Yu gɛt prɔblɛm wit yu bayl dakt dɛn? Mek wi tɔk bɔt Cholangitis!

Sɔntɛnde yu kin gɛt wan strenj pen na di ɔp rayt say na yu bɛlɛ? Yu fil se yu skin de tɔn yɔlɔ? Ɔ yu jɔs de fil taya wit fiva? Pan ɔl we sɔntɛnde wi nɔ kin pe atɛnshɔn tumɔs to dɛn tin ya, dɛn kin bi prɔblɛm wit di bayl dakt dɛn we de insay wi bɔdi. Tide wi go tɔk bɔt dis kayn sik, we dɛn kɔl `(Cholangitis)` na mɛdikal sayɛns. Nɔ wɔri, lɛ wi tɔk bɔt dis simpul wan.

Wetin na Cholangitis? Fɔ tɔk am simpul wan...

Imajin se yu gɛt liva na yu bɔdi, we de mek wan wata we dɛn kɔl bayl . Dis bayl rili impɔtant fɔ wi bɔdi. I de ɛp wi fɔ digest di fat we wi de it. So, di bayl we dɛn kin mek na dis liva kin go na di gal blad, usay dɛn kin kip am fɔ sɔm tɛm, dɔn i kin go na di smɔl intestinal . di sistεm fכ fayn fayn tכb dεm we de kכri dis bayl dεn kכl am di bayl dakt dεm .

Naw, cholangitis na inflamɛns na di bayl dakt dɛn . We yu tink bɔt inflamɛns, yu kin imajin, nɔto so? I min se di dakt dɛn kin swel, dɛn kin rɛd, ɛn sɔntɛnde dɛn kin ivin gɛt di sik. I tan lεk se di tכnsil dεm na wi trot de swεla εn de inflam, na dat kin apin to dεn bayl dakt dεm ya.

Tu men kayn Cholangitis de:

1. Akyu Cholangitis ɔ Ascending Cholangitis: Dis na di kayn we we dɛn kin gɛt mɔ. Bɔrku tɛm na baktri infɛkshɔn kin kam. I kin kam wantɛm wantɛm ɛn mek yu gɛt sɔm sayn dɛn kwik kwik wan.

2. Chronic Cholangitis: Dis na wan sik wae de teik lɔng tɛm, wae de go bifo smɔl smɔl. I kin kam wit tin dɛm lɛk sɔm ɔtoimyun sik dɛm.

Wetin kin apin we yu gɛt kɔlangitis? Yu tink se i denja?

Yɛs, dis kin denja smɔl sɔntɛnde. we di bayl dakt dεm inflam, sεvεra prכblεm dεm kin apin:

• di bכlכ fכ fכlכ: we di dakt dεm inflam, di bayl nכ de fכlכ fayn fayn wan. afta dat di bayl kin bak εn kכmכt na כgan dεm lεk di liva εn gal blad. Dɛn kin kɔl dis bak `(Cholestasis)`.
• di כgan dεm we de inflamesh: We di bayl de kכmכt, inflameshn kin apin na dεn כgan dεm de bak.
• di infεkshכn we de spre: We di bayl de stכp, lεk we drein we kכlכp de bi swamp, i de bi pafεkt ples fכ baktri dεm fכ gro. If dis infekshɔn go insay di blɔd, i kin mek pɔsin in layf de pan denja . dis kin mek yu gεt wan siriכs kכndyushכn we dεn kכl ``Septicemia`` כ ``Sepsis.`` Imajin, i lεk jεm dεm we de spre כlsay na di bכdi!
• Scarring:εspεshali pan krכnik cholangitis, if yu inflameshn fכ lכng tεm i kin mek di bayl dakt dεm skata. Dɔn di dakt dɛn kin smɔl ɛn stif, ɛn dɛn kin tan lɛk ol wata paip dɛn. Dis kin mek i at fɔ mek di bayl kɔmɔt.
• Liva pwɛl: If dɛn prɔblɛm ya kɔntinyu, di liva kin pwɛl ɛn ivin di liva kin pwɛl. Dat na tin bak we rili denja.

So, yu ɔndastand, nɔto so? I nɔ fayn fɔ jɔs dismis dis as jɔs bɛlɛ pen.

Yu tink se Cholangitis ɛn Cholecystitis na di sem tin?

Yɛs, dɛn tu nem ya fiba smɔl, so dɛn kin kɔnfyus.

• Cholangitis na di inflamɛns na di bayl dakt dɛm we wi de tɔk bɔt.
• Kɔlesistaytis na inflamɛns na di gal blad .

Dɛn tu tin ya gɛt fɔ du wit di bayl. Bikɔs di bayl de kɔmɔt na di gal blad tru di bayl dakt, prɔblɛm we de na wan kin afɛkt di ɔda wan. I tan lɛk wata tank ɛn di paip dɛn we dɛn kɔnɛkt to am. Prɔblɛm we de na di tank kin afɛkt di paip dɛn, ɛn prɔblɛm we de na di paip dɛn kin afɛkt di tank, nɔto so? Na so i bi.

Wetin na de tin wae kin mek pɔrsin gɛt kɔlangitis?

Sɔntɛm bɔku rizin dɛn de fɔ dis.

Di tin dɛn we kin mek pɔsin gɛt Akyu Kɔlangitis:

• Infεkshכn: Bɔku tɛm na baktri dεm kin kam wit am. Sɔntɛnde, i kin bi bak bay vayrɔs ɔ parasayt.
• Blɔk: Bɔku tɛm, dis na di men rizin.
• Gal ston: Gal ston kin fכm na di gal blad εn blok di bayl dakt dεm. Dɛn kɔl dis kɔledokolitiasis.
• Strikchɔ: Di bayl dakt dɛn kin smɔl ɛn blok fɔ sɔm rizin.
• Tכmכro: Na di fכmeshכn fכ kεnsar כ כda tכmכro dεm na di bayl dakt dεm.
• Kɔlestasis: If di flɔ na di bayl stɔp fɔ sɔm rizin.

Bɔrku tɛm (lɛk 90%) na wan kɔmbaynshɔn pan dɛn tri tin ya we kin mek pɔsin gɛt akyu cholangitis. Imajin, wan ston kin stɔp na di gal blad ɛn blok wan dakt. Dɔn di bayl nɔ de flɔ. di bayl we de na wan ples kin izi fɔ gɛt baktri. sכmtεm di baktri dεm we de na di sכmכl intestכn kin travul bak insay di bayl dakt dεm bak.

כltu, sכmtεm, kolεstasis εn kolεnjεyt kin apin biכs fכ blok di bayl dakt dεm, we nכ gεt baktriyal infεkshכn. Kɔlestasis kin kam bak bikɔs ɔf sɔm sik dɛn, mɛrɛsin dɛn, ɔ we dɛn kin gi pikin tin fɔ it fɔ lɔng tɛm insay di bɛlɛ (IV it). Infεkshכn kin apin witout barεri, we nכ kin apin so, bכt i kin apin bak tru blכd כ tru di ikwipment we dεn yuz fכ mεdikal tεst.

Di tin dɛn we kin mek pɔsin gɛt Kronik Kɔlangitis:

Dɛn sik ya kin bi sik dɛn we pɔsin kin gɛt we i de fɛt insɛf.Dis na bikɔs wi yon imyun sistɛm kin atak wi yon sɛl dɛn, ɛn trit dɛn lɛk se na fɔrina dɛn. dis kin mek di bayl dakt dεm de kכntinyu fכ inflameshn.

• Praymari sklɛrosin kɔlɛnjayt (PSC) .
• Praymari biliary kolεnjiti (PBC) .
• IgG4-asɔsiet kɔlɛnjayt

Insay dɛn kayn tin ya, di sayn dɛn we de sho se pɔsin gɛt akyu kɔlangitis nɔ kin rili bad lɛk di wan dɛn we de sho se pɔsin gɛt akyu kɔlangitis. Sɔntɛm dɛn nɔ go ivin no am fɔ lɔng lɔng tɛm. כltu, as tεm de go, di bayl dakt dεm kin skata, blכk, εn mek ``cholestasis'', we kin mek i gεt akyu kכlangitis.

Aw kɔlangitis kin fil? Wetin na di sayn dɛm we de sho se yu gɛt dis sik?

Pɔsin wae gɛt krɛse sik nɔr kin gɛt ɛni sayn fɔ lɔng tɛm. Bɔrku tɛm dɛn kin no am we di liva afɛkt ɛn bigin fɔ sho sayn dɛm fɔ di liva sik.

Bɔt dɛn kin rili fil akyu cholangitis .

Bɔku tɛm, pen kin de na di ɔp rayt pat na di bɛlɛ . Dis pen kin rayt bak to di rayt sholda ɔ bak. Sɔntɛnde, i kin tranga, sɔm tɛm i nɔ kin at, ɛn i kin kam ɛn go.

if di bayl dakt blok, yu kin gεt wan kכndyushכn we dεn kכl "biliary colic." dis kin apin we di gal blad de kכntrakt εn tray fכ push di bayl kכmכt, spεshal wan afta i it fεt it. dis kin mek bכku prεshכn εn pen biכs di bayl nכ kin pas tru di blכk. Yu kin fil bak se yu de nɔs. Di pen kin kam wantɛm wantɛm ɛn afta dat i kin stɔp smɔl smɔl as tɛm de go.

Men simptom dɛm - Charcot in Triad

Di tri sayn dɛm wae kin kam pan pɔrsin wae gɛt akyu cholangitis na dɛn kɔl Charcot’s Triad .

1. כpa rayt kwadrant bכdi pen: Dis na di say we wi gal blad sistεm de.

2. Fiva: Fiva kin apin we di imyun sistεm de wok.

3. Janda: Di skin kin yɔlɔ ɛn di yay kin wayt. dis kin apin we di bayl dakt dεm blכk εn di bayl de lik insay di bכdi.

If ɔl tri pan dɛn sik ya de, chans de fɔ mek i bi kɔllangitis.

Ɔda sayn dɛn we de sho se yu gɛt dis sik:

dipכnt pan aw di kכndyushכn tranga, we di bayl lik insay di bכdi kin mek כda simptom dεm:

• Pruritus: We di bayl asid dɛn we de na di bayl go insay di blɔd, i kin mek di skin it.
• di bren we de wok fayn (Hepatic encephalopathy): We di tכxin dεm we de na di bayl de kכmכt na di bכdi, sכm sכm sכm sכm sכmtin dεm we de na di bכdi lεk kכnfyushכn εn dishכnshכn kin apin.

If di infekshɔn dɔn skata to di blɔd, sayn dɛn kin sho se yu shɔk :

• At bit kwik kwik wan (Tachycardia) .
• Lɔw blɔd prɛshɔn (Hypotension) .

If, apat frɔm Chacko in triad, sɔm sayn dɛn de bak fɔ kɔnfyus ɛn shɔk, dɛn kin kɔl am Reynolds’ pentad . Dis kin tɛl dɔktɔ dɛn se di sik rili siriɔs ɛn i nid fɔ gɛt tritmɛnt kwik kwik wan.

Ɔda sayn dɛm wae de sho se pɔrsin gɛt krɛse sik:

Dɛn tin ya kin apin nɔmɔ we di sik dɔn rili go bifo.

• Taya
• Di bɛlɛ we dɔn swel
• Leg ɛn fut dɛn we dɔn swel
• Fat we de ɔnda yu skin
• Big big vein dɛn we yu kin si akɔdin to yu bɛlɛ
• Spayda veins dɛn
• Dak-kɔlɔ pee ɛn layt-kɔlɔ poop
• Rɔnbɛlɛ

Aw dɛn kin no se pɔsin gɛt Cholangitis?

We yu go to dɔktɔ, i go aks yu fɔs bɔt di sayn dɛn we yu gɛt ɛn chɛk yu. Dɔn, dɛn go ɔda fɔ mek dɛn du blɔd tɛst ɛn fɔ mek dɛn tek sɔm pikchɔ dɛn fɔ yu biliary system .

• Blɔd tɛst dɛn:
• Kɔmplit blɔd kɔnt (CBC): Dɛn kin chɛk fɔ si if pɔsin gɛt infɛkshɔn ɛn di blɔd sɛl dɛn.
• di tεst dεm we di liva de wok: Chεk כl di bayl de insay di bכdi, wetin na di lεvεl dεm fכ di liva εnzym dεm εn protin dεm, εn if di liva de wok fayn.
• Di tɛst dɛn we dɛn kin du fɔ tek pikchɔ:
• Magnetic resonance cholangiopancreatography (MRCP): Dis tan lεk MRI skan, εn i kin si klia wan di bayl dakt dεm εn di pankrεas dakt dεm.
• כltra saund na di bכdi: Dis kin chεk fכ blכk na di bayl dakt dεm εn ston dεm.

Dɛn tɛst ya kin no klia wan if di bayl dakt dɛn dɔn blok, usay i de, ɛn if infɛkshɔn de.

Wetin na di tritmɛnt fɔ Cholangitis?

di men tritmεnt fכ כl tu di akyu εn krכnik cholangitis na εndoskopik biliary drenage . We di dɔktɔ dɔn no wetin mek di prɔblɛm de, di fɔs tin we i fɔ du na fɔ pul di prɛshɔn we de na di bayl dakt dɛn ɛn alaw di bayl fɔ kɔmɔt.

Bɔku tɛm dɛn kin du dis we dɛn de du ɛndoskopi , we min se dɛn kin put smɔl tiub we gɛt kamɛra tru di mɔt ɛn pas am na di bayl dakt dɛn.

• tru da tiub de, dεn kin pul di bayl we pasmak εn di prεshכn kin rεdכks.
• If blɔk de, dɛn kin pul am (e.g. ston).
• Sɔntɛnde, dɛn kin put smɔl smɔl mɛsh tyub dɛn we dɛn kɔl stent fɔ mek di dakt dɛn opin.

Imajin, if yu du ɛndoskopi fɔ fɛn kɔlangitis, yu kin trit am bak wantɛm wantɛm. If yu gɛt krɛse sik, yu kin nid fɔ du dis kayn ɛndoskopi wan wan tɛm fɔ kɔntrol yu sik dɛn.

Ɔda tritmɛnt dɛn fɔ kɔllangitis we nɔ de dɔn:

• Antihistamines fɔ it.
• Vitamin supliment fɔ di wan dɛn we nɔ gɛt vaytamɛn .
• Ursodeoxycholic acid (UDCA) na mεdisin we dεn kin yus fכ kכntrכl di prכgreshכn fכ praymari biliary cholangitis (PBC).

Ɔda tritmɛnt dɛn fɔ akyu cholangitis:

• Fluid we dɛn kin put insay di bɛlɛ (IV fluid): Nɔ mek di wata nɔ gɛt wata ɛn gi di bɔdi ɛnaji.
• Fɔ mek pɔsin nɔ fil pen .
• Antibayɔtiks: Kɔntrol di infɛkshɔn. Bɔku tɛm, dɛn kin gi dɛn tin ya insay di bɛlɛ.

Wetin na di prɔgnosis fɔ pipul dɛm wae gɛt kɔlangitis? (Prɔgnosis) .

If yu gɛt akyu kɔlangitis ɔ krɛs kɔlangitis, i kin mek yu fred smɔl. Dɛn ɔl tu, kwik ɔ leta, kin mek pɔsin in layf de pan denja.

Bɔt, akyu cholangitis kin te fɔ shɔt tɛm . If dɛn trit dɛn kwik kwik wan, bɔku pipul dɛn kin wɛl kpatakpata . If dɛn nɔ trit am, di nɔmba fɔ pipul dɛn we de day kin bɔku.

If yu gɛt chronic cholangitis , yu kin liv fɔ lɔng tɛm ɛn nɔr gɛt prɔblɛm. Mɛrɛsin kin kɔntrol di sayn dɛm. Yu kin nid fɔ gɛt biliary drenage prosidur wan wan tɛm. Na sɔm pipul dɛm, liva sik kin go bifo te dɛn liva nɔ de wok fayn. If na so i bi, yu go nid fɔ transplant yu liva as tɛm de go .

Aw a kin tek kia ɔf misɛf we a de liv wit krɛse kɔllangitis?

If yu gɛt krɛse sik, i rili impɔtant fɔ tek kia ɔf yu liva ɔl di we aw yu ebul.

• If yu fala gud it ɛn layf, dat kin mek yu nɔ pwɛl di liva ɛn i kin mek i liv lɔng.
• Nɔ du tin dɛn we de put ɛkstra strɛs pan di liva. Fɔ ɛgzampul, nɔ fɔ drink rɔm, drɔgs, smok, ɛn ɔda tin dɛn we de ambɔg di envayrɔmɛnt as yu ebul.
• Tray fɔ ridyus di sɛtyuret fat ɛn shuga we yu de it.
• Gɛt sɔm ɛksɛsayz , ridyus strɛs as yu ebul.

Mɛmba se di bayl impɔtant fɔ wi bɔdi, bɔt i jɔs de wok fayn if i ebul fɔ flɔ fri wan. If i nɔ ebul, i kin lik insay di blɔd, i kin gɛda na di ɔgan dɛn, ɛn i kin mek pɔyzin ɛn inflamɛns. Na dat mek di wɛlbɔdi bayl dakt dɛn rili impɔtant.

Mɛsej we dɛn kin kɛr go na os

Cholangitis na inflamɛns na di bayl dakt dɛm. di men tin we kin mek dis apin na we di bayl dakt dεm kin blok bay tin dεm lεk gal ston εn di infεkshכn dεm we de kכmכt. If yu gɛt pen na di ɔp rayt say na yu bɛlɛ, fiva, ɛn janda, i kin bi kɔllangitis, so i impɔtant fɔ go to dɔktɔ wantɛm wantɛm.

Di tritmɛnt kin difrɛn difrɛn wan fɔ no if na akyu ɔr krɛse. Bɔt ilɛk uskayn sik yu gɛt, di mɔ yu no di sik kwik kwik wan ɛn bigin fɔ trit yu, na di mɔ yu go ebul fɔ du am fayn. So, if yu gɛt dɛn sik ya, nɔ jɔs ignore dɛn, tink se, "Na jɔs bɛlɛ at." I bɛtɛ fɔ go to dɔktɔ ɛn no di rayt tin we nɔ fayn. Fɔ kip yu liva ɛn biliary sistɛm wɛl de na yu an!

` Cholangitis, Cholangitis, Liva, Bayl, Jandis, Bɛlɛ Pen, Fiva