We yu kɔt smɔl, di blɔd kin jɔs stɔp afta sɔm tɛm, nɔto so? Ɔ yu dɔn ɛva notis se sɔntɛnde yu kin gɛt blu ɔ pepul brus na yu bɔdi we yu nɔ kin bit ɛnitin? Di men rizin we mek dɛn tin ya na di smɔl smɔl sɛl dɛn we dɛn kɔl ‘ pletlet ’ we de na wi blɔd. Bɔt wetin kin apin we dɛn ɛp pipul ya nɔ bɔku? Na dat wi kin kɔl Thrombocytopenia na mɛrɛsin. Nɔ wɔri, lɛ wi tɔk bɔt dis simpul wan.
Fɔ tɔk am simpul wan, wetin na Thrombocytopenia?
Trombocytopenia na wan sik we di nɔmba fɔ di pletlɛt dɛn na yu blɔd smɔl pas aw i kin bi. Plɛtlɛt na smɔl smɔl sɛl dɛn we tan lɛk disk na wi blɔd. Dɛn men wok na fɔ mek wan klot na di say we wund de fɔ mek blɔd nɔ de kɔmɔt. I tan lɛk se yu de pat ol na wɔl.
Yu dɔn ɛva wɔnda wetin dis wɔd min? “Trombocytes” na ɔda nem fɔ di pletlɛt dɛn. “Penia” min fɔ nɔ gɛt inof pan sɔntin, fɔ shɔt. So we dɛn tu ya kam togɛda, “Thrombocytopenia” de fɔm.
Nɔmal wan, pɔsin we gɛt wɛlbɔdi fɔ gɛt bitwin 150,000 ɛn 450,000 pletlɛt pan wan maykrolita blɔd (wan drɔp blɔd gɛt lɛk 35 maykrolita). If dis nɔmba nɔ rich 150,000 na yu blɔd ripɔt, dɛn kin tek am se na sik we dɛn kɔl trombocytopenia.
Yu gɛt sayn dɛn lɛk dis?
Bɔrku tɛm, we di pletlɛt dɛn we de dɔŋ smɔl nɔ kin mek yu gɛt ɛni sayn. Bɔt if yu pletlɛt kɔnt go dɔŋ bad bad wan, yu kin gɛt dɛn sayn ya:
| Di sayn we de sho se di sik de | Wetin kin apin insay dat? |
|---|---|
| Blɔd we de kɔmɔt | Blɔd kin kɔmɔt na yu gɔm ɔ yu nos, mɔ we yu de brus yu tit. Uman dɛn kin gɛt ebi ebi ɔ lɔng tɛm we dɛn kin gɛt mɔnt. Sɔntɛnde, blɔd kin de bak na di urine ɔ di stɔl. |
| Brus ɛn spat dɛn | Blu/pɔpul brus (lɛk se dɛn hit am) de apia na di bɔdi fɔ natin. Dɛn kɔl dɛn tin ya Purpura insay mɛrɛsin. Dis na blɔd we kin kɔmɔt ɔnda di skin. |
| Smɔl smɔl rɛd spat dɛn na di skin | yu kin si sכm sכm rεd dכt dεm (spot dεm) we di sayz lεk pen tכp na di skin, spεshal wan na di leg dεm. Dɛn tin ya kin kam bak insay grup dɛn. Dɔktɔ dɛn kin kɔl dɛn tin ya Petechiae . |
| Taya | Di smɔl smɔl pletlɛt dɛn nɔmɔ nɔ de mek pɔsin taya. Bɔt wan ɔndalayn mɛdikal kɔndishɔn (e.g. anemia) we kin mek yu nɔ gɛt bɔku pletlɛt kin mek yu fil taya ɛn taya. |
| Di splin we de mek di bɔdi big | di splin na wan כgan we de na di כp pat na di lεft say na wi bכdi. Sɔntɛnde, di pletlɛt dɛn kin trɔp ɛn pwɛl insay am, ɛn dis kin mek di pletlɛt dɛn nɔ bɔku. Dɔn di splin kin swel. |
Wetin mek di pletlɛt dɛn kin go dɔŋ lɛk dis? Wetin na di tin dɛn we kin mek i apin?
Bɔku rizin kin de we mek yu nɔ gɛt bɛtɛ pletlɛt. Na smɔl tɛm nɔmɔ, i kin kɔmɔt frɔm dɛn mama ɛn papa. Bɔt bɔrku tɛm, na ɔda mɛrɛsin ɔr mɛrɛsin wae yu de tek kin kam wit am. Fɔ tɔk am simpul wan, tri men kayn tin dɛn de we kin mek pɔsin gɛt dis sik.
1. Bikɔs di bɔdi nɔ de mek inof pletlɛt
Wi bon mɛro na di faktri we de mek dɛn pletlɛt ya. If di tin dɛn we dɛn de mek na da faktri de nɔ fayn, di pletlɛt dɛn go go dɔŋ.
- Kansa sik dɛm lɛk lukimiya
- Sɔm kayn wae dɛn kin gɛt anemia
- Vayral infεkshכn , fכ egzampl dengue, epataytis C , כ HIV
- Kimotɛrapi ɔ redyushɔn tɛrapi fɔ kansa
- Fɔ drink pasmak
- Fɔ it tin dɛn we gɛt pɔyzin lɛk peshɛnt sayd ɛn asɛnik
2. Bikɔs di pletlɛt dɛn kin pwɛl kwik pas aw dɛn mek am
Ivin if di faktri wok fayn, if di faya brok kwik kwik wan, di pletlɛt dɛn go shɔt.
- Bɛlɛ (fɔ sɔm pipul dɛn) .
- Di sik dɛn we pɔsin kin gɛt we i de fɛt insɛf. Dis na we wi bɔdi in yon imyun sistɛm kin mistek pwɛl in yon pletlɛt dɛn. Fɔ ɛgzampul, wan sik we dɛn kɔl lupus.
- Sɔm baktri ɔ vayral infɛkshɔn dɛn
- Sɔm mɛrɛsin dɛn (e.g. Heparin) .
- Rare kondishכn dεm lεk Thrombotic thrombocytopenic purpura (TTP) .
3. Bikɔs di pletlɛt dɛn kin stɔp na di splin
Nɔmal wan, na lɛk wan pat pan tri pletlɛt dɛn kin de na di splin. Bɔt if di splin big bikɔs ɔf sik lɛk sirosis na di liva, bɔku bɔku pletlɛt dɛn kin trɔp insay am, we kin mek di pletlɛt dɛn we de rɔn na di blɔd nɔ bɔku.
Difrɛn kayn trombocytopenia de bak.
di trombocytopenia kin sheb to difrεn men tכp dεm dipכnt pan di kכz.
- Immune Thrombocytopenic Purpura (ITP): Dis na di kayn we we dɛn kin gɛt mɔ. Wetin kin apin ya na we wi imyun sistɛm kin pwɛl wi yon pletlɛt bikɔs ɔf wan prɔblɛm. dis kin kam insay tu kayn: akyu ITP pan pikin dεm εn krεse ITP pan big pipul dεm.
- Thrombotic Thrombocytopenic Purpura (TTP): Dis na wan sik we nɔ kin apin so ɔltɛm bɔt i kin denja. Smɔl smɔl blɔd dɛn kin kam ɔlsay na di bɔdi. Bikɔs dɛn kin yuz tumɔs pletlɛt fɔ mek dɛn klot ya, di pletlɛt dɛn we de na di blɔd kin go dɔŋ.
- Drug-induced Thrombocytopenia (DIT): Dis kכndyushכn kin apin as sayd ifekt fכ sכm mεdikeshכn dεm. Bɔku tɛm, i kin go we dɛn dɔn stɔp di mɛrɛsin.
- Gestational Thrombocytopenia: Na wan sik we kin apin we uman bεlε, i kin bi se i nכ kin siriכs. Bɔku tɛm i kin sɔlv afta dɛn bɔn am.
Aw yu go fɛn dis, Dɔktɔ?
Bɔku tɛm dɛn kin no am bay we dɛn de du rutin blɔd tɛst (Full Blood Count – FBC) fɔ ɔda rizin. We yu dɔktɔ no se yu gɛt smɔl pletlɛt, dɛn go ɔda fɔ mek dɛn du sɔm ɔda tɛst dɛn fɔ no wetin mek yu gɛt am.
Mɛmba se if yu blɔd tɛst sho se di pletlɛt dɛn nɔ bɔku, di tin we impɔtant pas ɔl na fɔ nɔ panik ɛn go to dɔktɔ fɔ advays.
| Tɛst | Wetin yu si pan dat? |
|---|---|
| Kɔmplit blɔd kɔnt (CBC/FBC) . | Dɛn kin no di kayn rɛd sɛl, wayt sɛl, ɛn pletlɛt dɛn we de na di blɔd. |
| Blɔd Smia (Pɛriferal Smia) . | Dɛn kin chɛk di pletlɛt dɛn ɔnda maykroskɔp fɔ si if dɛn gɛt nɔmal shep ɛn aw dɛn tan. |
| Tɛst fɔ Bɔn Mɛrɔ | If di kɔz nɔ klia, dɛn kin du dis tɛst fɔ si if di bon mɛrɔ faktri de wok fayn. |
Apat frɔm dat, di dɔktɔ kin chɛk yu bɔdi ɛn du ɔltra saund skan na yu bɛlɛ fɔ chɛk fɔ si if yu spleen dɔn big ɔ yu liva gɛt prɔblɛm.
Yu tink se dis tin we de apin kin rili siriɔs?
Fɔ bɔku pipul dɛn, dis nɔto big prɔblɛm. Bɔt if di pletlɛt dɛn go dɔŋ pas 20,000, i kin denja. Dis na bikɔs blɔd kin kɔmɔt insay di bɔdi, mɔ na di bren, ivin if i nɔ wund. Dis kin mek pɔsin in layf de pan denja.
So, if yu gɛt Thrombocytopenia, i rili impɔtant fɔ fala yu dɔktɔ in instrɔkshɔn dɛn gud gud wan ɛn go na di klinik dɛn di rayt tɛm. If yu gɛt sɔm sayn dɛn lɛk se yu ed de at bad bad wan, yu de chenj yu yay, ɔ yu nɔ ebul fɔ tɔk, yu fɔ go wantɛm wantɛm na di Imejɛnsi Dipatmɛnt (ETU) na di ɔspitul we de nia yu bikɔs dɛn tin ya kin bi sayn dɛn fɔ se blɔd de kɔmɔt na yu bren.
Aw dɛn kin trit am?
Di tritmɛnt dipen pan wetin mek yu pletlɛt nɔ bɔku ɛn aw yu pletlɛt nɔ bɔku.
- Fɔ trit di tin we mek i apin: If di tin we mek di pletlɛt dɛn nɔ bɔku na mɛrɛsin, di dɔktɔ go stɔp da mɛrɛsin de ɛn gi am ɔda mɛrɛsin. If na infekshɔn, dɛn go trit am.
- Mεdikeshכn dεm: If prכblεm de fכ di imyun sistεm lεk ITP, dεn kin kכntro di imyun sistεm bay we dεn gi mεdikeshכn lεk stεroyd.
- Blɔd ɔ pletlɛt transfyushɔn: If di pletlɛt kɔnt rili smɔl ɔ blɔd de kɔmɔt bad bad wan, dɛn kin gi pletlɛt dɛn na do (Platelet transfusion).
- Ɔpreshɔn: If ɔda tritmɛnt dɛn nɔ ebul fɔ kɔntrol di sik, i kin nid fɔ pul di splin.
- Plasma Exchange: Dɛn kin yuz dis tritmɛnt we dɛn kin yuz fɔ du tin lɛk TTP.
Aw yu go tek kia ɔf yusɛf?
Wae yu de liv wit dis sik, e fayn fɔ ridyus de risk fɔ injury.
- Nɔ du tin dɛn we de mek yu denja: Nɔ de fa frɔm kɔntakt spɔt dɛn lɛk bɔksin, karate, ɛn rɔgbi.
- Tek tɛm wit mɛrɛsin: Aks yu dɔktɔ ɔltɛm bifo yu yuz mɛrɛsin fɔ mek yu blɔd bɔku, lɛk aspirin ɛn ibuprofen.
- Nɔ rɔm: Rɔk kin mek di pletlɛt dɛn we de na di bon mɛrɔ nɔ bɔku, so i bɛtɛ fɔ lɛ yu nɔ drink rɔm.
Mɛsej we dɛn kin kɛr go na os
- Trombocytopenia na we di pletlet dεm we de na di bכdi de dכn. Dis kin mek yu gɛt mɔ blɔd.
- Bɔrku tɛm, no sayn nɔr kin de. Bɔt, no bɔt tin dɛm lɛk fɔ brus we yu nɔ ɛksplen, blɔd we de kɔmɔt na yu gɔm/nos, ɛn rɛd spat na yu skin.
- Bɔrku rizin de fɔ dis sik. So, nɔ panik we yu si di pletlɛt dɛn we smɔl na yu blɔd ripɔt, bɔt go to dɔktɔ fɔ no di tin we mek yu gɛt am.
- Di tritmɛnt de dipen pan wetin de mek di sik ɛn aw i siriɔs. Sɔntɛnde, dɛn nɔ nid ɛni tritmɛnt.
- Fɔ fala yu dɔktɔ in instrɔkshɔn dɛn di rayt we. If yu gɛt sayn dɛn we de wɔn yu lɛk se yu ed de at bad bad wan ɔ yu de chenj yu yay, go na ɔspitul wantɛm wantɛm.
Trombocytopenia, Plɛtlɛt, Lɔw pletlet kɔnt, Blɔd, Brus, Purpura, Petechiae
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