Udat na dɔktɔ we de mɛn blɔd? Lɛ wi lan bɔt dis!

Yu don eva yehri boht `( hematologist )`? Sɔntɛm yu famili dɔktɔ bin rifer yu fɔ go to da kayn spɛshal pɔsin de. We yu yɛri dat, sɔm pipul dɛn kin fil smɔl fred ɛn fred, dɛn kin tink se, "O, a nɔ no if a gɛt sɔm siriɔs sik." Bɔt yu tink se `(Hematologist)` rili na pɔsin we de luk ɔltɛm pan siriɔs sik lɛk kansa? Lɛ wi tɔk bɔt ɔl dis klia wan.

Udat na dis `(Hematologist)`? Fɔ bi prɛsis...

Fɔ tɔk am simpul wan, ``Hematologist'' na dɔktɔ we spɛshal pan sik dɛm we gɛt fɔ du wit wi blɔd, bon mɛro, ɛn limfatik sistɛm . Dis na ɔda sabspɛshal tin insay di brayt fild fɔ mɛrɛsin we dɛn kɔl ``Internal medicine.'' Jɔs lɛk aw difrɛn dɔktɔ dɛn de we spɛshal pan difrɛn sistɛm dɛn na wi bɔdi, dis na di spɛshal pɔsin fɔ ɔltin we gɛt fɔ du wit blɔd.

Wetin wan `(Hematologist)` de du?

Dɛn spɛshal pipul ya kin ɛp fɔ no, trit, ɛn manej difrɛn sik dɛn we kin afɛkt wi blɔd sɛl dɛn. Sɔm pan dɛn blɔd sik ya kin bi bad bad sik, we min se dɛn nɔ gɛt kansa. Sɔm kin bi bak bad bad sik.

Tink bɔt am, sɔm blɔd sik dɛn kin ambɔg wi blɔd sakulayshɔn, fɔ ɛgzampul, blɔd kin klɔt. Sɔm ɔda sik dɛn kin mek bak blɔd kɔmɔt pas aw i kin blɔd. Pan ɔl we sɔntɛnde dɛn sik ya we gɛt fɔ du wit blɔd ɛn kansa na blɔd kin sho smɔl smɔl sayn dɛn, sɔm pan dɛn na siriɔs tin dɛn we kin ivin mek pɔsin in layf de pan denja. Na dat mek spɛshal pɔsin lɛk dis nid fɔ ɛp am.

``Hematologist'' en ``Oncologist'' na di sem tin?

Dis na kwɛstyɔn we bɔku pipul dɛn gɛt. Nɔ, dɛn tu pipul ya nɔto di sem pɔsin ɔltɛm. כltu, ``Hematologist`` kin bi bak kεnsar spεshal ``Oncologist``.

Fɔ tɔk am simpul wan:

• Wan spɛshal pɔsin we sabi bɔt kansa (`( Ɔnkɔlɔjis na pɔsin we de no ɛn trit ɔl kayn kansa.
• Wan dɔktɔ we de mɛn blɔd kin pe atɛnshɔn mɔ pan prɔblɛm dɛn we kin afɛkt wi blɔd ɛn di pat dɛn na di bɔdi we kin ɛp fɔ mek blɔd (lɛk di bon mɛro ɛn di limf sistɛm).

Bɔt, natura kɔnekshɔn de bitwin dɛn tu fil ya. Bikɔs bɔku pan di blɔd kansa dɛn kin bigin na di blɔd sɛl dɛn na wi bon mɛro ɛn di limfatik sistɛm, sɔm dɔktɔ dɛn gɛt spɛshal trenin pan ɔl tu di tin dɛn (`(Hematology/Oncology)`).

We yu go to dɔktɔ we de mɛn yu blɔd, dat min se yu gɛt kansa?

Nɔ, nɔto so atɔl!Dis na sɔntin we wi fɔ mɛmba. Jɔs bikɔs dɛn dɔn sɛn yu to dɔktɔ we de mɛn yu blɔd nɔ min se yu gɛt kansa .

Di dɔktɔ dɛn we de mɛn pipul dɛn we gɛt blɔd kin trit ɔlkayn sik dɛn we gɛt fɔ du wit blɔd. Yu famili dɔktɔ kin sɛn yu to dɔktɔ we de mɛn yu blɔd if yu gɛt ɛni blɔd tɛst we nɔ kɔmɔn. Fɔ ɛgzampul, if yu gɛt chenj na yu blɔd sɛl ɔ di kɔaguleshɔn lɛvɛl. Yu fɔ mɛmba se dɛn bɛsis blɔd tɛst rizɔlt ya nɔ kin bi sayn fɔ se yu gɛt siriɔs sik.

Ustɛm a fɔ go to Ɛmatɔlɔjis?

Yu praymari kia dɔktɔ go ɔltɛm rifer yu to dɔktɔ we de mɛn yu blɔd if dɛn fil se yu blɔd tɛst rizɔlt nid ɔda spɛshal advays. As wi bin dɔn tɔk, di bɛsis blɔd tɛst rizɔlt nɔmɔ nɔ go ebul fɔ no if pɔsin gɛt siriɔs sik. Dis na di rizin we mek dɛn nid fɔ du mɔ tɛst ɛn spɛshal advays.

Wetin na di blɔd sik dɛn we bɔku pipul dɛn kin gɛt?

Blɔd impɔtant fɔ mek wi bɔdi kɔntinyu fɔ liv. Tink bɔt dis:

• Rɛd blɔd sɛl dɛn kin kɛr ɔksijɛn go na di tisu dɛn na wi bɔdi ɛn gi wi ɛnaji.
• Wait blɔd sɛl dɛn de ɛp wi imyun sistɛm fɔ fɛt infɛkshɔn.
• Plɛtlɛt dɛn kin ɛp fɔ mek di blɔd nɔ bɔku ɛn stɔp.
• Plasma na di wata we de ol dɛn blɔd sɛl ya togɛda.

So, if yu gɛt blɔd disɔda, dat min se wan ɔ mɔ pat pan yu blɔd nɔ de wok fayn. Sɔm blɔd sik nɔ kin gɛt kansa, bɔt dɛn kin rili siriɔs.

Nɔn-kansa (Benign) blɔd sik/kɔndishɔn

Dɛn tin ya nɔto kansa, bɔt na sik dɛn we kin afɛkt di blɔd. Lɛ wi luk sɔm ɛgzampul dɛn:

• Anemia : Dis kin apin we di rεd bכdi sεl dεm nכ de fכ kכri כksijεn כlsay na di bכdi. Bɔku kayn anemia de, bɔt di kayn we we dɛn kin gɛt mɔ na di wan we nɔ gɛt ayɔn. Dis kin mek yu taya ɔltɛm ɛn yu kin ivin fil lɛk yu ed de tɔn.
• Von Willebrand Disease : Dis na di sik wae de kam wae pɔrsin kin gɛt blɔd na Amɛrika.
• Ɛmofilia : Dis na wan sik we pɔsin kin gɛt frɔm in blɔd. Dis kin afɛkt di we aw di blɔd kin ebul fɔ klɔt. Ivin smɔl injuri kin mek yu blɔd bɔku.
• Sikl sel anemia (`(Sikl sel anemia)`): Dis na sik bak we pɔsin kin gɛt frɔm in mama ɛn papa. Insay dis, di shep fɔ di rɛd blɔd sɛl dɛn kin chenj, lɛk sikɛl.
• Thalassemia : Thalassemia na wan sik bak we pɔsin kin gɛt frɔm in blɔd. I kin afɛkt di we aw di bɔdi ebul fɔ mek ɛmoglobin ɛn wɛlbɔdi rɛd blɔd sɛl dɛn.

Di kayn kɔmɔn kayn kansa na blɔd

Bɔku kayn blɔd kansa de. Di Leukemia & Lymphoma Society se di tri kayn blɔd kansa we pipul dɛn kin gɛt na:

• Lukimiya : Dis na di blɔd kansa we kin bɔku pas ɔl na Amɛrika. Na di kayn kansa bak we kin kam pan pikin ɛn yɔŋ pipul dɛn. Di gud nyus na dat, di fayv ia layf we pipul dɛn we de wɛl frɔm dis sik dɔn go ɔp 40 tɛm insay di las 40 ia.
• Limfoma : Limfoma na kansa na yu limfatik sistɛm. Di rεt wae de liv fɔ pipul dεm wae de wɛl pan dis sik dɔn dכbl insay di las 40 ia.
• Mayloma : Mayloma na kansa we kin bigin na yu bon mכro εn i kin afekt di plasma sεl dεm. Mɔr pas af pan di pipul dɛm wae dɛn kin no se gɛt mayloma kin liv fayv ia afta dɛn dɔn no se dɛn gɛt dis sik.

Bɔku ɔda sɔbtayp dɛn de fɔ ɛni wan pan dɛn blɔd kansa ya.

Us kayn ɛdyukeshɔn yu nid fɔ bi ``(Hematologist)``?

Ɔl dɔktɔ fɔ stɔdi fɔ 4 ia na mɛdikal skul fɔ gɛt mɛdikal digri. Fɔ bi ``Hematologist'', yu fɔ gɛt ɔda trenin:

• Tri ia rezidensi trenin (`(Residency)`) : Dis na mɛdikal trenin afta yu gradyuet. Dɛn kin du dis trenin bay we dɛn de wok wit di wan dɛn we sik. Mɔs pan di `(Hematologist)` dɔktɔ dɛn kin kɔmplit dis rɛsidɛns trenin pan ɛni wan pan `(Internal Medicine)` ɔ `(Pediatrics`.
• Fɛlɔship: Dis na tri to fayv ia tɛm fɔ spɛshal trenin pan wan patikyula eria pan mɛrɛsin. Insay dis tɛm, dɔktɔ dɛn kin gɛt spɛshal trenin fɔ Ɛmatɔlɔji, ɔ blɔd sik dɛn. Sɔm dɔktɔ dɛn kin du Ɔnkɔlɔji trenin bak wit Ɛmatɔlɔji.

Tayp dɛn fɔ Ɛmatɔlɔji Spɛshal Trenin

Dɔktɔ dɛn kin spɛshal pan difrɛn eria dɛn na di fild fɔ ``Ɛmatɔlɔji``:

• Adult hematology specialist : Dis trenin de mek yu kwalifay fɔ trit blɔd sik, bon mɛro sik, ɛn sik dɛm na di limfatik sistɛm we de afɛkt big pipul dɛm.
• Pediatric hematology : As di nem sho, dis trenin na fɔ trit pikin dɛn we gɛt blɔd sik.
• Coagulation Specialist (`(Coagulation)`) : Dis dipatmɛnt spɛshal pan sik dɛn we de afɛkt di blɔd we de klɔt.
• Spɛshal pɔsin fɔ blɔd sik ɛn blɔd kansa (`(Hematology/oncology)`) : Dis trenin de mek yu kwalifay fɔ trit blɔd sik ɛn bak blɔd kansa.

Afta dɛn dɔn dis spɛshal trenin, di dɔktɔ dɛn fit fɔ gɛt bɔd sɛtifiket frɔm di Amɛrikan Bɔd fɔ Intanɛt Mɛdisin. (Di American Board of Pediatrics gɛt sɛtifiket fɔ di wan dɛn we de mɛn pikin dɛn blɔd.) Apat frɔm dat, ɔl dɔktɔ fɔ pas di United States Medical Licensing Examination ɛn gɛt laysens frɔm di stet usay dɛn de wok. Insay Sri Lanka, dɛn kin mek spɛshal pipul dɛn tru wan sem kayn sistɛm we dɛn no.

Wetin yu fɔ ɛkspɛkt we yu go si ``(Hematologist)``?

Yu de go to dɔktɔ we de mɛn yu blɔd bikɔs yu blɔd tɛst de sho sɔntin we gɛt fɔ du wit yu blɔd sɛl. Yu dɔktɔ we de mɛn yu blɔd go dɔn tɛl yu bak fɔ du ɔda tɛst fɔ no mɔ bɔt yu blɔd. We yu go to di dɔktɔ, i go du dɛn tin ya:

• Aks bɔt yu ɔl wɛlbɔdi biznɛs .
• Aks bɔt di chenj dɛn we dɔn apin na yu bɔdi dis biɛn tɛm ɛn di sayn dɛm (we kin bi sayn fɔ blɔd sik).
• A go rivyu yu blɔd tɛst rizɔlt wit yu.
• I ɛksplen wetin i tink se na di rizin fɔ dɛn rizɔlt dɛn de.
• Dɛn go tɔk bɔt us ɔda tɛst dɛn we yu go nid .
• If i ebul fɔ no if i gɛt di sik, i go ɛksplen di sik ɛn tɛl am fɔ gi am tritmɛnt .

Wetin na di blɔd tɛst we dɛn kin du mɔ?

Wi blɔd gɛt bɔku tin dɛn. Dɔktɔ dɛn kin tɛst di wan ol blɔd, ɔ dɛn kin tɛst difrɛn pat dɛn na di blɔd wan bay wan. Na sɔm kɔmɔn tɛst dɛn we dɔktɔ we de mɛn blɔd kin ɔda fɔ no if yu gɛt blɔd disɔda ɔ blɔd kansa:

• Kɔmplit blɔd kɔnt (CBC) : Dis na di bɛsis blɔd tɛst. I de kɔnt yu rɛd blɔd sɛl dɛn, wayt blɔd sɛl dɛn, ɛn yu pletlɛt dɛn.
• Blɔd difrɛns tɛst : Dis de chɛk di nɔmba fɔ ɛni kayn wayt blɔd sɛl. Dis kin bi di sem tɛm we di CBC de du.
• Prothrombin time test (PTT) : Dis de test aw yu blɔd de klot kwik kwik wan.
• rεtikulכsayt kכnt : dis de mכsu di nכmba fכ di yכŋ, immature rεd bכdi sεl dεm (rεtikulכsayt) na yu bכdi.
• Peripheral blood smear (PBS) : Insay dis prosidur, dɔktɔ dɛn kin chɛk yu rɛd ɛn wayt blɔd sɛl ɛn pletlɛt dɛn ɔnda maykroskɔp.

Wetin na di blɔd tɛst fɔ gɛt kansa?

Blɔd tɛst fɔ kansa na jɔs wan pan bɔku tin dɛn we dɔktɔ dɛn kin yuz fɔ no ɛn mɛn kansa. Wan dɔktɔ we de mɛn blɔd kin yuz blɔd tɛst fɔ:

• Chek yu blɔd fɔ si if i gɛt kemikal ɛn prɔtin dɛn we de sho se yu gɛt kansa.
• Chek di blɔd sɛl lɛvɛl .
• Na yu yonAsɛs di ɔl wɛlbɔdi stetmɛnt.

If yu gɛt blɔd kansa, yu go nid fɔ du ɔda blɔd tɛst. Yu dɔktɔ (hematologist) go yuz dɛn tɛst rizɔlt ya fɔ:

• We yu de stej di kansa de ɛp fɔ no di stej we di kansa de . We dɔktɔ dɛn stej kansa, dɛn kin luk di sayz ɛn usay di tumbu de. Dɛn kin yuz da infɔmeshɔn de fɔ put di kansa insay wan patikyula kategori, ɔ stej, we dɛn rayt nɔmba ɛn lɛta. Stej kansa de set di stej fɔ kansa tritmɛnt.
• I de disayd bɔt di tritmɛnt dɛn we pɔsin kin gɛt fɔ mɛn kansa .
• I de chɛk if di sik de bɛtɛ ɔr de wɔs as tɛm de go ɛn/ɔ wit tritmɛnt.
• Ditarmin if di kansa dɔn kam bak (`(rikɔrɛshɔn)`) .

Us kwɛstyɔn dɛn a fɔ aks mi dɔktɔ we de mɛn di blɔd?

Yu de go to dɔktɔ we de mɛn yu blɔd bikɔs blɔd tɛst dɔn sho se sɔntin nɔ de apin to yu blɔd. So yu gɛt bɔku kwɛstyɔn dɛn. Na sɔm kwɛstyɔn dɛn we yu kin tink bɔt:

• Wetin mi blɔd tɛst sho?
• Wetin dɛn rizɔlt dɛn de min?
• Wetin na mi situeshɔn?
• Yu tink se dis tin we de apin rili siriɔs?
• Wetin na di rizin we mek dis kayn tin de apin?
• Us sayn dɛn a fɔ luk fɔ?
• Wetin a fɔ du if a si dɛn sayn dɛn de?
• A go nid fɔ du mɔ blɔd tɛst ɔ ɔda tɛst dɛn?
• Wetin yu op fɔ fɛn frɔm dɛn tɛst ya?
• Ustɛm a go gɛt di tɛst rizɔlt?
• A go gɛt fɔ tek mɔ tɛst dɛn leta?
• Us tritmɛnt yu kin kɔmɛnt fɔ mi? Wetin du?
• Ustɛm a kin bigin fɔ gɛt tritmɛnt? Aw lɔng i go las?
• Wetin a fɔ no bɔt di mɛrɛsin we yu de gi yu?
• Ɛni bad bad tin dɛn de we kin apin to am?
• Wetin na di prɔblɛm ɛn bɛnifit dɛn we dis tritmɛnt kin gi?
• Ɔda tritmɛnt dɛn de we yu kin du?

Yu de go to dɔktɔ we de mɛn yu blɔd bikɔs tɛst dɛn sho se yu blɔd sɛl, bon mɛro, ɔ limf sistɛm nɔ de wok fayn. Yu kin fred we yu go to dɔktɔ we spɛshal pan blɔd disɔda, ivin blɔd kansa. If yu gɛt kwɛstyɔn bɔt yu tɛst rizɔlt, aks yu dɔktɔ we de mɛn yu blɔd bɔt dɛn ɛn wetin i de du fɔ no wetin de mek yu gɛt dɛn. I go gladi fɔ ansa yu kwɛstyɔn dɛn ɛn ɛksplen wetin fɔ du nɛks. Nɔ fred fɔ aks ɛnitin we kam na yu maynd. Na yu rayt.

Mɛsej we dɛn kin kɛr go na os

``Hematologist`` na dɔktɔ we spɛshal pan sik dɛn we gɛt fɔ du wit di blɔd, frɔm anemia to blɔd kansa. We dɛn rifer yu to ``Hematologist`` nɔ kin min ɔltɛm se yu gɛt kansa. Bɔku tɛm, dɛn go ɛksplen mɔ bɔt di tin dɛn we kin kɔmɔt frɔm di bɛsis blɔd tɛst.

Di tin we impɔtant pas ɔl na fɔ tɔk to yu dɔktɔ opin wan ɛn aks ɛni kwɛstyɔn we yu gɛt. Fɔ ɔndastand yu wɛl bɔdi fayn fayn wan rili impɔtant fɔ mek yu tritmɛnt go bifo. So nɔ fred, gɛt di infɔmeshɔn we yu nid.

` Blɔd sik, ɛmatɔlɔjis, blɔd kansa, anemia, lukimiya, limfoma, blɔd tɛst