Yu dɔn ɛva si pɔsin it sɔntin ɔ insɛkt bit am ɛn afta dat i sik wantɛm wantɛm, i nɔ ebul fɔ blo fayn, ɛn i de wɔri? Sɔntɛm yu gɛt smɔl alɛji. Bɔt tide wi nɔ de tɔk bɔt dis kayn simpul tin, bɔt wi de tɔk bɔt di bad bad alɛji we kin mek pɔsin in layf de pan denja. Wi kin kɔl dis anafilaksis. Dis na mɛdikal imejensi . So, i rili impɔtant fɔ mek yu ɛn di wan dɛn we yu lɛk no bɔt dis.
Fɔ tɔk am simpul wan, wetin na anafilaksis?
Anafylaksis, we sɔm pipul dɛn kin kɔl anafylaktik shɔk, na wan bad bad alɛji we kin mek pɔsin in layf de pan denja ɛn i kin nid fɔ gɛt tritmɛnt wantɛm wantɛm. If yu gɛt dis kayn riakshɔn, yu fɔ gɛt wan doz fɔ epinephrine (we dɛn kin kɔl bak adrenaline) kwik kwik wan. If dɛn nɔ trit dis sik, i kin kil pɔsin.
Epinephrine kin kɔntrol dɛn bad bad sik ya insay sɔm minit. If dat nɔ wok, dɛn kin gi am sɛkɔn doz insay 30 minit. Dis mɛrɛsin de wit prɛskrishɔn frɔm dɔktɔ. I de insay injɛkta pen we izi fɔ yuz ɛn sprɛy fɔ nos.
I rili impɔtant: Nɔ ɛva tek antihistamin tablɛt (e.g., Pyridoxine) nɔmɔ fɔ anafylaktik riakshɔn lɛk dis. I nɔ go du fɔ am.
Anaphylaxis na wan sik wae nɔr kin bɔrku, bɔt sɔm pipul dɛm kin gɛt am. If yu gɛt alɛji fɔ drɔg ɔ latɛks, yu fɔ tɛl yu dɔktɔ bifo ɛni mɛrɛsin, ivin yu fɔ tɛl yu dɛntist. I fayn bak fɔ kɛr kad we gɛt infɔmeshɔn bɔt yu alɛji ɔ wɛr mɛdikal alert breslɛt.
If yu dɔn gɛt anafilaksis bifo, yu risk fɔ gɛt am bak kin bɔku. Ɛn if pɔrsin na yu famili dɔn gɛt dis sik ɔr yu gɛt asma, yu risk kin pasmak.
Lɛ wi no di stej dɛm wae dis denja kin de.
wan anafylaktik riakshכn kin go bifo tru sεvεra stej dεm. Bɔt i kin apin bak kwik kwik wan. Di sayn dɛm kin bigin smɔl ɛn dɛn kin wɔs as tɛm de go. So if yu no de sik kwik kwik wan, yu kin gɛt ɛp bifo di tin wɔs.
| Stej | Di sayn dɛm wae yu de gɛt |
|---|---|
| Stej 1 (di sayn dɛm wae nɔr kin pasmak) . | I kin tranga fɔ no if dis na anafilaksis ɔ jɔs nɔmal alɛji. Yu kin gɛt it, ayv, ɛn yu nos kin rɔn. If yu no se yu de pan denja, wach fɔ dɛn sik ya. |
| Stej 2 (di sayn dɛm wae kin pasmak) . | Naw di sayn dɛm dɔn tranga smɔl, i kin go na mɔr say dɛm na di bɔdi. Di lɛsin dɛn kin apia ɔlsay na di bɔdi. Di fes, di lip, ɛn di tɔŋ kin swel. Di yay dɛn wata. I kin at fɔ swɛla. Bɛlɛ kin at, vɔmit, ɔ dayarɛa kin apin bak. Na dis stej, yu fɔ rili go to dɔktɔ. |
| Stej 3 (di simptom dɛm we gɛt siriɔs sik) . | I kin rili at fɔ blo. Yu kin fil pen na yu chɛst. yu puls rεt kin slo dכn (wik puls). Yu kin fil lɛk yu ed de tɔn, yu nɔ go ebul fɔ du natin, ɔ yu kin ivin nɔ no natin. Dis na wetin wi kin kɔl anafylaktik shɔk. |
| Stej 4 (we kin mek pɔsin in layf de pan denja) . | Dis na di stej we denja pas ɔl. Blɔd prɛshɔn kin go dɔŋ bad bad wan. Pulse na tin we rili wik. Di say dɛn we di briz de blo kin swel, ɛn dis kin mek i nɔ izi fɔ blo fayn, ɛn di blɔd nɔ kin ebul fɔ waka fayn. Dis sik kin mek pɔsin gɛt at atak ɔ ivin day. |
Wetin na di men sayn dɛm wae de sho se yu gɛt anafilaksis?
Pan ɔl we di fɔs sayn dɛm kin tan lɛk nɔmal alɛji (rash, hayv), mɔr siriɔs sik kin kam insay lɛk 30 minit. Mɔ pas wan pan dɛn sayn ya kin de:
- Fɔ kɔf ɛn fɔ swɛt
- Chest pen , it, ɔ tayt
- Nɔr kin no natin, yu kin gɛt diziz, yu kin kɔnfyus, ɔr yu kin wik
- Hiv, skin rɛd ɛn it
- Nasal kɔnjɛshɔn ɔ nɔs we de rɔn ɛn sniz
- I nɔ izi fɔ blo ɛn di at bit kwik kwik wan (palpitations) .
- Di lip ɔ di tɔng we de swel ɛn it
- Di trot de swel, i de ala , i nɔ izi fɔ swɛla
- Vɔmit, dayarɛa, bɛlɛ kramp
- Wik puls, pale skin
- Fɔ tɔk smɔl smɔl we yu de tɔk
- I nɔ go ebul fɔ no natin igen
Sɔm pipul dɛn se bifo dis bad bad tin apin, dɛn bin fil se dɛn go dɔnawe wit dɛn, lɛk se “sɔntin bad bad tin go apin.”
sכmtεm, sεkכn riakshכn kin apin insay 12 awa afta di fכs riakshכn. Dɛn kɔl dis bifasik anafylaksis.
Wetin mek dis kin apin? Wetin na di rizin dɛn?
Fɔ tɔk am simpul wan, anafylaksis na we wi bɔdi in imyun sistɛm de ɔva riakshɔn to sɔntin we rili nɔ bad (e.g. it). Dis nɔ kin apin di fɔs tɛm we di tin go insay di bɔdi, bɔt as tɛm de go, dis riakshɔn kin rili bad.
Kɔmɔn tin dɛn we kin mek pikin dɛn apin
Fɔ it na di men tin we kin mek pikin dɛn gɛt anafilaksis.
- Pinat dɛn we dɛn kin yuz fɔ mek tin dɛn
- Sifud (Shellfish - lɛk shrimps, krab, squid)
- Fish
- Milk
- Eg dɛn
- Soya
- Wit
Kɔmɔn kɔz dɛm bitwin big pipul dɛm
Bɔrku tɛm pan big pipul dɛm, dis sik kin kam wit mɛrɛsin .
- Sifud (Shellfish) we dɛn kin it .
- Ti nat lɛk kash, amɔnd, ɛn pikɛn
- Pinat dɛn we dɛn kin yuz fɔ mek tin dɛn
Ɔda tin dɛn we kin mek pɔsin gɛt dis sik
- Di mɛrɛsin dɛn: Penisilin (we dɛn kin injɛkt pas fɔ mek dɛn yuz am wit pil), sɔm anestetik dɛn, mɛrɛsin dɛn we de mek pɔsin fil pen lɛk aspirin ɛn ibuprofen, ɛn tin dɛn we de mek pɔsin nɔ fil pen.
- Insɛkt sting: Sting frɔm animal dɛn lɛk bi, wasp, ɛn ɔn.
- Latɛks: Dɛn kin fɛn am na ɔspitul glɔv, balyɔn, ɛn ɔda tin dɛn. Sɔm pipul dɛn kin gɛt riakshɔn we dɛn ivin jɔs smɛl dɛn tin ya.
Sɔntɛnde, dɛn nɔ kin ebul fɔ fɛn di tin we mek i apin. Wi kin kɔl dis idiopatik anafilaksis.
Aw di dɔktɔ go no if dis na anafilaksis?
If yu tink se yu gɛt siriɔs alɛji ɔ yu de pan denja fɔ gɛt anafilaksis, mek shɔ se yu go to dɔktɔ. I go aks yu bɔt yu alɛji ɛn i kin du sɔm tɛst dɛn bak fɔ no if yu gɛt di sik.
- Blɔd tɛst: Dɛn tin ya de mɛzhɔ di lɛvɛl we wan ɛnzaym we dɛn kɔl triptaz de. dis lεvεl kin εlevεt insay di bכdi fכ 3 awa afta anafylaksis.
- Skin test: Dɛn kin du dɛn tɛst ya fɔ si if yu gɛt alɛji to difrɛn it ɛn kemikal dɛn.
Imejɛnsi kia ɛn ɔspitul tritmɛnt
Di tritmɛnt we go wok fayn ɛn we kin apin wantɛm wantɛm fɔ anafilaksis na epinephrine . If yu de pan denja, yu fɔ de kɛr at le tu dos dɛm fɔ epinephrine we yu dɔktɔ tɛl yu ɔltɛm.
Wetin fɔ du we ɛnitin apin we nɔ izi fɔ du?
If yu ɔ ɔda pɔsin gɛt sayn dɛn fɔ anafilaksis, gi yu epinephrine wantɛm wantɛm . Dɔn, ilɛksɛf di sik dɔn kɔmɔt kpatakpata ɛn kwik kwik wan ɔ nɔ sɔlv am, go na ɔspitul imejensi rum (ETU) ɔ kɔl ambulans wantɛm wantɛm . Risk de fɔ mek yu gɛt bifasik riakshɔn.
Na ɔspitul, yu kin nid fɔ gɛt ɔda tritmɛnt:
- Gi ɔksijɛn fɔ ɛp fɔ blo.
- Gi wata we yu kin put insay yu bɛlɛ ɛn stɛroyd ɔ antihistamin.
- Fɔ inhal vapour dɛm fɔ mɛrɛsin lɛk Albuterol fɔ mek i izi fɔ blo.
Dɛn kin de wach yu na ɔspitul fɔ sɔm awa fɔ si if di sɛkɔn riakshɔn apin.
Aw fɔ mek i nɔ gɛt di sik igen?
Di bɛst tin fɔ du na fɔ no di rayt tin we yu gɛt alɛji fɔ ɛn avɔyd am kpatakpata.
- Imejɛnsi kit: Ɔltɛm kip di epinephrine injector ɔ nasal spray we yu dɔktɔ gi yu nia yu. Rinyu di mɛrɛsin bifo i dɔn.
- Tɛl yu dɔktɔ dɛn: Tɛl ɔl yu dɔktɔ dɛn (inklud yu dɛntist) bɔt yu alɛji.
- Chek di tin dɛn we dɛn rayt bɔt it: If yu gɛt alɛji fɔ it, tek tɛm rid di lɛbl dɛn we de na di tin dɛn we yu bay na di stɔ. Aks bɔt am bifo yu ɔda it na rɛstɔrant.
- Wear mɛdikal alert breslɛt: Dis kin mek ɔda pipul dɛn no bɔt yu sik ɛn ɛp we yu gɛt imejensi.
Ivin wit ɔl dis, yu kin stil gɛt sɔntin we yu nɔr kin ivin no. So i impɔtant fɔ mek yu, yu famili, ɛn yu padi dɛn no wetin fɔ du if dat apin.
Mɛsej we dɛn kin kɛr go na os
- Anafylaksis na wan mɛrɛsin we kin mek pɔsin in layf de pan denja ɛn we nid fɔ gɛt tritmɛnt wantɛm wantɛm.
- No di rayt tin we kin mek yu gɛt alɛji fɔ ɛn avɔyd dɛn.
- If yu de pan denja fɔ gɛt anafilaksis, ɔltɛm fɔ kɛr at le tu dos dɛm fɔ epinephrine we yu dɔktɔ tɛl yu fɔ gi yu.
- Yuz epinephrine jɔs afta yu si di sik ɛn go na ɔspitul in Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm.
- Tɛl yu fambul, yu padi dɛm, ɛn pipul dɛm na yu wokples bɔt yu sik ɛn ɛksplen to dɛm wetin fɔ du if ɛnitin apin.
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