Sɔntɛm yu dɔn si na fim ɔ na TV sho, pɔsin de ledɔm na bed, i nɔ no natin, i nɔ ivin muf. Wi kin kɔl dis stet " koma ". Bɔku pipul dɛn kin tink se dis na sɔntin we tan lɛk dip slip. Bɔt fɔ tru, kɔma na wan sik we rili difrɛn ɛn we rili siriɔs. Insay dis, pan ɔl we pɔsin de alayv, no we nɔ de fɔ wek am. So, fɔ ansa bɔku kwɛstyɔn dɛn na yu maynd, lɛ wi tɔk bɔt dis kɔma tide.
Fɔ tɔk am simpul wan, wetin na kɔma?
Tink bɔt pɔsin we de na kɔma lɛk se i tan lɛk TV we dɛn dɔn on bɔt we nɔ gɛt chanɛl. Di TV de on, di layt dɛn de on, bɔt natin nɔ de na di skrin. Semweso, pɔsin we de na kɔma kin gɛt in at bit, brith, ɛn di tin dɛn we de insay in bɔdi we de go bifo, bɔt in bren nɔ gɛt ɛnitin fɔ du wit di tin dɛn we de na do.
Fɔ tɔk am simpul wan, fɔ kɔma na we pɔsin nɔ no natin fɔ lɔng tɛm . I rili difrɛn frɔm dip slip. Wi kin wek pɔsin we i de slip dip bay we wi de mek nɔys ɔ pat pan am na in bɔdi. Bɔt pɔsin we de na kɔma nɔ go ebul fɔ wek ivin if i gi am pen. Dis sik kin kam bikɔs di bren kin pwɛl bad bad wan.
Wetin kin mek pɔsin go na kɔma?
Di men tin we kin mek pɔsin kɔma na in bren we kin pwɛl. Dis damej kin tek bɔku kayn we. Sɔm damej na fɔ shɔt tɛm nɔmɔ ɛn dɛn kin trit dɛn . Bɔt sɔm tin dɛn we kin pwɛl kin de sote go ɛn i kin ivin mek pɔsin day. mכr dan 50% pan di koma dεm de kכz fכ injuri na di ed εn prכblεm wit di bכdi sεkyuleshכn sistεm na di bren.
Lɛ wi si wetin na di men rizin dɛn.
| Rizin | Simpul ɛksplen |
|---|---|
| Injury na ed (Trauma) . | We dɛn bit yu na yu ed pan aksidɛnt, yu bren kin swel ɔ blɔd. dis swel kin put prεshכn pan di bren εn pwεl di pat pan di bren we de kכntro di kכnsεns (di Reticular Activating System - RAS). |
| Anoxic Bren Injuri we pɔsin kin gɛt | Ɔksijɛn impɔtant fɔ di bren. If di bren nɔ gɛt ɔksijɛn fɔ sɔm minit, ilɛksɛf na bikɔs ɔf at atak, drawn, ɔ strangul, di bren sɛl dɛn kin bigin fɔ day. |
| Strok | Kɔma kin apin we di blɔd we de flɔ to wan big pat na di bren stɔp ɔ we di bren swel bikɔs ɔf blɔd. |
| Blɔd Shuga | If yu nɔ kɔntrol di ay blɔd shuga lɛvɛl (haypa glycemia) ɔ di lɔw blɔd shuga lɛvɛl (haypoglycemia) kin mek di wan dɛn we gɛt dayabitis go na kɔma. Dis kin sɔlv wans dɛn dɔn kɔntrol di blɔd shuga lɛvɛl. |
| Infεkshכn dεm | Infεkshכn dεm we de afekt di bren כ di sεntri nεv sεstem, lεk mεningayt כ εnεfalaytis, kin mek di bren swel εn mek yu kכma. |
| Pɔyzin dɛn | Liva ɔ kidni sik kin mek pɔyzin (e.g. amonia, yuria) we dɛn fɔ pul kɔmɔt na di bɔdi fɔ gɛda na di bɔdi ɛn pwɛl di bren. If pɔsin tek drɔgs ɔ rɔm pasmak, dat kin mek bak i gɛt dis sik. |
| Epilepsy/ Di sik we de mek pɔsin sik | If yu gɛt kɔntinyu fɔ gɛt sik we nɔ de stɔp (Status Epilepticus), di bren nɔ kin gɛt tɛm fɔ wɛl bitwin di sik we yu de fil . Dis kin mek bak yu go na kɔma. |
Aw yu kin no se pɔsin de na kɔma?
Na dɔktɔ dɛn nɔmɔ go ebul fɔ no if pɔsin nɔ no natin ɔ if i de na kɔma. I rili impɔtant bak fɔ fɛn di tin we mek i apin.
Dɔktɔ dɛn kin chɛk dɛn tin ya:
- Rispɔns lɛvɛl: .wi de si if dεn de ansa we dεn kכl dεn nem, we dεn de pat dεm na di bכdi, כ we dεn de mek sכm pen (e.g., fכ pres finga).
- di ay rispכns dεm: we yu opin yu yay εn shayn layt pan dεm, yu de si if di pupil de sכm sכm.
- Di we aw yu de blo: Chɛk fɔ si if yu nɔ de blo ɔltɛm, yu de blo fast, ɔ i de slo.
- Di we aw yu bɔdi de tinap: Chɛk fɔ si if di an ɛn fut dɛn nɔ bɛn ɔ stif.
Apat frɔm dɛn tɛst ya, i rili impɔtant fɔ aks di famili bɔt wetin bin apin bifo di tin apin. Apat frɔm dat, dɛn kin du blɔd tɛst, urine tɛst, ɛn tɛst lɛk CT skan ɔ MRI skan fɔ chɛk aw di bren de.
Dɔktɔ dɛn kin yuz spɛshal skel fɔ no dis sik. Dɛn kɔl am di Glasgow Kɔma Skel (GCS) . I de sho di lɛvɛl we pɔsin nɔ de no natin bay we i de gi mak pan tin dɛn lɛk fɔ opin in yay, fɔ muv, ɛn fɔ tɔk . Di mɔ di mak smɔl, na di mɔ di kɔndishɔn siriɔs.
Aw yu kin trit pɔsin we de na kɔma?
Kɔma na mɛdikal imejensi. If yu si pɔsin we de lɔs kɔnshɛns ɔ we de lɔs kɔnshɛns, kɔl 911 wantɛm wantɛm ɛn tek ambulans. If yu kɛr dɛn go na ɔspitul, mɔ na Imejɛnsi Tritmɛnt Yunit (ETU), kwik kwik wan, dat kin ɛp fɔ mek dɛn nɔ gɛt bɔku prɔblɛm wit dɛn bren.
Insay ɔspitul, na wetin mek di kɔma de no di tritmɛnt.
- Fɔ trit di kɔz: If na infekshɔn, dɛn kin gi am antibayɔtik . If di bren dɔn swel, dɛn kin gi am mɛrɛsin fɔ mek di bren nɔ swel. If blɔd de kɔmɔt ɔ tumbu de na di bren, i kin nid fɔ du ɔpreshɔn. If na bikɔs ɔf dayabitis, dɛn kin kɔntrol di blɔd shuga.
- Layf Sɔpɔt: Dɛn kin kia fɔ di wan dɛn we de na kɔma na di say usay dɛn de kia fɔ pipul dɛn we sik bad bad wan (ICU) . If i nɔ izi fɔ dɛn fɔ blo fɔ dɛnsɛf, dɛn kin kɔnɛkt dɛn to ventilator .
- Sɔpɔtiv Keya: We di pɔsin de na kɔma, i rili impɔtant fɔ mek ɔda prɔblɛm dɛn nɔ kam.
- Nyutrishɔn: Bikɔs i nɔ ebul fɔ it ɔ drink, dɛn kin gi am wata it tru wan fidin tyub.
- Skin care: Bed sore kin kam frɔm we yu de na di sem pozishɔn. Fɔ mek dis nɔ apin, tɔn di pɔsin ɛvri sɔm awa.
- Mɔsul ɛn jɔyn dɛn:If yu nɔ muv, dat kin mek di mɔsul dɛn stif ɛn di jɔyn dɛn kin stif. Fɔ stɔp dis, fisiotɛrapist dɛn kin kam insay ɛn ɛp yu fɔ muv yu an ɛn fut dɛn.
Yu go ebul fɔ gɛt kɔnshɛns bak we yu bin de na kɔma?
Dis na prɔblɛm we bɔku pipul dɛn gɛt. Fɔ wɛl frɔm kɔma kin dipen pan di tin we mek i gɛt kɔma, di lɔng tɛm we i de na kɔma, ɛn di sikman in ɔl in wɛlbɔdi.
I nɔ kin izi fɔ si yusɛf opin yu yay wantɛm wantɛm ɛn aks se, "Usay a de?" lɛk insay di fim dɛn. Fɔ wɛl na tin we kin rili slo, we pɔsin kin du stɛp bay stɛp.
Bɔku tɛm, we di pɔsin bigin fɔ no bak, dɛn kin bigin fɔ ansa sawnd ɔ pen fɔs. Dɔn, dɛn kin opin dɛn yay smɔl smɔl. Insay di fɔs tɛm we dɛn kin no, bɔku pipul dɛn kin kɔnfyus ɛn dɛn kin vɛks . Dɛn kin biev bak difrɛn we pas aw dɛn bin de biev trade. Dis ɔl na pat pan di wɛlbɔdi prɔses. I kin tek sɔm mɔnt ɔ sɔm ia fɔ mek i wɛl ɔltogɛda. Sɔm pipul dɛn kin gɛt disabled fɔ ɔltɛm. Dɛn kin nid rihabiliteshɔn savis lɛk fizik tɛrapi ɛn ɔkupeshɔn tɛrapi fɔ mek dɛn go bak to nɔmal.
Mɛsej we dɛn kin kɛr go na os
- Kɔma nɔto dip slip, na siriɔs mɛrɛsin we kin kam bikɔs di bren dɔn pwɛl bad bad wan.
- If dɛn si se pɔsin nɔ no natin ɛn i nɔ ebul fɔ gɛt layf bak, dɛn fɔ tek am se na imejensi ɛn dɛn fɔ kɔl 1990 wantɛm wantɛm ɛn kɛr am go na Imejɛnsi Tritmɛnt Yunit (ETU) .
- I rili impɔtant fɔ trit di ɔndalayn kɔz fɔ kɔma ɛn gi sɔpɔt kia.
- Fɔ wɛl frɔm kɔma na tin we nɔ kin apin sloslo , ɛn di sɔpɔt we di famili ɛn di mɛdikal tim kin gi yu impɔtant.
- Tɔk bɔt ɛni kwɛstyɔn ɔ tin we de mɔna yu bɔt di sik we yu lɛk gɛt wit yu dɔktɔ . Nɔ jɔs abop pan wetin yu de yɛri na di Intanɛt ɔ frɔm ɔda pipul dɛn.
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