Yu no bɔt dis strenj fiva we kin kɔmɔt frɔm yu fam animal dɛn? (Q Fiva) Mek wi tok!

Yu dɔn ɛva yɛri bɔt dis sik we dɛn kɔl Q Fiva? Sɔntɛm nɔto so, nɔto so? Bikɔs dis nɔto sik we dɛn kin si bɔku tɛm na wi kɔntri. Bɔt, mɔ if yu na pɔsin we de wok wit animal, animal dɛn we de na fam, ɔ we de liv na dis kayn say, i rili impɔtant fɔ no dis smɔl. Insay dis atikul tide, wi go tɔk bɔt wetin na dis Q fiva, aw i kin kam, wetin na di sayn dɛm, ɛn aw wi kin protɛkt wisɛf frɔm am.

Wetin na Q Fiva? Fɔ tɔk am simpul wan...

Q fiva na sik we wi kin gɛt we wi de blo insay dɔst patikyula dɛn we gɛt wan baktri we dɛn kɔl `Coxiella burnetii` ɔ bay we wi it prɔdak dɛm frɔm animal dɛm we gɛt di sik. Dis baktri de mɔ na di bɔdi fɔ animal dɛn lɛk ship, got, ɛn kaw. Di baktri kin gɛda na di grɔn usay dɛn animal ya de. Dɔn i kin pas to mɔtalman tru di dɔst we de kɔmɔt na da grɔn de, ɔ tru di milk, di fes, ɛn mɔ di wata we de kɔmɔt we dɛn de bɔn pikin.

Wetin mek dɛn kɔl am Q fiva? Wetin di nem min?

Dis na smɔl strenj stori bak. Di lɛta ‘Q’ na Q fiva tinap fɔ ‘Kwɛstyɔn’ . ‘Kwɛstyɔn’ min ‘kwɛstyɔn’ ɔ ‘kwɛstyɔn’. Trade, na Ɔstrelia insay di 1930 dɛm ɛn afta dat na Amɛrika insay di 1940 dɛm, we pipul dɛn bigin fɔ gɛt dis strenj fiva, fɔs dɔktɔ dɛn nɔ bin ebul fɔ no wetin de mek i gɛt am. So dɛn bin gɛt bɔku ‘kweshɔn’ bɔt dis fiva. Na dat mek dɛn bin de kɔl am ‘Query Fever’ ɔ Q fiva. I rili simpul, nɔto so?

Wetin na kronik Q fiva? Yu tink se i denja?

Yɛs, dis na sɔntin we de mɔna wi smɔl. Di wɔd ‘kronik’ min fɔ lɔng tɛm . So, kronik Q fiva na wan mכr siriכs, lכng tεm fכm fכ Q fiva. I kin afɛkt yu at, yu blɔd vesel, yu bon , ɛn ɔda impɔtant pat dɛn. Dis krεse kכndyushכn kin apin pan wan rili sכm pasεnshכn pan pipul dεm we gεt di C. burnetii baktri, bitwin 1% εn 5% .

Wan prɔblɛm wit dis na dat dis krɛse sik kin divɛlɔp mɔnt ɔ ivin ia afta di fɔs Q fiva simptom dɛn dɔn sɔlv. Sɔm pipul dɛn nɔ kin sho ɛni simptom di tɛm we dɛn gɛt di fɔs infɛkshɔn bɔt leta dɛn kin gɛt krɛse Q fiva. di kכmכn kכmplikεshכn fכ krεse Q fiva na infεkshכn na di layn na di at. Dɔktɔ dɛn kin kɔl am ``endocarditis''. Dis na prɔblɛm we kin mek pɔsin in layf de pan denja.

Q Wetin kin apin we yu gɛt fiva?

Q fiva kin mek yu gɛt difrɛn kayn sayn dɛm. Bɔt di tin dɛn we kin apin we pɔsin kin gɛt kol at, lɛk fiva ɛn bɔdi we kin at . Di baktri dεm `C. burnetii` kin infεkt yu lכng, at, bren, bon, כ כda pat dεm na yu bכdi. Di sayn dɛm kin difrɛn akɔdin to dat. Sɔm pipul dɛn kin taya bad bad wan.ɛn ɔda sayn dɛn kin te fɔ sɔm mɔnt, ivin fɔ lɔng lɔng tɛm. As wi bin dɔn tɔk, di Q fiva we nɔ de mɛn kin mek pɔsin in layf de pan denja.

Udat kin gɛt Q fiva mɔ?

Q flu kin mɔs afɛkt pipul dɛn we de liv na fam ɔ we gɛt klos kɔntakt wit fam animal dɛn . Fɔ ɛgzampul, if yu na vetɛriana, pɔsin we de ɛp fɔ bɔn kaw pikin, pɔsin we de wok na fam, ranch, ɔ usay dɛn de kil animal, yu de pan big risk fɔ gɛt di sik. Dis na bikɔs bɔku tɛm dɛn pipul ya kin de nia animal dɛn we gɛt di sik ɛn di say we dɛn de liv.

Q Udat de pan ay risk fɔ sik bad bad wan frɔm di flu?

Sɔm pipul dɛn kin gɛt siriɔs sik frɔm Q fiva, mɔ:

• uman dεm we bεlε kin gεt bכku kכmplikεshכn we dεn bεlε εn we dεn bכn.
• Yu de pan ay risk fɔ gɛt krɛse Q fiva if yu gɛt dɛn kɔndishɔn ya:
• If yu bin dɔn gɛt `(Endocarditis)` (inflameshɔn na di insay layn na di at bifo).
• If prɔblɛm de wit di at valv dɛn.
• If yu gɛt aneurism (we di blɔd vesel dɛn wɔl wik ɛn bulg) na yu blɔd vesel.
• If di kidni dεm nכ de wok fayn (Rεnal insufficiency).
• If yu gɛt divays we dɛn put fɔ ɔltɛm (vaskul prostɛsis) fɔ mek di blɔd vesel dɛn strɔng ɛn fɔ mek di blɔd flɔ fayn fayn wan.
• If yu imyun sistɛm wik (fɔ ɛgzampul, di wan dɛn we gɛt HIV, di wan dɛn we gɛt kansa, di wan dɛn we de tek mɛrɛsin we de mek yu bɔdi nɔ gɛt bɛtɛ wɛlbɔdi).

Q Aw di flu kin kɔmɔn?

Q fiva na rili wan sik we nɔ kin bɔku . Fɔ ɛgzampul, ivin na kɔntri lɛk Amɛrika, na lɛk 200 pipul dɛn nɔmɔ dɛn kin ripɔt ɛvri ia. Dɛn nɔ kin ripɔt am bɔku tɛm na Sri Lanka sɛf. Bɔt i impɔtant fɔ mek di wan dɛn we de na risk grup no bɔt dis.

Q Wetin na di sayn dɛm fɔ fiva?

Di simptom dɛm fɔ Q fiva kin difrɛn difrɛn wan dipen pan di fɔs (akyu) stej ɛn ɔda kɔndishɔn dɛm we kin apin leta.

Di simptom dɛm fɔ Akyu Q fiva

Dɛn sayn ya kin bigin fɔ sho bitwin 3 ɛn 30 dez afta di bɔdi go insay di bɔdi. Bɔku tɛm, dɛn kin tan lɛk di wan dɛn we kin gɛt kol ɔ flu.

• Ay fiva
• Taya pasmak ɛn taya pasmak
• Chills we de mek pɔsin kol
• We pɔsin de swet
• Bɔdi de at, mɔsul dɛn de pen
• Sɛnsitiviti to layt, blu yay (Photophobia) .
• Rili bad bad ed pen
• Nɔs ɛn vɔmit
• Rɔnbɛlɛ
• Kɔf
• Chɛst de pen
• Bɛlɛ de pen
• Rɛd spat dɛn ɔnda di skin (Purpura) .
• I nɔ izi fɔ blo (Dyspnea) .

Sɔntɛnde, dis bad bad Q fiva kin mek tin dɛn lɛk lɔng infɛkshɔn (Nimonia), inflamɛns na di bren ɔ di mɛmbran dɛn we de kɔba di bren (Encephalitis ɔ Meningitis), ɔ inflamɛns na di liva (Epatitis).

Di simptom dɛm fɔ Q fiva fatigue syndrome (QFS) .

Na lɛk 20% pan di pipul dɛm wae gɛt Q fiva kin gɛt taya ɛn ɔda sayn dɛm wae kin las fɔ mɔnt, sɔmtɛm sɔm ia, afta di fɔs infekshɔn. Dɛn kɔl dis Q fiva fatigue syndrome.

• Rili taya
• Ed de at
• We pɔsin de swet
• Pen na di jɔyn dɛn
• Mɔsul dɛn kin pen

Di simptom dɛm fɔ Kronik Q fiva

Krכnik Q fiva kin bigin fכ mכnt, כ ivin ia, afta wan fכs infεkshכn wit di C. burnetii baktri dεm. I kin de ivin if yu nɔr gɛt ɛni sayn fɔ di fɔs tɛm we yu gɛt di sik. I kin afɛkt di at, di at valv dɛm, ɛn di blɔd vesel dɛm, bɔt di sayn dɛm kin difrɛn difrɛn wan bay di pat pan di bɔdi we i afɛkt.

• Fiva we nɔ gɛt bɛtɛ gred
• Nayt swet dɛn
• We yu de lɔs yu wet
• Taya
• I nɔ kin izi fɔ yu fɔ blo
• Di leg ɔ fut kin swel

Q Wetin kin mek pɔsin gɛt fiva?

Di men tin we kin mek pɔsin gɛt Q fiva na di baktri we dɛn kɔl Coxiella burnetii . Dis baktri kin liv na animal, mɔ kaw, ship, ɛn got, ɛn i nɔ kin sho ɛni sayn. Di bɔdi wata we animal dɛn we gɛt di sik gɛt (lɛk urine, fes, milk, ɛn amniotic fluid) kin dɔti di grɔn we dɛn de liv insay.Pipul dɛn kin gɛt dis baktri mɔ bay we dɛn de blo dɔst ɔ wata vapour frɔm grɔn we gɛt dɔti.

Q Aw di flu kin pas?

di men we aw Q fiva de spre na bay we yu brith dכst כ wata vapour we kכntamin wit di `C. burnetii` baktri dɛm . Dis kin apin if yu de ɔ wok na say usay animal dɛn de, mɔ di animal dɛn we de na fam. Bikɔs di `C. burnetii` baktri dεm kin travul sכm distans tru di ays, yu nכ nid fכ de in dayrekt kכntakt wit animal dεm fכ gεt am.

Ɔda we dɛn, bɔt we nɔ kin kɔmɔn, we Q fiva kin pas na:

• Fɔ it ɔ drink dairy prodakt dɛn we nɔ pastɔrayz (e.g. milk, chiz, ayskrim).
• Bayt frɔm tik we gɛt di sik .
• Frɔm mama we gɛt bɛlɛ to in pikin we i gɛt bɛlɛ ɔ we i de bɔn pikin .
• Tru blɔd transfyushɔn (dis nɔ kin apin so ɔltɛm).

Impɔtant: Q fiva nɔ kin pas frɔm pɔsin to ɔda pɔsin . Ripɔt nɔ kin bɔku bɔt di sik we dɛn kin gɛt frɔm mama we gɛt bɛlɛ to in pikin.

Q Aw dɛn kin no if pɔsin gɛt fiva?

Yu dɔktɔ go no if yu gɛt Q fiva bay we i aks bɔt yu sik dɛn , rivyu yu mɛdikal istri , ɛn tɛst blɔd sɛmpul . Dɛn kin aks bak if yu de liv ɔ yu de wok wit animal.

Di tɛst rizɔlt fɔ C. burnetii kin tek sɔm wiks fɔ kam bak, so if yu dɔktɔ sɔspɛkt se yu gɛt Q fiva, dɛn kin bigin tritmɛnt we dɛn nɔ wet fɔ di tɛst rizɔlt.

Q Us tɛst dɛn kin du fɔ fiva?

Fɔ tɛst fɔ Q fiva, yu dɔktɔ go tek wan sɛmpul pan yu blɔd yuz smɔl nidul. Dɛn go sɛn dis sampul to lab fɔ luk fɔ sayn dɛm (antibodi dɛm) fɔ C. burnetii infɛkshɔn. Dɛn kin tray bak fɔ kɔlchɔ di C. burnetii baktri dɛm frɔm yu sampul.

Yu kin nid fɔ gi yu blɔd sɛmpul bɔku tɛm fɔ sɔm tɛm fɔ mek yu no if yu gɛt di sik.

Q Aw dɛn kin trit fiva?

Dɛn kin trit akyu Q fiva wit antibayɔtik . Bɔku tɛm dɛn kin trit krɛse Q fiva wit wan kɔmbayn antibayɔtik ɛn anti-inflammatory mɛrɛsin, bɔt i kin at fɔ trit. Yu dɔktɔ go mek wan patikyula tritmɛnt plan bay aw yu sik.

If dɛn no se yu gɛt Q fiva ɛn yu gɛt at valv ɔ blɔd vesel kɔndishɔn we bin dɔn de bifo, tɔk to yu dɔktɔ bɔt aw fɔ trit yu kwik kwik wan fɔ ridyus yu risk fɔ gɛt Q fiva we nɔ de dɔn.

Us mɛrɛsin/tritmɛnt dɛn kin yuz?

Di dɔktɔ kin gi yu dɛn mɛrɛsin ya:

• `( Dɔksisayklin ( Dɔksisayklin) ) `
• `(Haydroksiklorokin)`
• `(Traymɛtɔprim-sulfamɛtɔksazɔl (TMP-SMX))`
• `(Rifampin)`
• `(Fluoroquinolones)` (e.g. `(Siprɔflɔksasin)`, `(Ɔflɔksasin)`)
• `(Klaritromaysin)`

Q Fiva kin wɛl ɔltogɛda?

Yes, bɔku pipul dɛn kin wɛl ɔltogɛda frɔm akyu Q fiva wit antibayɔtik. Bɔt ivin pan di smɔl nɔmba pipul dɛn we gɛt akyu Q fiva, di sayn dɛn kin kɔntinyu fɔ de fɔ sɔm mɔnt ɔ ivin ia, ivin if dɛn trit dɛn. Krɔnik Q fiva kin at fɔ trit smɔl.

Aw a go ridyus mi risk fɔ gɛt Q fiva?

Bɔku tin dɛn de we yu kin du fɔ ridyus yu risk fɔ gɛt Q fiva:

• Wear mask ɛn glɔv we yu de ol animal dɛn bɔdi, mɔ di wan dɛn we de kɔmɔt we yu de bɔn pikin .
• Nɔ it ɔ drink tin dɛn we dɛn mek wit milk we dɛn nɔ pastɔrayz .
• Sɔm stɔdi dɛn dɔn sho se fɔ skan ɛn trit di at valv prɔblɛm dɛn pan pipul dɛn we dɛn no se gɛt Q fiva kin mek dɛn nɔ gɛt Q fiva we nɔ de dɔn.
• If yu de wok na wok we gɛt bɔku prɔblɛm ɛn yu de na say usay dɛn gɛt vaysin fɔ Q fiva (naw, na Ɔstrelia nɔmɔ dɛn kin gɛt), aks yu dɔktɔ bɔt aw fɔ tek di vaysin.

If yu de liv ɔ wok arawnd fam animal dɛm, ɛn yu de pan risk fɔ gɛt prɔblɛm wit Q fiva (e.g., pipul dɛm we gɛt at valv ɔ blɔd vesel prɔblɛm, bɛlɛ uman, pipul dɛm we wik imyun sistɛm), tɔk to yu dɔktɔ bɔt aw fɔ mek yu nɔ gɛt Q fiva.

Wetin a fɔ ɛkspɛkt if a gɛt Q fiva?

Di sayn dɛm fɔ Q fiva kin las fɔ lɔng tɛm , frɔm 10 to 90 dez . Bɔt bɔku pipul dɛn kin wɛl kpatakpata . If dɛn gi yu antibayɔtik, yu go nid fɔ tek am fɔ at le tu wiks. Na lɛk 1 pan ɛvri 5 pipul dɛm (20%) kin gɛt filin fɔ taya (`(Q fiva taya sindrom)`) we kin te fɔ mɔnt ɔr ia.

Na smɔl nɔmba pan pipul dɛm (bitwin 1% ɛn 5%), mɔ di wan dɛm we gɛt ɔda ɔndalayn mɛdikal kɔndishɔn, kin gɛt krɛse Q fiva. If yu gɛt Q fiva we nɔ de mɛn, yu kin nid fɔ gɛt tritmɛnt fɔ 18 mɔnt ɔ pas dat .

Q Wetin na di prɔblɛm dɛn we kin kam wit fiva?

Kɔmplikɛshɔn kin apin wit ɔl tu di akyu Q fiva ɛn kronik Q fiva. Bɔt dɛn tin ya kin apin mɔ ɛn dɛn kin rili siriɔs pan di Q fiva we nɔ de mɛn. Di prɔblɛm dɛn we kin apin na:

• Wan at we wik ɛn we de bɔl (Aneurysm) .
• Arterial fistula, na wan sik we blɔd nɔ de flɔ kɔrɛkt wan
• Ɛndokarditis we gɛt di sik
• Ska we de na di lɔng dɛn (Fibrosis) .
• Akyu respiratɔri distres sindrom (ARDS) .
• At we nɔ de wok fayn
• Infεkshכn na di bon dεm (Osteomyelitis) .
• We uman kin pwɛl bɛlɛ
• Di wet we dɛn bɔn we dɛn bɔn smɔl

Q Wetin na di lukin-grɔn fɔ di flu?

Di prɔgnosis fɔ akyu Q fiva kin jɔs fayn if dɛn trit am wit antibaytik. di mכtalman rεt fכ akyu Q fiva de bitwin 0.5% εn 1.5% . Pipul wae gɛt krɛse Q fiva kin gɛt bɔrku risk fɔ gɛt kɔmplikeshɔn ɛn day. di mכtalman rεt fכ krεse Q fiva de bitwin 12% εn 25% .

Aw a kin kia fɔ misɛf?

If dɛn no se yu gɛt Q fiva, i rili impɔtant fɔ tek ɔl di mɛrɛsin dɛn we dɛn gi yu di rayt tɛm . Aks yu dɔktɔ aw fɔ kɔntrol yu sik ɛn if we de fɔ ridyus di risk fɔ gɛt lɔng tɛm simptom ɔ krɛse Q fiva.

Ustɛm a fɔ go to dɔktɔ?

If yu de wok ɔ liv wit kaw, got, ɔ ship, ɛn yu gɛt sayn dɛn fɔ Q fiva, go to dɔktɔ wantɛm wantɛm . If yu gɛt sayn dɛm fɔ krɛse Q fiva, ɛn yu tink se yu kin dɔn gɛt di `C. burnetii` baktri dɛm we bin dɔn pas (ivin if i dɔn te), tɛl yu dɔktɔ.

Us kwɛstyɔn dɛn a fɔ aks mi dɔktɔ?

• A fɔ tek mɛrɛsin bifo tɛm fɔ ridyus di risk fɔ gɛt kronik Q fiva?
• Yu tink se dɛn fɔ tɛst mi fɔ si if a gɛt prɔblɛm wit mi at ɛn blɔd vesel?
• Aw a go tek dis mɛrɛsin?
• Ustɛm a fɔ kam si yu bak?
• Wetin a kin du fɔ kɔntrol mi sik dɛn?

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

Pan ɔl we Q fiva na sik we nɔ kin bɔku, i impɔtant fɔ no bɔt am ɛn tek tin fɔ protɛkt yusɛf if yu de wok ɔ yu de na say we gɛt bɔku prɔblɛm. Simpul tin dɛn lɛk fɔ wɛr mask, glɔv, ɛn fɔ avɔyd fɔ it tin dɛn we dɛn mek wit milk we nɔ gɛt pastɔ kin mek big difrɛns, mɔ we yu de wok wit animal dɛn we de na fam .

Pan ɔl we di Q fiva we nɔ de mɛn kin afɛkt smɔl pipul dɛn nɔmɔ, i kin mek dɛn gɛt prɔblɛm dɛn we kin mek dɛn layf de pan denja. So, if yu tink se yu kin gɛt Q fiva, ɔ if yu gɛt ɛnitin fɔ wɔri bɔt am, nɔ shek fɔ go to dɔktɔ . If yu tɛl yu dɔktɔ bɔt yu wɛl bɔdi istri ɛn yu woke histri, dat go ɛp dɛn fɔ ɔndastand di tin dɛn we kin mek yu gɛt prɔblɛm ɛn gi dɛn di bɛst tritmɛnt.

` Q fiva, Coxiella burnetii, sik dɛm we gɛt fɔ du wit animal, fiva simptom dɛm, kronik Q fiva, fam wɛlbɔdi, baktriyal infɛkshɔn