Yu asma de wɔs ɛn mek i nɔ izi fɔ blo? Dis stetɔs na asma?

Yu gɛt asma? Ɔ sɔmbɔdi na yu famili ɔr padi gɛt asma? Dɔn yu go dɔn yɛri bɔt di tɛm dɛn we yu asma kin wɔs ɛn i nɔ kin izi fɔ yu fɔ blo. Bɔt sɔmtɛm dis asma sik kin tranga pas aw yu tink. Dis asma sik, wae so bad dat yu nɔr kin ebul fɔ kɔntrol am wit nɔrmal mɛrɛsin, na in wi kin kɔl Status Asthmaticus ɔ Acute Severe Asthma .

Wetin rili na Status Asthmaticus?

Fɔ tɔk am simpul wan, Status Asthmaticus na di stej we kin rili bad, we kin rili bad fɔ gɛt asma. Dis na wae yu brith kin tranga mɔ ɛn mɔ, ivin wit yu ɔspitul asma mɛrɛsin, lɛk inhala. Imajin, yu nɔ ebul fɔ tɔk ɔ it, ɛn yu nɔ ebul fɔ slip fayn. Dis sik kin wɔs fɔ sɔm dez, ɔr kin wɔs wantɛm wantɛm insay sɔm awa. Bɔt di bɛst tin na dat yu kin mɔs avɔyd dis bad bad sik bay we yu pe atɛnshɔn to aw yu de blo, avɔyd di tin dɛn we kin mek yu gɛt asma, ɛn fala wan plan fɔ asma we yu ɛn yu dɔktɔ dɔn mek.

Impɔtant: Dis kayn bad bad asma atak na imejensi we kin mek pɔsin in layf de pan denja. If yu gɛt siriɔs prɔblɛm fɔ blo ɛn yu inhala nɔ de ɛp, yu fɔ kɔl 911 wantɛm wantɛm ɔ go na di ɔspitul imejensi dipatmɛnt we de nia yu.

Wetin na di difrɛns bitwin nɔmal asma ɛn dis we dɛn kɔl stetɔs asma?

Naw yu go de tink se, ‘So wetin na nɔmal asma ɛn wetin dɛn kɔl Status Asthmaticus?’ Yɛs, na so i bi. As wi no, asma na wan sik we nɔ de mɛn na di lɔng . Insay pɔsin we gɛt asma, tin dɛn we kin mek pɔsin gɛt alɛrji lɛk smok, dɔst, pɔlin, ɔ we i de du ɛksɛsayz pasmak kin mek di say dɛn we di briz de blo swel ɛn ful-ɔp wit mכkus. Dis na wetin kin apin we yu gɛt asma. Bɔrku tɛm, dɛn kin kɔntrol dis asma sik wit mɛrɛsin.

Bɔt, Status Asthmaticus na wan sik we rili difrɛn ɛn we kin rili bad. Dis na wae yu gɛt siriɔs asma atak wae nɔr de kɔntrol yu ɔspitul asma mɛrɛsin na os. Dis min se de sik de wɔs ɛn wɔs, nɔto fɔ bɛtɛ.

Wetin na di sayn dɛm fɔ Status Asthmaticus ɔr siriɔs asma?

Di sayn dɛm fɔ dis siriɔs asma sik kin kam smɔl smɔl fɔ sɔm awa ɔr fɔ sɔm dez. Si if dɛn sayn ya kin tan lɛk se yu sabi:

• I nɔ kin izi fɔ yu fɔ blo: I nɔ kin izi fɔ yu fɔ blo fayn. Sɔntɛnde, i kin so tranga dat yu nɔ kin ivin ebul fɔ tɔk ɔ it.
• Wiz: Dɛn kin yɛri sawnd we pɔsin de blo na di chɛst we yu de blo ɛn kɔmɔt.
• Kɔf: Kɔf we nɔ de dɔn, we nɔ go ebul fɔ stɔp kin apin.
• Fast hat rεt: Di hat rεt de inkrεs bכku bכku wan.
• Diziz we pɔsin kin gɛt.
• Kɔnfyushɔn: Yu kin fil lɛk se yu nɔ de no natin ɛn nɔr de ɔndastand gud gud wan wetin de apin.
• Bluish finga, lip ɔ skin: Dis na sayn we rili denja. I min se di bɔdi nɔ de gɛt bɛtɛ ɔksijɛn.

Wetin mek Status Asthmaticus kin gɛt? Wetin na di tin dɛn we kin mek i apin?

We yu gɛt asma, di say dɛn we yu de blo, ɔ di say dɛn we yu de blo kin smɔl. Dɔktɔ dɛn kin kɔl dis brɔnkospasm . Dɔn bak, dɛn say dɛn ya we di briz kin blo kin swel. Dɛn kɔl dis inflamɛns . Apat frɔm dat, bɔku bɔku mucus de kɔmɔt.

Naw, masta sabi bukman dɛn biliv se di men tin we kin mek pɔsin gɛt siriɔs asma atak we pɔsin nɔ ebul fɔ kɔntrol nɔto so bɔku brɔnkospasm bɔt na inflamɛns na di aywe dɛn ɛn bɔku bɔku mucus. spεshal wan, na we di aywe dεm swεla εn blכk wit mכkus na in i kin at fכ brith.

Wetin na di trig dɛm wae de inkrisayz di stetɔs asthmaticus?

Enitin wae kin mek yu gɛt nɔrmal asma kin mek bak dis kayn bad bad sik wae dɛn kɔl Status Asthmaticus. Lɛ wi luk sɔm pan dɛn kɔmɔn tin ya we kin mek wi gɛt dis sik:

• Alɛji na os ɛn na do: Dɔst mit, pet dander, pɔlin, mold, ɛn ɔda tin dɛn.
• Ɔda tin dɛn we kin mek pɔsin vɛks: Sigrɛt smok, sɛnt, bad bad smel frɔm kemikal, kol briz.
• Fɔ ɛksesaiz: Sɔm pipul dɛn kin gɛt mɔ asma we dɛn de du ɛksɛsayz.
• Stret wae yu de fil: Asma kin wɔs wae yu de fil bad, frayd, ɔr de wɔri.
• Infεkshכn: Infεkshכn dεm we de na di rεspiretכri lεk kol, flu, εn COVID-19.
• Sɔm mɛrɛsin dɛn: Fɔ ɛgzampul, sɔm mɛrɛsin dɛn we de mek pɔsin fil pen lɛk aspirin ɛn sɔm mɛrɛsin dɛn we de mek pɔsin gɛt ay blɔd prɛshɔn (beta-blockers) kin mek sɔm pipul dɛn gɛt asma wɔs.

Udat de pan ay risk fɔ gɛt dis siriɔs asma kɔndishɔn (Acute Severe Asthma)?

Yu kin gɛt siriɔs klos atak lɛk dis fɔ dɛn rizin ya:

• If yu nɔ no aw fɔ yuz yu inhala kɔrɛkt wan, ɔ if yu nɔ yuz am kɔrɛkt wan:Dis kin rili kɔmɔn. Na bikɔs bɔku tin dɛn de we yu fɔ du we yu de yuz inhala. If yu mis ɛni wan pan dɛn, ɔ if di tɛm we yu de blo nɔ rayt, nɔto ɔl di mɛrɛsin go rich yu lɔng. Dɔn yu nɔ go gɛt ɛni rizɔlt.
• If yu ɔr di dɔktɔ dɛm wae de trit yu nɔr no kɔrɛkt wan aw yu asma tranga: Dis kin min se yu nɔr de gɛt di rayt mɛrɛsin, ɔr di kɔrɛkt doz.
• If yu nɔr kin ebul fɔ tek yu mɛrɛsin, nɔr want, ɔr nɔr no ustɛm fɔ tek am fɔ mek yu nɔr gɛt siriɔs sik: Sɔm pipul nɔr kin lɛk fɔ tek dɛn mɛrɛsin, ɔr nɔr kin tek am na di rayt tɛm. Ivin da tɛm de, i kin at fɔ kɔntrol dɛn asma.

Wetin na de kɔmplikeshɔn wae kin kam bikɔs ɔf Status Asthmaticus?

Dis siriɔs asma kɔndishɔn (Acute Severe Asthma) kin mek yu gɛt siriɔs prɔblɛm. Tek wan luk:

• Hypoxia: Dis min se di tisu dɛm na yu bɔdi nɔ de gɛt inof ɔksijɛn. Dis na tin we rili denja.
• Acute Respiratory Distress Syndrome (ARDS): Na wan sik wae de mek di lכng dεm de pwεl bad bad wan εn i kin rili at fכ brith.
• Respiratory failure: Dis min se yu lכng dεm nכ de ebul fכ brith dεn wan. Na dis tɛm, yu kin nid fɔ kɔnɛkt to ventilatɔ.

Aw fɔ no di stetɔs asma ɔ siriɔs asma?

Dɔktɔ go no bɔt yu stetɔs asma bay we i luk yu simptom dɛm, ɛgzamin yu, aks bɔt yu mɛdikal histri, ɛn sɔntɛm du tɛst fɔ di lɔng wok (e.g., spirometry).

Di tin we impɔtant pas ɔl na dat di dɔktɔ dɛn go bigin fɔ trit yu wantɛm wantɛm fɔ kɔntrol aw yu de blo. Insay da tɛm de, dɛn kin du bak blɔd tɛst ɛn chɛk ɛkstrem na dɛn chɛst fɔ chɛk fɔ ɔda sik dɛn.

Aw dɛn kin trit dis?

Dɔktɔ go gi yu ɔksijɛn, mɛrɛsin fɔ mek yu nɔ swel na yu lɔng, ɛn opin yu aywe. Sɔntɛnde, i kin nid fɔ kɔnɛkt yu to ventilatɔ te yu ebul fɔ blo yusɛf.

Wetin na di patikyula tritmɛnt fɔ Status Asthmaticus?

Dipen pan aw yu sik bad, dɔktɔ dɛn kin yuz tritmɛnt dɛn lɛk:

• Sɔplɛnt ɔksijɛn: Dɛn kin gi ɔksijɛn tru wan kanula na di nos ɔ wan fes mask.
• Bronchodilator dɛn we dɛn kin inhal:Dɛn kin gi dɛn tin ya tru wan inhala ɔ nebulayz. Dɛn kin mek di say dɛn we di briz de blo big. Ɛgzampul dɛn:
• Beta-2 agonist: Salbutamol (dεn kin kכl am bak Albuterol) כ Levalbuterol.
• Antikolinerjik: Ipratropium bromid.
• Intravenous (IV) corticosteroids: Dɛn wan ya kin ridyus di inflamɛns kwik kwik wan na di say dɛn we di briz de blo. Ɛgzampul dɛn: haydrokɔtizɔn ɔ mɛtilprɛdnisolon.
• IV bronchodilators: Sɔntɛnde dɛn kin gi mɛrɛsin lɛk magnɛsiɔm sɔlfɛt.
• Adrenaline (Epinephrine): Insay sɔm imejensi, dɛn kin gi am as injɛkshɔn.
• Intravenous fluids (IV fluids): Dɛn kin yuz am fɔ mek yu nɔ gɛt wata na yu bɔdi ɛn fɔ gi mɛrɛsin.
• Inhaled helium gas (Heliox): Insay sɔm spɛshal kes dɛm, dɛn kin miks am wit ɔksijɛn fɔ mek i izi fɔ blo.
• Intubation and mechanical ventilation: If di sik rili bad, i kin mek i nɔ no natin, dɛn kin put tiub insay di winda paip, ɛn dɛn kin kɔnɛkt di pɔsin to ventilator.
• Sedation: If di pɔsin de wɔri, sɔntɛnde dɛn kin gi am sedeshɔn fɔ ɛp am fɔ ajɔst to di ventilator.

Wetin yu kin ɛkspɛkt if yu gɛt status asthmaticus?

If yu gɛt Status Asthmaticus, yu go nid fɔ de na ɔspitul te dɛn kɔntrol yu kɔndishɔn. Sɔntɛnde, dɛn kin transfa yu to di Intensiv Keya Yunit (ICU).

We yu go na os, yu dɔktɔ go gi yu wan kɔtikosterɔyd pil (lɛk prednisolone) fɔ tek fɔ lɛk 12 to 14 dez. I rili impɔtant fɔ tek dis mɛrɛsin jɔs lɛk aw yu dɔktɔ tɛl yu, fɔ di ful tɛm.

Yu tink se dɛn kin mek yu nɔ gɛt Status Asthmaticus?

Yɛs, i rili pɔsibul! Na sɔm tin dɛn we yu kin du fɔ mek yu nɔ gɛt dɛn bad bad klos dɛn ya:

• No gud gud wan aw fɔ yuz di divays dɛn we yu de yuz fɔ kɔntrol yu asma. Dis inklud tin dɛm lɛk inhala ɛn nebulayz. Aks yu dɔktɔ ɔ fama fɔ sho yu di bɛst we fɔ yuz dɛn, stɛp bay stɛp. Du.
• Ɔndastand ustɛm ɛn aw fɔ trit yu asma simptom bifo dɛn tu tranga fɔ kɔntrol. Yu kin du dis wit wan ``Pik Flɔ Mita``.Yu kin mɛzhɔ di trɛnk we yu de blo wit wan tin we dɛn kɔl spayrɔmita. Ɔ, woke wit yu dɔktɔ fɔ mek wan ``Asthma Action Plan .'' Dis go tɛl yu wetin fɔ du we yu asma de na gud lɛvɛl, we i wɔs smɔl, ɛn we i wɔs pasmak.
• No gud gud wan wetin kin mek yu gɛt asma ɛn nɔr de nia dɛm as yu ebul.
• Si yu dɔktɔ ɔltɛm fɔ mek shɔ se yu dɔn kɔntrol yu asma. Dis go ɛp yu fɔ no if yu nid fɔ ajɔst di mɛrɛsin we yu de tek ɔ if yu nid fɔ bigin fɔ tek nyu mɛrɛsin.
• If yu nid dɔktɔ ɛp, gɛt am kwik kwik wan. Nɔr wet te di sayn dɛm wae de sho se yu gɛt dis sik bad bad wan.

Ustɛm yu fɔ go na di Imejɛnsi Tritmɛnt Yunit (ETU) ?

If yu gɛt siriɔs prɔblɛm fɔ blo, ɔ if yu gɛt asma atak ɛn yu nɔ ebul fɔ kɔntrol am wit yu ɔspitul inhala, kɔl 1990 wantɛm wantɛm, ɔ go na di ɔspitul Imejɛnsi Dipatmɛnt (ETU) we de nia yu . Nɔ west tɛm.

Us kwɛstyɔn dɛn yu fɔ aks yu dɔktɔ?

We yu mit di dɔktɔ, i go fayn fɔ aks kwɛstyɔn dɛn lɛk dɛn wan ya:

• ‘Dɔkta, wetin mek a gɛt dis sik?’ i aks am.
• ‘Aw a go tek mi mɛrɛsin kɔrɛkt wan?’ i aks am. (Lan aw fɔ yuz di inhala bak)
• ‘Us ɔda tritmɛnt dɛn a gɛt?’ i aks am.
• ‘Aw a go mek dis kayn tin nɔ apin igen?’ i aks am.

Fɔ dɔn, di tin we impɔtant pas ɔl (Take-Home Message) .

Fɔ nɔ ebul fɔ blo na tin we de mek pɔsin fred. Nɔ panik di tɛm dɛn lɛk dis, nɔ de tɔk, ɛn aks fɔ ɛp. If yu gɛt asma, woke wit yu dɔktɔ fɔ ɔndastand yu sik ɛn mek wan plan fɔ mɛn am. No ustɛm ɛn aw fɔ trit yu sik bifo dɛn wɔs. If yu gɛt plan, dat go ɛp yu fɔ gɛt ɛp we ɛnitin apin we nɔ izi fɔ yu ɛn yu nɔ go panik. Yu layf valyu to yu, ɛn na so yu famili valyu. So if yu gɛt asma, i impɔtant fɔ kɔntrol am.

` Asma, status asthmaticus, siriɔs asma, i nɔ izi fɔ blo, di sik we pɔsin kin gɛt we i de blo, di lɔng dɛn