Yu gɛt da ol vaysin ska de na yu an? (Smallpox Vaccine Scar) Mek wi no di ditel dem!

Yu dɔn ɛva notis wan smɔl rawnd skata na yu an ɔp, ɔ sɔntɛm na yu mama ɛn papa ɔ yu grani ɛn granpa dɛn an? Bɔku tɛm, i kin tan lɛk ol we dɛn dig insay di skin jɔs dɔŋ di wata. Sɔm pipul dɛn kin ivin kɔl am "smallpox scar." Wetin rili na dis skata? Wetin mek i kin fɔm? Lɛ wi tɔk mɔ bɔt am tide.

Wetin na Smɔlpoks Vaysin Ska?

Fɔ tɔk am simpul wan, ska we dɛn kin gi yu smɛlpoks vaysin na smɔl mak we lɛf na yu an afta yu dɔn gɛt shot we de protɛkt yu frɔm smɛlpoks. Dis ska kin gɛt rawnd rawnd, bɔt sɔntɛnde di ed dɛn nɔ kin ivin smɔl. I tan lɛk bak se i rayz smɔl pas di skin we de rawnd am.

Naw luk, sɔm kayn spɛshal vaysin dɛn de we kin mek yu gɛt skata lɛk dis:

• `ACAM2000TM`: Dis na di vaysin we di wɛlbɔdi wokman dɛm de yuz naw fɔ protɛkt pipul dɛm frɔm smɛlpoks. Bɔt, dɛn nɔ kin gi am to ɔlman. Dɛn kin gi am to pipul dɛn we de wok na lɛbɔtri we de wok wit sɔm kayn vayrɔs, ɛn to sɔm pipul dɛn we de na di sojaman dɛn. Yu bin no? Tɛnki fɔ di vayrɔs program dɛn we dɛn bin dɔn mek trade, di vayrɔs we de mek pɔsin gɛt smɛlpoks dɔn kɔmɔt na di wɔl naw. So, i nɔ de skata ɛnisay na di wɔl igen.
• `Dryvax®`: Dis na di smɛlpoks vaysin we dɛn bin de yuz bifo `ACAM2000TM`, bifo di US Food and Drug Administration (`US Food and Drug Administration - FDA`) bin gri fɔ am. Dɛn bin gi dis vaysin to bɔku pipul dɛn na Amɛrika insay di mid-1900 dɛm. Bɔt dɛn bin stɔp fɔ gi am ɔltɛm afta 1972. Afta dat, dɛn bin jɔs de gi `Dryvax®` to sɔm grup dɛn we dɛn dɔn pik, lɛk wɛlbɔdi wokman dɛn ɛn sojaman dɛn. Na insay 2008 dɛn bin stɔp fɔ yuz `Dryvax®` ɔltogɛda ɛn dɛn gi `ACAM2000TM` insted.

So di skata na yu an kin bi bikɔs ɔf wan pan dɛn tu vaysin ya, mɔ if yu dɔn ol smɔl.

Wetin mek dis smɛlpoks vaysin de lɛf skata?

Gud kwɛstyɔn! Di men rizin we mek smɛlpoks vaysin kin lɛf ska na bikɔs i kin mek smɔl infekshɔn na yu skin we yu gɛt di vaysin. Nɔ wɔri, dis na infɛkshɔn we dɛn kin kɔntrol, we dɛn kin du bay wilful. Yu bɔdi go fɛt di infekshɔn ɛn win am. Bɔt usay dis fɛt bin apin, dat na usay di infɛkshɔn ɛn di inflamɛns we gɛt fɔ du wit am bin de, wan smɔl skata go stil de.

di `ACAM2000TM` vaksin (εn di fכs `Dryvax®` vaksin) dεn gi am wit spεshal nidul wit wan bifurcated tip. Di pɔsin we de kia fɔ di wɛlbɔdi biznɛs kin dip dis nidul insay di injɛkshɔn wata ɛn prik di skin na yu ɔp an bɔku tɛm. dis kin mek, lεk aw wi bin dכn tכk, wan sכm `localized infection` we de limited to di injεkshכn sayt. Dis na nɔmal, ɛkspɛkt ifɛkt fɔ di vaysin. dis sכm infεkshכn de mek yu `imyun sistεm` bil difεns εgεst di sik.

Di tin we impɔtant pas ɔl na dat dis vaysin nɔ go gi yu smɛlpox. dis na biכs dεn nכ de mek dis vaysin we dεn de yuz di vayrus we de mek sכm sכmtεm (di `variola vayrus`). Bifo dat, i de yuz wan vayrɔs we dɛn kɔl `vaccinia virus`. Dis vaccinia vayrɔs na wan vayrɔs we gɛt fɔ du wit di smɔl smɔl vayrɔs. So we yu bɔdi bil di imyuniti agens di vaccinia vayrɔs, i kin rɛdi bak fɔ fɛt di smɛlpoks vayrɔs. Yu nɔ tink se i wɔndaful?

Insay tri to 4 dez afta di injɛkshɔn, di say we dɛn injɛkshɔn go rɛd, swel, ɛn it. Dɛn kɔl dis "tek." Na sayn fɔ se di injɛkshɔn de wok. Afta sɔm dez, dis eria go tɔn to blista we ful-ɔp wit pus, we go big afta lɛk 10 dez. Dɔn i go bigin fɔ dray. As di blista de wɛl, wan skab go fɔm oba am. Dis na pat pan di natura l we yu skin de wɛl. dis skab go fכl bitwin 14 εn 21 de afta di injεkshכn. Na de dɛn go lɛf di smɔl smɔl skata we gɛt pit.

Dis ska na gud sayn fɔ se di vaysin bin wok fayn, se i bin gi yu imuniti agens smɛlpoks. Bɔt mɛmba se dis ful imyuniti nɔ de las fɔ yu layf. Risach dɔn sho se di imyuniti kin bigin fɔ stɔp afta tri to fayv ia we dɛn dɔn gi di vaysin. Na dat mek sɔm pipul dɛn (lɛk di wan dɛn we de wok na lɛbɔtri) fɔ gɛt di vaysin bak ɛn bak fɔ lɔng lɔng tɛm fɔ mek dɛn kɔntinyu fɔ gɛt ful protɛkshɔn.

Wetin mek a nɔ gɛt skel pɔks vaysin ska?

If yu jɔs gɛt smɛlpoks vaysin ɛn nɔr dɔn gɛt rash, i pɔsibul se di vaysin nɔ "tek" bak. Dat min se di vaysin nɔ bin wok lɛk aw dɛn bin de tink. Bɔt, di wan dɛn we de wok fɔ di wɛlbɔdi biznɛs kin no dis kwik kwik wan (bifo yu ivin no se yu nɔ gɛt rash).

Dɔktɔ dɛn go chɛk fɔ "riakshɔn" sayn dɛn insay di fɔs wik afta di shot. Dat min se if yu gɛt rash ɛn if yu bɔdi de ansa fayn. If dɛn sayn ya nɔ apia, yu kin nid fɔ gɛt di shot bak. Yu dɔktɔ go advays yu bɔt wetin bɛtɛ fɔ yu da tɛm de.

Ska kin stil de pan pipul dɛm wae bin gɛt di smɛlpoks vaysin sɔm ia bifo. Sɔntɛnde, dɛn kin dɔn smɔl as tɛm de go. Sɔm pipul dɛn kin ivin du `scar revision` tritmɛnt fɔ ridyus di apinɛns fɔ ska, if dɛn want.

Di Mpox vaysin de mek pɔsin gɛt skata?

I dipen pan di vaysin we yu gɛt. Tink bɔt am, di vayrɔs dɛm we de mek pɔsin gɛt smɛlpox (`smallpox`) ɛn mɔmp (`mpox`) rili fiba, lɛk fambul dɛm. Na dat mek di wɛlbɔdi wokman dɛm dɔn ebul fɔ yuz di smɛlpoks vaysin fɔ protɛkt pipul dɛm frɔm mɔmp bak.

So, di wan dεm we gεt di `ACAM2000TM` vaysin go gεt ska lεk aw dεn bin mεnshכn. Bɔt di wan dɛn we de wok na di wɛlbɔdi biznɛs na kɔntri dɛn lɛk Amɛrika kin lɛk fɔ yuz di `JYNNEOS®` vaysin fɔ protɛkt dɛnsɛf frɔm smɛlpoks bikɔs i nɔ kin gɛt siriɔs sayd ɛfɛkt.

If pipul dɛm we gɛt di `JYNNEOS®` vaysin gɛt rash ɔ nɔ gɛt rɔsh, i dipen pan di we aw dɛn gi am. Tu men we dɛn de fɔ gi di `JYNNEOS®` vaysin:

• Intradermal vaccination: Dɛn kin gi dis na di insay pat na yu fɔrɛst. di dכkta de yuz sכmכl nidul fכ injεkt di vaysin bitwin di tu layεr dεm we de tכp na yu skin (di epidamis εn dεmis). Bikɔs yu skin gɛt bɔku imyun sɛl dɛn, ivin smɔl doz fɔ di vaysin kin izi fɔ mek dɛn sɛl dɛn de wok ɛn ɛp yu bɔdi fɔ bil in difens. We wan sik lɛk smɛlpoks kam wantɛm wantɛm, if yu yuz smɔl smɔl tin dɛn, dat kin ɛp fɔ gi mɔ pipul dɛn di vaysin.
• Subcutaneous vaccination: Dɛn kin gi dis na di ɔpa an. Di dɔktɔ de yuz nidul fɔ injɛkt di vaysin insay di layt we dip pas ɔl na yu skin (di haypodamis).

Dɛn tu we ya nɔ bad ɛn dɛn kin wok fayn. כltu, we dεn gi di vaksin tru di `intradermal` mεtכd, sכmtεm i kin mek di skin iritashכn εn di kכla de chenj. Bɔku tɛm, dɛn tin ya kin apin fɔ shɔt tɛm nɔmɔ. Bɔt sɔm pipul dɛn kin gɛt skata fɔ lɔng tɛm frɔm dis vaysin. Dɛn pipul ya kin gɛt patikyula risk:

• Pipul wae gɛt histri fɔ gɛt siriɔs skata frɔm trade.
• Pipul dεm we gεt histri fכ divεlכp ska dεm we dεn kכl `Keloid ska`. Dis na skata dεm we rayz, tik we de sho oba di skin. Dɛn kin tan lɛk rɛd ɔ pink. Dɛn kin gɛt di sem kɔlɔ we yu skin gɛt ɔ dɛn kin gɛt dak kɔlɔ.

Pipul dɛn we kɔmɔt na blak, Latin, ɔ Eshia, we min di wan dɛn we gɛt dak skin, kin gɛt mɔ risk fɔ gɛt keloid skata.

So, ɛnibɔdi we de pan risk fɔ gɛt skata nɔ go gɛt di vaksin wit di `intradermal` we. insted, dεn go gi dεm di `subcutaneous` mεtכd. Yu dɔktɔ go tɔk to yu bɔt yu mɛdikal histri (inklud ɛni histri bɔt skata) bifo i gi yu di vaysin. Dɛn go mɔs pik di we we go bɛtɛ fɔ yu.

If yu gɛt smɛlpox vaysin ska, dat min se yu gɛt protɛkshɔn frɔm Mpox?

Yu dɔktɔ na di bɛst pɔsin fɔ tɛl yu if yu protɛkt yu frɔm mizɛl ɔ ɛni ɔda sik we pɔsin kin gɛt. Yu bin no? Bɔrku tin de wae kin afɛkt yu lɛvɛl fɔ protɛkshɔn. Fɔ ɛgzampul:

• Us vaysin yu bin gɛt (lɛk `ACAM2000TM` ɔ `JYNNEOS®`).
• Ustɛm yu bay am?
• Aw lɔng da patikyula vaysin de de gi pɔsin protɛkshɔn?

Yu dɔktɔ kin asɛs yu imuniti bay yu vaksin istri ɛn di las risach bɔt aw di vaksin dɛn kin te.

Wan ɔda tin we yu fɔ mɛmba na dat, jɔs bikɔs yu gɛt smol pɔks skata na yu an, i nɔ min se dɛn dɔn gi yu vaysin fɔ smɛlpoks. I pɔsibul se sɔm pipul dɛn, mɔ di wan dɛn we dɛn bɔn na ɔdasay na Sri Lanka, dɛn dɔn gi dɛn di Bacille Calmette-Guérin (BCG) vaysin, we dɛn kin gi agens TB. Di BCG vaysin kin lɛf ska bak na yu an, we rili fiba di skata we dɛn kin gi yu smɛlpoks vaysin.

Bɔt dɛn wan ya na tu kɔmplit difrɛn vaysin dɛn, we dɛn kin gi agens tu rili difrɛn vayrɔs dɛn. Yu go jɔs protɛkt yu frɔm smɛlpoks if yu gɛt vaysin we dɛn mek spɛshal wan ɛn we dɛn dɔn gri fɔ am.

Bɔrku pipul, we dɛn luk pan dɛn smɛlpoks vaysin ska, kin mɛmba di rayt de we dɛn gɛt am. Fɔ sɔm, i kin bi se na bɔku bɔku ia bifo dis tɛm, as pat pan wan big vaksin program fɔ pul smɛlpoks kɔmɔt na di wɔl. Fɔ ɔda pipul dɛn, i kin bi sɔntin we dɛn jɔs gɛt, bikɔs ɔf di kayn wok we dɛn gɛt.

I nɔ mata di tɛm, ples, ɔ rizin, di rash na gud sayn fɔ sho se yu bɔdi dɔn bil di imyun difens fɔ protɛkt yu ɛn ɔda pipul dɛn. If yu gɛt ɛni kwɛstyɔn bɔt yu rash ɔ us vaysin yu fɔ gɛt, nɔ shek fɔ aks pɔsin we de kia fɔ yu wɛlbɔdi biznɛs.

Di tin dɛn we impɔtant pas ɔl fɔ mɛmba (Take-Home Message) .

• Smɔlpoks vaysin ska na mak we dɛn lɛf na di an afta dɛn dɔn gɛt smɛlpoks vaysin (ACAM2000TM ɔ di ol Dryvax®).
• Dis rash kin apin bikɔs di bɔdi de ansa to wan smɔl, kɔntrol infɛkshɔn we di vaysin kin mek na di skin. Dis na sayn fɔ se di vaysin bin wok fayn.
• Di smɛlpoks vaysin nɔ gɛt di smɔl pɔks vayrɔs, bɔt di sem kayn `vaccinia vayrɔs`.
• If no ska nɔ de, i kin bi se dɛn nɔ "tek di vaysin." Go to dɔktɔ fɔ advays bɔt dis.
• Ska we de kɔmɔt frɔm mpox vaysin (lɛk JYNNEOS®) de dipen pan di we aw dɛn gi am (intradɛmal ɔ sabkutan) ɛn wan wan tin dɛn.
• Pan ɔl we di BCG ska tan lɛk di smol pɔks, dɛn na tu difrɛn tin dɛn. Jɔs fɔ gɛt smɔl pɔks nɔ min se yu dɔn protɛkt yu frɔm smɛlpoks.
• Yu dɔktɔ na di bɛst pɔsin fɔ no mɔ bɔt yu imyun ɛn vaysin.

So, a op se yu dɔn ɔndastand da smɔl skata de na yu an naw. I nɔ jɔs bi skata, na gud ɛgzampul bak fɔ sho aw sayɛns dɔn go bifo fɔ protɛkt wi frɔm sik!

` Smɔl pɔks, vaksin ska, smɔl pɔks vaksin ska, ACAM2000, Dryvax, Mpox, JYNNEOS, imuniti