Wetin na Bren Day? Lɛ wi tɔk bɔt am simpul wan!

yu don yehri se posin "brain dead" o "brain death"? Sɔntɛm we sɔntin lɛk dat apin to yu padi, yu go dɔn tink se, "I stil de blo pan mashin, aw i go dɔn day?" Dis na rili wan tin we rili kɔmplikt ɛn we rili sɔri. So tide, lɛ wi tɔk bɔt dis bren day, ɔ `(Brain Death)`, insay wan simpul we we yu go ɔndastand.

Wetin rili na bren day?

Fɔ tɔk am simpul wan, bren day na we yu bren stɔp fɔ wok kpatakpata. Dɛn kin tek dis as day pan mɛrɛsin ɛn lɔ. Wi bren na wan wɔndaful ɔgan. Wi kin tink se i gɛt tu pat. Wan na di bren stem, ɔ ``Brainstem''. Dis na wetin de kɔntrol di impɔtant tin dɛn we pɔsin kin du na layf, lɛk fɔ blo ɛn aw in at de bit. Di ɔda wan na di ɔp pat na di bren. Dis na wetin de kɔntrol wi sɛns fɔ si, yɛri, tɔch, tink, waka, ɛn tɔk.

So, if di bren day, siriɔs sik ɔ aksidɛnt kin mek di wan ol bren (inklud di bren stem) damej we nɔ go ɛva chenj. Dɔn, ɔl dɛn impɔtant wok ya we di bren de kɔntrol kin stɔp.

Di impɔtant tin na fɔ mek dɔktɔ dɛn tek tɛm disayd if di bren day, bay we dɛn de fala di tin dɛn we dɛn gri fɔ du fɔ mɛn pipul dɛn. Dɛn kin jɔs du dis afta dɛn dɔn mek shɔ se nɔ ɔda tin nɔ de we kin mek pɔsin gɛt dis sik, dɔn dɛn kin du spɛshal tɛst fɔ no if pɔsin gɛt di sik.

Dis na sɔntin we kin apin to bɔku pipul dɛn?

Nɔ, fɔ tru, i nɔ kɔmɔn so. Fɔ ɛgzampul, wan sɔv na Amɛrika sho se na lɛk 2% pan di pipul dɛn we de day na ɔspitul, na in bren day. Dat min se na wan sik we nɔ kin apin so ɔltɛm.

Wetin na di men tin dɛn we kin mek pɔsin in bren day?

Bɔku rizin dɛn de we mek di bren kin day bikɔs ɔf di bad bad tin dɛn we de apin to di bren we nɔ go ɛva chenj. As yu no, wi bren nid blɔd ɛn ɔksijɛn ɔltɛm fɔ mek i wok fayn. So, ɛni siriɔs injury ɔ sik we de stɔp blɔd ɛn ɔksijɛn fɔ flɔ to di bren kin mek dis. Dɔn bak, if di blɔd vesel dɛn we de insay di bren dɔn pwɛl ɛn blɔd, i kin mek bak dis sik. Na sɔm pan di men rizin dɛn:

• Traumatik Bren Injury: If yu gɛt had blow na yu ed, lɛk we yu gɛt aksidɛnt.
• Intracerebral hemorrhage: Na blɔd vesel de bɔs insay di bren.
• Subarachnoid Hemorrhage: Blɔd de kɔmɔt bitwin di mɛmbran dɛn we de rawnd di bren.
• Ischemic Stroke: Na blɔd vesel we de kɛr blɔd go na di bren kin blok, ɛn dis kin mek di blɔd nɔ de flɔ.
• Hat Atak: If di blɔd we de go na di bren nɔ de wok bikɔs ɔf at atak.
• Ɔksijɛn nɔ de na di bren (Hypoxic Ischemic Brain Injury - HIBI): Na bikɔs ɔf tin dɛn lɛk fɔ drawn ɛn fɔ swɛla.
• Infεkshכn dεm na di bren: fכ egzampl, infεkshכn dεm na di bren lεk mεningaytis כ εnεfalaytis.

If di damej we de pan di bren bikɔs ɔf ɛni wan pan dɛn tin ya rili bad, i kin mek di bren day.

Wetin na di mɛrɛsin we dɔktɔ dɛn kin yuz fɔ no if pɔsin in bren day?

"Mɛdikal Krayteria" na di step dɛm we dɔktɔ dɛn fɔ fala fɔ no if pɔsin in bren day. I tan lɛk wan sɛt ɔf lɔ dɛn. Yu nɔ go jɔs luk pɔsin ɛn se, "O, dis pɔsin in bren day." Bifo dat, dɔktɔ dɛn fɔ du dɛn tin ya:

• Wi kin fɛn di ɔndalayn kɔz fɔ di bad bad bren damej ɛn trit am. Wi kin tray fɔ kɔntrol di sik pan ɔl we wi ebul.
• I impɔtant fɔ mek shɔ se nɔ ɔda tin nɔ de we go mek yu bren pwɛl bad bad wan. Fɔ ɛgzampul, sɔm mɛrɛsin dɛn, ɔ tin dɛn lɛk we pɔsin nɔ gɛt bɛtɛ tɛm, kin mek in bren pwɛl bak. So dɛn kin pul dɛn wan dɛn de fɔs.
• Dɛn dɔn kɔnfyus bak se nɔr ɔda kayn sik nɔr de wae de sho sayn dɛm wae fiba di wan dɛm wae de mek yu bren day.

Na we dɛn dɔn du ɔl dis ɛn dɛn no se ɔda tin nɔ de we dɛn kin du, na in dɛn kin du spɛshal tɛst fɔ no se dɛn bren dɔn day.

Us tɛst dɛn kin du fɔ no if di bren de day?

Na dɔktɔ dɛn we dɔn gɛt spɛshal trenin fɔ day pan in bren kin du dɛn tɛst ya. If wan tɛst nɔ go du, dɛn fɔ du tɛst bɔku tɛm fɔ kɔnfirm di diagnosis. If yu tink se sɔmbɔdi na yu famili gɛt dis sik, dɔktɔ dɛn go mɔs tɛl yu famili bɔt dɛn tɛst ya ɛn di tin dɛn we go apin bifo tɛm.

Fizik Ɛgzamin ɛn Imej Tɛst dɛn

Dɔktɔ dɛn go chɛk di pɔsin in jenɛral kɔndishɔn. Sɔntɛnde, dɛn kin du imej tɛst lɛk bren MRI fɔ luk aw di bren de.

Nyurolɔjik Ɛgzamin

Dis na tɛst we rili impɔtant. Pɔsin we in bren dɔn day nɔ de ansa to sawnd, layt, ɔ tɔch lɛk aw dɛn bin de du bifo di bren pwɛl. Sɔm muvmɛnt dɛn kin de we de mek pɔsin jɔk, bɔt dɛn tin ya nɔto muvmɛnt we pɔsin kin muv bay wilful, bɔt na muvmɛnt we pɔsin nɔ want. We dɛn de du dis nyurolɔjik tɛst, dɔktɔ dɛn kin chɛk fɔ:

• Fɔ tɔch di bak pat na di trot ɛn chɛk fɔ kɔf ɔ gag riflɛks. If di bren de wok, i fɔ gɛt ansa to dis.
• Tכch di yay wit wan pis kכtכn wul εn si if di yay kכloz, muv, כ tכn di ed away (ay rεflεks).
• Layt de shayn pan di pupil na di yay ɛn dɛn kin wach if i de smɔl ɔ big. Nɔmal wan, di pupil fɔ smɔl we dɛn dɔn ɔp di layt.

If nɔr de ansa to ɛni wan pan dɛn tin ya, na sayn fɔ se di bren stem dɔn stɔp fɔ wok.

Tɛst fɔ brith (Apnea Test) .

Pɔsin we in bren dɔn pwɛl bad bad wan nɔ kin ebul fɔ blo fɔ insɛf. fכ dat, dεn kכnekt dεm to wan mashin we de brith, כ `(Ventilator)`. Insay dis apnia tɛst, `(Apnea Test)`, dɔktɔ dɛn kin stɔp di ɛp we dis `(Ventilator)` de gi fɔ rili shɔt tɛm ɛn si if di pɔsin tek wan briz fɔ insɛf. If di bren stem de wok, we di kabon dayɔgzayd lɛvɛl na di blɔd de go ɔp, i fɔ tray fɔ tek briz fɔ ansa. If dɛn nɔ tek da kayn briz de, dat na strɔng pruf bak fɔ se in bren dɔn day.

Wetin kin apin if tɛst kɔnfirm se yu bren dɔn day?

Fɔs, yu dɔktɔ dɛn go sheb di tɛst rizɔlt wit yu famili ɛn ɛksplen am. Dɛn go ɛksplen bak se if dɛn no se in bren dɔn day, dat min se pɔsin day. Dɔktɔ dɛn no aw i nɔ kin izi fɔ yɛri dis. Dɛn ɔndastand se yu famili go gɛt bɔku kwɛstyɔn dɛn ɛn tin dɛn we de mɔna yu. So, dɛn go gi yu famili tɛm fɔ ɔndastand (ulwangikkolla - fɔ ɔndastand) di minin fɔ dɛn rizɔlt ya ɛn ansa ɛni kwɛstyɔn.

Neks, di dɔktɔ dɛn go tɔk bɔt di nɛks tin dɛn we wi fɔ du. Fɔ ɛgzampul, bɔt fɔ pul di ventilator we de mek yu kɔntinyu fɔ liv. Dɛn kin aks yu fambul dɛm if dɛn go lɛk fɔ si yu ɛn de wit yu fɔ sɔm tɛm bifo dɛn pul di ventilatɔ. Dis na tɛm we rili sɛnsitiv.

Wetin na di difrɛns bitwin we yu de na kɔma ɛn we yu bren dɔn day?

Dis na sɔntin we kin mek bɔku pipul dɛn kɔnfyus. Fɔ de na kɔma min se yu nɔ de no natin, bɔt sɔm riflɛks rispɔns kin de na di bren. Fɔ ɛgzampul, we brayt layt nak di yay, di yay kin lɔk ɛn di ed kin tɔn bak. Dis min se sɔm wok dɛn we di bren de du stil de.

Bɔt we di bren day, nɔto da kayn riflɛs rispɔns de de. Dɔn bak, nɔto ɔltɛm pɔsin we de na kɔma kin de sote go. Bɔrku pipul kin wɛl frɔm kɔma insay lɛk tu wiks. Bɔt we di bren day, di bren kin lɔs di wok we i de du kpatakpata ɛn i nɔ kin ebul fɔ chenj, ɛn i nɔ kin ɛva gɛt kɔnshɛns bak.

Pɔsin we de na kɔma kin gɛt sɔm op fɔ wɛl, bɔt pɔsin we in bren dɔn day nɔ gɛt da kayn op de. Na dat na di men difrɛns.

Pɔsin we dɔn day in bren kin wɛl?

Nɔ, pɔsin we in bren dɔn day nɔ go ɛva ebul fɔ wɛl. We dɔktɔ dɛn tink se sɔntɛm na in bren day, dɛn kin fala rili strikt gaydlayn fɔ asɛs ɛn tɛst am. If tɛst kɔnfirm se di pɔsin in bren dɔn day, dɛn kin tek di pɔsin se i dɔn day pan mɛrɛsin. Dis nɔto sɔntin we pɔsin kin chenj.

Wi go ebul fɔ mek wi bren nɔ day?

Infakt, no we nɔ de fɔ mek di bren nɔ day dairekt wan. Na bikɔs wi nɔ go ebul fɔ stɔp di siriɔs sik ɔ aksidɛnt we de mek wi gɛt am. Bɔt if wi go to dɔktɔ kwik kwik wan afta wi gɛt siriɔs sik ɔ wund we dɔn afɛkt di bren, i go pɔsibul fɔ mek i nɔ go bifo te i day to wi bren te to sɔm mak. Bɔt naw, no tritmɛnt nɔ de we go mek di bren nɔ day wans di bren dɔn stɔp fɔ wok.

Pan ɔl we yu nɔ go ebul fɔ stɔp di tin dɛn we kin mek yu bren day, yu kin plan bifo tɛm fɔ wetin fɔ du if yu sik, wund, ɔ yu bren day. Yu kin du dis bay we yu kɔmplit wan ligal dɔkyumɛnt we dɛn kɔl "Advance Directive." Dis na dɔkyumɛnt we de sho us mɛrɛsin yu want if yu nɔ ebul fɔ tɔk fɔ yusɛf. fכ egzampl, yu "Advance Directive" kin se yu go want fכ gi yu כgan dεm afta yu day (inklud yu bren day).

Dis na tin we at fɔ ɔndastand smɔl, nɔto so?

Yɛs, bren day difrɛn frɔm di we aw wi kin tink bɔt day. Bɔku tɛm, wi kin tink bɔt day as di tɛm we wi bɔdi kin stɔp fɔ wok. Wi kin stɔp fɔ blo, wi at kin stɔp fɔ bit, ɛn wi kin krɔs di layn bitwin layf ɛn day.

Bɔt di mɛrɛsin we dɛn de yuz tide fɔ kia fɔ pipul dɛn we sik bad bad wan dɔn mek dis layn nɔ klia. Naw, wit tritmɛnt lɛk ventilator, dɛn kin kɔntinyu fɔ blo ɛn at bit fɔ sɔm tɛm te dɛn no ɛn trit wan prɔblɛm. So, i kin rili at fɔ gri se pɔsin we tan lɛk se i de blo ɛn in at de bit dɔn rili day.

Dɔktɔ dɛn we kin no se pɔsin in bren dɔn day kin ɔndastand dis gud gud wan. Dɛn kin tek tɛm ɔltɛm fɔ ɛksplen di tin dɛn we dɛn fɔ tek tɛm wit bifo dɛn kam fɔ no se pɔsin in bren dɔn day.

Tin dɛn we wi fɔ mɛmba frɔm dis stori (Take-Home Message)

Okay, so lɛ wi rikap sɔm pan di impɔtant pɔynt dɛn we wi dɔn tɔk bɔt tide:

• Bren day na tru tru day. Na day we lɔ ɛn mɛrɛsin gri wit.
• Dɛn kin tek tɛm du dis diagnosis, akɔdin to wan we we dɛn kin aksept. Nɔto wan tɛst kin kɔnfyus am, bɔt bay sɔm tɛst dɛn.
• Dis rili difrɛn frɔm we pɔsin de na kɔma. Wae chans de fɔ wɛl frɔm kɔma, wans di bren dɔn day nɔr de go bak.
• Pan ɔl we di ventilator dɛn kin mek sɔm pan di wok dɛn we di bɔdi de du fɔ sɔm tɛm (we i de blo, di at bit), di bren nɔ de wok atɔl.
• Sɔntɛnde lɛk dis, i kin rili at fɔ mek di famili ɔndastand ɛn gri wit dis tin we de apin. So, i rili impɔtant fɔ mek wi lɛk dɛn, du gud to dɛn, ɛn ɔndastand dɛn.

A op se dis infɔmeshɔn dɔn ɛp yu fɔ ɔndastand sɔm tin bɔt di kɔmpleks tɔpik bɔt bren day.

`Bren day, Bren day, Kɔma, Ventilator, Bren injuri, Day kɔnfɔmeshɔn, Mɛdikal tɛst