Yu dɔn ɛva gɛt bɛlɛ we de at ɔ fil se yu ful-ɔp afta yu dɔn ɔpreshɔn yu bɛlɛ, ivin afta sɔm ia? Sɔntɛnde, di rizin fɔ dis nɔ kin bi wetin yu tink. Tide wi de tɔk bɔt wan kɔndishɔn we dɛn kɔl ‘adhesions’ we bɔku pipul dɛn nɔ no bɔt, bɔt we kin apin bɔku tɛm afta dɛn dɔn ɔpreshɔn am.
Wetin na dɛn bɛlɛ adheshon ya?
Fɔ tɔk am simpul wan, dɛn wan ya na band dɛn we gɛt skata we de mek bitwin di ɔgan dɛn we de insay yu bɛlɛ. Jɔs lɛk aw ska de fɔm we wi skin wund, dis na ska tisu we de fɔm as injuri de wɛl insay di bɛlɛ, mɔ afta dɛn dɔn ɔpreshɔn am. dis adheshon dεm kin mek di כgan dεm we de insay di bכdi stik togeda.
Bɔku tɛm dɛn adheshon ya kin de bitwin di lɔp dɛn na yu smɔl intestinal. Dɛn kin fɔm bak bitwin ɔda ɔgan na yu bɛlɛ ɛn di bɛlɛ wɔl.
We wi se di ɔgan dɛn we de insay wi bɛlɛ, yu kin tink bɔt:
- dijestiv sistεm (bεlε, intestines) .
- di כgan dεm na di uman riprodaktiv sistεm
- Kidni dɛn
- Liva
- Pankrias we de na di bɔdi
- Spleen we de na di bɔdi
adheshon kin fכm bitwin eni wan pan dεn כgan dεm ya. Dɛn kin ivin apin bikɔs dɛn de manipul di ɔgan dɛn we dɛn de du ɔpreshɔn. Infakt, dis na tin we kin apin we di bɔdi kin wɛl.
Aw kɔmɔn dɛn adheshon ya kin bi?
Dɛn adheshon ya na di sayd ɛfɛkt we kin apin we dɛn du ɔpreshɔn pan di bɛlɛ. Infakt, bɔku pipul dɛn we dɛn dɔn ɔpreshɔn dɛn bɛlɛ kin gɛt dɛn kayn adhesion ya. Bɔt di gud nyus na dat, bɔrku pipul nɔr kin gɛt ɛni sayn ɛn nɔr nid tritmɛnt.
Bɔt di impɔtant tin fɔ mɛmba na dat, dɛn adheshon ya na di men tin we kin mek di smɔl smɔl bɔdi nɔ ebul fɔ waka. Smɔl bɔdi we nɔ de ambɔg na siriɔs sik we nid fɔ gɛt mɛrɛsin kwik kwik wan.
Us sayn dɛm kin apin if adheshon de?
Bɔrku tɛm, adheshon nɔr kin kɔz ɛni simptom. Bɔt sɔntɛnde, dɛn adheshon ya kin mek wi intestinal dɛn twist ɛn blok, lɛk wata paip. Dis kin apin jɔs afta di ɔpreshɔn ɔ sɔm ia afta dat. we di intestכn dεm blok dis we, it, wata, briz, εn west nכ kin pas.
Dɔn yu kin gɛt sayn dɛn lɛk dis:
| Di sayn we de sho se di sik de | Tɔk bɔt |
|---|---|
| Bɛlɛ we de at bad bad wan | Wan pen we pɔsin kin fil wantɛm wantɛm, we pɔsin nɔ kin ebul fɔ bia. |
| Bɛlɛ we de kramp | I de at lɛk se dɛn de rip mi bɛlɛ. |
| Fɔ blo | Di bɛlɛ kin fil lɛk se i dɔn swel bad bad wan ɛn i kin tayt. |
| Nɔs ɛn vɔmit | Nɔs ɛn vɔmit ɔltɛm. |
| Nɔ pas gas ɔ stɔl | Nɔ ebul fɔ pas di briz ɔ fɔ pul dɔti. Dɛn kin kɔl dis bak kɔnstipɛshɔn. |
If yu gɛt ɛni wan pan dɛn sik ya, nɔ west tɛm ɛn go na di ɔspitul Imejɛnsi Dipatmɛnt (ETU) we de nia yu wantɛm wantɛm. Dis na imejensi we kin mek pɔsin in layf de pan denja.
Wetin mek dɛn adheshon ya kin apin? Wetin na di tin dɛn we kin mek i apin?
We di tisu dɛn we de insay di bɛlɛ dɔn pwɛl, wi bɔdi kin bigin fɔ mɛn am. As pat pan dis hεlin prכsεs, dis ska tisu כ adheshon dεm de fכm.
Di men tin we kin mek pɔsin adhesion na ɔpreshɔn na di bɛlɛ. כpεrayshכn de mek 75% pan כl di adheshon dεm we dεn no. Apat frɔm dat, dɛn kin kam bikɔs ɔf ɛni injuri, sik, ɔ tritmɛnt we kin mek di bɛlɛ inflamɛns.
Sɔm ɔda rizin dɛn na:
- Infεkshכn dεm na di bכdi כ di bכdi.
- Apɛndiks sik.
- Di sik we dɛn kɔl Crohn in sik.
- Endometriosis we de mek pɔsin gɛt sik.
- Pεlvik inflammatory sik (PID).
- Radiation therapy to di bɛlɛ fɔ kansa.
- Pɛritonial dayalaysis na tritmɛnt fɔ di kidni we nɔ de wok fayn.
Udat de pan big risk fɔ gɛt dɛn tin ya?
Di big risk na fɔ di wan dɛn we dɛn dɔn du ɔpreshɔn pan dɛn bɛlɛ, mɔ:
- Open surgery (Laparotomy): Dis na ɔpreshɔn we dɛn kin du tru wan big say we dɛn kɔt di bɛlɛ. Mɔ pas 90% pan di pipul dɛm wae gɛt dis kayn ɔpreshɔn kin gɛt adheshon.
- Laparoskɔpik ɔpreshɔn:Bikɔs dis kin min fɔ mek dɛn kɔt sɔm smɔl smɔl say dɛn, di risk fɔ mek dɛn adheshon kin smɔl smɔl.
- כpεrayshכn dεm we dεn du pan di lכw pat pan di dijestiv sistεm (kכlon, rεktum).
- If yu dɔn du bɔku ɔpreshɔn pan yu bɛlɛ.
- Imejɛnsi ɔpreshɔn we dɛn kin du.
Us kɔmplikɛshɔn kin apin bikɔs ɔf di adheshon?
Bɔrku tɛm, di adheshon nɔr kin kɔz prɔblɛm, bɔt if i kin kam, i kin bi siriɔs.
- Smɔl bɔdi we de ambɔg: Ska tisu kin mek di intestinal dɛn twist ɛn blok. If dɛn nɔ trit am wantɛm wantɛm, wan siriɔs infɛkshɔn we dɛn kɔl peritonitis kin kam, we kin mek pɔsin in layf de pan denja.
- Pen we nɔ de dɔn: Di adheshon dɛn de mek di ɔgan dɛn nɔ de muv fri wan, we kin mek yu gɛt pen we nɔ de dɔn na di bɛlɛ ɔ di bɛlɛ.
- Infεtiliti: di adheshon kin mek di eg εn di sεl dεm nכ mit. if adheshon dεm fכm insay di uterus, fεtilayz eg (embryo) nכ kin implant insay di uterus. dεn adheshon dεm ya we de fכm insay di uterus dεn kכl dεm bak Asherman’s syndrome .
Aw dɔktɔ kin fɛn dis?
Yu dɔktɔ go aks yu bɔt yu sik ɛn mɛdikal histri. Yu dɔktɔ kin tink se yu gɛt adheshon, mɔ if yu dɔn gɛt bɛlɛ pen ɛn yu bin dɔn du ɔpreshɔn pan yu bɛlɛ bifo.
Di impɔtant tin na dat dɛn nɔ kin si dɛn adheshon ya dairekt pan ɛkstrem rayt ɔ CT skan. Bɔt if dɛn adheshon ya dɔn mek di intestinal ɔbstrukshɔn, dɛn kin no am pan dɛn skan ya.
- X-ray ɛn CT skan: Dɛn tin ya kin sho se di smɔl intestin dɔn blok. CT skan kin ɛp fɔ no aw di tin we dɔn blok bad bad wan.
- Hysterosalpingogram (HSG): dεn kin du dis tεst fכ chεk fכ blכk na di uterus כ di fallopian tכb dεm.
כlsay, di onli we fכ no fכ 100% sכri if yu gεt adheshon na fכ du כpεrayshכn.
A nid fɔ trit dis?
Bɔrku adheshon nɔr kin gɛt ɛni sayn ɛn nɔr nid tritmɛnt.
Ɛn wan ɔda tin de. If yu gɛt ɔda ɔpreshɔn fɔ pul di tin dɛn we de adheshon, i kin mek nyu adheshon dɛn fɔm. Dis na disizhɔn we rili izi fɔ disayd. Dɔktɔ we de du ɔpreshɔn kin kɔt ɛn separet di tisu we dɔn stɔp. Bɔt we dɛn dɔn du di ɔpreshɔn, no we nɔ de fɔ mek di tisu nɔ stik togɛda bak.
So, yu dɔktɔ go jɔs tɛl yu fɔ du ɔpreshɔn if siriɔs prɔblɛm de wit yu bɔdi, lɛk we yu bɔdi nɔ ebul fɔ waka. Dɔn bak, if di adheshon dɛn de mek i nɔ izi fɔ bɔn pikin, dɛn go du ɔpreshɔn fɔ pul di adhesions.
Yu tink se dɛn atɛshɔn ya go ɛva go? Yu tink se i nɔ go ebul fɔ avɔyd?
Sɔm adhesion kin wɛl fɔ dɛnsɛf as tɛm de go. If dɛn nɔ de mek prɔblɛm, bɔku tɛm dɔktɔ dɛn nɔ kin pul dɛn.
Bɔt pan ɔl we risk de fɔ mek i adhesion mɔ, sɔntɛnde i kin nid fɔ du ɔpreshɔn. Yu dɔktɔ go ɛksplen to yu di gud ɛn bad tin dɛn we pɔsin kin du we i du ɔpreshɔn, i go dipen pan di sayn dɛn we yu gɛt.
Natin nɔ rili de we yu ɔ yu dɔktɔ we de du ɔpreshɔn go du fɔ mek yu nɔ adhesion. Bɔt, laparoskopik ɔpreshɔn kin gɛt smɔl risk fɔ adhesion bikɔs di say dɛn we dɛn kɔt kin smɔl. Na dat mek bɔku dɔktɔ dɛn we de du ɔpreshɔn naw de pik fɔ du ɔpreshɔn wit laparoskopik pas fɔ ɔpreshɔn we dɛn de opin.
Mɛsej we dɛn kin kɛr go na os
- Abdominal adhesions na tin we rili kɔmɔn ɛn nɔmal afta dɛn dɔn ɔpreshɔn di bɛlɛ. Fɔ bɔku pipul dɛn, dɛn nɔ kin kɔz ɛni prɔblɛm.
- Bɔt if yu gɛt sɔm sayn dɛn lɛk bad bad bɛlɛ pen, vɔmit, blo, ɔ i nɔ izi fɔ pas gas ɔ stɔl, i kin bi se yu bɔdi nɔ de ambɔg yu bɔdi. Dis na imejensi ɛn yu fɔ go na di ɔspitul in Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm.
- כpεrayshכn fכ pul di adheshon dεm kin mek bak nyu adheshon dεm fכm. So, if i nid fɔ du ɔpreshɔn ɔ i nɔ nid fɔ du am, na sɔntin we yu fɔ tɔk to yu dɔktɔ ɛn disayd.
- Laparoskopik ɔpreshɔn kin ridyus smɔl di risk fɔ adhesion pas opin ɔpreshɔn (laparotomy).
- If yu gɛt pen we yu nɔ ɛksplen afta yu dɔn ɔpreshɔn yu bɛlɛ, tɔk to yu dɔktɔ bɔt am.
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