Yu rili no bɔt di denja sik we dɛn kɔl sɛpsis? Lɛ wi tɔk bɔt am!

Yu no se sɔntɛnde, wan simpul kol, kɔf, ɔ ivin smɔl injuri kin tɔn to big prɔblɛm? Semweso, sɛpsis na wan denja sik we kin apin we wi bɔdi de du bad bad tin to pɔsin we gɛt infekshɔn. Dis na rial mɛdikal imejensi ɛn i kin mek pɔsin in layf de pan denja if dɛn nɔ trit am kwik. So, i rili impɔtant fɔ mek wi no bɔt dis.

Wetin rili na sɛpsis?

Fɔ tɔk am simpul wan, sɛpsis na we yu bɔdi in imyun sistɛm de ɔva riak to wan infɛkshɔn na yu bɔdi. Nɔmal wan, we infɛkshɔn apin, wi imyun sɛl dɛn we tan lɛk sojaman dɛn na wi bɔdi kin fɛt am. Bɔt insay sɛpsis, instead fɔ fɛt di infekshɔn, dis imyun sistɛm kin bigin fɔ pwɛl di wɛlbɔdi sɛl dɛn, tisu dɛn, ɛn ɔgan dɛn na di bɔdi. Dis kin mek di bɔdi wam bad bad wan. Imajin, di sem tɛm, wan chenj we nɔ de apin na wi blɔd we de mek wi blɔd klɔt, de mek blɔd klɔt na di blɔd vesel dɛn. Jɔs lɛk we dɔti kin stɔp na wata paip ɛn di wata stɔp fɔ flɔ, dɛn blɔd ya kin mek di blɔd nɔ flɔ na difrɛn pat dɛn na di bɔdi. Dis kin mek dɛn ɔgan dɛn de pwɛl bad bad wan, ɛn sɔntɛnde i kin ivin mek dɛn nɔ wok. Yu ɔndastand aw dat na siriɔs tin?

Wi go lan bak bɔt di stej dɛm fɔ sepsis?

Dɔktɔ dɛn bin de tɔk bɔt tri stej dɛm fɔ sɛpsis: sɛpsis, siriɔs sɛpsis, ɛn sɛptik shɔk. Bɔt naw, dɛn nɔ de sheb am to stej dɛn lɛk dat. Naw, dɛn kin tek am se na wan kɔndishɔn we brayt pas ɔl. I kin stat wit infεkshכn εn baktri, we na di prεsεns fכ baktri dεm na di bכdi. Frɔm de, i kin go bifo to sɛpsis, ɛn frɔm de to sɛptik shɔk. Sɛptik shɔk na di stej we kin rili bad, usay bɔku ɔgan dɛn kin pwɛl ɛn i kin ivin mek pɔsin day.

Udat kin gɛt di sik we dɛn kɔl sɛpsis?

Sepsis kin apin to ɛnibɔdi. Bɔt pipul dɛn we gɛt infɛkshɔn, mɔ di baktri (bacteremia ) (di baktri we de na di blɔd), kin gɛt mɔ risk. Apat frɔm dat, yu de pan big risk if yu gɛt ɛni wan pan dɛn tin ya:

• If yu dɔn pas 65 ia.
• If yu gɛt bɛlɛ .
• If yu gɛt sik dɛn we nɔ de mɛn lɛk dayabitis , fat pasmak , kansa, ɛn kidni sik .
• If di imyun sistεm wik (e.g., dεn wan dεm we gεt HIV , dεn wan dεm we de du kεnsar tritmεnt ).
• If yu de na ɔspitul bikɔs ɔf ɔda mɛrɛsin.
• If yu gɛt big big bɔn ɔ ɔda siriɔs injuri.
• If yu gɛt kateshɔn, IV, ɔ tyub fɔ blo na yu bɔdi.

Nyu bɔn pikin ɛn smɔl pikin dɛnsɛf de pan denja. Dɛn imyun sistɛm nɔ dɔn ful-ɔp yet, we de mek i nɔ izi fɔ dɛn fɔ fɛt di infɛkshɔn.

Na Amɛrika nɔmɔ, dɛn kin ripɔt se i pas 1.7 milyɔn pipul dɛn we kin gɛt sɛpsis ɛvri ia. Dis de sho aw i kin kɔmɔn. Sepsis kin kam pan pipul dɛm wae dɔn ol. Di risk kin go ɔp wit di ej afta di ej fɔ 65 ia.

Wetin na di sayn dɛm fɔ sepsis?

Sepsis kin afɛkt bɔrku difrɛn pat dɛm na di bɔdi, so bɔrku sayn kin de. De ekzak sayn dεm de dipכnt pan di kayn infεkshכn wae bigin am. Sɔntɛnde, if na wan sik we dɛn kɔl sɛpsisemia, yu kin gɛt rash na yu skin. Dɛn kɔl dis sepsis rash. Dis kin mek di skin rɛd ɛn chenj in kɔlɔ. Yu kin si smɔl smɔl dak rɛd spat dɛn bak na yu skin. Ɔda sayn dɛm wae kin kam pan pɔrsin wae gɛt sɛpsis na:

• Di urine output we de dכn כ fil lεk yu nid fכ urine bכku tεm.
• Wiknɛs/wiknɛs.
• Inkris hat rit (fast hat rit).
• Lɔw blɔd prɛshɔn.
• Fiva ɔ di bɔdi tɛmpracha we rili smɔl (haypothermia).
• Bɔdi de shek shek ɔ shek shek (chills).
• Skin kin fil wam ɔ klem wit swet.
• Kɔnfyushɔn ɔ agyumɛnt.
• Fɔ blo kwik kwik wan (hyperventilation) ɔ fɔ mek i nɔ izi fɔ blo.
• Fɔ fil pen ɔ nɔ fil fayn we yu nɔ go ebul fɔ bia.

If yu gɛt wan ɔ mɔ pan dɛn sik ya, mɔ if yu no se yu gɛt infekshɔn, i rili impɔtant fɔ go to dɔktɔ wantɛm wantɛm! Nɔ west tɛm.

Wetin na de tin wae kin mek pɔrsin gɛt sɛpsis?

Di men tin we kin mek pɔsin gɛt sɛpsis na baktriyal infɛkshɔn. Bɔt, fɔngal, parasayt, ɛn vayral infɛkshɔn kin mek pɔsin gɛt sɛpsis bak. Fɔ tɔk am simpul wan, sɛpsis kin apin we wan infɛkshɔn na yu bɔdi mek chen riakshɔn ɔlsay na yu bɔdi, we kin mek yu ɔgan dɛn nɔ wok. De infεkshכn wae de mek yu gεt sεpsis kin bigin na bכku difrεn ples dεm na yu bכdi. Di kayn ɛn say dɛn we di sik kin kam we kin mek pɔsin gɛt sɛpsis na:

• Di sistɛm we de mek pɔsin ebul fɔ blo: .
• Infεkshכn na di lכng, fכ egzampl nyumonia.
• Di sistɛm we de mek yu urinari: .
• Urinary tract infection, mɔ if yu gɛt kateshɔn.
• Dijestiv sistɛm: .
• Apɛndiks sik.
• Prɔblɛm dɛn we de na di intestinal.
• Infεkshכn na di bכdi (Peritonitis).
• Galblad ɔ liva infɛkshɔn.
• Sεntrial nεv sεstem: .
• Infεkshכn dεm na di bren כ di spεnal kכd.
• Kanda:
• Baktri kin go insay tru wund, we di skin brok, ɔ tru di insay we dɛn put kateshɔn ɛn IV.
• di kכndishכn dεm lεk sεlyulayt (we di kכnektiv tisu na di skin de swεla).

Yu tink se sepsis kin pas?

Nɔ, sɛpsis insɛf nɔ de pas - we min se yu nɔ go ebul fɔ spre sepsis to ɔda pɔsin. Bɔt di infekshɔn dɛm we de mek pɔsin gɛt sɛpsis (e.g. nyumonia, infɛkshɔn na di skin) kin pas frɔm pɔsin to ɔda pɔsin. Na dat mek i rili impɔtant fɔ praktis gud hajɛns ɛn was yu an.

Aw dɔktɔ dɛn kin no se pɔsin gɛt sɛpsis?

I impɔtant fɔ no pɔsin we gɛt sɛpsis kwik kwik wan, bikɔs di tritmɛnt nid fɔ bigin kwik kwik wan. Nɔr wan tɛst nɔr de fɔ no fɔ tru if yu gɛt sɛpsis. So dɔktɔ dɛn kin jɔyn di infɔmeshɔn we dɛn kin gɛt frɔm ɛgzam pan yu bɔdi, difrɛn tɛst dɛn na lab, ɛkstrem rayt, ɛn ɔda tɛst dɛn fɔ no fɔs wetin na di infekshɔn (fɔ ɛgzampul, blɔd kɔlchɔ), dɔn dɛn kin disayd if yu gɛt sɛpsis. Sɔntɛnde, dɔktɔ dɛn kin yuz wan we fɔ no kwik kwik wan if pɔsin gɛt sɛpsis. dεn kכl am qSOFA (kwik sikεnshal כgan fεil asesmεnt) . Dis involv fɔ luk fɔ at le tu pan dɛn sik ya wit wan sik we dɛn dɔn kɔnfyus ɔ we dɛn tink se gɛt infɛkshɔn:

• lכw bכdi prεshכn: di sistolik bכdi prεshכn (di tכp nכmba) sכmtεm sכmtεm 100 milimita mεkkyuri (100 mmHg).
• di rεspiretכri rεt we de go כp: I de brith pas 22 tεm insay wan minit.
• Di Glasgow Kɔma Skel we dɔn go dɔŋ:Wan mak we na 15 ɔ less pan dis skel we de mɛzhɔ di mayndfulnɛs (we min se i nɔ gɛt bɛtɛ maynd).

Apat frɔm dat, yu dɔktɔ kin du bɔku ɔda tɛst dɛn fɔ no uskayn sik yu gɛt ɛn if ɛnitin dɔn pwɛl yu ɔgan dɛn. Fɔ ɛgzampul:

• Blɔd tɛst: Kɔmplit blɔd kɔnt (CBC), blɔd kɔlchɔ, tɛst fɔ chɛk if di liva ɛn kidni nɔ de wok fayn, prɔblɛm wit blɔd we de klɔt, ɛn ilɛktrɔlayt we nɔ de wok fayn.
• Blɔd ɔksijɛn lɛvɛl: Na tɛst we de sho aw ɔksijɛn de na yu blɔd.
• Yurin tɛst: Urinalysis ɛn urine kɔlchɔ.
• Imej tɛst: Tin dɛn lɛk ɛkstrem rayt ɔ CT skan.

Wetin na di tritmɛnt dɛm fɔ sepsis?

Sepsis tritmɛnt fɔ bigin wantɛm wantɛm. Fɔ no di sik kwik kwik wan ɛn fɔ trit am kwik kwik wan na di men tin. Ɛvri minit kin kɔnt. If dɔktɔ no se yu gɛt sɛpsis, dɛn go admit yu na di ɔspitul in intensiv kia yunit (ICU) fɔ spɛshal kia. Yu kin gɛt tritmɛnt lɛk:

• Antibayɔtik: If yu gɛt baktriyal infɛkshɔn, dɛn go bigin fɔ yuz antibayɔtik kwik kwik wan.
• IV (intravenous) fluids: Dɛn go gi wata tru wan vein fɔ mek blɔd kɔntinyu fɔ flɔ to yu ɔgan dɛn ɛn mek yu blɔd prɛshɔn nɔ go dɔŋ tumɔs.
• Vasopressor medications: Dɛn mɛrɛsin ya kin wok bay we dɛn kin mek di blɔd vesel dɛn kɔnstrikt. Sɔntɛnde, dɛn kin nid fɔ mek dɛn kɔntinyu fɔ gɛt di rayt blɔd prɛshɔn.
• Sɔpɔtiv kia as nid de: If di ɔgan dɛn nɔ wok, fɔ ɛgzampul, di kidni nɔ wok, dɛn kin nid fɔ du dayalaysis, ɔ if i nɔ izi fɔ blo, dɛn kin nid ɔda tritmɛnt dɛn, lɛk fɔ mek di bɔdi gɛt mashin.
• Ɔpreshɔn: I kin nid fɔ du ɔpreshɔn fɔ pul di tisu we dɔn pwɛl ɔ fɔ pul usay di infekshɔn kɔmɔt.

Aw fɔ mek yu nɔ gɛt sɛpsis?

Bɔku tin dɛn de we yu kin du fɔ mek yu nɔ gɛt sɛpsis. Dɛn tin ya rili simpul bɔt dɛn rili impɔtant:

• Praktis gud hajɛns, mɔ fɔ was yu an ɔltɛm. Was yu an fayn fayn wan wit sop ɛn wata bifo yu it, afta yu dɔn yuz tɔylɛt, ɛn bifo yu tɔch wund.
• Fɔ kip di wund dɛn we yu kɔt ɛn ɔda wund dɛn klin ɛn kɔba am te dɛn wɛl.
• Fɔ gɛt di vaysin dɛn we dɛn dɔn rɛkɔmɛnd di rayt tɛm. Fɔ ɛgzampul, nyumonia vaysin, flu vaysin, ɛn ɔda tin dɛn.
• If yu gɛt sik dɛn we nɔ de mɛn (e.g. dayabitis), gɛt di rayt mɛrɛsin ɛn kɔntrol dɛn.
• If yu tink se yu gɛt infekshɔn, go to dɔktɔ wantɛm wantɛm. If yu gɛt sɔm sayn dɛn lɛk fiva, bɔdi we de at, ɔ wund we de kɔmɔt, mek shɔ se yu go to dɔktɔ.

Aw lɔŋ i kin tek fɔ wɛl frɔm sɛpsis? Wetin na di tin dɛn we wi go si?

If dɛn no di sik kwik kwik wan ɛn trit am, bɔku pipul dɛn we gɛt mild sepsis kin wɛl. Bɔt if dɛn nɔ trit am, bɔku pipul dɛn we gɛt siriɔs sepsis kin day. Ivin wit tritmɛnt, 30% to 40% pan di pipul dɛm wae gɛt di kayn sik wae kin pasmak, wae dɛn kɔl sɛptik shɔk, kin day. Sɛptik shɔk kin mek pɔsin day insay lɛk 12 awa so. Na dat mek dɛn kɔl am imejensi. Ivin afta dɛn dɔn sev frɔm di sik we dɛn kɔl sepsis, sɔm pipul dɛn kin stil day insay di mɔnt ɛn ia dɛn we de afta dat. Bɔt di wan dɛn we de du risach stil nɔ no fɔ tru if dis risk fɔ day we de bɔku na bikɔs dɛn bin dɔn gɛt sɛpsis bifo ɔ bikɔs ɔf ɔda ɔndalayn wɛlbɔdi kɔndishɔn. Na dat mek i impɔtant fɔ mek pipul dɛm wae dɔn sev frɔm sepsis fɔ kɔntinyu fɔ kia fɔ dɛn wɛl bɔdi.

Ɛni ifɛkt de fɔ lɔng tɛm afta yu gɛt sɛpsis?

If dɛn trit dɛn kwik kwik wan, bɔrku pipul dɛm wae gɛt sɛpsis kin wɛl ɔlsay ɛn go liv nɔrmal layf. Bɔt sɔm pipul dɛn kin gɛt prɔblɛm dɛn we go de fɔ lɔng tɛm. Yu kin gɛt prɔblɛm dɛn lɛk:

• Nɔ ebul slip.
• Fɔ drim bad bad drim ɔ fɔ si tin dɛn we yu de tink bɔt.
• Panik atak dɛn.
• Pen na di jɔyn ɛn mɔsul dɛn.
• di kכgnitiv fכnshכn dεm dכn dכn - Dis min se dεn de pwεl tin dεm lεk fכ lan, mεmכri, atεnshכn, εn fכ disayd.
• di כgan dεm we de fεil (e.g., di kidni fεil we de go bifo).

Dɔn bak, yu de pan ay risk fɔ gɛt sɛpsis bak. So, i rili impɔtant fɔ go to tritmɛnt kwik kwik wan if yu gɛt nyu infekshɔn.

Wetin a fɔ du fɔ mek a wɛl afta a dɔn go bak na os?

Afta yu dɔn wɛl frɔm sɛpsis ɛn kam bak na os frɔm ɔspitul, yu go mɔs nid fɔ kɔntinyu fɔ gɛt rihabiliteshɔn tritmɛnt bikɔs yu bɔdi dɔn gɛt bɔku strɛs. We yu rich na os, yu kin gɛt dɛn tin ya: Di tin dɛn we kin apin to yu bɔdi:

• Taya ɛn wik.
• I nɔ kin izi fɔ yu fɔ blo.
• Bɔdi pen.
• I nɔ izi fɔ muv rawnd ɛn slip.
• I nɔ kin want fɔ it ɛn/ɔ i nɔ kin gɛt bɔku bɔku bɔdi.
• Dray, itch skin.
• Nɛl dɛn kin brok izi wan.
• Di ia we de lɔs.

Di tin dɛn we kin apin to pɔsin in maynd ɛn in filin:

• Fɔ want fɔ de in wan.
• Flash bak dɛn.
• I nɔ kin izi fɔ mek yu pe atɛnshɔn to yu.
• Wae yu de wɔri ɛn/ɔr pwɛl hat.
• Fɔ fil bad ɛn fɔ vɛks.
• Nɔbɔdi nɔ kin no natin.

Yu dɔktɔ go ɛp yu fɔ mek wan plan fɔ go bifo pan yu wɛl bɔdi joyn. Fɔs, yu go wok pan smɔl tin dɛn we yu go ebul fɔ du, lɛk fɔ was ɛn drɛs. Yu go tray bak fɔ mek yu bɔdi gɛt trɛnk bak, ɛn i impɔtant fɔ tek kia ɔf yu maynd wɛlbɔdi. Tɔk to yu fambul, padi, ɛn dɔktɔ bɔt aw yu de fil. I go tek tɛm, bɔt as tɛm de go yu go bigin fɔ fil fayn. I impɔtant fɔ peshɛnt.

Di tin we impɔtant pas ɔl we wi nid fɔ mɛmba na

Okay, so di sepsis we wi bin de tɔk bɔt na mɛdikal imejensi we kin mek pɔsin in layf de pan denja. Fɔ mek yu nɔ gɛt sɛpsis, i impɔtant fɔ gɛt tritmɛnt kwik kwik wan fɔ ɛni infɛkshɔn. If yu delay fɔ gɛt tritmɛnt, ivin smɔl infɛkshɔn kin tɔn to day.

If yu gɛt infekshɔn, i nɔ kin bɛtɛ, ɔ if i tan lɛk se i de wɔs (e.g., fiva kin bɔku, i kin at fɔ blo, yu kin chenj yu kɔnshɛns), go to dɔktɔ ɔ go na ɔspitul wantɛm wantɛm ɛn nɔ de te.

Mɛmba se if dɛn nɔ trit am, sepsis kin mek i gɛt siriɔs prɔblɛm dɛn ɛn ivin day. So yu nid fɔ rili tek tɛm wit dis, nɔto so? Yu layf valyu!