Yu tink se wan pat na yu bɔdi de tɔn blak ɛn nɔ gɛt layf? I kin bi gangrene!

Yu dɔn ɛva notis se sɔm pat dɛn na yu bɔdi, mɔ yu finga ɛn fut finga dɛn, kin swɛ, dɛn kin chenj dɛn kɔlɔ, ɛn sɔntɛnde dɛn kin ivin blak? Ɔ yu kin fil lɛk se wund de wɔs ɛn bigin fɔ smɛl bad? Dɛn tin ya nɔto gud sayn dɛn. Dɛn kin bi sayn fɔ wan sik we kin denja we dɛn kɔl gangrene . Nɔ wɔri, wi go tɔk bɔt dis ditayli ɛn insay wan rili simpul we tide.

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

Fɔ tɔk am simpul wan, na we di blɔd we de go na wan pat na wi bɔdi nɔ de wok fayn, ɛn dis kin mek di tisu dɛn we de na da say de day. Jɔs lɛk aw tik kin dray we dɛn nɔ gɛt wata, na so bak we blɔd nɔ de flɔ to wan pat na wi bɔdi. Pan ɔl we dis kin apin ɛnisay na di bɔdi, bɔku tɛm i kin bigin na di an ɔ fut.

Di tin we impɔtant pas ɔl na dat gangrene na mɛdikal imejensi . Bikɔs wans di tisu bigin fɔ day, i kin skata kwik kwik wan. Sɔmtɛm, i kin kam wit infekshɔn bak, we kin mek di sik rili siriɔs. Ilɛksɛf infɛkshɔn de ɔ nɔ gɛt am, gangrene kin mek pɔsin gɛt siriɔs prɔblɛm if dɛn nɔ trit am kwik, ɛn sɔntɛnde i kin ivin day. So i rili impɔtant fɔ no bɔt dis.

Wetin na di men kayn gangrene?

Bɔku men kayn gangrene de. Lɛ wi tek wan luk pan wetin dɛn bi.

1. Dray Gangrene

Wetin kin apin pan dis na we di blɔd we de go na wan patikyula say kin stɔp, ɛn di tisu we de na da say de kin day. Bɔt, no infɛkshɔn nɔ de pan dis . Na jɔs wan dray kɔndishɔn. If yu tɔch am, di skin go dray, ɛn yu nɔ go si ɛni blista ɔ pus. Bɔku tɛm, dray gangrene kin apin bikɔs di fat we de bɔku na wi blɔd vesel dɛn, we kin mek di at dɛn smɔl (atherosclerosis). Pipul wae gɛt dayabitis ɔr wae de smok kin gɛt bɔrku risk.

2. Wet Gangrene we de mek pɔsin gɛt sik

If na so i bi, wit di we aw di blɔd nɔ de flɔ, dɛn kin ad baktriyal infɛkshɔn bak . Na dat mek dɛn kɔl am "wet" gangrene. Blista dɛn we ful-ɔp wit pus kin kɔmɔt na di skin, ɛn di wund kin gɛt bad smel. dis kayn kin te fכ spre kwik kwik wan to כda hεlty tisu dεm. Na dat mek i denja smɔl.

3. Gas we dɛn kɔl Gangrene

Dis na bak wan bad bad sik wae de kam wit baktri infεkshכn. Dis kayn baktri de pwɛl wi sɔft tisu ɛn blɔd sɛl dɛn. Dɔn bak, dɛn baktri ya kin bɔku kwik kwik wan insay di mɔsul tisu, ɛn dɛn kin mek pɔyzin ɛn pul gas. Na dat mek dɛn kɔl am gas gangrene. Dis infεkshכn kin spre so kwik dat i kin mek i day ivin insay fכ awa.

4. Fournier in wan sik we dɛn kɔl Gangrene

Dis na baktri infεkshכn we nכ kin apin bכt i kin rili siriכs we kin afekt di jεnital εria.Dis kin apin mɔ pan man dɛn pas uman dɛn.

5. Intanɛnt Gangrene

Dis na we dɛn kin kɔt di blɔd we de go na wan ɔgan we de insay wi bɔdi. fכ egzampl, dis kin apin to כgan dεm lεk di gal blad, intestכn, כ apεndiks. Fɔ ɛgzampul, kɔlesistaytis we nɔ de mɛn kin mek di tisu dɛn day ɛn gɛt gangrene.

Wetin na di sayn dɛm fɔ gangrene?

Di sayn dɛm kin difrɛn smɔl fɔ di kayn gangrene. Bɔt sɔm sayn dɛn de we kin apin:

• Di kɔlɔ we di skin kin chenj: Di skin we de na di say we di sik kin tɔn to rɛd, pepul, grɛn, ɔ blak.
• Di chenj dɛn we de apin na di skin: Di skin kin fil lɛk se i dɔn tayt, ɔ i kin fil kol we yu tɔch am. Sɔntɛnde, i kin mek yu fil pen bak we yu tɔch am.
• wan "chiri chiri" sawnd we dεn prεs di skin: Dis de sho se briz de כnda di skin (especially in air gangrene).
• Di brith rit ɛn at rit we de go ɔp.
• Fɔ fil se yu nɔ de rɛst bad bad wan, yu de wɔri.
• Di sayn dɛm we tan lɛk flu lɛk fiva, swet, kol, ɛn vɔmit.
• Fɔ fil bad bad pen, ɔ fɔ lɔs ɔl di sɛns na da eria de.
• Pus we de blɔd ɔ we de smɛl fayn frɔm wund ɛn blista.
• Swel na di say we di sik afɛkt.

Impɔtant: If yu gɛt wan ɔ mɔ pan dɛn sik ya, i impɔtant fɔ go to dɔktɔ wantɛm wantɛm. Nɔ west tɛm.

Aw di skin kɔlɔ kin chenj we gangrene bigin?

di kכla we di skin kin chenj na di gangrene kin apin insay stej dεm (sεvεra stej dεm):

1. Fɔs, di skin kin tan lɛk se i dɔn pal pas aw i kin bi bikɔs di blɔd nɔ de flɔ.

2. Afta dat, i kin tɔn rɛd ɔ rɛd kɔlɔ .

3. Neks, i kin tɔn pepul ɔ grin -brawn bifo i tɔn blak.

4. As tɛm de go, di kɔlɔ kin tɔn pepul, grin blak, ɔ blak ɔl .

If yu skin dak smɔl, i kin at smɔl fɔ si dɛn kɔlɔ chenj ya klia wan. Bɔt, kip yu yay fɔ ɔda sayn dɛn. If infekshɔn de, yu kin si wan dɔti smel we de kɔmɔt na di wund dɛn.

Wetin mek gangrene kin kam? Wetin na di tin dɛn we kin mek i apin?

Di simpul rizin na we di blɔd nɔ de go na wan pat na di bɔdi. Wi tisu dɛn nid ɔksijɛn, tin dɛn we de mek wi bɔdi fayn, ɛn tin dɛn we de mek wi nɔ gɛt sik dɛn. So, if di tisu dɛn nɔ gɛt blɔd, dɛn kin bigin fɔ day.

Bɔku men rizin dɛn de we mek blɔd nɔ de flɔ:

• Sik dεm we de fכ blכd vεsul dεm: fכ egzampl, insay wan kכndishכn we dεn kכl ``Pεrifεral Atεri Disease``, di vein dεm we de kכri bכdi to di lεg dεm de blok. Dis na wan men tin we kin mek pɔsin gɛt dray gangrene.
• Dip wund: Dip wund, lɛk di wan dɛn we gɛt big aksidɛnt, kin pwɛl di blɔd vesel ɛn stɔp blɔd fɔ flɔ.
• Kɔmplikeshɔn dɛn we kin kam we dɛn du ɔpreshɔn (nɔ kin apin so ɔltɛm): Sɔntɛnde, gangrene kin kam bak as kɔmplikeshɔn afta dɛn dɔn du di ɔpreshɔn. Bɔt, dis nɔ kin apin so ɔltɛm.

Udat dɛn kin gɛt bɔku prɔblɛm fɔ gɛt gangrene?

Sɔm pipul dɛn kin gɛt mɔ risk fɔ gɛt gangrene pas ɔda wan dɛn, mɔ if yu gɛt blɔd vesel kɔndishɔn.

• Buerger’s disease: Insay dis kɔndishɔn, di blɔd vesel dɛn na di limb dɛn kin swel, blɔd kin klɔt, ɛn blɔd kin blok.
• Dayabitis: Dayabitis kin pwɛl di nerv ɛn blɔd vesel. Dɔn bak, wund dɛn we de pan pipul dɛn we gɛt dayabitis kin tek lɔng tɛm fɔ wɛl. Wund dɛn we kin wɛl smɔl smɔl kin gɛt di sik. Dayabitis kin rili bɔku pan wi na Sri Lanka. So, pipul dɛm wae gɛt shuga nid fɔ tek kia ɔf dɛn an ɛn fut, mɔr lɛk dɛn fut. Nɔ ignore ivin smɔl wund.
• Di sik we de na di at we de na di bɔdi: di fat we de na di at kin bɔku insay di at, we kin mek di blɔd nɔ flɔ fayn fayn wan na say dɛn lɛk di leg, fut, ɛn an.
• Popliteal Artery Entrapment Syndrome: insay dis, di men bכdi we de bihayn di kכn (di popliteal artery) de kכmprεs bay wan mכsul we de na di kכn εria. Dis kin mek di blɔd nɔ go na di ɔnda leg, lɛk we i de du ɛksɛsayz.
• Raynaud’s syndrome: We i de na kol wɛda, di blɔd vesel dɛn na di finga ɛn fut finga dɛn kin kɔnstrikt, ɛn dis kin mek di blɔd nɔ flɔ.
• Vasculitis: Na inflamɛns na di blɔd vesel dɛm we de mek di blɔd nɔ flɔ.

Apat frɔm dat, yu kin gɛt bɔku prɔblɛm wit gangrene if yu gɛt dɛn tin ya:

• Wan bad bad injuri we pɔsin kin gɛt.
• Di imyun sistɛm we wik. Fɔ ɛgzampul, bikɔs ɔf HIV infɛkshɔn ɔ kansa tritmɛnt.
• If big big tisu damej de frɔm frɔstbayt ɔ siriɔs bɔn.

If yu gɛt ɛni wan pan dɛn tin ya we kin mek yu gɛt prɔblɛm, i impɔtant fɔ go to dɔktɔ ɔltɛm fɔ mek dɛn chɛk yu ɛn fɔ mek dɛn fala yu lɛk aw yu dɔktɔ tɛl yu fɔ du am. Yu dɔktɔ go advays yu bɔt tin dɛm wae yu kin du na os fɔ ridyus yu risk fɔ gɛt gangrene (e.g., fɔ kia fɔ yu fut fayn fayn wan ɛn fɔ gɛt tritmɛnt kwik kwik wan fɔ injury).

Dɛn dɔn si bak se sɔm mɛrɛsin dɛn kin mek pɔsin gɛt mɔ sik we dɛn kɔl Fournier’s gangrene. So, dɔktɔ go tɛl yu bɔt dis bifo i bigin fɔ tek nyu mɛrɛsin.

Wetin na di prɔblɛm dɛn we kin apin we pɔsin gɛt gangrene?

Gangrene na wan sik we rili siriɔs, we kin mek pɔsin in layf de pan denja. I kin mek dɛn du dɛn tin ya:

• Lɔs pan bɔdi pat: Dɛn kin gɛt fɔ kɔt pat lɛk finga, fut, an, ɔ leg.
• Sepsis: Dis na we di imyun sistεm de ansa to wan infεkshכn we dεn spre כlsay na di bכdi εn we de mek yu layf de pan denja.
• Ɔgan dɛn we nɔ de wok fayn.

Sɔntɛnde, gangrene kin kil pɔsin.

Aw dɔktɔ dɛn kin no dis?

If yu tink se yu gɛt gangrene, yu fɔ go to dɔktɔ wantɛm wantɛm. Di dɔktɔ go du dɛn tin ya:

• Dɛn go aks bɔt yu mɛdikal istri ɛn di mɛrɛsin kɔndishɔn dɛn we yu gɛt naw.
• I aks if ɛnibɔdi dɔn wund dis biɛn tɛm.
• Dɛn kin tek tɛm luk di pat pan di bɔdi we di sik afɛkt.
• Dɛn de du bɔku tɛst dɛn fɔ no mɔ.

Di kayn tɛst dɛn we yu kin gɛt:

• Blɔd tɛst: Chɛk fɔ si if yu gɛt di sik ɛn if yu gɛt blɔd shuga.
• Baktri kɔlchɔ tɛst: Dɛn kin tɛst wan sampul we dɛn tek frɔm di wund fɔ no us kayn baktri de mek di infekshɔn.
• Imej tɛst: Tɛst lɛk X-ray, CT skan, ɛn MRI kin sho se di tisu dɛn we de insay di bɔdi dɔn pwɛl ɛn if briz de de.
• Blɔd flɔ tɛst: Fɔ ɛgzampul, wan tɛst we dɛn kɔl Ankle-brachial index kin no ɔmɔs blɔd de flɔ to di leg dɛn.

Dɛn tɛst ya kin ɛp di dɔktɔ fɔ no:

• Wetin kin mek blɔd nɔ de flɔ?
• Infekshɔn de ɔ nɔto so?
• Aw bɔku tisu dɛn dɔn pwɛl?
• Wetin na di bɛst tritmɛnt we dɛn kin yuz?

Aw dɛn kin trit gangrene?

Gangrene tritmɛnt gɛt tri men gol: fɔ stɔp di gangrene fɔ skata, fɔ pul di day tisu, ɛn fɔ mek blɔd flɔ fayn fayn wan. Yu kin nid wan ɔ mɔ pan dɛn tritmɛnt ya.

• Antibayɔtik: If na baktri infɛkshɔn mek yu gɛt gangrene, dɛn go nid antibayɔtik. Yu dɔktɔ go gi yu di rayt doz fɔ yu. Dɛn kin gi dɛn tin ya bak insay di bɛlɛ (IV).
• Di we aw dɛn de pul di bɔdi:Dis na mɛrɛsin we de pul di tisu we dɔn day. Dεd tisu (`(Gangrenous tissue)`) nכ de hεl. So, fɔ pul am na di wangren tin we yu go du. We yu du dis, i de protɛkt di wɛlbɔdi tisu we de nia ɛn i de ɛp di tisu we dɔn pwɛl (bɔt nɔto day) fɔ wɛl.
• Di we dɛn fɔ mek yu blɔd flɔ fayn: Yu dɔktɔ kin du angioplasty (sɔntɛnde dɛn kin yuz stent) fɔ mek yu at dɛn big. Ɔ, i kin du baypas ɔpreshɔn fɔ mek nyu rod fɔ mek blɔd flɔ rawnd di blɔk.
• Hyperbaric Oxygen Therapy (HBOT): Insay dis, dɛn kin mek yu brith 100% ɔksijɛn insay wan chɛmba ɔnda ay prɛshɔn. Dis kin mek di ɔksijɛn we de na di bɔdi in tisu dɛn bɔku bad bad wan, ɛn dis kin ɛp dɛn fɔ wɛl. Dis kin fayn mɔ fɔ gangrene we kin kam wit dayabitis.
• Amputation: Dis na las tin fɔ du. di pat na di bכdi we afekt – lεk finga, leg, כ an – dεn kin kכl am. Dɔktɔ dɛn kin du dis nɔmɔ if ɔda tritmɛnt dɛn nɔ ebul fɔ sev di wɛlbɔdi tisu (ɔ yu layf).

Afta dɛn dɔn trit yu gangrene, yu go nid fɔ du ɔpreshɔn fɔ graft yu skin . Insay dis, dɛn kin tek di skin frɔm ɔda say we gɛt wɛlbɔdi na yu bɔdi ɛn yuz am fɔ kɔba di skin we gɛt skata ɔ we dɔn pwɛl.

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

Yɛs, fɔ tru! If yu gɛt sayn dɛn fɔ gangrene, go na di ɔspitul imejensi dipatmɛnt we de nia yu wantɛm wantɛm, ɔ kɔl 1990. Dɔn bak, if yu gɛt sayn dɛn fɔ sɛptik shɔk, we min se:

• Wan puls we de rɔn kwik kwik wan, bɔt we wik.
• Fɔ fil kɔnfyus, lɛk se yu kɔnshɛns de dɔn.
• Fɔ fil diziz we yu tinap.
• Di skin kin kol, klem, ɛn blak.
• I nɔ kin izi fɔ yu fɔ blo.
• Vɔmit ɔ dayarɛa.

If sayn dɛm lɛk dis de, na imejensi bak.

Wetin wi kin tɔk bɔt di layf we pɔsin we gɛt gangrene kin liv?

Dis na kwɛstyɔn we at fɔ ansa bikɔs i kin dipen pan bɔku tin dɛn. Fɔ ɛgzampul:

• Aw fa di gangrene dɔn skata?
• Aw kwik yu bin gɛt tritmɛnt?
• Us pat na di bɔdi kin afɛkt?
• Aw yu ɔl gɛt wɛlbɔdi?

Di dɔktɔ we de trit yu no yu sik gud gud wan. I kin gi yu di infɔmeshɔn we kɔrɛkt pas ɔl.

Bɔt wan tin we wi fɔ mɛmba. If dɛn nɔ trit am, gangrene kin kil pɔsin kwik kwik wan. Aw kwik pɔsin kin day kin difrɛn difrɛn wan bay di kayn gangrene. Gas gangrene kin skata kwik kwik wan. di eria we di tisu dεm we dεn day kin inkrεs bay sεvεra inch pan awa. Gas gangrene kin kil pɔsin ɔltɛm if dɛn nɔ trit am, ɛn sɔntɛnde i kin kil am ivin if dɛn trit am.

Fɔ ɛni kayn gangrene, di mɔ yu go fɛn tritmɛnt kwik kwik wan, na di mɔ yu go gɛt chans fɔ liv.

Yu tink se gangrene kin pas?

Gangrene insɛf nɔ kin pas pɔsin. Dat min se yu nɔ go gɛt gangrene we yu de nia pɔsin we gɛt gangrene.

Bɔt sɔntɛnde, di bɔdi we kin mek pɔsin gɛt gangrene kin pas to ɔda pipul dɛn. Di we aw di baktri de afɛkt di pɔsin we dɛn dɔn gɛt de dipen pan tin dɛn lɛk if dɛn gɛt wund ɛn aw dɛn imyun sistɛm strɔng.

If yu ɔ pɔsin na yu os gɛt gangrene infection, tɔk to dɔktɔ fɔ no us spɛshal tin dɛn fɔ tek tɛm wit yu.

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

Na nɔmal tin fɔ mek yu fred we yu yɛri di wɔd gangrene, ilɛksɛf i apin to yu ɔ pɔsin we yu lɛk. Bɔt mɛmba se, fɔ no na pawa. Lan bɔku tin bɔt dis sik ɛn aw fɔ trit am.

Fɔ go to tritmɛnt kwik na di bɛst chans fɔ sev yu layf ɔr di pɔsin we yu lɛk in layf.

Wae yu de wɛl, woke wit yu dɔktɔ fɔ manej ɛni ɔndalayn kɔndishɔn wae kin dɔn mek yu gɛt di gangrene (e.g., dayabitis, blɔd vesel prɔblɛm). Fɔ trit di ɔndalayn kɔz fɔ di gangrene kin ɛp fɔ ridyus di risk fɔ gɛt prɔblɛm dɛn tumara bambay. Tek kia ɔf yu wɛlbɔdi, ɛn nɔ mis ɛnitin!

` Gangrene, tisu day, blɔd sirkuleshɔn, infɛkshɔn, dayabitis, wund wɛl, imejensi tritmɛnt