Imajin se sɔmbɔdi we de nia yu gɛt blɔd prɛshɔn we rili ay wantɛm wantɛm, ɔ at imejensi ɛn dɛn put am na ɔspitul. Dɔn yu go dɔn yɛri bɔt wan spɛshal mɛrɛsin we dɔktɔ dɛn kin gi tru wan salin sɔlvushɔn as imejensi tritmɛnt. Nitroprusside na wan impɔtant mɛrɛsin we dɛn kin yuz pan dɛn kayn tin ya. Dis nɔto mɛrɛsin fɔ yuz na os, bɔt na spɛshal injɛkshɔn we dɛn kin gi am ɔnda strikt sɔpɔtishɔn na ɔspitul. So tide, lɛ wi tɔk bɔt dis mɛrɛsin smɔl mɔ ɛn simpul wan.
Wetin kin rili apin wit dis mɛrɛsin?
Fɔ tɔk am simpul wan, Nitroprusside na wan mɛrɛsin we de insay wan klas we dɛn kɔl vasodilators . Di wɔd ‘vasodilator’ kin tan lɛk big tin, bɔt in minin rili simpul. Wetin dis drɔg de du na fɔ mek di blɔd vesel dɛn na wi bɔdi big ɛn mek dɛn rilaks.
Imajin se we wata paip klos smɔl, if yu mek di paip big, di wata go flɔ izi wan we nɔ gɛt prɛshɔn, nɔto so? Na dat de apin na ya bak. We di blɔd vesel dɛn big, mɔ ples de fɔ mek blɔd flɔ. Bikɔs ɔf dis, di blɔd prɛshɔn we bin tu ay kin drɔp kwik kwik wan. Dɔn bak, di tray we di at kin tray fɔ pɔmp blɔd kin ridyus bad bad wan.
Fɔ dɛn rizin ya, dɔktɔ dɛn kin yuz dis mɛrɛsin mɔ pan tu tin dɛn:
- Kɔntrol siriɔs ay blɔd prɛshɔn/haypa prɛshɔn kraysis .
- Ridyus di strɛs pan di at pan sɔm kayn bad bad at pwɛl hat .
Impɔtant tin fɔ tɛl yu dɔktɔ bifo yu gi dis mɛrɛsin
Pan ɔl we dis na mɛrɛsin we dɛn kin gi na ɔspitul, i impɔtant fɔ mek di dɔktɔ no yu ɔ di pɔsin in kɔmplit mɛdikal istri. Yu fɔ rili tɛl di dɔktɔ if yu gɛt ɛni wan pan dɛn tin ya:
- Ɔda sik dɛn we yu gɛt, mɔ:
- Wan sik we de mek pɔsin in yay
- Wan injuri we i bin dɔn gɛt na in ed bifo
- Ɔda at sik dɛn
- Kidni sik
- Liva sik
- Anemia, mɔ di rɛd blɔd sɛl dɛn we nɔ de bɔku
- If yu gɛt alɛji to nitroprusside ɔ ɛni ɔda mɛrɛsin, it, ɔ day.
- If yu gɛt bɛlɛ ɔ yu de tray fɔ gɛt bɛlɛ .
- If yu na mama we de gi pikin in bɛlɛ .
Bay dis infɔmeshɔn, di dɔktɔ go disayd if i fɔ gi yu dis mɛrɛsin ɔ nɔ fɔ gi yu, ɔ aw fɔ gi am.
Aw a go yuz dis mɛrɛsin ɛn wetin kin apin if a tek am pasmak?
Dis nɔto mɛrɛsin we yu kin kɛr go na os.Dis na mɛrɛsin we dɛn kin gi tru salin infushɔn insay wan vein. Dɛn kin gi am nɔmɔ na say lɛk di intensiv kia yunit na ɔspitul ɔ klinik, na dɔktɔ ɔ tren nɔs wokman dɛn kin gi am. Dɛn go kɔntinyu fɔ wach tin dɛn lɛk yu blɔd prɛshɔn ɛn yu at rit.
Yu kin gi am to pikin dɛn?
Dɛn kin gi dis mɛrɛsin to yɔŋ pikin dɛn, ivin pikin dɛn we dɛn jɔs bɔn, pan sɔm spɛshal kes dɛn. Bɔt na dɔktɔ we de mɛn pikin dɛn kin disayd fɔ du dat. So, if dɛn gi am to pikin, spɛshal tin dɛn de we dɛn fɔ tek tɛm wit.
Ovados fɔ yuz am
Bikɔs dɛn kin tek tɛm gi dis na ɔspitul, di chans fɔ mek dɛn tek am pasmak nɔ kin bɔku. Bɔt if yu tink se yu dɔn tek di mɛrɛsin tumɔs, yu fɔ tɛl di dɔktɔ dɛn wantɛm wantɛm. Nɔmal wan, if ɛni pɔyzin, wi kin se fɔ kɔl di Nashɔnal Pɔyzin Infɔmeshɔn Sɛnta na di Kɔlɔmbɔ Nashɔnal Ospital . Bɔt if ɛni ɔda tin apin na ɔspitul lɛk dis, i impɔtant pas ɔl fɔ tɛl di Imejɛnsi Tritmɛnt Yunit (ETU) ɔ di mɛdikal wokman dɛn na di wɔd we gɛt fɔ du wit am dairekt wan.
Ɔda mɛrɛsin dɛm wae kin miks wit dis mɛrɛsin
Di tin we impɔtant pas ɔl: Gi yu dɔktɔ wan klia list fɔ ɔl di mɛrɛsin dɛn we yu de tek (we ɔda dɔktɔ dɛn gi yu, we yu de bay, we yu kin bay, we yu kin yuz fɔ it, we gɛt vaytamɛn, we dɛn kin yuz ɛbul). Tɛl dɛn bak if yu de smok ɔ drink rɔm. Sɔm tin kin miks wit dis mɛrɛsin.
Na mɔtalman, Nitroprusside kin intarakt wit dɛn mɛrɛsin ya:
- Sɔm mɛrɛsin dɛn we dɛn kin yuz fɔ mek pɔsin nɔ ebul fɔ du mami ɛn dadi biznɛs (e.g. Sildenafil, Tadalafil) .
- Riociguat (na mɛrɛsin fɔ pulmonari haypatɛyshɔn) .
- Ɔda mɛrɛsin fɔ blɔd prɛshɔn, at sik, ɛn at bit we nɔ de bit ɔltɛm
- Jɛnɛral anestetik we dɛn kin yuz we dɛn de du ɔpreshɔn
Us bad bad tin dɛn kin apin we pɔsin kin si?
Lɛk ɛni mɛrɛsin, Nitroprusside kin mek sɔm sayd ɛfɛkt. Sɔm pan dɛn tin ya fɔ ripɔt wantɛm wantɛm, ɛn ɔda wan dɛn nɔ kin rili siriɔs.
| Sayd ɛfɛkt we pɔsin kin gɛt | Tɔk bɔt |
|---|---|
| Tin dɛm fɔ ripɔt to di dɔktɔ/nɔs staf wantɛm wantɛm | |
| Alɛji we pɔsin kin gɛt | Skin rash, it, swel na di lip/tɔng/fes. |
| Di sayn dɛm we de sho se di asid de bɔku na di blɔd (Acidosis) . | Di brith rit we de go ɔp, at bit kwik kwik wan, ed de at, kɔnfyushɔn, taya pasmak, nɔs, vɔmit. |
| Di sayn dɛm we de sho se yu blɔd prɛshɔn rili smɔl | Bɔrku diziz, fil lɛk yu yay de tɔn blu, fil lɛk yu de kam fɔdɔm, wik pasmak. |
| Di simptom dɛm fɔ mɛthemoglobinemia | Pale, grey, ɔ blu skin, ed we de at, at de bit kwik kwik wan, shɔt briz, taya. |
| Bɔku tɛm, natin nɔ de fɔ wɔri bɔt, bɔt if i kɔntinyu, tin dɛn fɔ ripɔt | |
| Fes we de flash | Di fes kin fil wam ɛn tɔn rɛd. |
| Pen na di say we dɛn injɛkshɔn | Pen, rɛd, ɔ inflamɛns usay dɛn gi di injɛkshɔn. |
Wan ɔda tin we yu fɔ tek tɛm wit we yu de gi mɛrɛsin...
Bikɔs dis mɛrɛsin de mek yu blɔd prɛshɔn go dɔŋ, yu kin fil lɛk yu ed ed . So, nɔ grap we yu sidɔm ɔ grap na bed wantɛm wantɛm. If yu du dat, i kin mek yu ed de tɔn mɔ ɛn mɔ ɛn mek yu fɔdɔm. Tek tɛm bad bad wan bɔt dis, mɔ if yu dɔn ol.
Mɛsej we dɛn kin kɛr go na os
- Nitroprusside na spɛshal mɛrɛsin we dɛn kin gi insay di bɛlɛ na ɔspitul fɔ kɔntrol ay blɔd prɛshɔn ɛn sɔm at kɔndishɔn dɛn we i gɛt imejensi.
- Dis kin mek di blɔd vesel dɛn big ɛn i kin mek di wok we de na di at nɔ bɔku.
- Mek shɔ se yu tɛl yu dɔktɔ bɔt ɛni ɔda sik we yu gɛt, ɔl di mɛrɛsin dɛn we yu de tek, ɛn ɛni alɛji we yu gɛt.
- Tek tɛm we yu tinap ɔ sidɔm, bikɔs yu kin gɛt diziz we yu gi yu di mɛrɛsin.
- If yu gɛt ɛni siriɔs sayd ɛfɛkt lɛk we yu skin de rɔsh, i nɔ izi fɔ blo, ɔ yu ed de tɔn bad bad wan, tɛl di dɔktɔ dɛn wantɛm wantɛm.
- If yu gɛt ɛni kwɛstyɔn bɔt dis mɛrɛsin, nɔ fred fɔ aks di dɔktɔ we de trit yu.
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