Yu gɛt di sik we de mek yu gɛt pletlɛt na yu blɔd? Lɛ wi lan bɔt Plɛtlɛt Dizayd insay wan simpul we!

Sɔntɛnde, yu kin gɛt brus na yu bɔdi? Ɔ i kin tek lɔng tɛm fɔ lɛ di blɔd stɔp afta dɛn dɔn kɔt am smɔl? Sɔntɛm yu gam dɛn kin blɔd ɔltɛm? Sɔntɛnde, dɛn tin ya kin bi sayn fɔ se wi gɛt prɔblɛm wit di pletlɛt, we na wan kayn smɔl sɛl we de na wi blɔd. Tide, wi go tɔk bɔt wetin na dɛn pletlɛt disɔda ya.

Wetin na dɛn pletlet dizayd ya?

Fɔ tɔk am simpul wan, di sik we de mek yu gɛt pletlɛt na tin dɛn we kin afɛkt di nɔmba fɔ di pletlɛt dɛn we de na yu blɔd ɔ di we aw dɛn de wok. Okay, naw yu go mɔs de wɔnda, "Wetin na dɛn pletlɛt ya?" Lɛ wi ɛksplen dat bak.

Wetin na di pletlɛt dɛn?

Imajin se yu gɛt smɔl wund. Di blɔd kin stɔp afta sɔm tɛm, nɔto so? Wɛl, dɛn pletlɛt ya kin ɛp fɔ du dat. Plɛtlɛt na rili smɔl smɔl sɛl dɛn (lɛk sɔm sɛl dɛn) we de na wi blɔd. Dɛn kin mek dɛn na wi bon mɛro. We injuri apin, dɛn pletlɛt ya kin kam togɛda, sial di wund ɛn stɔp di blɔd. I tan lɛk natura plasta na wi bɔdi! Dɛn kin stik togɛda ɛn mek blɔd klɔt. Dis na di men tin we de mek pɔsin stɔp fɔ blɔd.

So wetin na di sik we de mek pɔsin gɛt pletlɛt?

So, wan sik we dɛn kɔl pletlet disɔda na sɔntin we nɔ fayn wit dɛn pletlɛt ya. Dat min se, ɔ yu pletlɛt dɛn kin smɔl, ɔ i kin bɔku, ɔ ivin if yu gɛt di rayt pletlɛt, dɛn nɔ kin wok fayn. Ilɛk aw i bi, i kin mek yu gɛt prɔblɛm wit blɔd.

Wetin na di men kayn sik wae de kam wit pletlet?

Tri men kayn sik dɛn de we kin mek pɔsin gɛt di sik we dɛn kɔl pletlet:

1. Trombocytosis: Dis min se di nɔmba fɔ di pletlɛt dɛn na yu blɔd bɔku pas aw i fɔ bi .

2. Trombocytopenia: Dis na we di nɔmba fɔ di pletlɛt dɛn na yu blɔd kin smɔl pas aw i kin bi .

3. Plɛtlɛt nɔ de wok fayn: Na ya, pan ɔl we di pletlet kɔnt na yu blɔd nɔmal, dɛn nɔ de wok fayn. I tan lɛk se yu gɛt 4 taya dɛn na motoka, bɔt wan pan dɛn flat.

Bɔrku tɛm, de sayn dɛm fɔ dɛn pletlet dizayd ya nɔr kin tranga. Sɔm pipul dɛn nɔ kin ivin sho ɛni sayn. Bɔt sɔm tɛm dɛn de, mɔ if di pletlɛt dɛn nɔ bɔku ɔ dɛn nɔ de wok fayn, dat kin mek di blɔd kɔmɔt mɔ ɛn mɔ. Dɔn bak, if di pletlɛt dɛn tu bɔku, i kin izi fɔ mek blɔd klɔt (wan denja blɔd klɔt) .

Yu dɔktɔ kin ɛksplen dɛn bad tin ya ɛn tɛl yu bɔt di tritmɛnt dɛn we yu nid fɔ du bay aw yu de si yu.

Wetin na dɛn sayn ya?

Sɔm pan de sayn dɛm wae yu kin si pan pletlet disɔda na:

• Sayn dɛn we de sho se blɔd de kɔmɔt ɔnda di skin:
• Brus jɔs de apia na say dɛn na di bɔdi. Sɔntɛnde dɛn kin kɔl dis purpura.
• sכm sכm rεd, lεk pin-pכynt dεm (petechiae) de sho na di skin. Dɛn kin bi say dɛn we nɔ kin it ɛn we nɔ kin tɔn wayt fɔ dɛnsɛf.
• uman dεm kin gεt bכku bכdi we dεn de bכn mεnstral (dεn kin te pas aw i kin bi, dεn kin bכku bכku blɔd).
• Blɔd we de kɔmɔt na yu nos ɔltɛm.
• Blɔd we de kɔmɔt na di gɔm we yu de brus yu tit.
• Blɔd na yu stɔl (we kin tɔn blak) ɔ blɔd na yu urine (we kin tɔn rɛd/pink).
• Fɔ fil wik, diziz, ɔr fɔdɔm (espɛshali we blɔd de lɔs).
• Sɔntɛnde, abnɔmal blɔd klɔt kin fɔm (espɛshali we di pletlɛt dɛn bɔku).

If yu gɛt wan ɔ mɔ pan dɛn sayn ya, i go fayn fɔ mek yu go to dɔktɔ.

Wetin mek dis de apin? Wetin na di rizin dɛn?

Plɛtlɛt disɔda kin apin fɔ difrɛn rizin dɛn. Sɔmtɛm, dɛn kin kam wit ɔda mɛrɛsin wae yu gɛt ɔr mɛrɛsin wae yu de tek. Ɔda tɛm dɛn, dɛn kin kam wit wan sik we yu gɛt frɔm yu mama ɛn papa.

Di tin dɛn we kin mek di pletlɛt dɛn bɔku

Tu men rizin dɛn de we mek di pletlɛt dɛn de bɔku:

• Essential thrombocythemia: Dis na tin we nɔ kin apin so ɔltɛm usay yu bon mɛro kin mek mɔ pletlɛt pas aw i fɔ mek bikɔs ɔf wan jenɛtik muteshɔn.
• Riaktiv trombosaytosis: Dis na di kayn we we dɛn kin gɛt mɔ. I kin apin we di bɔdi de mek bɔku bɔku pletlɛt dɛn fɔ ansa ɔda tin. Fɔ ɛgzampul:
• Anemia we nɔ gɛt ayɔn.
• inflammatory kondishכn dεm na di bכdi (e.g. kεnsar, infεkshכn).
• Injuri dɛn we pɔsin kin gɛt.
• Sɔm mɛrɛsin dɛn.

Di tin dɛn we kin mek di pletlɛt dɛn nɔ bɔku

Bɔku rizin dɛn kin de we kin mek yu pletlɛt dɛn nɔ bɔku:

• di bכdi nכ de mek bכku pletlet dεm: Dis kin bi fכ prכblεm wit di bon mכro.
• di pletlet dεm we de pwεl bikoz fכ wan sik: fכ egzampl, insay `(Autoimmune diseases)` (diseases of the immune system), di bכdi in כwn imyun sistεm de pwεl in yon pletlet dεm. `(Immune thrombocytopenia - ITP)` na dis kayn kכndyushכn.
• di splin de kip mכr pletlet dεm: Nɔmal wan, di splin de kip lεk wan pat pan tri pan wi pletlet dεm. Bɔt pan sɔm sik dɛn, dis amɔnt kin bɔku.
• Ɔda rizin dɛn:
• Blɔd kansa (we di bon mɛro ful-ɔp wit kansa sɛl dɛn).
• sכm bכdi sik dεm, fכ egzampl `(Thrombotic thrombocytopenic purpura - TPP)` εn `(Disseminated intravascular coagulation - DIC)`.
• Siriv infεkshכn dεm.
• Sɔm mɛrɛsin ɛn tritmɛnt fɔ kansa (Kemotherapy, Radiation therapy).

Di tin dɛn we kin mek di pletlɛt dɛn nɔ de wok fayn

Sɔntɛnde, ivin if di pletlɛt dɛn nɔmal, sɔm prɔblɛm kin de wit aw dɛn de wok. Rizin dɛn de bak fɔ dis:

• di kכndyushכn dεm we dεn bכn wit (jεnεtik): Dis dεm kin rili sכmtεm. εgzampl: `(Bernard Soulier syndrome)`, `(Glanzman thrombasthenia)`, `(Von Willebrand sik)` (we de afekt pletlet fכnshכn εn כda tin dεm we de involv fכ blכd kכlכt), `(Wiskott-Aldrich syndrome)`.
• Di tin dɛm we pɔsin kin gɛt: Sik dɛm lɛk di kidni we nɔ de wok fayn, di liva sik, ɛn lupus kin afɛkt di we aw di pletlɛt dɛn de wok.
• Mɛrɛsin: Sɔm mɛrɛsin, mɔr lɛk SSRI antidipreshan ɛn NSAID, kin mek di pletlɛt nɔ wok fayn. Infakt, di pletlɛt we nɔ de wok fayn bikɔs ɔf mɛrɛsin na in kin mek i nɔ wok fayn.

Udat de pan big risk fɔ gɛt dɛn tin ya?

Bɔku tin dɛn de we kin mek pɔsin gɛt wan sik we dɛn kɔl pletlet disɔda:

• Ej: Sɔm pletlet disɔda kin apin mɔ pan sɔm ej grup dɛm.
• Jɛnda: Pan ɔl we ɛnibɔdi kin gɛt am, uman dɛn kin gɛt sɔm sayn dɛn we dɛn de blɔd, lɛk we dɛn de gɛt mɔnt ɛn we dɛn de bɔn pikin.
• Famili histri: Sɔm jenɛtik pletlɛt disɔda kin pas frɔm wan jɛnɛreshɔn to jɛnɛreshɔn.
• Ɔda tin dɛn we kin apin to pɔsin: Bɔku sik dɛn lɛk di sik dɛn we pɔsin kin gɛt we i de fɛt insɛf, infɛkshɔn, sik dɛn na di kidni ɛn liva, ɛn kansa, kin mek pɔsin gɛt prɔblɛm wit di pletlɛt dɛn.
• Di tritmɛnt fɔ kansa: Kemotɛrapi ɛn redyushɔn tɛrapi kin mek di pletlɛt dɛn nɔ bɔku.
• Mɛrɛsin: Antibayɔtik ɛn sɔm mɛrɛsin fɔ ɛpilepshi kin afɛkt di pletlɛt dɛn bak.
• Di we aw pɔsin de liv in layf: If pɔsin drink pasmak ɛn yuz tin dɛn we dɛn kin yuz fɔ smok, dat kin afɛkt di we aw dɛn de mek di pletlɛt dɛn.

Us prɔblɛm dɛn kin kam wit dis sik?

If dɛn nɔ de manej di sik dɛn we de na di pletlɛt fayn fayn wan, sɔm prɔblɛm dɛn kin apin:

• Ɛmoraji: Ivin smɔl wund kin mek yu blɔd bɔku.
• Ebi ebi blɔd we de kɔmɔt na uman dɛn we dɛn de gɛt mɔnt (Menorrhagia).
• Blɔd we de kɔmɔt na di bɛlɛ.
• insay kכndishכn dεm lεk `essential thrombocytosis`, denja kכndish כn dεm lεk bכdi kכlכt na di vein dεm na di lεg (dip vein thrombosis) כ bכdi kכlכt na di lכng (pulmonary embolism) kin apin.
• Risk fɔ gɛt at atak ɔ strok (especially if blɔd klɔt fɔm izi wan).

Bɔt mɛmba se, .If yu wok wit dɔktɔ ɛn fala di rayt tritmɛnt plan, yu go ebul fɔ avɔyd bɔku pan dɛn prɔblɛm ya.

Aw yu kin fɛn dis? (Diagnosis) .

If yu gɛt sayn dɛn we de sho se yu gɛt di sik we de mek yu gɛt pletlɛt, dɔktɔ go du fɔs fɔ chɛk yu bɔdi. Dɛn go aks bɔt yu sik, di mɛrɛsin dɛn we yu de tek, ɛn if ɛnibɔdi na yu famili dɔn gɛt dis kayn prɔblɛm. Dɛn go tek wan mɛdikal istri bak. Dɔn, dɛn go du sɔm blɔd tɛst fɔ chɛk yu pletlɛt dɛn.

Di men blɔd tɛst dɛn na:

• Complete blood count (CBC): Dis de sho di nɔmba fɔ di rɛd blɔd sɛl dɛn, di wayt blɔd sɛl dɛn, ɛn di pletlɛt dɛn we de na yu blɔd.
• Peripheral blood smear (PBS): Insay dis tɛst, dɛn kin tek wan drop pan yu blɔd sɛmpul ɛn chɛk am ɔnda maykroskɔp fɔ si if di pletlɛt dɛn luk nɔmal ɛn if ɛni chenj de na dɛn shep ɔ saiz.
• Tεst dεm we di pletlet dεm de wok: Dεn tεst dεm ya de chεk aw yu pletlet dεm de fכm blכd kכlכt εn if dεn de wok fayn fayn wan.

If dɛn tɛst ya sho se yu gɛt di sik we de mek yu gɛt pletlɛt, yu go nid fɔ du ɔda tɛst fɔ no wetin de mek yu gɛt dis sik. Fɔ ɛgzampul:

• Bon mכro bayopsi: Insay dis, dεn kin tek sכm sכm bon mכro εn chεk fכ abnכmal sεl dεm (sayn dεm fכ blכd sik כ kεnsar).
• Jɛnɛtik tɛst: Bikɔs sɔm pletlɛt dizayd kin kɔmɔt frɔm di jɛnɛtik tin dɛn, dis tɛst de luk fɔ di jɛnɛtik muteshɔn dɛn we gɛt fɔ du wit dɛn.

Wetin na di tritmɛnt dɛn?

Di tritmɛnt fɔ di sik we dɛn kɔl pletlet disɔda kin dipen pan di tin we kin mek i gɛt prɔblɛm. Sɔm tin dɛn kin apin fɔ sɔm tɛm ɛn dɛn kin sɔlv wans di tin we kin mek i apin dɔn go. Bɔt if yu gɛt wan sik we nɔ de mɛn (lɔng tɛm) we yu gɛt di sik we de mek yu pletlɛt, yu go nid fɔ go to dɔktɔ we de mɛn yu blɔd ɛn gɛt tritmɛnt fɔ mek yu pletlɛt dɛn nɔ gɛt wan prɔblɛm.

Dɛn kin du dɛn tin ya as tritmɛnt:

• Wachful wet: If yu sik nɔr tranga, yu nɔr nid fɔ gɛt tritmɛnt kwik kwik wan. Bifo dat, yu dɔktɔ go wach yu pletlɛt lɛvɛl bay we i de du blɔd tɛst ɔltɛm.
• Mεdikeshכn dεm: If yu pletlεt kכnt tu hכy, if na fכ wan kכndyushכn lεk `essential thrombocytosis` כ כda blכd kεnsar (lεk `(myeloproliferative disease)`), dεn kin gi yu mεdikeshכn fכ lכs am. Semweso, if yu pletlɛt nɔ bɔku, dɛn kin gi yu mɛrɛsin fɔ mek dɛn prodyuz mɔ ɔ fɔ mek dɛn nɔ pwɛl.
• Plɛtlɛt we de pwɛl: Dis nɔ kin apin so ɔltɛm. Wan tin we dɛn kɔl apheresis kin pul di pletlɛt dɛn we pasmak na di blɔd.
• We dɛn kin gi pɔsin pletlet:If yu pletlɛt kɔnt rili smɔl (espɛshali if yu de blɔd), dɛn kin gi yu pletlɛt na do.
• Plasma therapy / Plasma exchange: Dis tritmɛnt kin nid fɔ gɛt sik lɛk TPP. dis involv fכ riples di pat we nכ de na di bכdi we dεn kכl (ADAMTS13).

Aw yu de liv wit dis sik? Aw yu de kia fɔ yusɛf?

Yu ɛkspiriɛns go dipen pan di kayn pletlet disɔda we yu gɛt ɛn di tin we kin mek yu gɛt am. Bɔrku tɛm, yu pletlet kɔnt go kam bak to nɔmal wans dɛn dɔn trit di kɔz. Ɔ, yu kɔndishɔn nɔr kin de pan denja fɔ yu layf te yu gɛt injury. If na so i bi, yu go nid fɔ du tin dɛn fɔ ridyus di risk fɔ mek yu wund. If yu de du sɔntin lɛk ɔpreshɔn, yu mɛdikal tim go nid fɔ tek tɛm spɛshal fɔ mek yu nɔ blɔd.

If yu gɛt mɔ siriɔs kes, yu go nid fɔ kɔntinyu fɔ tek mɛrɛsin, du tritmɛnt ɔltɛm, ɛn du tɛst fɔ mek shɔ se yu gɛt inof wɛlbɔdi pletlɛt na yu bɔdi.

If yu gɛt fɔ liv wit wan sik we de mek yu gɛt pletlɛt, di bɛst tin we yu go du na fɔ ɔndastand gud gud wan aw fɔ ridyus yu blɔd ɔ blɔd we de mek yu gɛt prɔblɛm. I impɔtant fɔ no dɛn tin ya:

• Tin dɛn we yu fɔ avɔyd: Sɔm prɔblɛm dɛn we kin mek yu gɛt di sik we dɛn kɔl pletlet kin mek yu blɔd bad bad wan if yu wund. So, dɛn fɔ avɔyd tin dɛn we gɛt bɔku prɔblɛm fɔ injuri (e.g., kɔntakt spɔt).
• Aw fɔ kia fɔ wund: If risk de fɔ mek yu blɔd kɔmɔt, i impɔtant fɔ no aw fɔ prɛs yu wund fɔ mek yu nɔ gɛt blɔd. Yu dɔktɔ kin tich yu aw fɔ du dis.
• Mɛrɛsin wae yu fɔ tek (ɛn nɔr fɔ tek): Yu kin nid fɔ kɔntinyu fɔ tek mɛrɛsin fɔ mɛn yu pletlet disɔda. Yu kin nid bak fɔ avɔyd sɔm mɛrɛsin dɛn (lɛk NSAID lɛk aspirin) we de ambɔg di pletlɛt dɛn we de wok ɛn we de mek yu gɛt mɔ blɔd.
• Suplεnt dεm we yu fכ avכyd: Sɔm supliment kin mek di risk fכ blɔd bכku pan pipul dεm we gεt pletlεt dizכrd. Aks yu dɔktɔ wetin na dɛn tin ya.
• Aw fɔ tɔk to yu dɔktɔ dɛn: If yu de plan fɔ gɛt ɛnitin we go mek yu blɔd, ilɛksɛf na smɔl tin lɛk fɔ pul yu tut ɔ big ɔpreshɔn, yu fɔ tɛl yu dɔktɔ dɛn bɔt dat.

Aks advays bɔt ɔl dis frɔm yu hematologist ɔr di dɔktɔ we de manej yu kɔndishɔn.

Ustɛm yu fɔ go to dɔktɔ?

If yu notis sayn dɛn we de sho se yu gɛt prɔblɛm wit yu pletlɛt, lɛk fɔ de brus ɔltɛm fɔ no rizin (espɛshali brus we big pas fayv rup kɔyn we yu nɔ mɛmba) , go to dɔktɔ.

If yu gɛt sayn dɛm fɔ blɔd bad bad wan (e.g., blɔd we nɔ go stɔp, bad bad diziz, we yu nɔ de no) ɔ sayn dɛm fɔ blɔd we de klɔt (e.g., chɛst pen, i nɔ izi fɔ blo, i nɔ izi fɔ tɔk, yu an ɔ yu leg nɔ de fil fayn - dɛn tin ya kin bi sayn dɛm fɔ ``strok'' ɔ ``at atak''), go na imejensi rum wantɛm wantɛm.

Us kwɛstyɔn dɛn yu fɔ aks di dɔktɔ?

We yu go to dɔktɔ, nɔ shem fɔ aks kwɛstyɔn dɛn lɛk dɛn wan ya:

• Aw siriɔs mi sik de?
• Yu tink se dis kin mɛn kpatakpata?
• Us kayn tritmɛnt dɛn go ɛp mi?
• Aw ɔltɛm a fɔ mek dɛn chɛk mi pletlɛt lɛvɛl?
• Wetin a go du fɔ mek a nɔ blɔd ɔ blɔd klɔt we denja?

Wan las mɛsej we pɔsin kin kɛr go na os

Bɔku tin dɛn de we kin afɛkt di pletlɛt dɛn, ɛn ivin sɔm tritmɛnt dɛn kin afɛkt am. So, nɔ tink se na di wɔs tin we yu kam fɔ no se di pletlɛt we yu gɛt nɔrmal. Bɔt, i impɔtant fɔ no di rayt tin we de mek yu gɛt di prɔblɛm. Na da tɛm de nɔmɔ yu go no di rayt tin we yu de dil wit.

If yu tink se yu gɛt sayn dɛn fɔ se yu gɛt di sik we de mek yu gɛt pletlɛt, go to dɔktɔ. I kin rikomɛnd tritmɛnt fɔ ɛp fɔ mek yu pletlɛt lɛvɛl kam bak to nɔmal ɔr fɔ kɔntrol yu kɔndishɔn. De bɛst we fɔ gɛt wɛl bɔdi na fɔ opin yu at, aks kwɛstyɔn, ɛn ɔndastand yu sik gud gud wan.

` pletlet dizayd, pletlet, blɔd, blɔd klot, trombosaytopenia, trombosaytosis, pletlet disfɔkshɔn, Sinhala mɛdikal, blɔd sik