Yu smɔl pikin in intestinal dɔn kam insay? Mek wi lan bɔt intussusception!

Yu smɔl pikin de kray ɔltɛm? I tan lɛk se yu bɛlɛ de at? Sɔntɛnde, na nɔmal tin fɔ mek wi as mama ɛn papa wɔri we wi si tin dɛn lɛk dis. Bɔt sɔm sayn dɛn de we wi fɔ wɔri bɔt mɔ. Tide, wi go tɔk bɔt intussusception, we na siriɔs intestinal kɔndishɔn we nid fɔ gɛt mɛrɛsin kwik kwik wan , mɔ fɔ yɔŋ pikin dɛn. Nɔ wɔri, if yu no bɔt dis, yu kin du sɔntin kwik kwik wan ɛn sev yu pikin.

Wetin na dis intussusception?

Fɔ tɔk am simpul wan, intussusception na we wan pat pan yu insay, lɛk di pat dɛn na tɛliskɔp, fold insay di nɛks pat na yu insay. Tink bɔt am lɛk sɔk we de rɔl insay. Dis kin mek di bɔdi nɔ ebul fɔ waka . Bɔrku tɛm, dis sik kin afɛkt di smɔl intestinal.

We dis apin, it ɛn drink kin stɔp fɔ muv tru di insay . I de mek bak blɔd nɔ go na da say de. If dɛn nɔ trit am, dis blɔk kin mek di intestinal swel, i kin wund , ɛn i kin mek i gɛt siriɔs prɔblɛm dɛn we kin mek i day.

So, intussusception na mεdikal imejensi. Bɔt if dɛn no ɛn trit am kwik, i kin wɛl.

Aw dis sik kin kɔmɔn?

Intussusception kin apin to ɛnibɔdi, ivin big pipul. Bɔt i kin bɔku pan yɔŋ pikin dɛn we ol bitwin 3 mɔnt ɛn 3 ia.

intussusception de akכnt fכ lεk 1% pan כl di intestinal blכk dεm na big pipul dεm. Bɔt na di men tin we kin mek di intestinal blok pan pikin dɛn we nɔ rich 3 ia yet. Insay Amɛrika nɔmɔ, na lɛk 1 pan ɛvri 2,000 bebi dɛn kin gɛt dis sik insay dɛn fɔs ia na dɛn layf.

Wetin na di sayn dɛm we de sho se yu gɛt dis sik? Aw fɔ no am?

I impɔtant fɔ no if yu pikin gɛt intussusception . Ɛn, if yu nɔr kin gɛt dis sik, i fayn bak fɔ no bɔt de sik.

Di sayn dɛm we kin apin to yɔŋ pikin dɛm

Bebi dεm εn pikin dεm we gεt intussusception kin gεt siriכs, throbbing bכdi pen we kin kכmכt afta sכm tεm εn afta dat i kin bigin bak. Dis pen kin las fɔ 15-20 minit ɔ mɔ. Bebi dεm we nכ ebul fכ sho dεn pen kin kray, ol dεn ni dεm to dεn bεlε.Dɔn, we di pen dɔn dɔn (lɛk 20-30 minit), yu kin mek lɛk se natin nɔ apin ɛn bigin fɔ ple. Bɔt, afta sɔm tɛm, di bad bad pen kin bigin bak.

As di pen de kɔntinyu, di pikin kin taya, slip, ɛn taya . Dɛn kin gɛt fiva bak ɛn go na shɔk .

Ɔda sayn dɛm wae kin apun na:

• Di bɛlɛ we de blo.
• Nɔs ɛn vɔmit (di vɔmit kin gɛt yɔlɔ-grin in kɔlɔ).
• Rɛd, stɔl dɛn we tan lɛk jɛlɛ. Dis na rεktal bכdi , we kin miks wit mכkus.

Bɔku tɛm, dɛn sayn ya kin apin sɔm wiks afta di pikin dɔn gɛt sɔntin lɛk vayral fiva. So, di we aw dɛn sik ya de sho as tɛm de go, i kin mek pipul dɛn tink se i gɛt intussusception .

Bɔt i kin at fɔ no di sayn dɛm fɔ intussusception na pikin, bikɔs nɔto ɔl di sayn dɛm kin apin to ɛvri pikin. Dɔn bak, i nɔ kin apin ɔltɛm we di pikin sik.

Na dis na sɔntin we yu fɔ mɛmba: If i tan lɛk se yu pikin ɔ smɔl pikin gɛt bɛlɛ we nɔ gɛt ɛni rizin, go to dɔktɔ wantɛm wantɛm.

Di sayn dɛm wae kin kam pan big pipul dɛm

Big pipul dɛn kin gɛt bɛlɛ pen bak we dɛn gɛt intussusception . Bɔt i kin kam ɛn go, jɔs lɛk pikin dɛn, ɔ i kin de ɔltɛm. Vɔmit, blo, ɛn stɔl we gɛt blɔd kin apin bak. Bɔt bikɔs dɛn sik ya kin apin to bɔku sik dɛn we de na di bɛlɛ (GI) , bɔku pipul dɛn kin wet fɔ am. Bɔt pan di kes fɔ intussusception, i nɔ fayn fɔ wet. Dis na wan sik wae nid fɔ gɛt mɛrɛsin kwik kwik wan pan pikin ɛn big pipul dɛm.

Wetin mek intussusception kin apin? Wetin na di tin dɛn we kin mek i apin?

Bɔku tɛm, dɔktɔ dɛn nɔ kin ebul fɔ fɛn wan patikyula tin we kin mek pɔsin gɛt intussusception .

Rizin dɛn fɔ mɛn pikin dɛn

Na pikin dɛm, i tan lɛk se dis sik gɛt fɔ du wit vayral infɛkshɔn . כl di pikin dεm kin gεt intussusception insay di fכl εn winta, we di vayral gastroenteritis kin kכmכn. Apat frɔm dat, sɔm pikin dɛn kin gɛt tin dɛn we nɔ fayn ɔ dɛn kin gɛt bɔku bɔku tin dɛn na dɛn intestinal, lɛk wan Michels diverticulum .Tin dεm lεk di mεkεl in divεrtikul εn polip dεm kin bi kכz dεm bak.

Di tin dɛn we kin mek big pipul dɛn gɛt akni

De rizin wae mek big pipul dεn kin gεt dis kin klia sכmtεm. di big pipul dεm kin gεt intussusception if dεn gεt kכ lon kεnsar ( malignant tumors ) כ benign growth dεm na di kכlon . Apat frɔm dat, i nɔ kin izi fɔ mek pɔsin gɛt sik dɛn we kin tek lɔng tɛm lɛk Crohn’s disease .

Wetin na di tin dɛn we kin mek pɔsin gɛt dis sik? Udat dɛn kin gɛt am mɔ?

Bɔku tin dɛn de we kin mek pɔsin gɛt dis sik:

• Ej: Bɔrku pikin dɛn kin gɛt dis bitwin 3 mɔnt ɛn 3 ia.
• Jɛnda: Bɔy pikin dɛn kin gɛt dis sik lɛk tri tɛm pas gyal pikin dɛn. Risach pipul dɛn stil nɔ shɔ wetin mek dis kin apin.
• Tɛm: Bɔku pikin dɛn kin gɛt dis insay di fɔl ɛn winta, we na di tɛm we di bɛlɛ vayrɔs kin gɛt di flu.

Sɔm mɛrɛsin kin mek yu pikin gɛt mɔ prɔblɛm bak:

• Malrotation na di intestin
• Meckel ’s divεrtikulכm
• Polip ɔ sist dɛn we de na di kɔlon
• Imyunoglobulin A (IgA) vaskulεt

Di tin dɛn we kin mek yu gɛt mɔ prɔblɛm we yu dɔn big na:

• di tכmכro dεm na di kכlon (bכku tεm na kεnsar, bכt i nכ kin bi kεnsar bak) .
• Inflammatory bowel disease (IBD) we de mek pɔsin in bɔdi wam.
• Endometriosis we de mek pɔsin gɛt sik
• If yu gɛt tin fɔ it .

Us prɔblɛm dɛn kin apin if dɛn nɔ trit am?

If dɛn trit am kwik, di intussusception kin kam bak to nɔmal. Bɔt if dɛn nɔ trit am, intussusception kin mek i gɛt siriɔs prɔblɛm dɛn we kin mek pɔsin in layf de pan denja, ivin day.

Di prɔblɛm dɛn we kin apin:

• Gastrointestinal perforation : we di intestinal blok bikoz fכ intussusception , it εn dijestiv jus dεm kin bak biεn am. Dis kin mek di intestinal big, swel, ɛn leta i kin bɔs, ɛn mek wan ol.
• Sivεr infεkshכn εn swεla (peritonitis) : We di intestin swεla εn pכrכshכn dis we, di tin dεm we de insay di intestinal kin lik insay di bכdi. Dis kin mek yu gɛt wan bad bad sik we de mek yu layf de pan denja we dɛn kɔl sɛpsis .
• Bowel necrosis : If di intestin de damej, i kin mek di tisu we de na da eria de day.

Dɛn kɔmplikeshɔn ya kin apin kwik kwik wan as yu pikin in kɔndishɔn de wɔs. Na dat mek i rili impɔtant fɔ go to imejensi kia wantɛm wantɛm if yu tink se sɔntin nɔ rayt.

Aw yu kin no dis sik kɔrɛkt wan? (Diagnosis) .

Bɔrku tɛm, dɛn kin no di sik we dɛn de kia fɔ dɛn kwik kwik wan. di tεst dεm we dεn kin yuz fכ kכnfכm di diagnosis na כltra saund (fכ pikin dεm) εn CT skan ( fכ big pipul dεm). כltra saund kin dεtekt intussusception wit 100% akכda. Dis na di fɔs tɛst we dɔktɔ dɛn kin du fɔ chɛk fɔ intussusception pan pikin dɛn.

Yu pikin in dɔktɔ kin ɔda bak fɔ mek dɛn gi am ɛya ɔ kɔntrast ɛnima . Insay dis tɛst, dɔktɔ kin put wata we gɛt briz ɔ wan tin we nɔ bad we dɛn kɔl barium insay yu pikin in rɛktum. di prεshכn we di briz כ di wata de kכmכt de mek di kכlon pan, we de mek wan pat pan am dכn sכpכt insay di כda wan. Dɛn kin tek dis tin we dɛn kin du na vidio bay we dɛn de yuz ɛkstrem rayt mashin.

dis mεtכd nכ de כnli kכnfכm di diagnosis, b כt bכku tεm i kin kכl intussusception insay pikin dεm.

Aw fɔ trit am? (Tritmɛnt)

Di tritmɛnt na fɔ yuz di sem ay ɔ kɔntrast inɛma we dɛn bin yuz fɔ no di sik fɔ mek di blɔk we de na yu pikin in kɔlon stret. Dis na raydiɔlɔjik (lɛk skan) we dɛn kin du, nɔto ɔpreshɔn. So yu pikin nɔ go nid fɔ gɛt anestezi .

Bɔt dis we ya nɔ kin wok fɔ big pipul dɛn we gɛt intussusception . Bɔku tɛm, dɛn kin gɛt fɔ du ɔpreshɔn.

Ɔpreshɔn

Big pipul dɛm we gɛt intussusception go nid ɔpreshɔn. Ɛn, nɔto ɔltɛm, sɔm pikin dɛn go nid ɔpreshɔn. fכ egzampl, if di εnεma mεtכd nכ wok, כ if di pikin gεt sכm kכmplikεshכn (lεk ol na in intestin, infεkshכn), dεn go nid כpεrayshכn.

dis ɔpreshɔn kin bi tradishɔnal "open" ɔpreshɔn, we min se dɛn kin du am tru wan big say we dɛn kɔt na di bɛlɛ. Ɔ, di dɔktɔ we de du di ɔpreshɔn kin yuz wan tin we nɔ kin ambɔg di bɔdi we dɛn kɔl laparoscopy .

Laparoskɔpi we dɛn kin duWe dɛn de du di ɔpreshɔn, di dɔktɔ we de du di ɔpreshɔn kin kɔt tu ɔ tri smɔl smɔl tin dɛn na yu pikin in bɛlɛ. Tru dɛn kɔt ya, di dɔktɔ we de du di ɔpreshɔn kin rich na di bɔdi we dɛn dɔn pul insay ɛn fiks am bak usay i bin de fɔs. If dat nɔ pɔsibul, dɛn go pul di pat we dɔn pwɛl na di bɔdi ɛn sidɔm di ɔda pat dɛn we lɛf (we nɔ atak) bak togɛda.

We dɛn de du dis ɔpreshɔn, wan dɔktɔ we de mɛn pikin dɛn (dɔktɔ we spɛshal fɔ gi pikin dɛn pen rilif) go mek yu pikin slip. So di pikin nɔ go fil ɛni pen ɔ no wetin de apin.

Aw di pikin go fil afta di tritmɛnt? Aw lɔng i go tek fɔ mek i wɛl?

Afta di enema, yu pikin kin fil lɛk se i blo fɔ sɔm awa. Yu kin nid fɔ gi asetaminofɛn (e.g., paracetamol) fɔ ridyus pen ɛn fiva.

Afta dɛn dɔn du di ɔpreshɔn, dɛn go nid fɔ gi yu pikin mɛrɛsin fɔ mek i fil fayn. Dɛn go nid fɔ gi dɛn tin dɛn we dɛn kin put insay dɛn bɛlɛ (IV fluid) fɔ sɔm dez te dɛn intestinal wɛl. Bɔku tɛm, dɛn kin bigin fɔ it bak insay wan to tri dez. I kin tek sɔm wiks fɔ go bak to di nɔmal tin dɛn we dɛn bin de du.

Wan we de fɔ mek yu nɔ gɛt intussusception?

No shɔ we nɔ de fɔ mek yu nɔ gɛt intussusception , bɔt yu kin mek yu nɔ gɛt di bad bad tin dɛn we go apin to yu bay we yu gi yu pikin imejensi tritmɛnt wantɛm wantɛm .

Wetin a fɔ ɛkspɛkt if mi pikin gɛt dis sik? Yu tink se dɛn kin mɛn am?

If dɛn trit pikin dɛn kwik, dat kin mek di tin dɛn we kin apin to pikin dɛn bɛtɛ. Dɛn kin trit di intussusception wit ɛya ɔ kɔntrast ɛnɛma. Bɔt i kin kam bak pan 10% to 20% pan di pikin dɛn. Di sik kin kam bak insay di fɔs 48 awa afta dɛn du di ɔpreshɔn (dis nɔ kin apin so ɔltɛm) ɔ afta sɔm wik ɔ mɔnt (dis kin apin mɔ).

If intussusception kam bak, yu pikin in dɔktɔ go du di sem tin dɛn we dɛn bin de du bifo fɔ no ɛn trit am. Dis kin inklud fɔ gi ɔda ɛnima .

Bifo yu kɔmɔt na ɔspitul, aks di dɔktɔ wetin fɔ ɛkspɛkt if dis apin bak, ɛn wetin na di sayn dɛn we de sho se dis sik kam bak.

Wetin na di chans fɔ sev di layf fɔ pikin we gɛt intussusception?

Insay ɔspitul dɛn we gɛt ɛkspiriɛns dɔktɔ dɛn we de trit intussusception , wan barium ɔ air enema kin wok fayn fɔ te to 85% pan di pikin dɛn. If yu kɛr yu pikin go to dɔktɔ jɔs afta yu notis di sik, gɛt diagnosis, ɛn bigin tritmɛnt, yu gɛt bɛtɛ chans fɔ sev yu pikin in layf witout ɛni kɔmplikeshɔn.

Yu tink se intussusception na imejensi ɔltɛm?

Yɛs. Intussusception na ɔltɛm mɛdikal imejensi. Taym na di men tin. If yu pikin sho sayn dɛm fɔ intussusception , kɛr am go na ɔspitul kwik kwik wan, da sem de de.

Ustɛm a fɔ go to dɔktɔ?

If yu pikin gɛt bɛlɛ pen we yu nɔ ɛksplen , kɔl dɛn dɔktɔ we de mɛn pikin dɛn wantɛm wantɛm ɛn mek dɛn chɛk am. If yu nɔ ebul fɔ si dɛn da de de, kɛr dɛn go na imejensi rum (ETU) .

Afta tritmɛnt, i nɔmal fɔ mek yu pikin gɛt sɔm swɛlin rawnd di say we dɛn de du di ɔpreshɔn. Bɔt kɔl yu dɔktɔ if yu pikin gɛt ɛni wan pan dɛn tin ya:

• I de swel pasmak, i de rɛd, i wam, ɔ i de kɔmɔt na di say we dɛn kɔt am.
• Fiva (we pas 101 Farenheit / 38 Sɛlshiɔs).
• Nɔs ɛn vɔmit.
• Sayn dεm we de sho se i de kam bak (lεk yu de pen wan wan tεm, yu de sכlt lεk jεli).

Wetin na di impɔtant kwɛstyɔn dɛn we wi fɔ aks di dɔktɔ?

Yu kin aks kwɛstyɔn dɛn lɛk dɛn wan ya:

• Wetin de mek mi pikin in intestinal blok?
• Aw lɔng i go tek fɔ mek i wɛl?
• A nid fɔ chenj di we aw a de liv mi layf fɔ ɛp mi pikin fɔ wɛl?
• Us sayn dɛn a fɔ luk fɔ se dis kin apin bak?
• A fɔ kɔl yu if a si sayn dɛn fɔ se i de kam bak, ɔ a fɔ go stret to di Imejɛnsi Dipatmɛnt (ETU) ?

Fɔ dɔn, tin dɛn fɔ mɛmba (Take-Home Message) .

If yu notis sayn dɛm fɔ intussusception na yu pikin ɔ smɔl pikin, nɔ tink tumɔs. I nɔr kin ɛva nɔrmal fɔ gɛt bɛlɛ pen we kin kam ɛn go. Dis kin bi sayn fɔ wan siriɔs kɔndishɔn lɛk intussusception . Di kwik we yu pikin gɛt tritmɛnt, na di mɔ di chans fɔ liv we nɔ gɛt prɔblɛm. Nɔ delay. Tek am go na dɔktɔ ɔ na imejensi rum. If yu du sɔntin kwik kwik wan, dat go ɛp fɔ sev yu pikin in layf.

Intussusception, intestinal obstruction, abdominal pen in pikin, jεli stכl, intestinal obstrukshכn, imejensi tritmεnt, enema