Sɔntɛnde yu kin fil lɛk se di wayt na yu yay kin yɔlɔ smɔl? Ɔ yu dɔn ɛva aks yu padi se, "Wetin mek mi yay dɛn yɔlɔ?"? We dat apin, yu kin fred wantɛm wantɛm, "O, misɛf gɛt janda?" Bikɔs wi ɔl no se we di yay yɔlɔ kin bi sayn fɔ sɔm prɔblɛm wit di liva. Bɔt nɔto ɔl di jaundice kin kam bikɔs ɔf wan siriɔs liva sik. Tide wi go tɔk bɔt wan kɔndishɔn we bɔku pipul dɛn gɛt, bɔt dat nɔto sɔntin fɔ tu fred. Dat na di sik we dɛn kɔl Gilbert Syndrome.
Fɔ tɔk am simpul wan, wetin na Gilbert Syndrome?
Gilbert Syndrome nɔto siriɔs sik. Na wan rili kɔmɔn jɛnɛtik kɔndishɔn we kin pas frɔm jɛnɛreshɔn to jɛnɛreshɔn. Imajin se di rɛd blɔd sɛl dɛn na wi bɔdi kin day as tɛm de go. Dɔn we dɛn brok, dɛn kin mek wan yɔlɔ west tin we dɛn kɔl bilirubin . I tan lɛk grɔn dɔti we de rɔtin. Wan pan di men wok we wi liva de du na fɔ pul dis dɔti tin we dɛn kɔl bilirubin na di bɔdi.
Pipul wae gɛt Gilbert’s Syndrome kin gɛt wan slow prɔses fɔ pul bilirubin. dis na biכs dεn liva gεt lכw lεvεl fכ wan εnzym we de εp fכ dis prכsεs. di jin we de afekt dis dεn kכl am `UGT1A1`. Fɔ mek yu gɛt dis sik, yu fɔ dɔn gɛt tu kɔpi fɔ dis jin we dɛn dɔn chenj, wan frɔm yu mama ɛn wan frɔm yu papa.
Fɔ tɔk am simpul wan, i tan lɛk di faktri na di liva, usay di west prodak we dɛn kɔl bilirubin de wok sloslo. So sɔntɛnde dis yɔlɔ tin we dɛn kɔl bilirubin kin gɛda na di blɔd. Na da tɛm de di yay ɛn di skin kin luk yɔlɔ. Wi kin kɔl dis bak janda . Bɔt mɛmba se, Gilbert’s Syndrome nɔto sik we de pwɛl di liva ɛn nɔto sɔntin we wi fɔ fred.
Wetin na di sayn dɛm we de sho se yu gɛt dis sik? Wetin mek dɛn kin apia wantɛm wantɛm?
Bɔrku tɛm, pipul dɛm wae gɛt Gilbert’s Syndrome nɔr kin sho ɛni sayn. di εnzym na infεkt fכ kכntrכl di bilirubin lεvεl dεm na dεn bכdi.
Bɔt insay sɔm spɛshal kes dɛn, di lɛvɛl we di bilirubin de na di blɔd kin go ɔp smɔl. Na da tɛm de di wayt na di yay ɛn di skin kin tɔn yɔlɔ. Wi kin kɔl dis janda. If yu si dis kayn yɔlɔ, yu fɔ rili go to dɔktɔ fɔ no if ɔda siriɔs kɔz de.
Sɔntɛnde, dis yɔlɔ kin kam wit ed we de at, taya, ɛn bɛlɛ nɔ kin fayn.
So wetin mek dis bilirubin lɛvɛl kin go ɔp wantɛm wantɛm? Bɔku patikyula rizin dɛn de we kin afɛkt am. Lɛ wi si wetin dɛn bi.
| Trigεr dεm we de inkrεs di bilirubin lεvεl | Wetin de apin? |
|---|---|
| Strɛs | Tin dεm lεk εgzam εn wok prכblεm kin chenj di bכdi in prכsεs. |
| Di wata we nɔ de na di bɔdi | We yu nɔ de drink inof wata. |
| Fɔ skip fɔ it | We yu de fast ɔ skip it bikɔs yu bizi. |
| Infεkshכn dεm | We yu gɛt sik lɛk kol ɔ flu, yu bɔdi kin fɛt am. |
| Fɔ du ɛksɛsayz we yu de tray tranga wan | We yu bɔdi taya tumɔs fɔ ebul fɔ handle am. |
| Rum | Alkol de put ekstra strɛs pan di liva. |
| Menstrueshɔn na uman dɛn | Dis sik kin bi bikɔs ɔf di chenj dɛn we di ɔmon dɛn de chenj. |
Aw dɔktɔ kin fɛn dis?
Bɔku tɛm, dɛn kin no se pɔsin gɛt di sik we dɛn kɔl Gilbert’s Syndrome bay aksidɛnt. Sɔntɛm we yu de du blɔd tɛst fɔ ɔda sik, yu dɔktɔ notis se yu bilirubin lɛvɛl dɔn pas smɔl pas aw i kin bi. Na da tɛm de dɛn de saspek am.
Dɛn kin fala dɛn step ya fɔ no di sik:
- Blɔd tɛst dɛn:Dɛn kin chɛk di bilirubin lɛvɛl. Dɛn kin du tɛst bak we di liva de wok fɔ chɛk aw di liva de wok. Dis kin mek yu nɔ gɛt ɔda siriɔs liva sik dɛn.
- Ultrasound Scan: Sɔntɛnde dɛn kin du skan fɔ mek shɔ se nɔ ɔda prɔblɛm de wit di liva (lɛk ston ɔ fat we de na di liva).
- Jin tεst dεm: dεn kin du dis tεst fכ kכnfכm if mכtεshכn de na di `UGT1A1` jin. Bɔt, nɔto ɔltɛm dɛn kin du dis.
- Liva Bayopsi: Dɛn nɔ kin du dis fɔ chɛk fɔ si if i gɛt Gilbert Syndrome. Dɛn kin du am nɔmɔ if dɛn tink se ɔda bad bad sik de.
Yu tink se tritmɛnt de fɔ Gilbert Syndrome? Wetin wi fɔ du?
Na dis na di gud nyus. Gilbert’s Syndrome nɔto sik we nid fɔ gɛt tritmɛnt. Di yɔlɔ (jaundice) we i de mek nɔ go mek yu bɔdi gɛt ɛni prɔblɛm fɔ lɔng tɛm.
So wetin wi nid fɔ du na fɔ de fa as wi ebul frɔm di tin dɛn we de mek di bilirubin lɛvɛl go ɔp we wi bin dɔn tɔk bɔt.
- Nɔ skip fɔ it. It di rayt tɛm.
- Drink bɔku wata. I rili impɔtant fɔ drink at le 2-3 lita wata wan de.
- Ridyus strɛs. Rilaks yu maynd bay we yu de tink gud wan, lisin to myuzik, ɔ du sɔntin we yu lɛk fɔ du.
- Slip fayn fayn wan. Gɛt at le 7-8 awa fɔ slip insay wan de.
- Limit ɔ stɔp fɔ drink rɔm ɔltogɛda .
- Nɔ du ɛksɛsayz we de mek yu bɔdi strɛs tumɔs. Tin dɛn lɛk fɔ waka ɔltɛm ɛn fɔ du yoga kin fayn.
Wan tin we wi fɔ wɔri bɔt mɔ!
Dis na di say we yu nid fɔ pe atɛnshɔn mɔ. di sem εnzym we de brok dכn bilirubin na wi liva de εp bak fכ pul sכm mεdikeshכn dεm na di bכdi. Bikɔs da ɛnzaym de wok sloslo pan pɔsin we gɛt Gilbert’s Syndrome, dɛn mɛrɛsin dɛn de kin de na di bɔdi fɔ lɔng tɛm ɛn dɛn kin gɛt sayd ɛfɛkt.
As pɔrsin wae gɛt Gilbert’s Syndrome, e fayn fɔ tɔk to yu dɔktɔ bɔt ɛni nyu mɛrɛsin wae yu de tek.
Fɔ ɛgzampul, di mɛrɛsin dɛn we dɛn kin yuz bɔku tɛm lɛk asetaminofɛn (Panadol, Paracetamol) kin insay dis kategori. Dɛn kin put mɛrɛsin bak lɛk `Irinotecan`, we dɛn kin yuz fɔ kansa, ɛn `Protease inhibitor`, we dɛn kin yuz fɔ HIV ɛn Hepatitis C.
So, we yu go to dɔktɔ, i rili impɔtant fɔ se, "A gɛt Gilbert Syndrome." Dɔn di dɔktɔ go tek dat na kɔna we i de gi yu mɛrɛsin.
Mɛsej we dɛn kin kɛr go na os
- Gilbert Syndrome nɔto sik we pɔsin fɔ fred. Na wan sik wae nɔr de du bad, wae de kam pan pɔrsin in jɛnɛreshɔn.
- De men sayn na wae yu yay ɛn yu skin de yɔlɔ (jaundice) wae yu de strɛs, sik, ɔr de fast.
- Dis sik nɔr nid fɔ gɛt tritmɛnt. Wetin yu nid fɔ du na fɔ avɔyd tin dɛn we de mek yu gɛt mɔ bilirubin.
- If yu yay ɔ yu skin de tɔn yɔlɔ, mek shɔ se yu go to dɔktɔ fɔ mek shɔ se nɔto ɔda siriɔs sik.
- If yu no se yu gɛt Gilbert’s Syndrome, i rili impɔtant fɔ tɛl yu dɔktɔ bifo yu tek ɛni nyu mɛrɛsin.
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