Bɔku tɛm yu smɔl pikin kin gɛt trot we de at ɛn fiva? Sɔntɛnde wi kin tink se na jɔs kɔmɔn kol. Bɔt if dɛn nɔ trit am fayn, sɔm infɛkshɔn dɛn na di trot kin mek dɛn gɛt prɔblɛm dɛn we dɛn nɔ bin de ɛkspɛkt. Rimatik Fiva na wan pan dɛn kayn sik ya we dɛn nɔ bin de ɛkspɛkt, bɔt we kin rili siriɔs. Lɛ wi tɔk bɔt dis ditayli tide, bikɔs i rili impɔtant fɔ no bɔt am.
Wetin na Riumatik Fiva? Fɔ tɔk am simpul wan...
Fɔ tɔk am simpul wan, rεumatik fiva na sik we kin apin bikɔs ɔf wan malfunkshɔn na wi yon bɔdi in imyun sistɛm. Dɔktɔ dɛn kin kɔl am bak ``acute rheumatic fever''. Imajin, yu pikin gɛt trot infekshɔn, lɛk strep trot ɔ skarlet fiva , ɛn dis prɔblɛm kin bigin if dɛn nɔ trit am fayn.
Ɔl tu di strɛp trot ɛn skarlet fiva na wan baktri we dɛn kɔl Grup A Streptococcus . Dɛn kin wɛl kwik kwik wan wit antibayɔtik. Bɔt if dɛn nɔ trit am, we di pikin in imyun sistɛm fɛt di baktri, sɔntɛnde i kin mistek atak in yon tisu ɛn ɔgan dɛn we gɛt wɛlbɔdi. Dis kin mek di bɔdi inflamɛns ɛn swel na difrɛn pat dɛn na di bɔdi. Dis kin afɛkt di pikin in jɔyn dɛn, in at, ɛn in blɔd vesel dɛn.
Wetin na di difrɛns bitwin Skarlet Fiva ɛn Riumatik Fiva?
Dis na sɔntin we bɔku pipul dɛn kin kɔnfyus. Skarlet fiva ɛn strɛp trot na ɔl tu infɛkshɔn dɛn we grup A streptococcus baktri de kɔz. Dɛn kin trit dɛn tin ya wit antibayɔtik.
Riumatik fiva na wan prɔblɛm we nɔ kin apin so ɔltɛm we kin apin if dɛn nɔ trit infɛkshɔn, lɛk skarlet fiva ɔ strɛp trot fayn fayn wan. Dat min se nɔto ɔl strep trot kin go bifo to rεumatik fiva.
Aw kɔmɔn tin fɔ gɛt rεumatik fiva?
Na divεlכp kכntri dεm lεk Amɛrika, strεp trot na kכmכn, bכt rεumatik fiva nכ de. Bikɔs antibayɔtiks de izi wan na dɛn kɔntri dɛn de, bɔku pipul dɛn kin gɛt tritmɛnt fɔ strep trot ɛn skarlet fiva kwik kwik wan. We dɛn trit am, dɛn nɔ kin gɛt rεumatik fiva.
Bɔt na kɔntri dɛn lɛk wi yon, mɔ na say dɛn we nɔ gɛt bɛtɛ mɛrɛsin, dɛn kin stil si dis rεumatik fiva. So, wi nid fɔ rili tek tɛm wit dis.
Wetin na di sayn dɛm wae de sho se yu gɛt rεumatik fiva?
Di we aw rεumatik fiva kin afɛkt ɛnibɔdi kin difrɛn. Sɔmtɛm, strep infεkshɔn kin so smɔl dat yu nɔr kin ivin no se yu gɛt am te yu gɛt rεumatik fiva.
Bɔrku tɛm, i kin at fɔ no di sayn dɛm wae de sho se yu gɛt rεumatik fiva bikɔs dɛn kin fiba ɔda wɛl bɔdi prɔblɛm dɛm. Bɔt i impɔtant fɔ no wetin na dɛn sayn ya. Bikɔs rεumatik fiva kin siriɔs, if yu tink se yu pikin gɛt dɛn sik ya, yu fɔ go to dɔktɔ wantɛm wantɛm.
Na sɔm kɔmɔn sayn dɛm wae yu kin si:
- Jɔyn dɛn we de swel, rɛd, ɛn pen (atraytis): Jɔyn dɛn lɛk di ni, anklɛ, ɛn ɛlb kin mek yu fil pen mɔ. Di pen kin de na wan jɔyn wan de ɛn muf to ɔda jɔyn di nɛks de.
- di limb dεm we de jכk we i nכ de kכntro (chorea): Di pikin kin fil lεk se in an, in leg, כ כda pat dεm na in bכdi de jכk wan wan we i nכ ebul fכ kכntrכl. Dɛn kin kɔl dis bak ``Sydenham in kɔrea''.
- Smɔl smɔl smɔl tin dɛn we de ɔnda di skin (nodules): Sɔntɛnde, smɔl smɔl tin dɛn we at kin kam ɔnda di skin, we yu kin fil na di an. Bɔku tɛm, dɛn tin ya nɔ kin mek pɔsin fil pen.
- Chest pen ɔr at rit abnɔmal: Yu kin fil chɛst pen, ɔr yu kin fil chenj na di rit we yu at de bit.
- I kin taya ɔltɛm: Di pikin kin fil taya ɛn slip ɔltɛm, ivin if i nɔ du natin.
- Fiva: Di bɔdi kin wam ɛn fiva kin kam.
- Ed we de at ɔltɛm fɔ natin: Wɔri if pikin we nɔ bin dɔn kɔmplen bɔt ed we de at bifo, gɛt ed we de at ɔltɛm.
- Mɔsul pen: Yu kin fil lɛk se yu mɔsul dɛn de pen.
- Tכnsil dεm we swεl, rεd: Di tכnsil dεm na di trot kin swεla εn rεd.
- Rεd pat dεm na di skin (erythema marginatum): sכmtεm rεd, flat, rawnd ed pat dεm kin apia na di skin. Dɛn wan ya kin kam ɛn go ɛn kam bak.
Mɛmba se, fɔ gɛt wan ɔr mɔr pan dɛn sik ya nɔr min se yu gɛt rεumatik fiva. Bɔt if yu gɛt ɛni dawt, i go fayn fɔ mek yu go to dɔktɔ.
Wetin kin mek pɔsin gɛt rεumatik fiva?
As wi bin dɔn tɔk bifo tɛm, rεumatik fiva na wan ɔva aktif imyun sistεm we de atak hεlty tisu. Di men tin we kin mek dis apin na wan strep trot ɔ skarlet fiva infɛkshɔn we dɛn nɔ trit. Dat min se fɔ nɔ gɛt di rayt antibayɔtik fɔ di grup A streptococcus baktri infɛkshɔn.
Wetin kin apin da tɛm de na we di bɔdi in difɛns (antibodi dɛm) de fɛt di baktri dɛm, dɛn kin mistek atak di bɔdi in yon wɛlbɔdi tisu ɛn ɔgan dɛm. Tink bɔt am lɛk we yu de fɛt ɛnimi, yu tink se wan pan yu yon na ɛnimi ɛn atak am.
Udat kin gɛt rεumatik fiva?
Pan ɔl we ɛnibɔdi kin gɛt rɔmatik fiva, bɔku tɛm i kin afɛkt pikin ɛn yɔŋ pipul dɛn we ol bitwin 5 ɛn 15 ia.Riumatik fiva simptom kin apin tu to tri wik afta wan kes we dɛn nɔ trit we gɛt strɛp trot ɔ skarlet fiva. I nɔ kin bɔku pan pikin dɛn we nɔ rich 5 ia yet ɛn pan pipul dɛn we dɔn pas 15 ia.
Aw e kin bi fɔ gɛt rεumatik fiva frɔm strep trot ɔr skarlet fiva?
Nɔto ɔlman wae gɛt strɛp trot ɔr skarlet fiva go gɛt rεumatik fiva. I kin apin nɔmɔ if dɛn nɔ trit di infɛkshɔn. Bɔt na kɔntri dɛn lɛk Amɛrika, rumatik fiva nɔ kin bɔku.
Udat dɛn kin gɛt mɔ risk fɔ gɛt rεumatik fiva?
Sɔm tin kin mek yu gɛt mɔr risk fɔ gɛt rεumatik fiva. Na sɔm pan dɛn:
- Usay yu de: Bɔrku pipul dɛm wae gɛt rεumatik fiva de liv na rimot say dɛm wae nɔr gɛt bɛtɛ mɛrɛsin. Pikin dɛm wae de liv na say dɛm wae nɔr kin izi fɔ gɛt mɛrɛsin ɔr to dɔktɔ kin gɛt bɔrku risk.
- Ej: As wi bin dɔn tɔk bifo tɛm, pikin dɛn we ol bitwin 5 ɛn 15 ia kin afɛkt mɔ.
- Ɔl di wɛlbɔdi: Pikin we in imyun sistɛm wik kin gɛt mɔ risk. Pikin dɛm we gɛt strɛp infɛkshɔn ɔltɛm kin gɛt rεumatik fiva bak.
- Famili istri: If pɔsin na di famili dɔn gɛt rεumatik fiva bifo, ɔda pipul dεm na di famili kin gɛt am bak.
- Ples dɛn we pipul dɛn kin bɔku: Baktri kin skata izi wan na say dɛn we pipul dɛn kin gɛda togɛda. Sɔm ɛgzampul dɛn na skul ɛn bɔding skul.
Yu tink se big pipul dɛn kin gɛt rεumatik fiva?
I nɔ kin apin so ɔltɛm, bɔt big pipul dɛn kin gɛt rεumatik fiva bak.
Yu tink se rεumatik fiva kin pas?
Nɔ, rεumatik fiva nɔ kin pas. Yu nɔ go ebul fɔ kech am frɔm ɔda pɔsin, ɛn yu nɔ go ebul fɔ spre am to ɔda pɔsin.
Bɔt, mɛmba! Strep trot ɛn skarlet fiva, we na di tin dɛn we kin mek pɔsin gɛt rεumatik fiva, kin pas. Dɛn kin pas tru di drɔp dɛm we de mek pɔsin blo we pɔsin kɔf ɔ sniz.
Aw rεumatik fiva kin afɛkt di at?
Rumatik fiva nɔ kin afɛkt di at ɔltɛm. Bɔt if i du dat, i kin pwɛl di at tisu, mɔ di at valv dɛn. Dis at tisu we dɔn pwɛl ɛn we gɛt skata nɔ de wok fayn. As tɛm de go, rεumatik fiva kin mek yu at pwɛl fɔ ɔltɛm. Dɔktɔ dɛn kin kɔl dis sik bak Riumatik At Disease ɔ Kɔnjɛstiv At Fɛil .
If rεumatik fiva sɔm kayn we de pwɛl di at valv, yu dɔktɔ kin se yu fɔ du ɔpreshɔn fɔ mek di valv we dɔn pwɛl ɔ fɔ chenj am wit nyu wan. Sɔmtɛm, at kin pwɛl 10 to 20 ia afta yu gɛt rεumatik fiva. So, i impɔtant fɔ mek yu kɔntinyu fɔ tɔk to dɔktɔ we yu trɔst.
Yu tink se rεumatik fiva kin mek yu gɛt rεumatoid at?
Pan ɔl we sɔm pan di fɔs sayn dɛm fɔ rεumatik fiva kin fiba rεumatoid at atraytis (RA) , di tu sik dεm nɔr gɛt wanwɔd. Dɛn tu sik ya kin afɛkt pikin in jɔyn dɛn. Bɔt, rεumatik fiva kin dɔn insay sɔm wiks, pan ɔl we RA na wan sik we de ɔlsay na in layf. Pikin dεm we nכ rich 16 ia dεn kin no se dεn gεt wan kכndyushכn we dεn kכl ``Juvenile Idiopathic Arthritis`` insted fכ RA.
Aw dɛn kin no se pɔsin gɛt rεumatik fiva? (Diagnosis) .
If yu pikin gɛt trot we de at fɔ pas tu ɔ tri dez, mek shɔ se yu go to dɔktɔ. Fɔ trit yu kwik kwik wan fɔ wan grup A streptococcal infection kin ɛp fɔ mek yu nɔ gɛt rεumatik fiva.
If di dɔktɔ sɔspɛkt se i gɛt rɔmatik fiva, i go fɔs tek wan trot swab frɔm di pikin in trot fɔ chɛk if grup A streptococcus baktri de de. Dis kin bi bay we yu yuz wan rapid strep test ɔ wan trot kɔlchɔ .
- Rapid strep test: Yu kin gɛt di rizɔlt insay 10 minit.
- Trot kɔlchɔ: Rizult kin tek sɔm dez fɔ kam bak. כltu, sכmtεm rεpid strep tεst kin gi ``fal-nεgεtiv risכlt'' (we min se dεn de sho strep we i nכ de).
Us ɔda tɛst dɛn kin du fɔ no if pɔsin gɛt rεumatik fiva?
Di dɔktɔ kin ɔda fɔ mek dɛn du ɔda tɛst dɛn, i kin dipen pan di sik we di pikin gɛt:
- Blɔd tɛst: Sɔntɛnde dɛn kin du blɔd tɛst fɔ no if pɔsin gɛt strɛp infɛkshɔn. Pan ɔl we di tɛst nɔ de no di baktri, i kin chɛk fɔ si if antibodi dɛn de na di blɔd. i kin chεk bak fכ inflameshn na di bכdi bay we i de mכsu sכm protin dεm (lεk CRP εn ESR).
- At tɛst: Dɛn tɛst ya kin ɛp fɔ si aw yu pikin in at de wok. Dis kin inklud ECG (ilɛktrokardiogram) ɔ Echocardiogram (wan ɔltra saund fɔ di at, we dɛn kin kɔl bak Echo) .
Wetin na di Jones krayteria fɔ rεumatik fiva?
Sɔntɛnde, dɔktɔ dɛn kin yuz wan we we dɛn kɔl Jones krayteria fɔ no if pɔsin gɛt rεumatik fiva. Fɔ mek dɛn no se pikin gɛt rεumatik fiva, i fɔ gɛt tu men krayteria , ɔ wan men krayteria ɛn tu smɔl krayteria, frɔm dɛn list ya. Apat frɔm dat, i fɔ gɛt ɛvidɛns na lɛbɔtri fɔ wan grup A strɛptokɔk infɛkshɔn we bin dɔn de bifo.
Di men tin dɛn we yu fɔ du:
- Atraytis na sɔm jɔyn dɛn
- Di sik we dɛn kɔl Kaditis
- Lump dεm we de כnda di skin (`nodules`) .
- Muvmɛnt dɛn we de mek pɔsin muv kwik kwik wan (chorea) .
- Spɛsifi k spat dɛn na di skin (erithema marginatum) .
Smɔl krayteria dɛn:
- Fiva
- di inkrεs pan di bכdi lεvεl dεm fכ `ESR (εritrosayt sεdimεntεshכn rεt)` כ `CRP (C-riaktiv protin)`
- Jɔyn pen (atralgia) .
- ECG (ilɛktrokardiogram) kin chenj
- Fɔ gɛt histri bɔt rεumatik fiva ɔr rεumatik at sik bifo
Aw dɛn kin trit rεumatik fiva?
We dɛn de trit rεumatik fiva, di fɔs tin we dɛn fɔ pe atɛnshɔn pan na fɔ pul di baktriyal infεkshɔn. Dɔn, dɛn kin gi tritmɛnt fɔ ridyus di inflamɛns na di pikin in bɔdi.
Di tritmɛnt fɔ rεumatik fiva kin inklud:
- Antibayɔtik: Fɔs, dɔktɔ dɛn kin gi dɛn antibayɔtik fɔ mɛn di baktri we de ɔnda di sik. Dɛn kin gi sɔm antibayɔtik dɛn as wan injɛkshɔn. Dɛn kin tek ɔda wan dɛn bay mɔt fɔ wan wik ɔ mɔ. I impɔtant fɔ tek dɛn mɛrɛsin ya ɛksaktɔli fɔ di ful tɛm we dɛn tɛl yu fɔ tek.
- Di mɛrɛsin dɛn we de agens di inflammatory: Di dɔktɔ kin gi yu mɛrɛsin fɔ ridyus di inflammatory na yu pikin in bɔdi. Dis mɛrɛsin kin ɛp bak fɔ ridyus di sayn dɛm lɛk pen na yu jɔyn. If yu sik bad bad wan, di dɔktɔ kin gi yu wan mɛrɛsin we strɔng pas am (kɔtikosterɔyd).
- Ɔda tritmɛnt dɛn: Bikɔs rεumatik fiva kin afɛkt ɛnibɔdi difrɛn we, yu dɔktɔ kin tɛl yu ɔda tritmɛnt dɛn dipen pan aw yu pikin kin afɛkt. If tin tranga, i kin nid fɔ du ɔpreshɔn pan di at ɔ fɔ chenj di jɔyn dɛn.
Aw dɛn go ebul fɔ avɔyd rεumatik fiva?
Dis na di tin we impɔtant pas ɔl! If yu trit infɛkshɔn lɛk strɛp trot ɛn skarlet fiva kwik ɛn fayn fayn wan, dat kin ɛp fɔ mek yu nɔ gɛt rεumatik fiva. Di sayn dɛm fɔ strɛp trot ɛn skarlet fiva nɔ kin klia ɔltɛm ɛn i kin izi fɔ no. So, if yu pikin gɛt trot we de at fɔ pas tri dez, ɔ if yu gɛt ɔda sayn dɛn we yu tink se, mek shɔ se yu go to dɔktɔ.
If yu pikin in dɔktɔ tɛl yu se i gɛt strɛp trot ɔ skarlet fiva, fala in instrɔkshɔn dɛn di rayt we. Ivin if yu pikin de fil fayn, yu fɔ tek di ful kɔs fɔ antibayɔtiks. If nɔto dat, di infekshɔn nɔ go dɔn, ɛn yu go gɛt rεumatik fiva.
Wetin ɔda tin yu kin du fɔ protɛkt yusɛf frɔm rεumatik fiva?
If yu praktis gud abit fɔ klin, dat kin ɛp fɔ ridyus di risk fɔ mek yu pikin gɛt baktriyal infɛkshɔn. I kin ɛp bak fɔ mek di sik nɔ skata frɔm wan pikin to ɔda pikin. Yu pikin fɔ du dɛn tin ya ɔltɛm:
- Wash yu an bɔku tɛm (ɛn fayn fayn wan) wit sop.
- We yu de kɔf ɔ sniz, kɔba yu mɔt wit tisu, ɛlb, ɔ sholda (nɔto yu an).
- Yuz tisu wan tɛm fɔ sniz ɔ blo yu nos, trowe am, ɛn was yu an.
If dɛn no se yu pikin gɛt rεumatik fiva, yu dɔktɔ kin gi yu antibayɔtiks we go tek lɔng tɛm (lɛk fɔ gi yu penisilin injɛkshɔn ɛvri mɔnt). Dɛn kɔl dis antibayɔtik prɔfylaksis . Dis kin ɛp fɔ mek yu nɔ gɛt strɛp trot tumara bambay ɛn fɔ mek yu nɔ gɛt rεumatik fiva bak.
Wetin na de luk fɔ pɔrsin wae gɛt rεumatik fiva?
Pan ɔl we no mɛrɛsin nɔ de fɔ mɛn di sik we dɛn kɔl rεumatik fiva, dɛn kin ebul fɔ kɔntrol di sik wit tritmɛnt. If yu no di sik kɔrɛkt wan ɛn bigin fɔ trit am jɔs lɛk aw di sik dɔn sho, yu go mek di sik nɔ pwɛl sote go. Siriɔs kɔmplikeshɔn dɛn nɔ kin apin so. If dɛn du dat, dɛn kin afɛkt di pikin in at, in jɔyn dɛn, in nervɔs sistɛm, ɔ in skin.
Rimatik fiva kin kam bak ɔr kin bi siriɔs prɔblɛm. Sɔntɛnde, rεumatik fiva kin mek yu gɛt prɔblɛm dɛn we kin mek yu layf de pan denja. So, i kin nid fɔ de chɛk yu pikin ɔltɛm fɔ mek yu pikin gɛt wɛlbɔdi fɔ lɔng tɛm.
Yu tink se rεumatik fiva kin kam bak?
Yɛs. If yu pikin gɛt strɛp trot ɔ skarlet fiva bak, rεumatik fiva kin kam bak bak. If yu pikin dɔn gɛt rεumatik fiva bifo, di dɔktɔ kin se yu pikin fɔ tek antibayɔtik fɔ lɔng lɔng tɛm, ɔ ivin in layf. Dɛn kɔl dis tritmɛnt antibayɔtik prɔfylaksis . Dis kin ɛp fɔ mek yu nɔ gɛt ɔda strɛp infɛkshɔn ɛn stɔp di rεumatik fiva fɔ kam bak.
Wetin a fɔ aks di pikin in dɔktɔ?
If yu pikin gɛt rεumatik fiva, yu kin aks di dɔktɔ kwɛstyɔn dɛn lɛk dɛn wan ya:
- Us antibayɔtik yu kin advays?
- Aw lɔng mi pikin fɔ tek dis mɛrɛsin?
- Mi pikin go nid fɔ tek antibayɔtik fɔ lɔng tɛm?
- Mi pikin go nid ɔda tɛst naw ɔ tumara bambay?
- Aw rεumatik fiva kin afɛkt mi pikin naw ɔr tumara bambay?
- Ɛnitin de we go mek mi pikin in wɛlbɔdi denja?
- Us kayn mɛrɛsin mi pikin go nid fɔ go bifo?
- Wetin a go du fɔ protɛkt mi pikin in wɛlbɔdi di bɛst we?
- Ustɛm a fɔ kɔl mi pikin in dɔktɔ?
If yu sɔspɛkt se yu pikin gɛt strɛp trot ɔ skarlet fiva, nɔ delay fɔ kɔl yu dɔktɔ. If yu trit yu kwik kwik wan, dat kin ɛp fɔ mek yu nɔ gɛt rεumatik fiva. Di kayn simptom dɛm fɔ dɛn baktriyal infɛkshɔn ya na:
- Trot we kin at we kin las pas tri dez.
- I nɔ kin want fɔ it (espɛshali bikɔs i nɔ kin izi fɔ swɛla).
- Di limf no dɛm we dɔn swel na di nɛk.
- Rɛd spat dɛn we de fil lɛk sand pepa.
- Fiva.
- Tכnsil dεm we swel, rεd, כ spat (gland dεm na di bak pat na di mכt).
- Ed de at.
Mɛsej we dɛn kin kɛr go na os
Riumatik fiva na wan prɔblɛm we nɔ kin apin so ɔltɛm we kin kam wit strɛp trot ɔ skarlet fiva we dɛn nɔ trit . I kin afɛkt pikin ɛn yɔŋ pipul dɛn mɔ. If i rili bad, i kin mek pikin gɛt siriɔs wɛlbɔdi prɔblɛm we kin afɛkt in at, in jɔyn dɛn, ɔ ɔda pat dɛn.
Di tin we impɔtant pas ɔl na fɔ go to dɔktɔ wantɛm wantɛm if yu sɔprayz se yu pikin gɛt strɛp trot ɔ skarlet fiva. If yu du dat, i go ɛp fɔ mek yu nɔ gɛt rεumatik fiva. Bɔrku tɛm, pipul dɛm wae gɛt rεumatik fiva kin nid mεdikal advays ɛn tritmεnt fɔ ɔl dεn layf fɔ mek dεn gɛt wɛl bɔdi. So, nɔ tek yu pikin in trot we de at ɔ fiva layt wan. Yu fɔ wɔri.
👩🏽 ⚕️ Ɔda kwɛstyɔn dɛn (FAQ dɛn)
💬 Aw rεumatik fiva kin kam?
We yu gɛt trot we de at (Strep throat), if yu nɔ tek di rayt antibayɔtik fɔ mɛn am, na bikɔs di bɔdi de mek big big antibodi dɛm agens da baktri de. Dɛn antibodi ya kin kɔnfyus di baktri dɛm ɛn atak wi yon at, jɔyn dɛm, ɛn bren, na dat mek i kin bɔku pan pikin dɛm we ol bitwin 5 ɛn 15 ia.
💬 Dis denja fɔ di at?
I rili denja! Ivin if yu gɛt pen na yu jɔyn, i go bɛtɛ as tɛm de go. bכt if dis hit εn inju di valv dεm na wi at (Valv dεm - spεshal wan di mitral valv), dεn go dכn fכ sote go (Rheumatic Heart Disease). Dis kin ivin mek pɔsin gɛt at atak tumara bambay.
💬 A fɔ tek penisilin fɔ ia as mɛrɛsin fɔ dis?
Yɛs! If dis sik kam, dεn fכ stכp di at kכmplit fכ fכ inflam, εn dεn fכ stכp di bכdi fכ go insay di bכdi 100%. So, i dipen pan di sikman in kɔndishɔn, i fɔ gɛt Pɛnisilin injɛkshɔn wan tɛm insay di mɔnt te i ol 21 ia ɔ ɔlsay na in layf.
` Riumatik fiva, strep trot, skarlet fiva, pikin sik, at sik, infεkshכn, imyun sistεm











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