Wi fɔ no gud gud wan bɔt dɛn tu mɛrɛsin ya we dɛn kin gi afta dɛn dɔn put stent fɔ at sik? (Dual Antiplatelet Tɛrapi) .

Yu dɔn gɛt at atak i nɔ tu te yet? Ɔ yu dɔn put stent na wan at we de na yu at? Yu dɔktɔ go dɔn gi yu tu kayn mɛrɛsin. Wan pan dɛn kin bi aspirin. Di ɔda wan kin bi pil we gɛt difrɛn nem. So yu kin de wɔnda, "Wetin mek dɛn de gi mi tu difrɛn mɛrɛsin fɔ di sem sik?" Dis na kwɛstyɔn we bɔku pipul dɛn gɛt. Tide, wi de tɔk bɔt DAPT, ɔ Dual Antiplatelet Therapy, we na impɔtant tritmɛnt we de sev layf fɔ bɔku pan una.

Wetin na DAPT? Lɛ wi ɔndastand am simpul wan.

Fɔ ɔndastand dis, wi fɔ no smɔl bɔt wi blɔd fɔs. Wi blɔd gɛt rɛd blɔd sɛl dɛn, wayt blɔd sɛl dɛn, ɛn ɔda smɔl smɔl sɛl dɛn. Dɛn kɔl dɛn tin ya pletlɛt . Di men wok we dɛn pletlɛt ya de du na fɔ stɔp fɔ blɔd we injuri de sɔmsay na wi bɔdi, ɛn dɛn kin rɔsh go na di say, stik togɛda, ɛn mek wan mɛsh fɔ stɔp di blɔd. I tan lɛk se yu de put plasta kwik kwik wan pan paip we dɔn brok. Dis na wetin wi kɔl blɔd we de klɔt . Dis na prɔses we rili impɔtant fɔ sev wi layf. Bɔt di prɔblɛm kin bigin usay dis blɔd klɔt nɔ fɔ apin, dat na if i apin insay wan pan wi blɔd vesel dɛn. Imajin wetin go apin if blɔd klɔt fɔm na wan vein we de kɛr blɔd go na di at? Da blɔd vesel de kin blok, we kin mek di blɔd nɔ go na di at ɛn mek pɔsin gɛt at atak (Myocardial Infarction) . Dɔn bak, if dis blɔd we de klɔt go na di bren, i kin mek pɔsin gɛt strok . So, Dual Antiplatelet Therapy (DAPT) na tritmɛnt we de stɔp dɛn denja blɔd klɔt dɛn de fɔ mek dɛn nɔ fɔm insay di vein dɛn. insay dis, dεn kin gi tu kayn dεm we dεn kכl "Antiplatelet" tכgeda. Antiplatelet na wan mɛrɛsin we de mek di pletlɛt dɛn nɔ de stik togɛda, we min se i de mek di blɔd nɔ klɔt. "Dual" min tu. So, dɛn kɔl dis Dual Antiplatelet Therapy bikɔs dɛn kin gi tu kayn mɛrɛsin togɛda.

Udat nid dis DAPT tritmɛnt?

Dɔktɔ dɛn nɔ kin gi dis tritmɛnt to ɔlman. Dɛn kin gi am to pipul dɛm nɔmɔ we gɛt ay risk fɔ mek blɔd klɔt na dɛn vein. Dɛn kin gi dis tritmɛnt pan dɛn kayn tin ya:

Us mɛrɛsin dɛn kin gi fɔ DAPT?

Wi se dɛn kin gi tu kayn mɛrɛsin togɛda na DAPT tritmɛnt. Dɛn tu kayn drɔgs de na: 1. Aspirin: Dis na drɔg we bɔku pan una dɔn yɛri bɔt. Pan ɔl we dɛn kin yuz am bɔku bɔku wan as mɛrɛsin fɔ mek pɔsin fil pen, dɛn kin gi am rili smɔl fɔ mek blɔd nɔ klɔt pan pipul dɛn we gɛt at. 2. Wan drɔg we de na di P2Y12 Inhibitor grup: Dis na di sɛkɔn drɔg. Bɔku kayn drɔgs de we de insay dis grup.

• Klɔpidogrɛl we dɛn kɔl
• Prasugrel we dɛn kɔl
• Tikagrelɔr we dɛn kɔl

Yu dɔktɔ go disayd uswan pan dɛn tri mɛrɛsin ya fɔ gi yu ɛn us doz fɔ gi yu.I kin dipen pan bɔku tin, lɛk aw yu de mɛn yu, yu ej, ɛn if yu gɛt ɔda sik.

Wetin na di bɛnifit ɛn risk dɛm fɔ DAPT tritmɛnt?

Jɔs lɛk ɛni tritmɛnt, DAPT tritmɛnt gɛt bɛnifit ɛn sɔm risk dɛn. I impɔtant fɔ no bɔt dɛn tu tin ya.

Smɔl mɔ bɔt di risk fɔ blɔd...

Nɔ fred we yu yɛri "risk fɔ blɔd." Dis kin min ɛnitin frɔm smɔl smɔl tin dɛn to siriɔs tin dɛn.

• Smɔl blɔd: Fɔ blɔd na yu gɔm we yu de brus yu tit, yu nos blɔd, ɛn tɔn blu kwik afta yu gɛt smɔl injuri, na tin we kɔmɔn.
• Siriɔs blɔd: Pan ɔl we i nɔ kin apin so ɔltɛm, blɔd kin kɔmɔt na di bɛlɛ ɔ insay di bɔdi (Gastrointestinal bleeding ) kin apin. Dis kin mek blɔd de na di stɔl ɔ mek di stɔl blak. Ivin mɔ, blɔd kin kɔmɔt insay di bren .

Sayd ɛfɛkt ɛn intarakshɔn wit ɔda mɛrɛsin dɛn

Sɔm pipul dɛm wae de tek DAPT kin gɛt smɔl smɔl sayd ɛfɛkt dɛm.

• I nɔ kin izi fɔ yu fɔ blo
• Blɔd we de na di urine (Haematuria) .
• Brus we de mek pɔsin brus
• Di pletlɛt dɛn we de na di blɔd kin go dɔŋ ( Thrombocytopenia ) .
• Polip dɛn we de na di nos
• Nɔs blɔd (Epistaxis) .

Dɔn bak, we yu de tek DAPT, yu fɔ tɛl yu dɔktɔ bɔt ɔda mɛrɛsin dɛn we yu de tek. Bikɔs sɔm mɛrɛsin dɛn kin ambɔg di wok we DAPT de du. Tek tɛm mɔ wit dɛn mɛrɛsin ya.

• Ɔda mɛrɛsin dɛn we de mek yu blɔd tan ( Anticoagulants ): If yu de tek mɛrɛsin lɛk Warfarin, di risk fɔ mek yu blɔd kɔmɔt fa fawe.
• Painkillers (NSAIDs): If yu yuz mɛrɛsin lɛk Ibuprofen ɛn Diclofenac bɔku tɛm, dat kin mek yu bɛlɛ blɔd bɔku.
• Sɔm mɛrɛsin fɔ pwɛl hat (Antidepressants).
• Mɛrɛsin fɔ gastritis (Proton Pump Inhibitors): Mɛrɛsin lɛk Omeprazole.

So, nɔ fɔgɛt fɔ tɛl yu dɔktɔ bɔt ɔltin we yu de tek, lɛk pils, vaytamɛn, ɛn tradishɔnal mɛrɛsin.

Aw lɔng a nid fɔ tek dis mɛrɛsin?

Dis na prɔblɛm bak fɔ bɔku pipul dɛn. Di lɔng tɛm fɔ tek DAPT nɔto di sem fɔ ɔlman. I kin difrɛn frɔm wan pɔsin to ɔda pɔsin.

• Sɔm pipul dɛn kin gi am fɔ shɔt tɛm, lɛk wan ɔ tu mɔnt.
• Bɔku pipul dɛn kin gɛt fɔ drink fɔ wan ia ɔ mɔ.
• Ivin afta yu dɔn stɔp fɔ tek DAPT tritmɛnt, yu dɔktɔ kin tɛl yu fɔ tek aspirin nɔmɔ fɔ di res ɔf yu layf.

Na yu dɔktɔ disayd dis tɛm. Bɔku tin dɛn de we kin afɛkt am:

• Wetin na bin di rizin we mek dɛn bigin yu fɔ tek DAPT (at atak? Bikɔs dɛn put stent?).
• Yu ej ɛn ɔl yu wɛlbɔdi.
• Aw bɔku risk yu gɛt fɔ mek yu blɔd kɔmɔt?
• De risk fɔ gɛt ɔda at atak ɔr strok tumara bambay.

Wetin yu fɔ du fɔ protɛkt yusɛf we yu de tek DAPT?

Yu nid fɔ tink bak bɔt yu sef we yu de du dis tritmɛnt. Na sɔm simpul tin dɛn we yu kin du fɔ ɛp.

• Tek yu mɛrɛsin di rayt tɛm: Tek yu mɛrɛsin jɔs lɛk aw yu dɔktɔ tɛl yu fɔ tek, ɛn nɔ skip ɛni de . If yu mis wan doz, i kin mek blɔd klɔt. Nɔ ɛva stɔp fɔ tek yu mɛrɛsin we yu nɔ aks yu dɔktɔ.
• Wear mɛdikal ID kad:If i pɔsibul, ɔltɛm kɛr breslɛt ɔ kad we se yu de tek DAPT. If ɛnitin apin we nɔ izi fɔ yu, dis go ɛp di wan dɛn we de trit yu fɔ no se yu de tek mɛrɛsin we de mek yu blɔd tan.
• Tɛl ɔl yu dɔktɔ dɛn: Ivin if yu go go to dɛntist ɔ yu gɛt ɛni ɔda ɔpreshɔn, yu fɔ tɛl dɛn se yu de tek DAPT, bikɔs sɔm ɔpreshɔn dɛn kin mek yu stɔp fɔ tek dis mɛrɛsin fɔ sɔm tɛm.

Wetin na di sayn dɛm wae kin mek yu nid fɔ go to dɔktɔ kwik kwik wan?

If yu gɛt ɛni wan pan dɛn sik ya, dat kin bi sayn fɔ se yu de blɔd bad bad wan. So, nɔ delay ɛn kɔl yu dɔktɔ wantɛm wantɛm ɔ go na di ɔspitul we de nia yu in Imejɛnsi Dipatmɛnt (ETU). Dɔn bak, if yu tink se yu dɔn tek bɔku mɛrɛsin, kɔl yu dɔktɔ wantɛm wantɛm. If nɔto dat,Yu kin kɔl bak di Nashɔnal Pɔyzin Infɔmeshɔn Sɛnta na di Kɔlɔmbɔ Nashɔnal Ospital fɔ gɛt advays. DAPT, Dual Antiplatelet Therapy, blɔd we de klɔt, at atak, strok, stent, aspirin, klopidogrel, Klɔpidogrel, at sik, blɔd tin dɛn