Sɔntɛm di dɔktɔ dɔn tɛl yu se yu smɔl pikin gɛt Siklɔs Sɛl Disease (SCD). Na nɔmal tin fɔ mek yu, as mama ɔ papa, fil bɔku fred ɛn wɔri we yu yɛri dis. We wi de liv wit dis sik, wi nid fɔ tek tɛm wit bɔku tin dɛn. Na dat mek wi nid fɔ pe atɛnshɔn mɔ, ɛn tide wi de tɔk bɔt wan prɔblɛm we denja we kin ivin put wi layf pan denja. Dɛn kɔl dis ‘Splenic Sequestration’. Pan ɔl we dis nem strenj smɔl, if yu no bɔt am fayn, yu kin protɛkt yu pikin.
Wetin rili na Splenic Sequestration?
Fɔ ɔndastand dis, lɛ wi mɛmba smɔl fɔs bɔt sikɛl sɛl sik (SCD). Nɔmal wan, di rɛd blɔd sɛl dɛn na pɔsin we gɛt wɛlbɔdi kin rawnd ɛn flat. Lɛk wan smɔl disk. Dɛn kin muv izi wan tru di blɔd vesel dɛn we dɛn nɔ kin stɔp. Bɔt bikɔs di ɛmoglobin chenj na di rɛd blɔd sɛl dɛn na pikin we gɛt SCD, dɛn sɛl ya kin stif ɛn shep lɛk sik.
Naw tink bɔt am, yu tink se dɛn sɛl dɛn ya we tan lɛk sikl kin swim tru di blɔd vesel dɛn izi wan lɛk di nɔmal rawnd sɛl dɛn? Nɔ, nɔto so? Dɛn kin stik togɛda ɛn tray fɔ stɔp insay di smɔl smɔl blɔd vesel dɛn.
Na de di prɔblɛm bigin. insay wi bכdi, na di lεft say na di bεlε, wan כgan de we dεn k כl ' splin '. Dis tan lɛk sikyɔriti na wi bɔdi. Di men wok we i fɔ du na fɔ klin di blɔd bay we i de pul di jem ɛn ol blɔd sɛl dɛn we de na di blɔd. Bɔt pan pikin we gɛt SCD, dɛn sɛl dɛn de we tan lɛk sikl kin stɔp na di dilik blɔd vesel dɛn we de insay di splin. I tan lɛk se trafik jam na rod.
we dis apin, di bכdi we nid fכ kכmכt na di splin nכ kin ebul fכ fכlכ, εn i kin kכlekt insay. Smɔl smɔl, di splin kin ful-ɔp wit blɔd, i kin swel, ɛn i kin big. Dɛn kɔl da denja kɔndishɔn de ‘Splenic Sequestration.’
We bɔku blɔd we nid fɔ go ɔlsay na di bɔdi kin stɔp na di splin, di nɔmba fɔ di rɛd blɔd sɛl dɛn we kin kɛr ɔksijɛn go na di ɔda pat dɛn na di bɔdi kin go dɔŋ wantɛm wantɛm ɛn i kin denja. Dɛn kɔl dis siriɔs anemia . Dis kin mek di pikin rili wik ɛn mek i nɔ gɛt bɛtɛ kɔlɔ.
Wetin na di sayn dɛm fɔ dis sik? Tin dɛn we yu nid fɔ no bɔt as mama ɔ papa
Dis na di pat we impɔtant pas ɔl. If yu no bɔt dɛn sik ya, yu kin du sɔntin kwik kwik wan ɛn sev di pikin in layf. Pan ɔl we dis sik kin mɔs pan yɔŋ pikin dɛn, i kin apin to pipul dɛn we gɛt ɛni ej we gɛt SCD.
| Di sayn we de sho se di sik de | Wetin yu fɔ tek tɛm wit |
|---|---|
| Pen na di lɛft say na di bɛlɛ | Dis na di sayn wae kin kam pan pɔrsin ɛn impɔtant pas ɔl. If yu pikin de komplen se i de fil pen na di say we di splin de, mek yu wɔri. |
| di splin de big (we de swel) . | Aks yu dɔktɔ ɛn lan aw fɔ palpat yu pikin in splin. If i fil se i big pas aw i fɔ bi ɛn i at, dat na wɔnin sayn. |
| Wi kin wik wantɛm wantɛm ɛn taya pasmak | Tek tɛm if yu pikin we bin de ple fayn, taya ɛn wik sote i nɔ ebul fɔ ivin waka wantɛm wantɛm. |
| Pale skin | If yu pikin in lip, in gam, ɛn di insay pat pan in an dɛn tɔn blak, dat na sayn fɔ se i nɔ gɛt bɛtɛ blɔd. |
| Fɔ blo kwik kwik wan ɔ fɔ bit yu at | we di bכdi nכ gεt inof כksijεn, di at εn di lכng dεm de wok fast fכ kכmpεns. |
| Fɔ vɛks ɛn fɔ vɛks we yu nɔ ebul fɔ ɛksplen | Bikɔs di pikin de fil pen, i kin vɛks ɛn kray fɔ di smɔl smɔl tin dɛn. |
| Di slip we nɔ kɔmɔn | If di pikin de slip so i nɔ pɔsibul fɔ wek am, dat na siriɔs sayn bak. |
Di tin we impɔtant pas ɔl: Sɔntɛnde, ivin if ɔda sayn dɛn nɔ de sho, if yu splin swel, dat kin mek di rɛd blɔd sɛl dɛn nɔ bɔku we denja. So if yu notis ɛni wan pan dɛn sayn ya, kɛr yu pikin go na di ɔspitul in Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm. Dis nɔto sik we dɛn kin trit na os.
Aw di dɔktɔ kin no bɔt dis sik?
We yu kɛr yu pikin go na ɔspitul, di dɔktɔ go tek sɔm step fɔ kɔnfirm dis sik.
1. Fɔ chɛk di bɔdi : Fɔs, di dɔktɔ go palpate di pikin in bɛlɛ ɛn chɛk fɔ si if di splin dɔn swel ɔ i dɔn big.
2. Blɔd tɛst: Dis na impɔtant tɛst. Dɛn kin tek di pikin in blɔd sɛmpul ɛn chɛk di ɛmoglobin lɛvɛl fɔ si aw di rɛd blɔd sɛl dɛn nɔ bɔku. Dɛn kin luk bak fɔ chenj dɛn na di wayt blɔd sɛl ɛn di pletlɛt dɛn.
3. Ɔda tɛst dɛn: Sɔntɛnde, dɛn kin du ɛkstrem rayt ɔ CT skan fɔ si klia wan aw di splin de.
Aw fɔ trit am? Nɔ fred.
Pan ɔl we dis na imejensi, yu kin ebul fɔ mɛn am fayn fayn wan if yu go na ɔspitul kwik kwik wan.
Di men tritmɛnt na fɔ transfyushɔn . Dis min se di pikin in rɛd blɔd sɛl dɛn kin kam bak bay we dɛn gi am blɔd we go gri wit am. Dis kin ɛp di bɔdi fɔ gɛt di ɔksijɛn we i nid, ɛn di pikin in kɔndishɔn kin bɛtɛ kwik kwik wan. Sɔntɛnde, if di blɔd we de na di splin tu bɔku, di dɔktɔ kin gɛt fɔ pul sɔm pan di blɔd na di pikin in bɔdi we i de gi di blɔd.
Wetin fɔ du if i kam bak?
Wan prɔblɛm we gɛt fɔ du wit di splenic sequestration na dat wans i apin, i kin rili apin bak . Sɔm pikin dɛn go gɛt fɔ dil wit dis sik bɔku tɛm insay dɛn layf.
If dis kɔmplikeshɔn kɔntinyu fɔ apin, dɔktɔ dɛn kin se dɛn fɔ du ɔpreshɔn fɔ pul di splin (splenectomy). If yu pul di splin, dat kin mek dis denja nɔ kam bak kpatakpata. Bɔt afta dɛn dɔn pul di splin, di bɔdi in ebul fɔ tinap tranga wan fɔ di sik (immunity) kin ridyus smɔl, so di pikin go nid fɔ tek spɛshal antibayɔtik ɛn vaysin fɔ protɛkt am frɔm sɔm infɛkshɔn dɛn. Yu dɔktɔ go ɛksplen dis to yu klia wan.
Mɛsej we dɛn kin kɛr go na os
- Splenic sequestration, we kin apin pan pikin we gɛt siklɛt sik, na siriɔs, layf de pan denja ɛn i nid fɔ gɛt mɛrɛsin kwik kwik wan.
- Ɔltɛm yu fɔ de wach fɔ si di sayn dɛm lɛk pen na di lɛft say na yu bɛlɛ, yu bɔdi de shayn, yu taya pasmak, ɛn yu splin de swel.
- Lan frɔm yu dɔktɔ aw fɔ palpat yu pikin in splin. I kin ɛp fɔ sev yu pikin in layf.
- As yu notis ɛni wan pan di sayn dɛm we wi dɔn tɔk bɔt, nɔ west tɛm ɛn kɛr yu pikin go na di ɔspitul we de nia yu in Imejɛnsi Tritmɛnt Yunit (ETU) .
- As i gɛt bɔku risk fɔ mek dis sik kam bak, de kɔntakt yu dɔktɔ ɔltɛm ɛn fala di instrɔkshɔn dɛn we dɛn gi yu.
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