Oh, yu smɔl pikin de kray ɔltɛm bikɔs in bɛlɛ de at? Yu tink se i nɔ de it ɔ drink? Sɔntɛnde, i kin vɔmit wit smɔl fiva? I rili nɔmal fɔ mek yu, as mama ɔ papa, fil bad bad wan ɛn wɔri pan tɛm dɛn lɛk dis. Bɔt nɔto ɔl di bɛlɛ pen kin simpul. I pɔsibul se dɛn tin ya na sayn dɛn fɔ wan sik we dɛn kɔl apɛndiks . So lɛ wi tɔk bɔt dis smɔl mɔ tide, nɔto so? Nɔ fred, lɛ wi ɔndastand ɔltin klia wan.
Wetin na apɛndiks? Yu tink se i kin apin to yɔŋ pikin dɛn?
Fɔ tɔk am simpul wan, apɛndiks na infɛkshɔn ɔ swel na wan smɔl ɔgan we dɛn kɔl apɛndiks. Yɛs, yu dɔn gɛs am, i kin afɛkt big pipul ɛn pikin dɛn.
Imajin, wi big intestinal kɔnɛkt to wan smɔl tiub we tan lɛk wom. Na dat wi kin kɔl di apɛndiks , ɔ mɔ, "di apɛndiks." I de na di rayt say na di bɛlɛ, na di bɔt. So if dis apɛndiks gɛt di sik, dat min se if i bɔs, dat min se apɛndiks kin apin.
Di tin we impɔtant pas ɔl na dat, apɛndiks na mɛdikal imejensi, so i rili impɔtant fɔ go to dɔktɔ kwik kwik wan if yu gɛt sɔm sayn dɛn.
Insay kɔntri lɛk Amɛrika, dɛn se na lɛk 70,000 pikin dɛn kin gɛt apɛndiks ɛvri ia. Dis sik kin mɔs pan pikin dɛn we ol bitwin 10 ɛn 18. Infakt, apɛndiks na di men rizin we mek dɛn kin du ɔpreshɔn pan pikin dɛn bɛlɛ kwik kwik wan.
Aw a go no if mi pikin gɛt apɛndiks? (Sayn dɛn)
Dis na di big prɔblɛm we bɔku mama ɛn papa dɛn gɛt. Aw yu go no fɔ tru? Wan pan di men sayn dɛm na pen na di rayt say we de dɔŋ na di bɛlɛ. Bɔt dis pen nɔ kin bigin de wan tɛm.
- Fɔs, di pen kin bigin arawnd di pikin in bɛlɛ. I kin tan lɛk se sɔntin dɔn stɔp.
- Dɔn, afta sɔm tɛm, dis pen kin muf smɔl smɔl go na di rayt say na di bɛlɛ, dɔŋ.
- Sɔm pikin dɛn kin ivin gɛt prɔblɛm fɔ waka.
- Dis pen kin wɔs we yu jomp, kɔf, ɔ laf lawd wan. I kin fil lɛk pen we pɔsin de chuk pɔsin frɔm insay.
Apat frɔm dis men sayn, yu kin si sɔm ɔda sayn dɛm:
- Nɔs ɛn vɔmit: Yu bɛlɛ nɔ go ebul fɔ bia ɛnitin we yu de it. Yu kin vɔmit bak.
- Fɔ want fɔ it: If di pikin nɔ gri fɔ it, dat na sayn bak.
- Fiva: Di bɔdi kin wam ɛn i kin gɛt smɔl fiva.
- Pen we yu de muv yu bɔdi: Dis pen kin bɔku we yu de muv yu bɔdi ɔ we yu de kɔmɔt na bed.
If yu nɔ ebul fɔ no di sik we yu pikin gɛt, di bɛst tin fɔ du na fɔ kɔl yu famili dɔktɔ wantɛm wantɛm. I kin gi yu di rayt gayd.
Wetin mek yɔŋ pikin dɛn kin gɛt apɛndiks? Wetin na di tin dɛn we kin mek i apin?
Di men rizin we mek yɔŋ pikin dɛn kin gɛt apɛndiks bɔku tɛm na bikɔs sɔntin kin blok di mɔt ɔ di say we di apɛndiks de go insay. Tink bɔt am lɛk wata paip we dɔn lɔk. Dis blok kin bi bikɔs ɔf:
- di it patikyula dεm we dεn nכ dεgεst εn di stכl patikyula dεm kin stכk.
- Na bikɔs ɔf parasayt dɛn.
- di apinεns fכ sכmtin lεk growth insay di apεndiks.
Sɔntɛm ɔda rizin dɛn de:
- Infekshɔn na di bɛlɛ.
- Infεkshכn na di dijestiv trakt.
- Krεse intestinal kכndishכn dεm lεk inflammatory bowel disease .
Bɔt sɔntɛnde, ivin dɔktɔ dɛn nɔ kin ebul fɔ tɔk klia wan wetin mek apɛndiks kin apin. I kin apin bak fɔ no rizin.
Pipul dɛn de we kin rili de pan denja fɔ dis?
No klia we nɔ de fɔ rili se, "If yu du dis, yu kin mek yu nɔ gɛt apɛndiks." Bɔt sɔm pikin dɛn kin gɛt am smɔl.
- Dɛn kin si dis sik pan pikin dɛn we dɔn pas 10 ia .
- If pɔsin na yu famili dɔn gɛt apɛndiks bifo (famili istri), i kin bi se na in jenɛtik inflɔwɛns.
- Sɔm risach dɔn sho se pikin dɛm we gɛt sistik fibrosis kin gɛt mɔ risk fɔ gɛt apɛndiks bak.
Yu tink se apɛndiks kin denja? Wetin na di prɔblɛm dɛn we kin apin?
Yɛs, na dis wi ɔl de fred. Apɛndiks kin denja if dɛn nɔ trit am fayn ɛn di rayt tɛm.
Apɛndiks we dɔn brok
If dɛn nɔ trit am, di apɛndiks we gɛt di sik kin brok (bɔs opin) . Tink bɔt am lɛk se balyɔn de bɔs. if dat apin, di baktri dεm εn di pus we de insay di apεndiks kin spre כlsay na di bכdi.
Pɛritonaytis ɛn Sɛpsis
we di apεndiks bכs, di baktri dεm kin infεkt di layn na di bכdi (peritoneum). Dɛn kɔl dis peritonitis . Dis na wan sik we rili siriɔs.
Ivin mɔ denja na we dɛn bɔdi ya go insay di blɔd. Di infekshɔn kin skata ɔlsay na di bɔdi, ɛn i kin mek pɔsin gɛt wan sik we de mek pɔsin in layf de pan denja we dɛn kɔl sɛpsis .
Na dat mek wi kin se, if yu gɛt sayn dɛm fɔ apɛndiksNɔ ignore dɛn, go to dɔktɔ kwik kwik wan.
Aw dɔktɔ kin kɔnfirm dis? (Diagnosis) .
We yu kɛr yu pikin go to dɔktɔ, dɛn go du fɔs fɔ chɛk yu pikin. Dɛn go fil di pikin in bɛlɛ, aks bɔt di say ɛn di kayn pen we i de fil, ɛn aks yu bɔt di sik dɛn we yu pikin gɛt ɛn di mɛrɛsin histri.
Afta dat, di dɔktɔ kin du sɔm ɔda tɛst dɛn fɔ no fɔ tru if dis na rili apɛndiks ɔ ɔda tin.
Us tɛst dɛn dɛn kin du?
- Yurin tɛst ɛn blɔd tɛst: Dɛn tin ya kin chɛk fɔ si if infɛkshɔn de na di bɔdi.
- Imej test: Dis na test we de tek pikchɔ fɔ di insay pat na di bɔdi.
- Abdominal X-ray: Sɔntɛnde dis kin gi sɔm aidia.
- Abdominal ultrasound: Dis de yuz ay frikshɔn sawnd wev fɔ tek pikchɔ fɔ di insay ɔgan dɛn. Dis na tɛst we nɔ gɛt pen fɔ yɔŋ pikin dɛn.
- CT Scan (CT - Computer Tomography scan): Dis kin tek kכros-sekshכn imej dεm fכ di insay pat pan di bכdi. Dɛn kin du dis bay we dɛn de jɔyn ɛkstrem rayt ɛn kɔmpyuta tɛknɔlɔji. Bɔku tɛm dis kin si klia wan if apɛndiks de ɔ nɔ de.
Wetin na di tritmɛnt fɔ apɛndiks pan pikin dɛm?
Wae dɛn dɔn kɔnfirm di diagnosis, tritmɛnt kin bigin.
Sɔntɛnde, dɔktɔ dɛn kin tray fɔ trit am wit antibayɔtik nɔmɔ. Bɔt, dis nɔ kin apin so ɔltɛm.
Bɔku tɛm, dɛn go nid fɔ ɔpreshɔn di pikin in apɛndiks (appendiks). Dis na di standad tritmɛnt. Dɛn kin du dis ɔpreshɔn tu we dɛn:
Lɛ wi lan bɔt di ɔpreshɔn (Appendectomy) .
Laparoskɔpik ɔpreshɔn
Dis na di we we dɛn kin yuz mɔ naw. Sɔm pipul dɛn kin kɔl am bak "key-hole surgery."
- Insay dis, di dɔktɔ we de du di ɔpreshɔn kin kɔt sɔm rili smɔl smɔl say dɛn na di rayt say we de dɔŋ na di pikin in bɛlɛ.
- Dɔn, dɛn kin put smɔl kamɛra (laparoskɔp) insay wan pan di say dɛn we dɛn kɔt. Dis kamɛra de mek yu ebul fɔ si di apɛndiks mɔ ditayli.
- Dɛn kin put spɛshal tin inschrumɛnt dɛn tru ɔda say dɛn we dɛn kɔt ɛn kɔt di apɛndiks ɛn pul am.
- Di bɛnifit dɛn we dis we ya kin gɛt na we i kin wɛl kwik kwik wan, i nɔ kin gɛt bɔku skata, ɛn i nɔ kin gɛt di sik.
Laparotomy / Opin ɔpreshɔn
- Insay dis, di dɔktɔ we de du di ɔpreshɔn kin mek wan say we big smɔl na di rayt say we de dɔŋ di pikin in bɛlɛ.
- Bɔku tɛm, dɛn kin yuz dis weIf yu gɛt mɔ kɔmplikɛt apɛndiks, fɔ ɛgzampul, if di apɛndiks dɔn brok, ɔ if i nɔ izi fɔ du am wit laparoskopik.
- Dis we ya kin tek smɔl tɛm fɔ wɛl pas laparoskopik ɔpreshɔn.
Wetin kin apin bifo ɛn afta di ɔpreshɔn?
Bifo di ɔpreshɔn, dɛn go gi di pikin antibayɔtik fɔ kɔntrol di infekshɔn. We dɛn de du di ɔpreshɔn, wan dɔktɔ we de mɛn pikin dɛn go gi di pikin anestezi so dat i nɔ go fil ɛni pen ɛn i go slip fayn. Bɔku tɛm, di ɔpreshɔn kin tek lɛk wan awa so.
Ɛni prɔblɛm de we kin apin we dɛn du di ɔpreshɔn?
Jɛnɛral wan, fɔ pul apɛndiks na ɔpreshɔn we nɔ gɛt bɔku prɔblɛm. Bɔt i kin bi se smɔl smɔl prɔblɛm dɛn kin apin afta ɛni ɔpreshɔn.
Na mɔ if di pikin in apɛndiks dɔn bɔs, i kin gɛt smɔl prɔblɛm fɔ du dɛn tin ya:
- Infεkshכn dεm na wund.
- Absεs (pכket dεm fכ pus) kin apin.
- Smɔl bɔdi we de ambɔg.
Bɔt nɔ wɔri, di dɔktɔ dɛn de pe atɛnshɔn gud wan to ɔl dis.
Aw kwik di pikin go wɛl afta dɛn dɔn trit am?
Bɔku pikin dɛn kin wɛl kwik kwik wan afta dɛn dɔn du dɛn ɔpreshɔn. Bɔku tɛm, dɛn nɔ kin gɛt ɛni big lɔ we de stɔp pipul dɛn fɔ it ɔ drink.
Dipen pan aw di pikin in sik tranga, dɛn kin nid fɔ de na ɔspitul fɔ sɔm dez afta dɛn dɔn du di ɔpreshɔn. Dis inklud fɔ kɔntrol di pen, ɔda antibayɔtiks, ɛn fɔ wach. Bɔt sɔntɛnde pikin dɛn we kin wɛl ɛn nɔ gɛt bɔku pen kin go na os di sem de we dɛn du di ɔpreshɔn.
- If dɛn du laparoskopik ɔpreshɔn, dɛn go aks di pikin fɔ lɛf fɔ du tin dɛn lɛk fɔ rɔn, jomp, ple, ɛn fɔ es wet fɔ lɛk 3-5 dez.
- If yu dɔn gɛt opin ɔpreshɔn, dɛn go aks yu fɔ rɛst fɔ lɛk 10-14 dez bifo yu go bak to yu nɔmal wok.
Wan we de fɔ mek yu nɔ gɛt apɛndiks?
As wi bin dɔn tɔk bifo tɛm, dɔktɔ dɛn nɔ kin ebul fɔ tɔk klia wan ɔltɛm wetin mek apɛndiks kin apin. So, no klia we nɔ de fɔ se, "If yu du dis, i nɔ go apin."
Di bɛst tin we yu kin du na fɔ kɔl dɔktɔ jɔs lɛk aw yu pikin bigin fɔ sho di sik. Da we de, dɛn kin bigin fɔ tek tritmɛnt kwik kwik wan ɛn mek bad bad tin dɛn nɔ kam.
Wetin mama ɛn papa dɛn fɔ ɛkspɛkt if dɛn no se dɛn pikin gɛt apɛndiks?
If di dɔktɔ no se yu pikin gɛt apɛndiks, in mɛdikal tim go bigin fɔ gi yu antibayɔtik wantɛm wantɛm. Dɔn, dɛn go du di tɛst dɛn we dɛn nid fɔ no aw di sik rili bad.
Bɔku tɛm, di dɔktɔ go du di ɔpreshɔn insay 24 awa afta dɛn dɔn no se i gɛt di sik. Afta di ɔpreshɔn, yu kin nid fɔ de na ɔspitul fɔ sɔm dez. Di mɛdikal tim go de tɛl yu ɛvri step na di rod.
Ustɛm di pikin go ebul fɔ go bak na skul?
- If dɛn dɔn du yu pikin ɔpreshɔn wit laparoscopic, sɔntɛm dɛn go ebul fɔ go bak na skul insay lɛk wan wik so.
- If dɛn dɔn du ɔpreshɔn pan yu opin wan, i kin tek wan ɔ tu wiks fɔ mek yu wɛl.
Di dɔktɔ we de trit yu pikin go tɛl yu di rayt tin bɔt dis.
Ustɛm a fɔ go to di dɔktɔ bak? Wetin a fɔ wɔri bɔt?
Afta di ɔpreshɔn , dɛn go aks yu fɔ kam bak fɔ si di dɔktɔ fɔ mek dɛn go fala yu lɛk tu to 4 wiks afta dat. Dɔn di dɔktɔ go chɛk di say dɛn we di pikin kɔt ɛn mek shɔ se dɛn de wɛl fayn fayn wan.
Insay da tɛm de, if yu pikin gɛt ɛni wan pan dɛn sik ya, yu fɔ kɔl yu dɔktɔ wantɛm wantɛm:
- Fiva.
- If di pen de bɔku.
- If yu de vɔmit.
- If di say we dɛn kɔt am dɔn swel bad bad wan, i dɔn chenj in kɔlɔ, ɔ i de kɔmɔt na wata.
Impɔtant kwɛstyɔn dɛn fɔ aks di dɔktɔ
We yu kam fɔ no se yu pikin gɛt apɛndiks, i nɔmal fɔ gɛt bɔku kwɛstyɔn dɛn. Aks di dɔktɔ kwɛstyɔn dɛn lɛk:
- Us kayn apɛndektɔmi mi pikin fɔ du? (Laparoscopic ɔ opin?)
- Ustɛm mi pikin go ebul fɔ go bak na skul?
- Aw a go no di difrɛns bitwin apɛndiks pen ɛn nɔmal bɛlɛ pen?
Aw yu kin tɛl yu pikin bɔt dis? Aw yu kin mek i kol?
Dis na tin bak we rili impɔtant. I kin tranga fɔ ɛksplen to pikin we gɛt apɛndiks ɛn ɔpreshɔn. Bɔt di tin we impɔtant pas ɔl na fɔ tɛl dɛn di tru.
- Tɛl di pikin se i gɛt smɔl prɔblɛm ɛn i nid fɔ go na ɔspitul fɔ mek dɛn fiks am.
- Sɔntɛm i go nid fɔ du smɔl ɔpreshɔn, bɔt da tɛm de i nɔ go fil natin, bikɔs i de slip fayn, dɛn se.
- Tɛl am bak se dɔktɔ go wek am we di ɔpreshɔn dɔn.
- Mɛmba yu pikin se yu de wet fɔ am ɛn i go wɛl jisnɔ. Yu lɔv ɛn kia fɔ am rili impɔtant to am.
Smɔl kɔrej fɔ mama ɛn papa dɛn
As mama ɛn papa, una de tray ɔltɛm fɔ protɛkt una pikin frɔm ɔl di prɔblɛm dɛn. Bɔt sɔntɛnde, sik kin apin fɔ no rizin. If yu pikin gɛt apɛndiks, dat nɔ min se yu du ɛnitin we nɔ rayt. De tin wae impɔtant pas ɔl na fɔ go to dɔktɔ as yu notis de sik.
Fɔ dɔn, wetin fɔ mɛmba (Take-Home Message) .
Okay, so wi bin tɔk bɔku bɔt apɛndiks tide, nɔto so? A tink se yu dɔn ɔndastand dis gud gud wan naw.
Mɛmba se apɛndiks na siriɔs sik. So if pikin gɛt bɛlɛ pen wit di sayn dɛm we wi bin tɔk bɔt, nɔ tink se na jɔs bɛlɛ pen. Si dɔktɔ kwik kwik wan ɛn gɛt advays. If yu trit yu pikin kwik kwik wan, dat kin mek yu nɔ gɛt prɔblɛm.
Wi de wish yu pikin gud wɛlbɔdi ɔltɛm!
` Apɛndisayt, apɛndisayt na pikin dɛn, apɛndiks, bɛlɛ at, pikin dɛn wɛlbɔdi, apɛndiks, ɔpreshɔn











💬 Comments (0)
No kɔmɛnt nɔ de yet. Ad yu kɔmɛnt ya fɔ di fɔs tɛm.
Ad yu kɔmɛnt