Imajin se yu de kɔt vɛjitebul na kichin ɛn aksidɛntli kɔt yu an. Ɔ lɛ wi se smɔl pikin kin fɔdɔm we i de ple ɛn i kin swɛt in ni. Fɔs, smɔl blɔd kin de, bɔt afta sɔm tɛm, ilɛksɛf wi nɔ du natin, di blɔd kin jɔs stɔp, nɔto so? Dis nɔto jɔs ɔda tin. Dis na wɔndaful tin we de mek wi bɔdi ebul fɔ protɛkt wisɛf. Insay mɛrɛsin, wi kin kɔl dis ɛmostasis . Fɔ tɔk am simpul wan, dis na di natura l prɔses we de stɔp blɔd frɔm wund ɛn rɛdi di bɔdi fɔ mɛn da wund de.
So aw dis tin we dɛn kɔl ɛmostasis kin apin?
Dis soun laik wan stori we rili intrestin. Di wɔd ɛmostasis gɛt tu pat. "Hɛmo" min "blɔd" ɛn "stasis" min "fɔ stɔp" ɔ "fɔ ol stil." Fɔ tɔk am simpul wan, i min "fɔ stɔp di blɔd we de flɔ." Dis prכsεs kin bigin insay sεkכnd dεm afta di injuri. I nɔmal fɔ mek blɔd kɔmɔt frɔm injuri fɔ tu to sɛvin minit.
Dis nɔto wan step we pɔsin kin du. I kin apin insay sɔm stɛp dɛn, lɛk wan tim we gɛt sɛns we de wok togɛda fɔ dɔn wan wok. Lɛ wi luk di 4 men tin dɛn we wi fɔ du.
| Step dɛn we yu fɔ du | Wetin kin apin (insay simpul wɔd dɛn) . |
|---|---|
| Step 1: Blɔd vesel dɛn kin kɔnstrikt | Di blɔd vesel dɛm (blɔd vesel dɛm) na di say we di wund de tayt, lɛk we yu swɛt wata paip. Dis kin mek di blɔd nɔ flɔ sloslo. |
| Step 2: Fɔ mek wan tɛmporari plɔg | Plɛtlɛt, we na wan kayn smɔl sɛl we de flɔt insay wi blɔd, kin rɔsh go na di say we di pɔsin wund ɛn stik to am. Dɛn kin gɛda togɛda ɛn sidɔm di wund fɔ sɔm tɛm. I tan lɛk se yu put kap pan bɔtul. Dɛn kin kɔl dis bak praymari ɛmostasis . |
| Step 3: Start di coagulation chen | Naw di rial wok bigin. Wetin de insay di blɔddi protin dεm we dεn kכl kכaguleshכn fכktכ dεm de aktibכt wan afta di כda, we de mek da tεmporari sil de mכr strכng. Dis tan lɛk chen riakshɔn. Dɛn kɔl dis sɛkɔndari ɛmostasis . |
| Step 4: Fɔmɛshɔn fɔ wan pɔrmɛnt blɔd klɔt | Afta sɔm tɛm, di pletlɛt dɛn ɛn wan spɛshal prɔtin we dɛn kɔl fibrin kin kam togɛda fɔ mek wan blɔd we rili strɔng ɛn we go de sote go, lɛk brik ɛn mɔta we de bil wɔl. Dis kin lɔk di wund kpatakpata. Leta, as di wund de wɛl, dis blɔd we de klɔt kin sɔlv ɛn nyu skin kin kam. |
Fɔ tɔk am simpul wan, ɛmostasis na wi bɔdi in natura "plasta." If wi nɔ bin gɛt am, ivin smɔl skrach kin mek wi blɔd bɔku ɛn ivin mek wi layf de pan denja.
Wetin kin apin if dis prɔses nɔ go fayn?
Pan ɔl we dis kin wok fayn fayn wan, sɔntɛnde i kin rɔng. Dɔn tu prɔblɛm dɛn kin kam:
1. Hypocoagulability: Dis na we di blɔd nɔ de klɔt fayn we i nid am. Ivin smɔl wund kin mek yu blɔd fɔ lɔng tɛm, ɛn dis kin mek yu gɛt brus ɛn wund.
2. Hypercoagulability: Dis na we blɔd klot fɔm na di bɔdi we dɛn nɔ nid am. Dis kin rili denja.
If di blɔd we de klɔt de bɔku (Hypercoagulability) .
Dis kin denja bikɔs di blɔd we nɔ want we kin mek insay di bɔdi (we wi kin kɔl trombosis ) kin travul tru di blɔd vesel dɛn ɛn lod insay impɔtant ɔgan dɛn lɛk di bren, at, ɛn lɔng. Na dat kin apin.
- Strɔk: If blɔd klɔt blok blɔd vesel we de kɛr blɔd go na di bren.
- At Atak: If blɔd klɔt blok blɔd vesel we de gi blɔd to di at.
- Pulmonary Embolism: Dis kin apin we di bכdi we de kכlכt ( Deep Vein Thrombosis - DVT ), we kin fכm insay dip vein na di leg, brok εn lod insay wan vein na di lכng.
Sɔm kayn kansa, jɛnɛtik kɔndishɔn (e.g. Factor V Leiden , Protein C deficiency ), ɛn ɔda mɛdikal kɔndishɔn (e.g. Antiphospholipid syndrome , siriɔs infɛkshɔn - sɛpsis ) kin mek blɔd klɔt mɔ dis we.
If di blɔd we de klɔt go dɔŋ tumɔs (Hypocoagulability) .
Dis na di kɔmɔn tin. Bikɔs yu blɔd nɔ de klot fayn, ɛni injuri kin denja. Ivin we pɔsin kɔt am smɔl, i kin mek i blɔd pasmak. Blɔd kin de bak we pɔsin nɔ de si insay di bɔdi.
Di men ɛgzampul dɛn bɔt dis na:
- Ɛmofilia: Dis na sik we pɔsin kin gɛt we i kam pan jɛnɛtiks we di bɔdi nɔ kin mek wan ɔ mɔ pan di tin dɛn we i nid fɔ mek blɔd klɔt.
- Von Willebrand disease: Dis na kɔmɔn jɛnɛtik sik we fiba ɛmofilia.
- Trombocytopenia: Na di nɔmba fɔ di pletlɛt dɛn we na di praymar sɛl dɛn we de mek di blɔd klɔt de go dɔŋ. yu kin si dis kכndyushכn pan sכm kayn kεnsar (e.g., lukimiya ).
Aw yu go no if ɛni prɔblɛm de we tan lɛk dis?
If yu gɛt dɛn sik ya, yu dɔktɔ go sɛn yu to dɔktɔ we de mɛn yu blɔd. I go aks bɔt yu sik dɛn ɛn ɔda fɔ du di blɔd tɛst we nid fɔ apin.
Sɔm pan dɛn tɛst dɛn de na:
- Kɔmplit Blɔd Kɔnt (CBC) .
- Di Plɛtlɛt Kɔnt
- Blɔd Tɛm
- Prɔtrombin Tɛm (PT) .
- Aktivet Patɛl Tromboplastin Tɛm (aPTT) .
- Fibrinogen Lɛvɛl
Ustɛm yu fɔ go to dɔktɔ?
If yu gɛt ɛni sayn, yu nɔ fɔ ɛva ignore am. Dɛn tin ya kin bi tin dɛn we kin apin kwik kwik wan.
| Kategori fɔ di simptom dɛn | Tin dɛn we yu fɔ pe atɛnshɔn to |
|---|---|
| Sayn dεm we de sho se blɔd de kכlכt bכku (Hypercoagulability) - Dis na imejensi, go na di ETU wantɛm wantɛm! | |
| Bren (paralayz) . | Wan say na di bɔdi nɔ kin fil fayn, i nɔ kin izi fɔ tɔk, i kin drɔp na wan say na di fes, i kin at bad bad wan. |
| At (at sik) . | Chɛst pen, at fɔ blo, wik, at bit kwik kwik wan, fɔdɔm. |
| Na di lɔng dɛn (Pulmonary Embolism) . | Wantɛm we yu de blo shɔt, yu chɛst de pen, yu de kɔf blɔd, yu lip ɔ finga dɛn we de blu, yu de fɔdɔm. |
| Na di leg (DVT) . | Pen, swel, ɛn rɛd na di groin eria ɔ ɔdasay na di leg. |
| Di sayn dɛm fɔ hypocoagulability - tɔk to yu dɔktɔ if yu gɛt dɛn tin ya. | |
| Di tin dɛn we kɔmɔn | • SMƆL TƆK: Nɔs de blɔd bɔku tɛm ɛn i nɔ kin izi fɔ stɔp am. • SMƆL TƆK: Blɔd we yu de brus yu tit. • SMƆL TƆK: Ivin smɔl wund kin blɔd fɔ lɔng tɛm. • SMƆL TƆK: Brus (blu/pɔpul spat) na di bɔdi fɔ no rizin. |
Mɛsej we dɛn kin kɛr go na os
- Ɛmostasis na natura, impɔtant tin we wi bɔdi kin stɔp fɔ blɔd bikɔs i wund.
- Dis na kɔmpleks prɔses we gɛt sɔm step dɛn.
- Sɔntɛnde, dis prɔses kin go rɔng. Dɛn tu tin ya we dɛn kɔl hypercoagulability ɔ hypocoagulability kin bi denja.
- Di sayn dɛm lɛk fɔ pen na yu chɛst wantɛm wantɛm, i nɔ kin izi fɔ blo, ɔ yu nɔ kin no na wan say na di bɔdi kin bi sayn fɔ se blɔd dɔn klɔt. If na so i bi, go na ɔspitul in Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm.
- If yu de brus fɔ natin, ɔ if yu de blɔd bɔku bɔku wan bikɔs ɔf smɔl wund dɛn, nɔ ignore am ɛn tɔk to yu dɔktɔ fɔ tru .
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