Yu dɔn gɛt ay fiva wantɛm wantɛm ɛn gɛt smɔl smɔl bɔmp dɛn we de mek yu fil pen na yu bɔdi? Sɔntɛm i nɔ tu te yet we yu go waka na di bush, wok na fam, ɔ ol animal? Dɔn dis na kɔndishɔn we yu nɔ go dɔn yɛri bɔt, bɔt yu fɔ rili no bɔt. Dɛn kɔl am tularemia insay mɛrɛsin. Pan ɔl we na sik we nɔ kin bɔku, i kin siriɔs, so i impɔtant fɔ no bɔt am.
Fɔ tɔk am simpul wan, wetin na Tularemia?
Tularemia na infεkshכn we wan baktri we dεn kכl Francisella tularensis de kכz . Dis na sik we kin kɔmɔt frɔm animal to mɔtalman, we dɛn kɔl zoonotic disease. Dis baktri kin de na di bɔdi fɔ animal dɛn lɛk rɔbish, swɛlin, ɛn rat. I kin pas bak bay insɛkt dɛn lɛk tik ɛn flay we de liv na dɛn animal ya bɔdi.
Dis sik kin afɛkt difrɛn pat dɛm na di bɔdi dipen pan aw i kin pas. Dis baktri kin mek yu gɛt difrɛn sayn dɛm, mɔ di limf no dɛm we de mek yu fil pen, ɛn difrɛn sik dɛm na di lɔng, yay, trot, ɛn dijestiv sistɛm. Na sɔm kɔntri dɛn, dɛn kin kɔl am bak "rabit fiva".
Udat de pan denja fɔ gɛt dis sik?
Pan ɔl we ɛnibɔdi kin gɛt tularemia, yu risk fɔ gɛt di bɔdi we de mek yu gɛt dis sik kin bɔku fɔ di wok we yu de du, di tin dɛn we yu lɛk fɔ du, ɔ di we aw yu de liv yu layf. Dɛn pipul ya de pan risk smɔl:
- Pipul dεm we de hunt כ handle raw mit: Dis bכdi kin pas tru di kכntakt wit di mit כ di bכdi fכs fכ animal dεm we dεn hant.
- Veterinarian ɛn pipul dɛn we de kia fɔ animal dɛn: Dɛn kin de pan denja bak bikɔs dɛn kin wok wit animal ɔltɛm.
- Pipul dɛn we de wok na say dɛn we insɛkt dɛn kin bit: Fama dɛn ɛn di wan dɛn we de wok na fɔrɛst kin gɛt bɔku risk fɔ lɛ insɛkt dɛn lɛk tik bit dɛn.
- Pipul dɛn we gɛt wikɛd imyun sistɛm: Pipul dɛn we gɛt HIV , pipul dɛn we gɛt kansa, ɔ di wan dɛn we de tek mɛrɛsin we de mek dɛn bɔdi nɔ gɛt bɛtɛ trɛnk kin gɛt dɛn kayn sik ya izi wan.
- Di wan dɛn we de wok na fam ɛn di wan dɛn we de kɔt ship: Dɛn wokman ya kin gɛt bɔku prɔblɛm bikɔs dɛn kin wok klos wit animal dɛn ɛn di say we dɛn de.
- Di wan dɛn we de wok na lɛbɔtri: Di wan dɛn we de du risach bɔt dis baktri kin gɛt prɔblɛm bak.
Wetin kin apin we dis bɔdi kam insay di bɔdi?
Imajin se dis baktri we dɛn kɔl `F. tularensis` de go insay yu bɔdi. di difεns dεm na wi bכdi, di sεl dεm na di imyun sistεm, de tray fכ kech εn "εngulf" dis fכrin baktri. Nɔmal wan, di bɔdi go dɔnawe wit di bɔdi insay dɛn sɛl dɛn de.
Bɔt dis baktri rili kɔni. Bifo dɛn ayd insay dɛn imyun sɛl dɛn de, dɛn kin bigin fɔ sheb ɛn bɔku kwik kwik wan. Afta sɔm tɛm, di imyun sɛl dɛn kin pwɛl, ɛn di bɔku bɔku baktri dɛn we kin kɔmɔt na do kin kam insay ɔda sɛl dɛn na di bɔdi. dis dεstrukshכn fכ di sεl dεm εn di aktibכshכn fכ di imyun sistεm fכ ansa am na in de mek wi simptom dεm.
Wetin na di kayn ɛn di sayn dɛm fɔ tularemia?
Tularemia kin sheb to sɔm men kayn, i kin dipen pan aw di baktri dɛm kin go insay di bɔdi ɛn usay di sayn dɛm kin apin. Fɔ ɔndastand dis klia wan, lɛ wi luk dis tebul.
| Di kayn sik we pɔsin kin gɛt | Aw i kin skata ɛn usay i kin afɛkt | Di men sayn dɛn we de sho se i gɛt dis sik |
|---|---|---|
| Ulceroglandular we gɛt di sik | Na bay we tik ɔ animal we gɛt di sik bit am. I de afɛkt di skin ɛn di limf no dɛm. (Dis na di kayn we we kɔmɔn pas ɔl) | - Fiva - Skin ɔlsɛshɔn - di limf no dεm kin big εn i kin fil pen |
| Glandular we dɛn kɔl glandular | Semweso lɛk di kayn we we wi dɔn tɔk bɔt, bɔt i nɔ de mek di skin gɛt lɛsin. Na di limf no dɛm nɔmɔ i de afɛkt. | - Fiva - Swel εn pen na di limf no dεm we nכ gεt skin lεsin |
| Okuloglandular we de na di bɔdi | Wata ɔ bɔdi wata we gɛt di sik kin go insay di yay. I de afɛkt di yay ɛn di limf no dɛm we de rawnd am. | - Ay pen, wata yay - Fɔ bi sɛnsitiv to di ɔdasay - di limf no dεm we swεla rawnd di yes εn nεk |
| Ɔrɔfarinjial | Na bay we yu de drink it ɔ wata we gɛt di sik. I de afɛkt di trot ɛn di dijestiv trakt. | - Di trot we de at bad bad wan - Rɛd ɛn wayt spat na di trot - Vɔmit, bɛlɛ pen, dayarɛa |
| Nyumonik we gɛt fɔ du wit am | Na bay we yu de blo di baktri ɔ yu de spre am to di lɔng dɛn frɔm ɔdasay na di bɔdi. (Dis na di kayn we we siriɔs pas ɔl) | - Fiva, kɔf - I nɔ izi fɔ blo - Chɛst pen, bɔdi pen |
| Tayfɔyd we kin mek pɔsin gɛt sik | I kin pas ɛni we. I kin afɛkt bɔku pat dɛn na di bɔdi. | - Ay fiva, kol ɛn shek shek - Ɛd we de at, bɔdi we de at - Bɛlɛ pen, vɔmit, dayarɛa, kɔnfyushɔn |
Di impɔtant tin na dat di sayn dɛm kin apin insay 3-5 dez afta dɛn dɔn gɛt di bɔdi, bɔt sɔm pipul dɛn nɔ kin sho di sik fɔ te tu wiks.
Aw dis sik kin pas? Yu tink se i kin pas frɔm pɔsin to ɔda pɔsin?
Bɔku men we dɛn de we di tularemia kin pas:
- Insɛkt bayt: Frɔm bayt frɔm tik, mɔskito, ɛn ɔda flay dɛn we gɛt di sik.
- Kɔntakt wit animal dɛn we gɛt di sik: Tru wan bayt ɔ skrach frɔm animal we gɛt di sik. Dɔn bak, di tisu ɔ bɔdi wata we kɔmɔt na animal we gɛt di sik kin go insay di bɔdi tru wan kɔt ɔ wund na wi skin.
- Fɔd ɔ wata we gɛt di sik: Na bay we yu drink wata we gɛt baktri ɔ it mit we nɔ kuk fayn (espɛshali gem).
- We yu inhal baktri dɛm: Dis kin sɔprayz smɔl fɔ yɛri. Imajin if yu yuz mashin we de kɔt lawn ɔ ɔda mashin usay animal de we dɔn day we gɛt dis baktri, di bɔdi kin go na di ays wit di smɔl smɔl dɔst we dɛn kin trowe, ɛn ivin we yu blo am, i kin mek yu sik.
Nɔ, tularemia nɔ kin pas dairekt frɔm wan pɔsin to ɔda pɔsin. Dis min se yu nɔ go ebul fɔ pas di sik bay we yu tɔch ɔ tɔk to pɔsin we gɛt di sik. Bɔt, na sik we kin pas bad bad wan . Dis min se ivin smɔl smɔl bɔdi we de kam insay di bɔdi kin du fɔ mek pɔsin gɛt di sik.
Aw di dɔktɔ kin no bɔt dis sik?
We yu go to yu dɔktɔ, i go aks yu fɔs bɔt di sik dɛn we yu gɛt. I go aks bak bɔt di tin dɛn we yu jɔs du. Fɔ ɛgzampul:
- Yu dɔn go waka na di bush i nɔ tu te yet?
- Yu bin it animal lɛk tik?
- Dɛn kin tɔch animal dɛn (especially rabit ɛn rat)?
- Yu bin drink wata we nɔ klin?
Dɔn, dɛn kin chɛk di bɔdi, fɔ luk fɔ di limf no dɛm we dɔn swel, di skin we gɛt lɛsin, chenj na di trot ɔ di yay, ɛn dɛn kin du bɔku tɛst fɔ no if di sik dɔn.
- Blɔd tɛst: Dɛn kin tek blɔd sɛmpul fɔ chɛk fɔ di antibodies we di bɔdi dɔn mek agens di baktri dɛm. Sɔntɛnde, dɛn nɔ kin no dɛn tin ya fɔs, so yu kin nid fɔ du ɔda tɛst sɔm wiks afta dat.
- Bayopsi: Fɔ tek smɔl pat pan di tisu frɔm wan skin lɛshɔn ɔ swel limf node fɔ ɛgzamin.
- כda sεmpl dεm: Di tin dεm we de kכmכt na di trot כ di nos, εn fכ tεst fכ wata if wata de rawnd di lכng dεm.
Wetin na di tritmɛnt dɛm fɔ dis? Yu tink se dɛn kin mɛn am?
Yɛs, dis na sik we pɔsin kin mɛn ɔltogɛda wit antibayɔtik. De tin wae impɔtant pas ɔl na fɔ bigin tritmɛnt kwik kwik wan. Sɔntɛnde, bay di sayn dɛm ɛn di infɔmeshɔn we yu gi, di dɔktɔ kin disayd fɔ bigin tritmɛnt bifo di tɛst rizɔlt kam. Dis na fɔ mek di sik nɔ kam siriɔs.
Bɔku tɛm, di tritmɛnt na fɔ tek antibayɔtik fɔ 10 to 21 dez. Di mɛrɛsin dɛn we dɛn kin yuz mɔ na:
- Streptomycin we gɛt di sik
- Jɛntamisin we dɛn kɔl
- Dɔksisayklin ( Dɔksisayklin ) .
- Siproflɔksasin we dɛn kɔl
I rili impɔtant: I impɔtant fɔ tek di ful kɔs fɔ di antibayɔtiks we yu dɔktɔ gi yu. Nɔ stɔp fɔ tek di mɛrɛsin af-af jɔs bikɔs yu sik dɔn stɔp. If yu du dat, i kin mek di bɔdi we lɛf na yu bɔdi strɔng ɛn di infekshɔn kin kam bak.
Dis nɔ go bɛtɛ if dɛn nɔ gɛt tritmɛnt? Wetin na di prɔblɛm dɛn we kin apin?
Pan ɔl we sɔm pipul dɛn kin wɛl frɔm di sik we dɛn nɔ gɛt tritmɛnt, i kin rili denja . If yu nɔ trit yu, mɔ if yu gɛt di kayn A baktri, di rit we pɔsin kin day kin rich 30%. I kin mek bak yu gɛt siriɔs prɔblɛm dɛn.
- Sivεr lכng dεmεj (Akyu rεspiratכri distres sεndrכm - ARDS) .
- Infekshɔn na di bren ɔ di tin dɛn we de kɔba di bren (Meningitis) .
- At infεkshכn (pεrikarditis) .
- Bɔn infɛkshɔn (Osteomyelitis) .
- Liva ɛn kidni nɔ de wok fayn
So, if yu gɛt sɔm sayn dɛn, fɔ go to dɔktɔ wantɛm wantɛm , dat kin sev yu layf.
Aw wi go protɛkt wisɛf frɔm dis bad bad sik?
Di bɛst tin fɔ du na fɔ avɔyd dis sik. Sɔm simpul tin dɛn de we wi kin du fɔ du dat.
- Insɛkt protɛkshɔn: If yu de go na fɔrɛst ɔ gras, wɛr klos we kɔba yu bɔdi ɔlsay. Yuz bɔg sprɛy. Afta yu dɔn kam bak frɔm do, chɛk yu bɔdi fɔ si if tik, mɔ yu ed ɛn yu armpit.
- Aw fɔ kia fɔ animal dɛn: Kɔnsul yu vetɛriana bɔt di tritmɛnt dɛn we yu animal dɛn nid fɔ protɛkt dɛnsɛf frɔm tik.
- Handle animal wit kia: Nɔ tɔch wayl animal (we de alayv ɔ we dɔn day) wit yu an we nɔ gɛt natin. Wear glɔv dɛn. Wash yu an fayn fayn wan wit sop afta yu dɔn ol animal dɛn.
- Fɔd ɛn wata sef: Kuk mit, lɛk gem, fayn fayn wan bifo yu it. Nɔ drink wata dairekt frɔm riva ɔ strim dɛn we dɛn nɔ trit.
- Protɛkshɔn fɔ di envayrɔmɛnt: Nɔ kɔt ɔ kɔt nia animal dɛn we dɔn day. If yu fɔ du dat, i go fayn fɔ mek yu wɛr fes mask fɔ mek yu nɔ blo dɔst.
Ustɛm yu fɔ go to dɔktɔ?
Ustɛm fɔ go to dɔktɔ in jɔnaral:
- If yu gɛt sayn dɛm fɔ tularemia (fiva, swel, skin lɛsin).
- If yu tink se yu dɔn gɛt dis baktri, yu dɔktɔ kin gi yu antibayɔtik fɔ mek di sik nɔ kam.
- If di sik kam bak we dɛn de du di tritmɛnt ɔ afta dɛn dɔn trit am.
Ustɛm fɔ go na ɔspitul in Imejɛnsi Tritmɛnt Yunit (ETU) wantɛm wantɛm:
If yu gɛt ɛni wan pan dɛn siriɔs sayn ya, nɔ west tɛm ɛn go na di ETU na di ɔspitul we de nia yu.
- If di fiva pas 39.4 Sɛlshiɔs (103 Fɛnayt).
- Dimɛnshɔn ɔ kɔnfyushɔn na yu maynd.
- Blɔd we de kɔmɔt wit vɔmit ɔ stɔl.
- Fɔ kɔf blɔd.
- I nɔ kin izi fɔ yu fɔ blo bad bad wan.
- Blu di kɔlɔ we de chenj na di skin, di lip, ɔ di finga nel.
- Bɛlɛ pen bad bad wan.
Mɛsej we dɛn kin kɛr go na os
- Tularemia na siriɔs sik, bɔt dɛn kin trit am, we baktri we kin kɔmɔt frɔm animal kin kam wit.
- I nɔ de skata frɔm pɔsin to ɔda pɔsin, bɔt i kin pas tru tik bayt, kɔntakt wit animal dɛn we gɛt di sik, ɛn it/wata we gɛt dɔti.
- Di men sayn dɛm na di fiva we kin kam wantɛm wantɛm, di limf no dɛm we kin swel, ɛn di skin we kin gɛt lɛsin.
- I bɛtɛ fɔ mek yu nɔ gɛt dis sik. Protɛkt yusɛf frɔm insɛkt ɛn ol animal dɛn wit kia.
- If yu gɛt sayn dɛn we tan lɛk flu afta yu dɔn bit ɔ animal bit, go to dɔktɔ wantɛm wantɛm. If yu bigin fɔ gi antibayɔtik kwik kwik wan, dat kin mek yu nɔ gɛt siriɔs prɔblɛm dɛn.
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