Yu nɔ gɛt wata na yu bɔdi? Lɛ wi lan ɛksaktɔli bɔt haypovolemia!

Yu dɔn ɛva fil lɛk se yu go fɔdɔm ɔ yu go gɛt diziz? Ɔ sɔntɛm afta big aksidɛnt, ɔ afta sɔm dez we yu dɔn vɔmit ɔ dayarɛa bad bad wan, wi kin se yu "lɔs ɔl yu wata." Sɔntɛnde lɛk dis, di wata we de na yu bɔdi, mɔ yu blɔd, kin go dɔŋ bad bad wan. Dis na di kɔndishɔn we wi go tɔk bɔt tide, we dɛn kɔl hypovolemia. Dis nɔto simpul tin, ɛn if yu nɔ pe atɛnshɔn, i kin mek yu layf de pan denja. So, lɛ wi tɔk bɔt dis ditayli.

Wetin na Hypovolemia?

Fɔ tɔk am simpul wan, haypovolemia na we yu bɔdi nɔ gɛt inof wata volyum, mɔ blɔd, fɔ mek yu blɔd sistɛm go muv fayn fayn wan. "Fluid" kin inklud nɔto jɔs wata, bɔt i kin inklud bak plasma, we na impɔtant pat pan yu blɔd, ɛn limfatik fluid. Limf na spɛshal wata we ful-ɔp wit wayt blɔd sɛl dɛn we de ɛp fɔ pul pɔyzin ɛn dɔti na di bɔdi.

Jɔs tink bɔt, lɛk 50% to 60% pan wi bɔdi wet na wata. so insay dis stet we di haypovolemia de, mכr dan 15% pan di tכtal fכl fכ fכm na yu bכdi de rεdכks. Dis na sik we rili nid fɔ go to dɔktɔ wantɛm wantɛm. Bikɔs if dɛn nɔ trit wi, chans de fɔ mek wi impɔtant pat dɛn pwɛl, shɔk, ɔ ivin day.

So wetin na hypovolemic shock? Yu tink se i denja?

Yes, Hypovolemic Shock na di kayn we we rili bad ɛn we denja pas ɔl fɔ gɛt Hypovolemia. Dis na wan sik wae nid fɔ gɛt mɛrɛsin kwik kwik wan. Wetin kin apin ya na dat di at nɔ kin ebul fɔ pɔmp blɔd ɔlsay na di bɔdi bikɔs i gɛt bɔku wata ɔ blɔd de lɔs. Tink bɔt am lɛk motoka we nɔ gɛt wata. fכ dis Hypovolemic Shock, di bכdi in כgan dεm kin bigin fכ fεl wan wan.

Hypovolemic shock kin apin we pɔsin lɔs pas 20% pan in bɔdi in wata wan tɛm. Dis kin bi bikɔs yu gɛt siriɔs injury (big big kɔt, bɔn), blɔd we de kɔmɔt insay yu bɔdi, ɔ de de we yu de vɔmit bad bad wan ɔ dayarɛa.

Udat dɛn kin gɛt di sik we dɛn kɔl hypovolemia? Yu tink se na kɔmɔn sik?

Infakt, ɛnibɔdi kin gɛt dis sik we dɛn kɔl haypovolemia. Pan ɔl we dɛn nɔ gɛt ɛni rayt statystik bɔt aw i kɔmɔn, i kin mɔs pan pipul dɛn we gɛt sik dɛn we dɛn kin gɛt wantɛm wantɛm, di wan dɛn we dɔn gɛt siriɔs aksidɛnt, ɛn di wan dɛn we sik bad bad wan we de na say dɛn we dɛn kin kia fɔ pipul dɛn we sik bad bad wan.

Aw di haypovolemia kin afɛkt wi bɔdi?

Fɔ mek ɔl di ɔgan dɛn na wi bɔdi wok fayn, i nid fɔ gɛt di rayt wata we na blɔd. I tan lɛk di flawa dɛn we de na di gadin. We ren nɔ de kam, di flawa dɛn kin dray if wata nɔ de, nɔto so? na di sem we, wi bכdi kin "wit" we dεn nכ gεt wata. If dɔktɔ si se yu gɛt hypovolemia, i go gi yu ɛkstra wata. Jɔs lɛk aw wi kin wata plant dɛn wit bɔkit wata insay ren sizin, na so di bɔdi de ful-ɔp di wata we dɔn lɔs bak.

Wetin na di sayn dɛm fɔ Hypovolemia?

Dɛn sayn ya kin difrɛn frɔm wan pɔrsin to ɔda pɔrsin, ɛn kin difrɛn bak pan aw dɛn kin tranga dipεnd pan aw de sik kin tranga. Di kɔmɔn sayn dɛm na:

• Fɔ fil diziz we yu tinap.
• Dray skin ɛn mɔt.
• Fɔ fil se yu taya ɔ yu nɔ gɛt layf.
• Mɔsul dɛn we de kramp.
• Nɔ pis, ɔ di urine we dɛn kin pas kin go dɔŋ ɛn in kɔlɔ kin dak.

Naw lɛ wi luk di sayn dɛm fɔ wan bad bad sik we de mek pɔsin in layf de pan denja lɛk Hypovolemic Shock:

• Kɔnfyus.
• I nɔ izi fɔ blo ɔ fɔ blo kwik kwik wan.
• We pɔsin de swet pasmak.
• Fɔ lɔs kɔnshɛns.
• Lɔw blɔd prɛshɔn.
• Lɔw bɔdi tɛmpracha.
• Pale skin kala ɔ sɔmtɛm bluish tin na di lip ɛn skin (cyanosis).

If yu gɛt dɛn kayn sik ya, mɔ afta yu dɔn gɛt aksidɛnt, we gɛt siriɔs vɔmit/dayarɛa, mek shɔ se yu go na ɔspitul imejensi rum wantɛm wantɛm.

Wetin mek di haypovolemia kin apin? Wetin na di tin dɛn we kin mek i apin?

Di men tin we kin mek pɔsin gɛt haypovolemia na we i nɔ de gɛt wata ɔ blɔd we de kɔmɔt na di bɔdi. Bɔku we dɛn de we dis kin apin:

• Injury: Na kɔt, bɔn, ɛn ɔda injury na di bɔdi in say.
• Sik dεm: Kכndishכn dεm we gεt sכmtεm dεm lεk we yu de vכmit ɔltɛm εn dayarɛa (e.g., bεlε we de at bad bad wan, sɔm vayral fiva).
• Blɔd we de kɔmɔt insay di bɔdi: Blɔd we de kɔmɔt insay di bɔdi fɔ sɔm rizin. Dis kin denja bikɔs yu nɔ de si am frɔm do.
• Di wata we nɔ de na di bɔdi ɔ we i nɔ de it fayn: di blɔd volyum de go dɔŋ bikɔs i nɔ de gɛt inof wata ɛn sɔl (ilɛktrɔlayt) insay di bɔdi.
• We yu de swet pasmak: We yu de du ɛksɛsayz pasmak, ɔ if yu gɛt wan sik we de mek yu swet pasmak (hayperhidrosis).

Aw yu kin no se pɔsin gɛt haypovolemia?

We yu go to dɔktɔ, i go aks yu fɔs bɔt yu mɛdikal istri. Dɔn, dɛn go du ɛgzam fɔ yu bɔdi ɛn dɛn kin ɔda fɔ du bɔku tɛst fɔ chɛk yu wata ɛn sɔdiɔm lɛvɛl. di lכw sodium lεvεl na sayn bak fכ hypovolemia. If dɛn tɛst ya kɔnfirm se yu gɛt haypovolemia, di dɔktɔ go tray fɔ no di rayt tin we mek yu nɔ gɛt bɔku wata. Dis na bikɔs fɔ fɛn di tin we de mek yu gɛt dis sik go ɛp yu fɔ bigin tritmɛnt kwik kwik wan.

Us tɛst dɛn de du fɔ dis?

Di dɔktɔ kin du bɔku tɛst fɔ no if dis sik:

• Skin ɛn mucous membrane egzamin: We di dɔktɔ de chɛk yu bɔdi, i go chɛk yu skin, insay yu mɔt, yu tɔŋ, ɛn yu nos fɔ si if i dray. Dray na wan sayn fɔ dis sik.
• Pulse rate, body temperature, and blood pressure: Dɛn go mɛzhɔ dɛn tin ya we yu sidɔm ɛn tinap fɔ si if difrɛns de. Dɛn go chɛk bak fɔ simptom dɛm lɛk fɔ gɛt diziz we yu chenj yu pozishɔn.
• Blɔd ɔ urine tɛst fɔ chɛk aw di kidni de wok.
• Imej tɛst dɛn lɛk ɔltra saund ɔ ɛkokadiogram.

Aw dɛn kin trit haypovolemia?

Fɔ bigin tritmɛnt kwik na di bɛst we fɔ wɛl frɔm dis sik. Di men gol fɔ tritmɛnt na fɔ mek di bɔdi gɛt bak di wata we dɔn lɔs. Dɛn kɔl dis fɔ mek pɔsin gɛt layf bak to wata. dis involv fכ gi wata tru wan vein (IV - intravenous). Di kayn wata we dɛn gi yu kin difrɛn difrɛn wan bay us kayn wata yu bɔdi nid:

• Blɔd transfyushɔn: Dɛn kin gi blɔd frɔm pɔsin we gi yu blɔd fɔ tek di ples fɔ di blɔd we dɔn lɔs na yu bɔdi.
• Kristalɔyd sɔlvushɔn: Dis na sɔlvushɔn dɛn we dɛn mek bay we dɛn ad sɔl (salin), shuga (dɛkstroz), ɔ sɔdiɔm, klorayd, potashɔm, kalsiɔm, ɛn laktat Ringer’s sɔlvushɔn.
• Kɔlɔyd: Dɛn tin ya gɛt big big pat dɛn. Dɛn tin ya kin stil de insay di blɔd vesel dɛn. Sɔm ɛgzampul dɛn na albumin ɛn hetastach.

Apat frɔm we i go gi yu dis wata, yu dɔktɔ go trit bak di tin we mek yu gɛt hypovolemia. Dis inklud:

• If infekshɔn ɔ sik de, trit am.
• If wund de, na fɔ mɛn am.
• Fɔ gi di bɔdi tin dɛn we i nid (lɛk sɔdiɔm ɔ ilɛktrɔlayt) we i nɔ gɛt.

Aw lɔng e kin tek fɔ wɛl afta dɛn dɔn trit am?

di haypovolemia de las כnli te di bכdi in wata lεvεl dεm fulכp bak. Dis kin tek sɔm dez to sɔm wiks. Afta di tritmɛnt bigin, dɛn kin gi am wata smɔl smɔl. Nɔ gi bɔku bɔku tin dɛn wan tɛm. Fɔs yu kin gɛt mɔ IV wata, dɔn yu kin ridyus di amount as yu fluid lɛvɛl de kam nia 100%, ɛn afta dat yu kin stɔp di tritmɛnt we yu fluid lɛvɛl stebul ɛn yu simptom dɛn dɔn go.

Aw fɔ ridyus di risk fɔ gɛt hypovolemia?

Pan ɔl we sɔmtɛm, haypovolemia kin apin bikɔs ɔf tin dɛn we de na do we wi nɔ ebul fɔ kɔntrol, sɔm tin dɛn de we wi kin du fɔ ridyus di prɔblɛm:

• If yu gɛt infekshɔn, injury, ɔ sik, mek dɛn trit am kwik kwik wan.
• Nɔ du tin dɛn we de mek yu swet pasmak as yu ebul. If yu du dat, drink bɔku wata bitwin dɛn.
• Ɔltɛm drink bɔku wata ɛn gɛt wata.
• Yuz Pɔsin in Protɛktiv Ikwipmɛnt (PPE) fɔ protɛkt yusɛf frɔm kɔt ɛn bɔn (e.g. na wokples, we yu de du os wok).

Wetin kin apin if yu gɛt haypovolemia? Wetin na di tin dɛn we wi go si?

De autkam fɔ ɔlman wae gɛt dis sik nɔr kin bi di sem. I dipen pan if dɛn kin stɔp di tin we mek di blɔd ɔ wata lɔs ɛn trit am fayn. Bɔt if dɛn no di sik ɛn trit am kwik, bɔku tɛm dɛn kin mɛn am. If dɛn nɔ trit am ɔ trit am tu let, i kin mek pɔsin in layf de pan denja, i kin mek di ɔgan dɛn we de na di bɔdi pwɛl sote go, ɔ i kin ivin day.

Afta dɛn dɔn bigin fɔ trit fɔ mek di wata we dɔn lɔs na di bɔdi kam bak, di sayn dɛn kin go dɔŋ smɔl smɔl ɛn dɔnawe wit di wata we de na di bɔdi bak to nɔmal.

Aw a kin kia fɔ misɛf? (Fɔ kia fɔ yusɛf) .

Wae yu no se yu gɛt haypovolemia, sɔm tin dɛn de we yu kin du fɔ kia fɔ yusɛf:

• Rɛst fayn fayn wan.
• Stay away frɔm wok we de mek yu tranga fɔ sɔm tɛm.
• Ɔltɛm drink bɔku wata ɛn nɔ gɛt wata na yu bɔdi.
• It tin we balans ɛn we gɛt fayn fayn tin dɛn fɔ it.

Ustɛm yu nid fɔ go na di Imejɛnsi Tritmɛnt Yunit (ETU) ?

If yu gɛt sayn dɛm fɔ hypovolemia, mɔ if dɛn apin afta ɛni wan pan dɛn tin ya, go na ɔspitul imejensi rum wantɛm wantɛm:

• Afta aksidɛnt, lɛk fɔ bɔn, kɔt, ɔ ɔda bad bad tin.
• Afta sik lɛk fɔ gɛt siriɔs bɛlɛ pen, wit vɔmit ɔ dayarɛa we nɔ de dɔn.
• Afta wan de we yu nɔ ebul fɔ it ɔ drink.
• Afta wan aktiviti ɔ ivin we de mek pɔsin swet pas aw i kin swet.

Us kwɛstyɔn dɛn a fɔ aks di dɔktɔ?

We yu go to dɔktɔ, i go fayn fɔ aks dɛn kwɛstyɔn ya:

• Aw lɔŋ a go gɛt fɔ gɛt IV fluid (saline)?
• Wetin de mek mi blɔd de lɔs?
• Ustɛm a kin bigin fɔ du mi nɔmal tin dɛn bak afta a dɔn gɛt tritmɛnt?
• Aw a go mek a nɔ gɛt wata na mi bɔdi afta a dɔn trit mi?

Wetin na di difrɛns bitwin Hypovolemia ɛn Hypervolemia?

Hypovolemia ɛn hypervolemia na ɔl tu di kɔndishɔn dɛn we de tɔk bɔt di bɔku wata ɔ blɔd we de na yu bɔdi. Di wɔd "haypo" min "ɔnda" ɔ "lɛs." "haypa" min "ɔva" ɔ "mɔ." So, if yu gɛt haypovolemia, yu nɔ gɛt inof wata na yu bɔdi. If yu gɛt hypervolemia, yu gɛt tumɔs wata na yu bɔdi.

Fɔ dɔn, tin dɛn we wi fɔ mɛmba

Fɔ lɔs blɔd ɔ wata we de kɔmɔt na di bɔdi na wan rili siriɔs tin we nid fɔ gɛt tritmɛnt kwik kwik wan. If yu jɔs dɔn gɛt aksidɛnt ɔ yu gɛt sik ɛn yu de gɛt sayn dɛn we de sho se yu nɔ gɛt bɛtɛ blɔd, go na di imejensi rum wantɛm wantɛm.

If yu gɛt sɔm kayn sik wae nɔr kin pasmak, go to yu dɔktɔ ɛn tɔk bɔt aw fɔ mek yu bɔdi gɛt bak di wata we yu dɔn lɔs. Fɔ drink bɔrku wata ɛn fɔ rɛst bɔrku kin ɛp fɔ kɔntrol dis sik. If dɛn no se yu gɛt dis sik, i kin ambɔg yu nɔrmal tin fɔ du fɔ sɔm tɛm, bɔt wit tritmɛnt fɔ hypovolemia, yu kin kam bak to nɔmal as yu bɔdi in wata de kam bak to nɔmal.

` Hypovolemia, Hypovolemia, Dehydration, Di blɔd volyum we de dɔŋ, Hypovolemic shɔk, Hypovolemic Shock, Imejɛnsi tritmɛnt