Yu gɛt prɔblɛm fɔ blo? Lɛ wi tɔk bɔt Respiratory Failure

Sɔntɛnde, yu kin fil lɛk se i nɔ izi fɔ yu fɔ blo? Ɔ yu kin fil lɛk se yu nɔ ebul fɔ blo? I nɔ fayn fɔ jɔs ignore dɛn tin ya. Bikɔs, dis kin bi sayn fɔ wan siriɔs sik we dɛn kɔl Respiratory Failure . Tide, wi go tɔk bɔt dis simpul we we yu go ɔndastand. Dis kin bi mɛdikal imejensi, so i impɔtant fɔ no bɔt dis.

Aw wi kin blo? Wetin kin apin if dis nɔr wok fayn?

Tink bɔt am, ɔksijɛn na to wi bɔdi lɛk petrol to motoka, ɔ lɛk di fiul we wi nid fɔ rul wi layf. We wi de blo, dis valyu gas we dɛn kɔl ɔksijɛn kin go insay wi lɔng. Fɔ tɔk di kɔrɛkt tin, dis ɔksijɛn de go insay di smɔl smɔl ay sak dɛn we de na di lɔng, we dɛn kɔl alvɔlɔ . I tan lɛk se bɔs de pul go na bɔs stɔp.

frכm de, di bכdi de "kכri" dis כksijεn to כl di pat dεm na di bכdi, inklud wi bren, at, mכsul dεm, εn כda כgan dεm. If dis ɔksijɛn nɔ rich na dɛn ples dɛn de, wi bɔdi in sɛl dɛn nɔ go ebul fɔ wok, lɛk motoka we nɔ gɛt fiul.

naw, afta dεn dכn "dεliv" di כksijεn to dεn ples dεm, di bכdi sεl dεm, as dεn de kam bak, dεn de kכlekt kabכn dayכksayd, gas we nכ yus to di bכdi εn west prodakt. Dis tan lɛk we yu de kɛr tin dɛn fɔ it na stɔ ɛn gi bak ɛmti bɔks dɛn. If dis kabon dayɔgzayd gɛda na di bɔdi, dat bak na prɔblɛm. Na bikɔs da tɛm de, ples nɔ de fɔ mek di blɔd kɛr nyu ɔksijɛn. So, dis kabon dayɔgzayd de kam bak na di lכng dεm εn i de kכmכt na di bכdi we wi de blo. Na da tɛm de wi kin gɛt ples fɔ tek sɔm nyu ɔksijɛn bak.

If eni pat pan dis ol prכsεs nכ go rכng, wi bכdi in tisu dεm nכ de gεt inof כksijεn. Na dat wi kin kɔl Respiratory Failure .

Sɔm kayn tin dɛn de we kin mek pɔsin nɔ ebul fɔ blo fayn?

Yɛs, difrɛn kayn dis sik de, i kin dipen pan aw i kin apin ɛn wetin i kin afɛkt mɔ. Sɔmtɛm i kin apin wantɛm wantɛm (akyu) , ɛn ɔda tɛm i kin kam smɔl smɔl as tɛm de go (krɔnik) . Di tu men kayn dɛn na:

1. Hypoxemic Respiratory Fεil - Tayp 1

Fɔ tɔk am simpul wan, dis na kɔndishɔn we yu blɔd gɛt smɔl ɔksijɛn (`hypoxemia`) . Dis kin apin we yu de blo bɔt yu blɔd nɔ de gɛt inof ɔksijɛn. At sik ɛn lɔng sik na di men tin wae kin mek dis sik. Sɔm pipul dɛn kin kɔl am bak hypoxic respiratory failure.

2. Haypakapnik Respiratory Failure - Tayp 2

Dis na we di kabon dayɔgzayd (CO2) we de na yu blɔd de bɔku.. We wi bɔdi nɔ ebul fɔ pul di kabon dayɔgzayd fayn fayn wan, we na wan dɔti tin we dɛn kɔl CO2, kin gɛda na di blɔd. Dɔn, lɛk aw wi bin dɔn tɔk, ples nɔ de fɔ ɔksijɛn na di blɔd. Dis kכndyushכn kin kכz fכ sik dεm na di at, lכng, mכsul dεm, εn nerv sεstem (bren εn spεnal kכd). Sɔm mɛrɛsin dɛn kin mek dis sik bak.

Ɔda kayn dɛn de:

• Perioperative Respiratory Failure (Type 3): Dis kin apin we dɛn de du ɔpreshɔn. Sɔntɛnde, di anestezi we dɛn kin yuz we dɛn de du ɔpreshɔn kin mek i nɔ izi fɔ blo. Dɔn bak, di ay sak dɛn we de na di lɔng dɛn kin fɔdɔm (atelectasis), we kin mek ɔksijɛn nɔ rich di blɔd.
• Respiratory Failure Due to Shock (Type 4): Shok na siriɔs tin we de mek di blɔd prɛshɔn go dɔŋ wantɛm wantɛm ɛn prɔblɛm dɛn lɛk pulmonary edema. Dis kin mek bak yu nɔ ebul fɔ blo fayn. Shok kin kam bikɔs ɔf tin dɛm lɛk sepsis ( wan bad bad infekshɔn wae kin pas ɔlsay na di bɔdi), at atak wae kin kam wantɛm wantɛm , ɛn wae pɔrsin kin blɔd pasmak.

Wetin na di sayn dɛm fɔ dis sik?

Di sayn dɛm fɔ mek yu nɔ ebul fɔ blo fayn kin difrɛn difrɛn wan bay wetin mek yu nɔ ebul fɔ blo fayn. Bɔt sɔm sayn dɛn de we kin apin:

• I nɔ izi fɔ blo ɔ fil fɔ blo shɔt (dyspnea).
• Fɔ blo kwik kwik wan (tachypnea).
• Fɔ fil taya bad bad wan (taya).
• Fɔ fil lɛk se yu at de bit fast ɔ yu at nɔ de bit ɔltɛm.
• Fɔ kɔf di mכkus ɔ blɔd (ɛmoptaysis).
• We pɔsin de swet pasmak.
• Restlessness, we pɔsin de agyu.
• Pale skin.
• Blu di kɔlɔ we di skin, lip, ɔ finga nel de chenj (cyanosis) - Dis na siriɔs sayn fɔ se ɔksijɛn nɔ de.
• Ed de at .
• Di vishɔn we nɔ klia.
• Wɔri, kɔnfyushɔn, nɔ ebul fɔ tink klia wan.
• Chenj na di bihayvya, nɔr bi lɛk aw i kin bi.

Impɔtant: If yu gɛt ɛni wan pan dɛn sik ya, yu fɔ go to dɔktɔ wantɛm wantɛm , bikɔs dis kin bi imejensi.

Wetin na di tin dɛn we kin mek pɔsin nɔ ebul fɔ blo fayn?

Fɔ tɔk am simpul wan, dis kin apin we wi bɔdi nɔ ebul fɔ tek ɔksijɛn ɛn pul kabon dayɔgzayd fɔ sɔm rizin. Tin dɛn we kin afɛkt dis na:

• we di briz nɔ de flɔ fayn ɔ we di blɔd nɔ de go na di lɔng dɛn.
• Obstrukshɔn, skata, ɔ wata we de bɔku na di lɔng dɛn.
• Nɔ ebul fɔ blo fayn ɔ dip dip wan.Dis kin kam bikɔs ɔf sik dɛn we de afɛkt di lɔng, prɔblɛm wit di nerv ɔ mɔsul dɛm we de ɛp yu fɔ blo, ɔr injury na yu chɛst.
• Abnɔmal tin dɛn we de apin we di blɔd de pas na di at.

Udat dɛn de pan big risk? (Di tin dɛn we kin mek pɔsin gɛt prɔblɛm)

Sɔm pipul dɛn kin gɛt bɔrku risk fɔ gɛt prɔblɛm wit dɛn respiratory failure. Dɛn na:

• Pipul dɛn we gɛt sik na dɛn lɔng: Fɔ ɛgzampul, sik dɛn lɛk akyu respiratory distress syndrome (ARDS) , chronic obstructive pulmonary disease (COPD) , nyumonia , asma , sistik fibrosis , pulmonary edema (fluid in di lungs) , pulmonary embolism (blɔd we de klɔt na di lung tube) , ɛn pulmonary fibrosis (ska we de na di lungs) .
• Pipul wae gɛt hat ɔr blɔd sistɛm sik: lɛk at atak , at sik we dɛn bɔn wit , at pwɛl , ɛn shɔk .
• Pipul dɛm wae gɛt sik dɛm wae de afɛkt di nerv ɛn mɔsul dɛm wae de ɛp fɔ blo: tin dɛm lɛk muscular dystrophy , amyotrophic lateral sclerosis (ALS) , siriɔs skɔliosis (curvature of the spine) , ɛn Guillain-Barré syndrome .
• Injury na di chɛst, spɛshal kɔd, ɔ di bren (inklud strok).
• Smok ɔ we wi de gɛt ɔda tin dɛn we de mek pɔsin in lכng: kεmikכl fכm, dכst, εya pכlushכn (lεk di ebi ebi motoka dεm we de kכmכt na wi rod, faktri fכm, εn dכst we de kכmכt na di say dεm we de kכnstrכkt), εn asbest.
• Ɔpreshɔn dɛn we nid fɔ gɛt anestezi.
• Yuz drɔgs ɔ drink pasmak.
• Ej: Pikin dɛn we dɛn jɔs bɔn (espɛshali di wan dɛn we dɛn bɔn we nɔ de gro bɛtɛ) ɛn big pipul dɛn we dɔn pas 65 ia kin gɛt bɔku prɔblɛm.

Aw dɔktɔ dɛn kin no bɔt dis?

Dɔktɔ go chɛk fɔ si if yu nɔ ebul fɔ blo fayn bay we i go chɛk di ɔksijɛn ɛn kabon dayɔgzayd we de na yu blɔd . Dɛn go chɛk yu blɔd prɛshɔn bak ɛn yuz smɔl klip-ɔn divays (we dɛn kɔl `pulse oximeter` ɔ `pulse ox`) fɔ chɛk di ɔksijɛn lɛvɛl na yu blɔd. Dɛn go lisin bak to yu at ɛn yu lɔng ɛn chɛk yu. If dɛn tink se dɛn gɛt dis sik, dɛn kin du sɔm ɔda tɛst dɛn.

Wetin na dɛn tɛst dɛn de?

• Puls ɔksimɛtri: .Dis min se yu fɔ put sɛns na yu finga fɔ no ɔmɔs ɔksijɛn de na yu blɔd. Dɛn kin du dis we yu go si dɔktɔ.
• Arterial Blood Gas (ABG) test: Dɛn kin tek smɔl blɔd wit nidul frɔm di an, di ɔp an, ɔ di groin ɛn dɛn kin mɛzhɔ di ɔksijɛn ɛn kabɔn dayɔgzayd lɛvɛl. Dis kin gi yu infɔmeshɔn we rili kɔrɛkt.
• Pulmonary Function Tests (PFT): Insay dis tɛst, dɛn kin aks yu fɔ blo insay ɛn kɔmɔt tru wan mɔt we dɛn kɔnɛkt to mashin. Dis kin chɛk aw yu lɔng dɛn de wok fayn fayn wan.
• Imej tɛst: X-ray ɛn CT skan kin tek pikchɔ dɛn insay di bɔdi. Pan ɔl we dɛn tin ya nɔ kin ebul fɔ no if pɔsin nɔ ebul fɔ blo fayn, dɛn kin ɛp fɔ no wetin de mek i nɔ ebul fɔ blo fayn.
• Ilɛktrokardiogram (EKG): Dis de sho aw di at de wok fayn fayn wan. If di dɔktɔ tink se di prɔblɛm na bikɔs ɔf at sik, i go ɔda fɔ mek dɛn du EKG.

Aw dɛn kin trit dis?

Di tritmɛnt fɔ di we aw pɔsin de blo fayn de dipen pan aw i siriɔs ɛn di tin we mek i apin . di men gol dεm fכ tritmεnt na fכ trit di כndalayn kכz, gi yu mכr כksijεn, כ yus mashin fכ brith (`mechanical ventilation`) te yu ebul fכ brith yu wan bak.

Akyu respiratory failure na imejensi ɛn i nid fɔ trit am wantɛm wantɛm. Bɔt sɔm tɛm dɛn kin trit smɔl, lɔng tɛm (krɔnik) respiratory failure na os bay we dɛn de kɔntrol di ɔndalayn kɔndishɔn.

Wetin na di patikyula tritmɛnt dɛn?

• Mekanikal ventilashɔn: Dis min fɔ kɔnɛkt yu to mashin we yu de yuz fɔ blo ɛn wan tiub we dɛn put insay yu aywe, we de blo ɛn pul di briz insay yu lɔng.
• Extracorporeal Membrane Oxygenation (ECMO): Dis na tritmɛnt we kɔmpleks smɔl. I min fɔ yuz baypas mashin fɔ pul blɔd na di bɔdi, ad ɔksijɛn to am, pul di kabon dayɔgzayd, dɔn i go insay di bɔdi bak.
• Ɔksijɛn tɛrapi: Mashin kin gi ɛkstra ɔksijɛn tru wan mask fɔ blo ɔ wan smɔl tiub (kanula) we dɛn put na di nos. Dɛn kin du dis na ɔspitul ɔ na os.
• Fluid dεm: dεn de gi fכluid dεm insay wan vein (IV - dεn de gi dεn wan dεm we de insay wan vein). Dis kin mek di blɔd go fayn na di bɔdi ɛn i kin ɛp fɔ kɛr mɔ ɔksijɛn go na di tisu dɛn.
• Fɔ trit di sik dɛn we de mek pɔsin nɔ ebul fɔ blo fayn: Di dɔktɔ kin tɛl yu fɔ tek ɔda mɛrɛsin ɔ tritmɛnt dɛn, i kin dipen pan wetin mek yu nɔ ebul fɔ blo fayn.

Yu tink se we de fɔ mek dis nɔ apin?

Dɛn nɔ kin ebul fɔ stɔp di we aw pɔsin de blo ɔltɛm. Bɔt yu kin ridyus yu risk fɔ gɛt chronic respiratory failure bay wae yu de manej ɛni ɔndalayn at, lɔng, ɔ nervous system kɔndishɔn wae yu kin gɛt. If yu gɛt dis sik, tɔk to yu dɔktɔ bɔt aw fɔ ridyus yu risk.

Yu tink se dɛn kin mɛn we pɔsin nɔ ebul fɔ blo fayn?

Dis na wan sik we rili siriɔs. Bɔku pipul dɛn kin wɛl frɔm am. I kin dipen pan wetin mek di sik, aw i kin tranga, ɛn aw dɛn kin trit am kwik kwik wan.

Pan ɔl we dɛn kin trit bɔku tin dɛn we kin mek pɔsin nɔ ebul fɔ blo fayn, i kin kil pɔsin if dɛn nɔ trit am kwik. Na lɛk wan pat pan tri pipul dɛn we dɛn kin put na ɔspitul wit akyu respiratory failure kin day. Bɔrku tɛm wae pɔrsin nɔr kin ebul fɔ blo fayn kin kam bikɔs ɔf wan sik wae kin wɔs as tɛm de go.

Ustɛm a fɔ go to dɔktɔ?

If yu gɛt wan sik we nɔ de mɛn we de put yu pan denja fɔ mek yu nɔ ebul fɔ blo fayn, tɔk to yu dɔktɔ. I kin tɛl yu us sayn dɛm wae de sho se yu nɔr de blo fayn fɔ wach ɛn aw fɔ kɔntrol yu sik.

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

If yu gɛt sayn fɔ lɛ yu nɔ ebul fɔ blo fayn, go na di imejensi rum we de nia yu wantɛm wantɛm, ɔ kɔl 911. Dis kin kil yu if yu nɔ trit yu kwik.

Wetin a fɔ aks mi dɔktɔ?

I go fayn fɔ aks yu dɔktɔ kwɛstyɔn dɛn lɛk dɛn wan ya:

• Us tritmɛnt opshɔn dɛn a gɛt?
• Wetin na di rizin fɔ dis?
• Aw a fɔ yuz mi mɛrɛsin dɛn?
• Aw a fɔ yuz dis divays (e.g., ɔksijɛn mashin)? Yu kin sho mi aw?
• Ustɛm a go tink se a go wɛl?
• Ustɛm a fɔ kam si yu bak?

Mɛsej we dɛn kin kɛr go na os

We pɔsin nɔ ebul fɔ blo fayn na siriɔs tin, sɔntɛnde i kin kil pɔsin. If yu tink se yu gɛt akyu respiratory failure, duya kɔl 911 wantɛm wantɛm ɔ go to dɔktɔ kwik kwik wan. If yu gɛt prɔblɛm wit yu briz we nɔ de wok fayn, ɔ if yu gɛt tin dɛn we de mek yu gɛt am mɔ, tɔk to yu dɔktɔ bɔt di rayt tritmɛnt. I kin ɛksplen wetin na yu tritmɛnt opshɔn dɛm ɛn wetin fɔ ɛkspɛkt bay yu kɔndishɔn. Tek kia ɔf yu briz, bikɔs na yu layf!

` I nɔ ebul fɔ blo fayn, i nɔ izi fɔ blo, ɔksijɛn, kabon dayɔgzayd, lɔng, imejensi kia, ARDS, COPD