Yu ɔ sɔmbɔdi na yu famili dɔn ɛva gɛt shɔt briz wantɛm wantɛm, chɛst tayt, ɛn "whoosh.. whoosh.." wheezing sound? Dis na tin wae kin pasmak ɛn nɔr kin fayn fɔ pɔrsin wae gɛt sik lɛk asma. Tide, wi go tɔk bɔt wan tritmɛnt we dɛn kin yuz na tɛm lɛk dis ɛn we kin mek pɔsin fil fayn kwik kwik wan. Dat na di drɔg we dɛn kɔl epinephrine, we dɛn kin gi am tru wan nebulizer.
Wetin na dis mɛrɛsin we dɛn kɔl Epinephrine?
Fɔ tɔk am simpul wan, epinephrine na mɛrɛsin we dɛn kin yuz fɔ mɛn sik dɛn we kin mek i nɔ izi fɔ blo na di lɔng dɛn. εspεshali pan sik dεm lεk asma, di narrowing of di airways (bronchi) we de kכri air to wi lכng dεm de apin. We wi de tɔk bɔt mɛrɛsin, wi kin kɔl dis `(Bronchospasm)`.
Imajin se we wata paip stɔp na di midul, i nɔ kin izi fɔ mek di wata pas. We dɛn say dɛn ya we di briz kin blo, i kin rili at fɔ mek wi blo. Wetin epinephrine de du na fɔ mek dɛn aywe dɛn ya we dɔn smɔl ɛn we dɔn smɔl, big ɛn opin . I tan lɛk se yu fri wan tiub we dɔn blok. Dɔn i izi fɔ mek di briz go insay ɛn kɔmɔt na di lɔng dɛn, ɛn i kin izi fɔ blo bak.
Sɔntɛnde, dɛn kin gɛt dis mɛrɛsin na makit ɔnda ɔda nem dɛn. Wan ɛgzampul na `(Adrenalin)`. Bɔt di tin we dɛn de yuz fɔ mek di it na di sem.
Tin dɛm wae yu fɔ tɛl yu dɔktɔ bifo yu tek dis mɛrɛsin
Bifo yu tek ɛni mɛrɛsin, i impɔtant fɔ tɛl yu dɔktɔ yu kɔmplit mɛdikal istri. Na bikɔs wan mɛrɛsin kin afɛkt ɔda wan. Bifo yu tek epinephrine, mek shɔ se yu tɛl yu dɔktɔ if yu gɛt ɛni wan pan dɛn sik ya.
| Yu wɛlbɔdi kɔndishɔn | Wetin mek yu fɔ tɛl pipul dɛn? |
|---|---|
| Shuga | Epinephrine kin mek di blɔd shuga go ɔp. |
| Glɔkoma we dɛn kɔl Glaukoma | I pɔsibul fɔ mek di yay prɛshɔn go ɔp. |
| At sik | I kin mek di at rit ɛn blɔd prɛshɔn go ɔp, ɛn dis kin mek di at gɛt mɔ strɛs. |
| Di ay blɔd prɛshɔn | Dis mɛrɛsin kin mek blɔd prɛshɔn go ɔp mɔ. |
| Dis sik we dɛn kɔl Parkinson | Di sayn dɛm, mɔ we pɔsin kin shek, kin bɔku. |
| Tayrɔyd sik | Di sayn dɛm kin wɔs if di tayroyd gland de wok pasmak. |
| Ɔda alɛji dɛn | If yu gɛt alɛji to epinephrine, ɔda mɛrɛsin dɛn, it dɛn, ɔ tin dɛn we de mek yu nɔ pwɛl. |
| If yu gɛt bɛlɛ ɔ yu de op fɔ bɔn pikin | I impɔtant fɔ go to dɔktɔ bɔt aw fɔ yuz mɛrɛsin we uman gɛt bɛlɛ. |
| If yu na mama we de gi pikin in bɛlɛ | Yu fɔ tɔk to yu dɔktɔ bɔt di pɔsibul fɔ mek di mɛrɛsin pas to yu pikin tru in mama in milk. |
Aw ɛksaktɔli yu kin yuz dis mɛrɛsin?
Dɛn kin yuz dis mɛrɛsin wit wan tin we dɛn kɔl nebulizer . Dis kin tɔn di mɛrɛsin we de insay likwid fɔm to fayn fayn mist (aerosol) we yu kin blo insay.Dɛn kin blo dis mist insay yu lɔng, ɔ tru yu mɔt ɔ tru mask we de kɔba yu mɔt ɛn nos.
Di tin we impɔtant pas ɔl: Ɔltɛm fala yu dɔktɔ ɔ di mɛrɛsin lɛbl in instrɔkshɔn dɛn kɔrɛkt wan . Nɔ tek am bɔku tɛm ɔ yu fɔ tek am mɔ pas aw dɛn tɛl yu fɔ tek am.
Dɛn kin gi dis mɛrɛsin to yɔŋ pikin dɛn, mɔ di wan dɛn we dɔn pas 4 ia, pan sɔm spɛshal kes dɛm. Bɔt dɛn kin tek tɛm du am ɔnda dɔktɔ in sɔpɔtishɔn.
Wetin fɔ du if yu tek bɔku mɛrɛsin?
If yu tink se yu dɔn tek mɔ pas di doz we dɛn tɛl yu fɔ tek, go na di ɔspitul Imejɛnsi Dipatmɛnt (ETU) we de nia yu wantɛm wantɛm . Ɔ kɔl di Nashɔnal Pɔyzin Infɔmeshɔn Sɛnta na di Kɔlɔmbɔ Nashɔnal Ospital fɔ advays.
Mɛmba se na fɔ yu nɔmɔ dɛn gi dis mɛrɛsin. Nɔ ɛva sheb am wit ɛni ɔda pɔsin.
Ɔda mɛrɛsin dɛm wae kin miks wit dis mɛrɛsin
Sɔm mɛrɛsin kin wok togɛda we dɛn tek dɛn togɛda. Dis min se di we aw wan mɛrɛsin kin wok kin go ɔp, i kin stɔp, ɔ i kin mek i gɛt bad bad tin dɛn we i nɔ want. So, i rili impɔtant fɔ tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek (we dɛn gi yu, we yu nɔ de bay, ɛbul, ɛn ivin vaytamɛn).
Ɛspɛshali nɔ tek epinephrine wit dɛn mɛrɛsin ya:
- Sɔm kayn gas dɛn we dɛn kin yuz fɔ mek pɔsin slip we dɛn de du ɔpreshɔn (`(General anesthetics)`)
Dɛn mɛrɛsin ya kin wok bak wit epinephrine:
- Sɔm mɛrɛsin fɔ alɛji, kɔf, ɛn kol (`(Antihistamines)`)
- Mɛrɛsin fɔ blɔd prɛshɔn, at sik, ɛn at ritm dizayd
- Sɔm mɛrɛsin fɔ pwɛl hat ɔr wɔri
- Sɔm mɛrɛsin fɔ di sik we dɛn kɔl Parkinson
- Digoxin we dɛn kin yuz
- Diuretics (mɛrɛsin we de pul wata na di bɔdi) .
- Tayroksin `(Lɛvotayroksin)`
- MAOI-tayp antidipreshan
- Steroid-tayp mεdikeshכn dεm (e.g. prεdnison) .
- Sɔm mɛrɛsin dɛn we de mek pɔsin fil fayn
Dis list nɔ kɔmplit. So tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek. Dɔn bak, tɛl am if yu de smok ɔ drink rɔm.
Tin dɛn we yu fɔ tek tɛm wit we yu de yuz di mɛrɛsin
Si yu dɔktɔ ɔltɛm fɔ wach yu sik dɛn. If yu sik de wɔs, ɔ yu nid fɔ yuz dis mɛrɛsin bɔku tɛm pas aw yu kin yuz am, kɔl yu dɔktɔ wantɛm wantɛm . Dis kin min se yu nɔr de kɔntrol yu asma ɛn yu kin nid fɔ chenj yu tritmɛnt.
Wok wit yu dɔktɔ fɔ mek wan "Asma Akshɔn Plan" we spɛshal fɔ yu. Bi klia bɔt wetin fɔ du we yu simptom nɔr de (Yellow Zone) ɛn wetin fɔ du wae yu gɛt imejensi (Rɛd Zone).
Wetin na di sayd ɛfɛkt dɛm we dɛn kin ɛkspɛkt?
Lɛk ɛni mɛrɛsin, epinephrine kin mek yu gɛt sayd ɛfɛkt. Sɔm pan dɛn siriɔs, sɔm kɔmɔn.
| Sayd ɛfɛkt dɛn we dɛn fɔ ripɔt to di dɔktɔ wantɛm wantɛm | |
|---|---|
| Alɛji we pɔsin kin gɛt | Skin rash, it, swel na di fes, lip, tong ɔ trot. |
| Di sayn dɛn we de sho se pɔsin gɛt at atak | Tayt ɔ pen na di chɛst, sholda, an, ɔ jaw, nɔs, i nɔ izi fɔ blo, kol swet, fɔdɔm. |
| Di chenj dɛn we de apin na di at rit | Hat de bit fast ɔ nɔ de bit ɔltɛm, yu de tɔn diziz, yu de fɔdɔm, yu de fil pen na yu chɛst. |
| Blɔd prɛshɔn we de go ɔp | Siriv ed pen, vishɔn chenj. |
| Bɔku tɛm i nɔ kin siriɔs (bɔt tɛl yu dɔktɔ if i kɔntinyu fɔ de) . | |
| Fɔ wɔri, fɔ nɔ gɛt rɛst | Ed de at |
| Diziz we pɔsin kin gɛt | Fɔ fil se yu at de bit kwik kwik wan |
| Nɔs ɔ vɔmit | Tremor |
| We pɔsin de swet | Pale skin |
If yu gɛt ɛni ɔda kayn sik we nɔ kɔmɔn we dɛn nɔ tɔk bɔt na dis list, aks yu dɔktɔ bɔt dɛn bak.
Mɛsej we dɛn kin kɛr go na os
- Epinephrine nebulizer na mɛrɛsin we de opin di say dɛn we di briz de blok ɛn mek i izi fɔ blo pan tin dɛn lɛk asma.
- Ɔltɛm fala di doz ɛn di instrɔkshɔn dɛn we yu dɔktɔ tɛl yu fɔ du . Nɔ ɛva yuz pas di mɔni we dɛn tɛl yu fɔ yuz.
- I impɔtant fɔ tɛl yu dɔktɔ bɔt ɛni ɔda mɛrɛsin we yu gɛt (lɛk dayabitis, at sik) ɛn ɔl ɔda mɛrɛsin dɛn we yu de tek.
- If yu gɛt siriɔs sayd ɛfɛkt lɛk we yu de fil pen na yu chɛst, i nɔ izi fɔ yu fɔ blo, ɔ yu gɛt siriɔs alɛji, go na imejensi rum (ETU) wantɛm wantɛm.
- If yu sik de wɔs ɔr yu nid fɔ yuz de mɛrɛsin bɔrku tɛm, dat min se dɛn nɔr de kɔntrol yu sik fayn fayn wan. Si yu dɔktɔ wantɛm wantɛm.
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