Sɔntɛnde, afta dɛn dɔn du big ɔpreshɔn ɔ bikɔs ɔf di tin dɛn we ɔda mɛrɛsin dɛn kin du, di we aw wi kin blo kin slo smɔl. Ɔ sɔm pipul dɛn gɛt krɛse sik (lɛk COPD). We i nɔ kin izi fɔ blo pan dɛn kayn tin ya, spɛshal mɛrɛsin dɛn de we kin ɛp fɔ mek i kam bak. Tide, wi go tɔk bɔt wan spɛshal injɛkshɔn we na ɔspitul nɔmɔ dɛn kin gi. Dat na Dɔksapram.
Fɔ tɔk am simpul wan, wetin na Dɔksapram?
Doxapram na wan mɛrɛsin we de mek pɔsin ebul fɔ blo . Dat min se dis drɔg de afɛkt di sɛnta we de kɔntrol di briz na wi bren dairekt wan. Imajin se di we aw wi de blo na wi bɔdi tan lɛk wan ɔtomɛtik sistɛm. Di kɔntrol panɛl fɔ dis sistɛm de na di bren. Bikɔs ɔf sɔm mɛrɛsin dɛn (especially anestetik) ɔ bikɔs ɔf sɔm mɛdikal kɔndishɔn, di wok we dis kɔntrol panɛl de wok slo smɔl. Na da tɛm de di briz kin slo ɔ shalo.
we yu gi di doxapram injεkshכn, i de akt lεk se i de go na dis sεntrכm na di bren εn gi sכm signal fכ "wek sכm εn wok." dis de gi di lכng dεm di stimulashכn we dεn nid fכ brith fayn εn stedi.
Dɛn kin yuz dis mɔ:
- We yu de blo slo ɔ shalo bikɔs ɔf ɔda mɛrɛsin dɛn.
- Fɔ ɛp fɔ blo di tɛm we di sik we dɛn kɔl Chronic Obstructive Pulmonary Disease (COPD) de wɔs.
Di impɔtant tin na dat dis na mɛrɛsin we dɛn kin gi fɔ shɔt tɛm nɔmɔ, ɔnda dɔktɔ in sɔpɔtishɔn, na ɔspitul. Dis nɔto mɛrɛsin we yu kin tek na os ɛn yuz bɔku tɛm.
Tin dɛm wae yu fɔ tɛl yu dɔktɔ bifo yu tek dis mɛrɛsin
Bifo yu disayd fɔ gi yu dis mɛrɛsin, i impɔtant fɔ mek yu mɛdikal tim no bɔt yu kɔmplit wɛlbɔdi istri. Dis na bikɔs pipul dɛm wae gɛt sɔm kayn mɛrɛsin nid fɔ tek tɛm pasmak wae dɛn de gi dis mɛrɛsin. If yu gɛt ɛni wan pan di sik dɛn we de dɔŋ ya, mek shɔ se yu tɛl yu dɔktɔ.
| Yu wɛlbɔdi kɔndishɔn | Wetin mek yu fɔ tɛl pipul dɛn? |
|---|---|
| Ɛd aksidɛnt ɔ injuri | Na bikɔs di prɛshɔn we de pan di bren kin afɛkt. |
| At sik ɔ at we nɔ de wok fayn | Di at rit ɛn blɔd prɛshɔn kin afɛkt. |
| Di ay blɔd prɛshɔn | Dis mɛrɛsin kin mek yu blɔd prɛshɔn go ɔp. |
| Di tayroyd lɛvɛl we bɔku | Na bikɔs i kin mek di bɔdi wok mɔ ɛn mɔ. |
| Kidni ɔ liva sik | Di prɔses fɔ pul di drɔg na di bɔdi kin afɛkt. |
| Wan sik we dɛn kɔl Pheochromocytoma | Dis na kansa na di adrenal gland we kin afɛkt di blɔd prɛshɔn bad bad wan. |
| Epilepsy ɔr sik wae de mek pɔrsin fil bad (Seizures) . | Di risk fɔ mek yu gɛt sik kin bɔku as di bren de wok. |
| Strok | Di ay blɔd prɛshɔn kin denja. |
| Bεlε, tray fכ gεt bεlε, כ fכ gi pikin in bεlε | di dכkta fכ no di ifekt dεm we i kin gεt pan di pikin כ di pikin. |
| Alɛji to ɛni ɔda mɛrɛsin, it ɔ tin | Bi aware of di possibiliti fɔ gɛt alɛji riakshɔn to doxapram bak. |
Aw dɛn kin gi dis mɛrɛsin?
Dis na injεkshכn we dεn injεkt insay wan vein. Na yu mɛdikal tim de gi am na ɔspitul ɔ klinik. Dis min se dɔktɔ ɔ nɔs go gi yu am. Dis tritmɛnt kin apin we dɛn de wach yu ɔltɛm.
If yu gi dis mɛrɛsin to pikin dɛn, mɔ to pikin dɛn we dɔn pas 12 ia, ɔ ivin pan spɛshal tɛm, yu nid fɔ tek tɛm bad bad wan. So, if yu de gi yu pikin dis mɛrɛsin, tek tɛm tɔk to yu dɔktɔ bɔt am.
Wetin a go du if a tek bɔku mɛrɛsin?
Bikɔs dɛn kin gi dis na ɔspitul, di chans fɔ mek dis apin rili smɔl. Bɔt if ɛnibɔdi de we dɛn tink se dis dɔn apin, dɛn go tɛl di mɛdikal tim wantɛm wantɛm. If yu nid ɛni infɔmeshɔn bɔt dis, na Sri Lanka, yu fɔ kɔntak di Nashɔnal Pɔyzin Infɔmeshɔn Sɛnta na di Kɔlɔmbɔ Nashɔnal Ospital ɔ di Imejɛnsi Tritmɛnt Yunit (ETU) na di ɔspitul usay dɛn de trit yu.
I kin miks wit ɔda mɛrɛsin dɛn?
Yɛs, na fɔ tru. Sɔm mɛrɛsin kin intarakt wit Doxapram ɛn mek dɛn gɛt denja sayd ɛfɛkt. So, gi yu dɔktɔ wan kɔmplit list fɔ ɔl di mɛrɛsin dɛn, vaytamɛn dɛn, ɛbul mɛrɛsin dɛn, ɛn sɔpɔtmɛnt dɛn we yu de tek.
Na mɔtalman, dɛn nɔ de gi Doxapram wit dɛn mɛrɛsin ya:
- MAOI (lɛk Marplan, Nardil, ɛn Parnate) - Dɛn wan ya na wan kayn mɛrɛsin wae dɛn kin gi fɔ pwɛl hat.
Dɔn bak, sayd ɛfɛkt kin apin wit dɛn mɛrɛsin ya:
- Aminofilin we dɛn kɔl
- Tiofilin we dɛn kɔl
- Sɔm drɔgs dɛn we dɛn kin yuz fɔ anestezi (e.g. halothane, isoflurane) .
- Mɔsul rilaksant fɔ ɔpreshɔn
Dis list nɔ kɔmplit, so i rili impɔtant fɔ tɛl yu dɔktɔ bɔt ɛnitin we yu de tek.
Wetin na di sayd ɛfɛkt dɛn we pɔsin kin gɛt we i tek di mɛrɛsin?
Lɛk ɛni mɛrɛsin, Doxapram kin gɛt sayd ɛfɛkt. Bikɔs yu de ɔnda dɔktɔ in sɔpɔtishɔn na di ɔspitul, dɛn de wach dɛn tin ya ɔltɛm. Bɔt i fayn fɔ mek wi no bɔt dis bak.
| Sayd ɛfɛkt we pɔsin kin gɛt | Tɔk bɔt |
|---|---|
| Siriɔs sayd ɛfɛkt dɛm we yu fɔ ripɔt to yu mɛdikal tim wantɛm wantɛm | |
| Alɛji we pɔsin kin gɛt | Skin rash, it, swel na di fes, lip, tong ɔ trot. |
| Di chenj dɛn we de apin na di at rit | Hat kin bit fast ɔ nɔ kin bit ɔltɛm, diziz, fɔdɔm, chɛst pen, i nɔ kin izi fɔ blo. |
| Blɔd prɛshɔn we de go ɔp | Di sayn dɛm lɛk fɔ gɛt siriɔs ed pen ɛn fɔ chenj di we aw yu de si. |
| Di sik dɛn we kin mek pɔsin sik | Di bɔdi we nɔ de kɔntrol. |
| Sayd ɛfɛkt dɛn we nɔ kin siriɔs, bɔt dɛn fɔ ripɔt to di dɔktɔ if dɛn kɔntinyu fɔ de | |
| Kɔf | Kɔf wit tiklin sɛns na di trot. |
| Diziz we pɔsin kin gɛt | Wan smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl. |
| Fes rɛd, wam wam | Wan kɔndishɔn we kin kam bikɔs di blɔd vesel dɛn kin big. |
| Ed de at | Ed we nɔ kin at to we nɔ kin at. |
| Vɔmit | Fɔ fil lɛk se yu de vɔmit. |
| We pɔsin de swet | Swet we nɔ chenj na di bɔdi in tɛmpracha. |
Dis list nɔ de inklud ɔl di sayd ɛfɛkt dɛn we pɔsin kin gɛt. If yu gɛt ɛni kayn sik we nɔ kɔmɔn, tɔk to yu dɔktɔ ɔ di wan dɛn we de wok na yu nɔs.
Mɛsej we dɛn kin kɛr go na os
- Doxapram na spɛshal mɛrɛsin we de mek pɔsin ebul fɔ blo ɛn na ɔspitul nɔmɔ dɛn kin gi am insay in bɛlɛ.
- Dɛn kin yuse dis mɔ we yu de blo slo bikɔs ɔf ɔda mɛrɛsin ɔ kɔndishɔn lɛk COPD.
- I rili impɔtant fɔ tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu gɛt ɛn ɔl di mɛrɛsin dɛn we yu de tek.
- Yu go de ɔnda dɔktɔ ɔltɛm we yu de tek dis mɛrɛsin. If yu gɛt ɛni ɔda sayn we nɔ kɔmɔn, duya tɛl yu dɔktɔ wantɛm wantɛm.
- Bikɔs dis nɔto mɛrɛsin we pɔsin kin kɛr go na os, yu nɔ nid fɔ wɔri fɔ kip am.
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