Yu dɔktɔ dɔn gi yu mɛrɛsin fɔ mek yu blɔd nɔ klɔt? Sɔm pipul dɛn kin kɔl dis ‘blɔd thinner’. Na nɔmal tin fɔ fil smɔl frayd ɛn fred we yu yɛri bɔt dis mɛrɛsin. Kwɛshɔn dɛn lɛk "Di blɔd go stɔp if a kɔt mi an ɔ mi leg?" kin kam na yu maynd. Bɔt dis mɛrɛsin na rili sɔntin we go sev yu layf. Tide, wi go tɔk bɔt dɛn mɛrɛsin ya we de mek yu blɔd tan, ɔ `Anticoagulants`, insay wan simpul we we yu go ɔndastand.
Fɔ tɔk am simpul wan, wetin na dɛn antikɔagulant ya?
Anticoagulants na wan klas ɔf mɛrɛsin we de mek yu blɔd nɔ ebul fɔ klɔt. Dɛn kin ɛp yu bɔdi fɔ sɔlv di blɔd we dɔn de, ɔ dɛn kin mek nyu blɔd nɔ kam. Dɛn tin ya nɔto jɔs pils.
- Di mɛrɛsin dɛn we dɛn kin tek bay mɔt
- As injεkshכn (Injεkshכn dεm) .
- as likwid we dεn gi insay wan vein (Intravenous - IV) .
Dɛn mɛrɛsin ya kin gɛt bɔku kayn we, lɛk: Dɛn kin yuse dɛn mɛrɛsin ya bɔku tɛm fɔ avɔyd ɛn trit siriɔs, layf pan denja lɛk strok, at atak, ɛn pulmonary embolism.
Wetin mek wi nid dis kayn mɛrɛsin?
Imajin se yu gɛt smɔl kɔt na yu an ɔ yu leg. Afta sɔm tɛm, di blɔd kin stɔp. Aw dat kin apin? Na bikɔs di blɔd de klot. Dis na wɔndaful tin we de mek wi bɔdi ebul fɔ protɛkt wisɛf. dis prכsεs de stכp bכku bכku bכku wan frכm wan wund εn di wund de bigin fכ hεl.
Bɔt di prɔblɛm kin bigin we dɛn blɔd klɔt ya kin fɔm we nɔ nid fɔ de, na say dɛn we nɔ fayn, dat na insay di blɔd vesel dɛn. Wetin go apin if blɔd we de klɔt dis kayn we de travul wit di blɔd ɛn stɔp na wan tint blɔd vesel na di bren, at, ɔ lɔng? Dɔn di blɔd we de flɔ to di ɔgan we da vessel de de gi kin stɔp, ɛn da ɔgan de bigin fɔ wok fayn ɛn i kin pwɛl. Dis na di tin we denja pas ɔl.
Dis na sɔm pan di siriɔs tin dɛm we kin apin bikɔs blɔd kin klɔt dis we.
| Situeshɔn we denja | Wetin kin jɔs apin |
|---|---|
| Strok | Wan blɔd we de klɔt kin travul go na di bren ɛn blok wan smɔl blɔd vesel we de de. Dis kin mek di bren sɛl dɛn day. |
| Pulmonari Ɛmbolizm (PE) . | Blɔd we de klɔt kin blok wan big blɔd vesel we de go na di lɔng dɛn. Dis na wan sik wae kin rili siriɔs, wae kin kil pɔrsin. |
| At Atak we pɔsin kin gɛt | Blɔd we de klɔt kin blok di korona at we de gi blɔd to di at. Dis kin pwɛl di at mɔsul bak. |
Udat dɛn kin gi dis mɛrɛsin mɔ?
Dɔktɔ dɛn kin gi dɛn `Anticoagulants` ya to pipul dɛm wae de pan denja fɔ gɛt di denja kɔndishɔn dɛm wae wi bin dɔn tɔk bɔt. Na sɔm pan de mɛrɛsin wae kin put dɛn pan denja:
- Atrial Fibrillation: dis na we di tu כp chεmba dεm na di at (atria) nכ de kכntrakt fayn, bכt insted dεn de bit rεgulεr, lεk se dεn de shek shek. We dis apin, blɔd nɔ de pɔmp fayn, ɛn chans de fɔ mek blɔd klɔt insay dɛn chɛmba dɛn de. If dɛn blɔd ya brok kɔmɔt na di at ɛn travul go na di bren, dɛn kin mek pɔsin gɛt strok.
- Ɔpreshɔn fɔ di at Valv: We dɛn chenj di at valv dɛn, mɔ wit mɛkanikal valv, i kin mek blɔd klɔt na di valv in fes. Dis mɛrɛsin impɔtant fɔ mek dis nɔ apin.
- Hip ɔ Knee Replacement: Afta dɛn dɔn du big ɔpreshɔn lɛk dis, risk de fɔ mek blɔd klɔt na di dip vein dɛn na di leg. wi kכl dis kכndyushכn `Dip Vein Thrombosis (DVT).` Pulmonary Embolism de apin we wan bכdi we de fכm na di leg brok εn lod insay di lכng.
- Blɔd Klɔt Disɔda: Sɔm pipul dɛn gɛt wan jenɛtik prɛdispɔzishɔn fɔ mek blɔd klɔt. Dɛn kayn pipul ya nid dis mɛrɛsin bak.
Di kayn antikɔagulant dɛn ɛn aw dɛn de wok
Bɔku kayn antikɔagulant dɛn de. Ɛni kayn de ambɔg di we aw di blɔd de klɔt difrɛn we dɛn. Lɛ wi luk di men kayn dɛn.
Medikeshɔn dɛn we dɛn kin yuz fɔ it
1. Warfarin we dɛn kin yuz
Dis na drɔg we dɔn de fɔ lɔng tɛm ɛn we de wok bay we i de blok di bɔdi fɔ yuz vaytamɛn K, we na vaytamɛn we impɔtant fɔ mek blɔd klɔt.
Di big prɔblɛm wit warfarin na dat di doz we i de gi kin difrɛn frɔm wan pɔsin to ɔda pɔsin ɛn i nid fɔ kɔntrol am fayn fayn wan.If dɛn inkrisayz di doz smɔl, di risk fɔ mek blɔd kɔmɔt go ɔp, ɛn if i ridyus, dɛn nɔ kin mek di blɔd klɔt fayn fayn wan. So, pipul dɛm we de tek `Warfarin` fɔ de du blɔd tɛst (`INR tɛst`) ɔltɛm fɔ chɛk if di doz kɔrɛkt.
2. Mɔdan drɔgs (Dayrɛkt Ɔral Antikɔagulɛnt - DOAC) .
Dɛn mɛrɛsin ya na nyu drɔgs. Drug dɛm lɛk `Dabigatran`, `Rivaroxaban`, `Apixaban` de pan dis grup. Di big bɛnifit fɔ dɛn tin ya na dat dɛn nɔ nid fɔ du blɔd tɛst ɔltɛm lɛk `Warfarin`. dεn de tכk to spεsifi k εnzym dεm we de involv insay di bכdi kכlכt prכsεs (e.g. `Thrombin` כ `Factor Xa`) εn stכp dεn aktiviti.
Injektabl ɛn IV Mɛdikeshɔn dɛn
Heparin ɛn ɔda mɛrɛsin dɛn we gɛt fɔ du wit am
Dɛn kin yuz dɛn tin ya na ɔspitul we dɛn nid fɔ gɛt di rizɔlt kwik kwik wan. `heparin` de wok bay we i de aktibכt wan nεchכral protin (`Antithrombin`) na wi bכdi we de mek bכdi nכ kכlכt, εn stכp di bכdi kכlכt prכsεs. `Low-Molecular-Weight Heparin (LMWH)` na wan mכr advans vεshכn fכ dis, i izi fכ gi, εn sכmtεm dεn kin ivin yuz am na os.
Wetin na di sayd ɛfɛkt ɛn risk dɛm?
Di men ɛn di risk we dɛn kin ɛkspɛkt fɔ gɛt ɛni antikɔagulant na fɔ blɔd . Dis na bikɔs dɛn mɛrɛsin ya de kɔntrol di we aw blɔd de klɔt. So, ivin we pɔsin wund smɔl, i kin mek i blɔd smɔl pas aw i kin blɔd.
Bɔt sɔm mɛrɛsin dɛn kin gɛt ɔda bad bad tin dɛn we kin apin to dɛn.
| Tayp fɔ mɛrɛsin | Notis spɛshal sayd ɛfɛkt dɛn |
|---|---|
| Warfarin we dɛn kɔl Warfarin |
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| Heparin we dɛn kin yuz |
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| DOACs (drɔg dɛn we dɛn de yuz tide) . |
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Ustɛm yu fɔ go to dɔktɔ? - Dis na sɔntin we yu fɔ rili no!
As pɔsin we de tek dis mɛrɛsin, yu nid fɔ tek tɛm bad bad wan. Bikɔs yu nɔ go ivin notis ɛni blɔd we de kɔmɔt insay yu bɔdi. So na fɔ rili tek tɛm wit dɛn tin ya we de kam biɛn.
| Imejɛnsi ɛn sityueshɔn dɛn usay dɛn fɔ aks fɔ dɔktɔ fɔ advays | |
|---|---|
| If yu gɛt dɛn sik ya, tɔk to yu dɔktɔ. | |
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| If yu gɛt dɛn sik ya, go na ɔspitul in Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm! | |
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Di tin we impɔtant pas ɔl na fɔ tɛl ɔl di dɔktɔ ɛn dɛntist we de trit yu se yu de tek wan antikɔagulɛnt. I impɔtant fɔ tɛl dis ivin bifo dɛn pul yu tut.
Mɛsej we dɛn kin kɛr go na os
- Anticoagulants na wan kayn mɛrɛsin wae de sev yu layf wae de protɛkt yu frɔm siriɔs tin dɛm lɛk strok ɛn hat atak. So nɔ fred dɛn mɛrɛsin ya.
- Mek shɔ se yu tek di doz we dɛn tɛl yu, di tɛm we dɛn tɛl yu, lɛk aw yu dɔktɔ tɛl yu. Nɔ skip wan de.
- Bikɔs i kin izi fɔ mek yu blɔd we yu de tek dis mɛrɛsin, tek tɛm as yu ebul fɔ du tin dɛn we go mek pɔsin fɔdɔm ɛn wund, ɛn bɔt spɔt dɛn we denja.
- If yu blɔd we nɔ kɔmɔn, yu gɛt brus, ɔ yu ed wund, go to dɔktɔ wantɛm wantɛm ɛn nɔ de te .
- Bifo yu bigin fɔ tek ɛni ɔda mɛrɛsin (inklud di mɛrɛsin dɛn we de mek yu nɔ fil pen), tɛl yu dɔktɔ se yu de tek antikɔagulant, bikɔs sɔm mɛrɛsin dɛn kin miks wit dɛn tin ya.
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