Imajin se yu pikin gɛt trot we de at ɛn i kin bɛtɛ insay sɔm dez. Bɔt afta wan ɔ tu wiks, yu pikin kin gɛt fiva bak, wit in jɔyn dɛn we swel lɛk in ni ɛn in anklɛ, ɛn i kin fil bad bad wan. Sɔntɛnde dis pen kin kɔmɔt na wan jɔyn to ɔda jɔyn. Yu dɔn gɛt dis ɛkspiriɛns? Dis nɔto sɔntin we wi fɔ jɔs ignore. I kin bi rεumatik fiva, we na siriɔs kכndyushכn we kin apin we dεn nɔ trit yu trot infεkshכn. Mek wi tok abaut am ol tide.
Wetin rili na Rimatik Fiva?
Fɔ tɔk am simpul wan, rεumatik fiva na siriɔs riakshɔn to
wan trot infεkshɔn we dɛn nɔ trit (Strep Throat) . dis trot infεkshכn na wan baktri we dεn kכl ‘grup A strεptococcus’ de kכz am. We dɛn nɔ trit dis baktri fayn fayn wan, di imyun sistɛm na wi bɔdi kin go haywire. Dis min se di antibodi dɛm we de wok lɛk bɔdi difens
nɔ kin bigin fɔ atak di baktri dɛm nɔmɔ bɔt wi yon tisu dɛm, mɔ di jɔyn dɛm, di at, ɛn di skin . Di big denja fɔ dis na di damej we de pan di at. Mɔr pas af pan pipul dɛm wae gɛt rεumatik fiva kin gɛt damej pan dɛn at valv dɛm. Dis kin mek di at wok tranga wan fɔ pɔmp blɔd. As tɛm de go, dis pwɛl hat kin mek pɔsin gɛt wan sik we dɛn kɔl
rεumatik at sik , we kin mek in at nɔ wok fayn. Sɔntɛnde, rεumatik fiva kin mek yu gɛt wan sik fɔ sɔm tɛm we dɛn kɔl Sydenham’s chorea, we kin afɛkt di nervɔs sistɛm. Dis kin mek di mɔsul dɛn na di bɔdi, di an ɛn fut dɛn, ɛn di fes kin shek shek we i nɔ ebul fɔ kɔntrol.
Di impɔtant tin na dat, rεumatik fiva nɔto sik we pɔsin kin pas. Bɔt di strɛptokɔk baktri we de mek i ( trot we de at ) kin pas frɔm pɔsin to ɔda pɔsin.
Wetin na di men sayn dɛm wae de sho se pɔrsin gɛt rεumatik fiva?
Dɛn sayn ya kin apin bitwin 1 ɛn 5 wik afta yu trot de at. Sɔmtɛm di trot we de at kin at, dat min se i kin kam ɛn go witout ɛni big sayn. So sɔm pipul dɛn nɔ kin ivin mɛmba se dɛn bin gɛt trot we de at.
| Di sayn we de sho se di sik de | Tɔk bɔt |
|---|
| Di jɔyn dɛn we dɔn swel ɛn we de mek pɔsin fil pen | Di jɔyn dɛn, mɔ di ni, anklɛ, ɛlb, ɛn an kin swel, rɛd, ɛn i kin fil pen. Dis pen kin kɔmɔt na wan jɔyn to ɔda jɔyn. |
| Fiva | Fiva we kin kam witout rizin. |
| Wan skin we de rɔsh | Di we aw i tan lɛk wan rɛd, we rayz smɔl, we tan lɛk welt na di chɛst, bak, ɔ bɛlɛ. |
| Lump dɛn we de ɔnda di skin (Nodules) . | sכm sכm sכm sכm sכm sכm dεm we nכ de pen de apin כnda di skin nia di joyn dεm we swεla, spεshal wan na ples dεm lεk di εlbo dεm. |
| Di sayn dɛm we gɛt fɔ du wit di at | Chɛst pen, at bit kwik kwik wan, ɛn i nɔ izi fɔ blo na sayn dɛn we de sho se di at dɔn afɛkt. |
| Muvmɛnt dɛn we pɔsin nɔ ebul fɔ kɔntrol (Chorea) . | Di muvmɛnt we di an, leg, ɔ fes de shek shek we yu nɔ ebul fɔ kɔntrol. |
Tek kia ɔf pikin in trot we de at
Nɔ tek pikin in trot we de at layt wan. Ɛspɛshali
if dɛn gɛt siriɔs trot we de at ɛn fiva (we pas 100.4 F / 38 C) we nɔ gɛt ɔda sayn dɛn fɔ kol (lɛk we dɛn nɔs de rɔn, we dɛn de sniz) , ɛn if dɛn trot we de at pas tu ɔ tri dez,
yu fɔ rili go to dɔktɔ . I kin bi strep trot infekshɔn. If na so, i impɔtant fɔ gɛt di rayt antibayɔtik fɔ trit am kɔmplit wan.
Udat dɛn de pan denja pas ɔlman?
Pan ɔl we ɛnibɔdi we gɛt streptococcal infection kin gɛt rεumatik fiva, sɔm pipul dɛn kin gɛt am mɔr.
- Pikin dɛn we ol bitwin 5-15 ia.
- Pipul dɛn na ples dɛn we pipul dɛn kin ful-ɔp lɛk skul ɛn daycare center.
- If pɔsin we bin dɔn gɛt rεumatik fiva bifo i gɛt strεptokɔk infεkshɔn bak.
Aw yu go fɛn dis, Dɔktɔ?
We yu go to dɔktɔ, i go tek tɛm lisin fɔs to yu sayn dɛn. Dɔn i go du wan ɛgzam pan in bɔdi. 1.
Trot Kalchar: Dɛn kin tek smɔl swab frɔm insay yu trot fɔ chɛk fɔ strep baktri dɛm ɛn sɛn am na di lab. 2.
Fɔ chɛk yu bɔdi: Di dɔktɔ go lisin to yu at wit stetɔskɔp fɔ chɛk fɔ ɛni sawnd we nɔrmal (at de grɔmbul). I go chɛk bak fɔ si if yu jɔyn dɛn dɔn swel, if yu gɛt lɛsin na yu skin, ɔ if yu gɛt lumps. 3.
Ɔda Tɛst dɛn:- Blɔd tɛst : Dɛn kin chɛk di antibodi lɛvɛl fɔ no if streptococcal infection dɔn de i nɔ tu te yet.
- ECG (Electrocardiogram): I de tεst di at in wok εn ilektrikal aktiviti.
- Echo (Echocardiography): Na skan we de mek yu si di at in mɔsul dɛm, di valv dɛm, ɛn di akshɔn we di pɔmp de du lɛk fim.
Wetin na di tritmɛnt dɛn?
If dɛn kɔnfyus rεumatik fiva, di tritmɛnt gɛt tu men gol. Wan pan dɛn na fɔ kɔntrol di sik dɛn we de apin naw. Ɛn di ɔda wan, ɛn di impɔtant tin,
fɔ mek di at nɔ pwɛl fɔ lɔng tɛm.- Antibayɔtik : Dɛn kin gi wan antibayɔtik lɛk penisilin fɔ kil ɛni strɛptokɔk baktri we lɛf na di bɔdi kpatakpata. Yu kin nid bak fɔ tek smɔl smɔl antibayɔtik fɔ lɔng tɛm, ɔ ivin yu wan ol layf, fɔ mek di sik nɔ kam bak.
- Pen ɛn swɛlin mɛrɛsin: Dɛn kin gi mɛrɛsin lɛk aspirin ɛn ibuprofen fɔ kɔntrol di joyn pen , swel, ɛn fiva.
- Kɔtikosterɔyd: Dɛn kin gi dɛn mɛrɛsin ya fɔ kɔntrol di swɛlin if di at dɔn afɛkt.
- Kɔmplit rɛst: I impɔtant fɔ gɛt bɔku rɛst te di sik dɛn we de sho se yu gɛt di sik dɔn.
- Ɔpreshɔn: Na smɔl tɛm nɔmɔ, if di at valv dɛn dɔn pwɛl bad bad wan, dɛn kin nid fɔ du ɔpreshɔn fɔ mek dɛn fayn ɔ fɔ chenj dɛn.
If yu gɛt rεumatik hat sik, yu kin nid fɔ tek antibayɔtik bifo sɔm ɔpreshɔn, lɛk fɔ pul yu tut, fɔ mek yu nɔ gɛt infɛkshɔn na di at valv dɛn. Yu dɔktɔ go advays yu bɔt dis.
Di ifɛkt dɛn we kin apin fɔ lɔng tɛm ɛn di prɔblɛm dɛn we kin apin
Di tin we denja pas ɔl fɔ gɛt rɔmatik fiva na di tin dɛn we i kin du fɔ lɔng tɛm pan di at. Dis damej kin apin ivin sɔm ia afta di sik dɔn bigin.
Big big damej we kin apin to di at
| Valv stenosis we de mek pɔsin nɔ ebul fɔ du am | We di at valv smɔl, dat kin mek blɔd nɔ go pas am. |
| Valv rigεtεshכn | Di valv nɔ de lɔk fayn, so blɔd de flɔ bak. |
| Di at mɔsul dɛn we dɔn pwɛl | Di swɛlin we di rεumatik fiva kin mek kin mek di at mכsul wik εn i kin rεdכks in pכmp abiliti. |
| di at bit we nɔ de ɔltɛm `(Atrial fibrillation)` | di damej pan di valv dεm εn כda pat dεm na di at de mek di at bit nכ de bit. |
Mɛsej we dɛn kin kɛr go na os
- Riumatik fiva na siriɔs tin we kin apin we pɔsin nɔ trit di strɛp trot, we na wan infɛkshɔn na di trot we di Streptococcus baktri kin mek.
- If yu pikin gɛt bad bad trot we de at wit fiva, nɔ jɔs ignore am ɛn go to dɔktɔ wantɛm wantɛm.
- Di prɔblɛm we de mek pɔsin fil bad pas ɔl na we i de pwɛl di at fɔ lɔng tɛm, we dɛn kɔl rεumatik at sik.
- Pan ɔl we dis sik nɔ kin pas, di trot infɛkshɔn we kin mek i gɛt am kin pas.
- If yu gɛt rεumatik fiva, i impɔtant fɔ tek lɔng tɛm tritmɛnt lɛk aw yu dɔktɔ tɛl yu fɔ mek i nɔ kam bak ɛn fɔ protɛkt yu at.
Rumatik fiva, joyn pen, trot infεkshכn, strεptokok, rεumatik at sik, pikin dεm sik, at sik
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