Sɔntɛnde, bikɔs ɔf at sik, kidni prɔblɛm, ɔ liva sik, yu bɔdi kin gɛda wata we yu nɔ nid, ɛn dis kin mek yu an ɛn yu fut swel, nɔto so? Insay dɛn kayn tin ya, tide wi go tɔk bɔt wan spɛshal mɛrɛsin we dɔktɔ dɛn kin yuz fɔ pul di wata ɛn sɔl we pasmak na di bɔdi. Dat na wan vaysin we dɛn kɔl Ethacrynic Acid.
Us kayn mɛrɛsin na Ethacrynic Acid?
Fɔ tɔk am simpul wan, dis na mɛrɛsin we de mek pɔsin in wata . Insay kɔmɔn langwej, na "wata pil," bɔt dɛn kin gi am as injɛkshɔn. di men wok we i de du na fכ mek yu kidni dεm wok εn εp yu bכdi fכ mek mכr urine. We yu de pis, i de pul di sɔl ɛn wata we pasmak na yu bɔdi bak.
So, dis mɛrɛsin kin rili ɛp fɔ ridyus di swɛlin we kin kam wit at sik, kidni sik, ɔ liva sik.
Wetin a fɔ tɛl di dɔktɔ bifo a yuz dis mɛrɛsin?
I impɔtant fɔ mek yu dɔktɔ no gud gud wan bɔt yu wɛlbɔdi biznɛs bifo i disayd fɔ gi yu dis mɛrɛsin. So, if yu gɛt ɛni wan pan dɛn sik ya, yu fɔ rili tɛl yu dɔktɔ .
- Bɔt ɔda at sik dɛn we yu gɛt.
- If dɛn bin dɔn no se yu gɛt smɔl ɔ bɔku ilɛktrɔlayt na yu blɔd, lɛk potassium , magnesium , ɔ sodium .
- If yu gɛt sik na yu kidni ɔr liva we dɔn de bifo.
- If yu gɛt alɛji fɔ dis Ethacrynic Acid mɛrɛsin ɔ ɛni ɔda mɛrɛsin, it, ɔ day.
- If yu gɛt bɛlɛ ɔ yu de tray fɔ gɛt bɛlɛ.
- If yu na mama we de gi pikin in bɛlɛ.
Bay dis infɔmeshɔn, yu dɔktɔ go disayd if dis mɛrɛsin fayn fɔ yu ɔ nɔ rayt.
Aw a go gi yu dis mɛrɛsin?
Dis nɔto mɛrɛsin we yu kin tek na os. Na injɛkshɔn we dɛn kin put insay wan vein . Na ɔspitul ɔ klinik nɔmɔ na pɔsin we tren fɔ mɛn pipul dɛn, lɛk dɔktɔ ɔ nɔs, kin gi am.
Ivin smɔl pikin dɛn kin gi dis mɛrɛsin pan sɔm spɛshal kes dɛm, bɔt na wit big kɔt ɛn ɔnda dɔktɔ in sɔpɔtishɔn.
If yu sɔspɛkt se yu aksidɛntli tek tumɔs pan dis mɛrɛsin, go to di ETU (Imejɛnsi Tritmɛnt Yunit) wantɛm wantɛm. Ɔ kɔl di Nashɔnal Pɔyzin Infɔmeshɔn Sɛnta na di Kɔlɔmbɔ Nashɔnal Ospital fɔ advays.
Bikɔs dɛn nɔ kin yuz dis mɛrɛsin ɛvride ɛn dɛn kin gi yu na ɔspitul, yu nɔ go gɛt di prɔblɛm fɔ mis wan doz.
Us ɔda mɛrɛsin dɛn kin miks wit dis mɛrɛsin?
Ɔda mɛrɛsin dɛn we yu de tek kin afɛkt di we aw Ethacrynic Acid de wok. So gi yu dɔktɔ wan kɔmplit list fɔ ɔl di mɛrɛsin dɛn, vaytamɛn dɛn, ɛbul mɛrɛsin dɛn, ɛn sɔpɔtmɛnt dɛn we yu de tek. I impɔtant mɔ fɔ tɛl yu dɔktɔ if yu de tek ɛni wan pan dɛn mɛrɛsin ya:
- Di mɛrɛsin dɛn we de mek pɔsin fil pen ɛn di mɛrɛsin dɛn we de mek pɔsin nɔ fil bad (e.g. indometacin) .
- Sɔm antibayɔtik dɛn we dɛn kin gi bay injɛkshɔn
- Ɔda kayn diuretik dɛn
- Mɛrɛsin fɔ at sik (e.g. digoxin ) .
- Stɛroyd ɔmon dɛn (e.g. kɔtizɔn , fludrokɔtizɔn, haydrokɔtizɔn) .
- Litiɔm we dɛn kɔl
- Mɛrɛsin fɔ gɛt dayabitis
- Mɛrɛsin we dɛn kin gi fɔ mek pɔsin gɛt ay blɔd prɛshɔn
- Di tin dɛn we de mek blɔd tan (e.g. warfarin ) .
I impɔtant bak fɔ tɛl yu dɔktɔ if yu de smok, drink rɔm, ɔ yuz ɔda drɔgs.
Wetin na di tin dɛm we yu fɔ tek tɛm wit we yu de tek mɛrɛsin?
We dɛn de gi yu dis mɛrɛsin, di dɔktɔ ɛn nɔs dɛn go de wach yu sik gud gud wan. Dɛn go de chɛk tin dɛn lɛk yu blɔd prɛshɔn, yu at rit, ɛn di ilɛktrɔlayt lɛvɛl na yu blɔd. So nɔ wɔri bɔt am. If yu fil ɛnitin we nɔ fayn, tɛl di dɔktɔ ɔ nɔs wantɛm wantɛm.
Wetin na di sayd ɛfɛkt dɛm we dis mɛrɛsin kin gɛt?
Jɔs lɛk ɛni mɛrɛsin, chans de fɔ mek dis mɛrɛsin gɛt sayd ɛfɛkt. Sɔm pan dɛn tin ya kin rili siriɔs, ɛn ɔda wan dɛn nɔ kin rili siriɔs.
| Sayd ɛfɛkt we pɔsin kin gɛt | Diskripshɔn ɛn di simptom dɛm |
|---|---|
| Siriɔs sayd ɛfɛkt dɛm we yu fɔ ripɔt to yu dɔktɔ wantɛm wantɛm | |
| Alɛji we pɔsin kin gɛt | Skin rash, it, swel na di fes, lip ɔ tong. |
| Chenj we yu de si ɔ yɛri | Yu nɔ de si fayn, yu nɔ de yɛri fayn, yu de ring na yu yes. |
| Di chenj dɛn we de apin na di blɔd shuga | Ay blɔd shuga: Angri pasmak, tɔsti, pis ɔltɛm, taya pasmak. Lɔw blɔd shuga: wɔri, diziz, shek, swet pasmak, at bit kwik kwik wan. |
| Kidni dɛn we dɔn pwɛl | I nɔ izi fɔ pis ɔ chenj di we aw yu de pis. |
| Di lεvεl dεm we di εlektrolayt de dכn dכn | Potassium/Magnesium deficiency: I nɔ izi fɔ blo, yu chɛst de pen, yu at nɔ de bit ɔltɛm, yu mɔsul dɛn de twitch, ɛn yu wik. |
| Ɔda siriɔs sayn dɛn | Sivɛri dayarɛa, swet pasmak, nɔr kin want fɔ it. |
| Kɔmɔn sayd ɛfɛkt dɛm wae dɛn fɔ ripɔt to di dɔktɔ if dɛn kɔntinyu ɔr de mɔna yu | |
| Lɔw blɔd prɛshɔn | Diziz, fɔdɔm, fil se yu nɔ de wɛl. |
| Ɔda jenɛral kwaliti dɛn | Ed pen , fiva, simptom dɛm we tan lɛk kol, bɛlɛ pen, vɔmit, i nɔ izi fɔ swɛla. |
Dis list nɔ de inklud ɔl di sayd ɛfɛkt dɛn we pɔsin kin gɛt. If yu gɛt ɛni ɔda sayn, tɔk to yu dɔktɔ bɔt am.
Mɛsej we dɛn kin kɛr go na os
- Ethacrynic Acid na pawaful diuretic injection we dɛn kin gi fɔ ridyus di wata we de stɔp ɛn swel na di bɔdi bikɔs ɔf at, kidni, ɔ liva sik.
- Dɛn kin jɔs gi dis na ɔspitul ɔ klinik, ɔnda dɔktɔ in sɔpɔtishɔn. Yu nɔ alaw fɔ kɛr am go na os ɛn yuz am.
- Mek shɔ se yu tɛl yu dɔktɔ bɔt ɔl di ɔda mɛrɛsin dɛn we yu de tek ɛn ɛni mɛrɛsin we yu gɛt.
- Tɛl yu dɔktɔ ɔ nɔs wantɛm wantɛm if yu gɛt ɛni siriɔs sayd ɛfɛkt, lɛk we yu de si chenj, yu nɔ de yɛri fayn, yu gɛt siriɔs ayv, ɔ yu gɛt alɛji.
- If yu gɛt ɛni kwɛstyɔn bɔt dis mɛrɛsin, nɔ shek fɔ aks yu dɔktɔ.
👩🏽 ⚕️ Ɔda kwɛstyɔn dɛn (FAQ dɛn)
💬 Wetin na Ethacrynic Acid Injection / Edecrin?
Dis na di ‘Loop Diuretic’ we rili bad ɛn we rili pawaful we de na famasi! We pɔsin in lɔng/ed ɔ ɔl in bɔdi ful-ɔp wit ‘wata/fluid (Edema)’ wantɛm wantɛm dat i nɔ ebul fɔ blo ɛn i de kam day, bikɔs in at nɔ de wok fayn, in kidni/liva nɔ de wok fayn, dɛn kin injɛkt dis injɛkshɔn insay wan vein na di ɔspitul ɛn di wata (fɔ lita) we ful-ɔp na di bɔdi kin kɔmɔt wantɛm wantɛm as urine.
💬 Aw dis mɛrɛsin (Ethacrynic Acid) de ɛp fɔ pul di wata we dɔn gɛda na di lɔng dɛn tru urine?
Dis kin atak di ‘Loop of Henle’ faktri na wi kidni dεm dairekt wan. nכmal wan, we di kidni dεm de abzכp sכdiכm/sכlt insay di bכdi, wata de go insay di intestines dεm bak wit am. we dεn tek dis mεdisin (Ethacrynic Acid), dat sכdiכm absכpshכn mashin (Na-K-2Cl cotransporter) de 100% brok/blכk. We dɛn nɔ tek sɔdiɔm insay di bɔdi igen, ɔl di wata we de na di wan ol bɔdi kin jɔyn wit da sɔl de ɛn go na do tru di urinary tract lɛk big wata we de fɔdɔm!
💬 Wetin mek yu fɔ yuz dis we yu gɛt rɛgyula diuretik (Furosemide / Lasix)? Wetin na di bad tin dɛn we kin apin to pɔsin?
Di big bɛnifit fɔ dis vaysin na dat i nɔ gɛt harsh kemikal (Sulfa)! Sɔm pipul dɛn na di wɔl gɛt siriɔs alɛji to di kɔmɔn mɛrɛsin we dɛn kɔl Furosemide (Lasix). Dis na di ‘onli solushɔn’ fɔ mek dɛn lɔs wata. Bɔt di sayd ɛfɛkt we de mek wi nɔ yɛri pas ɔl na dat i so strɔng dat i kin pwɛl wi ɔditɔri nɛv ɛn mek wi nɔ yɛri fayn ɔltɛm (Ototoxicity/Deafness)’! (As, כl di potashכm/sכlt de kכmכt εn di bכdi de kכmכt na di bכdi).
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