Imajin, dɔktɔ dɛn na ɔspitul kin kɔnfirm se pɔsin in at dɔn stɔp ɛn i dɔn day. Di famili de kray bikɔs dɛn at pwɛl. Bɔt afta sɔm tɛm, we dɛn nɔ bin de tink se i dɔn day, di pɔsin we dɛn bin tink se dɔn day kin bigin fɔ muf ɛn blo. I tan lɛk fim, nɔto so? Na rial layf, bɔt rili rare mɛrɛsin tin. Tide wi de tɔk bɔt dis wɔndaful ɛn intrɛstin tin, di ‘Lazarus Effect’.
Fɔ tɔk am simpul wan, wetin na di Lazarɔs Ifɛkt?
Fɔ tɔk am simpul wan, di ‘Lazarɔs ifɛkt’ na we, afta dɔktɔ dɔn tɔk se pɔsin dɔn day, di pɔsin in blɔd we de go (blɔd flɔ) kin bigin bak wantɛm wantɛm na in bɔdi, we nɔ gɛt ɛni ɛp na do, ɛn dɛn kin sho sayn dɛn fɔ se i gɛt layf. Pan ɔl we dis kin tan lɛk se dɛn dɔn gɛt layf bak afta dɛn dɔn day, nɔto dat kin rili apin.
Insay mɛrɛsin, di kɔrɛkt nem fɔ dis na ‘autoresuscitation’ . I min ‘sɛlf-rɛsayz’. I min se di bɔdi de gi layf bak to insɛf. Bɔku tɛm, we pɔsin in at stɔp (cardiac arrest), wi kin du CPR (Cardiopulmonary Resuscitation) fɔ sev in layf, nɔto so? Di Lazarɔs ifɛkt kin apin afta dɛn dɔn stɔp CPR.
De impɔtant tin na dat pipul dɛm wae kin gɛt dis kayn tin nɔr kin rili day ɛn kam bak na layf. Wetin kin rili apin na dat, pan ɔl we di tin dɛn we dɛn kin yuz fɔ mɛn pipul dɛn kin sho se dɛn impɔtant pat dɛn dɔn stɔp fɔ wok, dɛn kin delay smɔl fɔ mek di blɔd rili bigin fɔ go bak. Dis delay na in de mek i tan lɛk se dɛn dɔn kam bak to layf.
Di nem ‘Lazarɔs’ kɔmɔt frɔm wan stori na di Baybul, we Jizɔs mek wan dayman we nem ‘Lazarɔs’ gɛt layf bak. Bɔt pan mɛrɛsin, dis nem de mek pipul dɛn nɔ no di tru smɔl. Bikɔs dis nɔto mirekul ɔ bɔn bak, bɔt na sɔntin we pɔsin kin ɛksplen (bɔt dɛn nɔ ɔndastand am gud gud wan yet) bayolojikal tin.
Ɔda nem dɛn we dɛn yuz fɔ dis na:
- Lazarɔs fenomen
- Lazarɔs sindrom we gɛt di sik
- Autoresuscitation afta di failed cardiopulmonary risuscitation
Aw dis kin apin? Lɛ wi no di rayt we aw di tin dɛn de apin.
Fɔ mek dɛn kɔl dis Lazarɔs ifɛkt, tin dɛn fɔ apin insay wan patikyula ɔda. Lɛ wi si wetin na dɛn step dɛn de. I go izi fɔ yu fɔ ɔndastand dis na tebul.
| Fut mak | Wetin De Apin |
|---|---|
| Step 1. Di tin we mek | Pɔsin in at kin stɔp fɔ bit bikɔs ɔf at atak ɔ ɔda tin (cardiac arrest) . |
| Step 2. Di tin we mek | Dɔktɔ, nɔs, ɔ ɔda pɔsin go bigin fɔ du CPR wantɛm wantɛm . |
| Step 3. Di tin we mek | Afta dɛn dɔn du CPR fɔ sɔm tɛm, dɛn kin disayd se i nɔ gɛt ɛni bɛnifit fɔ du CPR bikɔs nɔbɔdi nɔ de ansa, ɛn dɛn kin stɔp am. |
| Step 4. Di tin we mek | Fɔ dis, wan mɛdikal ɔfisa we gɛt rayt fɔ du dat kin se di pɔsin dɔn day na di klinik . Afta dat, dɛn nɔ kin gi dɛn ɔda mɛrɛsin. |
| Step 5 we yu fɔ du | Afta sɔm minit, sɔmtɛm awa, sɔmbɔdi go notis sayn dɛm fɔ layf na di pɔsin we dɔn day in bɔdi. (e.g. fכ brith, di bכdi muvmεnt). Dɛn sayn ya fɔ las fɔ pas sɔm sɛkɔn. |
| Step 6. Di tin we mek | Dɔktɔ go kam chɛk yu, kɔnfirm se blɔd dɔn bigin fɔ go bak, dɔn i go bigin fɔ tek mɛrɛsin bak wantɛm wantɛm. |
I nɔ kin izi fɔ tɔk klia wan aw lɔng i kin tek fɔ mek dis apin afta dɛn dɔn deklare day. Akɔdin to di kes dɛm we dɛn dɔn ripɔt, sayn dɛm fɔ layf kin apin insay 10 minit afta dɛn dɔn stɔp fɔ CPR. Bɔt sɔntɛnde, i kin tek lɔng tɛm. Sɔntɛnde, sayn dɛn we de na do nɔ kin apin te afta di blɔd dɔn bigin fɔ go insay di bɔdi.
Aw dis kin rili kɔmɔn? Wetin kin bi di tin dɛn we kin mek i apin?
Yu go de wɔnda if dis na tin we kin apin ɔltɛm. Atɔl. Frɔm 1982 to 2018, na 65 pipul dɛn nɔmɔ dɔn gɛt dis kayn kes we dɛn dɔn ripɔt na di buk dɛn we dɛn rayt bɔt mɛrɛsin. Fɔ dɛn wan dɛn de, 18 dɔn wɛl ful wan.
Bɔt di wan dɛn we de stɔdi bɔt dis biliv se dis kin apin mɔ pas aw dɛn kin ripɔt. Sɔmtɛm, e kin go wae pɔrsin nɔr notis afta dɛn dɔn kɔnfyus se di pɔsin dɔn day bikɔs nɔbɔdi nɔ de nia am. Dɛn nɔr no udat kin gɛt dis kayn sik. Bɔt 68% pan di kes dɛm we dɛn ripɔt na pipul dɛm we pas 60. I kin apin insay ɛn autsay ɔspitul, bɔt na afta dɛn dɔn du CPR.
So, wetin mek dis de apin?
Dɔktɔ dɛn stil nɔ dɔn fɛn 100% difinitiv kɔz fɔ dis, bɔt wan men ɛn aksepted tiori de.
Dɛn kɔl am di ‘haypa infleshɔn’ tiori. Tink bɔt am dis we.
1. We wi de du CPR, wi de du kɔmpreshɔn na di chɛst kwik kwik wan ɛn gi atifishal briz, nɔto so? Dat kin pɔmp di briz insay di lɔng dɛn kwik kwik wan.
2. We di briz go insay di lכng dεm kwik kwik wan, i nכ de tεm fכ pul di briz. dis kin mek di briz we de insay di lכng dεm trכp, εn di prεshכn we de insay di chεst de inkrεs bכku bכku wan.
3. Bikɔs ɔf dis prɛshɔn we de go ɔp, blɔd nɔ kin ebul fɔ flɔ to di at fayn, ɛn i nɔ kin ebul fɔ pɔmp kɔmɔt na di bɔdi. I tan lɛk se yu ol wata paip tayt tayt wan.
4. As soon as dεn stכp CPR, dis prεshכn we pasmak insay di chεst de dכn wan wan.
5. Dɔn di blɔd we dɔn blok kin bigin fɔ flɔ bak to di at. Dis blɔd we de rɔsh wantɛm wantɛm kin mek di ilɛktrik wok na di at we bin dɔn stɔp bak, ɛn di at kin bigin fɔ bit bak.
Bɔt di sɔri tin fɔ mɛmba na dat, ilɛksɛf di blɔd go bak dis we, bɔku pipul dɛn nɔ go liv lɔng, bikɔs da tɛm de, di bren ɛn ɔda pat dɛn kin dɔn ɔlrɛdi pwɛl bad bad wan bikɔs ɔksijɛn nɔ de.
Yu tink se dɛn go ebul fɔ mek sɔntin lɛk dis nɔ apin?
Yu kin imajin di saykolojik trauma wae dis tin kin kam wit de pɔrsin in famili? I rili at fɔ bia we pɔsin tink se i dɔn day, i gɛt smɔl op fɔ mek i gɛt layf bak, dɔn i nɔ gɛt da op de igen wantɛm wantɛm. So, dɔktɔ dɛn kin tray fɔ ridyus di chans fɔ mek dis apin ɛn di risk fɔ se pɔsin dɔn day tu kwik .
Risach pipul dɛn dɔn gi sɔm advays dɛn fɔ dɔktɔ dɛn.
- Du CPR fɔ at le 20 minit: Tray fɔ lɔng tɛm, ɛn nɔ giv ɔp kwik kwik wan.
- Fɔ avɔyd fɔ gɛt aypa infleshɔn we yu de du CPR: Fɔ ɛgzampul, nɔ fɔ gi pas 12 rɛskɔ briz fɔ wan minit.
- Nɔ stɔp CPR wantɛm wantɛm afta yu dɔn pul di fibrilashɔn: Sɔntɛnde, di at kin stɔp fɔ sɔm tɛm ɔltogɛda afta yu dɔn pul di fibrilashɔn. dis dεn kכl am ``asystole'' כ "flat-lining." So yu nid fɔ wet fɔ sɔm tɛm.
- Afta dɛn dɔn stɔp fɔ CPR, dɛn kin kɔntinyu fɔ wach di pɔsin fɔ 10 minit bifo dɛn se i dɔn day: Insay dis tɛm, dɛn kin tek tɛm chɛk di blɔd we de go fɔ si if i dɔn bigin bak.
Wetin na di lɛsin fɔ yu frɔm dis?
We wi de tɔk bɔt tin dɛn lɛk di Lazarɔs ifɛkt, CPR, ɛn fɔ sev pipul dɛn layf, wi kin fil se wi nɔ ebul fɔ du natin. Bɔt rili we dɛn de we wi go ebul fɔ kɔntrol dɛn tin ya bifo tɛm. Dat min se, fɔ disayd bifo tɛm bɔt aw fɔ kia fɔ di wan dɛn we dɔn day .
Imajin, if yu sik bad bad wan ɛn yu nɔ ebul fɔ tɔk, udat go disayd uskayn tritmɛnt yu want ɛn wetin yu nɔ want?
- Yu want fɔ du CPR?
- Yu go lɛk fɔ mek dɛn kɔnɛkt yu to mashin dɛn we de sɔpɔt layf?
Dis na tin dɛn we wi nid fɔ tink bɔt bifo tɛm. I rili impɔtant fɔ tɔk to yu famili ɛn yu dɔktɔ bɔt wetin yu want . Yu kin nem wan wɛlbɔdi pawa fɔ mek dɛn disayd fɔ yu bɔt mɛrɛsin.
Dis na tɔpik dɛn we at fɔ tɔk bɔt, bɔt if yu disayd bɔt dɛn tin ya bifo tɛm ɛn tɛl di wan dɛn we yu lɛk ɛn dɔktɔ, dat go mek yu ɛn di wan dɛn we go disayd fɔ du sɔntin gɛt bɔku pis na yu maynd insay dis tranga tɛm.
Pan ɔl we di Lazarɔs ifɛkt nɔ kin bɔku, di tray we dɛn kin tray fɔ sev layf ɛn tritmɛnt fɔ sɔpɔt layf na tin we kin apin ɛvride na di mɛdikal wɔl. So, dis atikul go bi gud mɛmba fɔ yu fɔ tink bɔt am mɔ ɛn tɔk bɔt wetin yu want.
Mɛsej we dɛn kin kɛr go na os
- Di ‘Lazarus effect’ na rial, bɔt nɔr kin ripɔt, mɛdikal tin.
- Dis nɔto fɔ gɛt layf bak frɔm di wan dɛn we dɔn day, bɔt na fɔ delay fɔ bigin fɔ go bak na di blɔd afta dɛn dɔn stɔp CPR.
- Dɛn tink se di men rizin fɔ dis na bikɔs di prɛshɔn na di chɛst kin go ɔp we dɛn de du CPR, ɛn we dɛn stɔp am, blɔd kin go bak na di at.
- Ivin if dɛn sho sayn dɛn fɔ layf bak dis kayn we, bɔku pan dɛn nɔ kin liv lɔng.
- Dɔktɔ dɛn kin fala spɛshal advays dɛn fɔ mek dɛn nɔ tɔk se pɔsin dɔn day bifo tɛm.
- Di impɔtant lɛsin we wi kin lan frɔm dis atikul na di impɔtant tin we wi fɔ tɔk to wi famili ɛn dɔktɔ bifo tɛm bɔt us tritmɛnt dɛn we wi nid we wi dɔn day.
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