Yu dɔktɔ dɔn tɛl yu fɔ gi yu fɔlik asid injɛkshɔn? Sɔntɛm yu gɛt bɛlɛ, ɔ sɔntɛm dɛn dɔn tɛl yu am fɔ ɔda wɛlbɔdi prɔblɛm. We wi yɛri dis nem, i go mɔs bi se wi kin aks bɔku kwɛstyɔn dɛn. Na nɔmal tin fɔ tin dɛn lɛk "Wetin dis fɔ?", "Wetin go apin to am?", "I sef?" fɔ kam na wi maynd. So tide, lɛ wi tɔk bɔt dis injɛkshɔn, in impɔtants, ɛn di tin dɛn we wi fɔ tek tɛm wit we yu de yuz am, insay wan we we rili simpul ɛn we gɛt padi biznɛs wit pipul dɛn.
Fɔs, lɛ wi si, wetin na fɔlik asid?
Fɔ tɔk am simpul wan, fɔlik asid na wan B vaytamɛn we impɔtant fɔ wi bɔdi. Fɔ tɔk di kɔrɛkt tin, na di we aw dɛn mek vaytamɛn B9 . Tink bɔt wi bɔdi lɛk os. Wi nid difrɛn kayn brik fɔ bil dis os, nɔto so? Semweso, dɛn vaytamɛn ya nid fɔ bil ɛn kɔntinyu fɔ gɛt di tin dɛn we impɔtant pas ɔl na wi bɔdi.
Fɔlik asid de du sɔm impɔtant wok dɛn na wi bɔdi:
- Fɔ mek rɛd blɔd sɛl: Fɔlik asid impɔtant fɔ mek rɛd blɔd sɛl, we de kɛr ɔksijɛn ɔlsay na wi bɔdi. We dɛn tin ya dɔn, wi kin gɛt wan sik we dɛn kɔl anemia.
- Bren wɛlbɔdi: Dis kin ɛp bak fɔ mek di bren wok fayn.
- We uman gɛt bɛlɛ: Fɔlik asid impɔtant fɔ di mama ɛn di pikin we nɔ bɔn yet. i imכtant spεshal fכ di divεlכpmεnt fכ di pikin in bren εn spεnal kכd. fכlik asid we dεn nכ gεt de ridyus di risk fכ siriכs difεkshכn we dεn bכn pikin na di nεv sεstem.
Wi kin gɛt dis insay pil fɔm. Bɔt sɔm tɛm dɛn de, we di bɔdi nɔ ebul fɔ tek am fayn tru it, ɔ we yu nid fɔ mek di fɔlik asid we de na yu bɔdi go ɔp kwik kwik wan, dɔktɔ dɛn kin se i fɔ tek am as injɛkshɔn.
Tin dɛm wae yu nid fɔ tɛl yu dɔktɔ bifo yu gɛt di vaysin
Pan ɔl we dis na vaytamɛn, i impɔtant fɔ mek yu tɛl yu dɔktɔ gud gud wan bɔt yu wɛlbɔdi biznɛs, mɔ di wan dɛn we de kam biɛn ya:
| Di tin we de apin to yu | Wetin mek dat impɔtant? |
|---|---|
| Kidni sik | Bikɔs dɛn kin pul di mɛrɛsin na di bɔdi tru di kidni dɛn, dɛn kin nid fɔ chenj di we aw dɛn fɔ tek am. |
| Anemia we kin pwɛl ɔ we nɔ gɛt vaytamɛn B12 | Dis rili impɔtant. Fɔlik asid kin stɔp di sayn dɛm we de sho se pɔsin nɔ gɛt vaytamɛn B12. Bɔt di ɔndalayn nerve damej de kɔntinyu. So, dis infɔmeshɔn impɔtant fɔ mek di dɔktɔ ebul fɔ no di sik kɔrɛkt wan. |
| Alɛji dɛn we pɔsin kin gɛt | Tɛl yu dɔktɔ if yu gɛt ɛni alɛji to fɔlik asid, ɔda B vaytamɛn, ɔda tin dɛn we de insay di vaysin (e.g. benzyl alcohol), ɔ ɛni ɔda mɛrɛsin ɔ it. |
| Bɛlɛ ɔ tray fɔ gɛt bɛlɛ | Pan ɔl we dɛn kin tɛl yu fɔ du dis we yu gɛt bɛlɛ, i impɔtant fɔ mek yu dɔktɔ no bɔt di sik we yu gɛt. |
| Fɔ gi pikin in mama in bɛlɛ | I impɔtant fɔ tɔk to yu dɔktɔ bɔt aw fɔ yuz mɛrɛsin we yu de gi yu mama in bɛlɛ. |
Aw dɛn kin yuz dis vaysin?
Dɛn kin gi di fɔlik asid vaysin na ɔspitul ɔ klinik. Na dɔktɔ ɔ nɔs de gi am. Bɔku we dɛn de fɔ gɛt di vaysin:
- Intravenɔs (IV) - `(Insay wan vein)`
- Intramuskular (IM) we de insay di bɔdi .
- כnda di skin - `(Subkutan כ SC)`
Sɔntɛnde, yu dɔktɔ kin tɛl yu aw fɔ gi di vaysin na os. If na so, fala di instrɔkshɔn dɛn di rayt we . I rili impɔtant fɔ tek di kɔrɛkt doz di kɔrɛkt tɛm.
I rili impɔtant: Nɔ ɛva trowe nidul ɛn sirinj dɛn we yu dɔn yuz na di dɔti. Dɛn kin denja to ɔda pipul dɛn. Wan spɛshal kɔntena de we gɛt shap shap fɔ dɛn. If yu nɔ gɛt wan, aks yu dɔktɔ bɔt am.
Wetin fɔ du if yu tek bɔku mɛrɛsin?
If yu tink se yu dɔn tek dis mɛrɛsin tumɔs, 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 .
Wetin a go du if a mis apɔntinmɛnt fɔ tek mɛrɛsin?
Tek di doz jɔs lɛk aw yu mɛmba. Bɔt if i dɔn lɛf smɔl fɔ lɛ yu tek di nɛks doz, skip di doz we yu mis ɛn tek di nɛks doz di tɛm we yu dɔn sɛtul. Nɔ ɛva tek tu dos wan tɛm.
Ɔda tin dɛm wae kin miks wit dis mɛrɛsin
Sɔm mɛrɛsin dɛn we yu kin tek kin afɛkt di we aw fɔlik asid de wok, ɛn fɔlik asid kin afɛkt dɛn mɛrɛsin dɛn de. Sɔm ɛgzampul dɛn na:
- Kloramfenikol (wan antibayɔtik) .
- `Colestyramine` (na wan mɛrɛsin we de mek di kɔlɔstrel nɔ bɔku) .
- Sɔm mɛrɛsin dɛn fɔ mek pɔsin gɛt sik we de mek i sik
- `Methotrexate` (na mɛrɛsin we dɛn kin yuz fɔ kansa ɛn ɔda sik dɛn)
- Nitrofurantoin (wan antibayɔtik) .
- Pyrimethamine (na mɛrɛsin we dɛn kin yuz fɔ mɛn sik dɛn lɛk malaria) .
Dis list nɔ de ɔlsay. So, mek shɔ se yu tɛl yu dɔktɔ bɔt ɛni ɔda mɛrɛsin, vaytamɛn, ɛbul mɛrɛsin, ɔ it we yu de tek. Dɔn bak, tɛl yu dɔktɔ if yu de smok ɔ drink rɔm.
Wetin na di bad tin dɛn we kin apin to pɔsin?
Lɛk ɛni mɛrɛsin, fɔlik asid injɛkshɔn kin mek sɔm pipul dɛn gɛt sayd ɛfɛkt. Bɔt, dɛn tin ya nɔ kin bɔku. Lɛ wi tek wan luk pan wetin na dɛn sayd ɛfɛkt ya.
| Tayp fɔ di sayd ɛfɛkt | Sayn dɛn |
|---|---|
| If yu gɛt dɛn sik ya, tɛl yu dɔktɔ wantɛm wantɛm. | |
| Alɛji we pɔsin kin gɛt | Skin rash, it, swel na di fes, lip, tong ɔ trot. |
| I nɔ kin izi fɔ yu fɔ blo | I nɔ izi fɔ blo, yu nɔ de blo fayn, ɛn ɔda tin dɛn. |
| Nyurolɔjik simptom dɛm | Pen, swɛt, ɔ nɔ de fil fayn na di an ɛn fut dɛn. |
| Bɔku tɛm, dɛn tin ya nɔ kin siriɔs, bɔt if dɛn kɔntinyu fɔ de, tɛl yu dɔktɔ. | |
| Jɛnɛral diskɔmfɔt | Fɔ fil se yu nɔ gɛt layf ɛn yu taya. |
| Anorexia we pɔsin kin gɛt | Di apɛtit we de go dɔŋ. |
| Vɔmit | Fɔ fil lɛk se yu de vɔmit. |
If yu gɛt ɛni ɔda kayn sik we nɔ kɔmɔn we nɔ de na dis list, tɔk to yu dɔktɔ bɔt dɛn bak.
Mɛsej we dɛn kin kɛr go na os
- fכlik asid (vitamin B9) implεnt fכ wi bכdi, spεshal wan fכ mek rεd bכdi sεl dεm, di bren fכ wok, εn di divεlכpmεnt fכ di pikin we i bεlε.
- Mek shɔ se yu tɛl yu dɔktɔ bɔt ɔl di ɔda mɛrɛsin dɛn we yu de tek ɛn ɛni ɔda mɛrɛsin we yu gɛt (especially kidney disease, vitamin B12 deficiency).
- If yu tink se yu dɔn tek bɔku mɛrɛsin, go na di Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm.
- If yu gɛt sayn dɛm fɔ alɛji (skin rash, it, swel na yu fes/trot, i nɔ izi fɔ blo), go to dɔktɔ wantɛm wantɛm.
- Ivin if dis na vaytamɛn, yuz am ɔnda di advays we dɔktɔ gi am, insay di doz we dɛn tɛl yu. Tɔk opin wan wit yu dɔktɔ bɔt di tin dɛn we de mɔna yu.
👩🏽 ⚕️ Ɔda kwɛstyɔn dɛn (FAQ dɛn)
💬 Dofetilide (Dofetilide / Tikosyn) tablɛt/kapsul na wan rili pawaful mɛrɛsin we dɛn kin yuz fɔ us sik?
Dis nɔto ɔdinari mɛrɛsin! Dis na di mɔs pawaful ɛn las risɔt mɛrɛsin (Klas III Antiarrhythmic) we dɔktɔ dɛn kin yuz fɔ sɔm kayn we fɔ briŋ di at bak to ‘Nɔmal Saynɔs Ritm’ we pɔsin in ɔpa chɛmba dɛn kin bit abnɔmal fast wantɛm wantɛm (Atrial Fibrillation / Atrial Flutter), we na wan rili denja kɔndishɔn we di ɔpa chɛmba dɛn na di at kin bit abnɔmal fast wantɛm wantɛm ɛn we dɛn nɔ kin kɔntrol!
💬 We di at de bit lɛk krayzi, aw dis mɛrɛsin (Dofetilide) go nɔmal di at ritm?
di at de bit tru ilektrikal signal dεm (Action Potentials). We i bit bad bad wan, di ilɛktrik sɛl dɛn kin chaj kwik kwik wan! wetin dis pil (Potassium channel blocker) de du we i go insay di at na fכ fos fכ εkstendi εn dilay di tεm we i tek fכ di at in ilektrikal sεl dεm fכ chaj εn rεset/rεst bak (Repolarization phase / QT interval)! Dɔn di at nɔ kin ebul fɔ bit di nɛks tɛm kwik kwik wan ɛn di at rit kin kam bak to nɔmal wan wantɛm wantɛm (slow).
💬 Wetin mek i se ‘Yu fɔ de na ɔspitul fɔ 3 dez (Black Box Warning)’ we yu bigin fɔ tek dis mɛrɛsin (Tikosyn)?
Dat na di big denja ɛn day! Dis na jɔs lɛk fɔ mek at ritm, ɛn jɔs lɛk aw yu tek tu-tri pils, ‘nyu at ritm we de kil pɔsin (Torsades de pointes / Proarrhythmia)’ kin apin ɛn di pɔsin kin day/go insay kɔma wantɛm wantɛm! So, fɔ di fɔs 3 dez, dɔktɔ dɛn kin rili kip di pɔsin pan ECG ɛn chɛk di kidni dɛn bifo dɛn ajɔst di doz.
💬 Comments (0)
No kɔmɛnt nɔ de yet. Ad yu kɔmɛnt ya fɔ di fɔs tɛm.
Ad yu kɔmɛnt