Yu tink se fɔ vɔmit blɔd siriɔs? Lɛ wi lan bɔt di sik we dɛn kɔl Hemolytic Uremic Syndrome (HUS)!

Yu smɔl pikin dɔn gɛt dayarɛa fɔ sɔm dez? Evri mama en papa go fred if dem si smol blɔd na dɛn stɔl? Bɔrku tɛm, dɛn kin tink se na simpul bɛlɛ pen, bɔt sɔmtɛm i kin bi di fɔs sayn fɔ wan sik we siriɔs pasmak. Na dat wi de tɔk bɔt tide, Hemolytic Uremic Syndrome, ɔ HUS fɔ shɔt, na siriɔs tin we kin apin, mɔ afta we pɔsin gɛt di baktri we nem E. coli. Lɛ wi lan bɔt dis simpul wan ɛn kɔrɛkt wan.

Fɔ tɔk am simpul wan, wetin na HUS?

Tink bɔt di blɔd vesel dɛn we de ɔlsay na wi bɔdi lɛk wan nɛtwɔk we gɛt rod dɛn. Dɛn rod ya na di say we wi rɛd blɔd sɛl dɛn kin kɛr ɔksijɛn go ɔlsay na di bɔdi. Insay wan sik we dɛn kɔl HUS, blɔd kin klɔt ɛn blok na di smɔl smɔl blɔd vesel dɛn (kapilari dɛn), mɔ na di kidni dɛn . I tan lɛk se wata paip de klos wit dɔti ɛn wata.

We di blɔd vesel dɛn kin blok dis kayn we, tri men tin dɛn kin apin:

1. Hemolytic Anemia: Rɛd blɔd sɛl dɛn we de tray fɔ pas na di blɔd vesel dɛn we dɔn blok kin stɔp, krɔs, ɛn brok. Dis kin mek di blɔd we de na di bɔdi go dɔŋ, we min se di blɔd nɔ de na di bɔdi.

. Dis kin mek di nɔmal nɔmba fɔ di pletlɛt dɛn we de na di blɔd kin go dɔŋ.

3. Kidni we nɔ de wok fayn: Bikɔs di kidni dɛn nɔ de gɛt inof blɔd ɛn di blɔd vesel dɛn dɔn pwɛl, di kidni dɛn nɔ ebul fɔ filta di dɔti tin dɛn we de kɔmɔt na wi bɔdi fayn fayn wan ɛn pul dɛn kɔmɔt as urine. Dis kin mek yu kidni nɔ wok wantɛm wantɛm.

Wetin na di men tin we kin mek pɔsin gɛt HUS?

Bɔku tɛm, lɛk 90% pan di tɛm, na wan baktri we dɛn kɔl E. coli (Escherichia coli) kin mek HUS, we kin mek wan pɔyzin we dɛn kɔl Shiga toxin . Dis baktri de go insay wi bɔdi tru dɔti it we nɔ kuk ɔ wata we gɛt dɔti.

Imajin dis tin we go apin. Yu de it na rɛstɔrant wit yu famili. If yu it bif we nɔ kuk fayn (espɛshali bif we dɛn dɔn grɔn), milk ɔ chiz we nɔ pastɔrayz, ɔ lɛtis ɔ vɛjitebul we yu nɔ was, i kin gɛt E. coli baktri.

We dis baktri kam insay di bɔdi, i kin mek yu bɛlɛ pen ɛn wata we de mek yu dayarɛa insay sɔm dez. Insay wan ɔ tu dez, dis kin bi dayarɛa we gɛt blɔd.Shiga tכxin dεm we di baktri dεm de mek de pwεl di wכl dεm na wi intestכn dεm εn mek wi bכdi bכn. Dɔn dɛn pɔyzin ya kin go insay di blɔd ɛn travul ɔlsay na di bɔdi, ɛn dis kin pwɛl di smɔl smɔl blɔd vesel dɛn na di kidni dɛn. Dis na aw HUS de bigin.

Men kayn HUS de?

Yɛs, dɛn kin sheb HUS to sɔm men kayn dɛn.

• "Typical" HUS: Dis na di kayn we we wi bin de tɔk bɔt te naw, we kin kɔmɔt frɔm baktriyal infɛkshɔn lɛk E. coli.
• Atypical HUS (aHUS): Dis na wan kayn we we nɔ kin bɔku. Na wan tin we nɔ fayn na in jɛnɛtiks kin mek i apin. Dis min se dɛn kin gɛt am frɔm mama ɛn papa to pikin dɛn. Dɛn pipul ya kin gɛt HUS wantɛm wantɛm, ivin if dɛn gɛt sɔntin lɛk kɔmɔn kol ɔ flu.
• Sɛkɔndari HUS: Dis kin apin as sayd ɛfɛkt fɔ ɔda mɛdikal kɔndishɔn (e.g. kansa) ɔ sɔm mɛrɛsin dɛn (e.g. anti-kansa drɔgs, immunosuppressants).

Wetin na di sayn dɛm fɔ HUS? Aw dɛn kin no se i gɛt am?

Di simptom dɛm fɔ HUS kin apin tu stej. Fɔs, di sayn dɛn we gɛt fɔ du wit di intestinal infɛkshɔn kin apia. Dɔn, di mɔ siriɔs sayn dɛm wae gɛt fɔ du wit HUS kin apia.

Ustɛm yu fɔ go to dɔktɔ wantɛm wantɛm?

If yu ɔ yu pikin gɛt dɛn sik ya, yu fɔ go na ɔspitul in Imejɛnsi Dipatmɛnt (ETU) ɛn nɔ de te .

• Dayarɛa we kin las pas tri dez.
• Dayarɛa wit blɔd.
• If di amount of urine we yu pas de dכn bכku bכku wan.
• If di pikin in blɛsin ɛn taya pasmak.
• If di bɔdi dɔn swel.

Aw dɔktɔ dɛn kin kɔnfɔm HUS stetɔs?

Di dɔktɔ we de chɛk yu go tek tɛm lisin to yu sik dɛn ɛn afta dat i go ɔda fɔ du sɔm tɛst fɔ no if yu gɛt HUS.

• Blɔd Tɛst: Dɛn tin ya kin chɛk fɔ si if di rɛd blɔd sɛl ɛn pletlɛt dɛn nɔ bɔku, ɛn if di kidni de wok (kriatinin, yuria, ɛn ɔda tin dɛn).
• Urinalysis: I de chɛk fɔ si if blɔd ɔ prɔtin de na di urine.
• Stul Tεst: I de chεk fכ baktri dεm lεk E. coli O157 insay stכl.
• Kidni Bayopsi: Sɔntɛnde, dɛn kin nid fɔ tek wan rili smɔl pat pan di kidni ɛn tɛst am fɔ kɔnfirm di sik.

Wetin na di tritmɛnt dɛm fɔ HUS?

HUS na wan sik we nid fɔ go na ɔspitul . Dɛn nɔ go ebul fɔ trit am na os. Dis na di men tritmɛnt dɛn we dɛn kin gi na di ɔspitul.

1. Gi salin ɛn it: Dayrɛa ɛn vɔmit kin mek yu nɔ gɛt wata bay we yu pul wata ɛn sɔl na di bɔdi. Fɔ mek dis nɔ apin, dɛn kin gi salin (IV fluid) tru wan vein. If yu nɔ ebul fɔ it, dɛn kin gi yu nyutrishɔn tru wan tiub.

2. Blɔd ɛn pletlɛt transfyushɔn:Dɛn kin gi blɔd if di rɛd blɔd sɛl dɛn tu smɔl (anemia). Dɛn kin gi pletlet bak if di pletlɛt kɔnt tu smɔl ɛn risk de fɔ mek blɔd kɔmɔt.

3. Dayalaysis: If di kidni dɛn tu wik fɔ pul dɔti tin dɛn na di bɔdi, i nid fɔ du dayalaysis, we na mashin we de klin di blɔd. Bɔku tɛm, dis na tin we dɛn kin du fɔ sɔm tɛm. Dɛn kin stɔp dayalaysis we di kidni dɛn bigin fɔ wok bak.

4. Spɛshal drɔgs: Fɔ rare kayn dɛn lɛk atypical HUS (aHUS), dɛn kin yuz spɛshal drɔgs lɛk eculizumab ɔ ravulizumab .

Wetin wi fɔ du fɔ avɔyd HUS?

Di bɛst we fɔ mek wi nɔ gɛt HUS na fɔ tek kia ɔf di smɔl smɔl tin dɛn na wi ɛvride layf.

• Mek shɔ se yu was yu an fayn fayn wan wit sop bifo yu pripia it ɛn afta yu dɔn yuz tɔylɛt.
• Kuk mit, fish, ɛn eg fayn fayn wan. Kuk grɔn mit, mɔ te i kuk fayn insay.
• Wash raw vegjetabul, frut, ɛn lɛtis fayn fayn wan wit klin wata.
• Nɔ drink milk we nɔ pasteurized/raw, dairy prodakt, ɛn frut drink.
• Nɔ yuz bɔd fɔ kɔt, naif, ɔ ɔda tin dɛn we dɛn kin yuz fɔ mek raw mit ɔ fish fɔ kuk it. Wash ɛn klin dɛn fayn fayn wan afta yu dɔn yuz dɛn.
• Nɔ swim na dɔti watasay, riva, ɛn strim.
• If yu gɛt dayarɛa, nɔ go na swimin pul.

HUS na wan kɔndishɔn we de mek pɔsin fred. Bɔt if dɛn no di sik kwik kwik wan, trit am ɛn trit am kwik, pas 85% pan pipul dɛn kin wɛl ɔltogɛda . Bɔku tɛm, di damej we di kidni dɛn kin gɛt kin apin fɔ shɔt tɛm nɔmɔ. So di tin we impɔtant pas ɔl na fɔ no bɔt di sayn dɛm ɛn go to dɔktɔ kwik kwik wan.