Aksidɛnt kin apin na wi layf di tɛm we wi nɔ bin de ɛkspɛkt. Imajin, wetin yu go du if pɔsin it wan ebi ebi mɛtal lɛk asɛnik, mɛkuri, gold, ɔ lid wantɛm wantɛm ɛn pɔyzin am? Dis na tin we rili denja. Tide wi de tɔk bɔt spɛshal injɛkshɔn we dɛn kin jɔs gi na ɔspitul pan dis kayn siriɔs kes. Di nem fɔ dis injɛkshɔn na Dimercaprol. Yu go dɔn si am sɔm tɛm dɛn kin kɔl am ‘BAL in Oil’.
Fɔ tɔk am simpul wan, wetin na Dimercaprol?
Dis na tin we kɔmplikt smɔl, bɔt lɛ wi kip am simpul. Imajin se wan ebi ebi mɛtal we de ambɔg yu dɔn kam insay yu bɔdi. dis mεtal patikyula dεm de tay pan difrεn tisu dεm εn כgan dεm na di bכdi εn bigin fכ pwεl dεm. Di drɔg we dɛn kɔl Dimercaprol de wok lɛk strɔng magnet .
We dis vaysin go insay di bɔdi, i de atrak di bad bad hεvi mεtal patikyula dεm we de insay am εn i de tay tranga wan wit dεm. Afta dɛn dɔn tay dɛn dis kayn we, dɛn pɔyzin mɛtal dɛn de nɔ go ebul fɔ ambɔg di bɔdi igen. afta dat, dis Dimercaprol mεdisin de kech dεn mεtal patikyula dεm de εn pas kכmכt na di bכdi wit urine. Fɔ tɔk am simpul wan, dis na prɔses we de "pik ɛn pul" di pɔyzin dɛn we de insay di bɔdi. dis prכsεs dεn kכl am chεlashכn insay mεdikal.
Tin dɛm wae yu fɔ tɛl yu dɔktɔ bifo yu gi dis mɛrɛsin
Pan ɔl we dis na imejensi mɛrɛsin, i rili impɔtant fɔ mek di mɛdikal tim no sɔm tin dɛn bɔt yu ɔ di pɔsin in wɛlbɔdi prɔblɛm, bikɔs dis infɔmeshɔn go sho if di tritmɛnt go wok fayn ɛn i go sef.
- Ɔda sik dɛn we yu gɛt:
- Kidni sik: Bikɔs dis mɛrɛsin de kɔmɔt na di bɔdi tru di kidni, i impɔtant fɔ tɛl yu dɔktɔ if yu gɛt ɛni prɔblɛm wit yu kidni.
- Liva sik: If ɛni prɔblɛm de wit di liva wok, i impɔtant fɔ tɛl di dɔktɔ.
- G6PD dεfisiεns: Dis na εnzym dεfisiεns we sכm pipul dεn bכn wit, we de involv insay rεd bכdi sεl dεm. If yu gɛt dis sik, yu dɔktɔ fɔ tek tɛm mɔ fɔ gi yu dis mɛrɛsin.
- Alɛji dɛn we yu gɛt:
- Tɛl wi if yu gɛt alɛji fɔ dis Dimercaprol mɛrɛsin ɔ ɛni ɔda mɛrɛsin, it, ɔ day.
- Speshal, dis mɛrɛsin de kam insay wan ɔyl bays. Sɔm prɔdak dɛn kin gɛt pinat ɔyl. So if yu gɛt alɛji fɔ pinat , mek shɔ se yu tɛl yu dɔktɔ.
- Ɔda pɔyzin: Dɛn nɔ kin yuz dis mɛrɛsin fɔ mɛn pɔyzin we gɛt mɛtal lɛk ayɛn, kadmiɔm, ɔ sɛlɛniɔm. If ɛnibɔdi de we dɛn tink se dis kayn tin de apin, dɛn fɔ tɔk bɔt am bak.
- Bεlε εn we dεn de gi pikin bεlε:If yu gɛt bɛlɛ, yu de tray fɔ gɛt bɛlɛ, ɔ yu de gi pikin in bɛlɛ, i impɔtant fɔ tɛl yu dɔktɔ bifo yu tek dis mɛrɛsin.
De tin wae impɔtant pas ɔl na fɔ tɛl yu dɔktɔ ɔltin wae yu no bɔt yu wɛl bɔdi, ɛn nɔr fɔ ayd ɛnitin. Na fɔ yu yon sef.
Aw dɛn kin yuz dis vaysin?
Dis na pɔynt we rili impɔtant. Dimercaprol nɔto mɛrɛsin we yu kin bay na famasi ɛn kɛr go na os.
- Dis na jɔs pɔsin we tren fɔ kia fɔ wɛlbɔdi biznɛs na ɔspitul ɔ klinik sɛtin de gi am .
- Dɛn kin gi di vaysin bay we dɛn injekt am na wan mɔsul , bɔku tɛm na di dip mɔsul na di bɔdi ɔ di shɔl.
- Dɛn nid spɛshal kia we dɛn de gi dis mɛrɛsin to yɔŋ pikin dɛn . So, dɛn fɔ du dis afta dɛn dɔn go to dɔktɔ we de mɛn pikin dɛn ɛn fala in advays.
Wetin fɔ du if dɛn ad di doz fɔ di vaysin?
Bikɔs dɛn kin gi dis na ɔspitul, di chans fɔ mek dɛn tek am pasmak kin rili smɔl. Bɔt if yu tink se yu dɔn tek dis mɛrɛsin tumɔs, tɛl di dɔktɔ dɛn wantɛm wantɛm. Insay Sri Lanka, wan ples de usay yu kin kɔntakt wantɛm wantɛm fɔ gɛt advays bɔt masta sabi pipul dɛn bɔt dɛn kayn pɔyzin ɛn mɛrɛsin dɛn de. Dat min se, di Nashɔnal Pɔyzin Infɔmeshɔn Sɛnta na di Nashɔnal Ospital na Kɔlɔmbɔ . I rili impɔtant bak fɔ tɛl di ɔspitul in Imejɛnsi Tritmɛnt Yunit (ETU) .
Ɔda tin dɛm wae kin intarakt wit dis mɛrɛsin (Interactions) .
We yu de tek di Dimercaprol vaysin, sɔm tin dɛn de we yu nɔ fɔ tek wit am. If yu tek dɛn tin ya togɛda, dat kin mek yu gɛt bad bad tin dɛn.
| Sɔbstans dɛn we dɛn nɔ fɔ tek | Wetin mek i impɔtant? |
|---|---|
| Ayɛn sɔl ɔ sɔpɔtmɛnt dɛn | Ayɔn tablɛt ɔ ɔda tin dɛn we gɛt ayɛn kin mek pɔyzin we dɛn tek am wit dis mɛrɛsin. So, yu fɔ avɔyd ayɛn we yu de du dis tritmɛnt. |
| Gold kɔmpawnd dɛn | Dis mɛrɛsin nɔ fɔ yuz wit mɛrɛsin dɛn we gɛt gold (e.g. auranofin, aurothioglucose) we dɛn kin yuz fɔ sɔm mɛrɛsin kɔndishɔn dɛn (e.g. rεumatoid arthritis). |
| Kadmiɔm ɛn Sɛlɛniɔm | Dɛn nɔ de yuz dimercaprol injɛkshɔn as tritmɛnt fɔ dɛn tu mɛtal pɔyzin ya. I kin mek di kidni dɛn pwɛl. |
Apat frɔm dis list, tɛl yu dɔktɔ bɔt ɛni ɔda mɛrɛsin, ɛbul prɔdak, ɛn vaytamɛn dɛn we yu de tek.
Wetin fɔ ɛkspɛkt we yu de tek di mɛrɛsin ɛn afta yu tek am
We yu de tek dis mɛrɛsin, yu mɛdikal tim go wach yu sik gud gud wan . Dɛn go chɛk yu at rit, blɔd prɛshɔn, ɛn ɔda impɔtant sayn dɛn ɔltɛm.
Sɔntɛnde, dɛn kin aks yu fɔ fala spɛshal it fɔ shɔt tɛm afta yu dɔn tek dis mɛrɛsin. fכ egzampl, dεn kin aks yu fכ it tin dεm we de εp fכ chenj di pH na yu bכdi (fכ mek yu urine alkaline). Yu dɔktɔ go advays yu bɔt ɔl dɛn tin ya. Tek tɛm fala dɛn instrɔkshɔn dɛn de.
Wetin na di bad tin dɛn we kin apin to pɔsin?
Lɛk ɛni mɛrɛsin, Dimercaprol injɛkshɔn kin mek yu gɛt sayd ɛfɛkt. Sɔm na smɔl smɔl tin dɛn, ɛn ɔda wan dɛn nid fɔ pe atɛnshɔn to dɛn wantɛm wantɛm.
| Siriɔs sayd ɛfɛkt dɛn we dɛn fɔ ripɔt to di mɛdikal tim wantɛm wantɛm | |
|---|---|
| Alɛji we pɔsin kin gɛt | Skin rash, i de it bad bad wan, yu fes, yu lip, yu tɔŋ ɔ yu trot de swel. |
| Tayt ɔ pen na di chɛst, trot, ɔ an | Wan filin we yu kin fil we yu tayt ɔ we yu de prɛs yu wantɛm wantɛm. |
| Di ay blɔd prɛshɔn | Di blɔd prɛshɔn we de go ɔp wantɛm wantɛm. |
| Di chenj dɛn we de apin na di at rit | Fɔ fil lɛk se yu at de bit fast ɔ nɔ de bit ɔltɛm. |
| Fiva | Fiva, mɔ pan pikin dɛn. |
| Di sik dɛn we kin mek pɔsin sik | Wan sityueshɔn lɛk fit. |
| Pen na di say we dɛn injɛkshɔn | Siriɔs pen ɔ inflamɛns na di say we dɛn injɛkshɔn. |
| Smɔl smɔl sayd ɛfɛkt dɛm we dɛn fɔ ripɔt to di dɔktɔ if dɛn kɔntinyu ɔ de mɔna am | |
| Fɔ mek yu fil lɛk se yu de bɔn | Fɔ fil se yu de bɔn na say dɛn lɛk di lip, yu mɔt, ɛn yu trot. |
| Ed pen, nɔs, vɔmit | Kɔmɔn sayd ɛfɛkt dɛn. |
| Saliva ɛn kray wata we de bɔku, nos we de rɔn | Bɔku tɛm, dɛn tin ya kin apin fɔ shɔt tɛm nɔmɔ. |
| Bɛlɛ de pen | Fɔ fil se yu nɔ de fil fayn na yu bɛlɛ. |
If yu gɛt ɛni ɔda kayn sik we nɔ kɔmɔn we dɛn nɔ tɔk bɔt na dis list, duya tɛl yu dɔktɔ ɔ di wan dɛn we de wok na di nɔs bɔt dɛn bak.
Mɛsej we dɛn kin kɛr go na os
- Dimercaprol (BAL in Oil) na spɛshal injɛkshɔn we dɛn kin gi na ɔspitul nɔmɔ fɔ di pɔyzin we gɛt ebi ebi mɛtal lɛk asɛnik, mɛkkyuri, lid, ɛn gold.
- Bifo yu gɛt dis vaysin, mek shɔ se yu tɛl yu dɔktɔ bɔt ɔl yu mɛrɛsin, alɛji (especially pinat alɛji), ɛn ɔda mɛrɛsin dɛn we yu de tek.
- Dis nɔto mɛrɛsin we pɔsin kin bay na famasi ɛn yuz am na os, bɔt na pɔsin we tren fɔ mɛn pipul dɛn kin gi am insay di mɔsul.
- Nɔ tek ayɛn pils ɔ supamakit dɛn ɔltogɛda we yu de trit yu.
- Yu fɔ no bɔt di siriɔs sayd ɛfɛkt dɛn we pɔsin kin gɛt (e.g., alɛji, chɛst pen, ay blɔd prɛshɔn) we yu de tek di mɛrɛsin. If yu notis ɛnitin we nɔ kɔmɔn , tɛl di dɔktɔ dɛn wantɛm wantɛm .
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