Yu kin ɛva gɛt pusi we yu lɛk na os we de bit yu ɔ gi yu smɔl swɛlin? Bɔku tɛm, wi kin tek am as sɔntin we nɔ impɔtant ɛn fɔgɛt bɔt am. Bɔt sɔntɛnde, afta dis kayn smɔl tin apin, di wund kin swel smɔl, ɛn afta sɔm dez, tin dɛn lɛk bɔyl kin kɔmɔt na say dɛn lɛk di an ɛn nɛk, ɛn di bɔdi kin fil fiva. Wi tink se na kol. bכt bihayn dis kin bi wan grup fכ baktri dεm we dεn kכl `Bartonella`. Tide wi de tɔk bɔt wan sik we dɛn kɔl `Bartonellosis` we kin pas to wi frɔm dɛn animal ya. Nɔ wɔri, lɛ wi ɔndastand dis simpul wan.
Fɔ tɔk am simpul wan, wetin na Bartonellosis?
Bartonellosis nɔto wan sik. Na wan grup wae de sik wae de kam pan pɔrsin wae gɛt baktri dɛm wae dɛn kɔl Bartonella. Naw, 22 spisis de we dɛn no bɔt dis baktri, we na lɛk 15 spisis kin mek mɔtalman gɛt sik.
Dis sik impɔtant to wi bikɔs na zoonotic sik . Dis min se wi kin gɛt am frɔm wi animal dɛn ɔ ɔda animal dɛn we de na di os. Dis baktri de spre frɔm wan animal to ɔda wan ɛn frɔm animal to wi tru tin dɛn we de mek wi gɛt sik lɛk flay, lays, ɔ san flay. Dɔn bak, if animal we gɛt di sik bit yu ɔ skrach yu, dis baktri kin go insay yu bɔdi, ivin dairekt wan.
Wetin na di tin dɛn we kin mek pɔsin gɛt Bartonellosis?
di `Bartonella` baktri dεm lεk parasayt we de snik insay wi bכdi. We dis baktri dɔn go insay di bɔdi, i kin tɔch wi rɛd blɔd sɛl dɛn , makrofag dɛn , we na impɔtant sɛl dɛn na di imyun sistɛm, ɛn di ɛndoteyl sɛl dɛn, we de layn insay wi blɔd vesel dɛn. Dis baktri de mek sik bay we i de go insay dɛn sɛl ya ɛn ayd insay dɛn.
Di sik we di Bartonella baktri de kɔz kin difrɛn difrɛn wan bay di spɛshal wan. Tri men kayn dɛn de we wi kin si ɛn tɔk bɔt bɔku tɛm.
| Nem fɔ di sik | Baktri dɛn we de mek pɔsin sik | Di we aw dɛn kin transmit am |
|---|---|---|
| Cat Scratch Disease we pɔsin kin gɛt | Bartonella henselae | Na bay we yu skrach, bit, ɔ lik wund frɔm pusi we gɛt di sik (espɛshali di kichin pikin dɛn). Spread bitwin pusi dɛn bay fleas. |
| Di Sik we Carrion gɛt | Bartonella bacilliformis | Na bay we sand flay dɛn bit am. Dis sik kin kam insay tu stej: akyu ɛn krɛse. |
| Trench Fiva we dɛn kin kɔl | Bartonella quintana | Bɔdi lays kin pas to mɔtalman ɛn dɛn kin bɔku na say dɛn we nɔ gɛt bɛtɛ klin. |
Impɔtant tin na dat, dis sik kin tranga pasmak pan pipul dɛm wae gɛt wik imyun sistɛm . Fɔ ɛgzampul, pipul dɛn we gɛt HIV/AIDS, di wan dɛn we de du tritmɛnt fɔ kansa, ɔ di wan dɛn we dɛn dɔn transplant dɛn ɔgan, kin gɛt bɔku prɔblɛm wit Bartonella henselae ɛn B. quintana infɛkshɔn.
Wetin na di sayn dɛm fɔ Bartonellosis?
Di kɔmɔn sayn dɛm fɔ Bartonellosis na fiva, kol, taya, ɛn ed pen. Bɔt as wi bin dɔn tɔk, sɔm patikyula sayn dɛn kin difrɛn difrɛn wan bay di kayn baktri dɛm we de mek pɔsin gɛt di sik.
Cat Scratch Disease we pɔsin kin gɛt
Dis na di kayn sik we dɛn kin gɛt we dɛn kɔl Bartonellosis. Di sayn dɛm kin sho sɔm dez ɔr wik afta dɛn dɔn bit pusi.
- di say we di lεsin de: I de stat lεk rεd spat, dεn afta lεk wan wik, i de divεlכp to sכm sכm bכmp. I nɔ de mek pɔsin fil pen ɔ i nɔ de it. Sɔntɛnde i kin ful-ɔp wit wata, dɔn i kin dray, ɛn i kin wɛl insay 1-3 wik, ɛn i kin lɛf skata.
- Limfadenopathy: Dis na di men sayn fɔ dis sik. di limf no dεm we de nia di wund kin swεla. fכ egzampl, if wund de na di an, di no dεm kin swel na di an, if wund de na di leg, na di groin, כ if wund de na di nεk, di no dεm kin swel na di nεk. We yu tɔch dɛn say dɛn ya we dɔn swel, i kin mek yu fil pen, wam, ɛn i kin ivin tɔn rɛd. Na sɔm pipul dɛm, dɛn wan ya kin gɛt di sik bak.
- Ɔda sayn dɛm: Bɔdi kin at, taya, ed kin at, fiva, nɔr kin want fɔ it, yu trot kin at, ɛn yu kin lɛf fɔ it bɔku bɔku it dɛn bak.
Na pɔrsin wae gɛt wɛl bɔdi, dɛn sik ya kin dɔn insay tu to tri mɔnt wae yu nɔr gɛt tritmɛnt. Bɔt pan pɔsin we in imyun sistɛm wik, di bɔdi kin go na in yay, liva, at, bren, splin, ɔ ivin in bon, ɛn dis kin mek i gɛt bad bad sik.
Di Sik we Carrion gɛt
Dis nɔ kin rili kɔmɔn na Sri Lanka. Tu men stej dɛn de fɔ dis.
- Akyu stej (Oroya Fiva): Dis kin bi we yu gɛt ay fiva wantɛm wantɛm, yu kin kol, yu ed kin at bad bad wan, yu kin wik, ɛn yu skin kin gɛt blɛsin. We di rɛd blɔd sɛl dɛn pwɛl kin mek pɔsin nɔ gɛt bɛtɛ blɔd, we kin mek i gɛt mɔ siriɔs tin dɛn lɛk fɔ mek i nɔ izi fɔ blo ɛn i kin mek pɔsin fil pen na in chɛst.
- Kronik stej (Verruga Peruana): Afta di akyu stej, rɛd-pɔpul bɔmp (Peruvian warts) kin bigin fɔ apia na di skin. As tɛm de go, dɛn tin ya kin gɛt blista, ɔlsa, ɛn blɔd.
Trench Fiva we dɛn kin kɔl
Dis nɔ kin apin bak na wi kɔntri. If na so i bi, lɛk 5 wik afta di baktri go insay di bɔdi, fiva, ed we de at, diziz, ɛn bɔdi pen kin apin wantɛm wantɛm. Di tin we nɔ kɔmɔn pas ɔl na dat di fiva kin stɔp fɔ lɛk 5 dez ɛn afta dat i kin kam bak.
Aw fɔ no dis sik kɔrɛkt wan?
Bikɔs di sayn dɛm fɔ Bartonellosis tan lɛk ɔda kɔmɔn baktriyal infɛkshɔn dɛm, i nɔ kin izi fɔ ivin dɔktɔ fɔ kɔnfirm am bay di sayn dɛm nɔmɔ. So, dɛn nid fɔ du blɔd tɛst fɔ no dis fɔ tru.
Yu dɔktɔ kin tek blɔd sɛmpul ɛn du sɔm patikyula tɛst dɛn lɛk PCR (Polymerase Chain Reaction) ɔ DNA Sequencing fɔ luk fɔ DNA fragmɛnt dɛn na di Bartonella baktri. Dɛn kin du tɛst bak fɔ luk fɔ antibodi dɛm we wi bɔdi de mek agens dis baktri.
If di sik bad, dɛn kin tek smɔl pat pan di tisu we gɛt di sik (e.g., wan limf node we dɔn swel) (bayɔpsi) ɛn chɛk am.
Wetin na di tritmɛnt dɛm fɔ Bartonellosis?
Di gud nyus na dat, wan smɔl infekshɔn lɛk Cat Scratch Disease pan pɔrsin wae gɛt wɛl bɔdi kin ɔltɛm sɔlv insɛf insay sɔm mɔnt if yu nɔr gɛt antibayɔtik.
Bɔt if yu sik bad bad wan, ɔ if yu nɔ ebul fɔ fɛt di sik, i go mɔs bi se yu dɔktɔ go gi yu antibayɔtik. Dis tritmɛnt kin te fɔ 4-6 wik. Dɛn go gi yu mɛrɛsin bak fɔ fiva ɛn pen.
- Kat Skrach Sik: Dɛn kin gi antibayɔtik lɛk `Azithromycin`, `Rifampin`, `Ciprofloxacin` fɔ dis. Drug dεm lεk `Penicillin` εn `Amoxicillin` nכ de wok biכs dis baktri de rεsist to dεm.
- Carrion’s Disease: Dɛn kin trit dis wit drɔgs lɛk `Ciprofloxacin` ɔ `Chloramphenicol`. If di anemia bad bad wan, i kin nid fɔ transfyuz blɔd bak.
- Trench Fiva: Dɛn kin trit dis wit `` Doxycycline(Dɛn kin gi mɛrɛsin lɛk Doxycycline ɔ Gentamicin fɔ 2-4 wik.
Impɔtant: Na yu dɔktɔ disayd ɔl dɛn tritmɛnt ya. Nɔ ɛva bay antibayɔtik frɔm famasi fɔ yusɛf. Dis go jɔs mek di sik kɔmplikt.
Aw yu go protɛkt yusɛf frɔm dis sik?
Fɔ de sef frɔm dis sik nɔr kin tranga so. I go du fɔ fala sɔm smɔl smɔl tin dɛn.
- Protɛkt yu animal dɛn we yu de mɛn (kat, dɔg) frɔm flawa ɛn ɔda parasayt dɛn bay we yu gi dɛn di tritmɛnt we dɛn nid di rayt tɛm.
- Nɔ skrach ɛn bayt as yu ebul we yu de ple wit yu pusi. Mek shɔ se yu was yu an fayn fayn wan wit sop afta yu dɔn ple wit yu pusi.
- Protekt yusɛf frɔm lays (espɛshali bɔdi lays). Stay klin.
- Protɛkt yusɛf frɔm sanflay na say dɛn we dɛn kin bɔku. Yuz tin dɛn we de mek insɛkt nɔ kam ɛn mɔskito nɛt.
- If yu imyun sistɛm wik, yu gɛt animal fɔ mɛn, ɔ yu gɛt ɔda tin we de mɔna yu, tɔk to yu dɔktɔ fɔ advays.
Mɛsej we dɛn kin kɛr go na os
-
Bartonellosisna baktri infεkshכn we kin kכmכt frכm animal (especially cat) εn insekt lεk fכs εn lays. - No nid fɔ wɔri se dɛn go bit pusi. Bɔt if di wund swel, di limf no dɛm we de nia de swel, ɛn fiva de, nɔ ignore am.
- If yu gɛt sɔm kayn sayn dɛn we nɔ kɔmɔn afta we animal dɔn skrach, bit yu, ɔ bit yu, mek shɔ se yu go to yu dɔktɔ.
- Dɛn kin ebul fɔ avɔyd dis sik bɔku tɛm bay we dɛn kip animal dɛn we dɛn kin mɛn na os klin ɛn trit dɛn parasayt dɛn.
- If ɛni sik apin, na fɔ go to tritmɛnt ɔnda dɔktɔ advays nɔmɔ.
👩🏽 ⚕️ Ɔda kwɛstyɔn dɛn (FAQ dɛn)
💬 🧐 Wetin kin mek di limf node dεm na di nεk swεla?
Bɔrku rizin de wae mek yu trot kin at. Bɔrku tɛm, na infεkshɔn na in trot kin kam. Bɔt yu no se if yu gɛt pusi na yu os, dɛn kin mek yu trot at bak bikɔs ɔf wan sik we dɛn kɔl Bartonellosis (Cat Scratch Disease) we dɛn kin pas?
💬 🐱 Pusi kin rili gɛt lays na in nɛk if i bit ɔ skrach am?
Yɛs, na fɔ tru. Di baktri we dɛn kɔl Bartonella de pas to pusi tru flay. Dɔn, if pusi skrach ɔ bit yu, di bɔdi kin go insay yu bɔdi ɛn mek di limf no dɛn we de nia yu swel. Dis na di men tin we kin mek pɔsin gɛt rɔsh na in nɛk ɔ in an.
💬 🤒 Aw yu go no if na Bartonellosis if yu gɛt fiva wit trot we de at?
If yu gɛt ay fiva, yu bɔdi de at, ɛn yu gɛt smɔl blista usay di pusi skrach yu, i go mɔs bi se na Bartonellosis. Dis nɔto tin fɔ wɔri bɔt, bɔt i bɛtɛ fɔ go to dɔktɔ kwik kwik wan bikɔs yu go nid fɔ tek antibayɔtik.
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