Imajin se sɔmbɔdi de blɔd bɔku bɔku wan we big big aksidɛnt apin na rod. Ɔ we dɛn de du big ɔpreshɔn, bɔku blɔd kin lɔs we dɛn nɔ bin de tink. Dɛn kayn tɛm dɛn de, if di natura l blɔd we de klɔt na wi bɔdi nɔ de wok fayn, i kin bi big prɔblɛm fɔ layf. Na insay dɛn kayn siriɔs kes ya wi kin tɔk bɔt di tritmɛnt we de sev layf we dɛn kɔl Fresh Frozen Plasma, ɔ FFP as wi ɔl no am. Sɔntɛm we yu dɔktɔ tɔk bɔt dis nem, yu kin fred smɔl ɛn want fɔ no mɔ. So tide, lɛ wi tɔk rili simpul ɛn fayn bɔt wetin dis FFP bi, udat dɛn gi am to, aw, ɛn wetin na in bɛnifit ɛn risk dɛn.
Fɔ tɔk am simpul wan, wetin na Fresh Frozen Plasma (FFP)?
Wi blɔd nɔto jɔs wan tin. I gɛt sɔm pat dɛn. Tink bɔt am lɛk frut salad. Jɔs lɛk aw difrɛn kayn frut dɛn de insay, na so wi blɔd gɛt sɔm men tin dɛn bak.
- Rɛd blɔd sɛl dɛn: Na dɛn wan ya kin kɛr ɔksijɛn go ɔlsay na wi bɔdi.
- Wait blɔd sɛl: Dis na wi ami we de fɛt jem dɛn we de mek pɔsin sik.
- Plɛtlɛt: We yu kɔt, na dɛn fɔs tin we kin kam fɔ stɔp di blɔd ɛn kɔba di wund, lɛk smɔl plasta.
- Plasma: Dis na di men pɔsin we de insay wi stori. Plasma na di yɔlɔ likwid pat pan di blɔd. כl di sεl dεm we wi bin dכn tכk bכt de fכt along dis ‘riva’ we dεn kכl plasma.
Dis plasma nɔto jɔs wata. I gɛt bɔku prɔtin, ɔmon, ɛn sɔl we rili impɔtant fɔ wi layf. di mכst imכtant pan dεm na di protin dεm we dεn kכl "klotin כ kכaguleshכn fכktכ dεm."
Tink bɔt dɛn tin ya we kin mek di bɔdi klɔt lɛk wan tim we gɛt smɔl smɔl injinia dɛn. If blɔd vesel wund ɔ brok, dɛn injinia ya, wit di pletlɛt dɛn we wi bin dɔn tɔk bɔt, kin mek wan mɛsh kwik kwik wan rawnd di eria, lɛk ‘dam’, we kin stɔp di blɔd kpatakpata. If dis prɔses nɔ wok fayn, ivin smɔl wund kin mek yu blɔd bɔku.
FFP na di we aw dɛn kin pul ɔl di ɔda sɛl dɛn na di blɔd we pɔsin dɔn gi, ɛn na dis valyu plasma nɔmɔ dɛn kin sheb. afta dat, fכ kip dεn prεsכs ‘εnjinia’ dεm, dat na di tin dεm we de mek di bכdi kכlכt, dεn de tek di bכdi εn dip fכz am na tεmprachכ we de -18 digri sεlshiכs כ ivin lכw insay 8 awa. Na de di nem ‘Fresh Frozen’ komot.
Udat rili nid FFP tritmɛnt?
FFP nɔto tritmɛnt we dɛn kin gi ɔlman we gɛt blɔd. Na valyu tritmɛnt we dɔktɔ dɛn kin yuz pan sɔm patikyula kes dɛn, we ɔda tritmɛnt dɛn nɔ kin du fɔ dɛn. Lɛ wi si wetin na dɛn kes dɛn de.
| We dɛn nid fɔ gɛt tritmɛnt | Fɔ ɛksplen simpul wan... |
|---|---|
| Ebi ebi blɔd we de kɔmɔt (Bɔku Blɔd Lɔs) . | Insay tɛm lɛk big motoka aksidɛnt, fɔdɔm frɔm ayt, ɔ kɔmpleks ɔpreshɔn, dɛn kin pul bɔku bɔku blɔd na di bɔdi wantɛm wantɛm. Dis tɛm, di tin dɛn we kin mek blɔd klɔt kin ridyus bak bad bad wan. Da tɛm de, dɛn kin gi FFP fɔ mek dɛn tin dɛn de we dɔn ridyus bak ɛn fɔ kɔntrol di blɔd we de kɔmɔt. |
| Di tin dɛn we de mek di blɔd nɔ klin (Klɔtin Fakta Dɛfisiɛns) . | Sɔm pipul dɛn kin gɛt sik dɛn we dɛn kin bɔn wit. Wan ɛgzampul na ɛmofilia . Insay dɛn sik ya, sɔm pan di tin dɛn we dɛn nid fɔ mek blɔd klɔt nɔ kin kɔmɔt na di bɔdi. Dɔn bak, dis prɔblɛm kin apin to pipul dɛn we gɛt liva sik . Bikɔs na di liva de mek dɛn tin ya we de mek di bɔdi klɔt mɔ. We dɛn gi blɔd to dɛn kayn pipul dɛn de, dɛn kin yuz FFP fɔ gi dɛn tin dɛn de we nɔ gɛt bɛtɛ tin fɔ du. |
| Fɔ di wan dɛn we de tek mɛrɛsin we de mek dɛn blɔd tan lɛk Warfarin | Warfarin na mɛrɛsin we de mek blɔd nɔ klɔt, dɛn kin gi am fɔ sik dɛn lɛk at sik. If pɔsin we de tek dis mɛrɛsin gɛt aksidɛnt ɛn bigin fɔ blɔd, i kin rili at fɔ lɛ i stɔp. Ivin if dɛn gi vaytamɛn K fɔ dis, i kin tek tɛm fɔ wok. fכ dat, as kwik sכlushכn, dεn de gi FFP fכ gi di nεsεsary klotin fכktכ dεm dεn wan dεm. |
| Wan kɔndishɔn we nɔ kin apin so ɔltɛm we dɛn kɔl TTP (Trɔmbotik Trombosaytopɛnik Purpura) . | Dis na sik we nɔ kin apin so ɔltɛm ɛn we denja. I kin mek blɔd klɔt na di smɔl smɔl blɔd vesel dɛn na di bɔdi. We di bɔdi gi FFP, i kin mek wan ɛnzaym we nɔ de kam bak ɛn kɔntrol di sik. |
Ɔda kayn FFP dɛn de?
Yɛs, difrɛn kayn FFP dɛn de, ɛn ɛni wan pan dɛn gɛt smɔl difrɛns pan di we aw dɛn mek am ɛn di tɛm we dɛn mek am. Yu kin dɔn yɛri nem dɛn lɛk `PF24` ɔ `Cryo-poor plasma`. Bɔt dɛn nem dɛn ya nɔ rili impɔtant to yu. Dis na teknikol ditel dɛm we impɔtant to di dɔktɔ dɛm ɛn di wan dɛm we de wok na di lab. Dɛn go pik di kayn plasma we rili rayt fɔ yu kɔndishɔn. So yu nɔ nid fɔ wɔri bɔt dat.
Aw dɛn kin gi FFP tritmɛnt? Yu tink se i de mek pɔsin fil pen?
Dɛn kin du FFP tritmɛnt na ɔspitul. I nɔto big ɔpreshɔn. Na simpul we fɔ du tin, lɛk fɔ gi sɔl sɔlvushɔn.
1. Aw fɔ pripia: Fɔs, tek di FFP bag na friza ɛn put am na spɛshal ɔt wata bat te i rich di bɔdi tɛmpracha. Dɛn nɔ go ebul fɔ put dis na maykrowev, bikɔs if yu du dat, i go pwɛl di valyu prɔtin dɛn we de insay.
2. Fɔ put di IV layn: Neks, nɔs ɔ dɔktɔ go put smɔl kanula insay wan vein na yu an. Dis tan lɛk fɔ put nidul insay fɔ gi yu salin. Apat frɔm we yu de fil smɔl smɔl, no big pen nɔ de.
3. Gi di plasma: Naw di bag we gɛt di yɔlɔ plasma we dɛn dɔn dil dɔn kɔnɛkt to di IV layn. Dɔn dɛn kin put am insay yu bɔdi smɔl smɔl tru yu vein. Wan FFP bag gɛt lɛk 200-250 mililita. I kin tek lɛk 30 to 45 minit fɔ mek i go insay yu bɔdi. Di dɔktɔ go disayd ɔmɔs bag fɔ gi yu dipen pan aw yu sik bad.
4. Fɔ wach: We dɛn de du dis tritmɛnt, wan nɔs go sidɔm nia yu ɛn chɛk yu blɔd prɛshɔn, yu at rit, ɛn yu bɔdi tɛmpracha ɔltɛm . Dɛn kin rili pe atɛnshɔn to ɛni alɛji riakshɔn. So nɔto yu wangren de, ɛn sɔmbɔdi de wach yu ɔltɛm.
5. Tεst: Bifo εn afta dεn gi FFP, dεn kin tek blכd sεmpl frכm yu εn dεn kin du tεst lεk ``PT/INR tεst`` εn ``PTT tεst`` fכ chεk di spid we blכd de kכlכt. Dis kin mek dɛn si aw di tritmɛnt kin wok fayn.
Di tin we impɔtant pas ɔl na dat, if yu gɛt ɛni prɔblɛm, it, ɔ prɔblɛm fɔ blo we yu de du dis, tɛl di nɔs ɔ dɔktɔ wantɛm wantɛm.
Yu tink se dɛn kin gi FFP to pɔsin we gɛt ɛni kayn blɔd?
Dis na kwɛstyɔn we rili impɔtant. Bɔku tɛm wi no se we wi de gi blɔd, di kayn blɔd fɔ mach. We wi de gi rɛd blɔd sɛl, wi no se di tayp O blɔd na "universal donor" we kin gi ɛnibɔdi.
Bɔt we i kam pan fɔ gi plasma, dis stori rili difrɛn!
Insay plasma, plasma frɔm pɔsin we gɛt blɔd tayp AB na di universal donor , we dɛn kin gi pɔsin we gɛt ɛni blɔd tayp.I kin apin. Dɔn bak, pɔsin we gɛt tayp O blɔd kin jɔs gɛt tayp O plasma.
Bɔt nɔ wɔri bɔt dis. If ɛnitin apin, if dɛn nɔ no di kayn blɔd we yu gɛt, di dɔktɔ dɛn ɛn di wan dɛn we de wok na di blɔd bank go pik di we we sef fɔ mek ɔlman gi yu plasma. Dɛn kin tray ɔltɛm fɔ gi yu plasma we de mach yu blɔd tayp.
Wetin na di bɛnifit ɛn di prɔblɛm dɛn we kin apin we pɔsin gɛt FFP tritmɛnt?
Lɛk ɛni mɛrɛsin, FFP tritmɛnt gɛt bɛnifit ɛn rili smɔl risk.
Di men bɛnifit:
Di big ɛn wangren bɛnifit fɔ dis na dat na tritmɛnt we de sev pɔsin in layf. If blɔd de kɔmɔt we dɛn nɔ ebul fɔ kɔntrol, FFP kin gi di tin dɛn we nid fɔ mek di blɔd klɔt, stɔp di blɔd, ɛn sev pɔsin in layf. Dis na de tin wae gɛt valyu pas ɔl bɔt dis tritmɛnt.
Di prɔblɛm dɛn we kin apin (Kɔmplikeshɔn dɛn):
I impɔtant fɔ mɛmba se dɛn bad tin ya nɔ kin apin so ɔltɛm. Bikɔs di blɔd banking savis na Sri Lanka na di ay standad, dɛn de du ɔl di step fɔ mek dɛn nɔ gɛt bɔku prɔblɛm dɛn ya.
| Denja | Dat min se... |
|---|---|
| Alɛji dɛn we pɔsin kin gɛt (Alɛji Riakshɔn) . | Sɔntɛnde, di bɔdi kin riak to di plasma we dɛn kin gɛt frɔm ɔdasay. Dis kin mek yu gɛt smɔl smɔl sayn dɛm lɛk fɔ brus ɛn it. Bɔku tɛm, dɛn kin ebul fɔ kɔntrol dɛn tin ya kwik kwik wan wit mɛrɛsin. |
| Infεkshכn dεm (Infɛkshɔn dɛn) . | Dis risk naw na rili, rili smɔl. Bikɔs ɔlman we de gi blɔd, dɛn kin tɛst am gud gud wan fɔ si if i gɛt sik dɛn lɛk HIV, Epataytis B, ɛn C. So nid nɔ de fɔ fred dis prɔblɛm tumɔs. |
| TRALI (traumatik lɔng injuri) . (Akyu Lɔng Injuri we gɛt fɔ du wit transfyushɔn) | Dis nɔ kin apin so ɔltɛm bɔt i rili siriɔs.Kɔndishɔn. We sɔm pan di tin dɛn we de na di plasma nɔ de wok fayn wit yu bɔdi, yu lɔng dɛn kin ful-ɔp wit wata ɛn i kin at fɔ blo. dis kin apin insay 6 awa afta dεn gεt di plasma. |
| TACO (fluid ɔvalod) . (Transfyushɔn-Asosiet Sirkulatɔri Ɔvalod) | Ɛspɛshali fɔ pɔsin we gɛt at sik ɔ kidni sik, we dɛn injɛkt bɔku bɔku wata na in bɔdi wan tɛm, di at nɔ kin ebul fɔ bia wit am. Dis kin mek blɔd prɛshɔn go ɔp ɛn mek i nɔ izi fɔ blo. Dɔktɔ dɛn no dis ɛn dɛn kin kɔntrol di rit we dɛn de gi plasma. |
Ustɛm yu nid fɔ tɔk to di dɔktɔ? Yu nid fɔ go na di ETU?
Dɛn go pul yu na di ɔspitul nɔmɔ afta dɛn dɔn kɔnfyus se yu sef ɔltogɛda. Bɔt sɔm sayd ɛfɛkt dɛn kin apin afta yu dɔn go na os.
Tɛl yu dɔktɔ if yu gɛt dɛn sik ya:
If yu fil ɛnitin lɛk dis afta yu dɔn go na os, kɔl di ɔspitul we bin trit yu witout delay, ɔ tɛl yu dɔktɔ.
- If yu fil fiva ɛn kol
- If yu gɛt it, rash, ɔ blista na yu bɔdi
- If nɔs ɛn vɔmit go dɔn
- If yu fil se yu diziz ɔ yu de fil layt
- If yu gɛt bak pen
If yu gɛt dɛn sik ya, go na di ETU wantɛm wantɛm!
Di sayn dɛm wae de kam biɛn ya na mɛdikal imejensi . Dɛn kin bi sayn fɔ di siriɔs kɔndishɔn TRALI ɔ TACO we wi bin dɔn tɔk bɔt. Dɛn kin apia insay 6 awa afta dɛn dɔn gɛt plasma.
- I nɔ kin izi fɔ yu fɔ blo
- Di at we de blo
- Fiva
If yu gɛt ɛni wan pan dɛn sik ya, go na di ɔspitul we de nia yu in Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm ɛn yu nɔ wet.
Mɛsej we dɛn kin kɛr go na os
- FFP na di likwid pat pan di blɔd we dɛn gi we gɛt bɔku prɔtin dɛn we dɛn nid fɔ mek di blɔd klɔt.
- Dɛn kin yuz am mɔ fɔ kɔntrol di blɔd we de kɔmɔt pasmak ɛn fɔ trit pipul dɛn we gɛt prɔblɛm wit blɔd we nɔ de klɔt.
- Dis na tritmɛnt we rili valyu we kin sev pipul dɛn layf.
- Dɛn kin gi di tritmɛnt na ɔspitul, ɔnda dɔktɔ in sɔpɔtishɔn, insay wan simpul we, lɛk fɔ gi sɔl sɔlvushɔn.
- Jɔs lɛk ɔl di tritmɛnt dɛn, smɔl smɔl prɔblɛm dɛn de, bɔt dɔktɔ dɛn go gi yu dis tritmɛnt afta dɛn dɔn tink bɔt di bɛnifit ɛn di prɔblɛm dɛn we i go gɛt. Siriɔs sayd ɛfɛkt dɛn nɔ kin apin so ɔltɛm.
- If yu gɛt prɔblɛm fɔ blo, yu at de bit kwik kwik wan, ɔ yu gɛt fiva afta yu dɔn trit yu, tek am se na imejensi ɛn go na di ɔspitul in Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm.
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