Yu jaw de lok tu? Lɛ wi lan di rayt tin bɔt tetanɔs!

yu don eva yehri boht "tetanus" o "lockjaw disease"? Sɔntɛm we yu bin smɔl, we yu fɔdɔm ɔ wund, yu mama go se, "O, tek tɛm, yu nid fɔ gɛt tetanɔs shot." Dis kin rili mek yu fred smɔl, bɔt if dɛn tɛl yu fayn fayn wan, i kin rili izi fɔ mek yu nɔ du am. Tide, lɛ wi tɔk bɔt wetin na tetanɔs, aw i kin kam, ɛn wetin wi kin du bɔt am.

Wetin na Tɛtanɔs? Lɛ wi ɔndastand am simpul wan

Fɔ tɔk am simpul wan, tetanɔs na sik we yu mɔsul dɛn kin tayt wantɛm wantɛm ɛn shek shek we yu nɔ ebul fɔ kɔntrol. Dis kin bi bikɔs wan baktri we dɛn kɔl Clostridium tetani de kam insay yu bɔdi. We dis baktri kam insay, i kin mek wan pɔyzin . Dis pɔyzin kin afɛkt yu nervɔs sistɛm ɛn i kin ambɔg di wok we yu mɔsul dɛn de du. Sɔntɛnde, dis kin mek pɔsin in layf de pan denja . Bɔt di bɛst tin na dat dɛn kin ebul fɔ avɔyd dis sik bay we dɛn gi dɛn vaysin . Na dat mek dis sik nɔ kin bɔku na di divɛlɔp kɔntri dɛn lɛk Amɛrika.

Yu tink se men kayn dɔti de?

Yɛs, dɔktɔ dɛn dɔn no 4 men kayn we dɛn we de mek pɔsin in bɔdi wam:

• Jɛnɛral tetanɔs: Dis na di kayn we we dɛn kin gɛt mɔ . insay dis, di mכsul dεm na di כl bכdi, εspεshali di nεk εn di jaw, de kכntrakt tayt. yu kin si dis pan di inability fכ opin di mכt εn di nεk we dεn de pul bak.
• Neonatal tetanus: Dis kin afɛkt pikin dɛn we dɛn bɔn insay 28 dez afta dɛn bɔn dɛn . I nɔ kin apin so ɔltɛm na divɛlɔp kɔntri dɛn bikɔs dɛn kin gi mama dɛn vaysin agens tetanɔs we dɛn gɛt bɛlɛ . Bɔt i kin apin na say dɛn we nɔ gɛt bɛtɛ wɛlbɔdi biznɛs ɛn we nɔ gɛt di rayt vaksin. di jεm de go insay di pikin tru di כmbilikal kכd.
• Localized tetanus: Dis na we di mכsul dεm we de rawnd di wund usay di bכdi go insay di bכdi nכmכ de tεns . Dis nɔ kin rili kɔmɔn, bɔt sɔmtɛm i kin bi jɛnɛral tetanɔs.
• Sεfalik tεtanכs: Dis lεk di lokal tetanכs, bכt i de afekt di nεv dεm na yu skel (kranial nεv dεm) . Dis min se di sayn dɛm kin de mɔ na yu ed ɛn yu fes.

Wetin na di sayn dɛn we pɔsin kin gɛt we i nɔ gɛt bɛlɛ? Aw yu no am?

Di sayn dɛm we de sho se yu gɛt sprain na di ifɛkt dɛm we di baktriyal pɔyzin we wi bin dɔn tɔk bɔt gɛt pan yu nervɔs sistɛm. Nɔmal wan, wi mɔsul dɛn kin kɔntrakt ɛn rilaks bay di signal dɛn we de kɔmɔt na di nervɔs sistɛm. Bɔt dis sprain pɔyzin de mek di mɔsul dɛn nɔ gɛt di signal fɔ rilaks. Dis kin mek di mɔsul dɛn tayt ɛn twitch we dɛn nɔ ebul fɔ kɔntrol . Di men sayn dɛm kin bi:

• I nɔ kin izi fɔ swɛla (dysphagia) ɔ i nɔ kin izi fɔ blo (dyspnea) .
• Drooling .
• Rigid smayl na smayl we yu nɔ want ɛn we kin apin bikɔs di mɔsul dɛn na di fes kin kɔntrakt.
• di nכ ebul fכ opin di mכt biכs fכ di tayt we di mכsul dεm na di jaw εria (`trismus`) . Dɛn kin kɔl dis bak "jaw lɔk".
• Mɔsul dɛn we de shek shek na di bɛlɛ, bak, an, ɔ leg. Sɔntɛnde, dɛn twitch ya kin wɔs bikɔs ɔf brayt layt ɔ nɔys .
• di tεnshכn na di mכsul dεm de mek di nεk εn bak de pul bak (opisthotonos) . I tan lɛk bɔw.
• Sɔm kayn sik kin apin.

Impɔtant: If yu gɛt wan ɔ mɔ pan dɛn sik ya, mɔ afta yu wund, yu fɔ go to dɔktɔ wantɛm wantɛm.

Stress kin afɛkt yu autonomic nervous system bak , we na di pat na yu bɔdi we de kɔntrol tin dɛn lɛk aw yu de blo ɛn aw yu at de bit. E kin tek sɔm dez fɔ mek dɛn sayn ya kam. Dɛn tin ya na:

• Fiva ɛn swet .
• Di ay blɔd prɛshɔn .
• Di at rit we de go ɔp ( tachycardia ).
• di urin we dεn nכ kכntro (`urinary incontinence`) εn di bכdi muvmεnt (`fecal incontinence`).

Wetin kin mek pɔsin gɛt akni? Aw dis baktri de go insay di bɔdi?

di tεtanכs de kכz fכ wan tכxin we di baktri we dεn kכl Clostridium tetani (C. tetani) de mek. Tetanɔs nɔ kin kɔmɔt frɔm wan pɔsin to ɔda pɔsin . di tetanus patogen kin go insay wund as spot ɔ as aktiv baktri (bacilli) . di spכr dεm at fכ kil εn dεn kin liv fכ bכyl wata. Dɛn spot ya kin de mɔ na grɔn, mɔ di grɔn we gɛt animal manyuɔr.. Dip kɔt ɛn pankchɔ na di say dɛn we dis bɔdi kin go insay. Bɔku tɛm, di inflamɛns we kin kam wit dip wund kin rili bad. Sɔm pan di we dɛn we dis bɔdi kin go insay wund na:

• Injuri usay bon dεm de brok εn kכmכt tru di skin (`kכmpawnd frakshכn`) .
• Bɔn injuri dɛn.
• Krɔs injuri dɛn.
• Infεkshכn dεm we de na di tit.
• If insɛkt bit ɔ dɔg bit am dɔti.
• Wund dɛn we dɛn kin du ɔpreshɔn pan.
• Yuz dɔti nidul ɔ mɛrɛsin ikwipmɛnt.
• Tin dɛm lɛk smɔl injury, skrat, ɛn nel bayt we kin apin na os.

Imajin, yu bin de wok na di gadin ɛn yu stɔp na wan nel we dɔn rɔsti, ɔ yu fɔdɔm ɛn gɛt smɔl injuri we yu de ple. Dis na di tɛm we yu nid fɔ tek kia ɔf yu skin.

Pan ɔl we wund na di rod we di jem kin go insay, bɔku pipul dɛn nɔ kin mɛmba us wund mek di rɔsh . Stɔdi dɔn sho se pan sɔntɛm 50% pan di sik pipul dɛn, dɛn nɔ kin ebul fɔ no wan patikyula wund.

Udat dɛn gɛt mɔ risk fɔ gɛt ɛkzema?

Bɔku men tin dɛn de we kin mek pɔsin gɛt akni:

• Ej: Pipul dɛn we dɔn pas 65 ia nɔ kin gɛt di kayn protɛkshɔn frɔm di mizɛl vaysin bikɔs di vaysin in wok kin go dɔŋ as tɛm de go. Dɔn bak, bɔku pipul dɛn na dis ej grup bin bɔn bifo di mizɛl vaysin kam ɔlsay.
• Nɔ kɔmplit di vaysin: Dɛn kin gi di mizɛl vaysin insay sɔm dos dɛn. If yu nɔ kɔmplit dɛn ɔl, yu nɔ go gɛt ful protɛkshɔn.
• Dayabitis: Frɔm wetin dɛn dɔn tɔk bɔt na Amɛrika, pipul dɛn we gɛt dayabitis kin gɛt akni.
• Pipul dɛm wae gɛt dis sik: Pipul dɛm wae gɛt wik imyun sistɛm kin gɛt dis baktri.
• Pipul wae de injekt drɔgs: Dɛn pipul ya kin gɛt mɔ risk bak bikɔs dɛn kin yuz dɔti nidul.

Aw pikin dɛn we dɛn jɔs bɔn kin gɛt dayapɛt rɔsh? Wetin na di tin dɛn we kin mek i apin?

di nyu bכbi tεtanכs kin apin pan nyu bכbi if di mama nכ gεt di tεtanכs . If di mama nɔ gɛt di vaysin, dɛn nɔ go protɛkt di pikin. Dɔn di pikin kin gɛt di jem tru ɛni wund. pan pikin dεm, i kin kכz am bכku tεm we dεn kכt di כmbilik kכd . di men tin dεm we kin mek i gεt di tεtanus we dεn bכn pikin dεm na:

• Mama we nɔ gɛt di vaysin ɔ we nɔ gɛt di vaysin kɔmplit.
• infεkshכn na di כmbilikal kכd wund bikoz fכ tin dεm lεk fכ yuz dכti instrכmεnt fכ kכt di כmbilik kכd כ nכ kip di כmbilikal kכd klin .

Wetin na di prɔblɛm dɛn we kin apin we pɔsin gɛt ɛkskɔri?

Difrɛn kɔmplikeshɔn kin apin bikɔs ɔf di wok we dɛn de du pasmak. sכm kin kכz fכ di mכsul dεm we de spam, כda wan dεm kin kכz fכ di כtonom nεv sεstem we nכ de wok fayn. Sɔm pan dɛn prɔblɛm ya na:

• sכt brith biכs fכ di spasm fכ di mכsul dεm na di aywe.
• Blɔd we de klɔt.
• Kidni we nɔ de wok fayn.
• Sepsis ( blɔd pɔyzin).
• Day.

Dis na siriɔs sik, so ivin smɔl injuri nɔ fɔ tek am layt.

Aw dɔktɔ dɛn kin no if pɔsin gɛt thrush?

Nɔ patikyula lab tɛst nɔ de fɔ no ɔ kɔnfyus flɛgm. Yu dɔktɔ go no if yu gɛt blɔd bay di sayn dɛn we yu gɛt . Dɛn go du wan fyzikal ɛgzam ɛn aks bɔt yu mɛdikal istri. Sɔntɛnde yu dɔktɔ kin yuz bak wetin dɛn kɔl " spatula test ." Dis min se yu fɔ tek wan inschrumɛnt we saf, ɔ spatula, ɛn tɔch am to di bak pat na yu trot frɔm insay yu mɔt. Nɔmal wan, dis go mek yu gag ɛn want fɔ spit am aut (gag riflɛks). Bɔt we pɔsin we gɛt blɔd du dis, dɛn mɔsul dɛn go tɛns ɛn dɛn jaw go tayt.

Aw fɔ trit ɛkzema?

If dɔktɔ tink se yu gɛt strep trot, dɛn go bigin fɔ trit yu wantɛm wantɛm . Dɛn tritmɛnt ya kin bi:

• Fɔ kia fɔ di wund: If yu klin di wund fayn fayn wan (dɛn kin kɔl am bak debriding) ɛn pul di tisu we dɔn day, dat kin ɛp fɔ kil baktri dɛm, we go mek dɛn nɔ mek pɔyzin. Dis kin ridyus di tɛm we i kin tek fɔ mek di infekshɔn stɔp.
• Di mɛrɛsin dɛn we dɛn kin yuz:
• Tetanus antitoxin: Dis kin mek di toxin nɔ afɛkt di bɔdi mɔ.
• Antibayɔtik: Antibayɔtik lɛk metronidazole kin ɛp fɔ kil ɛni baktri we lɛf.
• Dɛn kin gi mɛrɛsin dɛn lɛk fɔ rilaks di mɔsul ɛn bɛnzodiazepin bak fɔ kɔntrol di sik dɛn.
• Rɛst: Bikɔs layt ɛn nɔys kin mek yu mɔsul dɛn spam mɔ, yu dɔktɔ go tɛl yu fɔ rɛst na dak rum we kwayɛt .
• Sɔpɔt fɔ blo: Fɔ kip yu aywe opin na di tin we impɔtant pas ɔl. If i nɔ izi fɔ yu fɔ blo, dɛn kin nid fɔ put yu na tyub fɔ blo (intubeshɔn) ɛn gi yu mashin we de mek yu blo . Dɛn kin gi yu bak mɛrɛsin fɔ mek yu fil fayn.

Aw lɔng i kin tek fɔ mek i wɛl?

Wae yu dɔn si di sayn dɛm fɔ mizɛl, i kin tek lɛk tu to tri wiks fɔ mek di sik dɔn kpatakpata . Bɔt, dɛn kin gɛt mizɛlI kin tek sɔm mɔnt fɔ mek i wɛl ɔl. Yu dɔktɔ kin tɛl yu aw lɔng i go tek dipen pan yu patikyula sik.

Yu nɔ tink se dɛn go ebul fɔ stɔp dis? Mek wi lan bɔt di vaysin!

Difteria na sik we pɔsin kin ebul fɔ avɔyd bad bad wan tru vaksin . Insay Sri Lanka, dɛn kin gi dis vaysin as pat pan di pikin dɛn imunayzeshɔn schedule (bɔku tɛm na di Tripul vaysin, we dɛn kin fala di DT vaysin, ɛn di Adult DT ɔ Td vaysin).

Nɔ tink se if yu gɛt mizɛl wan tɛm, dat nɔ go mek yu nɔ gɛt am igen. I nɔ de gi imyuniti. Di onli we fɔ gɛt imyuniti na fɔ gɛt vaysin.

Dɔn bak, di protɛkshɔn we di vaysin de gi kin stɔp as tɛm de go . Na dat mek yu nid fɔ gɛt bɔsta shot lɛk ɛvri 10 ia . Dis na wan rizin wae mek pipul dɛm wae dɔn ol kin gɛt mɔ risk fɔ gɛt mizɛl. Ivin if yu vaysin nɔ de igen, fɔ gɛt mizɛl vaysin kin sev yu layf. Bɔku tɛm, pipul dɛn we dɔn gɛt at le tri dos fɔ di mizɛl vaysin kin protɛkt dɛn frɔm di sik. Ivin if yu nɔr gɛt ful vaysin, de sik kin ridyus. Jɛnɛral wan, yu nid fɔ gɛt mizɛl bɔsta shot if yu gɛt nyu, dip ɔ dɔti wund, ɛn ɛni wan pan dɛn tin ya de apin to yu:

• If yu dɔn gɛt less dan tri dos fɔ di mizɛl vaysin siriɔs.
• If yu nɔ no yu vaksin stetɔs .
• If i dɔn pas 10 ia ɔ mɔ frɔm yu las bɔsta vaysin .

Wetin yu go ɛkspɛkt if yu gɛt rash?

Strep trot na siriɔs sik we kin mek pɔsin in layf de pan denja . Bɔt if dɛn trit dɛn fayn, bɔku pipul dɛn kin wɛl . Di sayn dɛm kin sho lɛk wan wik afta di bɔdi go insay di bɔdi. Bɔt sɔntɛnde, di sayn dɛm kin apin as ali as tu dez ɔr as let as tri wik. di mכsul dεm we de spam de bigin na di say we di infεkshכn de. Dɔn di mɔsul dɛn we de rawnd di yay kin bigin fɔ spam ɛn i kin at fɔ opin di mɔt. Dɛn spam ya kin mek yu fil pen ɛn smɔl smɔl i kin go na di nɛk ɛn bak. Yu mεdikal tim go fכs tray fכ kip yu aywe opin (`intubation`) . Afta dat, dɛn go bigin fɔ trit ɔda sayn dɛm. Dis kin inklud fɔ gi yu mɛrɛsin fɔ mek yu mɔsul spam, mɛrɛsin fɔ mek yu fil pen, ɛn fɔ mek yu fil fayn as yu ebul. Di kayn we aw yu strep trot kin tranga kin difrɛn fɔ difrɛn tin dɛn. Yu dɔktɔ kin tɛl yu mɔ bɔt wetin yu go ebul fɔ ɛkspɛkt. Dɛn kin gi yu advays bak bɔt tin dɛn we go ɛp yu as yu de wɛl. Bɔt if yu gɛt di rayt tritmɛnt, di chans fɔ liv ɛn wɛl frɔm di rash kin fayn.

Yu tink se rɔst rili de mek di rash?

Nɔ, nɔto rɔst de mek di rash.. But rust is a sign that something is old and may contain other germs, including the germ that causes measles. Imajin se yu de wok na di gadin ɛn yu gɛt dip pankchɔ wund, ɔ yu step pan nel we dɔn rɔsti we yu de du os wok. Di risk fɔ gɛt mizɛl pan dɛn kayn kes ya kin izi fɔ avɔyd if dɛn gɛt di rayt mɛrɛsin. If yu tink se yu nid fɔ gɛt mizɛl `bɔsta` shot, tɔk to yu dɔktɔ ɔ go na imejensi rum. Dɛn kin gi yu `booster` shot we dɛn de trit yu wund.

If yu gɛt ɛni sayn fɔ strok, go na di ɔspitul imejensi rum we de nia yu wantɛm wantɛm. If yu nɔ gɛt di rayt tritmɛnt, strok kin denja. Bɔt wit tritmɛnt, yu chans fɔ liv ɛn wɛl kin fayn.

Tin dɛn we wi fɔ mɛmba frɔm dis stori (Take-Home Message)

Pan ɔl we mizɛl na sik we de mek wi fred, wi kin protɛkt wisɛf frɔm am if dɛn tɛl wi gud gud wan bɔt am.

• Tetanus na wan pɔyzin we wan baktri we dɛn kɔl Clostridium tetani de mek. Dis baktri kin de na grɔn, dɔst, ɛn animal dɔti.
• Dis baktri de go insay di bɔdi tru wund. I kin apin frɔm ɛnitin frɔm smɔl skrach to big wund.
• Wae yu de ala, yu mɔsul dɛn de shek shek, ɛn yu nɔr kin ebul fɔ swɛla na di men sayn dɛm.
• Di bɛst we fɔ mek i nɔ gɛt am na fɔ gɛt di vaysin. Gɛt di vaysin dɛm we dɛn bin gi yu we yu bin yɔŋ. Nɔ fɔgɛt fɔ gɛt bɔsta shot ɛvri 10 ia.
• If yu gɛt wund, mɔ di wund we dip ɛn dɔti, go to dɔktɔ wantɛm wantɛm. Mek shɔ se yu tetanɔs vaysin de ɔp to det.
• If yu gɛt sɔm sayn dɛn, go na ɔspitul ɛn nɔ de te. Kwik tritmɛnt kin ɛp fɔ sev pipul dɛn layf.

Mɛmba se yu wɛlbɔdi de na yu an. Tek tɛm! Difteria, Gavriil, Tɛtanɔs, Klɔstridiɔm tetani, Wund Infɛkshɔn, Difteria Vaksin, Bɔsta Vaksin