Imajin, wetin go apin if di we aw yu bɔdi kin stɔp fɔ blɔd, nɔ ebul fɔ kɔntrol am wantɛm wantɛm ɛn i stɔp kpatakpata? Smɔl blɔd klɔt dɛn bin de fɔm ɔlsay na yu bɔdi, ɔl di tin dɛn we yu nid fɔ am nɔ bin de igen, dɔn yu nɔ bin ebul fɔ stɔp fɔ blɔd ivin if yu wund smɔl. Dat na wan pan dɛn rili siriɔs, kɔmpleks sik dɛm we wi de tɔk bɔt tide , DIC (Disseminated Intravascular Coagulation) . Pan ɔl we dis tan lɛk nem we de mek wi fred, lɛ wi ɔndastand am simpul wan.
Wetin na DIC rili?
Fɔ tɔk am simpul wan, DIC na siriɔs sik we de afɛkt di we aw yu blɔd ebul fɔ klɔt. Wetin kin apin na dat di blɔd we de klɔt na yu bɔdi kin go ɔlsay. Dis kכndyushכn kin apin insay tu men stej dεm.
1. Stej 1 (Klɔt Fɔmeshɔn Stej): Insay dis stej, bɔku bɔku smɔl smɔl blɔd dɛn kin bigin fɔ fɔm ɔlsay na yu bɔdi, insay yu blɔd vesel dɛn . Fɔ mek dɛn blɔd klɔt ya, wi kin yuz bɔku bɔku pletlɛt dɛn ɛn tin dɛn we kin mek pɔsin blɔd klɔt. I tan lɛk se yu de yuz bɔku simen blɔk fɔ bil smɔl smɔl wɔl dɛn we nɔ nid fɔ de ɔlsay na di siti. Dis we ya, dɛn kin yuz dɛn tin ya kwik kwik wan.
2. Stej 2 (Bleeding Stage): Naw, di bɔdi dɔn dɔn wit di pletlɛt ɛn protin dɛn we i nid fɔ mek di blɔd klɔt. Dis tɛm ya, ivin smɔl injuri nɔ kin ebul fɔ stɔp di blɔd . Dis na bikɔs di bɔdi nɔ gɛt di “simen” igen we i nid fɔ mek blɔd klɔt. Dis kin mek yu gɛt ebi ebi blɔd we yu nɔ ebul fɔ kɔntrol. Dis na di stej we denja pas ɔl na di sik ɛn i nid fɔ gɛt tritmɛnt kwik kwik wan.
Impɔtant tin na dat, DIC nɔ de ɛva apin fɔ insɛf. I kin apin ɔltɛm as a rizulta fɔ ɔda siriɔs mɛdikal kɔndishɔn ɔ kɔmplikeshɔn. Dɛn ripɔt se i kin apin pan lɛk 1% pan di wan dɛn we de na ɔspitul.
Wetin kin mek pɔsin gɛt DIC?
As wi bin dɔn tɔk, DIC kin kam bikɔs ɔf wan ɔndalayn mɛdikal kɔndishɔn. Di tin we kin mek pɔsin sik kin difrɛn frɔm wan sik to ɔda sik. i kin stat wit sɔntin we fכrin (e.g., baktriyal tכxin , tisu fragmεnt dεm we dεn dכn dכn) we de go insay di bכdi. Lɛ wi luk di men tin dɛn we kin mek wi du dis.
| Rizin tayp | Ɛgzampul dɛn ɛn diskripshɔn dɛn |
|---|---|
| Di tin dɛn we kin mek pɔsin gɛt DIC wantɛm wantɛm (akyu). |
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| Di tin dɛn we kin mek pɔsin gɛt Kronik DIC |
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Wetin na di poshubul simptom dɛm fɔ DIC?
Di sayn dɛm wae yu kin gɛt kin dip pan if di DIC kɔndishɔn kin kam wantɛm wantɛm (akyu) ɔr sloslo (krɔnik).
Di simptom dɛm fɔ Akyu DIC
Di men ɛn denja sayn fɔ dis na fɔ blɔd we pɔsin nɔ ebul fɔ kɔntrol.
- Blɔd we de kɔmɔt pasmak frɔm di say we dɛn du ɔpreshɔn, IV sayt, nos, ɔ di gɔm.
- Brus we de apia ɔlsay na di bɔdi fɔ natin.
- Blɔd we de vɔmit.
- Pas blɔd wit stɔl.
- Blɔd we de kɔmɔt na di bren, di dijestiv trakt, di mɔsul dɛn, ɔ di bɔdi we de na di bɔdi.
Di simptom dɛm fɔ Kronik DIC
Di men denja na dis kayn tin nɔto frɔm blɔd we de kɔmɔt, bɔt na frɔm blɔd we de klɔt we de fɔm we i bigin. Dɛn blɔd klɔt ya kin travul ɛn blok di blɔd vesel dɛn na di impɔtant ɔgan dɛn.
- Ɔgan dɛn we nɔ de wok fayn: If blɔd klɔt blok di blɔd flɔ to ɔgan lɛk di kidni, liva, ɔ lɔng.
- Strok: If blɔd klɔt blok wan blɔd vesel na di bren.
- At atak: If wan blɔd vesel we de gi blɔd to di at, blok.
- Dip Vein Thromboembolism (DVT): Blɔd kin klɔt insay di vein dɛn na di leg ɔ an, we kin mek i swel ɛn pen na dɛn say dɛn de.
- I nɔ izi fɔ blo: If di blɔd klɔt travul go na di lɔng dɛn.
Sɔntɛnde, DIC we de bigin sloslo nɔ kin mek yu gɛt ɛni sayn. Dɔn bak, we yu de blɔd frɔm tri say dɛn we nɔ gɛt natin fɔ du wit dɛnsɛf di sem tɛm (e.g., blɔd we de kɔmɔt na yu nos, di gɔm, ɛn urine) kin bi sayn fɔ DIC.
Wetin na di tritmɛnt dɛm fɔ DIC?
Di fɔs ɛn impɔtant tin we dɔktɔ dɛn kin du pan kes we gɛt DIC na fɔ trit di ɔndalayn mɛdikal kɔndishɔn we mek di DIC. Fɔ ɛgzampul, if na infɛkshɔn (sepsis) mek DIC, dɛn go gi am antibayɔtik fɔ da infɛkshɔn de.
Apat frɔm dat, dɛn kin gi tritmɛnt bak fɔ kɔntrol di sik dɛn we DIC kin kam wit.
- Plasma transfyushɔn: If blɔd dɔn lɔs pasmak, dɛn kin gi blɔd plasma fɔ tek di ples fɔ di protin dɛn (klɔtin factors) we dɛn nid fɔ mek blɔd klɔt.
- Plɛtlɛt transfyushɔn: Dɛn kin gi dɛn tin ya fɔ mek di nɔmba fɔ di pletlet dɛn we dɔn go dɔŋ bikɔs ɔf blɔd kam bak.
- Ɔksijɛn tɛrapi: If blɔd sapɔt to wan ɔgan nɔ de wok bikɔs di blɔd dɔn klɔt, dɛn kin gi ɔksijɛn fɔ mek da ɔgan de nɔ pwɛl.
- Antikoaguleshɔn mɛrɛsin: Dɛn kin yuz tin dɛn we de mek blɔd tan lɛk ɛparin . Sɔntɛm yu go de wɔnda, “Wow, wetin mek pɔsin we dɔn ɔlrɛdi de blɔd go nid mɔ blɔd tin fɔ mek i tan ?” Dɛn kin tek tɛm yuz dɛn tin ya. Dɛn kin gi dɛn fɔ mek di blɔd klɔt we de mek dɛn nɔ gɛt mɔ denja, mɔ pan di DIC we nɔ de mɛn ɔ we di sik bigin. Dis na disizhɔn we na yu dɔktɔ nɔmɔ go ebul fɔ disayd.
Akyu DIC na mɛdikal imejensi. I nid fɔ gɛt tritmɛnt na ɔspitul in intensiv kia yunit (ICU) ɔ imejensi tritmɛnt yunit (ETU). Bɔt nɔ wɔri, bɔku tɛm dis kin apin we dɛn de du ɔpreshɔn ɔ we dɛn de bɔn pikin, ɛn wan mɛdikal tim kin de rayt de wit yu.
Afta yu kɔmɔt na di ɔspitul, yu dɔktɔ go kɔntinyu fɔ wach yu ɛn wach fɔ ɛni ɔndalayn mɛdikal kɔndishɔn ɛn kɔmplikeshɔn we DIC dɔn mek.
Mɛsej we dɛn kin kɛr go na os
- DIC nɔto sik we kin apin fɔ insɛf. Na ɔltɛm wan kɔmplikeshɔn fɔ ɔda siriɔs mɛdikal kɔndishɔn (e.g. sɛpsis, kansa, siriɔs trauma).
- Wetin kin apin na dis kes na dat fɔs, blɔd kin klɔt ɔlsay na di bɔdi we nɔ nid fɔ klɔt, dɔn di tin dɛn we dɛn nid fɔ mek di blɔd klɔt kin dɔn, ɛn dis kin mek i nɔ ebul fɔ kɔntrol di blɔd.
- Tritmɛnt de pe atɛnshɔn fɔ trit di ɔndalayn kɔndishɔn we mek DIC, ɛn bak fɔ manej di simptom dɛm.
- If yu gɛt blɔd wantɛm wantɛm ɔ yu gɛt bad bad brus frɔm bɔku say dɛn na yu bɔdi fɔ no rizin, mɔ if yu gɛt ɔda siriɔs sik, go to yu dɔktɔ wantɛm wantɛm ɔ go na di ɔspitul we de nia yu in Imejɛnsi Dipatmɛnt (ETU).
DIC, Disseminated Intravascular Coagulation, Blɔd Klɔt, Blɔd, Ɛmoraji, Sɛpsis, Simptom dɛn
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