Yu dɔktɔ dɔn gi yu wan shot fɔ ɛp yu fɔ mek blɔd nɔ klɔt na yu bɔdi ɔ fɔ mek di blɔd we dɔn de nɔ big? Ɔ yu kin gi dis mɛrɛsin to pɔsin na yu famili? Yu kin fred fɔ yɛri dis nem. Bɔt nɔ wɔri. Dis na wan mɛrɛsin we rili impɔtant we dɛn kin yuz bɔku tɛm. Tide, wi go tɔk bɔt dis mɛrɛsin we dɛn kɔl heparin insay simpul wɔd dɛn.
Fɔ tɔk am simpul wan, wetin na Ɛparin?
Heparin na wan mɛrɛsin we de mek blɔd nɔ klot . insay mεdikal tεm, wi kin kכl dis ``anticoagulant''. Imajin, if blɔd klɔt fɔm insay wi blɔd vesel dɛn we nɔ nid, i kin ambɔg di blɔd flɔ. Dɛn blɔd ya kin kam na di vein, at, di lɔng, ɔ di at. Wetin di heparin injεkshכn de du na fכ stכp dεn kayn blכd kכlכt dεm ya fכ fכm כ mek di blכd kכlכt we dεn כlrεdi fכm nכ big.
Apat frɔm dat, dɛn kin yuz am bak pan sɔm spɛshal tɛm dɛn.
- We dɛn de du ɔpreshɔn fɔ opin at.
- We dɛn de du dayalaysis fɔ di wan dɛn we gɛt kidni.
- Nɔ mek blɔd nɔ klɔt pan pasɛnt dɛn we de na bed fɔ lɔng tɛm afta dɛn dɔn ɔpreshɔn ɔ bikɔs ɔf ɔda mɛrɛsin.
Tin dɛm fɔ tɛl yu dɔktɔ bifo yu tek dis mɛrɛsin
Bifo yu gi yu heparin, yu dɔktɔ go nid fɔ no yu kɔmplit wɛlbɔdi istri. Mek shɔ se yu tɛl yu dɔktɔ if yu gɛt ɛni wan pan di sik dɛn we de dɔŋ ya.
| Wɛlbɔdi kɔndishɔn ɔ chans | Duya tɛl di dɔktɔ. |
|---|---|
| Sik dɛn we kin mek pɔsin blɔd | Fɔ ɛgzampul, sik lɛk ɛmofilia ɔ wan sik we di blɔd pletlɛt nɔ bɔku. |
| Dijestiv sistɛm sik dɛn | Kɔndishɔn lɛk bɔdi sik ɔ divɛrtikulayz. |
| Infεkshכn dεm na di at | kכndishכn dεm lεk `Endocarditis` (at valv infεkshכn). |
| Di ay blɔd prɛshɔn | If yu de tek tritmɛnt fɔ ay blɔd prɛshɔn ɔ if dɛn nɔ kɔntrol am. |
| Sik dɛn we kin apin na di liva | Eni kayn liva sik. |
| Di ɔpreshɔn we dɛn jɔs du ɔ we dɛn bɔn pikin | If dɛn jɔs dɔn du ɔpreshɔn pan yu ɔ bɔn pikin. |
| Ɔlsa na di bɛlɛ | Ɔlsa we de na di bɛlɛ naw ɔ we bin dɔn de bifo. |
| Alɛji dɛn we pɔsin kin gɛt | If yu nɔ gɛt alɛji fɔ heparin, sɔlfayt, ɔda mɛrɛsin, it, ɔ tin dɛn we de mek yu nɔ pwɛl. |
| Bεlε εn we i de gi pikin in bεlε | If yu gɛt bɛlɛ, yu de tray fɔ gɛt bɛlɛ, ɔ yu de gi pikin in bɛlɛ. |
Aw yu kin yuz dis mɛrɛsin?
Dis vaysin na ɔspitul ɔ klinik na pɔsin we tren fɔ mɛn pipul dɛn kin gi am. dεn kin gi am as injεkshכn insay wan vein (`injεkshכn`) כ as drip insay wan vein (`infushכn`) lεk salin. Sɔntɛnde, dɛn kin injɛkt smɔl smɔl ɔnda di skin.
Yu kin nid fɔ gi yusɛf dis injɛkshɔn na os. If na so, dɛn go tich yu aw fɔ pripia ɛn injɛkt am kɔrɛkt wan. I rili impɔtant fɔ tek di mɛrɛsin jɔs lɛk aw dɛn tɛl yu fɔ tek am, di rayt tɛm. Nɔ ɛva stɔp fɔ tek di mɛrɛsin if yu dɔktɔ nɔ advays yu. If yu du dat, di risk fɔ mek yu gɛt blɔd klɔt kin bɔku bak.
Wetin yu kin du wit nidul ɛn sirinj we yu dɔn yuz?
Dis rili impɔtant. Nɔ ɛva trowe nidul ɛn sirinj dɛn we yu dɔn yuz na di dɔti. Yuz spɛshal shap kɔntena we dɛn dɔn gi dɛn. If yu nɔ gɛt wan, yu kin aks yu dɔktɔ fɔ wan.
Wetin fɔ du if di mɛrɛsin doz go ɔp?
If yu tink se yu dɔn tek ɔvados, go to di Imejɛnsi Dipatmɛnt (ETU) we de nia yu wantɛm wantɛm. Ɔ kɔl di Nashɔnal Pɔyzin Infɔmeshɔn Sɛnta na di Kɔlɔmbɔ Nashɔnal Ospital fɔ advays.
Tin dɛn we yu fɔ tek tɛm wit we yu de tek mɛrɛsin
- Fɔ chɛk-ap ɔltɛm: Go na di say we yu dɔktɔ dɔn sɛtul fɔ chɛk-ap. Yu kin nid bak fɔ du blɔd tɛst. Nɔ skip dɛn apɔntin dɛn ya.
- Nɔ gɛt injury: We yu de tek dis mɛrɛsin, yu kin blɔd izi wan. So, nɔ de nia spɔt ɛn tin dɛn we go mek yu fɔdɔm ɔ wund. Tek tɛm bad bad wan we yu de yuz tin dɛn we shap lɛk naif. If yu de sheb, i go fayn fɔ yuz ilɛktrik reza. Bi rili ɔmbul we yu de brus ɛn yuz flos yu tit.
- Ripɔt ɛni injuri: If yu notis ɛni brus, rɛd spat, ɔ blɔd pasmak frɔm ivin smɔl injuri, tɛl yu dɔktɔ wantɛm wantɛm.
- Notis bifo yu du di ɔpreshɔn: If dɛn dɔn plan fɔ du ɛni ɔpreshɔn (ivin fɔ pul yu tut), mek shɔ se yu tɛl di dɔktɔ se yu de tek ɛparin.
- Kol an ɛn fut: If yu an ɔ yu fut fil kol ɛn blu, i kin bi prɔblɛm wit di blɔd we de go ɔlsay. Tɛl yu dɔktɔ wantɛm wantɛm.
- Yuz am fɔ lɔng tɛm: If yu tek ɛprin fɔ lɔng tɛm, i kin mek yu bon dɛn wik ɛn i kin mek yu bon dɛn brok. So, tɔk to yu dɔktɔ bɔt fɔ gɛt inof kalsiɔm ɛn vaytamɛn D na yu it.
Wetin na di sayd ɛfɛkt dɛn we di mɛrɛsin kin gɛt?
Lɛk ɛni mɛrɛsin, ɛparin kin mek sɔm bad bad tin dɛn apin. Sɔm pan dɛn tin ya siriɔs, ɛn ɔda wan dɛn kin kɔmɔn.
| Sayd ɛfɛkt dɛn we yu fɔ ripɔt to yu dɔktɔ wantɛm wantɛm | |
|---|---|
| Alɛji we pɔsin kin gɛt | Skin rash, it, swel na di fes, lip ɔ tong. |
| Di sayn dɛn we de sho se pɔsin de blɔd | Blak ɔ tar stɔl; urine we gɛt rɛd ɔ dak brawn; vɔmit we tan lɛk kɔfi grɔn; rɛd spat dɛn na di skin; blɔd we nɔ kɔmɔn frɔm di yay, di gɔm, ɔ di nos. |
| Di sayn dɛn we de sho se blɔd dɔn rɔtin | Chɛst de pen; i nɔ kin izi fɔ yu fɔ blo; yu leg de pen, yu de swel, ɔ yu de fil wam wam. |
| Di sayn dɛn we pɔsin kin gɛt we i gɛt Strɔk | Di we aw pɔsin de si tin kin chenj; kɔnfyus; i nɔ kin izi fɔ tɔk ɔ ɔndastand; ed we kin at bad bad wan; di fes, an, ɔ leg kin swɛt ɔ wik wantɛm wantɛm; i nɔ kin izi fɔ waka; diziz we pɔsin kin gɛt. |
| Ɔda tin dɛn we de apin | Bon pen, fiva, nɔs, vɔmit. |
| Kɔmɔn sayd ɛfɛkt dɛm we dɛn fɔ ripɔt to di dɔktɔ if dɛn kɔntinyu fɔ de | |
| Di ia we de lɔs | Di ia we de lɔs fɔ sɔm tɛm. |
| Pen na di say we dɛn injɛkshɔn | Pen, rɛd, ɔ swel smɔl na di say we dɛn injekt am. |
Ɔda tin dɛm wae kin miks wit dis mɛrɛsin
If yu de tek heparin, yu fɔ avɔyd fɔ tek sɔm ɔda mɛrɛsin dɛn. Tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek (inklud vaytamɛn ɛn ɛbul mɛrɛsin dɛn).
Di risk fɔ blɔd kin bɔku we yu de tek mɛrɛsin, mɔ aspirin ɛn NSAID (e.g., ibuprofen, naproxen), wit ɛparin. So, nɔ tek ɛni mɛrɛsin we de mek yu fil pen if yu nɔ gɛt dɔktɔ advays.
Tin dɛn lɛk fɔ smok ɛn fɔ drink rɔm kin afɛkt di we aw dis mɛrɛsin de wok bak, so tɔk tru to yu dɔktɔ bɔt dat bak.
Mɛsej we dɛn kin kɛr go na os
- Heparin na wan impɔtant mɛrɛsin we de mek blɔd nɔ klɔt. Nɔ fred am.
- Tek di mɛrɛsin jɔs lɛk aw yu dɔktɔ tɛl yu, insay di rayt doz, di rayt tɛm. Nɔ ɛva stɔp fɔ tek yu mɛrɛsin if yu nɔ gɛt advays.
- Tek tɛm bad bad wan we yu de tek dis mɛrɛsin, bikɔs ivin smɔl wund kin mek yu blɔd kɔmɔt.
- If yu gɛt ɛni siriɔs sayn lɛk fɔ blɔd we nɔ kɔmɔn, ed we de at bad bad wan, ɔ we yu de fil pen na yu chɛst, go to dɔktɔ wantɛm wantɛm.
- Tɛl yu dɔktɔ bɔt ɔl di ɔda mɛrɛsin dɛn we yu de tek.
- Trowe di nidul ɛn sirinj dɛn we yu dɔn yuz fayn fayn wan insay spɛshal kɔntena.
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