Yu dɔktɔ dɔn tɛl yu fɔ du G6PD tɛst? Ɔ yu de luk insay dis tɛst bikɔs yu smɔl pikin gɛt janda ɛn i nɔ go go? Maybe yu don jos yeri di wod G6PD. Na nɔmal tin fɔ fred smɔl bikɔs di nem strenj smɔl. Bɔt nɔ fred ɛnitin. Tide, wi go tɔk bɔt dis G6PD tɛst ɛn di G6PD dɛfisiɛns we de mek i apin insay wan rili simpul we we yu kin ɔndastand.
Mek wi si fos, wetin na G6PD?
Okay, lɛ wi bigin wit wan ɛgzampul we rili simpul. Imajin se di rɛd blɔd sɛl dɛn na yu bɔdi tan lɛk smɔl os dɛn. Insay dɛn os dɛn ya, di impɔtant wok fɔ kɛr ɔksijɛn go de apin. Naw, ‘gad’ nid fɔ de fɔ protɛkt dɛn os ya, fɔ mek dɛn kɔntinyu fɔ strɔng. So, wan spɛshal wokman de we dɛn kɔl G6PD we de protɛkt wi os dɛn we dɛn kɔl rɛd blɔd sɛl ɛn ɛp fɔ mek dɛn gɛt wɛlbɔdi.
fכ mεdikal, G6PD na di sכt nem fכ di εnzym glukכs-6-fכsfεt dεhaydrojenεz . Enzym na protin we de ɛp wi bɔdi fɔ du difrɛn kemikal prɔses dɛn fayn fayn wan. di men wok we dis G6PD enzym de du na fכ protεkt wi rεd bכdi sεl dεm frכm sכm kεmikכl dεm (dεn kכl dεm riaktiv כksijεn spεshal) we kin pwεl dεm.
So, if pɔsin in bɔdi nɔ gɛt dis gad, ɔ ɛnzaym we dɛn kɔl G6PD, wi kin kɔl am G6PD dɛfisiɛns . Dis na jenɛtik, we min se na inhɛrit. Pɔsin we gɛt dis prɔblɛm kin gɛt smɔl smɔl rɛd blɔd sɛl. I tan lɛk os we nɔ gɛt gad. Dɔn, we dɛn de pan sɔm tin dɛn, dɛn rɛd blɔd sɛl dɛn ya kin bigin fɔ brok ɛn pwɛl kwik kwik wan. We di bɔdi nɔ ebul fɔ mek nyu rɛd blɔd sɛl ɛn di ol wan dɛn kin pwɛl kwik kwik wan, wan sik we dɛn kɔl anemia kin apin. We di rɛd blɔd sɛl dɛn brok dis kayn we, wi kin kɔl am ɛmolaytik anemia .
So, ustɛm yu fɔ du G6PD tɛst?
Bɔrku tɛm, pipul dɛm wae gɛt G6PD dɛfisiɛns nɔr kin sho ɛni sayn. Dɛn de liv nɔmal layf. Bɔt na we dɛn de pan sɔm ‘trig’ dɛn nɔmɔ di ɛmolaytik anemia kɔndishɔn we wi bin dɔn tɔk bɔt fɔs kin apin ɛn di sayn dɛn kin sho.
Naw lɛ wi si wetin na dɛn tin ya we kin mek wi du sɔntin.
| Trigεr dεm wae de mek yu gεt sכmtεm dεm | Wan simpul ɛksplen bɔt dis |
|---|---|
| Sɔm infɛkshɔn dɛn | Di strɛs we de na di bɔdi we kin kam bikɔs ɔf infɛkshɔn we baktri ɔ vayrɔs kin mek kin mek di rɛd blɔd sɛl dɛn brok kwik kwik wan. |
| Fava bins | Dis na di mכst kכmכn trig fכ dis kכndyushכn. Sɔm pipul kin gɛt sɔm kayn sik wae dɛn it fava bin ɔr ivin inhal dɛn pɔlin. Dɛn kin kɔl dis bak ‘favism’. |
| Sɔm mɛrɛsin dɛn | Bɔt nɔto ɔl di mɛrɛsin dɛn kin mek di sik wɔs, lɛk sɔm antibayɔtik, antimalaria, ɛn nɔ-stɛroyd anti-inflammatory drugs (NSAID). So, if yu gɛt G6PD dɛfisiɛns, i impɔtant fɔ tɛl yu dɔktɔ bifo yu tek ɛni mɛrɛsin. |
So, we yu de pan wan tin we de mek yu nɔ ebul fɔ waka lɛk dat, yu kin gɛt sayn dɛn we de sho se yu gɛt ɛmolaytik anemia. Na da tɛm de dɔktɔ kin tɛl yu fɔ du G6PD tɛst. Si if dɛn sayn ya kin tan lɛk se yu sabi yu.
| Di sayn we de sho se di sik de | Wetin dis min? |
|---|---|
| Fɔ mek yu nɔ fil fayn wantɛm wantɛm (sinkɔp) . | We di bren nɔ gɛt bɛtɛ ɔksijɛn, i kin mek pɔsin nɔ no natin. |
| Fɔ fil taya bad bad wan (Fatigue) . | We di rɛd blɔd sɛl dɛn we de kɛr ɔksijɛn ɔlsay na di bɔdi go dɔŋ, yu kin fil taya pasmak fɔ du ivin nɔmal wok dɛn. |
| Fɔ fil lɛk se yu at de bit fast fast | Di at gɛt fɔ wok tranga wan fɔ pɔmp di blɔd fast fast ɛn gi di bɔdi di ɔksijɛn we i nid. |
| I nɔ izi fɔ blo (dyspnea) . | We di ɔksijɛn we de na di blɔd go dɔŋ, yu kin fil se yu nɔ ebul fɔ blo fayn ɛn yu kin fil fɔdɔm. |
| Rɛd ɔ brawn urine | We bɔku bɔku rɛd blɔd sɛl dɛn brok, di tin dɛn we de insay de kɔmɔt na di urine, ɛn dis kin mek di urine chenj in kɔlɔ. |
| Pale skin | We di blɔd lɛvɛl go dɔŋ, di skin nɔ kin gɛt in pink kɔlɔ ɛn i kin gɛt blɛsin. |
| Di skin ɛn yay we de yɔlɔ (jaundice) . | We di rɛd blɔd sɛl dɛn brok, wan yɔlɔ tin we dɛn kɔl bilirubin kin gɛda na di bɔdi. Dis na wetin kin mek di skin ɛn di wayt pat na di yay tɔn yɔlɔ. |
Wetin mek dɛn kin du G6PD tɛst fɔ yɔŋ bebi dɛn?
Jandis kin rili bɔku pan pikin dɛn we dɛn jɔs bɔn. Bɔrku tɛm, i go go fɔ insɛf insay sɔm dez to tu wiks. Bɔt if sɔm pikin dɛn gɛt janda fɔ pas tu wiks ɛn dɛn nɔ ebul fɔ no klia rizin, yu dɔktɔ kin tɛl yu fɔ du G6PD tɛst.
Apat frɔm dat, if yu no se sɔmbɔdi na yu famili gɛt G6PD dɛfisiɛns, i fayn fɔ mek dɛn du dis tɛst afta dɛn bɔn di pikin. Da we de, yu go no dis bifo tɛm ɛn tek tɛm.
Aw kɔmɔn tin na G6PD dɛfisiɛns?
Dis na rili wan tin we kin apin we pɔsin kin gɛt jɛnɛtiks na di wɔl. Dɛn biliv se pas 400 milyɔn pipul dɛn ɔlsay na di wɔl gɛt dis sik. Bɔt, lɛk aw wi bin dɔn tɔk bifo tɛm, bɔrku pan dɛn pipul ya nɔr go gɛt ɛni sik ɔlsay na dɛn layf.
G6PD dɛfisiɛns we gɛt simptom kin bɔku pan man dɛm pas uman dɛm, ɛn i kin mɔs pan pipul dɛm we kɔmɔt na Eshia, Afrika, ɔ Mɛditarenian.
Aw dɛn kin du di G6PD tɛst?
Dis na wan rili simpul, we dɛn kin du ɔltɛm fɔ tɛst blɔd. Natin nɔ de fɔ fred ɛni we. I nɔ kin tek fayv minit.
- Dɛn kin put smɔl nidul insay wan vein we de na pɔsin in an ɛn tek blɔd sɛmpul.
- Dɔn dɛn kin pul di swɛlin ɛn put smɔl plasta.
Sɔm pipul dɛn kin fred smɔl fɔ nidul (dɛn kin kɔl dis trypanophobia). If yu gɛt dis fred, tɛl di nɔs we de pul yu blɔd. Dɛn go ɛp yu. Yu kin luk ɔdasay, blo sloslo, ɔ gɛt padi ɔ fambul wit yu we dɛn de pul di blɔd.
Aw fɔ du dis tɛst fɔ bebi dɛn
Bikɔs i nɔ kin izi fɔ gɛt blɔd na di pikin in an, dɛn kin tek blɔd sɛmpul frɔm di il na dɛn fut. We dɛn tek tɛm, dɛn kin yuz smɔl nidul fɔ pank wan smɔl say na di il ɛn dɛn kin gɛda sɔm drɔp blɔd. Dɔn dɛn kin put smɔl bandej pan di say we dɛn de. di pikin kin fil se i de sכmtεm sכmtεm, bכt dis go kכmכt kwik kwik wan. Sɔntɛm smɔl brus go de, bɔt dis go wɛl insay wan ɔ tu dez.
A nid fɔ rɛdi bifo di tɛst?
Dis na tin we rili impɔtant. Yɛs, sɔm tin dɛn de we wi fɔ tek tɛm wit.
- Tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek (inklud vaytamɛn ɛn sɔpɔtmɛnt dɛn).
- Sɔm mɛrɛsin ɛn it kin afɛkt di rizɔlt fɔ dis tɛst. So yu dɔktɔ kin tɛl yu fɔ avɔyd fɔ it fava bin ɔ stɔp fɔ tek sɔm mɛrɛsin dɛn we gɛt sɔlfa fɔ sɔm dez.
- Bɔku tɛm, dɛn nɔ nid fɔ fast bifo dis tɛst.
Na sɔntin we rili impɔtant: If yu gɛt aktif simptom dɛm fɔ ɛmolaytik anemia (e.g., janda, taya) di de we yu du yu tɛst, yu dɔktɔ kin put di tɛst bifo te ɔda de. Dis na bikɔs bay di tɛm we yu gɛt di sik, bɔku tɛm di rɛd blɔd sɛl dɛn we nɔ gɛt G6PD kin pwɛl. Dat de lɛf ɔl di sɛl dɛn we gɛt wɛlbɔdi na yu blɔd. If yu du tɛst da tɛm de, yu kin gɛt lay lay rizɔlt we se yu G6PD lɛvɛl nɔmal.
Ɛni risk de wit dis tɛst?
Dis na tɛst we nɔ gɛt bɔku prɔblɛm. Lɛk ɛni ɔda blɔd tɛst, .
- Wan smɔl wund usay dɛn put di nidul.
- Wan smɔl brus
- Na smɔl tɛm nɔmɔ, blɔd de kɔmɔt ɔ infɛkshɔn
Tin dɛn lɛk dat kin apin, bɔt dɛn tin ya kin wɛl ɔlsay insay wan ɔ tu dez.
Wetin di tɛst ripɔt se?
If yu ripɔt sho se yu G6PD lɛvɛl smɔl, dat min se yu gɛt G6PD dɛfisiɛns. Bɔt i nɔ min se yu go mɔs gɛt ɛmolaytik anemia. Bɔrku pipul dɛn kin liv wae nɔr gɛt ɛni sayn. De tin wae impɔtant pas ɔl na fɔ de fa frɔm de tin wae kin mek yu gɛt dis sik.
Sɔm uman dɛn kin gɛt smɔl smɔl G6PD lɛvɛl pas aw dɛn kin gɛt. dis min se dεn na ‘kכriכg' fכ G6PD dεfisiεns. Fɔ tɔk am simpul wan, dɛn gɛt ɔl tu di jin fɔ G6PD dɛfisiɛns ɛn di wɛlbɔdi jin na dɛn jin. Bɔrku tɛm, dɛn pipul ya nɔr kin gɛt sɔm kayn sik. Bɔt dɛn kin pas di jin to dɛn pikin dɛn.
Ustɛm a fɔ go to di dɔktɔ?
Bɔrku pipul dɛm wae gɛt G6PD dɛfisiɛns de liv fayn fayn wan witout trig. Bɔt if yu gɛt sayn dɛn we de sho se yu gɛt ɛmolaytik anemia, ɛn dɛn sayn dɛn de na:
- If i tu tranga fɔ du di tin dɛn we yu de du ɛvride
- If i las pas 24-48 awa
Si yu dɔktɔ wantɛm wantɛm. If yu gɛt siriɔs kes, yu kin nid fɔ go na ɔspitul fɔ gɛt tritmɛnt. Insay dis kayn imejensi, yu fɔ go na di Imejɛnsi Dipatmɛnt (ETU) na di ɔspitul we de nia yu.
Mɛsej we dɛn kin kɛr go na os
- G6PD na imכtant εnzym we de protεkt wi rεd bכdi sεl dεm.
- we dεn nכ de na dis εnzym (G6PD dεfisiεns) na jεnεtik kכndishכn.
- Bɔrku pipul kin gɛt dis sik bɔt nɔr kin sho ɛni sayn.
- If yu gɛt tin dɛn lɛk fava bins, sɔm mɛrɛsin dɛn, ɛn infɛkshɔn, dat kin mek di rɛd blɔd sɛl dɛn brok, ɛn dis kin mek yu gɛt ɛmolaytik anemia.
- Di G6PD tɛst na simpul blɔd tɛst we dɛn kin du fɔ no dis sik.
- If yu gɛt G6PD dɛfisiɛns, di impɔtant tin na fɔ no wetin na yu trig dɛm ɛn avɔyd dɛm.
- Di tin we impɔtant pas ɔl: If yu gɛt G6PD dɛfisiɛns, mek shɔ se yu tɛl yu dɔktɔ bifo yu gi yu ɛni nyu mɛrɛsin.
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