Bɔku tɛm yu pikin kin gɛt trot we de at ɔ in nos we de rɔn? Ɔ yu mɛmba we yu bin smɔl, yu bin de gɛt trot we de at wit fiva? Bɔku tɛm, wi nɔ kin tink bɔt dɛn sik ya as kɔmɔn sik, nɔto so? Bɔt yu no se if dɛn nɔ trit yu fayn, wan simpul trot infɛkshɔn lɛk dis kin mek yu gɛt siriɔs sik we go pwɛl yu at tumara bambay? Na dat wi kin kɔl rεumatik at sik, ɔr `(Rεumatik Hat Disease)`. Tide, wi go tɔk bɔt dis simpul wan, di we we yu go ɔndastand.
Wetin rili na Rimatik Hat Disease?
Fɔ tɔk am simpul wan, rεumatik at sik na wan kכndyushכn we dεn kכl ‘Rεumatik Fiva’ we de mek di at valv dεm dεm de pwεl fכ כltεm. Naw yu kin de aks, "So wetin na rεumatik fiva?"
Imajin se wi bɔdi gɛt baktri infɛkshɔn. Ɛspɛshali sik dɛn lɛk strɛp trot ɔ skarlet fiva, we na wan baktri we dɛn kɔl Grup A Streptococcal (GAS) kin kam wit am. We dɛn bɔdi ya go insay di bɔdi, di difɛns sistɛm na wi bɔdi, we na di imyun sistɛm, kin bigin fɔ fɛt dɛn. Bɔt sɔntɛnde, dis fɛt nɔ kin go fayn. Wi difεns sistεm kin miks wit di baktri dεm εn wi כwn hεlty sεl dεm.
na dis tεm ya, di imyun sistεm, εn we i de atak di baktri dεm, kin bigin fכ atak pat dεm na wi כwn bכdi, mכtalman in at, jכint, skin, εn bren. Dis kin mek di bɔdi inflamɛns ɔlsay na di bɔdi. Dis na wetin wi kɔl rεumatik fiva .
dis inflameshn kin pwεl di dilik valv dεm na di at. Di at valv dɛn tan lɛk domɔt dɛn. Dɛn kin opin ɛn lɔk fayn fayn wan fɔ mek blɔd go na wan say nɔmɔ. Riumatik fiva kin mek dɛn valv ya gɛt skata, smɔl smɔl (stenosis) ɔ nɔ kin lɔk fayn, we kin mek di blɔd lik bak (regurgitation). Dis na we di at valv dɛn kin pwɛl fɔ ɔltɛm, ɛn wi kin kɔl am Rheumatic Heart Disease .
Di impɔtant tin na dat dis damej nɔ kin apin wan tɛm. Na afta di trot infεkshɔn dɔn kam ɛn di rεumatik fiva dɔn kam ɛn go, bɔku ia afta dat, sɔntɛm 10 ɔr 20 ia afta dat, na in at kin bigin fɔ sho.
Wetin na di sayn dɛm fɔ dis sik?
As wi bin dɔn tɔk, bɔrku pipul dɛn kin gɛt dis sik kwik kwik wan. Dɛn kin jɔs sho afta sɔm tɛm afta di rεumatik fiva bigin. Dɛn sayn ya kin apin wae pɔrsin dɔn yɔŋ.
| Di sayn we de sho se di sik de | Simpul ɛksplen |
|---|---|
| I nɔ kin izi fɔ yu fɔ blo | I kin at fɔ blo we yu de du ɛksɛsayz, we yu de rɛst, ɔ we yu de ledɔm. Dis kin apin bikɔs di lɔng dɛn kin afɛkt we di at nɔ ebul fɔ pɔmp blɔd fayn fayn wan. |
| Chɛst de pen | Yu kin fil tayt ɔ pen na yu chɛst bikɔs yu at fɔ wok tranga wan. |
| Di we aw pɔsin de blo | Di at kin fil lɛk se i de bit fast ɔ i nɔ de bit ɔltɛm. I kin tan lɛk se sɔntin de flɔt insay di chɛst. sכmtεm, wan kכndyushכn we di at bit we nכ de bit rεgulεr lεk atrial fibrilεsh כn kin apin. |
| Di bɔdi we de swel | Di bɛlɛ, di leg dɛn, di anklɛ dɛn, ɛn di an dɛn kin swel. dis kin kכz fכ wata we de kכmכt na di bכdi we di at in pכmp fכnshכn wik. |
| Fɔ taya ɔltɛm | Bikɔs pat dɛn na di bɔdi nɔ kin gɛt bɛtɛ blɔd we gɛt ɔksijɛn, yu kin fil taya ɔltɛm ɛn yu nɔ kin ebul fɔ du ɛnitin. |
| Abnɔmal at sawnd (Hat Murmur) . | We dɔktɔ de chɛk wit stetɔskɔp, i kin yɛri wan sawnd we nɔ kɔmɔn we blɔd de kɔmɔt na di valv we dɔn pwɛl. |
| Fɔ kɔf blɔd | Dis na sayn we rili siriɔs. I kin apin we di prɛshɔn pan di at de go ɔp ɛn afɛkt di lɔng dɛn. |
Yu tink se dis sik kin pas? Udat dɛn de pan big risk?
Nɔ, rεumatik at sik nɔr kin spre dairekt frɔm pɔrsin to ɔda pɔrsin. Bɔt di streptococcal throat infection we kin mek i gɛt am na. Dis baktri kin spre tru di briz we yu de sniz ɔ kɔf.
So, udat de pan denja fɔ gɛt dis sik?
- Fɔ di wan dɛn we kin gɛt trot infɛkshɔn bɔku tɛm ɛn nɔ kin tek antibayɔtik fɔ dɛn fayn fayn wan: mɔ we dɛn smɔl.
- Fɔ di wan dɛn we de liv na say dɛn we nɔ gɛt bɛtɛ wɛlbɔdi biznɛs: Di wan dɛn we nɔ gɛt dɔktɔ ɛn we de tek mɛrɛsin kin gɛt mɔ prɔblɛm.
- Fɔ di wan dɛn we de liv na say dɛn we pipul dɛn kin bɔku ɛn we nɔ gɛt klin: Infɛkshɔn kin bɔku na dɛn kayn ples dɛn de.
Insay divɛlop kɔntri dɛn lɛk Amɛrika, usay dɛn kin gi antibayɔtik wantɛm wantɛm afta dɛn dɔn gɛt strɛp trot, rεumatik fiva ɛn rεumatik at sik naw nɔr kin bɔku. Bɔt, na kɔntri dɛn lɛk wi yon, mɔ na rural ɛn bɔku pipul dɛn, dis sik stil na siriɔs wɛlbɔdi prɔblɛm.
Wetin na de tin wae kin apun wae pɔrsin gɛt rεumatik hat sik fɔ lɔng tɛm?
As tɛm de go, di at valv dɛn we de pwɛl kin bɔku, ɛn dis kin mek i gɛt difrɛn prɔblɛm dɛn.
- Hat Failure: Na sik wae de hat nɔr kin ebul fɔ pɔmp inof blɔd to di bɔdi.
- di at bit we nכ de bit (Arrhythmia): di at bit we nכ de bit rεgulεr bikoz fכ kכndishכn dεm lεk `Atrial Fibrillation`.
- Infective Endocarditis: Dis na wan sik we rili denja usay di jεm dεm we de kכmכt na di bכdi de go insay di valv dεm we dεn כlrεdi dεm εn mek infεkshכn.
- Pulmonary Hypertension: Na di prɛshɔn we de go ɔp na di blɔd vesel dɛm we de kɛr blɔd frɔm di at to di lɔng.
- Strɔk ɛn blɔd klɔt: We yu at bit ɔltɛm, dat kin mek blɔd klɔt insay di at, we kin travul go na di bren ɛn mek yu gɛt strok.
I denja mɔ fɔ uman dɛn we gɛt bɛlɛ we gɛt rɔmatik at sik. We uman gɛt bɛlɛ, di bɔdi in blɔd kin go ɔp, ɛn dis kin mek di at wok tranga wan. At we gɛt valv dɛn we dɔn pwɛl kin gɛt prɔblɛm fɔ ol dis ɛkstra lod. Dis kin mek di mama ɛn di pikin gɛt siriɔs wɛlbɔdi prɔblɛm.
Aw di dɔktɔ kin no bɔt dis sik?
We yu tɛl yu dɔktɔ bɔt yu sik, i go tek tɛm chɛk yu. Na mɔtalman dɛn go lisin to yu at wit stetɔskɔp ɛn chɛk fɔ ɛni sawnd we nɔ kɔmɔn (murmurs). Apat frɔm dat, dɛn go aks yu if yu dɔn ɛva gɛt trot ɔ fiva we yu bin smɔl.
Dɛn kin du sɔm tɛst fɔ no if yu gɛt di sik:
- Blɔd tɛst: Chɛk fɔ si if di bɔdi inflamɛns ɔ chenj di we aw di imyun sistɛm de wok.
- Chɛst X-ray: Chɛk fɔ si if di at dɔn big ɔ if sayn dɛn de fɔ se yu gɛt at atak.
- Echocardiogram: Dis na di tɛst we impɔtant pas ɔl. I tan lɛk we dɛn de du ɔltra saund skan fɔ di at. I kin si klia wan aw di at valv dɛn dɔn pwɛl, smɔl, ɔ lik.
- Ilɛktrokardiogram (ECG): I de rikodɔ di ilɛktrik wok we di at de du ɛn chɛk fɔ si if di at nɔ de bit ɔltɛm.
Wetin na di tritmɛnt dɛn we yu kin gɛt?
Bɔrku pipul dɛn kin wɔnda if dis sik kin wɛl ɔltogɛda. Di tru tin na dat, dɛn nɔ go ebul fɔ chenj di damej we di at valv dɛn kin gɛt we dɛn gɛt rεumatik at sik. Dis min se na sik we go de sote go . Bɔt if yu trit am fayn, yu go ebul fɔ kɔntrol di sik, mek di sik nɔ wɔs, ɛn liv nɔmal layf.
Dɛn kin sheb di we aw dɛn kin trit am to sɔm men pat dɛn.
| Di we aw dɛn kin trit am | Wetin yu de du? |
|---|---|
| Mɛrɛsin we dɛn kin gi | Dɛn kin gi mɛrɛsin fɔ kɔntrol di at we nɔ de wok fayn, fɔ kɔntrol di at bit we nɔ de bit ɔltɛm, ɛn fɔ pul di wata we pasmak na di bɔdi. If risk de fɔ mek blɔd klɔt, dɛn kin gi dɛn tin dɛn we de mek blɔd tan (anticoagulants) . |
| Minimally Invasive Prosidyu fɔ di we aw dɛn de du tin | if di mitral valv na di at sכmtεm, wan we de fכ mek di valv big we dεn nכ du כpεrayshכn, dεn de yuz wan tin tכb we dεn put tru di leg lεk balכn. Dɛn kɔl dis Valvuloplasty . |
| Ɔpreshɔn fɔ di At Valv | If di sik bad, dɛn kin nid fɔ mek di valv we dɔn pwɛl ɔ pul am ɔl ɛn dɛn kin nid fɔ put atifishal valv ɔ tisu valv. |
Di tin we impɔtant pas ɔl na: Aw fɔ mek yu nɔ gɛt dis sik?
Yɛs, dis na di pat we impɔtant pas ɔl na dis atikul. Rimatik at sik na sik we pɔsin kin ebul fɔ avɔyd ɔltogɛda. Wan rili simpul tin de we yu kin du fɔ mek yu nɔ gɛt am.
Fɔ gɛt di rayt antibayɔtik tritmɛnt di fɔs stej we yu gɛt strɛptokɔk trot infɛkshɔn.
If yu ɔ yu pikin gɛt ɛni wan pan di sayn dɛn we de dɔŋ ya, duya nɔ jɔs de na os ɛn tink se na sɔntin we simpul. Go to dɔktɔ wantɛm wantɛm.
- Ay fiva
- Trot de at
- Tonsilaytis we gɛt di sik
- Pen na di jɔyn dɛn
- Mɔsul dɛn kin pen
- Skin lumps ɔ lɛsin dɛn
- We yu nɔ ebul fɔ kɔntrol yu an ɔ yu ed (Chorea) .
If di dɔktɔ tɛst ɛn kɔnfirm se na baktri infɛkshɔn, i go gi am antibayɔtik fɔ sɔm dez. I impɔtant fɔ tek di mɛrɛsin jɔs fɔ di tɛm we dɛn tɛl yu fɔ tek am. Nɔ stɔp af-af di tritmɛnt jɔs bikɔs di pen dɔn stɔp. If yu du dat, i nɔ go kil di baktri dɛn kpatakpata ɛn i go mek yu gɛt rεumatik fiva.
If yu dɔn ɔlrɛdi gɛt rεumatik hat sik, if yu gɛt trot infεkshכn bɔku tɛm, dat kin mek yu at pwɛl mɔ ɛn mɔ. So, yu dɔktɔ go se yu fɔ tek penisilin injɛkshɔn ɛvri mɔnt fɔ lɔng tɛm, sɔntɛm fɔ di res ɔf yu layf, fɔ mek yu nɔ gɛt di sik.
Mɛsej we dɛn kin kɛr go na os
- Rimatik at sik kin kam bikɔs ɔf wan baktriyal trot infεkshɔn we dɛn nɔ trit we kin apin we i smɔl.
- Dis sik kin mek di at valv dɛn pwɛl fɔ ɔltɛm. Dis damej nɔ go ebul fɔ chenj.
- Sɔm kayn sik lɛk wae yu nɔr de blo fayn, yu chɛst de pen, yu taya, ɛn yu leg de swel kin apin sɔm ia afta di sik bigin.
- Nɔ ignore trot we de at ɔ fiva, mɔ pan pikin dɛn. Si dɔktɔ wantɛm wantɛm ɛn if nid de, tek antibayɔtik fɔ di ful tɛm we dɛn tɛl yu fɔ du.
- If yu gɛt rεumatik at sik, fala yu dɔktɔ in instrɔkshɔn ɛn tritmɛnt ɛksaktɔli. Go fɔ mek dɛn chɛk yu dɔktɔ ɔltɛm.
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