Imajin se sɔmbɔdi na yu famili, sɔntɛm yu papa, yu mama, ɔ pɔsin we yu sabi, de tek wan mɛrɛsin we de mek yu blɔd tan lɛk Warfarin bikɔs ɔf at sik ɔ fɔ ɔda rizin. Dis mɛrɛsin rili impɔtant. Bɔt wetin yu go du if aksidɛnt apin wantɛm wantɛm ɛn bɔku blɔd de kɔmɔt, ɔ if yu gɛt fɔ du ɔpreshɔn kwik kwik wan? I at fɔ stɔp di blɔd bikɔs di blɔd tan, nɔto so? Tide wi de tɔk bɔt wan mɛrɛsin we rili impɔtant, we de sev layf, we de mek yu ebul fɔ kɔntrol di blɔd kwik kwik wan pan dɛn kayn imejensi, siriɔs kes ya.
Fɔ tɔk am simpul wan, wetin na Prothrombin Complex Concentrate (PCC)?
Dis nɔto pil ɔ kapsul we yu go tek nɔmal wan. Prothrombin Complex Concentrate, ɔ PCC, na wan kɔmbaynshɔn fɔ sɔm prɔtin dɛn we de ɛp wi blɔd fɔ klɔt. Wi kin kɔl dɛn tin ya we kin mek pɔsin klot .
Blɔd tin dɛm lɛk Warfarin (we na mɛrɛsin wi kin kɔl dɛn Vitamin K antagonist ya) de wok bay we dɛn de stɔp wi liva fɔ mek dɛn klɔt factor ya. Na dat mek di blɔd kin tan lɛk tin. Bɔt if blɔd kɔmɔt wantɛm wantɛm, wi nid fɔ gi dɛn tin ya we de mek di bɔdi klɔt bak kwik kwik wan na di bɔdi. Na da tɛm de dɛn kin yuz dis mɛrɛsin we dɛn kɔl PCC. I kin rivɛns di ifɛkt we Warfarin gɛt kwik kwik wan ɛn ɛp fɔ stɔp blɔd. Kcentra na wan brand nem we bɔku pipul dɛn sabi fɔ dis mɛrɛsin.
Ustɛm dɛn kin yuz dis mɛrɛsin?
Dis nɔto mɛrɛsin fɔ nɔmal blɔd. Dɛn kin yuz am nɔmɔ pan siriɔs ɛn imejensi kes dɛn .
- We pɔsin we de tek blɔd tina lɛk Warfarin gɛt bad bad blɔd bikɔs ɔf aksidɛnt ɔ ɔda rizin.
- We pɔsin we de tek warfarin nid fɔ gɛt ɔpreshɔn kwik kwik wan . Dɛn kin gi dis mɛrɛsin bifo dɛn du di ɔpreshɔn fɔ mek dɛn nɔ gɛt bɔku blɔd.
Di tin we impɔtant pas ɔl na dat na di dɔktɔ we de trit yu nɔmɔ go disayd if yu fɔ gi dis mɛrɛsin ɔ nɔ fɔ gi am, ustɛm fɔ gi am, ɛn ɔmɔs fɔ gi am.
Tin dɛm wae yu fɔ tɛl yu dɔktɔ bifo yu gɛt dis tritmɛnt
Bikɔs dis na mɛrɛsin we rili pawaful, i rili impɔtant fɔ mek yu tɛl yu dɔktɔ bɔt ɛni ɔda sik we yu gɛt na yu bɔdi. Bikɔs yu nid fɔ tek tɛm bad bad wan we yu de yuz dis mɛrɛsin wit sɔm mɛrɛsin dɛn. If yu gɛt ɛni wan pan dɛn tin ya, tɛl yu dɔktɔ ɛn nɔ ayd ɛnitin .
| Medikal kɔndishɔn yu fɔ ripɔt | Simpul ɛksplen |
|---|---|
| At sik ɔ at atak we dɛn jɔs dɔn gɛt | Bikɔs PCC de mek blɔd klot mɔ ɛn mɔ, i rili impɔtant fɔ tɛl ɛnibɔdi we gɛt histri bɔt at sik. |
| Wan histri bɔt strok ɔ TIA (Transient Ischemic Attack) . | If yu bin dɔn gɛt strok ɔ mini-strok (TIA) bifo, yu de pan denja fɔ mek yu blɔd klɔt. |
| Wan histri bɔt DIC (Disɛminɛt Intravaskyuɛl Kɔagulɛshɔn) . | Dis na siriɔs sik we blɔd kin klɔt ɛn blɔd kin apin wan tɛm ɔlsay na di bɔdi. |
| Wan histri bɔt ɛparin-induse trombocytopenia (HIT) . | Wan kɔndishɔn we di nɔmba fɔ di blɔd pletlɛt dɛn nɔ bɔku bikɔs ɔf alɛji to ɔda blɔd tin we dɛn kɔl ɛprin. |
| Sik dεm na di vein dεm na di leg dεm (Peripheral vascular disease) . | Insay dɛn kayn tin ya, di risk fɔ mek blɔd klɔt kin bɔku. |
| Ɔda alɛji dɛn | If yu nɔ gɛt alɛji fɔ dis mɛrɛsin, heparin, ɔda mɛrɛsin, it, ɔ day. |
| Bɛlɛ ɔ we yu de op fɔ bɔn pikin | Di dɔktɔ de tink mɔ fɔ gi dis to mama dɛn we gɛt bɛlɛ ɛn we de gi dɛn pikin dɛn bɛlɛ. |
Aw dɛn kin gi dis mɛrɛsin to di bɔdi?
Dis nɔto mɛrɛsin we pɔsin kin tek na os. Dis mɛrɛsin we dɛn kɔl PCC, na ɔspitul ɔ klinik nɔmɔ dɛn kin gi am . Dɛn kin gi am na di bɔdi as tin we dɛn kin put insay di bɛlɛ, lɛk saline , we dɔktɔ ɔ nɔs we tren kin gi am.
If yu de gi pikin dɛn dis mɛrɛsin, yu fɔ rili go to dɔktɔ we de mɛn pikin dɛn.
If dɛn tek dis mɛrɛsin ɔvados aksidɛntli, di mɛdikal wokman dɛn go tek akshɔn wantɛm wantɛm bikɔs dis na ɔspitul imejensi. Bɔt if yu tink se sɔntin lɛk dis, i impɔtant fɔ tɛl di ɔspitul in Imejɛnsi Tritmɛnt Yunit (ETU) wantɛm wantɛm. If nid de, yu kin kɔl bak di Nashɔnal Pɔyzin Infɔmeshɔn Sɛnta na di Kɔlɔmbɔ Nashɔnal Ospital fɔ advays.
Us bad bad tin dɛn we pɔsin kin tink se go apin?
Lɛk ɛni mɛrɛsin, dis mɛrɛsin kin mek pɔsin gɛt sayd ɛfɛkt. Sɔm dɛn siriɔs, sɔm dɛn nɔ at fɔ ɔndastand. Di tin we impɔtant pas ɔl na fɔ mek yu dɔktɔ de wach yu gud gud wan we yu de tek dis mɛrɛsin ɛn afta dat. If yu gɛt ɛni sik we nɔ kɔmɔn, yu fɔ ripɔt am wantɛm wantɛm.
| Di kayn sayd ɛfɛkt dɛn we pɔsin kin gɛt | |
|---|---|
| Siriɔs sayd ɛfɛkt dɛm we yu fɔ ripɔt to yu dɔktɔ ɔ nɔs wantɛm wantɛm | |
| Alɛji we pɔsin kin gɛt | Skin rash, it, swel na di fes, lip ɔ tong. |
| Di sayn dɛn we de sho se blɔd de klɔt | I nɔ kin izi fɔ blo, yu chɛst kin pen, yu leg kin swel (Deep Vein Thrombosis - DVT), yu fes, yu an ɔ yu leg kin swɛla ɔ wik wantɛm wantɛm (stroke symptoms), i nɔ kin izi fɔ tɔk, yu ed kin at bad bad wan, i kin at fɔ waka, yu ed kin tɔn. |
| Ɔda siriɔs sayn dɛn | Sayn dɛm fɔ infekshɔn lɛk we yu de si chenj, kɔnfyushɔn, fiva ɔ kol, ɛn kɔf. |
| Sayd ɛfɛkt dɛn we nɔ kin siriɔs, bɔt dɛn fɔ ripɔt to di dɔktɔ if dɛn kɔntinyu fɔ de | |
| Ed de at | Wan jenɛral ed-ak kin apin. |
| Nɔs ɛn vɔmit | Bɛlɛ kin at ɔ vɔmit kin apin. |
| Nɔ ebul slip | Sɔntɛm dɛn kin ambɔg di slip. |
Prɔblɛm kin de wit ɔda mɛrɛsin dɛn?
Yes, PCC kin intarakt wit sɔm mɛrɛsin dɛn. Dis kin mek prɔblɛm we dɛn yuz am wit ɔda mɛrɛsin dɛn, mɔ Factor VIIa, we kin ɛp fɔ mek blɔd klɔt.
So, i impɔtant fɔ tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek. Dis min se nɔto jɔs di wan dɛn we yu dɔktɔ tɛl yu fɔ gi yu, bɔt i min bak di wan dɛn we yu tek na di famasi, vaytamɛn, nyutrishɔn sɔpɔtmɛnt, Sinhala mɛrɛsin, Ayurveda mɛrɛsin , ɛn ɔda tin dɛn Dɔn bak, tɛl am if yu de smok ɔ drink rɔm.
Mɛsej we dɛn kin kɛr go na os
- Prothrombin Complex Concentrate (PCC) na spɛshal mɛrɛsin we de sev layf we dɛn kin gi fɔ stɔp di blɔd we kin kɔmɔt wantɛm wantɛm, we kin kam pan di wan dɛn we de tek mɛrɛsin we de mek blɔd tan lɛk Warfarin.
- Dis nɔto pil, na mɛrɛsin we dɛn kin gi insay di bɛlɛ na ɔspitul nɔmɔ. Dɛn nɔ de yuz am na os.
- Mek shɔ se yu tɛl yu dɔktɔ bɔt yu kɔmplit mɛdikal histri, mɔ di at sik, strok, ɛn alɛji.
- We yu de tek di mɛrɛsin, tɛl di dɔktɔ dɛn wantɛm wantɛm if yu gɛt siriɔs sayd ɛfɛkt lɛk fɔ mek yu nɔ ebul fɔ blo fayn, yu chɛst de pen, yu leg dɛn de swel, ɔ yu gɛt sayn dɛn we de sho se yu gɛt strok.
- If yu gɛt ɛnitin fɔ wɔri bɔt dis mɛrɛsin, tɔk bɔt am wit yu dɔktɔ. I impɔtant fɔ gɛt kɔrɛkt infɔmeshɔn frɔm yu dɔktɔ we de trit yu pas fɔ fɛn infɔmeshɔn na di intanɛt.
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