Sɔntɛnde yu kin gɛt brus ɛn blu spat na yu skin? (Bleeding Into the Skin) Lɛ wi tɔk bɔt dis!

Yu dɔn ɛva notis se yu skin kin tɔn blu wantɛm wantɛm, ɔ i kin gɛt smɔl smɔl rɛd spat dɛn? Sɔntɛnde dis kin apin we yu nɔ ivin tɔch ɛnitin. Dis na wetin wi jɔs kɔl Bleeding Into the Skin . Dis kin tan lɛk big tin, bɔt nɔ wɔri, bɔku tɛm i nɔ kin siriɔs so. Lɛ wi tɔk bɔt am ditayli tide.

Wetin na dis blɔd we de kɔmɔt na di skin?

Fɔ tɔk am simpul wan, dis na we wan smɔl blɔd vesel, ɔ blɔd vesel , we de ɔnda yu skin kin bɔs. Dɔn sɔm blɔd kin kɔmɔt na da vessel de ɛn go insay di tisu dɛn we de rawnd am. Tink bɔt am lɛk wata paip we de lik we i pank smɔl. We blɔd lik aut dis kayn we, wi kin si chenj na di kɔlɔ na di skin, we na brus ɔ blu. Bɔrku tɛm, brus lɛk dis kin wɛl fɔ dɛnsɛf insay sɔm dez ɔr wik.

Difrɛn kayn blɔd de we de kɔmɔt na di skin?

Yɛs, dis kin apin wan we ɔ ɔda we. Yu go mɔs dɔn yɛri dɛn nem ya bifo.

• Brus: Dis na di kayn brus we kɔmɔn pas ɔl we wi ɔl no. Dɛn kin apin we pɔsin nak ɔ wund sɔntin. Dɛn kin tan lɛk rɛd, blu, blak, ɔ pepul. As tɛm de go, dis kɔlɔ kin chenj ɛn dɛn kin wɛl.

Naw lɛ wi si wetin na di mɔ spɛshal kayn dɛn:

• Petechiae: Dɛn tin ya rili smɔl. Tink bɔt dɛn lɛk rɛd dɔt dɛn we tan lɛk pensil tip. Dɛn kin kam we sɔm smɔl smɔl blɔd vesel dɛn bɔs. Dɛn smɔl pas 2 milimita (mm). Fɔ tɔk di kɔrɛkt tin, na lɛk di waid we di tip na yu kreyɔn gɛt.

• Purpura: Dis na we sɔm blɔd vesel dɛn we big smɔl pas petechiae kin bɔs. Dɛn kin apia lɛk rɛd-pɔpul spat dɛn. Dɛn spat ya kin gɛt sayz frɔm lɛk 4 milimita to lɛk wan inch (dat na lɛk di sayz we pensil iras to lɛk fayv rupi kɔyn in saiz).

• Ecchymosis: Dis na we bɔku blɔd vesel dɛn we rili nia dɛnsɛf kin bɔs wan tɛm. Dis kin mek blɔd gɛda ɔnda di skin, ɛn i kin tan lɛk brus. Bɔt nɔto ɔltɛm dis kin apin bikɔs i wund.

• Ɛmatoma: Dis na smɔl blɔd vesel we kin bɔs. Dɔn di blɔd kin gɛda ɛn sɔntɛnde i kin fil lɛk smɔl smɔl tin. Bɔku pan di ɛmatoma dɛn nɔ kin siriɔs. Bɔt if dɛn kin apin na big pat dɛn lɛk di bren, di chɛst, ɔ di bɔdi we de na di bɔdi , dɛn kin rili bad ɛn ivin kin mek pɔsin in layf de pan denja.

Udat kin gɛt blɔd insay di skin?

Infakt, ɛnibɔdi kin gɛt brus. Bɔt sɔm pipul dɛn kin gɛt dis sik. Chek ɔut udat dɛn bi:

• Pipul dɛn we dɔn pas 65 ia: As yu de ol, yu skin de tan ɛn yu blɔd vesel dɛn de wik, so yu kin brus izi wan.
• Pipul dɛn we de tek mɛrɛsin we de mek blɔd tan (anticoagulants):Dis mɛrɛsin de mek blɔd nɔ klɔt, so ivin smɔl wund kin mek yu blɔd bɔku.
• Pipul dɛm wae de tek supamakit wae de mek dɛn gɛt mɔ blɔd, lɛk vaytamɛn E.
• Pipul dɛn we gɛt layt skin tɔyn: Brus kin rili si mɔ pan layt skin tɔyn.
• Pipul dɛn we de ple sɔm kɔntakt spɔt dɛn: We dɛn de ple spɔt lɛk rɔgbi ɛn bɔksin, brus kin apin bikɔs ɔf bɔmp ɛn fɔdɔm.

Dɔn bak, sɔm ɔndalayn mɛrɛsin kin mek pɔsin brus ɔ blɔd izi wan. Fɔ ɛgzampul:

• Ɛmofilia we gɛt ɛmofilia
• Lukimiya (blɔd kansa) .
• Liva sik
• Lupus we gɛt di sik
• Marfan sindrom we gɛt di sik
• Meningitis we gɛt di sik
• Plɛtlɛt disɔda, fɔ ɛgzampul, trombocytopenia (di blɔd pletlɛt dɛn we nɔ de bɔku) .
• Vitamin K we nɔ de

Wetin na di difrɛns bitwin we blɔd de kɔmɔt na di skin ɛn we di skin de rɛd?

Dis na fayn kwɛstyɔn. Ivin if yu blɔd go insay di skin, i kin tan lɛk rɛd spat na di skin. Bɔt wan impɔtant difrɛns de . If yu pres pan di say we yu gɛt blɔd insay di skin wit yu finga, di ples nɔ go tɔn wayt (blanch). Dat min se di spat go kɔntinyu fɔ gɛt di sem kɔlɔ.

Bɔt if yu gɛt skin rash lɛk erythema, if yu prɛs da say de, i go tɔn pale fɔ sɔm tɛm. Yu ɔndastand?

Wetin kin mek blɔd de kɔmɔt na di skin?

Bɔku tɛm, na di men tin we kin mek pɔsin wund . If yu bump pan sɔntin, fɔdɔm, ɔ gɛt hit we yu de ple spɔt (sɔri, "hit" ɔ "collude" go bɛtɛ Sinhala), yu kin gɛt brus lɛk dis. Wi ɔl dɔn gɛt ɛkspiriɛns dɛn lɛk dis. Yu mɛmba we yu bin gɛt blu ni we yu bin de ple we yu bin smɔl?

Ɔda rizin dɛn de bak:

• Stret we yu de kray, kɔf, ɔ vɔmit lawd wan: Insay dis tɛm, di prɛshɔn we de insay di bɔdi kin go ɔp, ɛn di smɔl smɔl blɔd vesel dɛn we de na di skin kin bɔs. Yu go dɔn si sɔm bebi dɛn we kin kray lawd wan ɛn gɛt smɔl smɔl rɛd spat dɛn na dɛn fes.
• I kin bi bak bikɔs ɔf di prɛshɔn we yu kin gɛt we yu de yuz kruk ɔ we yu gɛt kɔst na yu leg .
• We yu wɛr sus, klos, ɔ glas we nɔ fit: If dɛn tin ya de rɔb ɔ put prɛshɔn pan di skin ɔltɛm, smɔl blɔd kin kɔmɔt na dɛn say dɛn de.

Wetin na di sayn dɛm we de sho se pɔsin de blɔd insay di skin?

Sɔntɛnde, di wangren tin we kin apin to pɔsin na we in skin kin chenj . Dis min se yu kin jɔs si wan rɛd, blak, blu, ɔ pepul spat na yu skin.

Bɔt sɔntɛnde, di brus kin kam wit dɛn tin ya:

• I kin mek pɔsin fil pen
• Swɛlin (Swɛl) .
• Tɛnda we yu tɔch am

Aw dɔktɔ kin no se pɔsin de blɔd insay in skin?

Bɔku tɛm, dɔktɔ go chɛk da say de na yu skin.Dɛn kin no dis bay we dɛn chɛk yu bɔdi . I kin aks yu kwɛstyɔn dɛn lɛk:

• Ustɛm yu fɔs notis dɛn sayn ya?
• Yu gɛt ɛni ɔda sayn fɔ sho se yu gɛt dis sik? (lɛk fiva, bɔdi pen)
• Us mɛrɛsin yu de tek? (especially di wan dɛn we de mek blɔd tan) .
• yu kin tel mi wetin na di injuri we mek di brus?
• Ɛnibɔdi na yu famili gɛt wan sik we kin mek i izi fɔ mek yu brus ɔ yu blɔd pasmak? (e.g., ɛmofilia) .

If yu dɔktɔ tink se na wan ɔndalayn mɛrɛsin sik mek yu brus, dɛn kin du tɛst dɛn bak lɛk:

• Blɔd tɛst: Chɛk tin dɛn lɛk di pletlet kɔnt ɛn di blɔd we ebul fɔ klɔt.
• Bone marrow biopsy: Fɔ si if prɔblɛm de wit di ples usay dɛn de mek blɔd sɛl.
• Yurin tɛst: Chɛk fɔ tin dɛn lɛk prɔblɛm wit yu kidni.
• Ultrasound, CT scan, ɔ MRI scan: Dɛn tin ya kin tek pikchɔ fɔ di insay pat na di bɔdi.

Wetin na di tritmɛnt fɔ blɔd we de kɔmɔt insay di bɔdi?

Bɔrku tɛm, yu kin trit dis sik na os. Fɔ smɔl smɔl brus, tray dɛn tin ya:

• Put ays pak pan di brus fɔ 10-15 minit. Du dis bɔku tɛm insay di de. Nɔ put di ays dairekt pan di skin, rap am wit klos.
• Nɔ ɔt am dairekt fɔ di fɔs 48 awa. Dis min se yu nɔ fɔ yuz ɔt wata bɔtul ɛn fɔ was ɔt wata.
• Ɛlevɛt di say we yu wund. Fɔ ɛgzampul, if yu leg dɔn swɛt, put pilo pan am.
• Tek wan tin we de mek yu nɔ fil pen lɛk ibuprofen (e.g. Advil®) ɔ acetaminophen (e.g. Tylenol®) fɔ ridyus pen.

Bɔt if di blɔd we de kɔmɔt ɔnda di skin nɔ bɛtɛ ɔ i kin apin bɔku tɛm, dɔktɔ kin tray ɔda tritmɛnt dɛn. I kin gi yu sɔm mɛrɛsin dɛn ɔ aks yu fɔ stɔp fɔ tek sɔm mɛrɛsin dɛn. Dɔn bak, if ɛni sik de we de mek di blɔd de kɔmɔt, dɛn kin nid fɔ trit am.

Aw yu kin mek blɔd nɔ kam na di skin?

Bɔrku tɛm, dɛn injury ya kin apin afta dɛn dɔn blo am na in ed. So, if yu put ays pan di say we di sik dɔn ambɔg ɛn kip am ɔp, dat kin ɛp fɔ mek yu nɔ gɛt bɔku bɔku brus. If yu de ple kɔntakt spɔt, wɛr tin dɛn fɔ protɛkt yusɛf ɔltɛm.

If yu gɛt wan sik we de mek yu brus izi wan, mek shɔ se yu go to dɔktɔ. If yu gɛt krɛse sik, if yu gɛt tritmɛnt fayn fayn wan, dat kin mek yu nɔr gɛt dɛn prɔblɛm ya.

Wetin wi kin ɛkspɛkt frɔm blɔd we de kɔmɔt insay di bɔdi?

Bɔku tɛm, blɔd we de kɔmɔt na di skin nɔ kin smɔl.. Bɔku tɛm, i kin sɔlv fɔ insɛf insay lɛk tu wiks so. Bɔt sɔm mɛrɛsin dɛn (lɛk tin dɛn we de mek yu blɔd tan) ɔ tin dɛn we nɔ de mɛn kin mek yu brus izi wan. Fɔ trit di ɔndalayn kɔndishɔn kin ɛp fɔ ridyus yu risk fɔ brus. Yu dɔktɔ kin tɛl yu bak se yu fɔ stɔp fɔ tek mɛrɛsin dɛn we de mek yu blɔd kɔmɔt. (Bɔt mɛmba se, nɔ ɛva stɔp fɔ tek ɛni mɛrɛsin if yu dɔktɔ nɔ advays yu.)

Yu tink se blɔd we de kɔmɔt ɔnda di skin kin rili siriɔs?

Bɔku tɛm, dis na smɔl tin. Bɔt if di sayn dɛn kin apin bɔku tɛm na di sem say, ɔ if dɛn nɔr kin bɛtɛ fɔ pas tu wiks, dat kin bi sayn fɔ wan sik we siriɔs pasmak.

Ustɛm wi fɔ go to dɔktɔ bɔt dis?

If yu gɛt blɔd ɔnda yu skin fɔ pas tu wiks, yu fɔ rili go to dɔktɔ. Dɔn bak, if yu gɛt ɛni wan pan dɛn sik ya wit yu brus, yu fɔ go to dɔktɔ wantɛm wantɛm:

• If yu gɛt blɔd na yu urine ɔ yu stɔl.
• If di gɔm dɛn blɔd (Bleeding gums).
• If yu gɛt tin dɛn lɛk fɔ gɛt sinkɔp ɔ fɔ gɛt diziz.
• If yu gɛt fiva.
• If yu gɛt nausea ɔ yu de vɔmit.
• If bad bad pen ɔ swel de.

Mɛmba se blɔd we de kɔmɔt ɔnda di skin na we wan smɔl blɔd vesel we de ɔnda di skin bɔs. Dɛn blɔd vesel ya kin lik blɔd insay di tisu we de rawnd am. Dis kin mek yu skin tɔn rɛd, pepul, blu, ɔ blak. Sɔntɛnde, i kin jɔs chenj in kɔlɔ, ɔ di say kin swel ɛn i kin tan lɛk we yu tɔch am. Bɔrku tɛm, dis na smɔl tin ɛn i go wɛl insay lɛk tu wiks.

Fɔ dɔn, tin dɛn fɔ mɛmba (Take-Home Message) .

Okay, so lɛ wi mɛmba yu bɔt sɔm pan di impɔtant pɔynt dɛn frɔm wetin wi tɔk bɔt tide.

• Blɔd we de kɔmɔt ɔnda di skin, ɔ brus, nɔ kin bi natin fɔ wɔri bɔt. Dɛn kin kɔmɔn ɛn kin apin frɔm smɔl injury ɔr fɔdɔm.
• Difrɛn kayn petechiae, purpura, ecchymosis, ɛn hematoma de. Dɛn tin ya kin difrɛn pan aw blɔd kin kɔmɔt ɛn aw dɛn kin apia.
• Sɔm pipul dɛm (di wan dɛm wae dɔn ol, di wan dɛm wae de tek blɔd thinner) kin brus izi wan.
• Yu kin trit dis na os bay we yu put ays, put am na di say we yu wund, ɛn tek mɛrɛsin fɔ mek yu fil pen.
• Bɔt if brus kin apin bɔku tɛm, i big, i kin tek lɔng tɛm fɔ wɛl, ɔ ɔda siriɔs sayn dɛn kin kam wit am (fiva, blɔd na di urine, bad bad pen), yu fɔ rili go to dɔktɔ.
• Dɛn brus ya kin bi bikɔs ɔf wan ɔndalayn mɛrɛsin, so i impɔtant fɔ go to dɔktɔ.

So, a op se dis infɔmeshɔn bin yusful to yu. Stay wit wɛlbɔdi!

`Brus, brus, blɔd we de kɔmɔt insay di skin, petechiae, purpura, ecchymosis, hematoma, sik dɛn na di skin, fɔs ɛp