Yu dɔn ɛva go na say usay dɛn de kia fɔ pipul dɛn we sik bad bad wan ( ICU )? Ɔ sɔntɛm yu dɔn si am na fim, usay dɛn kin huk di wan dɛn we sik bad bad wan to mashin fɔ ɛp dɛn fɔ blo. Bɔku pipul dɛn kin fred we dɛn si dis mashin, bɔt fɔ tru, na impɔtant tin fɔ mɛn pipul dɛn we kin sev bɔku pipul dɛn layf. Wi kin kɔl am ventilator. So, tide wi go tɔk bɔt wetin rili de apin wit dis ventilator ɛn wetin mek dɛn nid am.
Wetin na ventilator, fɔ tɔk am simpul wan?
Fɔ tɔk am simpul wan, ventilator na mashin we de ɛp yu fɔ blo fɔ yu we i nɔ izi fɔ yu fɔ blo yusɛf. Dɛn kin kɔl am bak mɛkanikal ventilatɔ .
Tink bɔt wi lɔng dɛn lɛk tu smɔl balyɔn dɛn. We wi de blo, dɛn balyɔn ya kin blo wit ɔksijɛn , ɛn we wi de blo, dɛn kin kɔntrakt wit kabon dayɔgzayd , we di bɔdi nɔ nid. Insay sɔm siriɔs mɛrɛsin, aksidɛnt, ɔ we dɛn de anestez wi fɔ mek dɛn du big ɔpreshɔn, wi bɔdi nɔ kin ebul fɔ du dis we aw wi de blo fayn fɔ insɛf. Na da tɛm de ventilator kam fɔ ɛp wi.
Dis kin du mɔ tu tin:
1. Dɛn kin pɔmp di briz we gɛt bɔku ɔksijɛn insay yu lɔng.
2. I de ɛp fɔ pul di kabon dayɔgzayd gas we de ambɔg di bɔdi, kɔmɔt na di lɔng dɛn.
Bɔku pipul dɛn kin kɔnfyus ventilator wit intubation. Bɔt dɛn tin ya na tu difrɛn tin dɛn. Intubation na di we aw dɔktɔ kin put tiub insay yu aywe. Ventilator na di mashin we dɛn kɔnɛkt to da tiub de ɛn ɛp yu fɔ blo.
Difrɛn kayn ventilator dɛn de?
Yɛs, difrɛn kayn ɛn we dɛn de fɔ yuz ventilatɔ fɔ di pɔsin dipen pan di sik we i sik. Yu dɔktɔ go disayd us we fɔ du am bɛtɛ fɔ yu.
| Ventilator sistem/tayp | Wan simpul ɛksplen |
|---|---|
| Ventilashɔn we nɔ de ambɔg pɔsin | Dis nɔ min se yu fɔ put tiub insay di bɔdi. Bifo dat, dɛn kin wɛr fes mask rawnd di ed wit strɛp, ɛn dɛn kin kɔnɛkt wan ventilator to am. CPAP ɛn BiPAP mashin dɛm, we dɛn kin yuz fɔ trit slip apnɛa, na gud ɛgzampul fɔ dis. |
| Invasiv Ventileshɔn | Insay dis, dɛn kin put wan tiub insay di say we di briz de blo. di tכb dεn kin put am tru di mכt (intubeshכn) כ tru wan sכmכl כspitul insεshכn na di nεk (tracheostomy) εn kכnekt am to ventilator. |
| Bag we de mek pɔsin gɛt layf we i de yuz manual | Dɛn kin kɔl dis bak ‘Ambu bag’. Dɛn kin pɔmp am wit yu an fɔ gi di pɔsin in briz. Dɛn kin yuz am we ɛnitin apin we pɔsin nɔ ebul fɔ blo ɔ if di mashin nɔ wok. |
Us sityueshɔn dɛn nid fɔ gɛt ventilator?
Bɔku rizin dɛn de we mek pɔsin nid fɔ gɛt ventilator, fɔ shɔt tɛm ɔ fɔ lɔng tɛm.
- Fɔ ɔpreshɔn : We dɛn de du big ɔpreshɔn, di jenɛral anestezi we dɛn kin gi kin mek wi nɔ ebul fɔ blo fayn. So, ventilator de ɛp te wi wek frɔm di anestezi.
- Respiratory Failure: Dis na di nem we dɛn kin gi to wan sik we yu nɔ kin ebul fɔ blo fɔ yusɛf. Dis kin apin wantɛm wantɛm, ɔr kin kam smɔl smɔl bikɔs ɔf wan sik we nɔr de dɔn.
- Infεkshכn lεk COVID-19: As yu go mεmba, di tεm we COVID-19 pandemik bin de, di sik pipul dεm we di vayrus bin dכn pwεl bad bad wan na dεn lכng , ful wit wata, εn dεn nכ ebul fכ brith dεn wan, dεn nid ventilator sכpכt.
- Ɔda sik dɛn we pɔsin kin gɛt:
- Bren damej ɔ strok
- Nyumonia we gɛt siriɔs sik
- Krεse sik dεm lεk COPD ( Chronic Obstructive Pulmonary Disease ) .
- ARDS (Acute Respiratory Distress Syndrome) - na wan kכndyushכn we di lכng dεm de fulכp wit wata
- Sivɛri alɛji riakshɔn (Anaphylaxis) .
- Sik dεm we de afekt di nεv dεm εn di mכsul dεm (e.g. Guillain-Barré syndrome) .
- Kɔma stet
Wetin kin apin we dɛn kɔnɛkt yu to ventilatɔ?
Fɔ tɔk tru, i nɔ rili kɔmfyut ɛkspiriɛns. Yu kin fil bad fɔ gɛt tiub na yu mɔt. Bɔt yu nɔ go fil ɛni pen. Dis na bikɔs di dɔktɔ dɛn go gi yu mɛrɛsin fɔ mek yu fil fayn ɛn fɔ mek yu fil fayn. Sɔntɛnde, pan ɔl we yu wek, yu nɔ kin no ɔltin. If di sik bad, di dɔktɔ dɛn kin disayd fɔ put yu fɔ slip ɔl fɔ ɛp yu bɔdi fɔ wɛl kwik kwik wan.
Di mɛdikal staf go de wach yu kɔndishɔn ɔltɛm. Dɛn go de mɛzhɔ tin dɛn ɔltɛm lɛk yu blɔd prɛshɔn, yu at rit , ɛn ɔksijɛn lɛvɛl. Wan dɔktɔ we de mɛn di we aw yu de blo go yuz sɔkshɔn tiub bak fɔ pul di mכkus na yu lɔng.
If yu gɛt tiub na yu mɔt, yu nɔ go ebul fɔ tɔk ɔ it ɔ drink. Dɛn go gi yu impɔtant it tru IV (saline) ɔ ɔda tiub we dɛn put na yu bɛlɛ.
If pɔsin we yu sabi de pan ventilator...
Dis na tɛm we i nɔ kin izi fɔ di pɔsin we sik ɛn di famili. If yu pɔsin we yu lɛk de pan dis kayn tin, na sɔm tin dɛn we yu go du fɔ ɛp:
- Stay positive: Yu trɛnk na big trɛnk to am.
- Tɔk bɔku tɛm: I kin yɛri yu. Yu vɔys go kɔrej am.
- Hol yu an: I go fil yu tɔch.
- Ɛp fɔ tɔk to pipul dɛn: If i wek, ɛp am fɔ tɔk to am wit sayn, rayt, ɛn pɔynt.
- Briŋ sɔntin we yu sabi frɔm os: sɔntin we i yuz, lɛk pilo ɔ klos, fɔ mek i fil fayn.
Wetin na di prɔblɛm dɛn we pɔsin kin gɛt we i de yuz ventilatɔ?
Pan ɔl we ventilator na tin we de sev layf, i kin mek sɔm prɔblɛm dɛn bak. Dɔktɔ ɛn nɔs wokman dɛn kin no ɔltɛm bɔt dɛn bad tin ya ɛn dɛn kin du di tin dɛn we dɛn nid fɔ mek dɛn nɔ gɛt dɛn.
| Kɔmplikɛshɔn | Wetin kin apin? |
|---|---|
| Infεkshכn dεm | di jεm dεm kin go insay di lכng dεm tru di brith tכb εn mek nyumonia. Dɛn kɔl dis nyumonia we gɛt fɔ du wit ventilator (VAP) . |
| Di Lɔng Damej | If di prɛshɔn ɔ di ɔksijɛn we di ventilatɔ de gi go ɔp, i kin pwɛl di lɔng dɛn we wik. dis kin mek di lכng kכlaps (nyumothorax) כ fכ wata we de bכku na di lכng (pulmonary edema). |
| Ɔda prɔblɛm dɛn we kin apin | If yu de na di sem pozishɔn fɔ lɔng tɛm i kin mek yu gɛt sɔri na bed ɛn blɔd kin klɔt . Dɔn bak, afta yu dɔn gɛt kɔnshɛns bak, yu kin fil kɔnfyus smɔl (delirium) ɛn yu nɔ kin mɛmba fayn. I kin chenj bak na yu vɔys afta dɛn dɔn pul di tiub. |
Aw yu kin pul yusɛf na di ventilator?
Dis nɔto sɔntin we kin apin wan tɛm. We di dɔktɔ dɛn dɔn shɔ se yu go ebul fɔ blo fayn fɔ yusɛf, dɛn go ridyus di sɔpɔt we di ventilator de gi yu smɔl smɔl ɛn leta dɛn go pul di tiub. Wi kin kɔl dis prɔses ‘weaning’ .
I nɔmal fɔ mek yu fil fɔs na yu trot we de at ɛn yu vɔys we de kray afta dɛn dɔn pul di tiub. Sɔm pipul dɛn kin fil bak se dɛn kɔnfyus smɔl ɛn dɛn bɔdi kin wik. Ɔl dis go bɛtɛ smɔl smɔl as tɛm de go.
Mɛmba se di tɛm we pɔsin kin wɛl kin difrɛn frɔm wan pɔsin to ɔda pɔsin. Dɛn kin se fɔ ɛvride we dɛn de yuz ventilatɔ, i kin tek at le wan wik fɔ mek i wɛl ɔl. So i rili impɔtant fɔ peshɛnt.
Mɛsej we dɛn kin kɛr go na os
- Ventilator nɔto sɔntin fɔ fred, na impɔtant mɛrɛsin we de ɛp fɔ sev layf.
- Dɛn kin yuse am fɔ ɛp di lɔng dɛn we pɔsin we sik nɔ ebul fɔ blo fɔ insɛf.
- Pan ɔl we yu nɔ kin ebul fɔ tɔk ɔ it we yu gɛt tiub na yu mɔt, bɔku tɛm yu nɔ kin fil ɛni pen.
- Pan ɔl we sɔm prɔblɛm dɛn kin apin, yu dɔktɔ ɛn di dɔktɔ dɛn kin de wach dɛn ɔltɛm.
- I kin tek sɔm tɛm fɔ mek i wɛl bak afta dɛn dɔn pul am na di ventilator. Dis na nɔmal tin, so peshɛnt ɛn kɔntinyu fɔ gi yu tritmɛnt.
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