Yu blɔd pletlɛt dɛn nɔ bɔku? Lɛ wi lan bɔt trombocytopenia insay simpul wɔd dɛn!

I kin tek lɔng tɛm fɔ mek di blɔd stɔp we yu kɔt smɔl? Ɔ yu kin jɔs tɔn blu ɛn mek brus we yu nɔ nak ɛnitin na yu bɔdi? If dis dɔn apin to yu, i kin bi bikɔs yu gɛt smɔl pletlɛt dɛn . insay mεdikal tεm dεm, wi kin kכl dis kכndyushכn Thrombocytopenia (dεn kin kכl am “thrombo-cyto-penia”). Nɔ wɔri, wi go kip ɔltin simpul.

Fɔ tɔk am simpul wan, wetin na Thrombocytopenia?

Apat frɔm di rɛd blɔd sɛl ɛn wayt blɔd sɛl dɛn , wi blɔd gɛt ɔda spɛshal sɛl we dɛn kɔl pletlɛt . Dɛn men wok na fɔ ɛp fɔ stɔp blɔd we wi gɛt injury. Fɔ tɔk di kɔrɛkt tin, dɛn kin mek blɔd klɔt ɛn stɔp di blɔd.

Naw, Thrombocytopenia na we di nɔmba fɔ di pletlɛt dɛn na wi blɔd smɔl pas di wan we dɛn nid. Na wi bon mɛro de mek dɛn tin ya . So, if di bon mכro nכ de prodyuz inof pletlet, כ if di pletlet dεm we de prodyuz de pwεl tu kwik, dis kכndyushכn kin apin. Dis kin kam bak wit tin dɛm lɛk sɔm sik dɛm ɛn mɛrɛsin dɛm.

Aw dis sik kin kɔmɔn?

Infakt, bɔrku pipul dɛn kin gɛt dis sik na wan say wae nɔr kin pasmak. Dɛn nɔr kin ivin no se dɛn gɛt am bikɔs dɛn nɔr gɛt ɛni big big sayn. So i at fɔ tɔk klia wan aw i kɔmɔn.

Bɔt dɛn dɔn si se ɔda tin we gɛt fɔ du wit dis, Immune Thrombocytopenia , kin afɛkt lɛk 3-4 pan 100,000 pikin ɛn big pipul dɛn. כlso, lεk 5% pan di bεlε uman dεm kin gεt mild trombocytopenia sכm tεm bifo dεn bכn.

Wetin na di kɔmplikɛshɔn dɛm we kin apin bikɔs ɔf trombosaytopenia?

If di pletlɛt dɛn nɔ bɔku, dat kin mek pɔsin gɛt prɔblɛm dɛn we de mek i sɔfa.

• Blɔd bad bad wan insay di bɔdi: Blɔd kin kɔmɔt na say dɛn lɛk di bɛlɛ ɛn di intestinal. Ivin mɔ denja na we blɔd de kɔmɔt insay di bren. Dis kin bi wan sik wae de mek pɔrsin in layf de pan denja.
• At atak: If di blɔd pletlɛt dɛn go dɔŋ, dat kin mek di blɔd we de flɔ to di at nɔ bɔku, ɛn dis kin mek di at atak bɔku.

Wetin na di nɔmal ɛn di lɔw lɛvɛl na di blɔd pletlɛt?

If yu luk yu blɔd ripɔt, yu go si se i rayt di pletlɛt dɛn we yu gɛt. Lɛ wi luk wetin na nɔmal lɛvɛl ɛn lɔw lɛvɛl.

Yu gɛt dɛn sik ya bak? Di simptom dɛm fɔ trombocytopenia

Pipul wae gɛt smɔl pletlɛt dɛfisiɛns nɔr kin gɛt ɛni sayn. Bɔt we di sayn dɛn kin sho, wan pan di fɔs tin dɛn we yu kin notis na we i nɔ kin izi fɔ lɛ yu stɔp fɔ blɔd we yu kɔt smɔl ɔ we yu nos blɔd. Na sɔm ɔda sayn dɛn ya.

• Gɔm we de blɔd: Yu kin notis blɔd na yu tut brɔsh we yu de brus yu tit. Yu gam dɛn kin tan lɛk se dɛn dɔn swel bak.
• Blɔd na di stɔl: Di stɔl kin tɔn rili dak blak.
• Blɔd we de na di urine: If di wata we de na di tɔylɛt luk layt pink afta yu dɔn pis, i kin bi bikɔs blɔd de na di urine.
• Blɔd we yu de vɔmit: Dis min se blɔd de kɔmɔt na di ɔp pat na yu bɛlɛ.
• Ebi blɔd we de kɔmɔt we yu de gɛt mɔnt: If yu mɔnt de pas 7 dez, ɔ if yu de blɔd bɔku pas aw yu kin blɔd, i kin bi wan sayn.
• Petechiae: .i tan lεk wan rash fכ sכm rεd/pכpul dכt dεm na di lεg dεm, spεshal wan na di groin εria.
• Purpura: Rɛd, pepul, ɔ brawn spat dɛn na di skin. Dis kin apin bikɔs blɔd de lik frɔm smɔl smɔl blɔd vesel dɛn we de ɔnda di skin.
• Brus: Brus kin apin we blɔd gɛda ɔnda di skin. Yu kin notis se yu kin brus izi wan pas aw yu kin brus.
• Blɔd we de kɔmɔt na di rɛktɔ: Yu kin notis blɔd na di tɔylɛt ɔ we yu de klin.

Wetin mek di blɔd pletlɛt dɛn kin go dɔŋ lɛk dis? Wetin na di tin dɛn we kin mek i apin?

Dɛn kin sheb di tin dɛn we kin mek di blɔd pletlɛt dɛn smɔl to tri men grup dɛn.

1. Yu bon mכro nכ de mek inof pletlet: Dis kin apin pan bכdi kεnsar kכndyushכn lεk lukimiya כ limfoma.

2. Ivin if di bon mכro de mek inof pletlεt dεm, dεn kin pwεl kwik kwik wan כ yus: Bikɔs ɔf sɔm sik dεm, di pletlet dεm we de mek kin dɔn kwik kwik wan.

3. di pletlet dεm we di splin de kip: Nɔmal wan, wi splin de kip lɛk wan pat pan tri pan wi blɔd pletlet dεm. Bɔt sɔm tɛm dɛn de, i kin kip bɔku bɔku pletlɛt dɛn.

Sɔm patikyula rizin dɛn

• Awtoimyun sik dɛm: Insay sik dɛm lɛk Immune Thrombocytopenia (ITP) ɛn Lupus, wi yon imyun sistɛm kin atak ɛn pwɛl di blɔd pletlɛt dɛm.
• Blɔd kansa: Sik dɛm lɛk lukimiya ɛn limfoma kin pwɛl di bon mɛro ɛn stɔp am fɔ mek blɔd pletlɛt.
• Di tritmɛnt fɔ kansa: Kemotɛrapi ɛn redyushɔn tɛrapi kin pwɛl di stem sɛl dɛn we nɔ bin fɔ dɔn bi pletlɛt.
• Sɔm blɔd sik dɛn: Insay tin dɛn lɛk Thrombotic Thrombocytopenic Purpura (TPP), smɔl smɔl blɔd klɔt dɛn kin kam ɔlsay na di bɔdi, we kin mek di pletlɛt dɛn dɔn kwik kwik wan.
• Infεkshכn: Baktri εn vayral infεkshכn kin mek bak di pletlεt kכnt sכmtεm.
• Fɔ drink pasmak: Rɔk de mek di blɔd pletlɛt dɛn nɔ de mek i nɔ bɔku.
• Kεmikכl dεm we gεt pɔyzin: If yu de pan tin dεm lεk asɛnik, bεnzin, εn peshεnt dεm, i kin afɛkt bak.
• Sɔm mɛrɛsin: Antibayɔtik, ɛpilepsi mɛrɛsin, at sik mɛrɛsin, ɛn blɔd tan lɛk ɛparin kin mek dis sik bak.

Aw yu go fɛn dis, Dɔktɔ?

We yu go to dɔktɔ, i go chɛk yu fɔs. I go chɛk fɔ brus, spat, ɛn ɔda tin dɛn I go aks bak bɔt yu mɛdikal histri ɛn di mɛrɛsin dɛn we yu de tek. Dɔn i kin aks yu fɔ du sɔm tɛst dɛn lɛk dis.

• Kɔmplit Blɔd Kɔnt (CBC): Dis na blɔd tɛst we dɛn kin du ɔltɛm. I de chɛk di nɔmba fɔ di pletlɛt dɛn, di rɛd blɔd sɛl dɛn, ɛn di wayt blɔd sɛl dɛn we de na yu blɔd.
• Peripheral Blood Smear: Dis min se yu fɔ chɛk yu blɔd pletlɛt dɛn ɔnda maykroskɔp.
• Blɔd klot tɛst: Dɛn wan ya de mɛzhɔ aw lɔng i tek fɔ mek yu blɔd klɔt (lɛk di PTT ɛn PT tɛst).
• Bone Marrow Biopsy: If blɔd tɛst sho se yu pletlɛt dɛn rili smɔl ɛn di rizin nɔ klia, yu dɔktɔ kin disayd fɔ tek smɔl sɛmpul pan yu bon mɛro fɔ tɛst.

Wetin na di tritmɛnt dɛm fɔ dis?

If yu smɔl pletlɛt nɔ de kɔz ɛni big prɔblɛm, sɔntɛm yu nɔ go nid ɛni tritmɛnt. Bɔku tɛm, dɔktɔ dɛn go trit di men tin we kin mek pɔsin gɛt dis sik. Fɔ ɛgzampul, if na wan mɛrɛsin we yu de tek, dɛn kin ebul fɔ chenj da mɛrɛsin de.

Ɔda tritmɛnt dɛn na:

• Stɛroyd: Dɛn mɛrɛsin ya kin mek di blɔd pletlɛt dɛn bɔku.
• Blɔd Transfyushɔn: If yu pletlɛt lɛvɛl rili smɔl, dɛn kin gi yu blɔd (pletlɛt) fɔ mek yu pletlɛt lɛvɛl go ɔp fɔ sɔm tɛm.
• Splenectomy: If tɛst sho se yu splin de blok tumɔs pletlɛt, yu dɔktɔ kin tɛl yu fɔ du ɔpreshɔn fɔ pul yu splin. Bɔt bikɔs we yu pul di splin i kin mek yu gɛt mɔ di sik, yu go nid fɔ gɛt di vaysin fɔ protɛkt yusɛf frɔm am.

Tin dɛm wae yu fɔ tink bɔt wae yu de liv wit dis sik

If yu gɛt trombocytopenia, i rili impɔtant fɔ mek sɔm smɔl chenj dɛn na yu layf.

• Wɛlbɔdi layf: If yu de smok, stɔp. If yu de drink rɔm, nɔ fɔ drink am. Mek yu tit gɛt gud wɛlbɔdi, bikɔs i kin mek yu tit ɛn yu gɔm blɔd kɔmɔt.
• Nɔ tek mɛrɛsin we yu nɔ gɛt dɔktɔ advays: Sɔm mɛrɛsin dɛn we de mek yu fil pen (e.g. ibuprofen, aspirin) gɛt tin dɛn we de mek yu blɔd tan. Nɔ tek ɛni mɛrɛsin fɔ mɛn pen, sɔpɔtmɛnt, ɔ ɔyl we yu nɔ go to yu dɔktɔ fɔs.
• Nɔ du tin dɛn we go mek yu gɛt brus ɛn blɔd: I bɛtɛ fɔ avɔyd kɔntakt spɔt lɛk rɔgbi ɛn futbɔl. Aks yu dɔktɔ bɔt ɛksesaiz dɛn we sef we fayn fɔ yu.
• Travul sef wan: Yu fɔ wɛr sit bɛlt ɔltɛm we yu de rayd motoka.
• Tɛl yu dɔktɔ dɛn: If dɛn de du ɛni ɔpreshɔn ɔ pul yu tut, tɛl di dɔktɔ bifo tɛm se yu gɛt trombocytopenia ɛn di mɛrɛsin dɛn we yu de tek.

Trombocytopenia, pletlɛt kɔnt smɔl, blɔd, brus, petechiae, purpura, CBC tɛst sinhala, bon mɛro, splin, splinektɔmi, Sri Lanka