Smɔl smɔl blista dɛn we kin mek na di intestinal ɛn i nɔ kin izi fɔ trit? Lɛ wi tɔk bɔt (Diverticulitis)!

Sɔntɛnde yu kin gɛt bɛlɛ pen, mɔ na di lɛft say na yu bɛlɛ? Ɔ sɔntɛnde yu kin fil lɛk se yu gɛt fiva ɛn yu de blo? Dɛn tin ya kin bi sayn fɔ sɔm kayn mɛrɛsin, pan ɔl we sɔmtɛm wi nɔ kin pe atɛnshɔn to dɛn bɛtɛ. Na dat mek dis kכndyushכn, we nid sכm atεnshכn, dεn kכl am `(Diverticulitis). Mek wi tok abaut dis ditail tide, okay?

Wetin na dis `(Diverticulitis)`?

Fɔ tɔk am simpul wan, divɛrtikulayt na we smɔl smɔl pɔkit dɛn kin fɔm na di insay pat pan yu kɔlon - wi kin kɔl dɛn divɛrtikula - we kin gɛt infɛkshɔn, gɛt skata, ɛn inflam. Tink bɔt am lɛk smɔl smɔl bɔbul dɛn we de fɔm na di wɔl na yu kɔlon, ɛn di tin dɛn we yu de it ɛn di stɔl de stɔp insay dɛn, we de mek baktri dɛn gro ɛn infɛkt yu.

bכku pipul dεn de divεlכp dεn pכch dεm ya we dεn kכl `(Diverticula)` na dεn intestinal as dεn de ol. Wi kin kɔl dis kɔndishɔn `(Diverticulosis)`. Dat min se, dɛn smɔl smɔl paus dɛn de de na di insay, bɔt dɛn nɔ de mek ɛni prɔblɛm. Bɔt nɔto ɔlman gɛt prɔblɛm wit dis. Bɔt na we wan pan dɛn smɔl smɔl pɔch dɛn de gɛt di sik, na in di bad bad pen ɛn ɔda sayn dɛn kin bigin fɔ sho. If dat apin, i min se `infεkshכn` de insay am, εn yu nid fכ gεt mεdikal tritmεnt kwik kwik wan.

Aw kɔmɔn tin na Divɛrtikulayt?

di divεrtikulכsis we a bin tכk bכt, we na di fכmeshכn fכ sכm sכm paus dεm na di intestines, kin apin pan bכku pipul dεm afta dεn ol 50-60 ia. Bɔt di infɛkshɔn we dɛn kin gɛt pan dɛn paus dɛn de, we dɛn kɔl divɛrtikulayt, nɔ kin bɔku smɔl. Na lɛk 4% pan di pipul dɛm wae gɛt divɛrtikulɔs kin gɛt divɛrtikulɔs. Dat min se if wan ɔndrɛd pipul dɛn gɛt divɛrtikul, na 4 pipul dɛn nɔmɔ go gɛt divɛrtikul. Bɔt if i apin wan tɛm, 20% chans de fɔ mek i apin bak. So, i bɛtɛ fɔ mek di wan dɛn we dɔn gɛt am wan tɛm tek tɛm smɔl.

Difrɛn kayn divɛrtikulayt de?

Yɛs, dɔktɔ dɛn kin sheb dis to tu men we dɛn:

1. Akyu ɛn Kronik Divɛrtikulayt.

2. Nɔ kɔmplikt ɛn kɔmplikɛt (Diverticulitis).

Naw lɛ wi tek tɛm luk ɛni wan pan dɛn tin ya.

Wetin na Akyu / Kronik Divɛrtikulayt?

Bɔku tɛm, divɛrtikulayt kin bigin as wan akyu prɔblɛm. Dis min se de sik kin kam wantɛm wantɛm, wit siriɔs pen ɛn fiva, ɛn afta dat i kin bɛtɛ insay sɔm dez wit tritmɛnt.

Bɔt fɔ sɔm pipul dɛn, i kin apin bak. Jɔs lɛk sɔm pipul dɛn kin gɛt sik dɛn we kin kam bak lɛk asma. Fɔ ɔda pipul dɛn, di infekshɔn kin bi fɔ lɔng tɛm. Dat min se, i nɔ kin bɛtɛ ɔltogɛda, bɔt i kin kɔntinyu fɔ wɔs. Difrɛn tiori dɛn de bɔt wetin mek dis kin apin. E kin bi bikɔs de sik wae de kam wantɛm wantɛm nɔr de wɛl ɔl, ɔr e kin gɛt fɔ du wit ɔda sik wae de kam fɔ lɔng tɛm na yu bɔdi.

Wetin na Uncomplicated / Complicated Diverticulitis?

Bɔrku tɛm, lɛk 80% pan di kes dɛm, divɛrtikulayt nɔr kin kɔmplikt. Dat min se di prɔblɛm na infekshɔn na di paus dɛm na di intestin, sɔmtɛm na jɔs smɔl infekshɔn. If dɛn trit am fayn, i go izi fɔ mek i wɛl.

Divɛrtikulayt kin kɔmplikt we di infɛkshɔn kin mek ɔda prɔblɛm dɛn. Dis kin rili siriɔs. Fɔ ɛgzampul, if pɔsin gɛt siriɔs infɛkshɔn , i kin mek di divɛrtikul (wan paus) brok. dis kin mek di tin dεm we de insay di intestinal lik insay di bεlε. If yu gɛt infekshɔn fɔ lɔng tɛm, dat kin mek di intestinal gɛt skata, we kin mek di intestin blok.

Wetin na di sayn dɛm fɔ `(Diverticulitis)`?

Dɛn sayn ya kin difrɛn frɔm wan pɔrsin to ɔda pɔrsin, bɔt de men tin wae yu kin si na:

• Bɛlɛ pen: Dis na di men sayn. Bɔku tɛm, i kin rili bad.
• Blɔt ɔ fil se di insay de kech: Di bɛlɛ kin fil lɛk se i dɔn swel, ɛn sɔntɛnde i kin fil lɛk se wan pat pan di insay de kech we dɛn tɔch am.
• Fiva: Yu kin gɛt fiva if yu bɔdi wam pasmak.
• Nɔs ɛn vɔmit: We yu nɔ want fɔ it, i kin kam wit nɔs ɛn vɔmit.
• Blɔd we de kɔmɔt na di rɛktɔ: Blɔd kin pas na di stɔl .
• Kɔnstipɛshɔn ɔ sɔntɛm dayarɛa: Kɔnstipɛshɔn na di wan we kin bɔku pas ɔl, bɔt tin dɛn we tan lɛk dayarɛa nɔ kin apin bak.

Aw de pen kin fil wae yu gɛt divɛrtikulayt?

Ilɛksɛf yu gɛt divɛrtikulayt we bigin wantɛm wantɛm ɔ yu gɛt wan sik we dɔn de, de pen kin rili fiba. Insay wan akyu episɔd, di pen kin kam wantɛm wantɛm. Insay wan episod we nɔ de mɛn, di pen kin go ɔp smɔl smɔl fɔ sɔm dez. Dɛn kin fil di pen jɔs usay di divɛrtikul we gɛt di sik de. I kin fil lɛk se yu de shap shap pen ɔ yu de bɔn. Bɔrku tɛm, de pen kin kɔmɔt frɔm smɔl to siriɔs.

Usay na di bɛlɛ dɛn kin fil di pen?

Dis na tin we rili intrestin. fכ pipul dεm we kכmכt na Yurop, dεn paus dεm ya we dεn kכl `(Diverticula)` kin divεlכp bכku tεm na di las pat na di big intestinal, we dεn kכl di `(Sigmoid Colon)`. dis de na di lεft say na yu lכw bכdi, εn afta dat i de tכn sכmtεm to di rayt fכ kכnekt to di rεktum. Na dat mek bɔku pipul dɛn kin gɛt `(Diverticulitis)` pen na di lɛft say na dɛn bɛlɛ we de dɔŋ. Sɔntɛnde dis pen we de na di bɛlɛ we de dɔŋ kin go na di bɔdi ɛn ivin di bak.

כltu, fכ pipul dεm we kכmכt na Eshia (lεk wi), dis `(Diverticulosis)` kכndyushכn kin apin mכr na di כp rayt kכdrant na di kכlon. if na so i bi, di pen fכ `(Diverticulitis)` kin kכmכt frכm di כp rayt kכdrant na di bכdi.

Wetin na di tin dɛm wae kin mek pɔrsin gɛt divɛrtikulɛt?

di men rizin fכ di infεkshכn pan dεn paus dεm we dεn kכl ``divεrtikula'' na biכs sכm sכm tכch כ ol (``tear``) de fכm na dεn wכl, we de alaw baktri dεm fכ kam insay εn mek ``infεkshכn.`` כltu, insay dis kes, i nכ rili klia if di ol fכm fכs, כ if di baktri de fכs infεkshכn.

Imajin, if sɔntin lɛk stɔl stɔp insay da smɔl pɔch de, na fayn ples fɔ mek baktri dɛn gro. afta dat, bikoz fכ di baktri infεkshכn, i kin swel, inju, εn di wכl fכ dat ``(Diverticulum)`` kin rכp.

na di כda say, if di wכl na di paus te fכ כda rizin (fכ egzampl, wan had pat pan di stכl we i de pas stכl), ivin baktri dεm we nכmal fכ liv na di intestines kin izi fכ go insay di tכch εn mek infεkshכn. sכm stכdi dεn dכn sho se vayral infεkshכn lεk ``Cytomegalovirus - CMV`` kin kכntribyut bak fכ divεlכpmεnt fכ ``(Diverticulitis)``.

Yu tink se na frɔm in mama ɛn papa dɛn kin gɛt Dayvɛrtikulayt?

Bɔku tɛm, divɛrtikulayt kin apin bay chans. Dat min se, i nɔto sik we pɔsin kin gɛt dairekt wan. כltu, di kכndyushכn we dεn kכl divεrtikulכsis, we na di fכmeshכn fכ paus dεm na di intestines, kin gεt sכm jεnεtik inflכεns. Fɔ ɛgzampul, as wi bin dɔn tɔk, dɛn se pipul dɛn na Yurop gɛt mɔ paus dɛn na wan pat na dɛn intestinal, ɛn pipul dɛn na Eshia gɛt mɔ paus dɛn na ɔda pat. Dis kin bi se na di jin dɛn kin afɛkt am. Dɔn bak, di jin dɛn kin afɛkt aw pɔsin kin gɛt di sik dɛn we nɔ de mɛn. Dɛn de du mɔ risach bɔt dis.

Wetin na di prɔblɛm dɛn we kin apin we pɔsin gɛt divɛrtikulɛt?

Bɔrku tɛm, lɛk 80% pan di kes dɛm, divɛrtikulayt kin sɔlv witout kɔmplikeshɔn. Bɔt if i kam tranga ɔ i kɔntinyu fɔ de, dɛn prɔblɛm ya kin apin:

• Blɔd we de kɔmɔt na di bɛlɛ: Di blɔd we de kɔmɔt na di divɛrtikul kin rili bad ɛn i kin mek bak di bɔdi nɔ gɛt bɛtɛ blɔd. Jɔs tink bɔt dat, if yu kɔntinyu fɔ blɔd, yu bɔdi go lɔs blɔd, nɔto so?
• Intestinal obstruction: If di swɛlin bad bad wan, yu intestinal kin blok fɔ sɔm tɛm. If yu swel fɔ lɔng tɛm, i kin mek yu gɛt skata (strikt) ɛn i kin blok di insay fɔ ɔltɛm.
• Fistula: Wan pat pan di intestin we gɛt di sik ɛn we dɔn rɔtin kin kɔnɛkt to ɔda pat na di bɔdi (fɔ ɛgzampul, yu smɔl intestinal, blad, ɔ vagina), we kin mek wan opin we nɔmal bitwin di tu.
• Blad inflamɛns: If yu gɛt divɛrtikulayt nia yu blad, i kin mek yu blad blok ɛn infekshɔn. If fistula fɔm na yu blad, di infekshɔn kin skata de bak.
• Absεs: Absεs na wan kכlekshכn fכ pus we kin nid fכ drayn. If i bɔs, di infekshɔn kin go na yu bɛlɛ (peritoneal cavity) ɛn mek yu gɛt wan denja kɔndishɔn we dɛn kɔl peritonitis. Dis na imejensi!
• di pεrforeshכn na di gεstrointestinal:if divεrtikul tu swel εn rכp, baktri dεm we de kכmכt na di intestines kin lik insay di bכdi. Dis sik we dɛn kɔl peritonitis kin mek pɔsin gɛt wan bad bad sik we dɛn kɔl sɛpsis, we na wan baktri infekshɔn we kin skata ɔlsay na di bɔdi. Dis na imejensi bak we rili denja!

Impɔtant: Dɛn kɔmplikeshɔn ya nɔ kin apin to ɔlman, bɔt i fayn fɔ no se dɛn tin ya kin apin.

Wetin na di sayn dɛm fɔ kɔmplikɛt divɛrtikulayt?

If yu gɛt dɛn sik ya, yu kin gɛt prɔblɛm dɛn frɔm divɛrtikulayt:

• If fresh blɔd de na di stɔl.
• If di fes bכdi εn di bכdi fil se i nכ gεt layf (dis kin bi sayn fכ `Anemia`).
• If yu fil se yu nid fɔ pis ɔltɛm , ɔ if yu gɛt bɔn ɔ pen we yu de pis.
• If yu bɛlɛ at ɛn i kin fil pen we yu tɔch yu (dis kin bi sayn fɔ peritonitis).

If yu notis sɔntin lɛk dis , go to dɔktɔ wantɛm wantɛm.

Aw fɔ no di sik we dɛn kɔl `(Diverticulitis)`?

If yu ɛn yu dɔktɔ dɔn no se yu gɛt `(Diverticulosis)`, yu kin sɔprayz se na `(Diverticulitis)` bay di sayn dɛm we yu de gɛt. Bɔt bɔku pipul dɛn nɔ no se dɛn gɛt `(Diverticulosis).` Dɔn bak, di sayn dɛm fɔ `(Diverticulitis)` kin tan lɛk bɔku ɔda bɛlɛ sik dɛm.

So, di dɔktɔ go aks yu bɔt yu simptom dɛm ɛn sɔntɛm i go du sɔm bɛsik tɛst dɛm, lɛk blɔd tɛst (`comprehensive metabolic panel`), stɔl tɛst, ɛn urine tɛst.

Dɔn, if dɛn tink se gɛt divɛrtikulayt, dɛn go ɔda fɔ du imej tɛst fɔ kɔnfirm di sik. CT skan na fayn tin fɔ du. I kin no kwik kwik wan aw di infekshɔn dɔn rich ɛn ɛni ɔda prɔblɛm. Sɔntɛnde, yu dɔktɔ kin nid fɔ luk insay yu kɔlon wit skɔp we gɛt layt (tyub we gɛt kamɛra we dɛn tay pan am). Sɔm kɔmplikeshɔn dɛn kin trit di sem tɛm we dɛn kin trit di kɔlon skɔpi.

Divɛrtikulayt kin bɛtɛ fɔ insɛf?

If de sik nɔr kin tranga ɛn nɔr kin tranga , e kin wɛl fɔ insɛf. Bɔt nɔ jɔs wet te yu go to dɔktɔ. Yu fɔ rili go to dɔktɔ fɔ no di rayt tin we nɔ rayt. Yu kin nid fɔ tek antibayɔtik fɔ wan infekshɔn. Sɔm pipul dɛn kin nid mɛrɛsin bak we dɛn kin gi dɛn mɛrɛsin fɔ mek dɛn fil pen. Yu dɔktɔ go gi yu instrɔkshɔn bak bɔt aw fɔ de na os te yu wɛl. I go tek lɛk wan wik so fɔ mek i wɛl. I impɔtant fɔ de tɔk to yu dɔktɔ da tɛm de.

Aw fɔ trit divɛrtikulayt na os?

If yu dɔktɔ alaw am, yu kin trit am na os dɛn we ya:

• Wan likwid it: If yu nɔ it sɔlid it dɛn, dat kin mek yu insay rɛst ɛn i kin ɛp yu fɔ wɛl frɔm sik. Yu dɔktɔ go tɛl yu di rayt tin fɔ it ɛn aw lɔng yu fɔ de pan dis it.
• `Antibiotics` we dɔktɔ gi: Nɔto ɔlman nid am, bɔt if yu nid am, yu dɔktɔ go gi yu sɔm mɛrɛsin fɔ kɛr go na os. di kayn `antibiotic` de dipכnt pan di kayn `infεkshכn` we yu gεt.
• Acetaminophen: Fɔ di ɔva-di-kɔnta (OTC) pen riliva we de na di famasi, i bɛtɛ fɔ yuz sɔntin lɛk Acetaminophen (e.g. Tylenol®).

Mɛrɛsin dɛn we yu nɔ fɔ yuz we yu gɛt divɛrtikulayt

Dɔktɔ dɛn advays se yu nɔ fɔ yuz nɔ-stɛroyd anti-inflammatory drugs (NSAID) we yu gɛt divɛrtikulayt, bikɔs dɛn kin mek yu GI blɔd bɔku. Dɛn NSAID ya na:

• Aspirin (e.g. Bayer® ɔ Sɛnt Josɛf®) .
• `Ibuprofen` (e.g. `Motrin®` ɔ `Advil®`) .
• `Naproxen sodium` (e.g. `Aleve®`) we de na di bɔdi.

Wetin kin apin if dɛn nɔ trit divɛrtikulayt?

If yu gɛt wan sik we nɔ kin izi fɔ yu, we nɔ kin izi fɔ yu, yu nɔ go nid fɔ gɛt tritmɛnt. Bɔt yu fɔ rili tɛl yu dɔktɔ bɔt yu divɛrtikulayt. If yu nɔr du dat, yu kin dɔn wit wan sik wae gɛt mɔr siriɔs sik ɛn kɔmplikɛshɔn. Sɔm infɛkshɔn de we nɔ kin bɛtɛ if yu nɔ gɛt antibayɔtik ɔ antivayrɔs. Infεkshכn wae nכ de bεtε kin mek yu gεt כda kכmplikεshכn. Di pen kin rili bad bak.

Wetin yu kin du fɔ mɛn divɛrtikulayt?

If simpul tritmɛnt na os nɔr ɛp, ɔr if yu gɛt siriɔs, lɔng tɛm, ɔr kɔmplikɛt divɛrtikulayt, yu kin nid fɔ de na ɔspitul fɔ tritmɛnt. Di tritmɛnt dɛn we dɛn kin gi na di ɔspitul na:

• IV mεdikeshכn: Yu dכkta kin gi yu antibaytik כ antivayral tru IV (lεk salin sכlushכn). Dis we ya, di mɛrɛsin kin go dairekt insay yu blɔd, so i kin wok kwik kwik wan. Dɛn kin gi mɛrɛsin dɛn bak we de mek pɔsin fil pen dis we. Sɔm pipul kin nid fɔ tek strɔng pen kil lɛk opioid fɔ siriɔs pen.
• Blɔd transfyushɔn: If yu dɔn lɔs bɔku blɔd bikɔs ɔf wan divɛrtikul we de blɔd, yu kin nid fɔ tek blɔd kwik kwik wan fɔ tek di ples fɔ di blɔd we yu lɔs.
• Endoskopik prosidur: Yu dɔktɔ kin yuz kɔlonoskɔp ɔ sigmoidoscope (dɛn kayn ɛndoskop ya we de luk insay di kɔlon) fɔ trit smɔl smɔl prɔblɛm dɛn. Fɔ ɛgzampul, dɛn kin stɔp fɔ blɔd, pul wan abses, ɔ mek wan pat we dɔn blok na di kɔlon big.
• Ɔpreshɔn:Sɔm pipul dɛn kin nid fɔ ɔpreshɔn fɔ gɛt abses, blɔd we de kɔmɔt ɔltɛm, fɔ gɛt pɔrfɔshɔn, ɔ fɔ gɛt fistula. Na smɔl tɛm nɔmɔ, pipul dɛn we gɛt divɛrtikulayt we nɔ de dɔn kin nid ɔpreshɔn fɔ pul di pat pan di kɔlon we afɛkt (colectomy). Dis kin involv fɔ mek dɛn tek tɛmporari colostomy, we na wan tiub we dɛn kin put tru di sayd na di bɛlɛ fɔ mek di stɔl kɔmɔt.

Yu tink se dɛn kin mek divɛrtikulayt nɔ apin ɔ i nɔ kin kam bak?

Fɔ tɔk tru, dɔktɔ dɛn stil nɔ ɔndastand gud gud wan wetin mek divɛrtikulayt kin kam ɔ kam bak. So i at fɔ tɔk fɔ tru aw fɔ mek i nɔ apin. Bɔt dɛn tink se fɔ kɔntinyu fɔ gɛt gud intestinal wɛlbɔdi in jɔnal kin ɛp .

• It mɔ it dɛn we gɛt plant ɛn ridyus animal fat.
• Fɔ drink inof wata ɔl di de.
• Fɔ du ɛksasaiz ɔltɛm.

Dɛn tin ya kin ɛp yu bɔdi fɔ go fayn fayn wan. Fɔ sɔm pipul dɛn, dɔktɔ dɛn kin tɛl dɛn bak fɔ gi dɛn fayv ɔ probayotik.

Wan ol biliv bin de se pipul dɛm we gɛt divɛrtikulɔs nɔ fɔ it nɛt, bikɔs dɛn kin stɔp na di divɛrtikul ɛn mek dɛn gɛt divɛrtikulɔs. Naw bɔku pipul dɛn kin tek dis as lay lay stori. Nat na gud sɔs fɔ fayv ɛn plant-based prɔtin. So, bifo yu wɔri se yu nɔ go gɛt nat na yu kɔlon aksidɛntli, i go fayn fɔ mek yu it tin dɛn we balans ɛn we go mek yu gɛt wɛlbɔdi.

Wetin wi go ɛkspɛkt we dis tin apin?

Na smɔl pasɛnt pan pipul dɛn kin gɛt kɔmplikɛt divɛrtikulayt. Pan dɛn wan dɛn de, na smɔl nɔmba nɔmɔ nid ɔpreshɔn. Bɔrku tɛm, dɛn kin trit kɔmplikɛt divaysɔlaytis kwik ɛn kɔmplit wan. Divɛrtikulayt nɔ go afɛkt yu nɔmal layf ɛkspɛkteshɔn. Bɔt, lɛk aw a bin dɔn tɔk, di wangren risk na if sɔntin de we nɔ kin apin so ɔltɛm, we kin mek pɔsin in layf de pan denja, lɛk we di bɔdi kin brok ɔ we di bɔdi kin bɔs. So nɔ panik, go to dɔktɔ wantɛm wantɛm.

Wetin fɔ du if divɛrtikulayt kɔntinyu fɔ kam?

If yu nɔr ebul fɔ mek divɛrtikulɛt nɔ kam bak pan ɔl we yu de chenj di it ɛn layf, yu kin gɛt ɔda tin dɛn we kin mek yu gɛt mɔ prɔblɛm. Fɔ ɛgzampul, pipul dɛm wae gɛt wik imyun sistɛm kin gɛt infekshɔn bɔrku tɛm ɛn tek lɔng tɛm fɔ wɛl. Pipul wae gɛt ɔtoimyun sik kin gɛt infekshɔn wae nɔr de dɔn. di bεlε fכ difrεn baktri dεm we de liv na yu gכt kin afekt yu gכt in imyun sistεm bak.

Dɔktɔ dɛn nɔ kin ebul fɔ tɔk fɔ tru ɔltɛm wetin mek sɔm pipul dɛn kin kɔntinyu fɔ gɛt divɛrtikulayt. Bɔt if yu dɔn gɛt am pas wan tɛm ɛn yu dɔn gɛt at le wan prɔblɛm, dɛn kin se yu fɔ pik di bɔdi we dɛn kin pik, we na ɔpreshɔn fɔ pul di smɔl pat na yu bɔdi we de mek di prɔblɛm . If nɔto imejensi, bɔku tɛm dɛn kin du am insay wan ɔpreshɔn we dɛn nɔ kin du kɔlostomi.

Mɛsej we dɛn kin kɛr go na os

So, `(Diverticulitis)` na kɔmplikeshɔn we kin apin to pipul dɛm we gɛt `(Diverticulosis)`, bɔt i nɔ kin rili kɔmɔn. `(Diverticulitis)` kin ivin smɔl fɔ mek i gɛt mɔ kɔmplikeshɔn. Bɔt if i apin to yu, yu go nid fɔ gɛt tritmɛnt kwik kwik wan.

So, if yu gɛt simptom dɛm fɔ `(Diverticulitis),` fɔ tru fɔ go to dɔktɔ witout delay.

Dɔn dɛn go disayd us kayn tritmɛnt yu nid, if yu kin trit am na os ɔ if yu nid fɔ go na ɔspitul. Nɔr wɔri, bɔrku tɛm dɛn kin mɛn dis sik fayn fayn wan ɛn yu go wɛl kwik kwik wan. Tek kia of yu gut helt, okay?

` Divεrtikulεt, kכlon infεkshכn, bεlε pen, divεrtikulכsis, bכwel sik, kכlonskכpi, dijestiv sistεm