Yu gɛt dayabitis, at at sik, kidni sik, ɔ ɔda sik we nɔ de dɔn we kin mek yu taya ɛn taya? Yu go tink se na bikɔs yu sik. Sɔm trut de na da stori de, bɔt ɔda rizin kin de. Na dat wi de tok abaut tide. Wi kin kɔl dis kɔndishɔn ‘Anemia of Chronic Disease’ ɔ ‘Anemia of Inflammation’. Fɔ tɔk am simpul wan, na we pɔsin nɔ gɛt blɔd we kin apin we pɔsin sik fɔ lɔng tɛm.
Wetin rili na ‘Anemia of Chronic Disease’?
Okay, mek wi put dis simpul wan. Anemia, ɔ lɔw blɔd prɛshɔn, na wan sik we de mek wi nɔ gɛt bɔku rɛd blɔd sɛl dɛn. Dɛn rɛd blɔd sɛl ya kin kɛr ɔksijɛn go ɔlsay na wi bɔdi. So we dɛn smɔl, wi kin fil taya ɛn wi nɔ gɛt layf.
Insay wan kɔndishɔn we dɛn kɔl ‘Anemia of Chronic Disease’, di inflamɛns we nɔ de dɔn insay di bɔdi we kin kam bikɔs ɔf wan sik we dɔn de fɔ pas tri mɔnt kin mek wi bɔdi nɔ ebul fɔ yuz di ayɔn we i nid fɔ mek rɛd blɔd sɛl.
Tink bɔt am dis we. Wi gɛt ɔl di simen, brik, ɛn ayɛn ba fɔ bil os. Bɔt di wokman dɛn gɛt sɔm prɔblɛm ɛn dɛn nɔ kin ebul fɔ yuz dɛn tin dɛn de fɔ wok. Na dat de apin na ya bak. Ivin if wi gɛt ayɛn na wi bɔdi, bikɔs ɔf di inflamɛns we di sik we wi gɛt fɔ lɔng tɛm kin mek, di bɔdi nɔ kin ebul fɔ yuz da ayɛn de fɔ mek nyu rɛd blɔd sɛl dɛn. Bɔrku tɛm, dis na smɔl anemia wae nɔr kin so bad.
Udat kin gɛt dis sik pas ɔlman?
As di nem sho, dis anemia kin apin pan ɛnibɔdi we gɛt ɛni lɔng tɛm (krɔnik) mɛdikal kɔndishɔn. Bɔt i kin apin mɔ pan pipul dɛn we dɔn pas 65. Bɔku men tin dɛn de we kin mek pɔsin gɛt dis anemia. Lɛ wi si wetin dɛn bi.
| Di sik kategori | Ɛgzampul dɛn ɛn simpul ɛksplen |
|---|---|
| Di sik dɛn we pɔsin kin gɛt we i de fɛt insɛf | Dis na sik we wi bɔdi in difɛns sistɛm, we na di imyun sistɛm, kin mistek atak wi yon bɔdi in sɛl dɛn. Ɛgzampul dɛn: Rimatɔyd Atraytis (na sik we de mek di jɔyn dɛn swel ɛn pen), Lupus (SLE) , Vasculitis (inflammation of the blood vessels), Sarcoidosis, ɛn Inflammatory Bowel Disease (IBD) (di tin dɛn we kin afɛkt di intestinal, lɛk di sik we dɛn kɔl Crohn’s disease ɛn Ulcerative Colitis). |
| Kansa | Ɛni kayn kansa kin mek di bɔdi inflamɛns we nɔ de dɔn. |
| Kidni sik we nɔ de mɛn | Dis anemia kin kam bak bikɔs ɔf di kidni sik we dɔn de fɔ lɔng tɛm. |
| At we nɔ de wok fayn | Kɔndishɔn dɛn we kin kam bikɔs di at nɔ de wok fayn. |
| Infɛkshɔn dɛn we nɔ de mɛn | Infεkshכn dεm we de de na di bכdi fכ lכng tεm, lεk TB. |
| Fat | if di fεt we de kכmכt pasmak na di bכdi i kin mek bak sכm sכm inflameshn de insay di bכdi. |
Di impɔtant tin na dat dis na di sɛkɔn kayn anemia we kin apin afta we dɛn nɔ gɛt ayɔn. So dis nɔto sɔntin we rili impɔtant.
Wetin mek dis sik kin mek pɔsin nɔ gɛt bɛtɛ blɔd? Wetin rili de apin insay di bɔdi?
Dis na stori we rili intrestin. Di avrej layf we wan rɛd blɔd sɛl na wi bɔdi de liv na lɛk 120 dez. Afta dɛn ol rɛd blɔd sɛl ya dɔn day, wi bɔdi kin rili gɛt sɛns fɔ risaykul di ayɔn we de insay dɛn fɔ mek nyu rɛd blɔd sɛl dɛn. Wi bon mɛro na di men tin we de mek wi du dis wok.
Bɔt we yu gɛt sik we de te yu lɛk di wan we wi bin dɔn tɔk bɔt, sɔm tin dɛn na wi bɔdi kin chenj bikɔs ɔf di inflamɛns we kin apin.
1. Di ayɛn dɔn stɔp:spεshal sεl dεm na wi imyun sistεm we dεn kכl makrofag de stכr ayron frכm ol rεd blכd sεl dεm fכ yuz am bak. I tan lɛk pɔsin we dɔn lɛf sɔm tin dɛn we dɛn nid na kɔba ɛn lɔs di ki. Pan ɔl we di bɔdi gɛt ayɔn, di bon mɛro nɔ kin ebul fɔ yuz am fɔ mek nyu rɛd blɔd sɛl dɛn.
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3. Di layf we di rɛd blɔd sɛl dɛn kin liv kin shɔt: Sɔntɛnde, di layf we di nyu rɛd blɔd sɛl dɛn kin liv kin smɔl pas 120 dez.
We ɔl dɛn rizin ya kam togɛda, di nɔmba fɔ di rɛd blɔd sɛl dɛn we gɛt wɛlbɔdi na wi bɔdi kin go dɔŋ smɔl smɔl, ɛn dis kin mek wi nɔ gɛt bɛtɛ blɔd.
Wetin na di sayn dɛm we de sho se yu gɛt dis sik? Yu saspek se yu gɛt dis sik?
Di sayn dɛm fɔ ‘Anemia of Chronic Disease’ rili fiba di wan dɛm wae de kam wit nɔmal ayɔn dɛfisiɛns anemia. Sɔm pipul dɛn nɔ kin gɛt ɛni sayn atɔl. Ɔda pipul dɛn kin jɔs gɛt dɛn sik ya we dɛn de strɛs, lɛk fɔ du ɛksɛsayz. Pɔsin wae gɛt dis sik kin gɛt:
- Fɔ fil ɔltɛm se yu taya pasmak ɛn yu kin fil se yu wik. Yu kin fil so taya dat yu nɔ kin ivin ebul fɔ du di nɔmal wok dɛn we yu kin du da de de.
- Sɔntɛnde, yu kin fil se yu nɔ gɛt bɛtɛ briz , lɛk we yu de waka smɔl ɔ we yu de klaym stej.
- Yu skin, mɔ yu fes, yu an dɛn, ɛn yu lip dɛn, kin luk lɛk se yu nɔ gɛt wan bɔt.
- Swet fɔ no patikyula rizin.
- Fɔ fil se yu de tɔn diziz, yu de fɔdɔm.
- Yu ed kin at ɔltɛm.
If yu gɛt sayn dɛm lɛk dis wit sik wae dɔn te, e fayn fɔ tɔk to yu dɔktɔ bɔt dis.
Aw yu go fɛn dis, Dɔktɔ?
We yu go to yu dɔktɔ, i go aks yu bɔt yu sik ɛn ɛni ɔda sik we yu go gɛt, ɛn i go chɛk yu. Dɔn i go ɔda fɔ mek dɛn du bɔku blɔd tɛst fɔ no uskayn kayn anemia yu gɛt. Bɔrku tɛm, na dɛn blɔd tɛst ya kin no bɔt dis sik.
| Blɔd Tɛst | Fɔ tɔk am simpul wan, wetin yu de luk? |
|---|---|
| Di Ɛmoglobin Lɛvɛl | Dis na di men we fɔ chɛk fɔ si if pɔsin nɔ gɛt bɛtɛ blɔd. Dis na di prɔtin we de gi rɛd blɔd sɛl dɛn rɛd kɔlɔ. |
| Sεrum Ayɔn Lεvεl | Dɛn kin mɛzhɔ di fri, yuz ayɛn we de na yu blɔd. Insay dis kɔndishɔn, dis mɔnt kin smɔl. |
| Sεrum Fεritin Lεvεl | dis de mכsu di כmכnt כf ayron we dεn ‘stכr’ na yu bכdi. I sɔprayz fɔ no se pan dis sik, di ayɔn we dɛn kin kip na di bɔdi (Ferritin) kin bi nɔmal ɔ ivin i kin bɔku. Dis na bikɔs di ayɛn de na di bɔdi, bɔt dɛn nɔ go ebul fɔ yuz am. |
| Kapasiti fɔ tay ayɛn | Test we de sho aw di blɔd ebul fɔ kɛr ayɛn. Dis valyu kin smɔl na dis kɔndishɔn. |
| Rɛtikulosayt Kɔnt | Dis kin min di rɛd blɔd sɛl dɛn we nɔ machɔ. If dis nכmba sכm, i min se di bon mכro nכ de mek inof nyu rεd bכdi sεl dεm. |
Sɔntɛm sɔm spɛshal kes dɛn, if di dɔktɔ nid mɔ infɔmeshɔn, i kin tɛl am bak fɔ tek bon mɛro bayɔpsi, we min se dɛn fɔ tek smɔl bon mɛrɔ ɛn tɛst am.
Wetin na di tritmɛnt dɛm fɔ dis?
Di tin we impɔtant pas ɔl ɛn we kin mek pɔsin satisfay na ya na dat, bɔku tɛm, dis anemia kin mɛn.
Di bɛst ɛn impɔtant tritmɛnt fɔ dis na fɔ manej yu krɛse sik fayn fayn wan (e.g., at at sik, kidni sik) we de mek yu gɛt di anemia. We dɛn trit ɛn kɔntrol da ɔndalayn kɔndishɔn de fayn fayn wan, di inflamɛns na di bɔdi go go dɔŋ ɛn di anemia go bɛtɛ fɔ insɛf.
Bɔt sɔntɛnde if di anemia rili bad, ɔ if i gɛt tin dɛn lɛk kansa ɔ kidni sik, di dɔktɔ kin tɛl yu fɔ tek sɔm ɔda tritmɛnt dɛn.
- Blɔd Transfyushɔn: Blɔd transfyushɔn kin bi sɔlv fɔ shɔt tɛm fɔ pipul dɛn we dɛn anemia so bad dat dɛn nɔ kin ebul fɔ bia di strɛs. Bɔt, dis nɔto sɔntin we pɔsin kin kɔntinyu fɔ du.
- sεntetik EPO Tεrapi: wi kidni dεm de mek wan כmon we dεn kכl `(Erythropoietin - EPO)`. dis na wetin de signal di bon mכro fכ "mek nyu rεd bכdi sεl dεm". Insay sɔm sik dɛn, di we aw dɛn kin mek dis ɔmon kin stɔp. If na so i bi, dɛn kin gi dis ɔmon na do as injɛkshɔn.
- Ayɔn Suplimɛnt: Sɔntɛnde, mɔ wit EPO tritmɛnt, yu dɔktɔ kin disayd fɔ gi yu ayɔn sɔpɔtmɛnt ɔ injɛkshɔn.
Bɔt mɛmba dis! Nɔ ɛva bigin fɔ tek ayɛn tablɛt na famasi we yu nɔ go to dɔktɔ bikɔs yu tink se yu gɛt anemia. Dis na bikɔs if yu gɛt ‘Anemia of Chronic Disease’, di bɔdi kin gɛt ayɛn, bɔt di prɔblɛm na dat dɛn nɔ kin ebul fɔ yuz am. Na dis kayn tɛm, if yu ad mɔ ayɛn na yu bɔdi, dat kin mek yu gɛt ɔda prɔblɛm dɛn. So, tek di tritmɛnt ɔltɛm lɛk aw yu dɔktɔ tɛl yu fɔ du.
Wetin wi go du fɔ ridyus di prɔblɛm?
If yu gɛt sik we nɔ de mɛn, yu nɔ go ebul fɔ mek yu nɔ gɛt anemia kpatakpata. Bɔt if yu gɛt gud wɛlbɔdi ɔltin, dat kin ɛp fɔ ridyus di prɔblɛm we yu gɛt ɛn fɔ mek yu nɔ gɛt bɛtɛ blɔd if i apin. Fɔ it tin we gɛt fayn fayn tin dɛn fɔ du impɔtant fɔ dis.
- It tin dɛn we nɔ gɛt bɛtɛ bɔdi lɛk chukchuk, fish, bins, ɛn lentil.
- Ɔltɛm put dak grɛn vɛjitebul ɛn ɔyl lɛk spinach ɛn kale insay yu it.
- Pik bred ɛn siriɔs tin we gɛt ayɛn.
- It it dɛn we gɛt bɔku tin dɛn lɛk vaytamɛn B12 ɛn folate.
Impɔtant: Nɔ tek vaytamɛn ɔ ayɔn sɔpɔtmɛnt fɔ yusɛf pas yu dɔktɔ tɛl yu fɔ tek am.
If yu dɔn ɔlrɛdi liv wit sik we nɔ de mɛn, e kin fil lɛk se na ɔda lod fɔ dil wit anemia. Dat na nɔmal tin. Bɔt di bɛst tin na dat dis sik nɔ kin izi fɔ am ɛn i kin bɛtɛ we dɛn trit di sik we de ɔnda am. Afta yu dɔn gɛt tritmɛnt, tɔk to yu dɔktɔ bɔt aw yu de chenj yu layf, lɛk aw yu de it ɛn ɛksesaiz, we go ɛp fɔ mek yu nɔ gɛt dis sik bak.
Mɛsej we dɛn kin kɛr go na os
- ‘Anemia of Chronic Disease’ na wae pɔrsin nɔr gɛt blɔd wae kin kam pan pɔrsin wae de sik fɔ lɔng tɛm lɛk dayabitis, rεumatoid at, ɔr kidni sik.
- Di sayn dɛm kin fiba di wan dɛm wae de kam wit jenɛral anemia (taya, paleness).
- Di men tritmɛnt na fɔ trit di ɔndalayn sik we mek di anemia fayn fayn wan.
- If yu gɛt sɔm kayn sik lɛk dis wit sik wae de kam fɔ lɔng tɛm, nɔr jɔs tek ayɔn pils fɔ yusɛf.Mek shɔ se yu tɔk to yu dɔktɔ.
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