Yu dɔn ɛva gɛt bad bad bɛlɛ pen we yu kin blo bad bad wan ɛn yu kin fil lɛk yu nɔs? If yu nɔ want fɔ it bak ɔ yu fil se yu dɔn dray ɛn yu bɔdi wik, dɛn tin ya kin bi wɔnin sayn fɔ wan siriɔs sik we dɛn kɔl Bowel Obstruction . We dɛn kayn tin ya kin apin, tɛm rili impɔtant. Lɛ wi brok dis kɔndishɔn insay simpul wɔd dɛn we izi fɔ ɔndastand.
Wetin na Bowel Obstruction?
Fɔ tɔk am simpul wan, di bɔdi we de ambɔg yu bɔdi kin apin we yu smɔl intestinal ɔ big intestinal dɔn blok sɔm pat pan am ɔ kɔmplit wan. Nɔmal wan, afta it dɔn kɔmɔt na yu bɛlɛ, i kin travul tru yu insay usay di tin dɛn we de insay yu bɔdi kin tek di tin dɛn we yu nid, ɛn leta di dɔti kin pas kɔmɔt na di bɔdi. We dis rod blok, it, wata, ɛn gas nɔ kin ebul fɔ pas, ɛn dis kin mek dɛn bɔku.
Tink bɔt am lɛk wan gadin hos we dɔn lɔk; di wata nכ kin fכ fכlכ tru εn i kin bigin fכ bכku biεn di blכk.
dis akyumyuleshכn kin pwεl di dilik tisu dεm na di intestin εn stכp di nכmal dijestiv fכnshכn, we kin mek i gεt kכmplikεshכn dεm we de mek i day. Dis na di rizin we mek, if yu notis dɛn sayn ya, yu fɔ go to dɔktɔ wantɛm wantɛm na di dipatmɛnt we de ɛp pipul dɛn fɔ gɛt prɔblɛm.
Di kayn we aw pɔsin kin ambɔg di bɔdi
Dɔktɔ dɛn kin klas di tin dɛn we de ambɔg di bɔdi bay usay di blɔk de apin:
- Smɔl bɔdi we de ambɔg di bɔdi: na lɛk 80% pan ɔl di tin dɛn we de ambɔg di bɔdi kin apin ya. di sכmכl intestin de kכnekt di bεlε to di big intestכn, we de ple di praymar rol fכ digεst εn di nyutriεnt absכpshכn.
- Big Bɔwel Obstruction: Dis inklud yu kɔlon ɛn rɛktum . Pan ɔl we dis eria de kɔntinyu fɔ tek wata, di men wok we i de du na fɔ tɔn dɔti to stɔl. arawnd 20% pan di tin dεm we de ambɔg kin apin ya.
Dɛn kin kategoriz di tin dɛn we de ambɔg bak bay aw dɛn tan:
- Kɔmplit Obstrukshɔn: Di bɔdi dɔn blok ful wan, we de mek ɛnitin nɔ pas.
- Pat pan di tin we de ambɔg: di bכdi de כnli sכmtεm כ blכk pat pan am, we de mek sכm mεtirial pas.
- Pseudo-obstruction: Dis na wan spɛshal kes wae de simptom de sho lɛk se yu bɔdi blok, bɔt nɔr de. Sayɛnsman dɛn biliv se i kin bi bikɔs ɔf nyurolɔjik prɔblɛm, pan ɔl we dɛn de du mɔ risach.
Aw Kɔmɔn Na di Bɔwel Obstrɔkshɔn?
Smɔl bɔdi we de ambɔg na wan rizin we kin mek pɔsin go na di imejensi dipatmɛnt (ED).
Pan ɔl we big bɔdi we de ambɔg nɔ kin bɔku na di jenɛral pipul dɛn, i kin apin to di wan dɛn we gɛt kɔlorektal kansa. Infakt, lɛk 40% pan di wan dɛn we gɛt kɔlon kansa kin fɔs no we dɛn rich na di imejensi rum wit di sayn dɛn we de sho se dɛn gɛt bɔdi we nɔ de wok fayn bikɔs ɔf wan tumbu.
Simptom dɛm fɔ wan Smɔl Bɔwel Obstrukshɔn
Yu kin gɛt shap pen na yu bɛlɛ we tan lɛk wef we kin kam ɛn go, ɛn leta i kin bi ɔltɛm. Yu kin notis wan ɔ mɔ pan dɛn tin ya:
- Bɛlɛ pen , kramp, ɔ blo .
- Nɔs ɛn vɔmit .
- I nɔ kin want fɔ it igen .
- Wikɛdnɛs na yu bɔdi ( Malaise ) – na jɛnɛral filin fɔ nɔr wɛl.
- Rɔnbɛlɛ(bɔku tɛm na sayn fɔ wan pat we de ambɔg).
- Sayn dɛm fɔ mek yu nɔ gɛt wata na yu bɔdi, lɛk fɔ mek yu at bit kwik kwik wan ɔ yu de urine we gɛt dak kɔlɔ.
- Siriɔs kɔnstipɛshɔn (insay wan kɔmplit ɔbstrɔkshɔn, yu nɔ go ebul fɔ pas gas ɔ stɔl).
Wetin bɔt insay pikin dɛn?
Pikin dɛn kin gɛt di sem kayn sik, bɔt dɛn nɔ kin ebul fɔ tɔk usay i de at. Bebi dɛn kin pul dɛn leg dɛn ɔp to dɛn bɛlɛ we dɛn de kray. Ɔda sayn dɛn we pikin dɛn kin gɛt na:
- Fiva.
- Blɔd we de kɔmɔt na di rɛktɔ .
- Grin ɔ yɔlɔ-tin we de vɔmit.
- Letargy ɔ ridyus aktiviti lɛvɛl.
- Wan bɛlɛ we yu kin si we dɔn opin ɛn we strɔng.
Aw pɔsin kin fil lɛk we pɔsin in bɔdi nɔ ebul fɔ waka?
di sens dεm kin difrεn dipכnt pan di say εn di kayn we aw di blכk de siriכs. Jɛnɛral wan, if yu bɔdi nɔ ebul fɔ waka, yu kin fil lɛk se yu bɛlɛ de kramp bad bad wan. Insay di smɔl intestinal, di pen kin kam insay wev ɛvri sɔm minit. Di pen we de ambɔg di big bɔdi kin fil mɔ ɔltɛm ɛn i kin skata ɔlsay na di bɛlɛ.
I nɔ mata usay yu de, if yu gɛt bad bad bɛlɛ kramp, blo, ɔ vɔmit, duya go to dɔktɔ to dɔktɔ wantɛm wantɛm.
A kin Stil Pas Stɔl wit Bɔwel Obstrɔkshɔn?
I pɔsibul, i go dipen pan di say we i de ɛn aw i siriɔs. Fɔ ɛgzampul, if sɔm pat pan di tin we de ambɔg yu, yu kin stil pas sɔm stɔl pan ɔl we i nɔ kin izi fɔ yu. Bɔt if yu nɔ ebul fɔ pas ɔltin, yu nɔ go ebul fɔ pas stɔl ɔ gas.
Wetin De Mek di Bɔwel Ɔbstrukshɔn?
Di men tin dɛn we kin mek pɔsin gɛt dis sik na:
- Abdominal Adhesions (Scar tissue): If yu dɔn du ɔpreshɔn pan yu bɛlɛ ɔ yu bɛlɛ bifo, dilikɛt ska tisu kin fɔm. dis kin akt lεk bכnd dεm we de pul pat dεm na di bכdi tכgeda, we kin mek i blok. Dis na di mכst kכmכn tin wae kin mek sכm bכku bכku bכku bכku wan.
- Ɛnia: Pat pan yu intestinal kin push tru wan wik ples na di bɛlɛ wɔl. If dis tisu trɔp ɔ strangulet, i kin mek i nɔ ebul fɔ ambɔg am.
- Kansa Tumɔs: Tumɔs kin kɔmɔt na di bɔdi ɔ i kin skata to di eria as kansa we dɔn pas . dis tכmכro dεm kin bכn di rod sכmtεm כ ful wan. Kolorektal kansa na wan big tin we kin mek big bɔdi nɔ ebul fɔ waka.
Ɔda tin dɛn we kin mek pɔsin gɛt dis sik de bak.
- Inflammatory Bowel Disease (IBD): Kכndishכn lεk Crohn’s Disease kin mek ska tisu fכm na di wכl dεm na yu intestinal. As tɛm de go, dɛn skata ya kin gɛda, ɛn dis kin mek di bɔdi smɔl, we dɛn kɔl strikt .
- Divɛrtikulayt: Dis kin apin we smɔl paus dɛn na yu kɔlon (divɛrtikula) inflam ɔ gɛt infɛkshɔn. dis swel, כ di ska tisu we de kכmכt kin mek di bכdi sכmtεm sכmtεm sכmtεm.
- Intussusception: Dis na di praymar kכz fכ bכwel bכku bכku wan pan pikin dεm we nכ rich 3 ia. I kin apin we wan pat pan di insay de slayv insay wan pat we de nia am—we tan lɛk we tɛliskɔp de fɔdɔm—we de mek di tin dɛn we de insay di bɔdi nɔ pas ɛn di blɔd nɔ de flɔ.
- Volvulus: sכm pipul dεn kin bכn wit wan kכndishכn we di intestin dεm nכ de atak kכrekt wan (malrotation) , we kin mek dεn twist (volvulus) εn mek dεn blok. Pan ɔl we i nɔ kin apin so ɔltɛm, dis kin apin bak to big pipul dɛn.
- Radiation Therapy: If yu dɔn du redyushɔn tɛrapi fɔ bɛlɛ, pelvik, ɔ rɛktal kansa, wan sayd ɛfɛkt we dɛn kɔl Radiation Enteritis kin apin. Raydieshɔn kin mek di wɛlbɔdi tisu dɛn gɛt skata, we kin mek dɛn smɔl ɛn stɔp.
- Fɔ it sɔntin we kɔmɔt na ɔda kɔntri:If yu aksidɛntli swɛla sɔntin we di bɔdi nɔ ebul fɔ dayjɛst ɔ pas, i kin lod na di intestinal, ɛn mek i blok.
Wetin na di prɔblɛm dɛn we kin apin we pɔsin in bɔdi nɔ ebul fɔ waka?
If dɛn nɔ trit am, di bɔdi we de ambɔg di bɔdi kin bi imejensi we kin mek pɔsin in layf de pan denja .
- Pεrforeshכn εn Infεkshכn: We di gas, wata, εn dijestiv jus dεm we de kכlכp kin mek di prεshכn go כp te di bכdi wכl chεr כ pכt. Dis kin mek di tin dɛn we de insay yu bɛlɛ lik insay yu bɛlɛ, we kin mek yu gɛt peritonitis (wan bad bad bɛlɛ infɛkshɔn) ɛn sepsis , we na wan sistɛm infɛkshɔn we kin mek yu layf de pan denja.
- Strangulation (Tissue Death): If di blok we de blok di blɔd we de go na wan pat na di bɔdi, da tisu de kin day (gangrene) . Dis kin mek pɔsin gɛt siriɔs infɛkshɔn ɛn i kin kil pɔsin if dɛn nɔ kɔrɛkt am wantɛm wantɛm.
Aw dɛn kin no se pɔsin in bɔdi nɔ ebul fɔ waka?
Bikɔs we pɔsin in bɔdi nɔ ebul fɔ waka na mɛrɛsin, dɛn kin put di sik fɔs ɛn i kin apin kwik kwik wan, bɔku tɛm i kin apin di sem tɛm wit di fɔs tritmɛnt. Yu kia tim kin du dɛn tin ya:
- Mɛdikal Istri: Yu dɔktɔ go aks yu ditayla kwɛstyɔn dɛn bɔt yu wɛlbɔdi, ivin ɛni ɔpreshɔn we dɛn bin dɔn du fɔ yu bɛlɛ bifo tɛm.
- Fɔ chɛk yu bɔdi: Yu dɔktɔ go chɛk fɔ si if yu bɛlɛ de swel ɔ if yu gɛt sɔri-at. Dɛn kin yuz stetɔskɔp fɔ lisin to abnɔmal sawnd dɛn na dɛn bɔdi we de sho se sɔntin de ambɔg.
- Blɔd Tɛst: Dɛn tin ya kin ɛp fɔ no if yu gɛt wɛlbɔdi. Wan Kɔmplit Blɔd Kɔnt (CBC) kin no sayn dɛn we de sho se yu gɛt di sik, ɛn di Ilɛktrolayt Analysis kin no if yu nɔ gɛt wata bad bad wan, we kin mek yu nid fɔ tek wata insay IV wantɛm wantɛm .
Di we aw dɛn kin tek pikchɔ kin mek yu dɔktɔ si di tin we dɔn blok ɛn chɛk fɔ si if i gɛt prɔblɛm dɛn:
- X-ray na di bɛlɛ: Dɛn kin no usay di blɔk de ɛn sho if briz dɔn trɔp na di bɛlɛ ɔ di dayafragm—na sayn fɔ se di bɔdi dɔn day ɔ i dɔn pɔt.
- Computed Tomography (CT scan): CT skan kin gi yu pikchɔ dɛn we gɛt bɔku tin dɛn fɔ du, ɛn bɔku tɛm dɛn kin nid fɔ no di sik, fɔ no di rayt say, ɛn fɔ no wetin mek di tin we de ambɔg am.
- Barium Enema X-ray: Na diagnostik tul fɔ di kɔlon usay dɔktɔ kin put wan tin kateta insay yu rɛktum fɔ ful-ɔp di bɔdi wit kɔntrast likwid. dis de mek di kכlon de sho klia wan pan εks-ray imej dεm we di wata de travul tru am.
As dɛn tin ya we dɛn kin du kin gɛt fɔ du wit redyushɔn, yu dɔktɔ go put di tin dɛn we go mek yu sef fɔs. Fɔ uman dɛn we gɛt bɛlɛ ɔ pikin dɛn, dɛn kin yuz ɔda tin dɛn we nɔ gɛt raytin lɛk Ultrasound ɔ MRI .
Wetin na di tritmɛnt dɛm fɔ wan bɔdi we nɔ de wok fayn?
Bɔku pan di sik pipul dɛn we gɛt bɔdi we nɔ de ambɔg dɛn nid fɔ kia fɔ dɛn na ɔspitul wantɛm wantɛm. Bɔku tɛm, di tin dɛn we kin ambɔg am kɔmplit wan, dɛn kin nid fɔ du ɔpreshɔn kwik kwik wan. Fɔ sɔm pat dɛn we de ambɔg, yu tim kin fɔs wok fɔ mek yu kɔndishɔn stebul wit tin dɛn we nɔ gɛt ɔpreshɔn, lɛk fɔ rɛst di bɔdi. Di we aw yu fɔ du sɔntin dipen ɔl pan aw yu kes siriɔs.
Di tritmɛnt dɛn kin bi:
- Intravenous (IV) fluids: Fכ kכrekt di wata we de kכmכt εn fכ mek yu εlektrolayt bεlε bak.
- Nasogastric Tube: Na tin, fleksibul tyub we de pas tru yu nos insay yu bɛlɛ ɔ intestin fɔ pul wata ɛn gas we dɔn trɔp, we de mek yu nɔ gɛt prɛshɔn.
- Mɛrɛsin: Dɛn kin gi yu anti-emetics fɔ kɔntrol yu nɔs ɛn vɔmit, wit aw fɔ mɛn yu pen.
- Bɔwel Rɛst: Fɔ alaw di tin we de ambɔg fɔ sɔlv ɔ di bɔdi fɔ shrink bak to in nɔmal saiz, dɛn kin stɔp yu fɔ it ɔ drink, ɔ dɛn kin gi yu spɛshal likwid it.
- Ɔpreshɔn:If di bɔdi blok ɔltogɛda, bɔku tɛm dɛn kin du ɔpreshɔn pan am. Di dɔktɔ we de du di ɔpreshɔn kin pul di skata ɔ di mas dɛn we de mek di ska blok. Sɔntɛnde, dɛn kin nid fɔ pul di tisu we dɔn pwɛl. Wan wan tɛm, dɛn kin put stent (mɛsh tiub) fɔ ol di bɔdi opin, ilɛksɛf na difinitiv fiks ɔ as tɛmporari brij fɔ mek yu stebul fɔ mek dɛn du ɔpreshɔn leta, we go sef.
Wetin na di luk fɔ pɔsin we gɛt in bɔdi we nɔ de ambɔg am?
Bɔku pasɛnt dɛn kin wɛl if dɛn du mɛrɛsin di rayt tɛm. Sayn dɛm fɔ mek yu bɔdi bɛtɛ na we yu de pas gas, yu nɔ de blo bɛtɛ, ɛn yu nɔ go ebul fɔ muv yu bɔdi.
di kɔmɔn we, if di bɔdi pɔrfyushɔn, di tin kin tɔn to layf pan denja kwik kwik wan. Fɔ go to dɔktɔ we yu si di fɔs sayn fɔ di sik rili impɔtant fɔ mek yu nɔ gɛt siriɔs prɔblɛm.
Ustɛm a fɔ go to pɔsin fɔ kia fɔ mi kwik kwik wan?
Duya, go to di imejensi savis kwik kwik wan (kɔl 911 ɔ go na di ɔspitul we de nia yu) if yu gɛt:
- Fiva.
- Vɔmit we de kɔntinyu ɔ we pɔsin nɔ ebul fɔ kɔntrol.
- Sivɛri, kramp bɛlɛ pen we kin kam ɛn go.
- Sayn dɛn we de sho se yu nɔ gɛt wata na yu bɔdi.
Us kwɛstyɔn dɛn a fɔ aks mi dɔktɔ?
Fil fri fɔ aks yu Nirogi Lanka wɛlbɔdi prɔvayda dɛn tin ya:
- Wetin bin mek mi bɔdi nɔ ebul fɔ waka?
- Us patikyula tritmɛnt plan yu kin advays?
- A de pan denja fɔ gɛt tin dɛn we go ambɔg mi tumara bambay?
- Wetin na de risk ɔr kɔmplikeshɔn wae gɛt fɔ du wit mi tritmɛnt?
- Aw a fɔ ajɔst di tin dɛn we a de it ɛn di tin dɛn we a de du we a de wɛl?
Fɔ dɔn, mɛmba di pɔynt we impɔtant pas ɔl
If yu gɛt sayn dɛn we de sho se yu bɔdi nɔ de wok fayn, du sɔntin kwik kwik wan ɛn go to dɔktɔ we sabi du di wok. Bɔku pipul dɛn kin ebul fɔ bia wit bɛlɛ pen, ɛn dɛn kin tink se i nɔ siriɔs fɔ mek dɛn go to dɔktɔ. Bɔt we i kam pan pɔsin we de ambɔg yu bɔdi, fɔ “wet am fɔ kɔmɔt” nɔ kin ɛva bi di rayt tin. Nɔ ignore bɛlɛ pen, mɔ if yu dɔn gɛt ɔpreshɔn pan yu bɛlɛ bifo ɔ yu gɛt ɔndalayn kɔndishɔn lɛk IBD we de mek yu risk bɔku. Bowel obstruction na wan sik wae yu kin trit fayn fayn wan if yu tek mɛrɛsin kwik kwik wan. Nɔ delay.
Ki wɔd dɛn: Bowel obstruction, bɛlɛ pen, kɔnstipɛshɔn, vɔmit, intestinal sik, ɔpreshɔn
