Dɔktɔ dɔn tɛl yu ɔ sɔmbɔdi na yu famili wan mɛrɛsin fɔ mek blɔd nɔ klɔt? I kin bi sɔntin we pipul dɛn sabi lɛk Aspirin. Ɔ i kin bi sɔntin lɛk Klɔpidogrɛl. Wi kin kɔl dɛn mɛrɛsin ya Antiplatelet drɔgs. Tide, wi go tɔk rili simpul ɛn fayn bɔt wetin dɛn rili bi, aw dɛn de wok na wi bɔdi, ɛn wetin wi fɔ tek tɛm wit we wi de yuz dɛn.
Wetin na di mɛrɛsin dɛn we de mek pɔsin nɔ gɛt plelɛt? Aw dɛn kin wok?
Fɔ ɔndastand dis, wi fɔ no smɔl bɔt wi blɔd fɔs. Wi blɔd mɔ gɛt rɛd blɔd sɛl dɛn (we de kɛr ɔksijɛn), wayt blɔd sɛl dɛn (we de fɛt jem), ɛn ɔda kayn smɔl smɔl sɛl dɛn, we wi kɔl pletlɛt .
Imajin se yu kɔt yu an wit nɛf. Di blɔd kin flɔ fɔ sɔm tɛm, dɔn i kin jɔs stɔp, nɔto so? Dat na bikɔs ɔf dɛn pletlɛt ya. We wan ples wund, dɛn pletlɛt ya kin rɔsh go na di say we i wund, stik togɛda, ɛn mek wan mɛsh, ɛn mek wan klot. Dis klot de wok lɛk ‘plɔg’ we de stɔp di blɔd. Dis na fayn fayn tin we wi bɔdi kin du fɔ protɛkt wisɛf.
Bɔt, na di prɔblɛm ya. Wetin kin apin if blɔd klɔt lɛk dis fɔm insay wi blɔd vesel dɛn we nɔ gɛt ɛni injuri? Dat na tin we rili denja. If dis kayn blɔd klɔt fɔm na wan vein we de gi blɔd to di at, i kin mek pɔsin gɛt at atak . If i fɔm na wan vein we de go na di bren, i kin mek pɔsin gɛt strok .
di mεdikeshכn dεm we de fכm di pletlet dεm de wok bay we dεn de mek di pletlet dεm nכ de stכk togeda na di vein dεm, we na dat de mek blכd kכlכt nכ fכm. Fɔ tɔk am simpul wan, dɛn mɛrɛsin ya de ridyus di ‘stik’ we di pletlɛt dɛn gɛt.
Wetin na di difrɛns bitwin Antiplatelet ɛn Anticoagulants?
Bɔku pipul dɛn kin kɔnfyus dɛn tu kayn mɛrɛsin ya. Pan ɔl we dɛn kin kɔl dɛn ɔl tu "blɔd tin dɛm," di we aw dɛn de wok difrɛn smɔl. Pan ɔl we di ɛnd rizulyt fɔ dɛn tu na fɔ ridyus di blɔd we de klɔt, di ples we di akshɔn de du difrɛn. Lɛ wi ɔndastand dis klia wan.
| Tayp fɔ mɛrɛsin | Aw i de wok |
|---|---|
| Antipletlɛt dɛn (e.g. Aspirin, Klɔpidogrɛl) | Wetin kin kam togɛda fɔs fɔ mek blɔd klɔt?I de mek di pletlɛt dɛn nɔ stik togɛda. |
| Antikɔagulɛnt dɛn (fɔ ɛgzampul, Warfarin, Apixaban) | we di pletlεt dεm dכn kכlכp tכgeda, dεn de ambɔg di wok we di spεshal protin dεm na di bכdi (klot fכ kכlכt) we de εp fכ mek di bכdi kכlכt strכng. |
Udat nid dɛn mɛrɛsin ya?
Bɔrku tɛm, pɔrsin wae gɛt wɛl bɔdi nɔr nid dis mɛrɛsin. Bɔt pipul dɛm wae gɛt sɔm kayn mɛrɛsin kin gɛt bɔrku blɔd klɔt na dɛn vein. Na sɔm pan di men rizin dɛn we mek yu dɔktɔ gi yu dis mɛrɛsin:
- If yu bin dɔn gɛt at atak ɔ strok bifo, mek i nɔ kam bak.
- If yu gɛt korona at sik , we min se di at na yu at dɔn smɔl.
- Angina , dat na if yu gɛt pen na yu chɛst.
- Peripheral Vascular Disease , we min se di vein dεm we de go na di limb dεm de blכk.
- If yu gɛt at ritm irɛgyulariti lɛk atrial fibrillation .
- If yu dɔn gɛt baypas ɔpreshɔn (Coronary Artery Bypass) .
- If yu dɔn du angioplasty , dat na if dɛn dɔn put stent na yu veins.
- If yu dɔn gɛt ɔpreshɔn pan yu at valv.
Tin dɛn we yu fɔ no we yu de yuz mɛrɛsin fɔ mek yu nɔ gɛt pletlet
Aw fɔ tek di mɛrɛsin
Bɔku pan di mɛrɛsin dɛn we de mek pɔsin nɔ gɛt plelɛt, dɛn kin tek am as pils. Na spɛshal kes dɛn nɔmɔ dɛn kin yuz mɛrɛsin dɛn we dɛn kin put insay di bɛlɛ. If yu bɛlɛ at ɔ yu at pwɛl we yu de tek di pils, i bɛtɛ fɔ tek di mɛrɛsin wit it.
Di tin we impɔtant pas ɔl: If yu mis wan doz, tek am jɔs lɛk aw yu mɛmba. Bɔt if i rili nia yu nɛks doz (e.g., jɔs sɔm awa away), skip di doz we yu mis ɛn tek yu nɛks doz di tɛm we dɛn dɔn sɛtul. Nɔ tek tu dos wan tɛm fɔ ɛni rizin. Dɔn bak, nɔ stɔp fɔ tek ɛni wan pan dɛn mɛrɛsin ya (inklud aspirin) wantɛm wantɛm if yu dɔktɔ nɔ advays yu. If yu du dat, i kin mek blɔd klɔt wantɛm wantɛm ɛn i kin mek bad bad tin apin.
Risk ɛn sayd ɛfɛkt dɛn
Di men tin we kin mek pɔsin gɛt dɛn mɛrɛsin ya na we i de blɔd pasmak. Dis na bikɔs dɛn mɛrɛsin ya kin mek di blɔd we dɛn nɔ want nɔ kam insay di vein dɛn, ɛn dɛn kin delay bak fɔ mek di blɔd klɔt we nid fɔ stɔp fɔ blɔd we pɔsin rili wund.
| Nature of di sayd ɛfɛkt | Tɔk bɔt |
|---|---|
| Di sayd ɛfɛkt dɛn we dɛn kin si bɔku tɛm | |
| Fɔ tɔn blu ivin wit smɔl brus | Brus kin apin izi wan na difrɛn pat dɛn na di bɔdi. |
| Nɔs blɔd de kɔmɔt | Smɔl blɔd na in nos fɔ natin. |
| Blɔd we de kɔmɔt frɔm wund | Blɔd we kin tek lɔng tɛm fɔ stɔp, ivin frɔm smɔl wund. |
| Di uman dɛn we kin gɛt mɔnt | Blɔd we de kɔmɔt pas aw i fɔ blɔd. |
| Siriɔs sayn dɛm wae yu fɔ ripɔt to yu dɔktɔ kwik kwik wan | |
| Blɔd we de na di urine | Rɛd, pink, ɔ brawn urine. |
| Blɔd we de na di stɔl | Rɛd ɔ tarry stɔl. |
| Blɔd we de vɔmit | Fɔ kɔf blɔd ɔ fɔ vɔmit blɔd we tan lɛk kɔfi grɔn. |
| Bɛlɛ pen bad bad wan | Sɔdɛn, siriɔs, we nɔ de chenj na di bɛlɛ. |
| Wan big blɔd we nɔ gɛt natin fɔ du wit am | di fכmeshכn fכ wan big, oval shep bכdi kכlכt (hεmatoma) כnda di skin. |
If yu notis ɛni siriɔs sayn lɛk dis, go wantɛm wantɛm na di Imejɛnsi Dipatmɛnt (ETU) na di ɔspitul we de nia yu.
Intarakshɔn wit ɔda mɛrɛsin dɛn
We yu de tek dis mɛrɛsin, i impɔtant fɔ tɛl yu dɔktɔ bɔt ɔl di ɔda mɛrɛsin dɛn we yu de tek. Sɔm mɛrɛsin kin intarakt wit dis antiplatelet mɛrɛsin ɛn i kin mek yu blɔd bɔku. So mek shɔ se yu tɛl yu dɔktɔ bɔt dɛn tin ya:
- Mɛrɛsin fɔ ɔda sik dɛn.
- Mɛrɛsin lɛk pen kil we yu kin bay na di famasi we yu nɔ gɛt prɛskrishɔn.
- Vitamin, minral ɔ ɔda sɔpɔtmɛnt dɛn.
- Na mɔtalman, mek shɔ se yu tɛl yu dɔktɔ bɔt ɛni Ayurveda ɔ Sinhala mɛrɛsin we yu de tek.
Udat nɔ fit fɔ tek dis mɛrɛsin?
Sɔm pipul dɛn nɔ kin fayn fɔ dis mɛrɛsin. Yu dɔktɔ go disayd dis.
- Pipul dɛn we dɛn dɔn plan fɔ du ɔpreshɔn ɔ pul dɛn tut insay di nɛks sɔm dez.
- Mama dɛn we gɛt bɛlɛ, we de tray fɔ gɛt bɛlɛ, ɔ we de gi pikin dɛn bɛlɛ.
- Pipul dɛn we bin dɔn gɛt blɔd na dɛn bren trade.
- Pipul wae gɛt dis maynia sik wae de mek blɔd klɔt lɛk ɛmofilia.
- Pipul wae gɛt siriɔs kidni ɔr liva sik.
- Pipul dɛn we gɛt ɔlsa na dɛn bɛlɛ ɔ we dɔn gɛt ɔlsa.
Dis mɛrɛsin na wan kayn mɛrɛsin we rili impɔtant we kin ɛp fɔ sev pipul dɛn layf frɔm siriɔs tin lɛk at atak ɛn strok. So, i rili impɔtant fɔ fala yu dɔktɔ in instrɔkshɔn dɛn gud gud wan ɛn no bɔt di prɔblɛm dɛn we kin apin.
Mɛsej we dɛn kin kɛr go na os
- Antiplatelet mɛrɛsin na wan impɔtant mɛrɛsin we dɛn kin gi fɔ mek yu nɔ gɛt sik dɛn we kin mek yu layf de pan denja lɛk at atak ɛn strok.
- Nɔ ɛva stɔp fɔ tek dis mɛrɛsin ɔ chenj di doz if yu dɔktɔ nɔ advays yu.
- Di men tin we kin mek pɔsin gɛt dɛn mɛrɛsin ya na we i de blɔd pasmak. Tek tɛm mek yu nɔ wund we yu de du tin dɛn ɛvride.
- If yu notis sayn dɛn we de sho se yu de blɔd bad bad wan, lɛk blɔd na yu urine ɔ yu stɔl, yu de vɔmit blɔd, ɔ yu bɛlɛ de at bad bad wan, tɛl yu dɔktɔ wantɛm wantɛm ɔ go na di ɔspitul we de nia yu in Imejɛnsi Dipatmɛnt (ETU).
- I impɔtant fɔ tɛl yu dɔktɔ bɔt ɔl di ɔda mɛrɛsin dɛn, vaytamɛn dɛn, ɛn Ayurveda mɛrɛsin dɛn we yu de tek.
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