Yu dɔn ɛva go waka na bush, ɔ ple wit yu dɔg ɔ pusi we yu lɛk, ɛn wantɛm wantɛm yu fil sik ɛn yu gɛt ay fiva sɔm dez afta dat? Along wit dat, yu geht ed pen en bodi pen? Bɔku tɛm, wi kin tink se, ‘Dis na vayral fiva.’ Bɔt if yu gɛt smɔl saspek se animal lɛk tik dɔn bit yu, dis nɔ kin bi sɔntin we yu fɔ tek am layt. Tide wi de tɔk bɔt wan sik we dɛn kayn tik ya kin pas, we kin mek pɔsin in layf de pan denja if dɛn nɔ trit am kwik ɛn fayn. Dat na Rɔki Mawnt Spɔt Fiva, ɔ RMSF fɔ shɔt.
Fɔ tɔk am simpul wan, wetin na Rɔki Mawnt Spɔt Fiva (RMSF)?
Rɔki Mawnt Spɔt Fiva na wan infɛkshɔn we wan baktri we dɛn kɔl `(Rickettsia rickettsii)` kin mek. Jɔs lɛk aw di dengue vayrɔs kin kam insay wi bɔdi tru mɔskito, dis `R. rickettsii` baktri dεm de kam insay wi bכdi tru di bayt we wan tik we infεkt de bit.
Di big prɔblɛm wit dis na dat , insay di fɔs tɛm, di sayn dɛm kin rili fiba di wan dɛm wae kin kam wit kɔmɔn kol ɔr vayral fiva. Bɔrku pipul nɔr kin tink se i siriɔs bikɔs ɔf tin dɛm lɛk fiva, ed we de at, ɛn bɔdi we de at. Bɔt if di tritmɛnt delay, i kin rili siriɔs.
Sɔm pipul dɛn kin tink se dis tan lɛk ɔda sik we tik kin kam wit, lɛk Laym sik. Bɔt tu difrɛn kayn baktri dɛn kin mek dɛn tu sik ya. De sayn dɛm bak kin difrɛn. So, nɔ kɔnfyus di tu sik dɛn.
Udat de pan denja fɔ gɛt dis sik?
Infakt, ɛnibɔdi we gɛt flawa kin gɛt dis sik. Fli kin liv na lɔng gras, na say dɛn we gɛt tik dɛn, ɛn na wi animal dɛn we de ple na do. Dɛn dɔn ripɔt dis sik na bɔku kɔntri dɛn ɔlsay na di wɔl.
Bɔt if sɔm pipul dɛn gɛt dis sik, i kin gɛt bɔrku risk fɔ mek i sik bad bad wan. Lɛ wi si udat dɛn bi.
| Risk kategori | Tɔk bɔt |
|---|---|
| Ej | Dis sik kin tranga pan pikin dɛm wae nɔr rich 10 ia ɛn big pipul dɛm wae dɔn pas 70 ia. |
| Pipul dɛn we gɛt wik imyun sistɛm | Pipul wae gɛt wik imyun sistɛm bikɔs ɔf ɔda mɛrɛsin (e.g. kansa) ɔr mɛrɛsin kin gɛt bɔrku risk. |
| Pipul dɛn we gɛt G6PD dɛfisiɛns | Dis na wan sik we pɔsin kin gɛt we i kam pan jɛnɛtiks. Pipul dεm wae gεt ``Glucose-6-phosphate dehydrogenase (G6PD) deficiency'' dεn kin gεt dis sik bak. |
Wetin kin rili apin we di sik kam insay di bɔdi?
Imajin se wan flawa we gɛt di sik bit yu. Di flea in saliva de kɛr di baktri dɛm `R. rickettsii` insay yu blɔd. Frɔm de, di men tin we di baktri kin want na wi blɔd vesel dɛn .
Fɔ tɔk am simpul wan, dis baktri de pwɛl di wɔl dɛn na wi blɔd vesel dɛn. Jɔs lɛk aw wata paip kin gɛt smɔl smɔl ol dɛn, we dis baktri de pwɛl wi blɔd vesel dɛn, dɛn kin bigin fɔ lik blɔd ɛn wata insay di tisu dɛn we de rawnd am. Dis na wae de mek yu gɛt de sik. Dis lik kin pwɛl wi mɔsul dɛm, nerv dɛm, ɛn impɔtant ɔgan dɛm lɛk di bren ɛn kidni dɛm.
Wetin na di sayn dɛm we de sho se yu gɛt dis sik? Aw wi kin no dɛn?
Di sayn dɛm kin apia insay tu dez to tu wiks afta yu dɔn bit yu flea. Dɛn kin sheb dɛn tin ya to di fɔs sayn dɛm ɛn leta simptom dɛm wae kin kam as di sik de go bifo.
| Di sayn we de sho se di sik de | Mɔ infɔmeshɔn |
|---|---|
| Di simptom dɛm na di fɔs tɛm | |
| Ay fiva | Wan fiva we kin kam wantɛm wantɛm ɛn we kin rili bad. |
| Di ed we de at bad bad wan | Wan ed we de at we de fil lɛk se i go bɔn. |
| I nɔ kin want fɔ it igen, i kin nɔs, ɛn i kin vɔmit | Yu nɔ kin fil fɔ it, ɛn yu kin gɛt bɛlɛ pen ɛn vɔmit. |
| Bɔdi de at | Yu kin fil bad bad pen, mɔ na di mɔsul dɛn. |
| Skin rash we de kɔmɔt na di skin | lεk 3 de afta di sik bigin, sכm sכm rεd spat dεm kin apia na di skin. Dɛn tin ya kin bigin na di an ɛn anklɛ dɛn na di an ɛn fut. Dɔn dɛn kin skata ɔlsay na di bɔdi. Bɔt, nɔto ɔlman kin gɛt di rash. |
| Siriɔs sayn dɛm wae kin apun wae de sik de wɔs | |
| Kɔnfyushɔn na yu maynd | Disorientation, agitation, tɔk we nɔ de tɔk fayn. |
| I nɔ kin izi fɔ yu fɔ blo | Fɔ blo shɔt (dyspnea). |
| Numbness, wik na di limb dɛm | Fɔ fil se yu nɔ gɛt layf na yu bɔdi pat dɛn. |
| Di sik dɛn we kin mek pɔsin sik | Wan kɔndishɔn we tan lɛk fit. |
Di tin we impɔtant pas ɔl na, nɔ wet fɔ mek di rash kɔmɔt. Sɔm pipul dɛn nɔ kin gɛt di rash, ɔ i kin kam let. If yu gɛt sayn dɛn lɛk fiva ɛn ed we de at, ɛn yu tink se flea dɔn bit yu, go to dɔktɔ wantɛm wantɛm.
Aw di dɔktɔ kin no di sik?
We yu go to dɔktɔ, di fɔs tin we i kin du na fɔ aks yu kwɛstyɔn dɛn.
- Wetin na yu sik ɛn aw lɔng yu dɔn gɛt dɛn?
- Yu nɔ tu te yet we yu waka na wan fɔrɛst, na ples we gɛt lɔng lɔng gras?
- Ɛni animal dɛn de we dɛn kin mɛn na os?
- Yu dɔn si wan flawa de hang sɔmsay na yu bɔdi?
Bay di ansa we yu gi to dɛn kwɛstyɔn ya, yu dɔktɔ go chɛk yu. If yu simptom dεm sho se dis kin bi RMSF, dεn kin stat tritmεnt.
Dɛn kin gɛt blɔd tɛst ɛn sɔntɛnde dɛn kin tek di skin bayɔpsi fɔ kɔnfirm di sik. Bɔt di rizɔlt fɔ dɛn tɛst ya kin tek 7 to 10 dez fɔ kam bak. Bikɔs di sik rili siriɔs, yu dɔktɔ nɔ go wet fɔ di rizɔlt. If yu simptom ɛn di infɔmeshɔn we yu gi sho se yu gɛt RMSF, dɛn go bigin tritmɛnt wantɛm wantɛm.
Wetin na di tritmɛnt dɛn? Aw lɔng i kin tek fɔ mek i wɛl?
Di bɛst ɛn di wangren tritmɛnt we dɛn kin rɛkɔmɛnd fɔ RMSF na antibayɔtik . Di antibayɔtik we dɛn yuz spɛshal fɔ dis na `( Doxycycline (
- I impɔtant fɔ bigin kwik: Di tritmɛnt kin wok fayn pasmak we yu bigin insay di fɔs 5 dez we yu gɛt di sik.
- Kɔmplit: Yu kin gɛt fɔ tek dis mɛrɛsin fɔ 7-10 dez. Ivin if yu fil fayn insay tu ɔ tri dez, yu fɔ tek di mɛrɛsin fɔ di ful nɔmba fɔ di de we di dɔktɔ gi yu. If nɔto dat, di sik kin kam bak.
- I kin tranga: If di sik tranga, yu kin nid fɔ go na ɔspitul ɛn trit yu. Yu kin nid bak fɔ gɛt antibayɔtik we dɛn kin put insay yu bɛlɛ ɛn ɔda tritmɛnt dɛn (lɛk fɔ mek yu gɛt mɛkanikal ventileshɔn).
If yu bigin fɔ trit yu fayn fayn wan , yu go bigin fɔ fil fayn insay 48 awa.
Aw yu go protɛkt yusɛf frɔm dis sik?
Nɔr vaysin nɔr de fɔ dis sik, so di bɛst tin fɔ du na fɔ avɔyd fɔ it flea. Sɔm tin dɛn de we yu kin du fɔ mek dis nɔ apin.
- Kip yu gadin ɛn yad klin: Tɔlɔ gras ɛn bush na fayn ples fɔ flay fɔ liv. So kip yu yad gras trim ɛn klin.
- Stay sef we yu de go na bush: If yu go waka na bush ɔ bush, drɛs as yu ebul wit klos we kɔba yu bɔdi. Wear lɔng pant, lɔng sliv shit, sus, ɛn sɔks. I ivin bɛtɛ if yu ebul fɔ tuck yu pant insay yu sɔks.
- Yuz tin dɛn we de mek insɛkt nɔ kam: Yuz tin dɛn we de drɛb insɛkt lɛk flay. Di wan dɛn we gɛt DEET na dɛn bɛst. Speshal sprɛy dɛn de bak we yu kin put pan klos.
- Chek yu bɔdi afta yu dɔn go na do: Afta yu kam bak na os frɔm we yu de na do, mɔ na say dɛn we gɛt gras, chɛk yu ɔl bɔdi fɔ si if yu gɛt flay. Pe spɛshal atɛnshɔn to say dɛn lɛk yu armpit, yu groin, ed, biɛn yu yes, ɛn yu bɛlɛ.
- Protɛkt yu animal dɛn we yu de mɛn: Protɛkt yu animal dɛn lɛk dɔg ɛn pusi frɔm flay. Kɔnsul vetɛriana ɛn yuz di mɛrɛsin ɛn bɛlt dɛn we yu nid fayn fayn wan. Chek dɛn bɔdi afta yu dɔn lɛf dɛn fɔ kɔmɔt.
Ustɛm a fɔ go to dɔktɔ? A fɔ go na di ETU?
Dis na tin we rili impɔtant, bikɔs if pɔsin du sɔntin di rayt tɛm, dat kin sev pɔsin in layf.
| Pozishɔn | Wetin fɔ du |
|---|---|
| A saspek se wan flea dɔn bit mi, ɛn insay sɔm dez a dɔn gɛt sayn dɛn lɛk fiva, ed we de at, ɛn bɔdi we de at. | Si yu famili dɔktɔ wantɛm wantɛm. Nɔ delay. |
| Wan flea bin bit mi, bɔt no sayn nɔ de. | No nid fɔ go to dɔktɔ dis tɛm. If yu tek antibayɔtik we nɔ gɛt ɛni sayn i nɔ go ɛp. Bɔt, no if di sayn dɛn go sho insay di nɛks tu wiks. |
| If yu gɛt dɛn kayn bad bad sik ya, go na di ɔspitul in Imejɛnsi Tritmɛnt Yunit (ETU) wantɛm wantɛm. | |
| |
Mɛsej we dɛn kin kɛr go na os
- Rɔki Mawnt Spɔt Fiva (RMSF) na baktriyal infɛkshɔn we flay kin gɛt we kin mek pɔsin in layf de pan denja if dɛn nɔ trit am kwik kwik wan.
- Nɔ ful yu wit di tru tin se di fɔs sayn dɛm (fiva, ed pen, bɔdi pen) tan lɛk kɔmɔn vayral flu.
- Nɔ wet fɔ mek yu skin rash kɔmɔt. Sɔm pipul dɛn nɔ kin gɛt rash.
- If di sayn dɛm we wi dɔn tɔk bɔt dɔn apin afta yu dɔn de na say we gɛt flea, go to dɔktɔ wantɛm wantɛm.
- Di sik kin wɛl ɔl if dɛn bigin fɔ trit am kwik.
- Di bɛst we fɔ avɔyd dis sik na fɔ protɛkt yusɛf frɔm flawa.
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