Yu dɔn ɛva notis se wan smɔl wayt sɛklɔ de na yu leg, mɔ na yu fut in fut ɔ bitwin yu fut finga dɛn, wit wan blak dɔt na di midul? I kin mek yu it ɔ i kin mek yu fil pen. If na so, i kin bi wan sik we de na di skin we dɛn kɔl "tungiasis." Dis kin apin bikɔs wan smɔl sand flea de dig insay yu skin ɛn le eg. Nɔ wɔri, wi go tɔk bɔt am ditayli.
Wetin na Tungiasis?
Fɔ tɔk am simpul wan, Tungiasis na wan sik we de mek pɔsin fil pen, i kin it we uman sand flay dɛn kin dig insay di skin, usay dɛn kin le eg. Yu go si wan wayt, sɛkɔndari lɛsin wit wan smɔl blak dɔt na di midul. Dɛn tin ya kin apin mɔ na di leg, lɛk di fut in fut, di il, ɛn bitwin di fut finga dɛn. Bɔt, dɛn kin apia ɛnisay na di bɔdi.
Jɔs tink bɔt dis sik, dɛn bin fɔs ripɔt dis sik insay di ia 1500! Sɔm pan di wan dɛn we bin de wok na di kru we Krisfɔ Kɔlɔmbɔs bin gɛt bak bin gɛt wan sik we dɛn kɔl Tungiasis afta we dɛn bin pwɛl na di ayland we dɛn kɔl Haiti na di Karibian.
Udat na dis sand flea?
Di sayɛns nem dɛm fɔ di san flay dɛm we de mek Tungiasis na `(Tunga penetrans)` ɛn `(Tunga trimamillata)`. Dɛn kin kɔl dɛn ɔda nem dɛn bak, fɔ ɛgzampul:
- "Bicho del pie" - dat min sɔntin lɛk "wɔm na di leg."
- Chigoe flea dɛn
- Jiggers dɛn
- Nigua
- Piko, we de na di wɔl
Yu nɔ nid fɔ mɛmba ɔl dɛn nem ya, bɔt bɔku pipul dɛn no we yu se "sand flea".
Usay dis sand flea de?
Wi nɔ de si dɛn spɛshal sand flay dɛn ya ɔlsay na Sri Lanka. As dɛn nem sho, dɛn flawa ya kin lɛk say dɛn we gɛt san san lɛk bich. Dɛn kin liv bak na grɔn we wam ɛn dray na fam ɛn na say usay animal dɛn kin kip animal dɛn. Apat frɔm dat, dɛn flay dɛn ya kin muf frɔm wan ples to ɔda ples bay we dɛn kin tay pan animal dɛn fut.
Trade, na di Wɛst Indiz ɛn di Karibian nɔmɔ dɛn bin de si dɛn sand flay ya, bɔt naw dɛn de si dɛn bak na dɛn tropik ɛn sabtropik rijyɔn dɛn ya:
- Afrika
- India
- Latin Amɛrika
- Pakistan
Aw kɔmɔn sik na Tungiasis?
I pas 20 milyɔn pipul dɛn ɔlsay na di wɔl we de pan denja fɔ gɛt tungiasis. I kin apin mɔ pan pipul dɛn we nɔ gɛt fut, na rural eria, na vilej dɛn we de fa, ɛn na slum dɛn na big siti dɛn. I kin mɔs pan bɔy pikin dɛn we ol bitwin 5 ɛn 14 ia, ɛn pan pipul dɛn we dɔn ol. Dɛn se 8 pan ɛvri 10 pikin dɛn we nɔ gɛt bɛtɛ tin fɔ du we de na say dɛn usay sand flay dɛn de go gɛt tungiasis.
Wetin mek Tungiasis kin apin?
Yu kin gɛt tungiasis if yu tɔch di sand flay dɛn dairekt wan na grɔn, ɔ if yu tɔch animal we gɛt sand flay in fut. Dɛn kin si dɛn flawa ya mɔ pan animal dɛn lɛk pig, kaw, dɔg, pusi, ɛn rat. Bak,Dis sand flea so smol, wi no ivin si am wit wi yay.
Di impɔtant tin na dat na uman sand flay nɔmɔ we rɛdi fɔ le eg kin mek Tungiasis. Man sand flay dɛnsɛf kin sok wi blɔd, bɔt bikɔs dɛn nɔ gɛt eg fɔ le, dɛn nɔ kin dig insay di skin, ɛn dat mek dɛn nɔ kin mek Tungiasis.
Aw dis kin rili apin?
Okay, mek wi si aw dis de wok. Di uman sand flea de bit ɛn swɛt wan smɔl ol na yu skin, we na di epidam. Dɔn, i kin pas na da ol de ɛn go insay di sɛkɔn layt na yu skin, we na di dɛmis. I bigin fɔ sok blɔd frɔm di blɔd vesel dɛn we de de. Yu blɔd na wetin i nid fɔ mek in eg. Di flea de blo tru da ol de na yu skin.
Di blak dɔt we de na di midul pan di wayt sɛklɔ we yu go mɔs si na di bak pat pan di san flawa we dɔn dig insay di skin. Na de di eg dɛn kin kɔmɔt.
Dis we ya, di sand flea kin liv insay yu skin fɔ lɛk siks wiks. I de drink yu blɔd ɛn gro wit di eg dɛn. Insay dis tɛm, i kin le lɛk 100 eg dɛn. Dɛn eg dɛn de kin fɔdɔm na di ol we de na di skin ɛn fɔdɔm na grɔn. Afta yu dɔn le di eg dɛn, di san flay kin day ɛn dɛn kin pul am we yu skin shed.
Afta lɛk 4 dez so, di eg dɛn we dɔn fɔdɔm na grɔn kin bɔn ɛn tɔn to larva. Dɛn kin it ɔrganik tin dɛn we de na di san ɔ di grɔn. Dɔn, di larva dɛn kin pupat, ɛn afta lɛk 4 wik so, dɛn kin bi sand flay we dɔn ful-ɔp. Na dɛn flea dɛn de kin kam bak fɔ fɛn pipul dɛn ɛn bigin fɔ sok blɔd.
Wetin na di sayn dɛm fɔ dis?
Sand flea nɔ kin ebul fɔ jomp fa fawe. na dat mek dεn kin bכku bכku insay di skin na yu sכl, bitwin yu fut finga dεm, na yu il dεm, כ na yu leg dεm bak. We uman sand flea fɔs go insay yu skin, yu nɔ go ivin fil am. Bɔt afta i dɔn dig insay yu skin, yu go si wan wayt sɛklɔ, lɛk ring ɔ sparo in yay, wit wan blak dɔt na di midul. As tɛm de go, as di san flay de it blɔd ɛn gro wit in eg dɛn, da blak dɔt de bak de big.
Dis injury kin tan lɛk dis:
- I kin skrach fayn fayn wan.
- Pen bak de.
- I kin bi se i rɛd.
- I kin swel ɛn tayt.
Us prɔblɛm dɛn dis kin mek?
Pipul wae gɛt tungiasis kin gɛt bɔrku risk fɔ gɛt siriɔs baktriyal infɛkshɔn frɔm di insɛkt we de dig insay di skin ɛn skrach. Dɛn infɛkshɔn ya kin mek yu leg nɔ fayn fɔ ɔltɛm ɛn i nɔ kin ebul fɔ waka.
Ɔda prɔblɛm dɛn we kin apin na:
- baktri infεkshכn na di bכdi (`(Bacteremia)`), we kin mek i gεt siriכs kכndyushכn lεk `(Septicemia)` εn `(Sepsis)`.
- Sεlulayt na wan infεkshכn na di skin we insekt bayt.
- Gangrene (di tisu we de day).
- Tetanus (na baktriyal infεkshכn we de afekt di nervous sistεm εn kin mek yu layf de pan denja).
Aw yu no dis?
Di wɛlbɔdi wokman dɛm we de wok na say dɛm we tungiasis kin bɔku kin no di sik bay we dɛn de chɛk di skin. Infakt, bɔku pipul dɛn we de na dɛn kayn say ya kin no bɔt tungiasis ɛn dɛnsɛf kin no am we dɛn gɛt am.
Aw dɔktɔ dɛn kin trit dis?
Yu dɔktɔ kin yuz fɔsɛp we nɔ gɛt stɛriyl ɔ nidul fɔ pul di san flay na di skin. Bikɔs di flea dɔn swel frɔm di blɔd, dɛn kin nid fɔ kɔt smɔl (excision) fɔ pul di flea kpatakpata.
Ɔda we dɛn fɔ pul di san flay na:
- If yu put antiparasitic medication, tik waks, ɔ jeli pan di wund, i go kil di sand flea.
- Krayotɛrapi de kil sand flay bay we i de friz di skin tisu.
Yu tink se dɛn kin trit dis na os?
Oh nɔ, nɔ ɛva du dat! Na pɔsin we sabi kia fɔ wɛlbɔdi biznɛs nɔmɔ fɔ tray fɔ pul wan san flawa we dɔn dig insay di skin, ɛn yuz tin dɛn we dɛn dɔn sterilayz.
Na say dɛn we wɛlbɔdi biznɛs nɔ kin izi fɔ gɛt ɔ we dia, sɔntɛnde pipul dɛn kin yuz tin dɛn we nɔ gɛt sterilize fɔ trit sand flawa. Sɔntɛnde, dɛn kin yuz di sem tin fɔ trit bɔku pipul dɛn na wan famili ɔ vilej.
Dɛn we ya we nɔ sef kin mek yu gɛt:
- Sand flea kin bɔs insay di skin, ɛn mek yu gɛt baktriyal infɛkshɔn.
- If yu yuz ikwipmɛnt we nɔ sterilayz, i kin mek sik dɛn lɛk `(Epatitis B)`, `(Epatitis C)`, ɛn `(HIV/AIDS)` prɛd.
Aw yu go sev dis?
If yu de travul go na say usay tungiasis kin bɔku, yu kin ridyus di prɔblɛm we yu gɛt bay we yu du dɛn tin ya:
- Wear sus we ful-ɔp wit klos.
- Wear sɔks we de kɔba yu anklɛ dɛn.
- Wear lɔng pant.
- Nɔ waka wit yu fut as yu ebul.
- Yu kin put ɛbul insɛktisayd `(Zanzarin®)` (spɛshal tin we de mek insɛkt lɛk dis) pan yu leg tu tɛm insay di de. Dis kin ridyus di risk fɔ gɛt tungiasis. Yu dɔktɔ kin ɛp yu fɔ fɛn dis tritmɛnt.
- Insay sɔm kɔntri dɛn, dɛn kin sprɛy difrɛn kayn insɛkt sayd na grɔn fɔ kil sand flay.
Wetin go apin if dis apin? Yu tink se bɔku pipul dɛn go wɛl?
Bɔrku pipul dɛm wae gɛt tungiasis kin wɛl if dɛn nɔr gɛt tritmɛnt. Bɔt di pen ɛn it te di san flay dɛn day kin rili nɔ kin fil fayn. Na po eria wae nɔr gɛt gud wɛl bɔdi kia, infεkshɔn wae kin kam wit tungiasis kin mek pɔrsin nɔr ebul fɔ du wɛl ɛn ivin kin mek pɔrsin in layf de pan denja.
Ustɛm a fɔ go to dɔktɔ?
If yu si ɛni wan pan dɛn tin ya afta yu dɔn kam bak frɔm say usay sand flay kin de, go to dɔktɔ wantɛm wantɛm:
- If yu gɛt wayt lɛsin/spɔt na yu leg, anklɛ, ɔ ɛni ɔda say na yu bɔdi.
- If di skin it, i de pen, ɔ i tan lɛk se i gɛt rash .
- If yu gɛt fiva afta yu dɔn trit yu Tungiasis, ɔ if yu notis rɛd stɛp na yu skin (dɛn tin ya kin bi sayn fɔ se yu gɛt infekshɔn).
Wetin yu fɔ aks di dɔktɔ?
Yu kin aks di dɔktɔ kwɛstyɔn dɛn lɛk:
- Wetin na di bɛst tritmɛnt fɔ Tungiasis?
- Wetin a kin du fɔ protɛkt misɛf frɔm Tungiasis we a de travul?
- Us simptom dɛm fɔ Tungiasis a fɔ luk fɔ?
- A fɔ luk bak pan di prɔblɛm dɛn we kin apin?
Wetin na di difrɛns bitwin Tungiasis ɛn fɔ it flea ɔltɛm?
Di difrɛns we impɔtant pas ɔl na dat, na sand flay nɔmɔ (we kin mek yu gɛt tungiasis) de dig insay yu skin ɛn sok blɔd. Ɔda kayn flawa dɛn kin kam na yu skin ɛn sok blɔd fɔ sɔm tɛm. Dɔn yu kin si sɔm smɔl smɔl rɛd blista dɛn. Pan ɔl we dɛn kɔmɔn flea bayt ya kin it ɛn mek yu at pwɛl, dɛn nɔto big wɛlbɔdi prɔblɛm lɛk di wan dɛn we tungiasis kin kam wit, bɔt dɛn kin mɔna yu.
Fɔ dɔn, tin dɛn we wi fɔ mɛmba
If yu de travul go na say usay sand flawa dɛn go de, i impɔtant fɔ tek tɛm fɔ mek yu nɔ gɛt tungiasis. Wear sus we ful-ɔp wit klos, sɔks we de kɔba yu anklɛ, ɛn put spɛshal tin we de mek yu nɔ gɛt insɛkt na yu fut. Bifo yu travul, aks yu dɔktɔ bɔt aw fɔ fɛn dis kayn mɛrɛsin we de mek yu nɔ gɛt insɛkt.
Bɔrku pipul dɛm wae gɛt tungiasis kin go fɔ tritmɛnt fɔ pul ɔr kil di sand flea. Fɔ mek yu nɔ gɛt di sik ɛn ɔda prɔblɛm dɛn, i impɔtant fɔ go to di rayt dɔktɔ fɔ pul di san flay. Mɛmba se, nɔ ɛva tray fɔ du dis na os yu wan. Yu sef impɔtant pas ɔl!
` Tungiasis, sand flea, skin sik, it, pen, infεkshכn, jiggers
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