Imajin se yu bin go vaykashun na wan fayn kɔntri we gɛt kol at, ɔ yu bin de na wan kɔntri fɔ sɔm tɛm. Wantɛm wantɛm, yu kin bigin fɔ fil bad bad wan, ɛn afta sɔm dez, yu bɛlɛ kin bigin fɔ pen. Yu kin fil se yu wik ɛn yu kin lɛf fɔ it bɔku bɔku it dɛn. Yu kin gɛt wan sik we dɛn kɔl Tropical Sprue . Nɔ wɔri, wi go tɔk bɔt am ditayli.
Wetin na Tropik Sprue?
Fɔ tɔk am simpul wan, Tropical Sprue na wan infekshɔn we nɔ kin apin so ɔltɛm we kin afɛkt yu smɔl intestinal . Wetin kin apin na dat yu bɔdi nɔ kin ebul fɔ tek di tin dɛn we i nid fayn fayn wan. Dis na bikɔs sɔm bad bad bɔdi dɛn kin go insay yu smɔl insay ɛn pwɛl am.
Dis sik kin pasmak pan pipul dɛm wae de liv ɔr spɛn bɔrku tɛm na say dɛm wae wam ɛn tropik na di wɔl, lɛk di Karibian, Sawt India, ɛn Sawt Is Eshia. I kin bigin wit bad bad bɛlɛ we de at, dɔn i kin bi wan sik we nɔ de dɔn, pan ɔl we i kin stɔp smɔl.
Di tin we impɔtant pas ɔl na dat, if dɛn nɔ trit am fayn, i kin mek i gɛt siriɔs prɔblɛm lɛk anemia ɛn nɔ it fayn.
Wetin mek dɛn kɔl dis "tropical sprue"?
Di nem kɔmɔt frɔm lɔng tɛm. Insai di 1600s, wan Dutch dɔktɔ bin yuz di wɔd "sprouw" fɔ tɔk bɔt wan flatulɛns we nɔ de dɔn. Afta lɛk 200 ia so, wan Inglish dɔktɔ we bin de stɔdi bɔt bɛlɛ prɔblɛm dɛn na kɔntri dɛn we wam, bin pik di wɔd. "Sprouw" leta bi "sprue." Sɔmtɛm dɔktɔ dɛn kin kɔl bak di sik we dɛn kɔl celiac "non-tropical sprue" ɔ "celiac sprue."
Wetin na di sayn dɛm fɔ Tropical Sprue?
Fɔs, di sayn dɛm fɔ tropik spru kin fil lɛk travulman in dayarɛa , bɔt i kin tranga smɔl. Bɔku tɛm, travulman in dayarɛa kin go fɔ insɛf insay sɔm dez, bɔt di sayn dɛm fɔ tropik spru nɔ kin go. Dɛn kin kɔntinyu fɔ de, ɛn dɛn kin ivin wɔs. Ɔda sayn dɛn we de sho se yu gɛt dis sik na:
- Bɛlɛ de at.
- Fɔ fil lɛk se yu bɛlɛ ful (blɔd bɛlɛ).
- Borborygmi - di sawnd we wi de yɛri frɔm wi bɛlɛ we wi de dayjɛst it.
- Fɔ fil taya ɔltɛm (taya).
- Vɔmit.
- Stɔl we gɛt ɔyl, we gɛt kɔlɔ, ɛn we de smɛl pas aw i kin bi (steatorrhea).
- We yu de lɔs yu wet we yu nɔ ɛksplen.
Wetin kin mek pɔsin gɛt Tropik Spru?
Masta sabi pipul dɛn stil nɔ ebul fɔ tɔk fɔ tru wetin rili de mek dis apin.. Bɔt risach dɔn sho se dis sik kin apin we bad bad baktri dɛm go insay di smɔl intestinal ɛn pwɛl di sɛl dɛm we dɛn kɔl ɛntɛrosayt . dis εnterosayt dεm na di sεl dεm we de layn insay yu intestinal dεm. Dis na di sɛl dɛm we de ɛp yu bɔdi fɔ tek vaytamɛn ɛn minral dɛm.
Dɛn kin tink se bɔku kayn baktri dɛm na dɛn kin du dis. Fɔ ɛgzampul, di kayn bad bad tin dɛn we dɛn kɔl Escherichia coli (E. coli) , Klebsiella pneumoniae, ɛn Enterobacter cloacae . dis baktri dεm de mek di nyutriεnt dεm we de na di sכmכl intestכn nכ de absכp. Bifo dɛn tin dɛn de go insay di blɔd, dɛn kin pas kɔmɔt na di bɔdi insay di stɔl.
Udat de pan ay risk fɔ gɛt Tropical Sprue?
Di tin we impɔtant pas ɔl na fɔ liv na tropik ɔ sabtropik (wɔm ɔ sɛmi-wɔm) rijyɔn, ɔ fɔ spɛn wan mɔnt ɔ mɔ na da kayn rijyɔn de . Dɛn nɔ kin si dis sik na kɔntri dɛn lɛk Sɛntral Amɛrika, Yurop, Mɛksiko, ɛn Amɛrika. I go bi se tropik spru nɔ kin bɔku na dɛn kɔntri ya bikɔs dɛn gɛt klin wata ɛn gud mɛrɛsin.
Us prɔblɛm dɛn kin apin if dɛn nɔ trit am?
If dɛn nɔ trit tropik spru fayn, kɔndishɔn dɛn lɛk:
- Makrosaytik anemia: Dis kin apin we di bɔdi nɔ gɛt inof fɔlet, vaytamɛn B2, ɛn vaytamɛn B12. Fɔ tɔk am simpul wan, na we pɔsin nɔ gɛt blɔd.
- Malnutrishɔn: Dis na siriɔs tin we kin mek pɔsin in layf de pan denja.
Aw dɔktɔ kin no dis?
We yu go to dɔktɔ, i go fɔs chɛk yu bɔdi . I go aks bɔt yu sik ɛn yu jenɛral wɛlbɔdi. Fɔ ɛgzampul, if yu de lɔs yu wet we yu nɔ tray, ɔ if yu kin gɛt infɛkshɔn ɔltɛm. If yu dɔn travul go na say usay tropik spru kin bɔku, yu dɔktɔ kin du sɔm tɛst fɔ no wetin mek yu gɛt di sik:
- Kɔmplit Blɔd Kɔnt (CBC): Dis kin chɛk fɔ si if di rɛd blɔd sɛl dɛn nɔ bɔku (anemia), vaytamɛn B12, ɛn fɔlet lɛvɛl.
- kכmprεhεnsiv mεtabolik panεl (CMP): dis tεst kin sho abnכmaliti dεm na di imכtant εlektrolayt dεm na di bכdi.
- Stɔl tɛst: Dɛn kin du dɛn tɛst ya fɔ chɛk fɔ si if fat pasmak na yu stɔl. Dɛn kin du ɔda stɔl tɛst dɛn bak fɔ pul ɔda tin dɛn we gɛt di sem kayn sik, lɛk giardiasis , strongyloidiasis , ɔ cryptosporidiosis .
- Enteroscopy: Dis tεst kin luk insay yu sכmכl intestin εn tek tisu sεmpl. Wan mɛdikal patɔlɔjis go chɛk di tisu sɛmpul fɔ si if ɛni chenj de na di smɔl intestin we gɛt fɔ du wit tropik spru.
Wetin na di tritmɛnt dɛm fɔ Tropical Sprue?
Dɔktɔ dɛn kin trit tropik spru wit wan kɔmbayn antibayɔtik ɛn nyutrishɔnal sɔpɔtmɛnt. Dɛn kin gi yu:
- Tetracycline: Dɛn kin nid fɔ tek dis ɔltɛm fɔ lɛk siks mɔnt.
- Fɔlik asid sɔpɔtmɛnt dɛn.
- Vitamin B12 injɛkshɔn dɛn.
Aw dɛn kin trit Tropical Sprue pan pikin dɛn?
Tropik spru nɔ kin bɔku pan pikin dɛn. If i apin, di dɔktɔ go gi am ɔda antibayɔtik instead fɔ gi am tetracycline. Tetracycline kin chenj di kɔlɔ fɔ pikin dɛn tit, we na wan kɔmɔn sayd ɛfɛkt fɔ dis mɛrɛsin.
Wetin kin apin if a gɛt Tropical Sprue? Yu tink se i go bɛtɛ?
Di gud nyus na dat tropik spru kin ɔltɛm wɛl wit tritmɛnt . Yu dɔktɔ go chɛk yu bak (folɔ-ap apɔntinmɛnt) fɔ mek shɔ se yu rɛd blɔd sɛl ɛn vaytamɛn lɛvɛl dɔn kam bak to nɔmal, ɛn i go du blɔd tɛst bak.
Bɔt pipul dɛm wae de liv na say dɛm wae tropik sprue kin bɔku kin gɛt dis sik bak.
Yu tink se dɛn kin mek dɛn nɔ gɛt Tropik Spru?
If yu de travul go na say dɛn we tropik spru kin bɔku, i rili impɔtant fɔ avɔyd tin dɛn we yu kin gɛt dis sik ɔ di baktri dɛm we kin mek yu gɛt am. Fɔ ɛgzampul:
- If yu it fresh vegjetabul ɛn frut, na di wan dɛn nɔmɔ we yu go ebul fɔ pul yusɛf.
- Mek shɔ se di it kuk fayn fayn wan.
- Na tin dɛn nɔmɔ we dɛn kin put insay tin ɔ bɔtul.
- Was yu an ɔltɛm, mɔ bifo yu it.
- Kip wan han sɛnitayza we gɛt rɔm nia yu.
Ilɛk aw yu tek tɛm, if yu sik, go to tritmɛnt kwik kwik wan . If yu gɛt tritmɛnt kwik fɔ kil di baktri dɛm na yu smɔl intestin, dat kin mek yu nɔ gɛt tropik spru.
Aw a kin kia fɔ misɛf?
Tropik spru kin tranga smɔl fɔ yu dijestiv sistɛm . We yu de wɛl, pe atɛnshɔn pan it dɛn we izi fɔ yu bɛlɛ. Fɔ ɛgzampul, banana, rays, apul sos ɛn tost (di BRAT it) . Drink wata we gɛt ilɛktrɔlayt fɔ ɛp fɔ mek yu nɔ gɛt wata na yu bɔdi.
Ustɛm a fɔ go to dɔktɔ bak?
If yu tɛst kɔnfirm se yu gɛt tropik spru, ɛn yu sik nɔr de bɛtɛ afta tritmɛnt ɔr de wɔs, yu fɔ mɔs go to yu dɔktɔ bak. Dɔn yu dɔktɔ go du mɔr tɛst fɔ si if yu sik na ɔda tin pas tropik spru.
Wetin na di difrɛns bitwin di sik we dɛn kɔl Whipple ɛn Tropical Sprue?
Dɛn tu sik ya kin kam bikɔs ɔf baktriyal infɛkshɔn we kin afɛkt di smɔl intestinal, we kin mek di bɔdi nɔ ebul fɔ tek di tin dɛn we de insay di bɔdi. Di difrɛns na dat, di sik we Whipple gɛt kin afɛkt yu nervɔs sistɛm, at, ɛn lɔng dɛn bak.
Sɔntɛm yu dɔn drim fɔ spɛn sɔm tɛm na kɔntri we kol. I nɔ mata aw yu tek tɛm, tropik spru kin rili mek yu fil pen, ɛn di de dɛn we yu kin gɛt dayarɛa ɛn vɔmit nɔ kin mek yu gladi. Bɔt tropik spru kin mek yu gɛt siriɔs prɔblɛm dɛn bak lɛk anemia ɛn malnutrishɔn.
Mɛsej we dɛn kin kɛr go na os
If yu tink se yu sik nɔ jɔs tan lɛk we pɔsin we de travul kin gɛt bɛlɛ we de at, go to dɔktɔ ɛn nɔ shem . If yu trit yu kwik kwik wan, i kin mɛn tropik spru ɛn i kin mek yu nɔ gɛt prɔblɛm. Mɛmba se dis nɔto natin fɔ fred, bɔt fɔ tru, na sik we nid fɔ go to dɔktɔ. Stay wit wɛlbɔdi!
` Tropik spru, bɛlɛ pen, nyutrishɔn dɛfisiɛns, dayarɛa, tropik sik, intestinal infɛkshɔn, travul wɛlbɔdi
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