Yu smɔl pikin in poop de drɔp ɔltɛm? Yu nɔ tink se i bad we i dɔn de go fɔ tu ɔ tri dez? Sɔntɛnde, as mama ɛn papa, wi kin wɔri smɔl we wi si tin dɛn lɛk dis? Ɛspɛshali we na pikin we dɛn jɔs bɔn, wi kin rili wɔri bɔt ɛni smɔl chenj we de apin to am. So, tide wi go tɔk bɔt wan sik wae nɔr kin bɔrku wae de sho di sem kayn sik.
Wetin na ``Autoimmune Enteropathy''? Lɛ wi ɔndastand am simpul wan, nɔto so?
Fɔ tɔk am simpul wan, `(Autoimmune Enteropathy)` na wan sik we nɔ kin apin so ɔltɛm we wi bɔdi in yon difɛns sistɛm, dat na di imyun sistɛm, kin mistek atak wi yon intestinal . Imajin wetin go apin ya, if di ami we fɔ protɛkt wi kɔntri, atak wan impɔtant ples na wi yon kɔntri. Dis kin afɛkt yɔŋ pikin dɛn mɔ. Bɔt i kin kam bak pan big pipul dɛn wan wan tɛm.
we pikin dεn gεt dis sik, dεn poop kin wata εn i kin kכntinyu. Dis dayarɛa nɔ kin stɔp afta tu ɔ tri dez. Dɛn sayn ya kin bigin fɔ sho bitwin tu ɛn 4 wik afta dɛn bɔn di pikin.
Wetin kin apin we di imyun sistɛm pwɛl di insay dis we? di bכdi nכ kin ebul fכ tek di nyutriεnt dεm frכm di mama in milk כ fכmula we di pikin de drink. Bifo dat, ɔl dɛn tin dɛn de kin kɔmɔt na di bɔdi as dayarɛa. Dis kin mek di pikin nɔ gɛt wata, we min se dɛn nɔ gɛt wata. Dɔn bak, di pikin nɔ kin gɛt wet lɛk aw dɛn bin de tink.
If yu kɛr yu pikin fɔ go chɛk di pikin ɔltɛm, di dɔktɔ we de mɛn pikin dɛn kin si ɛni prɔblɛm wit yu pikin in growth ɔ wɛlbɔdi. Bɔt if yu notis ɛni chenj na yu pikin in poop, nɔ de te fɔ tɛl di dɔktɔ.
dis kכndyushכn we dεn kכl ``Autoimmune Enteropathy,'' dεn kin trit am wit mεdikeshכn dεm we de ridyus כ stכp di imyun sistεm fכ atak di intestines.
Aw dis sik kin bɔku?
Autoimmune Enteropathy na rili wan sik we nɔ kin bɔku. Masta sabi bukman dɛn se if yu luk ɔlsay na di wɔl, na lɛk wan pan ɛvri ɔndrɛd tawzin pikin dɛn kin gɛt dis sik. Pan ɔl we big pipul dɛnsɛf kin gɛt dis sik, i nɔ kin bɔku pas pikin dɛn. So nɔ fred we yu yɛri bɔt dis.
Wetin na di simptom dɛm fɔ `(Autoimmune Enteropathy)`?
di men sayn na we yu de muv yu bכdi we nכ de sכt, we de kכmכt na wata (dayariya) insted fכ di sכft sכft sכlt we nyu bכn pikin dεm εn yכŋ pikin dεm nכmal fכ pas.
Wan ɔda sayn na we yu nɔ de ebul fɔ pis (nɔ de pis). Di pikin we dɛn jɔs bɔn fɔ gɛt at le fayv to siks wet dayapɛt ɛvride. If yu gɛt smɔl wet dayapɛt pas dat, dat kin bi sayn fɔ se yu pikin nɔ gɛt wata na yu bɔdi.
Imajin, nɔmal wan pikin kin poop bɔku tɛm insay di de, ɛn i tik smɔl ɛn gɛt kɔlɔ. Bɔt insay dis kes, di poop na jɔs wata. Ɛn di pikin kin rili nɔ fil fayn ɛn i kin kray.
Wetin kin mek `(Autoimmune Enteropathy)`?
Masta sabi bukman dɛn stil nɔ no di rayt rizin. כltu, di pikin dεm we gεt כtoimyun εnteropati gεt wan praymar imyun dεfisiεns we de pwεl di villi dεm na dεn sכmכl intestin.
Yu sabi wetin na dis `(villi)`? Na di smɔl smɔl tin dɛn we tan lɛk ia we de layn di wɔl dɛn na yu pikin in smɔl intestinal. Dɛn tan lɛk di fayv dɛn we de na smɔl kap. di men wok we dεn de du na fכ tek di it dεm we yu pikin de it (bכbi milk כ fכmula) εn sεnd dεn nyutriεnt dεm to yu pikin in bכdi. So we dεn `(villi)` dεm dεn dכn pwεl, di nyutriεnt dεm nכ de rich na di bכdi.
Wetin na de prɔblɛm wae kin kam wit dis sik?
Autoimmune Enteropathy kin mek difrɛn kɔmplikɛshɔn dɛn. Sɔm pan dɛn na:
- Di wata we nɔ de na di bɔdi: Di wata we de na di bɔdi de go dɔŋ bikɔs i de vɔmit ɔltɛm. Dis kin rili denja fɔ yɔŋ bebi dɛn.
- haypoproteinemia: di protin lεvεl dεm we de lכw na di bכdi bikoz fכ di nyutriεnt dεm we dεn nכ de abzכp fayn.
- Infεkshכn we kin apin bכku tεm: Bikɔs di imyun sistεm nɔ de wok fayn εn i nɔ de it fayn, di pikin dεm kin sik.
- Malabsorption: Dis na di men prɔblɛm. biכs di intestin dεm we dεn dכn pwεl, nכ nyutriεnt nכ de abzכp insay di bכdi.
Dɛn prɔblɛm ya kin mek di pikin nɔ gro fayn, i kin lɛf fɔ it bɔku bɔku it dɛn, ɛn i kin sik ɔltɛm.
Aw dɔktɔ dɛn kin no se pɔsin gɛt Autoimmune Enteropathy?
Yu dɔktɔ we de mɛn pikin dɛn go aks yu bɔt di sik dɛn we yu pikin gɛt ɛn du yu bɔdi ɛgzam. Dɔn dɛn kin ɔda tɛst dɛn lɛk:
- Blɔd tɛst: Fɔ no ɛni patikyula tin we nɔ fayn na di imyun sistɛm.
- Flɔ Saytometri: Dis na we fɔ chɛk sɛmpul dɛn fɔ di imyun sistɛm sɛl dɛn we dɛn de yuz spɛshal lɛsa bim dɛn.
Apat frɔm dat, yu dɔktɔ kin sɛn yu to dɔktɔ we de mɛn yu bɛlɛ, ɛn i kin du tɛst dɛn lɛk fɔ tek smɔl intestin biopsy . Yu dɔktɔ we de mɛn pikin dɛn kin sɛn yu bak to spɛshal pɔsin we gɛt di sik dɛn we de mek yu bɔdi ebul fɔ fɛt dɛnsɛf.
Aw dɛn kin trit `(Autoimmune Enteropathy)`?
if dεn no se yu pikin gεt dis kכndyushכn, i go bi se dεn go gi am wata εn nyutrishכn insay in bכdi (tru wan vein - ``IV``) . Dis min se yu fɔ gi dɛn salin, bikɔs di bɔdi nɔ kin ebul fɔ absɔb ɛnitin we dɛn gi dɛn wit mɔt.
Apat frɔm dat, dɛn kin gi mɛrɛsin fɔ mek di imyun sistɛm nɔ atak di pikin in smɔl intestin. Sɔm patikyula mɛrɛsin dɛn na:
- Kɔtikosterɔyd dɛn:Dis na pawaful kayn mɛrɛsin we de ridyus di wok we di imyun sistɛm de du.
- Immunomodulators: Dis na mεdikeshכn dεm we de εp fכ ridyus di damej bay we dεn de chenj di wok we di imyun sistεm de du.
Sɔntɛnde, if dɛn tritmɛnt ya nɔ mek di tin dɛn we dɛn want, dɔktɔ dɛn kin yuz mɔ kɔmpleks tritmɛnt dɛn lɛk fɔ transplant stem sɛl . Bɔt dis kin dipen mɔ pan di pikin in kɔndishɔn.
Wetin a fɔ ɛkspɛkt if mi pikin gɛt `(Autoimmune Enteropathy)`?
Nɔto ɔl pikin dɛn na di sem, so wetin yu go ɛkspɛkt go difrɛn difrɛn wan bay aw dɛn sik. Sɔntɛnde, mɛrɛsin dɛn we de protɛkt di pikin in smɔl intestinal frɔm di atak we di imyun sistɛm atak kin ɛp in bɔdi fɔ tek di tin dɛn we i nid.
Bɔt pikin dɛn we gɛt dis sik kin gɛt prɔblɛm wit dɛn imyun sistɛm. If yu pikin gɛt dis sik, i kin nid fɔ gɛt difrɛn kayn tritmɛnt ɛn fɔ gɛt mɛrɛsin fɔ lɔng tɛm . Fɔ ɛgzampul, yu pikin in dɔktɔ kin tɛl yu fɔ transplant stem sɛl.
Sɔmtɛm lɛk dis, i impɔtant fɔ abop pan yu dɔktɔ dɛn ɛn fala dɛn advays. Dɔn bak, aks yu dɔktɔ ɛni kwɛstyɔn ɔ tin we de mɔna yu.
Ustɛm a fɔ kɔntak mi pikin in pikin dɛn?
If dɛn no se yu pikin gɛt Autoimmune Enteropathy, ɛn yu notis ɛni chenj na di frɛkuɛns we i de pis ɛn pul di dɔti – fɔ ɛgzampul, di nɔmba fɔ di wet dayapɛt dɛn de go dɔŋ – yu fɔ kɔntak yu pikin in pikin dɔktɔ wantɛm wantɛm. Di wata we nɔ de na di bɔdi kin rili denja fɔ yɔŋ bebi dɛn. Dɔn bak, if dayarɛa bɔku ɔ yu pikin gɛt ɔda sayn dɛn lɛk fiva, go to dɔktɔ wantɛm wantɛm.
Us kwɛstyɔn dɛn a fɔ aks mi pikin in dɔktɔ we de mɛn pikin dɛn?
Bikɔs Autoimmune Enteropathy na sik we nɔ kin bɔku, yu nɔ go no bɔku tin bɔt am. So, na sɔm kwɛstyɔn dɛn ya yu kin aks yu dɔktɔ:
- Yu no wetin mek mi pikin gɛt dis sik? (Sɔntɛm wi nɔ no di rayt rizin, bɔt i fayn fɔ no.)
- Us kayn tritmɛnt mi pikin nid?
- Wetin na di bad tin dɛn we dɛn tritmɛnt ya kin du? Aw dɛn de manej dɛn?
- Aw lɔng mi pikin go nid tritmɛnt?
- Wetin na sɔm tin dɛn we a fɔ tek tɛm wit mɔ we a de kia fɔ mi pikin na os?
- Dis sik kin afɛkt di pikin in divɛlɔpmɛnt tumara bambay?
Apat frɔm dɛn kwɛstyɔn ya, nɔ fred fɔ tɔk to yu dɔktɔ bɔt ɛnitin we de na yu maynd.
Aw kɔmɔn tin fɔ Autoimmune Enteropathy pan big pipul dɛm?
i rili rare fכ big pipul dεm fכ divεlכp ``Autoimmune Enteropathy''.Bɔt, i nɔ kin izi fɔ tɔk ustɛm dɛn bɔku. Dɔktɔ dɛn na wan ɔspitul bin ripɔt se insay 16 ia, na 13 pipul dɛn nɔmɔ dɛn dɔn no se gɛt Autoimmune Enteropathy. Dɛn ɔl 13 bin gɛt sɔm ɔda sik we dɛn kin gɛt we dɛn de fɛt dɛnsɛf.
Fɔ dɔn, wan smɔl mɛsej to mama ɛn papa dɛn
If yu gɛt smɔl pikin, i nɔmal fɔ mek yu wɔri if wan de yu pikin in poop lɔs pas aw i kin pis, ɔ if dɛn nɔ kin pis bɔku tɛm. Nɔ panik di tɛm dɛn lɛk dis.
If yu gɛt dayarɛa wan wan tɛm ɔ yu nɔ de pis smɔl wan de, dat nɔ kin mek yu wɔri. i go bi se dεn sכm sכm chenj dεm ya na yu pikin in dijestiv sistεm nכto sayn fכ wan siriכs kכndyushכn lεk ``Autoimmune Enteropathy''. Bɔt if yu pikin in stɔl ɔ in urine chenj nɔ bɛtɛ afta sɔm dez, i fayn fɔ tɔk to yu pikin dɛn dɔktɔ. Dat go mek yu gɛt kolat na yu maynd. Mɛmba se i fayn ɔltɛm fɔ go to dɔktɔ.
Di tin dɛn we impɔtant pas ɔl fɔ mɛmba (Take-Home Message) .
- Autoimmune Enteropathy na sik we nɔ kin apin so ɔltɛm we di bɔdi in yon imyun sistɛm kin atak di intestinal dɛm.
- Di men sayn na we yu kin gɛt wata ɔltɛm, mɔ pan yɔŋ pikin dɛn.
- Dis kin mek yu gɛt prɔblɛm dɛn lɛk we yu nɔ de tek di tin dɛn we yu nid fɔ it fayn, we yu nɔ gɛt wata na yu bɔdi, ɛn we yu nɔ de gɛt bɔku bɔku bɔdi.
- Fɔ no di sik kin nid fɔ du blɔd tɛst, Flow Cytometry, ɛn sɔntɛm Smɔl Intestin Bayopsi.
- di tritmεnt inklud fכ it intravenכs εn mεdikeshכn dεm we de kכntro di imyun sistεm (`Corticosteroids`, `Immunomodulators`).
- If yu pikin in stɔl ɔ in urine kɔntinyu fɔ sho chenj dɛn we nɔ kɔmɔn, go to dɔktɔ we de mɛn pikin dɛn wantɛm wantɛm. Nɔ panik, ɛn fala di rayt advays we di dɔktɔ gi yu.
👩🏽 ⚕️ Ɔda kwɛstyɔn dɛn (FAQ dɛn)
💬 Autoimmune Enteropathy na sik we de mek pikin dɛn gɛt alɛji fɔ milk?
Nɔ! Dis nɔto alɛji fɔ milk ɔ it. Dis na ‘ɔtoimyun’ sik we nɔ kin bɔku. dis na di sik we de mek wi bכdi in imyun sistεm we de kil jεm dεm, de kray εn atak εn pwεl di sεl dεm na wi כwn ‘smכl intestכn’ kכmplit wan.
💬 Us bad tin dis kin du to di pikin? Wetin na di sayn dɛm we de sho se yu gɛt dis sik?
we di intestinal sεl dεm dכn pwεl, nכ it כ wata nכ de go insay di bכdi. fכ dat, di pikin nכ kin tכlerεt am kכntinyu εn i kin bigin fכ gεt ‘krכnik siriכs dayariya’. Apat frɔm dis, di pikin kin lɔs in wet (i nɔ kin ebul fɔ gro fayn fayn wan), di bɔdi kin lɔs wata (we nɔ kin gɛt wata na in bɔdi), ɛn di pikin kin sik bad bad wan.
💬 Wetin na di mɛrɛsin wae de fɔ mɛn dis siriɔs sik?
Dis nɔ kin wɛl bay we yu chenj di it we yu de it (nɔ it gluten). biכs fכ wan imyun sistεm prכblεm, dεn fכ gi di pikin fכ lכng tεm ‘immune suppressant’ drog dεm (Steroids / Immunosuppressants - Tacrolimus/Infliximab) fכ stכp di bכdi fכ atak in כwn intestכn dεm. insay dis tεm, dεn de gi di pikin it bay IV Nutrition/TPN, we na wan likwid fכm fכ it we dεn de gi dεn wan dεm dairekt insay di bכdi insted fכ gi am insay di intestכn dεm.
` Awtoimyun εnteropati, bεlε we de at, blo, dayariya, sik dεm we pikin kin gεt, imyun sistεm, nyutrishכnal dεfisiεns











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