Yu dɔn ɛva gɛt smɔl kɔt ɛn smɔl blɔd, dɔn i stɔp fɔ insɛf? Na wan wɔndaful difens mɛkanism na wi bɔdi. Fɔ mek di blɔd nɔ de kɔmɔt, wan blɔd kin klɔt insay wi bɔdi. Dis na tin we rili impɔtant, we nɔmal fɔ du. Bɔt, imajin wetin go apin if dis blɔd klɔt fɔm we nɔ gɛt ɛni injuri, jɔs insay yu bɔdi, insay yu blɔd vesel dɛn . na dat wi kin jכs kכl bכdi kכlכt dizכrd, כ insay mεdikal tεm dεm `(Hypercoagulable State)` כ `( Thrombophilia )`.
Fɔ tɔk am simpul wan, wetin na dis sik we de mek blɔd klɔt?
Dis na we yu blɔd kin klɔt izi wan pas aw i kin klɔt. Blɔd klɔt kin mek we di prɔtin dɛn we wi liva ( clotting factors ) ɛn di pletlɛt dɛn we de na wi blɔd mek kam togɛda. Dis impɔtant fɔ mek yu stɔp fɔ blɔd we pɔsin wund. Bɔt if dis prɔses kam tu aktif, i kin bi prɔblɛm.
wi kin kכl bכdi kכlכt dεm we wi nכ want we de fכm insay di vein dεm ``thrombus'' כ ``embolis''.
Yu tink se dis tin we de apin rili denja?
Yɛs, dis kin denja if dɛn nɔ trit am. Dis na bikɔs blɔd kin klɔt ɛnisay na wi bɔdi. Dɛn kin mɔs fɔm na di at we de kɛr blɔd frɔm di at to ɔda pat dɛn na di bɔdi ɛn na di vein dɛn we de kɛr blɔd frɔm di bɔdi to di at.
If blɔd klot fɔm na di veins...
Blɔd we de klɔt we de na wan vein kin brok fri ɛn travul wit di blɔd, ɛn dis kin mek tu men prɔblɛm dɛn:
- Dip Vein Thrombosis (DVT): Dis na we blɔd klɔt de fɔm na dip vein, mɔ na di leg, pelvis, an, liva, insay, ɔ kidni. Imajin se yu de na plen fɔ lɔng lɔng tɛm. If yu kip yu leg dɛn na wan pozishɔn, dat kin mek blɔd nɔ de flɔ, ɛn blɔd kin klɔt na wan vein na yu leg. Dɛn kɔl dis DVT.
- Pulmonary Embolis: Dis na imejensi. dis kכndyushכn kin apin we wan bכdi we dεn fכm na di leg, lεk DVT, brok εn lod insay wan vein na di lכng. Dis kin mek pɔsin in layf de pan denja.
If blɔd klot fɔm na di at...
Atɛri na di blɔd vesel dɛn we de gi blɔd we gɛt ɔksijɛn to wi bren, at, ɛn an ɛn fut dɛn. If blɔd klɔt na wan pan dɛn tin ya, i kin pwɛl bad bad wan.
- Strɔk: If blɔd klɔt blok wan at we de gi blɔd to di bren.
- At Atak: If blɔd klɔt blok wan korona at we de gi blɔd to di at.
- Big pen na yu leg ɛn i nɔ kin izi fɔ waka.
- Sɔntɛnde, i kin ivin nid fɔ pul wan an ɔ leg.
Dis kכndyushכn kin mek bak di bεlε kכmכt we uman bεlε. dis risk kin bכku bכku wan pan pipul dεm we gεt kכndyushכn lεk ``Antiphospholipid Syndrome.`` In jεnarכl, di risk fכ blכd kכlכt de inkrεs lεk fayv tεm we uman bεlε biכs fכ di bכdi vכlyum εn prεshכn we de go כp na di bכdi.
Aw yu go no if yu gɛt dis sik? Wetin na di sayn dɛm we de sho se yu gɛt dis sik?
Di sayn dɛm dipen pan usay na di bɔdi di blɔd klɔt dɔn fɔm. Di sayn dɛm kin difrɛn frɔm wan pɔrsin to ɔda pɔrsin.
| Di sayn we de sho se di sik de | Wetin dɛn kin tɔk bɔt bɔku tɛm? |
|---|---|
| Swel, rɛd, pen, ɛn wam na di leg | di bכdi we de kכlכt na di dip vein dεm (Dip Vein Thrombosis - DVT) kin apin. |
| I kin pen na yu chɛst wantɛm wantɛm ɛn i nɔ kin izi fɔ blo | bכdi kin kכlכt na di lכng dεm (pulmonary embolism) . Dis na imejensi. |
| Di fes, an, ɔ leg kin swɛla wantɛm wantɛm (espɛshali na wan say), i nɔ kin izi fɔ tɔk, ɔ i kin chenj di we aw yu de si | I kin bi se na strok . Dis na imejensi. |
| Tayt na di sɛntrɔm pan di chɛst, pen we de rayt to di lɛft an, jaw, ɔ bak, we de swet | I kin bi at atak . Dis na imejensi. |
Wetin mek dɛn sik ya kin apin? Wetin na di tin dɛn we kin mek i apin?
Dɛn kin sheb di prɔblɛm dɛn we kin apin we di blɔd kin klɔt to tu men kategori: di tin dɛn we dɛn bɔn wit (jɛnɛtik) ɛn di tin dɛn we dɛn kin gɛt.
| Rizin tayp | Diskripshɔn ɛn ɛgzampul dɛn |
|---|---|
| 1. Inhɛrit / Jɛnɛtik Kɔz | |
| Di tin dɛn we nɔ fayn na di jɛnɛtiks | Dis na tin dɛn we wi kin gɛt frɔm wi mama ɛn papa. Nɔto ɔlman we gɛt dɛn tin ya go gɛt blɔd klɔt, bɔt di risk kin bɔku.
|
| 2. Kɔz dɛn we dɛn dɔn gɛt | |
| Ɔda tin dɛn we kin apin to pɔsin we sik |
|
| Di we aw pɔsin de liv in layf ɛn ɔda tin dɛn | |
Aw dɔktɔ dɛn kin no bɔt dis sik?
Jɔs bikɔs yu gɛt blɔd klɔt nɔ min se yu gɛt jenɛtik kɔndishɔn, so yu dɔktɔ go tek tɛm luk yu pasɔnal ɛn famili mɛdikal istri.
Bɔku tɛm, dɛn kin rifer pipul dɛn we gɛt dɛn kayn tin ya we kin mek dɛn gɛt dis sik fɔ mek dɛn du dɛn kayn tɛst ya:
- If ɛnibɔdi na di famili gɛt histri bɔt dis kayn blɔd we de klɔt.
- If yɔŋ pɔsin we nɔ rich 50 ia yet gɛt blɔd we de klɔt.
- If blɔd klɔt fɔm na say dɛn we nɔ kɔmɔn, lɛk di an, di liva, ɔ di bren.
- If blɔd klɔt fɔm fɔ no patikyula rizin.
- If yu gɛt blɔd we de klɔt bak.
- If miscarriages kin apin bɔku tɛm.
- If yu gɛt strok we yu yɔŋ.
Us tɛst dɛn dɛn kin du?
Dɛn go du bɔku blɔd tɛst fɔ no if yu sik.
- PT-INR: If yu de tek di drɔg `Warfarin`, dɛn kin du dis tɛst fɔ chɛk aw yu blɔd kin klot kwik.
- aPTT: Dɛn kin du dis tɛst fɔ si aw di blɔd de ansa di drɔg `Heparin` if yu de tek am.
- Kɔmplit Blɔd Kɔnt (CBC): Na kɔmplit blɔd kɔnt.
- Test fɔ fibrinogen
dεn kin du spεshal jεnεtik tεst dεm fכ no di kכndyushכn dεm we dεn bכn wit. dεn de du tεst dεm bak fכ chεk di protin lεvεl dεm lεk `Protein C`, `Protein S`, εn `Antithrombin`.
Bikɔs dɛn tɛst ya rili sɛnsitiv, i rili impɔtant fɔ mek dɛn du dɛn na spɛshal lɛbɔraytri ɛn dɔktɔ we gɛt spɛshal no fɔ ɛksplen dɛn kɔrɛkt wan.
Aw dɛn kin trit am?
Bɔku tɛm, dɛn kin jɔs nid tritmɛnt if blɔd klɔt insay wan vein. Di men gol fɔ tritmɛnt na fɔ mek ɔda blɔd klɔt nɔ fɔm ɛn fɔ stɔp di blɔd we dɔn de fɔ mek i nɔ big.
Dɛn kin yuz mɛrɛsin dɛn we de mek pɔsin in blɔd tan fɔ dis. We wi de tɔk bɔt mɛrɛsin, wi kin kɔl dɛn tin ya `Anticoagulants`.
Di mɛrɛsin dɛn we dɛn kin yuz mɔ:
- Aspirin we dɛn kin yuz
- Warfarin (wan kayn pill we dɛn kin it) .
- Heparin (na injɛkshɔn we dɛn kin gi na vein ɔ ɔnda di skin na ɔspitul) .
- Ɛparin we nɔ gɛt bɔku mɔlikul wet (na injɛkshɔn we dɛn kin injɛkt ɔnda di skin na os wan ɔ tu tɛm insay di de) .
- Fondaparinux (injɛkshɔn) .
- Dairekt oral antikoagulant (DOAC) - dis na di nyu jεnereshכn fכ כral pils (e.g. Rivaroxaban, Apixaban) .
Yu dɔktɔ go disayd us mɛrɛsin go fayn fɔ yu, aw lɔng yu fɔ tek am, ɛn us kayn fɔlɔp monitarin yu nid.
I rili impɔtant: If yu de tek mɛrɛsin lɛk `Warfarin`, nɔ stɔp fɔ tek am ɔ chenj di doz we yu nɔ go to yu dɔktɔ fɔ ɛni rizin. Dɔn bak, `Warfarin` nɔ fayn if yu gɛt bɛlɛ ɔ yu de plan fɔ gɛt bɛlɛ. Mek shɔ se yu tɛl yu dɔktɔ bɔt dis.
A nid fɔ tek tɛm wit wetin a de it ɛn drink we a de tek Warfarin?
Yɛs. Fɔ it dɛn we gɛt bɔku vaytamɛn K, mɔ kin afɛkt di we aw Warfarin de wok fayn. So, i rili impɔtant fɔ fala di it we yu dɔktɔ gi yu we yu de tek dis mɛrɛsin.
Sɔm it dɛn we gɛt bɔku vaytamɛn K
- Brussels sprout dɛn we de na di wɔl
- Grin
- Brɔkoli
Dis nɔr min se yu nɔ fɔ it dɛn it ya, bɔt i impɔtant fɔ mek yu nɔr de it di it dɛn we yu de it ɛvride. Tɔk to yu dɔktɔ bɔt dis.
If yu gɛt dis sik, aw yu kin kia fɔ yusɛf?
- If yu de tek mɛrɛsin lɛk Warfarin, fɔ wɛr mɛdikal aydentifikeshɔn breslɛt we se dis go ɛp yu fɔ gɛt di rayt tritmɛnt we yu gɛt imejensi.
- Sɔm mɛrɛsin dɛn we dɛn kin bay na kɔt, lɛk mɛrɛsin dɛn we de mek pɔsin fil pen, kin wok wit dis tin we de mek blɔd tan. So tɔk to yu dɔktɔ bifo yu tek ɛni ɔda mɛrɛsin.
- Gɛt blɔd tɛst ɔltɛm (lɛk PT-INR). Yu kin nid fɔ ajɔst di doz fɔ yu mɛrɛsin bay di rizɔlt.
- If dɛn go du ɔpreshɔn pan yu ɔ yu de plan fɔ gɛt bɛlɛ, tɛl yu dɔktɔ bifo tɛm.
Ustɛm a fɔ go to di dɔktɔ?
We yu tek tin dɛn we de mek yu blɔd tan, ivin we yu kɔt smɔl, i kin mek yu blɔd smɔl mɔ, ɔ yu kin gɛt brus. Dis na nɔmal tin.
Bɔt if yu de blɔd bɔku bɔku wan ɔ yu si big big blɔd spat, kɔl yu dɔktɔ wantɛm wantɛm.
Dɔn bak, if yu tink se yu gɛt sayn dɛn fɔ DVT (leg de swel, pen), go to dɔktɔ wantɛm wantɛm.
Ustɛm yu fɔ go na di Imejɛnsi Tritmɛnt Yunit (ETU)?
If yu gɛt wan ɔr mɔr pan dɛn sik ya, na mɛdikal imejensi. Go na di ɔspitul we de nia yu Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm.
* I kin pen na yu chɛst wantɛm wantɛm ɛn i kin at fɔ blo (i kin bi sayn fɔ di pulmonary embolism).
* Di sayn dɛn we de sho se pɔsin gɛt at atak ɔ strok.
Fɔ liv wit dis sik kin tranga. Bɔt if yu tek di rayt mɛrɛsin ɛn di rayt advays we dɔktɔ gi yu, yu go ebul fɔ liv nɔmal layf. Yu dɔktɔ de de fɔ ɛp yu. So nɔ shem fɔ tɔk to am bɔt ɛni kwɛstyɔn ɔ tin we de mɔna yu.
Mɛsej we dɛn kin kɛr go na os
- Blɔd klɔt disɔda na wan sik we de mek blɔd klɔt fɔm we nɔ nid ɛn izi wan insay di bɔdi in blɔd vesel dɛn.
- di tin dεm we kin mek dis apin kin bi we dεn bכn am (jεnεtik) כ dεn wan dεm we de apin we dεn de liv (lεk kεnsar, כpεrayshכn, bεlε).
- Di sayn dɛm kin difrɛn difrɛn wan bay usay di blɔd klɔt de. Blɔd we de klɔt na di lɔng, bren, ɔ at na imejensi we kin mek pɔsin in layf de pan denja.
- Di men tritmɛnt na mɛrɛsin dɛn we de mek blɔd tan (anticoagulants). Dɛn fɔ tek dɛn tin ya jɔs lɛk aw dɔktɔ tɛl dɛn.
- If yu de tek mɛrɛsin we de mek yu blɔd tan, mek shɔ se yu tɛl yu dɔktɔ bifo yu tek ɔda mɛrɛsin, bifo yu du di ɔpreshɔn, ɛn bifo yu gɛt bɛlɛ.
- If yu notis se yu de blɔd pasmak ɔ yu si sayn dɛn we nɔ kɔmɔn, go to dɔktɔ wantɛm wantɛm.
💬 Comments (0)
No kɔmɛnt nɔ de yet. Ad yu kɔmɛnt ya fɔ di fɔs tɛm.
Ad yu kɔmɛnt