yu bin fil smɔl frayd we di dɔktɔ tɛl pɔsin we yu sabi fɔ "tek TB tɛst"? Ɔ yu de wɔnda wetin go apin if yusɛf fɔ tek dis tɛst? Bɔku pan wi kin rili fred we wi yɛri di wɔd ‘TB’. Bɔt if dɛn tɛl wi gud gud wan bɔt dis tɛst ɛn dis sik, wi go ebul fɔ pul dis fred we nɔ nid fɔ de. So tide, lɛ wi tɔk bɔt wetin na dis TB tɛst, aw dɛn kin du am, ɛn wetin kin apin we di rizɔlt kam bak, insay wan rili simpul we we yu go ɔndastand.
Fɔ tɔk am simpul wan, wetin na TB tɛst?
I rili simpul. Wan TB tɛst kin chɛk fɔ si if yu gɛt di bɔdi we de mek yu gɛt TB, we dɛn kɔl Mycobacterium tuberculosis , na yu bɔdi.
Tu men we dɛn de fɔ du dis tɛst.
1. Skin test: Dɛn kin kɔl dis bak Mantoux test .
2. Blɔd tɛst: Dɛn kɔl dis wan Interferon-Gamma Release Assay (IGRA) .
Dɛn kin du di skin tɛst mɔ pan pikin dɛn we nɔ rich 5 ia yet.Bɔt dɛn tɛm ya, mɔ fɔ di wan dɛn we de wok na di wɛlbɔdi biznɛs, di wan dɛn we gɛt wik imyun sistɛm, ɔ di wan dɛn we de tek mɛrɛsin we de stɔp di imyun sistɛm, dɛn kin du dis blɔd tɛst bak bɔku tɛm.
Di impɔtant tin na dat, dɛn tu tɛst ya kin jɔs no if yu gɛt TB jem na yu bɔdi. Dɛn nɔ kin ebul fɔ tɛl yu fɔ tru if yu gɛt aktif TB sik ɔ if di jem dɛn de slip (latent/dormant) na yu bɔdi. Fɔ no, yu go nid fɔ du ɔda tɛst dɛn lɛk fɔ tɛst yu sputum .
Udat want fɔ tek dis tɛst?
Yu dɔktɔ kin tɛl yu fɔ du dis tɛst if yu gɛt sayn dɛn fɔ TB ɔ if yu gɛt bɔku risk fɔ gɛt TB. Sɔm wokples, lɛk ɔspitul ɛn say dɛn we dɛn kin kia fɔ pikin dɛn, kin nid bak fɔ mek yu du dis tɛst bifo yu bigin fɔ wok.
Yu kin gɛt ay risk fɔ gɛt TB if yu:
- If yu na wɛlbɔdi wokman we de intarakt wit di sik pipul dɛm.
- If yu de liv ɔ wok na ples usay TB kin bɔku (e.g. ples dɛn we pipul dɛn kin bɔku lɛk nɔs os, prizin).
- If yu dɔn gɛt kɔntakt wit pɔsin we gɛt aktif TB .
- If yu gɛt wan sik we de mek yu imyun sistɛm wik , ɔ if yu de tek mɛrɛsin we de du dat.
- If yu nɔ tu te yet we yu dɔn travul go na kɔntri usay TB bɔku (lɛk sɔm kɔntri dɛn na Eshia ɔ Afrika), i rili impɔtant fɔ tɛl yu dɔktɔ bɔt dis trip.
If yu tink se yu de pan denja fɔ dis, mek shɔ se yu tɔk to yu dɔktɔ bɔt am.
Aw dɛn kin rili du di TB tɛst?
Dɛn tu kayn tɛst ya kin wok pan di sem prinsipul. Dat min se dεn de mεzj yu imyun sistεm in rεspכns to di antijen dεm frכm di TB baktri dεm. Fɔ tɔk am simpul wan, antijen na sɔntin we nɔ de na wi bɔdi. We i go insay di bɔdi, wi imyun sistɛm kin bigin fɔ fɛt am. Dis fɛt na wetin wi de mɛzhɔ wit dis tɛst.
Mantoux tɛst we dɛn kin du
Fɔ dis tɛst, yu go gɛt fɔ go to dɔktɔ tu tɛm insay tu to tri dez.
- Di fɔs de:
- Dɔktɔ ɔ nɔs go klin di skin we de insay yu an, dɔŋ di ɛlb, dɔn i go injɛkt smɔl wata ɔnda di skin wit wan rili smɔl nidul. Dɛn kɔl dis likwid PPD (purified protein derivative) .
- Nɔ wɔri, nɔr layf baktri de insay dis. I nɔ go mek yu sik.
- Wan smɔl bɔbul go apia na di say we dɛn injɛkshɔn. I go dɔnawe wit am insay sɔm awa. Sɔntɛnde, a kin rawnd di eria wit pen fɔ mek i izi fɔ si afta tu-tri dez.
- Na di sɛkɔn de (bitwin 48 ɛn 72 awa):
- Yu nid fɔ go si di dɔktɔ bak. I go chɛk if ɛni skin riakshɔn de usay dɛn gi di injɛkshɔn.
- If yu dɔn gɛt di TB jem bifo, di say kin rɛd, i kin swel smɔl, ɛn i kin swel fɔ ol yu an .
- I fɔ mek yu go fɔ dis sɛkɔn tɛst. If yu nɔ go insay 72 awa, yu go gɛt fɔ tek di tɛst bak frɔm di biginin bikɔs dɛn nɔ go ebul fɔ gi di rizɔlt kɔrɛkt wan.
Blɔd tɛst (IGRA Tɛst) .
Dis jɔs tan lɛk fɔ gi blɔd nɔmal wan. Rili kwik kwik wan.
- Nɔs go fɛn wan izi vein fɔ pul blɔd frɔm insay yu ɛlb.
- Dɛn kin klin di say, dɛn kin put smɔl nidul insay, ɛn gɛda smɔl blɔd insay wan tiub. Yu go fil smɔl pen we dɛn put di nidul insay.
- Afta dɛn dɔn pul di blɔd, dɛn kin pul di nidul, dɛn kin pres di say wit kɔtɔn, ɛn put plasta.
- Di wan ol tin nɔ de tek pas fayv minit.
- Dɔn dɛn kin sɛn yu blɔd sɛmpul to lɛbɔtri. Dɛn kin miks am wit TB antijen dɛn ɛn dɛn kin tɛst am fɔ si if yu sɛl dɛn kin pul wan prɔtin we dɛn kɔl intafɛron-gama . Yu dɔktɔ go tɛl yu bɔt di rizɔlt we dɛn kam bak.
Aw fɔ ɔndastand di tin dɛn we kin apin?
di rizulyt fכ wan tεst kin bi "Nεgεtiv" כ "Positiv" .
- Negativ rizulyt:
- Dis min se yu bɔdi nɔ sho ɛni rispɔns to di TB jem. Dis min se di TB jem nɔr dɔn go insay yu bɔdi.
- Bɔt if yu gɛt sayn fɔ TB, di dɔktɔ kin stil du mɔ tɛst, ilɛksɛf di rizɔlt nɔ fayn.
- Pozitiv rizulyt:
- Dis min se yu bɔdi dɔn ansa di TB jem. Dat min se sɔm tɛm na yu layf, di TB jem dɔn go insay yu bɔdi.
- Sɔntɛnde, di BCG vaysin we wi bin gɛt as pikin kin mek wi gɛt lay lay rizɔlt we dɛn du tɛst fɔ di skin.
Mɛmba dis! Nɔ fred fɔ tɛst pɔsin we gɛt di sik. I nɔ min se yu gɛt aktif TB. I jɔs min se di jem dɔn go insay yu bɔdi.
| Aw skin test kin bi "positiv"? | |
|---|---|
| Di sayz we di skin de tik ɛn swel (insay milimita) . | Udat dɛn kin tek as "positiv"? |
| If 5 mm ɔ mɔ | Pipul dεm wae gεt dεn imyun sistεm dεm we rili wik (e.g., pipul dεm we gεt HIV, pipul dεm we de gεt כgan transplant, pipul dεm we de tek stεroyd fכ lכng tεm) |
| If 10 mm ɔ mɔ | Di wan dɛn we de wok fɔ di wɛlbɔdi biznɛs, pipul dɛn we jɔs kam bak frɔm kɔntri usay TB kin bɔku, yɔŋ pikin dɛn, ɛn pipul dɛn we gɛt ɔda sik dɛn lɛk dayabitis. |
| If 15 mm ɔ mɔ | Ɛnibɔdi we nɔ gɛt ɛni risk fɔ gɛt TB. |
If di tɛst sho se pɔsin gɛt di sik, wetin go apin nɛks?
If di tɛst na pɔsitiv, yu dɔktɔ go du sɔm ɔda tɛst fɔ no if yu gɛt aktif sik.
- Chɛst X-ray: Fɔ chɛk fɔ ɛni chenj na di lɔng dɛn.
- Tɛst fɔ di Sputum:Chek yu sputum fɔ TB baktri dɛm.
Afta dɛn tɛst ya, di dɔktɔ go no if yu gɛt wan sik we de ayd ɔ we de wok ɛn bigin fɔ gi yu di rayt tritmɛnt. Tritmɛnt dɛn de fɔ ɔl tu di sik dɛn.
We yu fɔ go to dɔktɔ
If yu gɛt sayn dɛn we gɛt fɔ du wit TB, ɔ if yu tink se yu go dɔn gɛt pɔsin we gɛt TB, go to dɔktɔ kwik kwik wan.
Yu fɔ no bɔt di sayn dɛm lɛk dis:
- Kɔf we kin las fɔ pas tu wiks
- Chɛst de pen
- We yu de lɔs yu wet fɔ natin
- Smɔl fiva we kin kam na ivintɛm
- Nayt swet dɛn
Tubakulosis kin kil pɔsin if dɛn nɔ trit am fayn. Bɔt di gud nyus na dat if yu tek di mɛrɛsin we yu dɔktɔ tɛl yu fɔ tek fɔ di tɛm we dɛn tɛl yu, yu go ebul fɔ mɛn TB kpatakpata . So, nɔ panik, ɛn if yu gɛt ɛni dawt, di bɛst tin fɔ du na fɔ go to dɔktɔ.
Mɛsej we dɛn kin kɛr go na os
- TB tɛst de jɔs chɛk if yu dɔn ɛva gɛt di TB jem. I nɔ kin no if yu gɛt aktif sik.
- Tu men kayn tɛst de: di skin tɛst (Mantoux) ɛn di blɔd tɛst (IGRA).
- Nɔ panik if di tɛst rizɔlt "positiv." Yu dɔktɔ go du ɔda tɛst fɔ no if yu nid tritmɛnt, ɛn if na so, us kayn.
- Naw, TB na sik we pɔsin kin mɛn ɔltogɛda. Di tin we impɔtant pas ɔl na fɔ fala di dɔktɔ in instrɔkshɔn ɛn mɛrɛsin lɛk aw dɛn tɛl yu fɔ du.
- If yu gɛt sayn fɔ TB ɔ yu de na grup we gɛt risk, nɔ ɛva delay fɔ gɛt tɛst. Si yu dɔktɔ wantɛm wantɛm.
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