Yu smɔl pikin de gɛt pepul spat dɛn na in bɔdi wantɛm wantɛm? I kin bi se na Henoch-Schönlein Purpura (HSP)! Wi go tɔk bɔt dis?

I nɔmal fɔ wɔri smɔl if yu pikin notis smɔl smɔl pepul spat dɛn na in bɔdi wantɛm wantɛm, mɔ na in leg ɛn bɔt, afta i dɔn ple wit gladi at. Sɔntɛnde, dɛn spat ya kin kam wit bɛlɛ at ɛn jɔyn pen. We wi si sɔntin lɛk dis, wi kin tink bɔt wan tin afta di ɔda wan. So tide wi go tɔk bɔt wan sik wae kin kam wit dis sik, bɔt bɔrku tɛm na nɔrtin fɔ wɔri bɔt, bɔt i rili impɔtant fɔ no bɔt. Dat na Henoch-Schonlein Purpura, ɔ HSP fɔ shɔt.

Wetin na Hɛnɔk-Sɔnlayn Pɔpura (HSP)?

Fɔ tɔk am simpul wan, Henoch-Schonlein Purpura (HSP) na wan sik we di smɔl smɔl blɔd vesel dɛn na wi bɔdi kin swel ɔ inflam. Dɔktɔ dɛn kɔl dis `` vasculitis .'' Tink bɔt am lɛk di smɔl smɔl blɔd vesel dɛm ɔlsay na wi bɔdi we de vɛks ɛn swel. Dis swɛlin na in kin mek ɔl dɛn prɔblɛm ya.

We di blɔd vesel dɛn swel dis kayn we, smɔl smɔl blɔd sɛl dɛn kin bigin fɔ lik kɔmɔt. Jɔs lɛk aw wata paip de lik wata. Dɛn blɔd sɛl ya kin lik insay di skin, di mכkus mεmbran dεm (lεk di mכst mεmbran dεm we de insay wi mכt εn nos), כ insay di כgan dεm we de insay. We dɛn lik insay di skin, dɛn kin mek dɛn pepul say dɛn de we tan lɛk brus. Wi kin kɔl dɛn spat dɛn de `(purpura)`.

Bɔrku tɛm, dis HSP kɔndishɔn kin afɛkt di blɔd vesel dɛm na di skin, jɔyn dɛm, intestinal dɛm (bɔwel), ɛn kidni dɛm. Bɔt di gud nyus na dat bɔku pikin dɛn we gɛt HSP kin wɛl ɔlsay insay sɔm wiks ɛn dɛn nɔ kin gɛt ɛni prɔblɛm fɔ lɔng tɛm . So i impɔtant fɔ no di tru bifo yu fred.

Wetin na di tin dɛn we kin mek pɔsin gɛt HSP?

Dɔktɔ dɛn stil nɔ ebul fɔ tɔk fɔ tru wetin kin mek pɔsin gɛt HSP. Bɔt dɛn tink se i go mɔs bigin afta we pɔsin gɛt infɛkshɔn . I kin bi baktri, vayral, ɔ parasayt infɛkshɔn. Fɔ ɛgzampul, sɔm pikin dɛn kin gɛt dis sik afta dɛn trot at.

Apat frɔm dat, dɛn kin tink se na sɔm mɛrɛsin dɛn ɛn alɛji fɔ it kin mek i kam . Sɔm pipul dɛn kin gɛt sɔntin bak we dɛn kin gɛt frɔm dɛn jɛnɛtiks. Risach pipul dɛn stil de luk fɔ di rayt tin we kin mek pɔsin gɛt HSP.

HSP kin apin we wi imyun sistεm nכ de wok fayn. wi gεt spεshal kayn protin we dεn kכl `(Immunoglobulin A - IgA)` insay wi bכdi. Di men wok we i de du na fɔ fɛt infɛkshɔn ɛn protɛkt wi frɔm sik dɛn. bכt wetin de apin na di bכdi fכ pכsin we gεt HSP na dat dis `(IgA)` protin de gεt dכpכsit insay dεn sכm sכm bכdi vεsul dεm. na da tɛm de da `(vasculitis)` kכndishכn de apin, we de mek di bכdi vεsul dεm swel.

HSP na di kayn vaskulεt we kin kכmכn pas כl pan pikin dεm . Pan ɔl we i kin apin pan ɛni ej, i kin apin mɔ pan pikin dɛn we ol bitwin 2 ɛn 6. I kin apin lɛk tu tɛm so pan bɔy pikin dɛn pas gyal pikin dɛn. I kin apin bak mɔ insay di fɔl ɛn winta (i.e., to di ɛnd ɔf di ia).

Wetin na di sayn dɛm fɔ HSP?

Naw lɛ wi si us sayn dɛm we pikin kin sho if i gɛt HSP.

Spɔt dɛn na di skin `(Purpura)`

Dis na di men ɛn klia sayn fɔ HSP . Smɔl smɔl say dɛn we gɛt pepul kɔlɔ we tan lɛk brus kin kɔmɔt na di skin. Dɛn spat ya nɔ kin tɔn pale we yu luk dɛn (a non-blanching rash).

• Dɛn kin si dɛn spat ya mɔ na di ɔnda leg ɛn bɔdi .
• Sɔntɛnde, yu kin si dɛn spat ya bak na di an, fes, ɛn di sɛntral pat dɛn na di bɔdi lɛk di chɛst ɛn di bɛlɛ.
• Dɛn spat ya kin kɔmɔt wantɛm wantɛm, ɔ dɛn kin bɔku smɔl smɔl.

Jɔyn pen ɛn swel

Fɔ bɔku pikin dɛn, di jɔyn dɛn kin pen ɛn swel lɛk wan ɔ tu wik bifo di skin rɔsh kɔmɔt.

• Bɔku tɛm i kin afɛkt di jɔyn dɛn na di ni ɛn anklɛ dɛn .
• Sɔntɛnde, di jɔyn dɛn lɛk di ɛlb ɛn di an kin afɛkt bak.
• Dis pen kin mek i nɔ izi fɔ di pikin fɔ waka.

Bɛlɛ de at

Bɔku tɛm, di bɛlɛ kin at afta di skin rɔsh dɔn.

• Yu kin gɛt bɛlɛ kramp.
• Nɔs ɛn vɔmit .
• Sɔm pikin dɛn kin gɛt blɔd bak na dɛn stɔl (blɔd na BM/stɔl). Dis na sayn we wi fɔ wɔri bɔt.

Ifekt pan di kidni dɛm

Sɔntɛnde, HSP kin afɛkt di kidni dɛn bak .

• Smɔl blɔd ɔ prɔtin kin pas wit di urine .
• Sɔntɛnde di urine kin tan lɛk rɛd kɔlɔ (hematuria).
• Pan ɔl we dis nɔ kin siriɔs bɔku tɛm, i rili impɔtant fɔ go to dɔktɔ fɔ chɛk if ɛnitin de ambɔg di kidni dɛn.

Di sayn dɛm fɔ HSP kin las fɔ lɛk wan mɔnt , afta dat bɔku pikin dɛn kin wɛl fɔ dɛnsɛf.

Aw dɔktɔ dɛn kin no di HSP kɔrɛkt wan?

We yu kɛr yu pikin go to dɔktɔ, di fɔs tin we dɛn kin du na fɔ chɛk di pikin gud gud wan. Bikɔs dɛn purpura spat dɛn de de pan ɔlmost ɔl di wan dɛn we gɛt HSP, dɛn kin rili ɛp di dɔktɔ dɛn fɔ no di sik.

Apat frɔm dat, di dɔktɔ kin du tɛst dɛn bak lɛk:

• Blɔd tɛst: Dɛn kin yuz dɛn tin ya fɔ chɛk aw di kidni de wok, fɔ chɛk fɔ si if pɔsin gɛt infɛkshɔn, ɛn fɔ chɛk fɔ si if i gɛt prɔblɛm wit di blɔd we de klɔt.
• Yurin tɛst: Chɛk fɔ blɔd ɔ prɔtin na di urine. Dis kin gi yu aidia fɔ no if di kidni dɛn dɔn afɛkt.
• Stɔl tɛst: Chɛk fɔ blɔd na di stɔl.
• Ultrasound scan: If yu pikin gɛt bad bad bɛlɛ pen, dis kin ɛp fɔ pul ɔda prɔblɛm dɛn we de insay di bɛlɛ, mɔ wan sik we dɛn kɔl intussusception.

Afta yu dɔn du ɔl dɛn tɛst ya, di dɔktɔ kin no if yu gɛt HSP ɛn aw i siriɔs.

Wetin na di tritmɛnt dɛm fɔ HSP?

Bɔrku tɛm, HSP kin sɔlv insɛf witout ɛni patikyula tritmɛnt . Na dat na di gud nyus. Bɔt if HSP dɔn afɛkt yu kidni, den i kin nid fɔ gɛt mɛrɛsin.

Fɔ ɛp yu pikin fɔ fil fayn ɛn fɔ kɔntrol di sik dɛn, yu dɔktɔ kin tɛl yu fɔ tek mɛrɛsin lɛk:

• Antibayɔtik: Dɛn kin gi dɛn tin ya nɔmɔ if dɛn tink se na baktri infɛkshɔn de mek di HSP.
• Di tin dɛn we de mek pɔsin nɔ fil pen: Fɔ ɛgzampul, asetaminofɛn (lɛk paracetamol) kin ɛp fɔ ridyus di pen na di jɔyn dɛn ɛn di bɔdi we de at.
• Mεdisin dεm we de mek yu nɔr de fil bad: fכ egzampl, mεdisin dεm lεk ibuprofen kin εp fכ ridyus di pen εn swεla na di joyn dεm.
• Kɔtikosterɔyd: Fɔ ɛgzampul, mɛrɛsin dɛn lɛk prɛdnison. Dɛn kin gi dɛn tin ya if di pikin gɛt bad bad bɛlɛ pen ɔ i gɛt sik na in kidni. Dɛn fɔ jɔs yuz dɛn tin ya ɔnda dɔktɔ in sɔpɔtishɔn.

Tin dɛn we yu kin du na os

Apat frɔm mɛrɛsin, tin dɛn de we yu kin du na os fɔ mek yu pikin fil fayn:

• Mek yu pikin rɛst fayn: Ridyus di rɔn ɛn ple, ɛn ɛnkɔrej am fɔ de na bed ɛn rid buk.
• Gi bɔku wata fɔ drink:If yu gi tin dɛn lɛk wata ɛn frut jus, dat kin ɛp fɔ mek yu nɔ gɛt wata na yu bɔdi.
• If yu jɔyn dɛn dɔn swel ɛn yu de fil pen: Yu kin kip dɛn ɔp fɔ sɔm tɛm, ɛn sɔntɛm yu kin ivin put ays pak pan dɛn if yu dɔktɔ tɛl yu fɔ du dat.

Di tin we impɔtant pas ɔl na fɔ kɛr yu pikin go to dɔktɔ wantɛm if i nɔ gri fɔ it ɔ drink, if i gɛt siriɔs bɛlɛ pen, ɔ if i sho sayn dɛn fɔ se i gɛt prɔblɛm wit in kidni (e.g., i nɔ de pis bɛtɛ, i de swel). Dɛn kin nid fɔ go na ɔspitul fɔ mek dɛn go gɛt tritmɛnt.

Ɔda kɔmplikeshɔn dɛn de we kin apin bikɔs ɔf HSP?

Na lɛk af pan di pikin dɛn we gɛt HSP kin gɛt sɔm ifɛkt pan dɛn kidni. Bɔrku tɛm, dis na smɔl tin nɔmɔ ɛn i kin sɔlv if yu nɔr gɛt ɛni spɛshal tritmɛnt. Bɔt nɔto ɔltɛm, sɔm pikin dɛn kin gɛt siriɔs sik lɛk we dɛn kidni nɔ de wok fayn. Dɛn kayn pikin ya kin nid fɔ go to spɛshal dɔktɔ we de mɛn dɛn kidni (nɛfrɔlɔjis) fɔ mek dɛn du mɔ tɛst dɛn.

Wan ɔda sik wae nɔr kin bɔrku bɔt wae kin rili siriɔs na intussusception. Dis na we wan pat pan di insay de tɛliskɔp to ɔda pat . Dis kin kɔt di blɔd we de go na da pat de ɛn mek i blok. Dis na imejensi we nid fɔ trit kwik kwik wan. If yu pikin gɛt bad bad bɛlɛ pen wantɛm wantɛm, i de vɔmit, ɔ i gɛt blɔd we tan lɛk jɛlɛ na in stɔl, yu fɔ sɔprayz dis.

Ɔda impɔtant tin dɛn we wi nid fɔ no

• Di bɛst tin na dat, bɔku pikin dɛn we gɛt HSP kin wɛl ɔlsay insay wan mɔnt ɛn dɛn nɔ kin gɛt ɛni prɔblɛm fɔ lɔng tɛm.
• Sɔm pikin dɛn kin gɛt HSP bak. Dis kin apin sɔm mɔnt afta di fɔs pat. Bɔt if i apin bak, bɔku tɛm i nɔ kin tranga pas di fɔs tɛm .

So, wetin na di mɛsej we pɔsin kin kɛr go na os frɔm ɔl dis?

Okay, so, frɔm wetin wi dɔn tɔk bɔt, dɛn tin ya na di impɔtant tin dɛn we wi fɔ mɛmba:

• HSP na wan sik we kin afɛkt yɔŋ pikin dɛn, we kin mek dɛn blɔd vesel dɛn swel. Di men sayn na pɔpul spat.
• Bɔrku tɛm, dis go wɛl fɔ insɛf.
• Jɔyn pen, bɛlɛ at, ɛn kidni kin pwɛl.
• If yu si strenj spat na yu pikin in bɔdi, if i de kɔmplen se in bɛlɛ de pen, ɔ if dɛn jɔyn dɛn de at, yu fɔ kɛr dɛn go to dɔktɔ. Nɔ panik, bɔt go to dɔktɔ wantɛm wantɛm.
• Fɔ fala di dɔktɔ in instrɔkshɔn dɛn gud gud wan. Gi yu pikin bɔku rɛst ɛn bɔku wata.
• Bɔku pikin dɛn kin wɛl kpatakpata. Yu fɔ no bɔt prɔblɛm dɛn we nɔ kin apin so ɔltɛm.

Mɛmba se nɔto yu wangren de. Dɔktɔ dɛn de fɔ ɛp yu ɛn yu pikin. We yu no dis kayn tin, dat go mek yu gɛt bɔku trɛnk fɔ du sɔntin di rayt tɛm.

So, a op se dis infɔmeshɔn go ɛp yu. A de wish yu pikin fɔ wɛl kwik kwik wan!

` Henoch-Schonlein purpura, HSP, pikin dεm sik, skin spat, vaskulεt, IgA vaskulεt, pikin dεm sik