Yu fambul dokta don eva tel yu se, "Lɛ wi sho dis to hematologist" we yu gɛt blɔd ripɔt? Sɔntɛm yu bin de fred smɔl we yu yɛri dat. "O, a get somtin sirios?" Sɔntɛm yu go dɔn tink. Bɔt nɔ fred. Nɔto ɛvri tɛm we dɛn aks yu fɔ go to dɔktɔ we de mɛn yu blɔd, dɔktɔ we spɛshal pan blɔd sik, na sɔntin we siriɔs. Tide, lɛ wi tɔk bɔt udat na dɔktɔ we de mɛn blɔd, wetin dɛn de du, ɛn wetin yu nid fɔ no if yu ɛva gɛt fɔ si wan.
Fɔ tɔk am simpul wan, udat na dis Ɛmatɔlɔjis?
Hematologist na dɔktɔ we spɛshal pan sik dɛn we gɛt fɔ du wit di blɔd, bon mɛro, ɛn limfatik sistɛm na wi bɔdi. Fɔ tɔk strikt wan, dis na ɔda sɔbspɛshal tin fɔ Intanɛt Mɛdisin.
Tink bɔt dis we: di blɔd we de na wi bɔdi tan lɛk wan nɛtwɔk we gɛt rod dɛn we de pas na wan kɔntri. Na along dɛn rod ya wi bɔdi kin kɛr ɔksijɛn ɛn tin dɛn we de ɛp wi fɔ go na ɔl di pat dɛn na wi bɔdi, ɛn i kin pul dɔti tin dɛn bak. If prɔblɛm de wit dis sistɛm, dɔktɔ we de mɛn blɔd de fɔ no if i gɛt am, fɔ no di rayt tin we nɔ rayt, ɛn fɔ trit am.
Dɛn kin no, trit, ɛn manej difrɛn sik dɛn we gɛt fɔ du wit blɔd. Sɔm pan dɛn sik ya kin bi benign (nɔ gɛt kansa) kɔndishɔn, ɔda wan dɛn kin bi malignant (kansa). Dɛn kin trit bak tin dɛn lɛk prɔblɛm wit blɔd we de klɔt ɛn we blɔd de kɔmɔt pasmak.
Yu tink se Hematologist ɛn Oncologist na tu difrɛn pipul dɛn? Ɔ na di sem pɔsin dɛn?
Dis na sɔntin we bɔku pipul dɛn kin kɔnfyus bɔt. Wan dɔktɔ we de mɛn blɔd ɛn kansa nɔto di sem pɔsin , bɔt sɔntɛnde di sem dɔktɔ kin gɛt sɛns pan ɔl tu di tin dɛn.
Lɛ wi jɔs si di difrɛns:
- Ɔnkɔlɔjis: Dɛn dɔktɔ ya na dɔktɔ dɛn we spɛshal pan kansa. Dis min se dɛn kin trit ɔl kayn kansa we kin apin ɛnisay na di bɔdi.
- Hematologist: Dɛn kin jɔs pe atɛnshɔn pan sik dɛn we gɛt fɔ du wit di blɔd, bon mɛro, ɛn di limfatik sistɛm.
Naw yu kin de tink se, "Udat de luk afta kansa wae de kam na di blɔd?" Yɛs, na de dɛn tu fil ya kin kam togɛda. Bɔku kansa lɛk lukimiya ɛn limfoma kin kɔmɔt frɔm wi blɔd sɛl ɔ bon mɛro. So, wan dɔktɔ we de mɛn blɔd gɛt sɛns bak pan kansa dɛn we gɛt fɔ du wit blɔd. Na dat mek sɔm dɔktɔ dɛn spɛshal pan ɔl tu di wok dɛn as "Hematologist-Oncologist."
Di tin we impɔtant pas ɔl fɔ mɛmba na dat, jɔs bikɔs dɛn tɛl yu fɔ go to dɔktɔ we de mɛn yu blɔd, dat nɔ min se yu gɛt kansa.
Bɔku tɛm, yu famili dɔktɔ go jɔs rifer yu to dɔktɔ we de mɛn yu blɔd if dɛn notis sɔntin we nɔ kɔmɔn na yu blɔd tɛst ripɔt. Dis kin bi chenj na yu blɔd sɛl ɔ chenj na yu blɔd we de klɔt. Smɔl chenj na dɛn bɛsis ripɔt ya nɔr kin bi sayn fɔ siriɔs sik ɔltɛm. Dɛn go rifer yu to spɛshal pɔsin fɔ luk insay am fayn fayn wan.
Wetin na di kɔmɔn sik dɛn we dɔktɔ we de mɛn blɔd kin trit?
Wi blɔd gɛt bɔku men tin dɛn. Rɛd blɔd sɛl dɛn kin kɛr ɔksijɛn go na di bɔdi, wayt blɔd sɛl dɛn kin protɛkt wi frɔm sik, ɛn di pletlɛt dɛn kin stɔp fɔ blɔd. If wan ɔ mɔ pan dɛn tin ya nɔ wok fayn, wi kin kɔl am sik we gɛt fɔ du wit blɔd. Lɛ wi si wetin na dɛn kayn sik ya.
| Blɔd sik dɛn we nɔ gɛt wan bɔt | |
|---|---|
| Anemia we nɔ gɛt bɛtɛ blɔd | Ayɔn-deficiency anemia na di kayn anemia we bɔku pipul dɛn kin gɛt. |
| Talasemia sik dɛn | Dis na sik we pɔsin kin gɛt frɔm in mama ɛn papa. I kin afɛkt di bɔdi in ebul fɔ mek wɛlbɔdi rɛd blɔd sɛl ɛn ɛmoglobin. Na wan kɔndishɔn we wi kin yɛri bɔt bɔku tɛm na Sri Lanka. |
| Ɛmofilia we gɛt ɛmofilia | Dis na sik bak we pɔsin kin gɛt frɔm in mama ɛn papa. Dis kin mek di blɔd we de mek di blɔd nɔ klɔt wik. Ivin smɔl wund kin mek bɔku blɔd kɔmɔt. |
| Von Willebrand sik we dɛn kɔl | Dis na wan sik bak we kin apin we pɔsin de blɔd. |
| Siklɔs sɛl anemia | Na sik we pɔsin kin gɛt frɔm in mama ɛn papa we kin kam bikɔs di rɛd blɔd sɛl dɛn shep kin chenj. |
| Malignant blɔd sik dɛn | |
| Lukimiya | Wan blɔd kansa we kin bigin na di bon mɛro. I kin bɔku pan pikin ɛn yɔŋ pipul dɛn. Bɔt wit di tritmɛnt dɛn we dɛn de du naw, di rit we dɛn de mɛn dɔn go ɔp bad bad wan. |
| Limfoma we dɛn kɔl Limfoma | Wan kansa we kin apin na di limfatik sistɛm. |
| Mayloma we gɛt di sik | Wan kayn kansa we kin afɛkt di plasma sɛl dɛn na di bon mɛro. |
Wetin yu fɔ ɛkspɛkt we yu go to dɔktɔ we de mɛn yu blɔd?
If yu gɛt apɔntinmɛnt fɔ go to dɔktɔ we de mɛn yu blɔd, i go fayn fɔ mek yu pripia smɔl bifo yu go. Bɔku tɛm, di dɔktɔ go du dɛn tin ya:
- Aks bɔt yu ɔl wɛl bɔdi: ɔda sik dɛm wae yu gɛt, mɛrɛsin wae yu de tek, ɛn if ɛnibɔdi na yu famili gɛt dɛn sik ya.
- Aks bɔt yu sayn dɛm: yu bɔdi kin chenj, yu taya, yu skin kin chenj, yu kin gɛt fiva ɔltɛm, ɛn yu kin lɛf fɔ it bɔku bɔku it.
- Dɛn go rivyu yu blɔd tɛst: Briŋ yu ol blɔd tɛst ɛn sho am to di dɔktɔ. Di dɔktɔ go tek tɛm luk dɛn ɛn ɛksplen to yu wetin di valyu dɛn min.
- Ditarmin if yu nid fɔ du ɔda tɛst: Dɛn kin aks yu fɔ du mɔ spɛshal blɔd tɛst ɔ bon mɛro tɛst fɔ no di sik kɔrɛkt wan.
- Tɔk bɔt aw fɔ no di sik ɛn aw fɔ trit am: If dɛn no se dɛn gɛt di sik, dɛn go ɛksplen am gud gud wan to yu ɛn dɛn go tɔk to yu bɔt di tritmɛnt we dɛn go ebul fɔ du.
Kɔmɔn blɔd tɛst we dɔktɔ we de mɛn blɔd kin ɔda
Dɛn tɛst ya kin ɛp dɔktɔ fɔ no di sik kɔrɛkt wan. Dɛn kin aks yu fɔ du sɔm pan dɛn tin ya bak.
| Nem fɔ di tɛst | Fɔ tɔk am simpul wan, wetin yu si pan dis? |
|---|---|
| Kɔmplit Blɔd Kɔnt (CBC) . | Dis na di bɛsis blɔd tɛst. I de mɛzhɔ di nɔmba fɔ di rɛd sɛl dɛn, di wayt sɛl dɛn, ɛn di pletlɛt dɛn. |
| Blɔd Difrɛns Tɛst | di nכmba fכ difrεn tכp dεm fכ di wayt bכdi sεl dεm (e.g. nyutrofil dεm, limfosayt dεm) dεn de mכsu dεm sεparat wan. |
| Prothrombin Tεm Tεst (PTT) . | I de mɛzhɔ aw lɔng i tek fɔ mek yu blɔd klɔt. |
| Pɛriferal Blɔd Smia (PBS) . | Dɛn kin smɛl wan drɔp blɔd pan glas slayd ɛn chɛk am ɔnda maykroskɔp fɔ chɛk aw di blɔd sɛl dɛn shep ɛn aw dɛn tan. |
Impɔtant kwɛstyɔn dɛn fɔ aks yu dɔktɔ
We yu go si dɔktɔ, i impɔtant fɔ aks ɔl di kwɛstyɔn dɛn we yu gɛt. Nɔ fred ɔ shem. Dis na bɔt yu wɛlbɔdi biznɛs. Fɔ ɛp yu, na sɔm kwɛstyɔn dɛn ya yu kin aks:
- "Dɔkta, wetin na di abnɔmal tin we de na mi blɔd ripɔt? Wetin i min?"
- "Us mɛdikal kɔndishɔn yu tink se a go gɛt?"
- "Dis na sirios situeshɔn?"
- "Wetin kin bi di rizin fɔ dis?"
- "Us patikyula simptom a fɔ luk fɔ?"
- "A go get fo du eni mo test? Wetin dem de luk fo?"
- "A nid tritmɛnt? Us kayn tritmɛnt de?"
- "Wetin tritmɛnt kin bigin? Aw lɔng i kin tek?"
- "Ɛni sayd ɛfɛkt de pan di mɛrɛsin we dɛn de gi mi?"
I go fayn fɔ rayt dɛn kwɛstyɔn ya pan pepa. Rayt bak di ansa dɛn we di dɔktɔ gi am smɔl.
Mɛsej we dɛn kin kɛr go na os
- Hematologist na dɔktɔ we spɛshal pan sik dɛn we gɛt fɔ du wit di blɔd, bon mɛro, ɛn di limfatik sistɛm.
- Jɔs bikɔs dɛn bin rifer yu to dɔktɔ we de mɛn yu blɔd nɔ min se yu gɛt kansa. Bɔku tin dɛn de we nɔ kin gɛt kansa, lɛk we pɔsin nɔ gɛt bɛtɛ blɔd.
- We yu go to yu dɔktɔ, nɔ fred fɔ aks ɛni kwɛstyɔn we yu gɛt. Yu fɔ ɔndastand gud gud wan bɔt yu sik ɛn aw fɔ trit yu.
- Nɔ panik jɔs bikɔs yu si chenj na blɔd tɛst. Spɛshal dɔktɔ dɛn de fɔ luk insay am gud gud wan ɛn du wetin nid.
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