Miiri k’a filɛ, i bɛ nakɔfɛnw tigɛtigɛ dumunikɛyɔrɔ la, ka i bolo tigɛ bala la. Walima an k’a fɔ ko denmisɛnnin dɔ binna tulonkɛ la, k’a gɛnɛgɛnɛ kuru. A daminɛ na, joli dɔɔni bɛ kɛ, nka waati dɔ tɛmɛnen kɔfɛ, hali n’an ma foyi kɛ, joli bɛ jɔ dɔrɔn, ɔnhɔn? Nin tɛ ko wɛrɛ dɔrɔn ye. Nin ye an farikolo lafasali fɛɛrɛ kabakoma ye. Furakɛcogo la, an b’o wele ko joli-sira-funu . N’an y’a fɔ cogo nɔgɔman na, o ye fɛn ye min bɛ kɛ ni a yɛrɛ ye, min bɛ joli bɔli dabila joginda la, ka farikolo labɛn walasa k’o joginda kɛnɛya.
O la, nin wale in min bɛ wele ko joli-sira-funu, o bɛ kɛ cogo di?
Nin mankan bɛ i n’a fɔ maana min ka di kosɛbɛ. Daɲɛ min ye joli-sira-funu ye, o bɛ Kɛ yɔrɔ fla ye. "Hɛmo" kɔrɔ ye "joli" ye ani "stasis" kɔrɔ ye "ka jɔ" walima "ka jɔ." Kuma nɔgɔman na, a kɔrɔ ye ko "ka joli bɔli dabila." O kɛcogo bɛ daminɛ sekɔndi damadɔ kɔnɔ joginda kɔfɛ. A ka ca a la joli bɛ bɔ joginni na fo miniti fila fo miniti wolonwula.
Nin tɛ ko ye min bɛ kɛ ni sen kelen ye. A bɛ kɛ senfɛ-senfɛ, i n’a fɔ bololabaarakɛla ŋanaw ka jɛkulu min bɛ baara kɛ ɲɔgɔn fɛ walasa ka porozɛ dɔ dafa. An ka fɛɛrɛ kunbaba naani lajɛ.
| Taabolo minnu bɛ kɛ | Fɛn min bɛ kɛ (kumasen nɔgɔmanw na) . |
|---|---|
| Taabolo fɔlɔ : Joli siraw gɛlɛyali | Joli siraw (joli siraw) minnu bɛ joginda yɔrɔ la, olu bɛ gɛlɛya, i n’a fɔ ka jibolisira digidigi. O bɛ joli bɔli sumaya. |
| Taabolo 2nan : Ka waati dɔɔnin fiyɛlilan dilan | Plaquettes, o ye farikolokisɛ misɛnni sugu dɔ ye min bɛ panpan an joli la, olu bɛ boli ka taa joginda yɔrɔ la ka nɔrɔ a la. U bɛ ɲɔgɔn dalajɛ ka joginda datugu waati dɔɔni. A bɛ i n’a fɔ ka fini dɔ don buteli kan. o bɛ wele fana ko joli-sira-funu fɔlɔ . |
| Taabolo 3nan : Aw bɛ joli segin cakɛda daminɛ | Sisan, baara lakika bɛ daminɛ. Fɛn min bɛ joli laProtéines minnu bɛ wele ko coagulation facteurs, olu bɛ baara kɛ kelen kɔfɛ, o bɛ o waati dɔɔnin sigicogo barika bonya ka taa a fɛ. O bɛ i n’a fɔ cakɛda dɔ. o bɛ wele ko joli seginni filanan . |
| Taabolo 4nan : Joli kuru banbali dɔ sɔrɔli | A laban na, joli segin furakisɛw ni farikolojɔlifɛn kɛrɛnkɛrɛnnen dɔ min bɛ wele ko fibrin , olu bɛ fara ɲɔgɔn kan ka kɛ joli kuru barikamaba ye, min bɛ to senna, i n’a fɔ birikiw ni bɔgɔdaga minnu bɛ kogo jɔ. O bɛ joginda datugu pewu. Kɔfɛ, ni joginda bɛ kɛnɛya, o joli kurulen bɛ wuli ka fari kura sɔrɔ. |
N’an y’a fɔ cogo nɔgɔman na, joli-sira-funu ye an farikolo ka “plaster” ye min bɛ sɔrɔ a yɛrɛ la. Ni o tɛ, hali sɔgɔsɔgɔninjɛ fitinin dɔ bɛ se ka kɛ sababu ye ka joli caman bɔ an na, wa hali ka kɛ an ka ɲɛnamaya bila farati la.
Mun bɛ kɛ ni o kɛcogo ma ɲɛ?
Hali ni a ka c’a la, o kɛcogo bɛ baara kɛ kosɛbɛ, tuma dɔw la, a bɛ se ka kɛ cogo jugu la. O kɔ, gɛlɛya fila bɛ se ka sɔrɔ:
1. Joli dɔgɔyali : O ye ni joli tɛ kuru ka ɲɛ ni a mago bɛ a la. Hali joginda fitini bɛ se ka kɛ sababu ye ka joli bɔ ka mɛn, o bɛ na ni joginda ni joginda ye.
2. Jolilabanaw (hypercoagulability): O ye joli kurulenw bɛ sɔrɔ farikolo la ni u mago tɛ u la. O bɛ se ka kɛ faratiba ye.
Ni joli kuruli cayara kojugu (Hypercoagulability) .
O ye farati ye barisa joli kuru minnu man ɲi, n’olu bɛ kɛ farikolo kɔnɔ (an b’o wele ko trombose ) olu bɛ se ka tɛmɛ joli siraw fɛ ka don farikolo yɔrɔ nafamaw la i n’a fɔ kunsɛmɛ, dusukun ani fogonfogon. O de bɛ Kɛ.
- Sɔgɔsɔgɔninjɛ : Ni joli kurulen dɔ ye joli sira dɔ datugu min bɛ joli ta ka taa kunsɛmɛ na.
- Dusukun tantanni : Ni joli kurulen dɔ ye joli sira dɔ datugu min bɛ joli lase dusukun ma.
- Fogonfogonlabana : O bɛ se ka kɛ ni joli kuru ( Deep Vein Thrombosis - DVT ), min ka teli ka kɛ senkɔni jugumanba dɔ la, o karilen don ka don fogonfogon la jolisira dɔ kɔnɔ.
Kansɛri suguya dɔw, jamu banaw (misali la Factor V Leiden , Protéine C dɛsɛ ), ani furakɛli bana wɛrɛw (misali la Antiphospholipid syndrome , banakisɛ jugumanw - sepsis ) bɛ se ka dɔ fara joli kuruli kan o cogo la.
Ni joli kuruli dɔgɔyara kojugu (Hypocoagulability) .
Nin ye a kɔkanna ye. Ikomi aw joli tɛ kuru ka ɲɛ, joginda o joginni bɛ se ka kɛ farati ye. Hali ni a tigɛra dɔɔni, o bɛ se ka kɛ sababu ye ka joli bɔ kojugu. Joli yebali fana bɛ se ka kɛ farikolo kɔnɔ.
O misali jɔnjɔnw ye ninnu ye:
- Hémophilie : Nin ye bana ye min bɛ sɔrɔ jamu fɛ, farikolo tɛ fɛn kelen walima caman bɔ min ka kan ka kɛ joli kuruli la.
- Von Willebrand ka bana : Nin ye bana ye min bɛ sɔrɔ jamu fɛ, a ni jolidɛsɛ bɛ tali kɛ ɲɔgɔn na.
- Trombocytopenia (Trombocytopénie): O ye joli segin furakisɛw hakɛ dɔgɔyali ye, olu minnu ye joli kuru fɔlɔw ye. Nin bana in bɛ se ka ye kansɛri suguya dɔw la (misali la, jolidɛsɛ ).
I bɛ se k’a dɔn cogo di ni nin ɲɔgɔnna gɛlɛya dɔw bɛ yen?
Ni nin taamasiɲɛ ninnu bɛ aw la, aw ka dɔgɔtɔrɔ bɛna aw bila jolidɔgɔtɔrɔ dɔ fɛ. A bɛna aw ɲininka aw ka bana taamasiɲɛw la ani ka joli sɛgɛsɛgɛli wajibiyalenw yamaruya.
O sɛgɛsɛgɛli dɔw ye:
- Joli jate dafalen (CBC) .
- Plaquettes (banakisɛfagalanw) hakɛ
- Joli bɔli Waati
- Prothrombine waati (PT) .
- Tromboplastin partiel activé (aPTT) waati .
- Fibrinogène (fibrinogène) hakɛ
Aw ka kan ka taa dɔgɔtɔrɔso la tuma jumɛn?
Ni bana taamasiɲɛ dɔw bɛ aw la, aw man kan ka aw ɲɛmajɔ abada . Olu bɛ se ka kɛ kɔrɔtɔko ye.
| Taamaʃyɛnw suguya | Fɛn minnu ka kan ka jateminɛ kɛ |
|---|---|
| Joli kuruli caya taamasiɲɛw (Hypercoagulability) - Ninnu ye kɔrɔtɔko ye, aw bɛ taa ETU la joona! | |
| Sugunɛ (paralyse) . | Farikolo fan kelen bɛ sɔgɔsɔgɔ, kuma gɛlɛya, ɲɛda fan kelen bɛ jigin, kungolodimi jugumanba. |
| Dusukun (dusukunnabana) . | Disidimi, ninakilidegun, barikantanya, dusukun tantanni teliya, fasa. |
| Fogonfogon la (Pulmonaire Embolie) . | Ninakilidegun barikama, disidimi, joli sɔgɔsɔgɔ, dawolo walima bolokɔni buluw, fasa. |
| Sen na (DVT) . | Dimi, funu, ani bilenni bɛ kɛ kɔkolo yɔrɔ la walima sen yɔrɔ wɛrɛw la. |
| Jolidɛsɛ taamasiɲɛw - aw bɛ kuma aw ka dɔgɔtɔrɔ fɛ ni ninnu bɛ aw la. | |
| Fɛn minnu bɛ kɛ tuma caman na | • A bɛ to ka nugu bɔ ani a jɔli gɛlɛya. • Joli bɛ bɔ ɲinw na ni aw bɛ aw ɲinw ko. • Hali joginda fitini bɛ joli bɔ ka mɛn. • Joli (nɔgɔ bulu/bilen) farikolo la kun t’a la. |
Take-Home cikan
- Joli jɔli ye fɛɛrɛ ye min bɛ kɛ a yɛrɛ la, min nafa ka bon, an farikolo bɛ joli bɔli dabila joginni fɛ.
- Nin ye wale gɛlɛn ye min bɛ taabolo caman kɛ.
- Tuma dɔw la, o kɛcogo bɛ se ka kɛ cogo jugu la. O bana fila bɛɛ, n’u bɛ wele ko joli-sira-funu walima joli-sira-funu, olu bɛ se ka kɛ farati ye.
- Taamasiɲɛw i n’a fɔ disidimi barikama, ninakili gɛlɛya, walima farikolo fan kelen min bɛ mɔgɔ hakili bɔ, o bɛ se ka kɛ joli kurulen taamasiɲɛ ye. O cogo la, aw bɛ taa dɔgɔtɔrɔso dɔ ka kɔrɔtɔko ɲɛmɔgɔso la joona (ETU) .
- Ni aw bɛ kurukuru kun tɛ, walima ni joli bɛ bɔ aw la kosɛbɛ joginda misɛnniw fɛ, aw kana aw ɲɛmajɔ o la ani aw bɛ kuma aw ka dɔgɔtɔrɔ fɛ siga t’a la .
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