Yu dɔn de sɔfa wit dayabitis, at at, kidni sik, ɔ ɔda sik we nɔ de mɛn fɔ mɔnt, sɔntɛm ivin fɔ lɔng lɔng tɛm, ɛn yu de fil taya ɛn yu de slɔp ɔltɛm? Yu dɔktɔ go dɔn tɛl yu se yu nɔ gɛt bɛtɛ blɔd. Dis kin bi bikɔs ɔf wan patikyula blɔd dɛfisiɛns we kin kam wit yu sik we nɔ de dɔn. Na dat wi de tok abaut tide. Dɛn kin kɔl dis pan mɛrɛsin ‘Anemia of Chronic Disease’.
Wetin na anemia we kin kam bikɔs ɔf sik dɛn we kin de fɔ lɔng tɛm?
Fɔ tɔk am simpul wan, dis na anemia bak. I min se di nɔmba fɔ di rɛd blɔd sɛl dɛn we de kɛr ɔksijɛn ɔlsay na di bɔdi de go dɔŋ. Bɔt dis difrɛn smɔl frɔm di anemia we wi kin yɛri bɔt bikɔs ɔf di ayɔn we nɔ de. Dis sik kin kam bikɔs ɔf inflamɛns wae kin kam wit wan mɛrɛsin wae dɔn de na yu bɔdi fɔ pas tri mɔnt. Sɔntɛnde dɔktɔ dɛn kin kɔl dis bak ``Anemia of Inflammation``.
Imajin se yu gɛt wan sik we nɔ de mɛn we de mek yu bɔdi gɛt smɔl "bɔn" (inflammation) ɔltɛm. Dis kin mek wi bɔdi nɔ ebul fɔ yuz di ayɔn we i nid fɔ mek rɛd blɔd sɛl dɛn fayn fayn wan. I tan lɛk se yu gɛt ɔl di tin dɛn we yu kin yuz fɔ kuk na os, bɔt yu nɔ ebul fɔ kuk we yu nɔ gɛt gas. Bɔt di gud nyus na dat, bɔrku pipul dɛm wae gɛt dis sik kin gɛt smɔl anemia, wae nɔr kin so bad.
Udat kin gɛt dis sik pas ɔlman?
As di nem sho, anemia kin kam pan ɛnibɔdi we gɛt ɛni kayn sik we nɔ de mɛn. Bɔt i kin bɔku pan pipul dɛn we dɔn pas 65. Bɔku men kayn sik dɛn de we kin mek pɔsin gɛt anemia:
- Kansa
- Kidni sik we nɔ de mɛn
- At we nɔ de wok fayn
- Autoimyun sik: Dis na sik wae di imyun sistεm we dεn se de protεkt wi bכdi, de atak di bכdi insεf.
Lɛ wi luk aw dis anemia kin kam bikɔs ɔf sɔm sik dɛn we de ambɔg di imyun sistɛm ɛn ɔda tin dɛn.
| Mɛdikal kɔndishɔn | Wan simpul ɛksplen |
|---|---|
| Rimatɔyd at at sik | Di joyn dɛn kin swel ɛn pen fɔ lɔng tɛm. |
| Lupus we gɛt di sik | di damej we di imyun sistεm de atak difrεn tisu dεm na di bכdi. |
| Vaskulaytis we gɛt di sik | Inflameshɔn ɔ swel na di blɔd vesel dɛn. |
| Inflammatory bowel sik we de mek pɔsin in bɔdi wam | Intestinal kכndishכn dεm lεk Crohn in sik εn כlsεraytiv kolεt. |
| Eni kayn infεkshכn we de tek lכng tεm | Ɛni infɛkshɔn we de na di bɔdi fɔ lɔng tɛm kin mek dis apin. |
| Fat | If pɔsin fat, i kin mek bak di bɔdi gɛt inflamɛns we nɔ de dɔn. |
Wetin mek dɛn nɔ de yuz di ayɛn we de na di bɔdi fɔ dis sik?
Dis na tin we at fɔ ɔndastand smɔl, bɔt na pɔynt we rili impɔtant. Tink bɔt am dis we...
Wan rɛd blɔd sɛl na wi bɔdi kin liv fɔ lɛk 120 dez so. Afta dɛn dɔn day, di bɔdi kin yuz sɛns fɔ risaykul di ayɛn we de insay dɛn sɛl dɛn de fɔ mek nyu rɛd blɔd sɛl dɛn.
Bɔt, we yu gɛt inflamɛns bikɔs ɔf sik we dɔn te, wan kayn sɛl na wi bɔdi we dɛn kɔl makrofag de ol di ayɔn we de kɔmɔt frɔm dɛn ol rɛd blɔd sɛl ya. Dat min se, dɛn nɔ de rilis da ayɛn de. I tan lɛk se dɛn de lɔk di ayɛn.
fכ dat, pan כl we dεn de stכr ayn na di bכdi (as wan protin we dεn kכl `Ferritin`), di ayכn nכ de kכmכt na di bכdi, so dεn nכ kin mek nyu rεd bכdi sεl dεm. Dis na de men tin wae kin apun pan dis sik.
Wetin na di sayn dɛm fɔ dis?
Dɛn sayn ya kin rili fiba di wan dɛm wae kin gɛt anemia wae kin kam wae pɔrsin nɔr gɛt ayɔn. Sɔm pipul dɛn nɔ kin gɛt ɛni sayn atɔl. Ɔda pipul dɛn kin jɔs gɛt dɛn sik ya we dɛn de du ɛksɛsayz. Pipul wae gɛt dis sik kin gɛt:
| Di sayn we de sho se di sik de | Tɔk bɔt |
|---|---|
| I kin taya pasmak ɛn i kin wik | Fɔ fil so wik dat yu nɔ ebul fɔ ivin du yu wok dɛn we yu de du ɛvride. |
| I nɔ kin izi fɔ yu fɔ blo | Fɔ fil diziz ivin we yu de waka smɔl ɔ we yu de klaym stej. |
| Pale apinans fɔ di skin | Skin, lip, ɛn palm dɛn kin tan lɛk se dɛn dɔn blak pas aw i kin bi. |
| Swet fɔ natin | Fɔ fil kol ɛn swet fɔ no patikyula rizin. |
| Diziz ɛn fɔdɔm | Fɔ fil lɛk se yu yay de tɔn blu we yu tinap ɔ grap wantɛm wantɛm. |
| Ed de at | Yu ed kin at ɔltɛm. |
Aw yu go fɛn dis, Dɔktɔ?
Yu dɔktɔ go aks yu bɔt yu sik ɛn ɛni ɔda mɛrɛsin we yu go gɛt, ɛn if dɛn tink se na so i bi, dɛn go ɔda fɔ mek dɛn du sɔm blɔd tɛst. Dɛn blɔd tɛst ya na di wangren we fɔ no dis sik.
Wetin di blɔd tɛst ripɔt dɛn sho
| Tɛst | Fɔ tɔk am simpul wan, wetin yu si pan dis? |
|---|---|
| di εmoglobin lεvεl | Di prɔtin we de gi rɛd blɔd sɛl dɛn rɛd kɔlɔ ɛn kɛr ɔksijɛn. Di valyu we i gɛt de go dɔŋ. |
| Sεrum ayron lεvεl | Di amount of fri ayɔn we de na di blɔd. Dis na lɔw valyu. |
| rεtikulכsayt kכnt | dis de tכk bכt "bebi" rεd bכdi sεl dεm. if dis nכmba sכm, i min se di bon mכro nכ de mek nyu sεl dεm sloslo. |
| Sεrum fεritin lεvεl | Dis na di tin we impɔtant pas ɔl . Fɛritin na prɔtin we de kip ayɛn na di bɔdi. Pan ɔl we i nɔ bɔku pan ɔl we i nɔ gɛt ayɔn, in valyu nɔmal ɔ i bɔku pan Anemia of Chronic Disease . |
Na smɔl tɛm nɔmɔ, di dɔktɔ kin tɛl yu bak fɔ tek bon mɛro bayɔpsi if nid de.
Wetin na di tritmɛnt dɛm fɔ dis?
Di bɛst ɛn impɔtant tritmɛnt fɔ dis anemia na fɔ trit di ɔndalayn sik we mek di anemia fayn fayn wan.
Imajin se yu gɛt dis anemia bikɔs ɔf rεumatoid at. We yu tek di mɛrɛsin we yu dɔktɔ gi yu fɔ kɔntrol yu at, di inflamɛns na yu bɔdi kin go dɔŋ. Dɔn di ayɛn we dɔn trɔp kin kɔmɔt, ɛn i kin lɛf smɔl fɔ lɛ di anemia bɛtɛ.
I rili impɔtant: Nɔ ɛva tek ayɛn sɔpɔt fɔ yusɛf if yu nɔ go to yu dɔktɔ. Dis na bikɔs dɛn kin kip ayɛn na di bɔdi we yu gɛt dis sik, ɛn if yu ad mɔ ayɔn, dat kin ambɔg di bɔdi.
Sɔntɛnde, pipul dɛn we gɛt siriɔs anemia kin nid ɔda tritmɛnt dɛn:
- Blɔd transfyushɔn: Dis na kwik fix, bɔt i nɔto sɔlv fɔ lɔng tɛm.
- Sintetik EPO tεrapi: EPO na כmon we di kidni dεm de mek. i de gi signal fכ di bon mכro fכ "mek rεd bכdi sεl dεm." We dɛn gi dis injɛkshɔn, di rɛd blɔd sɛl dɛn kin mek dɛn bɔku.
- Ayɔn tablɛt: Sɔntɛnde, yu dɔktɔ kin disayd fɔ gi yu ayɛn tablɛt wit di EPO injɛkshɔn, bɔt dɛn fɔ jɔs du dis ɔnda dɔktɔ in sɔpɔtishɔn.
Yu kin fil bɔrku taya ɛn strɛs bikɔs ɔf dɛn anemia simptom ya, wit yu lɔng tɛm mɛrɛsin kɔndishɔn. Bɔt mɛmba se dis sik nɔ kin izi fɔ am ɛn i kin bɛtɛ we dɛn trit di sik we de ɔnda am. I impɔtant fɔ tɔk to yu dɔktɔ bɔt aw fɔ chenj aw yu de it ɛn aw yu de liv yu layf we fayn fɔ yu.
Mɛsej we dɛn kin kɛr go na os
- Anemia of Chronic Disease nɔto wae yu nɔr gɛt ayɔn na yu it. I kin kam bikɔs ɔf inflamɛns na di bɔdi bikɔs ɔf wan sik we de te fɔ lɔng tɛm.
- Di bɛst tritmɛnt fɔ dis na fɔ trit di ɔndalayn kɔndishɔn we yu gɛt (e.g., at at sik, kidni sik).
- If yu gɛt sɔm sayn dɛn lɛk fɔ taya pasmak, fɔ blo shɔt, ɛn fɔ mek yu bɔdi wam, tɛl yu dɔktɔ.
- Nɔ yuz ayɛn tablɛt we yu nɔ gɛt dɔktɔ advays fɔ ɛni rizin. If na so i bi, i kin ambɔg di bɔdi.
- Tɔk opin wan wit yu dɔktɔ bɔt ɔl yu wɛlbɔdi prɔblɛm ɛn tritmɛnt dɛn.
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