Yu don eva yehri sohmbodi se dem geht 'gangrene'? Yu go mɔs dɔn yɛri dis wɔd we gɛt fɔ du wit wund we dɔn gɛt bɔku sik, ɔ wan leg ɔ an we dɔn tɔn blak. Dis na mɛdikal imejensi we rili denja ɛn we nid fɔ gɛt tritmɛnt kwik kwik wan. Fɔ tɔk am simpul wan, gangrene na we blɔd we de flɔ to wan pat na yu bɔdi stɔp, ɛn dis kin mek di tisu we de na da say de day. Pan ɔl we i kin apin ɛnisay, bɔku tɛm i kin bigin na di finga ɔ fut finga dɛn. Tide, wi go tɔk bɔt dis insay wan simpul we we izi fɔ ɔndastand.
Wetin rili na gangrene?
Imajin se ɔl di sɛl ɛn tisu dɛn na wi bɔdi nid ɔksijɛn ɛn tin dɛn we go ɛp wi fɔ liv. Na di blɔd de kɛr dɛn tin ya. Wetin kin apin if di blɔd we de go na wan pat na di bɔdi stɔp fɔ sɔm rizin? Jɔs lɛk aw tik kin day we i nɔ gɛt wata, na so di tisu we de na da pat de kin bigin fɔ day bak. Na dat wi kin kɔl gangrene .
Di impɔtant tin na dat gangrene na tisu day ɔltɛm. Bɔt nɔto ɔl di gangrene na infɛkshɔn. Sɔntɛnde, di blɔd kin stɔp ɛn di tisu kin day, we nɔ gɛt ɛni baktri infɛkshɔn. Bɔt if baktriyal infɛkshɔn jɔyn di day tisu, di tin kin wɔs. If dɛn nɔ trit dis sik kwik kwik wan, i kin mek yu gɛt siriɔs prɔblɛm dɛn, ivin day.
Wetin na di men kayn gangrene?
Dɛn kin sheb gangrene to sɔm men kayn dɛn. Ɛni wan pan dɛn difrɛn smɔl frɔm di ɔda wan. Lɛ wi tek wan luk pan wetin dɛn bi.
| Tayp fɔ gangrene | Simpul ɛksplen |
|---|---|
| Dray Gangrene we dɛn kɔl Dray | Dis na jɔs wan kes we blɔd kin rɔtin. No baktri infekshɔn nɔ de. Di skin we di sik afɛkt kin dray, skel, ɛn blak. Dɛn nɔ de si ɛni blista we ful-ɔp wit pus. Dis kin apin mɔ pan pipul dɛm wae gɛt sik lɛk dayabitis ɛn atrɔsklerɔsis, we kin mek dɛn blɔd vesel dɛn blok bikɔs dɛn gɛt bɔku kɔlɔstrel. |
| Wet Gangrene we gɛt di sik | Dis na bad bad baktriyal infεkshכn we kin apin we blɔd fכ fכlכ stכp. Fɔ tru, di skin kin swel, i kin gɛt blista, ɛn wata we tan lɛk pus kin kɔmɔt. Na dat mek dɛn kɔl am ‘wet’. I gɛt wan bad bad smel. Dis kayn infεkshכn kin spre kwik kwik wan to כda hεlty tisu dεm. |
| Gas we dɛn kɔl Gangrene | Dis na wan kayn tin we rili denja ɛn we kin skata kwik kwik wan. Sɔm kayn baktri dɛm we kin kam insay di bɔdi tru dip wund dɛn kin mek gas insay di mɔsul dɛm. Dis kin pwɛl di tisu. If yu pres pan di skin we di sik afɛkt, yu go yɛri ‘chiri chiri’ sawnd lɛk se di briz bɔbul dɛn de bɔs ɔnda am. Dis kin mek pɔsin in layf de pan denja insay sɔm awa. |
| Fournier in wan sik we dɛn kɔl Gangrene | Dis na wan sik we nɔ kin apin so ɔltɛm, we gɛt siriɔs baktriyal infɛkshɔn. I kin apin na di bɔdi ɛn di say dɛn we de rawnd am. I kin apin mɔ pan man dɛn. |
| Gangrene we de insay pɔsin in bɔdi | Dis kin apin we dɛn kɔt di blɔd we de flɔ to wan ɔgan insay di bɔdi. fכ egzampl, dis kכndyushכn kin apin na di gal blad, di intestin dεm, כ di apεndiks. |
Wetin na di sayn dɛm fɔ gangrene?
Di sayn dɛm fɔ gangrene kin difrɛn smɔl difrɛn wan fɔ di kayn. Bɔt sɔm kɔmɔn sayn dɛn de we yu kin si. If yu gɛt ɛni wan pan dɛn tin ya, yu fɔ go to dɔktɔ wantɛm wantɛm.
- Di kɔlɔ we di skin kin chenj: Di skin we de na di say we di sik kin gɛt kin tɔn fɔs, dɔn i kin tɔn rɛd, pepul, grɛn, ɛn leta i kin tɔn blak.
- Bɔrku pen: Fɔs, pen kin de na di say we yu nɔ go ebul fɔ bia, ɛn afta dat, yu kin lɔs yu sɛns kpatakpata as di tisu de day.
- Swel ɛn swɛlin: Di say we di sik afɛkt kin fil lɛk se i swel ɛn nɔ gɛt swɛla.
- Kol skin: We yu kɔmpia am to ɔda say dɛn we gɛt wɛlbɔdi, gangrene kin fil bad bad wan we yu tɔch am.
- Pus we de smɛl fayn: Insay wet gangrene, blista kin fɔm ɛn kɔmɔt pus we de smɛl fayn ɔ wata we gɛt blɔd.
- ‘Chɛri-Chɛri’ sawnd: Insay gas gangrene, we dɛn prɛs di skin pan tap, dɛn kin yɛri sawnd lɛk se ɛya bɔbul dɛn de bɔs ɔnda.
- Di sayn dɛn we kin apin:Simptom dɛm lɛk fiva, taya, at bit kwik kwik wan, we yu de blo bɔku, ɛn yu maynd kɔnfyushɔn kin apin bak, mɔ we di infɛkshɔn de ɔlsay na di bɔdi (sepsis).
Di tin we impɔtant pas ɔl na di chenj we di skin gɛt. Fɔs, i kin bi pale bikɔs di blɔd nɔ de flɔ, dɔn i kin tɔn rɛd, smɔl smɔl i kin tɔn brawn, ɛn leta i kin tɔn pepul ɔ grɛn-blak. I kin tranga fɔ pɔsin we gɛt dak skin fɔ no dɛn kɔlɔ chenj ya fɔs.
Wetin na di tin dɛn we kin mek pɔsin gɛt gangrene ɛn di tin dɛn we kin mek pɔsin gɛt prɔblɛm?
Di men tin we kin mek pɔsin gɛt gangrene na we di blɔd kin blok to wan pat na di bɔdi. Bɔku men tin dɛn de we kin mek pɔsin gɛt dis sik ɛn tin dɛn we kin mek i gɛt dis sik.
Di tin dɛn we kin mek blɔd nɔ de flɔ:
- Blɔd vesel sik dɛm: Di kɔlɔstrel we de na di blɔd vesel ɛn we de smɔl (Peripheral Artery Disease) na di men tin we kin mek pɔsin gɛt dray gangrene.
- Siriɔs injuri: If big injuri apin, lɛk motoka aksidɛnt ɔ we pɔsin kech wit mashin, ɛn di blɔd vesel dɛn dɔn pwɛl.
- Di prɔblɛm dɛn we kin apin we pɔsin du ɔpreshɔn: Pan ɔl we i nɔ kin apin so ɔltɛm, di blɔd kin ambɔg afta sɔm ɔpreshɔn dɛn.
- Infεkshכn: If baktriyal infεkshכn we dεn nכ trit, i kin mek di tisu swel εn blɔd.
Pipul dɛm wae de mek dɛn gɛt mɔr risk fɔ gɛt gangrene:
- Pipul dɛn we gɛt Dayabitis: Dayabitis kin bɔku na wi kɔntri. Dayabitis kin pwɛl di blɔd vesel ɛn di nerv dɛn. Dis kin mek di sɛns we de na di leg dɛn nɔ kin fil fayn, ivin smɔl wund nɔ kin notis, ɛn chans de fɔ mek i nɔ wɛl kwik ɛn i go gɛt di sik ɛn gɛt gangrene. Pipul wae gɛt dayabitis fɔ tek kia ɔf dɛn fut fayn fayn wan.
- Pipul dɛn we de smok: We pɔsin smok, i kin pwɛl di blɔd vesel dɛn ɛn i kin mek i smɔl.
- Fat: If pɔsin fat, i kin mek i gɛt gangrene, bikɔs i kin mek i gɛt sik dɛn lɛk dayabitis ɛn ay blɔd prɛshɔn.
- Pipul dɛn we gɛt wikɛd imyun sistɛm: Pipul dɛn we gɛt HIV/AIDS, pipul dɛn we gɛt kansa, ɛn di wan dɛn we de tek kimotɛrapi nɔ kin ebul fɔ fɛt di sik dɛn.
- Raynaud’s syndrome: Na wan sik wae de mek blɔd flɔ to di finga ɛn fut finga dɛn kin stɔp fɔ sɔm tɛm we i kol.
Aw dɛn kin no ɛn trit gangrene?
If yu tink se yu gɛt sayn fɔ gangrene, yu fɔ go to dɔktɔ ɔ go na ɔspitul in Imejɛnsi Dipatmɛnt (ETU) ɛn nɔ de te.
Di dɔktɔ go chɛk yu, aks yu bɔt yu mɛdikal istri, ɛn ɔda fɔ mek dɛn du sɔm tɛst dɛn if nid de.
- Blɔd tɛst: Chɛk fɔ si if yu gɛt infekshɔn ɛn di wayt blɔd sɛl dɛn.
- Baktri kɔlchɔ: Fɔ no di baktri dɛm we de mek di infekshɔn ɛn gi yu di antibayɔtik we fit pas ɔl.
- Imej tɛst: X-ray, CT skan, ɔ MRI skan kin luk fɔ di tisu dɛn we dɔn pwɛl ɛn fɔ gɛt gas.
- Blɔd flɔ tɛst: Spɛshal tɛst fɔ chɛk if di blɔd vesel dɛn dɔn blok.
Di we aw dɛn kin trit am
Tri men gol dɛn de fɔ trit gangrene: fɔ pul di tisu we dɔn day, fɔ kɔntrol di infɛkshɔn, ɛn fɔ mek blɔd go bak.
1. Antibayɔtik: If baktri infɛkshɔn de, dɛn kin gi strɔng antibayɔtik insay di bɛlɛ fɔ kɔntrol am.
2. Debridement: Dis na ɔpreshɔn we dɛn kin du. Gangrenous tissue nɔ de wɛl. So, dɛn fɔ du ɔpreshɔn fɔ pul am. If nɔto dat, di infekshɔn go spre to wɛlbɔdi tisu.
3. Ɔpreshɔn fɔ mek blɔd flɔ bak: Dɛn kin du ɔpreshɔn fɔ mek di blɔd vesel we dɔn blok big (Angioplasty) ɔ fɔ mek nyu rod fɔ baypas am (Bypass surgery).
4. Hyperbaric Oxygen Therapy (HBOT): insay dis, dεn kin put di sikman insay wan haypabarik chεmba εn mek i brith 100% klin כksijεn. Dis kin mek di ɔksijɛn we de na di blɔd go ɔp bad bad wan, ɛn dis kin ɛp di tisu dɛn fɔ wɛl.
5. Fɔ kɔt di bɔdi: If i rili bad, we ɔda tritmɛnt dɛn nɔ wok, di wangren we fɔ sev di pɔsin in layf na fɔ ɔpreshɔn fɔ pul di an we gɛt di sik, lɛk in finga, in fut, ɔ in an. Dis na di las tin we dɔktɔ dɛn kin tek.
Ustɛm yu fɔ go to dɔktɔ kwik kwik wan?
Gangrene na wan mɛdikal imejensi. If yu gɛt dɛn sik ya, go to ɔspitul in Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm.
- If yu skin dɔn tɔn blak, yu nɔ de fil fayn igen, i dɔn kol, ɔ i dɔn swel sɔmsay na yu bɔdi.
- If wund we nɔ de wɛl gɛt bad smel ɔ i de ɔz pus.
- If yu gɛt fiva wit bad bad pen wantɛm wantɛm.
If yu gɛt dɛn sik ya wit di prɔblɛm fɔ blo, yu at kin bit kwik kwik wan, yu maynd kin kɔnfyus, ɛn yu kin swet kol, dat min se di sik dɔn skata ɔlsay na yu bɔdi ɛn i de divɛlɔp to wan sik we de mek yu layf de pan denja we dɛn kɔl sɛptik shɔk . So, dɛn nid fɔ gɛt tritmɛnt kwik kwik wan.
Mɛsej we dɛn kin kɛr go na os
- Gangrene na di day we di tisu dɛn de day bikɔs di blɔd nɔ de flɔ to wan pat na di bɔdi. Dis na wan sik we rili denja ɛn we pɔsin kin gɛt kwik kwik wan.
- Di men sayn dɛm na di kɔlɔ we de chenj na di skin (especially we i de dak), i de fil pen bad bad wan, i de swel, ɛn di pus we de smɛl fayn. If yu notis dɛn tin ya, nɔ delay.
- Pipul wae gɛt shuga kin gɛt bɔrku risk fɔ gɛt gangrene, so i impɔtant fɔ fala yu dɔktɔ in instrɔkshɔn ɛn tek kia ɔf yu fut spɛshal.
- Taym na di men tin we yu de trit gangrene. Di kwik we dɛn bigin fɔ trit, na di mɔ di tin dɛn we go apin go fayn.
- If yu gɛt ɛnitin fɔ tink bɔt gangrene, nɔ tink bɔt sɔntin ɛn go to yu dɔktɔ wantɛm wantɛm.
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