Yu dɔn ɛva tink se if yu waka wit yu fut na grɔn, mɔ na dɔti grɔn, dat go mek wan denja parasayt kam insay yu bɔdi? Yu kin fil smɔl it, bɔt sɔntɛm yu nɔ go bisin bɔt dat. Tide wi go tɔk bɔt wan wom sik wae kin kam na yu bɔdi kwayɛt wan ɛn liv insay yu bɔdi fɔ lɔng tɛm ɛn nɔr gɛt ɛni sayn, bɔt sɔmtɛm kin mek yu layf de pan denja. Dɛn kɔl dis Strongyloidiasis.
Fɔ tɔk am simpul wan, wetin na Strongyloidiasis?
Strongyloidiasis na infεkshכn we wan parasayt wom we dεn kכl `(Strongyloides)` de kכz. Dis wom kin go insay wi bɔdi tru wan wund na wi skin . Imajin, ivin if wund nɔ de na yu skin, dɛn wom dɛn ya kin go insay di bɔdi tru wan ol na di skin. Afta dɛn dɔn go insay di bɔdi, dɛn kin go stret na wi lɔng ɛn insay wi bɔdi. Na de dɛn wom dɛn ya kin gro, le eg, ɛn bɔn pikin.
Di pekul tin fɔ dis infɛkshɔn na dat sɔm pipul dɛn kin go fɔ lɔng lɔng tɛm ɛn nɔr kin sho ɛni sayn . Ɔda pipul dɛn kin gɛt skin rash, blista, ɔ bɛlɛ at we kin kam ɛn go wan wan tɛm. Bɔt if pɔsin in imyun sistɛm wik , dis simpul wom infɛkshɔn kin rili bad ɛn i kin ivin put in layf pan denja.
Usay dis wom kin bɔku pas ɔl? Udat dɛn de pan denja pas ɔlman?
Pan ɔl we yu kin si di Strongyloides wom ɛnisay na di wɔl, i kin bɔku na kɔntri dɛn we gɛt wam klaymat (tropik ɛn sabtropik) ɛn na rural eria dɛn we nɔ gɛt fayn say fɔ was.
Ɛnibɔdi kin gɛt dis sik, bɔt sɔm pipul dɛn kin gɛt dis sik pasmak.
| Risk factor | Tɔk bɔt |
|---|---|
| Di imyuniti we wik | Di risk kin rili bɔku fɔ di wan dɛn we de tek stɛroyd mɛrɛsin (kɔtikosterɔyd tɛrapi), di wan dɛn we gɛt di HTLV-1 vayrɔs, di wan dɛn we gɛt kansa (espɛshali lukimiya, limfoma), ɛn di wan dɛn we dɛn dɔn transplant ɔgan. |
| We yu de waka wit yu fut nɔmɔ | We yu waka wit yu fut, mɔ na dɔti grɔn, dat kin mek yu gɛt big prɔblɛm bikɔs yu kin tɔch di grɔn ɔltɛm. |
| Sɔm wok dɛn | Pipul dɛn we de wok na fam, mayn, ɔ ɔda we we de wok na wok dɛn we gɛt fɔ du wit di kɔntakt wit di grɔn ɔltɛm, kin gɛt mɔ prɔblɛm. |
| Ɛria dɛn we nɔ gɛt bɛtɛ klin | If yu liv na say dɛn we di grɔn kin gɛt mɔ dɔti wit mɔtalman fes, dat kin mek yu gɛt di sik mɔ ɛn mɔ. |
Wetin dis wom kin du afta i dɔn go insay di bɔdi?
Dis tan lɛk fim. Imajin, smɔl smɔl wom dɛn (larva) dɛn we de na di grɔn kin go insay yu bɔdi tru yu skin.
1. Fɔ go insay di skin: We dɛn larva ya fɔs go insay di skin, dɛn kin mek yu gɛt rɛd, swel, ɛn it bad bad wan .
2. Travul go na di lכng: Nεks, dεn de go insay di bכdi εn travul wit di bכdi go na di lכng. Na de dɛn kin big smɔl. Insay dis tɛm, sɔm pipul dɛn kin fil se dɛn kin kɔf bad bad wan ɔ dɛn kin fil tikl na dɛn trot .
3. Fɔ go insay di insay: We wi kɔf di wom frɔm di lɔng, dɛn kin go insay di trot ɛn wi kin swɛla dɛn we wi nɔ no. Dɔn dɛn kin pas na di bɛlɛ ɛn go insay di insay.
4. Transmishכn: Dis tεp wכm dεm de lay dεn eg dεm na di intestכn dεm. Di eg dɛn kin bɔn to larva, we kin pas na di fes. We dɛn pas, dɛn kin dɔti di grɔn ɛn dɛn kin ambɔg ɔda pipul dɛn.
Di tin we denja pas ɔl bɔt dis na dat dɛn wom ya, instead fɔ pas na di fes, kin go bak na di intestinal, go bak insay di blɔd, ɛn bigin di wan ol saykl bak. dis dεn kכl am ``autoinfection.'' Dis na di rizin we mek, if dεn nכ trit am, di infεkshכn kin de fכ ia.
Hyperinfection: Na bad bad tin we kin mek pɔsin in layf de pan denja
Bɔku tɛm, di bɔdi fɔ pɔsin we gɛt wɛlbɔdi ɛn we gɛt gud imyun sistɛm kin kip dɛn wom ya ɔnda kɔntrol, so bad bad sayn dɛn nɔ kin apin.
Bɔt if pɔsin we in imyun sistɛm wik gɛt dis infekshɔn, di wom dɛn nɔ go ebul fɔ kɔntrol di infɛkshɔn igen. di wom dεm de bכku kwik kwik wan, dεn de kכmכt na di intestinal dεm εn go spre to כda כgan dεm lεk di bren, di liva, εn di at. dis dεn kכl am ``haypa infεkshכn`` כ ``diseminated strongyloidiasis``.
na dis tεm, as di wom dεm de kכmכt na di intestinal, dεn de ad baktri dεm frכm di intestines to di bכdi. Dis kin mek yu gɛt siriɔs prɔblɛm dɛn we kin mek yu layf de pan denja lɛk ``sepsis`` (blɔd pɔyzin) ɛn ``nyumonia`` (nyumonia).
Udat de pan ay risk fɔ gɛt siriɔs infɛkshɔn (haypa infɛkshɔn)?
- Fɔ di wan dɛn we de tek kɔtikosterɔyd fɔ lɔng tɛm
- Fɔ di wan dɛn we gɛt HTLV-1
- Fɔ pipul dɛm wae gɛt kansa wae gɛt fɔ du wit blɔd lɛk lukimiya ɔr lymphoma
- Fɔ di wan dɛn we dɔn gɛt ɔgan transplant ɔ bon mɛrɔ transplant
Wetin na di sayn dɛm fɔ dis sik?
Bɔrku pipul kin nɔr kin gɛt ɛni sayn, ɔr kin kam ɛn go wan wan tɛm. If di sayn dɛm wae de sho se yu gɛt dis sik, dɛn kin bi:
- Skin lεsin dεm: Rεd, rayz, it lεsin dεm we de sho se dεn de muv kwik kwik wan (larva currens). Dɛn kin si dɛn tin ya mɔ bitwin di bɔdi, na di shɔl, ɔ na di an eria.
- Bɛlɛ we de at: Ɔpa bɛlɛ de pen (we tan lɛk gastritis), blo, nɔs, ɛn dayarɛa.
- Kɔf: Na dray kɔf ɔ yu trot we de skrach.
Diagnosis ɛn tritmɛnt fɔ di sik
If yu gɛt dɛn sik ya ɔ yu de na grup we gɛt prɔblɛm, i impɔtant fɔ go to dɔktɔ . Di dɔktɔ go aks yu kwɛstyɔn dɛn, chɛk yu, ɛn ɔda fɔ du bɔku tɛst fɔ no if yu gɛt di sik.
- Stul test: Chɛk fɔ wom ɔ dɛn larva.
- Sputum test: Fɔ no if wom de na di lɔng.
- Blɔd tɛst: I de chɛk fɔ di antibodi dɛm we di bɔdi de mek agens di wom.
As tritmɛnt, di dɔktɔ go gi yu mɛrɛsin dɛn we de mek yu nɔ gɛt parasayt. Ivermectin ɛn Albendazole na di mɛrɛsin dɛn we dɛn kin yuz mɔ fɔ dis. Bɔku tɛm, dɛn kin gɛt fɔ tek di mɛrɛsin fɔ sɔm dez to tu wiks.
Di tin we impɔtant pas ɔl na dat , ivin if yu nɔ gɛt ɛni sayn, if dɛn kɔnfyus se yu gɛt di infekshɔn, yu fɔ rili go to tritmɛnt. Bikɔs if yu imyuniti wik tumara bambay, dis saylɛns wom kin bi ``haypa infεkshכn`` εn i kin bi layf pan denja.
Aw yu go protɛkt yusɛf frɔm dis sik?
Fɔ protɛkt yusɛf frɔm dis sik rili simpul.
- Wear sus ɔltɛm: Wear sandal ɔ sus, mɔ na gadin, fil, ɔ ɛnisay we yu kam nia di grɔn.
- Tek kia ɔf yu hajɛns: Was yu an fayn fayn wan afta yu dɔn yuz tɔylɛt. Nɔ tɔch di grɔn na say dɛn we nɔ gɛt bɛtɛ saniteshɔn.
- Tɛl yu dɔktɔ: If yu de tek mɛrɛsin fɔ mek yu nɔ ebul fɔ fɛt yu bɔdi fɔ ɛni rizin, yu de gɛt kansa tritmɛnt, ɔ yu de rɛdi fɔ transplant yu ɔgan, tɛl yu dɔktɔ. If nid de, dɛn kin tɛst yu fɔ tepwɔm bifo dɛn bigin fɔ trit yu.
Ustɛm yu fɔ go to dɔktɔ?
If yu de na dis kayn tin, mek shɔ se yu go to yu famili dɔktɔ.
- If yu gɛt sɔm sayn dɛm fɔ Strongyloidiasis (especially strenj skin lesions, bɛlɛ at pwɛl).
- If yu imyun sistεm wik εn yu de fred fכ infεkshכn lεk dis.
- If yu de travul go na say we dis sik kin bɔku.
- Bifo yu bigin ɛni tritmɛnt we de mek yu imyun sistɛm wik.
Ustɛm fɔ go na di ETU (Imejɛnsi Tritmɛnt Yunit) wantɛm wantɛm
If yu sɔspɛkt se yu gɛt Strongyloidiasis ɛn yu gɛt ɛni wan pan dɛn bad bad sik ya, go na di ɔspitul Imejɛnsi Dipatmɛnt (ETU) we de nia yu wantɛm wantɛm.
- Ay fiva (we pas 39.4 Sɛlshiɔs / 103 Fɛnayt)
- Fɔ pwɛl at ɔ fɔ chenj di we aw pɔsin de tink
- Blɔd prɛshɔn we rili smɔl
- I nɔ kin izi fɔ yu fɔ blo
- Chɛst de pen
- Na smɔl ɔ nɔ urine we de kɔmɔt
Mɛsej we dɛn kin kɛr go na os
- Strongyloidiasis na sik we wan parasayt wom we de na dɔti grɔn we kin kam insay di bɔdi tru di skin.
- Bɔrku pipul nɔr kin sho ɛni sayn fɔ bɔrku ia.
- Fɔ pipul dɛm wae gɛt wik imyun sistɛm (e.g., di wan dɛm wae de tek stɛroyd, pipul dɛm wae gɛt kansa), dis sik kin rili bad ɛn ivin kin mek dɛn layf de pan denja.
- Yu kin ebul fɔ protɛkt yusɛf frɔm dis sik izi wan bay we yu wɛr sus ɛn praktis gud hajɛns.
- Ivin if no sayn nɔ de, dɛn fɔ go to dɔktɔ if dɛn si se yu gɛt di sik.
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