Yu lɔng dɛn gɛt prɔblɛm fɔ blo? Lɛ wi lan bɔt dis denja ARDS (Acute Respiratory Distress Syndrome)!

Yu dɔn ɛva si se i nɔ izi fɔ yu fɔ blo wantɛm wantɛm, ɛn fil lɛk se yu chɛst dɔn kɔnstrikt? Ɔ yu mɛmba wan tɛm we pɔsin we yu sabi bin sik bad bad wan wantɛm wantɛm, i nɔ bin ebul fɔ blo fayn ɛn dɛn bin admit am na di intensiv kia yunit (ICU) na di ɔspitul? Sɔntɛm di tin we mek i apin na wan sik we dɛn kɔl ARDS (Acute Respiratory Distress Syndrome) . Dis na siriɔs tin smɔl, bɔt if dɛn tɛl yu fayn fayn wan, i go izi fɔ ɔndastand bɔku tin dɛn. Lɛ wi tɔk bɔt dis ditayli, nɔto so?

Wetin na ARDS? Lɛ wi ɔndastand am simpul wan.

Fɔ tɔk am simpul wan, ARDS na siriɔs sik we kin afɛkt wi lɔng. Tink bɔt dis we: Wi lɔng dɛn gɛt smɔl smɔl ay sak dɛn (we dɛn kɔl alveoli). Dɛn tan lɛk smɔl smɔl greps dɛn we de na vayn. We wi de blo, dɛn ay sak dɛn ya kin tek ɔksijɛn frɔm di briz ɛn pul am insay di blɔd. Bɔt we ARDS apin, dɛn ay sak ya kin ful-ɔp wit wata. I tan lɛk balɔ we gɛt wata. Dɔn di lɔng dɛn nɔ kin ebul fɔ ful-ɔp wit briz fayn, ɛn di ɔksijɛn we de go insay di blɔd kin go dɔŋ bad bad wan. Wi kin kɔl dis haypoksia. Bɔku tɛm, dɔktɔ dɛn kin kɔl ARDS we nɔ kin at fɔ ɔndastand, we nɔ kin at fɔ ɔndastand, ɔ we kin rili bad . dεn kin no am bay we dεn kכmpεr di lεvεl fכ כksijεn na di bכdi to di כksijεn we nid fכ delivεr to da lεvεl de. ARDS kin mek bak ɔda impɔtant pat dɛn lɛk wi bren, at, kidni, ɛn intestinal nɔ gɛt di ɔksijɛn we dɛn nid. So, ARDS na wan denja sik wae kin ivin mek pɔrsin in layf de pan denja. Bɔku tɛm, ARDS kin kam we dɛn de trit pɔsin na ɔspitul fɔ ɔda infekshɔn, sik, ɔ aksidɛnt. Bɔt if yu gɛt dɛn sik ya na os, i impɔtant fɔ go to dɔktɔ wantɛm wantɛm.

Tri stej de fɔ gɛt ARDS?

Sɔntɛnde, dɔktɔ dɛn kin sheb ARDS to tri stej: Exudative, Proliferative, ɛn Fibrotic. dis kin mεntal to di digri we di lכng dεm de swel εn di wata we de bכku na di lכng dεm, εn afta dat di we aw di lכng dεm bigin fכ hεl. nכto כlman de go bifo to Stej 3. Dis stej involv ska na di lכng dεm (`(Lung fibrosis)`) εn di nid fכ kכntinyu fכ mεkanikal vεntileshכn.

Aw kɔmɔn tin fɔ gɛt ARDS?

Dis na siriɔs kɔndishɔn. I kin ambɔg lɛk 200,000 pipul dɛn ɛvri ia na Amɛrika nɔmɔ. Ɔlsay na di wɔl, i kin afɛkt lɛk 3 milyɔn pipul dɛn ɛvri ia. ARDS na in gɛt fɔ du wit lɛk 10% pan ɔl di wan dɛn we dɛn kin admit na di intensiv kia yunit (ICU). I de ripɔtabl bak fɔ lɛk 25% pan ɔl di wan dɛn we dɛn kin admit na di ɔspitul fɔ mek dɛn gɛt mɛkanikal ventileshɔn.

Wetin na di sayn dɛm fɔ ARDS? Aw yu no am?

Di sayn dɛm fɔ ARDS kin difrɛn difrɛn wan fɔ di kɔz, aw de sik tranga, ɛn ɛni sik wae yu gɛt fɔ yu lɔng ɔr hat. Di men sayn dɛm wae de sho se yu gɛt dis sik na:

• I nɔ kin izi fɔ yu fɔ blo : .I kin fil lɛk se yu nɔ ebul fɔ blo, lɛk se yu de swɛla.
• Rapid and labored breathing : Fɔ brith wit big tray, lɛk se yu de blo fɔ blo.
• Di at rit de go ɔp.
• Blu di kɔlɔ we di nel ɛn lip dɛn kin chenj: Dis kin apin bikɔs di ɔksijɛn nɔ bɔku na di blɔd.

Imajin, Mista Nalin bin gɛt ay fiva ɛn kɔf fɔ tu dez. Wantɛm wantɛm, i nɔ bin izi fɔ am fɔ blo, in chɛst bin de fil tayt. In wɛf notis se in nel dɛn de tɔn blu. We dɛn rɔsh go na di ɔspitul, di dɔktɔ dɛn se i kin bi ARDS .

ARDS kin kam insay sɔm awa to dez afta di tin we kin mek i apin, ɛn i kin wɔs bak kwik kwik wan.

Wetin na di tin dɛn we kin mek pɔsin gɛt ARDS?

Bɔku tin dɛn de we kin mek pɔsin gɛt ARDS. Lɛ wi luk di men wan dɛn:

• Sepsis : Di men tin wae kin mek yu gɛt ARDS na wan sik wae dɛn kɔl sepsis. Dis sik kin apin we wan bad bad infεkshכn na yu lכng (lεk nyumonia ) כ infεkshכn na כda כgan de spre כlsay na yu bכdi, we kin mek yu swel bad bad wan.
• Aspiration pneumonia: If di tin dεm we de insay di bεlε (it, wata) go insay di lכng, i kin mek di lכng damej bad bad wan εn ARDS. Dis kin apin we sɔntin we wi de it ɔ drink go insay di say dɛn we di briz de blo. Dis kin apin mɔ to pɔsin we nɔ no natin ɔ we dɔn ol.
• Blɔd transfyushɔn: Risk de fɔ gɛt ARDS if dɛn gi yu pas 15 yunit blɔd insay shɔt tɛm.
• Covid-19 `( COVID-19 )`: Di Covid-19 vayrɔs kin mek pɔsin gɛt siriɔs ARDS.
• Pankreas : Na bad bad inflamɛns na di pankrias.
• Big big aksidɛnt ɔ bɔn: Aksidɛnt ɛn fɔdɔm kin pwɛl di lɔng dɛn dairekt wan, ɔ i kin pwɛl ɔda pat dɛn na di bɔdi ɛn mek di lɔng dɛn swel bad bad wan.
• Inhalational injury: We yu inhal kεmikכl fכm כ smok we kכnsantreyt bכku bכku wan.
• Drug ovados : Fɔ tek tumɔs drɔg, lɛk kɔkɛyn ɔ opioid.
• Drawn ɔ nia fɔ drawn: We yu drawn, wata kin go insay yu lɔng ɛn pwɛl dɛn.

Udat de pan ay risk fɔ gɛt ARDS?

Bɔrku tɛm, ARDS kin kam pan pipul dɛm wae dɔn ɔlrɛdi de na ɔspitul bikɔs ɔf aksidɛnt ɔr sik. Bɔt i nɔ min se yu go gɛt am jɔs bikɔs yu de na ɔspitul. Bɔku tin dɛn de we kin mek yu gɛt mɔ prɔblɛm:

• Bikɔs i dɔn pas 65 ia.
• Yuz tabak (we yu de smok sigrɛt).
• Yuz drɔgs.
• Fɔ gɛt wan sik we bin dɔn de na yu lɔng.

Wetin na di prɔblɛm dɛn we kin apin we pɔsin gɛt ARDS?

ARDS kin mek yu gɛt difrɛn prɔblɛm dɛn, we yu de na ɔspitul ɛn afta yu dɔn go na os. Sɔm pan dɛn na:

• Blɔd we de klɔt ɔ dip vein trombosis (DVT).
• Nyumotɔraks: Dis kin apin bikɔs ɔf di prɛshɔn we di ventilatɔ de gi pan wan lɔng we dɔn pwɛl ɛn we dɔn at.
• Delirium: Distɔbshɔn pan kɔnshɛns.
• Bɔku ɔgan dɛn we nɔ de wok fayn .
• Di mɔsul dɛn we wik.
• Lɔng skata ɔ fibrosis.
• Pɔst-Traumatik Strɛs Disɔda (PTSD) .
• Prɔblɛm dɛn we gɛt fɔ du wit yu maynd lɛk fɔ wɔri ɛn pwɛl at .

Aw yu kin no se yu gɛt ARDS? (Diagnosis) .

Dɔktɔ dɛn kin no if pɔsin gɛt ARDS bay we dɛn de chɛk dɛn bɔdi ɛn di tin dɛn we dɛn kin du fɔ sɔm tɛst dɛn. Bikɔs di sayn dɛm fɔ ARDS tan lɛk di wan dɛm wae de kam wit lɔng ɔ at sik wae nɔr de dɔn, di dɔktɔ fɔ pul ɔda tin dɛm bak wae kin mek pɔrsin gɛt dis sik. Dɔktɔ kin ɔda fɔ du wan kɔmbayn tɛst, lɛk:

• Chɛst X-ray: Fɔ si ɔmɔs wata de na di lɔng dɛn.
• Blɔd tɛst: I de mɛzhɔ di ɔksijɛn lɛvɛl na di blɔd ɛn no aw ARDS siriɔs.
• Echocardiogram (ultrasound test of the heart): Si aw di at de wok.
• Ilɛktrokardiogram (EKG): I de mɛzhɔ di ilɛktrik wok we di at de du.
• Fכ finga tip sεns `(Puls oksimetri)`: kכntinyu fכ mכnitor di כksijεn lεvεl dεm.
• CT skan (Computed Tomography - CT scan): Gεt mכr ditayl infכmeshכn bכt di lכng dεm.
• Fɔ tek sampul fɔ di tin dɛn we de kɔmɔt na di say we yu de blo: Fɛn di tin we mek yu gɛt di sik.

Wetin na di tritmɛnt dɛm fɔ ARDS?

Di men gol fɔ trit ARDS na fɔ mek di ɔksijɛn lɛvɛl go ɔp na di blɔd ɛn fɔ mek di ɔgan dɛn nɔ wok. Pipul wae gɛt ARDS kin nid mɛkanikal ventilatɔ ɛn/ɔ ɔksijɛn tɛrapi fɔ mek di ɔksijɛn lɛvɛl go ɔp na di blɔd. Dɛn kin nid ɛp bak fɔ opin di say dɛn we dɛn kin blo we dɛn dɔn blok bikɔs dɛn dɔn pwɛl. Yu dɔktɔ kin du tin dɛn fɔ ridyus di prɔblɛm dɛn we kin kam wit ARDS, lɛk:

• Gi slip pils (sedation) fɔ ɛp fɔ kɔntrol pen ɛn fɔ de kol.
• Bifo yu tɔn yu ɔpsayd dɔŋ, put yusɛf na say we yu fɔdɔm. Dis kin mek di ɔksijɛn flɔ fayn.
• Du tɛst fɔ brith ɛn no di rayt tɛm fɔ pul di tiub ɛn di ventilatɔ.
• Gi blɔd tin fɔ mek blɔd nɔ klɔt.
• Gi diuretics fɔ pul di wata we pasmak na di bɔdi.
• Gi mεdikeshכn fכ ridyus di wata we de bכku na di lכng.
• Dɛn kin gi antibayɔtik fɔ mek pɔsin nɔ gɛt di sik ɔ fɔ mɛn di sik dɛn we dɔn de.
• Gi aktif muvmɛnt ɛn fizik tɛrapi fɔ mek di mɔsul dɛn nɔ wik.
• Riferal to pulmonary rihabiliteshɔn program fɔ mek di lכng dɛn strɔng ɛn fɔ mek di lכng kapasiti go ɔp.

Aw lɔng e kin tek fɔ wɛl frɔm ARDS? Wetin na di rit we pɔsin kin wɛl?

E kin dipen pan aw de sik kin tranga ɛn aw lɔng i kin tek fɔ mek pɔrsin in lɔng fɔ wɛl. Bɔrku stɔdi dɔn sho se i kin tek siks mɔnt to wan ia fɔ mek di nɔmal lכng wok kam bak afta ARDS. Bɔt, sɔm pipul dɛn nɔ kin ɛva wɛl ɔl. Di rεt wae de liv fכ ARDS na bכt 55% to 70% , if dεn trit am kwik. Di rεt wae de liv de dכn if dεn delay di tritmεnt כ if כda כgan dεm bigin fכ fεl. Yu prɔgnosis kin bi bay tin dɛm lɛk yu ɔndalayn mɛdikal kɔndishɔn, mɛdikal histri, ɛn aw yu gɛt prɔblɛm wit yu briz. Yu dɔktɔ go tɔk bɔt dis wit yu.

Yu tink se dɛn kin mek dɛn nɔ gɛt ARDS?

No patikyula we nɔ de fɔ mek yu nɔ gɛt ARDS. Bɔt if yu gɛt sayn dɛn we de sho se yu nɔ de blo fayn, ɔ if yu lɔng dɔn pwɛl ɔ ɔda sik, fɔ go to dɔktɔ wantɛm wantɛm , dat kin ɛp fɔ mek di sik nɔ wɔs. If yu nɔ smok ɛn nɔ drink pasmak, dat kin mek yu nɔ gɛt siriɔs ARDS.

Aw layf tan lɛk afta ARDS? Wetin wi fɔ no bɔt?

ARDS kin mek pɔsin in layf de pan denja ɛn i kin mek pɔsin fred. Bɔt wit di tritmɛnt we dɛn dɔn impɔtant ɛn di sɔpɔt we dɛn de gi di ventilatory (especially we dɛn de tɔn di sikman dɛn na dɛn bɛlɛ fɔ mek dɛn ebul fɔ gi ɔksijɛn fayn fayn wan), mɔ pipul dɛn de liv naw, ɛn di ARDS kɔmplikeshɔn dɛn de go dɔŋ. Pipul dɛn we nɔ rich 65 ia yet ɛn di wan dɛn we kin gɛt ARDS afta dɛn dɔn gɛt aksidɛnt ɔ dɛn kin gi dɛn blɔd, kin gɛt bɛtɛ prɔgnosis. Fɔ wɛl frɔm ARDS kin tek lɔng tɛm. Bɔrku pipul dɛm wae dɛn kin pul na di ventilator kin ebul fɔ blo fri wan. Sɔm kin wɛl kpatakpata, bɔt ɔda wan dɛn kin gɛt prɔblɛm wit dɛn lɔng. Dɛn nid fɔ gɛt kia fɔ wan spɛshal dɔktɔ we de mɛn dɛn lɔng (pulmonologist).

"Mi mama bin gɛt ARDS ɛn i bin de na ɔspitul fɔ mɔnt. Ivin afta i kam bak na os, i bin taya bad bad wan. I nɔ bin ebul fɔ du ivin di smɔl smɔl wok dɛn. Bɔt afta i dɔn fala di dɔktɔ dɛn instrɔkshɔn ɛn du fizik tɛrapi, i de bɛtɛ smɔl smɔl. Dis tɛm, di sɔpɔt ɛn lɔv we in famili gɛt rili valyu."

Layf afta ARDS kin tranga. Peshɛnt ɛn aks fɔ sɔpɔt frɔm yu fambul ɛn padi dɛn as yu de wɛl. Yu kin nid ɛp bak fɔ du tin dɛn we yu kin du ɛvride te yu lɔng dɛn kam bak. Tɔk to yu dɔktɔ bɔt sɔpɔt grup ɔ ɔda tin dɛn we go ɛp yu fɔ gɛt trɛnk bak.

Wetin na di kɔnekshɔn bitwin COVID-19 ɛn ARDS?

Dɛn tin ya nɔto di sem tin. Pɔsin we gɛt COVID-19 kin gɛt ARDS we di vayrɔs rich na in lɔng. Risach pipul dɛm se di rit we pɔsin we gɛt ɔl tu di COVID-19 ɛn ARDS de liv na lɛk 50% to 60%. Bɔt dis kin dipen bak pan bɔku tin dɛn, lɛk wɛlbɔdi istri ɛn ɔda sik dɛn we pɔsin kin gɛt. Fɔ spɛn tɛm na di say usay dɛn de kia fɔ pipul dɛn we sik bad bad wan (ICU) kin mek yu fil bad ɛn i nɔ kin izi fɔ yu. Pipul wae de wɛl frɔm ARDS nɔr kin ebul fɔ go bak to dɛn nɔrmal layf kwik, so yu rili nid sɔpɔt. I impɔtant fɔ gɛt prɔfɛshɔnal ɛp ɛn advays we yu de wɛl frɔm ARDS. Aks yu mɛdikal tim bɔt di post-intensif kia rikavari program dɛm ɛn di onlayn sɔpɔt grup dɛm na yu eria.

Di Tin dɛn we Impɔtant pas ɔl: Tin dɛn fɔ Mɛmba (Mɛsej fɔ Tek na Os) .

Okay, so na sɔm tin dɛn ya yu nid fɔ mɛmba frɔm wetin wi dɔn tɔk bɔt:

• ARDS na siriɔs sik we kin mek di lɔng dɛn pwɛl. di ay sak dεm na di lכng dεm de fulכp wit wata, we de rεdכks di כksijεn we kin rich na di bכdi.
• If yu gɛt sɔm kayn sik lɛk fɔ blo bad bad wan, fɔ blo kwik kwik wan, ɔ yu nel/lip blu, go to dɔktɔ wantɛm wantɛm.
• ARDS kin gɛt bɔku tin dɛn we kin mek i apin. Sepsis, nyumonia, COVID-19, ɛn bad bad aksidɛnt na jɔs sɔm.
• Di tritmɛnt mɔ na ɔksijɛn, sɔpɔt fɔ ventilatɔ, ɛn fɔ manej di prɔblɛm dɛn we kin apin .
• I kin tek tɛm fɔ mek i wɛl, ɛn sɔm pipul dɛn kin gɛt prɔblɛm wit dɛn lɔng tɛm fɔ lɔng tɛm.
• Tritmɛnt kwik ɛn gud mɛrɛsin rili impɔtant fɔ sev pipul dɛn layf ɛn fɔ ridyus di prɔblɛm dɛn we kin apin.
• Sɔpɔt frɔm famili ɛn sosayti impɔtant fɔ pɔsin we de wɛl frɔm ARDS.

Mɛmba se, e fayn fɔ no bɔt dis sik. If yu ɔ pɔsin we yu sabi gɛt ɛni wan pan dɛn sik ya, nɔ panik ɔ panik, bɔt go to dɔktɔ wantɛm wantɛm. Da we de, yu kin bigin di tritmɛnt we yu nid kwik kwik wan.