Wetin na ‘Vali Fiva’? Di wan dɛn we de travul, una fɔ no!

Yu dɔn go na Amɛrika, mɔ di sawt-wɛst pat na Amɛrika, ɔ na Sɛntral ɔ Sawt Amɛrika? Ɔ yu de plan fɔ go na dis kayn kɔntri? Dɔn i rili impɔtant fɔ mek una no wetin a go tɔk. Imajin se yu gɛt fiva, kɔf, ɛn yu bɔdi de at fɔ sɔm dez. Yu kin tink se dis na kɔmɔn kol. Bɔt if yu dɔn go na dɛn say dɛn de, i pɔsibul se dis na fɔŋs infɛkshɔn we dɛn kɔl ‘vali fiva’ ɔ Vali Fiva . Nɔ wɔri, lɛ wi tɔk bɔt dis simpul wan.

Wetin rili na ‘Valley Fiver’?

Fɔ tɔk am simpul wan, Vali Fiva na fungal infekshɔn we kin afɛkt yu lɔng. Na wan kayn fכns we dεn kכl Coccidioides (KOCK-SI-DE-OY-DIES) de kכz am. Dis fungus de liv na di grɔn. Bɔt nɔto na Sri Lanka. Dɛn kin si am mɔ na di sawt-wɛst pat na Amɛrika (lɛk Kalifɔnia ɛn Arizɔn), sɔm pat dɛn na Washinton stet, ɛn na di grɔn na Sɛntral ɛn Sawt Amɛrika.

So aw dis kin go insay wi bɔdi? Tink bɔt am lɛk se big big briz de blo na wi say, we de mek dɔst, ɔ we dɛn de dig di grɔn, we dɛn de bil, ɔ we big big briz de blo na dɛn say dɛn de, 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 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. We wi de blo da briz de, dɛn spɔt dɛn de go insay wi lɔng ɛn bigin fɔ gro de. Na so dis infεkshכn kin apin.

Yu fɔ no bɔt dɛn sayn ya.

Bɔrku tɛm, dis fεns nɔr kin sho ɛni sayn ivin we i go insay di bɔdi. Bɔt if di sayn dɛn we pɔsin kin gɛt, i kin rili fiba di sayn dɛn we pɔsin kin gɛt we i gɛt kol at. Dis na di rizin we mek bɔku pipul dɛn kin kɔnfyus am.

Udat dɛn de pan big risk?

Ɛnibɔdi we inhal di Coccidioides fungus kin gɛt di sik. Bɔt sɔm pipul dɛn kin gɛt siriɔs sik ɔr prɔblɛm dɛn.

• Pipul dɛn we dɔn pas 60 ia: As yu de ol, di imyun sistɛm nɔ kin wok fayn smɔl.
• Mama dεm we gεt bεlε: εspεshali fכ mama dεm we de insay di tכd trimεst we dεn bεlε.
• Immunocompromised: Pipul dɛn we gɛt sik lɛk HIV/AIDS, di wan dɛn we de du tritmɛnt fɔ kansa, ɔ di wan dɛn we de tek mɛrɛsin we de stɔp di imyun sistɛm lɛk immunosuppressants kin gɛt mɔ risk.
• Pipul dɛn we gɛt dayabitis.
• Pipul dɛn we kɔmɔt na sɔm trayb: Risach dɔn sho se blak pipul ɛn Filipino pipul dɛn kin gɛt dis sik pasmak.
• Pipul dɛn we de wok wit dɔst: Pipul dɛn we de wok na say dɛn we gɛt dɔti, lɛk pipul dɛn we de stɔdi bɔt aw pipul dɛn bin de du tin trade trade ɛn pipul dɛn we de wok na kɔnstrɔkshɔn, kin gɛt mɔ prɔblɛm.

Yu tink se dis kin rili siriɔs? Wetin na di prɔblɛm dɛn we kin apin?

Bɔrku pipul dɛm (lɛk 90-95 pan 100) wae gɛt Vali Fiva nɔr kin gɛt siriɔs sik ɛn kin wɛl fɔ dɛnsɛf insay sɔm wik ɔr mɔnt. Bɔt, na smɔl nɔmba pan pipul dɛn kin gɛt prɔblɛm dɛn.

• Lכng tεm lכng infεkshכn: Na sכm pipul dεm, dis infεkshכn kin de na di lכng. Dis kin mek yu gɛt sɔm kayn sik lɛk fɔ kɔf fɔ lɔng tɛm, pen na yu chɛst, ɛn fɔ lɛf fɔ it bɔku bɔku it.
• Nyumonia: Na bad bad infεkshכn na di lכng kin apin.
• Disseminated coccidioidomycosis: Dis na di kɔmplikeshɔn we denja pas ɔl. If na so i bi, di fεns kin kכmכt na di lכng dεm εn spre tru di bכdi go כda pat dεm na di bכdi, lεk di bon dεm, di jכint dεm, di skin, εn di bren .

Aw yu go fɛn dis, Dɔktɔ?

If yu dɔn go na say usay Vali Fiva kin bɔku ɛn yu dɔn gɛt sayn dɛn we tan lɛk flu fɔ pas wan wik, i impɔtant fɔ tɛl yu dɔktɔ. Yu travul histri rili impɔtant fɔ no dis sik.

Di dɔktɔ kin tɛl yu fɔ du sɔm tɛst fɔ no if yu gɛt di sik:

• Blɔd tɛst: Dis na di we aw dɛn kin yuz mɔ. I de luk fɔ antibodi dɛm we yu bɔdi de mek agens di Coccidioides fungus ɔ fɔ sɔm pat dɛm pan di fungus (antigens) na yu blɔd.
• Chɛst ɛkstrem rayt ɔ CT skan: Fɔ chɛk fɔ si if yu gɛt sayn dɛn we de sho se yu gɛt di sik na di lɔng dɛn.
• Bayopsi: Na sכm tεm we dεn kin tek sכm sכm tisu frכm di skin כ di lכng dεm εn dεn kin egzamin am כnda maykroskכp fכ si if di fכns de.

Aw dɛn kin trit am?

Dɛn kin no aw fɔ trit am bay aw di sik tranga.

• Bɔrku pipul nɔr nid tritmɛnt: If yu sik nɔr tranga, yu bɔdi in imyun sistɛm kin kɔntrol di infekshɔn fɔ insɛf. Yu dɔktɔ go tɛl yu fɔ rɛst ɛn wach yu sik dɛn.
• Antifungal mɛrɛsin: If di infekshɔn tranga, i de skata, ɔ if yu gɛt ɔda tin dɛn we kin mek yu gɛt dis sik, yu dɔktɔ kin gi yu mɛrɛsin fɔ mek yu nɔ gɛt di fungal. Dɛn tin ya kin inklud pils lɛk Fluconazole, Itraconazole, ɔ, if i tranga, mɛrɛsin dɛn we dɛn kin put insay di bɛlɛ lɛk Amphotericin B.

Dis tritmɛnt kin tek 3 to 6 mɔnt ɔ ivin lɔng pas dat.

Ustɛm yu fɔ go to dɔktɔ wantɛm wantɛm?

If dɛn dɔn no se yu gɛt Vali Fiva, go na di ɔspitul imejensi rum (ETU) we de nia yu wantɛm wantɛm if yu gɛt ɛni wan pan dɛn sik ya. Dɛn tin ya kin bi sayn fɔ sho se di sik de skata.

• Blɔd we de insay saliva
• Nek kin stiff ɛn ed kin at bad bad wan
• I nɔ kin izi fɔ yu fɔ blo bad bad wan
• Di chenj dɛn we kin apin wantɛm wantɛm na di we aw pɔsin de si ɔ we i de yɛri

Aw fɔ protɛkt yusɛf?

If yu de liv ɔr travul go na say usay di Coccidioides fungus kin bɔku, i nɔ kin izi fɔ avɔyd am ɔltogɛda. Bɔt yu kin du dɛn tin ya fɔ ridyus di prɔblɛm we yu gɛt:

• Nɔ go na say dɛn we dɔti de: Nɔ go na do, mɔ we di say dɛn we dɛn de bil ɛn we dɔst de blo.
• Stay insay os wit di winda dɛn we dɛn lɔk we dɔst storm de kam.
• If yu de wok na gadin ɔ dig, wɛr N95 mask.
• I go bɛtɛ if yu kin yuz `HEPA` filta we de klin di briz na yu os.