We di dɔktɔ dɛn tɛl yu se yu pikin we yu jɔs bɔn gɛt kɔmpleks at sik, i nɔ kin izi fɔ tɔk bɔt di fred ɛn shɔk we yu de fil as mama ɔ papa. Na wan say, yu kin fil bad ɛn fred fɔ yu pikin. Na di ɔda say, yu kin fil lɛk se yu nɔ ɔndastand wan wɔd we di dɔktɔ dɛn de tɔk ɔ di nem dɛn fɔ di mɛrɛsin dɛn. Dɛn kayn tɛm dɛn de, wan pan di nem dɛn we yu sabi we yu go yɛri na ‘Alprostadil.’ So tide, lɛ wi tɔk rili simpul ɛn pɔlitiks bɔt wetin na dis mɛrɛsin, wetin mek dɛn de gi am to bebi, ɛn wetin yu nid fɔ no bɔt am.
Wetin mek dɛn kin gi dis mɛrɛsin to bebi? Lɛ wi ɔndastand dis fɔs.
Bifo wi tɔk bɔt dis mɛrɛsin, wi nid fɔ ɔndastand smɔl. Tink bɔt am, we di pikin de na di mama in bɛlɛ, in lɔng nɔ de wok, nɔto so? I kin gɛt di ɔksijɛn we i nid frɔm di ɔmbilikal kɔd. So dis tεm, sכmכl kכnεkshכn de, lεk ‘baypas’ path, bitwin di bכdi we de kכri bכdi frכm di at to di lכng (Pulmonary Artery), εn di men bכdi we de kכri bכdi to di bכdi (Aorta). Dis na wetin wi kɔl di Ductus Arteriosus . we dεn bכn di pikin εn bigin fכ brith in wan, dis ‘baypas’ rod nכ nid am igen. So i kin lɔk insɛf insay sɔm awa. Dat na di nɔmal tin we dɛn kin du.
Bɔt sɔm pikin dɛn kin bɔn wit rili kɔmpleks at prɔblɛm (Congenital Heart Defects). Fɔ ɛgzampul, di blɔd vesel we de kɛr blɔd go na di lɔng nɔ kin fɔm fayn, ɔ difrɛns kin de pan di we aw di men blɔd vesel dɛn kɔnɛkt. insay dis kes, if di ‘baypas’ rod we wi bin tכk bכt we dεn kכl Ductus Arteriosus blכk, di pikin in bכdi εn in lכng dεm nכ go gεt inof כksijεn bכdi. Dis kin rili denja fɔ di pikin in layf.
Na da tɛm de dɔktɔ dɛn nid fɔ du ɔpreshɔn fɔ mek di ‘baypas’ rod, we na di daktus arteriosus, opin artificially te dɛn kɔrɛkt di at prɔblɛm. Di mɛrɛsin we de sev layf we dɛn gi fɔ dis, dɛn kɔl am alprostadil.
So, wetin rili na Alprostadil?
Fɔ tɔk am simpul wan, alprostadil na wan sɛntetik drɔg we fiba wan kemikal we dɛn kɔl ‘Prostaglandin’ we dɛn kin mek na wi bɔdi na wi bɔdi. Dɛn kin yuz am mɔ na wi kɔntri ɔnda di brand nem Prostin VR .
di men wok we dis de du na fכ stכp di ductus arteriosus fכ kכloz εn kip am opin. I tan lɛk se yu put smɔl stik na di midul pan domɔt fɔ mek i opin. Dis mɛrɛsin de mek di pikin in bɔdi gɛt di blɔd we i nid te dɛn du di ɔpreshɔn pan di at. So dis na mɛrɛsin we rili impɔtant, lɛk brij fɔ sɔm tɛm .
Aw yu kin gi dis mɛrɛsin to pikin?
Dis nɔto mɛrɛsin fɔ yuz na os. Dɛn kin gi alprostadil na ɔspitul, mɔ na Nionatal Intensiv Keya Yunit (NICU) ɔ Pikin Intɛnsiv Keya Yunit (PICU).
Dis na bikɔs dɛn fɔ gi dis mɛrɛsin dairekt insay wan vein, lɛk salin sɔlvushɔn (intravenous infusion) , rili tek tɛm, kɔntinyu. Dɔn bak, we dɛn de gi dis mɛrɛsin, tin dɛn lɛk di pikin in at rit, in blɔd prɛshɔn, ɛn ɔksijɛn lɛvɛl dɛn kin rili wach am wit spɛshal ikwipmɛnt dɛn 24 awa ɛvride. So mɛmba se yu pikin rili sef.
Impɔtant tin dɛn fɔ tɛl di dɔktɔ
Bifo yu bigin dis mɛrɛsin, i rili impɔtant fɔ tɔk bɔt dis infɔmeshɔn bɔt yu pikin wit yu mɛdikal tim. Bɔku tɛm, dɔktɔ dɛn go aks yu dis, bɔt i fayn fɔ mek yu no bɔt dis bak.
- If di pikin gɛt prɔblɛm wit blɔd (fɔ ɛgzampul, wan kɔndishɔn we di blɔd nɔ kin klɔt izi wan).
- If di pikin gɛt ɛni prɔblɛm fɔ blo .
- If yu dɔn sho bifo tɛm se yu gɛt alɛji to mɛrɛsin ɔ it.
- If yu gɛt ɛni ɔda mɛrɛsin.
Wetin na di sayd ɛfɛkt dɛm we dis mɛrɛsin kin gɛt?
Lɛk ɛni mɛrɛsin, alprostadil kin mek sɔm sayd ɛfɛkt dɛn. Bɔt nɔ wɔri, bikɔs di pikin de na di intensiv kia yunit, di wan dɛn we de wok de rɛdi fɔ no ɛn trit ɛni wan pan dɛn wan ya wantɛm wantɛm.
| Sayd Ifɛkt we i kin gɛt | Wetin fɔ no |
|---|---|
| Tin dɛn fɔ ripɔt to di dɔktɔ ɔ di nɔs wokman dɛn wantɛm wantɛm | |
| Alɛji Riakshɔn dɛn | Wan skin rash, it, swel na di lip/tɔng/fes. |
| Di we aw pɔsin de blo kin chenj | Fɔ stɔp fɔ blo fɔ sɔm tɛm (Apnea), di rit we yu de blo go dɔŋ ɔ go ɔp. |
| Chenj na di at rit ɔ blɔd prɛshɔn | Hat rit we de dכn כ inkrεs, bכdi prεshכn we de dכn. |
| Fiva | Di bɔdi in tɛmpracha we de go ɔp. |
| Di sik dɛn we kin mek pɔsin sik | Di bɔdi we de shek shek ɔ we i de swɛla. |
| Fɔ mek yu flash | Di skin we de rɛd. |
| Tin dɛn fɔ tɛl di dɔktɔ if dɛn kɔntinyu fɔ du am | |
| Bɛlɛ de at | Rɔnbɛlɛ. |
| Pen usay dɛn gi di mɛrɛsin | Swel ɔ rɛd usay dɛn gi di mɛrɛsin insay di vein. |
Mɛmba se dis list nɔ gɛt ɔl di bad tin dɛn we kin apin. So if yu notis ɛni chenj we nɔ kɔmɔn na yu pikin in bihayvya ɔ aw i luk, ɔ if yu gɛt ɛnitin fɔ wɔri bɔt, tɛl di dɔktɔ ɔ nɔs wantɛm wantɛm.
Wetin fɔ du if dɛn ad di mɛrɛsin in doz?
Dɛn kin gi dis na ɔspitul, bay tren mɛdikal staf, yuz spɛshal mashin (infusion pump), so di chans fɔ ɔvados kin rili smɔl. Bɔt if yu gɛt ɛni dawt, tɔk to di dɔktɔ ɔ nɔs we de kia fɔ yu pikin wantɛm wantɛm. Fɔ no mɔ bɔt ɛni mɛrɛsin ɔ pɔyzin, yu kin kɔl di Nashɔnal Pɔyzin Infɔmeshɔn Sɛnta na di Kɔlɔmbɔ Nashɔnal Ospital . If yu gɛt imejensi, yu fɔ go dairekt to di ɔspitul in Imejɛnsi Tritmɛnt Yunit (ETU) .
Mɛsej we dɛn kin kɛr go na os
- Alprostadil na wan mɛrɛsin we dɛn kin gi fɔ sɔm tɛm, we kin sev layf to pikin dɛn we dɛn jɔs bɔn wit at sik we dɛn bɔn wit (we dɛn bɔn wit).
- di men wok we i de du na fכ kip wan spεshal bכdi we dεn k כl Ductus Arteriosus opin te dεn כpεret di pikin in at.
- Dɛn kin gi dis mɛrɛsin na wan ɔspitul in intensiv kia yunit, ɔnda di ful sɔpɔtishɔn fɔ dɔktɔ ɛn nɔs dɛn . So nɔ wɔri bɔt di pikin in sef.
- If yu notis ɛnitin we nɔ kɔmɔn na yu pikin (lɛk fiva, i nɔ izi fɔ blo, i de chenj in skin) we yu de gi di mɛrɛsin, tɛl di dɔktɔ dɛn wantɛm wantɛm .
- Dis mɛrɛsin nɔto fɔ sɔlv di pikin in at prɔblɛm fɔ ɔltɛm. Bɔt na wan rili impɔtant brij we de rɛdi di pikin fɔ ɔpreshɔn, we na di sɔlv we go de sote go.
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