Yu nɔ gɛt bɛtɛ blɔd? Lɛ wi tɔk bɔt Megaloblastic Anemia!

Yu kin fil taya bak ɔltɛm? Yu kin fil lɛk se yu de slip ɔl di de, ɛn yu bɔdi kin fil se yu nɔ gɛt layf fɔ du ɛnitin? Sɔntɛnde yu skin kin tɔn pale ɛn yu kin fil shɔt smɔl fɔ blo? Nɔ jɔs dismis dɛn tin ya as nɔmal tin dɛn. Dɛn tin ya kin bi sayn fɔ se yu gɛt prɔblɛm wit yu blɔd. Tide wi go tɔk bɔt Megaloblastic Anemia , wan sik we kin mek yu gɛt sɔm kayn sik lɛk dis, mɔ we yu nɔ gɛt vaytamɛn B12 ɛn vaytamɛn B9 (we dɛn kin kɔl bak folate).

Wetin na Megaloblastic Anemia?

Fɔ tɔk am simpul wan, megaloblastic anemia na wan kayn anemia we kin afɛkt di rɛd blɔd sɛl dɛn na di blɔd. Wetin kin apin pan dis na dat di rεd blɔd sɛl dεm we de mek na wi bon mכro kin big pas aw i kin bi . na dat mek dεn kin kכl am bak ‘macrocytic anemia’, we min se big bכdi sεl dεm nכ de .

In ɔda wɔd, dis na wan vaytamɛn dɛfisiɛns anemia. dis kכndyushכn kin apin we di bכdi nכ gεt inof fכ tu nyutriεnt dεm , vaytam in B12 εn vaytam in B9 ( folate ) . Bɔt nɔ wɔri, dɔktɔ dɛn kin trit dis sik bay we dɛn gi dɛn vaytamɛn B12 ɛn B9 sɔpɔtmɛnt.

Aw megaloblastic anemia kin afɛkt wi bɔdi?

Naw, luk, wi bɔdi nid sɔm kayn wɛlbɔdi rɛd blɔd sɛl dɛn. Bikɔs na dɛn rɛd sɛl ya de kɛr ɔksijɛn frɔm di lɔng dɛn to di tisu dɛn ɔlsay na di bɔdi, ɛn dɛn de kɛr kabon dayɔgzayd bak. Lɛk ɔl ɔda blɔd sɛl dɛn, rɛd blɔd sɛl dɛn kin bigin as stem sɛl dɛn na wi bon mɛro.

Vitamin B12 ɛn vaytamɛn B9 impɔtant fɔ mek di rɛd blɔd sɛl dɛn fɔm fayn fayn wan. If dɛn nɔ de, wi bɔdi kin mek wan kayn sɛl we nɔmal we dɛn kɔl megaloblast .

Imajin, dɛn megaloblast ya, we na sɛl dɛn we de sheb ɛn bɔku lɛk wɛlbɔdi sɛl dɛn, nɔ de mek nyu wan dɛn. Dat min se di nɔmba fɔ di rɛd blɔd sɛl dɛn we de na di bon mɛro de go dɔŋ. Di ɔda rizin na bikɔs dɛn nɔmal sɛl dɛn ya rili big. Infakt, dɛn kin so big dat sɔntɛnde dɛn nɔ kin ivin ebul fɔ kɔmɔt na di bon mɛrɔ ɛn go insay di blɔd sistɛm. Ivin if dɛn du dat, dɛn nɔmal sɛl dɛn ya kin day kwik pas di rɛd sɛl dɛn we gɛt wɛlbɔdi. We ɔl dɛn tin ya kam togɛda, di nɔmba fɔ di rɛd blɔd sɛl dɛn na di bɔdi kin go dɔŋ, ɛn dis kin mek pɔsin nɔ gɛt bɛtɛ blɔd, we na blɔd we nɔ de.

Yu tink se dis na siriɔs sik?

Wan tin we kin mek pɔsin gɛt megaloblastic anemia na we i nɔ gɛt vaytamɛn B12. If dɛn nɔ trit am, di vaytamɛn B12 we nɔ de kin mek i gɛt prɔblɛm wit di nyurolɔjik . fכ egzampl, we yu de mεmכri, we yu de lכs bεlε, εn we yu de fil tingling כ priklin na di limb dεm, we dεn kכl ‘paresthesia’. So dis nɔto sɔntin we wi fɔ tek am layt.

Aw dis sik kin bɔku?

Megaloblastic anemia nɔto sik we nɔ kin apin so ɔltɛm, bɔt dɔktɔ dɛn nɔ gɛt inof data fɔ tɔk ɛksaktɔli ɔmɔs pipul dɛn gɛt am.

Wetin kin mek pɔsin gɛt mɛgaloblastik anemia?

As wi bin dɔn tɔk, di men rizin fɔ dis na bikɔs wi bon mɛro nɔ gɛt inof vaytamɛn B12 ɔ vaytamɛn B9 fɔ mek wɛlbɔdi rɛd blɔd sɛl dɛn we de kɛr ɔksijɛn ɔlsay na di bɔdi.

Wetin na di tin dɛn we kin mek pɔsin nɔ gɛt bɛtɛ vaytamɛn B12?

Sɔm pipul dɛn kin gɛt prɔblɛm wit vaytamɛn B12 bikɔs dɛn nɔ kin it tin dɛn we gɛt vaytamɛn B12, lɛk mit, fish, eg, ɛn milk. Ɔda wan dɛn kin gɛt prɔblɛm fɔ tek vaytamɛn B12, ilɛksɛf na sɔm kayn mɛrɛsin ɔ bikɔs ɔf mɛrɛsin. Dɛn kayn kɔndishɔn dɛn ya na:

• Pernicious anemia: Dis na wan sik we de mek di bɔdi nɔ ebul fɔ tek vaytamɛn B12 .
• Gastrectomy: Dis na ɔpreshɔn we dɛn kin pul wan pat pan di bɛlɛ. dis kin afekt di absכpshכn fכ vaytam in B12.
• Zollinger-Ellison syndrome: Dis na wan sik we nɔ kin apin so ɔltɛm we kin mek di bɔdi nɔ ebul fɔ tek vaytamɛn B12 bak.
• Blaynd lכp sεndrכm: Dis na we di it we wi de daygεst nכ de muv fayn fayn wan tru di intestכn dεm εn i de stכk na wan ples, usay baktri dεm de gro εn yuz vaytam in B12.
• Fish tepwɔm infestation: Dis tepwɔm infɛkshɔn kin gɛt if yu it fish we nɔ kuk fayn ɛn we gɛt di sik. Dɛn tepwɔm ya de liv bay we dɛn de tek vaytamɛn B12.
• pankrias insufisεns: pan dis kכndishכn, yu pankrias nכ kin mek inof dijestiv εnzym dεm fכ daygεst it. Dis min se yu nɔ go de gɛt ɔl di tin dɛn we yu nid, lɛk vaytamɛn B12 ɔ B9.

Wetin na di tin dɛn we kin mek pɔsin nɔ gɛt bɛtɛ vaytamɛn B9 (folate)?

Vitamin B9 (folate) we nɔ de kin apin if wi nɔ put inof grɛn vɛjitebul, frut, mit, ɛn ligɛm insay wi it ɛvride, ɔ it dɛn we gɛt fɔlik asid. Ɔda rizin dɛn de bak:

• Dijestiv sistɛm sik dɛm: If yu gɛt sik lɛk Crohn ’s disease ɔ celiac disease, yu dijestiv sistɛm nɔ kin absɔb fɔlik asid fayn fayn wan.
• Fɔ drink pasmak : Sɔntɛnde, pipul dɛn we de drink bɔku rɔm kin chenj di it wit rɔm. Dis kin mek dɛn nɔ kin gɛt inof folate.
• Fɔ kuk yu frut ɛn vɛjitebul dɛn pasmak: We yu kuk frut ɛn vɛjitebul dɛn pasmak, di ɔt kin pwɛl di folate we de insay dɛn natura l.
• Hemolytic anemia: Dis na blɔd sik we yu rɛd blɔd sɛl dɛn kin pwɛl ɛn yu bon mɛrɔ nɔ kin ebul fɔ mek dɛn bak kwik kwik wan.
• Sɔm mɛrɛsin dɛn: Sɔm mɛrɛsin dɛn we kin mek pɔsin sik ɛn ɔlsa na intestinaldi mεdikeshכn dεm we dεn gi fכ כlsεraytiv kolεt de intafεr di prכp fכ absכpshכn fכ folate.
• Dayalaysis: Sɔntɛnde pipul dɛn we de du dayalaysis nɔ kin want fɔ it bikɔs dɛn kidni nɔ de wok fayn. Dis kin afɛkt di amɔnt ɔf vaytamɛn B12 we dɛn kin gɛt frɔm it. (Yu fɔ rid bak bɔt B9 ya, pan ɔl we di ɔrijinal atikul se B12, i kin bi B9 bak dipen pan di kɔntɛks.)

Wetin na di sayn dɛm fɔ megaloblastic anemia?

Di sayn dɛm fɔ megaloblastic anemia tan lɛk ɔda kayn anemia:

• Taya: Fɔ fil se yu taya sote yu nɔ ebul fɔ du di wok dɛn we yu de du ɛvride.
• Wiknɛs: Fɔ fil lɛk se in bɔdi nɔ gɛt layf, i nɔ ebul fɔ muv ɔ du ɛnitin.
• Pallor: Yu skin kin bi paler pas aw i kin bi.
• Dispnea: Na filin wae yu nɔr de blo fayn, yu nɔr kin ebul fɔ blo dip.
• Diziz ɔr fɔdɔm: Na filin wae yu de spin ɔr yu nɔr de no natin.

Mɔtalman we nɔ gɛt vitamin B12, sɔntɛnde i kin afɛkt yu nerv dɛn, ɛn dis kin mek yu gɛt sɔm sayn dɛn lɛk we yu an ɛn fut dɛn kin swɛla, yu nɔ kin fil fayn, ɔ yu mɔsul dɛn kin wik.

Aw dɔktɔ dɛn kin no dis kɔrɛkt wan?

Dɔktɔ dɛn kin no if yu gɛt megaloblastic anemia bay we dɛn kin chɛk yu bɔdi ɛn aks yu kwɛstyɔn bɔt di sayn dɛn we yu gɛt. Dɛn kin ɔda bak fɔ mek dɛn du blɔd tɛst, lɛk:

• Ful blɔd kɔnt (FBC): Dis tɛst de chɛk di nɔmba fɔ yu rɛd blɔd sɛl dɛn ɛn aw dɛn de wok.
• Peripheral blood smear (PBS): Dis min se yu fɔ luk yu blɔd sɛl dɛn ɔnda maykroskɔp. Pan ɔl we dɛn kin yuz mashin fɔ chɛk sɔm blɔd tɛst dɛn, insay dis kes, na dɔktɔ kin luk di sɛl dɛn ɛn disayd.
• rεtikulכsayt kכnt: dis de mכsu di nכmba fכ di rεtikulכsayt sεl dεm (rεtikulכsayt) we nכ machכ na yu bon mכro. Dis kin ɛp dɔktɔ dɛn fɔ no if yu bon mɛrɔ de mek inof wɛlbɔdi rɛd blɔd sɛl dɛn.

Aw dɛn kin trit dis?

Dɔktɔ dɛn kin trit megaloblastic anemia bay we dɛn kin gi dɛn vaytamɛn sɔpɔtmɛnt. Chek dis fɔ si:

• Tritmɛnt fɔ di vaytamɛn B12 we nɔ de: Yu dɔktɔ kin tɛl yu fɔ tek vaytamɛn B12 injɛkshɔn fɔ sɔm wiks te yu vaytamɛn B12 lɛvɛl kam bak to nɔmal. If yu nɔ gɛt vaytamɛn B12 na bikɔs yu gɛt prɔblɛm wit di we aw yu bɔdi ebul fɔ tek B12, yu go nid fɔ tek B12 injɛkshɔn ɛvri sɔm mɔnt fɔ di res ɔf yu layf. Dɔn bak, pipul dɛm wae nɔr gɛt B12 bikɔs ɔf wan sik wae dɛn kɔl pernicious anemia kin nid fɔ tek B12 supamakit fɔ di res ɔf dɛn layf.
• Tritmɛnt fɔ di vaytamɛn B9 we nɔ de: Yu dɔktɔ kin gi yu fɔlik asid tablɛt fɔ kɔrɛkt di vaytamɛn B9 we nɔ de. Dɛn go chɛk yu vaytamɛn B12 lɛvɛl bak fɔ mek shɔ se dɛn de insay di nɔmal limit. dis na biכs sכmtεm vaytam in B9 supliment kin ridyus di simptom dεm fכ megaloblastic anemia εn mask wan כndalayn vaytam in B12 dεfisiεns (we kin mek di nεv dεm dεm).

Aw wi go ridyus di risk fɔ gɛt dis sik?

Bɔku we dɛn de fɔ ridyus di prɔblɛm:

• Tray fɔ it balans it we de put it dɛn we gɛt vaytamɛn B12 ɛn vaytamɛn B9 fɔs .
• Limit yu rɔm we yu de drink. If yu drink rɔm ɔltɛm, dat kin afɛkt yu dijestiv sistɛm ɛn i kin mek yu bɔdi nɔ tek vaytamɛn B12.
• If yu gɛt wan sik we de mek yu nɔ ebul fɔ tek dɛn vaytamɛn ya, wok wit yu dɔktɔ fɔ mɛn yu sik.

Fɔd dɛn we gɛt vaytamɛn B12:

• Di tin dɛn we animal dɛn kin it: Rɛd mit, fish, bɔd, eg, milk, ɛn ɔda tin dɛn we dɛn kin mek wit milk gɛt bɔku vaytamɛn B12.
• Fɔtifyed it dɛm: Dis na it dɛm we dɛn dɔn artificially fortified wit sɔm vaytamɛn ɛn nyutriɛnt dɛm we nɔ de na di naturally. Sɔm ɛgzampul dɛn na sɔm brɛf siriɔs, yist we gɛt nyutrishɔn, sɔm plant milk, ɛn sɔm bred. I impɔtant fɔ chɛk di nyutrishɔn fakt lɛbl na di it paket fɔ mek shɔ se di it gɛt bɔku vaytamɛn B12.

Fɔd dɛn we gɛt bɔku vaytamɛn B9 (folate):

• Vɛjitebul: Dak grɛn vɛjitebul (lɛk spinach, kelɛ), pis, bins, ɛn ligɛm.
• Frut: Sitrus frut (lɛk ɔrɛnj ɛn tanjɛrin).
• Di it dɛn we animal dɛn kin it: liva, sifud, mit ɛn bɔd.
• Eg ɛn it dɛn we dɛn kin mek wit milk.
• Fɔt tin dɛn: Sɔm bred, flawa, pasta, rays, ɛn siriɔs it dɛn gɛt fɔlik asid. Dɔn bak, chɛk di lɛbl we de na di it paket fɔ mek shɔ se di it gɛt bɔku vaytamɛn B9 (fɔlik asid).

Wetin a kin ɛkspɛkt if a gɛt megaloblastic anemia?

Bɔrku pipul kin wɛl frɔm megaloblastic anemia afta dɛn dɔn tek vaytamɛn sɔpɔtmɛnt. Yu dɔktɔ go de wach yu vaytamɛn lɛvɛl wan wan tɛm fɔ mek shɔ se yu de gɛt inof vaytamɛn B12 ɛn vaytamɛn B9. Fɔ ɛgzampul, yu kin gɛt blɔd tɛst sɔm wiks afta yu dɔn bigin fɔ trit yu fɔ si if di sɔpɔtmɛnt dɛn dɔn mek yu vaytamɛn B12 ɛn/ɔ B9 lɛvɛl go ɔp.

Aw a kin kia fɔ misɛf?

Yu kin tek kia ɔf yusɛf dis we:

• Tek vaytamɛn sɔpɔtmɛnt jɔs lɛk aw yu dɔktɔ tɛl yu.
• Divεl כp hεlty it abit fכ mek sכh se yu gεt inof vaytam in B12 εn vaytam in B9.
• Tek kia ɔf yu wɛl bɔdi ɛn go to dɔktɔ if yu fil se yu de gɛt anemia simptom bak.

Kip in maynd, if yu gɛt megaloblastic anemia, i min se yu nɔ de gɛt inof vaytamɛn B12 ɛn/ɔ vaytamɛn B9. Dɛn vaytamɛn ya de ɛp yu bɔdi fɔ mek wɛlbɔdi rɛd blɔd sɛl dɛn. Rɛd blɔd sɛl dɛn we gɛt wɛlbɔdi de du di impɔtant wok fɔ kɛr ɔksijɛn go ɔlsay na yu bɔdi. Laki, dɔktɔ dɛn kin kɔrɛkt dis prɔblɛm bay we dɛn gi yu sɔpɔtmɛnt fɔ mek yu gɛt mɔ vaytamɛn B12 ɛn vaytamɛn B9. Yu kin it bak it we gɛt bɔku vaytamɛn ɛn aks yu dɔktɔ bɔt aw fɔ mek shɔ se yu gɛt inof vaytamɛn B12 ɛn vaytamɛn B9.

Sɔma (Mɛsej we dɛn kin tek go na os) .

Okay, so mek wi rikap wetin wi tok abaut tide. megaloblastic anemia na wan kכndyushכn we big, abnכmal rεd bכdi sεl dεm de kכmכt na di bon mכro we di bכdi nכ gεt vaytam in B12 כ vaytam in B9 (folate).

• Di men sayn dɛm na wae yu taya pasmak, yu wik, yu skin kin shayn, ɛn yu nɔr kin ebul fɔ blo. If yu nɔ gɛt B12 i kin afɛkt di nervɔs sistɛm bak.
• Di tin we kin mek i gɛt dis vaytamɛn na we i nɔ de it dɛn vaytamɛn ya fayn fayn wan frɔm it, ɔ na wan mɛrɛsin we de mek di bɔdi nɔ ebul fɔ tek dɛn.
• Dɛn kin no am tru blɔd tɛst, mɔ di wan dɛn lɛk CBC ɛn Peripheral Blood Smear.
• Di tritmɛnt na vaytamɛn B12 ɛn fɔlik asid sɔpɔtmɛnt, we sɔm pipul dɛn kin nid fɔ tek fɔ lɔng tɛm.
• Di bɛst we fɔ mek yu nɔ gɛt am ɛn kɔntrol am na fɔ it balans it we gɛt vaytamɛn B12 ɛn B9, stɔp fɔ drink rɔm, ɛn fɔ trit di sik dɛn we de ɔnda am fayn fayn wan.

So, if yu gɛt dɛn sik ya, i go fayn fɔ mek yu go to dɔktɔ kwik kwik wan. Bikɔs if dɛn no am kwik, i kin izi fɔ mɛn am ɛn i kin wɛl kwik kwik wan.