Yu skin de tɔn blu? Lɛ wi tɔk bɔt saynosis!

Yu dɔn ɛva si sɔm pipul dɛn skin, lip, ɔ nel tɔn blu? Ɔ sɔntɛm yusɛf dɔn du am. Dis na wetin dɛn kɔl saynosis na mɛrɛsin. Wetin rili na saynosis? Wetin mek dis kin apin? Lɛ wi tɔk bɔt am ditayli tide, jɔs lɛk aw wi de tɔk to wi padi.

Wetin na saynosis? Fɔ tɔk am simpul wan...

Fɔ tɔk am simpul wan, saynosis na we yu skin, yu lip, ɔ yu finga nel dɛn kin tan lɛk blu we ɔksijɛn nɔ bɔku na yu blɔd. If yu gɛt dak skin tɔyn, dis blush tin kin notis mɔ na yu lip, yu gam, yu finga nel, ɛn rawnd yu yay. di wod ‘cyanosis’ kכmכt frכm di wכd 'cyan'. Sayn na blu-grin kɔlɔ.

Tink bɔt am dis we. Nɔmal wan, wi rɛd blɔd sɛl dɛn kin kɛr ɔksijɛn go na ɔl di pat dɛn na wi bɔdi, to ɔl di tisu dɛn. We dɛn rɛd blɔd sɛl ya gɛt ɔksijɛn fayn fayn wan, dɛn kin gɛt brayt rɛd . Lɛk chɛri we dɔn rayp fayn fayn wan. So, we dis blɔd we gɛt ɔksijɛn de travul ɔlsay na wi bɔdi, wi skin kin gɛt pink ɔ layt rɛd kɔlɔ. Na so pɔsin we gɛt wɛlbɔdi kin tan lɛk.

Bɔt if fɔ sɔm rizin di blɔd nɔ gɛt bɛtɛ ɔksijɛn , dat min se if di ɔksijɛn nɔ bɔku, da brayt rɛd blɔd de kin tɔn dak smɔl, lɛk bluish pepul . So, we dis dak blɔd we nɔ gɛt bɛtɛ ɔksijɛn de go na di bɔdi, di skin, di lip, ɛn di nel dɛn kin bigin fɔ luk blu. We wi no usay dis blu kɔlɔ bɔku pas ɔl na di bɔdi, dat kin ɛp wi fɔ no wetin de mek wi gɛt am.

Wetin saynosis min? Yu tink se i siriɔs?

Saynosis na sayn we de sho se yu ɔgan, mɔsul, ɛn ɔda tisu dɛn nɔ de gɛt bɛtɛ ɔksijɛn fɔ wok fayn . I tan lɛk tik we de dray we nɔ gɛt wata. Wi bɔdi nɔ kin ebul fɔ du tin we wi nɔ gɛt ɔksijɛn bak.

bכku difrεn kכndyushכn dεm de εn kכz dεm we kin mek dis kכndyushכn fכ saynosis. Sɔntɛnde, blu skin ɛn blu lip kin bi nɔmal tin we nɔ kin du bad. Fɔ ɛgzampul, i kin apin we yu gɛt kol pasmak. Bɔt sɔm tin dɛn de we kin rili siriɔs so dat yu go nid fɔ gɛt mɛrɛsin kwik kwik wan . So, if yu si di sayn fɔ saynosis, i nɔ fayn fɔ tek am layt.

di tin dεm we kin mek wi gɛt saynosis kin rili gɛt fɔ du wit wi lכng, at, כ sεntri nεv sεstem (dat na di bren εn di spεnal kכd).

Wetin na di kayn saynosis?

Tri men kayn saynosis de. Lɛ wi tek wan luk pan wetin dɛn bi:

1. Blu we de arawnd di mכt nכmכ - Sεkyumoral Saynosis

Dis na we na yu lip ɔ rawnd yu mɔt nɔmɔ kin tɔn blu.Sɔntɛnde dɛn kin kɔl dis perioral cyanosis.

Imajin bebi, if i kol smɔl, in lip kin tɔn blu. Dis na nɔmal tin fɔ pikin dɛn we dɛn jɔs bɔn , so i nɔto sɔntin fɔ wɔri bɔt. Yu no wetin? We wi gɛt kol, di smɔl smɔl blɔd vesel dɛn na wi bɔdi, we wi kɔl blɔd vesel, kin kɔnstrikt smɔl. Dɔn di blɔd we de flɔ kin go dɔŋ smɔl, ɛn na dat mek di ɔksijɛn kin go dɔŋ. Na dat mek di lip dɛn kin tɔn blu.

Ivin big pikin dɛm, fɔ ɛgzampul, we dɛn de ple na do pan de we rili kol, ɔ we dɛn de kol ali mɔnin na eria lɛk Nuwara Eliya, kin mek dɛn lip tɔn blu. Dis kin go afta sɔm tɛm we di bɔdi wam.

2. Blu kכla fכ di limb dεm - Pεrifεral Saynosis

Insay dis kayn , na di an, finga, fut, ɛn/ɔ fut finga dɛn nɔmɔ kin tɔn blu. Yu dɔn ɛva go na ples we kol bad bad wan ɛn yu nɔ wɛr sɔks ɔ stɔking? Yu an ɛn fut kin tɔn blu ɛn fil lɛk se yu nɔ gɛt bɛtɛ trɛnk. Dis na di sem tin.

Bɔku tɛm, dis nɔ kin mek pɔsin in layf de pan denja . Bɔt i impɔtant fɔ no wetin de mek yu gɛt am, bikɔs sɔntɛnde, wan ɔndalayn kɔz kin nid fɔ gɛt tritmɛnt kwik kwik wan. If nɔto dat, damej kin apin sote go.

3. Fɔ tɔn blu ɔlsay na di bɔdi - Sɛntral Saynɔsis

Dis na sik wae kin siriɔs smɔl pas di ɔda tu kayn tin dɛm . insay sεntri saynosis, apat frכm di limb dεm, כda pat dεm na di bכdi de tכn blu bak . Fɔ ɛgzampul, say dɛn lɛk di chɛst, di chɛst, di tɔŋ, di gɔm, ɛn di lip.

Bɔku tɛm, dis kin apin bikɔs ɔf siriɔs tin dɛn we de apin na di at, di lɔng, ɔ di blɔd . So, if yu gɛt dɛn sik ya, i rili impɔtant fɔ go to dɔktɔ wantɛm wantɛm .

Wetin na di sayn dɛm fɔ saynɔsis?

Di men sayn na we di skin de blu . Yu kin si dis blush tin bak na yu lip, yu tɔŋ, yu gɔm, yu yes, ɛn yu finga nel.

If yu gɛt dak skin, saynosis kin tan lɛk grey ɔ pale. I kin notis mɔ pan di lip, tɔŋ, gam, finga nel, ɛn rawnd di yay.

Bikɔs saynosis kin bi wan sayn fɔ ɔda ɔndalayn mɛdikal kɔndishɔn, yu kin gɛt ɔda sayn dɛm bak dipen pan di ɔndalayn kɔz. Sɔm pan dɛn na:

• Lɔw bɔdi tɛmpracha (Hypothermia) .
• Yu kin fil lɛk yu an ɛn yu fut kin swɛla ɔ yu kin swɛt
• Kɔf
• Wheezing ( na sawnd we de kɔmɔt na di chɛst we yu de blo) .
• I nɔ kin izi fɔ yu fɔ blo
• Diziz we pɔsin kin gɛt
• Fɔ fil taya bad bad wan (Fatigue) .
• Wik

Aw saynosis kin tan lɛk?

Dipen pan di kayn saynosis we yu gɛt, yu skin, yu lip, yu tɔŋ, yu gɔm, yu yay, ɔ yu nel kin apia difrɛn shed dɛn we gɛt blu ɔ pepul . As wi bin dɔn tɔk, if yu gɛt dak skin, dis kin tan lɛk se i blak ɔ grey .

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

Di men tin we kin mek yu gɛt saynosis na we yu nɔ gɛt bɛtɛ ɔksijɛn na yu blɔd . Dis kin bi bikɔs ɔf tu tin: ɔ yu blɔd rili nɔ gɛt bɔku ɔksijɛn, ɔ yu blɔd vesel dɛn kin kol bad bad wan.

Tink bɔt am, di blɔd we de go na wi bɔdi de mek wi ɔgan ɛn pat dɛn na wi bɔdi wam. Bɔt if di say we wi de rili kol, fɔ mek wi bɔdi in tɛmpracha nɔmal, di blɔd vesel dɛn na wi an, fut, ɛn yes kin kɔnstrikt. Dis kin mek di blɔd nɔ flɔ, we kin mek i gɛt bluish kɔlɔ.

Bɔku ɔda tin dɛn de we kin mek di ɔksijɛn nɔ bɔku na di blɔd:

Prɔblɛm dɛn we gɛt fɔ du wit di we aw di briz de blo

• Fɔ mek pɔsin swɛla . Fɔ ɛgzampul, fɔ chok pan it.
• swεl rawnd di vokal kכd dεm (e.g., krכp) .
• Infεkshכn εn swεla na di epiglottis, di pat we lεk flap na di trot we de kכba di briz paip.

Prɔblɛm dɛn we kin apin na di lɔng

• Fɔ go na ay ay ples (fa pas di si lɛvɛl) usay ɔksijɛn nɔ bɔku na di ays.
• Di sik we dɛn kɔl asma sik.
• Infεkshכn dεm we de na di rεspiretכri trakt .
• bכdi we de kכlכt na wan at we de na di lכng (pulmonary embolism).
• Chronic Obstructive Pulmonary Disease (COPD) (na sik we kin kam wit lɔng tɛm na di lɔng tɛm).
• Pulmonary hypertension (di ay blɔd prɛshɔn na di lɔng dɛn).
• Nyumonia `(Nimonia)` .

Prɔblɛm dɛn we gɛt fɔ du wit at

• di hat dεm we dεn bכn wit , lεk dכbl כltεt rayt vεntrikl εn tεtralכji fכ Fallot.
• At kכndishכn (congestive hat fεil).
• Di at kin stɔp fɔ wok wantɛm wantɛm (cardiac arrest ).

Ɔda tin dɛn we kin mek pɔsin gɛt saynosis

• Ristrikshɔn fɔ blɔd sakulayshɔn bikɔs yu wɛr tayt klos .
• We yu de na say we kol bad bad wan .
• Raynaud’s phenomenon , we di blɔd vesel dɛn kin smɔl wantɛm wantɛm.
• Sɔm mɛrɛsin dɛn we dɛn kin yuz fɔ mɛn ay blɔd prɛshɔn.
• Di sik dɛn we kin mek pɔsin sik .
• Drug ovados.
• We pɔsin gɛt pɔyzin tin dɛn .

Aw fɔ no di saynosis?

Bikɔs saynosis na wan sayn, yu dɔktɔ go want fɔ no di rayt tin we de mek yu gɛt dis sik .

Fɔs, di dɔktɔ go chɛk in bɔdi . Dɔn dɛn go aks yu bɔt yu sik dɛn. Dɛn kin aks kwɛstyɔn dɛn lɛk:

• Ustɛm yu fɔs notis dis blu kɔlɔ?
• Yu tink se dis bin kam wantɛm wantɛm, ɔ i bin de bɔku smɔl smɔl?
• Usay na yu bɔdi blu?
• Yu dɔn travul ɛnisay dis biɛn tɛm? (especially to ay ay ples)
• Yu gɛt prɔblɛm fɔ blo?
• Yu an ɔ yu fut dɔn swel?
• Us ɔda sayn dɛn yu gɛt?

Us tɛst dɛn kin yuz fɔ no if pɔsin gɛt saynosis?

Di dɔktɔ kin ɔda fɔ du difrɛn tɛst fɔ no wetin mek pɔsin gɛt saynosis. Dɛn tin ya kin bi fɔ tɛst blɔd, lɔng, ɛn at:

• Pulse oximetry: Dis min se yu fɔ tay smɔl tin (lɛk klip) na yu finga ɛn mɛzhɔ di ɔksijɛn we de na yu blɔd. I nɔ de mek pɔsin fil bad.
• Arterial blood gas analysis (ABG): Dis na fɔ tek smɔl blɔd frɔm yu at (di blɔd we gɛt bɔku ɔksijɛn) ɛn mɛzhɔ di ɔksijɛn ɛn ɔda tin dɛn we de insay.
• Chɛst X-ray .
• Wan chɛst kɔmpyuta tomografi (CT) skan .
• Kɔmplit blɔd kɔnt (CBC) tɛst .
• Ilɛktrokardiogram (EKG/ECG): Dis de mɛzhɔ di ilɛktrik wok we di at de du.
• Echocardiogram: Dis na ɔltra saund tɛst fɔ di at. I kin luk aw di at de mek ɛn aw i de wok.
• Pulmonary function tests (PFT): Dɛn tin ya kin ɛp fɔ no di sik dɛn we de na di lɔng.
• Cardiac catheterization: Dis test de ɛp fɔ no dip dip wan pan di at sik.

Aw dɛn kin trit saynosis?

Bikɔs saynosis na wan sayn we kin kam wit difrɛn kayn mɛrɛsin, di tritmɛnt we yu go gɛt go dipen pan wetin mek yu gɛt saynosis .

Wan pan di fɔs tritmɛnt dɛn we yu dɔktɔ go gi yu na ɔksijɛn tritmɛnt . Dɛn kin du dis bay we dɛn de gi yu ɛkstra ɔksijɛn, ɛn dis kin mek di ɔksijɛn we de na yu blɔd go ɔp kwik kwik wan. Dipen pan aw yu sik bad, yu kin nid fɔ gɛt mashin fɔ blo (ventilator).Bɔt i kin bi se i nid fɔ de.

Ɔda tritmɛnt dɛn we yu kin gɛt na:

• Ɔt ɛn masaj: Saynosis we kin kam we pɔsin de na kol ɔ kɔndishɔn lɛk di tin we de apin na Raynaud, yu kin pul am bay we yu wam di say dɛn we di sik dɔn afɛkt ɛn masaj dɛn jisnɔ.
• Antibayɔtik: Dɛn kin gi antibayɔtik fɔ infɛkshɔn lɛk nyumonia.
• Ɔda mɛrɛsin dɛn: Yu dɔktɔ kin gi yu ɔda mɛrɛsin fɔ mɛn at ɛn lɔng sik.
• Fɔ stɔp fɔ tek mɛrɛsin: Sɔntɛnde, if na sɔm mɛrɛsin dɛn we yu de tek naw, yu dɔktɔ go advays yu fɔ stɔp fɔ tek dɛn mɛrɛsin dɛn de.
• Inhala: If saynosis na bikɔs ɔf wan sik na di lɔng lɛk asma ɔ COPD, dɛn kin gi yu inhala fɔ ɛp di lɔng dɛn fɔ wok fayn fayn wan.
• Ɔpreshɔn: Di at sik we dɛn bɔn wit, lɛk Tetralogy of Fallot, kin nid fɔ ɔpreshɔn jɔs afta dɛn bɔn am.

Aw a kin kia fɔ misɛf?

If yu gɛt saynosis bikɔs ɔf kol ɔr wan sik lɛk Raynaud in phenomenon, yu kin nid fɔ mek sɔm chenj dɛn na yu layf .

We yu de go na do, mɔ di de dɛn we kol, yu fɔ drɛs fayn . Ivin we yu de na os, kip di rum wam. Di tin we impɔtant pas ɔl na fɔ mek yu bɔdi wam .

Dɔn bak, if yu na pɔsin we de smok, yu fɔ stɔp am kpatakpata . Ridyus di drink dɛn we gɛt kafin (lɛk ti ɛn kɔfi) . Na bikɔs kafinɛ ɛn nikotin ɔl tu kin mek yu blɔd vesel dɛn smɔl. Dis kin mek di risk fɔ gɛt saynosis bɔku.

Yu tink se dɛn kin ebul fɔ mek dɛn nɔ gɛt Saynosis?

Bikɔs bɔku tin dɛn de we kin mek pɔsin gɛt saynosis, i nɔ pɔsibul fɔ mek dɛn nɔ gɛt ɔl dɛn tin ya. Bɔt sɔm tin dɛn de we yu kin du fɔ mek yu nɔ gɛt dis sik:

• If yu de tek ɛni mɛrɛsin we de mek yu blɔd nɔ go flɔ, tɔk to yu dɔktɔ bɔt am ɛn gɛt advays fɔ stɔp am if nid de.
• Nɔ smok.
• Limit di kafin we yu de it.
• We yu de go na say we kol, drɛs fayn , mɔ fɔ kɔba pat dɛn lɛk yu yes, finga, ɛn nos.

Wetin kin apin if a gɛt saynosis?

Di autkam fɔ yu saynosis dipen pan di kɔz ɛn aw kwik yu go go fɔ tritmɛnt .

Bɔrku tɛm dis nɔr kin de pan denja fɔ yu layf, bɔt if yu gɛt ɔda sayn dɛm wit dis bluish kɔlɔ, ɔr if yu gɛt saynosis ivin we yu wam ɛn rɛst, .Fɔ tru, yu go si dɔktɔ .

Ustɛm a fɔ go to dɔktɔ? Yu tink se na imejensi?

Saynosis kin kam bikɔs ɔf difrɛn kayn tin ɛn dizayd. Sɔm dɛn rili siriɔs pas ɔda wan dɛn. If yu gɛt ɛni wan pan dɛn sayn ya wit yu skin we de tɔn blu, go na di imejensi dipatmɛnt na di ɔspitul we de nia yu wantɛm wantɛm, ɔ kɔl 1990 :

• I nɔ kin izi fɔ yu fɔ blo
• Chɛst de pen
• Yu ed kin at ɔltɛm
• Taya
• Kɔnfyushɔn (di we aw pɔsin de fil) .
• Fiva
• Fɔ swet pasmak (hayperhidrosis) .
• Fɔ kɔf blɔd ɔ dak kɔlɔ mכkus
• Pen ɔ swɛt na di an, finga, ɔ an.

Yu pikin ɔ pikin we de smɔl kin gɛt dɛn sayn ya wit saynosis?

If yu pikin ɔ pikin we de smɔl gɛt saynosis ɛn ɛni wan pan dɛn sayn ya, kɛr am go na di ɔspitul we de nia yu wantɛm wantɛm, ɔ kɔl 1990 :

• I nɔ kin izi fɔ yu fɔ blo
• I nɔ izi fɔ drink ɔ it milk
• Nos de flay we yu de blo
• Chest indrawing (swelling) we yu de blo
• Fɔ blo kwik kwik wan
• Wan sawnd we de mek pɔsin swɛt we yu de blo
• Taya
• I nɔ kin izi fɔ mek yu slip ɔ wek ɔltɛm
• Limp bɔdi
• I nɔ kin rɛst pasmak, i kin vɛks bad bad wan (Irritability) .

Fɔ dɔn, wetin fɔ mɛmba (Take-Home Message) .

Saynosis na wan sik wae yu skin, yu nel, ɔr lip kin tɔn blu wae nɔr gɛt bɛtɛ ɔksijɛn na yu blɔd. Dis kin gɛt bɔku tin dɛn we kin mek i apin. Pan ɔl we i nɔ kin siriɔs ɔltɛm, sɔntɛnde saynosis kin bi sayn fɔ wan siriɔs ɔndalayn kɔndishɔn .

So, if yu ɔ yu pikin gɛt saynosis wit ɔda sayn dɛn lɛk we i nɔ izi fɔ blo, i rili impɔtant fɔ go to dɔktɔ wantɛm wantɛm . Na da tɛm de nɔmɔ yu go ebul fɔ gɛt di bɛst rizɔlt. Nɔ panik, bɔt tek tɛm.

` Saynosis, blu skin, nɔ gɛt ɔksijɛn, i nɔ izi fɔ blo, at sik, lɔng sik, di sayn dɛm