Yu pikin in leg dɛn kin swel bak? Dis kin bi Milroy in Sik!

Yu dɔn ɛva notis se yu smɔl pikin in leg dɛn, mɔ we de dɔŋ in ni dɛn, jɔs swel? Sɔntɛnde, dɛn kin si dis jɔs afta dɛn bɔn am. Ɔ i kin apia afta sɔm dez. Na nɔmal tin fɔ mek bɔku mama ɛn papa dɛn wɔri smɔl bɔt dis. Wan rizin we mek dis kayn swel na di leg dɛn kɔl am Milroy’s disease. Tide, wi go tɔk bɔt dis ditayli, rili simpul wan.

Wetin na Milroy in Sik?

Fɔ tɔk am simpul wan, Milroy in sik na wan sik we de pan wan grup we dɛn kɔl praymari lymphedema . "Primary" min se i nɔ de kam wit ɔda sik, dat i de apin fɔ insɛf. Na wan sik we dɛn bɔn wit , we min se di sik kin de we dɛn bɔn am. Na wan sik we pɔsin kin gɛt we i kam pan in jɛnɛtiks , we min se na pɔsin we i gɛt frɔm in mama ɛn papa.

Wi bɔdi gɛt wan sistɛm we dɛn kɔl di limfatik sistɛm. Dis tan lɛk drenaj sistɛm we de pul dɔti na wi bɔdi. we di limf chεnal dεm εn di limf no dεm na dis limf sistεm nכ de divεlכp fayn, dεn nכ kin wok fayn fayn wan. Dɔn, limf wata nɔ de flɔ fayn ɛn i de na wan ples. dis na aw di limf wata de kכmכt εn mek di pikin in lεg swel, spεshal wan di lכw leg εn fut. Imajin sɔntin lɛk we wata paip kin lɔk, wata kin ful-ɔp na wan ples.

Dɛn kin kɔl am bak di sik we dɛn kɔl Milroy sik we dɛn kɔl hereditary lymphedema type I.

Sɔntɛnde, i kin tranga smɔl fɔ no dis sik, bikɔs dɔktɔ nɔ kin si pipul dɛn lɛk dis bɔku tɛm. Bɔt if yu notis se yu pikin in leg dɛn de swel, i rili impɔtant fɔ aks yu dɔktɔ bɔt dat. Bikɔs di kwik we yu no se yu gɛt di sik, na di mɔ yu go bigin fɔ trit am kwik kwik wan. I impɔtant bak fɔ mek yu nɔ panik.

Aw Milroy in Sik nɔ kin bɔku?

Dis na rili wan sik we nɔ kin apin so ɔltɛm . I kin afɛkt lɛk wan pan ɛvri 6,000 pikin dɛn we dɛn bɔn. I kin apin mɔ pan gyal pikin dɛn pas bɔy pikin dɛn. Dɛn se fɔ ɛvri bɔy pikin we gɛt dis sik, at le tu gyal pikin dɛn de.

Wetin na di sayn dɛm fɔ Milroy in Sik?

Yu pikin kin gɛt dɛn sik ya frɔm we dɛn bɔn am. Sɔntɛnde, dɛn kin apia smɔl leta. Chek fɔ si if yu pikin gɛt dɛn sayn ya:

• swεla na di lכw leg dεm (εdima): Dis swεla dεn kin si am dכn di kכn dεm. Sɔntɛnde i kin apin na jɔs wan leg, bɔt bɔku tɛm i kin apin na ɔl tu.
• di vein dεm we de bכl na di lכw leg dεm: sכmtεm, wit swεla, di vein dεm kin si klia wan.
• di tεstikul dεm we de swεla (hydrocele): di bכy pikin dεm in tεstikul dεm kin swεla εn fulכp wit wata. Dis kin mek mama ɛn papa dɛn fred smɔl, bɔt i kin bi sayn bak fɔ wan mɛrɛsin.
• Di nel dɛn na di fut we dɛn bɛn ɔp:Di shep fɔ di nel dɛn kin chenj ɛn i kin tan lɛk se dɛn dɔn tɔn ɔp.
• Smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl.
• Di prɔblɛm dɛn we kin apin to dɛn bɛlɛ: Sɔm pikin dɛn kin gɛt bɛlɛ at, dɛn kin vɔmit, ɛn dɛn kin gɛt dayarɛa. Dis nɔ kin apin to ɔlman, bɔt i kin apin.

Wetin na di tin dɛn we kin mek pɔsin gɛt Milroy in Sik?

di men tin we de mek Milroy in sik na wan muteshon (variant) insay wan jin we dεn kכl FLT4 . Jin dɛn tan lɛk smɔl smɔl tin dɛn we de kɔntrol ɔltin na wi bɔdi. dis FLT4 jin de εp di limfatik sistεm fכ fכm fayn fayn wan. So we sכm chenj de na dis jin, dat na, mכtεshכn, di limf sistεm nכ de fכm fayn fayn wan.

Bɔrku tɛm, wan pan di mama ɛn papa dɛm fɔ pikin dɛm wae gɛt Milroy sik kin gɛt dis sik. i de inhεrit insay wan כtosom dכminant patεn . Dis min se pikin kin gɛt dis sik ilɛksɛf na wan mama ɔ papa nɔmɔ gɛt di jin fɔ di sik. fכ egzampl, if dεn tu mama εn papa gεt di jin mכtεshכn, εvri pikin gεt 50% chans fכ gεt di sik. Ivin pan brɔda ɛn sista dɛn we de na di sem famili, di kayn we aw di sik kin tranga, ɔ di ej we dɛn kin gɛt di sik kin difrɛn. Wan pikin kin gɛt bɔku swel, ɛn di ɔda wan nɔ kin gɛt am lɛk aw i kin swel.

Nayn pan 10 pikin dεm we gεt di FLT4 jin mכtεshכn de sho simptom dεm fכ di lεg swεla we dεn ol 3 ia .

Aw dɛn kin no dis sik?

Wan dɔktɔ kin no se i gɛt Milroy in sik . di dכkta go luk gud wan pan di pikin in leg dεm fכ si sayn dεm fכ swel, in skin chenj, εn in nel shep. Apat frɔm dat, dɛn kin du dɛn tɛst ya:

• כltra saund: Dis na skan fכ di mama in bεlε we i bεlε we kin sho sכmtεm if di pikin in leg dεm swεla. dεn kin du am bak pan di leg dεm afta dεn bכn di pikin.
• Lymphoscintigraphy: Dis na wan spɛshal tɛst we dɛn kin du smɔl. insay dis tεst, dεn injεkt sכm rεdyuaktiv mεtirial כnda di skin εn dεn de yuz kεmεra fכ wach am we i de muv tru di limfatik sistεm. dis kin sho aw di limfatik sistεm de wok εn if eni blכk de.
• jεnεtik tεst: dis de εp fכ kכnfכm if mכtεshכn de na di FLT4 jin. Bɔku tɛm, dis kin min fɔ tek blɔd sɛmpul.

Yu pikin in dɔktɔ kin sɛn yu bak to wan dɔktɔ we gɛt sɛtifiket fɔ pikin dɛn we gɛt limfedema, we spɛshal fɔ trit dɛn sik ya.

Aw dɛn kin trit Milroy in Sik?

Tritmɛnt dɛn de na os fɔ di swɛlin we dis sik kin kam wit. Dɛn tritmɛnt ya na fɔ kɔntrol di swɛlin, fɔ ridyus di prɔblɛm dɛn we kin apin, ɛn fɔ mek di pikin in layf bɛtɛ. Di tritmɛnt fɔ Milroy in sik fɔ di leg dɛn we dɔn swel na:

• Kɔmpreshɔn tɛrapi: Yuz spɛshal kɔmpreshɔn sɔks ɔ bandej. dis dεm de put jכnt prεshכn pan di lεg dεm fכ ridyus di swel εn εp fכ fכlכ di limf fכ fכlכ bak insay di bכdi.
• Kinesiology tape (KT tape): Dis na spɛshal adeziv tep we atlet dɛn kin yuz. Sɔntɛnde i kin ɛp bak fɔ ridyus di swel bay we i de mek i wɛl.
• Shuz we de gi sɔpɔt: I impɔtant fɔ wɛr sus we fit fayn, we de sɔpɔt pɔsin, ɛn we nɔ tayt.

Bɔrku tɛm, dɛn simpul tritmɛnt ya go gi yu gud rizulyt. If dɛn nɔ wok, yu kin tray fɔ masaj di limfatik drenaj . Dis na wan we fɔ masaj saful saful we wan spɛshal trenin we de mɛn pipul dɛn kin du. I de ɛp fɔ pul di limf wata na di say dɛn we dɔn blok ɛn alaw am fɔ kɔmɔt fayn fayn wan. Dɔktɔ kin du dis, ɔ dɛn kin tich yu aw fɔ du am na os.

If dɛn we ya nɔ wok, yu dɔktɔ kin tɛl yu fɔ du ɔpreshɔn fɔ ɛp yu pikin in limf sistɛm fɔ wok fayn fayn wan. Bɔt bɔku tɛm, dɛn kin tek dis as las tin fɔ du. Dis kin inklud:

• Fɔ pul di tisu we dɔn afɛkt.
• Yuz baypas prosidur fכ ridayrekt di fכ fכlכ di limf fכlכ to bεtε εria dεm: I lεk fכ mek nyu rod rawnd wan rod we blכk.
• fכ transplant hεlty limf no dεm frכm כdasay na di pikin in bכdi insay di leg dεm. dis dεn kכl dis vaskulεrayz limf node tכnfכs .

If mi pikin gɛt dis sik, wetin a fɔ ɛkspɛkt?

Bikɔs Milroy in sik nɔ kin apin so ɔltɛm, yu kin nid fɔ ɛksplen am to yu pikin in ticha dɛn ɔ ɔda pipul dɛn na yu pikin in layf. Fɔ ɛgzampul, if yu pikin gɛt bɔmp na in fut na skul, i kin siriɔs smɔl pas aw i go bi fɔ ɔda pikin, ɛn chans de fɔ mek i gɛt di sik. We yu tɔk bɔt dis, i kin ɛp ticha fɔ ɔndastand wetin mek yu pikin kin tek lɔng tɛm fɔ chenj klos na jim klas, ɔ wetin mek i denja fɔ nɔ gɛt sus (bikɔs ɔf di risk fɔ injuri ɛn infɛkshɔn). Bɔt nɔ wɔri, yu pikin kin du bɔku pan di tin dɛn we ɔda pikin dɛn na in klas kin du.

Milroy in sik na wan sik we nɔ de mɛn, we min se na sik we kin de fɔ lɔng tɛm. Di swɛlin na di leg kin bɔku smɔl smɔl na sɔm pipul dɛn, ɛn i kin go dɔŋ smɔl na ɔda pipul dɛn. If dɛn nɔ trit dis swɛlin, i kin mek di say we di sik afɛkt at ɛn at lɛk rɔk. Dɔn bak, pipul dɛn we gɛt dis sik kin gɛt wan sik we dɛn kɔl sɛlulayt . Dis na wan sik wae de mek di skin rεd, wam, εn i de fil pen. Dis na denja sik wae kin spre sɔmtɛm to di blɔd. So, i impɔtant fɔ tɛl dɔktɔ ilɛksɛf yu notis smɔl chenj na yu skin.

Aw a go kia fɔ mi pikin?

Na sɔm tin dɛm wae yu kin du fɔ kia fɔ yu pikin wae gɛt Milroy in sik:

• Tek kia ɔf yu pikin in skin gud gud wan. Kip di skin na di leg dɛn klin ɛvride, dray dɛn fayn fayn wan, ɛn put mɔstizayza. Trit ɛni smɔl smɔl tin we yu kɔt, skrap, we insɛkt bit, ɔ infekshɔn kwik kwik wan. Dis kin ɛp fɔ ridyus di risk fɔ gɛt sik lɛk sɛlulitis.
• Tray fɔ mek yu nɔ wund yu fut. Wear klos we de kɔba yu fut we yu de ple, rɔn, ɔ jomp. Nɔ mek dɛn waka na do we dɛn nɔ gɛt sus. Pikin dɛm wae gɛt Milroy sik kin gɛt dis sik pas ɔda pipul dɛm.
• Nɔ mek yu pikin in leg dɛn de na wan ples, muv am ɔltɛm. Layt ɛksesaiz ɛn fɔ es ɛn dɔŋ di leg dɛn kin ɛp fɔ mek yu nɔ swel.
• Ɛnkɔrej yu fɔ du yu bɔdi wok, mɔ fɔ swim. Di prɛshɔn we di wata de prɛs de ɛp fɔ mek di wata swel. Dɔn bak, ɛksesaiz dɛn we de saful saful pan di jɔyn dɛn, lɛk fɔ waka ɛn fɔ rayd baysikul, kin fayn.
• Aks yu dɔktɔ bifo yu gi yu pikin ɛni mɛrɛsin. Sɔm mɛrɛsin, fɔ ɛgzampul, sɔm mɛrɛsin dɛn we de mek pɔsin fil pen, kin mek i swel mɔ.
• Ridyus di sɔl we de na yu it. Sɔl kin mek wata kɔntinyu fɔ de na di bɔdi mɔ ɛn mɔ, ɛn dis kin mek bak di swɛlin bɔku.
• Gi yu pikin it we gɛt fayn fayn tin dɛn fɔ it. If yu pikin it fayn fayn tin dɛn we gɛt vɛjitebul, frut, ɛn tin dɛn we nɔ gɛt bɛtɛ bɔdi, dat kin ɛp fɔ mek shɔ se yu gɛt di tin dɛn we i nid.

Ustɛm mi pikin fɔ go to dɔktɔ?

Pikin we gɛt Milroy in sik go de chɛk am ɔltɛm . Dis kin mek di dɔktɔ si aw di pikin de du, aw di swɛlin de, if di tritmɛnt de wok, ɛn if di sik de kɔntinyu fɔ de di sem ɔ i de wɔs. If yu fil se di tritmɛnt nɔ de ɛp yu, if di swɛlin na yu pikin in leg de go ɔp, if i rɛd, if i wam, ɔ if yu pikin gɛt fiva, mek shɔ se yu tɔk to yu pikin in dɔktɔ. Sɔntɛnde yu pikin kin nid fɔ go to ɔkupeshɔn tɛrapist fɔ ɛp am fɔ yuz in an ɛn fut izi wan ɛn du wok dɛn ɛvride.

Us kwɛstyɔn dɛn a fɔ aks mi pikin in dɔktɔ?

Na sɔm kwɛstyɔn dɛn we yu kin aks yu pikin in dɔktɔ:

• "Ɛni ɔda pɔsin na wi famili de pan denja fɔ gɛt dis sik? Wi fɔ gɛt jenɛtik kɔyl?"
• "Yu sabi sɔpɔt grup fɔ pipul dɛn we gɛt Milroy in sik? Ɛni kayn grup de na Sri Lanka?"
• "Aw a go pik di rayt kɔmpreshɔn klos fɔ mi pikin? Usay a go fɛn dɛn?"
• "In yu ekspiriens, hau saksesful dis simpul tritment dem? Na wich point wi shud tink abaut opareshon?"
• "Wetin na di spɛshal tin dɛm we yu nid fɔ du fɔ protɛkt di skin na yu pikin in leg?"

Fɔ gɛt pikin we gɛt Milroy in sik nɔ tan lɛk fɔ gɛt pikin we gɛt nɔmal sik. Di fɔs tin we yu fɔ du fɔ kia fɔ yu pikin na fɔ tich yusɛf ɛn ɔda pipul dɛn bɔt dis sik. Lan bɔku tin bɔt am, ɛn nɔ fred fɔ aks yu pikin in mɛdikal tim kwɛstyɔn dɛn. Nɔto yu wan de, ɛn bɔku pipul dɛn de we go ebul fɔ ɛp.

Di impɔtant tin dɛn we wi nid fɔ mɛmba (Take-Home Message) .

Okay, so lɛ wi rikap di impɔtant pɔynt dɛn frɔm wetin wi dɔn tɔk bɔt:

• Milroy in sik na wan kכndyushכn we kin de we dεn bכn am εn i kin kכz fכ di jεnεtik fכs we de mek di limf sistεm nכ de wok fayn, we kin mek di leg dεm swel.
• Dis nɔ kin apin so ɔltɛm , bɔt i impɔtant fɔ go to dɔktɔ if yu pikin in leg dɛn dɔn swel. Fɔ no di sik kwik kwik wan ɛn fɔ trit am rili impɔtant.
• Di tritmɛnt we dɛn kin yuz na kɔmpreshɔn sɔks, spɛshal tep, limfatik drenaj masaj, ɛn sɔntɛnde ɔpreshɔn.
• Bikɔs dis na sik we nɔ de mɛn , i impɔtant fɔ kia fɔ di pikin gud gud wan, kia fɔ in skin, protɛkt am frɔm infekshɔn, ɛn kip am ɔnda di rayt dɔktɔ.
• Nɔ wɔri. If yu pikin no bɔt dis sik gud gud wan ɛn wok wit yu dɔktɔ dɛn, i go ebul fɔ du bɔku tin fɔ liv nɔmal layf.

If yu gɛt ɛni ɔda kwɛstyɔn bɔt dis, mek shɔ se yu tɔk to yu famili dɔktɔ ɔ dɔktɔ we de mɛn pikin dɛn.

` Milroy in sik, Limfatik Sistem, Swel na di Leg na pikin, Limfεdima, Sik dεm we dεn kin bכn pikin, Jεnεtik sik dεm, Tritmεnt