Wi ɔl no se blɔd de kɛr ɔksijɛn go ɔlsay na wi bɔdi. Bɔt imajin, wetin go apin if fɔ sɔm rizin dis blɔd nɔ ebul fɔ kɛr ɔksijɛn? Yu bɔdi go fil lɛk se i de swɛla, nɔto so? Tide wi de tɔk bɔt wan spɛshal drɔg we dɛn kin yuz pan dis kayn siriɔs tin we kin mek pɔsin in layf de pan denja. I nem na Mɛtilin Blu.
Wetin na Mɛtilin Blu? Wetin i de du?
Fɔ tɔk am simpul wan, Methylene Blue na wan mɛrɛsin we dɛn kin yuz fɔ mɛn wan sik we dɛn kɔl methemoglobinemia .
"Naw wetin na mɛthemoglobinemia?" yu kin de wɔnda. Wetin kin apin pan dis na dat di prɔtin we de kɛr ɔksijɛn na wi blɔd we dɛn kɔl ɛmoglobin kin chenj ɛn i nɔ kin ebul fɔ tay ɔksijɛn fayn fayn wan. Dɔn di ɔksijɛn we de na di bɔdi in tisu ɛn ɔgan dɛn kin pwɛl kpatakpata. Dis kin kam bikɔs pɔsin de it difrɛn kayn kemikal dɛn, sɔm mɛrɛsin dɛn, ɔ tin dɛn we de mek pɔsin gɛt jɛnɛtiks. Dis na tin we rili denja. Na da tɛm de dɛn kin gi wan mɛtilin blu injɛkshɔn fɔ ɛp ɔksijɛn fɔ kam bak na di blɔd.
Di tin we impɔtant pas ɔl na dat dis nɔ tan lɛk mɛrɛsin we dɛn kin tek ɔltɛm. Na ɔspitul nɔmɔ dɛn kin yuz am, ɔnda di strikt sɔpɔtishɔn fɔ dɔktɔ dɛn.
Sɔntɛnde, dɛn kin yuz dis mɛrɛsin fɔ ɔda tin dɛn fɔ mɛn pipul dɛn. If yu gɛt ɛni kwɛstyɔn bɔt dis, i go fayn fɔ aks yu dɔktɔ.
Tin dɛm wae yu fɔ tɛl yu dɔktɔ bifo yu tek dis mɛrɛsin
Bifo dɛn gi yu dis vaysin, di mɛdikal tim go aks yu sɔm kwɛstyɔn dɛn. I impɔtant fɔ mek yu sef fɔ gi dɛn kɔrɛkt infɔmeshɔn. Mek shɔ se yu tɛl dɛn if yu gɛt ɛni wan pan dɛn tin ya:
- Alɛji to mɛtilin blu ɔ ɔda mɛrɛsin: If yu bin dɔn gɛt alɛji to mɛrɛsin lɛk mɛtilin blu, fenotiazin, thiazide diuretics, ɔ ɛni ɔda mɛrɛsin, it, ɔ day.
- G6PD dɛfisiɛns: If yu gɛt wan jɛnɛtik kɔndishɔn we dɛn kɔl glukɔs-6-fɔsfɛt dihaydrojɛnɛz (G6PD) dɛfisiɛns . Dis na wan ɛnzaym we nɔ gɛt bɛtɛ tin fɔ du we gɛt fɔ du wit di blɔd sɛl dɛn. Fɔ gi mɛtilin blu to pipul dɛm wae gɛt dis sik kin denja.
- Saynayd Pɔyzin: If yu na pɔsin we dɛn de trit fɔ saynayd pɔyzin.
- Kidni Disease: If yu gɛt ɛni kidni sik.
- Bɛlɛ ɔ tray fɔ gɛt bɛlɛ: If yu gɛt bɛlɛ ɔ yu op fɔ gɛt bɛlɛ, yu fɔ rili tɛl yu dɔktɔ.
- If yu de gi pikin in bɛlɛ:Tɛl di dɔktɔ bak if yu na mama we de gi pikin in bɛlɛ.
Aw fɔ yuz dis mɛrɛsin?
Dis nɔto mɛrɛsin we yu kin kɛr go na os. Na injɛkshɔn we dɛn kin put insay wan vein . Na pɔsin we sabi bɔt wɛlbɔdi biznɛs, lɛk dɔktɔ ɔ nɔs we dɔn tren, kin gi am na ɔspitul ɔ klinik.
Yu kin gi dis to pikin dɛn?
Yɛs, dɛn kin gi pikin dɛn dis mɛrɛsin if nid de. Bɔt, i nid spɛshal kia. Yu kin tɔk to yu dɔktɔ we de mɛn pikin dɛn bɔt dis fɔ no mɔ bɔt dis.
Wetin a go du if a tek bɔku mɛrɛsin?
Dɛn kin gi dis na ɔspitul, so di chans fɔ mek dis apin nɔ kin bɔku. Bɔt if yu tink se yu dɔn tek dis mɛrɛsin tumɔs, yu fɔ tɛl di ɔspitul mɛdikal tim wantɛm wantɛm. Jɛnɛral wan, if pɔyzin apin, yu fɔ kɔl di Nashɔnal Pɔyzin Infɔmeshɔn Sɛnta na di Kɔlɔmbɔ Nashɔnal Ospital ɔ go na di Imejɛnsi Tritmɛnt Yunit (ETU) na ɔspitul.
Ɔda mɛrɛsin dɛm wae kin miks wit dis mɛrɛsin (Drug Interactions) .
Dis na pat we rili impɔtant. Methylene blue na wan mɛrɛsin wae kin intarakt bad bad wan wit sɔm ɔda mɛrɛsin dɛm. So, tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek (we ɔda dɔktɔ dɛn gi yu, we yu bay na famasi, tradishɔnal mɛrɛsin, vaytamɛn, sɔpɔtmɛnt - ɔltin).
Nɔ fɔ gi mɛtilin blu to pɔsin we de tek dɛn mɛrɛsin ya:
| Di kayn drɔg we dɛn kin yuz | Ɛgzampul dɛn |
|---|---|
| Sɔm mɛrɛsin fɔ pwɛl hat ɔr wɔri | Bupropion, Klɔmipramin, Dɔksɛpin, Dulɔksɛtin, Fluɔksɛtin, Mirtazapin, Trazodɔn |
| Drugs in di MAOI (monoamine oxidase inhibitors) grup | Drug dɛn lɛk Marplan, Nardil, Parnate, Rasagiline, Selegiline |
| Sɔm ɔda mɛrɛsin ɛn sɔpɔtmɛnt dɛn | Milnacipran, Tryptophan, Sɛnt Jɔn in wɔt (wan ɛbul sɔpɔtmɛnt) |
Dis list nɔr kɔmplit, so i impɔtant fɔ tɛl yu dɔktɔ bɔt ɔltin we yu de tek. Dɔn bak, tɛl am if yu de smok, drink rɔm, ɔ yu de yuz ɔda drɔgs.
Wetin na di sayd ɛfɛkt dɛn we pɔsin kin gɛt we i tek di mɛrɛsin?
Lɛk ɛni mɛrɛsin, mɛtilin blu kin mek pɔsin gɛt bad bad tin dɛn. Sɔm pan dɛn tin ya siriɔs, sɔm nɔ so siriɔs. Yu mɛdikal tim go de wach yu gud gud wan we dɛn de gi yu di mɛrɛsin. Bɔt i fayn fɔ no bɔt dɛn sayn ya.
| Sayd ɛfɛkt we pɔsin kin gɛt | Tɔk bɔt |
|---|---|
| Sayd ɛfɛkt dɛn we dɛn fɔ ripɔt to di dɔktɔ wantɛm wantɛm | |
| Chɛst de pen | Pen we de fil lɛk se dɛn de swɛt di at, lɛk se dɛn de swɛla am. |
| Kɔnfyus | I at fɔ imajin usay, ustɛm, ɔ udat yu bi. |
| Diziz we pɔsin kin gɛt | Filin fɔ lɛ yu nɔr gɛt kɔntrol pan yu bɔdi, lɛk se di wɔl de spin rawnd yu. |
| Di ed we de at bad bad wan | Wan ed we kin at wantɛm wantɛm, we pɔsin nɔ kin ebul fɔ bia. |
| I de swet mɔ ɛn mɔ | Fɔ swet pasmak fɔ no patikyula rizin. |
| Bɛlɛ de pen | Siriɔs, we de kɔntinyu fɔ pen na yu bɛlɛ. |
| Sayd ɛfɛkt dɛn we nɔ kin siriɔs, bɔt dɛn fɔ ripɔt to di dɔktɔ if dɛn kɔntinyu fɔ de | |
| Blu/grin urine ɛn stɔl | Dis na tin we wi fɔ ɛkspɛkt. Dis kin apin bikɔs ɔf di kɔlɔ we di mɛrɛsin gɛt. I nɔto natin fɔ wɔri bɔt. |
| Blu skin | Sɔntɛnde, di skin kin tɔn blu bak. |
| Nɔs ɛn vɔmit | Nɔs ɔ vɔmit kin apin we dɛn gi di mɛrɛsin ɔ afta dɛn dɔn gi am. |
Mɛsej we dɛn kin kɛr go na os
- Methylene Blue na wan mɛrɛsin we de sev layf we dɛn kin gi fɔ trit wan siriɔs sik we dɛn kɔl methemoglobinemia , we na we di blɔd nɔ ebul fɔ kɛr ɔksijɛn.
- Dɛn kin jɔs gi dis as injɛkshɔn insay wan vein na ɔspitul, ɔnda dɔktɔ in sɔpɔtishɔn. I nɔto mɛrɛsin fɔ kɛr go na os.
- I impɔtant fɔ tɛl yu dɔktɔ bɔt ɔl di ɔda mɛrɛsin dɛn we yu de tek, mɔ di mɛrɛsin dɛn we de mek yu nɔ gɛt pwɛl hat, ɛn ɛni mɛrɛsin we yu gɛt, lɛk we yu nɔ gɛt G6PD .
- I nɔmal fɔ mek di mɛrɛsin mek yu gɛt blu/grin urine ɛn stɔl. Bɔt if yu gɛt sɔm sayn dɛn lɛk we yu de fil pen na yu chɛst, yu kɔnfyus, ɔ yu ed de at bad bad wan, tɛl yu mɛdikal tim wantɛm wantɛm.
- If yu gɛt ɛni kwɛstyɔn bɔt dis mɛrɛsin ɔ yu sik, duya nɔ shem fɔ aks yu dɔktɔ .
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