Bɔku tɛm yu kin gɛt pen na yu bɛlɛ ɛn yu kin gɛt fiva? Dis kin bi Abdominal Abscess!

Yu dɔn ɛva fil shap pen na yu bɛlɛ ɛn fiva? Ɔ yu dɔn fil lɛk se yu de lɔs yu wet wit yu nɔ want fɔ it ɛn yu nɔ de fil fayn? Sɔntɛm di kɔndishɔn we wi de tɔk bɔt tide dɛn kɔl am ``Abdominal Abscess''. Nɔ wɔri, lɛ wi tɔk bɔt dis simpul wan.

Wetin na dis `(Abdominal Abscess)`? Wetin mek i denja?

Fɔ tɔk am simpul wan, Abdominal Abscess na wan lump we ful-ɔp wit pus we de fɔm sɔmsay insay yu bɛlɛ. Dis pus na wata we de kכlekt bikoz fכ infεkshכn. Dis pɔkit ɔ abses we ful-ɔp wit pus kin mek yu nɔ fil fayn.

Tink bɔt am lɛk smɔl wund na di skin, we kin gɛt di sik ɛn pus kin gɛda. Bɔt dis kin apin insay di bɛlɛ, so wi nɔ kin si am frɔm do. Bɔt i kin mek bɔku damej frɔm insay. di tin we impɔtant pas ɔl na dat if dɛn nɔ trit dis fayn, dis infεkshɔn kin skata ɔlsay na di bɔdi ɛn mek i gɛt wan denja kכndyushכn we dεn kכl ``Sεpsis''. ``Sepsis'' na sɔntin we kin ivin mek pɔsin in layf de pan denja. Na dat mek i rili impɔtant fɔ no bɔt dis.

wetin mek dis kayn `(Abdominal Abscess)` de fכm insay di bεlε? Wetin na di tin dɛn we kin mek i apin?

bכku tεm, dis `(Abdominal Abscess)` na baktri infεkshכn de kכz am. We dɛn baktri ya sɔm kayn we go insay yu bɛlɛ, di imyun sistɛm we tan lɛk gad na wi bɔdi kin bigin fɔ fɛt dɛn baktri ya we de kam insay yu. insay dis fכt, dat na, insay di imyun rεspכns, di rilayt tisu dεm (`Tissue`) de dεmεj, εn inflameshn (`Inflammation`) de apin. wit dis inflameshn, dεd tisu εn baktri dεm de kam togεda fכ mek da pus de (`Pus`), we lεk bכyl (`Abscess`).

Naw lɛ wi si ɔnda us sikɔstɛms dɛn bɔdi ya kin go insay di bɛlɛ:

• biכs fכ wan baktri infεkshכn we de stat insay di bεlε: sכmtεm, if sכmכl ol (perforation) apin na ples lεk di intestin, baktri dεm kin go insay di bכdi.
• Sɔm mɛrɛsin dɛn: Fɔ ɛgzampul, pipul dɛn we gɛt Crohn’s disease (we na wan sik we de mek dɛn bɔdi wam we nɔ de mɛn), diverticulitis (infɛkshɔn na di smɔl smɔl paus dɛn na di big intestinal), ɔ pelvik inflammatory disease (PID) na uman dɛn kin gɛt mɔ risk fɔ gɛt abdominal abscess. Dɛn tin ya kin mek bak di bɛlɛ inflamɛns.
• Afta dɛn dɔn ɔpreshɔn di bɛlɛ: Sɔntɛnde, afta dɛn dɔn ɔpreshɔn di bɛlɛ, baktri kin go insay di wund ɛn mek di wund gɛt infekshɔn, ɛn dis kin mek i gɛt absɛs.
• Bikɔs ɔf injuri na di bɛlɛ: Fɔ ɛgzampul, injuri we de na do, lɛk wund we dɛn chuk am, kin mek baktri dɛn go insay di bɛlɛ dairekt wan.

di tin we impɔtant pas ɔl na, ilɛk wetin mek, dis `(Abdominal Abscess)`If dɛn nɔ trit am kwik, i kin mek i gɛt siriɔs, layf de pan denja lɛk ``Sepsis`` (blɔd pɔyzin, usay di infɛkshɔn de skata ɔlsay na di bɔdi) ɛn ``Ɔgan Failure``. So, i impɔtant fɔ rili tek tɛm wit dis.

usai na di bכdi dis ``(Abdominal Abscess)'' kin divεlכp? Ɛni kayn dɛn de?

Yɛs, dɛn abses ya kin fɔm na difrɛn pat dɛn na di bɛlɛ. Dɔktɔ dɛn kin klas dɛn akɔdin to usay di abses de. Wi kin tɔk mɔ bɔt tri kayn dɛn:

1. Intraperitoneal Abscesses: dis na absεs dεm we de fכm insay di bכdi, dat na insay di layn na di bכdi kכva (di pεritoneum). Fɔ ɛgzampul:

• Ɔnda yu dayafragm (di mɔsul we de sheb yu chɛst ɛn yu bɛlɛ).
• Intestinal dɛn.
• di pεlvik kεviti (`Pelvis`) de insay in ples.
• Bɛlɛ de nia de.
• כda spεshal ples na di ``Subphrenic Abscess`` we de apin bitwin di dayafragm εn di liva.

2. Retroperitoneal Abscesses: dεn ya de fכm na di bak pat pan di bכdi, ausayd di pεritoneum. Dɛn kin si dɛn mɔ na di say we di kidni ɔ pankrias de.

3. Visceral Abscess: dis de tכk bכt wan kכlekshכn fכ pus we de fכm insay wan sכlid כgan, lεk di liva כ di splin.

I nɔ mata usay i apin, i impɔtant fɔ fɛn am ɛn trit am kwik kwik wan.

Wetin na di sayn dɛm fɔ ``Abdominal Abscess''? Aw wi kin no am?

Di sayn dɛm kin difrɛn smɔl dipen pan usay di absεs de. Bɔt sɔm tin dɛn de we kin apin we pipul dɛn kin gɛt dis sik. Si if yu gɛt ɛni wan pan dɛn tin ya:

• Nyu pen, siriɔs, ɛn we nɔ de chenj: Dis pen kin apin na di ɔp pat na di bɛlɛ, di ɔnda bɛlɛ, di dɔŋ bak, di sholda, ɔ ivin na di chɛst.
• Fiva: Di men sayn na we yu gɛt ay fiva. Sɔntɛnde, di fiva kin kam wit kol ɛn shek shek.
• Anorexia: I nɔ kin want fɔ it igen.
• Nɔs ɛn vɔmit: Nɔs ɛn sɔntɛm fɔ vɔmit kin apin wit bɛlɛ we nɔ fayn.
• Fɔ lɔs yu wet we yu nɔ ɛksplen: If yu lɔs yu wet wantɛm wantɛm we yu nɔ de it ɔ ɛksesaiz, dat na sayn bak we yu fɔ wɔri bɔt.

Tink bɔt am, sɔntɛnde we wi gɛt smɔl bɛlɛ pen, wi kin tink se, "O, dis fɔ dɔn bi gas, ɔ sɔntin fɔ dɔn go bad." Bɔt if dis kayn pen kin kam wit fiva ɔr nɔr kin want fɔ it, nɔr jɔs dismis am as gas. Ɛspɛshali if di pen nɔ de chenj ɛn i de wɔs ɛvride, yu fɔ rili go to dɔktɔ.

Aw dɔktɔ kin no kɔrɛkt wan se yu gɛt ``Abdominal Abscess''? (Diagnosis) .

We yu go to dɔktɔ (`Healthcare Provider`) wit dɛn sik ya, i go aks yu fɔs bɔt yu simptom dɛm. Dɔn i go ɛgzamin yu (`Physical Examination`). pan tap dat, i go oda sεvεra tεst fכ kכnfכm if dis na ``Abdominal Abscess``.

• Blɔd tɛst: Dɛn kin yuz kɔmplit blɔd kɔnt (CBC) fɔ chɛk fɔ si if pɔsin gɛt di sik. If di wayt blɔd sɛl dɛn bɔku, na sayn fɔ se pɔsin gɛt di sik.
• Imej Test: Dɛn tin ya kin ɛp fɔ si ustɛm di sist de ɛn in saiz.
• Abdominal Ultrasound: Dis kin luk pan di כgan dεm εn di sist dεm we de insay di bכdi.
• Chɛst X-ray: Dis kin ɛp fɔ si if prɔblɛm de wit di dayafragm.
• CT Scan: CT skan fɔ di bɛlɛ ɛn di bɛlɛ na di tɛst we dɛn kin du pas ɔl ɛn we kɔrɛkt fɔ ɛp fɔ no dis sik. I kin sho di abses rili klia wan.
• MRI skan (Magnetic Resonance Imaging - MRI scan): Dis tεst kin nid bak pan sכm spεshal kes dεm.

Sɔntɛnde, di dɔktɔ kin nid fɔ tek smɔl sampul pan di pus ɛn tɛst am. dis dεn kכl am ``Fine Needle Aspiration''. Dɛn kin put smɔl nidul insay di abses ɛn pul smɔl pus ɛn sɛn am na lɛbɔtri fɔ no ustɛm baktiria de mek di sik. Dis kin ɛp fɔ no aw fɔ trit am.

Wetin na di tritmɛnt fɔ wan `(Abdominal Abscess)`? Yu tink se dɛn kin mɛn am?

Yes, `(Abdominal Abscess)` na wan sik we dɛn kin trit. Bɔt i nid fɔ trit am kwik ɛn di rayt we. Dɛn kin yuz tu men tritmɛnt dɛn togɛda:

1. Antibayɔtik: Dɛn kin gi dɛn mɛrɛsin ya fɔ kil di baktri dɛm we mek di sik. Dɛn kin bigin as mɛrɛsin we dɛn kin put insay di bɛlɛ (IV) ɛn afta dat dɛn kin chenj dɛn to mɛrɛsin we dɛn kin tek bay mɔt.

2. Drenage: Dis nɔ go ebul fɔ mɛn wit mɛrɛsin nɔmɔ. Di pus we dɔn gɛda nid fɔ drayn am. di mכst we dεn kin yus fכ dis na dεn kכl am Pεrkyutaεn Absεs Drεnεj (PAD).

Wetin na `(Pɛkyutan Absɛs Drenaj - PAD)`?

Dis kin tan lɛk se na big tin, bɔt dis na tritmɛnt we nɔ tu simpul ɛn we nɔ kin tek bɔku pipul dɛn.

wetin de apin ya na, di dכkta de luk pan wan `(CT scan)` כ `(Ultrasound scan)` εn put wan sכm sכm tכb (`Catheter` כ `Drain`) tru di skin (na dat i min `Percutaneous`) εksakכt usay di abses de. Dɔn dɛn kin kɔnɛkt di ɔda ɛnd pan da tiub de to wan smɔl bag. Dɔn di pus de flɔ smɔl smɔl dɔŋ di tiub ɛn gɛda insay di bag.

Yu go numb (local anesthesia) we yu de du dis. Dis min se yu go kɔnshɛns, bɔt di say we dɛn put di tiub go swɛt so dat yu nɔ go fil ɛni pen. Sɔntɛnde yu go gɛt fɔ kip di tiub ɛn bag na in ples fɔ sɔm dez, sɔm tɛm dɛn de fɔ wan wik, te ɔl di pus dɔn dray.

Dis `(PAD)` tritmɛnt kin mek kɔmplikeshɔn?

As wit eni mεdikal prosidכs, sכm chans de fכ sכm sכm kכmplikεshכn wit dis ``PAD'' prosidכs. Bɔt, dɛn tin ya nɔ kin bɔku.

• Blɔd: Smɔl blɔd kin kɔmɔt na di say we dɛn put di tiub.
• Pen: Afta di swɛt dɔn west, yu kin fil sɔm pen. Yu kin tek pen kil fɔ dat.
• Infεkshכn na di wund: sכmtεm di say we dεn put di tiub kin gεt infεkshכn.

If sɔntin lɛk dis apin, di dɔktɔ go gi yu di tritmɛnt we yu nid.

Wetin a kin ɛkspɛkt if a gɛt ``Abdominal Abscess''? Yu tink se i go wɛl kpatakpata?

Fɔ bɔku pipul dɛn, antibayɔtik ɛn PAD kin mɛn wan Abdominal Abscess ɔlmost kɔmplit wan. Yu go fil fayn smɔl smɔl. Yu fiva go go dɔŋ, yu pen go dɔn, ɛn yu go want fɔ it bak.

Bɔt mɔ tin de fɔ du. Wan Abdominal Abscess nɔ kin jɔs apin. Wan ɔndalayn kɔz kin de (e.g., Crohn’s disease, infɛkshɔn afta dɛn dɔn ɔpreshɔn am). Di tritmɛnt na fɔ pul di abses ɛn kɔntrol di infekshɔn, nɔto ɔltɛm fɔ pul di ɔndalayn kɔz. So, e fayn fɔ trit ɔr adrɛs di ɔndalayn kɔz bak.

Ustɛm a go nid fɔ go to dɔktɔ bak?

Ivin if yu fil fayn afta yu dɔn gɛt tritmɛnt, kip yu yay fɔ sɔm sayn dɛn. Fɔ ɛgzampul:

• If di fiva kam bak.
• If di bɛlɛ pen bigin bak ɛn kɔntinyu fɔ de.

If dɛn sayn ya kam bak, i kin min se ɔda abses dɔn fɔm. If na so i bi, go to dɔktɔ wantɛm wantɛm.

Ɛspɛshali if yu gɛt wan sik we de mek yu gɛt bɔku bɔku bɛlɛ, lɛk Crohn’s disease ɔ diverticulitis, tɔk to yu dɔktɔ bɔt us sayn dɛn yu fɔ wɔri bɔt mɔ. Da we de, yu go no se yu gɛt prɔblɛm ɛn gɛt tritmɛnt kwik kwik wan.

Fɔ tɔk smɔl, di impɔtant tin dɛn we yu fɔ mɛmba (Take-Home Message) .

Okay, so, frɔm wetin wi dɔn tɔk bɔt, na dɛn men pɔynt ya fɔ mɛmba:

• Abdominal Abscess na wan kכndyushכn we de divεlכp insay di bכdi.Wan bɔyl we ful-ɔp wit pus. Dis kin bi bikɔs ɔf baktriyal infɛkshɔn.
• Dis jos no go get beta. If dɛn nɔ trit am, i kin mek pɔsin in layf de pan denja, lɛk sepsis.
• If yu gɛt sɔm sayn dɛn lɛk bad bad bɛlɛ pen, fiva, nɔr kin want fɔ it, ɛn nɔs , nɔ jɔs ignore am. Go to dɔktɔ wantɛm wantɛm.
• Di tritmɛnt kin inklud ɔl tu di antibayɔtik ɛn drenaj .
• If yu gɛt tin dɛm wae kin mek yu gɛt dis sik lɛk Crohn’s disease, tek tɛm pasmak bɔt dis.

Mɛmba se na yu sabi yu bɔdi pas ɔlman. So if yu fil ɛnitin we nɔ kɔmɔn, i go fayn fɔ mek dɛn chɛk am. If yu trit am kwik, dat kin mek yu nɔ gɛt bɔku big big prɔblɛm dɛn.

Abdominal abscess, Abdominal abscess, Abdominal pen, Fiva, Tritmɛnt, Sɛpsis, Intestinal infɛkshɔn, Ɔpreshɔn na di bɛlɛ