Wetin yu go du if yu nervɔs sistɛm de pan denja? Lɛ wi lan bɔt di denja ‘Nyurojɛnik Shɔk’!

Wi ɔl dɔn yɛri di wɔd "shɔk," nɔto so? Sɔntɛnde, wi kin tink se na ɔda tin we wi kin fred ɔ vɛks wantɛm wantɛm. Bɔt insay mɛrɛsin, "shɔk" de tɔk bɔt wan sik we rili siriɔs. Tide wi go tɔk bɔt wan kayn "shɔk" we fiba am, bɔt we difrɛn smɔl. Dɛn kɔl dis ‘nyurojɛnik shɔk.’ Fɔ tɔk am simpul wan, i kin apin we bad bad injuri de na wi nervɔs sistɛm, mɔ di spɛshal kɔd .

Wetin rili na ‘Nyurojɛnik Shɔk’?

Tink bɔt yu nervɔs sistɛm lɛk tɛlifon sistɛm na wan kɔntri. Dɛn nɛv ya kin kɛr mɛsej frɔm di bren to ɔl di pat dɛn na di bɔdi. naw, we injuri de pan dis nεv sεstem, spεshal wan na di spεnal kכd, lεk we di spεnal frakt כ kכntushכn, di sistεm we de kכri dεn mεsej dεm ya kin ambɔg.

Nyurojɛnik shɔk na wan sik we yu at rit, blɔd prɛshɔn, ɛn bɔdi tɛmpracha nɔ kin ebul fɔ kɔntrol afta yu gɛt aksidɛnt. Lɛk ɔda kayn shɔk, dis na siriɔs sik, ɛn sɔmtɛm i kin kil pɔsin. Di rizin fɔ dis na bikɔs blɔd nɔ de flɔ ɔlsay na di bɔdi. We blɔd nɔ de flɔ fayn, wi sɛl dɛn nɔ de gɛt di ɔksijɛn ɛn di tin dɛn we dɛn nid. Dɔn di sɛl dɛn nɔ kin ebul fɔ du dɛn wok.

So, i impɔtant fɔ go to tritmɛnt fɔ shɔk kwik kwik wan.

Wetin na di difrɛns bitwin ‘Nyurojɛnik Shɔk’ ɛn ‘Spinal Shɔk’?

Pan ɔl we dɛn ɔl tu gɛt fɔ du wit di bad bad tin dɛn we kin apin na di spaynal kɔd, smɔl difrɛns de. pan spεnal shכk, yu mכsul dεm kin paralayz εn yu rεflεks dεm kin lכs afta yu spεnal kכd injuri. Insay nyurojɛnik shɔk, di men tin dɛn we kin apin to yu at rit ɛn blɔd prɛshɔn.

Wetin na di difrɛns bitwin ‘Nyurojɛnik Shɔk’ ɛn ‘Hypovolemik Shɔk’?

Hypovolemic shock na wan sik wae de kam wae yu de lɔs tumɔs wata, mɔr lɛk blɔd, frɔm di bɔdi. Di men difrɛns bitwin dɛn tu na di at rit.

• Pɔsin we gɛt nyurojɛnik shɔk kin gɛt slo at rit (bradyarrhythmia).
• Pɔsin we gɛt haypovolemic shɔk gɛt in at rit we de go ɔp (tachycardia).

Udat dɛn kin afɛkt mɔ pan dis sik? Aw i kɔmɔn?

Nyurojɛnik shɔk kin apin pan pipul dɛm wae dɔn gɛt injury na dɛn spɛshal kɔd ɛn dɔn pwɛl di nervɔs sistɛm.

Risach dɔn sho se bitwin 19% ɛn 31% pan di pipul dɛm we dɔn gɛt spɛshal injuri go gɛt dis sikDɛn kɔl dis ‘Nyurojɛnik Shɔk’. Ivin na kɔntri lɛk Amɛrika, bitwin 8,000 ɛn 10,000 pipul dɛn kin gɛt injury na dɛn spɛnal kɔd ɛvri ia. Di men tin dɛn we kin mek dis apin na motoka aksidɛnt ɛn fɔdɔm frɔm ayt. Dɛn kayn aksidɛnt ya kin apin na wi kɔntri bak, nɔto so?

Aw ‘Neurogenic Shock’ de afɛkt mi bɔdi?

Fɔ tɔk am simpul wan, we injuri de na di spɛshal kɔd, wi nɛv dɛn nɔ kin ebul fɔ sɛn signal to di blɔd vesel dɛn, ɛn dɛn kin se, "Okay, naw kɔnstrikt smɔl." we dεn nכ gεt dis mεsej fayn fayn wan, di bכdi vεsul dεm kin tu big, we dεn kכl `vasodilation` . I tan lɛk se wata paip de big wantɛm wantɛm. wetin kin apin na dat bכdi prεshכn de dכn wan wan wan `haypotεnshכn` . We blɔd prɛshɔn go dɔŋ, di blɔd we de go ɔlsay na di bɔdi kin go dɔŋ bak. Dis min se wi impɔtant ɔgan dɛn nɔ de gɛt di ɔksijɛn we dɛn nid.

Wetin na di sayn dɛm fɔ dis?

Di sayn dɛm fɔ nyurojɛnik shɔk na:

• Lɔw blɔd prɛshɔn (Hypotension): Dis na di men sayn.
• Slow hat rate (Bradyarrhythmia): Di nɔmba fɔ di bit dɛn we pɔsin kin bit insay wan minit kin ridyus.
• Di skin kin rɛd ɛn wam, dɔn i kin kol, i kin swet, ɛn i kin klem.
• Lip ɛn finga nel dɛn kin tɔn blu: Dis kin bi bikɔs ɔksijɛn nɔ de na di blɔd.
• yu nɔ de no ɔltin ɔ yu nɔ de no natin: Dis kin apin bikɔs di blɔd nɔ de flɔ na di bren.

If pɔsin gɛt wan ɔ mɔ pan dɛn sayn ya, mɔ if i dɔn gɛt injury na in spɛshal kɔd, dɛn fɔ pe atɛnshɔn to am wantɛm wantɛm.

Wetin na di tin dɛm we kin mek pɔsin gɛt ‘Nyurojɛnik Shɔk’?

Bɔku men rizin dɛn de fɔ dis kayn tin:

• Spinal kɔd injury: Dis na di tin we kin mek pɔsin gɛt mɔ prɔblɛm. I kin kam bikɔs ɔf tin dɛn lɛk motoka aksidɛnt, fɔdɔm frɔm ayt, ɔ spɔt aksidɛnt.
• di tכxin dεm we de afekt di כtonom nεv sεstem.
• Guillain-Barré syndrome: Dis na wan sik wae nɔr kin bɔrku wae kin afɛkt di nervɔs sistɛm.
• Spinal anestesia: Dɛn kin gi dis anestezi fɔ sɔm ɔpreshɔn dɛn. I kin apin smɔl smɔl as kɔmplikeshɔn.
• Transvas maylaytis: Dis na infεkshכn bak pan di nεv dεm na di spεnal kכd.

Aw dɔktɔ dɛn kin no bɔt dis?

Fɔ no if yu gɛt nyurojɛnik shɔk, di dɔktɔ go du dɛn tin ya:

1. Dɛn kin du ɛgzam fɔ yu bɔdi: Dɛn kin chɛk yu kɔndishɔn ɛn di kayn injuri we yu gɛt.

2. Dɛn kin chɛk di sayn dɛn we impɔtant: dɛn kin mɛzhɔ di blɔd prɛshɔn, at rit, di we aw pɔsin de blo, ɛn di tɛmpracha.

3. Dɛn kin du blɔd tɛst:Lan bɔt aw di bɔdi de insay di bɔdi ɛn aw di ɔgan dɛn de wok.

4. Dɛn ɔda fɔ skan: Fɔ asɛs di prɔblɛm we di spayna dɔn pwɛl kɔrɛkt wan.

Us kayn skan dɛn kin du?

Dis na di tu men kayn skan dɛn:

• CT Scan (Computed Tomography - CT scan): Dis kin si klia wan di damej pan di bon dεm.
• MRI skan (Magnetic Resonance Imaging - MRI scan): dis kin bεst fכ luk fכ damej pan di sכft tisu dεm na di spayna, dat na di spεnal kכd εn nεv dεm.

Aw dɛn kin trit Nyurojɛnik Shɔk?

Dis na mɛdikal imejensi ɛn dɛn fɔ bigin di tritmɛnt wantɛm wantɛm.

Fɔs, dɔktɔ dɛn go put nɛk bres na yu nɛk. dis na fכ stכp di spεnal kכd fכ wכs, biכs fכ muv yu nεk i kin mek di injuri wכs.

Neks, di tin we impɔtant pas ɔl na fɔ kɔntrol di lɔw blɔd prɛshɔn (haypotension). dis kin bi bay we dεn gi wata lεk salin tru wan IV (intravenous).

Dɔn, dɛn kin gi mɛrɛsin fɔ kɔntrol di at we de rit sloslo (bradyarrhythmia).

We yu de trit dis ‘Neurogenic Shock’, dɛn go trit yu bak fɔ ɛni ɔda injury we yu go dɔn gɛt frɔm di aksidɛnt.

Us kayn mɛrɛsin dɛn kin yuz?

Dɔktɔ dɛn kin yuz sɔm kayn mɛrɛsin fɔ mɛn nyurojɛnik shɔk:

• Fɛnilɛfrin we dɛn kɔl
• Norepinephrin `(Norepinephrine)`
• Epinefrin we dɛn kɔl Epinephrine
• Atropin we gɛt di sik
• Glykopirolet `(Glaykopirolet)`
• Isoproterenol `(Isoproterenol)`
• Tiofilin we dɛn kɔl
• Aminofilin we dɛn kɔl

Dɛn kin gi dɛn mɛrɛsin ya ɔnda di strikt sɔpɔtishɔn fɔ dɔktɔ, ɛn dɛn kin tek tɛm tink bɔt bɔku tin dɛn lɛk di sikman in kɔndishɔn, in blɔd prɛshɔn, ɛn in at rit.

Ɛni kɔmplikeshɔn ɔ sayd ɛfɛkt de fɔ di tritmɛnt?

Ɛni mɛrɛsin kin mek pɔsin gɛt sayd ɛfɛkt. Bɔt dɔktɔ dɛn kin jɔs pik wan mɛrɛsin if di bɛnifit fɔ di pɔsin pas di prɔblɛm. Dɔn bak, if di wata we dɛn kin gi tru di IV tu bɔku sɔntɛnde, smɔl chans de fɔ mek di bɔdi swel.

Aw a go ridyus dis risk?

Bikɔs di men tin we kin mek nyurojɛnik shɔk na di spɛnal kɔd injuri, i impɔtant fɔ mek dɛn nɔ gɛt dɛn kayn injury ya. Bɔku tin dɛn de we yu kin du fɔ ɛp:

• Nɔ drayv we yu dɔn drink rɔm ɔ tek drɔgs. Drayv wit maynd ɛn pe atɛnshɔn.
• Ɔltɛm wɛr sit bɛlt we yu de rayd motoka. Rayd sef wan pan tri-wil motoka ɛn motoka dɛn.
• Nɔ go dayv na say dɛn we yu nɔ no ɔ na wata we shalo. Dis kin mek pɔsin gɛt siriɔs injury na in nɛk.
• Tek tɛm bɔt sef we yu de klaym tik ɛn wok na ay ay ples.

Wetin a kin ɛkspɛkt if a gɛt nyurojɛnik shɔk?

If spɛshal kɔd injury mek nyurojɛnik shɔk, lɔw blɔd prɛshɔn (haypotension) kin las fɔ fayv wiks.

Dɔn bak, ɔda kɔmplikeshɔn kin kam wit dis kɔndishɔn. Fɔ ɛgzampul:

• di bכdi de kכlכt na di vein dεm na di leg dεm (Deep Vein Thrombosis - DVT) .
• Ɔlsa dɛn we gɛt strɛs
• Aspiration nyumonia kin kam bikɔs it ɔ ɔda tin dɛn kin go insay di say we di briz de blo .

Aw lɔŋ nyurojɛnik shɔk kin las?

Bɔrku tɛm, di sayn dɛm fɔ nyurojɛnik shɔk kin las fɔ lɛk 4 to 5 wiks . Bɔt dis kin difrɛn frɔm wan pɔsin to ɔda pɔsin ɛn i kin difrɛn frɔm di kayn aksidɛnt.

A go ebul fɔ go bak na wok/skul?

If yu kin go bak to yu nɔmal aktiviti, wok, ɔ skul, i dipen pan aw yu spɛnal kɔd injury siriɔs ɛn di kayn ɔda injury we yu go dɔn gɛt. Sɔntɛnde, yu go nid fɔ mek sɔm big chenj dɛn na yu layf, mɔ if i nɔ izi fɔ yu fɔ waka.

Wetin na di lukin-grɔn fɔ nyurojɛnik shɔk?

If dɛn nɔ trit am, bɔku pan di kes dɛm fɔ shok kin kil. Bɔt if yu trit yu kwik kwik wan ɛn di rayt we, dat kin sev yu layf. Yu wɛlbɔdi biznɛs tumara bambay go dipen pan bɔku tin dɛn, lɛk:

• yu ej.
• Di kayn we aw di aksidɛnt bin rili bad.
• Damej to ɔda ɔgan dɛn.
• Ɔda sik dɛn we nɔ de mɛn we yu gɛt (ɔda mɛrɛsin prɔblɛm dɛn).
• Aw lɔng i tek fɔ gɛt tritmɛnt?
• Ɔda prɔblɛm dɛn lɛk we yu nɔ ebul fɔ tɔk ɛn we yu nɔ de balans.
• Aw yu bɔdi kin biev we yu gɛt tritmɛnt.

I sɔri fɔ no se pɔsin we dɔn gɛt injury na in spaynal kɔd kin day tu to fayv tɛm pas pɔsin we nɔ gɛt injury. Di risk fɔ day kin bɔku pas ɔl na di fɔs ia afta yu gɛt injury na yu spɛnal kɔd.

Aw a kin kia fɔ misɛf?

We yu gɛt injury na yu spɛnal kɔd, yu go gɛt ɔda wɛlbɔdi prɔblɛm dɛn lɛk Dip Vein Thrombosis (DVT), lɛk aw wi bin dɔn tɔk. Dɔn bak, nyurojɛnik shɔk, we na wan sik we de mek blɔd nɔ de flɔ ɛn wan ɔ mɔ ɔgan dɛn kin pwɛl.

Ɔlman in sityueshɔn difrɛn, bɔt fɔ ɛnibɔdi we dɔn gɛt nyurojɛnik shɔk, i impɔtant fɔ tek tɛm fala di fizik tritmɛnt ɛn mɛrɛsin advays fɔ mek i nɔ gɛt prɔblɛm dɛn tumara bambay.

Ustɛm a fɔ go to mi dɔktɔ?

If yu notis ɛni chenj na yu sik, lɛk chenj na yu impɔtant sayn ɔ pen, yu fɔ tɛl yu dɔktɔ wantɛm wantɛm.

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

Yu fɔ go to tritmɛnt kwik kwik wan if yu gɛt dɛn sik ya:

• Chɛst de pen
• Diziz we pɔsin kin gɛt
• Vɔmit

Dɛn tin ya kin bi sayn fɔ ɔda siriɔs sik.

Us kwɛstyɔn dɛn a fɔ aks mi dɔktɔ?

Yu kin aks di dɔktɔ kwɛstyɔn dɛn lɛk dɛn wan ya:

• Wetin na di lukin-grɔn fɔ mi patikyula sityueshɔn?
• Mi ɔgan dɛn dɔn pwɛl bikɔs ɔf ‘Nyurojɛnik Shɔk’?
• Wetin na di impɔtant tin dɛn we a nid fɔ du we a tink bɔt di tin dɛn we de apin to mi?

Sɔma ɛn Mɛsej we dɛn kin kɛr go na os

Okay, so di ‘Neurogenic Shock’ we wi bin tɔk bɔt tide na wan rili denja kɔndishɔn we kin apin bikɔs ɔf wan bad bad injuri na di spaynal kɔd. pan dis, di damej we di nεv sεstem de pwεl de mek di bכdi nכ de kכntrכl pan tin dεm lεk di at rεt εn blכd prεshכn.

Di tin we impɔtant pas ɔl na fɔ de sef as yu ebul ɛn tray fɔ avɔyd fɔ wund yu spayna. Tek tɛm bad bad wan we yu de drayv, wok na ay ay ples, ɛn jomp insay wata.

If aksidɛnt apin, fɔ go to dɔktɔ wantɛm wantɛm, dat go ɛp fɔ sev yu layf. Afta dat, fɔ kɔntinyu fɔ tek fizik tritmɛnt lɛk aw yu dɔktɔ tɛl yu, dat go ɛp yu fɔ gɛt wɛlbɔdi as yu ebul. Yu mɛdikal tim go ɛp yu fɔ win dis prɔblɛm.

` Nyurojɛnik Shɔk, Spinal Kɔd Injuri, Blɔd Prɛshɔn, Nɛvɔs Sistɛm, Imejɛnsi, Haypɔtɛnshɔn, Bradyaritmia