Wi ɔl kin yɛri bɔt baktriyal infɛkshɔn ɔltɛm. Bɔt sɔm kayn baktri de wae wi nɔr kin tɔk bɔt bɔrku, bɔt kin kam wit sɔm kayn wɛl bɔdi prɔblɛm, mɔr lɛk fɔ pipul dɛm wae gɛt wik imyun sistɛm. Tide, wi go tɔk bɔt wan grup ɔf baktri dɛm we nɔmal fɔ liv na di envayrɔmɛnt, bɔt sɔmtɛm dɛn kin go insay wi bɔdi ɛn mek wi gɛt infɛkshɔn.
Wetin na dis NTM?
Fɔ tɔk am simpul wan, NTM na abbrevieshɔn fɔ Nontuberculous Mycobacteria . Dis na wan grup we gɛt bɔku bɔku bɔdi. Yu go dɔn yɛri bɔt TB ɛn lɛprɔsi. NTM na wan grup we gɛt maykobakteria we gɛt fɔ du wit di baktri dɛm we de mek dɛn sik dɛn de, bɔt dɛn nɔ de mek dɛn tu sik dɛn de.
Dɛn baktri ya kin de ɔlmost ɛnisay na di envayrɔmɛnt. Dɛn kin liv mɔ na grɔn, dɔst, ɛn wata. Bɔku tɛm, ivin if dɛn bɔdi ya go insay wi bɔdi, wi nɔ go sik. Bɔt sɔm pipul dɛn, mɔ di wan dɛn we nɔ gɛt bɛtɛ wɛlbɔdi, kin gɛt di sik.
Us pat na di bɔdi we NTM infɛkshɔn kin afɛkt?
- Lכng: Di kayn infεkshכn we kin kכmכn pas כl na di lכng infεkshכn.
- Blɔd
- Bon (fɔ shɔt, bon) .
- Limf no dɛm (we de swel) .
- Skin ɛn sɔft tisu
Bɔku tɛm, pɔsin we gɛt wɛlbɔdi ɛn we gɛt gud imyun sistɛm nɔ kin gɛt infɛkshɔn na do na in lɔng. Bɔt pan pɔsin we gɛt wik imyun sistɛm, dis infεkshɔn kin skata (diseminated) ɔlsay na di bɔdi.
Wetin na di sayn dɛm fɔ NTM infɛkshɔn?
Bɔku kɔmɔn simptom dɛn de fɔ NTM infɛkshɔn. Bɔt bikɔs dɛn kin si dɛn sayn ya bak pan bɔku ɔda sik dɛn, if dɛn simptom ya de nɔmɔ nɔ kin sho se yu gɛt NTM infɛkshɔn.
Di tin dɛn we dɛn kin du na:
- Fiva de kam on
- Taya
- We yu de lɔs yu wet
- Di limf no dɛm we dɔn swel
Apat frɔm dɛn kɔmɔn sayn ya, ɔda patikyula sayn dɛn kin apin bak dipen pan usay di infekshɔn de. Lɛ wi tek wan luk pan wetin dɛn bi.
| Sayt we di sik de | Spɛshal sayn dɛm wae yu kin si |
|---|---|
| Kanda | Pen, rɛd, swel, sɔri ɔ ɔlsa, rash. |
| Bɔn ɛn jɔyn dɛn (Musculoskeletal) . | Joint pen ɛn joyn stiffness. |
| Lɔng | Kɔf (sɔntɛnde wit blɔd na di mכkus), i nɔ kin izi fɔ blo. |
Aw dis NTM infεkshכn kin apin?
As wi bin dɔn tɔk, dis baktri de na di say we wi de, so difrɛn we dɛn de we wi kin mek i go insay wi bɔdi.
- Tru wata: Na bay we yu drink, was, ɔ shawa wata we gɛt NTM baktri.
- Bay we yu de blo: Na bay we yu de blo baktri dɛn we de na di say we yu de. Dis risk kin pasmak fɔ pɔrsin wae dɔn ɔlrɛdi gɛt lɔng sik.
- Tru mεdikal divays dεm: Tru sכm mεdikal divays dεm we dεn put insay di bכdi (fכ egzampl, tכb dεm lεk wan sεntri venus layn) כ instrכmεnt dεm fכ כpכt.
- Tru nidul: Tru dɔti nidul dɛn we dɛn kin yuz fɔ injekt drɔgs, injekt drɔgs, ɔ fɔ gɛt tatu.
De impɔtant tin na dat e kin tek lɔng tɛm fɔ mek dɛn bɔdi ya kam insay di bɔdi ɛn mek yu gɛt sɔm kayn sik. So, e kin tranga fɔ no ustɛm ɛn aw yu gɛt di sik.
Dis kin pas frɔm pɔsin to ɔda pɔsin?
Nɔ, NTM infɛkshɔn nɔ kin pas frɔm wan pɔsin to ɔda pɔsin. So, dɛn nɔ kin tek am se na sik we pɔsin kin pas.
Udat dɛn de pan denja pas ɔlman?
Pan ɔl we dis baktri de ɔlsay na wi, nɔto ɔl wi kin sik. Bɔt sɔm pipul dɛn kin gɛt dis sik pasmak.
| Risk factor | Tɔk bɔt |
|---|---|
| Di imyun sistɛm we wik | If yu gɛt HIV, kansa, ɔ ɔda sik we de mek yu imyun sistɛm wik. |
| Drug dɛn we de mek di bɔdi nɔ ebul fɔ fɛt di sik | If yu de tek mɛrɛsin dɛn we de mek yu nɔ gɛt bɛtɛ wɛlbɔdi. |
| Di sik we bin dɔn de bifo na di lɔng | If yu gɛt sik dɛn na yu lɔng lɛk sistik fibrosis, bronchiectasis, asma ɔ ɛmfisema. |
| Divays dɛn we dɛn kin put insay di bɔdi | if yu gεt tכb dεm na yu bכdi (e.g. sεntri venus layn, brith tכb, fכd tכb). |
apat frכm dat, uman dεm we gεt lכw bכdi mas indeks (BMI) εn כda hεlth kכndyushכn dεm lεk GERD (acid rεfluks sik) εn sכlכsis kin gεt bכku risk fכ gεt pulmonari NTM infεkshכn.
Aw yu go fɛn dis, Dɔktɔ?
Bikɔs di sayn dɛm fɔ NTM infɛkshɔn tan lɛk ɔda sik dɛm, dɛn nid fɔ du bɔku tɛst fɔ no am kɔrɛkt wan. Di dɔktɔ go fala dɛn tin ya:
1. Fɔ aks bɔt yu sik: Wi go lisin gud gud wan fɔ no bɔt aw yu nɔr de fil fayn.
2. Fɔ chɛk yu wɛl bɔdi istri: Fɔ aks bɔt ɔda sik dɛn we yu gɛt ɛn di mɛrɛsin dɛn we yu de tek.
3. Nɔ gɛt ɔda sik dɛn: Mek shɔ se yu nɔ gɛt ɔda kɔmɔn infɛkshɔn ɔ mɛrɛsin kɔndishɔn.
4. spεshal tεst dεm: dεn kin sεnd bכdi, tisu sεmpl, כ sputum sεmpl fכ lεbכtכri tεst (`kכlt`) fכ luk fכ NTM baktri dεm.
Test dɛn fɔ no if pɔsin gɛt di sik
- X-ray na di chɛst
- CT skan we dɛn kin du
- Bronchoscopy: Na we dɛn kin pas wan smɔl tiub we gɛt kamɛra insay di lɔng dɛn fɔ mek dɛn chɛk am.
- Bayopsi: Fɔ tek smɔl pat pan di tisu frɔm di say we di sik gɛt fɔ mek dɛn chɛk am.
- Acid-fast bacilli test: Fɔ no di maykobakteria na sputum, blɔd, ɔ tisu sɛmpul.
Di wangren we fɔ no if yu gɛt NTM infɛkshɔn na fɔ go to dɔktɔ ɛn du di tɛst dɛn we yu nid. Yu nɔ go ebul fɔ disayd dis fɔ yusɛf.
Wetin na di tritmɛnt dɛm fɔ dis?
Fɔ trit NTM infɛkshɔn na tin we kin tek lɔng tɛm. Dɔktɔ dɛn kin gi tu ɔ tri kayn antibayɔtik dɛn we dɛn jɔyn togɛda . Dɛn mɛrɛsin ya kin nid fɔ tek fɔ lɛk 12 mɔnt fɔ mek di infekshɔn klin ɔltogɛda.
Sɔntɛnde, dɛn kin nid fɔ du ɔpreshɔn fɔ pul di tisu we dɔn pwɛl. Fɔ di lɔng infɛkshɔn, dɛn kin advays bak fɔ du ɛksɛsayz fɔ blo ɛn tritmɛnt fɔ ɛp fɔ mek yu klin di mכkus.
Ɛni bad tin de we di tritmɛnt kin du?
Yɛs. If yu tek antibayɔtik fɔ lɔng tɛm, dat kin mek yu gɛt sɔm bad bad tin dɛn. So, if yu si ɛnitin we nɔ kɔmɔn we yu de tek di mɛrɛsin, yu fɔ tɛl yu dɔktɔ wantɛm wantɛm.
Sɔm bad tin dɛn we kin apin:
- I nɔ de yɛri fayn
- Vishɔn kin chenj
- di at ritm abnכmaliti dεm (`Lכng QT sεndrכm`) .
- Liva ɔ kidni dɔn pwɛl
Ustɛm yu fɔ go to dɔktɔ?
If yu gɛt prɔblɛm wit yu lɔng, yu bɔdi nɔ gɛt bɛtɛ wɛlbɔdi, yu dɔn gɛt ɔpreshɔn, ɔ yu dɔn put mɛrɛsin insay yu bɔdi, aks yu dɔktɔ bɔt di sayn dɛn we pɔsin kin gɛt we i gɛt di sik. If yu gɛt ɛni sayn we yu nɔ biliv, nɔ de te fɔ go to dɔktɔ.
Ustɛm yu fɔ go na di Imejɛnsi Tritmɛnt Yunit (ETU)?
If yu gɛt ɛni wan pan dɛn bad bad sayn ya, go to ɔspitul in Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm.
| Di sik we de sho se yu gɛt siriɔs sik | Tɔk bɔt |
|---|---|
| Ay fiva | If di fiva pas 40 digri sɛlshiɔs (103 Fahrenheit). |
| I nɔ kin izi fɔ yu fɔ blo bad bad wan | If i tu at fɔ blo. |
| Chɛst de pen | If yu gɛt siriɔs pen na yu chɛst. |
| Kɔnfyus | If yu gɛt mɛmori laps, we yu nɔ mɛmba ples ɔ tɛm. |
| Infεkshכn pan wan wund | If di say we dɛn du ɔpreshɔn ɔ wund rɛd, swel, i de fil pen, ɔ i nɔ de wɛl. |
Aw a go protɛkt misɛf frɔm dis infɛkshɔn?
If yu gɛt lɔng kɔndishɔn ɔ yu imyun sistɛm wik, yu kin ridyus yu risk bay we yu avɔyd ples dɛn usay NTM baktri dɛn kin bɔku.
- Nɔ yuz ɔt tub: mɔ di wan dɛn we de insay os, we dɛn lɔk.
- Nɔ yuz kol mist spɛya: Nɔ yuz spɛya we de mek fayn fayn drɔp dɛn we pɔsin kin blo.
- Tek tɛm we yu de wok wit dɔti: Wear fes mask ɛn glɔv, mɔ we yu de wok wit dɔti fɔ pɔt.
- Nɔ gɛt tatu: Risk de fɔ mek yu gɛt di sik if yu yuz dɔti tin dɛn.
NTM infεkshכn na wan kכndyushכn we nכ kin apin. Bɔt if yu gɛt wan, di diagnosis ɛn tritmɛnt prɔses kin tek tɛm. So i impɔtant fɔ peshɛnt. Tek yu mɛrɛsin lɛk aw yu dɔktɔ tɛl yu, fɔ di ful tɛm. Tɛl yu dɔktɔ bɔt ɛni prɔblɛm we yu gɛt we yu de trit yu.
Mɛsej we dɛn kin kɛr go na os
- NTM na wan kayn maykobakteria we nɔ de mek pɔsin gɛt TB ɔ lɛprɔsi, bɔt i de liv na di say we i de (grɔn, wata).
- Dɛn infɛkshɔn ya nɔ kin pas frɔm wan pɔsin to ɔda pɔsin.
- Pipul wae gɛt wik imyun sistɛm ɛn di wan dɛm wae gɛt lɔng sik kin gɛt bɔrku risk fɔ gɛt NTM infɛkshɔn.
- Sɔm kayn sik lɛk fɔ kɔf, fiva, taya, ɛn fɔ lɛf fɔ it bɔku bɔku it kin apin, ɛn i impɔtant fɔ mek dɛn du dɔktɔ tɛst fɔ no di sik kɔrɛkt wan.
- Di tritmɛnt go nid fɔ tek antibayɔtik fɔ sɔm mɔnt, ɛn i rili impɔtant fɔ fala di advays we di dɔktɔ gi yu.
- If yu gɛt siriɔs sik, yu fɔ go na ɔspitul in Imejɛnsi Tritmɛnt Yunit (ETU) wantɛm wantɛm.
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