Mama en papa, yu kin frayd likli we yu si yu pikin in blɔd ripɔt ɛn dɔktɔ se, ‘Low neutrophils’ ɔ ‘Low white blood cells’, nɔto so? Ɔ if yu pikin kin sik bɔku tɛm, yu go dɔn de wɔnda if na dis kin mek i sik. So tide wi go tɔk bɔt di kɔndishɔn we dɛn kɔl `(Neutropenia)` (dɛn kin kɔl am: neutro-pe-nia). If yu ɔndastand dis kɔrɛkt wan, i go rili ɛp yu fɔ manej am fayn ɛn nɔ fɔ fred we yu nɔ nid.
Wetin `(Neutropenia)` jɔs min?
Fɔ tɔk am simpul wan, `(Neutropenia)` min se wi nɔ gɛt inof spɛshal kayn wayt blɔd sɛl na wi blɔd. wi kכl dεn wayt bכdi sεl dεm ya `(Nyutrofil)`. Tink bɔt dɛn `(Neutrophils)` ya lɛk smɔl sojaman dɛn we de insay wi bɔdi. Dɛn men wok na fɔ fɛt jem lɛk `(Bacteria)` we de kam insay wi bɔdi ɛn protɛkt wi frɔm sik. `(Bacteria)` na wan kayn jem, ɛn na dɛn kin mek wi gɛt difrɛn infɛkshɔn.
So, wetin kin apin we wi lɔs inof pan dɛn sojaman ya we dɛn kɔl `(Neutrophils)` na wi blɔd? Wi bɔdi in difɛns sistɛm dɔn wik. Dɔn, i kin izi fɔ mek 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. Na dat mek if pikin we gɛt `(Neutropenia)` gɛt fiva, sayn dɛn fɔ rɛd arawnd di kɔt, ɔ kol ɛn shek shek, i impɔtant fɔ go to dɔktɔ wantɛm wantɛm . Bɔt nɔ wɔri, if yu gɛt tritmɛnt kwik, bɔku pan di infɛkshɔn dɛn we kin apin to pikin dɛn we gɛt `(Neutropenia)` kin mɛn.
Wetin na di simptom dɛm fɔ pikin we gɛt ``(Neutropenia)''?
Pikin we gɛt ``(Neutropenia)`` kin gɛt infɛkshɔn pas ɔda pikin dɛn we gɛt wɛlbɔdi. Dɔn bak, dɛn infɛkshɔn ya:
- I kin apin bɔku tɛm.
- I kin wɔs pas dat.
- I kin wɔs kwik kwik wan.
Di sayn dɛm kin dipen pan di kayn infekshɔn we yu pikin gɛt. Fɔ ɛgzampul, pikin we gɛt infɛkshɔn na in yes kin gɛt pen na in yes. Sɔmtɛm dɛn kin sho bak jɛnɛral sayn dɛm lɛk fiva, bɔdi pen, ɛn nɔr kin want fɔ it.
Wetin mek dis `(Neutropenia)` kin apin? Wetin na di tin dɛn we kin mek i apin?
wi no naw se ``Nyutropenia'' de kכz bay we di nכmba fכ ``Nyutrofil'' dεm na di bכdi de dכn. Bɔku tin dɛn de we kin mek dis apin:
- difrεn infεkshכn dεm: sכm vayral כ baktri infεkshכn dεm kin ridyus ``(Nyutrofil)'' fכ sכm tεm.
- Di mɛrɛsin dɛn: Kimotɛrapi, mɔ di mɛrɛsin dɛn we dɛn kin yuz fɔ kil di kansa sɛl dɛn, kin afɛkt di bon mɛrɔ ɛn i kin mek di nyutrofil dɛn nɔ bɔku. Sɔm ɔda mɛrɛsin dɛn kin mek dis sik bak.
- Rεdyushכn tεrapi: Rεdyushכn tεrapi we dεn kin yuz fכ pwεl di kεnsar sεl dεm kin pwεl bak di bon mכro εn i kin mek nyutrofil dεm nכ de mek fayn.
- Prɔblɛm dɛn we de na di jɛnɛtiks:sכm pikin dεm kin gεt ``Nyutropenia`` bikoz fכ wan jεnεtik kכndishכn we de de we dεn bכn. dis dεn kכl am bak ``Kכnjital nyutropenia``.
- Bon mכro dεn nכ de wok fayn: Bon mכro na pat we lεk sכpכn insay wi bon dεm. Na dis say dɛn de mek wi blɔd sɛl dɛn. so, eni prכblεm na dis bon mכro kin mek di prodakshכn fכ `(Nyutrofil)` dכn.
- di imyun sistεm de atak in yon ``Nyutrofil'': dεn kכl dis ``Autoimmune neutropenia''. wetin de apin ya na di imyun sistεm we de fכt di jεm dεm na wi כwn bכdi de mistek pwεl in כwn ``Nyutrofil'' sεl dεm.
Sɔntɛnde, nyutropenia kin kam ɛn go (saykli nyutropenia) . dis min se di lεvεl fכ di nyutrofil dεm de dכn εvri fכ de dεm εn afta dat i de kam bak to nכmal. Ɔda tɛm dɛn, dɔktɔ dɛn nɔ kin ebul fɔ fɛn wetin mek pɔsin gɛt nyutropenia (idiopathic neutropenia) .
Aw yu go no if yu gɛt `(Neutropenia)`?
Dɔktɔ dɛn kin no if pɔsin gɛt nyutropenia bay we dɛn de du wan blɔd tɛst we dɛn kɔl Kɔmplit Blɔd Kɔnt (CBC). Dis de sho di nɔmba fɔ difrɛn kayn sɛl dɛn we de na di blɔd.
Fɔ no gud gud wan wetin mek pikin gɛt nyutropenia, dɔktɔ we de stɔdi bɔt blɔd, we sabi bɔt blɔd sik, kin du bɔku ɔda tɛst dɛn. Dɛn tin ya na:
- Fɔ chɛk di pikin in blɔd wit maykroskɔp.
- fכ tek wan rili sכmכl sεmpl fכ bon mכro (`(Bכn mכro bayopsi)`) εn egzamin am כnda maykroskכp.
- Test fɔ difrɛn infɛkshɔn dɛn.
- Tɛst dɛn we dɛn kin du fɔ tɛst dɛn jɛnɛtiks.
Dɛn tɛst ya na dɛn kin no di rayt tin we kin mek pɔsin gɛt nyutropenia.
Aw dɛn kin trit Nyutropenia?
di tritmεnt fכ `(Neutropenia)` dipכnt pan di kכz εn di siriכs we di kכndyushכn de. Nɔto ɔl di kes dɛm fɔ `(Neutropenia)` nid tritmɛnt.
Dɔktɔ dɛn kin yuz wan valyu we dɛn kɔl `ANC (Absolute Neutrophil Count)` fɔ mek di tritmɛnt disizhɔn. `ANC` na prεsis mכsu fכ di nכmba fכ di `(Neutrophils)` sεl dεm na di bכdi. Di mɔ dis valyu smɔl, na di mɔ di risk fɔ mek pikin gɛt siriɔs infɛkshɔn.
If dɛn nid fɔ gɛt tritmɛnt, bɔku we dɛn de we dɛn kin yuz:
1. Kɔrɛkshɔn fɔ `(Neutropenia)` kɔndishɔn:
- granulocyte Colony-Stimulating Growth Factor (G-CSF) injεkshכn dεm: dεn ya de mek di bon mכro fכ prodyuz mכr nyutrofil dεm.
- Stɛroyd mɛrɛsin: Dɛn kin yuz dɛn mɛrɛsin ya fɔ stɔp di bɔdi in imyun sistɛm fɔ pwɛl nyutrofil (espɛshali insay ɔtoimyun nyutropenia).
- Wait blɔd sɛl transfyushɔn: Fɔ gi di pikin ɛkstra sɛl fɔ fɛt infɛkshɔn.
- Stem sɛl transplant: .Dis involv fɔ riples di stem sɛl dɛn we gɛt sik we de mek blɔd wit wɛlbɔdi stem sɛl dɛn frɔm pɔsin we gi am. Bɔku tɛm, dɛn kin du dis pan siriɔs kes dɛn.
- Splenectomy: Sɔntɛnde di splin kin pwɛl di nyutrofil dɛn, so if yu pul di splin i kin mek di nyutrofil dɛn go ɔp.
2. Fɔ protɛkt ɛn trit infɛkshɔn:
- Antibayɔtik: Dɛn kin gi antibayɔtik fɔ trit infɛkshɔn if i apin ɔ sɔntɛnde fɔ mek i nɔ gɛt infɛkshɔn.
3. Spɛshal instrɔkshɔn fɔ pikin dɛn we gɛt bɔku nyutrofil kɔnt ɛn we gɛt ay risk fɔ gɛt infɛkshɔn:
Dɛn fɔ tek spɛshal kia fɔ protɛkt dɛn pikin ya frɔm infɛkshɔn.
Impɔtant: If yu fala dɛn instrɔkshɔn ya, dat kin mek yu pikin nɔ gɛt bɔku sik dɛn.
- Avɔyd ples dɛn we bɔku pipul dɛn kin de, lɛk skul dɛn, as yu ebul.
- Fɔ de fa frɔm pipul dɛn we sik.
- Wear fes mask if yu de travul fɔ impɔtant tin dɛn.
- Wash yu an fayn fayn wan (wit sop ɛn wata fɔ at le 20 sɛkɔn) bɔku tɛm.
- Brush ɛn flos yu tit ɛvride.
- Nɔ yuz rɛktal tɛmɔmɔta fɔ chɛk if yu gɛt fiva (dis kin mek yu wund ɛn mek yu gɛt jem).
- If yu gɛt smɔl wund, klin am kwik ɛn put plasta.
- Nɔ yuz shap tin lɛk reza (bikɔs i kin mek yu gɛt infɛkshɔn if yu kɔt am).
- Fɔ avɔyd sɔm it dɛn:
- Milk we nɔ pastɔrayz ɛn it dɛn we dɛn mek wit milk.
- Raw frut, vɛjitebul, ɛn nɛt – as lɔng as dɛn was dɛn fayn ɛn kuk, i nɔ bad.
- Raw ɔni we dɛn kɔl.
- Dɛn kin avɔyd dɛn it ya bikɔs dɛn kin gɛt jem.
Aw una as mama ɛn papa go ɛp?
If yu pikin gɛt nyutropenia, i impɔtant fɔ fala di dɔktɔ in instrɔkshɔn dɛn di rayt we.
- Mek dɛn du blɔd tɛst pan di de dɛn we dɛn dɔn sɛtul.
- Gi di mɛrɛsin we dɛn gi yu di rayt we ɛn di rayt tɛm.
- Fɔ fala di instrɔkshɔn dɛn we dɛn gi fɔ mek yu nɔ gɛt di sik.
If yu du dɛn tin ya kɔrɛkt wan, yu go ebul fɔ kɔntrol yu pikin in kɔndishɔn fayn fayn wan.
Ustɛm yu fɔ go to dɔktɔ? (Imejɛnsi dɛn!)
I rili impɔtant fɔ go to dɔktɔ wantɛm wantɛm if pikin we gɛt nyutropenia sho ɛni sayn fɔ se i gɛt di sik. If dɛn trit di pikin kwik kwik wan, i kin wɛl kwik kwik wan.
If yu gɛt ɛni wan pan dɛn sik ya , tɛl yu dɔktɔ wantɛm wantɛm:
- If di fiva pas 38 digri sɛlshiɔs (100.4 Fahrenheit).
- If yu fil kol, yu de shek shek ɛn/ɔ yu de swet.
- Kɔf, i nɔ izi fɔ blo.
- Mɔt sos, trot we de at.
- Pen we yu de pis.
- If rɛdnɛs de ɛn i de skata rawnd wan skin lɛshɔn.
- Vɔmit ɔ dayarɛa.
- Sɔm nyu pen dɛn.
If yu si sayn lɛk dis, go to dɔktɔ we yu nɔ de te.
Mɔ tin dɛn fɔ no...
Fɔ gɛt pikin we gɛt siriɔs sik kin tranga fɔ ɛni famili. Bɔt mɛmba se nɔto yu wangren de. Tɔk to ɛnibɔdi na yu pikin in mɛdikal tim ɛn aks bɔt aw fɔ gɛt di sɔpɔt we yu nid. Yu kin fɛn mɔ infɔmeshɔn ɛn sɔpɔt bak na di mɛdikal wɛbsayt dɛm we yu kin trɔst na di intanɛt (e.g., di Wɔl Ɛlth Ɔganayzeshɔn wɛbsayt, wɛbsayt dɛm fɔ ɔspitul dɛm we gɛt gud nem). Bɔt nɔto ɔl di tin dɛn we dɛn kin fɛn na di Intanɛt na di rayt tin, so i impɔtant fɔ tɔk to dɔktɔ fɔ no if di tin dɛn we dɛn de tɔk bɔt na tru.
Di tin dɛn we impɔtant pas ɔl fɔ mɛmba (Take-Home Message) .
Okay, so, frɔm wetin wi dɔn tɔk bɔt tide, a op se yu dɔn gɛt bɛtɛ ɔndastandin bɔt `(Neutropenia)`.
Nyutropenia na we di wayt bכdi sεl dεm we dεn kכl nyutrofil dεm na di bכdi de dכn. Dis kin mek yu gɛt infɛkshɔn mɔ.
Bɔku rizin dɛn kin de, ɛn sɔntɛnde yu nɔ kin ivin ebul fɔ fɛn rizin.
Dɛn kin no di sik bay we dɛn de du blɔd tɛst.
Di tritmɛnt dipen pan di tin we mek i gɛt am ɛn aw i siriɔs. Nɔto ɔlman nid tritmɛnt.
Di tin we impɔtant pas ɔl na fɔ de wach fɔ sayn dɛn we de sho se yu gɛt di sik ɛn go to dɔktɔ wantɛm wantɛm if yu notis ɛni wan.
Yu kin protɛkt yu pikin bay we yu fala di advays dɛn we di dɔktɔ gi yu di rayt we ɛn praktis di we dɛn fɔ mek i nɔ gɛt di sik.
Wi de wish yu pikin fɔ wɛl kwik kwik wan! A op se dis infɔmeshɔn go ɛp yu.
` Nyutropenia, nyutropenia, low wayt blɔd sɛl kɔnt, pikin sik, infɛkshɔn, ANC, blɔd sik, immunodeficiency
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