Lɛ wi lan gud gud wan wetin na blɔd, ilɛksɛf na insay ɔ na do.

Yu dɔn ɛva notis se ivin smɔl wund nɔ de stɔp fɔ blɔd? Ɔ sɔntɛnde yu kin fil lɛk fɔ blɔd kɔmɔt na sɔm say insay yu bɔdi, ɔ yu dɔn gɛt di sem kayn sik? fכ tru, dis bכdi we de bכn, dat na di kכndyushכn we dεn kכl `(Emorrhage)`, kin bi sכmtεm sכmtεm siriכs pas aw yu tink. So, lɛ wi tɔk bɔt dis ditayli tide, insay Sinhala we yu kin ɔndastand.

Wetin na blɔd ɔ ``Ɛmoraji''?

Fɔ tɔk am simpul wan, wan blɔd vesel (blɔd vesel) na wi bɔdi de pwɛl ɛn blɔd de lik kɔmɔt insay, we wi kɔl `(Hemorrhage)`. dis bכdi kin kכmכt insay di bכdi bak, insay dis kayn we wi kin kכl am ``intanεt εmoraji``. na di כda say, if yu si di bכdi na do, i kin bi frכm wund כ wan opin na di bכdi, na ``ekstεnshכnal εmoraji``. Dis blɔd kin smɔl ɔ i kin big fɔ afɛkt layf.

Bɔrku tɛm, wi kin tek dɛn kayn tin ya we dɛn kɔl ``Ɛmoraji'' as mɛdikal imejensi we nid fɔ gɛt mɛrɛsin kwik kwik wan .

Wetin na di kayn we aw pɔsin kin blɔd?

Bikɔs blɔd vesel dɛn de ɔlsay na wi bɔdi, dis `(Emorrhage)` kin apin difrɛn we dɛn. Na sɔm ɛgzampul dɛn ya:

• bכdi na di chεst (`Hemothorax`): Imajin se di spεs bitwin yu lכng dεm εn di rib kεj (`pleural space`) na yu chεst de fulכp wit bכdi. Wetin kin apin da tɛm de? Yu lɔng dɛn kin kɔmprɛs , we kin mek i nɔ izi fɔ blo, ɛn yu kin gɛt pen na yu chɛst. dis kכndyushכn dεn kכl am `(Hemothorax)`.
• Intracranial hemorrhage (ɔ bren blɔd): Dis na tin we denja smɔl. I kin kam bikɔs blɔd de kɔmɔt insay yu bren ɔ bitwin di dilik mɛmbran dɛn we de rawnd am we yu nɔ ebul fɔ kɔntrol am. If di blɔd de kɔmɔt insay di bren, dɛn kin kɔl am ɛmoraji strok. Dis kayn strok kin rili siriɔs ɛn i kin mek pɔsin in layf de pan denja kwik kwik wan. di ɔda kayn strok, we na ischemic stroke, na we di blɔd we de go na di bren de blok, bɔt dis difrɛn, as di blɔd de kɔmɔt ya.
• Pɔstpartum hemorrhage (PPH): Dis na impɔtant tin fɔ mama dɛn. blɔd we de kɔmɔt afta yu bɔn pikin, ɔ PPH fɔ shɔt tɛm, na di blɔd we de kɔmɔt pasmak na di vagina afta yu bɔn pikin. Dis na siriɔs sik we kin mek pɔsin in layf de pan denja. dis kכndyushכn kin apin insay fכ awa afta di pikin bכn כ te to 12 wik afta di pikin bכn.
• Subarachnoid hemorrhage (SAH): we di bכdi de bכn bitwin di mεninges dεm na di bren εn di protεktiv mεmbran dεm we de rawnd am, dεn kכl am subarachnoid hemorrhage (SAH). Dis na mɛdikal imejensi bak.
• Blɔd spat dɛn na di wayt pat na di yay (`Subconjunctival hemorrhage`):Yu go mɔs dɔn si sɔm pipul dɛn gɛt rɛd blɔd spat na di wayt na dɛn yay. dεn kכl dat ``Subconjunctival hemorrhage.'' Dis na we bכdi de kכlekt insay di tכn mεmbran we de rawnd di yay we dεn kכl ``conjunctiva.'' Dis kin nכ kin bi siriכs lεk כda kayn εmoraji.

Brus , we na di bכdi we de kכmכt כnda di skin we wi כl de gεt, na fכ tru sכm εgzampl fכ ``εmoraji.`` כda wכd we rilet to am na ``hεmatoma.`` I de tכk bכt di bכdi we de kכmכt insay di tisu.

Wetin na di sayn dɛm we de sho se pɔsin de blɔd?

Di filin wae yu kin gɛt wae yu de blɔd kin difrɛn, i kin difrɛn frɔm usay di blɔd de ɛn aw i bad.

Dɔktɔ dɛn se nɔ big big sayn nɔ kin apin te lɛk 15% pan di bɔdi in ɔl blɔd volyum dɔn lɔs (Klas I blɔd).

Bɔt if yu bɔdi lɔs 15% to 30% pan in blɔd volyum (Klas II ɛmoraji) , den dɛn sayn ya kin bigin fɔ sho:

• Diziz ɔ layt ed (dis kin kam bikɔs yu blɔd prɛshɔn smɔl).
• Taya ɛn taya.
• Nɔs ɛn vɔmit.
• Difεlεns fכ brith (dyspnea) εn inkrεs pan di rεspiretכri rεt.
• Di at rit we de go ɔp (tachycardia).

If yu ɔ pɔsin we de nia yu gɛt dɛn sik ya, yu fɔ kɔl 1990 wantɛm wantɛm ɔ go to di imejensi dipatmɛnt na di ɔspitul we de nia yu.

If yu lɔs pas 30% pan yu ɔl blɔd volyum, di sik kin bi mɔr siriɔs. If dɛn kayn tin ya apin, dɛn tin ya kin apin:

• Kɔnfyus.
• Di sik dɛn we kin mek pɔsin sik.
• Nɔbɔdi nɔ kin no natin.
• Hypovolemic shock (shɔk we kin kam bikɔs di blɔd prɛshɔn dɔn drɔp bad bad wan).

Spɛshal simptom dɛm fɔ blɔd we de kɔmɔt insay yu bɔdi

Blɔd we de insay sɔm pat dɛn na di bɔdi kin mek sɔm patikyula sayn dɛn:

• Ed we de at: Wantɛm , bad bad ed pen , yu de si chenj, yu kɔnfyus, ɛn yu kin fil lɛk se yu nɔ gɛt wan say na yu bɔdi.
• Chɛst: I nɔ kin izi fɔ blo , i kin pen na in chɛst, ɛn i kin kɔf blɔd.
• Bεlε (bεlε): Bεlε de blo כ fil fכ ful, bכdi de tכn, bכdi de vכmit, bכdi de insay urine כ stכl.
• Bɔn, jɔyn, ɛn mɔsul dɛn: Brus, swel, ɛn pen. bכt di mכst imכtant tin fכ mεmba na dat, εni blכd we kכmכt na wan kכnfyus spεs (e.g., bitwin di mכsul dεm na wan an כ leg) εn di prεshכn we de go כp na di tisu dεm na mεdikal imejensi.Dis kin mek di nerv ɛn blɔd vesel dɛn pwɛl, ɛn dis kin mek i nɔ ebul fɔ wok na da say de sote go.

If yu gɛt sɔm kayn sik lɛk dis, lɛk aw wi bin dɔn tɔk, i rili impɔtant fɔ go to dɔktɔ wantɛm wantɛm.

Aw yu go no fɔ tru if yu de blɔd?

Infakt, sɔntɛnde, i nɔ kin izi fɔ wi fɔ ɔndastand aw i siriɔs fɔ lɛ blɔd kɔmɔt. Fɔ ɛgzampul, blɔd we de kɔmɔt na di nos. Bɔku tɛm, dɛn kin nɔmal ɛn nɔto big tin. Bɔt if di blɔd kɔmɔt frɔm big blɔd vesel ɔ at, i kin rili bad ɛn i nɔ kin izi fɔ stɔp. As wi bin dɔn tɔk, di blɔd we kin kɔmɔt na di vagina afta dɛn bɔn pikin, na tin bak we kin apin. Na nɔmal tin ɛn dɛn de ɛkspɛkt am. Bɔt if i pasmak, i kin bi wan denja tin we dɛn kɔl postpartum hemorrhage.

De bɛst tin fɔ du na fɔ pe atɛnshɔn to yu bɔdi ɛn yu sayn dɛm. Dɔn bak, if yu gɛt ɛnitin fɔ wɔri bɔt aw di blɔd de kɔmɔt, mek shɔ se yu go to dɔktɔ. Yu fɔ no di sayn dɛm we de sho se yu de blɔd bɔku (lɛk we yu de tɔn, taya, ɛn we yu nɔ de blo fayn). If yu gɛt ivin smɔl wɔri bɔt blɔd, nɔ shem fɔ go to dɔktɔ.

Wetin mek blɔd de kɔmɔt lɛk dis? Wetin na di rizin dɛn?

Dis kayn blɔd kin apin we wan ɔ mɔ blɔd vesel dɛn dɔn pwɛl. Bɔku tɛm, aw di blɔd kin tranga kin dipen pan usay i de na di bɔdi ɛn aw big di blɔd vesel we dɔn pwɛl.

Bɔku tin dɛn de we kin mek pɔsin blɔd kɔmɔt ɔ i kin mek i gɛt mɔ blɔd. Na sɔm ɛgzampul dɛn ya:

• Disɔda fɔ yuz rɔm: Dis na big tin we kin mek pɔsin gɛt blɔd, mɔ fɔ mek pɔsin gɛt blɔd we de kɔmɔt na di subarachnoid.
• Blɔd klot disɔda: Fɔ ɛgzampul, tin dɛn lɛk antiphospholipid syndrome.
• Blɔd disɔda: Na sik dɛn we dɛn kin bɔn wit lɛk ɛmofilia ɛn Vɔn Wilbrand sik.
• Kansa.
• Sɔm mɛrɛsin dɛn: Ɛgzampul dɛn na tin dɛn we de mek blɔd tan lɛk `warfarin (Coumadin®), `aspirin` (inklud bebi aspirin), `clopidogrel (Plavix®)` ɛn `apixaban (Eliquis®).
• sכm vaskulכr sik dεm: kכndyushכn dεm lεk hεridita hεmorrhagic telangiectasia εn aneurysms (we di bכdi vεsul dεm wik εn bulge lεk balכn).
• Kɔmplikɛshɔn dɛm wae de kam wit mɛrɛsin: Kɔmplikɛshɔn wae kin kam afta tin dɛm lɛk ɔpreshɔn.
• Damej to wan insay ɔgan: Fɔ ɛgzampul, if yu yuz mɛrɛsin fɔ mɛn pen lɛk ibuprofen (Advil®) fɔ lɔng tɛm, i kin mek ɔlsa na di intestinal bigin ɛn blɔd.
• Injury: Kɔt, big big fraktrɔs, traumatik bren injuri.
• Trauma: Tin dɛm lɛk gɔn shot wund, stab, ɛn ɔda tin dɛm.
• Vayral ɛmoraji fiva: Dɛn sik ya we wan grup pan vayrɔs kin kam wit. Dɛn vayrɔs ya kin pwɛl di blɔd vesel ɛn mek i blɔd bad bad wan. Sɔm ɛgzampul dɛn na Ebola, dengi fiva, Mabɔg, ɛn yɔlɔ fiva.

Aw dɔktɔ dɛn kin no if pɔsin gɛt `(Hemorrhage)`?

Dɔktɔ dɛn go no if yu gɛt blɔd bay di sayn dɛm we yu gɛt (e.g., yu ed de tɔn) ɛn di tin dɛm we yu dɔn si we yu chɛk yu bɔdi (e.g., di at rit we de go ɔp, di blɔd prɛshɔn we de go dɔŋ). Di nɛks tin we yu fɔ du na fɔ no ustɛm di blɔd de kɔmɔt ɛn wetin de mek i de kɔmɔt. Bɔku tɛm, di blɔd we de kɔmɔt na do kin klia. Bɔt fɔ blɔd we de kɔmɔt insay pɔsin in bɔdi kin tranga smɔl.

Di dɔktɔ go du yu bɔdi ɛgzam, aks bɔt yu sik ɛn mɛdikal histri, ɛn i kin ɔda bak fɔ mek dɛn du imej tɛst (lɛk skan) ɛn tɛst na lɛbɔtri.

Wetin na di tritmɛnt fɔ blɔd?

Di tritmɛnt fɔ blɔd kin dipen pan bɔku tin dɛn:

• Usay di blɔd de go ɛn if i de insay di bɔdi ɔ na do.
• Di kayn we aw i siriɔs.
• Di fɔs tin we mek di blɔd kɔmɔt.
• Yu gɛt ɛni ɔda sik ɔ wund?

If dɛn nɔ no di kɔz ɛn/ɔ di blɔd de kɔmɔt bad bad wan, yu kin nid fɔ go na ɔspitul fɔ tritmɛnt. Yu mɛdikal tim go fɛn di kɔz ɛn trit am di rayt we. Yu kin nid tin dɛn lɛk:

• Ɔpreshɔn.
• Vitamin K injɛkshɔn: (Ɛspɛshali if yu de tek mɛrɛsin lɛk warfarin, fɔ ɛp fɔ stɔp blɔd).
• Fluid dɛn we dɛn kin put insay di bɛlɛ (`IV fluid`).
• Blɔd we dɛn kin gi pɔsin.

Fɔs ɛp fɔ pɔsin we de blɔd

Yu kin gi fɔs ɛp bak to pɔsin we de blɔd bad bad wan – ilɛksɛf na yu ɔ ɔda pɔsin. Fɔ fala dɛn step ya:

1. Kɔl 1990 ɔ yu lokal imejensi nɔmba wantɛm wantɛm.

2. Le di pɔsin we wund dɔŋ. If wund de na dɛn an ɔ leg, es di pat we wund ɔp pas di lɛvɛl na di at if i pɔsibul.

3. If yu gɛt mɛrɛsin, kɔba di wund wit stɛriyl goz ɔ klin klos.

4. Aks di pɔsin we wund fɔ ol di wund wit in an(dɛn). If i nɔ ebul fɔ du am, yu fɔ du am.

5. If sɔntin (e.g. wan pis glas, wan pis wud) stɔp na di wund, nɔ pul am kɔmɔt. Tayt di bandej we de rawnd am.

6. If yu yuz tourniquet (band we dɛn tay tayt wan oba wund fɔ stɔp blɔd), du am nɔmɔ if yu no aw fɔ du am fayn, ɛn na las tin nɔmɔ if yu blɔd bɔku.(Dis na we fɔ stɔp di blɔd bay we yu yuz sɔntin lɛk wud ɔ klos fɔ pres am oba di wund. Bɔt na pɔsin nɔmɔ we no gud gud wan wetin fɔ du dis fɔ du, bikɔs i kin mek bad tin apin if dɛn nɔ du am di rayt we.)

Wetin na di we aw pɔsin we dɔn gɛt blɔd go wɛl?

If yu gɛt blɔd, yu prɔgnosis (outlook) dipen pan sɔm tin dɛm:

• Us kayn `(Hemorrhage)` na dat?
• Di kayn we aw i siriɔs.
• Aw yu bin gɛt tritmɛnt kwik kwik wan.
• Yu ej ɛn ɔl yu wɛlbɔdi.

Fɔ go to dɔktɔ kwik kwik wan na di men tin we go mek yu wɛl bɛtɛ. Wae yu dɔn gɛt tritmɛnt, yu mɛdikal tim go gi yu gud aidia bɔt wetin fɔ ɛkspɛkt fɔ go bifo.

Kɔmplikɛshɔn dɛn we kin apin bikɔs ɔf `(Ɛmoraji)`

Di prɔblɛm dɛn we kin kam we pɔsin kin gɛt blɔd kin kɔmɔt mɔ bikɔs di blɔd we de rich na yu ɔgan dɛn kin go dɔŋ. Dis kin mek di tisu ɛn sɛl dɛn day, we kin mek dɛn gɛt prɔblɛm dɛn lɛk:

• Ɔgan dɛn we nɔ de wok fayn.
• Di sik dɛn we kin mek pɔsin sik.
• Kɔma.
• Day.

Blɔd na di men tin we kin mek pɔsin day we pɔsin kin ebul fɔ avɔyd, mɔ pan di wan dɛn we gɛt siriɔs trauma injury.

Sɔm patikyula kayn blɔd kin gɛt sɔm patikyula prɔblɛm dɛn. Fɔ ɛgzampul, blɔd we de kɔmɔt na yu bren kin mek yu bren pwɛl sote go ɛn i kin mek yu gɛt prɔblɛm wit yu nyurolɔjik. Di blɔd we de kɔmɔt afta yu bɔn kin mek yu gɛt wan sik we dɛn kɔl Sheehan syndrome, we na we yu pituitary gland kin pwɛl we yu de blɔd pasmak.

כda kכmכn kכmplikεshכn dεm na fכ blɔd bak εn kכmplikεshכn dεm we de asai wit כspitul (e.g., dip venכs trombosis, εn infεkshכn).

Wi bɔdi nid blɔd fɔ de insay wi blɔd vesel. We i lik, mɔ if i bɔku, i kin mek yu gɛt siriɔs prɔblɛm. We i kam pan blɔd, fɔ go to dɔktɔ wantɛm wantɛm na di tin we impɔtant pas ɔl. If yu ɔ pɔsin we yu lɛk de blɔd we yu nɔ ebul fɔ kɔntrol, ɔ if yu tink se yu de blɔd insay yu bɔdi, nɔ delay fɔ go na ɔspitul.

Fɔ dɔn, tin dɛn fɔ mek yu mɛmba

Okay, a tink se yu don geht gud andastan naw fo wetin wi bin de tok boht, ``(Hemorrhage)'', we min blɔd. Di tin we impɔtant pas ɔl na dat if yu de blɔd di kayn we we nɔ kɔmɔn, nɔ jɔs ignore am, tink se, "O, na jɔs smɔl tin," ɛn go to dɔktɔ wantɛm wantɛm.Dɔn bak, if yu gɛt sɔm sayn dɛn we de sho se yu kin blɔd sɔmsay insay yu bɔdi (e.g., ed we de at wantɛm wantɛm, we yu de vɔmit blɔd, blak stɔl), dat na tru bak, ɛn yu fɔ go to dɔktɔ wantɛm wantɛm.

Mɛmba se if wi gɛt tritmɛnt kwik kwik wan, wi kin avɔyd bɔku siriɔs sik dɛn. So, pe atɛnshɔn to yu bɔdi ɔltɛm. If yu gɛt ɛni prɔblɛm ɔ dawt, nɔ fred ɔ shem fɔ go to dɔktɔ ɛn gɛt advays. Stay wit wɛlbɔdi!

` ɛmoraji, blɔd, blɔd, blɔd we de kɔmɔt insay, blɔd we de kɔmɔt na do, fɔs ɛp, simptom dɛn