Yu dɔn ɛva tink se smɔl baktri we de na di grɔn ɔ insay di wata we de rawnd wi kin go insay wi bɔdi ɛn mek wi sik bad bad wan? Tide wi go tɔk bɔt wan sik we dɛn nɔ kin yɛri bɔt, bɔt we rili impɔtant fɔ no bɔt. Wi kin kɔl dis "Nocardiosis". Pan ɔl we di nem kin tan lɛk se i strenj, we yu dɔn ɔndastand am simpul wan, natin nɔ de fɔ fred.
Wetin rili na Nocardiosis?
Fɔ tɔk am simpul wan, nocardiosis na infekshɔn we wan kayn baktri we dɛn kɔl *Nocardia* kin kam insay wi bɔdi. Dis baktri kin de na wi envayrɔmɛnt, mɔ na grɔn ɛn wata we nɔ de muv.
Dis infεkshכn kin bigin fכs na wi lכng כ skin. Bɔt if dɛn nɔ trit dis bɔdi fayn, i kin travul tru di blɔd ɛn i kin go na ɔda pat dɛn na di bɔdi, mɔ di bren, ɛn dis kin mek pɔsin gɛt siriɔs sik . Na dat mek i rili impɔtant fɔ no bɔt dis.
Aw dis kin fɔm? Tu men kayn dɛn de.
Tu men we dɛn de we nocardiosis kin kam insay wi bɔdi. Fɔ fala dis, tu kayn am de.
1. Pulmonary Nocardiosis: Dis na di kayn we we dɛn kin gɛt mɔ. Dis baktri de go insay wi lכng dεm tru we wi de blo dכst frכm di grכn כ di wata we dεn kכntaminεt. I tan lɛk se yu de blo dɔst.
2. Primary Cutaneous Nocardiosis: Dis kin apin we di baktri dεm de kam insay di bכdi tru wan opin wund כ skrach pan di skin. Fɔ ɛgzampul, if yu gɛt smɔl skrach we yu de mek gadin ɛn dɔti pan am, i kin izi fɔ mek di bɔdi go insay di bɔdi.
Udat de pan big risk fɔ gɛt dis?
Pan ɔl we dis baktri de na di say we wi de, nɔto ɔlman kin gɛt dis sik. Nɔmal wan, wi imyun sistɛm kin fɛt dɛn jem ya ɛn protɛkt wi. Bɔt sɔm pipul dɛn kin gɛt dis sik pasmak.
- Pipul wae gɛt wik imyun sistɛm: Pipul wae gɛt sik lɛk dayabitis, HIV, ɛn kansa nɔr kin gɛt dis sik, so i kin izi fɔ mek dɛn gɛt dis infekshɔn.
- Di wan dɛn we gɛt ɔgan transplant: Pipul dɛn we dɔn gɛt ɔgan ɔ bon-mɛro transplant kin gɛt mɔ risk bikɔs ɔf di mɛrɛsin dɛn we dɛn kin gi fɔ stɔp di imyun sistɛm.
- Pipul wae de tek sɔm mɛrɛsin: Pipul wae de tek bɔrku pawaful mɛrɛsin lɛk stɛroyd fɔ lɔng tɛm kin de pan denja bak.
- Man: I sɔprayz fɔ no se man dɛn kin gɛt dis sik lɛk tri tɛm pas uman dɛn. Midul ej man dɛm we de wok na do (e.g., gadin pipul, fama, kɔnstrɔkshɔn wokman) kin de pan denja mɔ.
De impɔtant tin na dat ivin pɔrsin wae gɛt wɛl bɔdi, wae nɔr de woke fayn fayn wan, gɛt smɔl chans fɔ gɛt dis infekshɔn. So, e fayn fɔ lɛ ɔlman no bɔt de sik.
Wetin na di sayn dɛm fɔ dis sik?
De sayn dεm de dipכnt pan us kayn nocardiosis yu gεt. Lɛ wi luk di tebul we de dɔŋ fɔ ɔndastand dis klia wan.
| Tayp fɔ infɛkshɔn | Pat we afɛkt ɛn di simptom dɛm |
|---|---|
| Infεkshכn na di lכng (Pulmonary) . | Bɔrku tɛm, de sayn dɛm fɔ dis kin tan lɛk nyumonia ɔr TB.
|
| Infεkshכn na di skin (Cutaneous) . | Di men sayn na we di skin kin gɛt abses.
|
| Tek tɛm! If di infεkshכn spre... (Disseminated Nocardiosis) . | |
| If i skata to di bren | Dis na tin we rili siriɔs.
|
If yu gɛt ɛni wan pan dɛn sik ya, nɔ west tɛm ɛn go to dɔktɔ wantɛm wantɛm .
Aw yu go fɛn dis, Dɔktɔ?
Nokardiosis kin tranga fɔ difrɛns frɔm ɔda sik dɛm bikɔs di sayn dɛm fɔ di lɔng infɛkshɔn tan lɛk nyumonia, ɛn di sayn dɛm fɔ di skin infɛkshɔn tan lɛk ɔda kɔmɔn sik dɛm na di skin.
So, fɔ mek yu no di sik kɔrɛkt wan, yu dɔktɔ go du sɔm tɛst dɛn.
- Sampul tɛst: Dɛn kin tek smɔl tisu ɔ fluid sɛmpul frɔm di say we di sik gɛt ɛn sɛn am na lab fɔ mek dɛn tɛst am. if na di lכng, dεn kin tek sεmpl fכ mכkus, כ if na di skin, dεn kin tek sכm sכm pat pan di tכmכro.
- Chɛst X-ray ɔ CT skan: If di infekshɔn de na di lɔng, dɛn go du chɛst ɛkstrem rayt. Yu kin nid bak fɔ du CT skan, we go mek yu si klia wan ɛn mɔ ditayli pikchɔ.
Yu tink se tritmɛnt de? Nɔ wɔri!
Yɛs! Di bɛst nyus na dat dɛn kin mɛn nocardiosis kpatakpata wit antibayɔtik .
Bɔt na di tin ya. Nɔto ɔl di antibayɔtiks de wok pan dis baktri. So, yu dɔktɔ go nid fɔ rɔn sɔm lab tɛst pan yu sampul fɔ no ustɛm di antibayɔtik bɛtɛ fɔ yu.
Di tɛm we dɛn kin tek di tritmɛnt kin difrɛn difrɛn wan bay aw di infekshɔn tranga. Sɔmtɛm i kin wɛl insay lɛk 6 wik. We yu gɛt siriɔs infɛkshɔn, yu kin nid fɔ tek mɛrɛsin fɔ te wan ia.
Di tin we impɔtant pas ɔl na fɔ tek di mɛrɛsin jɔs lɛk aw di dɔktɔ tɛl yu fɔ tek am, ɛn yu nɔ fɔ mis wan de. Nɔ stɔp fɔ tek di mɛrɛsin af-af jɔs bikɔs yu fil fayn smɔl.
Sɔntɛnde, dɛn kin nid fɔ du smɔl ɔpreshɔn fɔ pul big big bɔdi we de na di skin ɔ fɔ pul di pus pan dɛn.
Mɛsej we dɛn kin kɛr go na os
- Nocardiosis na infεkshכn we di baktri dεm we de na di grכn εn wata kin kכz.
- Dis kin afɛkt di lɔng dɛn mɔ ɛn di skin.
- Pipul wae gɛt wik imyun sistɛm (diabetic, cancer patient) ɛn man dɛm wae de woke na do kin gɛt bɔrku risk.
- Yu fɔ no bɔt nyumonia we tan lɛk di lɔng simptom ɔ di skin abscess.
- If yu gɛt dɛn sik ya, go to dɔktɔ wantɛm wantɛm.
- Antibayɔtik kin mɛn dis sik kpatakpata. I impɔtant fɔ tek di mɛrɛsin we di dɔktɔ gi yu fɔ di ful tɛm.
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