Sɔntɛnde, we wi luk blɔd ripɔt, wi kin si wɔd dɛn we wi nɔ sabi insay, nɔto so? We dɔktɔ tɔk wɔd lɛk dis, wi kin fil fɔ no smɔl, sɔntɛm wi kin ivin fred smɔl. Wan pan dɛn kayn nem ya na ‘Heinz Bodies’. So tide, lɛ wi tɔk bɔt wetin dis rili bi, na sik, ɔ na sayn fɔ sik. We yu ɔndastand dis gud gud wan, yu fred nɔ go de igen.
Fɔ tɔk am simpul wan, wetin na dɛn Heinz Bɔdi ya?
Fɔ tɔk am simpul wan, Heinz Bodies nɔto sik. Dɛn jɔs de sho se yu rɛd blɔd sɛl dɛn dɔn pwɛl. Jɔs lɛk we wi si dent na motoka, wi no se dɛn dɔn hit am sɔnsay, ɛn na so dis kin bi.
Dis na smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl. Na dɔktɔ dɛn nɔmɔ kin si dɛn (especially pathologists) we dɛn yuz spɛshal day ɛn luk dɛn ɔnda maykroskɔp. Dɛn spɛk dɛn ya rili gɛt wan prɔtin we dɛn kɔl ɛmoglobin we dɔn pwɛl. So, we yu fɛn dɛn tin ya pan blɔd tɛst, dat min se sɔntin nɔ fayn wit di rɛd blɔd sɛl dɛn. E kin bi sayn fɔ wan sik lɛk anemia.
Lɛ wi ɔndastand aw dɛn tin ya kin mek?
Fɔ ɔndastand dis, wi fɔs nid fɔ no smɔl bɔt wi rɛd blɔd sɛl dɛn.
Tink bɔt rɛd blɔd sɛl dɛn as delivri savis we de kɛr ɔksijɛn ɔlsay na wi bɔdi. Di kago we de insay dis delivri motoka na ɛmoglobin. Dis ɛmoglobin na in de pik ɔksijɛn ɛn kɛr am kɔmɔt na di lɔng dɛn to ɔl di pat dɛn na di bɔdi. Dis ɛmoglobin na in de gi wi blɔd in rɛd kɔlɔ.
Nɔmal wan, wan sɛl na wi bɔdi gɛt nyukliɔs. Bɔt machɔ rɛd blɔd sɛl nɔ gɛt nyukliɔs. So, i kin gɛt bɔku bɔku ɛmoglobin mɔlyul dɛn.
If fɔ sɔm rizin dɛn ɛmoglobin ya dɔn pwɛl (oxidative damage) , dɛn nɔ de wok fayn. Dɛn kin gɛda togɛda ɛn gɛda togɛda. Wi kin kɔl dɛn ɛmoglobin pis dɛn we kin gɛda ɛn we dɔn pwɛl, Heinz Bodies. We dis kin apin, di rɛd blɔd sɛl dɛn nɔ kin ebul fɔ kɛr ɔksijɛn fayn fayn wan. Dɔn bak, dɛn kin bigin fɔ brok ɛn pwɛl kwik pas aw i kin pwɛl. Insay mɛrɛsin, dɛn kɔl dis we aw di rɛd blɔd sɛl dɛn kin brok kwik kwik wan, ɛmolaysis .
Us simptom kin apin if Heinz Bodies de?
Di sayn dɛm nɔr kin rili kam frɔm di Heinz Bɔdi dɛm, bɔt na di ɔndalayn kɔndishɔn we kin mek dɛn gɛt dɛn, we na we di rɛd blɔd sɛl nɔ kin bɔku (anemia). If yu rɛd blɔd sɛl nɔ bɔku, yu nɔ go gɛt ɛni sayn atɔl. Bɔrku tɛm, dɛn sik ya kin kam wae yu bɔdi nɔr de gɛt bɛtɛ ɔksijɛn.
| Di sayn we de sho se di sik de | Simpul ɛksplen |
|---|---|
| Taya | Fɔ fil taya pasmak ivin we yu nɔ du natin. |
| Diziz we pɔsin kin gɛt | Wan filin fɔ diziz ɛn nɔr de balans. |
| Pale skin | Pale skin ɛn lip bikɔs blɔd nɔ de. |
| At bit kwik kwik wan (Tachycardia) . | Hat de bit kwik kwik wan, fil lɛk se yu chɛst de bit. |
| I nɔ izi fɔ blo (Dyspnea) . | Fɔ blo shɔt, fɔ fil fɔdɔm ivin if yu tray smɔl. |
| Jandis we gɛt di sik | Di skin kin yɔlɔ ɛn di yay kin wayt. |
| Splenomegaly we gɛt di sik | Di splin big, we de pul di rɛd blɔd sɛl dɛn we dɔn pwɛl. |
Aw yu kin fɛn dɛn tin ya?
Dɔktɔ dɛn kin no dɛn Heinz Bɔdi ya wit wan tɛst we dɛn kɔl peripheral blood smear . Dis min se yu fɔ pul smɔl blɔd na yu finga ɛn smɛl am pan glas slayd, ad spɛshal day, ɛn chɛk am ɔnda maykroskɔp.
Wetin rili wɔndaful na dat, dɛn rɛd blɔd sɛl ya we gɛt Heinz Bɔdi kin tan lɛk se sɔmbɔdi dɔn bit wan pat pan di sɛl. wi kכl dεn ya "bayt sεl dεm."
Dis na aw i de wok: We di rɛd blɔd sɛl dɛn we dɔn pwɛl pas na wi splin, di splin de wok lɛk filta. I de "chew" away di damej Heinz Bodies. Di ɔda rɛd blɔd sɛl dɛn we lɛf tan lɛk it we pɔsin dɔn it.
Wetin na di men mεdikal kכndyushכn dεm wae dεn kin si Heinz Bɔdi dεm?
Wi no naw se Heinz Bodies na sayn fɔ wan sik. So, na sɔm pan di men kɔndishɔn dɛn we dɛn kin si dɛn.
| Mɛdikal kɔndishɔn | Simpul ɛksplen |
|---|---|
| Ɛmolaytik Anemia | Anemia kin kam bikɔs di rɛd blɔd sɛl dɛn kin brok ɛn pwɛl kwik kwik wan pas aw dɛn kin mek dɛn. |
| G6PD Dɛfisiɛns | Dis na jεnεtik (inhεrit) kכndyushכn. if di εnzym G6PD nכ de, i de mek di risk fכ damej di rεd bכdi sεl dεm. |
| Alfa-thalassemia we gɛt di sik | Dis na sik bak we pɔsin kin gɛt we i kam pan jɛnɛtiks. If na so i bi, di bɔdi nɔ kin ebul fɔ mek ɛmoglobin we gɛt wɛlbɔdi. |
| Spleen we dɔn big | Di splin gɛt fɔ wok tranga wan fɔ pul bɔku bɔku rɛd blɔd sɛl dɛn we dɔn pwɛl, ɛn dis kin mek i big. |
Wetin mek dɛn Heinz Bɔdi ya kin apin? Wetin na di tin dɛn we kin mek i apin?
Bɔku men rizin dɛn de we kin mek di ɛmoglobin pwɛl.
- Fɔ gɛt sɔm mɛrɛsin ɛn kemikal dɛn: Fɔ ɛgzampul, sɔm mɛrɛsin fɔ urinary tract infection (UTI) ɛn mɛrɛsin fɔ lɛprɔsi.
- Minral dɛfisiɛns: Na di bɔdi we nɔ gɛt minral, mɔ di sɛlɛniɔm.
- Spɛshal it fɔ pipul dɛn we nɔ gɛt G6PD: If pɔsin we nɔ gɛt G6PD it it lɛk fava bins , dɛn rɛd blɔd sɛl kin pwɛl ɛn Heinz Bɔdi kin fɔm.
Tritmɛnt ɛn fɔ mek dɛn nɔ gɛt am
Dis na prɔblɛm we bɔku pipul dɛn gɛt. No patikyula tritmɛnt nɔr de fɔ Heinz Bodies. Bikɔs i nɔto sik, bɔt na sayn fɔ sik. De ki na fɔ fɛn de ɔndalayn kɔndishɔn wae de kɔz am ɛn trit am. Yu dɔktɔ go du di tɛst dɛn we yu nid, fɛn ɔl wetin de mek yu gɛt am, ɛn gi yu di rayt tritmɛnt.
Yu tink se dɛn go ebul fɔ stɔp am? Yɛs, insay sɔm kes dɛn, i kin ebul.
Fɔ ɛgzampul, if yu no se yu nɔ gɛt G6PD, yu fɔ avɔyd fɔ it fava bins ɔltogɛda. Dɔn bak, we yu de tek mɛrɛsin fɔ ɛni ɔda sik, i rili impɔtant fɔ mek yu dɔktɔ no se yu gɛt G6PD dɛfisiɛns. Da we de, yu dɔktɔ kin gi yu mɛrɛsin we nɔ go ambɔg yu.
Mɛsej we dɛn kin kɛr go na os
- Heinz Bɔdi nɔto sik, na jɔs sayn fɔ sho se yu rɛd blɔd sɛl dɛn dɔn pwɛl.
- Dɛn kin no dɛn tin ya tru wan spɛshal tɛst we dɛn kin du pan wan drɔp pan blɔd (Peripheral Blood Smear).
- Dɛn tin ya kin bi bikɔs ɔf jɛnɛtik kɔndishɔn lɛk G6PD we nɔ de, thalassemia, ɔ sɔm mɛrɛsin dɛn.
- No patikyula tritmɛnt nɔr de fɔ Heinz Bodies. Dɛn kin gi di tritmɛnt fɔ di ɔndalayn kɔndishɔn we mek dɛn gɛt dɛn.
- If yu gɛt nem lɛk dis na yu blɔd ripɔt, nɔ wɔri bɔt am, go to yu dɔktɔ wantɛm wantɛm ɛn tɔk bɔt am. I go gi yu ɔl di advays dɛn we yu nid.
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