Yu tink se we pɔsin de prɛs mɔ insay di bɛlɛ, dat kin mek i denja? (Abdominal Compartment Syndrome) Lɛ wi lan bɔt am jɔs!

Wi ɔl no bɔt bɛlɛ we de at, blo, ɛn ɔda sayn dɛm. Pan ɔl we dɛn tin ya kin apin, yu dɔn ɛva yɛri bɔt wan sik we di prɛshɔn we de insay di bɛlɛ kin go ɔp sote i kin pwɛl di impɔtant pat dɛn ɛn ivin mek yu layf de pan denja? Na dat dɔktɔ dɛn kin kɔl wan siriɔs sik we dɛn kɔl ``Abdominal Compartment Syndrome.'' Di nem kin tan lɛk se i kɔmplikt smɔl, bɔt lɛ wi kip am simpul. Fɔ no bɔt dɛn tin ya kin rili impɔtant to yu ɛn di wan dɛn we yu lɛk.

Wetin na di sik we dɛn kɔl Abdominal Compartment Syndrome?

Fɔ tɔk am simpul wan, ``Abdominal Compartment Syndrome`` na mɛdikal imejensi . I kin apin we di prɛshɔn we de insay wi bɛlɛ, ɔ di bɛlɛ pas di say we i kin ol. Imajin wetin go apin if wi blo tumɔs briz insay balyɔn? Semweso, we di prɛshɔn we de insay di bɛlɛ go ɔp bikɔs i de swel, blɔd de kɔmɔt, ɔ ɔda tin dɛn, impɔtant pat dɛn lɛk wi insay, liva, ɛn kidni dɛn kin bigin fɔ swɛt.

nכmal wan, di prεshכn insay di bכdi fכ hεlty pכsin de bitwin 0 εn 5 milimita mεkkyuri (mmHg). Bɔt pan di wan dɛn we sik bad bad wan we de na di intensiv kia yunit, dis valyu kin bi bitwin 5 ɛn 7 mmHg. Na we dis prɛshɔn de bɔku na in prɔblɛm kin bigin:

• Intra-abdominal hypertension (IAH): insay dis, di prεshכn de bitwin 12 εn 20 mmHg.
• Abdominal Compartment Syndrome (ACS): Na dis say de sik kin bi denja. di prεshכn de inkrεs to mכr dan 20 mmHg.

dis ay prεshכn de mek di כgan dεm εn mכsul dεm we de insay di bכdi nכ de gεt inof bכdi. Na di sem tɛm, di ɔksijɛn we de gi am bak kin ridyus. dis kin mek wan כgan de fεil afta di כda wan (multi-organ failure). If dɛn nɔ no dis ɛn dɛn nɔ trit am insay di rayt tɛm, di pɔsin we sik kin day. So, dis na sik wae dɛn fɔ no ɛn trit kwik kwik wan .

Yu tink se dis tin we kin apin kin apin?

Nɔ, `(Abdominal Compartment Syndrome)` na rili wan sik we nɔ kin apin so ɔltɛm . I kin afɛkt pipul dɛn mɔ na ɔspitul, mɔ na di intensiv kia yunit `(ICU),` we dɔn ɔlrɛdi gɛt siriɔs mɛdikal kɔndishɔn. E nɔr kin izi fɔ pɔrsin wae de liv nɔrmal, wɛl bɔdi layf fɔ gɛt am.

Wetin kin mek yu gɛt Abdominal Compartment Syndrome?

difrεn rizin dεm de we mek di prεshכn we de insay di bכdi kin bi denja hכy. Di men wan dɛn na we blɔd de kɔmɔt ɔ we de swel pasmak na di bɛlɛ. Lɛ wi tek tɛm luk wetin na dɛn kɔndishɔn ya:

• Bɔku ɔpreshɔn na yu bɛlɛ: Sɔntɛnde, yu kin swel insay yu bɛlɛ afta yu dɔn du big ɔpreshɔn.
• Infεkshכn na yu bεlε:Siriv infεkshכn kin mek bak yu blɔd prεshכn ay.
• Intestinal obstruction: If di intestinal blok sɔmsay, i kin mek di prɛshɔn bak go ɔp.
• Bɔku bɔku wata fɔ IV (fluid resuscitation): We dɛn de du sɔm ɔpreshɔn, ɔ if dɛn gɛt siriɔs infɛkshɔn lɛk sɛpsis, dɛn nid fɔ gi di bɔdi bɔku impɔtant wata. dis kin mek di prεshכn na di bכdi bכku sכmtεm.
• Big big bɔn: Dis kכndyushכn kin apin bak biכs di bכdi in rεspכns we big εria na di bכdi bכn.
• Bɔku bɔku blɔd transfyushɔn: Dis prɔblɛm kin de ivin we dɛn transfyuz bɔku blɔd wan tɛm.
• Pankriaytis: Dis na ɔda tin we kin mek di bɛlɛ prɛshɔn go ɔp.
• Rupture of an abdominal aortic aneurysm: Di aorta na di men blɔd vesel we de kɛr blɔd frɔm wi at tru di chɛst to di bɛlɛ. if bulge (aneurysm) de divεlכp na wan pat pan dis abdominal atεri εn i rכp, i kin mek bכku bכku bכku bכku bכku bכku wan εn inkrεs prεshכn insay di bכdi.
• Trauma to yu bɛlɛ: Dis sik kin apin if yu bɛlɛ dɔn pwɛl bad bad wan, lɛk we yu gɛt motoka aksidɛnt ɔ we yu fɔdɔm.

Wetin na di sayn dɛm fɔ `(Abdominal Compartment Syndrome)`?

Na ya di denja de. di simptom dεm fכ ``Abdominal Compartment Syndrome'' kin apin let , afta sכm damej dכn apin. Na dat mek dɔktɔ ɛn nɔs wokman dɛn de wach di sik pipul dɛn we de pan denja fɔ dis sik gud gud wan.

Na sɔm pan di kwaliti dɛn we pɔsin kin no:

• Di bɛlɛ we de pwɛl: Di bɛlɛ kin fil lɛk se i dɔn blo ɛn i at .
• Bɛlɛ pen: Di pɔsin kin fil shap pen na in bɛlɛ.
• I nɔ izi fɔ blo: We di prɛshɔn na di bɛlɛ go ɔp, i kin afɛkt di chɛst bak, we kin mek i nɔ izi fɔ blo.
• Lɔw blɔd prɛshɔn (haypotension): Lɔw blɔd prɛshɔn na wan sayn bak fɔ dis.
• di urine we de kכmכt dכn (oliguria): biכs fכ di impak pan di kidni dεm, di כmכnt fכ urine we dεn prodyuz kin dכn bכku bכku wan.

Aw dɔktɔ dɛn kin kɔnfirm dis?

Pɔsin wae gɛt ``Abdominal Compartment Syndrome`` kin gɛt sɔm kayn sik lɛk:

• Lɔw blɔd prɛshɔn.
• Low urine autput.
• If yu kɔnɛkt to ventilatɔ, in prɛshɔn valyu dɛn kin go ɔp.

Bɔt dɛn nɔ go ebul fɔ yuz dɛn sik ya nɔmɔ fɔ no if pɔsin gɛt ACS. di onli we fכ difinitivli no dis kכndyushכn na fכ mεzj intra-abdominal prεshכn.Dɔktɔ go jɔs tɔk se yu gɛt ACS if dis prɛshɔn pas 20 mmHg ɛn sayn dɛn de fɔ se di ɔgan dɛn nɔ de wok fayn.

di men we aw dεn de yuz naw fכ mכsu intra-abdominal prεshכn na fכ mכsu di blad prεshכn . Fɔ tɔk am simpul wan, na dis we dɛn kin du am:

1. Fɔs, dɛn kin put wan tint we kin chenj (kateta) insay di blad. Dis kin bi tru di urethra.

2. Dɔn dɛn kin pas dis tiub (kateta) insay di blad.

3. Naw, dɛn dɔn kɔnɛkt wan bag we gɛt wata to dis tiub.

4. Yuz sirinj, dεn injekt sכm pan di wata insay di blad.

5. Fɔ dɔn, dɛn kin mɛzhɔ da prɛshɔn de.

Di mɛdikal tim kin ripit dis tɛst wan wan tɛm fɔ si if di sik de bɛtɛ ɔ i de wɔs.

Apat frɔm dat, yu dɔktɔ kin du sɔm ɔda tɛst dɛn bak fɔ si if yu ɔgan dɛn de wok fayn. Fɔ ɛgzampul:

• Blɔd tɛst: Dɛn tin ya kin no aw difrɛn kemikal ɛn gas dɛn de na di bɔdi. Fɔ ɛgzampul, wan kriaytinin kliarens tɛst kin gi yu aidia bɔt aw yu kidni dɛn de wok fayn.
• Imej tɛst: Dɛn tin ya kin tek pikchɔ fɔ di insay pat pan yu bɛlɛ. Fɔ ɛgzampul, dɛn kin du CT skan ɔ ɔltrasɔund na di bɛlɛ.
• כksijεn satεrayshכn mεzhɔmεnt: Dis na fכ put sכmtin lεk simpul klip pan yu finga fכ chεk if yu bכdi de gεt inof כksijεn.

Aw dɛn kin trit di Abdominal Compartment Syndrome?

Di tritmɛnt we go wok pas ɔl fɔ dis sik na we dɛn de du ɔpreshɔn fɔ pul di kɔmpreshɔn. Wan dɔktɔ we de du ɔpreshɔn kin du wan spɛshal tin we dɛn kɔl dikɔmpreshɔn laparotomi. Dis min se dɛn fɔ kɔt di skin ɛn di bɛlɛ wɔl, opin di bɛlɛ, ɛn pul di prɛshɔn we pasmak insay .

di prεshכn we de insay di bכdi go bigin fכ dכn insay fכ awa afta dεn du di כpεrayshכn. Bɔt i kin tek sɔm dez fɔ mek di prɛshɔn kam bak lɛk aw i bin de. Te da tɛm de, di wund we dɛn du di ɔpreshɔn nɔ go lɔk ɔl. Sɔm sik pipul dɛn kin nid fɔ du dis ɔpreshɔn we de ridyus di prɛshɔn bak.

Yu nɔ tink se dɛn go ebul fɔ stɔp dis tin?

Bifo i rili go bifo to di stej we na `(Abdominal Compartment Syndrome - ACS)`, dat na we intra-abdominal hypertension (IAH) de, yu kin tray fɔ manej di kɔndishɔn we yu nɔ du ɔpreshɔn. Dɛn tritmɛnt ya we nɔto ɔspitul kin ɛp fɔ stɔp `(IAH)` fɔ go bifo to `(ACS)`. Dɛn kayn tritmɛnt ya na:

• Chenj di bɔdi pozishɔn: Fɔ put di pɔsin na say we nɔ go mek i nɔ gɛt bɔku prɛshɔn ɛn mek i fil fayn.
• Diuretics: Dɛn mɛrɛsin ya kin ɛp fɔ pul di wata we pasmak na di bɔdi.
• Fɔ pul wata na di bɛlɛ tru wan tiub.
• ɛmti di insay: Dis kin mek di prɛshɔn we de insay di bɛlɛ nɔ bɔku ɛn mek mɔ ples.
• Fɔ gi mɛrɛsin fɔ mek pɔsin fil pen.
• Fɔ stɔp di wata we dɛn kin gi di bɔdi.

Aw di rεkכvεshכn rεt fכ di sik pipul dεm we gεt ``Abdominal Compartment Syndrome''?

Dis na pɔynt we rili impɔtant. If dɛn nɔ trit ``Abdominal Compartment Syndrome'' fayn, i kin kil pɔsin. Bikɔs, as di prɛshɔn we de insay di bɛlɛ de kɔntinyu fɔ go ɔp, wan bay wan di ɔgan dɛn kin bigin fɔ wok. Dɔn bak, if dɛn delay fɔ no di sik ɛn tritmɛnt, di chans fɔ mek i wɛl bak kin ridyus.

Bɔt if dɛn no di sik kwik kwik wan ɛn bigin fɔ trit am kwik, i pɔsibul fɔ mek dɛn wɛl ɔltogɛda frɔm di Abdominal Compartment Syndrome.

Bɔt i kin tek sɔm wiks, ivin sɔm mɔnt fɔ di ɔndalayn mɛdikal kɔndishɔn we mek di ACS sɔlv. Insay da tɛm de, di pɔsin we sik kin nid fɔ:

• Dialysis tritmɛnt fɔ du di wok we di kidni dɛn de du.
• Lɔng tɛm inpatient tritmɛnt na di ɔspitul.
• Fluid ristrikshɔn ɔ diuretiks.
• Kɔntinyu fɔ wach aw di at de wok.
• Wan atifishal respirashon mashin (mεkanikal ventilashכn) fכ εp fכ brith.

Abdominal Compartment Syndrome na wan mεdikal imejensi wae kin apun pan pipul dεm wae sik bad bad wan. Na wan sik we di swel ɛn prɛshɔn insay di bɛlɛ kin rich di say we denja. I impɔtant fɔ no di sik kwik kwik wan ɛn fɔ trit am fɔ mek i nɔ gɛt siriɔs prɔblɛm ɛn mek i nɔ day.

Di tin dɛn we impɔtant pas ɔl fɔ mɛmba (Take-Home Message) .

Okay, so naw yu gɛt bɛtɛ aidia bɔt wetin wi bin de tɔk bɔt, Abdominal Compartment Syndrome. Pan ɔl we dis na siriɔs sik, i impɔtant fɔ no bɔt am.

• Akyu intra-abdominal prεshכn (ACS) na imejensi kכndyushכn we de kכz fכ pasmak intra-abdominal prεshכn. Dis kin pwɛl di ɔgan dɛn.
• Pan ɔl we dis nɔ kin apin so ɔltɛm , i kin apin to di wan dɛn we de na say dɛn we dɛn kin kia fɔ pipul dɛn we sik bad bad wan.
• Fɔ no di sik kwik kwik wan, fɔ mɛzhɔ blɔd prɛshɔn, fɔ no if yu gɛt di sik, ɛn fɔ bigin tritmɛnt kwik kwik wan, dat kin sev yu layf. Di men tritmɛnt na ɔspitul dikɔmpreshɔn.
• (IAH) , we min se di prεshכn de εlevεt sכm bכt i nכ siriכs lεk ``(ACS)``, dεn kin mεnεj am we dεn nכ du כpεrayshכn.
• Fɔ wɛl kin dipen pan aw dɛn kin bigin fɔ trit am kwik kwik wan.

Wi op se dis infɔmeshɔn go ɛp yu. If pɔsin we yu sabi de na say usay dɛn de kia fɔ pipul dɛn we sik bad bad wan, dis no go ɛp yu fɔ ɔndastand we dɔktɔ dɛn de tɔk bɔt dɛn sik ya. Ɔltɛm fala yu dɔktɔ in instrɔkshɔn ɛn aks yu dɔktɔ if yu gɛt ɛni kwɛstyɔn.

`Abdominal compartment syndrome, abdominal pressure, intra-abdominal hypertension, ɔpreshɔn, intensiv kia yunit, ɔgan we nɔ de wok fayn, mɛdikal imejensi