As pipul dɛn na Sri Lanka, we wi tink bɔt sik dɛn we mɔskito kin gɛt, dengue kin kam na wi maynd wantɛm wantɛm, nɔto so? Bɔt lɛk dengue, ɔda sik dɛn de na di wɔl we mɔskito kin pas, bɔt i kin denja smɔl, ɛn we kin afɛkt di bren. Tide wi go tɔk bɔt wan pan dɛn kayn sik dɛn de. I nem na Wɛstɛn Ikwin Ɛnsɛfalaytis. Pan ɔl we dis nɔ kin apin na wi kɔntri, i rili impɔtant fɔ mek wi no bɔt dɛn kayn tin ya.
Wetin na Wɛstɛn Ikwin Ɛnsɛfalaytis?
Fɔ tɔk am simpul wan, na vayral sik we kin pas we mɔskito de bit am. fכ bi prεsis, na sik we de pan di "arboviral" grup. Dat min se na vayral sik we di atrɔpɔd dɛm lɛk mɔskito ɛn flay de prɛd. Di vayrɔs we de mek i gɛt am rili fiba tu ɔda denja kayn bren fiva, Istan Equine Encephalitis ɛn Venezuelan Equine Encephalitis vayrɔs.
Dis sik kin afɛkt mɔtalman ɛn ɔs . Na wan mɔskito we gɛt di sik kin pas am. di men mכskito spεshal we de rispansabl fכ dis na `(Culex tarsalis)`. Bɔt di mɔskito spɛshal `(Aedes)` ɛn `(Culiseta)`, we dɛn no se de skata dengue, kin pas dis vayrɔs bak.
Di natura saykl fɔ dis vayrɔs de bitwin bɔd ɛn mɔskito. Dat min se, mɔskito kin bit bɔd we gɛt di sik, we kin bit bɔd we gɛt wɛlbɔdi ɛn mek di sik skata. Mɔtalman ɛn ɔs na jɔs aksidɛnt ɔs dɛn na dis saykl. Dat min se wi nɔ kin gɛt di sik dairekt frɔm bɔd. Bɔt na smɔl tɛm nɔmɔ di sik kin pas frɔm mama we gɛt bɛlɛ to in pikin tru di plasɛnta. Dis nɔto sik we pɔsin kin gɛt we i de blo.
Udat dɛn de pan denja pas dat?
- If yu de na say we dis sik kin bɔku (especially di wɛst ɛn sɛntral stet dɛm na Amɛrika).
- If yu de travul go na eria lɛk dat.
- If yu spɛn bɔku tɛm na do.
Wetin na di sayn dɛm fɔ dis sik?
Di sayn dɛm kin bigin fɔ sho bitwin 5 ɛn 15 dez afta we mɔskito we gɛt di sik bit am. Fɔs, di sayn dɛm kin tan lɛk di wan dɛm wae de kam wit kɔmɔn kol.
| Di fɔs tin dɛn we kin apin to pɔsin | Tɔk bɔt |
|---|---|
| Fiva | Di bɔdi in tɛmpracha we de go ɔp. |
| Ed de at | Di ed we de at bad bad wan. |
| Nɔs ɛn vɔmit | Vɔmit wit bɛlɛ we nɔ fayn. |
| Fil fɔ it | Nɔ gɛt intres pan it igen. |
| Taya ɛn wik | Fɔ fil se yu taya pasmak fɔ du ɛnitin. |
Bɔrku tɛm, dɛn kɔmɔn sayn ya go dɔn ɛn de sik go wɛl. Bɔt sɔntɛnde, de sik kin rili siriɔs. Imajin, wetin go apin if dis vayrɔs skata kwik kwik wan na wi blɔd, krɔs di natura barɛri we de protɛkt di bren (blɔd-bren barɛri) ɛn go insay di bren sɛf?
Na da tɛm de di sik kin bi denja. We di vayrɔs go insay di bren, i kin mek pɔsin gɛt tin dɛn we dɛn kɔl ɛnsɛfalaytis , we na di bren tisu we de swel, ɛn mɛningaytis, we na inflamɛns na di mɛmbran dɛn we de kɔba di bren .
We di nervɔs sistɛm afɛkt dis kayn we, dɛn sayn ya kin apin:
- Diziz we pɔsin kin gɛt
- Nɔ ebul fɔ luk brayt layt (fotophobia) .
- Dimɛnshɔn ɛn disrɔptiv bihayvya
- Fɔ slip pasmak
- I nɔ kin no natin igen (kɔma) .
- di mכsul dεm stiff εn spasm (spasticity) .
- Di sik dɛn we kin mek pɔsin sik
- Di tin dɛm wae kin apin fɔ lɔng tɛm lɛk wae pɔrsin nɔr kin ebul fɔ lan
Yɔŋ pikin dɛn ɛn ol pipul dɛn kin gɛt dɛn nyurolɔjik kɔmplikeshɔn ya mɔ . Di rεt wae de day frכm dis sik de bitwin 3% εn 7%. Apat frɔm dat, bitwin 15% ɛn 30% pan di wan dɛn we kin wɛl frɔm di sik kin gɛt lɔng tɛm nyurolɔjik damej.
Aw dɛn kin no di sik ɛn trit am?
If yu dɔn travul go na say usay dis sik kin bɔku ɛn yu gɛt di sayn dɛn we wi dɔn tɔk bɔt, go to yu dɔktɔ wantɛm wantɛm . Di sayn dɛm fɔ dis sik tan lɛk ɔda kayn vayral mɛningɔyt, so fɔ no di sik kin tranga smɔl.
If di dɔktɔ tink se yu nervɔs sistɛm dɔn afɛkt, dɛn kin go na ɔspitul ɛn dɛn kin du bɔku tɛst dɛn.
- lכmba pankshכn: fכ egzamin di wata we de insay di bren εn spεnal kכd (CSF).
- CT skan na tɛst.
- MRI skan na tɛst.
- Antibodi test: Pan ɔl we dɛn tin ya kin kɔnfirm di sik wit shɔt, di rizɔlt kin tek sɔm wiks fɔ kam bak.
Nɔr patikyula antivayral drɔgs nɔr de fɔ dis sik yet. So, di tritmɛnt de sɔpɔt . Dat min se, dɔktɔ dɛn kin gi mɛrɛsin fɔ kɔntrol di sayn dɛn lɛk fiva ɛn pen. If di nervɔs sistɛm dɔn afɛkt bad bad wan, i kin nid fɔ gɛt tritmɛnt na say usay dɛn de kia fɔ pipul dɛn we sik bad bad wan (ICU). dis inklud mεkanikal ventilashכn, kכntrכl di sik we de sik, fכ mεnten di bכdi fכ fכm wata, εn fכ kכntrכl di kכndishכn dεm we rili denja lεk di intrakranial prεshכn we de inkrεs.
Aw yu go protɛkt yusɛf frɔm dis sik?
Wan gud vaysin de fɔ protɛkt ɔs frɔm dis sik. Pan ɔl we dɛn dɔn mek wan vaysin fɔ mɔtalman, dɛn nɔ de ɔlsay fɔ yuz am na di klinik. Dɛn kin yuz am nɔmɔ fɔ pipul dɛn we gɛt ay risk, lɛk pipul dɛn we de wok na lɛbɔtri.
So, di bɛst tin we wi go du na fɔ protɛkt wisɛf frɔm mɔskito dɛn as wi ebul . Dɛn advays ya impɔtant bak fɔ wi fɔ protɛkt wisɛf frɔm dengue.
| Di we aw dɛn kin protɛkt pɔsin | Wetin fɔ du |
|---|---|
| Di tɛm dɛn we pipul dɛn kin de na do | Ridyus yu fɔ de na do na mɔnin ɛn ivintɛm (dawn ɛn san sɛt), we mɔskito dɛn kin wok mɔ. |
| Klos we dɛn kin wɛr | Wear lɔng pant ɛn lɔng sliv shit we de kɔba di bɔdi fayn fayn wan. |
| Fɔ protɛkt di os | Instɔl mɔskito nɛt na domɔt ɛn winda dɛn. |
| We yu de go slip | Yuz mɔskito nɛt. Sikyu di nɛt fayn fayn wan ɔnda di matres. |
| Di tin we de mek pɔsin nɔ gɛt mɔskito | Put insekt repelent pan di skin we de na do. Di wan dɛn we gɛt tin dɛn lɛk DEET ɛn picaridin kin wok fayn pas ɔl. |
| Klos ɛn ikwipmɛnt dɛn | Sprɛy 0.5% (permethrin) pan klos, mɔskito nɛt, ɛn kamp ikwipmɛnt. Dis go drɛb ɔ kil mɔskito dɛn. |
| Fɔ mek mɔskito nɔ bɔn pikin | As wi de du fɔ mek dengue mɔskito nɔ skata, kip yu os ɛn di say dɛn we de nia yu klin. Ɛmpti ples fɔ gɛda wata (bɔd bat, bɔkit, flawa pɔt, taya) at le wan tɛm insay di wik. Kip di wata tank dɛn tayt tayt wan. |
Mɛsej we dɛn kin kɛr go na os
- Western Equine Encephalitis na wan sik we nɔ kin bɔku bɔt we kin rili siriɔs na di bren fiva we mɔskito kin gɛt.
- Di sayn dɛm kin kɔmɔt frɔm wan simpul fiva to bad bad wan fɔ afɛkt di bren. Yɔŋ pikin dɛn ɛn ol pipul dɛn kin de pan denja mɔ.
- Bikɔs no patikyula tritmɛnt nɔ de fɔ dis, di bɛst tin fɔ du na fɔ protɛkt yusɛf frɔm di sik . Fɔ dat, i impɔtant fɔ avɔyd mɔskito.
- If yu gɛt sɔm kayn sayn dɛn we yu go sɔprayz, mɔ if yu dɔn travul go na say usay di sik bɔku, go to yu dɔktɔ we yu nɔ go te.
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