Yu kin gɛt bad bad bɛlɛ pen wantɛm wantɛm bak? (Akyu Bɛlɛ) .

Yu dɔn ɛva gɛt bɛlɛ we nɔ go ebul fɔ bia? Sɔntɛnde, yu kin gɛt bɛlɛ we de at wantɛm wantɛm. Dɔktɔ dɛn kin kɔl dis sik "acute abdomen." Sɔntɛnde, i kin siriɔs ɛn i kin nid fɔ du ɔpreshɔn kwik kwik wan. So i impɔtant fɔ no bɔt dis.

Wetin rili na Akyu Abdominal Pen?

Fɔ tɔk am simpul wan, akyu bɛlɛ pen na wan bɛlɛ pen we kin apin wantɛm wantɛm ɛn we kin rili bad. Sɔntɛnde, dis kin bi imejensi we kin mek pɔsin in layf de pan denja. Dis min se yu go nid fɔ du ɔpreshɔn wantɛm wantɛm. Bɔt nɔto ɔl di akyu bɛlɛ pen dɛn nid fɔ ɔpreshɔn. Sɔm mɛrɛsin kin mek bak dis kayn pen.

Dɔktɔ dɛn kin yuz di wɔd "acute abdomen" fɔ tɔk bɔt dis kayn pen we kin kam wantɛm wantɛm na yu bɛlɛ. E min se yu nid fɔ no wetin de apin wantɛm wantɛm ɛn bigin fɔ trit yu if nid de.

Udat dɛn go mɔs afɛkt dis kayn tin?

Fɔ tru, dis bɛlɛ pen we kin apin wantɛm wantɛm kin apin to ɛnibɔdi . Bɔt di tin dɛn we kin mek yu gɛt dis sik kin difrɛn fɔ yu ej, if yu na man ɔ uman, ɛn ɔda sik dɛn we yu kin gɛt.

Tink bɔt am dis we:

• Apɛndiks na wan sik we kin apin to yɔŋ pipul dɛn we ol 18 ɛn 20 ia.
• Divɛrtikulayt na kɔmɔn tin fɔ pipul dɛm wae dɔn pas 60 ia.
• fכ uman, dis kayn pen we de kam wan wan kin apin sכmtεm bikoz di bεlε we de na di εktopik rכp.
• Man kin fil pen wantɛm wantɛm bikɔs ɔf di tɛstikul dɛn we de tɔn.

Dɔn bak, if yu gɛt mɛdikal histri, yu kin gɛt prɔblɛm dɛn bak na yu bɛlɛ lɛk dis.

Aw dis sik kin kɔmɔn?

I at fɔ tɔk ɛksaktɔli ɔmɔs pipul dɛn kin gɛt dis bɛlɛ pen we kin kam wantɛm wantɛm. Bɔt dɛn se na lɛk 7 to 10 pan ɛvri 100 pipul dɛn we kin kam na di imejensi dipatmɛnt kin gɛt bɛlɛ we kin at . So, dat de gi yu wan aidia bɔt aw dis kɔmɔn.

Wetin na di sayn dɛm fɔ akyu bɛlɛ pen?

Bɔku tɛm di men sayn na we yu bɛlɛ de at wantɛm wantɛm ɛn we yu nɔ go ebul fɔ bia . Bɔt ɔda sayn dɛn kin de bak. Dɛn tin ya na:

• Di bɛlɛ we dɔn bɔku: Dis min se di bɛlɛ dɔn swel pas aw i fɔ bi, lɛk balyɔn.
• Di sayn dɛm fɔ shok: Dis kin bi se yu at kin bit kwik kwik wan, yu blɔd prɛshɔn kin shɔt, yu kin swet, ɛn sɔntɛnde yu kin kɔnfyus. Dis na sayn we rili denja.
• Di sayn dɛm fɔ peritonitis:We di layn na wi bɛlɛ gɛt di sik (peritonitis), i kin gɛt pen we de kɔntinyu. Ɔ di pen kin bɔku we dɛn tɔch di bɛlɛ ɔ nak am sɔmsay.

If yu gɛt wan ɔr mɔr pan dɛn sik ya, nɔr tek am layt.

Wetin kin mek dis bɛlɛ pen wantɛm wantɛm (Acute Abdomen)?

Bɔrku difrɛn wɛl bɔdi prɔblɛm kin mek yu gɛt dis bɛlɛ pen wantɛm wantɛm. Sɔm pan dɛn tin ya kin bi bikɔs dɛn du ɔpreshɔn . Dat min se, i go mɔs bi se dɛn go nid ɔpreshɔn. Ɔda wan dɛn kin bi tin dɛn we nɔto ɔpreshɔn .

Rizin dɛn we mek dɛn kin nid fɔ du ɔpreshɔn

Dis kin min mɔ fɔ blɔd, infɛkshɔn, blɔd we de klɔt, intestinal blɔk, ɛn fɔdɔm.

1. Blɔd (Ɛmoraji) .

Ɛmoraji na we blɔd de lik kɔmɔt na di blɔd vesel bikɔs i dɔn pwɛl. Dis kin bi bikɔs ɔf:

• di εsophageal tear (Mallory-Weiss tear) .
• Wan bɛlɛ we de kɔmɔt na di bɛlɛ we dɔn brok
• Sɔm kayn aksidɛnt (Trauma) .
• Spleen we dɔn brok
• Ruptured abdominal aorta anεrizm

2. Infɛkshɔn dɛn

Difrɛn infɛkshɔn dɛn kin mek yu bɛlɛ pen wantɛm wantɛm:

• Apɛndiks - di apɛndiks we wi ɔl no
• Kɔlesistaytis we pɔsin kin gɛt
• Pɛptik ɔlsa sik (ɔlsa na bɛlɛ ɔ smɔl intestinal) .
• Akyu pankriaytis
• Infεkshכn na di pat dεm na di big intestinal (Diverticulitis) .

3. Blɔk we di blɔd de flɔ (Ischemia) .

Ischemia kin apin we di blɔd we de flɔ to wan pat na di bɔdi dɔn ridyus ɔ stɔp.

• Di sik we Buerger bin gɛt
• Inflameshɔn na di big intestinal (Colitis) .
• di bכdi we de blכk di bכdi we de gi di intestin dεm (mesenteric ischemia) .
• Strangulated hernia we dɛn dɔn strɛch
• Tɛstikul torshɔn

4. Di tin dɛn we de ambɔg am

Wan tin we de ambɔg na we sɔntin stɔp na di dijestiv trakt, we de mek di it ɛn wata we wi de it nɔ pas fayn fayn wan.

• Inflammatory bowel disease (IBD) we de mek pɔsin in bɔdi wam.
• Intussusception (intestinal invagineshɔn) .
• Smɔl bɔdi we de ambɔg
• Big big bɔdi we de ambɔg

5. Pɔrfɔreshɔn dɛn

dis na wetin kin apin we ol dεm fכm na di wכl dεm na wi bכdi in כgan dεm.

• di εsophageal rupture (Boerhaave in sindrom) .
• Pɔrfɔreshɔn na di bɛlɛ
• Ɔlsa na di bɛlɛ we gɛt pɔt
• Malrotation na di intestines

Rizin dɛn we kin mek bɔku tɛm i nɔ nid fɔ du ɔpreshɔn

Dɛn tin ya we kin mek pɔsin fil pen na in bɛlɛ nɔ kin nid ɔpreshɔn. Dɛn kin kam bikɔs ɔf di prɔblɛm dɛn we de na di ɛndokrin ɛn mɛtabolik, blɔd sik, ɛn pɔyzin ɔ mɛrɛsin.

1. Ɛndokrin ɛn mɛtabolik dizayd

Dis na tin dɛm we gɛt fɔ du wit di ɔmon, kemikal, ɛn gland dɛm (Endocrine system) na wi bɔdi.

• di yuria lεvεl we de go כp na di bכdi (Uremia) .
• Kεtoasidכsis we gɛt fɔ du wit dayabitis (DKA) .
• Di sik we Addison bin gɛt
• Akyu intamitɛnt pɔfyuria

2. Dizayd we de mek pɔsin gɛt blɔd

Dis na sik dɛn we gɛt fɔ du wit wi blɔd, di sɛl dɛn we de na wi blɔd, di limf no dɛn, bon mɛro, ɛn di blɔd pletlɛt dɛn.

• Siklɔs sik sik
• Akyu lukimiya
• Sɔm prɔblɛm dɛn we kin apin we pɔsin gɛt jɛnɛtiks
• Anemia we nɔ gɛt bɛtɛ blɔd

3. Pɔyzin dɛn

Sɔm mɛrɛsin, kemikal, ɛn pɔyzin we animal dɛn kin it kin mek bak in bɛlɛ at wantɛm wantɛm.

• Pɔyzin we gɛt lid
• Ɔda tin dɛn we dɛn kin drɔnk wit ebi ebi mɛtal
• Fɔ lɛf fɔ yuz nikotin
• Blak wido spaida bit pɔyzin
• Sɔm skɔpiɔn kin sting

Aw yu kin no dis sɔdɛn bɛlɛ pen (Acute Abdomen)?

If yu go na di imejensi rum (ETU) wit bad bad bɛlɛ pen, di dɔktɔ ɛn nɔs dɛn we de de go tray kwik kwik wan fɔ no wetin de mek yu fil am. Dɔktɔ go aks yu sɔm kwɛstyɔn dɛn:

• Yu mɛdikal histri: Yu bin dɔn gɛt GI prɔblɛm ɛn ɔda sik dɛn we yu bin dɔn gɛt.
• Jɔs usay di pen de: I kin at sɔmsay na di bɛlɛ.
• Tɛm we di pen bigin ɛn diskripshɔn fɔ di pen: Ustɛm i bigin ɛn us kayn pen na (a de pen, kɔt, swɛt).
• Wetin fɔ du fɔ mek di pen nɔ bɔku, ɛn wetin fɔ du fɔ mek i gɛt mɔ pen.
• Yu dɔn ɛva gɛt sayn dɛn lɛk dis bifo?
• Ɛni nyu tin dɛn de we dɛn kin du?
• Us mɛrɛsin (prɛskrishɔn ɛn nɔr prɛskrishɔn drɔgs) yu kin tek?
• Yu dɔn du ɛni ɔpreshɔn pan yu bɛlɛ bifo?
• Yu dɔn gɛt ɛni chenj dis biɛn tɛm pan yu bɔdi ɔ yu urinary abit?

Dɔn bak, dɛn go mɔs aks if yu gɛt bɛlɛ ɔ if i pɔsibul fɔ mek yu gɛt bɛlɛ.

Dɔn di dɔktɔ go du yu bɔdi ɛgzam, mɔ fɔ yu bɛlɛ. I go luk di skin na yu bɛlɛ fɔ ɛni abnɔmal tin we yu kin si. I go yuz stetɔskɔp fɔ lisin to di sawnd dɛn we yu insay de mek. Dɔn i go palpate yu bɛlɛ fɔ si ɛni tɛnd ɔ lump.

Di say we yu de fil kin ɛp yu dɔktɔ fɔ no wetin mek yu de fil pen. Fɔ ɛgzampul, yu kin fil akyu divɛrtikulayt pen na di lɛft say na yu bɛlɛ, we yu kin fil pen na di ɔp rayt say na yu bɛlɛ.

If dɛn tink se yu gɛt prɔblɛm wit di dijestiv ɔ prɔstat, dɛn kin du dijital rɛktal ɛgzam. If dɛn tink se uman gɛt prɔblɛm wit uman, dɛn kin du ɛgzam na di bɛlɛ. If dɛn tink se tɛstikul dɔn tɔn, dɛn kin du tɛstikul ɛgzam.

Bay di ansa dɛm to yu ansa to dɛn kwɛstyɔn ya ɛn wetin yu fɛn frɔm di bɔdi ɛgzam, di dɔktɔ kin gɛt aidia bɔt wetin de sik kin bi. Frɔm dat, i go disayd us tɛst fɔ no if pɔsin gɛt di sik.

Us kayn tɛst dɛn kin du fɔ dis?

Sɔntɛnde, if yu dɔktɔ ebul fɔ no klia wan wetin mek yu gɛt di sik, i kin ebul fɔ rifer yu dairekt to ɔpreshɔn we dɛn nɔ go du ɛni ɔda tɛst. Bɔt if yu nɔ shɔ bɔt di tin we mek yu gɛt dis sik, yu go nid fɔ mek dɛn du bɔku tɛst fɔ no if yu gɛt di sik. Di tɛst dɛm we yu go nid fɔ du go dipen pan wetin yu go fɛn we yu de du yu bɔdi ɛgzam ɛn di kɔndishɔn we yu tink se yu gɛt.

Blɔd ɛn urine tɛst (Laboratory test) kin inklud:

• Kɔmplit blɔd kɔnt (CBC) .
• Komprεhεnsiv mεtabolik panεl (CMP) .
• Atrial blɔd gas (ABG) tɛst
• Tɛst fɔ amylase
• Test fɔ di wok we di liva de du
• Test dɛn we di kidni de du
• Urinalysis we dɛn kin du

Di tɛst dɛn we dɛn kin du fɔ tek pikchɔ kin inklud:

• Ɔltrasɔund na di bɛlɛ
• Abdominal kɔmpyuta tomografi (CT skan) .
• Endoskopik ɔltra saund

Aw yu kin trit dis sɔdɛn bɛlɛ pen (Acute Abdomen)?

Di tritmɛnt kin difrɛn difrɛn wan dipen pan di tin we mek i gɛt am . Ilɛk wetin de mek yu gɛt dis sik, i impɔtant fɔ no di sik ɛn bigin fɔ trit am kwik kwik wan. If dɛn nid fɔ du ɔpreshɔn kwik kwik wan, di dɔktɔ go sɛn yu kwik kwik wan to dɔktɔ fɔ advays ɛn i kin ivin kɛr yu go na di say usay dɛn de du ɔpreshɔn.

If di tin we kin mek pɔsin fil pen wantɛm wantɛm na di bɛlɛ nɔto ɔpreshɔn, dɛn kin se dɛn fɔ du dɛn tritmɛnt ya:

• Stabiliz ɛn monitar yu impɔtant sayn dɛm.
• Fɔ gi di bɔdi di wata ɛn ilɛktrɔlayt dɛn we i nid.
• Gi brayt-spɛktrum antibayɔtiks.
• Gi tin dɛn we de mek pɔsin nɔ fil pen.
• Gi anti-emetics fɔ ridyus di vɔmit ɛn nɔs.

Wetin kin apin if a gɛt bɛlɛ pen wantɛm wantɛm (Acute Abdomen)?

Yu prɔgnosis de dipen pan wetin de mek yu gɛt di sik. Di kwik we yu gɛt tritmɛnt, na di mɔ yu go gɛt chans fɔ wɛl.

If dɛn nɔ trit di bɛlɛ pen wantɛm wantɛm, denja prɔblɛm dɛn kin apin. Dɛn tin ya na:

• abnכmal kכnεkshכn bitwin pat dεm na di bכdi we nכ fכ kכnekt to wan an (Fistula).
• Nekrɔsis na yu bɔdi.
• Blɔd pɔyzin (Sepsis).
• Ivin day kin apin.

So, if yu gɛt bɛlɛ pen wantɛm wantɛm, nɔ ɛva ignore am. Di bɛst tin fɔ du na fɔ go to dɔktɔ wantɛm wantɛm.

A kin mek a nɔ gɛt dis bɛlɛ pen we kin kam wantɛm wantɛm (Acute Abdomen)?

Bikɔs bɔku tin dɛn de we kin mek pɔsin fil pen na in bɛlɛ wantɛm wantɛm, i nɔ kin izi fɔ mek wi nɔ gɛt ɔl dɛn tin ya. Bɔt yu kin ridyus dis prɔblɛm if yu fala di we aw yu de liv fayn layf . Dat min se:

• Fɔ it tin dɛn we gɛt balans.
• Fɔ du ɛksasaiz ɔltɛm.
• Go fɔ chɛk-ap ɔltɛm fɔ di dɔktɔ dɛn.
• Fɔ lɛf fɔ smok.

Ustɛm a fɔ go to dɔktɔ?

If yu gɛt bɛlɛ pen we nɔ de dɔn, we min pen we dɔn de fɔ sɔm wiks ɛn i nɔ tan lɛk se i de bɛtɛ, yu fɔ rili go to dɔktɔ. Bɔku tin dɛn de we kin mek pɔsin gɛt bɛlɛ pen. Dɔktɔ kin no bɔt yu sik ɛn tɛl yu fɔ gi yu di rayt tritmɛnt.

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

If yu gɛt bad bad bɛlɛ pen wantɛm wantɛm, kɔl 911 (1990 na Sri Lanka) wantɛm wantɛm, ɔ go na di imejensi rum we de nia yu. Dis kin bi tin wae kin mek pɔrsin in layf de pan denja, so i impɔtant fɔ gɛt tritmɛnt kwik kwik wan.

Us kwɛstyɔn dɛn a fɔ aks mi dɔktɔ?

If yu gɛt bɛlɛ pen wantɛm wantɛm, yu kin aks yu dɔktɔ dɛn kwɛstyɔn ya:

• Wetin mek a bin gɛt dis bɛlɛ we bin de at wantɛm wantɛm?
• A go nid ɔda tritmɛnt?
• Wetin a go du fɔ mek sɔntin lɛk dis nɔ apin igen?
• Wetin na di difrɛns bitwin akyu bɛlɛ pen ɛn di bɛlɛ pen we nɔ de dɔn?

Klose to ɔlman kin gɛt bɛlɛ pen sɔm tɛm na dɛn layf. Bɔrku tɛm, i nɔr kin siriɔs ɛn i go go fɔ insɛf. Bɔt, we yu de fil pen bad bad wan na yu bɛlɛ, dat kin bi sayn fɔ se yu gɛt ɛnitin fɔ du wit yu mɛrɛsin. If yu gɛt bad bad bɛlɛ pen wantɛm wantɛm, i impɔtant fɔ go na di imejensi rum wantɛm wantɛm. Dis we ya, dɔktɔ dɛn kin no wetin mek yu de fil pen ɛn bigin fɔ trit yu wantɛm wantɛm. If dɛn nɔ trit am, di akyu bɛlɛ pen kin mek i gɛt siriɔs prɔblɛm dɛn.

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

We yu bɛlɛ pen wantɛm wantɛm ɛn i nɔ kin ɛva bi sɔntin we yu nɔ fɔ pe atɛnshɔn to . Sɔm siriɔs tin kin de we kin mek i apin. So, if yu ɔ pɔsin we yu sabi gɛt bad bad bɛlɛ pen wantɛm wantɛm, go to dɔktɔ wantɛm wantɛm . If pɔsin gɛt tritmɛnt kwik kwik wan, dat kin sev pɔsin in layf. If yu liv fayn layf, dat kin ɛp bak fɔ protɛkt yu frɔm dɛn tin ya te to sɔm mak. Di tin we pas ɔl na fɔ kia fɔ yu bɔdi ɛn pe atɛnshɔn to ɛnitin we nɔ kɔmɔn.

` Bɛlɛ pen, bɛlɛ pen wantɛm wantɛm, bɛlɛ de at, ɔpreshɔn, ɔspitul, bɛlɛ simptom, Akyu Bɛlɛ