Wi fɔ lan bɔt di sik we dɛn kɔl lungwɔm (Paragonimiasis), we pɔsin kin gɛt we wi it raw krab ɛn krab we de na fresh wata?

yu laik foh it tin lek krab en wata krab? Ɛspɛshali na wi kɔntri, krab kari, krab ɔyl, ɛn spaysi it kin mek yu mɔt wata, nɔto so? Semweso, sɔm pipul dɛn lɛk tin dɛn bak lɛk krab pikɛl we dɛn raw ɔ we dɛn nɔ kuk fayn ɛn salad we dɛn mek wit vinega. Bɔt, yu no se wan denja parasayt de we kin go insay wi bɔdi tru dis fayn fayn it ɛn pwɛl wi lɔng, mɔ? Dɛn kɔl di sik we da parasayt de kam wit Paragonimiasis. Lɛ wi tɔk bɔt dis smɔl mɔ tide.

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

Fɔ tɔk am simpul wan, Paragonimiasis na parasayt infɛkshɔn we wan flatwɔm (we dɛn kin kɔl bak fluke) we kɔmɔt na di jɛnɛreshɔn Paragonimus kin kam wit. Yu kin gɛt am if yu it krab ɔ kresi raw, we nɔ kuk fayn, ɔ we dɛn pik.

dis `Paragonimus` parasayt kin afekt yu lכng dεm mכst . Bɔt sɔmtɛm dɛn wom ya kin travul go na yu skin (cutaneous paragonimiasis) ɔ yu bren (cerebral paragonimiasis) ɛn mek yu gɛt infɛkshɔn de bak. Wetin pas dat, di sayn dɛm fɔ dis infekshɔn – lɛk fɔ kɔf blɔd, pen na yu chɛst, ɛn fɔ lɔs yu wet – sɔmtɛm kin izi fɔ kɔnfyus wit TB (TB) ɔ lɔng kansa. Na dat mek i rili impɔtant fɔ gɛt kɔrɛkt diagnosis.

Usay dis parasayt (Paragonimus) kin bɔku pas ɔl?

Dɛn `Paragonimus` wom ya de na bɔku say dɛn na di wɔl. Dɛn ripɔt bak se dɛn de na sɔm say dɛn na Amɛrika ɛn Kanada. Bɔt dɛn kin ripɔt bɔku pan di wan dɛn we gɛt paragonimiasis frɔm sɔm kɔntri dɛn na Eshia, Afrika, ɛn Latin Amɛrika. So, i impɔtant fɔ no dis na di Eshian rijɔn usay wi de.

Wetin na di sayn dɛm fɔ Paragonimiasis?

Di sayn dɛm kin bigin fɔ sho bitwin tu ɛn et wik afta yu gɛt dis parasayt. Yu kin fɔs gɛt bɛlɛ at ɔ yu kin gɛt sɔm sayn dɛm fɔ digest. Dɔn, di sayn dɛn we de sho se di pɔsin in lɔng kin sho.

Na sɔm kɔmɔn sayn dɛn ya:

• Fiva.
• Chɛst de pen.
• Taya, taya.
• Kɔf: Dis kin bigin as dray kɔf, dɔn i kin tranga fɔ mek yu gɛt rɔsti kɔlɔ, ɔ ivin blɔd, blɔd .
• Fɔ lɔs yu wet we yu nɔ tray.
• Bɛlɛ we de at (dayarɛa).
• Bɛlɛ de pen.
• 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 smɔl smɔl smɔl smɔl smɔl smɔl. Dɛn tin ya kin mek yu fil pen fɔ tɔch, ɛn kin ivin fil lɛk se dɛn de muv ɔp, to di chɛst.

Di simptom dɛm if di bren afɛkt (`Cerebral Paragonimiasis`) .

if dis `Paragonimus` parasayt rich yu nεv sεstem wan wan, dat na yu bren εn spεnal kכd, yu kin gεt dεn simptom dεm ya:

• Di sik dɛn we kin mek pɔsin sik .
• Ed de at .
• Prɔblɛm dɛn we yu de si lɛk we yu de si tu tɛm ɛn we yu nɔ de si fayn.
• Kɔnfyushɔn, fil lɛk se dɛn de ambɔg yu kɔnshɛns.
• Fɔ vɔmit.
• Nek stiffness, difikulti fɔ bɛn.
• Di mɔsul dɛn we wik.

If dɛn sik ya apin, i impɔtant fɔ go to dɔktɔ wantɛm wantɛm.

Wetin mek dis paragonimiasis kin apin? Wetin na di kɔz?

As wi bin se, dis na wan parasayt flatwɔm we dɛn kɔl `Paragonimus`. Yu kin gɛt am we yu it raw ɔ krab we nɔ kuk fayn ɔ krab we de na fresh wata. jכs tink, di sכm sכm `sist` dεm fכ dεn wom dεm, we na di larva dεm (i.e., yכng wan dεm), yu kin fכn insay di krab in mit כ insay dεn bכdi wata.

We yu it sɔntin lɛk dat, di larva dɛn kin kɔmɔt frɔm dɛn sist dɛn ya na yu smɔl intestinal . afta dat, dεn larva dεm ya de travul tru di bεlε wכl, tru di dayafragm (di mεmbran we de separet di bεlε εn chεst) εn go insay yu lכng dεm. Na de dɛn kin gro smɔl smɔl ɛn bi big wom.

di imyun sistεm na yu bכdi de fכt dεn wom dεm ya na yu lכng, fכ mek had sכl dεm we dεn kכl sist rawnd dεm. Dis tan lɛk we yu de tray fɔ trap ɛnimi. Bɔt sɔntɛnde, dɛn sist ya kin bɔs, ɛn dɛn kin pul blɔd, pus, ɛn wom eg dɛn na yu lɔng. Bɔku tɛm dis kin mek yu gɛt sɛkɔndari baktriyal infɛkshɔn.

Yu tink se paragonimiasis kin pas frɔm pɔsin to ɔda pɔsin?

Nɔ, mɛmba dis. Paragonimiasis nɔto sik wae kin pas frɔm wan pɔrsin to ɔda pɔrsin. Yu kin gɛt am nɔmɔ if yu it it we gɛt di parasayt, lɛk aw wi bin dɔn tɔk.

Wetin na de prɔblɛm wae kin kam wit dis sik?

Di kɔmplikɛshɔn dɛn we kin kam wit paragonimiasis kin gɛt fɔ du wit yu lɔng. Sɔm pan dɛn na:

• Nyumonia
• Bronchiectasis - Di say dɛn we di briz de blo big.
• di lכng absεs - Na wan kכlekshכn fכ di pus εn dεd tisu insay di lכng.
• Pleural effusion - di akyumyuleshכn fכ wata we de rawnd di lכng dεm.
• Empyema - Na wan kכlekshכn fכ pus we de rawnd di lכng dεm.

Aw dɔktɔ kin no se pɔsin gɛt paragonimiasis?

Dɔktɔ go no dis sik bay we i de chɛk yu bɔdi wata ɔ tisu fɔ si if di parasayt in eg dɛn de. Bɔku tɛm, dɛn kin du dis bay we dɛn:

• Sputum test: Dɛn kin tek wan sampul fɔ di mucus frɔm yu lɔng ɛn tɛst am.
• Stɔl tɛst: Sɔntɛnde dɛn kin pas wom eg na di stɔl.
• fכ chεk di wata we de rawnd di lכng dεm (pleural fluid).
• Skin ɔ ɔda tisu sɛmpul tɛst: Sɔntɛnde, if skin lumps de, dɛn kin tek smɔl pat pan di skin ɛn chɛk am.

Yu kin gɛt spɛshal imej tɛst bak fɔ luk yu lɔng ɛn ɔda ɔgan dɛn we kin afɛkt. Dipen pan yu simptom dɛm, yu kin gɛt blɔd tɛst bak fɔ chɛk fɔ antibodies to di wom, ɔr sɛribrospinal fluid tɛst if yu bren afɛkt.

Us tɛst ɛn we dɛn kin du?

Yu dɔktɔ kin yuz tɛst ɛn tin dɛn lɛk dɛn wan ya:

• Blɔd tɛst dɛn
• X-ray na di chɛst
• CT skan we dɛn kin du
• MRI skan `(MRI)`
• brכnkoskopi: Dis na fכ put tכb wit sכmכl kεmεra insay di trakya fכ luk insay di lכng dεm εn tek sεmpl if nid de.
• Skin biopsy: If wan skin lump de, dɛn kin tek smɔl pat ɛn chɛk am.

Aw dɛn kin trit dis?

Di gud nyus na dat, tritmɛnt de fɔ paragonimiasis! Dɔktɔ dɛn kin yuz mɛrɛsin fɔ mɛn am. Di mɛrɛsin dɛn we dɛn kin yuz mɔ na Praziquantel ɔ Triclabendazole .

Impɔtant: I rili impɔtant fɔ tek dis mɛrɛsin jɔs lɛk aw dɔktɔ tɛl yu fɔ tek, fɔ di tɛm we yu tɛl yu fɔ tek.

If yu gɛt sɛribra paragonimiasis, we na wan sik we de afɛkt di bren, dɔktɔ dɛn kin gi yu wan mɛrɛsin bak we dɛn kɔl kɔtikosterɔyd fɔ ridyus di inflamɛns na di bren ɛn spɛnal kɔd. Na smɔl tɛm nɔmɔ, yu kin nid ɔpreshɔn fɔ pul di sist dɛn we dɛn wom ya dɔn mek.

Yu tink se dɛn kin mɛn paragonimiasis ɔltogɛda?

Yɛs, dis na sik we pɔsin kin mɛn. Stɔdi dɛm we dɛn du na Jepan dɔn sho se di drɔg Praziquantel kin kɔmplit wan fɔ mɛn bitwin 86% ɛn 100% pan di `Paragonimus` infɛkshɔn dɛm. So, natin nɔr de fɔ wɔri bɔt, if yu gɛt di rayt tritmɛnt, yu kin wɛl.

Wetin yu fɔ ɛkspɛkt if yu gɛt dis sik?

If yu gɛt paragonimiasis, dɛn go ɔltɛm gi yu shɔt kɔs fɔ antiparasitic mɛrɛsin, ɔltɛm wan to tri dez. Bɔt sɔntɛnde, if di mɛrɛsin nɔ pul di wom dɛn kpatakpata, yu sik kin kam bak. If dis apin, yu go nid fɔ gɛt tritmɛnt bak.

Yu tink se dis kin denja if dɛn nɔ trit am? Yu tink se i kin kil pɔsin?

Yes, if dɛn nɔ trit am, lɛk 5% pan di wan dɛn we gɛt sɛribra paragonimiasis, we de afɛkt di bren, kin day. So, if sɔm sayn dɛn de, i nɔ go fayn fɔ delay fɔ go to tritmɛnt.

Aw yu kin avɔyd paragonimiasis? (Prɛvenshɔn) .

Dis na di pat we impɔtant pas ɔl. Fɔ avɔyd dis prɔblɛm, yu fɔ avɔyd fɔ it krab ɛn shɔɛl fish we dɛn tink se de kip di `Paragonimus` parasayt. Mɛmba se fɔ kuk it fayn fayn wan na di bɛst tin fɔ protɛkt yusɛf.

Tek tɛm mɔ wit dɛn it ya:

• Krab we raw ɔ we nɔ kuk fayn.
• Pikled krab: Risk de if dɛn nɔ sizin am fayn.
• Krab we gɛt sɔl: Dis we ya nɔ go kil di parasayt.
• "Drunken" krab: Krab we dɛn dɔn marina ɔ sok insay rɔm, lɛk wayn. Nɔ tink se di rɔm go kil di parasayt.
• Krab jus: Dɛn kin yuz dɛn tin ya na sɔm say dɛn. Dɛn kin denja if dɛn it dɛn raw.

Fɔ tɔk am simpul wan, if yu it krab ɛn ɔda shel fish, kuk dɛn fayn fayn wan te di ples wam pas 63 digri sɛlshiɔs (145 Fahrenheit). Na da tɛm de dɛn parasayt ya kin day.

Ustɛm a fɔ go to dɔktɔ?

If yu gɛt sayn dɛm fɔ paragonimiasis (di kɔf, chɛst pen, ɛn fiva we wi bin dɔn tɔk bɔt fɔs), go to dɔktɔ wantɛm wantɛm. Ɛspɛshali if yu mɛmba i nɔ tu te yet we yu it krab ɔ mɔsul we nɔ kuk fayn, tɛl yu dɔktɔ bɔt dat. E kin tek enisay frɔm tu wik to tu mɔnt fɔ mek di sik sho, so nɔr fɔgɛt fɔ it sɔntin we yu dɔn it trade.

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

If yu gɛt wan ɔ mɔ pan dɛn bad bad sayn ya, go na di imejensi rum we de nia yu wantɛm wantɛm:

• Ay fiva (we pas 103 digri F/40 digri sɛlshiɔs).
• Bɔrku pen na yu chɛst.
• If yu kɔf blɔd.
• If yu gɛt sik we de mek yu sik .
• If yu fil se yu kɔnfyus ɔ yu gɛt chenj na yu maynd.

Dɛn tin ya kin bi sayn fɔ se yu gɛt siriɔs sik, so nɔr de delay.

Wetin na di impɔtant kwɛstyɔn dɛn we wi fɔ aks di dɔktɔ?

We yu go to dɔktɔ, i go fayn fɔ aks dɛn kwɛstyɔn ya:

• Aw lɔng i go tek fɔ mek a wɛl?
• Aw ɛksaktɔli a fɔ tek dis mɛrɛsin? (tɛm dɛn fɔ tek am, bifo ɔ afta it, ɛn ɔda tin dɛn)
• Wetin na di siriɔs sayn dɛm we a fɔ wɔri bɔt? (i.e. di simptom dɛm wae nid fɔ go to dɔktɔ bak)
• Ustɛm a fɔ kam si yu bak? (Fɔ fala-ɔp)

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

Paragonimiasis na wan parasayt sik we yu kin gɛt if yu it krab we nɔ kuk fayn ɛn krefish we de na fresh wata. I kin afɛkt di lכng dεm mכst, bכt sכmtεm i kin afekt di bren εn skin.

De bes pat na, e kin rili izi for prevent dis. We yu de it tin dɛn lɛk krab ɛn mɔsul , di tin we impɔtant pas ɔl na fɔ kuk dɛn fayn fayn wan. Nɔ it raw, we nɔ kuk fayn, ɔ we nɔ gɛt bɛtɛ sizin wit vinega.

If yu tink se yu gɛt sayn fɔ dis sik, nɔr frayd ɛn go to dɔktɔ kwik kwik wan. Gud tritmɛnt dɛn de fɔ dis, ɛn if dɛn trit am fayn, i kin wɛl ɔl. So, i impɔtant fɔ tek tɛm smɔl bɔt di it dɛn we yu de it ɛn gɛt wɛlbɔdi. Yu ɔndastand?

` Paragonimiasis, lungwɔm sik, raw krab, freshwata krab, parasayt infɛkshɔn, kɔf blɔd, chɛst pen