Yu mɛmba we yu bin fɔdɔm ɛn swɛt yu ni we yu bin de ple we yu bin smɔl? We yu mama was am, put mɛrɛsin pan am, ɛn put plasta, di blɔd bin stɔp afta sɔm tɛm. Dat na nɔmal tin. Bɔt sɔntɛnde, ivin di smɔl wund nɔ kin stɔp fɔ blɔd fɔ lɔng tɛm, nɔto so? Ɔ sɔm pipul dɛn kin jɔs notis se dɛn bɔdi de tɔn blu na say dɛn. Di rizin fɔ tin dɛn lɛk dis kin bi bikɔs spɛshal prɔtin nɔ de na wi blɔd. Tide, wi de tɔk bɔt wan rili impɔtant blɔd tɛst we bɔku pipul dɛn nɔ yɛri bɔt, bɔt na sɔntin we wi de luk insay.
Fɔ tɔk am simpul wan, wetin na fibrinogen?
Okay, mek wi put am dis we. Fibrinogen na spɛshal kayn prɔtin we dɛn kin mek na wi liva. I tan lɛk wi bɔdi in "nɛchral plasta." We yu gɛt kɔt ɔ brus ɛnisay na yu bɔdi, dis fibrinogen protin de rɔsh insay ɛn ɛp fɔ stɔp di blɔd.
Imajin se we yu gɛt kɔt sɔmsay na yu bɔdi, fibrinogen tan lɛk ‘simɛnt’ we kin kam fɔ lɔk di wund. dis protin, tכgeda wit כda sεl dεm na di bכdi (pletlet dεm), de mek wan mεsh rawnd di wund εn kכloz am. Na da tɛm de di blɔd kin stɔp. Wi kin kɔl dis prɔses we blɔd kin klɔt . So imajin, wetin go apin if dis ‘simen’ ɔ fibrinogen protin go dɔŋ na wi blɔd? Jɔs lɛk aw yu nɔ go ebul fɔ bil wɔl we yu nɔ gɛt siment, i kin at fɔ lɛ yu stɔp fɔ blɔd ivin if yu gɛt smɔl wund.
Us sityueshɔn dɛn dɔktɔ go tɛl yu fɔ du dis tɛst?
Bɔku tɛm, dɔktɔ nɔ kin ɔda dis fibrinogen tɛst wantɛm wantɛm. Na we yu luk sɔm pan de sayn dɛm wae yu bɔdi de sho ɔr kɔmpia am wit ɔda tɛst ripɔt dɛm wae yu kin gɛt saspek. Lɛ wi si wetin na dɛn sayn dɛn de.
| Di sayn we de sho se di sik de | Simpul Ɛksplen |
|---|---|
| Blɔd we kin kɔmɔt na di gɔm bɔku tɛm | If yu gam nɔ jɔs de blɔd we yu de brus yu tit, bɔt bak we yu jɔs tinap de. |
| Blɔd we de kɔmɔt na yu nos ɔltɛm | If yu kin gɛt blɔd na yu nos ɔltɛm fɔ natin. |
| Brus we nɔ ɛksplen na di bɔdi | If yu nɔ gɛt hit ɛnisay, bɔt insted yu bɔdi de tɔn blu ɛn tan lɛk brus. |
| Blɔd we de na di urine ɔ di stɔl | If yu urine red/dak ɔ yu si blɔd na yu stɔl. |
| Fɔ kɔf blɔd | If blɔd miks wit mכkus. |
| Blɔd we de kɔmɔt na di dijestiv sistɛm | Di sayn dɛm lɛk bɛlɛ pen, vɔmit ɛn blɔd. |
Apat frɔm di sayn dɛm lɛk dis, dɔktɔ kin tɛl yu fɔ du dis tɛst fɔ sɔm ɔda rizin dɛm.
- Nɔmal tin dɛn we de apin na ɔda blɔd tɛst: If di rizɔlt fɔ tɛst dɛn we de no aw kwik yu blɔd de klɔt, lɛk Prothrombin Time (PT) ɛn Activated Partial Thromboplastin Time (APTT) , nɔrmal, dɛn kin aks yu fɔ du dis fibrinogen tɛst fɔ no di kɔz.
- Dɛn tink se yu gɛt disɔda we de mek yu blɔd klɔt: If yu dɔktɔ tink se yu gɛt disɔda we de mek yu blɔd klɔt.
- Sivεr mεdikal kכndyushכn: Dis tεst na mandatory if dεn gεt siriכs mεdikal kכndyushכn lεk Disseminated Intravascular Coagulation (DIC) .
- Miskɛri we kin kɔmɔt bak: Dɛn kin put dis bak pan di tɛst dɛn we dɛn kin du fɔ no di tin we kin mek uman dɛn we gɛt bɛlɛ bak ɔltɛm.
- Sik dɛn we pɔsin kin gɛt frɔm in mama ɛn papa: If pɔsin na di famili gɛt prɔblɛm wit di blɔd we kin mek i nɔ klin.
Yu tink se kayn fibrinogen deficiency de?
Yɛs. Dis kכndyushכn kin sheb to tri men tכp dεm. Bɔku tɛm, na di tin dɛn we pɔsin kin gɛt frɔm di jɛnɛtiks, dat na di tin dɛn we pɔsin kin gɛt frɔm in mama ɛn papa.
| Tayp fɔ di Defisiɛns | Minin | Kɔmɔn tin |
|---|---|---|
| Afibrinojenemia we de mek pɔsin gɛt sik | di fibrinogen protin nכ de na di bכdi kכmplit. | I nɔ kin apin so ɔltɛm, i kin apin to lɛk wan pan ɛvri milyɔn pipul dɛn. |
| Hypofibrinojenemia we de mek pɔsin gɛt sik | di fibrinogen lεvεl dεm we de na di bכdi lכs pas nכmal . | I kin kɔmɔn pas afibrinogenemia. |
| Disfibrinojenemia we pɔsin kin gɛt | Pan ɔl we di fibrinogen lɛvɛl na nɔmal tin, dɛn nɔ de wok fayn . | Dis kin rili kɔmɔn bak, bɔt i nɔ kin izi fɔ no bikɔs bɔku pipul dɛn nɔ kin sho di sik. |
Aw yu kin rɛdi fɔ dis tɛst?
Dis na di bɛst pat. Dis tɛst nɔ kin nid ɛni spɛshal pripiamɛnt . Yu nɔ nid fɔ fast ɔ du ɛni ɔda tin.
Bɔt wan impɔtant tin de: If yu de tek ɛnitin we de mek yu blɔd tan lɛk tin we de mek yu blɔd tan, yu fɔ rili tɛl yu dɔktɔ. I go advays yu if yu fɔ stɔp fɔ tek dɛn fɔ sɔm dez bifo di tɛst.
Wan ɔda tin we yu fɔ du na fɔ drink bɔku wata bifo yu go fɔ di tɛst. Dis go mek i izi fɔ di pɔsin we de tek di blɔd fɔ fɛn yu vein ɛn pul blɔd bikɔs yu vein dɛn go ful-ɔp.
Wetin kin apin we dɛn de du di tɛst? Yu tink se i de mek pɔsin fil bad?
Dis jɔs tan lɛk we yu de du blɔd tɛst ɔltɛm. Yu nɔ gɛt ɛni rizin fɔ fred.
1. Fɔs, nɔs ɔ mɛdikal ɔfisa go pik wan fayn vein frɔm yu an, nia yu ɛlb.
2. Dɔn, klin di say fayn fayn wan wit sɔntin lɛk rɔm.
3. Neks, dεn kin put wan sכmכl nidul insay di vein εn dεn kin kכlekt di bכdi we dεn nid insay wan sכmכl tכb.
4. We dɛn dɔn pul di blɔd, dɛn kin pul di nidul ɛn put wan kɔtɔn ɔ goz pad oba di say ɛn prɛs am dɔŋ.
Di wan ol tin we dɛn kin du kin tek sɔm minit nɔmɔ. Smɔl swɛt kin de we dɛn put di nidul, bɔt i kin go insay sɔm sɛkɔn.
We dɛn dɔn du di tɛst, yu kin go na os ɛn kɔntinyu fɔ du yu nɔmal tin dɛn. No prɔblɛm nɔ de wit dat. Di say we dɛn put di nidul kin blu smɔl ɔ i kin wund smɔl. Dis go dɔn kpatakpata insay wan ɔ tu dez. Dis na nɔmal tin.
Wetin di ripɔt min?
Dɛn go tɛst yu blɔd sɛmpul na lab ɛn dɛn go mɛzhɔ di kayn fibrinogen we de insay. Nɔmal wan, di fibrinojen lɛvɛl fɔ big pɔsin we gɛt wɛlbɔdi fɔ de bitwin 2 ɛn 4 gram pan wan lita (2-4 g/L) ɔ 200 ɛn 400 miligram pan wan dɛsilita (200-400 mg/dL) .
If yu tɛst rizɔlt de dɔŋ dis nɔmal rɛnj, i kin min se:
- Yu gɛt fibrinogen dɛfisiɛns.
- di fibrinogen prodakshכn dכn dכn biכs fכ wan liva sik.
- Siriv malnutrishɔn.
If di rizɔlt pas aw i fɔ bi, i kin bi bikɔs ɔf infekshɔn, kansa, at sik, ɔ sɔm kayn inflamɛns na di bɔdi.
Di tin we impɔtant pas ɔl na, nɔ jomp to kɔnklushɔn bay di nɔmba dɛn we de na dis ripɔt. Yu dɔktɔ na di bɛst pɔsin fɔ ɛksplen to yu di tru minin fɔ yu ripɔt, wetin mek i de de, ɛn wetin yu nid fɔ du nɛks.
Wetin fɔ du if fibrinogen nɔ bɔku?
If yu tɛst rizɔlt kɔnfirm se yu fibrinogen lɛvɛl nɔ bɔku, yu dɔktɔ go gi yu di tritmɛnt we yu nid. De tritmɛnt go dipen pan aw yu fibrinogen lɛvɛl smɔl, di kayn sik wae yu gɛt, ɛn yu ɔl wɛl bɔdi.
di men tritmεnt na fכ gi fibrinogen prodakt tru wan salin sכlushכn (intravenכs - IV). Dɛn kin gi dis ɛvride ɔ ɛvri ɔda de.
Dɛn kin advays dis tritmɛnt mɔ pan kes dɛm we gɛt bɔku risk fɔ mek blɔd kɔmɔt. Fɔ ɛgzampul:
- Afta wan big aksidɛnt.
- Bifo dɛn du ɔpreshɔn we dɛn bin dɔn plan fɔ du.
- We yu bɔn pikin ɔ afta yu bɔn pikin.
Dis tritmɛnt kin mek di fibrinogen lɛvɛl na yu blɔd kam bak to nɔmal ɛn mek yu nɔ blɔd pasmak.
Mɛsej we dɛn kin kɛr go na os
- Fibrinogen na wan protin we de mek na di liva we impɔtant fɔ mek blɔd klɔt na wi bɔdi.
- If yu gɛt sɔm sayn dɛn lɛk fɔ blɔd bɔku we yu nɔ ɛksplen, fɔ blɔd na yu nos ɔltɛm, ɔ fɔ brus we yu nɔ ɛksplen, yu fɔ rili go to dɔktɔ.
- Di fibrinogen tɛst na wan rili simpul, blɔd tɛst we nɔ gɛt bɔku prɔblɛm. No nid fɔ fred am.
- Nɔ panik ɔr fɔ no yusɛf afta yu dɔn si di tɛst rizɔlt. Ɔltɛm tɔk to yu dɔktɔ bɔt am.
- If yu fibrinogen lɛvɛl smɔl, tritmɛnt dɛn de we go wok fayn. Yu dɔktɔ go tɛl yu di bɛst tritmɛnt fɔ yu.
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