Yu dɔn ɛva notis wan ɔ tu brus wantɛm wantɛm na yu bɔdi ɛn tink se, "Wow, usay dis hit?" Na nɔmal tin fɔ gɛt smɔl smɔl brus lɛk dat sɔm tɛm. Bɔt if yu de gɛt brus ɔlsay na yu bɔdi fɔ natin, if yu gɔm de blɔd we yu de brus yu tit, ɔ if ivin smɔl skrach nɔ stɔp fɔ blɔd, na sɔntin we yu fɔ wɔri bɔt. Tide wi de tɔk bɔt wan sik wae kin mek pɔrsin gɛt dis kayn sik, bɔt bɔrku pipul nɔr no bɔt am. Dat na ITP.
Fɔ tɔk am simpul wan, wetin na ITP?
Di ful nem fɔ di sik, we dɛn shɔt as ITP, na Immune Thrombocytopenia. Dis na wan sik we nɔ kin apin so ɔltɛm we gɛt fɔ du wit blɔd.
Tink bɔt am, rili smɔl smɔl sɛl pat dɛn de we dɛn kɔl ``Platelets`` insay wi blɔd. Dɛn tan lɛk smɔl sojaman dɛn na wi bɔdi. If pɔsin kɔt ɔ wund sɔmsay, di men wok we dɛn pletlɛt ya de du na fɔ rɔsh go de, stik togɛda, ɛn stɔp di blɔd we de kɔmɔt.
Naw, na dis kin apin to pɔsin we gɛt ITP. Di imyun sistɛm, we de protɛkt wi bɔdi frɔm sik, kin go haywire wantɛm wantɛm. Bikɔs ɔf da mɛs de, di imyun sistɛm kin mistek fɔ no wi yon gud ‘sɔjaman dɛn’, di pletlɛt dɛn, as ɛnimi frɔm ɔdasay. Dɔn, bikɔs ɔf da lay lay signal de, di imyun sistɛm kin bigin fɔ pwɛl dɛn pletlɛt ya.
Fɔ tɔk am simpul wan, ITP na we wi yon difɛns sistɛm de pwɛl wi yon pletlɛt dɛn we de mek blɔd klɔt. dis kin mek di pletlεt kכnt na di bכdi dכn dכn dכn nכ mal lεvεl.
We di pletlet dεm dכn dכn, dεn ebul fכ stכp di bכdi de dכn bak. Na dat mek yu kin bigin fɔ brus ɛn blɔd we yu nɔ nid.
Wetin na di men kayn ITP?
ITP dεn sheb to tri men tכp dεm, i dipכnt pan aw lכng i de las. I rili impɔtant fɔ mek yu no dis.
| ITP tayp | Tɔk bɔt |
|---|---|
| Akyu ITP (ITP fɔ shɔt tɛm) . | Dis kin las fɔ lɛs 3 mɔnt. Bɔku tɛm i kin apin to yɔŋ pikin dɛn (espɛshali di wan dɛn we ol bitwin 2-5 ia) afta dɛn dɔn wɛl frɔm wan vayral infɛkshɔn, lɛk kol ɔ flu. Bɔt gud tin na dat, bɔku tɛm i kin sɔlv if dɛn nɔ gɛt tritmɛnt. |
| ITP we de kɔntinyu fɔ de | Dis kayn kin de bitwin 3 ɛn 12 mɔnt. |
| ITP we nɔ de mɛn | Dis kin las fɔ pas wan ia. Dis kayn kin de pan big pipul dɛm. Sɔntɛnde, i kin kam bak pan yɔŋ pikin dɛn. I kin nid fɔ gɛt tritmɛnt fɔ lɔng tɛm. |
Wetin na di sayn dɛm fɔ ITP?
Di simptom dεm kin sho כnli we di pletlεt kכnt rili sכm. Sɔm pipul dɛn nɔ kin gɛt ɛni sayn fɔs.
- Sɔdɛn brus: Wantɛm wantɛm, blu-pɔpul brus kin apia na di bɔdi we nɔ gɛt ɛni trauma.
- Rεd spat dεm na di skin: Rεd-pכpul spat dεm (`petechiae`) we de lεk sכm sכm pinprik dεm, spεshal wan na di lכw leg dεm. Dɛn tin ya rili na blɔd we de lik frɔm di smɔl smɔl blɔd vesel dɛn we de ɔnda di skin.
- Big big spat: Sɔntɛnde big big rɛd, pepul, ɔ brawn spat (`Purpura`) kin apia.
- Gɔm we de blɔd: Yu gɔm kin blɔd, we yu de brus yu tit ɛn we yu jɔs tinap de.
- Nos blɔd: We pɔsin bigin fɔ blɔd na in nos, i kin at fɔ lɛ i stɔp.
- Blɔd we de na di urine ɔ stɔl: Dis na sayn we siriɔs smɔl.
- Hεvi mεnstral bכdi de bכn pan uman dεm: Mεnstral de las pas 7 dez εn hεvi blכd de kכmכt.
- Taya we nɔ kɔmɔn: Taya pasmak ɛn taya fɔ fil fɔ natin.
Wetin na di tin dɛn we kin mek pɔsin gɛt ITP?
As wi bin dɔn tɔk, di men tin we kin mek pɔsin gɛt ITP na prɔblɛm wit di imyun sistɛm. Bɔt dɛn kin sheb ITP to tu kayn we dipen pan wetin mek dis prɔblɛm de apin.
1. Praymari ITP: Insay dis kayn ITP, nɔ klia ɛksternal kɔz nɔ de. Di imyun sistɛm jɔs nɔ de wok fayn.
2. Sεkɔndari ITP: Insay dis kes, ITP kin apin bikɔs ɔf ɔda mεdikal kɔndishɔn ɔ infεkshɔn. Fɔ ɛgzampul:
- Vayral infεkshכn lεk `HIV` כ `Epatitis C`.
- Baktri infεkshכn dεm lεk `H. pylori`.
- Ɔda ɔtoimyun sik dɛm lɛk lupus.
- Dis sik kin kam bak bikɔs ɔf sɔm mɛrɛsin dɛn.
Diagnosis ɛn tritmɛnt
If yu gɛt sayn dɛn lɛk dis, .Di fɔs tin we yu fɔ rili du na fɔ go to dɔktɔ ɛn gɛt advays. Nɔ fred. Di dɔktɔ go aks yu bɔt yu mɛdikal istri ɛn chɛk yu bɔdi.
Dɔn, dɛn go ɔda sɔm tɛst fɔ si if ɔda tin dɛn de we kin mek dɛn gɛt dɛn sik ya.
- Ful Blɔd Kɔnt (FBC/CBC): Dis na wetin de tɛl yu ɛksaktɔli aw yu pletlɛt kɔnt smɔl.
- Peripheral Blood Smear: Insay dis, dɛn kin tek wan drop blɔd ɛn chɛk am ɔnda maykroskɔp fɔ chɛk di kayn we aw di pletlɛt dɛn tan.
- Ɔda tɛst: Dɛn kin tɛst yu bak fɔ si if yu gɛt infɛkshɔn lɛk HIV ɛn Epataytis C.
Aw dɛn kin trit am?
Nɔto ɔlman we gɛt ITP go bigin tritmɛnt wantɛm wantɛm. Yu dɔktɔ go disayd if yu fɔ bigin tritmɛnt ɔ nɔ fɔ bigin di tritmɛnt bay di bɔku bɔku pletlɛt dɛn we yu gɛt, aw di sik dɛn we yu gɛt, ɛn aw yu go gɛt blɔd.
If dɛn nid tritmɛnt, sɔm men tritmɛnt dɛn de we dɛn kin gi:
- Kɔtikosterɔyd: Dis na di fɔs kayn mɛrɛsin we dɛn kin gi. Dɛn mɛrɛsin ya de wok bay we dɛn de kɔntrol di we aw di imyun sistɛm de wok ɛn stɔp di pwɛl pwɛl we di pletlɛt dɛn de pwɛl.
- Intravenous Immunoglobulin (IVIG): Dis na tritmɛnt we dɛn kin gi tru wan vein (lɛk salin sɔlvushɔn). If bɔku blɔd de kɔmɔt, i kin ɛp fɔ mek yu pletlɛt dɛn bɔku kwik kwik wan.
- Plɛtlɛt Transfyushɔn: If siriɔs blɔd de we go mek pɔsin in layf de pan denja (fɔ ɛgzampul, blɔd na in bren), dɛn kin gi pletlɛt frɔm pɔsin we gɛt wɛlbɔdi as imejensi.
- Ɔda mɛrɛsin dɛn: If di fɔs tritmɛnt nɔ kɔntrol di sik, dɛn kin gi mɛrɛsin dɛn we de mek di pletlɛt dɛn bɔku (lɛk `Eltrombopag`, `Romiplostim`) ɔ we de kɔntrol di imyun sistɛm ɔda we dɛn (lɛk `Rituximab`).
- Splenectomy: Di splin na di men say we de pwɛl di pletlɛt dɛn na wi bɔdi. If dɛn nɔ ebul fɔ kɔntrol di sik wit mɛrɛsin, dɔktɔ dɛn kin se dɛn fɔ du ɔpreshɔn fɔ pul di splin fɔ sɔm pipul dɛn.
Tin dɛn fɔ tink bɔt we yu de liv wit ITP
Kronik ITP na wan sik wae kin de wit yu fɔ lɔng tɛm. So, yu nid fɔ tek kia ɔf di smɔl smɔl tin dɛn fɔ protɛkt yusɛf frɔm aksidɛnt ɛn blɔd we yu de liv nɔmal layf.
Di tin we impɔtant pas ɔl na, nɔ tek ɛni mɛrɛsin we de mek yu fil pen ɔ ɔda mɛrɛsin we yu nɔ tɔk to yu dɔktɔ. Ɛspɛshali mɛrɛsin dɛn lɛk `Aspirin` ɛn `Ibuprofen` de mek di risk fɔ blɔd de bɔku.
- Bi sef: Nɔ du kɔntakt spɔt lɛk rɔgbi ɛn futbɔl. If yu de rayd baysikul, mek shɔ se yu wɛr ɛlmɛt.
- Yuz tut brɔsh we saf: Dis kin ɛp fɔ mek yu nɔ wund yu gɔm.
- Tek tɛm we yu de yuz tin dɛn we shap: Tink tu tɛm we yu de yuz tin dɛn lɛk naif ɛn nel klipa.
- Ridyus strɛs: I rili impɔtant fɔ rilaks yu maynd tru tin dɛn lɛk yoga ɛn meditashɔn.
Mɛsej we dɛn kin kɛr go na os
- ITP na wan sik we yu yon imyun sistɛm de pwɛl di pletlɛt dɛn, we de ɛp fɔ mek blɔd klɔt.
- If yu brus fɔ natin ɔ yu de blɔd bɔku tɛm, nɔ ignore am ɛn go to dɔktɔ wantɛm wantɛm.
- ITP nɔto kansa, ɛn i nɔ kin pas.
- Bɔrku pipul kin ebul fɔ mɛn dis sik fayn fayn wan wit mɛrɛsin ɛn liv nɔrmal layf. Fɔ sɔm, mɔ pikin dɛn, i kin sɔlv fɔ insɛf.
- If yu gɛt ITP, nɔ tek ɛni mɛrɛsin (especially pen kil) we yu dɔktɔ nɔ gi yu advays.
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