Imajin se yu dɔn gɛt siriɔs aksidɛnt ɔ yu de blɔd bad bad wan afta dɛn dɔn du yu ɔpreshɔn. Sɔntɛnde, fɔ jɔs gi blɔd lɛk aw yu kin gi am, nɔ kin du fɔ am. Ɛspɛshali if yu blɔd nɔ klɔt fayn, yu dɔktɔ kin disayd fɔ gi yu spɛshal tritmɛnt we dɛn kɔl FFP. Yu kin fred smɔl we yu yɛri di nem. Bɔt nɔ wɔri. Tide, wi go tɔk bɔt wetin na FFP, wetin mek dɛn gi am, ɛn ɔl wetin yu nid fɔ no bɔt am na wan rili simpul we.
Wetin na FFP (Fresh Frozen Plasma)?
Fɔ tɔk am simpul wan, FFP na di yɔlɔsh likwid pat we de lɛf afta dɛn dɔn pul di sɛl dɛn lɛk rɛd blɔd sɛl ɛn wayt blɔd sɛl dɛn frɔm di blɔd we pɔsin dɔn gi. Dis na wetin wi kɔl plasma .
Dis plasma de mek wi blɔd kɔntinyu fɔ bɔku. i gεt spεshal protin dεm bak we dεn kכl "clotting factors" we de εp fכ stכp bכdi we wi gεt injuri.
So, if pɔsin nɔ gɛt wan ɔ mɔ pan dɛn tin ya we de mek pɔsin blɔd klot ɛn i de blɔd pasmak, dɛn kin gi am FFP fɔ mek di blɔd we dɔn lɔs kam bak ɛn fɔ mek di blɔd we dɔn lɔs kam bak.
dεn kכl dis "Fresh Frozen" Plasma biכs afta dεn dכn sεparayt di plasma frכm bכdi we dεn gi, dεn de dip froz am insay 8 awa we di tεmprachכ we de -18 digri sεlshiכs כ lכw fכ kip di valyu klot fכktכ dεm we de insay.
Ɔda nem dɛn de fɔ dis?
Yɛs, dɔktɔ dɛn kin yuz ɔda nem dɛn we dɛn de tɔk bɔt dis tritmɛnt. Dɛn nem dɛn de de tɔk bɔt di we aw dɛn bin de yuz fɔ kip am. Fɔ ɛgzampul, nem dɛn de lɛk PF24, PF24RT24.
Nɔ wɔri tumɔs bɔt dɛn nem ya ɛn tɛknikal ditil dɛn ya. Yu dɔktɔ go pik di rayt kayn plasma we go fayn fɔ yu sik ɛn we gɛt di tin dɛn we yu nid fɔ mek yu bɔdi klɔt.
Udat nid FFP tritmɛnt?
FFP nɔto tritmɛnt fɔ ɔlman we de blɔd. Dɛn kin yuse am pan patikyula kes dɛm wae ɔda tritmɛnt nɔr dɔn woke. Na sɔm pan di men tin dɛn we kin mek dɛn nid FFP:
- Di tin dɛn we nɔ de mek di blɔd klɔt: We pɔsin we dɛn bɔn wit we nɔ gɛt bɛtɛ tin dɛn we de mek i blɔd, lɛk ɛmofilia, de blɔd pasmak.
- Fɔ di wan dɛn we de tek Warfarin: Warfarin na tin we de mek blɔd tan. If pɔsin we de tek dis mɛrɛsin bigin fɔ blɔd, dɛn kin kɔntrol am bay we dɛn gi am vaytamɛn K. Bɔt if vaytamɛn K nɔ gɛt ɛnitin fɔ du wit am kwik, dɛn kin gi am FFP as tritmɛnt we go ɛp am .
- If na wan sik we dɛn kɔl TTP (Thrombotic Thrombocytopenic Purpura):Dis na tin we nɔ kin apin so ɔltɛm. I kin mek denja blɔd klɔt na di bɔdi. bay we dεn gi FFP, dεn gi dεn sikman ya wan riplesmεnt fכ wan εnzym we nכ de.
- Blɔd we de kɔmɔt pasmak: We bɔku blɔd kɔmɔt na di bɔdi wan tɛm bikɔs ɔf big aksidɛnt, ɔpreshɔn, ɔ ɔda rizin, dɛn kin gi FFP as pat pan di blɔd transfyushɔn.
Aw dɛn kin gi FFP?
Dɛn kin du dis tritmɛnt na ɔspitul. Di frɔzɛn FFP bag de thaw to rum tɛmpracha bifo dɛn injɛkt am na yu bɔdi. Di prɔses na lɛk dis:
1. Fɔ put kanula insay: Dɔktɔ ɔ nɔs go put kanula (IV layn) insay wan vein na yu an.
2. Gi FFP: we di FFP bag kכnekt to dis kanula, di plasma de go insay yu bכdi sכmtεm tru yu vein.
3. Fɔ wach: Insay dis tɛm, dɛn go kɔntinyu fɔ wach yu impɔtant sayn dɛn , lɛk aw yu at de bit ɛn blɔd prɛshɔn. Dɛn kin du blɔd tɛst bak lɛk PT/INR ɛn PTT fɔ chɛk aw yu blɔd de klɔt fayn fayn wan.
4. Doz: wan FFP bag (yunit) gεt lεk 200-250 ml. I kin tek lɛk 30 minit so fɔ gi am to di bɔdi. Dipen pan di blɔd we yu dɔn lɔs, yu dɔktɔ go disayd ɔmɔs FFP bag yu nid ɛn fɔ aw lɔng.
Wetin na di risk ɛn kɔmplikeshɔn dɛm fɔ FFP?
Jɔs lɛk ɛni ɔda mɛrɛsin, sɔm rili smɔl risk dɛn de we pɔsin kin gi FFP. Bɔt dɔktɔ dɛn no gud gud wan bɔt dɛn bad tin ya ɛn dɛn kin tek ɔl di tin dɛn we dɛn fɔ du fɔ mek dɛn nɔ gɛt dɛn. Ɛn bikɔs dɛn kin tɛst ɛni bag we dɛn gi blɔd gud gud wan, di risk fɔ gɛt sik dɛn we kin kam pan pɔsin dɔn rili smɔl naw.
| Risk/Kɔmplikeshɔn | Simpul ɛksplen |
|---|---|
| Alɛji we pɔsin kin gɛt | di imyun sistεm de ansa we di plasma de go insay di bכdi. Dis kin mek yu gɛt smɔl smɔl sayn dɛm lɛk fɔ gɛt rash na yu skin ɛn it. |
| Infεkshכn dεm | Na smɔl chans de fɔ mek yu gɛt vayrɔs frɔm di pɔsin we gi am in blɔd. Bɔt dis nɔ kin apin so ɔltɛm bikɔs dɛn kin tɛst ɔl di blɔd yunit dɛn we di blɔd bank dɛn na Sri Lanka kin gi. |
| TRALI (Akyu injuri we gɛt fɔ du wit transfyushɔn) . | Dis na wan sik we nɔ kin apin so ɔltɛm bɔt we kin mek yu swel na yu lɔng ɛn i nɔ kin izi fɔ blo. |
| TACO (Transfyushɔn-asɔsiet sirkuleshɔn ɔvalod) . | di sεkyulatכri sistεm de fil bכku bכku bכku bכku bכku bכku bכku wata (plasma) we de kam insay di bכdi wan tεm. Dis kin mek di blɔd prɛshɔn go ɔp ɛn wata kin ful-ɔp di lɔng dɛn. |
Wetin kin apin afta tritmɛnt ɛn ustɛm yu fɔ go to dɔktɔ?
Di tɛm we yu kin tek fɔ mek yu wɛl, kin dipen pan di rizin fɔ di FFP. Bɔrku tɛm, yu go bigin fɔ fil fayn smɔl lɛk wan de afta yu dɔn gɛt tritmɛnt. I rili impɔtant fɔ mek yu rɛst bɔku tɛm .
Sɔmtɛm, sɔm sayd ɛfɛkt kin apin ivin afta yu dɔn go na os frɔm ɔspitul. So tek tɛm wit di tin dɛn we de dɔŋ ya.
| Pozishɔn | Wetin fɔ du |
|---|---|
| If yu gɛt dɛn sik ya, tɔk to yu dɔktɔ. | |
| Bɔku tɛm, dɛn tin ya kin bi sayn dɛn fɔ se yu gɛt alɛji. I impɔtant fɔ tɛl yu dɔktɔ. |
| If yu gɛt dɛn sik ya, go na di ɔspitul in Imejɛnsi Tritmɛnt Yunit (ETU) wantɛm wantɛm. | |
| Dɛn tin ya kin bi sayn fɔ siriɔs sik lɛk TRALI ɔ TACO. Dɛn tin ya kin apin insay di fɔs 6 awa afta dɛn dɔn gi di tritmɛnt. I impɔtant fɔ go to tritmɛnt wantɛm wantɛm ɛn nɔ west tɛm. |
Mɛsej we dɛn kin kɛr go na os
- FFP na wan impɔtant mɛrɛsin we kin sev pipul dɛn layf if blɔd kɔmɔt bad bad wan.
- Dis kin min mɔ fɔ mek di blɔd klɔt bak ɛn di blɔd volyum we dɔn lɔs to di bɔdi.
- Dɛn kin gi dis tritmɛnt na ɔspitul ɛn ɔnda dɔktɔ in sɔpɔtishɔn, so nid nɔ de fɔ fred we nɔ nid fɔ bi.
- Jɔs lɛk ɛvri mɛrɛsin, smɔl smɔl prɔblɛm dɛn de we kin apin, bɔt dɔktɔ dɛn rɛdi fɔ mɛn dɛn.
- If yu gɛt siriɔs sayn, lɛk fɔ gɛt prɔblɛm fɔ blo, afta yu dɔn gɛt tritmɛnt, go na di ɔspitul in Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm.
- If yu gɛt ɛni kwɛstyɔn ɔ tin we de mɔna yu bɔt dis, nɔ ɛva shem fɔ tɔk bɔt am wit yu dɔktɔ.
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