Yu dɔn ɛva vɔmit blɔd wantɛm wantɛm? Ɔ yu stɔl dɔn tɔn blak ɛn stika wantɛm wantɛm? Dis na tin dɛn we de mek pɔsin fred ɛn we de mek pɔsin in nerv fɔ yɛri, nɔto so? Bɔt dis na di men sayn dɛm fɔ di rili denja kɔndishɔn we wi de tɔk bɔt tide we dɛn kɔl ‘Bleeding Varices’. Dis nɔto sɔntin we wi fɔ tek am natin, bikɔs i kin ivin mek pɔsin in layf de pan denja. So lɛ wi fɛn ɔda tin dɛn bɔt dis tide.
Fɔ tɔk am simpul wan, wetin na ‘varices’?
di vεrikos vein dεm de swεla εn big blכd vesel dεm na wi εsophagus כ bεlε. Imajin sɔm pipul dɛn leg wit blu, twist veins, nɔto so? Dis na sɔntin we tan lɛk dat. Bɔt dis kin apin insay wi bɔdi, insay di dijestiv trakt.
Dɛn vein ya we dɔn swel, ɔ varicose veins, nɔ kin sho ɛni sayn te dɛn bɔs ɛn bigin fɔ blɔd. Bɔku pipul dɛn nɔ ivin no se dɛn gɛt dɛn. Bɔt di prɔblɛm kin bigin we dɛn vein dɛn ya brok, bɔs, ɛn bigin fɔ blɔd. Na da tɛm de i kin bi wan rili siriɔs mɛdikal imejensi.
Wetin na di denja sayn dɛm fɔ blɔd we de kɔmɔt na di vayrɔs veins?
We pɔsin gɛt Bleeding Varices, dɛn fɔ no am wantɛm wantɛm. Na bikɔs ɛvri sɛkɔn impɔtant. Pe atɛnshɔn gud wan to di sayn dɛn we de dɔŋ ya.
| Di sayn we de sho se di sik de | Wetin dis min? |
|---|---|
| Blɔd we de vɔmit | Vein we swel na di sayn we klia pas ɔl fɔ sho se i dɔn bɔs. |
| Blak, tarry, stik stɔl dɛn | di bכdi we dכn pas na di כp pat na di dijestiv trakt de digεst εn kכmכt dis we. |
| Diziz pasmak ɛn fil lɛk se yu nɔ gɛt bɛtɛ trɛnk | Di blɔd prɛshɔn we de drɔp bikɔs bɔku blɔd de lɔs na di bɔdi. |
| Di at rit we de go ɔp | Di at kin bigin fɔ wok kwik kwik wan fɔ kɔmpɛns di blɔd we dɔn lɔs na di bɔdi. |
| Shok we i mek | Dis na wan sik we rili siriɔs. We pɔsin de blɔd pasmak, dat kin mek di ɔgan dɛn na di bɔdi nɔ gɛt bɛtɛ blɔd. |
If yu gɛt dɛn sik ya, nɔ de na os fɔ wan sɛkɔn. Go na ɔspitul in Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm. If dɛn nɔ kɔntrol di blɔd kwik kwik wan, pɔsin kin ivin day.
Ivin if di blɔd dɔn stɔp, siriɔs prɔblɛm dɛn lɛk nyumonia, sɛpsis, ɛn di liva ɛn kidni we nɔ de wok fayn kin apin.
Wetin mek dɛn vayrɔs vein ya kin fɔm ɛn blɔd? Wetin na di men tin we kin mek i apin?
di men rizin fכ dis na wan kכndyushכn we dεn kכl ‘Portal Hypertension’ . naw luk, di men bכdi we de kכri bכdi frכm wi dijestiv sistεm to di liva dεn kכl am di ‘Pכtal Vein’. ‘Pɔtal Haypatɛnshɔn’ na we di blɔd prɛshɔn insay dis vein de go ɔp pasmak bikɔs ɔf sɔm rizin.
Okay, so wetin mek dis prɛshɔn de go ɔp?
Di tin we kin mek dis apin mɔ na di sirosis na di liva, we min se di liva kin gɛt skata ɛn i kin at lɛk rɔk. Wi kin kɔl dis pan mɛrɛsin ‘Cirrhosis’ .
- Fɔ di wan dɛn we de drink rɔm pasmak.
- Pipul wae gɛt lɔng tɛm vayral infεkshɔn lɛk Epataytis B ɛn C.
- Sirosis kin apin pan sɔm pipul dɛm wae gɛt fat liva sik.
Imajin wetin kin apin we trafik jam na wan big rod? Di motoka dɛn kin tray fɔ go along di sayd rod dɛn, di smɔl smɔl grɔn rod dɛn, nɔto so? Na dat de apin na ya bak. we i at fכ di bכdi (mokכl dεm) fכ pas na di liva (di men rod), dat bכdi de tray fכ go tru di sכm sכm, dilik vein dεm (di sayd rod dεm) na di εsophagus εn bεlε.
Dɛn smɔl smɔl vein ya nɔ kin ebul fɔ handle dis bɔku blɔd ɛn dis bɔku prɛshɔn. Di rizin na dat di vein dɛn kin swel lɛk balyɔn, dɛn wɔl kin tan lɛk tin, ɛn leta dɛn kin bɔs ɛn blɔd bikɔs dɛn ivin vɛks smɔl.
Wetin na di tritmɛnt fɔ dis denja sik?
Fɔs, we dɛn admit am na ɔspitul, di fɔs gol fɔ dɔktɔ dɛn na fɔ stɔp di blɔd ɛn mek di pɔsin in layf stebul. Dis kin min fɔ kɔnɛkt dɛn to mashin fɔ blo fɔ mek blɔd nɔ go insay di lɔng, ɛn gi dɛn antibayɔtik fɔ mek dɛn nɔ gɛt blɔd pɔyzin.I gɛt fɔ gi am bak.
We dɛn dɔn kɔntrol di blɔd we de kɔmɔt, difrɛn we dɛn de fɔ mek i nɔ blɔd bak ɛn fɔ trit di vayrɔs vein dɛn.
| Di we aw dɛn kin trit am | Fɔ ɛksplen am simpul wan |
|---|---|
| Bandin we dɛn kin yuz fɔ mek band | wan gastroenterologist de yuz endoskop fכ go insay di εsophagus εn put sכm sכm rכba bεnd dεm rawnd di vein dεm we swel. Dis kin mek di blɔd nɔ flɔ ɛn mek di vein dɛn day. |
| Sklɛrotɛrapi | Insted fo put rכba band, dεn injekt wan spεshal sכlushכn we de klot di vein dεm we swel tru di εndoskop. |
| TIPS (Transjugular Intrahεpatik Pכtosistεmik Shunt) . | Dis na wan we fɔ du raydioloji. dεn de put kateshכn tru wan vein na di nεk εn dεn de put wan ‘stεnt’ (sכm sכm tכb) insay di sεntrכm fכ di liva. dis de kכnekt di hכy prεshכn pכtal vein wit nכmal vein, we de ridyus di prεshכn. |
| DSRS (Distal Splenorenal Shunt) we de mek yu gɛt di sik. | dis na כpεrayshכn we de involv fכ kכnekt di vein na di splin to di vein na di lεft kidni fכ ridyus di prεshכn pan di vεrikos vein dεm εn kכntrכl di bכdi we de bכn. |
| Liva Transplant we dɛn kin yuz | If di liva dɔn pwɛl kpatakpata ɛn di sik de na di las stej (ɛnd-stej liva sik), dis na di bɛst sɔlvishɔn. |
Yu tink se dɛn go ebul fɔ mek dis tin nɔ apin?
Na tru se i pɔsibul. Di bɛst we fɔ mek dis nɔ apin na fɔ trit di ɔndalayn kɔz fayn fayn wan, we na di liva sik.If dɛn no di liva sik kwik kwik wan ɛn bigin fɔ trit am, dɛn kin ebul fɔ mek dɛn nɔ gɛt dɛn vayrɔs vein dɛn ya bɔku tɛm.
- Nɔ drink rɔm kpatakpata. Dis na di men tin we kin mek pɔsin gɛt sirosis.
- Gɛt di rayt tritmɛnt fɔ Epataytis B ɛn C.
- Kɔntrol fat liva tru wan wɛlbɔdi it ɛn ɛksesaiz.
Dɔn bak, sɔm mɛrɛsin dɛn lɛk beta-blɔka fɔ at sik kin ɛp fɔ ridyus di risk fɔ blɔd bay we dɛn de ridyus di prɛshɔn na di pɔtal vein. I impɔtant fɔ tɔk bɔt ɔl dis wit yu dɔktɔ ɛn fala dɛn instrɔkshɔn dɛn gud gud wan.
Mɛsej we dɛn kin kɛr go na os
- Varices na di vein dεm we swel na di εsophagus כ di bεlε. Bɔrku tɛm, dɛn nɔr kin sho di sayn dɛm te dɛn bɔs ɛn blɔd.
- Fɔ vɔmit blɔd ɛn pas blak, tar stɔl na di siriɔs sayn dɛm. If yu si dɛn tin ya, go na ɔspitul in Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm.
- di men rizin fכ dis na wan kכndyushכn we dεn kכl Pɔtal Haypatεnshכn, we kin kam wit liva sik (especially cirrhosis).
- If yu nɔ drink pasmak ɛn trit yu liva sik fayn fayn wan, dat kin mek yu nɔ gɛt dis sik.
- If yu gɛt liva sik, go to yu dɔktɔ ɔltɛm ɛn fala di tritmɛnt ɛn tɛst dɛn we dɛn dɔn tɛl yu fɔ du.
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