Yu bɔdi in sɛl dɛn de kil dɛnsɛf? Lɛ wi tɔk bɔt Autoimmune Hemolytic Anemia (AIHA)!

Yu kin fil taya ɛn wik ɔltɛm? Yu kin gɛt diziz we yu waka smɔl ɔ we yu klaym wan stej? Bɔrku tɛm, wi kin kɔl dis "anemia" ɔr "anemia." Na tru. Bɔt, yu dɔn ɛva tink se yu yon bɔdi in difɛns sistɛm, dat na di imyun sistɛm, go de atak ɛn pwɛl yu yon rɛd blɔd sɛl dɛn? Tide wi de tɔk bɔt wan sik we nɔ kin bɔku we ɔlman rili impɔtant fɔ no bɔt. Dɛn kɔl dis Autoimmune Hemolytic Anemia , ɔ (AIHA) fɔ shɔt tɛm.

Simply put, wetin na dis AIHA?

Fɔ ɔndastand dis, lɛ wi fɔs luk wetin na anemia. Anemia na we di nɔmba fɔ di rɛd blɔd sɛl dɛn na yu bɔdi we de kɛr ɔksijɛn de go dɔŋ. Dɛn rɛd sɛl ya de kɔmɔt na wi bon mɛro. Nɔmal wan, wan rɛd blɔd sɛl kin liv fɔ lɛk 120 dez so. we dεn sεl dεm ya dכn rεdכks, di bכdi in כgan dεm nכ de gεt di כksijεn we dεn nid. Na dat mek wi kin fil taya ɛn wikɛd.

Naw, sɔntin we rili strenj de apin na AIHA. Di imyun sistɛm , we de protɛkt wi bɔdi frɔm sik, mistek fɔ no in yon wɛlbɔdi rɛd blɔd sɛl dɛn as “ɛnimi.” I tan lɛk se wan kɔntri in ami de atak in yon pipul dɛn. we di imyun sistεm bigin fכ pwεl di rεd bכdi sεl dεm dis we, dεn de lכs pan wan rεt we di bon mכro nכ kin ebul fכ kip. Sɔntɛnde, di layf we rɛd blɔd sɛl kin liv fɔ jɔs sɔm dez. Na dat wi kin kɔl Autoimmune Hemolytic Anemia (AIHA).

Wetin na di men kayn AIHA?

Dɛn kin sheb AIHA to tu men kayn dɛn. Wan pan dɛn de tɔk bɔt di tin we mek i apin. Di ɔda wan de bay di tɛmpracha we di rɛd blɔd sɛl dɛn de pwɛl. Lɛ wi si wetin na dɛn tin ya.

Wetin na di sayn dɛm fɔ dis sik?

Bɔku pan di sayn dɛm fɔ AIHA tan lɛk ɔda wan dɛm wae gɛt anemia, bɔt sɔm pipul dɛm nɔr kin gɛt ɛni sayn atɔl if di pwɛl pwɛl we dɛn pwɛl di rɛd blɔd sɛl dɛn rili bad.

Di sayn dɛm we dɛn kin si bɔku tɛm:

• Wik ɛn taya: Dɛn kin fil taya pasmak ivin afta yu dɔn du smɔl wok.
• Pale skin: Di skin, di lip, ɛn di nel dɛn kin pale.
• Tachycardia: Na filin wae de hat de bit fast ivin wae yu jɔs tinap.
• Fɔ blo shɔt: Dis kin apin we yu taya smɔl.
• Chɛst de pen.
• Yu yay ɛn yu skin kin yɔlɔ (Jaundice): Dis na di sik we wi kin kɔl janda.
• Dak urine: Yurin we gɛt dak kɔlɔ, lɛk kola.
• Fɔ fil ful: Dis kin bi bikɔs di splin dɔn big.

Pipul wae gɛt kol-tayp AIHA (CAD) kin gɛt dɛn ɔda sayn ya bak:

• An ɛn fut kin kol ɔltɛm.
• An ɛn fut de tɔn blu/rɛd we yu de na kol.
• Ed de at.
• Bak ɛn leg pen.

Wetin na di tin dɛn we kin mek pɔsin gɛt AIHA?

Bɔrku tɛm, i nɔ kin izi fɔ fɛn wan patikyula kɔz fɔ dis kɔndishɔn (Primary AIHA). Bɔt sɔmtɛm, i kin kam wit ɔda mɛrɛsin (Sɛkɔndari AIHA).

• Ɔda sik dɛn we pɔsin kin gɛt we i de fɛt insɛf: Fɔ ɛgzampul, sik dɛn lɛk lupus.
• Sɔm kayn kansa:Ɛspɛshali kansa dɛn we gɛt fɔ du wit blɔd lɛk lukimiya (Chronic Lymphocytic Leukemia) ɛn limfoma (Non-Hodgkin Lymphoma).
• Infεkshכn: Baktri infεkshכn lεk *Mycoplasma pneumoniae*.
• Vayrɔs: Vayrɔs lɛk Epstein-Barr vayrɔs, HIV, ɛn epataytis.
• Sɔm mɛrɛsin dɛm: Dis kin apin bak as riakshɔn to sɔm mɛrɛsin dɛm lɛk penisilin ɛn mɛtildopa.

Aw dɛn kin du di diagnosis?

If yu gɛt sayn dɛn we de sho se yu nɔ gɛt blɔd, di fɔs tin we yu fɔ du na fɔ go to yu dɔktɔ wantɛm wantɛm . I go aks yu bɔt yu sik ɛn di mɛrɛsin dɛn we yu de tek, ɛn i go chɛk yu. If nid de, i go rifer yu to dɔktɔ we de mɛn yu blɔd.

Dɛn kin du bɔku blɔd tɛst dɛn mɔ fɔ no if pɔsin gɛt di sik.

• Kɔmplit Blɔd Kɔnt (CBC): Dis de chɛk di nɔmba fɔ di rɛd sɛl dɛn, di wayt sɛl dɛn, ɛn di pletlɛt dɛn. If yu nɔ gɛt bɔku rɛd sɛl dɛn, dat na sayn fɔ se yu nɔ gɛt bɛtɛ blɔd.
• Coombs in Test: Dis na di test we spɛshal pas ɔl fɔ AIHA. I de chɛk if yu bɔdi de mek antibodies agens rɛd blɔd sɛl dɛn.
• Peripheral Smear: Dɛn kin chɛk blɔd sɛmpul ɔnda maykroskɔp fɔ luk fɔ sayn dɛn we de sho se rɛd sɛl dɛn dɔn pwɛl.
• Bilirubin Test: We dɛn pwɛl di rɛd blɔd sɛl dɛn, di lɛvɛl we wan tin we dɛn kɔl bilirubin de go ɔp na di blɔd. Dis na wetin de mek di yɔlɔ kɔlɔ.
• rεtikulכsayt kכnt: dis de mכsu di nכmba fכ nyu rεd bכdi sεl dεm we nכ machכ we di bon mכro de mek. If di nɔmba bɔku, dat min se di bon mɛro de wok tumɔs fɔ mek nyu sɛl dɛn fɔ tek di ples fɔ di wan dɛn we dɛn de pwɛl.

Wetin na di tritmɛnt dɛm fɔ AIHA?

Di tritmɛnt dipen pan aw yu sik bad, di kayn AIHA, ɛn di tin we kin mek yu gɛt dis sik. If yu sik nɔr kin tranga, i nɔr kin nid fɔ gɛt tritmɛnt.

• Steroid: Steroid drɔgs lɛk Prednisolone na di fɔs layn fɔ tritmɛnt. Dɛn tin ya de wok bay we dɛn de stɔp di imyun sistɛm in wok ɛn stɔp am fɔ pwɛl di rɛd blɔd sɛl dɛn.
• Ɔda Immunosuppressants: If di sik nɔ de ansa to stɛroyd, dɛn kin yuz ɔda mɛrɛsin lɛk Rituximab.
• Splenectomy: Bɔku tɛm, di pwɛl pwɛl we di rɛd blɔd sɛl dɛn kin pwɛl kin apin na di splin. So if mɛrɛsin nɔ ebul fɔ kɔntrol am, dɔktɔ dɛn kin disayd fɔ ɔpreshɔn fɔ pul di splin.
• Blɔd Transfyushɔn: If di blɔd nɔ gɛt bɛtɛ blɔd, i go nid fɔ tek blɔd fɔ sev layf.
• Fɔ protɛkt yusɛf frɔm di kol (fɔ Kol AIHA/CAD): If yu gɛt kol AIHA, fɔ protɛkt yusɛf frɔm di kol impɔtant.
• Wear glɔv we yu de pul tin dɛn na frij.
• If yu go na do we kol, wɛr hat, skaf, ɛn kot.
• If yu go na ples we gɛt bɔku AC, wɛr sɔm wam klos.

Yu dɔktɔ kin tɛl yu bak fɔ tek wan fɔlik asid (Vitamin B9) sɔpɔtmɛnt, bikɔs yu nid dis vaytamɛn fɔ mek yu gɛt rɛd blɔd sɛl kwik kwik wan.

Us kɔmplikɛshɔn kin apin bikɔs ɔf dis kɔndishɔn?

If dɛn nɔ trit AIHA fayn, sɔm prɔblɛm dɛn kin apin.

• Blɔd Klɔt: Blɔd kin fɔm na di veins, mɔ na di leg. If dɛn tin ya travul go na di lכng (Pulmonary Embolism), na wan sik we rili denja.
• Kidni damej: If yu nɔ kɔntrol di AIHA, i kin mek di kidni pwɛl.
• At sik: Wae pɔrsin gɛt dis sik fɔ lɔng tɛm, dat kin mek di at wok tranga wan, ɛn dis kin mek di at wik.