Wetin na dis ‘ɛkstravaseshɔn’? Lɛ wi ɔndastand am simpul wan!

Yu don eva yehri di wohd ‘extravasation’? Sɔntɛm yu dɔn yɛri am frɔm yu dɔktɔ, ɔ sɔntɛm yu dɔn yɛri am we yu de du risach bɔt aw fɔ mɛn kansa . Pan ɔl we i rili na smɔl wɔd fɔ mɛn pipul dɛn, i gɛt tu minin. Wan na dat na natura l prכsεs we de apin insay wi bכdi. Di ɔda wan na dat na smɔl kɔmplikeshɔn we kin apin sɔm tɛm we wi de gi mɛrɛsin, mɔ we wi de trit kansa (kimotɛrapi). Wi go tɔk bɔt dɛn tu tin ya tide, rili simpul, so dat yu go ɔndastand.

Wetin na di prɔses we dɛn kɔl ‘ɛkstravaseshɔn’?

Fɔ tɔk am simpul wan, ‘ɛkstravaseshɔn’ na di prɔses we di sɛl dɛn na wi bɔdi de muf kɔmɔt na di blɔd vesel dɛn (we blɔd de flɔ) ɛn go insay di tisu dɛn we de rawnd. Na tu Latin wɔd dɛn mek am. 'ɛkstra' min "ɔdasay" ɛn 'vas' min "vessel." So i min sɔntin lɛk "kɔmɔt na vessel."

Tink bɔt am dis we. We yu gɛt smɔl wund, ɔ we wan jem kam insay yu bɔdi, di fɔs tin we kin kam ɛp yu na yu wayt blɔd sɛl dɛn. Dɛn tan lɛk di polis dɛn we de na yu bɔdi. Dɛn wayt blɔd sɛl ya kin travul tru yu blɔd vesel dɛn, jomp kɔmɔt na dɛn vesel dɛn de, ɛn go na di wund ɔ di jem. Wi kin kɔl dis prɔses fɔ jomp kɔmɔt ‘ɛkstravaseshɔn.’ Dis na impɔtant pat pan yu bɔdi in difens sistɛm .

כlso, i sכri fכ no se dis sem prכsεs fכ 'ekstravasεshכn' na in di kεnsar sεl dεm de yuz fכ spre כlsay na di bכdi, dat na fכ muv frכm wan ples to כda wan (we wi kin kכl bak `mεtastasis`).

Aw di kansa sɛl dɛn kin du dis?

di kansa sel dεm fכs brok kכmכt frכm di כrijinal tכmכro we dεn fכm frכm. Dɔn dɛn sɛl ya kin travul tru di smɔl smɔl blɔd vesel dɛn na wi bɔdi we dɛn kɔl kapilari , ɛn go insay di blɔd. As dɛn de travul, dɛn kansa sɛl dɛn ya kin tay pan wan tin we dɛn kɔl ɛndoteyl , we de layn di blɔd vesel dɛn.

Fɔs, dɛn kansa sɛl ya kin travul along di ɛndoteyl. afta sכm tεm, dεn kin tay fayn fayn wan pan di εndoteyl. (Sɔm pan wi wayt blɔd sɛl dɛn, we na wan kayn sɛl we dɛn kɔl pletlɛt . Di wan dɛn we de stɔdi bɔt mɛrɛsin de stɔdi dis prɔses bɔku tɛm, bikɔs dɛn tink se if wi ebul fɔ stɔp am, wi go ebul fɔ mek kansa nɔ bɔku.) Dɔn, dɛn kansa sɛl dɛn ya kin brok di wɔl dɛn na di blɔd vesel dɛn ɛn travul go na di tisu dɛn. Afta dat, di kansa sɛl dɛn kin slip, day, ɔ bigin fɔ mek nyu tɔŋ dɛn na nyu say.

Yu kin de tink se, "A go fil am if a gɛt 'ɛkstravaseshɔn' lɛk dis na mi bɔdi?" We wayt blɔd sɛl dɛn de fɛt wan infekshɔn, yu kin fil sɔntin lɛk fɔ swel ɛn rɛd. Bɔt wit ‘ɛkstravaseshɔn’, we kin apin we kansa de skata , yu nɔ kin si dɛn kayn big big sayn ya fɔs . Pan ɔl we di mɛdikal tɛst nɔ de sho dis ‘ɛkstravaseshɔn’ dairekt wan, dɛn kin chɛk tin dɛn lɛk di nɔmba fɔ di wayt blɔd sɛl dɛn na di blɔd ɛn di mak dɛn we gɛt kansa wit blɔd tɛst.

Di mεdikal kכndyushכn we dεn kכl ‘extravasation’.

Naw lɛ wi tɔk bɔt di ɔda minin fɔ wetin dɔktɔ dɛn kɔl ‘ɛkstravaseshɔn’. Dis kin apin mɔ we dɛn gi di wan dɛn we gɛt kansa kemotɛrapi drɔgs insay dɛn bɛlɛ (IV) , we na wan kayn mɛrɛsin we dɛn kin gi tru wan tiub (kanula) insay wan vein.

Yu go dɔn notis se dɛn kin gi sɔm mɛrɛsin dɛn dairekt insay wan vein. Insay kansa tritmɛnt, dɛn kin gi dis mɛrɛsin dairekt insay di blɔd tru wan IV tiub. dis IV tiub kin kכnekt to wan vein na yu an כ wrist. Dɔn dɛn kin pɔmp di mɛrɛsin tru wan tiub frɔm wan plastic bag insay yu blɔd. Sɔntɛnde, dɛn kin yuz kanula, we kin put di mɛrɛsin insay yu bɔdi smɔl smɔl fɔ sɔm tɛm.

naw, sכm antikansa dεm de we dεn kכl ``vesicants.'' Di wכd min ``we de mek vesicants.'' If dεn ``vesicants'' dכg dεm lik kכmכt na di IV layn כ di ``canula,'' dεn kin pwεl di hεlty tisu we de rawnd. na dat wi kin kכl mεdikal wan ``extravasation,'' we di dכg de lik kכmכt na di vein εn pwεl di tisu .

If dis apin, di pɔsin we de tek di mɛrɛsin kin fil bɔn ɛn pen na di say we di IV de. If di mɛrɛsin lik tru kanula, di say kin fil tranga, swel, ɛn rɛd.

Bɔt na sɔntin we rili impɔtant fɔ mɛmba . If dɛn de gi yu wan ‘vesicant’ kayn kansa drɔg, yu dɔktɔ ɛn nɔs dɛn no bɔt am gud gud wan. Di ɔspitul dɛn gɛt klia polisi ɛn gaydlayn fɔ mek dɛn nɔ gɛt dis ‘ɛkstravaseshɔn’. Dɛn kin tek tɛm wach yu we dɛn gi yu di mɛrɛsin, ɛn if dɛn si ɛni prɔblɛm, dɛn kin fix am kwik kwik wan.

Dis ‘ɛkstravasation’ kin kɔmɔn pan kansa tritmɛnt?

Nɔ, dis nɔto so kɔmɔn tin., bɔt i nɔto tin we nɔ pɔsibul. Wan stכdi sho se lεk 6% pan di kεnsar tritmεnt dεm gεt sכm sכm ‘εkstravasεshכn’. Dɛn dɔn tren di mɛdikal wokman dɛn we de gi kansa mɛrɛsin tru IV spɛshal wan fɔ mek dɛn nɔ du dis ɛn fɔ trit am kwik if i apin.

Yu tink se dis na siriɔs prɔblɛm?

Yɛs, sɔntɛnde dis kin rili siriɔs . Tink bɔt am, di mɛrɛsin dɛn we strɔng fɔ kil di kansa sɛl dɛn kin pwɛl di wɛlbɔdi tisu dɛn bak, nɔto so? So if di mɛrɛsin lik kɔmɔt na di IV, i kin mek pɔsin fil pen ɛn pwɛl di tisu. Di sayn dɛm kin apia wantɛm wantɛm, ɔr kin apin sɔm dez afta dat.

Wetin na di sayn dɛm fɔ ‘ɛkstravaseshɔn’?

• Wantɛm pen usay dɛn put di IV ɔ kanula.
• Wan tin we pɔsin kin fil we i de bɔn ɔ we i de swɛt .
• Di skin kin rɛd na da say de.
• Pokmak ɔ blista dɛn .
• Wund .
• di skin we de wayt (dis kin bi sayn fɔ se di tisu dɔn pwɛl).

Ɛnitin de we kin mek di risk fɔ mek pɔsin gɛt ɛkstravays?

Yɛs, sɔm tin dɛn kin mek dis prɔblɛm bɔku smɔl. Bɔt di wan dɛn we de wok na di dɔktɔ no bɔt dɛn tin ya we kin mek pɔsin gɛt prɔblɛm, so dɛn kin du tin fɔ ridyus dis prɔblɛm.

• Fɔ di wan dɛn we gɛt smɔl ɔ wik veins .
• Fɔ di wan dɛn we dɛn blɔd vesel dɛn kin bɔs kwik kwik wan pas aw i kin bi .
• Fɔ pipul dɛm wae dɛn blɔd vesel dɔn tik ɔr hat bikɔs ɔf kansa tritmɛnt.
• Fɔ di wan dɛn we gɛt blɔd vesel dɛn we de muv rawnd we dɛn de tray fɔ put IV.

Aw dɛn kin trit dis ‘ɛkstravaseshɔn’?

Di mɛdikal staf dɛm we de gi kansa drɔgs de mek am dɛn tɔp prayoritɛd fɔ mek dɛn nɔ gɛt dis ‘ɛkstravaseshɔn’. Bɔt if i sɔri fɔ no se i apin, dɛn kin tren dɛn bak fɔ sɔlv ɛni prɔblɛm we kin apin kwik kwik wan. Na sɔm tin dɛn we dɛn kin du:

• Di mɛrɛsin we dɛn de gi tru di IV go stɔp wantɛm wantɛm.
• As yu ebul, pul ɛni mɛrɛsin we dɔn rɔsh na di say.
• Dɛn kin pul di IV ɛn trowe am.
• di an we dεn afekt de εlevεt sכmtεm (dεn de εlevεt).
• Put wan krim fɔ mek di sik nɔ bɔku.
• Dɛn kin put kol kɔmprɛs dɛn. Di kol kɔmprɛs de ridyus di pen. I kin kɔntrakt di blɔd vesel dɛn bak, we kin mek ɛni mɛrɛsin we lɛf nɔ bɔku.
• Sɔntɛnde , dɛn kin put wam kɔmprɛs.di wam kכmpreshכn dεm de mek di bכdi fכ fכlכ bכku, we kin εp fכ pul כ ridyus di mεdikeshכn we de rawnd di IV sayt. (Yu dɔktɔ go disayd if i fayn fɔ yuz kɔmprɛs we wam ɔ kol.)

Wetin kin apin afta dɛn dɔn ‘ɛkstravasayz’?

I kin difrɛn difrɛn wan bay aw yu sik. Yu mεdikal tim go trit di prכblεm dεm we di εkstravasεshכn de kכz. Afta dat, dɛn go wach yu kɔndishɔn fɔ si if ɛni nyu prɔblɛm de kam ɔ if de sik de wɔs.

Sɔntɛnde, yu kin kɔntinyu fɔ trit yu bay we yu yuz difrɛn IV sayt. Ɔda tɛm dɛn, yu dɔktɔ kin tɛl yu fɔ put di tritmɛnt bifo fɔ sɔm dez te yu wɛl. Bɔt dɛn go gi yu ditayli instrɔkshɔn dɛn bɔt aw fɔ kia fɔ yusɛf na os. Fɔ ɛgzampul:

• Afta yu dɔn ɛkstravays, dɛn kin aks yu fɔ put kol ɔ ɔt kɔmprɛs na yu an fɔ at le wan de (lɛk 15-20 minit, 4 to siks tɛm insay di de). Yu dɔktɔ go tɛl yu di rayt we fɔ du dis.
• Yu kin tɛl dɛn fɔ kip di an we dɛn afɛkt ɔp .

A go ebul fɔ kɔntinyu fɔ gɛt tritmɛnt?

I dipen bak pan yu kɔndishɔn. Stɔdi dɔn sho se bɔku pipul dɛn kin kɔntinyu fɔ gɛt tritmɛnt . Sɔntɛnde, dɛn kin chenj di IV ɛn dɛn kin bigin fɔ trit am jɔs afta di ɛkstravayseshɔn. Ɔda tɛm dɛn, dɛn kin delay fɔ di tritmɛnt te di sayn dɛn we de sho se di pɔsin we dɛn pul di bɔdi kɔmɔt na di bɔdi dɔn kɔmɔt kpatakpata.

Ustɛm a fɔ tɛl di dɔktɔ?

If di sayn dɛn we de sho se yu gɛt ɛkstravays de kɔntinyu fɔ lɔng pas aw yu bin de tink, mek shɔ se yu tɛl yu dɔktɔ .

Fɔ sɔmtin, na di tin dɛn we wi nid fɔ mɛmba (Take-Home Message):

Naw yu no se di wɔd ‘extravasation’ gɛt tu minin. Wan na di natura l prכsεs we di kεnsar sεl dεm de yuz fכ spre כlsay na di bכdi. Di ɔda wan na wan mɛrɛsin we kin apin we di mɛrɛsin dɛn we dɛn kin yuz fɔ mɛn pipul dɛn kin lik kɔmɔt na di IV.

Impɔtant tin na dat, dis kɔmplikeshɔn we dɛn kɔl ‘ɛkstravaseshɔn’ nɔto tin we nɔ kin apin we dɛn de trit kansa. Dɛn tren di dɔktɔ dɛn spɛshal wan fɔ mek dɛn nɔ gɛt am ɛn fɔ trit am kwik if i apin.

If yu go gɛt kemotɛrapi fɔ kansa, tɔk to yu dɔktɔ ɔ nɔs bɔt wetin fɔ ɛkspɛkt we yu de du tritmɛnt ɛn wetin na di kɔmɔn sayd ɛfɛkt dɛm. Da we de, if yu notis ɛnitin we difrɛn, yu go ebul fɔ no if na nɔmal tin ɔ na sɔntin we yu nid fɔ ripɔt wantɛm wantɛm. Nɔ wɔri, yu mɛdikal tim de ya fɔ ɛp.

` Ekstravaseshכn, kεnsar tritmεnt, kεmothεrapi, IV lik, dכg lik frכm di vein, kεnsar spred, sεl maygrεshכn