Yu kin tɔn blu ivin wit smɔl brus? Yu kin gɛt blɔd na yu nos ɔltɛm? Ɔ yu gɛt blɔd na yu gɔm? Yu dɔktɔ kin dɔn tɛl yu se yu gɛt wan sik we dɛn kɔl ITP. Dis na wan sik we di nɔmba fɔ di pletlɛt dɛn na wi bɔdi we de ɛp fɔ mek blɔd klɔt kin ridyus. So wan spɛshal tritmɛnt fɔ dis na in dɛn kɔl Nplate. Tide, wi go tɔk bɔt dis, bɔt dis mɛrɛsin, rili simpul wan, insay wan we we yu go ɔndastand.
Wetin na ITP (Immune Thrombocytopenia )?
Fɔ tɔk am simpul wan, ITP na wan sik we wi bɔdi in yon difens sistɛm, di imyun sistɛm , kin mistek atak ɛn pwɛl wi yon blɔd pletlɛt dɛn, ɛn tink se na dɛn na di ɛnimi. Dis na wetin wi kɔl ɔtoimyun kɔndishɔn .
Tink bɔt dis we: pletlɛt na smɔl smɔl tin dɛn we tan lɛk sojaman dɛn we dɛn mek na wi bon mɛro . We wund de sɔmsay ɛn blɔd bigin fɔ kɔmɔt, dɛn pletlɛt ya kin rɔsh go na di say, plɔg di wund, ɛn stɔp di blɔd. Pipul dεm we gεt ITP gεt lכw lεvεl dεm fכ dεn pletlet dεm ya, we de mek di risk fכ bכn bכku.
Wetin na di sayn dɛm fɔ ITP?
Di sayn dɛm fɔ ITP kin difrɛn frɔm wan pɔrsin to ɔda pɔrsin. Sɔm pipul dɛn nɔ kin gɛt ɛni sayn atɔl. Bɔt sɔm tin dɛn de we kin apin to pɔsin. Lɛ wi tek wan luk pan wetin dɛn bi.
| Di sayn we de sho se di sik de | Wan simpul ɛksplen |
|---|---|
| Petechiae we dɛn kɔl Petechiae | Di we aw smɔl smɔl rɛd dɔt dɛn de na di skin, lɛk se dɛn drɔ dɛn wit smɔl pen tip. |
| Pɔrpul | Pepul spat dεm na di skin (big pas petechiae). |
| I izi fɔ mek pɔsin brus (Ecchymosis) . | Ivin smɔl brus, mɔ na di an ɛn fut, kin tɔn blu. |
| Blɔd we de kɔmɔt na yu nos ɔltɛm | Blɔd we de kɔmɔt na yu nos bɔku tɛm ɔ we i de kɔmɔt pasmak. |
| Ebi ebi blɔd we de kɔmɔt na di mɔnt (Menorrhagia) . | Blɔd we de kɔmɔt pasmak we uman dɛn de gɛt mɔnt. |
| Di blɔd we de kɔmɔt na di gɔm | Blɔd we de kɔmɔt na di gɔm we yu de brus yu tit ɔ jɔs bay we yu de brus yu tit. |
| Blɔd we de na di urine (Hematuria) . | Blɔd we de na di urine. |
Aw di drɔg we dɛn kɔl Nplate de wok?
Nplate na "pletlɛt bɔsta." Dat min se na mɛrɛsin we de ɛp fɔ mek di pletlɛt dɛn we de na di blɔd bɔku.
Impɔtant, Nplate nɔto di fɔs drɔg we dɛn gi fɔ ITP. Bɔku tɛm, yu dɔktɔ go tray fɔ yuz ɔda tritmɛnt dɛn fɔs, lɛk kɔtikosterɔyd ɛn imyunoglobulin. Sɔntɛnde, dɛn kin tink bɔt fɔ pul di splin . Dɛn kin yuz drɔg lɛk Nplate nɔmɔ if dɛn tritmɛnt ya nɔ gi dɛn di rayt kɔntrol.
wan spεshal protin de na wi bכdi we dεn kכl trombopoietin (TPO) we de ‘signal’ di bon mכro fכ mek bכdi pletlet dεm. Pipul wae gɛt ITP kin gɛt low lɛvɛl pan dis TPO. di dכg Nplate de wok εksakכt lεk dis TPO, i de sεnd mεsej to di bon mכro fכ "mek mכr bכdi pletlet dεm."
di men gol fכ dis mεdikeshכn nכ fכ bכn di pletlet kכnt bak to nכmal (150,000-450,000). Di gol na fɔ mek di pletlɛt dɛn kɔntinyu fɔ gɛt pas 50,000, we nid fɔ mek di blɔd nɔ bɔku.
Aw dɛn kin gi Nplate?
Nplate na injεkshכn we dεn kin gi wan tεm insay di wik כnda di skin. Dis na fɔ yu ɔ yu pikin.Na dɔktɔ ɔ nɔs we dɔn tren de gi am. Bɔku tɛm, dɛn kin no di doz bay yu bɔdi wet. Yu dɔktɔ kin ajɔst di doz as nid de bay yu blɔd tɛst rizɔlt (pletlɛt kɔnt). So, i rili impɔtant fɔ go to dɔktɔ jɔs di de ɛn tɛm we yu dɔktɔ tɛl yu fɔ du. If yu mis wan doz, kɔl yu dɔktɔ kwik kwik wan fɔ sɛdyul yu nɛks doz.
Wetin na di sayd ɛfɛkt dɛm fɔ dis mɛrɛsin?
Lɛk ɛni mɛrɛsin, Nplate kin mek yu gɛt sayd ɛfɛkt. Dɛn tin ya kin difrɛn smɔl fɔ big pipul ɛn pikin dɛn.
| Kɔmɔn sayd ɛfɛkt dɛn we Nplate kin gɛt | |
|---|---|
| Tin dɛn we kin apin to big pipul dɛn | |
| Ed de at | Pen na di jɔyn ɛn mɔsul dɛn |
| Diziz we pɔsin kin gɛt | Nɔ ebul slip |
| Am, leg, ɛn sholda pen | Bɛlɛ de at, nɔs, vɔmit, flatulɛns |
| Di limb dɛn we de na di an ɛn fut dɛn kin swɛla | Kɔf, trot we de at, kol |
| Tin dɛn we kin apin to pikin dɛn | |
| Brus we de mek pɔsin brus | Infεkshכn na yu trot εn nos, lεk kol |
| Mɔt ɛn trot pen | |
Aw fɔ kɔntrol dɛn sayd ɛfɛkt ya?
- Nɔs/vɔmit: If yu gɛt nɔys, drink bɔku wata fɔ mek yu nɔ gɛt wata na yu bɔdi. Nɔ it tin dɛn we gɛt fat ɛn we gɛt spays ɛn it tin dɛn we layt lɛk bred ɛn krak krak. If dɛn sayn ya stil de , mek shɔ se yu tɛl yu dɔktɔ .
- Ed we de at ɛn pen: Yu dɔktɔ kin gi yu mɛrɛsin fɔ mɛn yu pen fɔ tin dɛn lɛk ed we de at ɛn pen na yu an ɛn fut. Bɔt nɔ tek ɛni mɛrɛsin we yu nɔ go to yu dɔktɔ .
- Diziz: Dis mɛrɛsin kin mek yu ed de tɔn, so nɔ drayv ɔ yuz ebi ebi mashin te yu no aw di mɛrɛsin de afɛkt yu.
- Nɔ slip: If yu go slip di sem tɛm, yu nɔ spɛn bɔku tɛm na yu fon ɛn TV bifo yu go slip, ɛn we yu de tink gud wan, dat kin ɛp fɔ mek yu nɔ gɛt prɔblɛm wit yu slip.
Di tin we impɔtant pas ɔl na fɔ tɛl yu dɔktɔ if yu ɔ yu pikin gɛt ɛni sayd ɛfɛkt, ilɛksɛf yu tink se i smɔl.
Ɛni prɔblɛm de wit ɔda mɛrɛsin dɛn? (Drug Intarakshɔn) .
Nɔ ripɔt nɔr dɔn de bɔt siriɔs prɔblɛm wit ɔda mɛrɛsin dɛm wae de intarakt wit Nplate. Bɔt di tin we impɔtant pas ɔl fɔ mɛmba na dat if yu de tek ɔda mɛrɛsin dɛn we de mek yu gɛt mɔ blɔd (e.g., aspirin, warfarin, ɔ tin dɛn we de mek yu blɔd tan lɛk klopidogrel), i impɔtant fɔ tɛl yu dɔktɔ. Dɔn bak, mek shɔ se yu tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin ɛn vaytamɛn dɛn we yu de tek.
Mɛsej we dɛn kin kɛr go na os
- ITP na wan sik we wi yon imyun sistɛm de pwɛl di blɔd pletlɛt dɛn.
- Nplate na injεkshכn we dεn kin gi wan tεm insay di wik we de mek di bon mכro fכ mek di bכdi pletlet prodyuz bכku.
- Dis nɔto mɛrɛsin fɔ ITP. Di rizin fɔ am na fɔ ridyus di risk fɔ mek blɔd kɔmɔt.
- Dɛn kin no di doz fɔ di mɛrɛsin bay yu wet ɛn blɔd tɛst rizɔlt. So, i rili impɔtant fɔ fala wetin yu dɔktɔ tɛl yu fɔ du.
- Sɔm bad tin dɛn lɛk ed we de at, jɔyn pen, ɛn nɔs kin apin, ɛn tɛl yu dɔktɔ wantɛm wantɛm bɔt ɛni ɔda tin we nɔ kɔmɔn.
- I impɔtant fɔ tɛl yu dɔktɔ bɔt ɔl di ɔda mɛrɛsin dɛn we yu de tek, mɔ di wan dɛn we de mek yu blɔd tan.
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