Bɔku tɛm yu pikin kin gɛt trot we kin at ɔ we i kin gɛt tonsilaytis? Sɔmtɛm wi kin tink se na jɔs kɔmɔn kol ɛn nɔr kin pe atɛnshɔn to am. Bɔt if afta sɔm dez yu pikin bigin fɔ tɔk tin lɛk "Mama, mi ni de at," ɔ "Mi leg de fil nɔm," nɔ jɔs dismis am. Bikɔs, i kin bi di biginin fɔ wan kɔndishɔn we dɛn kɔl rεumatik fiva we wi de tɔk bɔt tide. Dis na sɔntin we wi fɔ tek tɛm, so lɛ wi tɔk mɔ bɔt am.
Fɔ tɔk am simpul wan, wetin na rεumatik fiva?
Rimatik fiva na wan sik we nɔ kin apin ɔltɛm we di bɔdi kin gɛt we i de mek di bɔdi in tisu ɛn ɔgan dɛn swel. Fɔ tɔk am simpul wan, na so i de wok. Tink bɔt wi imyun sistɛm lɛk ami we de protɛkt wan kɔntri. Di wok we dis ami de du na fɔ no ɛn atak fɔrina dɛn we de kam insay wi (vayrɔs, baktri dɛm) ɛn protɛkt wi frɔm sik.
Naw, lɛ wi se yu pikin gɛt strɛp trot ɔ skarlet fiva. Dɛn tu infɛkshɔn ya na wan kayn baktri we dɛn kɔl Grup A Streptococcus. If wi nɔ trit di infɛkshɔn fayn wit antibayɔtik, wi bɔdi in ami kin fred smɔl. We dɛn de fɛt di baktri, dɛn kin mek smɔl mistek. Dɛn kin si wi yon wɛlbɔdi tisu ɛn tink se, "O, na ɛnimi de ya," ɛn dɛn kin bigin fɔ atak am bak. I tan lɛk se wi yon ami de bɔm wi yon siti dɛn.
Dis imyun sistɛm we nɔ de du di rayt tin kin mek di pikin in jɔyn dɛn, in at, in blɔd vesel dɛn, in skin, ɛn in bren inflamɛns . Dɛn kɔl dis sik rεumatik fiva.
Di impɔtant tin na dat, rεumatik fiva nɔto trot infεkshɔn. Na wan kɔmplikeshɔn we nɔ kin apin so ɔltɛm bɔt we kin rili siriɔs we pɔsin gɛt trot infɛkshɔn we dɛn nɔ trit.
Wetin na di sayn dɛm wae de sho se pikin gɛt rεumatik fiva?
Di sayn dɛm fɔ rεumatik fiva kin difrɛn frɔm wan pikin to ɔda wan. Sɔntɛnde, di pikin in trot infɛkshɔn nɔ kin so smɔl dat yu nɔ kin ivin notis am. Di sayn dɛm fɔ rεumatik fiva kin apin tu to tri wik afta dat. Dɛn sayn ya kin tan lɛk ɔda sik dɛn we kin kam, so sɔntɛnde, pipul dɛn kin ful wi. Bɔt i impɔtant fɔ no bɔt dis.
Lɛ wi si wetin na di men sayn dɛm na di tebul we de dɔŋ ya.
| Di sayn we de sho se di sik de | Diskripshɔn ɛn tin dɛn fɔ wach fɔ |
|---|---|
| Jɔyn we de swel ɛn pen (Atraytis) . | Dis na di sayn wae kin kam pan pɔrsin. di pikin in big joyn dεm lεk in ni, ankכl, εlbo, εn an, kin rεd, swεla, εn i kin fil pen. Bɔrku tɛm de pen kin ‘jɔmp’ frɔm wan jɔyn to ɔda wan. If di ni de at tide, di anklɛ kin at tumara. |
| Di sik we dɛn kɔl Kaditis | Dis na di siriɔs sayn fɔ rεumatik fiva. I kin mek yu chɛst pen, yu nɔ kin blo fayn, ɛn yu kin fil se di at de bit kwik kwik wan. Sɔntɛnde, we di dɔktɔ put stetɔskɔp na di pikin in chɛst, i kin yɛri wan sawnd we nɔ kɔmɔn (murmur). |
| Muvmɛnt dɛn we dɛn nɔ ebul fɔ kɔntrol (Chorea) . | Dis na wan strenj sayn. Di pikin in an, in fut, ɛn in fes mɔsul dɛn kin shek shek we i nɔ ebul fɔ kɔntrol, lɛk se dɛn de dans. Di pikin nɔ ebul fɔ du tin dɛn lɛk fɔ rayt, it, ɔ bɔtin in klos. Dis kin kam bikɔs di bren dɔn pwɛl. |
| Lump dɛn we de ɔnda di skin (Nodules) . | 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 smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl. Bɔku tɛm, dɛn tin ya kin go insay sɔm wiks. |
| Rɛd skin rash | Sɔm pikin dɛn kin gɛt bɔmp dɛn we gɛt rɛd, rawnd, we dɛn dɔn difayn fayn fayn wan na dɛn bɔdi, mɔ na dɛn chɛst, bɛlɛ, ɛn bak. Bɔku tɛm, dɛn tin ya nɔ kin it. |
| Ɔda tin dɛn we pipul dɛn kin du | Apat frɔm dɛn men sayn ya, yu kin gɛt fiva, taya pasmak, bɔdi kin at, ed kin at, ɛn yu kin gɛt swɛlin ɛn rɛd tɔnsil . |
Udat de pan denja fɔ gɛt dis sik?
Pan ɔl we ɛnibɔdi kin gɛt rεumatik fiva, sɔm pipul dɛn kin gɛt mɔ risk.
- Ej: Dis sik kin mɔs ambɔg pikin ɛn yɔŋ pipul dɛn we ol bitwin 5 ɛn 15. I nɔ kin izi fɔ mek pipul dɛn we nɔ rich 5 ia ɛn we pas 15 ia gɛt am.
- Di say we dɛn de liv: Di risk kin bɔku na say dɛn we bɔku pipul dɛn kin gɛda togɛda (fɔ ɛgzampul, skul, daycare center, krawd os) bikɔs di baktri dɛn kin skata izi wan.
- Famili istri: If pɔsin na di famili dɔn gɛt rεumatik fiva, ɔda pipul dɛn kin gɛt am bak.
- Infεkshכn na in trot bכku tεm: If pikin gεt strep trot infεkshכn bכku tεm, di risk fכ gεt rεumatik fiva de bכku.
- Ɛlth fasiliti: Pikin dɛn we de na rimot eria usay i nɔ izi fɔ gɛt mɛdikal fasiliti dɛn kin gɛt ay risk bikɔs dɛn nɔ kin gɛt tritmɛnt di rayt tɛm fɔ dɛn trot infɛkshɔn.
Na tru se rεumatik fiva kin afɛkt di at?
Yes, dis na di tin we de mek wi fred ɛn wɔri pas ɔl we wi de tɔk bɔt rεumatik fiva. Rimatik fiva nɔ kin afɛkt di at ɔltɛm. Bɔt we i du dat, i kin pwɛl di at tisu, mɔ di at valv dɛn .
Tink bɔt at valv dɛn lɛk domɔt dɛn na wi at. Dɛn wok na fɔ alaw blɔd fɔ flɔ na wan say nɔmɔ ɛn mek i nɔ flɔ bak. Riumatik fiva kin mek ska tisu fɔm pan dɛn valv ya, we kin mek dɛn nɔ lɔk fayn ɔ nɔ opin fayn. Dis kin ambɔg di wok we di at de du.
Wi kin kɔl dis kɔndishɔn Rimatik At Disiz . Di tin we denja pas ɔl na dat di sayn dɛm fɔ dis at sik kin apin sɔmtɛm 10-20 ia afta di rεumatik fiva bigin.
Na dat mek fɔ monitar fɔ lɔng tɛm na di mɛrɛsin impɔtant fɔ pikin we gɛt rεumatik fiva. Dis kin mek dɛn ebul fɔ no kwik kwik wan if di at dɔn pwɛl ɛn trit am.
Aw dɔktɔ kin no bɔt dis sik?
If yu pikin gɛt trot we de at fɔ pas tu ɔ tri dez, mek shɔ se yu go to dɔktɔ. Fɔ trit strep infɛkshɔn na di bɛst we fɔ mek yu nɔ gɛt rεumatik fiva.
If di dɔktɔ chɛk yu pikin ɛn i tink se i gɛt rɔmatik fiva, dɛn go du bɔku tɛst dɛn, lɛk:
1. Trot Swab: dεn tek sכm sכm sεmpl fכ di trot fכ chεk fכ di `Group A Streptococcus` baktri dεm. dis kin bi lek `Rapid Strep Test` we de gi rizulεt insay 10 minit, כ dεn kin sεnd am fכ `Throat Culture` we de tek sεvεra de fכ tεst.
2. Blɔd Tɛst:dεn kin tεst di pikin in blכd fכ antibodi dεm we de agens di Strep baktri dεm. dεn kin chεk bak di lεvεl dεm fכ tin dεm lεk CRP εn ESR, we de sho if inflameshn de na di bכdi.
3. At Test: Dɛn tɛst ya rili impɔtant fɔ no if di at dɔn afɛkt.
- EKG (Electrocardiogram): Na tɛst we de luk aw di at de wok wit ilɛktrik.
- Echocardiogram (Echo): Lɛk skan, dis kin si klia wan aw di at in valv ɛn mɔsul dɛn de wok.
Jones Krayteria we dɛn kɔl Jones
Dɔktɔ dɛn kin yuz wan spɛshal sɛt ɔf gaydlain we dɛn kɔl "Jones krayteria" fɔ no if pɔsin gɛt rεumatik fiva. Dis tan lɛk wan sistɛm we dɛn kin yuz fɔ skɔ. Fɔ kɔnfɔm di sik, di pikin fɔ gɛt at le tu pan di men krayteria dɛn we de dɔŋ ya, ɔ wan men krayteria ɛn tu smɔl krayteria, wit pruf fɔ se i bin dɔn gɛt strep infɛkshɔn bifo.
| Di men tin dɛn we dɛn fɔ du | Smɔl Krayteria dɛn |
|---|---|
| Inflameshɔn na sɔm jɔyn dɛn (Atraytis) . | Fiva |
| Di sik we dɛn kɔl Kaditis | εlevεt ESR כ CRP lεvεl dεm na di bכdi |
| Lump dɛn we de ɔnda di skin (Nodules) . | Jɔyn pen (Arthralgia) . |
| Muvmɛnt dɛn we dɛn nɔ ebul fɔ kɔntrol (Chorea) . | Chenj dɛn na EKG tɛst |
| Erythema marginatum (we de kɔmɔt na di skin) . | Fɔ dɔn gɛt rεumatik fiva ɔr rεumatik at sik bifo |
Wetin na di tritmɛnt fɔ rεumatik fiva?
Bɔku men gol dɛn de we yu de trit rεumatik fiva.
1. Fɔ pul di baktri infekshɔn: Di fɔs tin we yu fɔ du na fɔ pul di Strep baktri dɛm we de mek yu gɛt rεumatik fiva kɔmɔt na di bɔdi kpatakpata. Fɔ dis, di dɔktɔ go gi yu antibayɔtik . Dis kin bi wan tɛm injɛkshɔn ɔ 10 dez kɔs fɔ antibayɔtik. Di tin we impɔtant pas ɔl na fɔ tek di ful kɔs fɔ di mɛrɛsin, ilɛksɛf di pikin fil fayn. If nɔto dat, di infɛkshɔn kin kam bak.
2. Fɔ kɔntrol di swɛlin: Dɛn kin gi mɛrɛsin dɛn we de mek di bɔdi nɔ swel ɛn fɔ mek di bɔdi nɔ fil pen. Dɛn tin ya kin rili ɛp fɔ mek yu jɔyn pen. If di sik bad bad wan, mɔ if di at afɛkt, dɛn kin gi am bak strɔng mɛrɛsin lɛk `Kɔtikosterɔyd`.
3. Fɔ mek di sik nɔ kam bak: Dis rili impɔtant. If pikin dɔn gɛt rεumatik fiva wan tɛm, i kin gɛt rεumatik fiva bak if i gɛt strep infεkshɔn bak. Fɔ mek dis nɔ apin, di dɔktɔ kin put di pikin pan antibayɔtik fɔ lɔng tɛm . Dis kin bi penisilin injɛkshɔn ɛvri mɔnt. Dɛn kin nid fɔ kɔntinyu fɔ du dis tritmɛnt fɔ lɔng lɔng tɛm, sɔntɛnde te di pikin big.
Aw wi kin protɛkt wi pikin dɛn frɔm dis sik?
Di bɛst ɛn wangren we fɔ mek yu nɔ gɛt rɔmatik fiva na fɔ no ɛn trit strɛp trot ɛn skarlet fiva kwik ɛn kɔrɛkt wan.
- Nɔ ignore trot we de at: If pikin gɛt trot we de at fɔ pas tri dez, i nɔ izi fɔ swɛla, i gɛt limf node dɛn we swel na in nɛk, ɔ i gɛt fiva, mek shɔ se yu go to dɔktɔ.
- Gi antibayɔtik jɔs lɛk aw dɛn tɛl yu fɔ gi am: Gi di mɛrɛsin lɛk aw di dɔktɔ tɛl yu fɔ di ful tɛm. Nɔ stɔp fɔ tek am af-af, se yu pikin go bɛtɛ insay tu dez.
- Gud abit dɛn fɔ klin:
- Tich yu pikin fɔ was in an fayn fayn wan wit sop ɔltɛm.
- Tich dɛn fɔ kɔba dɛn mɔt ɛn nos wit tisu ɔ dɛn ɛlb we dɛn de kɔf ɔ sniz.
- Mek shɔ se ɔda pipul dɛn nɔ de yuz yu pikin in plet, kɔp, ɛn spun.
We yu tek kia ɔf dɛn tin ya, yu kin du bɔku tin fɔ protɛkt yu pikin frɔm siriɔs sik lɛk rεumatik fiva.
Mɛsej we dɛn kin kɛr go na os
- If yu pikin in trot we de at pas tu ɔ tri dez, i gɛt sɔm sayn dɛn lɛk fiva, i nɔ want fɔ it, ɔ i gɛt smɔl smɔl tin na in nɛk, mek shɔ se yu go to dɔktɔ.
- Riumatik fiva kin apin as a rizulta fɔ wan Strep baktriyal infɛkshɔn we dɛn nɔ trit.
- Dis sik kin mek pikin in at, in jɔyn dɛn, ɛn in nervɔs sistɛm pwɛl fɔ lɔng tɛm, so fɔ no di sik kwik kwik wan ɛn fɔ trit am rili impɔtant.
- Gi yu pikin di antibayɔtik we di dɔktɔ gi yu fɔ di ful tɛm. Nɔ stɔp fɔ tek dɛn ilɛksɛf di sik dɔn stɔp.
- Pikin we dɔn gɛt rεumatik fiva kin nid fɔ tek antibayɔtik fɔ lɔng tɛm fɔ mek i nɔ kam bak. Fɔ fala yu dɔktɔ in instrɔkshɔn dɛn gud gud wan.
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