Yu kin blɔd bak izi wan? Yu kin brus izi wan? Lɛ wi lan bɔt Bleeding Diathesis!

Sɔntɛnde yu kin fil lɛk se yu de blɔd pas aw yu tink, ivin we yu kɔt am smɔl? Ɔ yu jɔs de tɔn blu ɛn brus? Ɔ yu gam kin blɔd ɔltɛm we yu de brus yu tit? If yu gɛt dɛn tin ya, yu kin gɛt di abit bak fɔ mek yu blɔd pas aw yu kin blɔd . Tide wi go tɔk bɔt dis kɔndishɔn (Bleeding Diathesis). Nɔ wɔri, i rili impɔtant fɔ no bɔt dis.

Wetin na dis (Bleeding Diathesis), Dɔktɔ?

Fɔ tɔk am simpul wan, Bleeding Diathesis na wan sik we yu bɔdi kin blɔd izi wan ɛn pas aw i kin blɔd. Di wɔd "diathesis" kɔmɔt frɔm di Grik langwej, we min se pɔsin kin lɛk fɔ gɛt wan patikyula kɔndishɔn.

Dis blɔd kin bi insay (internal bleeding) ɔ eksternal (external bleeding). Blɔd we de kɔmɔt insay pɔsin in bɔdi na blɔd we wi nɔ de si. Blɔd we de kɔmɔt na do na blɔd we de kɔmɔt frɔm injuri. Sɔntɛnde, yu kin brus fɔ no rizin. Bɔku rizin dɛn kin de fɔ dis. I kin bi blɔd dizayd ɔ wan sik we pɔsin kin gɛt frɔm in jɛnɛtiks. Di gud nyus na dat dɔktɔ dɛn kin kɔntrol dis blɔd ɛn trit di ɔndalayn kɔndishɔn we de mek i gɛt am.

Aw a go no if dis de apin to mi? Wetin na di sayn dɛm we de sho se yu gɛt dis sik?

If yu gɛt wan sik we dɛn kɔl Bleeding Diathesis, yu kin brus ɔ blɔd izi wan. Chek fɔ si if yu gɛt ɛni wan pan dɛn sik ya:

• Gɔm we de blɔd: Yu kin gɛt blɔd na yu tut brɔsh ɔ flos we yu de brus ɔ flos bitwin yu tit? Yu tink se dis kin apin bɔku tɛm?
• Blɔd we de kɔmɔt pasmak: Yu kin blɔd pas aw yu go blɔd, ivin if yu wund smɔl? Ɔ i at fɔ stɔp di blɔd we de kɔmɔt? Yu kin blɔd pas aw yu kin blɔd, lɛk afta yu bɔn pikin ɔ afta dɛn dɔn du yu ɔpreshɔn?
• Menorrhagia: Yu kin de fɔ sɔm dez ɛvri mɔnt? Yu tink se i ebi pas aw i kin bi? Big big blɔd klɔt de?
• Blɔd we de kɔmɔt na di jɔyn dɛn (Hemarthrosis): Imajin, wan jɔyn lɛk yu ni ɔ yu ɛlb kin swel wantɛm wantɛm, i kin fil pen, ɛn i kin fil wam we yu tɔch am? Dis kin apin we blɔd de go insay di jɔyn.
• Blak stɔl (Melena): Yu stɔl dɛn dak blak, lɛk tar? Dis kin bi sayn fɔ se blɔd de kɔmɔt na di ɔp pat na yu dijestiv sistɛm, lɛk yu ɛsophagus ɔ yu bɛlɛ.
• sכm sכm rεd spat dεm na di sכm pat pan di skin `(Petechiae)`: Yu gεt sכm sכm rεd spat dεm na yu skin, כ fכ se כnda di skin, we lεk se na sכmכl pin bin prik dεm?
• Blɔd spat dɛn ɔnda di skin `(Purpura): Yu tink se rɛd, pepul, ɔ brawn spat dɛn de ɔnda di skin we de sho lɛk blɔd we de lik frɔm smɔl smɔl blɔd vesel dɛn? Dɛn wan ya big smɔl pas `Petechiae`.
• Nɔs blɔd we nɔ gɛt ɛni rizin (Epistaxis):Yu nos de blɔd ivin we yu jɔs tinap? Sɔntɛnde, i kin blɔd sote i nɔ kin izi fɔ lɛ i stɔp?

Impɔtant: If yu kin gɛt wan ɔ mɔ pan dɛn sik ya ɔltɛm, i rili impɔtant fɔ go to dɔktɔ fɔ advays.

Wetin mek wi kin gɛt blɔd mɔ lɛk dis? Wetin na di rizin dɛn?

Bɔrku tɛm, blɔd dayatɛsis kin kam bikɔs ɔf wan ɔndalayn mɛdikal kɔndishɔn. Dɔktɔ dɛn kin put dɛn tin ya we kin mek pɔsin gɛt dis sik insay difrɛn men grup dɛn. Lɛ wi tek wan luk pan wetin dɛn bi.

Dizayd we kin mek pɔsin blɔd

Dis min se yu blɔd nɔ de klɔt nɔmal wan, so yu de blɔd pas aw i fɔ blɔd. Sɔm ɛgzampul dɛn bɔt dis na:

• di tin dεm we de mek yu nכ gεt fibrinogen: Fibrinogen na wan protin we de εp fכ blכd kכlכt. Dɔktɔ dɛn kin kɔl am bak wan tin we kin mek pɔsin klot ɔ we kin mek pɔsin kɔagul. If yu nɔ gɛt inof fibrinogen na yu bɔdi, ɔ if di fibrinogen we yu gɛt nɔ de wok fayn, yu kin blɔd izi wan ɔ yu nɔ kin ebul fɔ stɔp fɔ blɔd.
• Ɛmofilia: Dis na sik we nɔ kin apin so ɔltɛm, we kin mek di blɔd nɔ klɔt fayn bak.
• Liva sik: As di liva sik de go bifo, blɔd pasmak ɛn brus kin apin. Dis na bikɔs sɔm pan di tin dɛn we dɛn nid fɔ mek blɔd klɔt na di liva de mek dɛn.
• Von Willebrand disease: Dis na wan sik wae de mek blɔd nɔr de rɔtin fayn, lɛk ɛmofilia, bɔt i kin mɔna.

Ɔda prɔblɛm dɛn we kin mek pɔsin blɔd klɔt

Sɔm prɔblɛm dɛn de we kin mek di blɔd klɔt we kin mek di bɔdi mek blɔd we nɔ nid. Bɔt i sɔprayz fɔ no se sɔntɛnde dɛn tin ya kin mek pɔsin blɔd we i nɔ ebul fɔ kɔntrol. Dis na bikɔs di tin dɛn we de mek di blɔd klɔt, dɛn kin yuz am tumɔs. Ɛgzampul dɛn:

• Disseminated Intravascular Coagulation (DIC): Dis na wan sik we rili siriɔs. I kin apin as kɔmplikeshɔn fɔ ɔda siriɔs mɛdikal kɔndishɔn. If dɛn nɔ trit am kwik, i kin mek pɔsin in layf de pan denja.
• Thrombocythemia: Insay dis sik, yu blɔd pletlɛt dɛn nɔ kin wok fayn, ɛn sɔntɛnde i kin mek yu blɔd bɔku.

Dizayd dɛn we de na di pletlet

Plɛtlɛt na sɛl dɛn we de ɛp fɔ stɔp blɔd we yu gɛt wund. Prɔblɛm kin apin bak wit dɛn pletlɛt ya.

• Trombocytopenia: Dis na we di nɔmba fɔ di blɔd pletlɛt dɛn de dɔŋ. Dis kin mek i izi fɔ mek yu brus ɛn mek i nɔ izi fɔ lɛ yu stɔp fɔ blɔd.
• Trombosaytɔsis: .Dis kin apin bikɔs di pletlɛt dɛn we de na di blɔd de bɔku. Dis kin mek bak di blɔd nɔ kin klɔt fayn ɛn sɔntɛnde i kin mek i blɔd.

Vaskul Bliding Dizayd

Sɔntɛnde, di tin we kin mek pɔsin blɔd nɔ kin gɛt prɔblɛm wit di blɔd insɛf, bɔt na we di vein dɛn (blɔd vesel dɛn) we di blɔd de travul tru, wik.

• Cryoglobulinemia: Dis na wan sik we de insay wan grup fɔ sik dɛn we dɛn kɔl vasculitis, we kin mek di blɔd vesel dɛn inflamɛns. I kin mek pɔsin gɛt purpura (blɔd spat ɔnda di skin).
• Hereditary Hemorrhagic Telangiectasia: Dis na sik we pɔsin kin gɛt frɔm in mama ɛn papa. I gɛt fɔ du wit prɔblɛm dɛn we de na di we aw di blɔd vesel dɛn de fɔm.
• Vascular Ehlers-Danlos syndrome: Insay dis sik, di blɔd vesel dɛn kin rili wik ɛn dɛn kin brok izi wan. Dis kin mek denja blɔd insay di bɔdi, lɛk strok.

Aw dɔktɔ kin no dis kɔrɛkt wan?

We yu go to dɔktɔ wit dɛn sik ya, i go aks yu fɔs bɔt yu sik dɛn. Aw lɔng yu dɔn gɛt dɛn ɛn aw dɛn rili bad. Dɔn dɛn go du ɛgzam fɔ dɛn bɔdi. Dɛn go aks yu bak if yu gɛt ɛni ɔda mɛrɛsin ɛn if ɛnibɔdi na yu famili dɔn gɛt dɛn kayn prɔblɛm ya we gɛt fɔ du wit blɔd. Apat frɔm dat, dɛn kin du sɔm tɛst dɛn lɛk:

• Complete Blood Count (CBC): Dis de sho di nɔmba fɔ difrɛn kayn sɛl dɛn (rɛd sɛl, wayt sɛl, ɛn pletlɛt) na di blɔd.
• Peripheral Blood Smear (PBS): Dis min se yu fɔ luk di blɔd sɛmpul ɔnda maykroskɔp fɔ chɛk di shep ɛn saiz fɔ di sɛl dɛn.
• Prothrombin Time (PT) test: Dis de sho aw lɔng i tek fɔ mek blɔd klot.
• Partial Thromboplastin Time (PTT) test: Dis na ɔda tɛst we de sho aw blɔd ebul fɔ klɔt.

Bay di rizɔlt fɔ dɛn fɔs tɛst ya, if di dɔktɔ tink se wan patikyula sik de, i kin ɔda fɔ mek dɛn du mɔ spɛshal tɛst dɛn. Fɔ ɛgzampul, if dɛn tink se i gɛt wan sik lɛk ɛmofilia, i kin ɔda fɔ mek dɛn du tɛst fɔ no if i gɛt tin dɛn we de mek di blɔd klɔt lɛk fibrinogen. Dɛn kin sɛn yu bak to dɔktɔ we de mɛn yu blɔd.

Wetin na di tritmɛnt dɛm fɔ dis?

Di tritmɛnt dipen pan wetin mek yu blɔd dayatɛsis. Bɔt fɔs, dɔktɔ dɛn go tray fɔ kɔntrol di blɔd we de kɔmɔt. Dɛn kin gi yu blɔd ɔ dɛn kin gi yu plasma fɔ tek di ples fɔ di blɔd we yu dɔn lɔs. Na da tɛm de nɔmɔ dɛn go trit di sik we de ɔnda am.

If a gɛt dis sik, wetin a fɔ ɛkspɛkt?

Bikɔs bɔku tin dɛn de we kin mek pɔsin gɛt blɔd dayatɛsis, i nɔ kin izi fɔ tɔk klia wan wetin fɔ ɛkspɛkt. Sɔm tin dɛn kin apin we nɔ de mɛn. Dis min se dɛn nɔ go ebul fɔ wɛl ɔl, bɔt tritmɛnt dɛn de we kin ɛp fɔ kɔntrol di sik dɛn (lɛk we pɔsin de blɔd). Yu prɔgnosis go difrɛn difrɛn wan bay aw yu sik, aw yu no bɔt yu sik, ɛn aw yu de trit yu. So, yu dɔktɔ go bi di bɛst pɔsin fɔ tɔk to bɔt dis.

Aw a fɔ kia fɔ misɛf?

Bleeding Diathesis kin bi bikɔs ɔf wan ɔndalayn mɛdikal kɔndishɔn. So, if yu gɛt am, na sɔm tin dɛn ya yu kin du fɔ ɛp fɔ mek yu gɛt wɛlbɔdi:

• Fɔ fala yu tritmɛnt plan ɛksaktɔli: Tek ɔl di mɛrɛsin dɛn we yu dɔktɔ tɛl yu fɔ tek di rayt tɛm.
• Atɛnd di mɛdikal chɛk-ap dɛn we dɛn dɔn sɛtul fɔ du: Yu dɔktɔ go sɛtul fɔ mek yu apɔntin. Go fɔ si am ɛvride. Da we de, i kin chɛk yu wɛlbɔdi, di kayn sik we yu gɛt, ɛn if yu tritmɛnt de wok.
• Tɛl yu dɔktɔ if yu notis ɛni chenj: Nɔ wet te yu nɛks apɔntinmɛnt, tɛl yu dɔktɔ wantɛm wantɛm if yu notis ɛni nyu sayn, lɛk nyu brus ɔ blɔd. Dis kin bi sayn fɔ sho se yu sik de wɔs.
• Tink bɔt sɔm chenj dɛn na yu layf: Yu dɔktɔ go tɛl yu fɔ fala di it we go ɛp yu at, lɛf fɔ smok, ɛn kɔntrol yu strɛs. Dɛn tin ya kin ɛp fɔ protɛkt yu ɔl yu wɛl bɔdi.
• Ɛksesaiz ɔltɛm : Ɛksesaiz kin ɛp fɔ kɔntrol strɛs. Bɔt i impɔtant fɔ aks yu dɔktɔ us kayn ɛksesaiz we fayn fɔ yu ɛn wetin yu nɔ fɔ du. Sɔm tin dɛn we yu kin du nɔ go fayn fɔ yu.

Us tɛm a nid fɔ go na ɔspitul wantɛm wantɛm?

If yu gɛt blɔd dayatɛsis, yu fɔ go na di imejensi rum wantɛm wantɛm if yu gɛt blɔd we yu nɔ ebul fɔ kɔntrol, ilɛksɛf na frɔm smɔl kɔt, blɔd we de kɔmɔt na yu nos, ɔ ɛni ɔda blɔd we yu nɔ ebul fɔ kɔntrol. Go na di ɔspitul wantɛm wantɛm.

Us kwɛstyɔn dɛn a fɔ aks di dɔktɔ?

We yu go to dɔktɔ fɔ yu prɔblɛm wit blɔd, i go fayn fɔ aks dɛn kwɛstyɔn ya:

• di dokta sabi wetin mek a de blɔd lɛk dis?
• Us ɔda tɛst dɛn a fɔ du fɔ no di rayt tin we mek dis apin?
• Ɛni spɛshal pɔsin de we a fɔ kɔntakt bikɔs ɔf di sik dɛn we a gɛt?

Bleeding diathesis na wan mεdikal tεm fכ blɔd izi εn pas nכmal. Ɔlman kin gɛt brus ɛn smɔl smɔl kɔt sɔntɛnde. Bɔt if yu de blɔd tumɔs, if yu jɔs gɛt bɔku brus, ɔ if yu de blɔd wit yu stɔl, yu fɔ rili tɔk to yu dɔktɔ. I kin tek step fɔ stɔp di blɔd ɛn fɛn di kɔz ɛn trit am.

Fɔ dɔn, tin dɛn fɔ mɛmba (Take-Home Message) .

So, a op se naw yu dɔn ɔndastand di kɔndishɔn we wi bin tɔk bɔt tide (Bleeding Diathesis). Di tin we impɔtant pas ɔl fɔ mɛmba na dat if yu de gɛt blɔd ɔ brus ɔltɛm we yu nɔ ebul fɔ ɛksplen, nɔ ignore am.

• I nɔmal fɔ mek yu blɔd smɔl wan wan tɛm frɔm smɔl skrach, ɔ smɔl we yu de brus yu tit. Bɔt if i kin apin bɔku tɛm, if di blɔd we de kɔmɔt pasmak, ɔ if i at fɔ stɔp di blɔd, na sɔntin we yu fɔ wɔri bɔt.
• We yu go to dɔktɔ ɛn tɔk bɔt dis, yu kin no wetin de mek dis sik ɛn gɛt di rayt tritmɛnt if nid de.
• Bɔku tɛm, dis blɔd we de kɔmɔt pasmak na sayn fɔ wan ɔndalayn mɛdikal kɔndishɔn. So, if yu adrɛs dis prɔblɛm kwik kwik wan, dat kin ɛp fɔ mek yu nɔ gɛt siriɔs prɔblɛm dɛn.

Tek kia ɔf yu wɛlbɔdi. If yu gɛt ɛni prɔblɛm, nɔ shem fɔ go to dɔktɔ.

` Blɔd, Brus, Blɔd Dayathesis, Ɛmatoma, Blɔd Sik, Simptom, Tritmɛnt