Yu dɔn ɛva notis se we yu kɔf tranga wan, smɔl blɔd kin kɔmɔt miks wit mכkus? I rili nɔmal fɔ fil smɔl fɔ fred ɛn sɔprayz we yu si sɔntin lɛk dat. Yu kin tink se, "O, a gɛt sɔntin we siriɔs?" Bɔt fɔ tru, bɔku tɛm, dis nɔto natin fɔ fred. Bɔt fɔ no gud gud wan wetin dis na, wetin mek i kin apin, ɛn ustɛm wi fɔ wɔri bɔt am rili impɔtant fɔ mek yu gɛt pis na yu maynd ɛn wɛlbɔdi .
Wetin rili na ɛmoptaysis (kɔf blɔd)?
Fɔ tɔk am simpul wan, dis na blɔd we de kɔmɔt na di ɔnda pat na yu respiratory system, we min se frɔm yu lɔng ɔ trot . Dis blɔd we kin kɔmɔt wit kɔf kin ɔltɛm gɛt frɔt ɛn bɔbul. Dis na bikɔs i kin kɔmɔt miks wit mɔkus ɛn saliva. Sɔntɛnde, i kin luk pink, layt rɛd, ɔ rɔst kɔlɔ. Bɔku tɛm, na smɔl mɔni nɔmɔ.
Bɔt, dis difrɛn frɔm we yu de vɔmit blɔd. Mek wi luk dat.
Yu tink se fɔ kɔf blɔd ɛn fɔ vɔmit blɔd na di sem tin?
Yɛs, dis na ples usay bɔku pipul dɛn kin kɔnfyus. Dɛn tu tin ya rili difrɛn.
- Kכf bכdi (Hemoptysis): Dis de kכmכt frכm yu rεspiretכri trakt (lכng, trot). I kin bi smɔl fom, we miks wit mכkus εn saliva.
- εmatemesis: Dis de kכmכt frכm di כp pat pan yu dijestiv sistεm (bεlε, sכmכl intestכn). Bɔku tɛm, i kin min se bɔku blɔd kin kɔmɔt wan tɛm. Bɔku tɛm dis na sayn fɔ blɔd we de kɔmɔt insay pɔsin in bɔdi.
If yu de vɔmit blɔd, dɛn fɔ tek am se na imejensi ɛn yu fɔ go to dɔktɔ wantɛm wantɛm . I bɛtɛ lɛ wi nɔ de delay.
Yu tink se dis kin bi siriɔs tin?
Di ansa to dis kweshon na "yes, e posibul" en "no, e posibul." I dipen ɔl pan di rizin we mek yu de blɔd ɛn di bɔku blɔd.
Di gud nyus na dat, bɔrku pan di tin dɛm wae kin mek pɔrsin gɛt dis sik nɔr siriɔs ɛn i kin izi fɔ trit ɛn mɛn. Fɔ ɛgzampul, we pɔsin kɔf tranga wan, i kin mek di trot kɔt smɔl ɛn i kin mek smɔl blɔd kɔmɔt. Bɔt sɔntɛnde dis kin bi sayn fɔ se yu gɛt siriɔs infekshɔn ɔr siriɔs sik lɛk kansa na yu lɔng. Dɔn bak, if pɔsin kɔf bɔku blɔd wan tɛm, i kin mek pɔsin in layf de pan denja.
Mɛmba se ilɛk wetin mek yu gɛt dis sik, na yu dɔktɔ nɔmɔ go tɛl yu aw di sik rili bad. So, i fayn fɔ go to dɔktɔ pas fɔ gɛs.
Wetin na di tin dɛn we kin mek pɔsin kɔf blɔd?
Bɔku rizin dɛn kin de. Lɛ wi sheb dɛn to kɔmɔn ɛn rare. Dis tebul go mek yu ɔndastand mɔ.
| Mek | Wan shɔt diskripshɔn |
|---|---|
| Kɔmɔn kɔz dɛn we dɛn kin si bɔku tɛm | |
| Bronkitis we dɛn kɔl Bronchitis | Wan infεkshכn na di rεspiretכri trakt. Na kɔmɔn tin fɔ kɔf ɔp mucus. |
| Nyumonia | Wan bad bad infεkshכn na di lכng. |
| Tubakulosis sik we dɛn kɔl Tuberculosis | Na baktriyal infεkshכn we de afekt di lכng dεm. |
| Ɔda tin dɛn we kin mek i apin | |
| Bronchiectasis we dɛn kɔl Bronchiectasis | di say dεm we di briz de fכm na di lכng dεm de wayd כltεm. |
| Pɔlmonari Ɛmbolizm | Dis na siriɔs sik we nid fɔ gɛt mɛrɛsin kwik kwik wan. |
| COPD (Krכnik Obstrכktiv Pulmonari Disiz) . | Lɔng sik we kin de fɔ lɔng tɛm, mɔ we kin apin to pipul dɛn we de smok. |
| Kansa na di Lɔng | Di risk kin bɔku mɔ pan pipul dɛn we dɔn pas 40 ia. |
| Kɔnjɛstiv At Failure | Fluid akyumyuleshכn na di lכng dεm bikoz fכ di at fכ wok fayn fayn wan. |
| Yuz tin dɛn we de mek blɔd tan | Pipul dɛn we de tek dɛn mɛrɛsin ya kin gɛt blɔd. |
| Fɔrin tin we stɔp na di say we di briz de blo | I kin apin mɔ pan yɔŋ pikin dɛn. |
Aw dɔktɔ go no wetin mek dis de apin?
We yu go to dɔktɔ, i go aks yu sɔm kwɛstyɔn dɛn fɔs.
- Ɔmɔs blɔd de lɔs?
- Aw lɔng dis tin dɔn de?
- Ɔmɔs tɛm insay di de yu kin blɔd?
- Aw bɔku blɔd de miks wit di mucus?
- Yu de smok? Ɛni ɔda sayn dɛn de we de sho se yu gɛt dis sik?
Bay di ansa we yu gi to dɛn kwɛstyɔn ya, yu dɔktɔ kin gɛt rough aidia bɔt di kɔz. Dɔn, dɛn kin du sɔm tɛst dɛn fɔ no if di pɔsin gɛt dis sik, lɛk:
- Chɛst X-ray: Fɔ chɛk fɔ si if pɔsin gɛt tumbu, wata, ɔ ɔda tin we nɔ fayn na di lɔng dɛn.
- Chɛst CT skan: Na fɔ luk mɔ dip wan pan sɔntin we dɛn si pan di ɛkstrem rayt.
- Bronchoscopy: Na tɛst we dɛn kin pas wan smɔl tiub we gɛt kamɛra na di say dɛn we di briz de blo fɔ no usay di blɔd kɔmɔt.
- Kɔmplit blɔd kɔnt (CBC): I de chɛk ɔmɔs blɔd dɔn lɔs na di bɔdi ɛn if sayn dɛn de fɔ se pɔsin gɛt di sik.
- Sputum culture: Tek wan sεmpl fכ sputum fכ chεk fכ infεkshכn ejen dεm lεk baktri dεm εn vayrus dεm.
- Coagulation Test: I de chɛk fɔ ɛni prɔblɛm we de wit blɔd we de klɔt.
Wetin na di tritmɛnt dɛm fɔ dis?
Di tritmɛnt dipen pan di blɔd we de kɔmɔt ɛn di tin we mek i de kɔmɔt.
If blɔd de kɔmɔt bad bad wan:
If yu de lɔs bɔku blɔd wan tɛm, dɛn go admit yu na di intensiv kia yunit (ICU) ɛn di fɔs tin we dɛn go du na fɔ kɔntrol di blɔd we de kɔmɔt. Dis go involv fɔ du brɔnkoskɔpi.Dɛn kin du wan fɔ pul di blɔd we de klɔt ɔ fɔ du wan tritmɛnt we dɛn kɔl Bronchial Artery Embolization , we de blok di blɔd vesel.
Tritmɛnt akɔdin to di kɔz:
We dɛn dɔn kɔntrol di blɔd we de kɔmɔt, ɔ if di blɔd nɔ bɔku, di dɔktɔ go gi yu tritmɛnt bay wetin mek i de kɔmɔt.
- Antibayɔtik: If di kɔz na baktri infɛkshɔn lɛk nyumonia ɔ TB.
- Stɛroyd: If di kɔz na inflamɛns.
- Ɔpreshɔn ɛn tritmɛnt fɔ kansa: If di kɔz na kansa tumbu na di lɔng.
A fɔ go to dɔktɔ wantɛm wantɛm?
Dis na di pat we impɔtant pas ɔl. Ustɛm wi fɔ tek dis as imejensi?
If yu de blɔd pas sɔm ti spɔnj, ɔ if yu dɔn de blɔd fɔ pas wan wik, yu go mɔs go to dɔktɔ.
If yu de blɔd wit dɛn sayn ya, go na ɔspitul in Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm.
| Atɛnshɔn! If yu gɛt dɛn sik ya, go na di ETU wantɛm wantɛm. | |
|---|---|
| Fiva | I nɔ kin izi fɔ yu fɔ blo |
| Chɛst de pen | We yu de lɔs yu wet wantɛm wantɛm ɔ kwik kwik wan |
| Nayt swet dɛn | Diziz ɔ fɔdɔm |
| Blɔd we de na di urine ɔ di stɔl | |
Mɛsej we dɛn kin kɛr go na os
- Smɔl blɔd we yu kɔf nɔ kin siriɔs, bɔt nɔ ignore am.
- If di blɔd de kɔmɔt pasmak, ɔ if i te fɔ pas wan wik, ɔ if yu gɛt ɔda sayn dɛn lɛk we yu de fil pen na yu chɛst, i nɔ izi fɔ blo, ɔ yu gɛt fiva, go to dɔktɔ wantɛm wantɛm.
- Di tin we impɔtant pas ɔl na fɔ fɛn di rayt tin ɛn gɛt di rayt tritmɛnt fɔ am. So nɔ fred fɔ go to dɔktɔ.
- εmoptysis εn hematemesis na tu kכndyushכn dεm. Fɔ vɔmit blɔd wit fɔ kɔf blɔd kin bi mɔ siriɔs imejensi.
👩🏽 ⚕️ Ɔda kwɛstyɔn dɛn (FAQ dɛn)
💬 Us sik dɛn kin gi Nisoldipine (Nisoldipine / Sular) tablɛt fɔ?
Dis na wan Calcium Channel Blocker (CCB) we dɛn mek fɔ kɔntrol ay blɔd prɛshɔn. Na wan pan di pawaful blɔd prɛshɔn pils dɛn na di wɔl! di spεshal tin fכ dis na dat i gεt bכku lכw ifekt pan di at ritm pas כda (CCB) pils dεm (Vascular Selectivity). So, i nɔ de ambɔg di at, bɔt i de wok dairekt fɔ mek di blɔd vesel dɛn rilaks.
💬 Aw we wi tek dis blɔd prɛshɔn pil (Nisoldipine) i kin mek wi blɔd prɛshɔn dɔŋ?
fכ mek blכd vesel kכntrakt/kכntrakt εn di prεshכn fכ go כp, di ‘Calcium’ patikyula dεm fכ fכ tru fכ go insay di bכdi in mכsul! as dis mεdisin go insay di bכdi, i de blכk/klos εn lכk כl di kalsiכm get dεm (L-tayp kalsiכm chεnal dεm) na dεn blכd vεsεl dεm 100%! biכs di kalsiכm nכ de go insay, di bכdi nכ de kכntrakt εn i de rili lכs (Vasodilation). Dɔn di blɔd kin flɔ izi wan ɛn di prɛshɔn kin go dɔŋ.
💬 Wetin na di anɔyntin sayd ɛfɛkt dɛm we pɔsin tek dis mɛrɛsin (Nisoldipine)? Wetin mek dɛn se nɔ fɔ tek am wit it/fat (high-fat meal)?
Di big prɔblɛm na dat yu nɔ fɔ ɛva it ‘high-fat meal’ we yu de tek dis pil! If yu du dat, di absכpshכn fכ di mεdisin insay di bכdi kin abnכmal inkrεs/dכn (Altered absorption) εn di prεshכn kin dכn dכn εn yu kin day. di כda big sayd ifekt dεm we de anɔynt na dat dis go rili mek di ankכl/leg dεm swεla (Peripheral Edema)’ εn di at bit/rεd fכ di fes kwik kwik wan (Reflex tachycardia/Flushing).
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