yu sabi di "Valley Fever" we de na pat na Amerika? Lɛ wi tɔk bɔt am!

Yu dɔn ɛva go na di Sawt Wɛst pat na Amɛrika, ɔ sɔm pat dɛn na Sɛntral ɛn Sawt Amɛrika? Ɔ yu de plan fɔ go? If na so i bi, dis go intres yu. Tide wi go tok boht wan strenj fכn infεkshכn we dεn kכl "Valley Fever." I kin afɛkt wi lɔng dɛn.

Wetin na "Vali Fiva"? Fɔ tɔk am simpul wan...

Fɔ tɔk am simpul wan, "vali fiva" na fεn infεkshכn na yu lכng. Na wan kayn fכns we dεn kכl Coccidioides de kכz am. Dis fɛns de liv na di envayrɔmɛnt, mɔ na di sawtwɛst pat na Amɛrika (lɛk Kalifɔnia ɛn Arizɔn), sɔm pat dɛn na Washinton stet, ɛn na di grɔn na Sɛntral ɛn Sawt Amɛrika.

Imajin, di fכs stej fכ dis `(Coccidioides)` fכn infεkshכn dεn kכl am `(Valley Fever).` Sכmtεm we dis apin, sכmtεm lεk kol כ flu kin apia, כ i kin go witout nכ simptom. Bɔt sɔntɛnde, dis kin tɔn to wan sik we rili siriɔs.

Dɛn se na lɛk twɛnti tawzin pipul dɛn kin gɛt ``Valley Fiver`` ɛvri ia. I kɔmɔn mɔ na Kalifonia ɛn Arizɔn. Dɛn kin kɔl am bak ``Coccidioidomycosis``.

Wetin na di sayn dɛm fɔ "lɔ fiva"? Si if yu gɛt dɛn tin ya bak

Bɔrku tɛm, dis infεkshɔn nɔr kin kɔz ɛni sayn. Bɔt if yu gɛt sɔm sayn dɛm fɔ ``Vali Fiva'', dɛn kin inklud:

• Rash we gɛt bɔmp na di skin we nɔ gɛt kɔlɔ (rɛd, pepul, brawn, ɔ blak). Dɔktɔ dɛn kin kɔl dis `(Erythema Nodosum)`.
• Kɔf
• Fɔ fil taya bad bad wan (Fatigue) .
• Fiva
• Pen na di jɔyn dɛn
• Mɔsul dɛn kin pen
• Nayt swet dɛn
• I nɔ izi fɔ blo (Dyspnea) .

Sɔntɛnde, dɔktɔ dɛn kin kɔl dis skin rash, fiva, ɛn jɔyn stiffness as "desert rheumatism."

Aw pɔsin kin gɛt "vali fiva"?

Tu kayn Coccidioides fungi de we kin mek pɔsin gɛt Vali Fiva:

1. `(Coccidioides immitis)` (`C. immitis`): Dis fכns de gro na di grכn na Kalifonia.

2. `(Coccidioides posadasii)` (`C. posadasii`): Dis kin de na ɔda pat dɛn na di Amɛrika ɛn na di grɔn na Sɛntral ɛn Sawt Amɛrika.

Dɛn tu kayn ya kin mek yu gɛt di sem sayn.

Naw lɛ wi si aw dis kin go insay wi bɔdi. We di grɔn distɔb, dat min se we wi dig am, lɛk na briz, dɛn fɛns ya kin brok. We dɛn brok, di smɔl smɔl pat dɛn we de mek pikin bɔn, we dɛn kɔl spores , kin kɔmɔt na di briz. we yu brith di briz we gεt dεn spot dεm ya, dεn de go insay yu lכng dεm εn setul, usay dεn kin bigin fכ gro to big kכlכsta dεm fכ spכr dεm we dεn kכl sfεrul.

dis sfεru dεm kin brok bak, dεn kin sεnd mכr spכr dεm to כda pat dεm na yu lכng, εn sכmtεm to כda pat dεm na yu bכdi. afta dat dεn spכr dεm kin fכm sfεr dεm bak, we de spre di fכns כlsay na yu bכdi.

Impɔtant: Dɛn nɔ kin si dis fɛns na Sri Lanka grɔn. I de jɔs de fɔ sɔm patikyula say dɛn we pipul dɛn de. So, nid nɔ de fɔ mek pipul dɛn we de na Sri Lanka wɔri tumɔs bɔt dis. Bɔt i impɔtant fɔ mek di wan dɛn we de travul go na dɛn say dɛn ya no bɔt dis.

Yu tink se "vali fiva" kin pas?

Nɔ, Vali Fiva nɔto sik we pɔsin kin pas. Yu nɔ go ebul fɔ kech am frɔm ɔda pɔsin. Bɔt sɔntɛnde i kin skata na say dɛn we bɔku dɔst de na di ays, fɔ ɛgzampul na say dɛn we big big briz kin blo ɔ we dɛn de bil.

כltu, na sכm tεm, yu kin inhal di spכr dεm frכm wan opin sore na di bכdi fכ pכsin we gεt ``Valley Fiver.`` bכt di chans fכ dat apin rili lכw. Bɔku tɛm, di wangren we fɔ gɛt am na fɔ blo di spay dɛn we de na di briz na do.

Udat de pan denja fɔ gɛt dis?

If pɔsin inhal di fεns `(C. immitis)` ɔ `(C. posadasii)`, i kin gɛt `(Valley Fiver).` Bɔt if yu pas 60 ia, yu kin gɛt dis.

Dɔn bak, yu de pan ay risk fɔ gɛt ``Valley Fiver`` if yu:

• If yu na blak ɔ Filipino.
• If yu de na di tɔd tri mɔnt we yu gɛt bɛlɛ.
• If yu imyun sistεm wik, yu de ``immunocompromised.`` Dis kin bi biכs fכ wan kכndyushכn lεk ``HIV/AIDS``, כ i kin bi biכs fכ tek sכm mεdikeshכn lεk ``immunosuppressants`` כ ``immunomodulator``.
• If yu gɛt dayabitis (Diabetes Mellitus).
• If yu jɔs dɔn travul ɔ muf go na say usay dis fɛns de.
• If yu wok wit grɔn ɔ dɔst (e.g. fam, kɔnstrɔkshɔn).

Wetin na di poshubul kɔmplikeshɔn dɛm fɔ "vali fiva"?

Kɔmplikɛshɔn dɛn we kin kam wit Vali Fiva nɔ kin bɔku. Na 5 to 10 pan ɛvri 100 pipul dɛn kin gɛt siriɔs sik. Dɔn bak, na lɛk 1 pan ɛvri 100 pipul dɛn nɔmɔ go gɛt di sik to ɔda pat dɛn na di bɔdi.

Bɔt if yu gɛt siriɔs prɔblɛm dɛn, dɛn kin gɛt:

• Akyu Respiratɔri Distres Sindrɔm (ARDS) .
• Pleural Effusion ɔ Ɛmpyema
• di infεkshכn we de spre ausayd di lכng (Disseminated Coccidioidomycosis) .
• Nyumonia
• Hydropneumothorax (na sak we ful-ɔp wit wata ɔ we ful-ɔp wit briz na di lɔng) .

Fɔ dɛn wan ya, di prɔblɛm we denja pas ɔl fɔ Vali Fiva na we di infɛkshɔn de skata pas di lɔng dɛn. Dis kin spre to yu כgan dεm lεk:

• Bon
• Bren
• Jɔnkshɔn
• Liva
• Kidni dɛn
• Pankrias we de na di bɔdi
• Kanda

If Coccidioidomycosis spred to di bren, yu kin gɛt wan sik we dɛn kɔl Coccidioidal Meningitis. Dis kin mek pɔsin in layf de pan denja . I kin mek bak yu gɛt nyurolɔjik simptom dɛm lɛk fɔ chenj di we aw yu de si ɛn yɛri, yu ed de at, ɛn yu nɛk stif.

Aw dɔktɔ dɛn kin no se "vali fiva"?

Dɔktɔ go tek yu mɛdikal histri, aks bɔt yu sik ɛn travul histri, ɛn du yu bɔdi ɛgzam. Fɔ no fɔ tru if yu gɛt Vali Fiva, dɛn kin du dɛn tɛst ya:

• Bayopsi : Di dɔktɔ tek smɔl sampul pan yu tisu ɛn sɛn am na lab fɔ chɛk fɔ si if sayn dɛn de fɔ di fungus Coccidioides.
• Blɔd Tɛst : Bɔku tɛm dɛn kin yuz blɔd tɛst fɔ no if pɔsin gɛt Vali Fiva. Dɛn kin sɛn blɔd sɛmpul to lab ɛn luk fɔ antibodi ɔ antijen we spɛshal fɔ di Coccidioides fungus.
• Imej Test : Yu dɔktɔ kin du yu chɛst ɛkstrem rayt ɔ CT skan fɔ chɛk fɔ si if yu gɛt sayn dɛn fɔ nyumonia we Vali Fiva kin mek yu gɛt.

Aw dɛn kin trit "vali fiva"?

Di tritmɛnt fɔ Vali Fiva dipen pan aw i siriɔs. Yu dɔktɔ kin tɛl yu fɔ du "watchful waiting" we fɔ du am. Dis min se yu nɔ nid tritmɛnt kwik bikɔs yu nɔ gɛt siriɔs sik, bɔt dɛn go de wach yu gud gud wan ɛn du tɛst ɔltɛm.

If yu gɛt siriɔs ɔr we de kɔntinyu fɔ gɛt infekshɔn, ɔ if yu de pan denja fɔ gɛt siriɔs sik (fɔ ɛgzampul, chronic obstructive pulmonary disease (COPD)), dɛn kin gi yu mɛrɛsin fɔ antifungal. Dɛn tin ya kin bi:

• Amphotericin B we dɛn kin gi insay di bɛlɛ
• `(Flukonazɔl)`
• `(Itrakonazɔl)`

Yu kin nid fɔ tek antifungal tritmɛnt fɔ tri to siks mɔnt. Bɔt if yu gɛt siriɔs Vali Fiva ɔ yu gɛt prɔblɛm, dis tɛm kin te.

Ustɛm a fɔ go to dɔktɔ?

If yu de na say usay di fungus `(Coccidioides)` de kɔmɔn, ɔ yu nɔ tu te yet we yu dɔn travul go na dis kayn eria, ɛn yu gɛt sɔm kayn sik dɛn we tan lɛk flu we kin las fɔ pas wan wik, go to dɔktɔ wantɛm wantɛm .

If dɔktɔ no se yu gɛt ``Valley Fiver'' ɛn yu gɛt ɛni wan pan dɛn sik ya, kɔntakt dɛn wantɛm wantɛm, ɔ go na di imejensi rum we de nia yu:

• Blɔd we de insay saliva
• Nek stiffness
• I nɔ kin izi fɔ yu fɔ blo
• Chenj we yu de si ɔ yɛri

We yu go to yu dɔktɔ, yu kin aks dɛn dɛn kwɛstyɔn ya:

• A de pan risk fɔ gɛt siriɔs ``Valley Fiver'' infɛkshɔn?
• Us kayn fungus (Coccidioides) bin mek a gɛt di sik?
• Us tritmɛnt dɛn yu kin advays?
• A fɔ de wach fɔ ɔda sayn dɛn?
• Ustɛm a fɔ go na di imejensi rum?

Yu tink se dɛn kin mek "vali fiva" nɔ apin?

If yu de na say usay di Coccidioides spot dɛn kin bɔku, i kin tranga fɔ avɔyd fɔ blo dɛn insay.Bɔt yu kin du dɛn tin ya fɔ ridyus yu risk fɔ gɛt Vali Fiva:

• Nɔ go na say dɛn we yu go mit dɔti ɔ dɔst.
• We dɔst storm, lɔk di winda dɛn ɛn de insay os.
• Yuz High-Efficiency Particulate Air (HEPA) filta dɛn na yu os.
• Wear N95 respirator mask we yu de mek gadin, dig, ɔ du ɔda wok na do we kin mek yu gɛt fungal spot.

wetin a kin ehkspihkt if a geht "vali fiva"?

Bɔrku pipul dɛn kin wɛl frɔm Vali Fiva ɛn nɔr kin gɛt ɛni prɔblɛm fɔ lɔng tɛm. Bɔt smɔl pipul dɛn kin gɛt infɛkshɔn na dɛn lɔng we nɔ de dɔn. Dɛn tin ya kin tek lɔng tɛm fɔ wɛl frɔm - sɔmtɛm na ia. Di nɔmba fɔ pipul dɛm wae de day pan Vali Fiva nɔr pas wan pan ɛvri ɔndrɛd kes dɛm.

Na smɔl tɛm nɔmɔ, di fɛns kin skata to ɔda pat dɛn na yu bɔdi. If yu nɔ trit yu, kɔksidioidomaykɔsis na yu bren kin kil yu.

Aw lɔŋ "vali fiva" kin las?

Di simptom dɛm fɔ kɔksidioidomaykosis kin go fɔ dɛnsɛf insay sɔm wik ɔr mɔnt.

Bɔt smɔl pipul dɛn kin gɛt sik we de kɔntinyu na dɛn lɔng. if dis kin te, dכkta dεn kin kכl am krεse (lכng tεm) lכng `(coccidioidomycosis). di simptom dεm fכ krεse lכng `(coccidioidomycosis)` na:

• Chɛst de pen
• Kɔf we nɔ de dɔn
• Fɔ kɔf blɔd (Hemoptysis) .
• I nɔ kin izi fɔ yu fɔ blo
• We yu de lɔs yu wet fɔ natin

"lɔ-grɛd fiva" kin apin sɛkɔn tɛm?

Bɔrku tɛm, if yu gɛt Vali Fiva ɛn wɛl, di chans fɔ gɛt am bak kin smɔl.

aw a go pul di fungus we de mek "vali fiva" na mi gadin?

di coccidioides spot dεm rili sכm - dεn kin כnli si dεm wit maykroskכp. No izi we nɔ de fɔ no dɛn ɔ pul dɛn na yu gadin.

Impɔtant: Dis advays de fɔ di wan dɛn we de na di eria dɛn na Amɛrika usay di fɛns `(Coccidioides)` bɔku. No nid fɔ fred dis fungus so na Sri Lanka plantɛshɔn dɛn.

Fɔ dɔn, tin dɛn fɔ mɛmba (Take-Home Message) .

If yu de na say usay di fungus Coccidioides de gro, i kin tranga smɔl fɔ avɔyd Vali Fiva. Bɔt gud tin na dat, bɔku pan di kes dɛn nɔ kin siriɔs ɛn dɛn kin sɔlv fɔ dɛnsɛf.

Bɔt if yu gɛt bɛlɛ, pas 60 ia, ɔ yu nɔ gɛt bɛtɛ trɛnk fɔ fɛt di sik, i go fayn fɔ mek yu du sɔm ɛkstra tin dɛn fɔ protɛkt yusɛf. Yu kin stil ɛnjɔy fɔ de na do. Bɔt i fayn fɔ wɛr N95 mask ɛn de insay os, mɔ di de dɛn we briz kin blo. Tɔk to yu dɔktɔ bɔt ɔda we dɛn we yu go protɛkt yu wɛlbɔdi ɛn us sayn dɛn yu fɔ wach fɔ.

Mɛmba se: Dis na sik mɔ we kin apin to sɔm pat dɛn na Amɛrika. Bɔt, as pɔsin we de travul ɛnisay na di wɔl, i fayn fɔ no bɔt dɛn tin ya ɔltɛm. Stay wit wɛlbɔdi!

` Vali Fiva, Coccidioides, Fɔngal Infɛkshɔn, Lɔng Sik, Kɔf, Fiva, Fɔngal Infɛkshɔn, Lɔng Sik