Imajin se di blɔd vesel dɛn we de na wi bɔdi tan lɛk rod dɛn we de na siti we bɔku pipul dɛn de. Blɔd de travul na dɛn rod ya ɔltɛm fɔ gi ɔl wi ɔgan dɛn, lɛk wi at, bren, ɛn lɔng. So, wetin go apin if dis men rod, dat na blɔd vesel, wan big blɔd klɔt blok am wantɛm wantɛm? Jɔs lɛk aw big aksidɛnt kin apin na rod ɛn trafik jam, di blɔd we de go na wi ɔgan dɛn kin stɔp, ɛn dis kin mek wi gɛt sɔntin we rili denja lɛk at atak ɔ strok. Tide, wi de tɔk bɔt wan rili impɔtant tritmɛnt we dɔktɔ dɛn kin yuz fɔ sɔlv dis kayn blɔd we kin mek pɔsin in layf de pan denja ɛn fɔ mek blɔd go bak.
Fɔ tɔk am simpul wan, wetin na Thrombolytic Therapy?
Dis min ‘blɔd klɔt sɔlv tritmɛnt’ insay Sinhala. Fɔ tɔk am simpul wan, dis min se dɛn fɔ gi di bɔdi rili pawaful drɔgs (thrombolytics) fɔ sɔlv di denja blɔd we dɔn stɔp insay di blɔd vesel dɛn. We di blɔd dɔn sɔlv, di blɔd vesel we dɔn blok kin opin bak ɛn di blɔd kin flɔ bak to di ɔgan we di sik afɛkt. Dis na tritmɛnt we de sev pɔsin in layf we dɛn kin yuz we tin dɛn we rili impɔtant . Di kwik we dɛn bigin dis tritmɛnt, na di mɔ i go bi se i go wok fayn.
Udat nid dis tritmɛnt ɛn insay us kes dɛn?
Dɔktɔ dɛn kin tink bɔt dis tritmɛnt pan siriɔs, imejensi sityueshɔn lɛk dɛn wan ya.
- Myocardial Infarction: We blɔd klɔt blok wan korona at we de gi blɔd to di at, mɔ we dɛn nɔ de put stent wantɛm wantɛm ɔ ɔpreshɔn.
- Ischemic Stroke: Na strok we blɔd klɔt we de blok wan at we de gi blɔd to di bren.
- Pulmonary Embolism: We blɔd we de klɔt ɔdasay na di bɔdi (bɔku tɛm na di leg) brok ɛn lod insay wan vein na di lכng.
- Dip Vein Thrombosis (DVT): Big big blɔd we de klɔt, mɔ na di dip vein dɛn na di leg, kin mek prɔblɛm dɛn lɛk di leg dɛn we blu, pen bad bad wan, ɛn i nɔ kin ansa to di kɔmɔn mɛrɛsin dɛn we de mek di blɔd tan (anticoagulants).
- Acute Peripheral Arterial Occlusion: Blɔd we de klɔt de blok wan big at na wan an ɔ leg .
Pipul dɛn de we nɔ fɔ gɛt dis tritmɛnt?
Yɛs, na fɔ tru. Bikɔs di men tin we kin mek pɔsin gɛt dis tritmɛnt na we pɔsin de blɔd, dɛn nɔ kin gi am to sɔm sik pipul dɛn. Bikɔs fɔ dɛn, di bad tin we di tritmɛnt go du kin pas di bɛnifit we i go gɛt.
| Men situeshɔn dɛm we dɛn nɔ de gi Thrombolytic Therapy | |
|---|---|
| Pozishɔn | Tɔk bɔt |
| Aktiv blɔd we de kɔmɔt | If yu dɔn ɔlrɛdi de blɔd frɔm sɔmsay na di bɔdi (e.g. frɔm di intestines). |
| Ɛmoraji na in bren i nɔ tu te yet | If yu nɔ tu te yet we yu gɛt blɔd vesel we bɔs na yu bren (hemorrhagic stroke). |
| Wan ɔpreshɔn we dɛn jɔs du | Ɛspɛshali if i nɔ dɔn te we dɛn du ɔpreshɔn pan in bren ɔ in spɛnal. |
| Di ay blɔd prɛshɔn we dɛn nɔ kin kɔntrol | Di ay blɔd prɛshɔn we pɔsin nɔ go ebul fɔ kɔntrol ivin wit mɛrɛsin. |
| Siriɔs sik na di kidni | Di kidni dɛn nɔ kin wok fayn. |
| Wan injuri we i bin gɛt na in ed i nɔ tu te yet | If i nɔ dɔn te we pɔsin gɛt siriɔs injuri na in ed. |
Apat frɔm dat, dɔktɔ dɛn kin tink tumɔs bɔt dis bikɔs mama dɛn we gɛt bɛlɛ ɛn ol pipul dɛn kin gɛt prɔblɛm dɛn.
Aw dɛn kin du dis tritmɛnt?
Tu men we dɛn de fɔ trit yu, i go dipen pan yu kɔndishɔn ɛn aw yu fɔ du am kwik kwik wan.
1. Sεstεmik Trכmbolaysis
Dis na di we aw dɛn kin yuz mɔ pan imejensi (at atak, strok).
- Dis involv fɔ gi mɛrɛsin we de mek di blɔd klɔt, dairekt insay di blɔd tru wan IV kanula we dɛn put insay wan vein na di an.
- Dis mɛrɛsin de travul wit di blɔd, go na di say we di blɔd de klɔt, ɛn bigin fɔ sɔlv am.
- Dɛn kin du dis wok na say usay dɛn de kia fɔ pipul dɛn we sik bad bad wan (ICU) . Di wan ol tin we dɛn kin du kin tek lɛk wan awa so.
2. Trombolysis we di kateta de dayrɛkt
Bɔku tɛm dɛn kin yuz dis we fɔ tritmɛnt dɛn we dɛn dɔn plan bifo tɛm lɛk DVT ɔ PAD.
- insay dis prosidur, dεn kin mek wan sכmכl ol tru di skin na di groin, nεk, כ an, εn dεn kin put wan tכb we rili tכn we dεn k כl kateta tru am along di bכdi vεsεl.
- We dɛn yuz tɛknɔlɔji we tan lɛk ɛkstrem rayt, di tip fɔ dis kateshɔn de go jɔs usay di blɔd de klɔt.
- Dɔn, dɛn kin injɛkt di mɛrɛsin dairekt insay di blɔd we de klɔt tru di kateshɔn. Sɔntɛnde, dɛn kin yuz spɛshal tin we de na di ɛnd pan di kateshɔn fɔ brok di blɔd we de klɔt (mɛkanikal trombektomi).
- Dis we ya kin tek 48 awa (2 dez) fɔ mek di blɔd we dɔn klɔt sɔlv ɔl. Insay dis tɛm, dɛn go kip yu na di ɔspitul ɛn di mɛdikal tim go de wach yu.
Wetin na de risk ɛn kɔmplikeshɔn wae kin kam wae pɔrsin gɛt tritmɛnt?
Jɔs lɛk ɛni ɔda tritmɛnt, sɔm prɔblɛm dɛn de we kin mek pɔsin gɛt prɔblɛm.
Di men ɛn siriɔs risk fɔ dis tritmɛnt na di blɔd we de kɔmɔt insay pɔsin in bɔdi , mɔ if i apin na di bren, we kin mek pɔsin gɛt strok.
Apat frɔm dis men risk, smɔl chans de bak fɔ mek dɛn tin ya apin:
- Alɛji riakshɔn to di drɔg.
- Blɔd ɔ brus usay dɛn put di kanula ɔ kateshɔn.
- Lɔw blɔd prɛshɔn (haypɔtɛnshɔn).
- Wan smɔl pat pan di blɔd we de sɔlv, kin brok ɛn stɔp na ɔda blɔd vesel.
- Kidni damej (especially pan pipul dɛm wae gɛt dayabitis).
- Smɔl blɔd we de kɔmɔt na di nos, wit stɔl, ɔ wit urine.
Yu dɔktɔ go ɛksplen dɛn prɔblɛm ya to yu ɔ di wan dɛn we de kia fɔ yu bifo dɛn gɛt tritmɛnt.
Afta tritmɛnt ɛn wɛl
Afta di tritmɛnt, di dɔktɔ go du bɔku tɛst dɛn lɛk angiogram ɛn CT skan fɔ si if di blɔd we dɔn klɔt dɔn sɔlv ɔl.
Yu go nid fɔ de na di intensiv kia yunit (ICU) fɔ at le wan de, dɔn dɛn go de wach yu ɔda wan to tri dez na wan jenɛral wɔd.
Afta yu go na os, i go mɔs bi se yu dɔktɔ go gi yu mɛrɛsin fɔ mek yu blɔd tan fɔ mek blɔd nɔ klɔt igen . I rili impɔtant fɔ fala dɛn instrɔkshɔn ya di rayt we.
Wonin sayn dɛm fɔ se yu fɔ go to dɔktɔ afta yu dɔn go na os
If yu gɛt ɛni wan pan dɛn sayn ya, .Notis yu dɔktɔ wantɛm wantɛm ɔ go na di ɔspitul Imejɛnsi Dipatmɛnt (ETU) we de nia yu.
| Di sayn we de sho se di sik de | Tɔk bɔt |
|---|---|
| Chɛst de pen | Chɛst pen wantɛm wantɛm ɔ we de bɔku mɔ ɛn mɔ. |
| Blɔd we de kɔmɔt ɔltɛm | Kɔntinyu fɔ blɔd ɔ wata we de lik frɔm di say we di kanula/kateshɔn de. |
| Fiva | Fiva we nɔ gɛt rizin. |
| Siriv ed pen ɔ nɔs | Smɔl smɔl ed de at, vɔmit, ɔ nɔs. |
| Di limb dɛn we de na di an ɛn fut dɛn kin swɛla | Di an ɔ fut kin swɛla ɔ swɛt. |
| Di wund de swel/rɛd | Pen, swɛlin (ɛdima), rɛd, ɔ fil fɔ wam na di say we dɛn injekt am. |
Mɛsej we dɛn kin kɛr go na os
- Thrombolytic therapy na wan tritmɛnt we rili impɔtant, we de sev layf we de sɔlv di blɔd we de klɔt na di blɔd vesel dɛn we i gɛt imejensi lɛk at atak ɛn strok.
- Di kwik we dɛn bigin dis tritmɛnt, na di mɔ di tin dɛn we go apin go fayn. Na dat mek i impɔtant fɔ go na ɔspitul jɔs lɛk aw di sik bigin.
- Di men risk fɔ dis tritmɛnt na fɔ blɔd insay di bɔdi.Na so i bi. So, dis tritmɛnt nɔr fayn fɔ ɔlman.
- Afta yu dɔn gɛt tritmɛnt, i impɔtant fɔ tek di mɛrɛsin we di dɔktɔ tɛl yu fɔ tek di mɛrɛsin di rayt tɛm ɛn di rayt tɛm fɔ mek yu nɔ gɛt blɔd klɔt bak.
- If yu gɛt ɛni wɔnin sayn afta yu dɔn go bak na os, go to dɔktɔ wantɛm wantɛm.
💬 Comments (0)
No kɔmɛnt nɔ de yet. Ad yu kɔmɛnt ya fɔ di fɔs tɛm.
Ad yu kɔmɛnt