Yu blɔd sɛl dɛn nɔ bɔku? Lɛ wi tɔk bɔt saytopenia!

Sɔntɛnde, yu kin jɔs fil taya ɛn taya? Ɔ yu kin sik ɔltɛm? Sɔntɛm dis na bikɔs yu gɛt smɔl nɔmba pan sɔm kayn sɛl dɛn na yu blɔd. Insay mɛrɛsin, wi kin kɔl dis kɔndishɔn saytopenia. Nɔ wɔri, lɛ wi tɔk bɔt am simpul wan.

Us kayn sɛl dɛn de na wi blɔd? Wetin kin apin if dɛn de go dɔŋ?

Okay, fɔs lɛ wi luk di men kayn sɛl dɛn na wi blɔd ɛn wetin dɛn de du. Jɔs lɛk aw di difrɛn pat dɛn na motoka kin kam togɛda fɔ mek i rɔn, ɔl dɛn tri kayn sɛl ya rili impɔtant fɔ mek wi bɔdi gɛt wɛlbɔdi.

• Rɛd blɔd sɛl (Erythrocytes): Na dɛn sɛl ya de kɛr ɔksijɛn ɔlsay na wi bɔdi. Jɔs tink bɔt dat, ɛni smɔl pat na wi bɔdi nid trɛnk fɔ mek i wok. Di ɔksijɛn we dɛn rɛd blɔd sɛl ya kin kɛr kin ɛp fɔ gi da ɛnaji de.
• Wait blɔd sɛl (Leukocytes): Dɛn tin ya tan lɛk di sikyɔriti gad dɛn na di bɔdi. We jem, lɛk baktri, vayrɔs, parasayt, ɛn fɛns, kam insay di bɔdi, dɛn wayt sɛl ya de fɛt dɛn ɛn protɛkt wi frɔm sik dɛn. Dɛn na di men tin dɛn we de mek wi ebul fɔ fɛt di sik.
• Plɛtlɛt (Thrombocytes): Yu dɔn ɛva wɔnda aw smɔl kɔt kin stɔp fɔ blɔd? Dɛn pletlɛt ya kin ɛp fɔ du dat. We blɔd de kɔmɔt, dɛn pletlɛt ya kin gɛda togɛda fɔ mek blɔd klɔt, ɛn dis kin mek di blɔd nɔ kɔmɔt. If nɔto dat, wi kin lɔs bɔku blɔd ivin we wi kɔt smɔl.

So, difrɛn kayn saytopenia de?

Yɛs, na tru. Saytopenia nɔto wan sik. Dɛn kin sheb am akɔdin to us kayn sɛl dɛn nɔ de na yu blɔd.

• Anemia: Yu go mɔs dɔn yɛri bɔt dis. Na wan sik wae de rεd bכdi sεl dεm nכ de bכku. Wetin kin apin da tɛm de? di כksijεn we de rich na di bכdi de dכn.
• Lukopenia: Dis na we di wayt blɔd sɛl dɛn de go dɔŋ. Mɛmba se na wayt sɛl dɛn de fɛt sik. So we dɛn de go dɔŋ, wi kin gɛt mɔ prɔblɛm fɔ sik. Wan ɔda tin we gɛt fɔ du wit dis na nyutropenia . Dis na we wan spɛshal kayn wayt blɔd sɛl we dɛn kɔl nyutrofil dɛn de dɔŋ. Nyutrofil na di wan dɛn we bɔku pan wi wayt blɔd sɛl dɛn.
• Trombocytopenia: Dis na we di pletlet dεm de dכn, we de εp fכ blכd kכlכt. We dɛn tin ya smɔl, blɔd nɔ kin klɔt fayn. Ivin smɔl brus kin mek big big blɔd spat, ɔ i kin at fɔ lɛ i stɔp fɔ blɔd.
• Pancytopenia: Dis na wan sik wae de pasmak. Dis na we ɔl di tri rɛd sɛl dɛn, wayt sɛl dɛn, ɛn pletlɛt dɛn we wi dɔn tɔk bɔt kin go dɔŋ wan tɛm.

כda klasification de, bays pan di kכz fכ dis saytopenia:

• Awtoimyun Saytopenia: .Sɔntɛnde, wi imyun sistɛm kin go hayway ɛn bigin fɔ atak wi yon wɛlbɔdi blɔd sɛl dɛn. I tan lɛk se wi de trowe ston na wi yon os. We dat apin, wan ɔ mɔ blɔd sɛl dɛn kin lɔs.
• Refractory Cytopenia: Dis na di pat pan wi bon mכro we de mek bכdi sεl dεm. I de insay sɔm pan di big bon dɛn, lɛk spɔnj. So, dis na di nem we dεn gi di kכndyushכn we de apin we dis bon mכro nכ de mek bכdi sεl dεm nכmal, dat na we di blכd sεl dεm we de mek dεn dכn dכn.

Us sayn dɛn wi kin gɛt we dɛn blɔd sɛl ya dɔn go dɔŋ?

Gud kwɛstyɔn. Na bikɔs nɔto ɔlman gɛt di sayn dɛn. Sɔm pipul dɛn nɔ kin no natin, ɛn na bay chans nɔmɔ dɛn kin no am bay we dɛn du blɔd tɛst. Bɔt if dɛn du dat, di sayn dɛn kin difrɛn difrɛn wan bay di kayn sɛl dɛn we dɔn ridyus, aw dɛn dɔn ridyus, ɛn di rizin we mek dɛn gɛt am.

Lɛ wi si us kwaliti dɛn kin apin to ɛni wan pan dɛn:

Di sayn dɛn we de sho se di rɛd blɔd sɛl dɛn nɔ de bɔku (anemia):

• Fɔ fil taya ɛn nɔ gɛt layf ɔltɛm.
• I nɔ izi fɔ blo (dyspnea) we yu de du sɔntin we de mek yu taya, lɛk fɔ klaym stej.
• Wan at we nɔ de bit ɔltɛm ɔ we de bit kwik kwik wan.
• Di skin kin bi pale ɛn kol .
• Sɔntɛnde, i kin gɛt pen na in chɛst .

Di sayn dɛm we de sho se di wayt blɔd sɛl dɛn nɔ de bɔku (lukopenia/neutropenia):

• Jɔs fil se yu taya .
• Fiva ɛn kol .
• Trot we de at (Pharyngitis) .
• Sɔl dɛn na yu mɔt .
• Wan bad bad kɔf we pɔsin kin kɔf .
• Rɔnbɛlɛ .
• Di limf no dɛm we dɔn swel .

Di sayn dɛm we de sho se di pletlɛt dɛn nɔ bɔku (thrombocytopenia):

• Di tru tin na dat ivin smɔl bɔmp kin izi fɔ mek blɔd spat (bruiz) fɔm na di bɔdi .
• Blɔd we nɔ de stɔp we yu gɛt wund, ɔ blɔd we de te fɔ lɔng tɛm .
• Sɔntɛnde, smɔl smɔl rɛd ɔ pepul dɔt dɛn (petechiae) kin apia na di skin. Dis na rili smɔl smɔl blɔd we de kɔmɔt ɔnda di skin.

Wetin mek mi blɔd sɛl dɛn de go dɔŋ lɛk dis? Wetin na di tin dɛn we kin mek dis apin?

Bɔrku rizin kin de fɔ dis sik wae dɛn kɔl saytopenia. Fɔ tɔk am simpul wan, tu men rizin dɛn kin de. Wan na dat, prɔblɛm de wit di we aw blɔd sɛl dɛn de kɔmɔt na di bon mɛro we a bin dɔn tɔk bɔt. Ɔ, afta dɛn dɔn mek di blɔd sɛl dɛn na di bon mɛro ɛn ad dɛn to di blɔd, dɛn sɛl dɛn de kin pwɛl fɔ sɔm rizin.

Sɔm pan dɛn rizin ya kin bi tin dɛn we pɔsin kin gɛt frɔm in mama ɛn papa , dat na tin dɛn we kin kɔmɔt frɔm jin. Sɔm dɛn kin gɛt, we kin apin leta .

Di tin dɛn we kin mek pɔsin nɔ gɛt bɛtɛ blɔd:

Bɔku tɛm, na bikɔs i nɔ gɛt bɛtɛ tin fɔ it.Bikɔs. εspεshali we di ayron dεfichεns `(Iron-deficiency Anemia)` . di nyutriεnt dεm lεk ayron, vaytam in B12 `(Vitamin B12)`, εn fכlet `(Folate)` implεnt fכ wi bon mכro fכ mek hεlty rεd bכdi sεl dεm. If dɛn tin ya nɔ go du, di rɛd blɔd sɛl dɛn go go dɔŋ. Apat frɔm dat, anemia kin apin bak bikɔs ɔf blɔd (bikɔs ɔf injuri, ɔpreshɔn, ɛn ɔda tin dɛn) ɛn sik dɛn we kin pwɛl di rɛd blɔd sɛl dɛn.

• Di sik dɛn we pɔsin kin gɛt we i de fɛt insɛf
• Blɔd dizayd ɛn Bɔn mɛrɔ dizayd
• Kansa
• Di kɔndishɔn dɛn we de na di jɛnɛtiks
• G6PD dɛfisiɛns
• Sɔm mɛrɛsin dɛn
• Di tin dɛn we nɔ gɛt bɛtɛ tin fɔ it
• We uman gɛt bɛlɛ
• Pyruvate kinase we nɔ de wok fayn
• Siklɔs sik sik
• Thalassemia we dɛn kɔl Thalassemia

Di tin dɛn we kin mek pɔsin gɛt Lukopenia/Nyutropenia:

Di tritmɛnt fɔ kansa, mɔ di kemotɛrapi ɛn redyushɔn, na di men tin we kin mek di wayt blɔd sɛl dɛn nɔ bɔku. Dɛn tritmɛnt ya kin kil di kansa sɛl dɛm, bɔt as sayd ɛfɛkt, sɔm sɛl dɛm we gɛt wɛlbɔdi (lɛk blɔd sɛl dɛm) kin pwɛl bak.

• Di sik dɛn we pɔsin kin gɛt we i de fɛt insɛf
• Blɔd ɛn Bɔn Mɛro Dizayd
• Kansa
• Di tritmɛnt dɛn we pɔsin kin gɛt fɔ gɛt kansa
• Di kɔndishɔn dɛn we de na di jɛnɛtiks
• Infεkshכn dεm
• Sɔm mɛrɛsin dɛn
• Di tin dɛn we nɔ gɛt bɛtɛ tin fɔ it

Di tin dɛn we kin mek pɔsin gɛt trombosaytopenia:

• Dizayd fɔ yuz rɔm
• Ɔtoimyun sik dɛm, fɔ ɛgzampul , Immune Thrombocytopenia
• Blɔd ɛn bon mɛro disɔda, lɛk Thrombotic Thrombocytopenic Purpura (TPP) .
• Kansa
• Di tritmɛnt dɛn we pɔsin kin gɛt fɔ gɛt kansa
• Di kɔndishɔn dɛn we de na di jɛnɛtiks
• Infεkshכn dεm
• Sɔm mɛrɛsin dɛn, fɔ ɛgzampul, ɛparin-induced thrombocytopenia (HIT) .
• Di tin dɛn we nɔ gɛt bɛtɛ tin fɔ it
• We uman gɛt bɛlɛ
• Fɔ gɛt pɔyzin kemikal dɛn

di kayn saytopenia dεm de bak usay dεn nכ kin fכnshכn di εksakεt kכz:

Sɔntɛnde, dɔktɔ dɛn nɔ kin ebul fɔ no di rayt tin we kin mek dɛn blɔd sɛl dɛn ya nɔ bɔku. If dɛn kayn tin ya kin apin, dɛn tin ya kin apin to tu pat:

• Klɔnal Saytopenia ɔf Ɔndatɛmin Sigifikɛns (CCUS) na bikɔs ɔf:dis na we difrεn blכd sεl dεm gεt di sem inhεrit jεnεtik mכtεshכn na dεn DNA. Pɔsin wae gɛt CCUS kin gɛt sɔm kayn blɔd sik ɛn in at ɛn blɔd sik.
• Idiopathic Cytopenia of Undetermined Significance (ICUS): insay dis, dεn nכ de fכn dis kayn jεnεtik mכtεshכn na di DNA fכ di bכdi sεl dεm.

Aw dɔktɔ dɛn kin no dis sik we dɛn kɔl saytopenia? Us tɛst dɛn dɛn kin du?

Dis kin bi if yu gɛt sɔm kayn sik, ɔr we yu de du blɔd tɛst fɔ sɔm ɔda rizin. Dɛn kɔl di men tɛst fɔ kɔmplit blɔd kɔnt (CBC) . Dis na blɔd tɛst we dɛn kin du rili kɔmɔn. I de mek yu dɔktɔ no klia wan ɔmɔs rɛd sɛl, wayt sɛl, ɛn pletlɛt yu gɛt, ɛn if ɛni chenj de pan di kayn we aw dɛn sɛl dɛn de. I kin gi clues bak bɔt sɔm sik dɛn.

If di CBC sho se di blɔd sɛl dɛn nɔ bɔku, di dɔktɔ go tray fɔ no wetin mek di blɔd sɛl dɛn nɔ bɔku. I kin du ɔda tɛst dɛn fɔ no dat.

Us ɔda tɛst dɛn kin du fɔ no di tin we mek i apin?

• Peripheral Blood Smear: Dis min se yu fɔ tek smɔl blɔd, put am pan glas slayd, ɛn luk am ɔnda maykroskɔp. Di shep ɛn aw di sɛl dɛn tan kin mek wi no wetin de mek di prɔblɛm de.
• Bone Marrow Aspiration and Biopsy: Dis na tɛst we kɔmplikt smɔl. Insay dis tɛst, dɔktɔ kin tek smɔl smɔl bon mɛrɔ ɛn chɛk am fɔ si if i gɛt sɛl dɛn we nɔ fayn. Dis tɛst impɔtant fɔ no bɔt siriɔs sik dɛn lɛk kansa ɔ ɔda tin dɛn we kin afɛkt di blɔd ɛn bon mɛro.

Apat frɔm dis, dɛn kin du difrɛn ɔda lab tɛst dɛn fɔ no di rayt kɔz.

Okay, naw wetin na di tritmɛnt fɔ dis kɔndishɔn fɔ saytopenia?

De tritmɛnt dipen pan aw yu sik tranga, if yu gɛt sɔm kayn sik, ɛn wetin na de ɔndalayn kɔz. Sɔm kayn kes dɛm wae nɔr kin pasmak, dat min se nɔr de ɔndalayn kɔz ɛn nɔr simptom dɛm, nɔr tritmɛnt kin nid fɔ de .

Bɔt if dɛn nid tritmɛnt, dɛn kin du am fɔ trit di ɔndalayn kɔndishɔn we mek di blɔd sɛl dɛn nɔ bɔku. Fɔ ɛgzampul, if na bikɔs yu nɔ gɛt bɛtɛ tin fɔ it, yu dɔktɔ kin tɛl yu fɔ chenj di tin dɛn we yu de it ɔ tek tin dɛn we gɛt fɔ du wit di tin dɛn we yu nid. If di blɔd sɛl dɛn we nɔ bɔku na bikɔs ɔf wan infekshɔn, dɛn kin gi yu antibayɔtik .

Sɔntɛnde, i kin nid fɔ gɛt tritmɛnt dɛn we go mek di blɔd sɛl dɛn bɔku dairekt wan. Dɛn tin ya na:

• Granulosayt Kɔlɔni-Stimulatin Faktɔ (G-CSF): .Dis na mɛrɛsin dɛn. Dɛn kin wok bay we dɛn de mek yu nyutrofil dɛn, we na wan kayn wayt blɔd sɛl, bɔku. Bɔku tɛm dɛn kin gi G-CSF to pipul dɛn we de du kemotɛrapi fɔ mek dɛn nɔ gɛt nyutropenia.
• Blɔd Transfyushɔn: If yu bɔdi nɔ ebul fɔ mek in yon blɔd sɛl, yu go nid fɔ gɛt blɔd frɔm ɔda pɔsin.
• Bon Mכro כ Stem Sεl Transplant: Dis involv fכ pul di abnכmal, immature bכdi sεl dεm na yu bon mכro εn riples dεm wit hεlty sεl dεm. Leta dɛn sɛl ya go bi machɔ blɔd sɛl ɛn go bak na yu blɔd.
• Splenectomy: Dis na ɔpreshɔn fɔ pul yu splin . Sɔntɛnde, di splin kin trap di blɔd sɛl dɛn ɛn pul dɛn kɔmɔt na di blɔd. Dis ɔpreshɔn kin nid fɔ apin pan dɛn kayn tin dɛn ya.

εnitin de we wi kin du fכ mek dis saytopenia nכ de divεlכp?

Infakt, sɔm tin dɛn we kin mek wi nɔ ebul fɔ du am, fɔ ɛgzampul, sik dɛn we pɔsin kin gɛt we i de fɛt insɛf, sik dɛn we kin mek wi gɛt blɔd ɛn bon mɛro, ɛn kansa, nɔ kin izi fɔ wi fɔ avɔyd. Na tin dɛn we kin apin we wi nɔ ebul fɔ kɔntrol.

Bɔt wi kin ridyus di risk fɔ gɛt sɔm kayn saytopenia bay we wi mek shɔ se wi bɔdi gɛt di tin dɛn we i nid fɔ mek wɛlbɔdi rɛd blɔd sɛl. Fɔ ɛgzampul, if yu gɛt bɔku ayɔn na yu it, dat kin ɛp fɔ mek yu nɔ gɛt bɔku bɔku ayɔn .

I impɔtant bak fɔ stɔp fɔ drink rɔm , bikɔs rɔm kin ambɔg di bɔdi in ebul fɔ tek di tin dɛn we de insay di bɔdi. Dis kin mek bak di blɔd sɛl dɛn go dɔŋ. We dɛn dɔn stɔp fɔ drink rɔm, bɔku pan dɛn tin ya we nɔ kin izi fɔ blɔd kin kam bak to nɔmal.

So, wetin na di prɔgnosis fɔ wɛl frɔm dis kɔndishɔn? (Prɔgnosis) .

Yu prɔgnosis, ɔ aw yu go si tin, dipen ɔl pan di tin we mek yu blɔd sɛl nɔ bɔku. Fɔ ɛgzampul, if na bikɔs i nɔ gɛt bɛtɛ tin fɔ it, i kin wɛl ɔl if dɛn trit am fayn ɛn it di rayt it. If yu wayt blɔd sɛl nɔ bɔku bikɔs ɔf baktri ɔ vayrɔs, fɔ trit di infekshɔn kin ɛp yu wayt blɔd sɛl fɔ kam bak to nɔmal.

Bɔt if saytopenia na bikɔs ɔf wan jenɛtik kɔndishɔn, blɔd ɔ bon mɛro sik, ɔ kansa, i kin nid fɔ gɛt mɔ kɔmpleks tritmɛnt . Yu dɔktɔ go nid fɔ wach yu blɔd sɛl dɛn ɛn du tɛst ɔltɛm fɔ mek shɔ se yu gɛt wɛlbɔdi.

So, i go fayn fɔ aks yu dɔktɔ wetin go mek yu wɛl fɔ yu sik.

Wetin na di impɔtant kwɛstyɔn dɛn we yu fɔ aks yu dɔktɔ?

Wae yu kam fɔ no se yu gɛt dis sik, na nɔrmal tin fɔ gɛt bɔrku kwɛstyɔn. Nɔ fred. Aks yu dɔktɔ bɔt dɛn tin ya klia wan:

• "Us kayn saytopenia a gɛt?"
• "Wetin de mek a nɔ gɛt bɔku blɔd sɛl dɛn?"
• "Us tritmɛnt opshɔn dɛn a gɛt?"
• "Wetin na di sayd ifekt dɛm fɔ dɛn tritmɛnt ya?"
• "Aw lɔŋ i go tek fɔ mek mi blɔd sɛl kɔnt kam bak to nɔmal?"
• "Aw long a go get fo get tritment? Aw often a nid to kom fo test?"
• "Mi kɔndishɔn kin wɛl kɔmplit wan?"

Yu tink se saytopenia rili anemia?

Dis na ples bak we bɔku pipul dɛn kin kɔnfyus. Anemia na jכs wan kayn kכndyushכn כnda di כmbrela tεm saytopenia . Anemia na we di nכmba fכ di rεd bכdi sεl dεm (εrythrocytes) dכn dכn. I kin bi bak we di prɔtin ɛmoglobin we de na di rɛd blɔd sɛl dɛn de dɔŋ. Dis ɛmoglobin na in de ɛp fɔ kɛr ɔksijɛn.

Saytopenia na wan jεnarכl tεm fכ di dכn pan wan כ mכr bכdi sεl dεm . I inklud anemia (di rεd blɔd sɛl dεm de dכn), lukopεnia (we di wayt blɔd sεl dεm de dכn), nyutropenia (di nyutrofil dεm de dכn), trombocytopenia (di pletlet dεm de dכn), εn pancytopenia (we de dכn pan כl dεn sεl dεm ya).

So, if yu kam fɔ no se yu nɔ gɛt wan ɔ mɔ pan yu blɔd sɛl dɛn, tɔk to yu dɔktɔ bifo yu fred. Dipen pan de tin, yu kin nid tritmɛnt ɔr nɔr kin nid am. Yu dɔktɔ na di bɛst pɔsin fɔ advays yu bɔt dis.

Fɔ dɔn, sɔm impɔtant tin dɛn we yu fɔ mɛmba

Okay, wi don tok plenti boht cytopenia naw. Na sɔm impɔtant tin dɛn we yu fɔ mɛmba:

• Saytopenia na we wan ɔ mɔ pan di rɛd sɛl, wayt sɛl, ɔ pletlɛt dɛn we de na yu blɔd de go dɔŋ.
• Bɔku rizin dɛn kin de fɔ dis; frɔm we i nɔ gɛt bɛtɛ tin fɔ it, to we i gɛt infɛkshɔn, di tin dɛn we pɔsin kin gɛt we i gɛt jɛnɛtiks, kansa, ɛn ivin sɔm mɛrɛsin dɛn.
• Di sayn dɛm nɔ kin kam to ɔlman di sem we . Sɔm pipul dɛn nɔ kin gɛt ɛni sayn atɔl. Na kɔmɔn tin fɔ taya, fɔ sik ɔltɛm, ɛn fɔ brus izi wan.
• Wan simpul blɔd tɛst (CBC) kin no dis. Dɔn, dɛn kin du ɔda tɛst fɔ no wetin mek i apin.
• Di tritmɛnt de dipen pan wetin de mek di sik ɛn aw i siriɔs. Sɔntɛnde, dɛn nɔ kin nid ɛni tritmɛnt, sɔntɛnde dɛn kin trit di rizin we mek dɛn du am, ɛn if i tranga, spɛshal tritmɛnt dɛn de we kin mek di blɔd sɛl dɛn bɔku.
• Sɔm kayn saytopenia kin kam fɔ avɔyd , mɔ if yu it balans it ɛn nɔ drink pasmak rɔm.
• If yu gɛt ɛni dawt ɔ kwɛstyɔn bɔt dis, fɔ tru, tɔk to yu dɔktɔ . Nɔ fred ɔ disayd fɔ yusɛf.

Mɛmba se di tin we impɔtant pas ɔl na fɔ no bɔt dɛn tin ya so dat wi go go to dɔktɔ kwik kwik wan ɛn liv fayn layf.

` saytopenia, bכdi sεl dεm, anemia, lukopεnia, trombosaytopenia, bon mכro, bכdi tεst