Yu kin fil taya bak ɔltɛm? Yu kin gɛt diziz ivin afta yu dɔn waka fɔ sɔm tɛm? Sɔntɛnde, yu skin kin chenj in kɔlɔ ɛn luk yɔlɔ? Dɛn tin ya kin bi sayn fɔ se pɔsin kin gɛt kɔmɔn anemia. Bɔt sɔntɛnde, wan mɔ kɔmplikɛt stori de biɛn am. Na wan kayn tin wae nɔr kin apin wae yu bɔdi in yone difens sistɛm kin bigin fɔ fɛt wɔ agens yu yone blɔd sɛl dɛm. Na dat wi de tok abaut tide.
Wetin na Ɔtoimyun Ɛmolaytik Anemia (AIHA)?
Fɔ tɔk am simpul wan, Autoimmune Hemolytic Anemia (AIHA) na wan sik we wi bɔdi in imyun sistɛm kin mistek atak ɛn pwɛl wi yon wɛlbɔdi rɛd blɔd sɛl dɛn.
Tink bɔt am, wi rɛd blɔd sɛl dɛn na smɔl smɔl motoka dɛn we de kɛr ɔksijɛn go ɔlsay na di bɔdi. Dɛn kin mek dɛn na wan faktri we dɛn kɔl bon mɛro insay wi bon dɛn. If yu avrej, wan rɛd blɔd sɛl kin liv fɔ lɛk 120 dez so.
Bɔt pan pɔsin we gɛt AIHA, di imyun sistɛm we tan lɛk bɔdi in difens sistɛm kin si dɛn rɛd blɔd sɛl ya as ɛnimi sɛl. afta dat, dεn difεns sistεm dεm, dat na di antibodi dεm, de kech εn pwεl dεn rεd bכdi sεl dεm ya. di rεt we dis de dכn de pwεl fast pas aw di bon mכro kin mek nyu rεd blכd sεl dεm. Sɔntɛnde, wan sɛl we dɛn se go liv fɔ 120 dez, i kin pwɛl insay jɔs sɔm dez. So, di bכdi nכ de gεt di כksijεn we i nid εn di sayn dεm lεk fכ taya εn wik de bigin fכ sho.
Wetin na di men kayn AIHA?
AIHA kin sheb mɔ to tu kayn, i dipen pan aw di bɔdi de riak we di tɛmpracha de.
- Warm Autoimmune Hemolytic Anemia: Dis na di kayn we we dɛn kin gɛt mɔ. insay dis, di imyun sistεm de pwεl di rεd bכdi sεl dεm we di nכmal bכdi tεmprachכ כ pas am. dis kin kכz fכ wan spεsifi k tכp antibodi we dεn kכl IgG.
- Kol Ɔtoimyun Ɛmolaytik Anemia (Kol Agglutinin Disease - CAD): Dis na wan kayn we we nɔ kin apin so ɔltɛm. Insay dis, di rɛd blɔd sɛl dɛn kin pwɛl we di bɔdi de na kol. Bɔku tɛm na di tɛmpracha we smɔl lɛk 3-4 digri sɛlshiɔs. dis kin kכz fכ wan kayn antibodi we dεn kכl IgM.
Di impɔtant tin na dat, dis nɔto sik we pɔsin kin pas. Yu nɔ go ebul fɔ kech am frɔm ɔda pɔsin, ɛn yu nɔ go ebul fɔ spre am to ɔda pɔsin. Bɔt sɔm pan di vayral infɛkshɔn dɛn we kin mek pɔsin gɛt dis sik kin pas am.
Wetin na di sayn dɛm fɔ dis sik?
Bɔku pan di sayn dɛm fɔ AIHA tan lɛk di wan dɛm wae kin gɛt kɔmɔn anemia. Sɔm pipul dɛn nɔ kin gɛt ɛni sayn atɔl.
| Di sayn we de sho se di sik de | Tɔk bɔt |
|---|---|
| Taya ɛn wik | Di sayn wae kin kam pan pɔrsin na wae pɔrsin nɔr gɛt ɔksijɛn na in bɔdi. |
| At bit kwik kwik wan (Tachycardia) . | Bikɔs di at de wok kwik kwik wan fɔ kɔmpɛns di ɔksijɛn we nɔ de. |
| I nɔ izi fɔ blo (dyspnea) . | Ɛspɛshali we yu de du smɔl smɔl wok dɛn ɔ we yu de waka. |
| Pale ɔ yɔlɔ na di skin ɛn yay (Jaundice) . | Bilirubin, we na wan tin we dɛn kin mek we di rɛd blɔd sɛl dɛn brok, kin mek di skin ɛn di wayt pat na di yay tɔn yɔlɔ. |
| Dak urine | Yurin we na di kɔlɔ fɔ ti wata ɔ kola. |
| Spleen we dɔn big | Di splin kin swel ɛn fil se i dɔn blo as i de wok ova tɛm fɔ pul di rɛd blɔd sɛl dɛn we dɔn pwɛl. |
| Apat frɔm dis, di wan dɛn we gɛt Kol AIHA (CAD)... | |
| Kol an ɛn fut ɛn di kɔlɔ we de chenj | Blu ɔ rɛd kɔlɔ de chenj na di finga ɛn fut finga dɛn we yu de na kol. |
| Ed pen ɛn bak pen | Kol kin mek yu gɛt prɔblɛm wit di we aw yu blɔd de go. |
Wetin kin mek pɔsin gɛt AIHA?
Sɔntɛnde, dɛn nɔ kin ebul fɔ fɛn ɛni patikyula rizin. Wi de kɔl dis Praymari AIHA. Bɔt bɔku tɛm i kin kam wit ɔda mɛrɛsin ɔ mɛrɛsin (Sɛkɔndari AIHA).
Bɔku men rizin dɛn de:
- Ɔda sik dɛn we de mek pɔsin nɔ ebul fɔ fɛt insɛf: Pipul dɛn we gɛt ɔda sik dɛn we pɔsin kin gɛt we i de fɛt, lɛk lupus, kin gɛt AIHA.
- Sɔm kayn kansa: mɔ di kansa dɛn we gɛt fɔ du wit blɔd lɛk Chronic Lymphocytic Leukemia ɛn Non-Hodgkin Lymphoma .
- Vayral ɛn baktriyal infɛkshɔn: Infɛkshɔn lɛk Epstein-Barr vayrɔs (di vayrɔs we de mek pɔsin gɛt mononucleosis, we tan lɛk kol), Cytomegalovirus , HIV , ɛn Mycoplasma pneumoniae .
- Sɔm mɛrɛsin dɛm: Sɔm antibayɔtik dɛm (e.g., penisilin) ɛn ɔda mɛrɛsin dɛm kin mek dis sik bak. So, i rili impɔtant fɔ tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek.
Aw yu go no if yu gɛt AIHA?
If yu gɛt dɛn sik ya, mek shɔ se yu go to yu dɔktɔ . I go aks yu bɔt yu sik dɛn, di mɛrɛsin dɛn we yu de tek, ɛn chɛk yu. If nid de, dɛn go rifer yu to dɔktɔ we de mɛn yu blɔd.
Dɛn kin du bɔku blɔd tɛst dɛn mɔ fɔ kɔnfɔm AIHA.
- Kɔmplit Blɔd Kɔnt (CBC): Dis kin chɛk yu rɛd blɔd sɛl, wayt blɔd sɛl, ɛn pletlɛt kɔnt. If yu nɔ gɛt bɔku rɛd blɔd sɛl, dat kin sho se yu nɔ gɛt bɛtɛ blɔd.
- Peripheral Smear: Dɛn kin chɛk blɔd sɛmpul ɔnda maykroskɔp fɔ si di shep we di rɛd blɔd sɛl dɛn gɛt ɛn if dɛn dɔn pwɛl.
- rεtikulכsayt kכnt: dis de mכsu di nכmba fכ di rεd bכdi sεl dεm we nכ machכ we di bon mכro de mek. If dis 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.
- Coombs in Test: Dis na di test we impɔtant pas ɔl fɔ no if pɔsin gɛt AIHA. I kin no if yu bɔdi de mek antibodi dɛn we de agens di rɛd blɔd sɛl dɛn.
- Ɔda tɛst dɛn: Apat frɔm dat, dɛn kin du tɛst dɛn lɛk Bilirubin ɛn Haptoglobin.
Wetin na di tritmɛnt dɛm fɔ AIHA?
If yu sik nɔr tranga, yu nɔr nid tritmɛnt. Bɔt, yu fɔ de ɔnda dɔktɔ we de kia fɔ yu ɔltɛm. If sɔm sayn dɛn de ɔ if di anemia rili bad, dɛn go bigin fɔ trit am.
- Stɛroyd: Stɛroyd lɛk prɛdnisolon na di fɔs tritmɛnt. Dɛn tin ya de stɔp di imyun sistɛm we de wok pasmak ɛn stɔp di pwɛl pwɛl we di rɛd blɔd sɛl dɛn de pwɛl.
- Ɔda mɛrɛsin dɛn we de kɔntrol di imyun sistɛm (Immunosuppressants): If di sik nɔ de ansa to stɛroyd, dɛn kin yuz drɔgs lɛk Rituximab ɛn Azathioprine.
- Splenectomy: Insay kes dɛm we di mɛrɛsin nɔ de wok, mɔ na wam AIHA, dɛn kin ɔpreshɔn di splin, we na di say we bɔku pan di rɛd blɔd sɛl dɛn kin pwɛl.
- Blɔd Transfyushɔn: If di anemia rili bad ɛn i kin mek pɔsin in layf de pan denja, i kin nid fɔ tek blɔd.
- Vitamin ɛn tin dɛn we de ɛp yu fɔ it: Yu dɔktɔ kin tɛl yu tin dɛn lɛk fɔlik asid, we yu nid fɔ mek rɛd blɔd sɛl dɛn. Nɔ ɛva tek ɛni vaytamɛn we yu nɔ go to yu dɔktɔ.
Speshal advays fɔ di wan dɛn we gɛt Kol AIHA
If yu gɛt wan kayn pɔsin we kin fil lɛk kol, i rili impɔtant fɔ protɛkt yusɛf frɔm di kol .
- Wear glɔv we yu de pul tin dɛn na frij ɔ friza.
- We yu de go na do pan kol de, drɛs fayn, wɛr hat, ɛn mufla.
- Nɔ tɔn di AC dɔŋ tumɔs na os.
- Bifo yu go insay di motoka pan kol de, stat am fɔ sɔm tɛm ɛn mek di insay pat wam.
Us prɔblɛm dɛn kin apin if dɛn nɔ trit am?
If dɛn nɔ kɔntrol AIHA, siriɔs prɔblɛm dɛn kin apin.
- Blɔd Klɔt: I kin izi fɔ mek blɔd klɔt, mɔ na di leg ɛn lɔng. If blɔd klɔt na di lɔng dɛn (Pulmonary Embolism) kin mek pɔsin in layf de pan denja.
- At sik: If yu nɔ gɛt blɔd fɔ lɔng tɛm, dat kin mek di at wik bikɔs di at gɛt fɔ wok tranga wan.
- Kidni damej: If yu pwɛl di rɛd blɔd sɛl dɛn pasmak, dat kin mek yu kidni pwɛl.
Mɛsej we dɛn kin kɛr go na os
- Autoimmune Hemolytic Anemia (AIHA) na wan sik we yu yon imyun sistɛm kin mistek pwɛl yu rɛd blɔd sɛl dɛn.
- If yu gɛt sɔm sayn dɛn lɛk fɔ taya wantɛm wantɛm, yu ed de tɔn, ɔ yu skin ɔ yu yay de yɔlɔ, nɔ ignore am ɛn go to dɔktɔ wantɛm wantɛm.
- Dis nɔto sik we pɔsin kin pas. So, nid nɔ de fɔ mek di pɔsin we sik nɔ de nia ɔda pipul dɛn ɔ fɔ fred am.
- Pan ɔl we dis sik nɔ go ebul fɔ wɛl ɔl, tritmɛnt dɛn de we rili fayn we go ɛp fɔ kɔntrol di sik ɛn alaw yu fɔ liv nɔmal layf.
- I rili impɔtant fɔ fala di dɔktɔ in instrɔkshɔn dɛn gud gud wan, tek yu mɛrɛsin lɛk aw dɛn tɛl yu fɔ it, ɛn it tin dɛn we gɛt fayn fayn tin dɛn fɔ it.
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