Yu dɔn ɛva go waka na bush, na lɔng gras, ɔ ple wit yu animal ɛn yu mit wan smɔl tin we tan lɛk tik? Sɔntɛnde, dɛn smɔl smɔl tin dɛn ya kin rili mɔna wi. Tide wi go tɔk bɔt wan sik we tik kin pas, ɛn i kin denja smɔl. Dɛn kɔl am Rɔki Mawnt Spɔt Fiva. I kin tan lɛk se di nem nɔ impɔtant to Sri Lanka, bɔt i rili impɔtant fɔ no bɔt sik dɛn we tik kin kam wit lɛk dis.
Wetin na Rɔki Mawnt Spɔt Fiva?
Fɔ tɔk am simpul wan, Rɔki Mawnt Spɔt Fiva (RMSF) na wan sik we wan bɔdi we dɛn kɔl Rickettsia rickettsii kin mek. I kin skata tru tik bayt. Di fɔs sayn dɛm – lɛk fiva, ed pen, ɛn skin rash – kin tan lɛk ɔda kɔmɔn sik dɛm. Bɔt if dɛn nɔ trit am kwik, RMSF kin mek pɔsin in layf de pan denja.
Dis sik, RMSF, de pan wan big grup fɔ sik dɛn we dɛn kɔl `Spotted Fever Rickettsiosis (SFR)`.
Yu tink se Rɔki Mawnt Spɔt Fiva (RMSF) ɛn Laym sik na di sem tin?
Yɛs, pan ɔl we dɛn ɔl tu na infɛkshɔn we tik kin gɛt, Rɔki Mawnt Spɔt Fiva ɛn Laym sik na tu difrɛn sik dɛn. Laym sik kin kam wit difrɛn baktri dɛm pas RMSF, ɛn di sayn dɛm kin difrɛn. Pɔsin we gɛt RMSF nɔ go gɛt Laym sik.
Udat kin gɛt Rɔki Mawnt Spɔt Fiva (RMSF)?
Ɛnibɔdi we de na say usay tik de – lɛk lɔng gras, fɔrɛst eria, ɔ animal dɛn we de na do – kin gɛt dis sik. Dɛn dɔn ripɔt RMSF kes dɛm na Amɛrika, Kanada, Mɛksiko, ɛn Sawt ɛn Sɛntral Amɛrika. Pan ɔl we di kes kin apin ɛni tɛm pan di ia, di bɔku bɔku kes dɛn kin si insay di mɔnt dɛn we di ples wam.
Udat dɛn de pan denja pas ɔlman?
Enibodi kin get RMSF pan eni ej. Bɔt dɛn ripɔt se i kin bɔku pan man ɛn pipul dɛn we dɔn pas 40. Yu kin gɛt siriɔs RMSF if yu:
- If yu nɔ rich 10 ia ɔ pas 70 ia.
- If yu gɛt `Glukɔs-6-fɔsfɛt dihaydrojɛnɛz (G6PD) dɛfisiɛns`.
- If yu gɛt kɔmprɔmis imyun sistɛm.
Aw kɔmɔn tin na Rɔki Mawnt Spɔt Fiva (RMSF)?
Insay Amɛrika, dɛn kin ripɔt lɛk 6,000 pipul dɛn we gɛt RMSF ɛvri ia. Pan ɔl we dɛn kɔl am "Rɔki Mawnt," i rili bɔku na stet dɛn lɛk Nɔt Karolina, Tɛnisi, Misɔri, Akansas, ɛn Ɔklahoma. RMSF kin apin mɔ insay di sɔmma, we tik kin bɔku ɛn pipul dɛn kin de na do.
Aw Rɔki Mawnt Spɔt Fiva (RMSF) kin afɛkt mi bɔdi?
Di baktri dεm we de mek RMSF, `R. rickettsii`, de go insay yu blɔd tru wan tik bayt. Dɔn di bɔdi kin atak yu blɔd vesel dɛn, di mɔsul sɛl dɛn, ɛn di tisu dɛn. Dis kin mek blɔd kɔmɔt na yu blɔd vesel dɛn, wata gɛda na yu tisu dɛn, ɛn pwɛl yu mɔsul dɛn, nerv dɛn, ɛn ɔgan dɛn.
Wetin na di sayn dɛm fɔ Rɔki Mawnt Spɔt Fiva (RMSF)?
If tik we gɛt di sik bit yu, yu kin bigin fɔ gɛt di sayn dɛm fɔ RMSF insay tu dez to tu wik. Bɔrku tɛm, di sayn dɛm kin kam smɔl smɔl fɔ sɔm dez. Fɔs, dɛn kin gɛt fiva, ed we kin at, nɔs, vɔmit, ɛn mɔsul dɛn we kin at .
Di tin we impɔtant pas ɔl: Sɔm pipul dɛn go gɛt rash insay tri dez (lɛk 50%). Bɔt i impɔtant fɔ go to tritmɛnt ɛn nɔ wet fɔ mek di rash kɔmɔt.
Di men sayn dɛm fɔ RMSF na:
- Ay fiva
- Ed de at
- Fil fɔ it
- Mɔsul dɛn de pen ɔ we de at
- Wan skin rash – kin bigin na di an ɛn ankles ɛn i kin go na ɔda pat dɛn na di bɔdi.
- Nɔs ɛn vɔmit
- Bɛlɛ de at
- Sɛnsitiviti to layt (fotophobia) .
Bɔrku sayn dɛm wae kin kam leta:
- Kɔnfyus
- I nɔ izi fɔ blo (dyspnea) .
- Fɔ wɔri, nɔr de rɛst, ɔr de agyu
- Di sik dɛn we kin mek pɔsin sik
- Di an ɛn fut dɛn kin swɛla ɔ wik
Aw di Rɔki Mawnt Spɔt Fiva (RMSF) kin skata?
Tik de kɛr ɛn spre RMSF. Insay Amɛrika, di Amɛrikan dɔg tik ɛn di Rɔki Mawnt wud tik na di men tin dɛn we kin mek pɔsin gɛt di sik. Na sɔm eria dɛn, ɔda tik spɛshal dɛn lɛk di brawn dɔg tik kin spre RMSF bak.
RMSF kin pas frɔm pɔsin to ɔda pɔsin?
Nɔ, Rɔki Mawnt Spɔt Fiva nɔ kin pas (dat min se i nɔto sik we pɔsin kin gɛt).
Aw yu go no if tik dɔn bit?
If yu nɔ si tik na yu bɔdi, sɔntɛnde i kin at fɔ no if tik dɔn bit yu. Tik kin lɛf mak usay dɛn bit am, i kin lɛf rash, ɔ i kin go we i nɔ gɛt ɛni sayn atɔl.
Aw dɛn kin no se pɔsin gɛt Rɔki Mawnt Spɔt Fiva (RMSF)?
Yu dɔktɔ go no se yu gɛt RMSF bay we yu de chɛk yu bɔdi, di sayn dɛm we yu gɛt, ɛn if tik dɔn bit yu. Pan ɔl we blɔd tɛst ɛn skin tɛst kin ɛp fɔ no RMSF, di rizɔlt fɔ dɛn tɛst ya nɔ kin de kwik fɔ bigin tritmɛnt.
If yu dɔn travul go na say we tik go mɔs de insay di las tu wiks, ivin if yu nɔ mɛmba se tik bin bit yu ɔ tik bin de na yu bɔdi, mek shɔ se yu tɛl yu dɔktɔ. Dis rili impɔtant fɔ mek dɛn disayd if dɛn fɔ trit RMSF.
Us tɛst dɛn kin yuz fɔ no RMSF?
Yu dɔktɔ kin no RMSF wit blɔd tɛst ɛn skin tɛst, bɔt di rizɔlt kin tek sɔm tɛm fɔ kam bak. Yu dɔktɔ go mɔs gɛt fɔ disayd if fɔ trit RMSF bifo yu tɛst rizɔlt kam bak.
- Blɔd tɛst: Dɛn kin tek wan sɛmpul pan yu blɔd fɔ chɛk fɔ di baktri dɛm we de mek yu gɛt RMSF. Yu blɔd nɔ kin tɛst pɔsitiv fɔ RMSF te 7-10 dez afta yu sik. Yu kin nid fɔ du ɔda blɔd tɛst if yu sik de wɔs ɔ afta yu dɔn wɛl.
- Skin test: Dɛn kin yuz spɛshal tul we dɛn kɔl panch fɔ tek smɔl pat pan di skin frɔm wan sɔri we de na yu skin (dis kin fil lɛk se yu prɛk ɔ yu de fil smɔl). afta dat dεn de tεst di skin sεmpl fכ sayn dεm fכ di R. rickettsii baktri dεm.
Aw dɛn kin trit Rɔki Mawnt Spɔt Fiva (RMSF)?
Dɛn kin trit RMSF wit antibayɔtik , we dɛn kin tek fɔ 7 to 10 dez.
Tritmɛnt kin wok fayn pasmak if yu bigin fɔ trit yu insay fayv dez afta yu dɔn bigin fɔ gɛt di sik. If yu bigin fɔ tek antibayɔtiks tu let, RMSF kin pwɛl yu bɔdi ɛn mek yu gɛt prɔblɛm dɛn we kin mek yu layf de pan denja.
If yu gɛt prɔblɛm, yu kin nid ɔda tritmɛnt. Dis kin min fɔ tek blɔd, fɔ mek dɛn yuz mashin fɔ mek di briz, ɔ ɔda tritmɛnt dɛn.
Us mɛrɛsin dɛn kin yuz fɔ RMSF?
Doxycycline na di onli antibayɔtik we dɛn kin rɛkɔmɛnd fɔ trit RMSF. If yu nɔ gɛt alɛji fɔ dɔksisayklin , yu dɔktɔ kin gi yu kloramfenikol as ɔda we. Bɔt i at fɔ fɛn kloramfenikol na sɔm kɔntri dɛn, ɛn i nɔ kin wok fɔ RMSF lɛk dɔksisayklin .
Aw fɔ manej di RMSF simptom dɛm?
If yu sik nɔr tranga, yu kin ebul fɔ mɛn am na os wit mɛrɛsin wae nɔr de na kɔwnta. Bɔt i impɔtant fɔ aks yu dɔktɔ us mɛrɛsin dɛn we nɔ bad fɔ yuz.
Aw kwik a go wɛl afta tritmɛnt fɔ RMSF?
If yu bigin fɔ gi antibayɔtik jɔs lɛk aw yu RMSF simptom dɛn bigin, yu fɔ fil fayn insay 48 awa. Bɔt yu go nid fɔ tek antibayɔtik fɔ sɔm dez mɔ. Ivin if yu fil fayn, kɔntinyu fɔ tek ɔl di mɛrɛsin dɛn lɛk aw dɛn tɛl yu fɔ tek. If yu sik nɔr bɛtɛ, go to yu dɔktɔ wantɛm wantɛm.
Aw a go ridyus di risk fɔ gɛt Rɔki Mawnt Spɔt Fiva (RMSF)?
Fɔ avɔyd tik bayt na di bɛst we fɔ ridyus di risk fɔ RMSF.
- Mow yu lawn ɔltɛm. Gras we lɔng pas 5 inch kin atrak tik dɛn.
- We yu de waka na say dɛn we gɛt fɔrɛst, na fɔ yuz klia rod dɛn nɔmɔ.
- Yuz bɔg sprɛy we gɛt tin dɛn we de mek tik nɔ de (fɔ ɛgzampul, di wan dɛn we gɛt DEET).
- We yu de go na bush ɔ say dɛn we gɛt lɔng gras, wɛr klos we kɔba bɔku pan yu bɔdi as yu ebul. Sɔm klos kin kam prɛ-trit fɔ protɛkt frɔm tik.
- Chek yu bɔdi fɔ tik afta yu kam bak frɔm do. If i pɔsibul, mek ɔda pɔsin chɛk di say dɛn we yu nɔ ebul fɔ si (lɛk yu bak ɔ yu skel).
- Protekt yu animal dɛm frɔm tik wit di tritmɛnt dɛm we yu vetɛriana dɔn rɛkɔmɛnd. Ɔltɛm chɛk fɔ tik afta dɛn dɔn go na do.
Wetin yu kin ɛkspɛkt if yu gɛt Rɔki Mawnt Spɔt Fiva (RMSF)?
Bɔrku pipul dɛn kin wɛl frɔm RMSF witout ɛni lɔng tɛm prɔblɛm if dɛn gɛt tritmɛnt kwik afta di sik bigin. Sɔm pipul dɛn kin gɛt prɔblɛm dɛn we kin rili bad ɛn dɛn kin nid fɔ go na ɔspitul fɔ gɛt tritmɛnt.
Ivin if yu gɛt wɛlbɔdi, sɔntɛnde, yu kin gɛt wɛlbɔdi prɔblɛm fɔ lɔng tɛm.
Kɔmplikɛshɔn dɛn we kin kam wit Rɔki Mawnt Spɔt Fiva (RMSF) .
Ivin wit antibayɔtik tritmɛnt, sɔm pipul dɛm wae gɛt RMSF kin gɛt siriɔs ɔr layf pan denja, lɛk:
- Akyu respiratɔri distres sindrom (ARDS) .
- Akyu kidni injuri
- Ɛdima we de na di pulmonari
- Anemia we nɔ gɛt bɛtɛ blɔd
- At sik
- Blɔd we de kɔmɔt insay pɔsin in bɔdi
- Sepsis (na wan sik we fiba blɔd pɔyzin) .
- Pat pan am we pɔsin kin paralayz
- I nɔ ebul fɔ kɔntrol di flɔ we di stɔl de flɔ (`fecal incontinence`) ɔ di urine (`urinary incontinence`) .
- Gangrene we nid fɔ mek dɛn kɔt dɛn an
- Infεkshכn/inflamεshכn na di bren (εnεfalaytis) .
- Ɔgan dɛn we nɔ de wok fayn
Outlook fɔ RMSF dɛn
Di chans fɔ wɛl frɔm RMSF gud if dɛn trit am kwik. Insay Amɛrika, di nɔmba fɔ pipul dɛn we de day frɔm RMSF, ivin wit tritmɛnt, de bitwin 5% ɛn 10%. Insay sɔm kɔntri dɛn lɛk Mɛksiko ɛn Brazil, dis pasɛnt bɔku pasmak.
If yu sik bad bad wan wit RMSF, yu kin gɛt lɔng tɛm ifɛkt ivin afta yu dɔn wɛl. Fɔ ɛgzampul:
- Nεv dεm dεm dεm כ paralayz
- I nɔ de yɛri fayn igen
- I nɔ izi fɔ tɔk
- I nɔ de si fayn igen
- Prɔblɛm na yu nervɔs sistɛm, lɛk wae yu gɛt prɔblɛm wit yu balans ɔ yu de tɔn diziz (vertigo) .
Yu tink se Rɔki Mawnt Spɔt Fiva (RMSF) kin mɛn ɔltogɛda?
RMSF kin sɔlv wit tritmɛnt. Bɔt sɔm pipul dɛn kin kɔntinyu fɔ gɛt di sik ivin afta di infekshɔn dɔn go, bikɔs ɔf di damej na di nerv ɛn tisu.
If dɛn nɔ trit am, di chans fɔ day frɔm RMSF de bitwin 20% ɛn 30%.
RMSF kin apin pas wan tɛm?
I nɔ go izi fɔ mek yu gɛt RMSF pas wan tɛm. di masta sabi pipul dεm tink se wans yu dכn gεt RMSF, yu de divεlכp `immunity` to am. Dis min se yu bɔdi no aw fɔ fɛt am, so i nɔ go apin igen.
Aw a go tek kia ɔf misɛf if a gɛt RMSF?
If yu dɔktɔ de trit yu fɔ RMSF, mek shɔ se yu tek ɔl yu mɛrɛsin dɛn lɛk aw dɛn tɛl yu. If yu stɔp fɔ tek antibayɔtik kwik, yu kin sik bak.
Yu dɔktɔ go tɛl yu aw fɔ mɛn yu sik dɛn fayn fayn wan na os. RMSF kin wɔs kwik kwik wan. If yu gɛt nyu sik ɔ if yu sik de wɔs, kɔl yu dɔktɔ wantɛm wantɛm.
Ustɛm yu fɔ go to dɔktɔ bɔt Rɔki Mawnt Spɔt Fiva (RMSF)?
If tik dɔn bit yu, ɔ if yu bin dɔn de na say usay tik de ɛn yu gɛt sayn dɛn fɔ RMSF, go to dɔktɔ wantɛm wantɛm.
Ivin if tik dɔn bit yu bɔt yu nɔ gɛt ɛni simptom, yu nɔ nid fɔ go to dɔktɔ yet - fɔ tek antibayɔtik we yu nɔ sik nɔ go ɛp fɔ mek yu nɔ gɛt RMSF.
Ustɛm a fɔ go na Imejɛnsi Tritmɛnt Yunit (ETU) ?
If yu gɛt ɛni wan pan dɛn sayn ya, go na di imejensi rum we de nia yu:
- If di fiva pas 39.4 Sɛlshiɔs (103 Farenheit) .
- If yu kɔf blɔd
- If yu an ɔ yu fut dɛn dɔn swel
- If yu gɛt siriɔs bɛlɛ pen
- If yu gɛt kɔnfyushɔn ɔ ɔda chenj dɛn na yu maynd
- If di sik dɛn we de mek pɔsin sik apin
- If yu gɛt numbness ɔ wik na yu an ɛn fut
- If yu de vɔmit bad bad wan
Us kwɛstyɔn dɛn a fɔ aks mi dɔktɔ?
- Aw a fɔ tek mi mɛrɛsin?
- Us nyu ɔr sik dɛn we de wɔs a fɔ wach fɔ?
- Aw kwik a go wɛl?
- Ustɛm a fɔ kam si yu bak?
Tin dɛn fɔ Mɛmba (Take-Home Message) .
Tik nɔ jɔs de anɔynt - dɛn smɔl smɔl bayt kin mek yu sik bad bad wan. Di bɛst we fɔ mek yu nɔ gɛt Rɔki Mawnt Spɔt Fiva (RMSF) na fɔ mek tik nɔ bit yu. Bɔt if tik dɔn bit yu ɛn yu gɛt sɔm sayn dɛn, go to yu dɔktɔ wantɛm wantɛm. Fɔ trit yu kwik na di bɛst we fɔ mek yu wɛl kwik kwik wan. Tek kia ɔf yu wɛlbɔdi ɛn de sef!
👩🏽 ⚕️ Ɔda kwɛstyɔn dɛn (FAQ dɛn)
💬 Yu tink se na pipul we de klaym mawnten nɔmɔ Rɔki Mawnt spɔt fiva kin apin?
Nɔ, pan ɔl we dɛn gɛt in nem (dɛn bin fɛn am fɔs na di Rɔki Mawnt), dɛn kin si dis sik ɔlsay na Amɛrika (nɔto na Sri Lanka). Na fiva we rili denja we baktri we dɛn kɔl Rickettsia kin kam wit, we tik (espɛshali tik pan dɔg) kin pas to mɔtalman.
💬 I nɔ go ebul fɔ avɔyd fɔ mek rɛd spat de apia na di bɔdi wit fiva?
Bɔrku pan di sik pipul dɛm kin gɛt rɛd, rawnd rash na dɛn an ɛn dɛn fut afta 2 to 4 dez. Bɔt sɔm pipul dɛn nɔ kin gɛt dɛn spat ya! So, if yu gɛt ay fiva afta tik dɔn bit yu, yu fɔ go to tritmɛnt wantɛm wantɛm, ɛn yu nɔ fɔ wet fɔ mek di rash kɔmɔt.
💬 Wetin go apin if yu ignore dis?
If dɛn nɔ tek antibayɔtik (Doxycycline) insay 5 dez afta tik bayt ɛn fiva, dis baktri kin bɔs di blɔd vesel dɛn we de go na di bren, at, ɛn kidni. I kin kil pɔsin sote i kin nid fɔ kɔt in an ɛn fut ɛn i kin mek pɔsin day kpatakpata insay lɛk 8 dez.
` Tik, Rɔki Mawnt Spɔt Fiva, Fiva, Skin Rash, Baktri Infɛkshɔn, Tik Protɛkshɔn, Antibaytik
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