Sɔntin de we tan lɛk lump na di bɛlɛ? (Abdominal Mass) Mek wi tok abaut dis!

Sɔntɛnde yu kin fil sɔntin we strenj, lɛk smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl. Ɔ dɔktɔ kin si sɔntin lɛk dat we yu de chɛk yu. Na nɔmal tin fɔ mek yu fred smɔl we yu yɛri sɔntin lɛk dis, nɔto so? Bɔt nɔ wɔri, bikɔs nɔto ɔl di lumps na di bɛlɛ denja. Lɛ wi tɔk mɔ bɔt dis.

Wetin na bɛlɛ mas?

Fɔ tɔk am simpul wan, ‘Abdominal Mass’ na abnɔmal growth ɔ lump we de fɔm insay yu bɛlɛ, dat na insay yu bɛlɛ. Dɛn tin ya kin kam difrɛn we dɛn. Sɔm na jɔs sist, ɛn ɔda wan dɛn na tumbu we kansa kin mek. Ɔda sik dɛn kin mek dɛn gɛt dɛn lumps ya bak.

Di impɔtant tin na dat nɔto ɔl di bɛlɛ tumbu dɛn denja . Sɔm nɔ de du bad ɛn jɔs de gro (benign). Bɔt, sɔm kin mek dɛn layf de pan denja. So, if yu fil se yu gɛt lump ɔ tumbu na yu bɛlɛ, i rili impɔtant fɔ sho am to dɔktɔ fɔ no ustɛm i bi.

dis tכmכro dεm kin divεlכp εnisay na di bכdi. Fɔ ɛgzampul:

• Na di ɔp rayt pat na di bɛlɛ.
• Na di rayt pat we de dɔŋ na di bɛlɛ.
• Na di ɔp pat na di lɛft pat na di bɛlɛ.
• Na di ɔda pat we de dɔŋ na di lɛft pat na di bɛlɛ.
• כnda di rib kεj, na di midul pan di bεlε (epigastric rijyכn).
• na di εria we de rawnd di כmbiliks (periumbilical rijyכn).
• sכmtεm i kin ivin fכm na di כta wכl na di bεlε (sכbkutan εn mכsul wכl).

Sɔntin yu nɔ plan! If yu gɛt wan smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl . I kin bi aortic aneurysm, we na bulge na di wɔl na yu big blɔd vesel (aorta). If dis brok, i kin mek yu blɔd kɔmɔt insay yu bɔdi ɛn i kin mek yu layf de pan denja. Dis na imejensi.

Wetin na di sayn dɛm we de sho se pɔsin gɛt bɛlɛ?

If yu gɛt di sik ɔ yu nɔ gɛt di sik, i kin dipen pan bɔku tin dɛn. Dɛn tin ya na wetin mek di tumbu de, di kayn, di sayz, ɛn usay di tumbu de. I sɔprayz fɔ no se sɔntɛnde dɔktɔ kin fɛn tumbu lɛk dis bifo yu gɛt ɛni sayn, jɔs we yu de chɛk yu ɔltɛm.

Bɔt if di sik dɛn we de sho se na di bɛlɛ tɔmɔs, dɛn kin gɛt:

• Pɔsin we de fil pen na di bɛlɛ.
• Blɔd we de na di urine (hematuria).
• Banbɛlɛ.
• Rɔnbɛlɛ.
• Filin fɔ ful-ɔp ɛn ebi na yu bɛlɛ.
• Fiva.
• Nɔs ɛn vɔmit.
• Blɔd we de kɔmɔt na di rɛktɔ.
• Swel ɔ tεnd na di say we di tכmכro de.
• We yu de chenj yu wet we yu nɔ ɛksplen (we yu de lɔs ɔ gɛt mɔ wet fɔ natin).

Wetin na di tin dɛn we kin mek pɔsin gɛt ɔlsa na di bɛlɛ?

Difrɛn kayn wɛlbɔdi prɔblɛm kin mek yu gɛt ɔlsa na yu bɛlɛ. Lɛ wi tek tɛm luk di men tin dɛn we kin mek wi gɛt dis sik.

Di kayn Sis dɛn we dɛn kin gɛt

Sist na sak dεm we fulכp wit wata כ pus. Dɛn kin fɔm ɛnisay na di bɔdi. Dɛn kin si sist na di bɛlɛ lɛk dɛn wan ya:

• ovarian sist - Dis na sist dεm we de fכm na di ovaria dεm fכ uman dεm.
• Pankrias sist dɛn.
• pankrias pseudocyst - dis nכto tru tru sist dεm, bכt dεn de fכm bay we di wata we de kכmכt na di pankrias.
• di inklushכn na di pεritoneal - di pεritoneal na di mεmbran we de layn di bכdi kכva. Sist dεm we de fכm na dis εria.
• Seroma (fluid akyumyuleshכn) afta di כpεrayshכn.

Kansa

Bɔt i sɔri fɔ no se sɔm bɛlɛ tumbu kin bi kansa. Na sɔm kayn kansa dɛn ya:

• Kansa na di kɔlon.
• Kansa we de na di ɛndometrial.
• Kansa na di gal blad.
• Kidni kansa.
• Kansa na di liva.
• Kansa na di nεv sεstem (Nyuroblastoma) - spεshal wan dεn kin si am pan yכŋ pikin dεm.
• Bɛlɛ kansa.
• Sarkoma we de na di uterin.
• wan spɛshal kayn kansa we de apin na di dijestiv trakt (Gastrointestinal stromal tumor - GIST).

Ɔda tin dɛn we kin apin to pɔsin we sik

Apat frɔm kansa ɛn kɔmɔn sist, difrɛn ɔda mɛrɛsin dɛn kin mek yu bɛlɛ gɛt tumbu. Sɔm ɛgzampul dɛn na:

• Abdominal aortic aneurysm - di imejensi we wi bin tɔk bɔt bifo tɛm.
• Crohn in sik - na wan krεse sik we de mek di digεstiv trakt de inflammatory kכndyushכn.
• Divεrtikulayt - Inflamεshכn fכ di sכm sכm paus dεm na di big intestin.
• Liva we dɔn big (Hepatomegaly).
• Spleen we dɔn big.
• Inflameshɔn na di gal blad (Cholecystitis).
• Hydronephrosis (di kidni dɛn kin swel bikɔs ɔf di urine).
• di uterin fibroid - dis kin bi se dεn nכ kin gεt kεnsar.

Wetin na di prɔblɛm dɛn we kin apin we pɔsin gɛt bɛlɛ?

tכmכro na di bכdi kin prεs pan כda כgan dεm we de rawnd am, we kin mek i gεt kכmכn kכmplikεshכn dεm lεk:

• Pen.
• De swɛl.
• Fɔ blo.
• Di it nɔ de te.

pan tap dat, כda komplikashכn dεm kin apin dipכnt pan di כndalayn kכz fכ di tכmכro. Fɔ ɛgzampul, wan tumbu we di sik we dɛn kɔl Crohn kin mek kin mek di intestinal blok. di fibroid dεm na di uterin kin mek di uterin bכdi bכku bכku wan we nכ nכmal.

Aw yu go no if yu gɛt tumbu na yu bɛlɛ?

We yu go to dɔktɔ, i go du fɔs fɔ chɛk yu bɔdi. I go aks bɔt di sik dɛn we yu bin gɛt trade, di sik dɛn we yu famili gɛt, ɛn di sayn dɛn we yu gɛt naw.

Dɔn, di dɔktɔ go mek yu ledɔm na bed ɛn palpate yu bɛlɛ. Dis go ɛp am fɔ si if lump de ɛnisay na yu bɛlɛ, if ɛni ɔgan dɔn swel, ɔ if i de at we yu tɔch am.

If di dɔktɔ kin fil dis mas we i fil am na yu bɛlɛ, wi kin kɔl am ‘palpable abdominal mass.’ ‘Palpable’ min se yu kin fil am ɔ tɔch am.

Tεst dεm fכ no di bεlε tכmכro dεm

Afta dɛn dɔn chɛk di bɔdi, di dɔktɔ go nid fɔ du sɔm ɔda tɛst dɛn fɔ no mɔ. Dɛn tɛst ya na:

• Angiogram - I de egzamin di bכdi vεsul dεm fכ si if eni blכk de na di at dεm.
• Blɔd tɛst - Chɛk di ɔmon lɛvɛl ɛn chɛk fɔ infɛkshɔn insay di bɔdi.
• Kolonoskopi ɔ Ɔpa Ɛndoskopi - dɛn kin put wan tiub we gɛt kamɛra fɔ luk insay di dijestiv trakt.
• imej tεst - fכ egzampl, bכdi εks-ray, CT skan (kכmpyuta tomografi skan) כ MRI skan (magnεtik rεsכnans imej).
• transvaginal ultrasound - na ultrasound tεst we dεn kin du tru di vagina fכ luk fכ tכmכro dεm na di uterus fכ uman dεm.
• Urinalysis - Chεk fכ eni abnכmaliti na di urinary sistεm.

Wetin na di tritmɛnt fɔ bɛlɛ tumbu?

Di tritmɛnt fɔ bɛlɛ tɔmɔs de dipen pan di ɔndalayn kɔz fɔ di tɔmɔs. Di dɔktɔ go tray fɔ trit di sik we de ɔnda am.

Di tritmɛnt dɛn we yu kin pik fɔ gɛt bɛlɛ tɔmɔs kin bi:

• Mɛrɛsin fɔ trit di ɔndalayn kɔndishɔn.
• Ɔpreshɔn fɔ pul wan tumbu we de na di bɛlɛ.
• Kimotɛrapi ɔ redyushɔn tɛrapi fɔ mek di tɔŋ smɔl (bɔku tɛm bifo dɛn du di ɔpreshɔn).
• If yu nɔ gɛt ɛni tritmɛnt, fɔ wach di tumbu gud gud wan fɔ si if i de chenj as tɛm de go (Sɔvɛlayshɔn ɔ wachful wet).

Wetin wi go tink bɔt dis tin we de apin? (Autluk) .

Di ɔltin we go apin to yu go dipen pan wetin mek di tumbu de. Sɔm bɛlɛ tɔmɔs, lɛk sɔm kayn sist, nɔ kin nid ɛni tritmɛnt. Bɔt ɔda bɛlɛ tumbu dɛn lɛk kansa kin nid spɛshal tritmɛnt. Dis kin inklud ɔpreshɔn, kemotɛrapi, ɔ redyushɔn tɛrapi.

Wit dis kayn bɔku bɔku skil dɛm, trɔst yu dɔktɔ. I kin no di sik we yu gɛt kɔrɛkt wan ɛn mek wan tritmɛnt plan we go fayn fɔ yu.

Yu tink se dɛn kin mek pɔsin nɔ gɛt ɔlsa na di bɛlɛ?

Nɔto ɔltɛm i pɔsibul fɔ mek yu nɔ gɛt ɔlsa na yu bɛlɛ. Bikɔs sɔntɛnde wi nɔ kin ivin no if risk de. Sɔm tin dɛn kin apin fɔ no rizin.

De bɛst tin wae yu kin du na fɔ trit ɛn kɔntrol ɛni ɔndalayn kɔndishɔn wae yu kin gɛt. I impɔtant bak fɔ go to dɔktɔ ɔltɛm fɔ chɛk-ap ɔltɛm.

Ustɛm a fɔ go to dɔktɔ?

If yu gɛt sɔm sayn dɛn we gɛt tumbu na yu bɛlɛ, lɛk we yu bɛlɛ de pen, we yu nɔ bin de tink se yu go gɛt bɔku bɔku bɔdi, ɔ we yu chenj yu bɔdi, mek apɔntinmɛnt fɔ go to dɔktɔ wantɛm wantɛm . If yu fil ɛnitin "out of the ordinary," tɛl yu dɔktɔ. I kin rɔn tɛst fɔ no wetin de mek yu gɛt di sik.

Ustɛm yu fɔ go na Imejɛnsi Tritmɛnt Yunit (ETU) ?

If yu gɛt ɛni wan pan dɛn sik ya, kɔl 911 (1990 Suwaseriya Ambulance Service in Sri Lanka) ɔ go na di ɔspitul imejensi rum we de nia yu:

• Bɛlɛ pen bad bad wan.
• If di tumbu we de na di bɛlɛ fil lɛk se i de pul, lɛk we at de bit.

Dis na sik wae nid fɔ go to dɔktɔ kwik kwik wan. Dɛn sayn ya kin sho se yu gɛt aortic aneurysm, we na bulge na yu big blɔd vesel (aorta). If dis bulge brok, i kin mek pɔsin in layf de pan denja.

Us kwɛstyɔn dɛn yu fɔ aks di dɔktɔ?

We yu dɔn no se yu gɛt bɛlɛ tumbu, yu kin aks yu dɔktɔ kwɛstyɔn dɛn lɛk dɛn wan ya:

• Us kayn tumbu a gɛt?
• Na dis kansa? Ɔ i nɔ gɛt kansa?
• Us kayn tritmɛnt a nid?
• Yu tink se a go nid ɔpreshɔn? If na so i bi, aw kwik?
• A nid kemotɛrapi ɔ redyushɔn tɛrapi fɔ mek di tumbu smɔl?
• Aw lɔng mi tritmɛnt go las?
• Wetin kin apin if a nɔ gɛt ɛni tritmɛnt?
• Wetin yu gɛt fɔ se bɔt mi diagnosis as a whole?

Na nɔmal tin fɔ fil fɔ shɔk ɛn fred we yu yɛri di wɔd dɛm "mas" ɛn "diagnosis" togɛda. If kwɛstyɔn dɛn lɛk "Us kayn mas na?", "A gɛt kansa?", "Dis de mek pɔsin in layf de pan denja?" de ron tru yu maind, yu no de yu wan. Yu dɔktɔ go ɛp yu fɔ no wetin mek yu de gɛt dɛn sik ya, us kayn mas yu gɛt, ɛn us tritmɛnt dɛn go ɛp yu.

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

If yu fil sɔntin we nɔ kɔmɔn na yu bɛlɛ, lɛk fɔ gɛt smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl. Go to dɔktɔ wantɛm wantɛm. Pan ɔl we nɔto ɔl di bɛlɛ lumps kin denja, i fayn fɔ no gud gud wan wetin i bi ɛn bigin fɔ trit am kwik kwik wan, if nid de. Mɛmba se, di mɔ we dɛn no di sik kwik kwik wan, na di mɔ i go izi fɔ mek dɛn trit am fayn. Tek kia ɔf yu wɛl bɔdi ɛn nɔr frayd fɔ tɔk to dɔktɔ.

` Bɛlɛ tumor, bɛlɛ tumor, bɛlɛ kansa, bɛlɛ prɔblɛm, bɛlɛ pen, simptom, tritmɛnt