Yu dɔn ɛva pik yu Ful Blɔd Kɔnt ripɔt ɛn luk di tin dɛn we i se? Yu go dɔn si se valyu de we dɛn kɔl "Platelets" pan di tin dɛn we de de. Sɔntɛnde di dɔktɔ kin se, "Yu pletlɛt kɔnt kin bɔku smɔl." Da tɛm de, i nɔmal fɔ mek yu fred smɔl ɛn wɔri. "Wetin na dis? Na siriɔs tin?" Yu tink. So tide, lɛ wi tɔk rili simpul ɛn fayn bɔt dis inkris na di blɔd pletlɛt, we na wan sik we dɛn kɔl Thrombocytosis insay mɛrɛsin.
Fɔs, lɛ wi si, wetin na pletlɛt?
Fɔ tɔk am simpul wan, pletlɛt na wan kayn smɔl sɛl we de na wi blɔd. Tink bɔt dɛn lɛk smɔl ‘ɛp grup’ we kin kam fɔ stɔp di blɔd we yu kɔt ɔ skrap sɔmsay na yu bɔdi. Dɛn kin kam kwik kwik wan usay di wund wund, dɛn kin stik togɛda, ɛn mek wan klot, lɛk plasta, fɔ sial di wund. Dis na aw di blɔd kin stɔp. So yu kin si se pletlɛt na wan pat we nɔ impɔtant ɛn we rili impɔtant na wi bɔdi.
Bɔt, lɛk ɛnitin, prɔblɛm kin kam we dɛn pletlɛt ya tu ay. trombosaytosis na we di nכmba fכ di pletlet dεm na di bכdi de inkrεs pas di nכmal lεvεl. We di pletlɛt dɛn bɔku dis we, sɔntɛnde wi blɔd kin stika. Dis kin mek blɔd klɔt we yu nɔ want fɔm na say dɛn we nɔ gɛt ɛni injuri, dat na insay di blɔd vesel dɛn. If dɛn nɔ trit dɛn blɔd klɔt ya, dɛn kin ivin mek pɔsin gɛt siriɔs prɔblɛm lɛk at atak ɔ strok.
Tu men kayn trombosaytosis de:
Dipen pan wetin mek di pletlɛt dɛn we de na yu blɔd bɔku, dɛn kin sheb dis sik to tu men kayn. I impɔtant fɔ ɔndastand dɛn tu ya, bikɔs di we aw dɛn de trit am go dipen pan dis kayn.
| Tayp fɔ trombosaytɔsis | Fɔ tɔk am simpul wan... |
|---|---|
| Riaktiv Trombosaytɔsis (Sɛkɛndari) . | Dis na di kayn we we pipul dɛn kin gɛt mɔ. wetin de apin ya na di nכmba fכ di pletlεt dεm de inkrεs as ‘rεspכns’ to כda kכndyushכn כ ivent na yu bכdi. I tan lɛk se ɔlman de panik we tifman brok insay yu os. Di prɔblɛm we de ya nɔto usay dɛn mek di pletlɛt dɛn, bɔt na ɔdasay. Dis sik kin bi fɔ sɔm tɛm . |
| Essential Trombocytosis (Praymari) we de mek pɔsin gɛt mɔni. | Dis na tin we nɔ kin apin smɔl. di prכblεm we de ya na di bon mכro, di ‘faktri’ usay dεn de mek bכdi sεl dεm. biכs fכ sכm difεkt na di bon mכro, dεn de mek tu mכch abnכmal pletlet dεm. Dis na di ‘primary’ ɔr ɔndalayn kɔz. |
Bɔt if yu blɔd tɛst sho se yu pletlɛt dɛn bɔku, dat min se sɔntin de apin insay yu bɔdi we dɔktɔ nid fɔ chɛk. Dipen pan wetin mek dɛn fɛn di tin, yu kin nid tritmɛnt fɔ lɔng tɛm, tritmɛnt fɔ shɔt tɛm, ɔ nɔr gɛt tritmɛnt atɔl.
Wetin na di sayn dɛm we de sho se pɔsin gɛt bɔku bɔku pletlɛt?
Infakt, bɔku pipul dɛn nɔ kin gɛt ɛni sayn we de sho se dɛn gɛt bɔku bɔku pletlɛt dɛn. Dɛn kin kam fɔ no am bay we dɛn du blɔd tɛst fɔ ɔda rizin.
If yu gɛt Riaktiv Thrombocytosis, yu kin gɛt sɔm sayn dɛm fɔ di ɔndalayn kɔndishɔn (fɔ ɛgzampul, fiva frɔm infɛkshɔn).
Bɔt if di pletlɛt dɛn we de bɔku de mek blɔd klɔt ɔ (nɔto ɔltɛm) blɔd de kɔmɔt insay, sɔm sayn dɛn kin apin. dis kכndyushכn dεn kin si am mכst na Essential Thrombocytosis.
- Taya
- Blɔd we de kɔmɔt na yu nos ɔltɛm
- Blɔd (bruising) ivin afta smɔl injuri
- I izi fɔ mek yu blɔd kɔmɔt na di gam ɔ ɔda say dɛn we de insay di mɔt
- Diziz , yu nɔ de si fayn, ɛn yu ed de at
- Pen, swel, ɛn rɛd na yu an ɛn fut (na wan sayn fɔ wan sik we dɛn kɔl erythromelalgia) .
- bכdi de pen, spεshal wan na di כp rayt say na di bכdi (i kin bi sayn fכ wan kכndyushכn lεk Budd-Chiari syndrome) .
di imכtant tin na dat nכto כl dεn simptom dεm ya na spεshal fכ Thrombocytosis. So if yu gɛt sɔntin lɛk dis, i go fayn fɔ mek yu nɔ panik ɛn go to yu dɔktɔ ɛn tɔk bɔt am.
Wetin mek di pletlɛt dɛn kin bɔku lɛk dis? Wetin na di rizin dɛn?
Di rizin dɛn bak kin difrɛn difrɛn wan bay di tu kayn dɛn we wi bin dɔn tɔk bɔt.
Di tin dɛn we kin mek pɔsin gɛt impɔtant trombosaytɔsis (ET) .
Dis kin apin bikɔs ɔf di chenj dɛn we de apin na di jɛnɛtiks. Bɔt dis nɔto sɔntin we dɛn bɔn wit, bɔt na sɔntin we de divɛlɔp as tɛm de go. Fɔ tɔk am simpul wan, chenj de na di jin dɛn we de tɛl wi bɔdi fɔ mek pletlɛt. Dis kin mek di bon mɛro kin bigin fɔ mek bɔku bɔku pletlɛt dɛn we nɔ kin kɔntrol.
Di tin dɛn we kin mek pɔsin gɛt Riaktiv Trombosaytɔsis
Dis na jɔs di we aw di bɔdi de ansa ɔda prɔblɛm. Na sɔm tin dɛn we kin mek pɔsin gɛt bɔku pletlet:
- Blɔd: We bɔku blɔd de lɔs bikɔs ɔf aksidɛnt ɔ ɔpreshɔn.
- Kansa kɔndishɔn: Na bikɔs ɔf sɔm kayn kansa.
- Infεkshכn: Baktri כ vayral infεkshכn.
- Inflammatory conditions: Na sik wae kin mek yu bɔdi inflammation, lɛk at at sik.
- Anemia we nɔ gɛt ayɔn.
- Sɔm mɛrɛsin dɛn.
- כpεrayshכn fכ pul di splin: Wan pan di wok dεm we di splin de du na fכ pul di ol pletlεt dεm. If yu pul am, i kin mek di pletlɛt dɛn bɔku.
Us kɔmplikɛshɔn kin apin bikɔs ɔf dis kɔndishɔn?
Pipul wae gɛt Essential Thrombocytosis (ET) kin gɛt bɔrku risk fɔ gɛt kɔmplikeshɔn. di kכmplikεshכn dεm nכ kin rili sכmtεm na Riaktiv Trombosaytosis.
Di big tin we kin mek pɔsin gɛt prɔblɛm na we di blɔd kin klɔt . If dɛn blɔd klɔt ya stɔp na blɔd vesel we de go na di bren, dɛn kin mek pɔsin strok , ɛn if dɛn stɔp na blɔd vesel we de go na di at, i kin mek pɔsin gɛt at atak . Dɛn blɔd ya kin kam bak na ɔda say dɛn lɛk di lɔng ɛn leg.
Na smɔl tɛm nɔmɔ, ET kin divɛlɔp to ɔda blɔd kansa, lɛk lukimiya, ɔ mek skata na di bon mɛro (myelofibrosis). I kin mek bak di risk fɔ sɔm kɔmplikeshɔn dɛn we uman gɛt bɛlɛ.
Bɔt nɔ wɔri. If yu gɛt ET, yu dɔktɔ go de wach yu wɛlbɔdi gud gud wan ɛn i go gi yu di tritmɛnt we yu nid fɔ mek yu nɔ gɛt prɔblɛm dɛn lɛk dis.
Aw dɔktɔ dɛn kin no dis kɔrɛkt wan?
di trombocytosis na di fכs tin we dεn kin no tru bכdi tεst. Bɔku tɛm, dɛn kin tek di pletlɛt we pas 450,000 pan ɛni maykrolita blɔd as ay. Yu dɔktɔ kin want fɔ tɛst yu blɔd bak afta sɔm wiks fɔ si if yu pletlɛt dɛn stil bɔku. If di kɔnt dɔn kam bak to nɔmal, bɔku tɛm i nɔ kin bi natin fɔ wɔri bɔt.
If di pletlɛt kɔnt kɔntinyu fɔ bɔku, di nɛks tin we yu fɔ du na fɔ no if i Riaktiv ɔ I impɔtant. Dis go nid fɔ du sɔm ɔda tɛst dɛn.
- Ɔda blɔd tɛst dɛn: Dɛn tin ya kin chɛk tin dɛn lɛk di ayɔn lɛvɛl ɛn di mak dɛn we de mek pɔsin in bɔdi wam, ɛn luk fɔ di pletlet dɛn we nɔ fayn ɔnda maykroskɔp.
- jεnεtik tεst dεm: Dis tεst kin no di jεnεtik mכtεshכn dεm lεk JAK2 , CALR1 , כ MPL1, we dεn kin si insay Essential Thrombocytosis.
- Bon mכro bayopsi: Dis involv fכ tek wan rili sכm sכm sεmpl fכ bon mכro frכm wan sayt lεk di hip bon כnda anεsthεsia εn tεst am na labכtכri. Dis kin definitivli konfam di ET kondishon.
Aw dɛn kin trit am?
Di tritmɛnt opshɔn dɛm dipen pan di kayn trombocytosis we yu gɛt ɛn yu simptom dɛm.
Fɔ Riaktiv Trombosaytɔsis:
Dis na we di pletlɛt dɛn kin bɔku fɔ ansa ɔda sik. So, di tritmɛnt de fɔ di ɔndalayn kɔz . fכ egzampl, if di pletlεt kכnt bכku biכs fכ wan infεkshכn, we dεn gi antibaytik fכ da infεkshכn de, di pletlet kכnt go kam bak to nכmal as di infεkshכn de hεl.
Fɔ Essential Thrombocytosis (ET): fɔ mek yu gɛt di sik.
ET nɔto sik we pɔsin kin mɛn. Bɔt dɛn kin ebul fɔ kɔntrol am fayn fayn wan fɔ mek i nɔ gɛt bɔku blɔd. Bɔku tritmɛnt dɛn de we yu kin pik:
- Wachful wet: If yu nɔ gɛt ɛni sayn ɛn yu risk fɔ gɛt blɔd klot nɔ bɔku, yu dɔktɔ kin wach yu sik bay we i de du blɔd tɛst ɔltɛm ɛn nɔ gi yu ɛni mɛrɛsin.
- Aspirin we nɔ bɔku: Dɛn kin gi yu wan aspirin pil ɛvride fɔ ɛp fɔ mek yu blɔd nɔ klɔt. Bɔt mɛmba se, nɔ ɛva bigin fɔ tek aspirin fɔ yusɛf if yu nɔ go to dɔktɔ.
- Mεdikeshכn dεm we de lכs di pletlεt lεvεl: Mεdikeshכn dεm lεk Hydroxyurea, Anagrelide, εn Interferon alfa de kכntrol di pletlet prodakshכn.
- Di we aw fɔ pul di pletlɛt dɛn: If prɔblɛm de wantɛm wantɛm fɔ mek yu gɛt blɔd we go mek yu layf de pan denja, dɛn kin pas yu blɔd tru mashin fɔ filta di pletlɛt dɛn we pasmak.
Ustɛm yu fɔ go to dɔktɔ?
If dɛn dɔn no se yu gɛt trombocytosis, i impɔtant fɔ mek yu de du blɔd tɛst ɔltɛm lɛk aw yu dɔktɔ tɛl yu. Dɔn bak, aks yu dɔktɔ us sayn dɛn yu fɔ ripɔt wantɛm wantɛm if dɛn apin.
Na mɔtalman, if yu gɛt sɔm sayn dɛm fɔ strok ɔ at atak (e.g., yu chɛst de pen wantɛm wantɛm, i nɔ izi fɔ tɔk, yu wik na wan say na yu bɔdi, yu fes de drɔp), go na ɔspitul in Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm.
Mɛmba se nɔ panik we yu si bɔku bɔku pletlɛt dɛn na yu blɔd ripɔt. Na jɔs wan snɛpsho fɔ yu bɔdi in kɔndishɔn da tɛm de. Bɔrku tɛm, na sayn fɔ sɔm kayn sik wae de kam fɔ sɔm tɛm, wae kin izi fɔ trit. Nɔr kin bɔrku, na sayn fɔ wan sik wae de kam fɔ lɔng tɛm. Bɔt, gud tritmɛnt dɛn de tide fɔ mɛn am.
Mɛsej we dɛn kin kɛr go na os
- trombosaytosis na di nכmba fכ di pletlet dεm we de na di bכdi we hכy pas nכmal.
- di kayn trombosaytosis we kכmכn pas כl dεn kכl am riaktiv trombosaytosis, we de apin we i de ansa to כda mεdikal kכndyushכn. Bɔku tɛm, na fɔ shɔt tɛm nɔmɔ.
- Essential Thrombocytosis (ET), na wan sik we nɔ kin apin so ɔltɛm we di bon mɛro insɛf nɔ fayn, na wan sik we kin de fɔ lɔng tɛm.
- Bɔrku pipul nɔr kin gɛt ɛni sayn. If di sayn dɛn kin apin, i kin bi bikɔs di blɔd de klɔt ɔ blɔd de kɔmɔt.
- If yu pletlɛt kɔnt go ɔp, i impɔtant fɔ mek yu nɔ panik ɛn go to dɔktɔ fɔ fɛn di rayt tin we mek yu gɛt di sik ɛn fɔ gɛt di tritmɛnt we yu nid.
- Nɔ ɛva tek mɛrɛsin (especially aspirin) fɔ yusɛf if yu nɔ gɛt dɔktɔ advays.
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