Sɔntɛnde, di blɔd vesel dɛn we de na yu ɛsophagus, we na di tiub we de kɛr it frɔm yu trot to yu bɛlɛ, kin big, swel, ɛn knot. dis kכndyushכn na mεdikal kכl am ‘Esophageal Varices’. Bɔrku tɛm dis kin kam pan pipul dɛm wae gɛt liva sik. Dɛn vein dɛn ya we dɔn swel kin rili dilik, so i kin izi fɔ bɔs ɛn blɔd bɔku. Dis na imejensi we kin mek pɔsin in layf de pan denja. So, tide wi de tɔk bɔt wan spɛshal injɛkshɔn we kin stɔp dis kayn blɔd ɛn mek i nɔ apin igen.
Wetin na Ɛtanolamin?
Fɔ tɔk am simpul wan, Ethanolamine na drɔg. Dɛn kin injɛkt am dairekt insay di vayrɔs vein dɛn as injɛkshɔn. Dɔktɔ dɛn kin kɔl dis tritmɛnt ‘Sclerotherapy’. Tink bɔt am lɛk we yu put plasta oba say we blɔd de kɔmɔt ɛn tay am.
we dεn injεkt dis injεkshכn insay wan vein, i de pwεl di insay wכl na di vein, we de mek i inflameshn. Dɔn blɔd kin klɔt na da say de, ɛn smɔl smɔl skata kin at, ɛn i kin lɛf smɔl fɔ lɛ di vein lɔk ɔl. Dis kin stɔp di blɔd fɔ flɔ tru di vein ɛn kɔntrol di blɔd we de kɔmɔt. Dis na tritmɛnt we dɛn kin jɔs du na ɔspitul ɛn na dɔktɔ we sabi du dɛn wok fayn fayn wan.
Tin dɛm wae yu fɔ tɛl yu dɔktɔ bifo yu du dis tritmɛnt
Bifo yu disayd if dis tritmɛnt fayn fɔ yu, i impɔtant fɔ tɛl yu dɔktɔ sɔm tin dɛn. Nɔ ayd ivin di smɔl smɔl tin dɛn, bikɔs i rili impɔtant fɔ yu sef.
| Situeshɔn we yu nid fɔ ripɔt | Wetin mek dat impɔtant? |
|---|---|
| Alɛji dɛn we yu gɛt | Mek shɔ se yu tɛl yu dɔktɔ if yu gɛt alɛji fɔ ɛni wan pan di tin dɛn we dɛn kin yuz fɔ mek di it we dɛn kɔl ethanolamine, oleic acid, ɔ ɛni ɔda mɛrɛsin, it, ɔ day. Dis go ɛp fɔ mek yu nɔ gɛt siriɔs alɛji (anaphylaxis). |
| At sik we pɔsin kin gɛt | If yu gɛt at sik, yu fɔ tek tɛm mɔ we yu de tek dis mɛrɛsin, bikɔs i kin gɛt sɔm ifɛkt pan yu at afta yu dɔn trit yu. |
| Liva Sik we pɔsin kin gɛt | Liva sik na di men tin we kin mek di εsophageal varices. I impɔtant fɔ mek yu dɔktɔ no bɔt yu liva fɔ mek i ebul fɔ plan yu tritmɛnt. |
| If yu gɛt bɛlɛ ɔ yu de op fɔ bɔn pikin | Dɛn nɔ dɔn no gud gud wan yet fɔ se dis mɛrɛsin sef we uman gɛt bɛlɛ, so i impɔtant fɔ tɔk to yu dɔktɔ bɔt dis. |
| If mama de gi in pikin in bɛlɛ | I nɔ klia if dis mɛrɛsin de pas insay mama in milk. So, fɔ mek yu ɛn yu pikin sef, tɛl yu dɔktɔ. |
Aw yu kin yuz dis mɛrɛsin?
Dis nɔto mɛrɛsin we yu kin pik na famasi ɛn kɛr go na os. Dis na mɛrɛsin we na dɔktɔ nɔmɔ kin gi am, na ɔspitul ɔ klinik.
Dis tritmɛnt kin bi we dɛn de du ɛndoskopi . dis min se dεn de put wan tin, fleksibul tyub wit kεmεra we dεn atak tru yu mכt, pas dכn yu εsophagus, εn dεn injεkt di vεrikos vein dεm rili prεsis insay dεm we dεn de wach am pan monita.
Impɔtant: If dɛn gi dis mɛrɛsin to yɔŋ pikin dɛn, dɛn fɔ du am ɔnda di advays we dɔktɔ we de mɛn pikin dɛn gi ɛn wit spɛshal kia.
Wetin fɔ du if dɛn ad di doz fɔ di mɛrɛsin? (Ovadosage) .
Bikɔs dɛn kin gi dis tritmɛnt ɔnda dɔktɔ in sɔpɔtishɔn na ɔspitul, di risk fɔ mek pɔsin tek am pasmak nɔ kin bɔku. Bɔt if yu tink ɔ yu tink se sɔntin dɔn apin, tɛl di dɔktɔ dɛn wantɛm wantɛm. If ɛnitin apin, yu fɔ go dairekt to di Imejɛnsi Tritmɛnt Yunit (ETU) . Dɔn bak, if yu nid advays bɔt ɛni drɔg ɔ kemikal we yu de it, yu kin kɔl di Nashɔnal Pɔyzin Infɔmeshɔn Sɛnta na di Kɔlɔmbɔ Nashɔnal Ospital .
Sɔm sayd ɛfɛkt dɛn we kin apin afta dɛn dɔn trit am
Jɔs lɛk ɛni ɔda tritmɛnt, sɔm sayd ɛfɛkt dɛn kin apin. Pan ɔl we nɔto ɔlman kin gɛt dɛn. If yu si ɛni wan pan dɛn sayn ya we de dɔŋ ya, tɛl yu dɔktɔ ɔ nɔs wantɛm wantɛm.
| Sayd ɛfɛkt/simptom | Tɔk bɔt |
|---|---|
| Siriɔs sayd ɛfɛkt dɛm we dɛn fɔ ripɔt to di dɔktɔ wantɛm wantɛm | |
| Alɛji Riakshɔn dɛn | Skin rash, it ɔ ayv, swel na di fes, lip ɔ tong. |
| I nɔ kin izi fɔ yu fɔ blo | I nɔ izi fɔ blo, fil se yu dɔn swɛla. |
| Chɛst de pen | Pen biɛn di midul bon na di chɛst (sternum). Dis kin bi sayn fɔ gɛt at sik. |
| Di pen na di εsophageal ɔ i nɔ kin izi fɔ swɛla | Pen na yu trot ɔ chɛst we yu de swɛla. |
| Fiva | We di bɔdi in tɛmpracha go ɔp kin bi sayn fɔ se pɔsin gɛt di sik. |
| Di chenj dɛn we kin apin we pɔsin de pis | di urine autput dεm dεn dכn כ i at fכ urine. Dis kin bi sayn fɔ se di kidni dɛn dɔn afɛkt. |
Dis list nɔ de inklud ɔl di sayd ɛfɛkt dɛn we pɔsin kin gɛt. If yu notis ɛni ɔda tin we nɔ kɔmɔn, tɔk to yu dɔktɔ bɔt am.
Mɛsej we dɛn kin kɛr go na os
- Ethanolamine na spɛshal injɛkshɔn we dɛn kin gi na ɔspitul fɔ stɔp blɔd we kin kɔmɔt frɔm di εsophageal varices.
- Bifo yu du dis tritmɛnt, gi yu dɔktɔ kɔmplit diskripshɔn bɔt ɔl yu mɛrɛsin (especially at ɛn liva sik) ɛn alɛji.
- Dis nɔto mɛrɛsin we pɔsin kin tek na os ɛn bɔku tɛm na spɛshal dɔktɔ nɔmɔ kin gi am wit ɛndoskopi.
- Go to dɔktɔ wantɛm wantɛm if yu gɛt pen na yu chɛst, i nɔ izi fɔ blo, yu gɛt fiva, ɔ yu gɛt siriɔs alɛji afta yu dɔn trit yu.
- Fɔ fala yu dɔktɔ in instrɔkshɔn dɛn di rayt we. If i tɛl yu fɔ kam bak fɔ tritmɛnt, nɔ skip dɛn apɔntinmɛnt dɛn de.
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