Fɔ vɔmit na tin we nɔ kin rili fayn ɛn we nɔ kin izi fɔ ɛnibɔdi. Bɔt imajin, di vɔmit we yu de vɔmit nɔto nɔmal tin, bɔt i de luk dak brawn ɔ blak, lɛk kɔfi grɔn. Ɛnibɔdi go rili fred we i si sɔntin lɛk dis. Yu tink se dis rili na sɔntin we wi fɔ fred? Yɛs. Dis na siriɔs sik we wi nɔ fɔ tek am layt . Tide wi de tɔk bɔt dis sik we dɛn kɔl ‘ coffee ground emesis ’ ɔ wetin wi kin kɔl am pan mɛrɛsin.
Wetin na dis vɔmit we tan lɛk kɔfi grɔn?
Fɔ tɔk am simpul wan, dis na blɔd we de kɔmɔt na yu vɔmit. Bɔt dis blɔd nɔto nyu, rɛd blɔd. Dis na ol blɔd. Dis kin apin we blɔd dɔn kɔmɔt sɔmsay na di ɔp pat na yu dijestiv sistɛm, dat na di εsophagus, bɛlɛ, ɔ di fɔs pat pan di smɔl intestin (duodenum), ɛn da blɔd de dɔn sidɔm na di bɛlɛ fɔ sɔm tɛm.
Imajin, we dis blɔd jɔyn wit di strɔng asid dɛn we de na di bɛlɛ, di ɛmoglobin we de na di blɔd kin chenj, ɛn i kin tɔn dak brawn ɔ blak. Na dat mek i tan lɛk kɔfi grɔn. Dat min se yu vɔmit smɔl tɛm afta di blɔd kɔmɔt. Insay mɛrɛsin, wi kin kɔl ɛni kɔndishɔn we dɛn vɔmit blɔd hematemesis . Dis kɔfi grɔn vɔmit na wan kayn hematemesis.
Wetin mek fɔ vɔmit lɛk dis kin apin? Wetin na di men tin dɛn we kin mek pɔsin gɛt dis sik?
Vכmit lεk kכfi grכn na strכng indikεshכn fכ כp gastrointestinal bכdi bכdi. Bɔku tin dɛn kin de we kin mek dis apin.
| Mek | Fɔ ɛksplen am simpul wan |
|---|---|
| Pɛptik Ɔlsa (Bɛlɛ ɔ Smɔl Intestinal Ɔlsa) . | Dis na di tin we kin mek pɔsin gɛt dis sik. Blɔd kin kɔmɔt frɔm wund dɛn na di bɛlɛ wɔl ɔ di fɔs pat pan di smɔl intestinal. |
| Inflameshɔn na di bɛlɛ ɔ di εsophagus (Gastritis/Esophagitis) . | If yu swel ɛn rɛd di wɔl dɛn na di bɛlɛ ɔ di ɛsophagus, dat kin mek yu blɔd smɔl. |
| Varices we de na di εsophageal | Ɛspɛshali pan pipul dɛn we gɛt liva sik, di vein dɛn na di εsophagus kin swel, bɔs, ɛn blɔd. Dis na tin we rili denja. |
| Di εsophagus we de te bikɔs i de vɔmit bad bad wan | If yu vɔmit bɔku tɛm ɔ yu de vɔmit pasmak, i kin te di wɔl na di εsophagus ɛn mek yu blɔd kɔmɔt. |
| Kansa dɛn we gɛt kansa | Kansa na di bɛlɛ, di it we yu de it, ɔ di pankrias kin mek yu blɔd kɔmɔt. |
Sɔm pipul dɛn kin tink se dis kin apin bikɔs dɛn bɔdi nɔ kin ebul fɔ waka. Bɔt dat nɔto tru. If blɔd de na di ɔnda pat na di insay, di blɔd go kɔmɔt wit di stɔl (blak in kɔlɔ), nɔto wit vɔmit.
Udat de pan denja pas ɔl fɔ gɛt dis sik?
Pan ɔl we ɛnibɔdi kin gɛt dis sik, sɔm pipul dɛn kin gɛt dis sik pasmak.
| Risk Factor | Tɔk bɔt |
|---|---|
| Fɔ drink rɔm pasmak | Alkol kin mek yu gɛt mɔ sik we de mek yu gɛt gastritis ɛn liva sik. |
| Fɔ tek NSAID-tayp pen kil | If yu kɔntinyu fɔ yuz mɛrɛsin fɔ mek yu fil pen lɛk Ibuprofen ɛn Diclofenac, dat kin mek yu gɛt ɔlsa na yu bɛlɛ. |
| Let-stej liva sik | Di risk fɔ blɔd kin bɔku we di liva nɔ de wok fayn. |
| Di prɔblɛm dɛn we kin mek pɔsin blɔd klɔt | Bikɔs blɔd nɔ kin klot fayn, ivin smɔl wund kin mek yu blɔd bɔku. |
| I dɔn pas 60 ia | Di risk kin go ɔp wit di ej bikɔs di layt we de protɛkt di bɛlɛ kin wik ɛn ɔda sik dɛn kin de. |
Wetin dɔktɔ kin du bɔt dis?
We yu go na ɔspitul bikɔs yu dɔn vɔmit kɔfi grɔn, di dɔktɔ dɛn kin tray fɔs fɔ mek yu kɔndishɔn stebul ɛn fɛn di rayt tin we mek di blɔd de kɔmɔt.
1. Fɔ aks yu fɔ di ditel dɛn
Di dɔktɔ go aks yu bɔt yu mɛrɛsin istri, di mɛrɛsin dɛn we yu de tek (espɛshali di wan dɛn we de mek yu fil pen), ɛn if yu de drink rɔm. Dɛn go aks bak bɔt ɔda sayn dɛm, lɛk bɛlɛ pen, chɛst pen, ɛn blak stɔl (melena).
2. Fɔ du tɛst dɛn we nid fɔ apin
Dɛn kin du bɔku tɛst fɔ no if i gɛt di sik.
- Blɔd tɛst: Chɛk aw yu blɔd kɔnt smɔl (ɛmoglobin lɛvɛl), ɛn aw yu liva ɛn kidni dɛn de wok.
- Ɔpa Ɛndoskopi (EGD tɛst): Dis na di tɛst we impɔtant pas ɔl. Dɛn go put yu na slip ɛn dɛn go put smɔl kamɛra tiub tru yu mɔt fɔ chɛk yu ɛsophagus, bɛlɛ, ɛn di fɔs pat pan yu smɔl intestin. Dis go ɛp yu fɔ si ustɛm di blɔd de kɔmɔt.
3. Di we aw dɛn de trit am
di bεst tin na dat, bכku tεm, dεn kin du di tritmεnt di sem tεm we dεn kin du di εndoskopi.
- If yu si say we blɔd de kɔmɔt, yu kin yuz smɔl smɔl tin dɛn we dɛn pas na di tiub fɔ klip ɔ kɔt di vein we de blɔd fɔ stɔp di blɔd .
- If yu dɔn lɔs bɔku blɔd ɛn yu nɔ gɛt bɛtɛ wata na yu bɔdi, yu go nid fɔ tek wata na yu IV ɔ fɔ gi yu blɔd fɔ mek yu sik go bifo.
- We di blɔd dɔn stɔp, dɛn kin trit di ɔndalayn kɔz. Fɔ ɛgzampul, if na ɔlsa na di bɛlɛ, dɛn kin gi am mɛrɛsin.
Ustɛm a fɔ go to dɔktɔ?
If yu ɛva vɔmit kɔfi grɔn, we min se di vɔmit blak ɔ dak brawn, go to dɔktɔ wantɛm wantɛm. Dis nɔto sɔntin we yu kin trit na os. Nɔ delay.
Na mɔ if yu vɔmit kɔfi grɔn wit dɛn sik ya, na imejensi. Go na ɔspitul wantɛm wantɛm wit pɔsin.Go na di Imejɛnsi Tritmɛnt Yunit (ETU).
| Go na di Ospital Wantɛm wantɛm! | |
|---|---|
| 🚨 we yu de du | If yu fil se yu de tɔn bad bad wan ɔ yu ed de layt |
| 🚨 we yu de du | If yu fil diziz ɔ yu nɔ de no natin |
| 🚨 we yu de du | Kɔnfyushɔn ɔ lɔs pan kɔnshɛns |
| 🚨 we yu de du | If di wayt na di yay tɔn yɔlɔ (Jaundice) . |
| 🚨 we yu de du | Brel pen we yu nɔ go ebul fɔ bia, we rili bad |
| 🚨 we yu de du | Bɔrku pen na yu chɛst |
Mɛsej we dɛn kin kɛr go na os
- Vɔmit we tan lɛk kɔfi grɔn na sayn fɔ ol blɔd na di bɛlɛ ɔ di ɔpa dijestiv trakt.
- Dis na siriɔs sik ɛn yu fɔ go to dɔktɔ wantɛm wantɛm. Nɔ delay fɔ ɛni rizin.
- Dis kin kam bikɔs ɔf tin dɛn lɛk bɛlɛ ɔlsa, fɔ drink pasmak, sɔm tin dɛn we de mek pɔsin fil pen (NSAID), ɛn sik na di liva.
- If yu gɛt ɔda sayn dɛn lɛk fɔ tɔn yu ed, fɔ fil pen bad bad wan, ɔ fɔ lɛ yu nɔ no natin, go na ɔspitul in Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm.
- Nɔr wɔri, dis sik kin wɛl ɔl if yu fɛn di rayt kɔz ɛn trit am kwik. Fɔ fala yu dɔktɔ in instrɔkshɔn dɛn di rayt we.
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