Yu tink se pɔsin we dɛn se dɔn day go gɛt layf bak? Lɛ wi tɔk bɔt dis strenj tin we dɛn kɔl Lazarɔs Ifɛkt!

Yu dɔn ɛva yɛri bɔt tin we kin apin we pɔsin kin tan lɛk se i de alayv bak afta we dɔktɔ dɛn dɔn tɔk se i dɔn day? I tan lɛk se i nɔ pɔsibul fɔ biliv smɔl, nɔto so? Bɔt dis na tin we nɔ kin apin so ɔltɛm bɔt dɛn kin ripɔt bɔt am na di wɔl we dɛn de mɛn pipul dɛn. Dɛn kɔl am di Lazarɔs Ifɛkt. Lɛ wi tɔk bɔt am smɔl mɔ tide, bikɔs i kin impɔtant fɔ no.

So, wetin rili na di Lazarɔs Ifɛkt?

Fɔ tɔk am simpul wan, di Lazarɔs Ifɛkt na we, afta dɔktɔ dɔn ɔfishal wan se pɔsin dɔn day, dɛn blɔd kin bigin fɔ flɔ bak wantɛm wantɛm ɛn dɛn kin bigin fɔ sho sayn dɛn fɔ se pɔsin gɛt layf. Di dɔktɔ dɛn kɔl dis ‘ɔtoresuscitation’ . Dat min se afta we CPR dɔn stɔp, di at kin bigin fɔ bit bak ɛn di blɔd kin go bak ɛn nɔ gɛt ɛni ɛp we kɔmɔt na do. Bɔt dis nɔto di sem wit di stori dɛn we se pɔsin we dɔn day kin rili gɛt layf bak. Wan stori de na di Baybul bɔt wan man we nem Lazarɔs we bin gɛt layf bak. Bɔt dis tin we dɛn kin du fɔ mɛn pipul dɛn difrɛn. Wetin kin apin ya na dat, afta dɔktɔ dɛn dɔn no se di pɔsin in impɔtant ɔgan dɛn dɔn stɔp fɔ wok ɛn se i dɔn day, sɔntɛnde i kin delay smɔl fɔ mek di at bit bak ɛn di blɔd go ɔlsay. Dis delay de mek di pɔsin tan lɛk se i dɔn day ɛn afta dat i kin gɛt layf bak. dis dεn kכl dis ‘Lazarus phenomenon’, ‘Lazarus syndrome’, εn כda tin dεm. Bɔt lɛ wi mɛmba se na jɔs (Autoresuscitation).

Us kayn tin dɛn nid fɔ apin fɔ mek dis go apin?

Dכkta dεm kin no dis kכndyushכn (autoresuscitation) we wan chen כf tin dεm kin apin lεk dis:

• Fɔs, pɔsin kin gɛt ɛnitin fɔ du wit am, lɛk we in at kin stɔp .
• Dɔn, dɔktɔ ɔ ɔda pɔsin we dɛn dɔn tren kin bigin fɔ yuz di bɔdi we dɛn kɔl cardiopulmonary resuscitation (CPR).
• Sɔntɛnde, di pɔsin we de du CPR kin no se dɛn tritmɛnt ya nɔ de gi di tin dɛn we dɛn bin de op fɔ ɛn di pɔsin dɔn day.
• Dɔn, wan dɔktɔ we gɛt rayt fɔ sɛtify di pɔsin we dɔn day, kin tɔk ɔfishal wan se di pɔsin dɔn day na di klinik .
• Frɔm da tɛm de, dɛn nɔ de du ɛni mɛdikal intavɛnshɔn, dat na, dɛn nɔ de du ɔda tritmɛnt.
• Afta sɔm minit, ɔr ivin awa, pɔrsin go si sayn dɛm fɔ layf (fɔ ɛgzampul, bɔdi muvmɛnt, brith). Dɛn sayn ya fɔ las fɔ pas sɔm sɛkɔn.
• Afta sɔm tɛm, dɔktɔ kin kɔnfirm se di pɔsin in blɔd dɔn bigin fɔ go bak, ɛn dɛn kin bigin fɔ trit am bak.

I nɔ kin izi fɔ tɔk ustɛm i kin tek fɔ mek blɔd go bak afta i day. Akɔdin to di kes dɛm we dɛn dɔn ripɔt, bɔku tɛm sayn dɛm fɔ layf kin apia insay 10 minit afta dɛn dɔn stɔp CPR. Bɔt sɔntɛnde, i kin tek lɔng tɛm. I pɔsibul se nɔbɔdi nɔ go notis se di blɔd de go bak fɔ sɔm tɛm.

Aw di Lazarɔs Ifɛkt kɔmɔn?

Di mɛdikal rɛkɔd dɛn sho se dis na rili tin we nɔ kin apin so ɔltɛm . Frɔm 1982 to 2018, dɛn dɔn rayt 65 dɛn kayn kes dɛn ya na di buk dɛn we de tɔk bɔt mɛrɛsin ɔlsay na di wɔl. Fɔ dɛn pipul ya, na 18 pipul dɛn nɔmɔ dɔn wɛl ɔl. Bɔt di wan dɛn we de stɔdi bɔt dis biliv se dis tin kin apin mɔ pas aw dɛn kin rili ripɔt. Bɔt, i stil nɔr klia aw i kɔmɔn, ɔr udat kin gɛt dis kayn sik. We wi luk di kes dɛm we dɛn dɔn ripɔt te naw, bɔku pan di pipul dɛm we dɔn gɛt dis (lɛk 68%) dɔn pas 60. Dis (ɔtoresuscitation) dɔn apin insay ɛn autsay ɔspitul. Bɔt i kin apin ɔltɛm afta dɛn dɔn gi pɔsin CPR.

Wetin mek dis Lazarɔs Fenomen kin apin? Wetin na di rizin?

Fɔ tɔk tru, dɔktɔ dɛn stil nɔ no bɛtɛ bɛtɛ wan wetin kin mek dis sik. Bɔt, na wan pan di men tiori dɛm we dɛn dɔn put fɔ ɛksplen am. Tink bɔt am, we yu du CPR, yu de fos di briz fɔ go insay di lɔng tu kwik. Sɔntɛnde dis kin mek di lɔng dɛn ful-ɔp tumɔs. Dɛn kɔl dis ‘haypa infleshɔn.’ Fɔ tɔk am simpul wan, di lɔng dɛn kin ful-ɔp tumɔs, ɛn nɔto inof tɛm de fɔ mek di briz ful-ɔp. Dis kin mek di prɛshɔn we de insay di chɛst go ɔp wantɛm wantɛm.

We di prɛshɔn na di chɛst go ɔp dis we, di blɔd we de flɔ to di at ɛn di blɔd we de pɔmp kɔmɔt na di at nɔ kin bɔku. Dɔn, we dɛn stɔp CPR, di prɛshɔn we de go ɔp kin go dɔŋ wantɛm wantɛm. Dɔn, di blɔd we dɔn trɔs kin bigin fɔ flɔ bak to di at . Dis na aw dɛn kin bigin fɔ mek di blɔd go bak. Bɔt bɔku tɛm, dis kin apin fɔ shɔt tɛm nɔmɔ.

Di impɔtant tin na dat, ilɛksɛf di blɔd go bak fɔ shɔt tɛm dis we, bɔku pipul dɛn nɔ kin liv lɔng. Na dat mek dɔktɔ dɛn kin tray fɔ avɔyd fɔ mek di blɔd bigin fɔ waka let ɔ fɔ mek dɛn nɔ tɔk se i dɔn day bifo tɛm. Bikɔs, if dat apin, di wan dɛn we de kia fɔ dɛn ɛn di famili kin gɛt big op wantɛm wantɛm, ɛn i nɔ pɔsibul fɔ imajin aw i kin fil bad ɛn di shɔk we i lɔs kwik kwik wan.

So we dɛn de fɔ mek dis Lazarɔs Fenomen nɔ apin?

Bifo yu stɔp dis tin kpatakpata, di impɔtant tin ya na fɔ avɔyd fɔ tɔk bifo tɛm ɛn di rɔŋ we se pɔsin dɔn day. Fɔ dis rizin, di wan dɛn we de stɔdi bɔt dis dɔn tɔk bɔt sɔm tin dɛn we dɔktɔ dɛn fɔ fala bifo dɛn se i dɔn day. Dɛn na:

• Kɔntinyu fɔ du CPR fɔ at le 20 minit .
• We yu de du CPR, tek tɛm fɔ mek yu nɔ gɛt aypa infleshɔn, we na we di lɔng dɛn ful-ɔp tumɔs. Fɔ ɛgzampul, sɔm CPR gaydlain dɛn se fɔ gi maksimɔm 12 briz fɔ wan minit.
• Ilektrokonvulsiv tεrapi, dat na, afta dεn dכn difibrilεshכn (we kin sכmtεm stכp di at fכ bit kכmplit wan fכ sכmtεm - dεn kכl dis asystole כ "flat-lining"), nכ stכp CPR wan wan.
• Kɔntinyu, rili klos monitarin fɔ di pɔsin fɔ at le 10 minit afta dɛn dɔn stɔp CPR tritmɛnt bifo dɛn deklare day.

Yu tink se wi fɔ tink bak bɔt di tin dɛn we wi nid fɔ disayd fɔ du we wi dɔn day?

We yu tink bɔt layf ɔ day tin dɛn lɛk dis, yu kin fil smɔl we yu nɔ ebul fɔ du natin ɛn yu kin fred. Dat na nɔmal tin. Bɔt yu kin disayd bifo tɛm bɔt us mɛrɛsin yu want ɛn wetin yu nɔ want we yu dɔn dɔn yu layf ɛn tek pat pan dɛn tin dɛn de. Fɔ ɛgzampul, yu kin disayd if yu want CPR ɔ ɔda layf sɔpɔt. Dis we ya, yu kin mek yu dɔktɔ, yu fambul, ɛn di wan dɛn we yu lɛk no wetin yu want bifo tɛm. Yu kin gi pɔsin in nem bak bay lɔ we go ebul fɔ disayd fɔ yu bɔt mɛrɛsin if yu nɔ ebul fɔ du dat (a heltcare power of attorney).

Dɛn tin ya nɔ kin ɛva izi fɔ disayd, bɔt if yu plan bifo tɛm as yu ebul, dat kin mek yu ɛn yu famili gɛt bɔku kolat na yu maynd tumara bambay.

Fɔ dɔn, tin dɛn we wi nid fɔ mɛmba (Take-Home Message) .

Dis Lazarɔs Ifɛkt na tin we nɔ kin apin so ɔltɛm, bɔt na sɔntin we kin apin ɛvride na di mɛdikal wɔl, usay ɔlman, ivin dɔktɔ dɛn, kin tray fɔ sev pɔsin in layf. So, a tink se wetin wi dɔn tɔk bɔt tide bɔt dis strenj tin go bi gud mɛmba fɔ yu fɔ no mɔ bɔt layf sɔpɔt ɛn kia fɔ di ɛnd-ɔf-layf. Mek shɔ se yu tɔk to yu dɔktɔ ɛn no wetin yu go ebul fɔ du, ɛn aw fɔ rayt wetin yu want. I go rili impɔtant fɔ yu ɛn yu famili.

---

`Lazarus phenomenon, Lazarus Effect, Autoresuscitation, CPR, day, risaysayshɔn, mɛrɛsin, kadiɔpulmonari risasayshɔn, imejensi kia