Yu rɛd blɔd sɛl dɛn smɔl? Lɛ wi tɔk bɔt Maykrosaytɔsis!

Sɔntɛnde we dɛn du yu blɔd tɛst, yu kin fred smɔl we yu si sɔm wɔd dɛn na di ripɔt, nɔto so? Wan pan dɛn wɔd ya na ‘Maykrosaytɔsis’. Bɔt nɔ fred, dis nɔto di nem fɔ siriɔs sik. I jɔs min se yu rɛd blɔd sɛl dɛn smɔl smɔl pas aw i fɔ bi. Tide, wi go tɔk bɔt dis ditayli, rili simpul wan.

Wetin na Maykrosaytɔsis?

Fɔ tɔk am simpul wan, maykrosaytɔsis na we di rɛd blɔd sɛl dɛn na yu blɔd smɔl pas aw i fɔ bi. Wi nɔ kin tek dis as sik, bɔt wi kin tek am se na tin we pɔsin kin si afta dɛn dɔn du blɔd tɛst. Dis na wetin yu kin ɔltɛm no wit kɔmplit blɔd kɔnt (CBC). Tink bɔt am lɛk ripɔt we de gi ditil bɔt di blɔd sɛl dɛn na yu bɔdi.

Wan valyu de na dis `CBC` ripɔt, we dɛn kɔl `Mean Corpuscular Volume` (MCV) . dis `MCV` valyu de yuz fכ mכsu di avrej saiz fכ yu rεd bכdi sεl dεm. insay di kes fכ big man, if dis `MCV` valyu less dan 80 femtolit `(80 fL)`, den wi se maykrosaytosis de.

Bɔku tɛm, dis sik we dɛn kɔl maykrosaytosis kin bi wan sayn fɔ wan kayn anemia we dɛn kɔl maykrosaytik anemia . Insay dis maykrosaytik anemia, di ɛmoglobin nɔ de na di rɛd blɔd sɛl dɛn. Yu no se ɛmoglobin na wan impɔtant prɔtin we de ɛp wi rɛd blɔd sɛl dɛn fɔ kɛr ɔksijɛn go ɔlsay na di bɔdi?

Aw dis sik kin kɔmɔn?

Infakt, dis kכndyushכn we dεn kכl Microcytic Anemia na wan kayn anemia we dεn kin si pan big pipul dεm εn yכng pikin dεm. So, i rili impɔtant fɔ mek wi no bɔt dis.

Wetin na di sayn dɛm fɔ Maykrosaytɔsis?

Bɔrku tɛm, no patikyula sayn nɔr kin de. Ɔl wetin dɛn si na di ripɔt na dat di `MCV` valyu smɔl.

Bɔt if di sayn dɛm de sho, dɛn kin fiba di sayn dɛm fɔ di sik we dɛn kɔl Microcytic Anemia we a bin dɔn tɔk bɔt. Dɛn na:

• Fɔ fil taya ɔltɛm. I tan lɛk se layf nɔ de na di bɔdi.
• Pale skin. Sɔntɛnde, di lip ɛn di tɔŋ kin tan lɛk pale bak.
• I nɔ kin izi fɔ yu fɔ blo. Yu kin fil fɔdɔm ivin if yu tray smɔl.
• Di at rit de go ɔp.
• Wan kɔndishɔn we dɛn kɔl ‘Pica’. dis kin apin nכmכ we di ayn dεm we nכ gεt de mek di maykrosaytosis. ‘Pica’ na di want fɔ it tin dɛn we pɔsin nɔ go it lɛk dɔti, ays kiub, ɛn kle.

Apat frɔm dɛn sayn ya, yu kin gɛt sɔm sayn dɛm bak we gɛt fɔ du wit di ɔndalayn kɔz fɔ maykrosaytɔsis.

Wetin mek dis maykrosaytɔsis kin apin?

di mכst kכmכn tin we kin mek yu gεt maykrosaytosis na we yu nכ gεt inof ayron na yu bכdi. Dɛn kɔl dis anemia we nɔ gɛt ayɔn . Mɛmba se a bin se ayɔn impɔtant fɔ mek ɛmoglobin.

apat frכm dat, tin dεm we de apin na di envayroment, sכm mεdikal kכndyushכn dεm (we dεn bכn am εn we dεn gεt), εn sכm abit dεm kin mek bak maykrosaytosis.

di men tin dεm we de mek di maykrosaytosis:

• Ayɔn we nɔ de: .
• Nɔ gɛt bɛtɛ ayɛn frɔm it: Sɔntɛnde, di it we wi de it nɔ kin gi wi bɔdi inof ayɔn. Di wan dɛn we nɔ de it bif nid fɔ tek tɛm mɔ bɔt dis.
• Prɔblɛm dɛn we de wit aw pɔsin de tek ayɔn: Imajin, ivin if yu it tin dɛn we gɛt ayɔn, if yu gɛt wan sik lɛk ‘Celiac disease’ ɔ yu bɛlɛ infekshɔn lɛk ‘H. pylori infection’ , di bɔdi nɔ kin ebul fɔ absɔb da ayɔn de fayn fayn wan. כlso, dis kכndyushכn kin apin afta כpεrayshכn lεk ‘Gastric bypass surgery’ fכ lכs yu wet.
• Ayɔn we nɔ de bikɔs i de blɔd: Fɔ uman dɛn, we dɛn de gɛt bɔku blɔd we dɛn de gɛt we dɛn de menɔpauz, dat kin mek dɛn nɔ gɛt ayɔn. Dɔn bak, di blɔd we de kɔmɔt na di bɛlɛ (GI) bikɔs ɔf ɔlsa na di bɛlɛ ɔ di insay na ɔda tin we kin mek i apin.

• Thalassemia: 1.
• Dis na sik we pɔsin kin gɛt frɔm in mama ɛn papa. Insay dis kɔndishɔn, di bɔdi nɔ kin ebul fɔ mek ɛmoglobin fayn fayn wan. Pɔsin we gɛt thalassemia kin gɛt nɔmal ɔ i kin gɛt bɔku bɔku rɛd blɔd sɛl dɛn, bɔt di ɛmoglobin we de insay dɛn sɛl dɛn de nɔ kin bɔku. Dɛn kɔl dis haypokrɔmik maykrosaytɔsis . pan sɔm kayn thalassemia we nɔ kin gɛt bɛtɛ trɛnk, na maykrosaytɔsis nɔmɔ dɛn kin si we dɛn nɔ gɛt anemia.

• Anemia fɔ sik we nɔ de mɛn:
• Inflameshɔn we kin kam bikɔs ɔf sik dɛn we kin tek lɔng tɛm lɛk ɔtoimyun sik dɛn ( e.g. rεumatoid at at), infεkshɔn we nɔr de dɔn, kidni sik, ɛn kansa kin mek di bɔdi nɔ ebul fɔ yuz ayɔn fɔ mek wɛl bɔdi rεd blɔd sɛl.

Di tin dɛn we nɔ kin apin so ɔltɛm we kin mek pɔsin gɛt maykrosaytɔsis:

Dɛn tin ya smɔl smɔl, bɔt i fayn fɔ no:

• di jεnεtik kכndishכn dεm we nכ kin apin we de ambɔg di prodakshכn εn wok we di rεd blכd sεl dεm de mek.
• Minral dɛfisiɛns (fɔ ɛgzampul, kɔpa dɛfisiɛns).
• Pɔyzin we gɛt lid.

Aw yu kin no kɔrɛkt wan if yu gɛt maykrosaytɔsis?

As a bin se bifo, maykrosaytɔsis nɔto ɔfishal nem fɔ sik. I jɔs min se yu rɛd blɔd sɛl dɛn smɔl pas aw i fɔ bi.

Yu dɔktɔ go tink bɔt yu sik, yu ej, yu man ɔ uman, ɛn yu mɛrɛsin histri fɔ no wetin kin de mek dis sik. Fɔ ɛgzampul, if yu gɛt bɔku blɔd we yu de bɔn, i kin bi se yu nɔ gɛt ayɔn. Ɔ, if pɔsin na yu famili gɛt thalassemia, dat kin bi bak wan rizin.

Di dɔktɔ kin du mɔ tɛst fɔ no ustɛm na di rial tin we kin mek i gɛt dis sik.

Us tɛst dɛn de du fɔ dis?

Bɔku tɛst dɛn de we kin ɛp di dɔktɔ fɔ no wetin mek i gɛt dis sik:

• Peripheral blood smear: Dis min se yu fɔ tek wan sɛmpul pan yu blɔd ɛn luk am ɔnda maykroskɔp. Dis kin mek yu no if yu rɛd blɔd sɛl dɛn rili smɔl ɛn if dɛn gɛt ɛni ɔda tin we nɔ fayn. If yu rεd bכdi sεl dεm gεt difrεn saiz εn shep (Poikilocytosis), i kin bi kכlכ fכ sכm pan di sik dεm we de mek yu gεt maykrosaytosis.
• di rεd sεl distribushכn wit (RDW): Dis de mכsu bak di vεryushכn pan di sayz fכ yu rεd blכd sεl dεm. Dis na valyu bak we dɛn fɛn na di CBC ripɔt. Nɔmal wan, di rɛd blɔd sɛl dɛn kin gɛt di sem sayz. כltu, if big vεryushכn de pan di sεl saiz (Anisocytosis), i kin gi aydia bak bכt sכm sik dεm.
• Di ayɔn lɛvɛl: If di ayɔn nɔ bɔku na di blɔd, na sayn fɔ se pɔsin nɔ gɛt bɛtɛ ayɔn.
• di fεritin lεvεl dεm: fεritin na wan protin we de kip ayron insay wi sεl dεm. bay we yu luk dis fεritin lεvεl, yu kin fכnכt כl di ayron de na di bכdi.
• Tכtal ayכn binding kapasiti (TIBC): dis tεst, we dεn du am wit di ayn εn fεritin lεvεl, i kin bi big εp fכ no if i nכ gεt ayn. I kin ɛp bak fɔ no di anemia we kin kam bikɔs ɔf sik dɛn we nɔ de mɛn ɔ inflamɛns.

Wae dεn kכnfכm se no ayron dεfεshכn de, fכ no fכ tru if di kכz na thalassemia, dεn go nid fכ du tεst dεm lεk εmoglobin εlektrof כresis εn jεnεtik tεst dεm .

Aw dɛn kin trit Maykrosaytɔsis?

Di tritmɛnt dipen pan wetin mek yu rɛd blɔd sɛl nɔ bɔku. Sɔntɛnde, if yu nɔ gɛt ɛni sayn ɛn di tɛst rizɔlt nɔ tu siriɔs, i nɔ go nid fɔ gɛt tritmɛnt.

Dipen pan di tin we mek dɛn du am, dɛn kin du dɛn tritmɛnt ya:

• di chenj dεm we yu de it: fכ ad it dεm we gεt ayron (e.g., fish, soya prodakt (tofu), pis, bins, grεn, frut) to di it.
• Ayɔn sɔpɔtmɛnt: Dɛn kin gi dɛn tin ya to pipul dɛn we gɛt ayrɔn-deficiency anemia.
• Blɔd transfyushɔn: Dɛn kin du dis nɔmɔ if di anemia rili bad.

Di tin we impɔtant pas ɔl na fɔ fala di tritmɛnt plan we yu dɔktɔ gi yu jɔs akɔdin to di prɔblɛm we de ɔnda yu.

Yu tink se dɛn kin rivɛns Maykrosaytɔsis?

Dat kin dipen bak pan di tin we mek i apin. כl di kεys dεm, maykrosaytosis go go wans dεn trit di כndalayn kכndyushכn. Yu dɔktɔ kin tɛl yu aw di tritmɛnt go afɛkt yu blɔd sɛl ɛn ɔl yu wɛlbɔdi.

Wetin kin apin if dɛn nɔ trit am?

Nɔto ɔlman we gɛt maykrosaytɔsis ɔ maykrosaytik anemia go nid tritmɛnt. Bɔt if yu gɛt siriɔs ɔndalayn kɔndishɔn we de mek yu rɛd blɔd sɛl dɛn smɔl, i impɔtant fɔ mek dɛn no am ɛn trit am kwik kwik wan. Fɔ fala yu dɔktɔ in instrɔkshɔn fɔ no if yu nid tritmɛnt ɛn wetin fɔ ɛkspɛkt frɔm tritmɛnt.

Yu tink se Maykrosaytɔsis siriɔs?

Maykrosaytɔsis na jɔs wan tin we de sho se yu rɛd blɔd sɛl dɛn de. E kin bi sayn fɔ wan sik wae nid tritmɛnt (wit ɔda sayn dɛm). Bɔt bɔku tɛm, i nɔ kin siriɔs so, ɛn i kin jɔs bi sɔntin we yu si na di ripɔt.

Yu dɔktɔ go tɛl yu if yu maykrosaytɔsis de sho se yu gɛt wan sik we nid fɔ gɛt tritmɛnt.

Wetin a go du fɔ ridyus dis risk?

I nɔr pɔsibul fɔ mek yu nɔr gɛt ɔl di sik dɛm wae kin mek yu nɔr gɛt rεd blɔd sɛl. Bɔt yu kin ridyus di prɔblɛm we yu gɛt if yu fala sɔm wɛlbɔdi abit dɛn.

Di men tin fɔ dis na fɔ mek shɔ se yu de gɛt inof ayron frɔm yu it. Fɔd dɛn we gɛt bɔku ayɔn na:

• Sifud lɛk tuna ɛn makrɛl
• Prodakt we dɛn mek wit soya (Tofu) .
• Ligim lɛk pis, grɛn bins, chikip, ɛn lentil
• Dak grɛn lif vɛjitebul dɛn lɛk spinach, kale, ɛn kɔla grɛn
• Frut dɛn lɛk deti ɛn rɛsin
• Mit, mɔ rɛd mit (bif, got) ɛn bɔd

Dɔn bak, if dɛn dɔn du ɔpreshɔn pan yu gastric bypass ɔ yu gɛt ɔda sik we de mek yu nɔ ebul fɔ tek ayɔn frɔm it, tɔk to yu dɔktɔ bɔt us ayron sɔpɔt yu nid.

If yu gɛt wan sik we de put yu pan denja fɔ gɛt anemia, lɛk thalassemia ɔ wan sik we pɔsin kin gɛt we i de fɛt insɛf, fala yu dɔktɔ in advays bɔt aw fɔ ridyus di prɔblɛm we yu gɛt.

Wetin a fɔ aks di dɔktɔ?

If yu kam fɔ no se yu gɛt maykrosaytɔsis, fala wetin yu dɔktɔ tɛl yu bɔt wetin fɔ du nɛks. Yu kin aks kwɛstyɔn dɛn lɛk:

• ‘A fɔ wɔri bɔt mi lɔw MCV?’ i aks mi.
• ‘Us ɔda tɛst dɛn a go nid fɔ du fɔ no wetin mek di maykrosaytɔsis?’
• ‘A go nid tritmɛnt?’ i aks am.
• ‘Us kayn rizulyt a fɔ ɛkspɛkt frɔm di tritmɛnt?’
• ‘Us chenj na layf stayl a kin mek fɔ rivɛns dis maykrosaytɔsis?’

Yu tink se sɔntin gɛt sɔntin fɔ du wit maykrosaytɔsis ɛn kansa?

Sɔntɛnde, maykrosaytɔsis kin bi sayn fɔ kansa, bɔt bɔku tɛm i kin bi sayn fɔ ɔda tin dɛn. Bɔku tɛm, maykrosaytɔsis na sayn fɔ se pɔsin nɔ gɛt ayɔn. Di impɔtant tin na fɔ nɔ panik ɛn tek am se na kansa (ɔ ɔda tin) te yu dɔktɔ ebul fɔ ɛksplen wetin de apin wit yu blɔd tɛst.

Na nɔmal tin fɔ fil wɔri we yu si wan rizɔlt we nɔ kɔmɔn pan mɛdikal tɛst. Bɔt fɔ gɛt abnɔmal rɛnj nɔr min se yu sik ɔr nid tritmɛnt. Valyu dɛm lɛk ``MCV'' na jɔs infɔmeshɔn wae de ɛp yu dɔktɔ fɔ ɔndastand yu ɔl wɛl bɔdi. Aks yu dɔktɔ fɔ gayd yu bɔt aw yu tɛst rizɔlt go afɛkt di tritmɛnt we yu go gɛt tumara bambay.

So, wetin na di tin dɛn we wi nid fɔ mɛmba frɔm ɔl dɛn tin ya?

Okay, lɛ wi jɔs go bɔt sɔm pan di impɔtant tin dɛn we yu nid fɔ mɛmba frɔm wetin wi dɔn tɔk bɔt:

• Maykrosaytɔsis nɔto sik, i jɔs min se yu rɛd blɔd sɛl dɛn smɔl pas aw i fɔ bi.
• Bɔku tɛm dɛn kin no dis wit ``CBC`` (kɔmplit blɔd kɔnt).
• Di tin we kin mek pɔsin nɔ gɛt ayɔn, bɔt ɔda tin dɛn kin de we kin mek i sik, lɛk thalassemia ɛn sik dɛn we nɔ de mɛn.
• Bɔrku pipul nɔr kin sho sɔm kayn sik. If dɛn du dat, dɛn kin taya, dɛn kin gɛt blɛsin, ɛn i kin at fɔ blo.
• Di dɔktɔ go du mɔ tɛst fɔ no di tin we mek i apin.
• Di tritmɛnt dipen pan di tin we mek i apin. Sɔntɛnde, i nɔ kin nid fɔ gɛt tritmɛnt atɔl.
• Nɔ panik! If yu notis se yu MCV nɔ bɔku, tɔk to yu dɔktɔ fɔ no klia wan wetin mek ɛn wetin fɔ du.
• I impɔtant fɔ mek yu it fayn, mɔ fɔ it tin dɛn we gɛt bɔku ayɔn.

Mɛmba se dis infɔmeshɔn na fɔ infɔmeshɔn nɔmɔ, nɔto fɔ mek yu fred fɔ tink se yu gɛt sik. If yu gɛt ɛni dawt ɔ kwɛstyɔn, i go fayn fɔ go to dɔktɔ fɔ advays.

`Maykrosaytɔsis, Rɛd blɔd sɛl, Anemia, Ayɔn dɛfisiɛns, Ɛmoglobin, MCV