Yu dɔn ɛva fred fɔ si yu smɔl pikin gɛt blu-pepul brus na in bɔdi, mɔ in leg? Ɔ yu dɔn notis smɔl smɔl rɛd spat dɛn na yu skin ɛn yu dɔn notis se yu gam dɛn de blɔd we yu de brus yu tit? Na nɔmal tin fɔ mek yu fil fred we yu si tin dɛn lɛk dis. Bɔt bɔku tɛm, de kɔz na wan kɔndishɔn we dɛn kɔl ITP. So tide, lɛ wi tɔk bɔt wetin ITP bi, wetin mek i de apin, i denja, ɛn wetin fɔ du bɔt am, rili simpul wan, lɛk se yu de tɔk to yu padi.
Wetin na ITP simpul wan?
Pan ɔl we i go tan lɛk se dis nem lɔng smɔl, di minin we i gɛt rili simpul. Mek wi brok am dɔŋ.
- Idiopathic : Di simpul minin fɔ dis na "nɔto kɔz we dɛn no."
- trombocytopenic: dis min se di nכmba fכ di sεl dεm na wi bכdi we dεn kכl ‘thrombocytes’ de dכn. wi kin kכl dεn trombosayt dεm ya 'pletlet' .
- Purpura: Dis kin min pepul brus we de kam bikɔs blɔd de kɔmɔt ɔnda di skin.
Fɔ tɔk am simpul wan, ITP na wan sik we kin apin we wi bɔdi in yon imyun sistɛm nɔ de wok fayn, i kin pwɛl di pletlɛt dɛn we impɔtant fɔ mek blɔd klɔt, ɛn i kin mek di pletlɛt dɛn nɔ bɔku.
Tink bɔt am dis we: we wi kɔt ɔ wund sɔmsay na wi bɔdi, dɛn smɔl wokman ya we dɛn kɔl pletlɛt kin rɔsh fɔ stɔp di blɔd ɛn stik am na di say lɛk ‘plasta’ fɔ lɔk di ol. Insay ITP, wetin kin apin na dat wi yon difɛns fɔs (immune system) kin tink se dɛn smɔl smɔl wokman ya (pletlɛt) na wi ɛnimi ɛn atak ɛn pwɛl dɛn. Dɔn di nɔmba fɔ di pletlɛt dɛn we de na di blɔd kin go dɔŋ. Na dat mek ivin smɔl wund nɔ de stɔp fɔ blɔd, ɛn brus dɛn kin kam.
Tu kayn ITP de - di we aw i de prɛzɛnt pan pikin ɛn big pipul difrɛn!
Di we aw ITP de divɛlɔp rili difrɛn pan pikin ɛn big pipul dɛn. I impɔtant fɔ ɔndastand dis difrɛns.
| Di kwaliti we pɔsin gɛt | Akyu ITP insay Pikin dɛn | Kronik ITP insay Big Pipul dɛn |
|---|---|---|
| Di ej we kɔmɔn pas ɔl | I kin kɔmɔn pan yɔŋ pikin dɛn we ol bitwin 2-6 ia. | I kin ambɔg yɔŋ ɛn midul ej pipul dɛm (20-50 ia ol). I kin apin mɔ pan uman dɛn. |
| Rizin | Bɔrku tɛm e kin apun 1-4 wik afta yu gɛt vayral infɛkshɔn , lɛk kol ɔr chikinpoks. | Bɔku tɛm dɛn nɔ kin fɛn ɛni patikyula kɔz (idiopathic). I kin gɛt fɔ du wit ɔda sik dɛn (e.g. lupus). |
| Di tɛm we di sik kin tek | Dis na fɔ sɔm tɛm (akyu) ɛn i kin sɔlv insay lɛs dan 6 mɔnt. | Dis na tin we nɔ de mɛn . I kin las fɔ pas 6 mɔnt, sɔm tɛm dɛn kin de ɔlsay na in layf. |
| Di kayn we aw pɔsin kin mɛn pɔsin | Mɔ pas 80% pan di pikin dɛn kin wɛl fɔ dɛnsɛf we dɛn nɔ gɛt ɛni tritmɛnt. | I nɔ kin izi fɔ mek pɔsin wɛl fɔ insɛf, ɛn bɔku tɛm dɛn kin nid tritmɛnt fɔ kɔntrol di sayn dɛn we i kin gɛt. |
Wetin na di men sayn dɛm fɔ dis sik?
If yu nɔ gɛt bɔku bɔku pletlɛt dɛn, dat kin mek yu gɛt mɔ blɔd, so yu kin si sɔm sayn dɛn lɛk:
- I izi fɔ brus (Purpura): Ivin we yu wund smɔl, sɔntɛnde, pepul ɔ blu brus dɛn kin apia na di bɔdi.
- Petechiae: Pכnpoint rεd כ pepul spat dεm we sכm sכm blכd vesel dεm we de כnda di skin kin kכz. Dɛn kin si dɛn tin ya mɔ na di leg dɛn.
- Nɔs blɔd de kɔmɔt.
- Blɔd we de kɔmɔt na di gɔm we yu de brus yu tit.
- Ebi prɛgnɛshɔn na uman dɛn.
- Na smɔl tɛm nɔmɔ dɛn kin pas blɔd wit stɔl ɔ urine.
- I nɔ kin apin so ɔltɛm bɔt i kin denja pas ɔl: Blɔd kin kɔmɔt na di bren (Intracranial Hemorrhage). Dis nɔ kin apin so ɔltɛm. Bɔt if yu gɛt sɔm sayn dɛn lɛk se yu ed de at bad bad wan, yu de vɔmit, ɛn yu fɔ kɔnfyus , yu fɔ go na ɔspitul in Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm.
Yu tink se dis na denja tin? Yu tink se wi fɔ rili fred?
Fɔ ansa dis kwɛstyɔn dairekt wan, ITP nɔto denja sik fɔ bɔku pipul dɛn, mɔ pikin dɛn.
Mɔ pas 80% pan di pikin dɛn kin wɛl ɔlsay frɔm di sik insay sɔm mɔnt we dɛn nɔ gɛt ɛni tritmɛnt. Na pikin dɛm we gɛt ITP, bɔku tɛm dɔktɔ dɛn kin jɔs wach di sik.
כltu, krεse ITP na big pipul dεm difrεn sכmtεm. Bikɔs i kin te fɔ lɔng tɛm, i kin afɛkt di kwaliti fɔ liv. Bɔt, tritmɛnt dɛn de tide we kin ebul fɔ kɔntrol dis sik fayn fayn wan bak.
Di onli ɛn men risk ya na fɔ blɔd. if di pletlεt kכnt dכn to wan rili lכw lεvεl (e.g., less dan 10,000), di risk fכ siriכs blכd de inkrεs. Dis kin apin mɔ fɔ pipul dɛn we dɔn pas 60 ia ɛn di wan dɛn we bin dɔn gɛt blɔd bifo tɛm. Na dat mek i impɔtant fɔ go to yu dɔktɔ jɔs afta yu notis di sayn dɛn.
Aw yu go fɛn dis, Dɔktɔ?
We yu go to dɔktɔ wit dɛn sik ya, di fɔs tin we i go du na fɔ aks yu ɛn yu pikin bɔt ɛni sik we yu jɔs gɛt ɔ mɛrɛsin we yu de tek. Dɔn, dɛn go chɛk yu bɔdi ɛn luk fɔ ɛni brus ɔ rɛd spat.
Di nɛks tɛst we impɔtant pas ɔl na fɔ kɔnt ɔl di blɔd (FBC) .
- Insay dis ripɔt, di pletlɛt kɔnt sho se di valyu rili smɔl .
- Bɔt di nɔmba fɔ di rɛd blɔd sɛl ɛn di wayt blɔd sɛl na nɔmal tin.
ITP na ‘diagnosis of exclusion’. Dis min se dεn kin no ITP כnli afta dεn dכn rכl כda kכz dεm we de mek di pletlεt dεm lכw (e.g. dengi, lukimiya, כda כtoimyun sik dεm, sכm mεdikeshכn dεm). Fɔ sɔm pipul dɛn we dɔn ol, dɛn kin du bon mɛrɔ tɛst fɔ chɛk if di bon mɛrɔ de mek inof pletlɛt.
Mɛsej we dɛn kin kɛr go na os
- ITP na wan sik we wi yon imyun sistɛm de pwɛl di pletlɛt dɛn we de na di blɔd.
- Di men sayn dɛm na fɔ brus random, rɛd spat na di skin, ɛn blɔd frɔm difrɛn say dɛm.
- Bɔku tɛm, ITP na pikin dɛn na fɔ shɔt tɛm nɔmɔ, i kin apin afta vayral fiva, ɛn i kin sɔlv fɔ insɛf if dɛn nɔ gɛt tritmɛnt.
- ITP na big pipul kin bi kronik, bɔt dɛn kin kɔntrol am.
- Pan ɔl we di men tin we kin mek pɔsin gɛt dis sik na we pɔsin de blɔd, siriɔs prɔblɛm dɛn lɛk fɔ blɔd na di bren nɔ kin bɔku.
- If yu ɔ yu pikin gɛt dɛn kayn sik ya, i rili impɔtant fɔ mek yu nɔ panik ɛn go to yu dɔktɔ wantɛm wantɛm fɔ mek dɛn no di rayt tin ɛn advays yu.
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