Yu mɔsul dɛn kin at lɛk se dɛn go bɔm afta yu dɔn du ɛksɛsayz? I kin bi wan denja sik we dɛn kɔl rabdomyolysis!

Yu na pɔsin we de du ɛksɛsayz ɛn rɔn bɔku? Ɔ i nɔmal fɔ gɛt mɔsul dɛn we de at di nɛks de afta yu dɔn wok tranga wan? Wi kin kɔl am ‘mɔsul sɔri’. Bɔt sɔmtɛm dis mɔsul pen nɔr kin bi nɔrmal, ɛn kin bi sayn fɔ wan sik wae rili siriɔs. Tide wi de tɔk bɔt dis kayn siriɔs sik, bɔt we wi ɔl nid fɔ no bɔt. Dat na Rhabdomyolysis, we wi kɔl ‘Rhabdo’ fɔ shɔt.

Fɔ tɔk am simpul wan, wetin na Rhabdomyolysis?

Dis na smɔl sayɛns nem, bɔt i rili simpul fɔ ɔndastand. Imajin se yu mɔsul dɛn na wan bɔnch smɔl smɔl fayv dɛn. insay rabdomyolysis, dεn mכsul dεm ya kin pwεl bad bad wan εn di fayv dεm kin brok dכn. we dεn brok dכn, di tin dεm we de insay dεn fayv dεm, spεshal wan di protin we dεn kכl ‘myoglobin’, de kכmכt dairekt insay di bכdi. Naw na dis prɔblɛm de. Di tin dɛn we kin kɔmɔt na di blɔd dis kayn we, kin rili pɔyzin wi bɔdi. Dɛn pɔyzin ya kin travul tru di blɔd ɛn go na wi kidni. Di wok we di kidni dɛn de du na fɔ klin di blɔd. Bɔt we bɔku bɔku pɔyzin kam insay wan tɛm, di kidni dɛn nɔ kin ebul fɔ bia wit am. I tan lɛk se we yu put big bɔku dɔti na di kichin sink, i kin klos. Dis kin mek yu kidni nɔ wok fayn . Dat min se dɛn nɔ go ebul fɔ pul dɔti. Dis na tin we rili denja. If dɛn nɔ trit am kwik, i kin ivin mek pɔsin in layf de pan denja.

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

Nɔr wan rizin nɔr de fɔ dis kayn tin, bɔrku rizin kin de. Lɛ wi sheb dɛn to tu men kategori.

Wetin na di sayn dɛm fɔ dis? Aw yu no am?

De sayn dɛm fɔ dis sik nɔr kin bi di sem fɔ ɔlman. Sɔntɛnde, i nɔ kin izi fɔ no di sayn dɛm. bכt di men "klasik triad" we dεn de si na dis: 1. Sivεri mכsul pen: pen we yu nכ de bia, spεshal wan na di sכlda, di tכŋ, εn di lכw bכk. 2. 2. .Mɔsul dɛn we wik: I kin at fɔ muv ɔ es yu an ɛn fut. 3. Dak urine: Dis na di sayn we impɔtant pas ɔl ɛn we denja pas ɔl . Di urine kin bi rɛd-brawn, lɛk di kɔlɔ we kola gɛt . Di urine we yu de pas kin go dɔŋ bak. Bɔt mɛmba se, lɛk af pan di pipul dɛn we gɛt dis sik nɔ kin gɛt ɛni mɔsul pen ɔ wikɛd. So yu nid fɔ no bɔt di ɔda sayn dɛm bak.

Ɔda tin dɛn we pipul dɛn kin du:

• Bɛlɛ de at
• Vɔmit ɛn nɔs
• Fiva
• Di at we de blo
• Kɔnfyus
• Di wata we nɔ de na di bɔdi
• Lɔs fɔ no bɔt sɔntin

Aw yu go fɛn dis, Dɔktɔ?

If yu gɛt dɛn sik ya, yu fɔ go to dɔktɔ wantɛm wantɛm. Di dɔktɔ go du bɔku tɛst fɔ no if pɔsin gɛt di sik.

• Creatine Kinase (CK) bכdi tεst: CK na di men kεmikכl we de kכmכt na di bכdi we di mכsul tisu dεm brok dכn. insay rhabdomyolysis , di CK lεvεl dεm de rili hכy. Dɛn kin du dis tɛst bak bɔku tɛm fɔ si if di lɛvɛl dɛn kin go dɔŋ we dɛn de trit am.
• Myoglobin urine test : Dis de tεst fכ di protin we a bin tכk bכt, we de kכmכt frכm di mכsul dεm, insay di urine. Bɔt dis nɔ kɔrɛkt lɛk di CK tɛst, bikɔs di mayoglobin kin kɔmɔt na di bɔdi kwik kwik wan.
• Ɔda tɛst dɛn: Dɛn kin du ɔda tɛst dɛn lɛk fɔ tɛst di liva we de wok ɛn EKG.

Ustɛm yu fɔ go na ɔspitul wantɛm wantɛm?

Dis na di pat we impɔtant pas ɔl. Di sayn dɛm kin bigin 24 to 72 awa afta di mɔsul dɛm dɔn pwɛl. I izi fɔ kɔnfyus wan mɔsul we de at we de kam afta nɔmal wokɔt wit mɔsul we de at frɔm rabdomyolysis.

If yu gɛt pen we yu nɔ ebul fɔ bia, we yu gɛt bad bad mɔsul pen, wik, ɛn notis se yu urine dɔn tɔn dak brawn ɔ kola kɔlɔ, nɔ tink tumɔs. Go na di ɔspitul we de nia yu in Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm.

Fɔ bigin tritmɛnt kwik na di bɛst we fɔ protɛkt yusɛf frɔm siriɔs prɔblɛm dɛn.

Aw dɛn kin trit am?

If dɛn kɔnfyus rhabdomyolysis, yu go mɔs de na ɔspitul ɛn trit yu.

• IV Fluids (Saline ): Di men tritmɛnt na fɔ gi salin tru wan vein. Dis kin ɛp fɔ mek di bɔdi gɛt wata fayn fayn wan, fɔ mek di urine we de kɔmɔt na di bɔdi bɔku, ɛn fɔ ‘flush’ dɛn pɔyzin dɛn de kɔmɔt na di kidni dɛn.
• Dayalaysis: We di kidni dɛn dɔn pwɛl bad bad wan ɛn dɛn nɔ ebul fɔ klin di blɔd, dɛn kin nid fɔ du dayalaysis, we na we dɛn kin yuz mashin fɔ klin di blɔd.
• Ɔpreshɔn: Sɔntɛnde, di mɔsul we wund kin swel ɛn prɛs di blɔd vesel ɛn nɛv dɛn we de rawnd am. Dɛn kɔl dis ‘kɔmpatmɛnt sindrom’. If na so i bi, dɛn kin du smɔl ɔpreshɔn (fasciotomy) fɔ mek di prɛshɔn nɔ bɔku.
• Fɔ trit di rizin we mek pɔsin gɛt dis sik: If na dayabitis, infɛkshɔn, ɔ sɔm mɛrɛsin, dɛn go gi di rayt tritmɛnt fɔ da tin de bak.

Mɛsej we dɛn kin kɛr go na os

• Rhabdomyolysis na siriɔs sik we kin kam bikɔs di mɔsul dɛn kin brok. Dis kin pwɛl di kidni dɛn.
• di men sayn dεm na di mכsul dεm we de pen bad bad wan, wik, εn spεshal wan dak brawn/kola-kכla urine.
• If yu notis wan ɔ mɔ pan dɛn sik ya, nɔ west tɛm ɛn go na ɔspitul in Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm.
• We yu de du ɛksɛsayz, mɔ di de dɛn we di ples wam, drink wata we go mek yu bɔdi gɛt wata. Nɔ ɛksesaiz pas aw yu bɔdi ebul fɔ du.
• If yu no di sik kwik kwik wan ɛn trit yu, dat kin mek yu wɛl ful wan. So nɔ ɛva ignore di sayn dɛm.

Rhabdomyolysis, mכsul dεm we de brok, di kidni dεm we de fεl, dak urine, εksεsayz, kriaytin kinaz