Lɛ wi lan mɔ bɔt Fat Embolism Syndrome.

We pɔsin fɔdɔm ɛn brok in an ɔ leg, ɔ gɛt siriɔs aksidɛnt, wi kin tink mɔ bɔt di injuri. Bɔt sɔmtɛm, wan kɔndishɔn kin de we kin kam wit dɛn kayn tin ya, we wi nɔ kin tɔk bɔt bɔku, bɔt i kin denja. Wan pan dɛn kayn tin ya na ``Fat Embolism Syndrome .'' Lɛ wi tɔk bɔt dis simpul wan, insay wan we we yu go ɔndastand.

Wetin na dis `(Fat Embolism Syndrome)`?

Fɔ tɔk am simpul wan, `(Fat Embolism Syndrome)` na we di fat patikyula, ɔ ɔyl drɔp, kin stɔp na yu blɔd vesel ɛn ambɔg di blɔd flɔ. Tink bɔt am lɛk dɔti we stɔp na wata paip ɛn di wata stɔp fɔ flɔ. We blɔd nɔ de flɔ dis we, di bren, di lɔng, di skin, ɛn bɔku ɔda pat dɛn na di bɔdi kin afɛkt. Dis na tin we nɔ kin apin so ɔltɛm. Bɔku tɛm, i nɔ kin rili siriɔs. Bɔt if di sik kam tranga, i kin denja smɔl.

Wetin na di difrɛns bitwin fat ɛmbolizm ɛn pulmonari ɛmbolizm?

Bifo wi ɔndastand di difrɛns bitwin dɛn tu, lɛ wi ɔndastand wetin sɔm wɔd dɛn min.

• Embolism: Dis na we sɔntin kin stɔp insay blɔd vesel. Dis kin bi blɔd we de klɔt, ɛya bɔbul, ɔ ivin da fat we wi de tɔk bɔt.
• Fat Embolism: Dis na we wan ɔ mɔ fat patikyula dɛn kin lod insay wan blɔd vesel.
• Pulmonary Embolism: Dis na we sɔntin kin stɔp na blɔd vesel na di lɔng.

Bɔku tɛm, di pulmonary embolism kin bi bikɔs di blɔd de klɔt, bɔt i kin bi bak bikɔs ɔf fat embolism. Na mɛdikal imejensi we kin mek pɔsin in layf de pan denja. insay ``Fat Embolism Syndrome'', ivin if nכ ``Pulmonary Embolism'' de, i kin tranga fכ brith.

Udat dɛn dis kayn tin kin afɛkt mɔ?

Fat embolism kin apin to ɛnibɔdi. Bɔt i sɔprayz fɔ no se i nɔ kin apin so ɔltɛm pan yɔŋ pikin dɛn. I kin mɔs bi if yu brok yu bɛlɛ ɔ wan lɔng bon na yu bɔdi.

Pan ɔl we i nɔ kin apin so ɔltɛm, ɔda tin dɛn kin apin bak. Na sɔm ɛgzampul dɛn ya:

• Ɔpreshɔn fɔ riples yu ni ɔ hip
• Bɔn bad bad wan
• If yu gɛt imejensi kadiopulmonari risasayshɔn (CPR) .
• Bɔn mɛrɔ bayɔpsi ɔ transplant
• Akyu pankriaytis
• Liva we gɛt fat
• Liposukshɔn we dɛn kin yuz
• Insay kɔndishɔn dɛn lɛk sikɛl sɛl anemia.

Aw dis sik kin kɔmɔn?

Infakt, ɛnitɛm we yu brok bon, smɔl smɔl fat kin go insay yu blɔd. Bɔt bɔku tɛm, dɛn nɔ kin big fɔ mek dɛn gɛt prɔblɛm.

Fat Embolism Syndrome de apin pan 0.5% to 2% pan pipul dεm we de brok wan singl lכng bon, lεk di fεmur. כltu, if dεn brok plεnti bon dεm di sem tεm, spεshal wan di pεlvis, di risk de inkrεs to 5% to 10%.

Wetin kin apin to di bɔdi we dis kayn tin de apin?

`(Fat Embolism Syndrome)` kin denja if i rich to wan siriɔs lɛvɛl. Na bikɔs i kin mek i nɔ izi fɔ yu fɔ blo. If i wɔs, i kin put bɔku strɛs pan di at bikɔs ɔf di ifɛkt we i gɛt pan di lɔng, ɔ di ifɛkt pan di lɔng kin put bɔku strɛs pan di at, we kin mek di at stɔp fɔ wok ɛn ivin mek pɔsin day.

Wetin na di rizin dɛn we mek dɛn de du dis?

Fat embolism na we wan ɔ mɔ tin dɛn we tan lɛk fat go insay yu blɔd ɛn blok di blɔd fɔ flɔ tru sɔm blɔd vesel dɛn. dis fεt εmboli dεm de fכm εni tεm we wan bon brok. Bɔt bɔku tɛm, dɛn kin so smɔl dat dɛn nɔ kin kɔz ɛni prɔblɛm. Na dat mek dɛn fat ɛmboli ya nɔ kin rili mek ɛni prɔblɛm.

dis ``fat emboli`` kin kכz prכblεm we dεn brok sכm kayn bon dεm. 95% pan dεn kes dεm ya kin involv frakshכn na di hip bon ``(pelvis)`` כ di lכng bon dεm na di bכdi. dis risk de hכy spεshal we di tכŋ bon ``(femur)``, di big bon dεm we de dכn di kכn ``(tibia)`` εn di tכn bon we de biεn am ``(fibula)`` dεn brok.

Bɔku tɛm, dɛn fat ya we kin gɛda na di blɔd kin stɔp na di fayn fayn blɔd vesel dɛn we dɛn kɔl kapilari, we de nia di say we yu skin de. Dis kin mek yu gɛt smɔl smɔl tin dɛn lɛk we yu gɛt rɔsh na yu skin. Bɔt sɔntɛnde, dɛn fat patikyula ya kin stɔp na di fayn fayn blɔd vesel dɛn na rili impɔtant ples dɛn lɛk di at, bren, yay, ɛn lɔng, ɛn dis kin mek dɛn gɛt siriɔs prɔblɛm dɛn we kin mek pɔsin in layf de pan denja.

Dɔktɔ kin sɔprayz fɔ gɛt di sik if tri men sayn dɛn de (pan ɔl we dɛn kin no di sik we dɛn nɔ gɛt ɔl tri). Dis na difrɛn skin rash, i kin afɛkt di bren wok, ɛn i kin afɛkt di lɔng dɛn.

Wetin na di sayn dɛm we de sho se yu gɛt dis sik?

Fat Embolism Syndrome kin apin insay 2-3 dez afta di big big fraktrɔs ɔ ɔda siriɔs injuri. Bɔt sɔntɛnde, i kin apia jɔs lɛk 12 awa afta di wund. Di men sayn dɛm wae de sho se yu gɛt dis sik na:

• I nɔ kin izi fɔ yu fɔ blo: I nɔ kin izi fɔ yu fɔ blo, yu kin blo kwik kwik wan, ɛn yu nɔ kin blo fayn na di kɔmɔn sayn dɛm fɔ ``Fat Embolism Syndrome.`` Dɛn simptom ya kin bi di fɔs wan dɛm we kin apin.
• Di chenj we yu de chenj di we aw yu de tink: Dis sik kin afɛkt di we aw yu bren de wok. Dis kin mek yu ed pen, kɔnfyus, chenj yu bihayvya, nɔr de ansa ɔr nɔr de fil sloslo. Sɔntɛnde, pɔrsin kin gɛt sik ɛn kɔma.
• Pɛtchial rash: .Petechiae na smɔl smɔl say dɛn we tan lɛk brus we de sho na yu skin. Dɛn kin apin we smɔl smɔl blɔd vesel dɛn we dɛn kɔl kapilari dɛn we de ɔnda di skin bɔs. Dɛn kin si dɛn spat ya na di ed, nɛk, chɛst, ɛn an. Dɛn kin apia bak na di insay pat pan di aylid ɛn insay di mɔt. Dis rash na sɔm kayn we fɔ dis sik.

Ɔda sayn dɛn we kin apin:

• Di at we de blo
• Fiva
• Jandis (di skin kin yɔlɔ ɔ di yay kin wayt bikɔs ɔf di liva sik) .
• Vishɔn kin chenj

Ɔda klinik sayn dɛn de we dɔktɔ dɛn kin chɛk fɔ. Dɛn tin ya nɔr kin bi sayn dɛm wae yu kin no, bɔt yu kin no dɛn tru tɛst:

• Di ɔksijɛn we de na di blɔd nɔ bɔku
• Anemia we nɔ gɛt bɛtɛ blɔd
• Prɔblɛm dɛn na di kidni
• Prɔblɛm dɛn we pɔsin kin gɛt we i de si
• Di pletlɛt dɛn we nɔ bɔku ɛn ɔda chenj dɛn we kin apin na di blɔd kemistri.

Yu tink se dis kin pas?

Nɔ, `(Fat Embolism Syndrome)` nɔto sik we pɔsin kin gɛt.

Aw dɛn kin no dis?

Naw, nɔr standad we ɔlman kin gri wit fɔ no dis sik. So, dɔktɔ dɛn kin no dis sik bay di sayn dɛn we yu gɛt, fɔ chɛk yu bɔdi, tɛst fɔ no if yu gɛt am, ɛn tɛst na lɛbɔtri.

We dɛn de chɛk yu bɔdi, dɔktɔ go luk fɔ sayn ɛn sayn dɛn na yu bɔdi. Dɛn go lisin to yu at ɛn yu lɔng wit stetɔskɔp.

di tri men simptom dεm we wi bin dכn tכk bכt – sכt brith, chenj na di mεntal stεtus, εn di petechial rash – dεn kin si na do. So, bɔrku tɛm, mɔr lɛk wae i tranga, yu kin no bɔt dis sik bay wae yu de chɛk yu bɔdi nɔmɔ.

Us kayn tɛst dɛn kin du?

Dɛn kin du dɛn tɛst ya fɔ no if yu gɛt dis sik:

• Stɔdi fɔ di pikchɔ: Dɔktɔ dɛn kin ɔda fɔ mek dɛn tek ɛkstrem rayt, CT skan, ɔ MRI skan na yu ed ɔ chɛst fɔ mek dɛn nɔ no ɛnitin we go mek yu layf de pan denja lɛk strok ɔ pulmonary embolism. Dɛn skan ya kin ɛp fɔ pul dɛn kayn tin ya ɛn kɔnfɔm Fat Embolism Syndrome.
• Test fɔ no if yu gɛt di sik: We di sayn dɛm fɔ Fat Embolism Syndrome afɛkt di at, dɛn kin du dɛn tɛst ya. Fɔ ɛgzampul, dɛn kin du wan tɛst we dɛn kɔl Electrocardiogram (ECG) we dɛn kin du fɔ no aw di at de wok wit ilɛktrik, ɔ dɛn kin tek wan smɔl pat pan di skin fɔ si if di fat pat dɛn dɔn stɔp na di kapilari dɛn na di skin.
• Lab test: Dɛn tɛst ya de luk fɔ big chenj dɛn na di kemikal we de na yu blɔd, ɛn fɔ di fat patikyula dɛn na yu blɔd, urine, ɔ sputum.

Aw dɛn kin trit am? Yu tink se mɛrɛsin de fɔ dis?

Nɔ patikyula mɛrɛsin nɔ de fɔ `(Fat Embolism Syndrome)`.Nɔr standad tritmɛnt plan nɔr de bak fɔ dis. Di tritmɛnt na fɔ kɔntrol di sayn dɛm, yuz tin dɛm wae de sev layf, ɛn fɔ mek dɛn nɔr gɛt ɔda prɔblɛm.

Di men gol ya na fɔ gi sɔpɔt kia. Dat min se, di wan dɛn we de kia fɔ wɛlbɔdi biznɛs kin pe atɛnshɔn fɔ trit di sik ɛn di tin dɛn we de apin to am, pas fɔ mɛn di sik insɛf.

Us kayn mɛrɛsin/tritmɛnt dɛn kin yuz?

Dɛn kin yuz dɛn tritmɛnt ya fɔ `(Fat Embolism Syndrome):`

• Kɔtikosterɔyd: Dɛn mɛrɛsin ya kin ridyus di inflamɛns na di bɔdi. Di wan dɛn we de kia fɔ yu wɛlbɔdi kin gi dɛn fɔ mek yu nɔ swel, fɔ ɛp di lɔng dɛn, ɛn fɔ mek i izi fɔ yu fɔ blo. Bɔt dɛn nid fɔ du mɔ risach fɔ no if dɛn fɔ yuz dɛn as standad tritmɛnt fɔ dis sik.
• Mεdikeshכn dεm we de mek blɔd tan: Dɛn kin ɛp fɔ mek blɔd nɔ kכl we kin apin wit Fat Embolism Syndrome. Bɔt nɔto inɔf pruf de fɔ se dɛn fɔ gi dɛn to ɔlman we gɛt Fat Embolism Syndrome.
• Vena cava filters: Dis na tin dɛn we dɔktɔ dɛn kin put insay wan pan yu vein dɛn ɛn dayrɛkt blɔd to wan patikyula say. We dɛn put dɛn filta ya insay di vena cava, we na di big blɔd vesel na yu bɔdi (di wan we de kɛr blɔd go na di at), dɛn filta ya kin kech blɔd we kin stɔp na di lɔng. Dis kin ɛp fɔ mek yu nɔ gɛt pulmonary embolism ɔ di respiratory effects of fat embolism syndrome.
• Ɔksijɛn: Dis na wan pan di tritmɛnt dɛn we kwik ɛn izi fɔ ɛni prɔblɛm we gɛt fɔ du wit di we aw pɔsin de blo. We yu inkrisayz yu ɔksijɛn, yu lɔng ɛn at nɔ nid fɔ wok tranga wan fɔ gɛt inof ɔksijɛn to yu bɔdi.
• Extracorporeal Membrane Oxygenation (ECMO): ECMO na wan we we dɛn kin tek blɔd na yu bɔdi, pas am tru spɛshal mashin, usay dɛn kin pul am na di bɔdi ɛn gi am ɔksijɛn. Dɔn di blɔd kin kam bak na yu bɔdi. Dis tritmɛnt kin ɛp yu lɔng dɛn fɔ wɛl bay we yu gi dɛn smɔl rɛst if yu gɛt siriɔs prɔblɛm wit yu brith bikɔs ɔf Fat Embolism Syndrome.
• Ventilashɔn: Ventilatɔ na divays we de du di wok fɔ blo fɔ yu. Dis na kɔmɔn tritmɛnt fɔ pipul dɛm wae gɛt siriɔs prɔblɛm wae kin de pan denja fɔ blo. I kin bigin wit intubation, we involv fɔ put wan tiub insay yu winda paip ɛn kɔnɛkt am to ventilator. Bɔku tɛm, dɛn go slip yu insay dis tɛm fɔ ɛp yu fɔ fil fayn.

Wetin na di kɔmplikeshɔn/sayd ifɛkt dɛm wae de kam wit tritmɛnt?

כltεm nכ dairekt kכmplikεshכn dεm de we de asai wit `(Fat Embolism Syndrome)`. Bɔt if i bad, i kin ambɔg yu bren, yu yay, ɔ yu lɔng fɔ lɔng tɛm. Bɔt, bɔku pipul dɛn kin wɛl kpatakpata.Yu fɔ aks yu dɔktɔ bɔt di sayd ɛfɛkt ɔ prɔblɛm dɛn we kin apin we gɛt fɔ du wit yu sik. I kin gi yu infɔmeshɔn we fit yu patikyula kɔndishɔn ɛn wetin yu nid.

Sɔm pruf sho se pipul dɛm wae gɛt Fat Embolism Syndrome kin gɛt bɔrku prɔblɛm lɛk dip vein thrombosis (DVT) ɔr kin gɛt lɔng tɛm ifɛkt pan dɛn bren. Bɔt dɛn nɔ dɔn kɔnfirm dis pruf yet. Dɛn nid fɔ du mɔ risach fɔ no if na so i bi.

Aw a kin tek kia ɔf misɛf/manage de symptoms?

Fat Embolism Syndrome kin mek yu gɛt prɔblɛm wit yu brith ɛn i kin mek yu bren nɔ wok fayn, so yu nɔ fɔ tray fɔ trit am yusɛf. Di bɛst tin fɔ du na fɔ go na ɔspitul wantɛm wantɛm ɛn go to dɔktɔ.

Aw dɛn go ridyus di risk fɔ dis kɔndishɔn – ɔ ivin fɔ mek dɛn nɔ gɛt am?

biכs `(Fat Embolism Syndrome)` kin kam wit bon fraktכs, i rili imכtant fכ stεbyul di bon dεm we brok. Bɔku tɛm, dɛn kin du dis bay we dɛn de sɛt di bon dɛn we dɔn brok fayn fayn wan ɛn mek dɛn nɔ ebul fɔ muv. If pɔsin brok bad bad wan, i kin nid fɔ du ɔpreshɔn.

Sɔntɛnde, dɔktɔ dɛn kin gi yu kɔtikosterɔyd fɔ mek dis sik nɔ apin afta we yu brok bad bad wan. Bɔt dɛn nid fɔ du mɔ risach fɔ no if di bɛnifit dɛn we dis we fɔ du tin go gi pas di prɔblɛm dɛn we kin apin.

Wetin na di lukin-grɔn fɔ dis sityueshɔn?

di fεt εmbolizm sεndrכ m gεt di fatality rεt bitwin 5% εn 20%. Bɔt di nɔmba fɔ pipul dɛn we de day dɔn de go dɔŋ insay di las ia dɛn. Dis kin bi mɔ bikɔs ɔf di tin dɛn we dɛn de du fɔ mek dɛn nɔ gɛt sik ɛn fɔ wach di wan dɛn we gɛt ay risk na ɔspitul dɛn gud gud wan.

`(Fat Embolism Syndrome)` kin denja pas ɔl if i mek yu gɛt siriɔs prɔblɛm fɔ blo ɔ yu at nɔ de wok fayn. Di risk fɔ gɛt ɛni wan pan dɛn tin ya kin bɔku if di sik kam tranga, ɔ if di tritmɛnt de te.

insay mכdarεt to mild kes dεm, ``Fat Embolism Syndrome'' kin sכlv fכ insεf. Di ifɛkt dɛn we kin apin fɔ lɔng tɛm nɔ kin bɔku.

Aw kwik a go fil fayn afta dɛn dɔn trit mi? Aw lɔng i go tek fɔ mek i wɛl?

Bɔrku tɛm, `(Fat Embolism Syndrome)` nɔr kin bi siriɔs sik. I kin sɔlv insɛf insay sɔm dez. If i siriɔs, di prɔblɛm dɛn we de na di skin ɔ di nervɔs sistɛm (bren) kin tek sɔm dez ɔ sɔm wik fɔ sɔlv. Di prɔblɛm dɛn we kin apin we pɔsin de blo kin sɔlv fɔ dɛnsɛf insay wan ia. Ivin if dɛn nɔ sɔlv fɔ dɛnsɛf, bɔku tɛm di prɔblɛm dɛn we kin apin we dɛn de blo nɔ kin rili bad fɔ mek dɛn kɔntinyu fɔ gɛt mɛrɛsin.

Aw a kin kia fɔ misɛf?

כltu, i nכ nid fכ tek εni spεshal prεkoshכn afta `(Fat Embolism Syndrome)`. Bɔt yu nid fɔ rili tek tɛm wit di bon dɛn we dɔn brok we mek yu gɛt dis sik. If bon brok bak, dis kכndyushכn (if i nכ bin de) kin divεlכp כ i kin kam bak.

If yu gɛt kwɛstyɔn bɔt yu patikyula sik, yu dɔktɔ na di bɛst pɔsin fɔ gayd yu fɔ wetin go ɛp yu as yu de wɛl frɔm dis sik.

Ustɛm a fɔ go to mi dɔktɔ?

Yu dɔktɔ go tɛl yu fɔ mek yu go bifo ɛn kia fɔ yu fɔ si if ɛni lɔng tɛm ifɛkt (we nɔ kin apin so ɔltɛm) we gɛt fɔ du wit ``Fat Embolism Syndrome.`` Yu dɔktɔ go tɛl yu bak us simptom ɛn sayn dɛn we yu nid fɔ go to dɔktɔ.

Ustɛm a fɔ go na di Imejɛnsi Dipatmɛnt (ETU) ?

If yu brok yu an ɔ yu leg, yu fɔ go na ɔspitul ɛnitɛm. Di ɔspitul fasiliti na di bɛst ples fɔ trit dɛn kayn frakshɔn ya ɛn ɛp fɔ mek dɛn nɔ gɛt prɔblɛm ɔ ɔda prɔblɛm.

Dɔn bak, if yu gɛt `(Fat Embolism Syndrome)`, yu fɔ go ɔspitul wantɛm wantɛm if yu bigin fɔ gɛt chenj na yu maynd, ɔ if yu sho sɔm sayn dɛn we gɛt fɔ du wit `(Pulmonary Embolism)`.

Di sayn dɛm fɔ chenj na yu maynd:

• Kɔnfyushɔn ɔ we pɔsin kin vɛks
• Nɔ bisin bɔt ɔda pipul dɛn ɔ fɔ slo fɔ ansa
• Kɔnvulshɔn we pɔsin kin gɛt

Di simptom dɛm fɔ `(Pulmonary Embolism)`:

• Chɛst de pen
• I nɔ izi fɔ blo, mɔ if i kam kwik ɔ wantɛm wantɛm
• Kɔf ɔ swɛt (espɛshali if yu kɔf blɔd) .

Fat Embolism Syndrome na wan sik wae nɔr kin bɔrku wae kin sɔlv fɔ insɛf ɛn nɔr kin ebul fɔ du am fɔ lɔng tɛm. Bɔt, insay sɔm kes dɛm – mɔ pan siriɔs kes dɛm ɔ we dɛn nɔ trit am kwik – i kin denja ɔ ivin kil. Bɔt gud tin na dat, bikɔs dɛn dɔn go bifo pan mɛrɛsin sayɛns, mɔ we dɛn kin no di sik kwik kwik wan ɛn trit am, di prɔblɛm dɛn we kin apin we pɔsin gɛt dis sik dɔn ridyus bad bad wan.

Di tin dɛn we impɔtant pas ɔl fɔ mɛmba (Take-Home Message) .

Fat Embolism Syndrome na wan sik we nɔ kin apin so ɔltɛm bɔt sɔm tɛm dɛn kin denja we kin apin we di fat patikyula dɛn kin lod na di blɔd vesel dɛn afta sɔntin lɛk we bon brok.

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Di tin we impɔtant pas ɔl na fɔ go to dɔktɔ wantɛm wantɛm if yu brok yu bon ɔ yu gɛt ɛni wan pan di sayn dɛn we wi dɔn tɔk bɔt (espɛshali we yu nɔ de blo fayn, yu maynd chenj, ɛn yu skin de rɔsh) . If yu trit yu kwik kwik wan, dat kin mek yu nɔ gɛt bɔku pan di bad bad tin dɛn we kin apin to am. Nɔ tray fɔ trit yusɛf. Yu dɔktɔ na di bɛst pɔsin fɔ advays yu.

` Fat embolism, bon fraktכs, difεlεns fכ brith, lכng sik, blכd vεsεl blכk, petechial rash, imejensi mεdikal tritmεnt