Imajin se yu si pɔsin we de nia yu de lɔs kɔnshɛns wantɛm wantɛm, in wan ol bɔdi stret lɛk tik, ɛn dɛn limb dɛn lɔk insay wan strenj we... Aw dat de mek yu fred ɛn i de mek yu at pwɛl? Dis na sayn fɔ wan sik we rili siriɔs we pipul dɛn sabi na mɛdikal sayɛns. Dɛn kɔl dis Dicebrate Posturing. Pan ɔl we dis nem kin tan lɛk se i kɔmplikt smɔl we yu yɛri am, tide wi go tɔk bɔt am rili simpul wan, di we we yu go ɔndastand.
Wetin na dis Decebrate Posturing?
Fɔ tɔk am simpul wan, dis nɔto sik, bɔt na sayn. We wi bren, mɔ di bren stem, dɔn pwɛl bad bad wan, di mɔsul dɛn na di bɔdi kin tɛns we wi nɔ want ɛn di bɔdi nɔ kin tinap fayn. Dɛn kɔl dis Dicebrate Posturing. Pɔsin we si dis kin tink se na bay wilful dɛn de du dis, bɔt fɔ tru, dɛn nɔ gɛt ɛni kɔntrol pan am.
Di impɔtant tin na dat di pɔsin we de sho dis jes nɔ kin no natin ɔltɛm, i kin de na dip kɔma . Dat min se dɛn nɔ go ebul fɔ wek we dɛn de tɔk ɔ tɔch dɛn. Insay ɔspitul, dɔktɔ dɛn kin pe atɛnshɔn mɔ to dis tin we dɛn kin du we dɛn de du wan tɛst we dɛn kɔl Glasgow Coma Scale, we de sho aw pɔsin we sik we de na kɔma bad bad wan.
Dis na aw dis kɔndishɔn kin tan lɛk. Yu kin si am na wan say nɔmɔ na di bɔdi ɔ na ɔl tu di say dɛn.
| Di pat na di bɔdi | Di jes we de sho |
|---|---|
| Leg dɛn | Dɛn dɔn stret am kpatakpata ɛn mek i at. |
| To dɛn | I de fes na do frɔm di bɔdi, i tɔn smɔl insay. |
| An dɛn | Dɛn kin ol am paralel to di bɔdi, ɛn dɛn kin pres am tayt wan na di tu say dɛn. Dɛn kin tɔn di an dɛn insay, ɛn di an dɛn kin luk na do. |
| An | Dɛn dɔn bɛn am kɔmɔt na di bɔdi. |
| Finga dɛn | Dɛn kin fol di handel insay lɛk pilo. |
| Spine | I kin bɛn bak ɛn stif. |
Wetin de mek dis siriɔs tin de apin?
As a bin se bifo, di men tin we kin mek dis apin na di damej pan di bren stem. di bren stεm na brij we de kכnekt wi bren εn spεnal kכd. dis pat de kכntro di mכst imכtant prכsεs dεm fכ liv, lεk fכ brith εn di at bit. So, damej to dis na rili siriɔs tin.
Na sɔm tin dɛn we kin mek pɔsin nɔ ebul fɔ tinap tranga wan:
- Sivɛri ed injuri: Traumatik Bren Injuri (TBI) we kin kam wit tin dɛm lɛk motoka aksidɛnt ɛn fɔdɔm.
- Strɔk: Na we blɔd vesel we de gi blɔd to di bren we de blok ɔ brok.
- Blɔd we de kɔmɔt na di bren: Blɔd we de kɔmɔt insay di bren (Intracranial Hemorrhage) bikɔs ɔf tin dɛn lɛk ay blɔd prɛshɔn.
- Bren Tכmכro: Kansa כ benign tכmכro dεm we de divεlכp, spεshal wan na di bren stεm.
- Sivεr infεkshכn: Infεkshכn dεm we de afekt di bren, lεk mεningayt כ εnεfalaytis.
- Intrakranial Hypertension: Prεshכn de inkrεs pasmak insay di sכkul bikoz fכ wan kכz lεk di bren we de swεla.
- Ɔksijɛn we nɔ de na di bren: Sɛribra Haypoksia kin apin we dɛn kɔt di ɔksijɛn to di bren we tin dɛn lɛk we pɔsin drawn ɔ we i gɛt at atak.
- Ɔda mɛdikal kɔndishɔn dɛm: Kɔndishɔn dɛm lɛk Reye’s syndrome ɛn Hydrocephalus (we wata kin gɛda na di bren).
Aw dɛn kin trit dis?
Di impɔtant tin na dat, dɛn nɔ go ebul fɔ trit dis stiff posture dairekt wan. Dɔktɔ dɛn kin tray fɔ trit di ɔndalayn mɛrɛsin we mek i apin.
Fɔ ɛgzampul, if di tin we kin mek pɔsin gɛt sik na in bren, dɛn go gi am antibayɔtik. If blɔd de kɔmɔt na di bren, dɛn kin nid fɔ du ɔpreshɔn fɔ stɔp am ɔ fɔ ridyus di prɛshɔn.
Bikɔs dɛn sik pipul ya nɔ kin no natin, dɛn nɔ kin ebul fɔ blo fɔ dɛnsɛf. Dɛn kayn tɛm dɛn de, dɛn kin admit dɛn na wan say usay dɛn de kia fɔ pipul dɛn we sik bad bad wan (ICU) ɛn put dɛn na say fɔ mek dɛn blo.Wi kɔnɛkt ɛn gi ɔl di sɔpɔt tritmɛnt dɛm we nid fɔ sɔpɔt layf.
Bikɔs bɔku tin dɛn de we kin mek pɔsin du dis, di tritmɛnt dɛn kin difrɛn. So, na yu dɔktɔ nɔmɔ go ebul fɔ ɛksplen di tritmɛnt we dɛn go gi yu pɔsin di bɛst we.
Yu tink se dɛn go ebul fɔ mek dis tin nɔ apin?
Pan ɔl we wi nɔ go ebul fɔ mek pɔsin nɔ ebul fɔ tinap tranga wan, wi kin protɛkt wisɛf frɔm di sik dɛn ɛn aksidɛnt dɛn we kin mek wi nɔ gɛt am . Dat na di bɛst tin we wi go ebul fɔ du.
- Wear safety equipment: Na ed injury na di men tin we kin mek aksidɛnt. So , wɛr ɛlmɛt fayn we yu de rayd baysikul ɛn motoka. We yu de travul wit motoka, mek shɔ se yu wɛr sit bɛlt .
- Manej di sik dɛn we nɔ de mɛn: If yu gɛt sik dɛn lɛk dayabitis, ay blɔd prɛshɔn, ɔ epilepsy, fala wetin yu dɔktɔ tɛl yu, tek yu mɛrɛsin dɛn kɔrɛkt wan, ɛn manej dɛn fayn fayn wan.
- Fɔ liv fayn layf: If yu it tin dɛn we go mek yu gɛt wɛlbɔdi, yu de du ɛksɛsayz, ɛn yu gɛt wɛlbɔdi, dat kin mek yu nɔ gɛt sik dɛn lɛk strok.
- Gɛt tritmɛnt fɔ infɛkshɔn kwik kwik wan: Nɔ jɔs tink se "i fayn" we yu gɛt infɛkshɔn na yu yes, nos, ɔ yay. Sɔmtɛm, dɛn infɛkshɔn ya kin skata to di bren ɛn mek pɔsin gɛt siriɔs sik. So, go to dɔktɔ wantɛm wantɛm ɛn gɛt tritmɛnt.
- Nɔ tek drɔgs ɛn rɔm: If yu yuz dɛn, dat kin afɛkt yu bren wɛlbɔdi bak bad bad wan.
Ustɛm yu fɔ go to dɔktɔ?
Dis na tin we wi nɔ go ebul fɔ tink bɔt.
If yu si pɔsin we nɔ no natin, we gɛt mɔsul dɛn we nɔ ebul fɔ kɔntrol, ɛn we de na di kayn we aw dɛn tɔk bɔt am, na mɛdikal imejensi we rili impɔtant.
Kɔl ambulans (lɛk 1990) wantɛm wantɛm ɔ kɛr di pɔsin go na di ɔspitul we de nia yu Imejɛnsi Tritmɛnt Yunit (ETU) kwik kwik wan. Nɔ delay fɔ wan sɛkɔn.
A no se i kin rili mek yu fred ɛn i kin mek yu at pwɛl fɔ si pɔsin we yu lɛk na dis kɔndishɔn. Pan ɔl we sɔm kayn tin kin de wae bɔrku pipul dɛm wae gɛt dis sik nɔr kin liv, nɔr kin bi ɔltɛm. We di mɛrɛsin dɛn we dɛn de yuz tide dɔn go bifo, nyu we dɛn dɔn kam fɔ no ɛn trit di sik dɛn we de mek dis sik. So, i rili impɔtant fɔ gɛt op ɛn wok togɛda wit dɔktɔ dɛn.
Mɛsej we dɛn kin kɛr go na os
- Decebrate posturing nɔto sik, bɔt na siriɔs sayn we kin kam bikɔs di bren stem kin pwɛl bad bad wan.
- Di pɔsin we de sho dis jes nɔ kin no natin ɔltɛm ɛn i kin de na kɔma.
- Dis na wan bad bad mɛdikal imejensi. Dɛn fɔ kɛr di pɔsin go wantɛm wantɛm na ɔspitul in Imejɛnsi Tritmɛnt Yunit (ETU).
- di tritmεnt nכ de dayrekt pan di poshכn, bכt na di כndalayn mεdikal kכndishכn we kכz am (e.g., strכk, ed injuri).
- Fɔ du tin lɛk fɔ mek yu nɔ gɛt injury na yu ed ɛn fɔ manej sik dɛn we nɔ de mɛn kin mek yu nɔ gɛt dis sik.
👩🏽 ⚕️ Ɔda kwɛstyɔn dɛn (FAQ dɛn)
💬 Ambrisentan (Ambrisentan / Letairis) tablɛt na wan mɛrɛsin we rili spɛshal we dɛn kin gi fɔ us sik?
Dis nɔto ɔdinari mɛrɛsin! Dis na Endothelin Receptor Antagonist (ERA) drɔg we de wok fayn fayn wan we de rilaks di blɔd vesel dɛm na di at ɛn di lɔng dɛm, na sik we de kil pɔsin we di blɔd vesel dɛm we de kɛr blɔd frɔm di at to di lɔng dɛn kin smɔl/stif, ɛn di blɔd prɛshɔn insay di veins kin so ay dat i kin bɔs! Dis kin go bifo pas Bosentan, ɛn i nɔ kin ambɔg di liva bak.
💬 We di blɔd vesel dɛm we de go na di lɔng dɛn blok ɛn yu de kam day, aw yu go rilaks di veins bay we yu tek dɛn pils ya (Ambrisentan)?
di bכdi we de na di lכng dεm na wan pawaful kεmikכl we de na wi כwn bכdi we dεn kכl ‘Endothelin-1’ de כda fכ kכntrakt! we dis pil go insay di bכdi, i de blכk (highly selectively) כnli di ples dεm we da kεmikכl de kin biεn/prεs di bכtכn pan di bכdi vεsεl kכnstriktכ dεm (ETA rεsεpכta dεm). sכm di כda (ETB) rεsεpכta dεm dεn opin, di kεmikכl we de rilaks di bכdi vεsul dεm de fכlכ insay, εn כl di vein dεm na di lכng dεm de rilaks fayn fayn wan (Vasodilation) εn di sikman de rεkכva.
💬 Wetin na di ‘fatal dangers’ ɛn sayd ɛfɛkt (Black Box Warnings) we uman dɛn we de tek dis mɛrɛsin (Ambrisentan) fɔ no bɔt?
Di big denja na dat dis na tin we dɛn nɔ fɔ du fɔ ‘Mama dɛn we gɛt bɛlɛ’! If dɛn bɔn pikin we i de drink dis, di pikin go mɔs gɛt difɔm (Teratogenic / Birth defects) ɛn day insay (so, dɛn fɔ yuz 2 we fɔ kɔntrol di pikin)! di כda big sayd ifekt na dat dis de mek di כl bכdi/ankles dεm swεla bad bad wan (Severe Fluid Retention / Peripheral Edema).
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