Wetin na kɔma? Lɛ wi tɔk bɔt dis siriɔs tin we kin mek wi nɔ no natin!

yu go don yehri sohmbodi se i "go insay koma" o si sohmbodi na fim wit in yay klos, no muv at ol. Dis na rili siriɔs tin we kin mek pɔsin in layf de pan denja. So, tide wi go tɔk bɔt wetin na kɔma ɛksaktɔli, wetin mek i kin apin, ɛn wetin wi kin du bɔt am.

Wetin rili na kɔma?

Fɔ tɔk am simpul wan, fɔ de na kɔma min se yu nɔ no natin , yu nɔ no wetin de apin rawnd yu, ɛn yu nɔ de ansa ɛni we . Yu nɔ no bɔt yu bɔdi ɔ wetin i nid. Fɔ tɔk am simpul wan, we yu kɔma, dat min se yu bren nɔ de wok fayn .

Tink bɔt am dis we: di bren tan lɛk di say we wi bɔdi de kɔntrol. Dis na wetin kin apin we i nɔ de wok fayn. Di kɔma kin kam bikɔs ɔf difrɛn tin dɛn we kin rili afɛkt ɔ pwɛl di bren. Nɔto ɔl kɔma dɛn na di sem. Sɔm kin dip , we min se di wok we di bren de du kin ambɔg bad bad wan.

Kɔma na wan mɛdikal imejensi . If pɔsin na yu eria nɔ no natin ɛn i nɔ de ansa, kɔl 911 (ɔ yu lokal imejensi nɔmba) wantɛm wantɛm . Bɔrku tin wae kin mek pɔrsin kam na kɔma nid fɔ gɛt tritmɛnt kwik kwik wan. If yu de delay, dat kin mek yu gɛt siriɔs prɔblɛm dɛn, ɛn i kin ivin mek yu day.

Aw kɔmɔn tin fɔ kɔma?

Risach we de sho se na kɔntri dɛn lɛk Amɛrika ɛn Ingland, na lɛk 250 nyu pipul dɛn we gɛt kɔma kin apin ɛvri ia. Bɔt sɔm tin dɛn de we nɔ shɔ bɔt aw dɛn ɛstimat ya kɔrɛkt. Bɔku rizin dɛn de fɔ dis. Wan men rizin na bikɔs sɔm pan di tin dɛn we kin mek pɔsin kɔma , dɛn kin trit am ɛn dɛn kin trit am kwik kwik wan. Sɔntɛnde, fɔs ɛlda kin trit dɛn tin ya bifo dɛn ivin rich na ɔspitul. Wan ɔda rizin na dat ɔda tin dɛn de we kin tan lɛk kɔma, bɔt dɛn kin rili difrɛn.

Kɔma kin apin to ɛnibɔdi we gɛt ɛni sik we de afɛkt di we aw di bren de wok. I kin afɛkt ɛnibɔdi, ilɛksɛf i ol, ilɛksɛf na man ɔ uman, in kɔlɔ, ɔ if i rilijɔn.

Wetin na di sayn dɛm we pɔsin kin gɛt we i de na kɔma?

Tri men sayn dɛn de we de sho se pɔsin de na kɔma:

• We pɔsin nɔ no natin: Dis tan lɛk we pɔsin de slip dip dip wan. No we nɔ de fɔ wek yu.
• Lack of eye response: Dis min se yu yay dɔn lɔk. Yu nɔ de ansa ivin if pɔsin tray fɔ opin yu yay. Sɔntɛnde, sɔm riflɛks muvmɛnt dɛn kin de na di yay. Fɔ ɛgzampul, fɔ ansa layt, fɔ blink, ɛn tɔn yu yay we yu tɔn yu ed. Bɔt if di kɔma rili dip, dɛn riflɛks ya nɔ kin apin lɛk aw dɛn bin de tink.
• Lak fɔ di motoka rispɔns:Dat min se yu nɔ de mek ɛni muvmɛnt bay wilful . Sɔntɛnde, yu kin gɛt sɔm tin dɛn we yu kin tink bɔt. Bɔt if di kɔma rili dip, dɛn kin lɔs bak. Yu kin no bak aw di kɔma dip bay di kayn riflεks we yu de sho.

Pan ɔl we dɛn kin si dɛn sayn ya we pɔsin de na kɔma, sɔm difrɛns kin de. Sɔm pipul dɛn kin dɔn chenj di we aw dɛn de du tin wit dɛn motoka.

Wetin na di Glasgow Kɔma Skel (GCS)?

Di Glasgow Coma Scale (GCS) na di we we dɛn kin yuz pas ɔl na di wɔl fɔ no aw pɔsin kin gɛt kɔma. Di GCS gɛt tri men kategori, ɛn ɛni kategori gɛt mak. Di maksimam mak na 15. Dis min se yu no gud gud wan, yu no wetin de arawnd yu, yu ebul fɔ ɔndastand ɛn ansa kwɛstyɔn dɛn, ɛn yu ebul fɔ fala di kɔmand dɛn.

Jɛnɛral wan, if yu gɛt 8 ɔ smɔl pas dat, dat min se yu de na kɔma. Di mɔ di mak smɔl, na di mɔ di kɔma de dip. Di mak we smɔl pas ɔl na 3. Di tri kategori dɛn we di GCS mɛzhɔ na:

• Ay rispɔns (1-4 poɛnt) .
• Muvmɛnt rispɔns (1-6 poɛnt) .
• Di ansa we yu de tɔk (1-5 pɔynt) .

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

Bɔrku rizin de wae kin mek yu kɔma ɔr kin mek yu kɔma. Lɛ wi tek wan luk pan wetin dɛn bi:

• Nɔmal chenj na di blɔd shuga lɛvɛl: Dis inklud kɔma we gɛt fɔ du wit dayabitis. Ɔl tu di blɔd shuga we smɔl (haypoglycemia) ɛn di ay blɔd shuga (hyperglycemia) ɔl tu denja.
• Di mɛrɛsin ɛn di we aw dɛn de mɛn pipul dɛn: Anestezi fɔ ɔpreshɔn, ɛn bak fɔ kɔma we dɛn de yuz mɛrɛsin.
• Yuz drɔgs we dɛn de yuz fɔ mɛn pipul dɛn ɛn we nɔto fɔ mɛn pipul dɛn.
• We pɔsin drink rɔm ɛn pɔyzin we pɔsin de drink rɔm.
• Ɛd injuri: Tin dɛn lɛk kɔnkyushɔn, we kin apin we dɛn nak di ed pan aksidɛnt, ɔ ivin tin dɛn we rili siriɔs lɛk traumatik bren injuri (TBI) .
• Bren de blɔd.
• Blɔd nɔ de flɔ na di bren: I kin bi bikɔs ɔf ɛni kayn strok, mɔ di ischemic stroke .
• Ɔksijɛn we nɔ de (sɛribra haypoksia).
• Pɔyzin tin dɛn: Fɔ ɛgzampul , kabon monoksayd , ebi ebi mɛtal, ɛn sɔm peshɛnt dɛn.
• Infεkshכn: εspεshali bren infεksh כn lεk εnεfalaytis εn mεningaytis , εn bak tin dεm we de mek yu layf de pan denja lεk sepsis .
• Kidni ɔ liva nɔ de wok fayn.
• inflammatory kondishɔn ɔ sik dɛn we gɛt fɔ du wit di imyun sistɛm: Fɔ ɛgzampul , ‘Multiple Sclerosis’ (MS) .
• Ilektrolayt imbalans: Kכndishכn dεm lεk tu sכdiכm (hyponatremia) כ tu mכch kalsiכm (hypercalcemia) .
• abnכmal chenj dεm na di bכdi tεmprachכ: Tu lכw (haypothermia) εn tu hכy (hyperthermia) bכdi tεmprachכ.
• di prεshכn we de kכmכt insay di sכkul (Intracranial hypertension): Dis kin kכz fכ kכndyushכn lεk haydrosefalus .
• Siz: Ɛspɛshali ‘Status Epilepticus’, we na wan sik we de kɔntinyu fɔ gɛt ɛpilepshɔn.

Udat de pan big risk fɔ mek i go na kɔma?

Sɔm sik dɛn we pɔsin kin gɛt ɛn di we aw i de liv in layf kin mek i gɛt mɔ chans fɔ fɔdɔm na kɔma. Dɛn tin ya na:

• Mεtabolik kכndishכn dεm: Kכndishכn dεm we de afekt di bכdi shuga lεvεl , lεk Tayp 1 Dayabitis εn wan kכmplikεshכn we nכ kin kam wit Tayp 2 Dayabitis, we dεn kכl Dayabitik Kεtoasidכsis (DKA) .
• Sik dɛn we dɔn de fɔ lɔng tɛm: Tin dɛn lɛk ay blɔd prɛshɔn (haypa blɔd prɛshɔn) ɛn ay kɔlɔstrel (haypa lipidemia) . Dɛn tin ya kin mek yu bren blɔd ɔ yu kin gɛt strok.
• Drug ɛn rɔm yus: Adikshɔn to ɛni drɔg, lɛk fɔ tek drɔgs we nɔ rayt, opioid pen kil, slip pils, adikshɔn to rɔm, opioid adikshɔn, ɛn inhalant drɔg yus.
• Nɔ yuz sef gia: If yu nɔ yuz sef gia lɛk ɛlmɛt ɛn sit bɛlt, i kin mek yu gɛt injury na yu ed ɛn yu kin gɛt tin dɛn lɛk kɔnkyushɔn ɔ TBI .
• Sik dɛm wae gɛt fɔ du wit at: Tin dɛm lɛk aw at nɔr de rit ɔltɛm.
• Ɔda tin dɛn we kin apin fɔ lɔng tɛm: Kɔndishɔn dɛn lɛk epilepsy , hypothyroidism .

Wetin na di prɔblɛm dɛn we kin apin we pɔsin de na kɔma?

Pɔsin we de na kɔma nɔ kin ebul fɔ kia fɔ insɛf. Dɛn nɔ kin ebul fɔ muv, it, was, ɔ du ɛni wan pan dɛn tin ya. Dis min se dɛn nid mɛrɛsin 24 awa ɛvride. Pɔsin we de na kɔma kin nid fɔ gɛt urinary catheter fɔ ɛp am fɔ pas urine. I kɔmɔn bak fɔ nid ɛp fɔ blo, we dɛn kɔl mɛkanikal ventileshɔn., dat min se dɛn kin mek dɛn ebul fɔ blo wit di ɛp we mashin de ɛp dɛn.

Sɔm pan di prɔblɛm dɛn we kin apin bikɔs ɔf kɔma ɔ di tritmɛnt dɛn we gɛt fɔ du wit am na:

• Infεkshכn dεm we de kכmכt frכm di כspitul: lεk nyumonia we de kכmכt frכm ventilator (VAP) εn infεkshכn we de kכmכt wit kateta (CAUTIs) .
• Prεshכn injuri/Bedsכr: sכm pat dεm na di bכdi kin inju bikoz fכ de na di sem posishכn.
• Tiub fɔ it tin dɛn.
• Mɔsul dɛn we de atrofi.
• Trombosis: Fɔ mek dis nɔ apin, dɛn kin yuz tin dɛn we de mek blɔd tan (anticoagulants) ɛn di tin dɛn we dɛn kin yuz fɔ mek nyumɛtik kɔmpreshɔn we dɛn kin yuz ɔltɛm (IPC) . Dis kin mek yu nɔ gɛt tin dɛn lɛk strok ɛn pulmonary embolism.
• Delirium we gɛt di sik.
• fכ mek ol na di trot fכ brith (Tracheostomy): Dis kin bi כnli if di koma tek pas tu wiks.

Aw yu kin no se pɔsin de na kɔma?

Fɔ fɛn di kɔz fɔ kɔma – dat na fɔ no di ɔndalayn mɛdikal kɔndishɔn – na sɔntin we nid fɔ apin kwik kwik wan . Wan pan di fɔs tin dɛn we yu fɔ du fɔ no if yu gɛt kɔma na fɔ du nyurolɔjik ɛgzam . Dɔn dɔktɔ kin yuz sɔntin lɛk di Glasgow Coma Scale fɔ no aw di kɔma siriɔs.

Apat frɔm di nyurolɔjik ɛgzam, dɔktɔ dɛn go du bɔku tɛst fɔ no wetin mek di kɔma ɛn aw di prɔblɛm siriɔs. Fɔ ɛgzampul, if pɔsin dɔn wund in ed, i kin izi fɔ no wetin mek i wund. Dɔn di tɛst dɛn go luk aw di tin dɔn pwɛl. We dɛn nɔ no di tin we mek i kam, fɔ fɛn di tin we mek pɔsin de kɔma ɛn fɔ no aw di tin we mek i sik, na lɛk di sem tin.

Us tɛst dɛn kin du fɔ no dis sik?

Bɔku tɛst dɛn de we kin ɛp fɔ no if pɔsin gɛt kɔma ɛn fɔ no aw i siriɔs. Sɔm pan dɛn na:

• Labɔrɔtɔri tɛst fɔ blɔd, urine, ɛn sɛribrospaynal fluid (CSF): Dɛn tin ya kin rili yus fɔ fɛn bɔku tin dɛn we kin mek pɔsin kɔma. Dɛn kin no bɔku tin, lɛk prɔblɛm wit blɔd shuga, sɔl we nɔ balans, ɔgan dɛn we nɔ de wok fayn, pɔyzin, ɛn sayn dɛn we de sho se pɔsin gɛt di sik.
• Diagnostic imaging: Dɛn tɛst ya kin yuz difrɛn we fɔ "si" fɔ injury ɔ damej insay yu ed. di mכst kכmכn imej tεst dεm na ‘CT skan’ (Kכmpyuta Tomografi - CT skan) εn ‘MRI skan’ (Magnetic Resonance Imaging - MRI skan) .
• Ilɛktroɛnsɛfalogram (EEG): .Dis tɛst de no ɛn rayt di ilɛktrik aktiviti na yu bren. I kin ɛp fɔ no aw di kɔma siriɔs ɛn fɔ no di tin dɛn we kin mek pɔsin kɔma, lɛk epilepsy.
• Ilɛktrokardiogram (ECG ɔ EKG): Dis tɛst kin ɛp fɔ no ɔ nɔ gɛt prɔblɛm wit di at ritm we kin mek pɔsin kɔma.

Apat frɔm dɛn tin ya, dɛn kin du ɔda tɛst dɛn. Dis go dipen pan di kayn kɔma, yu sik, ɛn yu wɛl bɔdi istri. If pɔsin we de nia yu de na kɔma, na di dɔktɔ na di bɛst pɔsin fɔ ɛksplen us tɛst dɛn de du. We yu dɔn gɛt kɔnshɛns bak, i kin tɛl yu us tɛst dɛn bin dɔn du.

Aw dɛn kin trit pɔsin we de na kɔma? Yu tink se dɛn kin mɛn am?

Di tritmɛnt fɔ kɔma dipen mɔ pan di ɔndalayn kɔz . Bikɔs bɔku tin dɛn de we kin mek pɔsin kɔma, bɔku tritmɛnt dɛn kin de. Wetin de woke fɔ wan kɔz nɔr kin woke fɔ ɔda kɔz (ɔr kin ivin mek ɔda kɔndishɔn wɔs).

So, dɔktɔ na di bɛst pɔsin fɔ tɛl yu us tritmɛnt dɛn de ɛn we dɛn kin advays yu fɔ yu patikyula sik ɔ pɔsin we de nia yu.

Kɔmɔn tritmɛnt dɛn we pɔsin kin gɛt we i gɛt imejensi

Bifo dɛn no wetin kin mek pɔsin gɛt kɔma, sɔm tritmɛnt dɛn de we dɔktɔ ɔ di wan dɛn we de kia fɔ dɛn kin bigin. Dɛn tritmɛnt ya kin gɛt fɔ du wit di mɛdikal kɔndishɔn dɛm wae dɛn no, ɔr to tin dɛm wae pɔrsin tink se kin mek pɔrsin gɛt kɔma bay di pruf wae de arawnd am. Dɛn tritmɛnt ya kin ɛp fɔ mek pɔsin stebul, fɔ mek di kɔma nɔ wɔs, ɔ ivin pul am kɔmɔt na di kɔma ɔltogɛda. Sɔm ɛgzampul dɛn na:

• Glucose ɔ insulin: Dɛn tin ya kin ɛp fɔ mek di blɔd shuga go ɔp ɔ dɔŋ. If dɛn gi glukɔs di rayt tɛm, dɛn kin chenj di kɔma kwik kwik wan.
• Drug ovados rivεrs drɔgs: Wan ɛgzampul na ‘Naloxone’ . Dis kin rivεs di ifekt dεm we opioid ovados kin gεt. Naloxone kin rivεs di ifekt dεm we opioid ovados kin gεt insay tu to fayv minit.

Fɔ tɔk bɔt di kɔmplikeshɔn/sayd ifɛkt dɛm we di tritmɛnt gɛt, bikɔs bɔku difrɛn tritmɛnt dɛn de fɔ kɔma, bɔku kɔmplikeshɔn ɛn sayd ifɛkt dɛn de we kin apin frɔm di tritmɛnt dɛm. Yu dɔktɔ na di bɛst pɔsin fɔ ɛksplen us sayd ɛfɛkt ɔ kɔmplikeshɔn kin apin ɛn wetin dɛn kin du bɔt dɛn.

Aw i tan lɛk we pɔsin de na kɔma?

We yu de na kɔma, dat kin min se yu nɔ no natin , so yu nɔ no se yu de na kɔma. Yu nɔ de sho ɛni awareness fɔ di wɔl we de rawnd yu. Yu nɔ de ansa bay wilful to yu sityueshɔn, di say we yu de, ɔ di tin dɛn we yu bɔdi nid. Dipen pan di dip we di kɔma de, yu kin gɛt sɔm riflɛs, bɔt dɛn tin ya go difrɛn frɔm wan kes to ɔda kes.

We yu de na kɔma, yu kin yɛri tin dɛn we de apin rawnd yu? Yu kin mɛmba?

DisI kin apin sɔmtɛm, bɔt i kin dipen pan di kayn kɔma ɛn aw dip yu kɔma de. Pruf de fɔ se pipul dɛn we de na kɔma kin yɛri tin dɛn we de apin rawnd dɛn. Sɔm pipul dɛn we dɔn wɛl frɔm kɔma dɔn ebul fɔ mɛmba tin dɛn we bin de apin nia dɛn, lɛk we dɛn bin de tɔk to dɛn. Bɔt dis kin difrɛn bad bad wan. I nɔ kin izi fɔ tɔk ustɛm ɔ aw pɔsin go gɛt dis prɔblɛm.

I impɔtant bak fɔ mɛmba se sɔntɛnde i kin at fɔ no if pɔsin gɛt kɔma. Dɔktɔ dɛn kin yuz dɛn trenin, ɛkspiriɛns, ɛn jɔjmɛnt fɔ no dis sik. Bɔt nɔto ɔl di kes dɛn kin bi di sem. Dis min se dɛn kin misdiagnose kɔma ɔ dɛn kin ɔndastand in dip bikɔs ɔf ɔda tin dɛn. Dɔn bak, fɔs pɔsin kin de na kɔma ɛn i kin kam bak to sɔm kayn we bifo dɔktɔ notis di chenj na in kɔnshɛns.

Bikɔs bɔku tin dɛn de, dis kwɛstyɔn nɔ kin izi fɔ ansa. Dɔktɔ na di bɛst pɔsin fɔ ɛp yu fɔ no if yu ɔ pɔsin we de nia yu bin kɔnshɛns ɛn mɛmba wetin bin apin we yu de na kɔma. Pan ɔl we i nɔ go ebul fɔ ansa dis kwɛstyɔn kɔmplit wan, i kin at ɔl ɛp yu fɔ ɔndastand aw da no de afɛkt di we aw pɔsin kin wɛl ɛn wetin kin apin nɛks (if ɛni wan de).

Aw lɔng kɔma kin las?

Kɔma kin las fɔ shɔt tɛm, jɔs fɔ sɔm minit . Ɔ i kin las fɔ wan ɔ tu wiks . Bɔt i sɔri fɔ no se, day kin apin bak we i de na kɔma. Dis kin apin mɔs wae pɔrsin gɛt kɔma bikɔs ɔf wan bad bad injury ɔr sik, ɔr if pɔrsin nɔr gɛt mɛrɛsin kwik afta i dɔn go na kɔma.

I nɔ kin izi fɔ mek pɔsin we de na kɔma las pas sɔm wiks. Dis na bikɔs di ɔspitul tin we kin apin na we pɔsin wek frɔm di kɔma ɔ pɔsin we de chenj to ɔda stet we i nɔ gɛt bɛtɛ kɔnshɛns ɔ we i nɔ gɛt bɛtɛ kɔnshɛns. Dɛn tin ya na:

• Vegetativ Stet: Pɔsin we de na dis stet de wek bɔt i nɔ no bɔt di wɔl we de rawnd am. Dɛn nɔ de sho ɛnitin we dɛn want fɔ du. Dɛn kin opin dɛn yay ɛn du tin dɛn we tan lɛk se dɛn de ansa di wɔl we de arawnd dɛn, bɔt dɛn nɔ kin rili no ɛn nɔ de du ɛnitin bay wilful. If wan vεgεtativ stet de las fכ lכng tεm, dεn kכl am bak pεrsistεnt vεgεtativ stet (PVS) . (Akɔdin to masta sabi pipul dɛn, dɛn kin tek wan vegetativ stet we kin las fɔ at le tri mɔnt we nɔ gɛt aksidɛnt, ɔ twɛlv mɔnt if na aksidɛnt mek am, dɛn kin tek am se i kin kɔntinyu fɔ de.)
• ‘Minimally Conscious State’: Dis na stet wae pɔrsin kin no sɔm kayn tin bɔt di wɔl wae de arawnd am ɛn de sho sɔm kayn bihayvya wae i want fɔ biev. Dɛn kin fala simpul kɔmand dɛn ɛn tɔk shɔt sɛntɛns dɛn. Bɔt dɛn nɔ ebul fɔ du dɛn tin ya ɔltɛm. We dɛn nɔ ebul fɔ du dɛn tin ya, i kin tan lɛk se dɛn de na ‘Persistent Vegetative State’.

Pan ɔl we ‘vɛjitetiv stet’ tan lɛk kɔma, i nɔto kɔma atɔl. Pipul we de na ‘vegetative state’ dɔn wɛl te dɛn nɔ de na kɔma igen. Bɔt di wok we dɛn bren de du ɛn di tin dɛn we dɛn ebul fɔ du stil rili smɔl.

Di chans fɔ mek yu wɛl frɔm wan vegetativ stet kin difrɛn bad bad wan. Sɔm pipul dɛn kin gɛt ful ɔ sɔm pat pan dɛn kɔnshɛns bak. Bɔt bɔku pipul dɛn nɔ kin du dat. Pipul kin de na vegetativ stet fɔ wik, mɔnt, ɔ ivin ia. Bɔt dɛn nɔ kin ebul fɔ kia fɔ dɛnsɛf ɛn dɛn kin nid fɔ de kia fɔ dɛn ɔltɛm. Bɔt i sɔri fɔ no se dɛn kin gɛt bɔku prɔblɛm dɛn. Bɔrku pipul dɛm wae de na vegetativ stet kin gɛt limited layf ɛkspɛkteshɔn.

Wetin na di chans fɔ kɔmɔt pan dis kayn tin?

Di chans fɔ mek yu wɛl frɔm kɔma kin difrɛn bad bad wan . Bɔku tin dɛn kin afɛkt am. Di bɛst pɔsin fɔ tɛl yu bɔt wan patikyula tin na dɔktɔ we no di tin we de apin. Bɔku tɛm, na di dɔktɔ we bin de trit di pɔsin we yu lɛk.

If yu nɔ ebul fɔ disayd fɔ du sɔntin, aw yu go tɛl wi wetin yu want?

Imajin, if yu bin de na kɔma, yu nɔ go ebul fɔ disayd bɔt aw fɔ kia fɔ yu ɔ tɛl ɛnibɔdi wetin yu want. Bɔku tɛm, na di famili ɔ di wan dɛn we wi lɛk fɔ disayd fɔ du dɛn tin dɛn de.

Ilɛksɛf yu gɛt wan sik we go put yu na kɔma ɔ yu nɔ gɛt am, i go fayn fɔ tɔk to di wan dɛn we yu lɛk bɔt wetin yu want if yu nɔ ebul fɔ disayd bɔt yu mɛrɛsin. Dis tɔk kin fil bad ɛn i nɔ kin izi fɔ tɔk. Bɔt, fɔ gɛt dɛn tɔk ya bifo i tu let, dat go ɛp di wan dɛn we yu lɛk fɔ no wetin yu want if yu nɔ ebul fɔ tɔk.

I fayn bak fɔ rayt wetin yu want ɛn wetin yu dɔn disayd fɔ du . Dɛn kin kɔl dis ‘Advance Directive’ ɔ ‘Living Will’. Na bɔt di ligal tin dɛm wae kin apun if yu nɔr ebul fɔ kia fɔ yusɛf ɔr disayd fɔ yu yone wɛl bɔdi. Yu kin gɛt ɛp frɔm lɔya fɔ pripia dɛn dɔkyumɛnt ya. Bɔt yu kin pripia sɔm pan dɛn bak yusɛf (dipen pan di lɔ dɛn we de na yu eria, yu kin nid fɔ mek notari sayn dɛn).

Yu tink se dɛn kin mek pɔsin nɔ kam na kɔma?

Bɔrku tin wae kin mek pɔrsin nɔr gɛt kɔma kin avɔyd – ɔr kin ridyus di risk . Na sɔm pan de impɔtant tin dɛm wae yu kin du fɔ mek yu nɔr ɔr ridyus yu risk fɔ de na kɔma:

• Fɔ mɛn yu sik dɛm wae nɔr de dɔn: If yu fala yu dɔktɔ in instrɔkshɔn fɔ mɛn yu sik dɛm lɛk dayabitis ɛn epilepsy, dat kin mek yu nɔr gɛt chans fɔ slip na kɔma tumara bambay.
• Wear protɛktiv gia we nid de: Ɛd injuri, mɔ kɔnkyushɔn ɛn TBI (Traumatic Brain Injuries), na tin dɛn we kin mek pɔsin kɔma. Protɛkt yusɛf bay we yu wɛr tin dɛn we de protɛkt yusɛf lɛk ɛlmɛt ɛn sit bɛlt we i fayn.
• It fayn it: Bɔku pan di tin dɛn we kin mek pɔsin kɔma gɛt fɔ du wit it. Fɔ ɛgzampul, sɔl we nɔ balans, we yu nɔ gɛt bɛtɛ tin fɔ it. Di it we yu de it kin afɛkt bak di wɛlbɔdi na yu blɔd sistɛm. Dis kin ɛp fɔ mek yu nɔ gɛt kɔma we kin kam bikɔs ɔf tin dɛn lɛk strok.
• Stay fɔ du tin wit yu bɔdi ɛn kip yu wet fayn: Yu wet ɛn di lɛvɛl we yu de du tin kin ɛp fɔ mek yu nɔ gɛt ɔ delay di tin dɛn we kin afɛkt yu bren, mɔ di wan dɛn we kin mek yu go na kɔma.
• Fɔ avɔyd fɔ yuz drɔgs ɛn mɛrɛsin dɛn we nɔto fɔ mɛn pipul dɛn, ɛn fɔ drink rɔm smɔl: If yu gɛt adikshɔn to drɔgs, dat kin mek yu gɛt kɔma bad bad wan. Dɔn bak, if yu tek di mɛrɛsin we di dɔktɔ tɛl yu fɔ tek di mɛrɛsin jɔs lɛk aw dɛn tɛl yu, dat go mek yu nɔ gɛt prɔblɛm dɛn ɛn sayd ɛfɛkt dɛn lɛk kɔma.

Fɔ di wan dɛn we gɛt pɔsin we dɛn lɛk we de na kɔma, dis kin rili mek dɛn fred. We di pɔsin we yu lɛk de na kɔma, yu kin gɛt bɔku kwɛstyɔn dɛn we yu nɔ gɛt ansa. Yu kin wɔnda if dɛn go wɛl, aw lɔng i go tek, ɛn if dɛn go wɛl ful wan. Pan ɔl we i nɔ izi fɔ liv wit kwɛstyɔn ɛn tin dɛn we nɔ shɔ, di risach we dɛn de du de ɛp masta sabi pipul dɛn fɔ ɔndastand mɔ bɔt aw kɔma de wok ɛn aw fɔ trit am. Dis go opin di domɔt fɔ wɛl frɔm kɔma naw ɛn tumara bambay.

Fɔ sɔmtin, na di tin dɛn we wi nid fɔ mɛmba (Take-Home Message):

A op se dis gi yu sɔm insayt pan kɔma. Di tin dɛn we impɔtant pas ɔl we yu fɔ mɛmba na:

• Kɔma na mɛdikal imejensi. If yu si pɔsin we nɔ no natin ɛn we nɔ de ansa , go to dɔktɔ wantɛm wantɛm .
• Bɔku tin dɛn kin de we kin mek pɔsin kɔma, ɛn sɔm pan dɛn kin mek pɔsin nɔ ebul fɔ avɔyd.
• Di risk fɔ kɔma kin ridyus if yu protɛkt yu ed (ɛlmɛt, sit bɛlt), kɔntrol sik dɛn we nɔ de dɔn (lɛk dayabitis, ay blɔd prɛshɔn), ɛn nɔ de tek drɔgs .
• If yu de na say we yu nɔ ebul fɔ disayd fɔ du sɔntin, i rili impɔtant fɔ tɔk to yu famili bɔt wetin yu want fɔ gɛt di mɛrɛsin , ɛn if i pɔsibul, rayt dɛn .
• De chans fɔ wɛl frɔm kɔma kin difrɛn frɔm wan pɔrsin to ɔda pɔrsin, ɛn yu dɔktɔ kin gi yu di bɛst infɔmeshɔn bɔt dis.

Wi op se dis infɔmeshɔn go fayn fɔ yu. Stay wit wɛlbɔdi!

` Kɔma, nɔr no natin, bren, tritmɛnt, imejensi, simptom dɛm, wɛl bɔdi