Imajin se yu de blɔd wantɛm wantɛm frɔm ɔlsay na yu bɔdi we yu nɔ ebul fɔ kɔntrol, ɛn ivin brus ɔlsay. Dis kin rili mek pɔsin fred, nɔto so? Tide wi go tɔk bɔt dis kayn siriɔs, bɔt rili rare kɔndishɔn. Dis na di mɛrɛsin we dɛn kɔl Disseminated Intravascular Coagulation, ɔ DIC fɔ shɔt. Lɛ wi tɔk bɔt dis simpul wan, di we we yu go ɔndastand.
Fɔ tɔk am simpul wan, wetin na DIC?
DIC na wan prɔblɛm we rili kɔmpleks ɛn siriɔs we kin apin na wi blɔd we de mek wi blɔd klɔt. Sɔntin we rili strenj kin apin insay dis. Na wan say, bɔku bɔku smɔl smɔl blɔd dɛn kin bigin fɔ mek insay di blɔd vesel dɛn na di bɔdi we nɔ nid. Bɔt dis kin mek di tin we impɔtant pas ɔl we kin ɛp di blɔd we de klɔt fɔ dɔn, ɛn dis kin mek di blɔd we pɔsin nɔ ebul fɔ kɔntrol .
Di impɔtant tin na dat DIC nɔto sik we kin apin in wan. I kin apin ɔltɛm as kɔmplikeshɔn fɔ ɔda siriɔs sik ɔr siriɔs aksidɛnt. So, if dɛn nɔ trit am kwik, i kin mek pɔsin in layf de pan denja.
Wetin na di sayn dɛm fɔ DIC?
Insay dis kɔndishɔn, ɔl tu di blɔd we de klɔt ɛn di blɔd kin apin wan tɛm, so di sayn dɛn kin kam we gɛt fɔ du wit dɛn tu tin ya.
| Di sayn we de sho se di sik de | Tɔk bɔt |
|---|---|
| Blɔd we pɔsin nɔ ebul fɔ kɔntrol | Blɔd we de kɔmɔt na bɔku pat dɛn na di bɔdi wan tɛm. Fɔ ɛgzampul, blɔd we nɔ go ebul fɔ stɔp kin kɔmɔt na di nos, di gam, di say dɛn we dɛn injekt am, ɔ di wund dɛn we dɛn du ɔpreshɔn pan. |
| Brus na di skin | Blu/pɔpul brus we de apia na di bɔdi fɔ no rizin. |
| I nɔ kin izi fɔ yu fɔ blo | di bכdi we de kכlכt na di bכdi we de go na di lכng kin mek i at fכ brith (dyspnea). |
| Kɔnfyushɔn na yu maynd | If blɔd nɔ de go fayn na di bren, i kin mek pɔsin kɔnfyus, i nɔ kin mɛmba tin igen, ɔ i kin mek i chenj di we aw i de biev. |
| Ay fiva | Fɔ gɛt fiva we pas 39.4 digri sɛlshiɔs (103 Fahrenheit). |
Wetin mek dis DIC kin apin? Lɛ wi luk am smɔl mɔ.
Fɔ ɔndastand dis, wi nid fɔ ɔndastand smɔl fɔs bɔt aw wi bɔdi kin klɔt nɔmal wan. Imajin se yu gɛt smɔl kɔt na yu an. Da tɛm de, di pletlɛt dɛn we de na wi blɔd ɛn di tin dɛn we di liva de mek fɔ klɔt kin kam togɛda fɔ sial di wund ɛn stɔp di blɔd. I tan lɛk se yu de yuz brik (pletlɛt) ɛn simen (protɛin) fɔ pat ol na wɔl.
Bɔt insay di kes fɔ DIC, dis prɔses kin ambɔg kpatakpata.
Stej tu fɔ DIC kɔndishɔn
1. Stej 1 (Blɔd Klɔt): Bikɔs ɔf wan siriɔs mɛrɛsin, bɔku bɔku smɔl smɔl blɔd klɔt dɛn kin bigin fɔ fɔm na di smɔl smɔl blɔd vesel dɛn ɔlsay na di bɔdi. Dis kin kɔt di blɔd we de go na di men ɔgan dɛn lɛk di bren, di kidni, ɛn di lɔng. I tan lɛk se dɛn dɔn blok ɛni smɔl rod na siti wantɛm wantɛm.
2. Stej 2 (Blɔd): We wi de mek blɔd we nɔ nid fɔ klɔt, wi bɔdi de yuz ɔl di pletlɛt dɛn ɛn di prɔtin dɛn we de mek blɔd klɔt. naw, if wund rili apin, di bכdi nכ gεt di "brik εn siment" we i nid fכ klos am. Di rizulyt na di blɔd we de kɔmɔt bad bad wan ɛn we pɔsin nɔ ebul fɔ kɔntrol.
Udat de pan ay risk fɔ gɛt DIC?
As wi bin dɔn tɔk, dis na bikɔs ɔf ɔda siriɔs sik. So, pipul dɛm wae gɛt dis sik kin gɛt bɔrku risk fɔ gɛt DIC:
| Factor dɛm wae de inkrisayz di risk fɔ DIC | |
|---|---|
| Siriɔs mɛdikal kɔndishɔn dɛn | |
| |
| Rizin dɛn we gɛt fɔ du wit mɛrɛsin | |
|
Aw dɔktɔ dɛn kin fɛn dis?
DIC kin apin to pɔsin we dɔn ɔlrɛdi de na ɔspitul ɛn we de gɛt tritmɛnt fɔ wan siriɔs mɛrɛsin. Yu dɔktɔ go tek tɛm luk yu sayn dɛm ɛn yu mɛdikal histri. Apat frɔm dat, dɛn go du sɔm spɛshal blɔd tɛst fɔ no if pɔsin gɛt di sik.
- Kɔmplit Blɔd Kɔnt (CBC): Chɛk fɔ si if di pletlɛt dɛn nɔ bɔku.
- Prothrombin Time (PT) ɛn Partial Thromboplastin Time (PTT): Mekɔp di tɛm we i tek fɔ mek blɔd klot.
- Fibrinogen test: I de chɛk di lɛvɛl we wan prɔtin we de ɛp fɔ mek di blɔd klɔt.
- D-dimer test: Na tin we de mek we di blɔd we de klɔt brok na di bɔdi. Elevated levels of dis na wan ki sayn fɔ DIC.
Wetin na di tritmɛnt dɛm fɔ dis?
di mכst imכtant εn fכs step fכ trit DIC na fכ trit di כndalayn mεdikal kכndyushכn (e.g., sepsis) we kכz di kכndyushכn. DIC nɔmɔ nɔ go ebul fɔ mɛn if dɛn nɔ trit dat.
We dɛn de gi da fɔs tritmɛnt de, dɔktɔ dɛn kin du dɛn tin ya fɔ manej DIC:
- Plasma transfyushɔn: Ristɔr di prɔtin (klɔt factors) we nid fɔ mek blɔd klɔt.
- Plɛtlɛt ɛn rɛd blɔd sɛl dɛn we dɛn kin gi: Fɔ mek di pletlɛt ɛn rɛd blɔd sɛl dɛn we dɔn dɔn bikɔs ɔf blɔd, kam bak.
- Antikɔagulɛnt dɛn:Sɔntɛnde, dɛn kin gi dɛn mɛrɛsin ya (blɔd thinners) fɔ kɔntrol di blɔd we dɛn nɔ want.
Dɛn kin tek dis tritmɛnt fayn fayn wan, wit ɔltɛm fɔ wach di pɔsin in kɔndishɔn, bikɔs dis na rili kɔmpleks kɔndishɔn.
Ustɛm yu nid fɔ go to dɔktɔ wantɛm wantɛm?
If yu ɔ pɔsin we yu sabi sik bad bad wan ɛn dɛn tin ya we de kam biɛn ya apin wantɛm wantɛm, go na di ɔspitul in Imejɛnsi Tritmɛnt Yunit (ETU) wantɛm wantɛm .
- If ebi ebi blɔd de we dɛn nɔ go ebul fɔ stɔp .
- If yu gɛt sayn dɛm fɔ hat atak (bɔku pen na yu chɛst, i nɔ izi fɔ blo).
- If di sayn dɛm fɔ strok (we de drɔp na wan say na di fes, i nɔ izi fɔ tɔk, i nɔ de fil fayn na in an).
Yu tink se dɛn kin mɛn DIC ɔltogɛda?
Yɛs, i rili pɔsibul. If dɛn dɔn kɔntrol di ɔndalayn kɔz fɔ DIC fayn fayn wan , di pɔsin kin wɛl ful wan. Tritmɛnt dɛn we de sɔpɔt am, lɛk fɔ gi pɔsin plasma ɛn fɔ gi blɔd, kin ɛp fɔ mek di blɔd klɔt bak.
Fɔ gɛt DIC min se yu dɔn ɔlrɛdi de fɛt ɔda siriɔs mɛdikal kɔndishɔn. So, e kin strɛs fɔ dil wit dis ad chalenj. Bɔt, fala yu dɔktɔ in instrɔkshɔn dɛn di rayt we.
- Tek di mɛrɛsin we dɛn tɛl yu fɔ tek di tɛm we dɛn tɛl yu fɔ tek am ɛn di we aw yu fɔ tek am. Nɔ stɔp fɔ tek ɛni mɛrɛsin ɔ chenj di doz if yu dɔktɔ nɔ advays yu.
- Nɔ yuz pen kil, vaytamɛn, ɔ ɔda tin dɛn we yu bay na di famasi if yu nɔ go to yu dɔktɔ.
- If yu de tek antikoagulant, tɛl ɔl dɔktɔ we de chɛk yu.
Na nɔmal tin fɔ mek yu fred we yu kam fɔ no bɔt dis kayn siriɔs sik. Bɔt mɛmba se wi kɔntri gɛt dɔktɔ dɛn we sabi du dɛn wok ɛn di wan dɛn we de wok na ɔspitul we dɛn dɔn tren fɔ manej dɛn kayn kɔmpleks tin dɛn de. So, i rili impɔtant fɔ abop pan dɛn ɛn go fɛn tritmɛnt.
Mɛsej we dɛn kin kɛr go na os
- DIC nɔto sik we kin apin fɔ insɛf. I kin apin ɔltɛm as kɔmplikeshɔn fɔ ɔda siriɔs mɛdikal kɔndishɔn .
- Insay dis kɔndishɔn, tu tin dɛn we de agens dɛnsɛf kin apin di sem tɛm: blɔd we nɔ nid fɔ klɔt na di bɔdi ɛn blɔd we nɔ kin kɔntrol.
- Di men gol fɔ tritmɛnt na fɔ trit di ɔndalayn kɔz fɔ DIC.
- If yu gɛt siriɔs sayn dɛn lɛk fɔ blɔd we yu nɔ ebul fɔ stɔp ɔ sayn dɛn we de sho se yu gɛt strok, yu fɔ go na ɔspitul in Imejɛnsi Tritmɛnt Yunit (ETU) wantɛm wantɛm .
- If dɛn trit am fayn, dɛn kin kɔntrol DIC ɛn trit di sik we de ɔnda am, ɛn dis kin mek i wɛl ful wan.
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