Nocardiosis: Yu no bɔt dis baktri we de lurk na di grɔn?

Yu dɔn ɛva tink se baktri dɛn de we kin mek wi sik na di grɔn we wi de tɔch ɛn waka pan ɛvride? Yu go sɔprayz fɔ yɛri dis. Tide wi go tɔk bɔt wan sik we wi nɔ yɛri bɔt fɔ sɔm tɛm, bɔt i rili impɔtant fɔ mek ɔlman no bɔt. Dɛn kɔl dis Nocardiosis insay mɛdikal sayɛns. Dis na infεkshכn we baktri dεm de kכz. Nɔ wɔri, wi go tɔk bɔt dis ditayli ɛn simpul wan.

Wetin na Nocardiosis? Fɔ tɔk am simpul wan...

Nocardiosis na wan infεkshכn we wan baktri we dεn kכl Nocardia de kכz. Dis baktri kin de na di grɔn we de rawnd wi, na di ɔrganik tin dɛn we de rɔtin, ɛn na dɔst. Tink bɔt am lɛk di grɔn we de na wi bakyaad.

Dis infεkshכn kin afekt wi lכng, skin, εn sכmtεm di bren mכtalman. Bɔku tɛm, dis sik kin apin we wi de blo di dɔst we gɛt dis baktri, ɔ we dis baktri de go insay di bɔdi tru wan wund we de na di skin.

De impɔtant tin na dat, nocardiosis nɔto sik wae kin pasmak. Dat min se nɔto sɔntin we ɔlman kin gɛt izi wan. Bɔt if i apin, mɔ pan pipul dɛn we nɔ gɛt bɛtɛ wɛlbɔdi, sɔntɛnde i kin kil pɔsin. So i rili impɔtant fɔ no bɔt dis.

Aw dis sik kin bɔku?

Nocardiosis na rili wan infekshɔn we nɔ kin apin so ɔltɛm. Fɔ ɛgzampul, na kɔntri lɛk Amɛrika, na 500 to 1000 pipul dɛn nɔmɔ dɛn kin ripɔt ɛvri ia. Bɔt pan sɔm spɛshal kes dɛm, di risk kin pasmak. fכ egzampl, dεn fכnshכn se bitwin 1% εn 4% pan di pipul dεm we dεn gεt hat transplant כ lכng transplant de pan risk fכ gεt dis nocardiosis. Dɛn kin ripɔt dɛn kayn kes ya wan wan tɛm bak na Sri Lanka, mɔ pan di wan dɛn we gɛt wik imyun sistɛm.

Wetin na di sayn dɛm fɔ Nocardiosis?

Di sayn dɛm fɔ dis sik kin difrɛn difrɛn wan bay usay di infekshɔn de na di bɔdi. Lɛ wi tek wan luk pan de men sayn dɛm wae dɛn kin si.

Lכng-rilayt (dis na di wan we kכmכn pas כl):

• Kɔf (sɔntɛnde wit blɔd) .
• Chɛst de pen
• Fɔ blo shɔt (i nɔ kin izi fɔ blo ivin if yu tray smɔl) .
• Fiva
• We yu de lɔs yu wet fɔ natin
• Nayt swet dɛn
• Ekstrim taya (dis na filin fɔ taya we de go ɔp ɛvride) .

Di tin dɛn we gɛt fɔ du wit di skin:

• Ɔlsa ɔ sɔri na di skin
• Lכmp dεm (nodul dεm) כnda di skin - dεn kin tan rεd, pכpul, כ dak pas di skin we de rawnd. Sɔntɛnde, dɛn kin mek pɔsin fil pen.

Aw Nocardia skin infɛkshɔn kin tan lɛk?

Imajin se yu gɛt smɔl wund na yu skin ɛn yu gɛt sɔm dɔti pan am. If dis Nocardia baktri go insay de, i go rεd, swel, εn maybe blista, εn pus go kכmכt. Sɔntɛnde, i kin ivin mek wan krɔkrɔs. Fɔ sɔm pipul dɛn, dis kin mek dɛn fil pen.

If di infεkshכn spre to di bren (dis na mכr siriכs kכndyushכn):

• Ɛd pen (na bad bad ed we de at we nɔ de chenj) .
• Nɔs ɛn vɔmit
• Stet we nɔ gɛt layf
• Kɔnfyushɔn (we yu nɔ no natin wantɛm wantɛm, yu de agyu) .
• Di sayn dɛm wae de sho se yu gɛt ɛpilepshi (we yu kin gɛt sik) .

If yu gɛt wan ɔ mɔ pan dɛn sayn ya, mɔ if yu gɛt wikɛd imyun sistɛm, i rili impɔtant fɔ go to dɔktɔ wantɛm wantɛm.

Wetin kin mek pɔsin gɛt Nocardiosis?

Fɔ tɔk am simpul wan, di tin we kin mek i gɛt dis sik na wan baktri we dɛn kɔl Nocardia. Dis baktri de liv na di grɔn na bɔku say dɛn na di wɔl.

Aw dis baktri de go insay wi bɔdi?

Tri men we dɛn de we dɛn kin du am:

1. We wi inhal baktri dɛm we de na grɔn ɔ dɔst: We wi de na say we dɔti, smɔl smɔl tin dɛn we gɛt dɛn bɔdi ya kin go insay wi lɔng.

2. Baktri we de go insay tru wan kɔt ɔ wund na di skin: Imajin se yu bin de wok na gadin ɛn yu gɛt chukchuk na yu an ɔ smɔl kɔt. Di baktri kin go insay di bɔdi tru di grɔn frɔm da wund de. I kin apin bak if dɔti wata ɔ dɔti gɛt wund we dɔn de.

3. Tru di mɛrɛsin ikwipmɛnt dɛn we gɛt dɔti we dɛn de du ɔpreshɔn (dis nɔ kin apin so ɔltɛm): Dis nɔ kin apin bɔku tɛm, bikɔs dɛn kin kip di tin dɛn we de na ɔspitul rili klin.

Dis sik kin pas frɔm pɔsin to ɔda pɔsin?

Nɔ, nokardiosis nɔto sik we kin kɔmɔt frɔm wan pɔsin to ɔda pɔsin. Dis min se yu nɔ go ebul fɔ gɛt am we yu de tɔk to, shek an wit, ɔr de nia pɔrsin wae gɛt dis sik.

Udat de pan big risk fɔ gɛt Nocardiosis?

Jɛnɛral wan, pɔsin we gɛt wɛlbɔdi imyun sistɛm nɔ kin sik frɔm di Nocardia baktri, ivin if i inhal am ɔ i gɛt pan in skin. Dis na bikɔs di difɛns sistɛm na wi bɔdi de fɛt ɛn pwɛl di baktri dɛm.

Bɔt pipul dɛm wae gɛt wik imyun sistɛm kin gɛt bɔrku risk fɔ gɛt dis sik. We di imyun sistɛm wik, dat min se di bɔdi in ebul fɔ fɛt di jem dɛn we de mek pɔsin gɛt sik nɔ de wok igen.

De men tin wae de risk kin go ɔp na:

• Pipul dεm we dεn bin gεt big כgan transplant: εspεshali di wan dεm we dεn bin gεt lכng כ at transplant (solid organ transplant).
• Pipul dεm we dεn bin gεt stεm sεl transplant: spεshal wan dεm we dεn bin gεt stεm sεl we dεn tek frכm כda pכsin (allogenic stεm sεl transplant).
• Pipul dɛn we de sɔfa wit kansa(Ɛspɛshali we dɛn de du tritmɛnt fɔ kansa).
• Pipul dɛn we gɛt dayabitis.
• Pipul dɛn we gɛt HIV.
• Pipul wae gɛt ɔtoimyun sik ɔr wae de tek immunosuppressants (mɛrɛsin wae de ridyus wi bɔdi in ebul fɔ fɛt sik).
• Pipul dεm wae gεt krεse sik, fכ egzampl, sik dεm lεk `COPD (Chronic Obstructive Pulmonary Disease)`.

Wetin na di prɔblɛm dɛn we kin apin we pɔsin gɛt Nocardiosis?

As wi bin dɔn tɔk, dis kin rili siriɔs if dɛn nɔ trit am fayn. Sɔm pan di prɔblɛm dɛn we kin apin na:

• Di infεkshכn de kכmכt frכm di lכng dεm to כda pat dεm na di bכdi: fכ egzampl, to di bren, bכdi, skin, yay, kidni, bon, כ mכsul dεm.
• Nyumonia: Na infεkshכn na di lכng.
• Lכng absεs: Na wan kכlekshכn fכ pus insay di lכng dεm we de fכm wan lump.
• Sepsis: Dis na wan tin we kin mek pɔsin in layf de pan denja, we di bɔdi kin ɛgzajarayt we i gɛt infɛkshɔn.
• Respiratory failure: I de mek di brith nɔ fayn.
• Ɔgan dɛn we nɔ de wok fayn: Di impɔtant ɔgan dɛn na di bɔdi we nɔ de wok fayn.

Dɛn kɔmplikeshɔn ya nɔ kin apin to ɔlman, bɔt pipul dɛn we de na grup dɛn we gɛt ay risk fɔ tek tɛm mɔ.

Aw dɛn kin no se pɔsin gɛt Nocardiosis?

Dɔktɔ dɛn kin yuz difrɛn tɛst dɛn fɔ no if pɔsin gɛt di sik. di men wan na fכ luk fכ di Nocardia baktri dεm na di sεmpl dεm we dεn tek frכm di bכdi. Bɔku we dɛn de we dɛn kin yuz fɔ du dis:

• Bayopsi fɔ di ɔlsa na di skin: If ɔlsa de na di skin, dɛn kin tek wan smɔl pat pan di tisu ɛn chɛk am ɔnda maykroskɔp, ɔ dɛn kin gro di baktri (kɔlchɔ).
• Sputum samples: If sɔm sayn dɛn de we gɛt fɔ du wit lɔng sik, pipul dɛn go gɛt dɛn sputum tɛst.
• Bronchial alveolar lavage: Dis na fɔ pas wan tiub wit smɔl kamɛra insay di lכng dεm εn tek wan sεmpl fכ wata frכm de fכ egzamin.
• Bayopsi frɔm di bren absεs: If di infεkshכn dɔn spre to di bren ɛn absεs dɔn fכm, dεn kin tek sεmpl frɔm de.
• PCR testing: Dis na nyu tεknik we kin no di jεnεtik mεtirial frכm baktri dεm εn kכnfכm infεkshכn.

Apat frɔm dat, dɛn kin du ɛkstrem rayt ɔ CT skan na di chɛst fɔ chɛk if i gɛt infekshɔn na in lɔng.Yu kin du am.

Yu tink se dɛn kin mɛn Nocardiosis?

Yɛs, dis na sik we pɔsin kin mɛn, bɔt dɛn nid fɔ no am kwik ɛn trit am fayn.

Di men tritmɛnt na antibayɔtik . Di dɔktɔ kin gi yu wan ɔ mɔ antibayɔtik dipen pan aw di sik bad ɛn di kayn baktri.

Di tin we impɔtant pas ɔl na fɔ tek dɛn antibayɔtik ya fɔ di ful kɔs fɔ tritmɛnt, lɛk aw yu dɔktɔ tɛl yu. Bɔku tɛm, yu kin gɛt fɔ tek dɛn mɛrɛsin ya fɔ lɔng tɛm, lɛk 6 to 12 mɔnt . Sɔm pipul dɛn, mɔ di wan dɛn we nɔ gɛt bɛtɛ wɛlbɔdi, kin gɛt fɔ tek di mɛrɛsin fɔ pas wan ia. Ilɛksɛf yu sik dɔn stɔp, nɔ stɔp fɔ tek di mɛrɛsin te yu dɔktɔ tɛl yu fɔ tek am. If nɔto dat, if yu stɔp af-af, di sik kin kam bak.

Sɔntɛnde, if i nɔ izi fɔ blo, dɛn kin gi ɔda ɔksijɛn ɔ dɛn kin kɔnɛkt ventilator . If yu sik bad bad wan, yu kin nid fɔ de na ɔspitul fɔ gɛt tritmɛnt.

Somtin abaut di death rate...

Dis kin tan lɛk se yu de mek yu fred, bɔt i impɔtant fɔ no. Sɔm stεdi dεm sho se di mכtalman rεt fכ nocardiosis de bitwin 15% εn 40% . insay sɔm kayn we dεm (e.g., pipul dεm we gεt rili wik imyun sistεm, pipul dεm we gεt bren infεkshכn), dis nכmba kin ivin hכy. Bɔt dis kin dipen pan bɔku tin dɛn lɛk aw di sik kin tranga, aw di sik kin kam, ɛn aw di pɔsin in bɔdi de fɛt di sik. So, fɔ no am kwik kwik wan ɛn fɔ trit am na di men tin.

Ustɛm yu fɔ go to dɔktɔ?

If yu gɛt ɛni sayn we yu tink se kin bi sayn fɔ nocardiosis, go to dɔktɔ ɛn nɔ de te. Dis impɔtant mɔ if yu de na wan pan di risk grup dɛm we wi dɔn tɔk bɔt (e.g., pipul dɛm we gɛt ɔgan transplant, imyunosuprɛsant, ɔ pipul dɛm we gɛt dayabitis).

Sɔm kwɛstyɔn dɛn we yu kin aks yu dɔktɔ:

• Wetin na sɔm tin dɛn we a kin du ɛvride fɔ kia fɔ misɛf?
• Us sayn dɛn a fɔ luk fɔ?
• Ustɛm yu fɔ go na di imejensi rum?
• Ustɛm a fɔ kam bak fɔ ɔda chɛk-ap?
• Aw a go yuz dis mɛrɛsin ɛksaktɔli?

Ustɛm yu fɔ go na di Imejɛnsi Tritmɛnt Yunit (ETU) ?

If yu gɛt ɛni wan pan dɛn siriɔs sayn ya , go na imejensi rum wantɛm wantɛm:

• Bɔrku pen na yu chɛst
• I nɔ kin izi fɔ yu fɔ blo bad bad wan
• Kɔnfyushɔn ɔ lɔs pan kɔnshɛns
• Di sayn dɛm wae de sho se yu gɛt ɛpilepshi (we yu de fil lɛk yu sik) .
• Wund we nɔ de wɛl ɛn i de big ɛn big
• Big big blista ɔ blista we de sho rɛd, brawn, dak grɛn, ɔ blak na di skin
• Wan wata we de smɛl fayn de kɔmɔt na di blista dɛn

Aw fɔ protɛkt yusɛf frɔm Nocardiosis?

Pan ɔl we wi nɔ go ebul fɔ avɔyd dis kpatakpata, tin dɛn de we wi kin du fɔ ridyus di prɔblɛm:

• If yu de wok wit dɔti ɔ dɔst (e.g. fɔ mek gadin, fɔ wok na fam), wɛr glɔv ɛn mask. Dis impɔtant mɔ fɔ pipul dɛn we gɛt wikɛd imyun sistɛm.
• Wear klos we de kɔba di skin as yu ebul fɔ mek yu nɔ kɔt ɔ wund, mɔ we yu de wok na do.
• Kip ɛni wund we yu kɔt ɔ opin na di skin klin ɛn kɔba am (puwe mɛrɛsin ɛn put bandej).
• Was yu an ɔltɛm, mɔ afta yu dɔn kɔmɔt na do ɔ yu dɔn wok wit dɔti.
• If yu gɛt wund, trit am wantɛm wantɛm. Wash am fayn wit sop ɛn wata, ɛn kɔba am. If di wund rili dip, if di blɔd nɔ stɔp, ɔ if dɔti ɔ ɔda dɔti tin dɛn dɔn stɔp insay di wund ɛn dɛn nɔ ebul fɔ pul am, go to dɔktɔ wantɛm wantɛm.

Fɔ di wan dɛn we dɛn transplant, sɔntɛnde dɔktɔ dɛn kin gi dɛn antibayɔtik bifo tɛm fɔ mek dɛn nɔ gɛt dɛn kayn sik ya. Tɔk to yu dɔktɔ bɔt dis.

Fɔ dɔn, wetin fɔ mɛmba (Take-Home Message) .

Nocardiosis na wan sik we nɔ kin apin so ɔltɛm, bɔt sɔntɛnde i kin kil pɔsin. I impɔtant fɔ tɔk to yu dɔktɔ bɔt di bɛst we fɔ protɛkt yusɛf frɔm dis infekshɔn, mɔ if yu imyun sistɛm wik ɔ yu de kam fɔ gɛt ɔgan transplant.

Dɔn bak, if yu gɛt di sik, rɛdi fɔ no am kwik ɛn go to tritmɛnt kwik kwik wan. Di mɔ we dɛn no di sik kwik kwik wan, na di mɔ i go bi se di tritmɛnt go wok fayn. Lɛ wi nɔ panik, tek tɛm, ɛn tray fɔ gɛt wɛlbɔdi!

` Nocardiosis, Baktri infεkshכn, Sik dεm we de kכmכt na di grכn, Imyunoloji, Skin infεkshכn, Lכng infεkshכn