Yu dɔn ɛva gɛt rili bad bɛlɛ pen, rayt dɔŋ yu ɔp rib, jɔs afta yu it it we gɛt fat? Sɔntɛm, i bin de kam wit nɔys, i bin so bad dat yu nɔ bin ivin ebul fɔ muf. Dis na wetin bɔku pipul dɛn kin jɔs kɔl ‘galston pen.’ Na mɛrɛsin, wi kin kɔl dis kɔndishɔn Biliary Colic. Na nɔr rili sik, bɔt na sayn fɔ wan ɔndalayn kɔndishɔn. So tide, lɛ wi tɔk bɔt am.
Wetin na Biliary Colic?
Fɔ tɔk am simpul wan, Biliary Colic na wan tɛmporari, siriɔs bɛlɛ pen we kin kam wit sɔntin we de blok yu biliary tract - dat na, yu gal blad ɛn bayl dakt. Imajin wan smɔl ston we stɔp na wata paip. We wi opin di pɔt, di wata prɛshɔn de go ɔp ɛn mek bɔku prɛshɔn biɛn di blɔk, nɔto so? Na dat de apin ya.
Bayl, we na wata we wi liva de mek, kin de na di gal blad fɔ sɔm tɛm. We wi de it it, mɔ di it dɛn we gɛt fat, i de travul tru di bayl dakt dɛn ɛn go insay di smɔl intestinal. Dis kin ɛp fɔ mek di fat dɛn we de na di bɔdi digest. Galston na di men tin we kin mek dis apin. We ston stɔp na di bayl dakt ɔ usay i kɔmɔt na di gal blad, di prɛshɔn kin go ɔp as di gal blad de kɔntrakt, ɛn dis kin mek pɔsin fil bad bad wan.
Wetin na di kayn ɛn usay dis pen kin de?
biliary colic pen difrɛn smɔl frɔm ɔda bɛlɛ pen. I gɛt sɔm kwaliti dɛn.
| Nature of pen | Na jɔs wan diskripshɔn |
|---|---|
| Episodik we de apin | Di pen kin bigin wantɛm wantɛm, i kin rich di mak, dɔn i kin dɔn kpatakpata insay sɔm awa. I nɔ kin las fɔ sɔm dez wan tɛm. |
| Nɔ taya | Dis min se di pen nɔ de kam ɛn go insay wef. Wae de pen bigin, e kin de di sem for sɔm awa wae nɔr de go ɔp ɔr smɔl. |
| Siriɔs | Bɔku pipul dɛn kin tɔk se na shap pen we pɔsin kin chuk, lɛk naif, twist, ɔ shap pen. Sɔm pipul dɛn kin si am so bad dat dɛn nɔ kin ivin ebul fɔ tinap stret. |
Usay yu de fil di pen?
Bɔku tɛm, dɛn kin fil di pen na di ɔp rayt say na di bɛlɛ, jɔs dɔŋ di rib dɛn. Na de di gal blad de. Sɔmtɛm, de pen kin pas to di rayt sholda ɔr bak.
Ɔda sayn dɛm wae kin kam wit de kɔf
Biliary Colic pen kin kam wit dɛn sayn ya:
- Nɔs ɛn vɔmit
- Di bɛlɛ we de mek pɔsin fil fayn
- Fɔ swet pasmak (Swetin) .
Difrεns bitwin Biliary Colic εn כda siriכs kכndyushכn dεm
if di pen we di biliary colic de fil nכ sכbכt insay fכ awa, i kin bi wan mכr siriכs kכndyushכn lεk kolεsistaytis (inflamεshכn fכ di gal blad) כ cholangitis (inflamεshכn fכ di bayl dakt dεm). I impɔtant fɔ no di difrɛns bitwin dɛn tin ya.
| Pozishɔn | Men tin dɛn we de insay de | Impɔtant pɔynt dɛn |
|---|---|---|
| Biliary Kolik we de mek pɔsin gɛt sik | Siriɔs pen (we de ridyus insay sɔm awa), nɔs. | Fiva nɔ de. Di pen na fɔ shɔt tɛm nɔmɔ. |
| Kɔlesistaytis (inflameshɔn na di gal blad) . | Kɔntinyu fɔ gɛt siriɔs pen, fiva , ɛn at bit kwik kwik wan. | Dis kin bi bikɔs ɔf infekshɔn na di gal blad. I nid fɔ go to dɔktɔ wantɛm wantɛm. |
| Cholangitis (inflameshɔn na di bayl dakt dɛn) . | Rayt bɛlɛ pen, fiva, ɛn janda - we min se di yay ɛn di skin de yɔlɔ. | Dis na infεkshכn na di bayl dakt dεm. Na wan sik we kin rili apin kwik kwik wan ɛn we rili siriɔs. |
De tin wae impɔtant pas ɔl na, if yu pen de te pas 5-6 awa, ɔr if yu gɛt sɔm kayn sik lɛk fiva, kol, ɛn yu yay we de yɔlɔ, go na ɔspitul in Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm.
Wetin kin mek dis apin?
As wi bin dɔn tɔk, di men tin we kin mek pɔsin gɛt di sik na galston , bɔt ɔda tin dɛn kin de bak we kin mek i sik.
- Galston: Dis na di kɔz insay 90% pan di kes dɛm. Ston kin stɔp fɔ sɔm tɛm na wan bayl dakt, ɛn dis kin mek i gɛt mɔ prɛshɔn ɛn pen. Di pen kin go we di ston de muv rawnd ɔ we di gal blad stɔp fɔ kɔntrakt.
- biliary Stricture: Ilɛksɛf na frɔm ɔpreshɔn we dɛn bin dɔn du bifo ɔ wan inflammatory kɔndishɔn we dɔn te, di bayl dakt dɛn kin gɛt skata ɛn smɔl, we kin mek di bayl nɔ flɔ.
- Biliary Dyskinesia: Sɔntɛnde di gal blad nɔ kin kɔntrakt fayn, ɔ di sphincter na Oddi nɔ kin opin fayn. Dɛn prɔblɛm ya kin mek bak di bayl bɔku ɛn mek di prɛshɔn go ɔp.
Wetin na di tritmɛnt dɛm fɔ dis?
We yu go to dɔktɔ, i go chɛk yu ɛn du tɛst dɛn lɛk ɔltra saund skan fɔ no di rayt tin we mek yu du dis. Di tritmɛnt go dipen pan di tin we mek di sik ɛn aw i siriɔs.
1. Pein kil: Dɛn kin gi pen kil lɛk NSAID (Nonsteroidal anti-inflammatory drugs) fɔ kɔntrol pen.
2. Meal Plan: I rili impɔtant fɔ avɔyd it dɛn we gɛt bɔku ɔyl ɛn fat (fried it, fat mit, dairy fud, chiz, bɔta) . Bikɔs dɛn it ya kin mek di gal blad kɔntrakt. If yu ridyus dɛn tin ya, dɛn kin kɔntrol di pen we de kam bak to bɔku bɔku wan.
3. Mεdikeshכn dεm we de sכlv ston: dεn de gi mεdikeshכn lεk Ursodeoxycholic acid fכ sכlv sכm sכm sכm kכlestכl ston dεm. Bɔt, dis nɔ fayn fɔ ɔlman.
4. Ɛndoskopi/ERCP: If ston stɔp na bayl dakt, dɛn kin yuz wan we we dɛn kɔl ERCP (Endoscopic Retrograde Cholangiopancreatography) fɔ pul di ston bay we dɛn put wan tiub wit kamɛra tru di mɔt ɛn pas spɛshal inschrumɛnt dɛn tru am.
5. Ɔpreshɔn: If di men tin we kin mek pɔsin gɛt biliary colic na galston, ɛn dis kɔndishɔn kam bak, di bɛst ɛn fɔ ɔltɛm sɔlv naKɔlesistɛktɔmi we dɛn kin pul. Naw dɛn kin du dis bɔku tɛm tru wan ɔpreshɔn we dɛn kin du na di kihol we dɛn kɔl laparoskopik ɔpreshɔn. Dis kin mek di skata nɔ bɔku ɛn i kin wɛl kwik kwik wan. I nɔto prɔblɛm fɔ liv nɔmal wan we yu nɔ gɛt gal blad.
Mɛsej we dɛn kin kɛr go na os
- Biliary Colic na wan bad bad pen we de apin wan wan tɛm na di ɔp rayt say na di bɛlɛ. Bɔku tɛm, i kin apin afta yu dɔn it tin dɛn we gɛt fat.
- Dis na wɔnin sayn fɔ wan ɔndalayn kɔndishɔn, lɛk gal ston, so nɔ ɛva ignore am.
- If di pen kɔntinyu fɔ pas sɔm awa, ɔ if sɔm sayn dɛn lɛk fiva ɔ janda de kam, go na ɔspitul in Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm.
- Ivin if di pen dɔn stɔp, mek shɔ se yu go to dɔktɔ fɔ no wetin mek i de fil ɛn fɔ gɛt di rayt tritmɛnt.
- If dɛn trit am fayn, dɛn kin wɛl dis sik kpatakpata ɛn dɛn kin avɔyd siriɔs prɔblɛm dɛn.
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