciitis.`` Na sɔm pan di impɔtant tin dɛm fɔ mɛmba:

• Dis na wan sik we rili denja, we de prɛd kwik kwik wan frɔm baktriyal infɛkshɔn. Dɛn kin kɔl am bak ‘flɛsh-mɛltin sik’.
• I kin bigin ivin wit smɔl wund.
• Tek tɛm bad bad wan pan di sayn dɛm lɛk fɔ gɛt bad bad pen na di say we di injury de, fɔ rɛd/di kɔlɔ ɛn swel we de spre kwik kwik wan, ɛn fiva .
• If yu gɛt dɛn sik ya, nɔ de te ɛn go to dɔktɔ wantɛm wantɛm. Taym na di tin we de disayd bitwin layf ɛn day na ya.
• Fɔ kip wund dɛn klin ɛn fɔ praktis di rayt hajɛns kin go fa fɔ protɛkt yu frɔm dɛn kayn infɛkshɔn ya.

Wi op se dis infɔmeshɔn go fayn fɔ yu. Stay wit wɛlbɔdi!

` Necrotizing Fasciitis, Flesh-Eating Disease, Bakterial Infεkshכn, Skin Infεkshכn, Flesh-Eating Disease, Tissue Death, Sepsis