Yu an ɛn yu fut kin it we yu nɔ go ebul fɔ bia na nɛt we yu gɛt bɛlɛ? Bɔt we yu luk, no damej nɔ de we pɔsin kin si? Dis nɔto jɔs fɔ it. Bɔku tɛm, dis kin bi spɛshal sik we gɛt fɔ du wit di liva we kin apin we uman gɛt bɛlɛ. Wi kin kɔl dis Kɔlestasis fɔ Bɛlɛ. Nɔ wɔri, wi go tɔk bɔt ɔltin insay simpul wɔd dɛn.
Wetin na Kɔlestasis fɔ Bɛlɛ?
Fɔ tɔk am simpul wan, dis na liva sik we kin apin let we uman gɛt bɛlɛ. I kin mek yu it bad bad wan ɔlsay na di bɔdi, mɔ na di an ɛn di fut dɛn. Sɔm pipul dɛn kin kɔl am bak `Intrahepatic Cholestasis of Pregnancy (ICP)`.
Insay dis kɔndishɔn, yu liva de wok go dɔŋ fɔ sɔm tɛm. Dis kin mek di tin we dɛn kɔl bayl we di liva de mek kin bigin fɔ gɛda na di liva ɛn blɔd instead fɔ kɔmɔt na di bɔdi fayn fayn wan.
Tink bɔt wetin na dis bayl. Bayl na sɔntin we di liva de mek ɛn kip am na di gal blad. We wi de it it, mɔ di it dɛn we gɛt fat, na dis bayl de ɛp fɔ brok dɛn fat dɛn de ɛn dayjɛst dɛn. I tan lɛk dish sop. So we dis bayl de gɛda na di blɔd, we in lɛvɛl pas wan patikyula lɛvɛl, yu kin bigin fɔ gɛt dis it we yu nɔ go ebul fɔ bia.
Dis sik kin mek yu ɛn yu pikin gɛt prɔblɛm. So, if yu gɛt dɛn sik ya, yu dɔktɔ go de wach yu gud gud wan te yu bɛlɛ dɔn.
Wetin kin apin if dis tin apin?
We yu gɛt bɛlɛ, yu pikin kin abop pan yu liva fɔ pul dɔti tin dɛn we de na in blɔd. So we yu liva nɔ de wok fayn, di lɛvɛl we di bayl de na yu blɔd kin go ɔp, we kin put sɔm prɛshɔn pan yu pikin in liva. Bikɔs di liva na di men ɔgan we de pul dɔti tin dɛn na wi bɔdi, i nɔ fayn fɔ mek i pwɛl.
Bɔt nid nɔ de fɔ wɔri. Yu dɔktɔ go de chɛk yu ɛn yu pikin ɔltɛm ɛn du ɔl wetin i nid fɔ mek shɔ se dis sik nɔ go du ɛni bad tin.
Yu tink se dis tin we kin apin kin apin?
Dis na rili wan tin we nɔ kin apin so ɔltɛm. I kin afɛkt lɛk wan ɔ tu pan ɛvri 1,000 uman dɛn we gɛt bɛlɛ. Pan ɔl we di wan dɛn we de stɔdi bɔt dis nɔ shɔ wetin kin mek i apin, i kin apin mɔ insay di kol sizin. I kin kɔmɔn bak pan sɔm etnik grup dɛm.
Wetin mek dis de apin? Wetin na di men rizin?
di men rizin na di inkrεs pan di כmon dεm na di bכdi we uman bεlε, spεshal wan εstrojen εn prכjεstεron.di lεvεl dεm fכ di כmon dεm de inkrεs bכku bכku wan. fכ di ifekt dεm we dεn כmon dεm ya de du, di liva nכ de ebul fכ transpכt bayl fayn fayn wan tru di bכdi. dis min se di fכlכ we di bayl de fכlכ de bכku.
Wetin kin apin da tɛm de? di bayl kin gɛda na di liva ɛn bigin fɔ lik insay di blɔd. Dɛn bayl sɔl ya we kin gɛda na di blɔd na di men rizin we mek yu skin kin it bad bad wan.
dis kכndyushכn kin apin insay di tכd trimεst we di bεlε de, arawnd 28 wik. dis na biכs di כmon lεvεl dεm de hכy pasmak insay dis tεm. Sɔntɛnde i kin bi bak bikɔs ɔf di jɛnɛtik inflɔwɛns. Dis min se if yu mama ɔr pɔrsin na yu famili dɔn gɛt dis sik, yusɛf kin gɛt dis sik.
Wetin na di sayn dɛm fɔ dis sik?
Di men ɛn klia sayn na di it we yu nɔ go ebul fɔ bia. Wi kin kɔl dis bak `Pruritus` insay mɛrɛsin. Bɔku spɛshal tin dɛn de bɔt dis it:
- Di it kin bigin na di palm ɛn di fut dɛn.
- Dɔn i kin skata smɔl smɔl to ɔda pat dɛn na di bɔdi.
- Di it kin wɔs na nɛt. Sɔm pipul dɛn kin skrach sote dɛn nɔ kin ivin ebul fɔ slip.
- Di tin we impɔtant pas ɔl na dat yu nɔ go si ɛni rash na di skin.
Apat frɔm dis men tin, ɔda tin dɛn de we pipul dɛn nɔ kin si so ɔltɛm. Lɛ wi tek tɛm luk dɛn gud gud wan.
| Di sayn we de sho se di sik de | Tɔk bɔt |
|---|---|
| Men sayn: i de it bad bad wan | Na wan rash we nɔ bad, we de it we kin bigin na di an ɛn di fut ɛn i kin wɔs na nɛt. |
| Vɔmit | Fɔ fil lɛk se yu de fil lɛk yu nɔs. |
| Urin we gɛt dak kɔlɔ | di urine kכla de bi dak yכlכ/brawn pas nכmal. |
| Stul dɛn we gɛt layt kɔlɔ | Di stɔl dɛn kin gɛt layt grey ɔ layt brawn kɔlɔ. |
| Taya pasmak | Taya pasmak ɛn taya na di bɔdi. |
| Fil fɔ it | Di want fɔ it we nɔ de igen. |
| Pen na di ɔp rayt say na di bɛlɛ | Fɔ fil sɔm pen ɔr nɔr fil fayn na di liva eria. |
| Jandis we gɛt di sik | Di skin kin yɔlɔ ɛn di yay kin wayt. |
Aw yu go no dis kɔrɛkt wan?
Yu dɔktɔ go mɔs du blɔd tɛst fɔ no if yu gɛt dis sik.
Dɛn go tek blɔd sɛmpul frɔm yu ɛn dɛn go chɛk di liva wok tɛst ɛn di sɛrum bayl asid lɛvɛl.
if di tכtal bayl asid lεvεl na di bכdi na 10 maykromol pan wan lita כ pas dat, i de kכnfכm se kכlestasis de.
we dεn kכnfכm di diagnosis, yu dכkta go mכnitor yu bayl lεvεl wit dεn blכd tεst dεm ya כltεm כl di tεm we yu bεlε. Sɔntɛnde, yu kin nid bak fɔ gɛt ɔltra saund skan fɔ chɛk aw yu blɔd kin klɔt (prothrombin time test) ɔ fɔ luk yu liva ɛn bayl dakt.
Wetin na di tritmɛnt ɛn aw fɔ mɛn dis?
Di men mɛrɛsin we dɔktɔ dɛn kin yuz fɔ mɛn dis sik na Ursodeoxycholic acid (UDCA) . Dis mɛrɛsin de ɛp fɔ mek yu liva wok bak ɛn fɔ mek di bayl we de na yu blɔd nɔ bɔku.
Bɔt tin dɛn de we yu kin du fɔ kɔntrol di sayn dɛm lɛk it:
- Mɛrɛsin fɔ it: Aks yu dɔktɔ ɛn yuz di ɔntmɛnt ɔ mɛrɛsin we i gi yu. Nɔ ɛva yuz ɛni mɛrɛsin we yu fil se yu want fɔ yuz.
- Wear klos we saf, we nɔ fit: Wear klos we nɔ de mek yu swet, we nɔ tayt lɛk kɔtɔn.
- Rɛst fayn: I impɔtant fɔ mek di bɔdi rɛst.
- Fɔ was wit wata we wam: Dis kin ɛp fɔ mek yu nɔ it smɔl as i de mek di bɔdi kol.
Sɔntɛnde, if di mɛrɛsin nɔ ebul fɔ kɔntrol di bayl lɛvɛl, di dɔktɔ kin disayd fɔ bɔn di pikin smɔl bifo tɛm, arawnd 37 ɔ 38 wik . Di rizin fɔ dis na bikɔs if yu du dat, i go mek di pikin nɔ gɛt prɔblɛm dɛn.
if dεn bכn di pikin kwik, dεn kin gi stεroyd injεkshכn fכ εp di pikin in lכng dεm fכ machכ fayn fayn wan εn wan vaytam in K supliment fכ mek i nכ bכku bכku bכku wan.
Us kɔmplikɛshɔn kin apin bikɔs ɔf dis kɔndishɔn?
If dɛn nɔ kɔntrol dis sik, di mama ɛn di pikin kin gɛt sɔm prɔblɛm dɛn.
| Udat dɛn kin afɛkt? | Sɔm prɔblɛm dɛn we kin apin |
|---|---|
| To mama (to yu) . |
|
| To di pikin we de na di bɛlɛ |
|
Nɔ fred dɛn tin ya. Dis na de risk wae kin apun. Yu dɔktɔ no bɔt dɛn bad tin ya ɛn i go du di tin dɛn we i nid fɔ mek i nɔ apin. Di disayd fɔ bɔn di pikin smɔl bifo tɛm na fɔ ridyus dɛn prɔblɛm ya bak.
I pɔsibul fɔ bɔn pikin we gɛt wɛlbɔdi wit dis sik?
Yɛs, yu go mɔs ebul fɔ du am! Jɔs bikɔs yu gɛt kɔlestasis nɔ min se yu pikin nɔ gɛt wɛlbɔdi. If di dɔktɔ de kia fɔ dɛn ɛn trit dɛn fayn, bɔku mama dɛn kin bɔn pikin dɛn we gɛt wɛlbɔdi.
Yu tink se pɔsin we gɛt dis sik fɔ tek tɛm wit wetin i de it?
Nɔr patikyula it nɔr de fɔ dis sik. Bɔt i go dipen pan di sik we yu gɛt, yu dɔktɔ go advays yu fɔ lɛ yu nɔ it sɔm it dɛn. Jɔs lɛk ɛnibɔdi we gɛt bɛlɛ, i impɔtant fɔ it tin dɛn we gɛt balans. Aym fɔ it tin dɛn we gɛt bɔku frut, vɛjitebul, mit we nɔ gɛt bɔdi, ɛn prɔtin.
Yu tink se dis sik go go afta yu bɔn pikin?
Yɛs. Dis na di bɛst nyus. dis kכndyushכn go kכmplit wan insay fכ de dεm afta dεn bכn di pikin. Yu blɔd bayl lɛvɛl go kam bak to nɔmal. Afta dat, yu nɔ go nid fɔ tek ɛni mɛrɛsin.
Bɔt sɔntin de we wi fɔ mɛmba. yu gεt bכt 60% chans fכ gεt dis kכndyushכn bak insay yu nεks bεlε. If yu bin gɛt mɔ siriɔs kes dis tɛm, di chans fɔ gɛt am bak nɛks tɛm kin go ɔp to 90%.
Yu tink se dɛn go ebul fɔ stɔp dis? Wetin na di tin dɛn we kin mek pɔsin gɛt dis sik?
Bɔt i sɔri fɔ no se, no we nɔ de fɔ mek dis sik nɔ apin. Bɔt sɔm tin dɛn de we kin mek pɔsin gɛt prɔblɛm. If yu gɛt dɛn prɔblɛm ya, yu fɔ tek tɛm smɔl.
- If ɛnibɔdi na di famili dɔn gɛt dis sik.
- If dis kכndyushכn dכn apin di tεm we i bin bεlε bifo.
- If yu de kɛr twins ɔ triplet dɛn.
- If yu bin dɔn gɛt liva sik ɔ kɔndishɔn lɛk Epataytis C bifo.
- If di liva dɔn pwɛl.
- If yu gɛt jɛnɛtik kɔndishɔn we de afɛkt di prodakshɔn ɔ yus fɔ bayl.
Ustɛm a fɔ go to di dɔktɔ?
We yu gɛt bɛlɛ, .
- If yu gɛt bad bad it we nɔ go dɔn, mɔ na yu an ɛn yu fut dɛn fut, .
- If yu skin ɔ yu yay luk yɔlɔ, .
Si yu dɔktɔ wantɛm wantɛm. Nɔ ignore dɛn sayn ya. Fɔ go to dɔktɔ kwik kwik wan impɔtant fɔ yu ɛn yu pikin in sef.
Mɛsej we dɛn kin kɛr go na os
- If yu it bad bad wan we yu gɛt bɛlɛ, mɔ na di an ɛn di fut, dɛn nɔ fɔ tek am se na nɔmal tin. I kin bi wan sayn fɔ Kɔlestasis ɔf Bɛlɛ.
- di rizin fכ dis kכndyushכn na biכs di bεlε כmon dεm de ambɔg di muvmεnt fכ di bayl na di liva.
- If dɛn kia fɔ di mama ɛn pikin fayn fayn wan, dɛn kin ebul fɔ kɔntrol bɔku pan di prɔblɛm dɛn we kin apin to mama ɛn pikin.
- Dis sik go wɛl kpatakpata insay sɔm dez afta dɛn bɔn di pikin.
- If yu gɛt ɛni dawt bɔt dis, nɔ de te ɛn go to yu dɔktɔ fɔ advays.
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