I nɔ kin izi fɔ yu fɔ blo bikɔs yu fat? Lɛ wi tɔk bɔt (Obesity Hypoventilation Syndrome)!

Sɔntɛnde, yu kin fil se yu nɔ ebul fɔ blo fayn? Yu jɔs taya ɛn slip insay di de? I impɔtant fɔ no bɔt dɛn tin ya, mɔ if yu fat pasmak. Tide wi go tɔk bɔt wan prɔblɛm we pipul dɛn nɔ no bɔt, bɔt we kin rili siriɔs, we kin gɛt fɔ du wit fɔ fat. Dɛn kɔl dis `(Obesity Hypoventilation Syndrome)` ɔ OHS. Nɔ wɔri, lɛ wi ɛksplen am simpul wan.

Wetin na OHS (Obesity Hypoventilation Syndrome) we pɔsin kin gɛt?

Fɔ tɔk am simpul wan, `(Obesity Hypoventilation Syndrome)` na wan sik wae de kam pan sɔm pipul dɛm wae fat pasmak. Dis na we di kabon dayɔgzayd we de na wi blɔd de bɔku ɛn di ɔksijɛn we de na wi blɔd de go dɔŋ. Nɔmal wan, we wi de blo, wi kin tek ɔksijɛn ɛn pul di kabon dayɔgzayd. Bɔt we di brith rit go dɔŋ ɛn di briz nɔ de go insay di lɔng dɛn fayn fayn wan, dis balans kin lɔs. dis dεn kכl am `(Hypoventilation)` (dεn de ridyus di brith).

Apat frɔm di haypoventileshɔn, slip-disɔda brith kin apin bak na OHS. Infakt, 90% pan di prɔblɛm dɛn we kin apin we pɔsin nɔ ebul fɔ blo we i nɔ de slip fayn we gɛt fɔ du wit OHS na bikɔs ɔf di prɔblɛm we kin mek pɔsin nɔ ebul fɔ blo fayn.

So, OHS tan lɛk tri men tin dɛn we dɛn jɔyn:

• Fat.
• Di brith we de dכn (Hypoventilation).
• Di we aw pɔsin de blo we i nɔ de slip fayn.

Wan ɔda nem de fɔ dis OHS, we na `(Pickwickian Syndrome)`. Dɛn mek di nem bikɔs ɔf wan pɔsin we de insay wan buk we Chals Dikens bin rayt we bin gɛt sayn dɛn fɔ OHS.

OHS na siriɔs respiratɔri kɔmplikeshɔn fɔ fat. Pan ɔl we i kin mek pɔsin gɛt wɛlbɔdi prɔblɛm we go mek i day, i gɛt gud tritmɛnt dɛn.

Udat kin gɛt OHS mɔ?

OHS kin bɔku pan man dɛn pas uman dɛn. Sɔm ripɔt dɛn de bak we difrɛns bitwin sɔm etnik grup dɛn. Bɔt di men tin we kin mek i gɛt prɔblɛm na fɔ fat.

I at fɔ tɔk klia wan aw dis kin apin, bɔt sɔm stɔdi dɛn dɔn sho se i kin afɛkt smɔl pasɛnt pan di big pipul dɛn. Dat min se e nɔr kin rili kɔmɔn, bɔt na sɔmtin wae kin afɛkt bɔrku pipul dɛm.

Wetin na di sayn dɛm fɔ OHS?

Di sayn dɛm fɔ OHS kin bi bikɔs i nɔ de slip ɛn di ɔksijɛn we de na di blɔd nɔ bɔku (Hypoxemia). Sɔm pan dɛn sayn ya na:

• Shot we yu de blo.
• Fɔ fil taya ɔltɛm (Fatigue).
• Lak fɔ gɛt ɛnaji.
• Fɔ slip pasmak insay di de (Daytime sluggishness).
• Yu ed kin at ɔltɛm.
• Diziz we pɔsin kin gɛt.
• Pwɛl at.

We yu de slip, yu patna kin si tin dɛn lɛk:

• Laud snor.
• Fɔ fil lɛk se yu de chok ɔ yu de blo we yu de slip.
• I kin stɔp fɔ blo. Imajin if sɔmbɔdi tɛl yu se, "We yu de slip na nɛt, sɔntɛnde i kin tan lɛk se yu dɔn stɔp fɔ blo fɔ sɔm sɛkɔn." Dat na sɔntin lɛk dat.

Wetin na di tin dɛn we kin mek pɔsin gɛt OHS?

Risach pipul dɛn stil nɔ no bɛtɛ bɛtɛ wan wetin kin mek pɔsin gɛt OHS, bɔt dɛn biliv se i kin bi bikɔs ɔf tin dɛn we dɛn jɔyn togɛda:

• Sɔntɛm sɔntin de we nɔ fayn wit di we aw yu bren de kɔntrol aw yu de blo . I tan lɛk se smɔl glitch de na wi brith "switch."
• di ekstra wet we de na di chεst εria kin mek i at fכ di lכng dεm fכ inflate fayn fayn wan εn tek dip briz. I tan lɛk se yu de tray fɔ blo wit wet na yu chɛst.
• Fεt we pasmak na say dεm lεk di nεk, chεst, εn bεlε kin mek dεn prodyuz sכm כmon dεm , we kin afekt di we aw i de blo.

Aw yu go no if yu gɛt OHS?

We yu go to dɔktɔ, dɛn go aks yu bɔt yu sik ɛn chɛk yu. Dɛn go mɛzhɔ yu ayt ɛn wet ɛn kɔl yu Bɔdi Mas Indeks (BMI). Pipul dɛn we fat kin gɛt BMI we na 30 ɔ mɔ.

Afta dat, di dɔktɔ kin ɔda fɔ du sɔm ɔda tɛst fɔ no if yu gɛt OHS. Sɔm pan dɛn tin ya na:

• Atrial blɔd gas tɛst: Dis min se yu fɔ tek smɔl blɔd na yu at ɛn mɛzhɔ di kabon dayɔgzayd ɛn ɔksijɛn we de insay. Dis na aw yu kin no if yu blɔd gɛt bɔku CO2 ɔ smɔl O2.
• Pulse oximeter: Yu go dɔn si dis, na smɔl tin we tan lɛk klip we yu kin put na yu finga. I kin ebul fɔ no di ɔksijɛn we de na yu blɔd. Bɔt i nɔ kin ebul fɔ mɛzhɔ di kabon dayɔgzayd, ɛn i nɔ kin kɔrɛkt lɛk blɔd sɛmpul.
• Pulmonary function tests: Dɛn tɛst ya kin chɛk aw yu lɔng dɛn de wok fayn ɛn luk fɔ ɔda tin dɛn we kin mek yu nɔ blo fayn.
• Chɛst X-ray: Dis kin ɛp bak fɔ pul ɔda tin dɛn we kin mek pɔsin nɔ blo fayn.
• Slip stכdi `(Polysomnography):` Dis na spεshal tεst. Afta yu dɔn spɛn wan nɛt na ɔspitul, dɛn kin wach aw yu de blo, aw yu at de bit, ɛn aw yu bren de wev we yu de slip. Dis kin ɛp fɔ no if yu gɛt `(Slip Apnea)` ɛn, if na so, aw i tranga.

Wetin na di tritmɛnt dɛm fɔ OHS?

Di tritmɛnt fɔ OHS mɔ involv fɔ lɔs yu wet ɛn sɔpɔt fɔ blo.

Fɔ lɔs yu wet

Fɔ gɛt wɛl bɔdi wet we fit yu bɔdi ɛn fɔ kip am na di fɔs ɛn impɔtant tin fɔ trit OHS.Sɔntɛnde, fɔ jɔs lɛf fɔ it bɔku bɔku it kin ɛp fɔ kɔntrol di sayn dɛm ɛn fɔ mek di sik bɛtɛ. If yu liv fayn layf, dat kin ɛp yu bad bad wan. Fɔ ɛgzampul:

• Fɔ it tin dɛn we gɛt wɛlbɔdi. Fɔ ɛgzampul, fɔ it tin dɛn we balans lɛk di it we dɛn kin it na Mɛditarenian.
• Fɔ du ɛksasaiz fɔ at le 30 minit insay di de.
• Mek yu gɛt gud abit fɔ slip.

Dipen pan yu sik, yu dɔktɔ kin tɛl yu bak fɔ du ɔpreshɔn fɔ lɛ yu nɔ gɛt bɔku bɔku bɔdi, lɛk fɔ du ɔpreshɔn fɔ mek yu nɔ gɛt bɔku bɔku bɔdi.

Fɔ ɛp fɔ blo

Yu dɔktɔ kin tɛl yu fɔ yuz mashin fɔ mek yu ebul fɔ blo fayn fayn wan. Dis na tin dɛn we nɔ de ambɔg pɔsin, we min se dɛn kin yuz dɛn we dɛn nɔ du big ɔpreshɔn. Dɛn mashin ya kin mek yu aywe dɛn opin na nɛt we yu de slip, ɛn dis kin mek di ɔksijɛn we de na yu blɔd bɔku. Yu kin wɛr spɛshal mask we yu de slip, ɛn di mashin kin mek di briz go tru wan tiub. Bɔku kayn mashin dɛn de:

• CPAP (Continuous Positive Airway Pressure) Machine: CPAP mashin de gi di briz di sem prɛshɔn we yu de blo ɛn pul di briz.
• BiPAP (Bilevel Positive Airway Pressure) Machine: BiPAP mashin de gi di briz wit ay prɛshɔn we yu de blo ɛn smɔl prɛshɔn we yu de blo. Sɔntɛnde dɛn kin kɔl dis di brand nem ``(BiPAP®)``.

na sכm tεm, if dεn ``Positive Airway Pressure'' mashin dεm ya nכ kin kכntrol di kכndyushכn, i kin nid fכ du ``Tracheostomy''. Dis min se dɔktɔ we de du ɔpreshɔn kin mek ol na yu nɛk ɛn kɔnɛkt am to yu winda fɔ ɛp yu fɔ blo. Bɔku tɛm, dis na las tin we dɛn kin du.

Aw yu go ridyus di risk fɔ gɛt OHS?

Di bɛst we fɔ ridyus yu risk fɔ gɛt OHS na fɔ mek yu gɛt wɛlbɔdi wet. If yu dɔktɔ dɔn gi yu CPAP ɔ BiPAP, i impɔtant fɔ yuz am jɔs lɛk aw dɛn tɛl yu fɔ yuz am.

Apat frɔm dat, if yu go de flay ɔ du ɛni ɔpreshɔn, tɛl yu dɔktɔ bifo tɛm, bikɔs di risk fɔ gɛt siriɔs prɔblɛm dɛn kin bɔku pan dɛn kayn tin dɛn de.

Wetin na di wɛlbɔdi stet fɔ pɔsin we gɛt OHS?

Wit tritmɛnt, di sayn dɛm fɔ OHS kin ridyus ɔr dɔn kpatakpata. Fɔ sɔm pipul dɛn, ivin we dɛn jɔs lɔs dɛn wet kin ɛp. Tritmɛnt impɔtant bikɔs i kin mek yu gɛt bɛtɛ layf ɛn i kin mek yu nɔ gɛt mɔ prɔblɛm dɛn. Dɛn dɔn sho se di tritmɛnt we dɛn kin gi kwik kwik wan wit mashin fɔ blo kin ridyus di pipul dɛn we kin day frɔm OHS bay 10%.

Bɔt if dɛn nɔ trit am, OHS kin mek i gɛt prɔblɛm dɛn we kin mek pɔsin in layf de pan denja, mɔ prɔblɛm wit di at ɛn di blɔd vesel dɛn. Di ɔksijɛn we nɔ de, kin mek di at gɛt bɔku prɔblɛm. Yu kin gɛt prɔblɛm dɛn bak we yu nɔ de slip fayn. If yu nɔ gɛt tritmɛnt, yu kwaliti fɔ liv go dɔŋ ɛn yu go nid fɔ go na ɔspitul.

Di prɔgnosis fɔ di wan dɛn we nɔ de gɛt tritmɛnt nɔ kin rili fayn. OHS we dɛn nɔ trit kin mek di layf we pɔsin de liv shɔt. Na pipul dɛm wae gɛt ɔda sik, di 18 mɔnt pipul dɛm wae de day frɔm OHS kin rich 23%.

Wetin na di prɔblɛm dɛn we kin kam wit OHS?

If dɛn nɔ trit am, di ɔbisiti haypoventileshɔn sindrom kin mek i gɛt prɔblɛm dɛn we gɛt fɔ du wit slip. Dɛn tin ya na:

• Pwɛl at.
• Agiteshɔn ɛn iritabiliti.
• Risk fɔ aksidɛnt kin bɔku.
• Prɔblɛm dɛn na mami ɛn dadi biznɛs ɛn tayt padi biznɛs.

OHS kin mek yu gɛt at sik bak, fɔ ɛgzampul:

• Ay blɔd prɛshɔn (Hypertension).
• Rayt-sayd at we nɔ de wok fayn.
• Pulmonari haypatɛyshɔn.

Ustɛm yu fɔ go to dɔktɔ?

Yu fɔ rili go to dɔktɔ pan dɛn tin ya:

• If yu fat ɛn yu gɛt ɔda sayn dɛn we gɛt fɔ du wit OHS.
• Yu patna se yu kin snor lawd wan na nɛt ɛn notis tin dɛn lɛk we yu de blo wan wan tɛm?
• If yu fil se yu taya pasmak ɛn yu de slip insay di de.

Obesity Hypoventilation Syndrome (OHS) na wan siriɔs respiratory kɔmplikeshɔn we de mek pɔsin fat. If yu fat, i nɔ izi fɔ yu fɔ blo, ɔ yu gɛt ɛni prɔblɛm we gɛt fɔ du wit slip, go to dɔktɔ wantɛm wantɛm. Dɛn de de fɔ ɛp yu. If dɔktɔ no se yu gɛt OHS, dɛn go gi yu di tritmɛnt plan we fit pas ɔl.

Fɔ dɔn, tin dɛn we wi fɔ mɛmba

Okay, so, mek a aks yu fɔ mɛmba sɔm pan di impɔtant tin dɛn frɔm wetin wi dɔn tɔk bɔt.

• Obesity Hypoventilation Syndrome na wan prɔblɛm wae de wit yu brith wae kin rili siriɔs ɛn kin kam wit fat.
• Wetin kin apin pan dis na dat di kabon dayɔgzayd kin bɔku ɛn ɔksijɛn kin go dɔŋ na di blɔd.
• Di bɛst tin na dat, tritmɛnt de fɔ dis! Fɔ lɔs yu wet ɛn yuz mashin fɔ blo lɛk CPAP/BiPAP na di men tin.
• If yu no di sik kwik kwik wan ɛn trit yu, dat kin mek yu nɔ gɛt big big damej pan layf ɛn i kin mek yu layf bɛtɛ bad bad wan.
• If yu fat pasmak ɛn yu gɛt sɔm sayn dɛn lɛk we yu nɔ de blo fayn, yu de slip na de, ɛn yu de snor na nɛt, duya go to dɔktɔ. Natin nɔ de fɔ fred ɔ shem. Yu wɛlbɔdi biznɛs na di tin we impɔtant pas ɔl.

A op se dis infɔmeshɔn go yusful to yu. Stay wit wɛlbɔdi!

` Obesity Hypoventilation Syndrome, OHS, Pickwickian Syndrome, fat, prɔblɛm fɔ blo, slip apnia, CPAP, BiPAP