Yu tink se bɔku ɔgan dɛn na yu bɔdi de wok wan tɛm? Lɛ wi tɔk bɔt dis sik we dɛn kɔl Multiple Organ Dysfunction Syndrome (MODS)!

Yu go dɔn yɛri se we pɔsin sik bad bad wan wantɛm wantɛm ɛn de na di ɔspitul in intensiv kia yunit (ICU), dɛn kin se, "Di dɔktɔ dɛn se sɔm pat dɛn na dɛn bɔdi nɔ de wok fayn." Ɔ, "Na mashin dɛn de mek dɛn kɔntinyu fɔ liv." Infakt, da tɛm de, da pɔsin de kin gɛt wan sik we rili siriɔs. Insay mɛrɛsin, wi kin kɔl dis Multiple Organ Dysfunction Syndrome, ɔ insay Inglish, ``Multiple Organ Dysfunction Syndrome - MODS.'' Di nem kin saund smɔl fɔ mek wi fred, bɔt lɛ wi tɔk bɔt wetin i bi, wetin mek i kin apin, ɛn aw fɔ liv insay wan simpul we we yu go ɔndastand.

Wetin na MODS rili?

Fɔ tɔk am simpul wan, MODS na wan siriɔs mɛrɛsin we kin apin wantɛm wantɛm (akyu) . Wetin kin apin pan dis na dat tu ɔ mɔ ɔgan sistɛm dɛn na wi bɔdi we de wok togɛda nɔ de wok fayn wan tɛm. Tink bɔt am, wi bɔdi gɛt bɔku sistɛm dɛn lɛk di respiratory system, di digestive system, di urinary system. Dɛn tin ya kin wok togɛda fɔ mek wi gɛt wɛlbɔdi. we MODS de apin, dεn כgan sistεm dεm ya nכ kin wok fכ dεn wan. Dɔn dɛn nid layf sɔpɔt ikwipmɛnt (`layf sɔpɔt`) fɔ du di wok we dɛn ɔgan dɛn de du.

MODS kin afɛkt ɛni ɔgan na di bɔdi, bɔt di wan dɛn we kɔmɔn pas ɔl na:

• Lɔng
• At
• Bren
• Kidni dɛn
• Liva
• Blɔd (blɔd) .

MODS kin gɛt bɔku tin dɛn we kin mek i apin. Di tin we kin mek pɔsin gɛt siriɔs sik (sepsis) . We dɛn de trit MODS, dɔktɔ dɛn kin tray fɔs fɔ kɔntrol di ɔndalayn kɔndishɔn we mek di sik. Dɛn kin tek stɛp bak fɔ mek ɔda ɔgan sistɛm dɛn nɔ pwɛl.

MODS na wan sik we rili denja fɔ mɛn pipul dɛn . I kin kil pɔsin if dɛn nɔ trit am kwik. Bɔku pipul dɛn we gɛt MODS kin admit na di intensiv kia yunit (ICU) ɛn dɛn nid fɔ de wach dɛn ɔltɛm ɛn sɔpɔt dɛn layf.

Dɛn kin kɔl dis kɔndishɔn sɔm ɔda nem dɛm, lɛk:

• Bɔku ɔgan dɛn we nɔ de wok fayn
• Bɔku ɔgan sistɛm dɛn we nɔ de wok fayn

Us ɔgan sistɛm dɛn we MODS kin afɛkt?

MODS kin afɛkt tu ɔ mɔ pan dɛn ɔgan sistɛm ya:

1. Sεstem we de mek di briz de blo (lכng) .

we wi lכng dεm nכ ebul fכ gi di bכdi di כksijεn we i nid, we min se di bכdi in tisu dεm nכ de gεt inof כksijεn (hypoxia) כ di bכdi nכ de gεt inof kabכn dayכksayd (CO2) (hypercapnia), wi kin kכl am respiratory failure. Insay MODS, yu kin gɛt prɔblɛm fɔ blo ɛn yu kin ivin nid mɛkanikal ventileshɔn fɔ ɛp yu fɔ blo. di mכst siriכs lכng damej na MODS na Acute Respiratory Distress Syndrome (ARDS).insay dis ARDS kכndyushכn, di lכng dεm kin stif, we kin mek i rili at fכ mεnten di nכmal כksijεn lεvεl na di bכdi.

2. Kadyovaskyuɛl sistɛm (at) .

Wi at ɛn blɔd sistɛm na in de pɔmp blɔd ɔlsay na di bɔdi. di at fεil εn di sεkyulashכn shכk na kכndyushכn dεm we di at mכsul de wik כ stif, we de mek i nכ de pכmp inof bכdi כlsay na di bכdi. Di inflamɛns we pasmak we kin apin wit MODS kin mek di blɔd vesel dɛn big, we kin mek di blɔd we kin rich na di tisu ɛn ɔgan dɛn nɔ bɔku. Dis kin mek yu blɔd prɛshɔn smɔl (lɔ blɔd prɛshɔn ɔ shɔk) na MODS. Fluid kin lik bak frɔm dɛn blɔd vesel ya, we kin mek i swel (edema).

3. Blɔd sistɛm (blɔd) .

MODS kin mek sɔm prɔtin dɛn we de na di blɔd nɔ balans. Dis kin mek yu gɛt prɔblɛm wit blɔd ɛn klot . Yu kin notis se yu skin de brus ɔ blɔd de kɔmɔt insay yu bɛlɛ. Di prɔblɛm we siriɔs pas ɔl we kin afɛkt yu blɔd sistɛm na Disseminated Intravascular Coagulation (DIC) . pan dis kכndyushכn, bכdi kin bigin fכ lik frכm di kateshכn כ tכb dεm na yu skin.

4. Nεv sεstem (bren) .

Wi bren na impɔtant ɔgan we de kɔntrol ɔl di tin dɛn we de na di bɔdi. we pat כ כl di bren stכp fכ wok bikoz fכ damej pan di bren כ כda pat dεm na di sεntri nεv sεstem (inklud di spεnal kכd εn di nεv dεm we de wit am), wi kin kכl am `nyurכlכjik fεil`. Insay MODS, inflamɛns, blɔd we de klɔt bikɔs ɔf prɔblɛm wit di blɔd sistɛm, ɛn lɔw blɔd prɛshɔn kin ridyus di blɔd we de flɔ to di bren. dis kin pwεl di bren εn mek yu kכnfyus (`delirium`) .

5. Rεnal sistεm (kidni dεm) .

Kidni fεil na we di kidni dεm nכ ebul fכ du sכm כ כl dεn wok dεm, inklud fכ filta west prכduk dεm frכm di bכdi. Di kidni sistɛm de filta wi blɔd, mek urine, ɛn pul wata we nɔ nid na di bɔdi. Insay MODS, dis prɔses kin pwɛl.

6. di εpatik sistεm (liva) .

di liva fεil na we di liva nכ ebul fכ du sכm כ כl di plεnti wok dεm we i de du, lεk fכ pul di tכxin dεm na di bכdi, fכ filta ol rεd blכd sεl dεm, εn fכ mek bayl (wan yכlכ/grin asid we de εp fכ digεst it). If yu inflamɛns ɛn di blɔd we nɔ de go na di liva i kin mek di liva nɔ wok fayn. Dis kin mek di skin ɛn/ɔ di yay tɔn yɔlɔ (jaundice). If di liva nɔ wok fayn, dat kin mek ɔda pat dɛn bak we de na di bɔdi nɔ wok.

Aw kɔmɔn tin na MODS?

MODS na wan kɔmɔn kɔndishɔn wae dɛn kin si pan akyu, krεse sik. Stɔdi dɔn sho se bitwin 28% ɛn 88% pan di pasɛnt dɛn we de na di intensiv kia yunit kin gɛt MODS. Na wan big tin bak we kin mek pipul dɛn day na di say dɛn we dɛn kin kia fɔ dɛn (ICU).

Wetin na di fɔs sayn dɛm fɔ MODS?

Bikɔs MODS kin afɛkt ɛni ɔgan na di bɔdi, di sayn dɛn kin dipen pan di ɔgan we dɛn afɛkt. Dɛn sayn ya kin smɔl na di fɔs stej fɔ di sik wae de kɔz MODS, ɔr kin tranga . As MODS de go bifo frɔm wan akyu sik, yu kin gɛt:

• Nɔs ɛn vɔmit
• Fil fɔ it
• Fɔ fil se yu wik ɔ yu taya pasmak
• Fiva
• Fɔ kol dɔŋ
• Kɔnfyushɔn ɔ i nɔ kin izi fɔ pe atɛnshɔn pan sɔntin
• Fɔ blo kwik kwik wan ɛn we nɔ shayn
• At bit fast ɔ i nɔ de bit ɔltɛm
• Chɛst ɛn/ɔ bɛlɛ pen fɔ lɔng tɛm
• Di bɛlɛ we de blo
• Di limb dɛn we de swel
• Yu skin ɔ yu yay de yɔlɔ (jaundice) .
• Blu ɔ grey/wayt kɔlɔ we de chenj na di skin, di lip, di tɔŋ, di gɔm, di finga nel, ɔ di yay (cyanosis) .
• Lɔs fɔ no bɔt sɔntin

Wetin kin mek pɔsin gɛt MODS?

MODS kin kam bikɔs ɔf ɛni big sik, injury, ɔ infekshɔn. Dɔktɔ ɛn risach pipul dɛn stil nɔ no di rayt tin we kin mek pɔsin gɛt MODS. Bɔt di risach we dɛn dɔn du naw sho se bɔku tɛm, inflamɛns ɛn blɔd we nɔ de bɔku na in kin mek pɔsin gɛt MODS. MODS nɔto bikɔs ɔf wan ɔndalayn mɛdikal kɔndishɔn. I de divεlכp frכm siriכs tin dεm we de afekt bכku כ כl di כgan sistεm dεm na di bכdi. If blɔd ɛn ɔksijɛn nɔ bɔku, dat kin mek i pwɛl.

Imajin, pan siriɔs sik, sɔm tin dɛn kin apin we kin mek pɔsin gɛt MODS.

1. Praymari tin we apin: Dis na di fɔs tin we kin mek i apin. Fɔ ɛgzampul, bad bad infekshɔn (sepsis), big aksidɛnt (lɛk motoka aksidɛnt), ɔ bad bad at atak.

2. Di sɛkɔn tin we kin apin: Dis na we yu imyun sistɛm kin riak pasmak, we kin mek yu bɔdi wam bad bad wan.

3. Tɔd tin we apin: If yu gɛt nyu infekshɔn, ɔ yu gɛt fɔ du ɔpreshɔn fɔ trit wan ɔrijinal kɔndishɔn, dat kin bi tɔd tin we apin.

Sɔm tin dɛn we kin mek pɔsin gɛt MODS na:

• Sepsis ɔ sɛptik shɔk: Dis kin bi wan bad bad inflamɛns we kin kam wit bad bad baktri ɔ vayral infɛkshɔn.
• Traumatik injury: Tin dɛn lɛk motoka aksidɛnt, bɔn bad bad wan, chuk pɔsin, ɔ shot.
• Pankreas: Na inflamɛns na di pankrias. Dis kin kam bikɔs ɔf gal ston, fɔ drink pasmak, sɔm mɛrɛsin dɛn, ɛn ɔda tin dɛn.
• Massive hat atak: Na we blɔd vesel we de gi blɔd to di at, blok.
• Liva nɔ de wok fayn: Dis kin bi bikɔs ɔf Epataytis B, Epataytis C, fat liva sik, fɔ drink pasmak, ɛn sirosis.
• Pɔyzin injuri ɛn pɔyzin:Na bikɔs i de pan pɔyzin. Fɔ ɛgzampul, fɔ yuz drɔgs ɔ rɔm kwik ɔ fɔ lɔng tɛm, pɔyzin kemikal lɛk peshɛnt sayd ɛn ol insuleshɔn matirial (asbest), ɛn baktriyal infɛkshɔn.

Dɛn tin ya kin mek big chenj dɛn na yu imyun sistɛm ɛn blɔd sistɛm, ɛn dis kin afɛkt ɔda ɔgan dɛn bak.

Us ɔgan na di fɔs wan we nɔ de wok na MODS?

Klose to ɔlman wae gɛt MODS kin gɛt lɔng prɔblɛm fɔs , bɔt dɔktɔ ɛn risach pipul dɛm stil nɔr gɛt klia ɔndastandin bɔt wetin mek di lɔng we nɔ de wok fayn kin apin bifo MODS.

Udat dɛn kin afɛkt mɔ wit MODS?

Ɛnibɔdi kin gɛt MODS, bɔt yu kin gɛt MODS if yu gɛt wan sik we de ɔnda yu, lɛk sik we nɔ de mɛn ɔ we yu nɔ gɛt bɛtɛ imyun.

Aw fɔ no di MODS?

Dɔktɔ dɛn kin yuz difrɛn tɛst dɛn fɔ no se ɔgan dɛn we nɔ de wok fayn ɔlsay na yu bɔdi. Dɛn tin ya kin bi:

• Blɔd tɛst dɛn
• Atrial blɔd gas tɛst
• Test fɔ di wok we di liva de du
• Test dɛn we di kidni de du
• Blɔd ɛn tisu kɔlchɔ dɛn
• Echocardiogram (altra saund fɔ di at) .
• Imej tɛst dɛn lɛk ɔltra saund ɔ CT skan

Aw dɛn kin trit MODS?

Di tritmɛnt fɔ MODS dipen pan di ɔndalayn kɔz ɛn di ɔgan sistɛm dɛn we dɛn afɛkt. Sɔm tritmɛnt dɛn we yu kin gɛt na:

• Trit di blɔd we nɔ bɔku bay we yu gi yu wata we yu de put insay yu bɛlɛ (IV) .
• fכ gi vasopressor mεdikeshכ n fכ inkrεs bכdi fכ fכlכ tru bכdi vεsul dεm εn tisu dεm (tissue perfusion).
• Gi antibayɔtik fɔ trit infɛkshɔn ɛn/ɔ sɛpsis.
• Blɔd transfyushɔn fɔ tek ples fɔ di blɔd we dɛn lɔs bikɔs dɛn wund ɔ ɔpreshɔn.
• Ɔksijɛn tɛrapi fɔ gi mɔ ɔksijɛn to di bɔdi.
• If yu nɔ ebul fɔ blo yu wan, yu kin nid mashin we de mek yu blo fɔ ɛp yu fɔ blo.
• Dayalaysis fɔ ɛp fɔ pul dɔti tin dɛn ɛn wata we pasmak na yu bɔdi.
• εkstrakכpכrial mεmbran כksijεnεshכn (ECMO) fכ ad כksijεn to di bכdi εn pul di kabכn dayכksayd.
• wan mכlikul absכbεnt rεsεkyulet sistεm (MARS) fכ sכpכt di liva.
• Ɔpreshɔn fɔ di wan dɛn we gɛt bad bad injuri.
• Ɔgan transplant ɔpreshɔn na fɔ riples ɔgan we sik ɔ we nɔ de wok fayn wit ɔgan we gɛt wɛlbɔdi frɔm pɔsin we gi am.
• If yu gɛt blɔd we de kɔmɔt na yu bɛlɛ (GI) ɔ yu gɛt prɔblɛm na yu bɛlɛ we de mek yu nɔ ebul fɔ it, ɔ if yu nɔ ebul fɔ it na yu bɔdi, yu kin nid fɔ gɛt di tin dɛn we yu nid tru IV (intravenous) ɔ enteral nutrition (parenteral nutrition).

Aw kwik a go fil fayn afta dɛn dɔn trit mi?

Yu wɛl bɔdi go dipen pan di ɔndalayn kɔz ɛn tritmɛnt. Dɔktɔ kin gi yu bɛtɛ aidia bɔt ustɛm yu kin ɛkspɛkt fɔ si impɔtant tin afta yu dɔn gɛt tritmɛnt.

Wetin na di fiuja fɔ MODS?

Di fiuja fɔ MODS dipen pan di ɔndalayn kɔz. Sɔmtɛm sɔm ɔ ɔl yu sɛns kin kam bak to nɔrmal, bɔt yu kin nid fɔ sɔpɔt yu layf fɔ sɔm tɛm te yu wɛl.

Fɔ no ɛn trit MODS kwik kwik wan ɛn di ɔndalayn kɔz rili impɔtant fɔ mek dɛn ebul fɔ manej dis kɔndishɔn fayn fayn wan.

Di prɔgnosis fɔ MODS kin difrɛn akɔdin to di intensiv kia yunit dɛn (ICU). Dɔktɔ dɛn kin si dis sik as tin we kin mek pipul dɛn day bɔku tɛm pan di wan dɛn we dɛn kin admit na say dɛn we dɛn kin kia fɔ dɛn sik dɛn we dɛn kin du ɔpreshɔn pan.

If di sik go bifo te i rili bad, di ɔgan dɛn kin pwɛl fɔ ɔltɛm. Yu kin nid fɔ gɛt sɔpɔt fɔ lɔng tɛm ɔ fɔ transplant yu ɔgan. I kin kil pɔsin bak.

Mɔ risach nid fɔ de fɔ no di tin dɛn we kin mek pɔsin gɛt dis sik we kin ambɔg MODS, we kin mek di sikman dɛn gɛt bɛtɛ fiuja.

Wetin na di sɔvayv rit frɔm MODS?

Dɔktɔ ɛn risach pipul dɛn se di wan dɛn we de liv fɔ MODS de bitwin 50% ɛn 60% .

Yu tink se dɛn kin ebul fɔ stɔp MODS?

Sɔm pan di tin dɛn we kin mek pɔsin gɛt MODS nɔ kin ebul fɔ stɔp. Ɛn naw, no patikyula mɛrɛsin nɔ de we go ɛp fɔ mek dɛn nɔ gɛt MODS. Risach pipul dɛm dɔn de luk fɔ we fɔ trit MODS we i bigin fɔ mek di sik nɔ wɔs. Naw, dɛn de du bɔku stɔdi dɛn bɔt dis.

Yu kin ɛp fɔ protɛkt yu ɔgan dɛn bay we yu de du tin dɛn lɛk:

• Protɛkt yu ɔgan dɛn frɔm vaybreshɔn bay we yu wɛr sit bɛlt we yu de rayd motoka ɛn tin fɔ protɛkt yu we yu de ple spɔt dɛn we gɛt ay impak.
• Gɛt di vaysin fɔ mek yu nɔ gɛt siriɔs infɛkshɔn we dɔktɔ dɛn tɛl yu.
• Ridyus ɔ stɔp fɔ tek mɛrɛsin dɛn we dɛn nɔ gi yu, lɛk nonsteroidal anti-inflammatory drugs (NSAID), we kin pwɛl di kidni dɛn.
• Ridyus ɔ stɔp fɔ tek mɛrɛsin ɔ ɔda tin dɛn we kin mek yu gɛt ɔlsa na yu bɛlɛ, lɛk NSAID, smok, ɛn rɔm .
• Gɛt tritmɛnt fɔ ay blɔd prɛshɔn (haypa prɛshɔn) .

If yu de na ɔspitul wit wan akyu sik, yu dɔktɔ dɛn kin du tin lɛk dis fɔ mek MODS nɔ wɔs:

• Fɔ mek yu nɔ gɛt bɔku damej pan yu lɔng dɛn we yu de yuz mɛkanikal ventileshɔn.
• Limit blɔd transfyushɔn te i rili nid fɔ du am.
• Yuz tin dɛn we de mek blɔd tan if nid de fɔ mek blɔd nɔ klɔt.

Ustɛm a fɔ go to dɔktɔ?

If yu gɛt sik we nɔ de mɛn ɛn yu de gɛt sɔm sayn dɛm fɔ MODS, we kin mek yu gɛt siriɔs sik ɛn yu ɔgan dɛn nɔ de wok fayn, i go fayn ɔltɛm fɔ go to dɔktɔ. Dɛn kin tɛl yu us patikyula sayn ɔr simptom fɔ luk fɔ ɛn aw fɔ mɛn ɛni kɔndishɔn.

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

If yu gɛt sayn fɔ MODS, go na di imejensi rum we de nia yu ɔ kɔl 911. Dis kin kil yu if yu nɔ trit yu kwik kwik wan.

Us kwɛstyɔn dɛn a fɔ aks dɔktɔ?

Na sɔm kwɛstyɔn dɛn we yu go want fɔ aks yu dɔktɔ:

• Wetin kin mek pɔsin gɛt MODS?
• Us tritmɛnt opshɔn dɛn a gɛt?
• Us mɛrɛsin dɛn yu kin advays?
• Wetin na di gol dɛn we a gɛt fɔ kia fɔ mi?
• Aw ɔltɛm a kin nid tritmɛnt?

Sɔma ɛn las mɛsej

Okay, so naw yu no se multiple organ dysfunction syndrome (MODS) na siriɔs sik we de afɛkt tu ɔ mɔ ɔgan sistɛm dɛn na yu bɔdi. Pan ɔl we MODS kin afɛkt ɛni ɔgan sistɛm, i kin afɛkt di lɔng, at, kidni, liva, bren, ɛn blɔd mɔ. Bɔku tin dɛn de we kin mek dis apin. De wan wae kin bɔrku pas ɔl na wae pɔrsin kin fil bad, wae pɔrsin kin sik bad bad wan, ɛn wae pɔrsin kin gɛt infεkshɔn wae de ɔlsay. di tritmεnt de fכs fכ trit di כndalayn kכndyushכn we dεn de mek dεn nכ de mek כda כgan sistεm dεm nכ damej mכr.

Na nɔmal tin fɔ mek yu fred we yu yɛri se yu ɔ pɔsin we yu lɛk in ɔgan nɔ de wok. Bɔt dɛn dɔn tren di dɔktɔ dɛn ɛn di wan dɛn we de wok na di Imejɛnsi Tritmɛnt Yunit (ETU) ɛn Intɛnsiv Keya Yunit (ICU) fɔ sɔpɔt ɔl yu ɔgan sistɛm dɛn, fɔ mek dɛn nɔ pwɛl mɔ, ɛn ɛp yu bɔdi fɔ wɛl. So nɔ giv ɔp fɔ gɛt op. If yu trit yu kwik kwik wan ɛn gi yu di rayt advays, yu kin tray fɔ kɔmɔt na dis kayn tin.

` Mכltipכl כgan fεil, MODS, כgan fεil, sepsis, intensiv kεriכn, כgan fεil, layf sכpכt