Sepsis: Aw smɔl infekshɔn kin bi layf pan denja?

Yu gɛt wund na yu bɔdi we de gɛt smɔl infɛkshɔn? Ɔ yu de strɛs wit sɔntin lɛk smɔl lɔng infɛkshɔn ɔ yurinary tract infection? Wi kin tink se dɛn tin ya go dɔn if wi rɛst smɔl ɛn tek sɔm mɛrɛsin. Bɔt sɔntɛnde, we yu nɔ bin de ɛkspɛkt, dis kayn smɔl infɛkshɔn kin kam to siriɔs sik we kin afɛkt di wan ol bɔdi ɛn we kin mek pɔsin in layf de pan denja. Dɛn kɔl da denja kɔndishɔn de "sepsis."

Fɔ tɔk am simpul wan, wetin na sɛpsis?

Imajin se ami de we de protɛkt wi kɔntri. We ɛnimi kɔmɔt na do, dis ami kin go fɛt da ɛnimi de, win dɛn, ɛn sev di kɔntri. Wi bɔdi in imyun sistɛm tan lɛk dis ami. We wan smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl.

Bɔt, imajin us kayn bad bad tin go apin if sɔntin apin wantɛm wantɛm, wi yon ami stɔp fɔ fɛt di ɛnimi dɛn, ɛn bigin fɔ pwɛl os ɛn siti dɛn na wi yon kɔntri?

Sepsis na sɔntin lɛk dat.

We infekshɔn apin, sɔntɛnde di imyun sistɛm na wi bɔdi nɔ kin ebul fɔ kɔntrol am. I de stɔp fɔ fɛt di infɛkshɔn ɛn bigin fɔ atak wi yon wɛlbɔdi tisu ɛn ɔgan dɛn. Dis kin mek di bɔdi inflamɛns ɔlsay na di bɔdi.

Na di sem tɛm, wan chenj we nɔ de apin kin bigin na di blɔd we de mek di blɔd klɔt, ɛn blɔd kin bigin fɔ klɔt we nɔ nid fɔ mek insay di blɔd vesel dɛn. Dis kin mek di blɔd nɔ go na di men ɔgan dɛn lɛk di bren, at, kidni, ɛn lɔng. We dɛn ɔgan dɛn ya nɔ gɛt ɔksijɛn ɛn tin fɔ it, dɛn kin pwɛl bad bad wan, dɛn nɔ kin wok fayn, ɛn leta dɛn kin ivin day.

Stej dɛn de we pɔsin kin gɛt we i gɛt sɛpsis?

Trade, dɔktɔ dɛn bin de sheb sepsis to tri stej: sɛpsis, siriɔs sɛpsis, ɛn sɛptik shɔk.

Bɔt naw, wi de si dis as kɔndishɔn we de go bifo. Dat min se i kin bigin wit wan simpul infεkshכn, go bifo to baktri, dεn kin gεt sepsis, εn leta sεptik shכk, we kin mek di כgan dεm fεl εn day.

Udat de pan big risk fɔ gɛt sɛpsis?

Pan ɔl we sepsis kin afɛkt ɛnibɔdi, sɔm pipul dɛn kin gɛt mɔ risk. Dis kin bi mɔ fɔ pipul dɛn we gɛt infekshɔn ɔ infekshɔn we de kɔmɔt frɔm blɔd. Dɛn pipul ya bak kin gɛt ay risk:

Wetin na di sayn dɛm fɔ sepsis?

Bikɔs sepsis kin afɛkt bɔku pat na di bɔdi, bɔku sayn dɛn kin de. Wan ɔ mɔ pan dɛn tin ya kin apin di sem tɛm. I impɔtant fɔ no bɔt dɛn sik ya, bikɔs if yu no am kwik, dat kin sev pɔsin in layf.

• Fiva ɔr bɔdi tɛmpracha smɔl: Di bɔdi kin gɛt fiva. εn sכmtεm di bכdi tεmprachכ kin dכn bכku bכku wan pas aw i kin dכn (hypothermia).
• Yu kin shek shek ɛn fil kol: Yu kin fil lɛk yu bɔdi de swɛt.
• At de bit: Di at kin bigin fɔ bit fast pas aw i de fil.
• Di brith we yu de blo de go ɔp: We yu de blo kwik kwik wan, ɛn i kin fil lɛk se yu de pant.
• Kɔnfyushɔn ɛn agyumɛnt: Fɔ fil diziz, fɔ lɔs kɔnshɛns, fɔ akt agitated. Ivin di we aw pɔsin de tɔk kin mek i nɔ ebul fɔ tɔk fayn.
• Lɔw blɔd prɛshɔn: Blɔd prɛshɔn (BP) kin go dɔŋ wantɛm wantɛm.
• Bɔrku pen: Yu kin fil pen ɔr nɔr kin fil fayn na yu bɔdi we yu nɔ go ebul fɔ bia.
• di skin kin chenj: Sɔntɛnde, rɛd ɔ di kɔlɔ kin kɔmɔt na di skin (sepsis rash). Di skin kin wam ɔ klem bak wit swet.
• Di urine we de go dɔŋ: Di urine we yu de pas nɔ bɔku pas aw i fɔ pis.
• Fɔ fil se yu wik: fɔ fil se yu taya pasmak ɛn yu wik.

Wetin na di men tin wae kin mek pɔrsin gɛt sɛpsis?

Di men tin we kin mek pɔsin gɛt sɛpsis na baktriyal infɛkshɔn . Bɔt sɔmtɛm, fɔngal, parasayt, ɛn vayral infɛkshɔn kin mek pɔsin gɛt sɛpsis bak. di imכtant tin na dat, i nכ mata usay di infεkshכn de, di bכdi in rεspכns to am na chen riakshכn we dεn nכ kכntrol we de mek i gεt sepsis.

Dis na de ples wae de sik kin bigin:

Di sistɛm we de mek pɔsin ebul fɔ blo

• Lɔng infɛkshɔn, mɔ di kɔndishɔn lɛk nyumonia.

Yurinari sistɛm

• Infεkshכn dεm na di urinary tract. Dis risk kin pasmak fɔ pipul dɛm wae gɛt urinary catheter.

Gεstrointestinal sistεm

• Apɛndiks sik.
• Prɔblɛm dɛn we de na di intestinal.
• Infεkshכn dεm na di bכdi (Peritonitis).
• Liva ɔ gal blad infɛkshɔn.

Sɛntral nervɔs sistɛm

• Infεkshכn dεm na di bren כ di spεnal kכd (e.g. mεningaytis).

Kanda

• baktri dεm de kam insay di bכdi tru wund dεm, kכt, כ tru say dεm we dεn put insay lεk salin kanula dεm.
• Infεkshכn dεm na di skin lεk sεlyulayt.

Yu tink se sepsis kin pas?

Nɔ, sɛpsis insɛf nɔ kin pas. Yu nɔ go gɛt sɛpsis if yu tɔch ɔ de nia pɔsin we gɛt sɛpsis.

Bɔt sɔm tɛm dɛn de, di infɛkshɔn we kin mek pɔsin gɛt sɛpsis kin pas am. Fɔ ɛgzampul, if na infekshɔn we de na di we aw pɔsin de blo lɛk nyumonia, di jem dɛn we de mek di sik kin pas to ɔda pɔsin.

Aw dɔktɔ go no fɔ tru if yu gɛt sɛpsis?

Nɔ wan difinitiv tɛst nɔ de fɔ no if pɔsin gɛt sɛpsis, so dɔktɔ dɛn kin yuz wan kɔmbayn infɔmeshɔn we dɛn kin gɛt frɔm di ɛgzam we di pɔsin kin du, tɛst we dɛn kin du na lɛbɔtri, ɛn ɛkstrem rayt fɔ no if pɔsin gɛt di sik.

If dɔktɔ sɔspɛkt sepsis we dɛn admit am na ɔspitul, dɛn go du wan asɛsmɛnt kwik kwik wan. Dis na bay we dɛn de yuz wan we we dɛn kɔl ``(qSOFA)``. Dɛn kin sɔprayz se pɔsin gɛt sɛpsis if pɔsin we dɛn tink se gɛt di sik gɛt tu ɔ mɔ pan dɛn sayn ya:

• lכw bכdi prεshכn: di sistolik prεshכn (di tכp nכmba) de sכmtεm sכmtεm 100 mmHg.
• di rεspiretכri rεt we de go כp: I de brith pas 22 tεm insay wan minit.
• Kɔnfyushɔn/Kɔnshɛns: Na 15 ɔ smɔl pas dat na di Glasgow Kɔma Skel, we de mɛzhɔ di sikman in lɛvɛl fɔ kɔnshɛns.

Afta dis fɔs saspekshɔn, dɛn kin du sɔm ɔda tɛst dɛn fɔ no ustɛm na di infekshɔn ɛn if ɛni ɔgan dɔn pwɛl.

• Blɔd tɛst: Kɔmplit Blɔd Kɔnt (CBC), blɔd kɔlchɔ, liva ɛn kidni fɔ wok, ɛn prɔblɛm wit blɔd we de klɔt.
• Blɔd ɔksijɛn lɛvɛl: Dɛn kin tay wan tin we tan lɛk klip na di finga fɔ no ɔmɔs ɔksijɛn de na di blɔd.
• Yurin tɛst: Chɛk fɔ si if yu gɛt infɛkshɔn na yu urinary tract.
• Ɔda skan dɛn: Dɛn kin du ɛkstrem rayt ɔ CT skan na in chɛst.

Aw dɛn kin trit sepsis?

Di tritmɛnt fɔ sɛpsis fɔ bigin wantɛm wantɛm . Di kwik we dɛn no bɔt di sik ɛn di kwik we dɛn bigin fɔ trit am, na di mɔ chans fɔ sev pɔsin in layf.

Bɔku tɛm, dɛn kin admit pɔsin we dɛn no se gɛt sɛpsis na di ɔspitul in Intensive Care Unit (ICU) fɔ spɛshal tritmɛnt.

• Antibayɔtik: If na baktriyal infɛkshɔn, dɛn go bigin fɔ gi di rayt strɔng antibayɔtik wantɛm wantɛm tru wan vein (intravenous - IV).
• Fluid we dɛn kin put insay di bɛlɛ (IV fluid): Dɛn kin gi bɔku bɔku wata lɛk salin fɔ mek di blɔd flɔ fayn fayn wan to di ɔgan dɛn ɛn fɔ mek di BP nɔ go dɔŋ.
• Blɔd prɛshɔn kɔntrol mɛrɛsin (Vasopressors): If dɛn gi salin bɔt dɛn nɔ ebul fɔ briŋ BP to di rayt lɛvɛl, dɛn gi vasopressor mɛrɛsin dɛn we de mek BP go ɔp bay we dɛn de kɔnstrikt di blɔd vesel dɛn.
• Ɔgan sɔpɔt: If ɔgan de fel, dɛn kin gi am sɔpɔt kia. Fɔ ɛgzampul, if di kidni dɛn nɔ de wok fayn, dɛn kin nid fɔ du dayalaysis. If i nɔ izi fɔ blo, dɛn kin nid fɔ yuz mashin fɔ mek di briz kɔmɔt.
• Ɔpreshɔn: If di tin we mek di sik na sɔntin lɛk wund we de fεst ɔ infekshɔn na in bɛlɛ, dɛn go nid fɔ ɔpreshɔn di tisu we dɔn pwɛl.

Wetin kin apin afta yu dɔn wɛl frɔm sɛpsis?

If dɛn no di sik ɛn trit am kwik, bɔku pipul dɛn we gɛt sɛpsis go wɛl ɔltogɛda. Bɔt if di sik kam tranga, mɔ if i go bifo to sɛptik shɔk, i kin tranga fɔ sev pɔsin in layf ivin wit tritmɛnt. Insay sɛptik shɔk, day kin apin insay lɛk 12 awa so.

Ivin if sepsis de sev layf, sɔm pipul dɛn kin gɛt prɔblɛm fɔ lɔng tɛm.

• Inshɔmnia, bad bad drim dɛn.
• Panik atak dɛn.
• Pen na di jɔyn ɛn mɔsul dɛn.
• I nɔ kin ebul fɔ tink, mɛmba, ɛn disayd fɔ du sɔntin.
• di wok we wan כgan de du fכ lכng tεm.

Dɔn bak, pɔrsin wae dɔn gɛt sɛpsis wan tɛm de pan denja fɔ gɛt am bak. So, if nyu infekshɔn kam, i rili impɔtant fɔ go to tritmɛnt wantɛm wantɛm.

Di joyn fɔ mek yu wɛl... afta yu dɔn go bak na os

Afta yu dɔn wɛl frɔm sɛpsis ɛn kam bak na os, yu nid fɔ gi yu bɔdi ɛn maynd tɛm fɔ wɛl. Fɔs, yu kin gɛt prɔblɛm lɛk:

I nɔ izi fɔ yu bɔdi:

• I kin taya pasmak ɛn i kin wik.
• I nɔ kin izi fɔ yu fɔ blo.
• Bɔdi pen.
• I nɔ kin izi fɔ waka, fɔ du wok, ɛn prɔblɛm wit slip.
• I nɔ kin want fɔ it ɛn i nɔ kin gɛt bɔku bɔku bɔdi.
• Dray skin, it, nel dɛn we kin brok, ɛn ia we kin lɔs.

Di prɔblɛm dɛn we kin apin to pɔsin we i de tink ɛn fil:

• Fɔ rɛdi fɔ de yu wan.
• Flash bak dɛn.
• I nɔ kin izi fɔ mek yu pe atɛnshɔn to yu.
• Wɔri ɛn Pwɛl hat.
• Kwik fɔ vɛks, frustrashɔn.
• Kɔnfyus.

Gɛt bɔku rɛst as yu ebul insay dis tɛm. Du wetin yu dɔktɔ tɛl yu fɔ du. Fɔs, tray fɔ sɛt smɔl gol dɛn lɛk fɔ was ɛn drɛs, dɔn wok pan dɛn. Tɔk to yu fambul ɛn padi dɛn bɔt aw yu de fil. Dis waka go tek sɔm tɛm, bɔt smɔl smɔl yu go kam bak to yu nɔmal.

Aw fɔ protɛkt yusɛf frɔm sɛpsis?

Di bɛst we fɔ avɔyd sepsis na fɔ mek yu nɔ gɛt di sik ɛn fɔ go to tritmɛnt kwik kwik wan if di sik apin.

• Gud klin: Was yu an fayn fayn wan wit sop ɛn wata ɔltɛm.
• Fɔ kip wund dɛn klin: Klin wund dɛn lɛk we dɛn kɔt ɛn skrap fayn fayn wan ɛn kip dɛn kɔba te dɛn wɛl.
• Fɔ Gɛt Vaysin: Gɛt ɔl di vaysin dɛn we yu nid di rayt tɛm.
• Krεse sik mεnejmεnt: If yu gεt sik lεk dayabεtis, mεnεj dεm fayn fayn wan.
• Go to dɔktɔ wantɛm wantɛm:

If yu tink se yu gɛt infekshɔn, if i nɔ go, ɔ if i tan lɛk se i de wɔs, go to dɔktɔ we yu nɔ de te. Infεkshכn we dεn nכ de ignore as sכm sכm tin kin mek in layf de pan denja.