Wetin i min we wan ɔgan na wi bɔdi nɔ wok? (Organ Failure) Lɛ wi tɔk bɔt dis!

We pɔsin tɛl wi se i gɛt "organ failure," wi at kin rɔsh wantɛm wantɛm, nɔto so? Na wɔd we de mek pɔsin fred. Bɔt i impɔtant fɔ mek wi ɔl no wetin i min, wetin mek i kin apin, ɛn wetin dɛn kin du. So tide, lɛ wi tɔk bɔt am simpul wan, di we we yu go ɔndastand.

Wetin rili na ɔgan we nɔ de wok fayn?

Fɔ tɔk am simpul wan, ɔgan dɛn we nɔ de wok fayn na we wan ɔ mɔ pan di impɔtant ɔgan dɛn na yu bɔdi stɔp fɔ wok fayn fayn wan. Dis kin apin smɔl smɔl as tɛm de go (we wi kin kɔl krɛse sik ), ɔ i kin apin wantɛm wantɛm (we wi kin kɔl akyu fɔl).

Imajin, wi gɛt sɔm ɔgan dɛn na wi bɔdi we rili impɔtant fɔ mek wi kɔntinyu fɔ liv. Na dɛn tin ya wi kin kɔl impɔtant ɔgan dɛn . We da kayn ɔgan de bigin fɔ pwɛl, wi nid ɔda pɔsin fɔ ɛp wi fɔ du di wok we da ɔgan de nid fɔ du. Sɔntɛnde, if dɛn ɛp am da kayn we de, di ɔgan kin wɛl. Bɔt sɔntɛnde, i nɔ kin apin. We di ɔgan we nɔ de wok fayn rich di las stej, i kin ivin mek i day.

Us impɔtant ɔgan dɛn we kin pwɛl?

Bɔku pan di men ɔgan dɛn we impɔtant na wi bɔdi kin nɔ wok fayn dis we.

Liva

Yu liva na wan wɔndaful ɔgan. I de du bɔku bɔku wok dɛn. Di tin we impɔtant pas ɔl na fɔ filta di pɔyzin dɛn we de na di blɔd. Liva fεil kin apin wan wan כ sכmtεm as tεm de go.

Kidni dɛn

Di kidni dɛm na di wan dɛm we de pul dɔti tin dɛm na yu blɔd as urine. Dɛn kin mek di bɔdi in wata ɛn di ilɛktrɔlayt dɛn balans bak. Di kidni we nɔ de wok fayn kin apin wantɛm wantɛm ɔ fɔ lɔng tɛm. Na wi kɔntri, tin dɛm lɛk dayabitis ɛn ay blɔd prɛshɔn kin pwɛl di kidni dɛm.

At

Di at na in de pamp blɔd we gɛt ɔksijɛn ɔlsay na wi bɔdi. We di at bigin fɔ wik, i kin afɛkt di wan ol bɔdi. Insai hat failure , di hat in wok kin dכn wan wan (acute heart failure), כ i kin bכku sכmtεm as tεm de go (congestive heart failure).

Lɔng

di lכng dεm na di mכst imכtant pat pan wi rεspiretכri sistεm. na dεn wan dεm we de gi כksijεn to εvri tisu na di bכdi. If yu nɔ ebul fɔ blo fayn, i kin apin wantɛm wantɛm ɔ i kin tek lɔng tɛm.

Smɔl intestin

di sכmכl intestin de tek bכku pan di nyutriεnt dεm we wi bכdi nid frכm di it we wi de it. If di smɔl intestin nɔ wok, di bɔdi nɔ kin gɛt bɛtɛ tin fɔ it ɛn tin dɛn lɛk we i nɔ de it fayn kin kam.

Bren

Di bren na di wan we de tɛl ɔl di ɔda pat dɛn na wi bɔdi fɔ du dɛn wok. Sɔm sik dɛn we kin mek di bren nɔ fayn kin mek di bren nɔ wok fayn smɔl smɔl. Akyu bren fεil na wan prכsεs we dεn k כl bren day . If di bren ɔ di bren stem day, di ɔda pat dɛn bak kin pwɛl smɔl smɔl.

Sɔntɛnde, nɔto jɔs wan ɔgan, bɔt bɔku ɔgan dɛn kin pwɛl wan tɛm. Dɔktɔ dɛn kin kɔl dis bak bɔku ɔgan dɛn we nɔ de wok fayn , ɔl ɔgan dɛn we nɔ de wok fayn ɔ we gɛt bɔku ɔgan dɛn we nɔ de wok fayn .

Wetin rili na fɔ lɔs sɛns?

We wi se "organ failure," wi kin tink se di ɔgan dɔn stɔp fɔ wok kpatakpata. Bɔt na dat na di ɛnd stej. Wetin i rili min na dat di ɔgan de na say we i nɔ ebul fɔ du in ful wok. Dat min se, i nɔ de wok fayn , i jɔs de du pat pan in wok. As di wok we wi de du de go dɔŋ, wi nid mɔ ɛn mɔ ɛp frɔm ɔda pipul dɛn. We pɔsin nɔ ebul fɔ du am kwik kwik wan, dɛn kin nid dis ɛp wantɛm wantɛm, ɛn i kin ivin bi fɔ shɔt tɛm. We pɔsin nɔ ebul fɔ du am fayn, dɛn nid fɔ plan fɔ lɔng tɛm.

Wetin kin apin we wan ɔgan nɔ wok?

Di ɔgan we nɔ de wok fayn kin go bifo tru sɔm stej dɛn. Dɔktɔ dɛn kin difayn dɛn stej ya difrɛn smɔl fɔ ɛni ɔgan. Bɔku tɛm, 4 ɔ 5 stej dɛn kin de. di las wan כ tu pan dεm dεn kin kכnsida dεm as "εnd-stej dεm." Bay naw, di ɔgan dɔn pwɛl bad bad wan ɛn di wok we i de du dɔn rili stɔp. Fɔ mek yu go ebul fɔ liv, yu go nid atifishal layf sɔpɔt ɔ fɔ transplant yu ɔgan .

di akyu כgan fεil kin bigin insay dεn las stej dεm ya כ i kin go bifo to dεm kwik kwik wan. I nid fɔ gɛt tritmɛnt wantɛm wantɛm. כltu, akyu mכlti כgan fεil kin apin insay sεvεra stej dεm. Bikɔs wi impɔtant ɔgan dɛn de ɛp dɛnsɛf, sɔntɛnde we wan ɔgan nɔ wok, i kin mek chen riakshɔn we kin mek ɔda pat dɛn bak nɔ wok.

Aw wi kin fil we wi nɔ de fil fayn?

Bɔku ɔgan dɛn we nɔ de wok fayn kin gɛt sɔm kɔmɔn sayn dɛn:

• Fɔ fil wik, diziz, ɔ taya.
• Fɔ slip ɔ fɔ nɔ no natin.
• I nɔ izi fɔ kɔnsɛntret, kɔnfyushɔn.
• Di it nɔ de te.
• Nɔs ɛn vɔmit.
• Fɔ blo kwik kwik wan ɛn we nɔ shayn.
• At bit fast ɔ i nɔ de bit ɔltɛm.
• Fiva, kol kol.
• Di limb ɔ bɛlɛ we de swel.
• Pen we yu de fil na yu chɛst ɔ yu bɛlɛ we nɔ de chenj.

Apat frɔm dɛn tin ya, ɔda sayn dɛn de we gɛt fɔ du wit sɔm patikyula sɛns dɛm we nɔ de wok fayn. Fɔ ɛgzampul:

• Yu skin ɛn yu yay we de yɔlɔ ( janda – dis kin apin we di liva nɔ de wok fayn).
• blu kכla כnda yu lip εn finga nεl ( cyanosis – dis kin apin wit rεspiretכri כ at fεil).

Wetin mek dis ɔgan nɔ de wok fayn? Wetin na di rizin dɛn?

Bɔku men tin dɛn de we kin mek di ɔgan dɛn nɔ wok fayn.

Sik dɛn we nɔ de mɛn

Sik dɛn we nɔ de mɛn kin pwɛl yu ɔgan dɛn smɔl smɔl as tɛm de go. Sɔm sik dɛn kin de we dɛn bɔn am, ɛn ɔda wan dɛn kin kam leta. Wae wan sik wae nɔr de mɛn dɔn kam, bɔrku tɛm i nɔr kin wɛl ɔl. Bɔt we dɛn de fɔ mek di prɔblɛm nɔ bɔku. Dis damej kin bɔku ɛn tek sɔm ia fɔ afɛkt di we aw wan ɔgan de wok ɔ nid fɔ gɛt tritmɛnt.

• Krכnik liva sik: Fכ egzampl, sik dεm lεk fεt liva sik εn epataytis C kin mek yu liva fεl fכ krεse.
• Krכnik kidni sik: Kכndyushכn lεk glomerulonephritis εn polycystic kidni sik kin mek yu kidni fεil. Hapatɛnshɔn ɛn dayabitis na di men tin dɛn bak we kin mek pɔsin gɛt dis sik.
• Krεse at sik: Tin dεm lεk korona at sik εn kכnεkshכn at sik kin mek yu at pwɛl smɔl smɔl.
• Intestinal sik dɛm wae nɔr de dɔn: Krεse inflammatory bowel conditions, lɛk Crohn’s disease , ɛn intestinal pseudo-obstruction kin mek intestinal dysfunction krεse.
• Di sik dɛm we de mek pɔsin nɔ ebul fɔ blo fayn: Asma ɛn krɛse sik we de mek pɔsin nɔ ebul fɔ blo fayn (COPD) kin mek pɔsin nɔ ebul fɔ blo fayn.
• Dis sik dɛm wae kin kam wit yu bren wae kin teik lɔng tɛm: Sik dɛm lɛk Alzaima ɛn Pakinsin sik kin mek yu bren nɔr de woke fayn fɔ lɔng tɛm ( dementia) .

Injuri we kin mek pɔsin fil bad

If yu gɛt siriɔs injuri na wan pan yu ɔgan dɛn, i kin mek yu ɔgan dɛn nɔ wok fayn. Sɔntɛnde, ivin if di ɔgan dɔn wɛl, if di injuri dɔn mek i pwɛl fɔ ɔltɛm, i kin mek di ɔgan dɛn nɔ wok fayn fɔ lɔng tɛm. Dis min se di ɔgan nɔ ebul fɔ wok fayn igen lɛk aw i bin de wok trade. Wan bad bad aksidɛnt we kin afɛkt di wan ol bɔdi kin mek yu shɔk , we kin mek ɔl di blɔd nɔ go na ɔl yu ɔgan dɛn. Dis kin mek bɔku ɔgan dɛn nɔ wok wantɛm wantɛm.

• If dɛn du ɔpreshɔn fɔ pul wan big pat pan yu smɔl intestinal, bɔku tɛm na bikɔs ɔf sik (dɛn kin kɔl dis shɔt bɔdi sindrom) , na di men tin we kin mek yu smɔl bɔdi nɔ wok fayn fɔ ɔltɛm.
• No klia pruf nɔ de fɔ se traumatik bren injuri kin mek yu bren nɔ wok fayn fɔ lɔng tɛm. Bɔt i kin mek yu bren day (acute brain failure) .

Injury we gɛt pɔyzin

Pɔyzin kin mek ɔgan dɛn pwɛl kwik kwik wan ɛn we nɔ de dɔn. Dɛn kin afɛkt ɛni wan ɔ ɔl yu impɔtant ɔgan dɛn. Dɛn kin kɔmɔt frɔm tin dɛn we de na di envayrɔmɛnt, frɔm baktriyal infɛkshɔn we de mek pɔyzin na yu bɔdi, ɔ frɔm tin dɛn we yu de it. Wi liva ɛn kidni dɛn kin filta smɔl smɔl pɔyzin dɛn we de kɔmɔt na yu blɔd ɛvride. If dɛn nɔ wok fayn, dɛn pɔyzin ya kin gɛda na yu bɔdi ɛn pwɛl ɔda ɔgan dɛn.

• If yu yuz drɔgs ɔ rɔm fɔ lɔng tɛm, dat kin mek yu liva nɔ wok fayn fɔ ɔltɛm ( toxic hepatitis ), yu at nɔ de wok fayn fɔ ɔltɛm ( alcohol-induced cardiomyopathy) , ɔ yu bren nɔ de wok fayn ɔltɛm (in bren we gɛt fɔ du wit rɔm ). Dɛn tin ya kin ɛp bak fɔ mek pɔsin gɛt lɔng tɛm bɔdi ɛn kidni sik. Hat, liva, ɔ kidni kin pwɛl wantɛm wantɛm bikɔs i tek drɔgs pasmak ɔ i pɔyzin wit rɔm wantɛm wantɛm.
• Di pɔyzin we de na di envayrɔmɛnt kin mek pɔsin nɔ ebul fɔ blo fayn fayn wan, i kin gɛt sik dɛn na di kidni ɔ di liva, ɛn i kin mek i gɛt sik dɛn we de pwɛl di bren.
• Baktri infεksh כn dεm de mek tכxin dεm as bayprodukt. Dɛn tin ya kin afɛkt wan ɔgan ɔ if dɛn gɛda na di blɔd, ɔl di ɔgan dɛn. If infekshɔn de na di blɔd, i kin mek pɔsin gɛt sɛpsis ɛn shɔk .

Lɔs di blɔd/ɔksijɛn sapɔt

Wi ɔgan dɛn kin gɛt ɔksijɛn tru di blɔd we de flɔ. If, fɔ ɛni rizin, dɛn kɔt di blɔd we de gi wan ɔgan, i nɔ de gɛt di ɔksijɛn we i nid fɔ wok ( hypoxia ). Dipen pan aw dɛn kɔt di blɔd saplai bad bad wan, dis kin mek di ɔgan dɛn nɔ wok wantɛm wantɛm ɔ fɔ ɔltɛm.Ischemia na we di blɔd de go dɔŋ to wan ɔgan. I kin bi akyu ɔ i kin bi smɔl smɔl. Shok na we blɔd nɔ de go na di wan ol bɔdi wantɛm wantɛm.

• Ischemia na ɛni ɔgan kin mek inflamɛns, we kin mek di tisu dɛn day. Dis kin apin kwik ɔ sloslo. If yu gɛt ischemic strok na wan pat na di bren, dat kin mek yu bren pwɛl wantɛm wantɛm ɛn sɔm tɛm dɛn de, yu bren kin day. Ischemic cardiomyopathy na wan big tin wae kin mek yu hat nɔr de woke fayn.
• Wan big tin we kin apin na di at, lɛk at atak , at arest , ɔ strok, kin kɔt blɔd ɛn ɔksijɛn to ɔda pat dɛn. Dis kin mek yu at pwɛl wantɛm wantɛm ɔ yu bren kin pwɛl, ɛn bɔku ɔgan dɛn kin pwɛl. If di at ɔ di bren stem day, di ɔda pat dɛn go fala am.
• Shok na we blɔd nɔ de flɔ ɔlsay na di bɔdi wantɛm wantɛm. I kin gɛt bɔku tin dɛn, lɛk infɛkshɔn na di blɔd ( sɛptik shɔk ), at pwɛl ( kadiɔjɛnik shɔk ), at blɔk ( obstructive shock) , ɛn alɛji (anaphylactic shock) . Dis kin mek bɔku ɔgan dɛn nɔ wok wantɛm wantɛm.

Aw dɔktɔ dɛn kin no dis kɔrɛkt wan?

Dɔktɔ dɛn kin yuz sɔm patikyula tɛst dɛn fɔ no se difrɛn pat dɛn nɔ de wok fayn. Fɔ ɛgzampul:

• di liva fכnshכn tεst εn kidni fכnshכn tεst dεm de mכsu kεmεkal dεm na yu blכd εn urine fכ gεt infכmeshכn bכt aw yu כgan dεm de wok. Dɔn yu kin du rεnal skan ɔ skan fɔ si aw yu liva stif ( elastography ).
• blɔd tɛst fɔ si if pɔsin nɔ de it fayn, we dɛn kin du ɛnteroskɔpi fɔ di smɔl intestinal, kin no se di smɔl bɔdi nɔ de wok fayn bikɔs i nɔ de it fayn ɔ we i de mek lɛk se i nɔ de wok fayn.
• Echocardiogram kin no di blɔd we yu at de pɔmp ( ejection fraction) ɛn si aw i de wok fayn fayn wan.
• Nyurokognitiv tɛst ɛn bren skan kin ɛp fɔ no di bren we dɔn pwɛl.
• wan tεst fכ di pulmonari fכnsh כn kin fכ no aw yu rεspiretכri sistεm de wok fayn fayn wan. Wan puls ɔksimɛtri (puls ɔks) .Yu kin mɛzhɔ di ɔksijɛn lɛvɛl na yu blɔd wit wan atria blɔd gas tɛst .
• We dɛn kin tek imej tɛst fɔ di ɔgan dɛn, lɛk ɔltra saund ɔ CT skan .

Wetin na di tritmɛnt dɛm fɔ dis?

If yu ɔgan dɛn nɔ wok fayn, dɔktɔ dɛn go gi yu sɔpɔt kia fɔ mek yu sik nɔ chenj. Dis kin inklud:

• Fluid we dɛn kin put insay di bɛlɛ (IV fluid).
• Antibayɔtiks.
• Blɔd transfyushɔn.
• Intravenɔs nyutrishɔn (IV nyutrishɔn).
• Ɔksijɛn tɛrapi ɔ mɛkanikal ventileshɔn.
• Vasopressor mɛrɛsin fɔ mek blɔd flɔ mɔ.
• Dialysis we dɛn kin du.

Sɔntɛnde, we pɔsin transplant pɔsin in ɔgan, i kin mɛn di ɔgan we nɔ de wok wantɛm wantɛm.

Fɔ di ɔgan dɛn we nɔ de wok fayn, dɔktɔ dɛn kin se dɛn tin ya:

• If yu liva nɔ de wok fayn, advays bɔt aw fɔ it ɛn aw yu de liv yu layf kin ɛp yu fɔ manej ɔ rivɛns aw i de go bifo. We i rich di ɛnd stej, yu kin nid fɔ transplant yu liva .
• Dɛn kin yuz dayalaysis fɔ trit di kidni we nɔ de wok fayn we kin wɔs. We i rich di ɛnd stej, yu go nid fɔ transplant yu kidni .
• If yu nɔ ebul fɔ blo fayn , difrɛn kayn sɔpɔt de fɔ mek yu nɔ ebul fɔ blo fayn we kin ɛp yu fɔ gɛt mɔ ɔksijɛn. Insay di las stej, yu kin nid fɔ transplant yu lɔng ɔ fɔ mek yu gɛt mɛkanikal ventileshɔn fɔ ɔltɛm.
• Mɛrɛsin fɔ at pwɛl hat ɛn di tin dɛn we kin apin to am, lɛk ay blɔd prɛshɔn ɛn korona at sik. Leta, difrɛn tin dɛn de we dɛn kin put insay pɔsin in at we kin ɛp di at fɔ wok, ɛn te go , dɛn kin du ɔpreshɔn pan di at lɛk fɔ transplant di at .
• Parenteral nyutrish כn fכ krεse intestinal fεil. Yu kin de pan parenteral nutrition fɔ di res ɔf yu layf, bɔt fɔ lɔng tɛm tritmɛnt kin mek yu gɛt prɔblɛm. Yu kin gɛt intestinal transplant bak .
• Mɛrɛsin fɔ de sayn dɛm fɔ dis maynia sik wae kin wɔs smɔl smɔl. Naw, no tritmɛnt nɔ de fɔ slo ɔ rivɛns in prɔgrɛs. No mɛrɛsin nɔ de fɔ mek pɔsin day in bren .

I pɔsibul fɔ mek yu wɛl afta we di ɔgan dɛn dɔn pwɛl?

Sɔntɛnde, afta we di ɔgan dɛn dɔn wok kwik kwik wan, di ɔgan dɛn kin kam bak. Dis kin apin ivin if bɔku ɔgan dɛn dɔn fel wan tɛm. If na so i bi, yu kin jɔs nid layf sɔpɔt fɔ sɔm tɛm. insay di fכs stej dεm we di כgan dεm we de fεl, if dεn kin trit di כndalayn kכz fayn fayn wan, i kin bi rεvεrsibl. Bɔt, insay di leta stej dɛm, bɔku tɛm, damej we nɔ go ebul fɔ chenj dɔn apin. fכ egzampl, skata na di כgan dεm ( fibrosis ) כ di tisu dεm we de day.

Ivin if dɛn dɔn no se yu gɛt di sik we dɛn kɔl ɛnd-stej rεnal sik, nɔ giv ɔp op . I go mɔs bi se yu go gɛt bɔku ia fɔ tray fɔ chenj yu kɔndishɔn. Bɔrku tritmɛnt de fɔ ɛp yu kidni dɛm wae de fel ɛn fɔ ridyus yu sik dɛm. Sɔm pipul dɛn nɔr kin ɛva rich di las stej dɛm fɔ di ɛnd stej rεnal sik. We yu rich da stej de, bɔku tɛm yu kin aplay fɔ mek dɛn transplant yu ɔgan dɛn.

Bɔku tɛm, di ɔgan dɛn we kin pwɛl wantɛm wantɛm kin apin bikɔs ɔf sik ɔ aksidɛnt we dɛn nɔ bin de ɛkspɛkt. I nɔ kin izi fɔ mek dɛn nɔ gɛt am, ɛn na imejensi we i apin. Dɔktɔ dɛn na di intensiv kia yunit (ICU) kin du ɔl wetin dɛn ebul fɔ sɔpɔt di ɔda pat dɛn na yu bɔdi we dɛn de tray fɔ mek di ɔgan ɔ ɔgan dɛn we nɔ de wok fayn bak.

Di tin dɛn we impɔtant pas ɔl we wi nid fɔ mɛmba

Pan ɔl we di ɔgan dɛn we nɔ de wok fayn na siriɔs tin, i impɔtant fɔ ɔndastand am kɔrɛkt wan . If yu pe atɛnshɔn to di sayn dɛm, fɔ go to dɔktɔ fɔ advays yu, ɛn tek di tritmɛnt we dɛn tɛl yu fɔ du, dat kin ɛp yu fɔ kɔntrol di sik. Dɔn bak, fɔ liv fayn layf ɛn fɔ manej ɛni sik we nɔ de mɛn fayn fayn wan kin mek yu bɔdi nɔ wok fayn. If yu ɔ pɔsin we de nia yu gɛt ɛni dawt bɔt dis, nɔ shem fɔ tɔk to dɔktɔ.

` Ɔgan we nɔ de wok fayn, liva, kidni, at, lɔng, bren, simptom, tritmɛnt