I kin mek yu fred smɔl we yu luk na miro ɔ we pɔsin tɛl yu se di wayt dɛn na yu yay na yɔlɔ, nɔto so? Infakt, bɔku tɛm dis kin bi di fɔs sayn we de sho se sɔntin nɔ fayn na wi bɔdi, mɔ di liva. So lɛ wi tɔk bɔt dis yɔlɔ we di yay dɛn de yɔlɔ, we dɛn kɔl am na di mɛrɛsin `(Scleral Icterus)`, insay simpul wɔd dɛn.
Wetin rili na Scleral Icterus?
Fɔ tɔk am simpul wan, `Scleral Icterus` na we di wayt pat pan wi yay, dat na di pat we wi kɔl `(Sclera)`, de luk yɔlɔ. Bɔt ɔda tin de ya. Nɔto di sklera insɛf rili yɔlɔ. na di pat we de oba am, we na wan rili tכn, transparent mεmbran we dεn kכl di `(Conjunctiva).` we dis mεmbran tכn yכlכ, di yכlכ kכla de sho klia wan biכs fכ di wayt pat pan di sklera we de dכn.
Bɔku pipul dɛn kin kɔl am bak `(Jaundice)`. Natin nɔ bad wit dat, bɔt di wɔd `Jaundice` brayt smɔl. I de tɔk bɔt we di yay dɛn de yɔlɔ ɛn bak we di skin de yɔlɔ. כltu, `Scleral Icterus` na wan kכndyushכn we de afekt di yay dεm spεshal wan .
Wetin mek wi yay kin tɔn yɔlɔ? Di stori bɔt bilirubin
Di men rizin fɔ dis yɔlɔ kɔlɔ na we di yɔlɔ kemikal kɔmpawnd we dɛn kɔl bilirubin de bɔku na wi blɔd. Wi kin kɔl dis kɔndishɔn ``Hyperbilirubinemia``.
Tink bɔt am, di rɛd blɔd sɛl dɛn na wi bɔdi sɛf gɛt layf tɛm. bilirubin kin kɔmɔt we dɛn ol rɛd blɔd sɛl ya kin brok. Nɔmal wan, wetin fɔ apin na dat wi liva de wok lɛk filta, de filta dis bilirubin we nɔ nid frɔm di blɔd, jɔyn am wit bayl ɛn dayrɛkt am to di dijestiv prɔses. Fɔ dɔn, dat bilirubin de kɔmɔt na di bɔdi wit fes.
Bɔt if dɛn nɔ ebul fɔ pul dis bilirubin na di blɔd fayn fayn wan, ilɛksɛf na bikɔs ɔf prɔblɛm wit di liva ɔ fɔ ɔda rizin, i kin bigin fɔ gɛda na di blɔd. dis akyumuleshכn fכ bilirubin na in de tכn di yay εn di skin yכlכ.
di rizin we mek dεn fכs notis dis kכla chenj na di yay na biכs bilirubin kin izi fכ abzכp εn dכn insay di tisu na di yay we dεn kכl ``Conjunctiva.`` bikoz fכ di wayt bakgrכn we de dכn, ivin sכm sכm sכm bilirubin kin izi fכ si to wi.
Wetin na di men tin dɛm we kin mek di bilirubin lɛvɛl go ɔp?
Bɔku rizin kin de we mek di bilirubin lɛvɛl kin go ɔp ɛn di yay kin tɔn yɔlɔ. Sɔm simpul, bɔt sɔm kin siriɔs smɔl. So i impɔtant fɔ no bɔt dis.
| Mek | Wan simpul ɛksplen |
|---|---|
| Sik dɛn we gɛt fɔ du wit di liva | Kɔndishɔn dɛn lɛk di liva we de pwɛl bikɔs ɔf rɔm ( sirosis ), vayral infɛkshɔn (Epataytis A, B, C), ɛn ɔtoimyun ɛpatitis . |
| Galblad ɛn pankrias sik dɛn | Kכndishכn dεm lεk gal ston , bayl dakt strikt , כ pankrεas . |
| Infεkshכn dεm | Leptospirosis , vayral fiva lεk dengue, siriכs infεkshכn we de spre כlsay na di bכdi ( sepsis ), εn parasayt infεkshכn (e.g. Schistosomiasis ). |
| Drug ɛn pɔyzin dɛn | Yuz sɔm mɛrɛsin dɛn pasmak (e.g. stɛroyd, sɔm antibayɔtik) ɛn pen kil lɛk Acetaminophen (Panadol). Sɔm tradishɔnal ɛvbɔdi ɛn pɔyzin lɛk agrokɛmikal kin bi kɔz bak. |
| Sik dɛn we pɔsin kin gɛt we i kam pan jɛnɛtiks | sik dεm we dεn kin gεt wit dεm lεk Sikl Sεl Disease εn Gilbert’s Syndrome we de afekt bilirubin mεtabolism. |
| Lump ɛn tumbu dɛn | di bכtכm we di bayl de fכ fכlכ biכs fכ di tכmכro dεm we gεt bεnεn כ kεnsar na di liva, gal blad, כ di εria dεm we gεt am. |
| Neonatal Jaundice we dɛn kin gɛt | Bikɔs di liva fɔ pikin we dɛn jɔs bɔn nɔ dɔn ful-ɔp, i nɔmal fɔ mek di yay dɛn yɔlɔ insay di fɔs tu wiks. Bɔt sɔntɛnde, dis kin rili siriɔs. |
Aw dɛn kin trit am?
Di impɔtant tin fɔ ɔndastand ya na dat `Scleral Icterus` nɔto sik, bɔt na sayn . So, di tritmɛnt nɔto fɔ mek di yay dɛn yɔlɔ; na fɔ di ɔndalayn kɔndishɔn we mek i apin.
Fɔ ɛgzampul, if yu yay yɔlɔ bikɔs ɔf galston, dɛn go trit yu fɔ pul di ston dɛn. If na liva infεkshכn, dεn go trit yu fכ dat. Fɔ no di kɔz, yu dɔktɔ kin du blɔd tɛst, skan, ɛn ɔda tin dɛn So , i bɛtɛ fɔ go to dɔktɔ pas fɔ trit yusɛf.
Wetin go apin if yu nɔ pe atɛnshɔn to yɔlɔ yay?
Fɔ yɔlɔ na di yay nɔ denja insɛf. Bɔt na sayn we de wɔn pɔsin . If dɛn nɔ trit am, di bilirubin we de na di blɔd kin go ɔp mɔ ɛn ivin afɛkt di bren. Dis na tin we rili denja.
- dis kכndyushכn na nyu bכ bi dεm dεn kכl am ``Kernicterus'' εn i kin mek di bren damej fכ כltεm.
- dis kכndyushכ n na big pipul dεn kכl am ``Hepatic Encephalopathy'' εn i kin mek dεn mεmכri lכs, kכnfyus, εn ivin kכma.
Dɛn tu tin ya nid fɔ gɛt mɛrɛsin kwik kwik wan .
Ustɛm fɔ si dɔktɔ ɔ go na di ETU wantɛm wantɛm
If yu notis se yu yay de tɔn yɔlɔ, mek apɔntinmɛnt fɔ go to dɔktɔ kwik kwik wan. Bɔt if yu gɛt ɛni wan pan dɛn sik ya wit yu yɔlɔ yay, go na ɔspitul in Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm.
| Simptom dɛm wae nid fɔ pe atɛnshɔn kwik kwik wan | |
|---|---|
| ⚫ Bɛlɛ pen bad bad wan ɔ we nɔ de chenj | ⚫ Fiva we pɔsin kin gɛt |
| ⚫ We yu de vɔmit ɔltɛm | ⚫ Diziz ɔr nɔr de no natin |
| ⚫ Bεlε de blo ɔ wata de rεtεn | ⚫ Kɔnfyushɔn, slip, ɔr nɔr de mɛmba fayn |
Wan smɔl advays
Sɔntɛnde di kɔlɔ we di layt dɛn we de na wi say gɛt (e.g. yɔlɔ bɔl dɛn) kin mek bak wi yay tan lɛk yɔlɔ. So if yu gɛt ɛni dawt, go na say we gɛt layt ɛn we gɛt natura layt ɛn luk na di miro. Da we de, yu go shɔ bɔt di rayt difrɛns pan di kɔlɔ.
Yu tink se dɛn go ebul fɔ mek dis tin nɔ apin?
Pan ɔl we dɛn nɔ go ebul fɔ stɔp am kpatakpata, bɔku tin dɛn de we wi kin du fɔ ridyus di prɔblɛm.
- Kɔntrol rɔm: If yu nɔ drink bɔku rɔm, dat kin mek yu nɔ gɛt bɔku prɔblɛm wit di liva.
- Gɛt vaysin: Protɛkt yusɛf bay we yu gɛt vaksin frɔm sik dɛn we de afɛkt di liva, lɛk Epataytis A ɛn B.
- Tek tɛm wit mɛrɛsin: Nɔ tek mɛrɛsin, ɔyl, ɔ supamakit we yu nɔ nid if yu nɔ go to dɔktɔ. If yu tek mɔ pas di mɛrɛsin we dɛn se yu fɔ tek, mɔ di Acetaminophen (Panadol), i kin pwɛl di liva.
- Gɛt mɛdikal chɛk-ap ɛvri ia: Ivin we yu du blɔd tɛst ɔltɛm, i kin no se di liva de wok bifo yu si di sik.
Mɛsej we dɛn kin kɛr go na os
- Scleral icterus (we di wayt dεm na di yay de yכlכ) nכto sik, b כt na sayn fכ wan כndalayn kכndyushכn.
- di men rizin fכ dis na we di bilirubin lεvεl na di bכdi de inkrεs. Bɔku tɛm, dis kin bi bikɔs ɔf prɔblɛm na di liva.
- If yu notis se yu yay dɔn yɔlɔ, nɔ panik, bɔt nɔ ignore am bak. Si dɔktɔ kwik kwik wan.
- If yu gɛt ɔda sayn dɛm lɛk fɔ gɛt siriɔs bɛlɛ pen, fiva, ɔr kɔnfyushɔn, go na ɔspitul in Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm.
- Di tritmɛnt dipen pan di ɔndalayn kɔndishɔn we de mek di yɔlɔ yay. So, i rili impɔtant fɔ go to dɔktɔ fɔ mek dɛn no di sik ɛn fɔ gɛt di rayt tritmɛnt.
👩🏽 ⚕️ Ɔda kwɛstyɔn dɛn (FAQ dɛn)
💬 Wetin na di denja kondishכn fכ wan spεlin we big (Enlarged Spleen / Splenomegaly)?
di splin na sכm כgan we kin de na di lεft say na wi chεst, כnda di rib kεj/biεn di bεlε, we de filta bכdi/dεstroy ol rεd bכdi sεl dεm (i kin sכm sכm pas yu tכmbכl). bכt ‘Enlarged Spleen’ na kכndyushכn we dis כgan de swεla abnכmal εn yu kin fil am dכn di lεft rib kεj (LUQ)! Dis na di big sayn we de wɔn pɔsin fɔ gɛt siriɔs sik we gɛt fɔ du wit blɔd na di bɔdi.
💬 Wetin na di men tin dɛm we kin mek pɔsin gɛt big big splin we nɔrmal na di lɛft say?
3 men tin dεm de fכ dis: 1) ‘Lukemia / Limfoma’ - insay dis kes, di splin de big biכs di kεnsar sεl dεm de fulכp am. 2) ‘Liver Cirrhosis’ - we di bכdi fכ fכlכ tru di liva de blok, dat bכdi de fulכp di vein dεm na di splin (Portal hypertension) εn i de swel. 3) Malaria / Dengue ɔ janda (Malaria / EBV Infections) ɛn sik dɛn we di rɛd blɔd sɛl dɛn nɔ de sɔlv (Hemolytic anemia) dɛnsɛf nɔ go ebul fɔ avɔyd fɔ mek dis apin.
💬 We wan lump/inlarged spleen de ɔnda di lɛft rib kech, wetin na di ‘layf-threatinging/emergency situations’ we nid fɔ admit na ɔspitul kwik kwik wan?
Dis na sik we yu nid fɔ mek dɔktɔ si (yu nid fɔ go fɔ CT Scan). Bɔt di big ɛn siriɔs denja! 1) If yu wan wan gɛt ‘siv pen lɛk we yu nɔ ebul fɔ bia wit naif stab (Siv LUQ pen - Splenic Rupture)’ dɔŋ di lɛft rib kech ɛn di pen spre to di lɛft sholda (Kehr in sayn) ɛn yu gɛt diziz ɛn yu nɔ no natin, i go mɔs bi se na ‘spleen rupchɔ’! Dis kin mek yu blɔd ɛn day insay sɔm minit, so yu fɔ go na ɔspitul ɛn nɔ de te!
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