Yu no se we wan jem kam insay wi bɔdi, wi bɔdi gɛt ami fɔ fɛt am? Wan pan di spɛshal kayn sojaman dɛn we de na dis ami, dɛn kɔl am Nyutrofil. Bɔt sɔntɛnde, bikɔs ɔf difrɛn rizin dɛn, di nɔmba fɔ dɛn sojaman dɛn ya na wi bɔdi kin go dɔŋ. Na da tɛm de ivin smɔl sik kin kam siriɔs ɛn infɛkshɔn kin bigin fɔ kam bɔku tɛm. Tide wi de tɔk bɔt dis kɔndishɔn we dɛn kɔl ‘Neutropenia’, we di bɔdi in difens sojaman dɛn kin go dɔŋ.
Fɔ tɔk am simpul wan, wetin na Nyutropenia?
Nyutropenia (dɛn kin kɔl am: nyutro-pe-nia) na wan sik we di nɔmba fɔ nyutrofil, we na wan kayn wayt blɔd sɛl, na yu blɔd kin smɔl pas aw i kin bi. dis nyutrofil dεm de kכmכt mεntal wan na wi bon mכro. Dɛn men wok na fɔ fɛn ɛn pwɛl di jem dɛn lɛk baktri ɛn vayrɔs dɛn we de kam insay wi bɔdi.
So imajin wetin kin apin we dɛn nyutrofil ya nɔ bɔku. I tan lɛk se di ami we de protɛkt kɔntri dɔn wik. Di ebul we wi bɔdi ebul fɔ fɛt di jem dɛn kin ridyus bad bad wan. If i bad, ivin nɔmal baktri dɛm na wi mɔt ɛn intestinal, we nɔ de du bad to pɔsin we gɛt wɛlbɔdi, kin mek wi gɛt siriɔs infɛkshɔn.
Aw dɛn kin klas di nyutrofil lɛvɛl dɛn?
Dɔktɔ go no dis bay we i luk yu blɔd tɛst rizɔlt. Nɔmal wan, big pɔsin we gɛt wɛlbɔdi fɔ gɛt pas 1,500 nyutrofil pan wan maykrolita blɔd. Nyutropenia dεn sheb am to tri lεvεl dεm dipכnt pan aw dis nכmba lכw.
| Nyutropenia lɛvɛl | Di nɔmba fɔ di nyutrofil dɛn we de insay wan maykrolit blɔd |
|---|---|
| Mild Nyutropenia we nɔ gɛt wan bɔt | Bitwin 1,000 – 1,500 pipul dɛn |
| Mɔdarɛt Nyutropenia | Bitwin 500 – 1,000 pipul dɛn |
| Sivɛri Nyutropenia | I nɔ rich 500 |
Dis kכndyushכn kin bi sכt tεm (akyu) כ lכng tεm (krכnik). I kin bi bak we dɛn bɔn am ɔ we pɔsin gɛt am.
Wetin na di men tin dɛm wae kin mek pɔrsin gɛt nyutropenia?
difrεn rizin dεm kin de fכ mek di nyutrofil dεm dכn dכn. di bon mכro nכ de prodyuz inof nyutrofil dεm, כ di nyutrofil dεm we de mek dεn de pwεl tu kwik.
Na sɔm pan di men rizin dɛn:
- Kansa ɛn aw fɔ mɛn am: Dis na tin we kin mek pɔsin gɛt kansa. Kimotɛrapi ɛn redyushɔn tɛrapi, mɔ fɔ kansa, kin pwɛl di wɛlbɔdi sɛl dɛn bak we dɛn kɔl nyutrofil, we na sɛl dɛn we de sheb kwik kwik wan, we dɛn dɔn pwɛl. I kin kam bak wit blɔd kansa lɛk lukimiya.
- Infεkshכn: Sכm vayral, baktriyal, εn parasayt infεkshכn kin lכs di nyutrofil lεvεl fכ sכm tεm. Sɔm ɛgzampul dɛn na HIV, Epataytis, Tubakulosis, ɛn sɛpsis, we na wan bad bad sik.
- Sɔm mɛrɛsin dɛn: Apat frɔm kansa mɛrɛsin dɛn, sɔm mɛrɛsin dɛn we dɛn kin tek fɔ ɔda sik dɛn kin mek bak di nyutrofil dɛn nɔ bɔku as sayd ɛfɛkt.
- כtoimyun kכndishכn dεm: Dis na we wi bכdi in כwn imyun sistεm de mistek atak wi כwn hεlty nyutrofil sεl dεm, tink se na dεn na di εnimi. Sɔm ɛgzampul dɛn na tin dɛn lɛk lupus ɛn rεumatoid at.
- I nɔ gɛt bɛtɛ tin fɔ it: Dis sik kin apin bak if di bɔdi nɔ gɛt tin dɛn lɛk vaytamɛn B12, folate, ɔ kɔpa.
- Di tin dɛn we kin mek dɛn gɛt dis sik: Sɔm pipul dɛn kin gɛt dis sik frɔm we dɛn bɔn dɛn.
Sɔntɛnde, dɛn nɔ kin ebul fɔ fɛn ɛni rizin. Dɔktɔ dɛn kin kɔl dɛn kayn kes ya ‘Chronic idiopathic neutropenia’. dat min se "di nyutrofil dεm we de dכn fכ lכng tεm we nכ klia kכz."
Wetin na di sayn dɛm fɔ nyutropenia?
Di impɔtant tin ya na dat Nyutropenia insɛf nɔ gɛt ɛni simptom. Bɔt bikɔs di nyutrofil dɛn nɔ bɔku, yu kin gɛt difrɛn sayn dɛn bikɔs ɔf di infɛkshɔn dɛn we yu kin gɛt izi wan. If yu kin sik ɔltɛm, i kin bi sayn bak fɔ Nyutropenia.
We infekshɔn apin, yu kin si sɔm sayn dɛn lɛk:
- Fiva (we i pas 38 Sɛlshiɔs ɔ 100.4 Fɛnayt) .
- Fɔ fil taya pasmak ɛn nɔ gɛt layf
- Trot de at
- Di bɔdi in jɔyn dɛn kin swel
- Sɔl dɛn we de mek yu fil pen na yu mɔt ɔ yu an
- Rɔnbɛlɛ
- Bɔn ɛn pen we yu de pis
- Infεkshכn na di skin (dεn de rεd, swεla, pen) .
If yu nyutropenia lɛvɛl nɔr tu, yu kin stil gɛt inof nyutrofil dɛn we lɛf na yu bɔdi fɔ fɛt infɛkshɔn. Yu nɔr kin gɛt ɛni sayn dis tɛm.
Wetin na di tritmɛnt dɛm fɔ dis?
Di tritmɛnt dipen pan wetin mek yu nɔ gɛt bɛtɛ nyutrofil lɛvɛl ɛn aw i bad. Sɔm kayn kes dɛm wae nɔr kin pasmak nɔr kin nid ɛni tritmɛnt.
Na sɔm pan di men we dɛn fɔ trit am:
- Antibayɔtik: If yu gɛt nyutropenia wit fiva (dɛn kɔl am `febrile neutropenia`), i kin bi sayn fɔ siriɔs infɛkshɔn. If na so i bi, yu dɔktɔ kin admit yu na ɔspitul ɛn gi yu strɔng antibayɔtik tru wan vein (tru wan layn).
- Kɔtikosterɔyd: If yu nyutropenia na ɔtoimyun sik, dɛn kin gi yu mɛrɛsin ya fɔ kɔntrol di wok we di bɔdi in imyun sistɛm de du.
- G-CSF (Granulocyte colony-stimulating factor): dis na spεshal kayn injεkshכn we de mek di bon mכro εn mek di wayt bכdi sεl dεm (especially neutrophils) prodyuz bכku. Bɔku tɛm, dɛn kin gi dɛn tin ya to pipul dɛn we de du kemotɛrapi.
- Chenj di mɛrɛsin: If na mɛrɛsin mek yu sik, yu dɔktɔ kin stɔp di mɛrɛsin ɔ chenj di doz.
Wetin a fɔ du fɔ protɛkt misɛf frɔm infɛkshɔn?
If yu no se yu gɛt nyutropenia, di impɔtant tin we yu kin du na fɔ protɛkt yusɛf frɔm infɛkshɔn. Bikɔs yu imyun sistɛm wik, yu nid fɔ tek tɛm mɔ.
- Was yu an fayn fayn wan wit sop ɛn wata ɔltɛm. Yuz han sanitayza we gɛt alkol we wata nɔ de.
- Stay away frɔm pipul dɛm wae sik ɛn krawd ples as yu ebul.
- Gɛt ɔl di vaysin dɛn we yu nid , lɛk di influenza vaysin, di rayt tɛm. Aks yu dɔktɔ fɔ advays bɔt dis.
- Nɔ kɔt ɛn skrap. Klin ɛn trit ivin smɔl wund dɛn kwik kwik wan.
- Tek tɛm bad bad wan bɔt aw fɔ klin it. Wash vegjetabul ɛn frut dɛn fayn fayn wan bifo yu it. Kuk mit, fish, ɛn eg fayn fayn wan bifo yu it.
- Nɔ yuz ɔda pipul dɛn dish, kɔp, spun, reza, tawɛl, ɛn tut brɔsh.
- If yu de wok na gadin, wɛr glɔv.
- We yu de pul dɔti we yu kin yuz fɔ mɛn animal ɔ chenj dayapɛt fɔ yɔŋ pikin dɛn, mek shɔ se yu wɛr glɔv ɛn was yu an fayn fayn wan afta yu dɔn.
- Nɔ swim na wata we nɔ klin, lɛk lek, riva, ɛn pɔnd.
Ustɛm a fɔ go to dɔktɔ kwik kwik wan?
If yu de tek kemotɛrapi ɔ yu gɛt ɔda sik we kin mek yu gɛt nyutropenia, nɔ de te if yu gɛt ɛni wan pan dɛn sik ya. Kɔl yu dɔktɔ wantɛm wantɛm ɔ go na di Imejɛnsi Dipatmɛnt (ETU) na di ɔspitul we de nia yu.
| Di sayn we de sho se yu de wɔn yu | Tɔk bɔt |
|---|---|
| Fiva | Di tɛmpracha na di bɔdi na 38 digri sɛlshiɔs (100.4 Fɛnayt) ɔ pas dat. |
| Fɔ fil kol ɛn shek shek | Fɔ fil kol pasmak, shek shek, ɔ swet. |
| I nɔ izi fɔ blo | Nyu ɔr de wɔs kɔf, yu nɔ de blo fayn, yu chɛst de pen. |
| Trot de at | Di trot ɔ di nɛk we de at bad bad wan. |
| Prɔblɛm dɛn we de na di dijestiv sistɛm | Bɛlɛ pen bad bad wan, dayarɛa, ɔ vɔmit. |
| Ɔda tin dɛn we de apin | Urinary tract infection, rεd/swεl εnisay na di bכdi, diziz, כ fil mכr kɔmfyut pas aw i kin bi. |
Nyutropenia nɔto natin fɔ fred, bɔt i impɔtant fɔ no bɔt am ɛn tek tɛm. If yu fala yu dɔktɔ in instrɔkshɔn dɛn fayn fayn wan ɛn tek di step dɛn we yu nid fɔ protɛkt yusɛf frɔm infɛkshɔn, yu kin ebul fɔ mɛn dis sik fayn fayn wan.
Mɛsej we dɛn kin kɛr go na os
- Nyutropenia na we di nɔmba fɔ di nyutrofil, we na wan kayn wayt blɔd sɛl we de na di blɔd, de go dɔŋ. Dis na di men sɛl dɛm we de protɛkt wi bɔdi frɔm infɛkshɔn.
- Dis sik kin kam bikɔs ɔf tritmɛnt fɔ kansa (kimotɛrapi), sɔm infɛkshɔn, ɛn sɔm mɛrɛsin dɛn.
- Nyutropenia insɛf nɔ gɛt ɛni patikyula sayn, bɔt infɛkshɔn we i kin gɛt kin mek yu gɛt fiva, yu trot kin at, ɛn yu kin taya pasmak.
- If yu gɛt nyutropenia, i rili impɔtant fɔ protɛkt yusɛf frɔm infɛkshɔn. Mek shɔ se yu klin fayn fayn wan, lɛk fɔ was yu an ɔltɛm, fɔ de fa frɔm pipul dɛn we sik, ɛn fɔ praktis fɔ it sef.
- If yu gɛt siriɔs sayn lɛk fiva, kol, ɔr prɔblɛm fɔ blo, tɛl yu dɔktɔ wantɛm ɔ go na ɔspitul.
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