Yu smɔl pikin gɛt rɛd ɛn rayz smɔl bɔn mak na in bɔdi? Sɔntɛnde, as mama, yu kin rili fred ɛn wɔri we yu si dɛn tin ya de gro kwik kwik wan. We wi de tɔk bɔt mɛrɛsin, wi kin kɔl dis ‘Infantile Hemangioma ’. Nɔ wɔri, dɛn tin ya nɔto kansa . Bɔt sɔmtɛm, i kin dipen pan usay dɛn de (fɔ ɛgzampul, nia di yay) ɔ bikɔs dɛn kin gro tumɔs kwik, dɛn kin nid fɔ trit dɛn. Wan pan di men mɛrɛsin dɛn we dɔktɔ dɛn kin advays fɔ dis na wan srɔp we dɛn kɔl Propranolol . So, tide wi go tɔk bɔt dis mɛrɛsin, aw fɔ gi am, ɛn wetin fɔ tek tɛm.
Us kayn mɛrɛsin na Propranolol?
Fɔ tɔk am simpul wan, Propranolol na mɛrɛsin we dɛn kin yuz fɔ trit di sik we wi bin dɔn tɔk bɔt, Infantile Hemangioma, we na wan mak we de gro kwik kwik wan pan pikin dɛn. I de pan wan klas ɔf drɔgs we dɛn kɔl beta-blɔka.
Imajin se rɛd spat na smɔl smɔl blɔd vesel dɛn we de gɛda . Wetin dis mɛrɛsin de du na fɔ ridyus di blɔd we de flɔ to di say we di rɛd spat de. Wetin kin apin na dat di say we di spat kin rɛd, di sayz, ɛn i kin at smɔl smɔl. Dɛn kin sɛl dis mɛrɛsin na Sri Lanka ɔnda di brand nem HEMANGEOL.
Tin dɛm wae yu fɔ tɛl yu dɔktɔ bifo yu bigin fɔ tek mɛrɛsin
Bifo yu bigin dis mɛrɛsin fɔ yu pikin, i rili impɔtant fɔ gi yu dɔktɔ kɔmplit diskripshɔn bɔt yu pikin in wɛlbɔdi . Ɛspɛshali if yu pikin gɛt ɛni wan pan di tin dɛn we de dɔŋ ya, yu fɔ rili tɛl am bɔt am.
| Di wɛlbɔdi stetmɛnt | Wetin mek dat impɔtant? |
|---|---|
| Asma ɔ ɔda tin dɛn we nɔ kin izi fɔ yu fɔ blo | Sɔntɛnde, prɔpranolol kin mek di say dɛn we di briz de blo nɔ bɔku ɛn i kin mek i nɔ izi fɔ blo. |
| Dayabitis ɔ di blɔd shuga we nɔ bɔku | Dis mɛrɛsin kin mek di blɔd shuga go dɔŋ ɛn i kin mek bak di sayn dɛm we de sho se di blɔd shuga nɔ bɔku (lɛk fɔ swet ɛn shek). |
| At sik ɔ at bit sloslo | Propranolol kin slo yu at rit mɔ, so i kin denja if yu dɔn ɔlrɛdi gɛt at prɔblɛm. |
| Lɔw blɔd prɛshɔn | Dis mɛrɛsin kin mek yu blɔd prɛshɔn go dɔŋ mɔ. |
| I nɔ kin want fɔ it ɔ i kin gɛt prɔblɛm fɔ drink/it milk | I impɔtant fɔ mek di pikin it fayn, bikɔs if yu gi di mɛrɛsin ɛmti bɛlɛ, dat kin mek di blɔd shuga go dɔŋ bad bad wan. |
| Kכndishכn dεm we nכ kin apin lεk PHACE sεndrכm כ Pheochromocytoma | Dis na patikyula mɛrɛsin kɔndishɔn, ɛn di dɔktɔ fɔ tek tɛm mɔ fɔ yuz Propranolol. |
| Alɛji to propranolol ɔ ɔda mɛrɛsin ɔ it dɛn | If yu pikin dɔn gɛt ɛni alɛji bifo, i impɔtant fɔ tɛl di dɔktɔ bɔt am. |
Aw ɛksaktɔli dɛn fɔ gi di mɛrɛsin?
Di we aw dɛn de gi dis mɛrɛsin rili impɔtant. Ivin smɔl mistek kin afɛkt di pikin. So mɛmba dɛn step ya gud gud wan.
1. Mekɔp di kɔrɛkt doz: Yuz di ɔral sirinj ɔ drɔp nɔmɔ we de kam wit di mɛrɛsin fɔ mɛzhɔ di rayt doz we yu dɔktɔ tɛl yu. Nɔ yuz tin dɛn lɛk ti spɔnj ɔ plastic srɔp mɛzhɔmɛnt kɔp we yu si na di kichin. Dɛn nɔ de tɔk di rayt tin.
2. Gi wit it: Dis na di tin we impɔtant pas ɔl. Ɔltɛm gi yu pikin di mɛrɛsin we yu de gi am in bɛlɛ ɔ afta yu de gi am in bɛlɛ.
3. 3. .Gi am di rayt tɛm: Tray fɔ gi di mɛrɛsin di sem tɛm ɛvride. Bɔku tɛm, dɛn kin se dɛn kin gi am tu tɛm insay di de (lɛk 9 awa apat).
4. Nɔ stɔp te di dɔktɔ tɛl yu fɔ: Ivin if yu tink se di pikin de du wɛl ɛn di rash dɔn stɔp, nɔ stɔp fɔ gi di mɛrɛsin te di dɔktɔ tɛl yu fɔ du am.
5. If yu pikin vɔmit : If yu pikin vɔmit, trowe, ɔ yu nɔ shɔ if dɛn dɔn tek ɔl di mɛrɛsin, nɔ gi ɔda doz mɛrɛsin. Wet te di nɛks doz dɔn.
Mɛmba se, nɔ ɛva gi yu pikin dis mɛrɛsin we yu ɛmti bɛlɛ. Gi am ɔltɛm wit ɔ afta yu it. Dis kin ɛp fɔ mek yu pikin in blɔd shuga nɔ go dɔŋ bad bad wan (hypoglycemia).
Wetin yu kin du if yu fɔgɛt fɔ gi wan doz fɔ mɛrɛsin?
Wi kin fɔgɛt tin dɛn sɔntɛnde. If yu fɔgɛt fɔ gi yu wan doz fɔ mɛrɛsin, nɔ wɔri.
- Gi mi di tɛm we yu fɔgɛt jɔs lɛk aw yu mɛmba.
- Bɔt if i dɔn lɛf smɔl fɔ lɛ yu tek yu nɛks doz (e.g., less dan tu awa away), skip di doz we yu mis. Jɔs tek di nɛks doz na di tɛm we dɛn dɔn sɛtul.
- Nɔ ɛva gi dɛbul doz fɔ mek di doz we yu mis.
Tin dɛn we yu fɔ tek tɛm wit mɔ we yu de gi mɛrɛsin
- Yu fɔ chɛk yu pikin ɔltɛm na di dɔktɔ in os : Mek shɔ se yu kɛr yu pikin go na di dɔktɔ in apɔntinmɛnt. Di dɔktɔ go de chɛk di pikin in wet, in at rit , ɛn blɔd prɛshɔn ɔltɛm .
- Atɛnshɔn to it: I rili impɔtant fɔ mek di pikin drink ɛn it fayn insay dis tɛm we i de tek mɛrɛsin. If di pikin gɛt sik lɛk fiva ɔ kol ɛn i nɔ de it ɔ vɔmit, stɔp fɔ gi di mɛrɛsin te di pikin de it nɔmal wan bak. Tɔk to yu dɔktɔ bɔt dis.
- Di sayn dɛm we de sho se yu blɔd shuga nɔ bɔku: Propranolol kin mek yu nɔ gɛt di sik we de sho se yu gɛt smɔl shuga na yu blɔd (haypoglycemia). So, no if yu pikin luk blɛs, i de swet, i de kray nɔmal wan, ɔ i chenj di we aw i de blo.
Wetin na di bad tin dɛn we kin apin to pɔsin?
Lɛk ɛni mɛrɛsin, Propranolol kin mek sɔm sayd ɛfɛkt. Pan ɔl we bɔku pan dɛn tin ya na smɔl tin, sɔm tin dɛn de we wi fɔ rili tek tɛm wit.
| If yu notis dɛn sayn ya, kɔl yu dɔktɔ ɔ go na ɔspitul wantɛm wantɛm. | |
|---|---|
| Alɛji we pɔsin kin gɛt | Skin rash, it, swel na di fes, lip, tong. |
| I nɔ kin izi fɔ yu fɔ blo | Shot briz, swɛt. |
| Di at bit sloslo ɔ di blɔd prɛshɔn we de dɔŋ | di pikin in skin de tכn blu/pכpul, i de bכn, i gεt kol an εn fut, εn i wik we nכ sכmtεm. |
| Lɔw blɔd shuga (Hypoglycemia) . | Pale skin, blu/pepul di kɔlɔ we de chenj, swet, nɔ de rɛst, at de bit kwik kwik wan, nɔ gri fɔ drink milk, bɔdi tɛmpracha de dɔŋ. |
| Di sayn dɛm we de sho se pɔsin in at nɔ de wok fayn | I nɔ izi fɔ blo, yu anklɛ, yu fut, ɔ yu an dɛn kin swel, yu bɔdi kin gɛt bɔku bɔku bɔdi wantɛm wantɛm, yu kin taya we nɔ kɔmɔn. |
| Simptom dɛm we tan lɛk strok | Fɔ luk wan ples, fɔ shek shek ɔ jɔk yu fes, yu an, ɔ yu leg, ɛn stɔp fɔ blo fɔ smɔl tɛm. |
| If dɛn tin ya de kɔntinyu ɔ de mɔna yu, tɛl yu dɔktɔ. | |
| Slip kin chenj | Wan chenj na di we aw di pikin de slip. |
| Vɔmit ɔ dayarɛa | Pan ɔl we dɛn tin ya nɔ kin siriɔs, if dɛn kɔntinyu fɔ de, tɛl yu dɔktɔ. |
Wetin a go du if a gi am tumɔs mɛrɛsin ɛn aw a go kip am?
Ovadosage
If yu gɛt smɔl saspek se yu dɔn gi yu pikin mɔ mɛrɛsin pas aw yu tink, nɔ west ɛni tɛm. Wantɛm wantɛm kɔl di Nashɔnal Pɔyzin Infɔmeshɔn Sɛnta na di Kɔlɔmbɔ Nashɔnal Ospital . Ɔ kɛr yu pikin go na di Imejɛnsi Tritmɛnt Yunit (ETU) na di ɔspitul we de nia yu.
Aw a fɔ kip di mɛrɛsin?
- Kip am usay bebi ɛn animal dɛn we yu lɛk nɔ go ebul fɔ rich.
- Stɔr na rum tɛmpracha (bitwin 20-25 digri sɛlshiɔs). Nɔ put am na frij.
- Trowe ɛni mɛrɛsin we lɛf 2 mɔnt afta yu opin di bɔtul. Dɔn bak, nɔ yuz mɛrɛsin we dɔn pas.
- If yu go trowe di mɛrɛsin we lɛf na di dɔti, miks am wit sɔntin lɛk kɔfi grɔn, dɔti, ɔ pusi dɔti, put am insay bag we dɛn tayt tayt, ɛn trowe am na dɔti.
Mɛsej we dɛn kin kɛr go na os
- Ɔltɛm gi yu pikin Propranolol sirop we yu de gi am in bɛlɛ ɔ jɔs afta yu de gi am in bɛlɛ. Nɔ ɛva gi am pan ɛmti bɛlɛ.
- If yu pikin sik ɛn i nɔ want fɔ it igen ɔ i de vɔmit, stɔp fɔ gi di mɛrɛsin te yu pikin it fayn bak.
- Ɔltɛm yu fɔ no di sayn dɛm we de sho se yu blɔd shuga nɔ bɔku (blu skin, swet, nɔr de rɛst pasmak) ɛn ɔda denja sayd ɛfɛkt dɛm.
- Nɔ ɛva gi tu doz mɛrɛsin di sem tɛm jɔs bikɔs yu fɔgɛt fɔ tek wan doz.
- Yuz di spɛshal sirinj ɔ drɔp nɔmɔ we de kam wit di mɛrɛsin fɔ mɛzhɔ am.
- If yu gɛt ɛni kwɛstyɔn, wɔri, ɔ dawt bɔt dis mɛrɛsin, tɔk to yu dɔktɔ wantɛm wantɛm.
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