Yu kin fil taya ɛn yu kin taya ɔltɛm? Yu kin gɛt fiva, yu mɔt kin gɛt sɔri, ɛn fil lɛk se yu de sik pan ivin di smɔl smɔl tin dɛn? Wan mɛrɛsin kin de biɛn dɛn tin ya wae wi nɔr kin tɔk bɔt bɔrku, bɔt kin rili siriɔs. Tide wi go tɔk bɔt wan pan dɛn kayn tin ya, we na Agranulocytosis. Nɔ wɔri, lɛ wi ɛksplen ɔltin insay simpul wɔd dɛn.
Wetin rili na Agranulocytosis?
Fɔ tɔk am simpul wan, dis na denja we wan kayn wayt blɔd sɛl we de na wi blɔd de go dɔŋ. Imajin se wi bɔdi tan lɛk kɔntri. Dɔn di jem dɛm we de mek wi gɛt sik na wi bɔdi na di ɛnimi dɛm we de atak di kɔntri. Di ami we de fɛt dɛn ɛnimi ya na di wayt blɔd sɛl dɛn we de insay wi blɔd.
Wan spɛshal pawa we de insay dis wayt blɔd sɛl ami dɛn kɔl am granulosayt . Tri men kayn sojaman dɛn de na dis fɔs:
- Nyutrofil dɛn
- Basofil dɛn we dɛn kɔl Basofil
- Eosinofil dɛn we dɛn kɔl
dis sεl dεm gεt sכm sכm granul dεm, we gεt εnzym dεm we de pwεl jεm dεm lεk baktri dεm we de kam insay di bכdi. Dɛn kin mek dɛn sɛl dɛn ya we impɔtant pas ɔl na wi bon mɛro.
so, agranulocytosis na we dεn fכt sεl dεm we dεn kכl granulocyte, spεshal wan di nyutrofil sεl dεm we bכku pas כl, dεn dכn dכn bכku bכku wan na di bכdi. We dat apin, i kin lɛf smɔl fɔ lɛ wi bɔdi in difɛns sistɛm pwɛl kpatakpata. Wi kin bigin fɔ sik izi wan ivin frɔm di smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl.
Nɔmal wan, pɔsin we gɛt wɛlbɔdi fɔ gɛt pas 1,800 wayt blɔd sɛl dɛn fɔ ɛni maykrolita blɔd. if dis nכmba fכl dכn 500, dεn kכl am Agranulocytosis. Dis na tin we rili denja.
Wetin na di tin dɛn we kin mek pɔsin gɛt agranulocytosis?
Tu men kayn tin de we kin mek dis sik: we pɔsin bɔn wit ɛn we pɔsin kin gɛt.
1. Agranulosaytɔsis we dɛn bɔn wit: .
Dis kin apin bikɔs ɔf wan prɔblɛm we de na in jɛnɛtiks. Dɛn kin bɔn sɔm pikin dɛn we nɔ kin ebul fɔ mek wayt blɔd sɛl dɛn na dɛn bon mɛrɔ. Fɔ ɛgzampul, wan sik de we nɔ kin apin so ɔltɛm we dɛn kɔl Kostmann syndrome. Bɔku tɛm, dɛn kayn pikin dɛn de kin gɛt fiva, dɛn kin gɛt infɛkshɔn, ɛn dɛn kin gɛt prɔblɛm wit dɛn bon.
2. Agranulocytosis we de apin leta:
Dis na de sik wae kin pasmak. I kin apin leta na layf fɔ difrɛn rizin dɛn.
| Rizin | Tɔk bɔt |
|---|---|
| Mɛrɛsin dɛn we dɛn kin yuz | Dis na di men ɛn kɔmɔn tin we kin mek pɔsin gɛt dis sik. Sɔm mɛrɛsin dɛn kin stɔp di bon mɛro fɔ mek wayt blɔd sɛl ɔ pwɛl di sɛl dɛn we de mek. |
| Infεkshכn dεm | sכm vayrus dεm (e.g. HIV, epataytis) εn baktriyal infεkshכn (e.g. tayfoyd, TB) kin mek di bon mכro fεil. |
| Di we aw pɔsin nɔ gɛt bɛtɛ vitamin | we yu nɔ gɛt bɛtɛ tin dɛn lɛk vaytamɛn B12 ɔ folate na di bɔdi. |
| Ɔda tin dɛn we kin apin to pɔsin we sik | Bon mכro sik dεm, bon mכro transplant, כtoimyun sik dεm lεk Systemic Lupus Erythematosus (SLE) εn Rheumatoid Arthritis. |
| Ɔda rizin dɛn | Fɔ drink pasmak ɛn fɔ it prɔblɛm lɛk anorexia nervosa. |
Aw mɛrɛsin kin mek pɔsin gɛt dis sik?
Mɛrɛsin na di big tin we kin mek pɔsin gɛt dis. We yu tek tin dɛn lɛk sɔm mɛrɛsin dɛn we de agens kansa, ɔlman in wayt blɔd sɛl dɛn kin go dɔŋ. Bɔt sɔm mɛrɛsin dɛn de we, pan ɔl we dɛn nɔ kin mek bɔku pipul dɛn gɛt prɔblɛm, dɛn kin mek smɔl pipul dɛn gɛt agranulocytosis.
- Drug dɛm we de wok tru di imyun sistɛm: Sɔm drɔgs kin mek wi bɔdi mek antibodi dɛm we de atak wi yon wayt blɔd sɛl dɛm.
- di dכg dεm we de sכpres di bon mכro: sכm dכg dεm (e.g. valproic acid, carbamazepine, sכm antibaytik dεm lεk amoxicillin) de stכp di prodakshכn fכ wayt bכdi sεl dεm na di bon mכro.
- Antikansa drɔgs ɛn sɔm mɛrɛsin fɔ mɛntɛl sik: Dɛn tin ya na di men tin bak we kin mek di wayt blɔd sɛl nɔ bɔku.
Di tin we impɔtant pas ɔl na, nɔ stɔp ɔ bigin ɛni mɛrɛsin we yu dɔktɔ nɔ tɛl yu . If yu tink se na mɛrɛsin de mek dis sik, tɛl yu dɔktɔ wantɛm wantɛm.
Wetin na di sayn dɛm fɔ dis sik?
Bɔrku tɛm, nɔr kin gɛt ɛni sayn fɔ dis sik. Dɛn kin kam fɔ no am bay we dɛn du blɔd tɛst fɔ ɔda rizin. Bɔt di sayn dɛm kin apin tru infɛkshɔn we kin kam bikɔs ɔf di lɔw imyuniti.
- Wan ay fiva we kin kam wantɛm wantɛm
- Fɔ fil kol ɛn shek shek
- Ɔlsa na yu mɔt
- Ed de at
- We pɔsin de swet
- Di limf no dɛm we dɔn swel
- Di liva ɔ di splin we de swel
- I kin taya ɛn taya ɔltɛm
Di tin we denja pas ɔl bɔt dis na dat ivin smɔl infekshɔn kin bigin kwik kwik wan to wan siriɔs sik we kin mek pɔsin in layf de pan denja we dɛn kɔl sɛpsis . Sepsis na wan sik wae de mek infεkshכn de spre כlsay na di bכdi, blɔd prεshכn de dכn denja, εn ivin di כgan dεm we de insay di bכdi kin fεl. Dis na tin we nid fɔ gɛt mɛrɛsin kwik kwik wan.
Pipul wae dɔn pas 65 ia, wae gɛt ɔda mɛrɛsin lɛk kidni sik ɔr at sik, kin gɛt bɔrku prɔblɛm if dɛn gɛt infekshɔn wit agranulocytosis.
Aw dɛn kin trit am?
Di fɔs ɛn impɔtant tin we yu fɔ du fɔ trit dis na fɔ fɛn di tin we de mek yu gɛt dis sik .
- Fɔ trit di mɛrɛsin: If na mɛrɛsin kam wit dis sik, di sik kin bɛtɛ insay 2-3 wik afta yu dɔn stɔp di mɛrɛsin lɛk aw yu dɔktɔ tɛl yu. If di kɔz na infekshɔn, dɛn fɔ trit am.
- Fɔ mek di wayt blɔd sɛl dɛn prodyuz: Dɛn kin gi spɛshal injɛkshɔn dɛn lɛk Filgrastim fɔ mek di wayt blɔd sɛl dɛn bɔku. dis dεm de mek di bon mכro εn inkrεs nyutrofil prodakshכn.
- Fɔ trit infɛkshɔn: If yu gɛt baktriyal infɛkshɔn, yu dɔktɔ go gi yu antibayɔtik. Fɔ vayral ɔ fɔngal infɛkshɔn, dɛn go gi yu patikyula mɛrɛsin. If di infekshɔn rili bad, yu kin nid fɔ go na ɔspitul ɛn gi yu tritmɛnt we dɛn kin put insay yu bɛlɛ (IV).
- Bɔn mɛrɔ transplant: If nɔ ɔda tritmɛnt nɔ wok, dɛn kin tek bon mɛrɔ transplant frɔm pɔsin we dɛn mach fɔ gi am as las tin fɔ du.
Aw pɔsin we gɛt agranulocytosis fɔ tek kia?
If yu gɛt dis sik, yu imyun sistɛm rili wik, so yu nid fɔ tek tɛm fɔ protɛkt yusɛf frɔm infɛkshɔn.
mɛmba se if yu nyutrofil kaunt dכn dכn 100 fכ 3-4 wik, 100% chans de fכ divεlכp infεkshכn. So mek shɔ se yu fala dɛn tin ya we yu fɔ tek tɛm wit.
| Step fɔ tek fɔ protɛkt yusɛf frɔm infɛkshɔn | |
|---|---|
| It | Na it nɔmɔ it we dɛn dɔn kuk fayn fayn wan. Nɔ it raw salad, sos, mit we nɔ kuk fayn, fish, eg, ɛn ɔda tin dɛn Wash ɛn pul frut ɛn vɛjitebul dɛn fayn fayn wan bifo yu it. |
| Pɔsin in yon klin | Was yu an fayn fayn wan wit sop ɛn wata ɔltɛm. Yuz ilɛktrik shava instead fɔ yuz reza. |
| Ples | Nɔ go na say dɛn we pipul dɛn kin bɔku (bɔs, tren, sinima). Nɔ wok wit dɔti, tɔch animal dɛn. Nɔ swim na pɔnd ɛn riva. |
| Rilayshɔnship wit ɔda pipul dɛn | Nɔ tɔch pipul dɛn we sik (lɛk di wan dɛn we gɛt fiva ɔ kol). |
Pan ɔl we agranulocytosis na siriɔs sik, bɔku tɛm i kin mɛn if dɛn no di kɔz ɛn trit am fayn. Di tin we impɔtant pas ɔl na fɔ go to yu dɔktɔ jɔs lɛk aw yu notis di smɔl sayn fɔ se yu gɛt di sik (fiva, bɔdi de at). If yu tek akshɔn kwik kwik wan, dat kin ɛp fɔ mek yu nɔ gɛt siriɔs prɔblɛm dɛn.
Mɛsej we dɛn kin kɛr go na os
- Agranulocytosis na wan kayn wayt blɔd sɛl (spɛshal nyutrofil) we de fɛt di jem dɛn we de na wi blɔd we de mek wi denja.
- Dis kin mek di bɔdi in imyun sistɛm wik ɛn mek ivin smɔl smɔl infɛkshɔn dɛn rili siriɔs.
- Dis kin apin mɔ we pɔsin de tek mɛrɛsin, difrɛn difrɛn infɛkshɔn dɛn, ɛn sɔm sik dɛn we pɔsin kin gɛt.
- If yu gɛt sɔm sayn dɛn lɛk fiva wantɛm wantɛm, kol, ɔ yu mɔt sos, go to yu dɔktɔ we yu nɔ go te.
- If dɛn dɔn no se yu gɛt dis sik, i impɔtant fɔ tek tɛm fɔ mek yu nɔ gɛt di sik.
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