Dis strenj baktri de afɛkt yu lɔng dɛn bak? (NTM Lung Disease) Lɛ wi tɔk ditayli!

Yu dɔn ɛva yɛri bɔt wan kayn baktri we dɛn kɔl `Nontuberculous Mycobacteria` (NTM) we kin mek pɔsin gɛt lɔng sik? Dis nɔ kin apin smɔl, we min se nɔto sik we ɔlman kin gɛt. Fɔ tɔk am simpul wan, dis sik we dɛn kɔl NTM lכng sik kin apin we dεn jεm dεm we dεn kכl NTM de kam insay wi lכng εn mek infεkshכn de. Sɔntɛm dis nem na nyu tin to yu smɔl, bɔt nɔ wɔri, wi go tɔk bɔt dis ditayli tide, insay Sinhala we yu go ɔndastand.

Wetin na dis NTM lɔng sik? Yu tink se difrɛn kayn dɛn de?

Okay, naw lɛ wi si wetin na dis NTM lɔng sik, ɛn if difrɛn kayn am de. Dis na infεkshכn we de afekt di lכng dεm nכmכ. Wi si tu men kayn dis:

1. Nodular bronchiectasis: Dis na di kayn sik we kin kam pas ɔl ɛn i nɔ kin tu . spεshal wan, na kכndyushכn we sכm sכm nכdul dεm (sכm sכm sכm sכm sכm sכm sכm dεm) de divεlכp na di lכng dεm, we de mek di brכnki dεm de wayd (bronchiectasis). Dis kכndyushכn kin kכmכn mכr pan uman dεm we dεn kכl mεnopos (i.e., dεn wan dεm we dεn stכp mεnstral) εn dεn wan dεm we nכ de smok . Pan ɔl we i nɔ at, i kin mek prɔblɛm if dɛn nɔ trit am.

2. Cavitary NTM lung disease: Dis na wan kayn sik we de mek yu sik pasmak pas di kayn we aw i bin de bifo. I kin bi we yu kin gɛt smɔl smɔl kaviti ɔ ol dɛn na yu lɔng tisu. Tink bɔt am lɛk smɔl smɔl say dɛn we ol na yu lɔng. As dis de kɔntinyu, i kin at fɔ blo ɛn i kin mek i nɔ ebul fɔ blo fayn . Dis kayn tin kin apin mɔ pan pipul dɛn we de smok, di wan dɛn we dɔn smok fɔ lɔng tɛm, ɔ di wan dɛn we gɛt ɔda sik dɛn na dɛn lɔng lɛk ɛmfisɛma .

So wetin na dis NTM?

Naw yu kin de wɔnda us kayn baktri NTM na. `Nontuberculous mycobacteria` (NTM) na wan famili fכ baktri dεm we de gro sloslo, we min se dεn nכ de mכltiply εn gro kwik. I sɔprayz fɔ no se dɛn de ɔlsay na wi envayrɔmɛnt. Fɔ ɛgzampul, dɛn baktri ya kin de na grɔn, wata (riva, strim, ivin tap wata), ɛn dɔst . So, i nɔ pɔsibul fɔ lɛ wi fri frɔm dɛn atɔl.

Wan ɔda spɛshal tin bɔt dɛn NTM baktri ya na dat dɛn nɔ ebul fɔ tek di kɔmɔn disinfɛktant dɛn . pan tap dat, dεn NTM baktri dεm ya gεt wan amazing abiliti fכ bia hכy tεmprachכ we go kil כda kayn baktri dεm. Dis min se dɛn nɔ de day ilɛksɛf yu jɔs was dɛn na ɔt wata.

Tu men tin dɛn de sho aw dis infɛkshɔn siriɔs, di tritmɛnt we dɛn gi am, ɛn aw pɔsin kin wɛl. Wan pan dɛn na, .Wetin na di kayn baktri (`strain`) we de mek di sik? כda wan na if di sik na di wan we wi bin dכn tכk bכt `nodular bronchiectatic` כ `cavitary` . Pan ɔl we bɔku kayn baktri dɛn de na di NTM famili, sɔm men kayn dɛn de we kin mek mɔtalman gɛt lɔng infɛkshɔn:

• Mycobacterium avium complex (MAC): Na kɔntri dɛm lɛk Amɛrika, bɔku tɛm na dis grup ɔf baktri dɛm kin mek dɛn gɛt NTM lɔng sik.
• Mycobacterium abscessus: Dis na bak wan kayn we we kin rili bad ɛn we at fɔ trit.
• `Mycobacterium kansasii`: Dis na ɔda kayn we.

Udat kin gɛt NTM lɔng sik?

Nɔto ɔlman kin sik frɔm NTM baktri dɛm. Bɔt sɔm pipul dɛn kin gɛt dis sik, ɔr kin gɛt bɔrku risk . Dat min se, pipul dɛm wae gɛt sɔm kayn sik kin afɛkt. Na mɔtalman, if yu gɛt ɔda sik dɛn na yu lɔng, yu go gɛt NTM lɔng infɛkshɔn. Na sɔm tin dɛn we yu fɔ tink bɔt:

• Nyumonia we kin kam bak: Sɔm pipul dɛn kin gɛt infekshɔn na dɛn lɔng ɔltɛm. Dis na tru mɔ fɔ pipul dɛm wae gɛt sik lɛk `aspirate pneumonia`, usay tin dɛm wae wi de blo (lɛk it ɛn drink) kin go insay wi lɔng ɛn gɛt infɛkshɔn .
• Asma: Dis na tin bak we bɔku pipul dɛn kin gɛt. Asma de mek di aywe dɛm na di lכng dεm sεnsitiv, we de mek dεn sεnsitiv fכ NTM infεkshכn.
• Bronchiectasis: Dɛn se dis na di men tin we kin mek pɔsin gɛt NTM lɔng sik. insay dis, di brכnki ( airways) dεm na di lכng dεm de dilayt fכ tεm, i de big, εn dεn wכl dεm de wik. dis kin mek am izi fכ mכkus fכ stכp, we de mek gud envayroment fכ di baktri dεm fכ gro.
• Chronic obstructive pulmonary disease (COPD): Dis na krεse sik wae de kam pan pipul dεm wae de smok.
• Sistik fibrosis: Dis na sik we pɔsin kin gɛt we i kam pan jɛnɛtiks. I kin mek bak tik tik mכkus bכku na di lכng dεm, we kin mek yu gεt infεkshכn.
• Lכng kεnsar: Bikɔs di lכng dεm fכ pכsin we gεt lכng kansa wik, infεkshכn lεk NTM kin izi fכ kam.
• Tubakulɔsis (TB): Pipul dɛn we bin dɔn gɛt TB bifo ɛn we dɔn pwɛl dɛn lɔng, dɛnsɛf kin gɛt NTM.

Apat frɔm dat, if yu dɔn pas 65 ia , ɔ yu gɛt ɛni mɛrɛsin we de mek yu imyun sistɛm wik (e.g., human immunodeficiency virus (HIV) / AIDS , rεumatoid arthritis - wan sik we de mek yu jɔyn dɛn inflamɛns, .If yu gɛt Sjögren’s syndrome (we kin mek yu gɛt sayn dɛm lɛk dray yay ɛn mɔt), ɔ if yu tek mɛrɛsin dɛm wae de stɔp di imyun sistɛm (e.g., kemotɛrapi , inhaled kɔtikosterɔyd fɔ kɔndishɔn lɛk asma), yu kin gɛt mɔ risk bak fɔ gɛt NTM lɔng sik.

Wetin na di sayn dɛm fɔ NTM lɔng sik?

Okay, naw lɛ wi si us sayn dɛm de sho we dis NTM lɔng sik de kam. Di men sayn we dɛn kin si bɔku tɛm na we pɔsin kin kɔf . Dis kɔf nɔ jɔs tan lɛk di kɔf we kin kam wit kɔmɔn kol. I na:

• I kin tek lɔng tɛm . Dat min se i kin las fɔ sɔm wik ɔ mɔnt.
• Sɔntɛnde, we yu kɔf, yu kin ivin kam wit smɔl blɔd wit di mucus . dis dεn kכl am `εmכptaysis` insay mεdikal tεm dεm.
• De kɔf kin so bad dat yu nɔr kin ebul fɔ slip na nɛt. Yu kin wek wit kɔf we yu de slip.
• Tik tik mכkus kin kכmכt .

Apat frɔm dis kɔf, ɔda sayn dɛn kin apin. Nɔto ɔlman go gɛt ɔl dɛn sik ya, bɔt yu kin gɛt sɔm pan dɛn tin ya:

• Chɛst pen: Yu kin fil pen na yu chɛst we yu de blo ɔ kɔf.
• Taya pasmak/taya: Nɔto jɔs taya, bɔt yu kin fil se yu nɔ ebul fɔ du ɛnitin ilɛk wetin yu du.
• Anorexia: I nɔ kin want fɔ it igen.
• Lɔw-grɛd fiva wit malaise: Nɔto ay fiva, bɔt di bɔdi tɛmpracha de kɔntinyu fɔ ay.
• Nayt swet: Yu kin wek de swet ɔlsay na yu bɔdi we yu de slip.
• Infεkshכn dεm we yu kin gεt bכku tεm we yu de blo: Sik dεm we lεk nyumonia kin apin εvri fכ mכnt.
• I nɔ izi fɔ blo (dyspnea): I nɔ kin izi fɔ blo ivin if yu tray smɔl ɔ we yu de klaym stej.
• We yu nɔ ebul fɔ ɛksplen yu wet: Wantɛm wantɛm yu de lɔs yu wet we yu nɔ de it it.
• Wiz sawnd we yu de blo: Dɛn kin yɛri sawnd we yu de blo frɔm di chɛst.

Di tin we impɔtant pas ɔl na fɔ rili go to dɔktɔ fɔ advays if yu gɛt dɛn sik ya, mɔ we yu de kɔf ɔltɛm.

Yu tink se NTM lɔng sik kin pas?

Dis na kwɛstyɔn we bɔku pipul dɛn kin aks ɛn want fɔ no. infakt, di NTM baktri dεm nכ kin kכmכt frכm wan pכsin to כda wan. Dis min se if yu tɔk to pɔsin we gɛt NTM nyumonia ɔ drink frɔm kɔp we dɛn yuz, yu nɔ go gɛt am. So, dɛn kin gri naw se dis nɔto sik we pɔsin kin gɛt .

Bɔt, wan tin de. pan pipul dεm we gεt di jεnεtik sik ``cystic fibrosis``, sכm infεkshכn dεm (di risach dεm stil de invεstigat if dεn NTM infεkshכn dεm ya de pan dεm bak) dεn nכ kin sכmtεm sכmtεm. Bɔt pan di jenɛral pipul dɛn, no rizin nɔ de fɔ fred fɔ mek di NTM lɔng sik go skata.

Aw dɛn kin no di NTM lɔng sik kɔrɛkt wan?

As wi bin dɔn tɔk, fɔ no bɔt NTM lɔng sik kin tranga bikɔs di sayn dɛm we i kin gɛt nɔto spɛshal. Dat min se, dεn rili sכm lεk dεn wan dεm fכ כda, mכr kכmכn lכng sik dεm (e.g., nyumonia, TB, brכnkaytis).

Fɔ mek yu no if yu gɛt di sik, yu fɔ mit at le tri tin dɛn:

1. Prɛzɛns ɔf di simptom dɛm: Simptom dɛm lɛk di kɔf we wi bin dɔn tɔk bɔt ɛn i nɔ kin izi fɔ blo.

2. Chenj dεm na di chεst εks-ray כ CT skan: dεn tεst ya de luk fכ nodul dεm, kכva dεm, כ brכnkiεktasis na di lכng dεm.

3. Growth of NTM bacteria in a sputum sample: Dɛn kin tek di sputum we yu kɔf (we kin miks wit saliva) ɛn tɛst am na lɛbɔraytri fɔ si if NTM baktri de ɛn gro insay.

If yu gɛt infɛkshɔn, fɔ no ustɛm di NTM baktri dɛm de mek yu gɛt am, impɔtant fɔ tritmɛnt.

Sɔm pan di tɛst dɛn we dɛn kin du fɔ dis na:

• Fɔ chɛk yu bɔdi: Di ​​dɔktɔ go aks yu bɔt di sik dɛn we yu gɛt ɛn lisin to yu chɛst wit stetɔskɔp.
• Imej stכdi dεm: Chεst εks-ray כ CT skan fכ ases chenj dεm na di lכng tisu. CT skan kin mek yu si klia wan pas ɛkstrem rayt.
• Sputum culture: Dis na di test we impɔtant pas ɔl. Fɔs tin na mɔnin, bifo yu brus yu tit, yu go nid fɔ kɔf bɔku bɔku sputum ɛn put am insay spɛshal bɔtul. Fɔ mek di tɛst kɔrɛkt mɔ, yu go nid fɔ gi di sampul fɔ sɔm dez (bɔku tɛm fɔ at le tri dez). Sɔntɛnde, if yu nɔ ebul fɔ kɔf di sputum fayn, yu dɔktɔ kin tek wan sɛmpul frɔm di smɔl smɔl say dɛn we yu de blo na yu lɔng dɛn bay we i yuz wan tin we dɛn kɔl brɔnkoskɔpi . Dɔn di spɛshal pɔsin go chɛk di sampul ɔnda maykroskɔp ɛn kɔlchɔ di baktri dɛm.
• Lɔng bayɔpsi: Dɛn nɔ kin du dis fɔ ɔlman. If dɛn nɔ ebul fɔ no klia wan frɔm di sputum tɛst ɔ ɔda tɛst dɛn, ɔ if dɛn tink se ɔda sik de, dɛn kin pul wan smɔl tisu na di lɔng ɛn chɛk am.

Wetin ɔda tin yu nid fɔ no bɔt NTM tɛst?

Wan ɔda impɔtant tin de fɔ no bɔt NTM tɛst. Bɔrku pipul dɛn kin gɛt dis sik fɔ lɔng lɔng tɛm bifo dɛn no se dɛn gɛt dis sik.Dis NTM lכng sik kin de. Bikɔs de sik kin kam smɔl smɔl, sɔm pipul dɛn nɔ kin pe atɛnshɔn to am. Di lɔng we yu gɛt dis sik, na di mɔ yu lɔng dɛn de pwɛl ɛn na di mɔ yu go gɛt prɔblɛm dɛn.

If dɛn dɔn ɔlrɛdi de trit yu fɔ ɔda lɔŋ kɔndishɔn (e.g. asma, COPD), bɔt yu simptom dɛm (lɛk kɔf, shɔt briz) de wɔs, yu kin bɛnifit if dɛn tɛst yu fɔ NTM infɛkshɔn. Mek shɔ se yu tɛl yu dɔktɔ bɔt dis.

Di bɛst kia fɔ dis sik kin kɔmɔt frɔm dɔktɔ dɛn we gɛt spɛshal no ɛn ɛkspiriɛns pan dis sik. Fɔ ɛgzampul , dɔktɔ dɛn we de mɛn pipul dɛn we de mɛn dɛn pulmon ɛn dɔktɔ dɛn we de mɛn pipul dɛn we gɛt sik dɛn we kin pas .

Aw dɛn kin trit NTM lɔng sik?

Okay, naw lɛ wi tɔk bɔt di tritmɛnt fɔ dis. De tritmɛnt wae fayn fɔ yu kin dipen pan sɔm tin dɛm. Dɛn tin ya na di kayn NTM baktri dɛm we de mek yu gɛt di sik, us kayn NTM lɔng sik yu gɛt (nodular bronchiectatic ɔ cavitary) , ɛn yu ɔl yu wɛlbɔdi istri ɛn yu wɛlbɔdi stetmɛnt naw .

Bɔku tɛm, di men tritmɛnt fɔ dis na antibayɔtik . Bɔt dis nɔto jɔs mɛrɛsin we yu kin tek fɔ sɛvin ɔ et dez ɛn yu kin stɔp. Dɛn fɔ tek dɛn antibayɔtik ya ɔltɛm fɔ sɔm mɔnt, sɔntɛnde fɔ wan ia ɔ ivin lɔng pas dat . Bɔku tɛm, nɔto jɔs wan antibayɔtik, bɔt tu ɔ tri kayn antibayɔtik dɛn we dɛn fɔ tek togɛda .

If di sik bad bad wan, we min se di lɔng dɛn dɔn pwɛl bad bad wan ɛn dɛn dɔn mek kaviti, sɔntɛnde dɛn kin nid fɔ du ɔpreshɔn fɔ pul di lɔng tisu we gɛt di sik. Bɔt, dɛn nɔ kin du dis fɔ ɔlman. If antibayɔtik nɔ de kɔntrol yu sik fayn, ɔ if yu nɔ ebul fɔ bia wit di bad tin dɛn we antibayɔtik de du, dɔktɔ dɛn go tink bɔt fɔ du ɔpreshɔn. Pipul dεm we gεt Mycobacterium avium complex (MAC) infεkshכn kin blכd sכmtεm na dεn lכng bikoz fכ dis infεkshכn. If dɛn kayn tin ya apin, dɛn kin nid fɔ du ɔpreshɔn fɔ stɔp di blɔd.

Ɛni sayd ɛfɛkt de we NTM tritmɛnt kin gɛt?

Yɛs, dis na impɔtant kwɛstyɔn bak. If yu tek antibayɔtik fɔ lɔng tɛm, dat na fɔ sɔm mɔnt, dat kin mek yu gɛt sɔm bad bad tin dɛn . Di sayd ɛfɛkt dɛm we kin apin pas ɔl na:

• Vɔmit ɛn nɔs
• Dayarɛa (bɛlɛ de at) .
• Fil fɔ it
• Bɛlɛ de at

Apat frɔm dat, sɔm antibayɔtiks (nɔto ɔl) kin mek yu yɛri chenj (lɛk we yu nɔ de yɛri fayn), yu nɔ de si fayn (lɛk yu nɔ de si fayn), yu liva pwɛl, ɛn yu skin kin gɛt rɔsh.Tin dɛn lɛk dat nɔ kin apin so ɔltɛm.

Nɔ wɔri! Yu dɔktɔ go tɛl yu bɔt dɛn sayd ɛfɛkt ya. Dɔn bak, we dɛn de trit yu, dɛn go du yu blɔd tɛst, yu yay tɛst, ɛn yu yɛri tɛst ɔltɛm fɔ wach fɔ dɛn sayd ɛfɛkt ya.

Dɛn prɔblɛm ya kin mek i nɔ izi fɔ du di tin dɛn we pɔsin kin du ɛvride. Bɔt if i nɔ izi fɔ yu fɔ kɔntinyu fɔ gɛt di tritmɛnt, mek shɔ se yu tɛl yu dɔktɔ. Yu dɔktɔ kin ebul fɔ chenj di doz, gi yu ɔda mɛrɛsin, ɔ yuz ɔda we fɔ kɔntrol di sayd ɛfɛkt dɛn. Nɔ ɛva stɔp fɔ tek antibayɔtik we yu nɔ tɔk to yu dɔktɔ. If yu du dat, dat kin mek di bɔdi nɔ ebul fɔ tek di mɛrɛsin, ɛn dis kin mek yu sik wɔs.

Yu tink se dɛn kin ebul fɔ avɔyd NTM lɔng sik?

As wi bin dɔn tɔk, i at fɔ avɔyd fɔ avɔyd fɔ gɛt NTM baktri dɛn kpatakpata bikɔs dɛn de ɔlsay na wi envayrɔmɛnt. Bɔt sɔm simpul tin dɛn de we yu kin du fɔ ridyus yu risk fɔ gɛt NTM lɔng infɛkshɔn:

• Praktis gud hajɛns: If yu was yu an fayn fayn wan wit sop ɛn wata ɔltɛm, dat kin ɛp fɔ kɔntrol di we aw di 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. I de ridyus di chans bak fɔ gɛt infɛkshɔn if yu gɛt di baktri.
• Gɛt di vaysin: I impɔtant fɔ gɛt di flu vaysin ɛvri ia ɛn di nyumonia vaysin lɛk aw yu dɔktɔ tɛl yu. Bikɔs if yu gɛt di flu ɔ nyumonia, fɔ wɛl frɔm NTM lɔng sik kin kɔmplikt ɛn yu lɔng kin wik pasmak.
• Lɛf fɔ smok ɛn tin dɛn we yu kin yuz fɔ smok ɔltogɛda: If yu yuz tabak, dat kin rili ambɔg yu lɔng. I kin rili inkrisayz di risk fɔ gɛt lɔng sik ɛn infɛkshɔn lɛk NTM. If yu na pɔsin we de smok, fɔ lɛf fɔ smok na di bɛst tin we yu go du fɔ yu lɔng. If yu nid ɛp fɔ du dis, tɔk to dɔktɔ.

Wetin na di fiuja fɔ pipul dɛm wae gɛt NTM lɔng sik?

Dis kin dipen mɔ pan di pɔsin in kɔndishɔn. כltu, bכku pipul dεm, spεshal wan dεm we gεt di `non-cavitary` (non-cavity, we min se nכ ol na di lכng) tכp sik, kin bכn kכmplit wan. Di chans fɔ mek yu wɛl ɛn di kwik we aw yu go wɛl dipen pan tin dɛn lɛk:

• di kayn NTM lכng sik we yu gεt (e.g., nodular bronchiectasis כ cavitary?).
• Wetin na di strayn fɔ di NTM baktri dɛm we mek di infɛkshɔn? (Sɔm strayn dɛn kin ansa bɛtɛ we dɛn trit dɛn pas ɔda wan dɛn.)
• Yu ɔl yu wɛl bɔdi histri (lɛk ɔda sik dɛm, imyun sistɛm, ɛn ɔda tin dɛm).
• If yu kin telɛ fɔ lɔng tɛm antibayɔtik tritmɛnt (prɔblɛm if yu fɔ stɔp di mɛrɛsin bikɔs ɔf di sayd ɛfɛkt dɛm).
• Yu go gɛt bak di kɔrɛkt antibayɔtik mɛrɛsin, we fit fɔ yu sik ɛn di kayn baktri dɛm.
• If yu gɛt bronchiectasis, yu ebul ɛn rɛdi fɔ du tritmɛnt fɔ klia di we aw yu de blo (lɛk fɔ du ɛksɛsayz fɔ klin di mכkus) impɔtant.

Impɔtant: Ivin if di tritmɛnt dɔn wok fayn, sɔm pipul dɛn kin gɛt wan ɔ mɔr fɔ gɛt NTM lɔng sik bak . So, e fayn fɔ no bɔt de sik ɛn fala wetin yu dɔktɔ tɛl yu fɔ du.

Wetin impɔtant we yu de liv wit NTM lɔng sik?

Fɔ liv wit lכng infεkshכn we NTM baktri dεm kכz kin bi sכmtεm i kin tranga smɔl. Bɔt sɔm simpul tin dɛn de we yu kin du fɔ ɛp yu fɔ gɛt wɛlbɔdi ɛn fɔ fil fayn as yu ebul:

• Avɔyd mɔstɔ ɛn stim: NTM baktri dɛn kin gro fayn fayn wan na say dɛn we wet. So, nɔ yuz ɔt tub, spa, ɛn sawna as yu ebul. If yu de na di kichin ɔ batrum, if stim bɔku, opin wan `ventilashɔn fan` / `ɛkzoz fan`. We yu de shawa, nɔ lɛf di wata fɔ rɔn tumɔs ɛn ful-ɔp di bafa wit stim.
• It di it we gɛt fayn fayn tin dɛn: If yu kip di it we yu de it balans ɛn gɛt fayn fayn tin dɛn, dat go gi yu bɔdi di trɛnk ɛn di tin dɛn we i nid fɔ fɛt infɛkshɔn. Put bɔku prɔtin (fish, mit, eg, milk, nɛt), wata (wata, sup, frut jus), ɛn vɛjitebul ɛn frut dɛn na yu it.
• Du ɛksɛsayz we yu dɔktɔ tɛl yu fɔ du: Simpul tin dɛn we yu kin du fɔ yu bɔdi (lɛk fɔ waka) kin mek yu lɔng dɛn nɔ gɛt bɔku bɔku wata ɛn mek i izi fɔ yu fɔ kɔf. Dɛn kin ɛp bak fɔ mek yu gɛt mɔ trɛnk ɛn fɔ bia. Bɔt aks yu dɔktɔ ɔ pɔsin we de mɛn yu bɔdi bɔt di ɛksesaiz dɛn we fayn fɔ yu.
• Wear fes mask if nid de: Bikɔs NTM baktri kin liv na dɔst ɛn grɔn, fɔ wɛr fes mask we yu de go na say dɛn lɛk nyu lawn we dɛn dɔn kɔt, nyu land skay, fam, ɛn dɔti ɛnvayrɔmɛnt kin ɛp fɔ stɔp di kɔntinyu fɔ gɛt NTM to sɔm mak.

Mek wi tek dis mɛsej go na os.

Okay, so wi don tok plenti boht NTM lung sik. Fɔ dɔn, na sɔm pan di impɔtant tin dɛn we yu fɔ mɛmba:

NTM lכng sik na lכng infεkshכn we wan kayn baktri (`Nontuberculous Mycobacteria`) we de gro sloslo na wi envayroment, lεk grכn εn wata. Pipul dεm wae gεt כda lכng sik dεm (especially `Bronchiectasis`) εn dεn wan dεm wae gεt wik imyun sistεm kin gεt dis kכndyushכn.

I kin tranga fɔ no ɛn trit am, bikɔs di sayn dɛm kin tan lɛk ɔda sik dɛm na di lɔng ɛn di tritmɛnt kin tek lɔng tɛm. Bɔt,Bɔrku pipul kin wɛl wɛl wit di rayt mɛrɛsin ɛn advays.

If yu gɛt dis sik, ɔ if yu tink se yu de pan denja fɔ gɛt am, fɔ avɔyd fɔ mek di ples wam, fɔ mek yu gɛt gud hajɛns, ɛn if nid de, fɔ wɛr fes mask we yu de go na do na say dɛn we gɛt dɔti kin rili ɛp yu.

Di tin we impɔtant pas ɔl na dat, if yu gɛt sɔm sayn dɛn lɛk fɔ kɔf ɔltɛm, blɔd we de kɔmɔt na yu bɔdi, yu nɔ de blo fayn, ɔ yu de lɔs yu wet we yu nɔ ebul fɔ ɛksplen, nɔ jɔs dismis am as sɔntin we yu nɔ no, bɔt go to kwalifay dɔktɔ wantɛm wantɛm fɔ advays. Nɔr wɔri, if yu no bɔt dis sik fayn fayn wan ɛn trit yu fayn, yu kin kɔntrol dis sik fayn fayn wan. Nɔto yu wan de, ɛn dɔktɔ dɛn de fɔ ɛp yu.

` NTM lכng sik, Nɔn-tuberculous mycobacteria, lכng infεkshכn, baktri, rεspiretכri sik, kכf, antibaytik