Sɔntɛm yu de du tritmɛnt fɔ kansa. Ɔ yu kin gɛt di sik we de mek yu bɔdi nɔ ebul fɔ fɛt di sik. Sɔmtɛm lɛk dis, ɔlkayn wɛl bɔdi prɔblɛm kin kam. Tide wi go tɔk bɔt wan kɔndishɔn lɛk dis, mɔ we gɛt fɔ du wit di insay, we siriɔs smɔl, bɔt dɛn kin kɔntrol am fayn fayn wan if dɛn no am kwik . Dis na wetin wi kin kɔl Tayflaytis.
Wetin na Tayflaytis? Fɔ tɔk am simpul wan...
Fɔ tɔk am simpul wan, Tayflaytis na bad bad inflamɛns na wi dijestiv sistɛm, dat na di intestines. Dis inflameshn kin mek yu gɛt baktri ɛn fεn infεkshכn. Pan ɔl we dis na tin we nɔ kin apin so ɔltɛm, i kin apin mɔ to pipul dɛn we de tek bɔku bɔku kemotɛrapi, mɔ fɔ sɔm kayn blɔd kansa (fɔ ɛgzampul, lukimiya, limfoma, mɔltipɛl mayloma).
Tink bɔt wi insay lɛk wan lɔng tiub. Tayflaytis kin afɛkt difrɛn pat dɛn na dis intestinal:
- dis kכndyushכn dεn kin si am mכst na di sεkum, we na wan pat pan di big intestכn.
- Apat frɔm dat, di kɔlon we de go ɔp
- Ɛn di ileum, we na pat pan di smɔl intestinal, kin afɛkt bak.
Sɔntɛnde, dɔktɔ dɛn kin yuz ɔda nem dɛn fɔ dis sik, lɛk nyutropenik ɛntɛrokolaytis , tayflɛntaytis, ɔ ileocecal syndrome. Bɔt dɛn ɔl de tɔk bɔt di sem kɔndishɔn.
Udat de pan denja fɔ gɛt Tayflaytis?
Dis risk nɔr kin jɔs de fɔ di wan dɛm wae de gɛt kansa tritmɛnt, bɔt na fɔ sɔm ɔda pipul dɛm bak.
- Pipul dɛn we gɛt HIV/AIDS kin gɛt tayfɔyd fiva.
- Dɔn bak, pipul dɛn we de tek immunosuppressants , fɔ ɛgzampul, di wan dɛn we dɛn dɔn transplant stem sɛl/bɔn mɛro, ɔ di wan dɛn we dɛn dɔn transplant ɔda ɔgan, kin gɛt dis sik.
Pan ɔl we dis sik kin mek pɔsin in layf de pan denja , i impɔtant fɔ mɛmba se i kin wɛl if dɛn no di sayn dɛn kwik kwik wan ɛn bigin fɔ trit am kwik kwik wan.
Wetin na di sayn dɛm fɔ Tayflaytis?
Sɔntɛnde, di sayn dɛm fɔ tayflaytis kin fil lɛk bad bɛlɛ pen ɔr bɛlɛ bɔg. Bɔt dɛn nɔto jɔs wan simpul bɛlɛ pen. Di kɔmɔn sayn dɛm na:
- Siriɔs bɛlɛ pen ɛn kramp
- Bɛlɛ we dɔn distend/ we dɔn swel
- Rɔnbɛlɛ
- Fiva
- Nɔs ɛn vɔmit
Imajin pɔsin we nem Nimali, we de du kemotɛrapi fɔ lukimiya. Wantɛm wantɛm, i kin gɛt bad bad bɛlɛ pen, fiva, ɛn vɔmit. I tink se sɔntɛm i bin it tin dɛn we gɛt pɔyzin fɔ it. Bɔt if dɛn sik ya nɔ stɔp afta tu ɔ tri dez, i rili impɔtant fɔ go to dɔktɔ wantɛm wantɛm . Na bikɔs i kin bi Tayflaytis.
Wetin mek Tayflaytis kin apin? Wetin na di tin dɛn we kin mek i apin?
Risach pipul dɛn biliv se na sɔm tin dɛn we kin mek pɔsin gɛt tayfɔyd fiva. Di tri men tin dɛn na:
1. Mucositis: dis na di inflameshn fכ di mכkus mεmbran dεm we de layn insay wi big intestin εn sכm intestכn. Jεs lεk aw כlsa kin fכm insay wi mכt, כlsa εn inflameshn kin apin bak insay di intestinal. Dis kin apin mɔ as sayd ɛfɛkt fɔ tritmɛnt lɛk kemotɛrapi.
2. Nyutropenia: Nyutropenia na we wan kayn wayt bכdi sεl we dεn kכl nyutrofil dεm de dכn. Dɛn nyutrofil ya tan lɛk impɔtant sojaman dɛn na wi imyun sistɛm . Na dɛn wan ya de fɛt infɛkshɔn. Kimotɛrapi kin mek dɛn nyutrofil ya go dɔŋ.
3. Wik imyun sistεm: Kansa tritmεnt (lεk kemothεrapi) εn infεkshכn lεk HIV/AIDS kin wik wi כl imyun sistεm.
Naw lɛ wi si aw dis kin apin. Fɔs, di mucositis kin pwɛl di layn na di intestines. dis kin mek bad baktri dεm εn fεnshכn dεm fכ go insay di intestines izi wan . Da tɛm de, if wi bɔdi gɛt smɔl nyutrofil (nyutropenia) ɛn di imyun sistɛm wik, di bɔdi nɔ kin ebul fɔ fɛt dɛn tin ya we de kam insay wi. Di rizɔlt na siriɔs infɛkshɔn ɛn kɔmplikeshɔn dɛn we kin mek pɔsin in layf de pan denja. Ɛgzampul dɛn:
- Blɔd we de kɔmɔt na di bɛlɛ
- Pɔrfɔreshɔn na di bɛlɛ
- Sεpsis εn sεptik shכk - Dis na bad bad infεkshכn we de spre כlsay na di bכdi.
Wetin na di men smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl.
Risach dɔn sho se bɔku difrɛn kayn baktri ɛn fɛns (we wi kɔl pathogens) kin mek pɔsin gɛt tayflaytis. Sɔm pan di kayn baktri dɛm we kin bɔku na:
- *Klɔstridiɔm sɛptikɔm*
- *Ɛnterokɔk* .
- *Gram-nεgεtiv εnterobakteria*
- *Pseudomonas aeruginosa we gɛt di sik*
- *Stafylɔkɔkɔs ɔriɔs*
- *Strɛptokɔkɔs*
Dɔn bak, di kayn fɛns dɛn we dɛn kin yuz mɔ na:
- *Aspergillus* we de na di bɔdi.
- *Kandida*
Dis kin tan lɛk se i kɔmplikt smɔl, bɔt dɔktɔ dɛn no bɔt am so yu nɔ go wɔri tumɔs bɔt am. De impɔtant tin na fɔ ɔndastand se na dɛn kayn jem ya de mek di prɔblɛm wɔs.
Aw dɔktɔ dɛn kin no se yu gɛt Tayflaytis?
If yu gɛt ɛni wan pan di sayn dɛn we wi dɔn tɔk bɔt, yu dɔktɔ go du fɔs fɔ chɛk yu bɔdi. Dɔn dɛn go aks yu kwɛstyɔn dɛn bɔt yu mɛdikal istri. Fɔ ɛgzampul, dɛn go aks yu if dɛn dɔn trit yu fɔ kansa, dɛn dɔn transplant yu stem sɛl ɔ ɔgan transplant, ɛn if yu gɛt HIV/AIDS. Apat frɔm dat, dɛn kin du blɔd tɛst ɛn spɛshal imej tɛst.
Blɔd tɛst dɛn
Di dɔktɔ kin ɔda fɔ mek dɛn du blɔd tɛst lɛk dɛn wan ya:
- Kɔmplit Blɔd Kɔnt (CBC): Dis kin chɛk tin dɛn lɛk nyutrofil lɛvɛl.
- Test dɛn we di kidni de du
- Test fɔ di wok we di liva de du
- Prothrombin tεm tεst: Si blכd we de kכlכt.
Test dɛn fɔ tek imej
di tεst we dεn kin yus fכ dis na CT skan (Computed Tomography - CT scan) . Dis skan kin si if di wɔl dɛn na yu kɔlon tik pas aw i kin bi. dis tik we di wכl dεm na di kכlon tik na fכ inflameshn.
Aw dɛn kin trit Tayflaytis?
No wan saiz tritmɛnt nɔ de fɔ tayfɔyd fiva. Di tin we de apin to ɔlman difrɛn. Bɔt in jɔnal, di men gol fɔ tritmɛnt na fɔ kɔntrol di infekshɔn ɛn sɔpɔt yu imyun sistɛm . Yu kin nid fɔ gɛt difrɛn tritmɛnt dɛn we dɛn jɔyn togɛda. Na sɔm pan di tritmɛnt dɛn we dɛn kin yuz:
- Antibayɔtik: Kɔntrol baktriyal infɛkshɔn. Dɛn kin gi am bak antifungals.
- Blɔd transfyushɔn: If yu gɛt smɔl blɔd prɛshɔn.
- Decompressive laparotomy: Na ɔpreshɔn we dɛn kin du fɔ ridyus di prɛshɔn we de insay di bɛlɛ if i tu ay.
- Granulocyte Colony-Stimulating Factor (G-CSF): Dis na vaksin we dɛn kin gi fɔ mek di nyutrofil lɛvɛl go ɔp.
- Fluid we dɛn kin put insay di bɛlɛ (IV fluid): Nɔ mek di bɔdi nɔ gɛt wata ɛn gi di bɔdi di wata we i nid.
- Tכtal Parenteral Nutrishכn (TPN): dis involv fכ gi di dijestiv sistεm bכku, alaw am fכ hεl, εn afta dat fכ gi di nyutriεnt dεm we i nid dairekt tru wan vein.
If dɛn de trit yu fɔ kansa, yu ɔnkɔlɔjis kin chenj yu kansa tritmɛnt te yu wɛl frɔm tayflaytis. If tayflaytis mek pɔsin in bɔdi rɔtin, i kin nid fɔ du ɔpreshɔn.
Wetin na di nɔmba fɔ pipul dɛn we de day? Yu tink se wi fɔ fred?
Tayfɔyd fiva na siriɔs sik we kin kil pɔsin . Wan tɛm, na lɛk ɔlman we gɛt tayfɔyd fiva bin day bikɔs ɔf prɔblɛm dɛn lɛk sɛpsis. Bɔt dat nɔ de apin igen . We dɛn no am kwik ɛn trit am kwik kwik wan, mɔ pipul dɛn de wɛl naw frɔm tayfɔyd fiva. Wan stכdi we dεn jכs du sho se pas 60% pan di pipul dεm we gεt fכn infεkshכn we dεn kכz fכ tayfoyd fiva kin bכn afta dεn trit dεm. So, i impɔtant fɔ kɔntinyu fɔ gɛt op .
Ustɛm a fɔ go to mi dɔktɔ?
De sayn dɛm fɔ Tayflaytis kin tan lɛk ɔda, mɔr kɔmɔn prɔblɛm dɛm wit yu gut. Bɔt lɛk aw wi bin dɔn tɔk, di sayn dɛn we de sho se pɔsin gɛt Tayflaytis nɔto jɔs we pɔsin in bɛlɛ at pwɛl. If yu gɛt ɛni wan pan dɛn sik ya, go to yu dɔktɔ ɛn nɔ shem :
- Fiva
- Nɔs ɛn vɔmit
- Sivɛri bɛlɛ kramp ɛn limp
If yu gɛt dɛn sik ya nɔ min se yu gɛt tayfɔd fiva bak, bɔt i fayn fɔ tɔk to yu dɔktɔ ɔltɛm if yu notis ɛni chenj na yu bɔdi.
Us kwɛstyɔn dɛn a fɔ aks mi dɔktɔ?
Yu kin gɛt Tayflaytis bikɔs ɔf wan sik we de afɛkt yu imyun sistɛm, ɔr bikɔs yu de gɛt kansa tritmɛnt. Na sɔm kwɛstyɔn dɛn we yu kin aks yu dɔktɔ:
- Yu kin tɛl mi di rayt tin we mek a gɛt Tayflaytis?
- Yu tink se i pɔsibul fɔ mek dis apin bak?
- A go gɛt fɔ stɔp fɔ mɛn kansa?
Fɔ trit siriɔs sik lɛk kansa ɔ HIV/AIDS kin fil lɛk fɔ klaym mawnten. As yu de nevigayt chalenj dɛm lɛk sayd ɛfɛkt dɛm frɔm tritmɛnt, de gol fɔ wɛl na wetin de mek yu kɔntinyu fɔ go bifo. We nyu, siriɔs wɛlbɔdi prɔblɛm lɛk tayflaytis kam, i kin fil lɛk ɔda mawnten fɔ klaym. Bɔt mɛmba se, tritmɛnt dɛn de we kin mɛn tayflaytis.
Ivin so, yu at go fil bad. Yu kin wɔnda aw yu go win dis nyu prɔblɛm ɛn go bak na di rayt rod wit yu wɛl bɔdi. Yu mɛdikal tim ɔndastand aw nyu sik kin fil lɛk se i nɔ izi fɔ yu. Dɛn go ansa yu kwɛstyɔn bɔt tayflaytis tritmɛnt ɛn aw i go afɛkt yu wɛl bɔdi.
Fɔ dɔn, tin dɛn fɔ mɛmba (Take-Home Message) .
Tayflaytis na wan sik we de mek pɔsin fred, bɔt i kin mɛn if dɛn no am kwik ɛn trit am fayn.
- I impɔtant mɔ fɔ di wan dɛn we de du kemotɛrapi, di wan dɛn we gɛt HIV/AIDS, ɛn di wan dɛn we de tek mɛrɛsin we de stɔp di imyun sistɛm fɔ no bɔt dis.
- If yu gɛt sɔm sayn dɛn lɛk bad bad bɛlɛ pen, fiva, ɛn vɔmit, nɔ tink se na jɔs simpul bɛlɛ pen ɛn go to dɔktɔ wantɛm wantɛm.
- Fɔ fala di dɔktɔ in instrɔkshɔn dɛn di rayt we. Nɔ stɔp di tritmɛnt af-af.
- Stay strɔng. Yu mɛdikal tim go ɛp yu.
A op se dis infɔmeshɔn go yusful to yu. Stay wit wɛlbɔdi!
` Tayflaytis, inflameshn na di intestinal, kansa tritmɛnt sayd ɛfɛkt, nyutropenia, kemotɛrapi, bɛlɛ pwɛl, fiva
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