Fɔ blo shɔt afta yu dɔn gi blɔd? Lɛ wi tɔk bɔt Transfyushɔn-Associated Circulatory Overload (TACO)!

Yu dɔn ɛva gi blɔd? Ɔ sɔntɛm pɔsin we yu sabi gɛt am. Bɔku tɛm, fɔ gi blɔd na tin we de sev pɔsin in layf. Bɔt nɔto ɔltɛm, sɔm smɔl smɔl prɔblɛm dɛn kin apin we pɔsin gi blɔd. Wan pan dɛn kayn siriɔs prɔblɛm ya, bɔt we nɔ kin apin so ɔltɛm, we wi go tɔk bɔt tide na Transfusion-Associated Circulatory Overload, ɔ TACO fɔ shɔt tɛm.

Wetin na TACO?

Fɔ tɔk am simpul wan, we dɛn gi yu blɔd, yu bɔdi kin gɛt bɔku wata wantɛm wantɛm, dat na bɔku wata we kin kam wit di blɔd. Sɔntɛnde wi bɔdi nɔ kin ebul fɔ ol di ɛkstra wata we kin kam insay wan tɛm. Na da tɛm de dis kɔndishɔn we dɛn kɔl TACO kin apin. Wetin kin apin pan dis kes na we di ekstra wata kin gɛda na di lכng dεm εn כda pat dεm na di bכdi. Fɔ tɔk di kɔrɛkt tin, we di prɛshɔn we de na wi blɔd vesel dɛn tumɔs fɔ mek dɛn ebul fɔ handle, sɔm wata kin kɔmɔt na dɛn vesel dɛn de ɛn go insay di lɔng dɛn. Dɔktɔ dɛn kin kɔl dis ``Pulmonary Edema'' . Dis kin mek i nɔ izi fɔ blo, di bɔdi kin swel, ɛn blɔd prɛshɔn kin go ɔp wantɛm wantɛm. Imajin, wetin go apin if yu sɛn wata so fast dat wata paip nɔ go ebul fɔ ol am? Sɔntin we fiba dis kin apin na ya.

Wetin na di sayn dɛm fɔ TACO?

Naw lɛ wi si us sayn dɛn kin apin we yu gɛt TACO . Dɛn sayn ya kin apin we dɛn de gi di blɔd ɔ insay 12 awa afta dɛn gi am. If yu gɛt ɛnitin lɛk dis , yu fɔ tɛl dɔktɔ ɔ di nɔs wokman dɛn na di ɔspitul wantɛm wantɛm, okay?

• I nɔ kin izi fɔ yu fɔ blo (Dyspnea): Dis na di men sayn. I kin fil lɛk se i at fɔ blo. I kin de ɔltɛm, ɔ i kin jɔs wɔs we yu ledɔm. I kin fil lɛk se dɛn de swɛt yu chɛst.
• Kɔf: Dray kɔf we de kɔntinyu fɔ kɔf kin apin.
• Chɛst pen: Di chɛst kin fil lɛk se i de kɔnstrikt ɔ prɛs.
• Blu skin, lip, ɔ finga nel (`Cyanosis`): Dis kin apin we di bɔdi nɔ gɛt inof ɔksijɛn. Di skin we de rawnd di lip, tɔŋ, ɛn finga nel kin tɔn blu.
• Swel na di leg, ankles, ɔ nek: As da ekstra wata de gɛda na difrɛn pat dɛn na di bɔdi, di leg, ankles, ɛn sɔntɛnde ivin di nɛk kin swel.
• Hat bit kwik kwik wan (Tachycardia): Di at rit kin go ɔp wantɛm wantɛm. I kin tan lɛk se yu jɔs kɔmɔt na wan rɔn.
• Diziz ɔr fɔdɔm: Yu kin fil lɛk yu ed de tɔn ɔ yu ed nɔr de shayn.
• Ed we de at bad bad wan: Na ed we kin at wantɛm wantɛm ɛn we kin at bad bad wan.

Wetin mek dɛn mek dis tako (TACO)? Wetin na di rizin?

Okay, naw lɛ wi si wetin mek dis kɔndishɔn we dɛn kɔl TACO kin apin. As a bin dɔn tɔk bifo tɛm, di men rizin na bikɔs bɔku bɔku wata kin kam insay wi blɔd blɔd wantɛm wantɛm. Wi at ɛn blɔd vesel dɛn nɔ kin ebul fɔ bia dis prɛshɔn we de go ɔp wantɛm wantɛm.

Imajin, if yu tɔn bɔku wata insay smɔl bɔkit wan tɛm, i go ful-ɔp. Semweso, we di prɛshɔn we de insay wi blɔd vesel dɛn go ɔp, wata kin bigin fɔ lik kɔmɔt na di wɔl dɛn na dɛn blɔd vesel dɛn de. Bɔku tɛm dis wata kin gɛda na di lɔng dɛn. Wi kin kɔl am `(Pulmonary Edema)` . I tan lɛk se di lɔng dɛn ful-ɔp wit wata. So i nɔ kin izi fɔ mek i at fɔ blo, nɔto so?

So, we dɛn de gi blɔd, bɔku tin dɛn kin afɛkt dis, lɛk di blɔd we dɛn de gi, aw dɛn de gi di blɔd kwik kwik wan, ɛn di wɛlbɔdi we di pɔsin we de gi di blɔd gɛt.

Udat de pan ay risk fɔ gɛt TACO?

Nɔto ɔlman go gɛt TACO we dɛn gi blɔd. Bɔt sɔm pipul dɛn kin gɛt am, ɔr kin gɛt bɔrku risk. Lɛ wi si udat na in.

• Pipul dɛn we dɔn pas 60 ia: As wi de ol, wi bɔdi nɔ kin wok fayn, so i kin at fɔ bia wit chenj dɛn we kin apin wantɛm wantɛm lɛk dis.
• Pipul wae gɛt hat sik wae bin dɔn de bifo: Fɔ ɛgzampul, pipul dɛm wae gɛt hat wae nɔr de woke fayn ɔr wae gɛt hat atak bifo kin gɛt bɔrku risk bikɔs dɛn at kin gɛt prɔblɛm fɔ handle di ekstra lod.
• Pipul wae gɛt kidni sik: Na di kidni kin pul di wata we pasmak na di bɔdi. So if di kidni dɛn nɔ de wok fayn, chans de fɔ mek wata gɛda na di bɔdi.
• Pipul wae gɛt dis sik na dɛn lɔng lɛk COPD (Chronic Obstructive Pulmonary Disease): Bikɔs dɛn pipul ya kin gɛt prɔblɛm wit dɛn lɔng, di sik kin wɔs kwik kwik wan if ɛkstra wata gɛda na dɛn lɔng.
• Pipul dεm we dεn jכs yuz mεdikeshכn dεm we de inkrεs bכdi prεshכn (`Vasopressors`) כ mεdikeshכn dεm we de pul wata na di bכdi (`Loop Diuretics` - fכ egzampl, frusemide): We dεn yuz dεn mεdikeshכn ya kin afekt di bכdi in bכdi bכlεns bak.
• We dɛn de gi rɛd blɔd sɛl: Pan ɔl we dis kin apin wit ɛni blɔd prɔdak, dɛn dɔn si se dis risk kin bɔku smɔl we dɛn gi rɛd blɔd sɛl.
• Pipul dɛm wae dɔn gɛt bɔrku blɔd doneshɔn trade: Dis risk kin go ɔp bak wit bɔrku blɔd doneshɔn.

If yu gɛt ɛni wan pan dɛn tin ya we kin mek yu gɛt prɔblɛm, yu fɔ rili tɛl yu dɔktɔ bifo yu gi yu blɔd so dat i go tek di tin dɛn we yu nid fɔ tek tɛm wit.

Aw dɔktɔ dɛn kin no if TACO de?

If yu gɛt di sayn dɛn we wi dɔn tɔk bɔt, di fɔs tin we di dɔktɔ go du na fɔ tek tɛm chɛk yu. Dɛn go chɛk yu blɔd prɛshɔn, aw yu de blo, lisin to yu at rit, ɛn chɛk fɔ si if yu swel. Dɔn dɛn go aks yu bɔt aw yu de fil ɛn aw lɔng yu dɔn de gɛt dɛn prɔblɛm ya.

Apat frɔm dat, yu kin du tɛst dɛn lɛk dis bak fɔ kɔnfɔm mɔ:

• di chεst εks-ray: Dis kin sho klia wan if wata de kכmכt na di lכng dεm (pulmonary edema).
• CT Skan we dɛn kin du:Sɔntɛnde, dis kin ɛp fɔ gɛt klia pikchɔ pas ɛkstrem rayt.
• Echocardiogram: Dis kin luk pan tin dεm lεk aw di at de wok εn di sayz fכ di at chεmba dεm. Dis impɔtant fɔ no if di wata de gɛda bikɔs ɔf at prɔblɛm.
• Blɔd tɛst: Sɔm blɔd tɛst kin mek yu no aw bɔku strɛs de pan yu at ɛn aw yu kidni dɛn de wok.

Wetin na di tritmɛnt dɛm fɔ TACO?

Okay, naw lɛ wi si us tritmɛnt dɛn we dɔktɔ dɛn kin gi fɔ TACO .

Di tritmɛnt kin bigin wit fɔ stɔp di blɔd transfyushɔn wantɛm wantɛm if dɛn no dis sik we dɛn de transfyushɔn. Dɔn dɛn mek yu sidɔm ɔp na bed, stret smɔl. Dis go mek i izi fɔ yu fɔ blo.

Di men tritmɛnt na fɔ gi mɛrɛsin dɛn we dɛn kɔl diuretics. Dɛn mɛrɛsin ya de wok bay we dɛn de pul di wata we pasmak na di bɔdi tru di urine. Fɔ tɔk am simpul wan, dɛn kin mek di wata nɔ de na di bɔdi.

If i nɔ izi fɔ blo, dɛn kin nid fɔ gɛt ɔksijɛn tritmɛnt. Sɔntɛnde, if di pɔsin nɔ ebul fɔ blo insɛf, dɛn kin nid fɔ yuz mashin fɔ blo .

Apat frɔm dis tritmɛnt, dɔktɔ dɛn go kɔntinyu fɔ wach tin dɛn lɛk yu at rit, blɔd prɛshɔn, ɛn ɔksijɛn lɛvɛl.

Wetin go apin if yu gɛt TACO? Yu tink se yu fɔ fred?

Sɔntɛnde, TACO kin bi mild ɛn i kin sɔlv kwik. Dis min se wans dɛn dɔn stɔp fɔ gi di blɔd ɛn gi di mɛrɛsin we dɛn nid, di sik go kam bak kwik kwik wan. Sɔntɛnde, dis kin apin sɔm awa afta dɛn dɔn gi di blɔd.

Bɔt sɔm tɛm dɛn de, i kin rili bad ɛn i kin mek pɔsin in layf de pan denja. Na dat mek i impɔtant fɔ tɛl dɔktɔ jɔs afta yu gɛt di sik. If di sik bad, yu kin nid fɔ de na ɔspitul fɔ sɔm dez mɔ, ɔ dɛn kin transfa yu to di intensiv kia yunit (ICU).

Akɔdin to di statystik, di rit we pipul dɛn kin day bikɔs ɔf TACO kin rich 21%. Dis min se lɛk wan pan ɛvri fayv pipul dɛn we gɛt TACO go day. Dis sik kin apin pan lɛk 1% pan di blɔd we dɛn kin gi. Bɔt dɛn dɔn no se TACO na di men tin we kin mek pipul dɛn day bikɔs dɛn de gi blɔd.

So dis nɔto sɔntin we wi fɔ tek am layt. Bɔt nɔ panik. If dɛn no am ɛn trit am kwik, bɔku tɛm i kin mɛn.

Ustɛm yu nid fɔ go na ɔspitul kwik kwik wan?

If yu gɛt ɛni wan pan di TACO simptom dɛm we wi bin dɔn tɔk bɔt afta yu dɔn gi blɔd, nɔ shek fɔ kɔl 911 wantɛm wantɛm ɔ go na di imejensi dipatmɛnt na di ɔspitul we de nia yu.

If yu dɔn ɔlrɛdi de na ɔspitul, tɛl di dɔktɔ ɛn nɔs dɛn jɔs afta yu fil ɛni prɔblɛm ɔ pen. Nɔ delay, bikɔs di kwik we yu bigin fɔ tek tritmɛnt, na di mɔ i go fayn.

Yu tink se dɛn kin ebul fɔ stɔp TACO?

Yɛs, dɔktɔ dɛn kin tek step fɔ mek TACO nɔ divɛlɔp te to sɔm mak.

If yu gɛt di risk factor dɛm we wi bin dɔn tɔk bɔt, di dɔktɔ kin slo di rit we yu de gi blɔd. Dat min se i go sɛn di blɔd to di bɔdi smɔl smɔl. Dɔn dɛn nɔ go put di bɔdi ɔnda big lod wan tɛm.

Sɔntɛnde, fɔ mek dɛn nɔ gɛt di sik, dɛn kin gi dɛn diuretik bifo dɛn gi blɔd. Dis go mek di wata we pasmak na di bɔdi nɔ bɔku.

If yu dɔn gɛt wan sik lɛk dis (Circulatory Overload) frɔm yu blɔd doneshɔn bifo, mek shɔ se yu tɛl yu dɔktɔ so dat i go si us step yu kin tek fɔ ridyus yu risk.

Mɛmba se fɔ gi blɔd na tin we nɔ bad ɛn we go sev layf bɔku tɛm. Bɔt i impɔtant fɔ no bɔt dɛn sayd ɛfɛkt ya, mɔ if yu gɛt tin dɛn we kin mek yu gɛt prɔblɛm. If yu gɛt ɛnitin fɔ wɔri bɔt ɔ kwɛstyɔn bɔt aw fɔ gi blɔd, tɔk to yu dɔktɔ.

Fɔ dɔn, di tin we impɔtant pas ɔl fɔ mɛmba (Take-Home Message) .

Okay, so a op se naw yu dɔn ɔndastand mɔ bɔt di Transfusion-Associated Circulatory Overload, ɔ TACO, we wi bin tɔk bɔt tide.

Di tin we impɔtant pas ɔl fɔ mɛmba na dat, if yu gɛt ɛni ɔda tin we nɔ kɔmɔn afta yu dɔn gi yu blɔd, lɛk fɔ mek yu nɔ ebul fɔ blo fayn, yu chɛst de pen, ɔ yu de swel, nɔ fɔ pe atɛnshɔn to am ɛn go to dɔktɔ wantɛm wantɛm.

TACO na sik we kin rili siriɔs, bɔt if dɛn no ɛn trit am kwik, i kin mɛn bɔku pan am. If yu gɛt prɔblɛm dɛn we dɔn de bifo lɛk at sik ɔ kidni sik, i rili impɔtant fɔ tɛl yu dɔktɔ bifo yu gi yu blɔd.

Fɔ gi blɔd na tin we de sev pɔsin in layf. So nɔ fred am. Bɔt, i fayn fɔ mek ɔlman no bɔt dɛn prɔblɛm ya we kin apin. If yu gɛt ɛni kwɛstyɔn, aks dɔktɔ.

` Blɔd gi, blɔd transfyushɔn, tako, TACO, shɔt briz, lɔng, at sik