I nɔmal fɔ mek blɔd klot ɛn stɔp fɔ blɔd we wi gɛt injuri. Fɔ tru, na tin we wi bɔdi de fɛt fɔ wi bɔdi. Bɔt if blɔd de klɔt na di vein dɛn na di bɔdi bɔku tɛm fɔ natin, dat kin mek wi wɔri. Ɛspɛshali if yu kɔntinyu fɔ gɛt bɛlɛ we yu gɛt bɛlɛ, di tin we kin mek yu gɛt dis sik we dɛn kɔl Antiphospholipid Syndrome (APS), we wi go tɔk bɔt tide.
Wetin na APS simpul wan?
Fɔ tɔk am simpul wan, Antiphospholipid Syndrome (APS) na wan sik we de mek yu bɔdi kin mek blɔd klɔt pas aw i kin bi. Sɔntɛnde, dɔktɔ dɛn kin kɔl am Antiphospholipid antibody syndrome.
Dɛn blɔd ya kin mek pɔsin gɛt siriɔs prɔblɛm dɛn we kin mek i day, lɛk we i gɛt strok . di kכndyushכn de inkrεs bak di risk f כ miskεri εn כda kכmplikεshכn dεm we uman bεlε.
APS na rili wan sik we pɔsin kin gɛt we i de fɛt insɛf . Imajin, wi gɛt difens sistɛm na wi bɔdi lɛk ami. Wi kin kɔl am di imyun sistɛm. I wok na fɔ protɛkt wi frɔm jem ɛn infɛkshɔn we kin mek wi gɛt sik. Bɔt insay dis ɔtoimyun sik, wetin kin apin na we wi yon difɛns sistɛm kin mistek bigin fɔ atak di gud sɛl dɛn na wi yon bɔdi.
Wetin na di sayn dɛm fɔ dis sik?
Sɔm pipul dɛm wae gɛt APS kin gɛt dak dak spat na dɛn skin wae tan lɛk nɛt. Dɛn kin kɔl dis tin we dɛn kɔl livedo reticulitis . Bɔt bɔku pipul dɛn we gɛt APS nɔ kin gɛt ɛni sayn te dɛn gɛt blɔd klɔt ɔ gɛt prɔblɛm we dɛn gɛt bɛlɛ.
Dis na di sayn dɛm wae kin apun if blɔd klɔt. Yu fɔ rili tek tɛm wit dɛn tin ya.
| Di sayn we de sho se di sik de | Tɔk bɔt |
|---|---|
| Chɛst de pen | I kin kam bikɔs blɔd kin klɔt na di at ɔ di lɔng. |
| I nɔ izi fɔ blo (dyspnea) . | i kin kכz, spεshal wan, we blכd kכlכt na di lכng dεm (pulmonary embolism). |
| Yu ed kin at ɔltɛm | Prɔblɛm kin de wit di blɔd vesel dɛn we de go na di bren. |
| Pen we pɔsin kin fil wantɛm wantɛm | Pen wantɛm wantɛm na yu an, yu fut, yu bak, yu nɛk, ɔ yu jaw. |
| Swel ɔ rɛd | I kin kam bikɔs blɔd de klɔt, mɔ na in an ɔ leg. |
| Bɛlɛ de at | I kin bi bikɔs blɔd kin klɔt na di vessel dɛn we de gi blɔd to di ɔgan dɛn na di bɛlɛ. |
Di tin we impɔtant pas ɔl: Blɔd we de rɔtin na imejensi we kin mek pɔsin in layf de pan denja. If yu gɛt ɛni saspek se yu gɛt blɔd we de klɔt, go na di ɔspitul imejensi dipatmɛnt (ETU) we de nia yu wantɛm wantɛm.
Apat frɔm dɛn sik ya, APS kin mek sɔm sayn dɛn bak we wi nɔ kin si ɔ fil.
- Di blɔd pletlɛt lɛvɛl we de go dɔŋ.
- Anemia we nɔ gɛt bɛtɛ blɔd.
- At valv abnɔmal tin dɛn.
Wetin mek dis de apin?
Antiphospholipid Syndrome kin apin we yu imyun sistɛm mistek bigin fɔ mek wan kayn antibodi we nɔ kɔmɔn. Nɔmal wan, antibodi dɛm na spɛshal prɔtin dɛm we de luk fɔ ɛn pwɛl di jem ɛn alɛrgen dɛm we de kam insay wi bɔdi. Dɛn tan lɛk difens rɔbɔt dɛn.
bכt pan pכsin we gεt APS, dεn antibodi dεm ya we di imyun sistεm de mek, de atak di protin dεm we de atak f כsfolipid (wan kayn fεt) na wi כwn sεl dεm. dis atak de pwεl di fכsfolipid dεm, we de mek dεn kin stכk tכgeda εn fכm bכdi kכlכt.
Tri men kayn antibodi dεm de we kin mek yu gεt APS:
- Lupus antikɔagulɛnt
- Antikardiolipin we dɛn kɔl
- Anti-B2 glycoprotein 1. Di wan dɛn we de wok
Pɔsin we gɛt APS kin gɛt wan, tu, ɔ ɔl tri pan dɛn antibodi ya. Bɔt wetin kin mek wi sɔprayz mɔ na dat sɔm pipul dɛn kin gɛt dɛn antibodi ya bɔt dɛn nɔ kin ɛva gɛt di sayn dɛm fɔ APS. di masta sabi pipul dεm stil nכ no εksεkεkt wetin de mek wi imyun sistεm mek dεn fכlt antibodi dεm ya.
Udat de pan denja pas ɔl fɔ gɛt dis sik?
Ɛnibɔdi kin gɛt APS. Bɔt yu kin gɛt smɔl prɔblɛm if yu:
- If yu na uman .
- If yu ol bitwin 30 ɛn 40 ia .
- If yu gɛt ɔda sik dɛn we pɔsin kin gɛt we i de fɛt, lɛk lupus ɔr rεumatoid at.
- If wan pan yu fambul dɛm we de nia yu (mama ɛn papa, grani ɛn granpa) gɛt APS.
Us kɔmplikɛshɔn kin apin bikɔs ɔf APS?
Antifosfolipid sindrom kin mek siriɔs prɔblɛm dɛn, sɔm tɛm dɛn kin kil pɔsin. Di prɔblɛm dɛn we kin rili siriɔs kin apin we di blɔd kin klɔt ɛn blok di at dɛn we de gi blɔd to di impɔtant ɔgan dɛn na yu bɔdi.
- Bren: na strok
- At: At atak (thrombosis) .
- di lכng dεm: di bכdi we de na di lכng dεm de blok (pulmonary embolism) .
- Kidni: Kidni de pwɛl
If yu gɛt bɛlɛ, we blɔd klɔt we de blok di tin dɛn we yu nid fɔ gi yu di pikin in bɛlɛ, dat kin mek yu nɔ gɛt bɛlɛ. I kin mek bak di risk fɔ gɛt prɛeklampsia, we na wan sik we kin mek pɔsin gɛt ay blɔd prɛshɔn we i gɛt bɛlɛ.
Katastrofik antifosfolipid sindrom (CAPS) na wan kɔmplikeshɔn we nɔ kin apin so bɔt we kin rili siriɔs bɔt APS. Na wan sik we blɔd kin klɔt na bɔku ɔgan dɛn na di bɔdi fɔ sɔm dez. Na lɛk af pan pipul dɛm wae gɛt dis sik kin day. Bɔt, CAPS kin apin pan less dan 1% pan pipul dɛm wae gɛt APS.
APS nɔ kin afɛkt yu layfspan. Bɔt if blɔd we dɔn rɔtin pwɛl wan impɔtant ɔgan, mɔ we pɔsin gɛt sik lɛk CAPS, i kin kil pɔsin.
Aw dɔktɔ kin no kɔrɛkt wan bɔt dis sik?
Bɔku tɛm dɛn kin no APS afta we blɔd dɔn klɔt ɔ afta we uman dɔn gɛt bɛlɛ bɔku tɛm. Sɔm pipul kin gɛt antiphospholipid antibodies bɔt nɔr kin ɛva gɛt sɔm kayn sik.
Dɔktɔ go kɔnfirm if yu gɛt APS tru blɔd tɛst . Dɛn go tek wan sɛmpul pan yu blɔd ɛn chɛk fɔ si if di tri kayn antibodi dɛn we wi bin dɔn tɔk bɔt de. Fɔ kɔnfirm di sik, at le wan blɔd tɛst fɔ bi pɔsitiv tu tɛm, pas tri mɔnt bitwin dɛn.
Wetin na di tritmɛnt dɛm fɔ dis?
Yu dɔktɔ go tɛl yu bɔt tritmɛnt dɛn we go mek yu nɔ gɛt bɔku blɔd. Di tritmɛnt dɛn we dɛn kin yuz mɔ na di wan dɛn we de mek blɔd tan, ɔ di wan dɛn we de mek di blɔd nɔ rɔtin .
| Di kayn drɔg we dɛn kin yuz | Aw fɔ yuz ɛn aw fɔ wok |
|---|---|
| Jɛnɛral tritmɛnt | |
| Heparin we dɛn kin yuz | Dis na mɛrɛsin we dɛn kin put insay yu bɛlɛ (IV) we kin ɛp fɔ sɔlv di blɔd we dɔn klɔt if yu put yu na ɔspitul. |
| Warfarin we dɛn kɔl Warfarin | Dis na pil we yu de tek wit yu mɔt. I de mek di blɔd tan ɛn mek nyu blɔd klɔt nɔ fɔm. |
| Aspirin we dɛn kin yuz | Yu dɔktɔ go se yu fɔ tek aspirin we nɔ bɔku fɔ mek blɔd nɔ klɔt na yu at. |
| Tritmɛnt dɛn we dɛn kin yuz we uman gɛt bɛlɛ | |
| Enoxaparin we dɛn kɔl Enoxaparin | Dis na injεkshכn we dεn kin gi כnda di skin. Bɔku tɛm dɛn kin advays am wit smɔl smɔl aspirin fɔ mek i nɔ gɛt bɛlɛ. |
| Imyunoglobulin we dɛn kin put insay di bɛlɛ (IVIG) . | Dis tritmɛnt we dɛn kin gi insay di bɛlɛ, kin kɔntrol di wok we di imyun sistɛm de du ɛn i kin mek di pikin nɔ gɛt bɛlɛ nɔ bɔku. |
| Kɔtikosterɔyd dɛn | Dɛn drɔgs ya de ridyus di inflamɛns na di bɔdi ɛn kɔntrol di ɔvaaktiviti na di imyun sistɛm. |
If yu gɛt bɛlɛ, dis tritmɛnt nɔ bad fɔ yu ɛn yu pikin, so nid nɔ de fɔ wɔri bɔt am.
Lɛ wi no bak di bad tin dɛn we di mɛrɛsin dɛn we de mek blɔd tan kin gɛt.
We yu tek blɔd thinner, yu bɔdi kin blɔd mɔ. So yu nid fɔ rili tek tɛm wit dɛn sayn ya. If yu gɛt ɛni wan pan dɛn tin ya , tɔk to yu dɔktɔ wantɛm wantɛm.
- Blɔd we de kɔmɔt na di gɔm ɔ nos fɔ natin .
- Blɔd we de kɔmɔt pas aw i kin kɔmɔt we yu de gɛt mɔnt.
- Vɔmit we gɛt layt rɛd ɔ kɔfi grɔn kɔlɔ .
- Brayt rɛd blɔd na di stɔl ɔ blak, tar stɔl.
- Bɛlɛ we de at bad bad wan ɔ ed we de at bad bad wan .
- Di chenj dɛn we kin apin wantɛm wantɛm na di we aw pɔsin de si tin .
- Di filin we yu de fil wantɛm wantɛm na yu an ɔ yu leg .
Tin dɛn fɔ tink bɔt we yu de liv wit APS
Di tin we impɔtant pas ɔl we yu de liv wit APS na fɔ mek blɔd nɔ klɔt. Fɔ dis, i impɔtant fɔ tek mɛrɛsin dɛn we de mek yu blɔd tan kɔrɛkt wan.
Apat frɔm dat, i impɔtant fɔ kɔntrol ɔda wɛlbɔdi prɔblɛm dɛn we de mek yu gɛt mɔ blɔd klot. If yu gɛt ɛni wan pan dɛn sik ya, tɔk to yu dɔktɔ ɛn kɔntrol dɛn:
- Shuga
- Di ay blɔd prɛshɔn
- Kɔlestɔl we bɔku
- Fat
- Ɔda sik dɛn we pɔsin kin gɛt we i de fɛt insɛf
Smok kin mek yu blɔd klɔt, mɔ fɔ pɔsin we gɛt sik lɛk APS.
Yu nid fɔ tek tɛm wit it ɛn drink?
Pipul wae gɛt APS nɔr kin nid fɔ fala spɛshal it. Bɔt if yu de tek di mɛrɛsin we dɛn kɔl Warfarin , yu fɔ tek tɛm wit it dɛn we gɛt bɔku vaytamɛn K (dak grɛn vɛjitebul dɛn lɛk spinach). If yu it bɔku it dɛn we gɛt vaytamɛn K wan tɛm, dat kin mek yu blɔd klɔt mɔ. So aks yu dɔktɔ fɔ advays.
Dɔn bak, aks yu dɔktɔ bɔt aw fɔ drink rɔm. Alkol kin mek di blɔd tan, so if yu miks am wit mɛrɛsin dɛn we de mek di blɔd tan, dat kin mek di blɔd tan mɔ.
Ustɛm a fɔ go to dɔktɔ?
If yu de tek mɛrɛsin we de mek yu blɔd tan, yu fɔ go to yu dɔktɔ ɔltɛm fɔ mek dɛn chɛk yu blɔd fɔ mek shɔ se di blɔd we de mek yu blɔd klɔt de insay di rayt say.
If yu de op fɔ gɛt bɛlɛ, i rili impɔtant fɔ tɔk to yu dɔktɔ bɔt am bifo tɛm ɛn gɛt advays.
Ustɛm a fɔ go na di Imejɛnsi Dipatmɛnt (ETU)?
Go na di ɔspitul in Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm:
- A saspek se yu gɛt blɔd klot.If i apin.
- If ɛni sayn we de sho se blɔd dɔn klɔt.
- If yu de blɔd we yu nɔ ebul fɔ kɔntrol .
Mɛsej we dɛn kin kɛr go na os
- Antiphospholipid Syndrome (APS) na wan sik wae de mek yu blɔd klot bikɔs yu yone imyun sistɛm de atak yu bɔdi.
- Dis nɔto natin fɔ fred, ɛn dɛn kin kɔntrol am fayn fayn wan wit di rayt tritmɛnt (especially blood thinners).
- Pan ɔl we di bɛlɛ kin kɔmɔt na di bɛlɛ ɛn ɔda prɔblɛm dɛn kin apin we uman gɛt bɛlɛ, i pɔsibul fɔ bɔn pikin dɛn we gɛt wɛlbɔdi ɔnda di rayt dɔktɔ we de kia fɔ am.
- If yu gɛt sɔm sayn dɛn we de sho se yu blɔd dɔn rɔtin, lɛk we yu chɛst de pen, i nɔ izi fɔ blo, ɔ yu leg de swel, tek am se na imejensi ɛn go na ɔspitul wantɛm wantɛm.
- I rili impɔtant fɔ fala yu dɔktɔ in instrɔkshɔn dɛn gud gud wan ɛn fɔ de chɛk yu ɔltɛm.
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