Imajin wetin go apin if blɔd klɔt wan wan big blɔd vesel we de go na yu at, bren, ɔ yu lɔng? Dis go mek di blɔd nɔ go na dɛn ɔgan dɛn de ɛn i go pwɛl. Dis na tin we kin mek pɔsin in layf de pan denja. Na insay dis kayn imejensi, dɔktɔ dɛn kin yuz spɛshal tritmɛnt fɔ sev pipul dɛn layf. Tide, wi de tɔk bɔt wan tritmɛnt we de sɔlv ɛn pul dɛn blɔd klɔt dɛn de, we dɛn kɔl ‘Thrombolytic Therapy.’
Fɔ tɔk am simpul wan, wetin na Thrombolytic Therapy?
Pan ɔl we di nem kɔmplikt smɔl, di kɔnsɛpt rili simpul. Fɔ tɔk am simpul wan, dis min se wi fɔ yuz wan spɛshal kayn mɛrɛsin fɔ sɔlv ɛn pul di denja blɔd we dɔn fɔm na di blɔd vesel dɛn we de insay wi bɔdi. I tan lɛk we yu sɔlv ɛn pul wan tin we dɔn klok na wata paip wit kemikal.
Di men gol fɔ dis tritmɛnt na fɔ mek di blɔd flɔ bak we blɔd dɔn blok. Dɔn dis kin mek di ɔgan dɛn (lɛk di at ɛn di bren) we da blɔd vesel de de gi nɔ pwɛl bɛtɛ. Dis na tritmɛnt wae dɛn kin gi wae pɔrsin gɛt imejensi. Dis tritmɛnt kin sev layf, mɔ pan kes dɛm lɛk at atak (`(Myocardial Infarction)`), strok we kin kam bikɔs blɔd vesel na di bren blok (`(Ischemic Stroke)`), ɔ blɔd we kin klɔt na di lɔng (`(Pulmonary Embolism)`).
De tin wae impɔtant pas ɔl na fɔ bigin dis tritmɛnt kwik kwik wan. Di kwik tritmɛnt bigin afta di sayn dɛn bigin, na di mɔ di rizɔlt go bɛtɛ.
Udat nid dis tritmɛnt? Ɛn udat nɔ fɔ gɛt am?
Dis nɔto tritmɛnt we dɛn kin gi ɔlman. Dɔktɔ dɛn kin tink bɔt bɔku tin dɛn bifo dɛn gi pɔsin dis tritmɛnt. Na bikɔs i gɛt sɔm prɔblɛm dɛn. Lɛ wi si ustɛm dis tritmɛnt fayn ɛn ustɛm i nɔ fayn.
| We i kin nid fɔ gɛt tritmɛnt | Kes dɛm wae nɔr fɔ gi tritmɛnt (bikɔs ɔf ay risk) . |
|---|---|
| If wan big blɔd vesel (ati ɔ vein) blok wantɛm wantɛm bikɔs blɔd klɔt. | If aktif blɔd dɔn ɔlrɛdi de na di bɔdi. |
| insay kes dεm lεk dip vein thrombosis (DVT) εn pulmonary embolism (PE), we dεn nכ kin kכntro wit rεgulεr blכd tina dεm (anticoagulants). | If yu jɔs dɔn gɛt blɔd na yu bren (Intracranial Hemorrhage). |
| Insay di fɔs sɔm awa afta yu gɛt at atak ɔr strok. | If dɛn jɔs dɔn du ɔpreshɔn pan yu bren ɔ yu spɛnal. |
| if imejensi apin bikoz fכ di blכd vesel dεm na di limb dεm we de blok (Pεrifεral Atεrial Disease - PAD). | If yu gɛt ay blɔd prɛshɔn we yu nɔ ebul fɔ kɔntrol (haypa prɛshɔn). |
| If wan kateshɔn we dɛn put insay di bɔdi kin blok bay blɔd we de klɔt. | If yu gɛt siriɔs kidni sik. |
| If yu jɔs dɔn gɛt siriɔs injuri na yu ed. |
Apat frɔm dat, dɔktɔ dɛn kin wɔri mɔ bɔt di prɔblɛm dɛn we kin apin we dɛn de gi dis tritmɛnt to mama dɛn we gɛt bɛlɛ ɛn ol pipul dɛn.
Wetin na di men kayn tritmɛnt wae dɛn kin gi dis tritmɛnt?
Bɔku we dɛn de fɔ gi dis mɛrɛsin we de mek blɔd klɔt. Di dɔktɔ go pik di we we go fayn fɔ am bay aw di pɔsin de ɛn usay di blɔd de klɔt.
1. Sεstεmik Trכmbolaysis
Dis na di we aw dɛn kin yuz mɔ. Na ya, dɛn kin put IV tiub insay wan vein na di an, lɛk salin drip, ɛn dɛn kin gi di mɛrɛsin tru am. Dis mɛrɛsin de travul ɔlsay na di blɔd sistɛm, usay i de sɔlv di blɔd we dɔn klɔt. Bɔrku tɛm dɛn kin yuse dis mεtכd pan imejensi lεk at atak, strok, εn blɔd kכlכt na di lכng.
2. Trombolysis we di kateta de dayrɛkt
Dis we aw dɛn de du tin difrɛn smɔl. na ya, dεn kin put wan tכb we rili tכn, we lכng (dεn kכl dis kateshכn) insay di bכdi tru wan vein we de na di groin, nεk, כ an. Dɔn, we dɛn yuz wan we lɛk ɛkstrem rayt, dɛn kin gayd di tip fɔ dis kateshɔn fɔ no usay di blɔd de klɔt. Dɔn, instead fɔ gi di mɛrɛsin ɔlsay na di bɔdi, dɛn kin put am dairekt insay di blɔd we de klɔt tru di kateshɔn. Dis kin mek dɛn gi di mɛrɛsin insay wan we we gɛt mɔ kɔnsɛntret, dairekt to di pɔsin we dɛn want fɔ gi am. Dis mεtכd dεn kin yus fכ kכndishכn lεk DVT εn PAD. Bɔku tɛm, dɛn kin du dis bifo tɛm.
3. Mɛkanikal Thrombectomy
If na so i bi, apat frɔm we dɛn de gi am mɛrɛsin, dɛn kin brok di blɔd we dɔn klɔt ɛn pul am wit mashin. Dɛn kin yuz spɛshal tin (we na tin we de shek, rɔta, ɔ sok di blɔd we de klɔt) we de na di ɛnd pan di kateshɔn fɔ brok di blɔd klɔt ɛn pul am insay smɔl smɔl. Sɔntɛnde dɛn kin yuz dis we fɔ du am togɛda wit di we aw dɛn kin yuz kateshɔn.
Wetin kin apin we dɛn de trit am ɛn afta dɛn dɔn trit am?
Di we aw dɛn de du dis tritmɛnt go difrɛn difrɛn wan bay di kayn we aw dɛn de gi yu.
If ɛnitin apin we nɔ izi fɔ du
If yu gɛt imejensi, lɛk at atak ɔ strok, dɔktɔ dɛn go tray fɔ bigin tritmɛnt kwik kwik wan afta dɛn dɔn admit yu na di ɔspitul in Imejɛnsi Tritmɛnt Yunit (ETU). Fɔ mek yu gɛt di bɛst rizɔlt, i impɔtant fɔ bigin tritmɛnt insay tu awa afta di sik bigin, ɔ insay 30 minit afta yu rich na ɔspitul.
Aw dɛn kin du di tritmɛnt
Lɛ wi si wetin kin apin pan dɛn tu men we ya.
| Sεstεmik trombolysis (tru wan IV) . | Trombolysis we di kateta de dayrɛkt (via kateshɔn) . |
|---|---|
| Dɛn kin du dis na di say usay dɛn de kia fɔ pipul dɛn we sik bad bad wan (ICU). | Dis na sɔntin bak we dɛn kin du na spɛshal yunit insay di ɔspitul. |
| Dɛn go gi yu smɔl sɛdativ fɔ mek yu kol. Dɛn go numb di eria usay dɛn put di IV. | Dɛn go gi yu wan mɛrɛsin we de mek yu fil fayn fɔ mek yu at kol. di εria we dεn go put di kateshכn (groin, arm) go nכm. |
| dεn kin put wan IV tכb insay wan vein na di an εn dεn kin sεnd di mεdisin tru am insay di bכdi. | Dɛn kin kɔt smɔl say, dɛn kin put kateta insay di vein, ɛn dɛn kin gayd di blɔd we dɔn rɔtin to di say we di blɔd de. |
| Di mɛrɛsin de travul ɔlsay na di bɔdi wit di blɔd ɛn i de rich usay di blɔd de klɔt. | Dɛn kin injekt di mɛrɛsin dairekt insay di blɔd we de klɔt. Sɔntɛnde, dɛn kin brok di klot wit wan mashin we dɛn kin yuz fɔ mek di bɔdi. |
| Dis prɔses kin tek lɛk wan awa so. | I kin tek 48 awa (tu dez) fɔ mek di blɔd we dɔn klɔt sɔlv ɔl. Insay da tɛm de, dɛn go de wach yu na di ɔspitul. |
We dɛn de du tritmɛnt, di mɛdikal tim go kɔntinyu fɔ wach tin dɛn lɛk aw yu at de bit, aw yu lɔng dɛn de wok, ɛn yu blɔd prɛshɔn.
Afta dɛn dɔn trit am
Di dɔktɔ go du bɔku tɛst fɔ si if di blɔd we dɔn klɔt dɔn sɔlv ɔl.
- Angiogram we dɛn kin du
- CT skan we dɛn kin du
- Ekokardiogram we dɛn kin du
Afta di tritmɛnt, yu go nid fɔ de na di intensiv kia yunit (ICU) fɔ lɛk wan de. Afta dat, yu go nid fɔ de na di ɔspitul fɔ ɔda wan to tri dez we dɛn de wach yu. Ivin afta yu dɔn go na os, yu go nid fɔ kɔntinyu fɔ tek mɛrɛsin we de mek yu blɔd tan fɔ mek blɔd nɔ klɔt bak.
Wetin na di bɛnifit ɛn prɔblɛm dɛn we dis tritmɛnt de gi?
Lɛk ɛni mɛrɛsin, dis wan gɛt bɛnifit ɛn prɔblɛm dɛn.
Di men bɛnifit dɛn we yu kin gɛt:
- Di we aw pɔsin kin sev layf: Dis na di big bɛnifit. Dis tritmɛnt kin ɛp fɔ mek yu nɔ day pan kes dɛm lɛk at atak ɛn strok.
- Fɔ mek yu nɔ gɛt disabiliti fɔ ɔltɛm: If yu nɔ gɛt bɔku prɔblɛm wit yu bren, yu kin ebul fɔ mek yu nɔ ebul fɔ tɔk fayn ɛn yu nɔ go ebul fɔ lɔs yu an ɛn fut dɛn afta yu dɔn gɛt strok.
- Fɔ mek dɛn nɔ kɔt am: If wan big at na in an ɔ leg blok, da pat de na di bɔdi kin day we blɔd nɔ de flɔ. Dis tritmɛnt de ridyus da risk de.
Men risk dɛn:
Di big ɛn siriɔs risk fɔ dis tritmɛnt na di pɔsibul fɔ mek blɔd kɔmɔt insay yu bɔdi.
- Ɛmoraji na di bren: Dis na di prɔblɛm we de mek pɔsin denja pas ɔl. Na lɛk 1% pan di pipul dɛm wae gɛt dis tritmɛnt kin gɛt strok bikɔs ɔf blɔd na dɛn bren.
- Ɔda blɔd: Yu kin blɔd na yu nos, wit yu stɔl, ɔ wit yu urine. Yu kin gɛt brus ɔ blɔd usay dɛn put di IV ɔ kateshɔn.
- Ɔda prɔblɛm dɛn we kin apin:
- Alɛji we pɔsin kin gɛt
- Kidni damej (especially pan pipul dɛm wae gɛt dayabitis) .
- Lɔw blɔd prɛshɔn (`(Hypotension)`)
- Di blɔd we de klɔt kin brok ɛn travul go na ɔda say ɛn stɔp.
- At ritm dizayd (`(Ventricular arrhythmia)`) .
Bikɔs ɔf dɛn bad tin ya, dɔktɔ dɛn kin tink bɔt bɔku tin dɛn bifo dɛn gi pɔsin dis tritmɛnt.
Ustɛm a fɔ go to dɔktɔ afta a dɔn trit mi?
Wae yu go na os, e fayn fɔ kip yu yay fɔ sɔm kayn sayn dɛm. If yu si ɛni wan pan di sayn dɛn we de dɔŋ ya, yu fɔ tɛl yu dɔktɔ wantɛm wantɛm.
| Simptom dɛm fɔ wach fɔ | Tɔk bɔt |
|---|---|
| Chɛst de pen | Chɛst pen wantɛm wantɛm ɔ we de bɔku mɔ ɛn mɔ. |
| Chenj dεm na di IV/kateshכn ples | If di say kɔntinyu fɔ blɔd ɔ ɔz, i rɛd, fil wam, ɔ i dɔn swel/pen mɔ. |
| Fiva | If yu gɛt fiva fɔ natin. |
| Ɛd we de at ɔ we de mek pɔsin nɔ fil fayn | If yu gɛt ed we de at we de wɔs, bad bad wan ɔ yu gɛt nɔys. |
| Di limb dɛn we de na di an ɛn fut dɛn kin swɛla | If yu fil se yu an ɔ yu leg de swɛt ɔ yu de swɛ. |
Dɛn sayn ya kin sho se yu gɛt prɔblɛm, so nɔr ignore dɛm.
Mɛsej we dɛn kin kɛr go na os
- Thrombolytic therapy na wan rili impɔtant tritmɛnt we kin sev layf bay we i de sɔlv di blɔd we de klɔt we i gɛt imejensi lɛk at atak ɛn strok.
- Taym na di men tin fɔ mek dis tritmɛnt go bifo. If yu go na ɔspitul jɔs lɛk aw di sik dɔn sho, dat kin mek yu gɛt bɛtɛ tin fɔ du.
- Bikɔs di men tin we kin mek yu gɛt dis na we yu de blɔd, di dɔktɔ dɛn go disayd fɔ gi yu dis tritmɛnt afta dɛn dɔn tek tɛm chɛk yu sik.
- Afta yu dɔn gɛt tritmɛnt, i rili impɔtant fɔ fala yu dɔktɔ in instrɔkshɔn dɛn gud gud wan, mɔ we yu de tek mɛrɛsin dɛn we de mek yu blɔd tan, fɔ mek yu nɔ gɛt blɔd klot tumara bambay.
- We yu go na os afta yu dɔn gɛt tritmɛnt, tɛl yu dɔktɔ wantɛm wantɛm bɔt ɛni ɔda kayn sik we yu gɛt.
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