Yu dɔn ɛva fil lɛk se yu ɔ pɔsin na yu famili de blɔd we yu nɔ ebul fɔ kɔntrol we yu kɔt smɔl? Ɔ yu kin gɛt big blu spat dɛn na yu bɔdi ivin afta yu wund smɔl? Nɔ dismis dɛn tin ya as nɔmal tin. Bikɔs, dis kin bi sayn fɔ wan sik we dɛn kɔl ɛmofilia . Nɔ wɔri, wi go tɔk bɔt ɔltin insay simpul wɔd tide.
Fɔ tɔk am simpul wan, wetin na ɛmofilia?
Ɛmofilia na wan sik we wi kin gɛt we kin afɛkt di we aw wi blɔd kin klɔt . Nɔmal wan, we wi wund, di blɔd kin stɔp afta sɔm tɛm. Dis na bikɔs spɛshal prɔtin dɛn we de na wi blɔd (we dɛn kɔl clotting factors ) de wok togɛda fɔ mek wan blɔd klɔt. Bɔt pipul dɛn we gɛt ɛmofilia nɔ gɛt wan pan dɛn prɔtin ya we de ɛp di blɔd fɔ klɔt. Dis na di rizin we mek blɔd nɔ kin stɔp izi wan we wi gɛt bad bad tin.
Dis nɔto sik we pɔsin kin pas. Na wan sik we pɔsin kin gɛt frɔm in jɛnɛreshɔn, we min se i kin pas frɔm wan jɛnɛreshɔn to ɔda jɛnɛreshɔn .
Tu men kayn ɛmofilia de.
| Di kayn sik we dɛn kɔl ɛmofilia | Tɔk bɔt |
|---|---|
| Ɛmofilia A | Dis na di kayn we we pipul dɛn kin gɛt mɔ. Na lɛk 80% pan di wan dɛn we gɛt ɛmofilia gɛt dis kayn. i kin bi bikɔs di prɔtin we dɛn kɔl Factor VIII we nid fɔ mek di blɔd nɔ klin. Aw di sik kin tranga kin dipen pan di digri we dis tin kin ridyus. |
| Ɛmofilia B | Dis na tin we nɔ kin apin smɔl. Na lɛk 20% pan di sik pipul dɛn de pan dis kayn. Dis kin apin bikɔs di Factor IX we nid fɔ mek blɔd klɔt nɔ de.Dis kin bi smɔl, smɔl, ɔr bad bad wan dipen pan di kayn tin wae de apin. |
Apat frɔm dat, wan kayn tin de we nɔ kin apin so ɔltɛm we dɛn kɔl ɛmofilia C. I kin mek i nɔ gɛt Factor XI.
Wetin na di sayn dɛm fɔ ɛmofilia?
Di sayn dɛm kin difrɛn difrɛn wan fɔ di kayn sik. Sɔntɛnde, blɔd kin kɔmɔt fɔ no rizin. I kin izi fɔ no dɛn sayn ya, mɔ pan yɔŋ pikin dɛn .
Di sayn dɛm we dɛn kin si pan yɔŋ pikin ɛn bebi dɛm:
- Blɔd we de kɔmɔt na dɛn ed we dɛn bɔn dɛn: Sɔm pikin dɛn kin gɛt blɔd insay dɛn ed we dɛn bɔn dɛn.
- Di jɔyn dɛn we de swel we yu bigin fɔ waka: Yu fɔ wɔri if yu pikin in jɔyn dɛn, lɛk in ni ɛn in ɛlbow, dɔn swel ɛn blu jɔs afta i bigin fɔ waka ɔ kray.
- Big blu spat ivin frɔm smɔl brus: Ivin smɔl bɔmp kin mek big, dak blu spat dɛn apia na di bɔdi.
- blɔd we de kɔmɔt na yu nos ɔltɛm ɛn we yu de blɔd na yu gɔm: Blɔd we de kɔmɔt na yu gɔm bɔku tɛm we yu de tit ɔ we yu de brus yu tit.
- Blɔd we de na di urine ɔ di stɔl.
Pɔsin we gɛt smɔl ɛmofilia nɔ kin sho ɛni sayn te i big. Sɔntɛnde, dɛn kin no dis sik we pɔsin de blɔd pasmak we dɛn de du smɔl tin lɛk fɔ pul in tut.
Aw dis sik kin apin?
Dis kin tan lɛk se i kɔmplikt smɔl, bɔt i simpul fɔ ɔndastand. Ɛmofilia na sik we pɔsin kin gɛt frɔm in jɛnɛtiks . dis min se na difεkt na di jin dεm we kכmכt frכm di mama כ di papa de kכz am.
- Frɔm mama to pikin: Di jin we nɔ fayn we de mek pɔsin gɛt ɛmofilia de na di X kromozom. man pikin (pikin) de gεt wan X kromozom frכm di mama εn wan Y kromozom frכm di papa. So if di mama na pɔsin we de kɛr di sik, we min se i gɛt dis difrɛns pan wan pan in X kromozom dɛn, 50% chans de fɔ mek in pikin gɛt di X kromozom we nɔ fayn frɔm am. If dat apin, di bɔy pikin go gɛt ɛmofilia.
- uman dεm (gεl dεm) kin bi kכriכ: uman pikin kin gεt tu X kromozom dεm (wan frכm in mama, wan frכm in papa). Pan ɔl we i kin gɛt di X kromozom we nɔ fayn frɔm in mama, bɔku tɛm i nɔ kin gɛt di sik bikɔs ɔf di wɛlbɔdi X kromozom frɔm in papa. Bɔt dɛn kin bi pipul dɛn we de kɛr di sik . Dis min se dɛn kin pas di sik to dɛn pikin dɛn.
- If di papa gɛt ɛmofilia: Papa we gɛt ɛmofilia nɔ go ɛva pas di sik to in bɔy pikin dɛn bikɔs na bɔy pikin dɛn nɔmɔ kin gɛt di Y kromozom frɔm dɛn papa. Bɔt bikɔs ɔl in gyal pikin dɛn gɛt di X kromozom we nɔ fayn frɔm am, ɔl dɛn gyal pikin dɛn de go gɛt di sik.
Sɔntɛnde, pikin kin gɛt dis sik tru wan chenj we kin apin bay insɛf, ilɛksɛf nɔbɔdi nɔ de na di famili we gɛt ɛmofilia.
Aw fɔ no di sik? (Diagnosis) .
Dɛn kin no dis sik jɔs afta dɛn bɔn am. Yu kin no am bay we yu luk di famili histri, ɔ if di pikin gɛt blɔd we nɔ kɔmɔn. dεn kin ivin tεst am bay we dεn tek blכd sεmpl frכm di כmbilik kכd afta dεn bכn di pikin.
If yu ɔ yu pikin gɛt dɛn sik ya, go to dɔktɔ wantɛm wantɛm. Di dɔktɔ go aks fɔs if ɛnibɔdi na yu famili gɛt dis sik. Dɔn dɛn go du sɔm blɔd tɛst dɛn.
- Test fɔ mek yu blɔd klɔt: Dɛn tin ya kin chɛk aw yu blɔd kin klɔt kwik ɛn aw i kin klɔt fayn fayn wan.
- Factor Assay: If dɛn no se prɔblɛm de, dis tɛst kin no uskayn kayn ɛmofilia yu gɛt (A ɔ B) ɛn aw i bad.
| Di kayn we aw di sik kin tranga | Klotting Factor lεvεl dεm kכmpεr to nכmal lεvεl dεm |
|---|---|
| Nɔ vɛks kwik | 5% to 40% . |
| Soba | 1% to 5% . |
| Siriɔs | I nɔ rich 1% . |
Wetin na di tritmɛnt dɛn?
Natin nɔ de fɔ fred, tritmɛnt dɛn de we rili fayn fɔ mɛn ɛmofilia tide. Di men gol na fɔ mek di blɔd we nɔ de na di bɔdi kam bak.
- Clotting Factor Replacement: Dis na di men tritmɛnt. Dɛn kin gi Factor VIII intravenous fɔ ɛmofilia A ɛn Factor IX na intravenous fɔ ɛmofilia B. Dɛn kin du dis na ɔspitul, ɔ dɛn kin tren yu fɔ du am na os.
- Ɔmon tritmɛnt:Desmopressin na mεdikeshכn we dεn gi fכ trit mild hεmofilia A. I de wok bay we i de mek di bכdi fכ rilis Factor VIII. I de as injɛkshɔn ɔ as sprɛy na yu nos.
- Anticoagulants: Dɛn mɛrɛsin ya de wok bay we dɛn de stɔp wan blɔd we de klɔt fɔ mek i nɔ sɔlv kwik kwik wan. Dɛn kin yuz dɛn pan tin dɛn lɛk fɔ pul dɛn tut.
- Fyzikal Tɛrapi: If blɔd de kɔmɔt na di jɔyn dɛn ɔltɛm, dat kin mek dɛn nɔ ebul fɔ muv igen. Fyzikal tritmɛnt kin ɛp fɔ mek dɛn jɔyn dɛn de wok bak.
Kɔmplikɛshɔn dɛn we kin apin bikɔs ɔf ɛmofilia
If dɛn nɔ gɛt di rayt tritmɛnt, sɔm prɔblɛm dɛn kin apin, mɔ we pɔsin gɛt siriɔs ɛmofilia.
- Jɔyn dɛn we dɔn pwɛl: If yu blɔd bɔku tɛm na yu jɔyn dɛn lɛk yu ni, yu ɛlbow, ɛn yu anklɛ, dat kin mek dɛn nɔ ebul fɔ du natin, i kin mek i fil pen, ɛn i nɔ kin izi fɔ muv.
- Blɔd we de kɔmɔt na di bren: Dis na di prɔblɛm we de mek pɔsin denja pas ɔl. Blɔd kin kam na di bren bikɔs ɔf injuri na in ed ɔ, insay sɔm bad bad kes dɛm, fɔ no rizin. Dis kin mek pɔsin gɛt disabled fɔ ɔltɛm ɔ ivin day. If yu gɛt bad bad injury na yu ed, go na ɔspitul in Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm.
- I nɔ izi fɔ blo: If blɔd de na di say we yu trot, swel kin mek i nɔ izi fɔ blo.
Bɔrku pan dɛn prɔblɛm ya kin avɔyd if dɛn trit dɛn fayn ɛn di rayt tɛm. So, i rili impɔtant fɔ fala yu dɔktɔ in instrɔkshɔn dɛn di rayt we.
If yu de plan fɔ bɔn pikin ɛn yu gɛt famili histri bɔt ɛmofilia, yu kin gɛt kɔyl fɔ yu jɛnɛtiks. Dis kin ɛp yu fɔ no if yu na pɔsin we gɛt di sik ɛn wetin na yu pikin fɔ gɛt prɔblɛm. i posibul bak fכ pik wan hεlty εmbrayo εn implant am insay yu uterus tru mεtכd dεm lεk in-vitro fεtilayzεshכn.
Mɛsej we dɛn kin kɛr go na os
- Ɛmofilia na wan sik we de kɔmɔt na di blɔd we de afɛkt di we aw di blɔd de klɔt ɛn i kin pas frɔm wan jɛnɛreshɔn to ɔda jɛnɛreshɔn. I nɔto sik we pɔsin kin pas.
- If yu gɛt sɔm sayn dɛn lɛk we yu de blɔd pasmak bikɔs yu gɛt smɔl injuri, yu de brus bɔku tɛm, ɔ yu jɔyn dɛn de swel , go to dɔktɔ wantɛm wantɛm .
- Tide, tritmɛnt dɛn de we rili fayn fɔ dis sik. If yu gɛt di rayt tritmɛnt, yu go ebul fɔ liv nɔmal layf.
- If yu gɛt bad bad blow na yu ed, i impɔtant fɔ go wantɛm wantɛm na ɔspitul in Imejɛnsi Tritmɛnt Yunit (ETU) .
- If yu famili dɔn gɛt ɛmofilia, i go fayn fɔ mek yu aks fɔ advays bɔt yu jɛnɛtiks bifo yu plan fɔ bɔn pikin.
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