Yu kin fil taya ɔltɛm? Yu pale ɛn yu gɛt yɔlɔ kɔmpleks? Ɔ sɔmbɔdi na yu famili gɛt blɔd sik we pɔsin kin gɛt frɔm in mama ɛn papa? Sɔntɛnde lɛk dɛn tɛm ya, yu dɔktɔ kin tɛl yu fɔ du spɛshal blɔd tɛst. Wan pan dɛn kayn rili impɔtant, spɛshal blɔd tɛst we wi de tɔk bɔt tide, dɛn kɔl am Ɛmoglobin Ilɛktrofɔrɛsis. Pan ɔl we di nem kin tan lɛk se i kɔmplikt smɔl, wetin i de du rili simpul. Lɛ wi si wetin i bi, wetin mek dɛn de du am, ɛn wetin wi kin lan frɔm am.
Wetin na Ɛmoglobin Ilɛktrofɔrɛsis?
Fɔ tɔk am simpul wan, Ɛmoglobin Ilɛktrofɔrɛsis na spɛshal lab tɛst we de luk di kayn ɛmoglobin we de na yu rɛd blɔd sɛl, ɛn ɔmɔs pan ɛni kayn de insay dɛn.
Okay, naw yu de aks, "Wetin na dis ɛmoglobin?" Imajin se di rɛd blɔd sɛl dɛn we de insay yu bɔdi tan lɛk smɔl smɔl trak dɛn we de kɛr pipul dɛn go. Dɔn ɛmoglobin na di ‘man we de gi di pikin’ we sidɔm insay da trak de, we de pik paket ɔksijɛn frɔm di lɔng dɛn ɛn sheb dɛn to ɔl di ɔda sɛl dɛn na di bɔdi . Na we dis ‘delivri man’ de wok fayn fayn wan wi kin gɛt inof ɔksijɛn to ɛvri pat na wi bɔdi.
Bɔt sɔntɛnde, bikɔs ɔf di jɛnɛtik rizin dɛn, dis prɔtin we dɛn kɔl ɛmoglobin kin gɛt sɔm chenj dɛn ɔ sɔm tin dɛn we nɔ fayn. Dɔn dis ‘delivri man’ bigin fɔ biev smɔl difrɛn we. Bikɔs ɔf dis ɛmoglobin we nɔ fayn, di shep fɔ di rɛd blɔd sɛl dɛn kin chenj, dɛn kin brok kwik kwik wan, ɛn di bɔdi nɔ kin gɛt di rayt ɔksijɛn. Wi kin du dis Ɛmoglobin Ilɛktrofɔresis tɛst fɔ no if dɛn kayn difrɛn kayn ɛmoglobin dɛn de we nɔ fayn.
Wetin na di difrɛns bitwin dis ɛn di ɛmoglobin tɛst ɔltɛm?
Dis na sɔntin we kin mek bɔku pipul dɛn kɔnfyus. If yu luk pan FBC (Full Blood Count) ripɔt, i gɛt valyu bak we dɛn kɔl Ɛmoglobin (Hb).
- Di jenɛral ɛmoglobin tɛst (we dɛn kin fɛn na FBC): Dis kin jɔs mɛzhɔ di ɔl ɛmoglobin we de na yu blɔd. I tan lɛk, insay wi ɛgzampul, yu de chɛk ɔmɔs ‘delivri man’ yu gɛt na yu bɔdi.
- Ɛmoglobin Ilɛktrofɔrɛsis Tɛst: Dis na tɛst we dip pasmak. I de luk di kayn ɛmoglobin we de na yu blɔd ɛn di kayn ɛmoglobin we de na ɛni wan pan dɛn . I tan lɛk se yu nɔ jɔs de luk ɔmɔs 'delivery man' de, bɔt yu de luk bak if "gud" wan dɛn de, "smɔl difrɛn" wan dɛn, ɛn "defective" wan dɛn , ɛn if na so, ɔmɔs.
Dis tɛst impɔtant mɔ fɔ no di sik dɛn we pɔsin kin gɛt frɔm in blɔd lɛk siklɔs sɛl anemia ɛn thalassemia.
Lɛ wi tɔk bɔt di men kayn ɛmoglobin.
Bɔku kayn ɛmoglobin de we dis tɛst kin mɔs luk fɔ. Si di tebul we de dɔŋ fɔ ɔndastand dɛn tin ya simpul wan.
| Di kayn ɛmoglobin we dɛn kin yuz | Fɔ tɔk am simpul wan, wetin na dis... |
|---|---|
| Ɛmoglobin A (HgbA) . | dis na di mכst kכmכn, "nכmal" tכp εmoglobin we de insay di bכdi fכ big man we gεt hεlth. i de mek pas 95% pan di tכtal εmoglobin insay wan hεlty big man. |
| Ɛmoglobin F (HgbF) . | dεn kכl dis "fetal hεmoglobin." As di nem sho, dis na di men kayn εmoglobin we de insay di pikin dεm we de na di bεlε εn di pikin dεm we dεn bכn. as di pikin de gro, di amoun fכ HgbF de dכn εn di amoun fכ HgbA de inkrεs. Wan rili ay levul fɔ dis pan big pɔsin kin bi wan sayn fɔ sɔm kayn mɛrɛsin. |
| Ɛmoglobin S (HgbS) . | Dis na di kayn ɛmoglobin we nɔ fayn we kin mek siklɛt anemia . we dis apin, di rεd bכdi sεl dεm, insted fכ dεn nכmal rawnd shep, dεn kin bi sikεl shep εn kin trכp insay di bכdi vεsul dεm. |
| Ɛmoglobin C (HgbC) . | Dis na ɔda kayn ɛmoglobin we nɔ fayn. Dis kin mek di rɛd blɔd sɛl dɛn brok bifo tɛm, ɛn dis kin mek pɔsin gɛt anemia (blɔd nɔ de na di blɔd). |
Aw yu kin pul blɔd fɔ dis tɛst? Na sɔntin we wi fɔ fred?
Atɔl. Dis jɔs tan lɛk we dɛn kin du blɔd tɛst ɔltɛm. Di we aw dɛn kin tek di blɔd kin difrɛn smɔl fɔ di ej ɛn nid.
| Di we aw dɛn kin gɛda blɔd | Tɔk bɔt |
|---|---|
| Venɔs blɔd drɔ | Dis na di we aw dɛn kin yuz fɔ big pipul ɛn pikin dɛn we dɔn big. Dɛn kin put smɔl nidul insay wan vein we de na di kruk na yu ɛlb ɛn pul smɔl blɔd. Yu kin fil smɔl sting, lɛk se ant bit yu, bɔt i kin las fɔ sɔm sɛkɔn nɔmɔ. |
| Finga stik | Dɛn kin yuz dis we fɔ smɔl pikin dɛn ɔ we na sɔm drop blɔd nɔmɔ dɛn nid. Dɛn kin gɛda sɔm drop dɛn na di blɔd bay we dɛn kin chuk di finga in tip wit smɔl nidul. |
| Il stik na di il | Dɛn kin du dis fɔ pikin dɛn we dɛn jɔs bɔn . Insay 48 awa afta dɛn bɔn di pikin, dɛn kin chuk wan smɔl nidul na dɛn il ɛn gɛda sɔm blɔd dɛn na wan spɛshal kad. dis na pat pan di ``nyu bכn skrinin`` siriכs tεst dεm we dεn kin du pan כlmost εvri nyu bכbi pikin na Sri Lanka. Dis kin no siriɔs, bɔt dɛn kin trit am lɛk Siklɔs Sɛl Anemia if dɛn no am kwik. Nɔ wɔri fɔ du di pikin bad, dis kin bi we di mama stil de ol di pikin. |
Wetin kin apin to dis blɔd sɛmpul na di lab?
We yu blɔd sɛmpul go na di lɛb, di tɛknishian dɛn we de de kin fala wan spɛshal we.
Imajin se ɛni kayn ɛmoglobin tan lɛk pipul dɛn we gɛt difrɛn wet ɛn we kin rɔn difrɛn spid.
1. Fɔs, di ɛmoglobin de kɔmɔt na yu rɛd blɔd sɛl dɛn.
2. Dɔn dɛn kin put dis ɛmoglobin miksɔp pan spɛshal jel ɔ pepa strip.
3. Naw dɛn de gi ilɛktrik kɔrɛnt to dis.
4. We dɛn put ilɛktrishɔn, ɛni kayn ɛmoglobin de go bifo tru dis jel wit difrɛn spid , i dipen pan in wet ɛn ilɛktrik chaj.Jɔs lɛk we pɔsin de rɔn, di wan dɛn we de rɔn fast kin go bifo ɛn di wan dɛn we slo kin lɛf biɛn.
5. Afta sɔm tɛm, dɛn kayn ɛmoglobin ya kin apia lɛk difrɛn kɔlɔ band dɛn .
6. Fɔ dɔn, di wan dɛn we de wok na di lab kin kɔmpia yu band patɛn to di nɔmal patɛn fɔ pɔsin we gɛt wɛlbɔdi. Dis kin mek dɛn ebul fɔ no uskayn kayn ɛmoglobin de na yu blɔd, ɛn if di amount na nɔmal ɔ abnɔmal.
Wetin mi ripɔt min?
Yu go gɛt ripɔt insay sɔm dez afta di tɛst. I go rayt di pasɛnt ɛn valyu fɔ ɛni kayn ɛmoglobin. fכ egzampl, if i sho se HgbS כ HgbC de, i kin bi sayn fכ Sikl Sεl Disease כ di sem kayn kכndyushכn. If di HgbF lɛvɛl ay pan big pɔsin, i kin bi sayn fɔ wan kɔndishɔn lɛk Thalassemia.
Bɔt mɛmba wan tin we rili impɔtant. Nɔ mek yu yon kɔnklushɔn bay di nɔmba ɛn lɛta dɛn we de na dis ripɔt, ɔ mek diagnosis bay di intanɛt. I kin mek yu fred we yu nɔ nid.
Na yu dɔktɔ nɔmɔ go ebul fɔ ɛksplen di rayt minin fɔ dis ripɔt, we i kam pan yu sik dɛn ɛn ɔda tɛst dɛn. So jɔs afta yu gɛt di ripɔt, mit wit di dɔktɔ we ɔda am ɛn tɔk bɔt am.
I nɔmal fɔ mek mama ɛn papa dɛn fred ɛn wɔri if yu pikin in ripɔt sho sɔntin we nɔ kɔmɔn. Bɔt nɔ wɔri. I min se yu gɛt chans fɔ bigin di tritmɛnt ɛn kia we yu pikin nid kwik kwik wan. Yu dɔktɔ go gi yu ɔl di advays we yu nid.
Mɛsej we dɛn kin kɛr go na os
- Ɛmoglobin Ilɛktrofɔrɛsis na spɛshal tɛst we nɔ jɔs de no di kayn ɛmoglobin we de na di blɔd, bɔt dɛn kin no di kayn ɛmoglobin dɛn we de insay di blɔd .
- Dis na big ɛp fɔ no di sik dɛn we pɔsin kin gɛt frɔm in blɔd lɛk sikɛl sɛl anemia ɛn thalassemia.
- Fɔ mek dɛn pul yu blɔd fɔ dis tɛst rili simpul ɛn i nɔ bad. No rizin nɔ de fɔ mek wi fred.
- Di tin we impɔtant pas ɔl: Nɔ tray fɔ ɔndastand di ripɔt yusɛf. Sho am to yu dɔktɔ ɔltɛm ɛn aks am fɔ di ditel dɛn.
- Ripɔt we nɔ kɔmɔn nɔto di ɛnd fɔ di wɔl. Na jɔs di fɔs tin we yu fɔ du fɔ mek yu no di sik kɔrɛkt wan ɛn fɔ gɛt di tritmɛnt we yu nid.
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