Sɔmbɔdi na yu famili, ɔ yusɛf, kin de tek ‘blɔd thinners’. Yu go dɔn fred smɔl we yu dɔktɔ gi yu dis mɛrɛsin. I rili nɔmal fɔ kwɛstyɔn dɛn lɛk "Dis go mek blɔd bɔku?", "Wetin go apin if a du am rɔng?" fɔ kam na wi maynd. So, nɔ fred. Tide, lɛ wi tɔk bɔt dɛn mɛrɛsin ya we de mek blɔd tan, ɔ as dɛn kin kɔl dɛn na mɛrɛsin, `(Anticoagulants)`, fɔ mek ɔltin klia.
Fɔ tɔk am simpul wan, wetin na dɛn antikɔagulant ya?
Antikoagulant na wan kayn mɛrɛsin we de mek yu blɔd nɔ ebul fɔ klɔt. Sɔm pipul dɛn kin kɔl dɛn ‘blɔd thinners’. Bɔt wetin dɛn kin rili du nɔto fɔ ‘tin’ di blɔd lɛk wata, bɔt dɛn kin slo di rit we di blɔd kin klɔt . Dɛn mɛrɛsin ya kin du tu men tin dɛn. Wan pan dɛn na fɔ ɛp yu bɔdi fɔ sɔlv di blɔd we dɔn de. Di ɔda wan na fɔ mek nyu blɔd we dɛn nɔ want nɔ fɔ kam.
Dɛn mɛrɛsin ya de as injɛkshɔn, intravenous (IV) fluid, ɛn ɔral tablɛt.
Wetin mek wi nid dis kayn mɛrɛsin?
Nɔmal wan, we wi bɔdi wund, i fayn fɔ mek di blɔd klɔt. Dis kin mek di blɔd nɔ de kɔmɔt ɛn di wund kin wɛl. Bɔt imajin, wetin go apin if blɔd klɔt insay wi veins fɔ natin?
I tan lɛk se big trak kin stɔp wantɛm wantɛm na rod we nɔ gɛt trafik. Dɔn, ɔda motoka dɛn we de na di rod nɔ kin ebul fɔ pas, bikɔs dis blɔd we de klɔt de mek blɔd nɔ flɔ.
If blɔd we de klɔt dis kayn we de travul tru di blɔd vesel dɛn ɛn stɔp na wan smɔl blɔd vesel we de na wan impɔtant ɔgan lɛk di bren, di lɔng, ɔ di at, i kin mek pɔsin gɛt tin dɛn we rili denja.
- Strɔk: Na blɔd we de klɔt we de travul go na di bren ɛn blok am.
- Pulmonary Embolism (PE): Na blɔd we de klɔt we de blok wan big blɔd vesel na di lɔng . Dis na denja sik we kin mek pɔsin day wantɛm wantɛm.
- At Atak: Na bikɔs blɔd we de klɔt de blok di at we de gi blɔd to di at.
So, dɔktɔ dɛn kin gi dɛn ``Anticoagulants'' mɛrɛsin ya to pipul dɛn we de pan risk fɔ gɛt dɛn kayn denja kɔndishɔn ya.
| Di tin dɛn we dɛn kin yuz mɔ fɔ mek dɛn yuz antikɔagulant | |
|---|---|
| Hat nɔ de bit ɔltɛm (Atrial Fibrillation) . | biכs di כp chεmba dεm na di at nכ de pכmp fayn, bכdi kin pul εn kכlכt. If dɛn klɔt ya travul go na di bren, dɛn kin mek pɔsin paralayz. |
| Ɔpreshɔn fɔ di At Valv | Afta dɛn dɔn put sɔm atifishal at valv dɛn, di risk de fɔ mek blɔd klɔt na di valv. |
| Riplesmɛnt fɔ Hip/Knee | Afta dɛn ɔpreshɔn ya, blɔd kin klɔt na di dip vein dɛn na di leg dɛn. Dɛn kɔl dis sik Dip Vein Thrombosis (DVT). Wan blɔd we de brok frɔm dis DVT kin travul go na di lɔng dɛn. |
| Blɔd Klɔt Dizayd | Sɔm pipul dɛn kin gɛt sik dɛn we dɛn kin gɛt we kin mek dɛn blɔd klɔt izi wan. Dɛn nid dis mɛrɛsin bak. |
Aw dis mɛrɛsin de wok insay di bɔdi?
Wi bɔdi kin balans ɔltɛm bitwin blɔd we de klɔt ɛn fɔ mek blɔd nɔ klɔt. di antikoagulant dεm de afekt dis bεlε sכmtεm εn de wik di klot sayd na di bכdi. Dis kin mek di blɔd we dɛn nɔ want nɔ de fɔm. Dɛn mɛrɛsin ya kin wok difrɛn we.
Injɛkshɔn ɛn IV mɛrɛsin dɛn
Dɛn kin yuz dɛn tin ya na ɔspitul, we dɛn nid fɔ gɛt di rizɔlt kwik kwik wan.
- εparin: dis de wok bay we i de mek wan protin we dεn kכl `(Antithrombin)` we de mek bכdi nכ kכlכt na di bכdi. Tu kayn dis de. Wan kin rili fast, bɔt yu nid fɔ chɛk yu blɔd ɔltɛm fɔ mek shɔ se di doz rayt. di כda kayn `(Low-Molecular-Weight Heparin - LMWH)` de wok sloslo, bכt i izi fכ imajin aw i de wok. So, yu nɔ nid fɔ chɛk yu blɔd ɔltɛm.
- Dairekt Thrombin Inhibitors: dεn ya de inaktivet di protin we dεn kכl `(Thrombin)` we de εp fכ bכdi kכlכt.
Di kayn pils dɛn we dɛn kin yuz fɔ it
Na dɛn wan ya dɔktɔ dɛn kin gi pɔsin fɔ yuz fɔ lɔng tɛm.
- Warfarin: Dis na sɔm ol drɔg we bɔku pipul dɛn na wi kɔntri de yuz. I de wok bay we i de blok di yus fɔ vaytamɛn K, we impɔtant fɔ mek blɔd klɔt. Di doz rili impɔtant we yu de tek Warfarin. If yu go tu fa smɔl, di risk fɔ mek yu blɔd go bɔku. Na dat mek yu dɔktɔ go de du yu blɔd tɛst (INR tɛst) ɔltɛm ɛn ajɔst di doz.
- Dairekt Ɔral Antikɔagulɛnt (DOAC): Dɛn mɛrɛsin ya na nyu mɛrɛsin. Ɛgzampul dɛn na `(Dabigatran)`, `(Apixaban)`, `(Rivaroxaban)`. Dɛn tin ya nɔ nid fɔ du blɔd tɛst ɔltɛm lɛk Warfarin.
Di tin we de mek pɔsin fred pas ɔl! Wetin na di sayd ɛfɛkt ɛn prɔblɛm dɛn we kin apin?
Di men ɛn kɔmɔn risk fɔ ɛni antikɔagulant mɛrɛsin na fɔ blɔd. Dis min se ivin we yu kɔt smɔl, i kin tek lɔng tɛm fɔ lɛ yu stɔp fɔ blɔd, ɛn yu kin brus izi wan. Apat frɔm dat, ɛni mɛrɛsin gɛt in yon sayd ɛfɛkt dɛn.
| Tayp fɔ mɛrɛsin | Posisibul spεsifi k sayd ifekt/kכmplikεshכn dεm |
|---|---|
| Warfarin we dɛn kɔl Warfarin |
|
| Heparin we dɛn kin yuz | |
| Dairekt Ɔral Antikɔagulɛnt dɛn (DOAC) . |
Ustɛm yu fɔ go to dɔktɔ wantɛm wantɛm?
As pɔsin we de tek dis mɛrɛsin, yu nid fɔ tek tɛm bad bad wan bɔt dis, bikɔs ivin smɔl aksidɛnt kin denja.
Tɔk to yu dɔktɔ if yu gɛt dɛn sayn ya:
- If blɔd we de kɔmɔt na di gɔm, nos, ɔ smɔl wund nɔ stɔp .
- If yu brus izi pas aw yu kin brus ɔ yu notis brus fɔ natin.
- If yu fil se yu gɛt diziz we nɔ kɔmɔn, yu wik, ɔ yu taya .
If yu gɛt dɛn sik ya, go na di ɔspitul in Imejɛnsi Tritmɛnt Yunit (ETU) wantɛm wantɛm:
Dis rili impɔtant! If pɔsin we de tek dis mɛrɛsin fɔdɔm, mɔ if i nak in ed, ivin if blɔd nɔ de kɔmɔt na do, i kin blɔd insay di bren. Dis kin mek pɔsin in layf de pan denja!
- Ɛni kayn we we yu fɔdɔm, mɔ if yu nak yu ed, yu fɔ ripɔt to di ETU wantɛm wantɛm, ilɛksɛf nɔbɔdi nɔ wund yu we yu go si.
- If yu gɛt motoka aksidɛnt ɔ sɔntin we at fɔ bang yu ɛn gɛt big brus .
- Wan ed we kin at bad bad wan ɔ we yu bɛlɛ kin at wantɛm wantɛm.
- Fɔ vɔmit blɔd (espɛshali if i tan lɛk kɔfi grɔn) ɔ fɔ kɔf blɔd.
- Blɔd we de na di urine (urine de tɔn ɔrɛnj, rɛd, ɔ brawn) ɔ blɔd na di stɔl (stɔl de tɔn rɛd ɔ dak blak, lɛk tar).
Mɛsej we dɛn kin kɛr go na os
- Antikoagulant na rili impɔtant mɛrɛsin wae kin ɛp fɔ sev layf. Yu dɔktɔ kin gi yu dɛn fɔ gud rizin.
- Di big risk fɔ dɛn mɛrɛsin ya na fɔ blɔd. Yu fɔ no ɔltɛm bɔt di sayn dɛn we de sho se yu de blɔd.
- Nɔ ɛva stɔp fɔ tek yu mɛrɛsin ɔ chenj di doz we yu nɔ go to yu dɔktɔ.
- We yu go to dɔktɔ, dɛntist fɔ ɛni ɔda sik, ɔ du ɔpreshɔn, mek shɔ se yu tɛl dɛn se yu de tek dis mɛrɛsin.
- If yu fɔdɔm ɔ nak yu ed, go na di ɔspitul in Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm, ivin if yu nɔ fil ɛni prɔblɛm.
- If yu de tek Warfarin, i impɔtant fɔ mek yu du INR blɔd tɛst di de we yu dɔn sɛtul as yu dɔktɔ tɛl yu.
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