Yu dɔn ɛva yɛri bɔt pɔsin we de na di intensiv kia yunit (ICU) we gɛt prɔblɛm fɔ blo ɛn dɛn huk am to ventilatɔ? Sɔntɛm i dɔn apin to wan pan yu yon. Bɔrku tɛm de men rizin fɔ dis na de siriɔs wɛl bɔdi prɔblɛm wae wi go tɔk bɔt wae dɛn kɔl ARDS. Di nem kin tan lɛk se i de mek pɔsin fred smɔl, bɔt nɔ wɔri. Wi go ɛksplen am simpul wan we yu go ɔndastand.
Wetin na ARDS rili?
Fɔ tɔk am simpul wan, ARDS de pwɛl yu lɔng dɛn bad bad wan. Tink bɔt yu lɔng dɛn lɛk tu pat pan spɔnj. Nɔmal wan, we wi de blo, dɛn spɔnj ya kin ful-ɔp wit briz. bכt insay ARDS, di sכm sכm εya sak dεm we de insay dεn lכng dεm (dεn kכl dεm alveoli) kin bigin fכ fulכp wit wata.
Naw imajin se we spɔnj absɔb wata, ples nɔ de fɔ mek mɔ briz go insay am. Di sem tin kin apin to di lɔng dɛn. We wata ful-ɔp insted ɔf di briz, di lɔng dɛn nɔ kin ebul fɔ ful-ɔp wit briz fayn fayn wan. Dis kin mek di blɔd nɔ kin gɛt di ɔksijɛn we dɛn nid. Insay mɛrɛsin, wi kin kɔl dis kɔndishɔn `(haypoksia)` . Dis na tin we rili denja.
Na bikɔs ɔksijɛn impɔtant fɔ mek ɔl di ɔda pat dɛn na wi bɔdi, lɛk di bren, at, ɛn kidni wok. We ɔksijɛn nɔ de, dɛn ɔgan dɛn de kin bigin fɔ wok fayn wan bay wan.
Dɔktɔ dɛn kin put ARDS insay tri lɛvul dɛn - we nɔ kin tu bɔku, we nɔ kin bɔku, ɛn we kin rili bad. Dɛn kin no dis bay we yu kɔmpia di lɛvɛl we ɔksijɛn de na yu blɔd wit di ɔksijɛn we yu nid fɔ gi na do fɔ mek da lɛvɛl de kam bak to di rayt lɛvɛl.
ARDS kin apin wae pɔrsin de na ɔspitul fɔ ɔda infekshɔn, sik, ɔr siriɔs aksidɛnt. Bɔt if yu gɛt dɛn sik ya ivin if yu nɔ de na ɔspitul, i impɔtant fɔ go to dɔktɔ wantɛm wantɛm.
Wetin na di men sayn dɛm fɔ dis sik?
Di sayn dɛm fɔ ARDS kin difrɛn difrɛn wan fɔ di kɔz, aw de sik tranga, ɛn ɛni at ɔr lɔng kɔndishɔn we yu bin dɔn gɛt bifo tɛm. Bɔt sɔm tin dɛn de we kin apin to pɔsin.
| Di sayn we de sho se di sik de | Tɔk bɔt |
|---|---|
| I nɔ kin izi fɔ yu fɔ blo bad bad wan | I kin fil rili at fɔ blo, lɛk se yu de swɛla. |
| Fɔ blo kwik kwik wan ɛn we yu kin wok tranga wan | Di nɔmba fɔ di wan dɛn we de blo kin bɔku. I kin tek bɔku tray fɔ tek ɛni briz. |
| Di at we de blo | Mi at de fil lɛk se i de bit fast. |
| Blu lip ɛn finga nel dɛn | We di ɔksijɛn lɛvɛl na di blɔd go dɔŋ bad bad wan, di lip ɛn finga nel dɛn kin bigin fɔ tɔn blu. Dis na imejensi. |
ARDS kin kam insay sɔm awa ɔr dez afta di tin we kin mek i apin, ɛn di sik kin rili bad kwik kwik wan.
Wetin na di tin dɛn we kin mek pɔsin gɛt ARDS?
ARDS nɔto sik we kin apin fɔ insɛf. I kin apin bikɔs ɔf ɔda mɛrɛsin ɔ aksidɛnt. Lɛ wi luk sɔm pan di men tin dɛn we kin mek wi gɛt dis sik dɔŋ ya.
| Rizin | Simpul ɛksplen |
|---|---|
| Sepsis we dɛn kɔl sɛpsis | Dis na di men tin we kin mek pɔsin gɛt ARDS. Fɔ tɔk am simpul wan, wan bad bad infɛkshɔn (e.g. nyumonia ) na di bɔdi nɔ kin ebul fɔ kɔntrol am ɛn i kin skata ɔlsay na di bɔdi. |
| Aspirashכn fכ it/likwid dεm insay di lכng dεm | If it ɔ drink ɔ tin dɛn we de insay di bɛlɛ aksidɛntli travul tru di trakya ɛn go insay di lɔng, i kin mek di lɔng damej bad bad wan ɛn mek i gɛt ARDS. |
| Fɔ gi blɔd bɔku bɔku wan | If dɛn gi di bɔdi pas 15 yunit blɔd insay shɔt tɛm, dat kin mek i gɛt ARDS. |
| COVID-19 vayrɔs | Di wan dɛn we gɛt siriɔs COVID-19 infɛkshɔn kin gɛt ARDS. |
| Pankriaytis we gɛt sik | Bikɔs ɔf siriɔs inflamɛns ɔ infɛkshɔn na di pankrias. |
| Big big aksidɛnt ɔ bɔn | Damej to di lכng כ כda כgan dεm na di bכdi frכm big aksidεnt כ bכn. |
| Inhalashɔn fɔ pɔyzin fum | Lɔng de pwɛl we yu inhal pɔyzin kemikal fum ɔ smok pasmak. |
| Drug Ovados we yu de yuz | Yuz drɔgs pasmak lɛk kɔkɛyn ɛn heroin. |
| Fɔ drawn insay wata | We yu drawn, wata we de go insay di lɔng kin mek yu gɛt siriɔs damej. |
Udat dɛn de pan denja mɔ?
Pipul wae dɔn ɔlrɛdi de na ɔspitul bikɔs ɔf sik ɔr aksidɛnt kin gɛt di ay risk fɔ gɛt ARDS. Bɔt nɔto ɔlman we de na ɔspitul kin gɛt am. Bɔku ɔda tin dɛn de we kin mek di sik bɔku:
- Bikɔs i dɔn pas 65 ia.
- Yuz tabak (smok).
- Drug ɔ rɔm adikshɔn.
- Fɔ gɛt wan sik we bin dɔn de na yu lɔng.
Ɔda kɔmplikɛshɔn dɛn we kin apin bikɔs ɔf ARDS
ARDS nɔ jɔs de afɛkt di lɔng dɛn. I kin mek yu gɛt difrɛn prɔblɛm dɛn we yu de na ɔspitul ɛn afta yu dɔn go na os.
- Blɔd we de klɔt: Blɔd kin klɔt insay di vein dɛn, mɔ na di leg dɛn. wi kכl dis ``dip vein trombosis - DVT``.
- di lכng kכlaps: di lכng we dεn dכn pwεl kin bכs (nyumothorax) bikoz fכ di prεshכn we di ventilεta de gi.
- Delirium: Dilirium we de mek pɔsin fil bad.
- Bɔku ɔgan dɛn we nɔ de wok fayn: Ɔgan dɛn lɛk di bren, di at, ɛn di kidni dɛn we de wok wan tɛm.
- di mכsul dεm we wik: di mכsul dεm kin wik biכs fכ de na bed fכ de dεm.
- Ska na di lכng dεm: Ska tisu kin fכm as di lכng dεm de hεl (lכng fibrosis).
- Prɔblɛm dɛm wae de kam pan pɔrsin in maynd: Afta yu dɔn gɛt dis kayn bad bad ɛkspiriɛns, tin dɛm lɛk post-traumatic stress disorder (PTSD), wɔri hat, ɛn pwɛl hat kin kam.
Aw dɔktɔ dɛn kin no dis?
Bikɔs di sayn dɛm fɔ ARDS tan lɛk ɔda at ɔr lɔng sik dɛm, dɔktɔ dɛn kin du bɔku tɛst fɔ no if na ARDS.
- Chɛst X-ray: Fɔ si ɔmɔs wata de na di lɔng dɛn.
- Blɔd tɛst: Mekɔp di ɔksijɛn lɛvɛl na di blɔd ɛn no aw ARDS siriɔs.
- Echocardiogram: Na ɔltra saund skan fɔ luk aw di at de wok.
- ECG (Electrocardiogram): Luk di ilɛktrik aktiviti we di at de du.
- Pulse Oximetry: fכ kכntinyu fכ mכnitor di כksijεn lεvεl dεm we dεn de yuz sכmכl divays we dεn tay pan di finga.
- CT scan: Gɛt mɔ ditayli infɔmeshɔn bɔt di lɔng dɛn.
- Fɔ chɛk di tin dɛn we de kɔmɔt na di say we yu de blo: Fɛn di tin we mek yu gɛt di sik.
Aw dɛn kin trit am?
Di men gol fɔ ARDS tritmɛnt na fɔ mek di ɔksijɛn lɛvɛl go ɔp na di blɔd ɛn fɔ mek ɔda bɔdi ɔgan dɛn nɔ wok. Fɔ du dis, di wan dɛn we sik rili nid fɔ gɛt mɛkanikal ventilatɔ ɛn ɔksijɛn tɛrapi .
Ɔl dis tritmɛnt kin apin na wan intensiv kia yunit (ICU), ɔnda di sɔpɔtishɔn ɔltɛm fɔ spɛshal dɔktɔ dɛn ɛn nɔs wokman dɛn.
Apat frɔm dat, dɔktɔ dɛn kin du bɔku ɔda tin dɛn fɔ mek dɛn nɔ gɛt bɔku prɔblɛm dɛn.
- Dɛn kin gi mɛrɛsin fɔ mek pɔsin nɔ fil pen ɛn fɔ mek i nɔ fil fayn.
- Dɛn kin tɔn di pɔsin to pɔsin we i de sidɔm pas fɔ mek i tinap stret. Dis kin mek ɔksijɛn flɔ izi wan to di lɔng dɛn.
- Dɛn kin gi blɔd tin fɔ mek blɔd nɔ klɔt.
- Dɛn kin gi diuretik fɔ pul di wata we pasmak na di bɔdi ɛn di lɔng dɛn.
- Trit ɔ protɛkt infɛkshɔn if i deDɛn kin gi dɛn antibayɔtiks.
- Dɛn kin yuz fizik tritmɛnt fɔ mek di mɔsul dɛn nɔ wik.
Aw lɔng i kin tek fɔ wɛl ɛn aw fɔ si am?
Di tɛm we i kin tek kin dipen pan aw di sik kin tranga ɛn aw i kin wɛl kwik kwik wan. Bɔku tɛm, i kin tek siks mɔnt to wan ia fɔ mek pɔsin gɛt in nɔmal lɔng wok bak afta ARDS. Bɔt sɔm pipul dɛn nɔ kin wɛl ɔl.
Di rεt wae de sכvayv fכ ARDS dεn dכn inkrεs bכku naw. If dɛn trit am kwik, bitwin 55% ɛn 70% de liv. Bɔt dis rit kin go dɔŋ if di tritmɛnt delay ɔ if ɔda ɔgan dɛn bigin fɔ fel.
Fɔ wɛl na lɔng waka. Bɔrku pipul kin ebul fɔ blo fɔ dɛnsɛf afta dɛn dɔn pul dɛn na ventilator. Sɔm kin wɛl kpatakpata. Ɔda pipul dɛn kin gɛt prɔblɛm wit dɛn lɔng tɛm fɔ lɔng tɛm. Dɛn go nid fɔ kɔntinyu fɔ de wach dɛn frɔm wan dɔktɔ we de mɛn dɛn pulmon.
Mɛmba se fɔ spɛn tɛm na di say usay dɛn de kia fɔ di wan dɛn we sik bad bad wan na tin we nɔ kin izi fɔ di pɔsin ɛn di famili. Di sɔpɔt we yu fambul ɛn padi dɛn go gi yu go rili impɔtant to yu we yu de travul fɔ wɛl.
Mɛsej we dɛn kin kɛr go na os
- ARDS na siriɔs sik we kin mek pɔsin in layf de pan denja we wata kin ful-ɔp di ay sak dɛn na di lɔng dɛn.
- Dis nɔto sik we kin apin fɔ insɛf; bɔrku tɛm na bikɔs ɔf ɔda mɛrɛsin, lɛk sɛpsis, nyumonia, ɔr siriɔs aksidɛnt.
- Di men sayn dɛm na wae yu nɔr de blo bɛtɛ, yu de blo kwik kwik wan, ɛn ɔksijɛn nɔr de na yu blɔd.
- Dɛn kin gi di tritmɛnt na di Intensiv Keya Yunit (ICU) wit di ɛp we dɛn kin gi ventilator ɛn ɔksijɛn.
- Fɔ wɛl kin tek sɔm mɔnt ɔ ivin wan ia, ɛn na lɔng ɛn peshɛnt waka.
- If yu ɔ pɔsin we yu sabi gɛt siriɔs prɔblɛm fɔ blo, i impɔtant fɔ go na ɔspitul in Imejɛnsi Tritmɛnt Yunit (ETU) wantɛm wantɛm.
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