Yu de fil se yu kɔnfyus ɔ yu kɔnfyus? Lɛ wi tɔk bɔt Altered Mental Status (AMS)!

Yu ɔ pɔsin we yu sabi dɔn fil lɛk se yu nɔ gɛt wanwɔd smɔl, nɔto di sem tin? Sɔntɛnde, dɛn kin slɔp dɛn wɔd dɛn, dɛn nɔ kin mɛmba udat dɛn bi ɔ usay dɛn de, ɔ dɛn kin bigin fɔ biev strenj. Dis na wetin wi kin kɔl, insay simpul wɔd, ‘altered mental status’ ɔ, as dɔktɔ dɛn kin kɔl am , ‘altered mental status’ (AMS) . Dis nɔto wan patikyula sik, bɔt na big chenj na wi maynd wok we kin apin bikɔs ɔf difrɛn tin dɛn we kin afɛkt wi bren. Mek wi tok abaut dis in mo ditel, okay?

Wetin rili na Altered Mental Status (AMS)?

Fɔ tɔk am simpul wan, Altered Mental Status (AMS) na wan sik we yu bren nɔ de wok fayn. Dis kin kam bikɔs ɔf sik, injury na in bɔdi, ɔr in ed injury. Dis kin mek yu chenj aw yu de no, aw yu de ɔndastand, aw yu de biev, ɛn ivin aw yu de waka. Tink bɔt am lɛk kɔmpyuta softwe prɔblɛm we nɔ de wok fayn.

Wetin na di men kayn Altered Mental Status (AMS)?

Wi kin si dis (AMS) kɔndishɔn insay tri men we dɛn. Ɛni wan pan dɛn tin ya gɛt difrɛn abit dɛn.

1. Delirium we kin mek pɔsin fil bad

Dis na tin we kin apin wantɛm wantɛm ɛn we kin apin wantɛm wantɛm. Delirium na wan mɛdikal imejensi. Insay dis, pɔrsin kin nɔr kin no wetin fɔ du, nɔr kin no wetin fɔ du, ɛn i kin biev di kayn we we nɔ kɔmɔn. Imajin se yu grani we dɔn ol nɔ no yu ɔ di pipul dɛn we de arawnd am wantɛm wantɛm, ɛn bigin fɔ ala. Bɔt di bɛst tin na dat if dɛn trit dis sik fayn fayn wan, dɛn kin wɛl ɔl.

2. Smɔl smɔl yu nɔ de mɛmba (Dementia) .

Dimɛnshɔn na wan sik wae de go bifo ɛn wae de afɛkt aw pɔrsin de mɛmba ɛn tink, ɛn kin gɛt bɔrku impak pan ɛvride layf. E kin bɔrku pan pipul dɛm wae dɔn ol. As di sik de go bifo, pipul dɛn kin fɔgɛt udat dɛn bi, usay dɛn de, ɛn udat na di wan dɛn we dɛn lɛk. I kin bi sɔntin we de mek pɔsin fil bad.

3. Saykosis we pɔsin kin gɛt

Di tɔd wan na Saykosis. Insay dis, pɔsin nɔ kin ebul fɔ no difrɛns bitwin rial tin ɛn fantasi. Dɛn kin si ɛn yɛri tin dɛn we nɔ de, gɛt strenj aidia, ɛn fil se dɛn de dawt. Dis kin kam bikɔs ɔf sɔm sik dɛn ɔ bikɔs sɔm mɛrɛsin dɛn kin du tin. Fɔ tɔk di kɔrɛkt tin, i kin tan lɛk se dɛn de na drim wɔl.

Wetin mek dis (Altered Mental Status - AMS) kin apin? Wetin na di tin dɛn we kin mek i apin?

Insay wan sik lɛk dis maynia sik, na wae pɔrsin nɔr kin no natin smɔl smɔl dipεnd pan di kayn sik. Bɔt if AMS bigin wantɛm wantɛm lɛk dilirium ɔ saykosis, prɔblɛm na ɛni ɔgan sistɛm na wi bɔdi kin bi di kɔz. Lɛ wi si wetin na di men tin dɛn we kin mek wi gɛt dis sik.

Sεntri nεv sεstem ishu dεm

Wi bren de kɔntrol ɔltin bɔt wi. So if prɔblɛm de wit di bren, i kin afɛkt wi kɔnshɛns dairekt wan.

• Blɔd we de kɔmɔt insay di bren (Hemorrhage): Dis kin apin bikɔs ɔf aksidɛnt ɔ ɔda tin.
• Bren tumor : Dis na big tin bak we kin mek pɔsin chenj in kɔnshɛns.
• Hepatic encephalopathy : Dis kכndyushכn kin apin we di liva nכ de wok fayn εn west prodakt dεm de go insay di bren.
• di prεshכn we de inkrεs biכs fכ di wata we de kכmכt na di bren (Obstructive hydrocephalus): Dis na kכndyushכn we rili siriכs bak.
• Seizure : Sɔm pipul kin kɔntinyu fɔ kɔnfyus fɔ sɔm tɛm afta dɛn dɔn gɛt seizure.
• Strɔk : Dis kin apin we di blɔd we de go na di bren stɔp ɔ we di blɔd vesel bɔs.

Disɔda dɛn we de mek pɔsin in bɔdi de chenj

Dis kכndyushכn (AMS) kin apin we di bεlε we di kεmεkal dεm na wi bכdi de bכku.

• Wae yu nɔr gɛt wata na yu bɔdi : Yu kin fil fɔ tɔsti pasmak ɛn yu kin gɛt diziz we yu bɔdi nɔ gɛt wata, ɛn yu kin kɔnfyus.
• Hypothermia : Dis kin apin we di bɔdi kol bad bad wan.
• Di ɔksijɛn lɛvɛl na di blɔd we de go dɔŋ (Hypoxemia): Dis kin bi bikɔs i nɔ izi fɔ blo.
• Hypoglycemia : Dis na tin we kin apin to pipul dɛn we gɛt dayabitis. Pipul dɛn kin bigin fɔ swet wantɛm wantɛm, dɛn kin fil bad, ɛn dɛn kin ivin nɔ no natin.
• di sodium lεvεl we de dכn na di bכdi (Hyponatremia) .
• Di kalsiɔm lɛvɛl we de na di blɔd we de go dɔŋ (Hypocalcemia) .
• Hypothyroidism : Dis kin afɛkt bak smɔl smɔl mɛmori.

Di sayd ɛfɛkt dɛm fɔ sɔm mɛrɛsin dɛm (Adverse reactions to prescription drugs) .

Sɔm mɛrɛsin wae wi kin tek fɔ sik kin mek pɔrsin chenj in kɔnshɛns bak as sayd ɛfɛkt.

• Mɛrɛsin dɛn we de mek pɔsin nɔ gɛt sik
• Sɔm mɛrɛsin dɛn we de kɔntrol di mɔsul dɛn we de spam (Anticholinergics) .
• `(Kɔtikosterɔyd)` kayn mɛrɛsin
• Di tin dɛn we de mek pɔsin fil fayn
• Pils fɔ slip

Impɔtant: Ilɛk us mɛrɛsin yu tek, if yu gɛt ɛni chenj we nɔ kɔmɔn na yu kɔnshɛns afta yu tek am, yu fɔ tɛl dɔktɔ wantɛm wantɛm.

Infεkshכn dεm

Sɔm infekshɔn na di bɔdi, mɔ we dɛn kin kam tranga wan, kin afɛkt di bren ɛn chenj di we aw pɔsin de tink.

• Urinary tract infection (UTIs): We pipul dɛn, mɔ di wan dɛn we dɔn ol, gɛt urinary tract infection, dɛn kin gɛt wanwɔd wantɛm wantɛm ɛn nɔ kin no natin. Bɔku tɛm, dis kin mek pɔsin we dɔn ol nɔ no natin wantɛm wantɛm.
• Ɛnsɛfalaytis : Na di bren tisu de swel.
• Meningitis we gɛt di sikMeningitis: Infεkshכn na di mεmbran dεm we de kכba di bren εn di spεnal kכd.
• Nyumonia : Wan infεkshכn na di lכng kin bכku bak.

Ɔda tin dɛn we kin mek i apin

Ɔda rizin dɛn de apat frɔm dis.

• Sivεr shכk (e.g., kכdijεnik shכk we kכz fכ at atak) .
• Di sayn dɛm fɔ lɛf fɔ drink rɔm we yu de tek drɔgs ɔr rɔm ɔ yu dɔn lɛf fɔ drink
• Traumatik bren injuri

Wetin na di sayn dɛm fɔ Altered Mental Status (AMS)?

We pɔrsin in kɔnshɛns chenj, i kin gɛt difrɛn kayn sayn dɛm. Dɛn kin sheb dɛn to sɔm men kategori dɛn.

Chenj dεm na di kכgnitiv fכnshכn εn awareness

• Dikɛd ɔ kɔmplit lɔs pan kɔnshɛns (Kɔma) .
• Kɔnfyushɔn, kɔnfyushɔn na maynd
• Disorientation ( nɔ ebul fɔ no ples, tɛm, ɔ pipul dɛn ) .
• Amnesia ɛn ɔda prɔblɛm dɛn we kin mek pɔsin mɛmba
• Fɔ si ɔ yɛri tin dɛn we nɔ de (Hallucinations) .
• Nɔmal, lay lay biliv (Delusions) .
• Tɔk kin bi tin we nɔ gɛt wan minin, wɔd dɛn kin rɔsh
• Fɔ let fɔ ansa kwɛstyɔn dɛn ɛn fɔ ansa

Imajin if yu padi nɔ no yu wantɛm wantɛm, i nɔ ebul fɔ ansa we yu aks am aw in de bi, ɛn wetin i tɔk nɔ mek sɛns. Na so i tan lɛk.

Di tin dɛn we gɛt fɔ du wit di we aw pɔsin de fil ɛn in maynd

• Agiteshɔn ɛn iritabiliti
• Fɔ fred we nɔ nid fɔ de, fɔ wɔri
• Pwɛl hat, nɔr de intres pan ɛnitin
• Fɔ fil bad , lɛk fɔ fil bad wantɛm wantɛm, fɔ kray, ɛn ɔda tin dɛn.
• Fɔ fil gladi we nɔ kɔmɔn fɔ natin (Euphoria) .
• Social withdrawal , fɔ tray fɔ de fa frɔm ɔda pipul dɛn
• Di we aw pɔsin kin biev we nɔ kɔmɔn

Atikul dεm wae de altεr mental stεtus sεmtεm dεm

• Taya pasmak, taya `(Fatigue)`
• Hyperactivity, restlessness, nɔ ebul fɔ de na wan ples
• Difεlεns fכ brith, sכt brith `(Respiratory distress)`

Aw dɛn kin no dis (AMS) kɔndishɔn?

We dɛn kɛr pɔsin go na ɔspitul we in kɔnshɛns dɔn chenj, di fɔs tin we dɔktɔ dɛn kin du na fɔ tray kwik kwik wan fɔ no wetin de mek i gɛt am. Bɔku tɛm, dɛn kin du dɛn tɛst ya na di imejensi rum.

Dɔktɔ dɛn kin plan yu tɛst bay aw yu gɛt di sik ɛn aw dɛn kin tranga. Fɔs, dɛn kin aks yu (ɔ pɔsin we yu de wit if yu nɔ ebul fɔ tɔk) bɔt yu mɛrɛsin ɛn mɛrɛsin dɛn. Dɔn dɛn kin du wan bɛsik ɛgzam fɔ dɛn bɔdi. Dɛn kin luk fɔ dɛn tin ya:

• Airway: Chek fɔ si if i opin ɛn i de fayn.
• Brith: Fɔ lisin to di lɔng dɛn wit stetɔskɔp.
• Sakulayshɔn: I de chɛk di puls, blɔd prɛshɔn, ɛn at rit.
• Nyurolɔjik dɛfisit: Dɛn kin chɛk fɔ si if yu gɛt nyurolɔjik dɛfisit, lɛk fɔ lɛ yu nɔ no natin ɔ fɔ paralayz na wan say na di bɔdi.
• Ful bodi egzamin (Exposure): Dɛn kin du ed to fut fɔ chɛk fɔ wund, bandej, ɛn ɔda tin dɛn.

Wetin ɔda tin yu de tɛst?

Afta dis fɔs ɛgzamin, dɛn go nid fɔ du sɔm ɔda tɛst dɛn fɔ no di rayt tin we mek di AMS kɔndishɔn.

• Blɔd tɛst : Dɛn tin ya kin no bɔku tin, lɛk infekshɔn, shuga lɛvɛl, sɔl lɛvɛl, ɛn di liva we de wok.
• CT scan : I kin no tin dɛn lɛk blɔd we de kɔmɔt na yu bren, tumbu, ɛn strok.
• Chɛst X-ray : Fɔ chɛk fɔ si if yu gɛt infɛkshɔn na di lɔng lɛk nyumonia.
• ECG : Luk fɔ abnɔmal tin dɛn na di at bit.
• EEG : Na tεst we de mכsu di ilektrikal aktiviti na di bren, we de εp fכ no di kכndyushכn dεm lεk se yu de sכk.
• Urinalysis : Fɛn ɔda tin dɛn lɛk urinary tract infection.
• Blɔd shuga tɛst : Chɛk fɔ si if di blɔd shuga nɔ bɔku.

Wetin na di tritmɛnt dɛm fɔ AMS?

Di tritmɛnt fɔ AMS dipen dairekt pan di ɔndalayn mɛdikal kɔndishɔn we mek i kam ɛn di kayn AMS.

Fɔ gi sɔm ɛgzampul dɛn:

• If na bikɔs ɔf infekshɔn, dɛn go gi am di rayt antibayɔtik .
• If na bikɔs ɔf wan sayd ɛfɛkt we wan mɛrɛsin gɛt, dɛn go chenj di mɛrɛsin ɔ stɔp.
• If di blɔd shuga nɔ bɔku (haypoglycemia), dɛn kin gi glukagon injɛkshɔn.
• If wata nɔ de na di bɔdi (dehydration), dɛn kin gi am salin (intravenous fluids).
• If yu ovados pan drɔgs (e.g. opioid), dɛn go gi yu wan antidote (e.g. Naloxone).
• If na seizure, dɛn kin gi yu mɛrɛsin fɔ stɔp am.
• Sɔntɛnde, dɛn kin gi yu mɛrɛsin fɔ mek yu nɔr wɔri ɔr mɛrɛsin wae de mek yu nɔr de fil bad.
• If blɔd de kɔmɔt ɔ prɛshɔ de na di bren, dɛn kin nid fɔ du ɔpreshɔn fɔ pul am.
• If ɔksijɛn nɔ de na di blɔd, dɛn kin gi am ɔda ɔksijɛn .

Yu tink se dɛn kin mek dɛn nɔ gɛt di sik we dɛn kɔl Altered Mental Status (AMS)?

Sɔm tin wae kin mek wi gɛt dis maynia sik, lɛk wae pɔrsin gɛt dis maynia sik, nɔr kin izi fɔ wi fɔ avɔyd am kpatakpata. Bɔt tin dɛn de we wi kin du fɔ ridyus di risk fɔ gɛt AMS frɔm bɔku ɔda tin dɛn.

• If yu gɛt sik dɛn we nɔ de mɛn lɛk dayabitis, ɛpilepshi, ɔ tayroyd sik, tek tɛm fala wetin yu dɔktɔ tɛl yu fɔ du. I rili impɔtant fɔ kɔntrol dɛn sik ya.
• Tek di mɛrɛsin we yu dɔktɔ gi yu di rayt tɛm ɛn di we aw yu fɔ tek am. Nɔ ɛva inkrisayz ɔ ridyus di doz ɔ tek mɛrɛsin we dɛn tɛl ɔda pɔsin.
• Nɔ yuz ɛni drɔgs ɔ rɔm we yu nɔ gɛt dɔktɔ advays. I bɛtɛ lɛ yu avɔyd dɛn.

Aw i tan lɛk fɔ liv wit (AMS)? Yu tink se wan mɛrɛsin de fɔ mɛn am?

If di chenj na di kɔnshɛns na bikɔs ɔf di delirium ɔr saykosis, di sayn dɛm kin dɔn afta tritmɛnt ɛn di pɔrsin kin wɛl kwik kwik wan. Yu kin go bak to yu nɔmal layf afta sɔm tɛm. Bɔt i rili impɔtant fɔ fala yu dɔktɔ in instrɔkshɔn ɛn go de chɛk yu ɔltɛm, bikɔs dis sik kin kam bak. Fɔ ɛgzampul, if AMS na bikɔs ɔf haypoglycemia, yu fɔ chɛk yu blɔd shuga ɔltɛm ɛn kɔntrol am.

Bɔt wit tin dɛm lɛk dis maynia sik, pan ɔl we tritmɛnt kin kɔntrol akyu layf-thrɛtin kɔndishɔn dɛm (e.g., infɛkshɔn), mɛmori ɛn di bren wok kin kɔntinyu fɔ go dɔŋ smɔl smɔl. Bɔt we dɛn de fɔ ɛp dɛn sik pipul dɛn de fɔ kɔntinyu fɔ liv fayn layf.

Mɛmba se, Altered Mental Status (AMS) na chenj we di bren de du. I kin bi fɔ shɔt tɛm, bɔt i kin mek pɔsin in layf de pan denja kwik kwik wan. If yu ɔ pɔsin we yu sabi de gɛt dɛn kayn sik ya, i impɔtant fɔ go to dɔktɔ ɛn nɔ de te.

Smɔl pɔynt dɛn we wi fɔ mɛmba

Di Altered Mental Status (AMS) we wi bin de tɔk bɔt nɔto simpul tin. Na chenj na di nɔmal wok we wi bren de du.

• Dis sik (AMS) kin apun fɔ bɔrku rizin, lɛk difrɛn sik, bɔdi disabiliti, aksidɛnt, ɛn mɛrɛsin.
• Delirium, Dementia, ɛn Psychosis na de tri men kayn dis.
• Wi kin si bɔrku sayn dɛm lɛk fɔ kɔnfyus, fɔ mɛmba tin, fɔ biev lɛk aw i nɔr kin bi, ɛn fɔ tɔk fayn.
• Sɔmtɛm dis kin bi fɔ sɔm tɛm ɛn dɛn kin mɛn am wit tritmɛnt. Bɔt sɔntɛnde, i kin mek pɔsin in layf de pan denja.
• So, if yu ɔ pɔsin we yu sabi de gɛt dɛn sayn ya we de sho se yu de chenj yu maynd, i go fayn fɔ mek yu go to dɔktɔ wantɛm wantɛm. Dat na di bɛst tin fɔ du. Nɔto fɔ panik, bɔt if yu du sɔntin kwik kwik wan, dat kin mek yu nɔ gɛt big big damej.

` Altered Mental Status, AMS, Altered consciousness, Bren dizayd, Delirium, Dimɛnshɔn, Saykosis, Mɛdikal advays, Mental disɔda, Mental kɔnfyushɔn