Yu go dɔn yɛri di dɔktɔ de luk wan ripɔt we dɛn gi yu fɔ tɛst yu blɔd ɛn se, "Yu pletlɛt dɛn dɔn smɔl." Ɔ yu go dɔn de fred we yu nɔ bin ebul fɔ stɔp fɔ blɔd ivin we yu kɔt am smɔl. dis dכn dכn pan di nכmba fכ di pletlεt dεm na di bכdi na wetin wi kכl Thrombocytopenia insay mεdikal. Nɔ fred. Lɛ wi tɔk bɔt dis simpul wan ɛn klia wan.
Wetin mek di blɔd pletlɛt dɛn kin go dɔŋ lɛk dis?
Fɔ tɔk am simpul wan, pletlɛt na wan kayn smɔl sɛl we de ɛp wi blɔd fɔ klɔt . Dɛn kin mek dɛn na di bon mɛro we de insay wi bon dɛn. Tink bɔt wi bon mɛro lɛk faktri we de mek pletlɛt. Tu men rizin de wae mek dis sik kin apun. Either di prodakshɔn fɔ dis faktri de go dɔŋ. Ɔ, di pletlɛt dɛn we dɛn kin mek kin pwɛl kwik kwik wan insay di bɔdi.
Naw lɛ wi si wetin na di rizin dɛn we mek dis de apin. Lɛ wi luk dis tebul fɔ ɔndastand dis klia wan.
| Di tin dɛn we kin mek di pletlɛt dɛn nɔ de mek igen | Di tin dɛn we kin mek di blɔd pletlɛt dɛn we dɛn dɔn mek pwɛl |
|---|---|
| bכdi sik dεm we de afekt di bon mכro (e.g. Aplastic Anemia). | כtoimyun sik dεm, lεk lupus כ ITP, de atak di bכdi in כwn hεlty sεl dεm. |
| Kansa we de pwɛl di bon mɛrɔ, lɛk lukimiya ɔ limfoma. | Baktri infεkshכn (bacteremia) we de kam insay di bכdi. |
| Vayral infεkshכn lεk chikinpoks, mכmp, HIV, εn Epstein-Barr. | Sɔm mɛrɛsin dɛn (e.g., sɔlfa antibayɔtik, ɛparin fɔ mek blɔd nɔ klɔt, fenitoin fɔ trit ɛpilepshi). |
| Fɔ drink rɔm pasmak fɔ lɔng tɛm. | Sik dɛm wae nɔr kin bɔrku wae kin gɛt fɔ du wit blɔd we kin rɔtin, lɛk TTP ɔ DIC. |
| Kimotɛrapi ɔ redyushɔn fɔ kansa. | Hemolytic uremic syndrome na wan sik we nɔ kin apin so ɔltɛm we kin pwɛl di rɛd blɔd sɛl dɛn ɛn afɛkt di kidni dɛn. |
| Fɔ gɛt kemikal dɛn lɛk peshɛnt sayd ɛn asɛnik. | Vayrɔs dɛn lɛk Epstein-Barr vayrɔs (EBV), ɛpatitis C, ɛn HIV. |
Apat frɔm dɛn rizin ya, sɔntɛnde dɛn pletlɛt ya kin stɔp ɛn gɛda insay di splin , we na wan ɔgan na wi bɔdi. Dɔn bak, we uman gɛt bɛlɛ, dis kin apin fɔ sɔm tɛm bikɔs sɔm uman dɛn kin pul di pletlɛt dɛn na dɛn bɔdi kwik kwik wan pas aw i kin bi.
Wetin na di sayn dɛm fɔ dis sik?
Bɔrku tɛm, wae pɔrsin gɛt bɔrku pletlet nɔr kin kɔz ɛni sayn. Bɔt if di sayn dɛn kin apin, di men wan dɛn na fɔ blɔd ɛn brus. Yu kin notis bak smɔl, rɛd ɔ pepul spat dɛn na yu skin. Dɛn kɔl dɛn tin ya petechiae .
Dis na blɔd we kin apin insay ɔ ausayd di bɔdi. Sɔntɛnde dis blɔd kin ebi ɛn i nɔ kin izi fɔ stɔp.
Apat frɔm dat, yu kin si dɛn tin ya bak:
- Blɔd we de kɔmɔt na di gɔm ɔ di nos.
- Blɔd we de na di urine ɔ di stɔl.
- Blɔd we de kɔmɔt pasmak we uman dɛn de gɛt prɛgnɛshɔn.
- Ed de at .
- Taya ɛn taya ɔltɛm .
- Di skin ɛn di yay dɛn kin yɔlɔ (jaundice).
- Spleen we de swel.
Dɛn sayn ya kin bigin afta yu pletlɛt kɔnt dɔn drɔp bad bad wan, so i impɔtant fɔ tɛl yu dɔktɔ wantɛm wantɛm if yu notis ɛnitin lɛk dis.
Aw yu go fɛn dis, Dɔktɔ?
We yu go to yu dɔktɔ, i go aks yu bɔt yu mɛdikal histri ɛn di sik dɛn we yu gɛt naw. Dɔn i go chɛk yu bɔdi ɛn chɛk fɔ si if yu gɛt brus, petechiae, ɛn sayn dɛn we de sho se yu gɛt infekshɔn, lɛk fiva ɛn skin lɛsin.
Dɔn, dɛn go mɔs aks yu fɔ du blɔd tɛst, dat na fɔ kɔnt ful blɔd. Nɔmal wan, pɔsin we gɛt wɛlbɔdi kin gɛt bitwin 150,000 ɛn 450,000 pletlɛt dɛn fɔ ɛni maykrolita blɔd. If dis nɔmba fɔdɔm pas 50,000, di risk fɔ mek pɔsin blɔd kɔmɔt de go ɔp.
Bɔrku tɛm, yu dɔktɔ kin sɛn yu to blɔd spɛshal dɔktɔ (hematologist). Apat frɔm dat, dɛn kin aks yu fɔ du sɔm ɔda tɛst dɛn.
- Blɔd smyuɛl tɛst: Na dis say dɛn kin chɛk di shep ɛn wɛlbɔdi fɔ yu pletlɛt dɛn ɔnda maykroskɔp.
- di bon mכro tεst: Dis de mek yu tek dip luk pan di kayn sεl dεm na di bon mכro εn dεn hεlth.
- Blɔd klɔt tɛst: Spɛshal tɛst we de chɛk if di blɔd klɔt prɔses de wok fayn.
Us prɔblɛm dɛn dis kin mek?
Dis na wetin wi nid fɔ tek tɛm mɔ bɔt.
- If yu pletlɛt kɔnt go dɔŋ pas 50,000, ivin smɔl injuri kin mek yu blɔd pasmak.
- If dis nɔmba go dɔŋ pas 30,000, ivin smɔl tin we dɛn nɔ bin de tink se go apin, i kin mek big big blɔd kɔmɔt.
- If yu pletlɛt kɔnt go dɔŋ pas 10,000, yu kin bigin fɔ blɔd we denja insay yu bɔdi, ivin if yu nɔ wund. Na smɔl tɛm nɔmɔ, i kin mek pɔsin gɛt prɔblɛm dɛn we kin mek pɔsin in layf de pan denja, lɛk fɔ blɔd insay di bren. Na dat mek i impɔtant fɔ go to dɔktɔ fɔ dis sik.
Wetin na di tritmɛnt dɛm fɔ dis?
Di tritmɛnt dipen pan yu pletlɛt kɔnt ɛn di ɔndalayn kɔndishɔn we mek i apin.
- If yu pletlɛt nɔ tu smɔl, yu nɔ go nid ɛni tritmɛnt. Yu dɔktɔ go de wach am.
- Sɔntɛnde, di pletlɛt kɔnt kin kam bak to nɔmal wans dɛn dɔn stɔp di kɔz. Fɔ ɛgzampul, if dɛn no se na wan mɛrɛsin de mek di prɔblɛm, yu dɔktɔ go tɛl yu fɔ stɔp fɔ tek da mɛrɛsin de.
Bɔt if i gɛt siriɔs kes (siv trombocytopenia), di dɔktɔ kin gi yu tritmɛnt dɛn lɛk:
- Stɛroyd mɛrɛsin: If dis na bikɔs ɔf prɔblɛm wit di imyun sistɛm, dɛn kin gi dɛn mɛrɛsin ya fɔ stɔp di bɔdi fɔ pwɛl in yon pletlɛt dɛn.
- IVIG (Intravenous Immune Globulin): Dɛn kin gi dis tritmɛnt if yu nɔ ebul fɔ tek stɛroyd, ɔ if yu nid fɔ mek yu pletlɛt dɛn bɔku kwik kwik wan.
- Blɔd ɔ pletlɛt transfyushɔn:Fɔ gi blɔd ɔ pletlɛt frɔm pɔsin we gɛt wɛlbɔdi to di bɔdi.
- Splenectomy: Na if ɔda tritmɛnt dɛn nɔ ebul fɔ kɔntrol di sik nɔmɔ dɛn kin du ɔpreshɔn fɔ pul di splin we kin pwɛl di pletlɛt dɛn.
- Ɔda mɛrɛsin: If dɛn tritmɛnt ya nɔr de kɔntrol di sik, yu dɔktɔ kin gi yu ɔda patikyula mɛrɛsin, lɛk eltrombopag (Promacta, Revolade) ɔ romiplostim (Nplate).
Wetin dɛn kin du fɔ mek blɔd nɔ kɔmɔt?
If yu pletlɛt lɛvɛl nɔ bɔku, tek kia ɔf dɛn tin ya fɔ mek yu nɔ blɔd.
- Nɔ tek mɛrɛsin fɔ mek yu fil pen lɛk aspirin ɛn ibuprofen, we kin afɛkt di we aw blɔd de klɔt, if yu dɔktɔ nɔ advays yu.
- Limit fɔ drink rɔm. Rɔm kin mek di blɔd bɔku.
- Nɔ de fa frɔm kɔntakt spɔt dɛn we kin mek pɔsin wund, lɛk futbɔl, bɔksin, ɛn rɔgbi fɔ sɔm tɛm.
- We yu de brus yu tit, yuz tut brɔsh we gɛt saf brist fɔ mek i nɔ pwɛl yu gam.
- Ɔltɛm wɛr sit bɛlt we yu de rayd motoka. If yu de wok wit mashin, wɛr sef glɔv ɛn glas.
Mɛsej we dɛn kin kɛr go na os
- Trombocytopenia na we di pletlɛt dɛn we de na di blɔd de dɔŋ, we impɔtant fɔ mek di blɔd klɔt.
- Bɔku rizin dɛn kin de fɔ dis. Di bon mɛrɔ we nɔ de mek tin dɛn, we di pletlɛt dɛn, mɛrɛsin dɛn, ɔ ɔda tin dɛn we kin apin to pɔsin kin pwɛl, ɔl dis kin mek dis apin.
- Brus, blɔd we nɔ de stɔp, ɛn rɛd spat na di skin (petechiae) na di men sayn dɛm. If yu si ɛnitin lɛk dis , go to dɔktɔ wantɛm wantɛm.
- Di tritmɛnt dipen pan di pletlet kɔnt ɛn di ɔndalayn kɔz. Sɔntɛnde, dɛn nɔ kin nid ɛni tritmɛnt, ɛn sɔntɛnde dɛn kin nid sɔm patikyula mɛrɛsin ɔ tritmɛnt dɛn.
- If yu gɛt dis sik, mek shɔ se yu avɔyd tin dɛn we go mek yu wund ɛn mɛrɛsin dɛn we yu dɔktɔ nɔ gri fɔ tek.
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