We dɛn gi dɛn kansa mɛrɛsin, i kin go na do na di vein ɛn mek di an swel? Mek wi tok abaut Extravasation!

Imajin se dɛn dɔn gi yu wan salin sɔlvushɔn fɔ mɛn kansa (Kɛmotɛrapi). Di mɛrɛsin de go insay yu bɔdi smɔl smɔl. Bɔt wantɛm wantɛm yu kin fil smɔl pen ɛn yu nɔ kin fil fayn na di an usay dɛn injɛkt di salin sɔlvushɔn, usay dɛn put di nidul. Afta sɔm tɛm, da say de kin tɔn rɛd ɛn bigin fɔ swel. Dis na wetin wi kin kɔl ɛkstravaseshɔn na mɛrɛsin. Fɔ tɔk am simpul wan, di mɛrɛsin we dɛn se go go insay di vein de lik kɔmɔt na di vein ɛn go insay di tisu dɛn. Dis kin bi smɔl tin wae de mek pɔrsin frayd fɔ pɔrsin wae de gɛt kansa tritmɛnt. Bɔt nɔ wɔri, wi go tɔk bɔt ɔltin klia wan ɛn simpul wan.

Wetin na Ɛkstravaseshɔn? Lɛ wi ɔndastand gud gud wan.

We yu gɛt kansa tritmɛnt, ɔ kemotɛrapi, dɛn kin gi di mɛrɛsin dairekt insay yu vein. Wi kin yuz IV layn, ɔ smɔl plastic tiub (kanula) we dɛn kin put insay wan vein na yu an. Dɛn mɛrɛsin ya rili pawaful bikɔs dɛn de wok fɔ kil di kansa sɛl dɛn we de sheb kwik kwik wan.

Naw imajin wetin go apin if wata paip pank na smɔl ples? Di wata de lik kɔmɔt, nɔto so? Na dat de apin na ya bak. fכ sכm rizin, di mεdisin we dεn gi insay di vein, insted fכ travul insay di vein, i de lik kכmכt na di vein, insay di tisu dεm we de rawnd am lεk di skin, fεt, εn mכsul. Dis na wetin wi kɔl ɛkstravaseshɔn .

Dɛn mɛrɛsin ya we gɛt pawa fɔ kil di kansa sɛl dɛn, kin pwɛl di wɛlbɔdi tisu we dɛn go insay am. Na dat mek wi nid fɔ wɔri bɔt dis tin we de apin.

Wetin na di sayn dɛm wae de sho se yu gɛt ɛkstravayshɔn?

Dɛn sayn ya kin apin jɔs afta dɛn dɔn gi di mɛrɛsin. Ɔ dɛn kin apia sɔm dez afta dat. Dɔktɔ dɛn kin sheb dis sik to 4 stej (grɛd) dipen pan aw i siriɔs. I rili impɔtant fɔ mek yu no bɔt dɛn sik ya.

I rili impɔtant: If yu gɛt ɛni wan pan dɛn sik ya we dɛn de gi yu mɛrɛsin, tɛl di nɔs ɔ dɔktɔ we de trit yu wantɛm wantɛm. Nɔ jɔs ignore am. If yu gɛt ɛni wan pan dɛn sik ya afta yu dɔn go na os, yu fɔ go na di ɔspitul in Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm.

Wetin mek dis de apin? Wetin na di rizin dɛn?

Ekstravaseshɔn kin apin fɔ sɔm rizin dɛn.

• Vein rupture: Vein we wik kin bɔs we dɛn de gi di mɛrɛsin.
• Ikwipmɛnt nɔ fayn: Lik kin apin bikɔs ɔf wan prɔblɛm na di IV layn ɔ kanula we dɛn yuz fɔ gi mɛrɛsin.
• Mistek we yu kin mek we yu de gi mɛrɛsin: Sɔntɛnde dis kin apin bikɔs ɔf tin dɛn lɛk we di nidul nɔ de go insay di vein fayn, ɔ we dɛn de gi di mɛrɛsin tumɔs kwik.

Udat dɛn de pan denja fɔ dis?

Sɔm pipul dɛn kin gɛt dis sik.

• If yu gɛt wan sik we de mek yu vein dɛn wik (lɛk Pɛriferal Atɛri Disease).
• If di vein dεm dכn tik εn stif biכs fכ kεnsar tritmεnt.
• If yu veins dɛn rili smɔl ɛn dilik.
• If di vein dεm de muv bak εn go bifo we dεn put di nidul.

Wetin kin apin if dɛn nɔ trit dis sik kwik kwik wan?

If ɛkstravayseshɔn apin ɛn di tritmɛnt delay, siriɔs prɔblɛm kin apin. As wi bin dɔn tɔk, di mɛrɛsin dɛn we de kil di kansa sɛl dɛn kin pwɛl di tisu dɛn we gɛt wɛlbɔdi bak. Dat mek,

• I kin gɛt siriɔs pen.
• Di skin ɛn di tisu dɛn we de ɔnda am kin pwɛl ɔltɛm.
• Sɔntɛnde, i kin ivin afɛkt di we aw da an ɔ leg de wok.

Aw dɔktɔ dɛn kin ebul fɔ du dis?

Dɛn dɔn tren di dɔktɔ ɛn nɔs dɛn we de gi yu kemotɛrapi spɛshal wan fɔ mek dɛn nɔ gɛt dis sik ɛn fɔ trit am if i apin. Dɛn go du dɛn tin ya if dɛn si sɔntin lɛk dis.

1. Fɔ stɔp di mɛrɛsin wantɛm wantɛm: Dɛn kin stɔp di mɛrɛsin we de pas tru di IV layn wantɛm wantɛm.

2. Tray fɔ pul di mɛrɛsin we lik: Yuz sirinj, pul bɔku pan di mɛrɛsin we dɔn lik kɔmɔt na di vein as yu ebul.

3. Gi wan antidote: If antidote de fɔ di kayn mɛrɛsin we dɛn bin dɔn rɔsh, dɛn go gi am tru di IV layn.

4. Fɔ pul di IV layn: na da tɛm de nɔmɔ dɛn kin pul di IV nidul ɛn pul am.

5. Ɛlevɛt di an we afɛkt: I fayn fɔ kip di an ɔp, lɛk se yu de pan pilo, fɔ mek yu nɔ swel.

6. Fɔ put ɔntmɛnt: Yu kin put fayn krim fɔ ridyus pen ɛn ɔda sayn dɛn.

7. Fɔ frɛy kol ɔ ɔt: Dis na rili impɔtant tin.

• Kol Kɔmprɛs: Bɔku kemotɛrapi mɛrɛsin dɛn kin gɛt fɔ du wit kol wata. Di kol kin mek di blɔd vesel dɛn kɔntrakt, ɛn dis kin mek di mɛrɛsin nɔ go skata mɔ.
• Wom Kɔmprɛs: Dɛn kin yuz wam kɔmprɛs fɔ sɔm kayn mɛrɛsin nɔmɔ. Di ɔt kin mek di blɔd flɔ mɔ na di say, ɛn dis kin ɛp fɔ mek di mɛrɛsin kɔmɔt kwik kwik wan.

Aw lɔng i go tek fɔ mek i wɛl?

Di tɛm we dis kin tek kin difrɛn frɔm wan pɔsin to ɔda pɔsin. I dipen pan di kayn mɛrɛsin we lik, di kɔnsɛntreshɔn we i gɛt, ɛn ɔmɔs i kɔmɔt. Yu dɔktɔ go tɛl yu wetin fɔ du na os.

• Kip yu an ay as yu ebul.
• Put kol ɔ ɔt kɔmprɛs lɛk aw yu dɔktɔ tɛl yu. Bɔku tɛm, dɛn kin se yu fɔ put di kɔmprɛs dɛn 4 to 5 tɛm insay di de fɔ lɛk 15-20 minit.

Wetin na di difrɛns bitwin Ɛkstravaseshɔn ɛn Infiltrɛshɔn?

Yu go mɔs dɔn yɛri di wɔd "infiltration." Dɛn tu tin ya de tɔk bɔt di lik we wata de kɔmɔt na wan vein. Bɔt smɔl difrɛns de.

• Ekstravaseshɔn: Dis na lik we kin pwɛl di tisu dɛn (vesicant) .Wan drɔg we dɛn kɔl. Fɔ ɛgzampul, di mɛrɛsin dɛn we dɛn kin yuz fɔ mɛn pipul dɛn we gɛt kemotɛrapi. dis kin mek tin dεm lεk blista εn tisu dεm de day (nεkrכsis).
• Infiltration: Dis na wata we nɔ de mek pɔsin vɛks ɔ we de mek pɔsin vɛks we nɔ de mek di tisu dɛn pwɛl ɔ inflamɛns . Fɔ ɛgzampul, nɔmal salin ɔ sɔm antibayɔtiks. Dis kin jɔs mek di say rɛd, wam, ɛn pen. Di tisu nɔ de day.

Fɔ tɔk am simpul wan, Extravasation na di mɔs siriɔs kes fɔ Infiltration.