Yu dɔn fred we yu smɔl pikin gɛt smɔl smɔl rɛd-pɔpul spat dɛn wantɛm wantɛm na in leg ɛn in bɔdi? Dɛn kin dɔn kɔmplen se dɛn bɛlɛ de at ɛn dɛn jɔyn dɛn de pen. Na nɔmal tin fɔ mek ɛni mama ɔ papa wɔri we dɛn si sɔntin lɛk dis. Bɔt bɔku tɛm, i nɔ kin siriɔs . Dɛn sayn ya kin kam frɔm wan sik wae dɛn kɔl Henoch-Schönlein Purpura (HSP), ɔr as dɛn de kɔl am naw, IgA Vasculitis. Lɛ wi tɔk bɔt am simpul wan.
Fɔ tɔk am simpul wan, wetin na Henoch-Schönlein Purpura (HSP)?
Henoch-Schönlein Purpura (HSP) na, we wi de tɔk bɔt mɛrɛsin, wan kayn ``Vasculitis.`` Vasculitis na we di blɔd vesel dɛm na wi bɔdi, we tan lɛk smɔl smɔl tiub dɛm we de kɛr blɔd, kin inflam frɔm insay. Jɔs lɛk we wi skin kin swel we i wund, na so swɛlin kin de insay di blɔd vesel dɛn.
insay HSP, dis swel kin apin mεntal wan na di rili fayn, sכm sכm bכdi bכdi dεm we de כnda di skin. Bɔt sɔntɛnde dis ifɛkt kin go bak to di blɔd vesel dɛn na di kidni, intestinal, ɛn jɔyn dɛn.
dis kin apin biכs wan spεshal protin (antibodi) we dεn kכl `(Immunoglobulin A)` כ `(IgA)`, we na pat pan wi bכdi in imyun sistεm (dat na di sistεm we de protεkt wi frכm sik dεm), de kכmכt na di bכdi vεsul dεm. we `(IgA)` gɛda dis we, di blɔd vesel dɛn kin pwɛl, dɛn kin bɔs, ɛn smɔl blɔd kin lik ɔnda di skin. Na dat mek wi de si pepul ɛn rɛd spat dɛn na do. Lɛk smɔl brus.
dis kכndyushכn dεn kכl am bak `(IgA) Vasculitis` biכs di `(IgA)` antibodi de involv. Pan ɔl we i kin kam pan pipul dɛn we ol ɛni ej, dɛn kin si am mɔ pan pikin dɛn .
De impɔtant tin na dat HSP nɔr kin bi siriɔs sik. Bɔku pikin dɛn kin wɛl kpatakpata if dɛn nɔ gɛt tritmɛnt. Bɔt, i kin tranga pasmak pan big pipul dɛn.
Us sayn dɛn wi kin si?
Di sayn dɛm fɔ HSP kin mɔs afɛkt di pikin in skin, in jɔyn dɛm, in intestinal dɛm, ɛn in kidni dɛm. Di sayn we de sho klia wan ɛn we de sho klia wan na di pepul-rɛd spat dɛn we de sho na di skin. Lɛ wi luk dɛn sayn ya wan bay wan.
| Di sayn we de sho se di sik de | Tɔk bɔt |
|---|---|
| Skin rash we de kɔmɔt na di skin | Dis na di men sayn we de sho se yu gɛt dis sik. I kin mek yu gɛt rɛd ɔ pepul spat dɛn we kin rayz smɔl na di skin. Sɔntɛnde, na jɔs sɔm say dɛn kin de, sɔntɛnde, bɔku say dɛn kin de. Bɔku tɛm dɛn tin ya nɔ kin it ɔ mek pɔsin fil pen . Bɔku tɛm dɛn kin si dɛn na di pikin in leg ɛn in bɔdi . |
| Jɔyn pen ɛn swel | Di jɔyn dɛn, mɔ di ni ɛn anklɛ dɛn kin swel ɛn dɛn kin fil pen. Di pikin kin gɛt prɔblɛm bak fɔ waka. |
| Bɛlɛ de at | Bɛlɛ kramp kin kam ɛn go. Sɔm pikin dɛn kin gɛt vɔmit ɛn nɔys bak. |
| Ɔda tin dɛn we de apin | Na smɔl tɛm nɔmɔ, dɛn kin si blɔd na di stɔl ɔ blɔd na di urine (rɛd/brawn urine). Dɛn tin ya kin bi sayn fɔ se yu gɛt prɔblɛm wit yu kidni ɔ intestinal. |
Wetin mek dis kin apin? Wetin na di rizin dɛn?
HSP na wan sik we pɔsin kin gɛt we i de fɛt insɛf . Fɔ tɔk am simpul wan, wi bɔdi in "ami" (di imyun sistɛm) kin mistek bigin fɔ atak in yon wɛlbɔdi blɔd vesel dɛm. Risach pipul dɛn stil nɔ no bɛtɛ bɛtɛ wan wetin mek dis kin apin.
Bɔt wan tin klia: Na lɛk 50% pan di pikin dɛn we gɛt HSP dɔn gɛt wan sik we dɛn kɔl ɔpa respiratory infection, lɛk fɔ gɛt trot we de at ɔ kol, sɔm dez bifo dɛn simptom ya kam .
Ɔda tin dɛn we kin mek HSP (Triggers) .
sכmtεm, HSP kin apin bak as abnכmal rispכns fכ di imyun sistεm to:
- Baktri infεkshכn, fכ egzampl strep trot.
- Vayral infɛkshɔn dɛn.
- Sɔm it dɛn.
- Insɛkt dɛn we de bit am.
- Sɔm mɛrɛsin dɛn.
- Sɔm kayn vaysin (dis nɔ kin bɔku).
Udat kin gɛt dis sik pas ɔlman?
pan ɔl we IgA vaskulaytis kin apin pan ɛni ej, dɛn kin ripɔt pas 90% pan di kes dɛm pan pikin dɛm we ol bitwin 3 ɛn 10 ia .
Ɔda tin dɛn we kin mek pɔsin gɛt dis sik na:
- Famili istri:If sɔmbɔdi na yu famili dɔn gɛt HSP bifo, yu pikin gɛt smɔl risk fɔ gɛt am bak.
- Jɛnɛtik inflɔwɛns: Dɛn dɔn si se dis sik kin rili bɔku pan pipul dɛn we kɔmɔt na Yurop ɛn Eshia.
Ɛni kɔmplikeshɔn de we kin apin bikɔs ɔf HSP?
Bɔrku pipul dɛn kin wɛl ɔlsay insay wan ɔr tri mɔnt we dɛn nɔr gɛt ɛni tritmɛnt. Sɔntɛnde, di sik kin kam bak, bɔt dat tu kin sɔlv fɔ insɛf.
Bɔt nɔto ɔltɛm, mɔ pan big pipul dɛn, HSP kin bi siriɔs ɛn mek prɔblɛm dɛn.
- Kidni damej: Kidni sik kin kam fɔ lɔng tɛm. Dis na di men kɔmplikɛshɔn fɔ wach fɔ na HSP.
- Blɔd we de kɔmɔt na di intestinal.
- Damej ɔ blok na di intestines.
- di ay blɔd prɛshɔn we uman gɛt bɛlɛ (fɔ uman dɛn).
Aw yu go fɛn dis, Dɔktɔ?
We yu kɛr yu pikin go to dɔktɔ we de mɛn pikin dɛn, i go tek tɛm luk yu pikin fɔs, mɔ fɔ luk fɔ ɛni skin we gɛt rash ɛn jɔyn dɛn we dɔn swel. Dɔn, dɛn go aks yu bɔt di sik dɛn we yu pikin gɛt ɛn ɛni sik we i jɔs gɛt.
Fɔ mek dɛn no se dɛn gɛt di sik ɛn fɔ mek dɛn nɔ gɛt ɔda sik dɛn we dɛn kin gɛt, di dɔktɔ kin tɛl dɛn fɔ du sɔm tɛst dɛn.
- Urinalysis: Fɔ no if di kidni dɛn dɔn afɛkt, dɛn kin chɛk di urine fɔ si if i gɛt blɔd ɔ prɔtin.
- Blɔd tɛst: Fɔ chɛk fɔ si if pɔsin gɛt infekshɔn ɔ ɔda prɔblɛm dɛn na di bɔdi.
- Kidni ɔltrasɔund: Chɛk aw di kidni dɛn de.
- Abdominal ultrasound: Fɔ no wetin mek yu bɛlɛ de pen.
- Skin biopsy: Sɔntɛnde, dɛn kin tek wan rili smɔl pat pan di skin frɔm di say we di mol de ɛn chɛk am fɔ kɔnfirm di diagnosis.
- Kidni bayɔpsi: Na tɛst we dɛn kin jɔs du if dɛn tink se di kidni dɔn pwɛl bad bad wan.
Wetin na di tritmɛnt dɛm fɔ HSP?
Bɔrku tɛm, HSP nɔr nid spɛshal tritmɛnt. De men tin na fɔ manej de sik na os.
Fɔ mek yu jɔyn pen ɛn swel, yu kin tek paracetamol (Tylenol®) ɔ wan NSAID pen riliva (Advil®) lɛk aw yu dɔktɔ tɛl yu.
Bɔt if di sayn dɛm lɛk bɛlɛ at bad bad wan, di dɔktɔ kin gi yu wan mɛrɛsin we gɛt stɛroyd lɛk prɛdnison. If di skin rash ɛn ɔda sayn dɛn nɔ de igen, mek shɔ se yu go to yu pikin in dɔktɔ.
Mɛmba se, bɔrku tɛm HSP na wan kayn sik wae nɔr kin fayn ɛn kin sɔlv fɔ insɛf. Bɔt nɔto ɔltɛm, i kin mek pɔsin gɛt siriɔs prɔblɛm dɛn lɛk di kidni ɛn intestinal prɔblɛm. So, sɔm pikin dɛn kin nid fɔ tek mɛrɛsin fɔ mek dɛn imyun sistɛm wok fayn fayn wan. Tɔk to yu dɔktɔ bɔt dɛn mɛrɛsin ya ɛn di sayd ɛfɛkt dɛn we dɛn kin gɛt.
Ustɛm wi fɔ go to dɔktɔ?
I bɛtɛ fɔ go to dɔktɔ jɔs afta yu pikin gɛt dɛn sik ya. Dɔn bak, if dɛn tin ya we de kam biɛn ya apin we dɛn de trit am ɔ we di sik de wɛl, go to yu dɔktɔ bak.
| Ustɛm fɔ go to dɔktɔ wantɛm wantɛm | |
|---|---|
| 1. 1. 1. . | If swɛlin de we nɔ kɔmɔn. |
| 2. 2. . | If di pikin de fil pen ɔ nɔ de fil fayn we i nɔ ebul fɔ bia. |
| 3. 3. . | If di sayn dɛm kin las pas 12 wik. |
| 4. 4. . | If de sik impɔtant ɛn afta dat i kam bak. |
| 5. 5. . | If de sik de wɔs de go de, instead fɔ de bɛtɛ. |
HSP nɔto tin we pɔsin kin gɛt fɔ ɔl in layf. Bɔku tɛm, i kin sɔlv insay wan ɔ tri mɔnt. Sɔm pikin dɛn kin gɛt di sɛkɔn tɛm, bɔt di sayn dɛn nɔ kin rili bad.
Fɔ dɔn, HSP kin mek yu pikin fil pen ɛn nɔ fil fayn. I kin rili at fɔ mek mama ɛn papa dɛn si dɛn pikin we i de fil pen. Bɔt mɛmba se bɔku pikin dɛn kin wɛl kpatakpata ɛn dɛn nɔ kin gɛt ɛni prɔblɛm fɔ lɔng tɛm.Di dɔktɔ kin gɛt fɔ fala di pikin fɔ sɔm tɛm fɔ chɛk aw di kidni dɛn de. Dis rili impɔtant.
Mɛsej we dɛn kin kɛr go na os
- Henoch-Schönlein Purpura (HSP) na wan sik we di smɔl smɔl blɔd vesel dɛn we de ɔnda di skin kin swel, we kin mek di leg ɛn di bɔdi gɛt pepul-rɛd spat.
- Dis kin bi mɔr pan pikin dɛm ɛn bɔrku tɛm nɔr kin bi siriɔs sik.
- Simptom dɛm lɛk joyn pen ɛn bɛlɛ pen kin apin bak wit dis.
- Bɔku pikin dɛn kin wɛl ɔlsay insay 1-3 mɔnt we dɛn nɔ gɛt spɛshal tritmɛnt.
- I rili impɔtant fɔ go to dɔktɔ wantɛm wantɛm if yu notis dɛn spat ya na yu pikin in skin, bikɔs dɛn nɔ kin afɛkt di kidni dɛn.
- I rili impɔtant fɔ fala wetin di dɔktɔ tɛl yu fɔ du ɛn fɔ de chɛk yu ɔltɛm.
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