Yu gɛt blok bak na yu kɔlon? (Colon Stricture) Mek wi tok abaut dis!

Yu dɔn ɛva fil wan strenj diskɔmfɔt na yu bɛlɛ, lɛk we yu de fil lɛk yu blo, ɔ i nɔ izi fɔ yu fɔ pul dɔti? Dɛn tin ya kin apin fɔ difrɛn rizin dɛn. Tide wi go tɔk bɔt wan patikyula kɔndishɔn wae kin mek dis sik. dat na blכk na di big intestinal, כ as dכkta dεn kכl am, na ``Kכlon Stricture''. Natin nɔ de fɔ fred, lɛ wi tɔk bɔt dis simpul wan.

Wetin na kɔlon strikt?

Fɔ tɔk am simpul wan, kɔlon strikt na we yu big insay de smɔl, we na di big pat pan yu insay we de ɛp fɔ dayjɛst di it we wi de it ɛn pul dɔti tin dɛn lɛk stɔl. I tan lɛk se wata paip de stɔp na di midul. Dis narrowing de mek am tranga fɔ mek yu stɔl pas tru izi wan, ɛn sɔntɛnde i kin ivin blok am kpatakpata.

Bɔt gud nyus de! Dɛn kin trit dis sik ɛn mɛn am . If yu no di sik kwik kwik wan, go to dɔktɔ, ɛn gɛt di rayt tritmɛnt, yu kin gɛt wɛlbɔdi bak. Ɛn tin dɛn de we yu kin du fɔ mek dis nɔ apin igen.

I pɔsibul fɔ defecate ivin we dis kayn blok de?

Yɛs, i rili dipen pan aw yu kɔlon smɔl, we min se di blɔk kin rili bad.

• Mild stricture: Yu kin ebul fɔ gɛt bɔdi muvmɛnt nɔmal wan, bɔt i kin tranga smɔl pas aw i bin de bifo, ɔ yu kin jɔs gɛt bɔdi muvmɛnt ɛvri sɔm dez.
• Moderate stricture: Na dis tɛm, yu kin gɛt kɔnstipɛshɔn. Yu stɔl kin soft pas aw i kin bi ɔ i kin at fɔ pas.
• Sivɛri strikt: Dis na mɛdikal imejensi bikɔs di stɔl kin blok ɔl ɛn i nɔ kin ebul fɔ pas atɔl.

Wetin na di sayn dɛm we de sho se pɔsin in kɔlon nɔ ebul fɔ waka?

Dɛn sayn ya kin difrɛn difrɛn wan bay aw di blɔk kin tranga, bɔt sɔm sayn dɛn de we kin apin:

• Bɛlɛ de at: I kin de ɔltɛm ɔ i kin kam ɛn go.
• Kɔnstipɛshɔn: I nɔ kin izi fɔ pas stɔl.
• Daya: Sɔntɛnde, kɔnstipɛshɔn kin chenj wit dayarɛa.
• Bloating: Fɔ fil lɛk se di bɛlɛ ful-ɔp wit briz ɛn blo.
• Nɔs ɛn vɔmit: Dis kin kam bak we yu nɔ want fɔ it.
• We yu de lɔs yu wet: If yu de lɔs yu wet fɔ natin, dat na sayn bak.

If yu gɛt wan ɔ mɔ pan dɛn sayn ya, duya go to dɔktɔ kwik kwik wan. Di kwik we dɛn no di sik, na di mɔ i kin izi fɔ trit ɛn i nɔ kin gɛt prɔblɛm wit am.

Aw i kin fil lɛk we pɔsin blok na di kɔlon?

Dis blok kin mek difrɛn kayn diskɔmfɔt na di bɛlɛ. I tan lεk wetin kin apin we blכk de apin na di intestinal dεm.

• Pen ɔ kramp na di bɛlɛ: Dis na di men sayn. Bɔku tɛm, dɛn kin fil dis pen na di bɛlɛ we de dɔŋ. Sɔm pipul dɛn kin gɛt pen ɔltɛm, ɛn ɔda wan dɛn kin gɛt am we kin kam ɛn go.
• Blɔt: Kɔnstipɛshɔn kin mek di briz ɛn stɔl trɔp na di intestinal, ɛn dis kin mek di bɛlɛ swel. Di bɛlɛ kin fil tayt ɛn kɔnstrikt.
• Kɔnstipɛshɔn: Dis na kɔmɔn tin we kin apin we di bɔdi smɔl ɛn i nɔ kin izi fɔ pas stɔl. Yu kin fil strɛs we yu gɛt bɔdi ɔ yu kin fil lɛk se yu nɔ pas di stɔl ɔltogɛda.

Wetin na di tin dɛn we kin mek di kɔlon nɔ de wok fayn?

Dɛn strikt ya nɔ kin kam wantɛm wantɛm. Bɔku tɛm, dis narrowing kin apin we di kɔlon dɔn pwɛl ɔ inflamed bikɔs ɔf ɔda mɛdikal kɔndishɔn. Lɛ wi luk sɔm pan di men tin dɛn we kin mek wi gɛt dis sik:

• Inflammatory Bowel Disease (IBD): Krεse sik dεm lεk Crohn’s disease כ ulcerative colitis kin mek dεn damej fכ lכng tεm εn skata na di intestines. As tɛm de go, dis skata kin mek di insay de smɔl.
• Divεrtikulayt: Dis na we sכm sכm paus dεm (divεrtikul) fכm na di wכl na di big intestinal, we kin gεt infεkshכn εn inflam. Dɔn dɛn kin swel, gɛt skata, ɛn blok.
• Adhesions afta di ɔpreshɔn: Afta dɛn dɔn ɔpreshɔn di bɛlɛ, di tisu dɛn kin stik togɛda frɔm insay. Wi kin kɔl dɛn adhesions. dis adheshon dεm kin mek di intestכn dεm kכmprεs εn blכk. Tink bɔt am lɛk rɔba band we de tayt paip.
• Ɛnia: Yu dɔn yɛri bɔt ɛnia? na wan bulge na di bכdi usay pat pan di intestin de kכmכt tru wan wik ples. Sɔntɛnde, di big intestin kin trɔp ɛn smɔl.
• Kכlon kεnsar: כnכfכs, dis kin kכz bak bay wan kansa tכmכro we de fכm na di kכlon εn blכk di intestinal trakt.
• Radieshɔn tɛrapi: We dɛn gi redyushɔn tɛrapi to di bɛlɛ eria as tritmɛnt fɔ kansa, i kin pwɛl di tisu dɛn na di kɔlon. Risk de bak fɔ mek yu gɛt skata ɛn blok.

Wetin na di prɔblɛm dɛn we kin apin we pɔsin in kɔlon nɔ ebul fɔ waka?

If dɛn nɔ trit dis blɔk fayn fayn wan, i kin mek i gɛt difrɛn prɔblɛm dɛn. Na dat mek i impɔtant fɔ go to tritmɛnt kwik kwik wan.

• Komplit bowel obstruction: Dis na di most siriכs komplikashכn. Di blɔk de mek di stɔl nɔ pas atɔl.
• di risk fכ infεkshכn de bכku: We di stכl de kכmכt oba di blכk, i de mek gud envayroment fכ di baktri dεm fכ gro, we kin mek i gεt intestinal infεkshכn.
• Malnutrishɔn: If kɔnstipɛshɔn de fɔ lɔng tɛm bikɔs ɔf kɔnstipɛshɔn, ɔ if di intestinal dɛn blok ɔltogɛda, i kin at fɔ mek di bɔdi tek di it dɛn we i nid frɔm it.
• Kɔnstipɛshɔn kin kam bak: Ivin wit tritmɛnt, kɔnstipɛshɔn kin kam bak sɔm tɛm, mɔ if yu gɛt wan sik lɛk IBD ɔ Divɛrtikulayt.
• Di mɛrɛsin we yu de tek nɔ de tek bɔku mɛrɛsin: Sɔntɛnde, dɛn tin ya we de blok kin mek di mɛrɛsin we yu de tek nɔ absɔb fayn fayn wan, ɛn dis kin mek di tritmɛnt nɔ wok fayn.

Aw yu kin no se yu kɔlon dɔn blok?

We yu go to dɔktɔ, i go aks yu fɔs bɔt di sayn dɛn we yu gɛt, di sik dɛn we yu bin gɛt trade, ɛn ɛni ɔpreshɔn we yu dɔn du. Dɔn dɛn go du wan ɛgzam fɔ dɛn bɔdi . Dat min se dɛn go fil yu bɛlɛ ɛn chɛk fɔ si if yu gɛt lumps ɔ pen we yu prɛs pan am.

Bɔt dis fyzikal ɛgzamin nɔmɔ nɔ go ebul fɔ no fɔ tru if sɔntin de we dɔn blok. Bɔt i kin gi di dɔktɔ sɔm aidia ɛn ɛp am fɔ disayd us tɛst fɔ du nɛks.

Us tɛst dɛn kin du fɔ no if pɔsin dɔn blok?

Bɔku tɛst dɛn de we kin luk insay yu kɔlon ɛn no if i dɔn blok:

• Kolonoskopi: Bɔku tɛm dis na di men tɛst we dɛn kin yuz fɔ fɛn say dɛn we dɔn blok. insay dis tεst, dεn de put wan fleksibul tכb wit sכmכl kεmεra tru yu an εn luk insay yu big intestin. Dɔn di dɔktɔ kin si usay di blɔk de ɛn aw i tan. If nid de, dɛn kin tek smɔl pat pan di tisu fɔ mek dɛn tek am bayɔpsi. Dis kin ɛp fɔ no wetin mek di tin we de blok.
• CT skan: CT skan de yuz X-ray fɔ tek krɔs-sekshɔn pikchɔ dɛn fɔ yu bɛlɛ ɛn di say we de rawnd. If yu dɔktɔ tink se di blɔk dɔn rili bad, dɛn kin du CT skan fɔs. Dis kin sho usay di blɔk de, aw i rili bad, ɛn if di tisu we de rawnd am dɔn afɛkt.
• MRI skan (Magnetic Resonance Imaging - MRI): MRI de yuz strכng magnεtik fil dεm εn redio wev dεm fכ mek ditayl imej dεm fכ di kכlon εn di sכft tisu dεm we de rawnd am. Dis kin ɛp yu dɔktɔ bak fɔ no wetin mek di bɔdi blok ɛn aw di inflamɛns dɔn rich.

Aw fɔ trit wan big big bɔdi we dɔn blok?

Di we aw dɛn de trit yu dipen pan aw di blɔk de tranga, di tin we mek i blo, ɛn yu ɔl yu wɛlbɔdi.

Fɔ sɔm smɔl smɔl kɔnstipɛshɔn , yu dɔktɔ kin tɛl yu fɔ chenj yu layf, mɔ fɔ chenj yu it. If yu it tin dɛn we nɔ gɛt bɔku fayv, dat kin ɛp fɔ mek yu stɔl sof ɛn mek i izi fɔ pas. Yu dɔktɔ ɔ pɔsin we sabi bɔt it kin gi yu patikyula advays bɔt dis.

fכ kכnjεshכn we kכz fכ inflammatory kכndishכn, dεn kin gi mεdikeshכn lεk ``Corticosteroids`` כ ``Immunomodulators``. Dɛn tin ya kin mek di inflamɛns nɔ bɔku ɛn i kin mek di kɔnjɛshɔn nɔ bɔku.

Sɔntɛnde, yu dɔktɔ kin tɛl yu fɔ du tin dɛn we nɔ go mek yu nɔ gɛt bɔku prɔblɛm :

• Endoskopik balyɔn dilayshɔn: .insay dis, dεn kin put wan tכb insay, lεk we dεn kin du kכlon sכkכpi, εn dεn kin pas wan balכn tru di blכk εn inflate. Dis kin mek di blɔk kin big smɔl. Bɔku tɛm dɛn kin du dis fɔ smɔl smɔl tin dɛn we kin blok izi wan.
• Stent ples: Stent na sכmכl mεsh tכb we dεn kin εkspכnd we dεn kin put na di εria we blכk we dεn de du kכlonoskopi. dis de mek di kכlon de opin εn alaw di stכl fכ pas tru.

If tin tranga pasmak, i kin nid fɔ du ɔpreshɔn . Opshɔn dɛn de fɔ dat bak:

• Strictureplasty: Dis ɔpreshɔn nɔ de pul ɛni pat pan di intestinal, bɔt i de jɔs mek di say we dɔn smɔl. Dis kin bi bak fɔ shɔt, nɔ kɔmplikt narrowings.
• Risekshɔn ɔpreshɔn: If di blɔk siriɔs, lɔng, ɔ na say we i nɔ izi fɔ rich, dɛn kin nid fɔ pul di pat pan di intestin we afɛkt. Dɔn di dɔktɔ we de du di ɔpreshɔn go kɔnɛkt bak di tu ɛnd dɛn we gɛt wɛlbɔdi na di insay.

Wetin na di prɔgnosis fɔ pɔsin we gɛt kɔlon ɔbstrɔkshɔn?

Dis rili dipen pan sɔm tin dɛn:

• Wetin na di kɔz fɔ di blɔk: If di blɔk na bikɔs ɔf wan sik we nɔ de mɛn lɛk IBD ɔ Divɛrtikulayt, dɛn go nid fɔ de manej dɛn kɔndishɔn dɛn de ɔltɛm.
• Aw di blɔk kin tranga: Smɔl blɔk kin izi fɔ trit ɛn i kin gɛt bɛtɛ autkam pas siriɔs kes dɛm we di intestinal blok kɔmplit wan.
• Aw yu de du tritmɛnt: Di we aw yu bɔdi de du tritmɛnt na in de sho aw yu go wɛl.
• If kɔmplikɛshɔn kam: If kɔmplikeshɔn kam, lɛk we di intestin blok ɔl, di tin kin kɔmplikt smɔl. Bɔt, i pɔsibul fɔ mek i wɛl ful wan.

Mɛmba se if dɛn no di sik fayn fayn wan ɛn trit am fayn, bɔku pipul dɛn kin gɛt gud tin fɔ du ɛn dɛn kin ebul fɔ liv fayn layf.

Wetin yu fɔ it ɛn drink we yu gɛt kɔlon blok?

Dis kin difrɛn bak dipen pan aw di kɔnstipɛshɔn tranga. Yu dɔktɔ go gi yu patikyula instrɔkshɔn dɛn. Bɔt jɔs lɛk ɔl ɔda tin dɛn, i go fayn fɔ it mɔ tin dɛn we nɔ gɛt bɔku fayv ɛn we nɔ gɛt bɔku fayv .

Fɔ it dɛn we nɔ gɛt bɔku fayv kin izi fɔ dayjɛst, ɛn di stɔl nɔ kin tik, so prɛshɔn nɔ kin de pan di say we di intestinal kin blok. Na sɔm ɛgzampul dɛn ya:

• Wait bred, wayt rays, pasta, nuts
• Vegjetabul we dɛn kuk fayn ɛn we dɛn dɔn pul (nɔ it raw vegjetabul we gɛt di skin pan)
• Frut we dɔn rayp fayn (we dɛn dɔn pul ɛn we gɛt pit) .
• Mit we nɔ gɛt skin, bɔd, fish
• Eg dɛn
• Smɔl frut jus (dɛn wan dɛn we nɔ gɛt chunks) .
• Di kayn sup dɛn (krim sup, klia sup) .
• Potato we dɛn dɔn bɔyl ɛn mash
• Oats we dɛn kuk fayn fayn wan, semolina
• Yogɔt (avɔyd yogɔt we gɛt bɔku fayv) .

Fɔd dɛn we gɛt bɔku fayv nɔ kin izi fɔ dayjɛst ɛn i kin mek pɔsin gɛt kɔnstipɛshɔn bay we i kin mek di stɔl tik. Stay away frɔm tin dɛn lɛk:

• Raw vegjetabul ɛn frut dɛn (especially wit peel ɛn sid) .
• Whol grens (brawn rays, bran bred) .
• Nat, sid, bins
• Kɔn
• Vejitebul dɛn lɛk kabij, kɔliflawa, ɛn brɔkoli
• Fɔd dɛn we gɛt spays (bikɔs dɛn de mek di bɔdi wok) .
• Drink dɛn we gɛt kabon (i kin mek pɔsin blo mɔ ɛn mɔ) .
• Alkol (i kin mek yu nɔ gɛt wata na yu bɔdi ɛn i kin mek yu kɔnstipɛshɔn bɔku) .

Ustɛm a fɔ go to dɔktɔ?

If yu gɛt sayn dɛn we de sho se yu kɔlon nɔ de ambɔg (lɛk we yu bɛlɛ de pen ɔltɛm, yu bɛlɛ, yu de gɛt dayarɛa), duya go to dɔktɔ we yu nɔ de te fɔ no wetin de apin. Fɔ no di sik kwik kwik wan ɛn fɔ trit am na di bɛst we fɔ gɛt di bɛst rizɔlt. I de ɛp bak fɔ mek yu nɔ gɛt prɔblɛm dɛn lɛk we yu bɔdi de stɔp.

Us kwɛstyɔn dɛn a fɔ aks mi dɔktɔ?

I go fayn fɔ aks dɛn kwɛstyɔn ya we yu go si yu dɔktɔ:

• Wetin na di tin we kin mek dis blok na mi kɔlon?
• Ɔda mɛrɛsin dɛn de we kin afɛkt mi sik dɛn?
• Us tritmɛnt opshɔn dɛn de fɔ dis sik?
• Wetin na di chans fɔ mek dɛn trit mi kɔnstipɛshɔn fayn fayn wan?
• A nid fɔ mek ɛni chenj pan di it we a de it fɔ mek a ebul fɔ kɔntrol dis sik?
• Wetin na de sik wae kin de fɔ pɔrsin wae gɛt kɔlon ɔbstrɔkshɔn fɔ lɔng tɛm?

Fɔ dɔn, sɔntin fɔ mɛmba (Take-Home Message) .

Kɔlon strikt kin bi tin we de mek pɔsin fred fɔ yɛri. Bɔt bɔku pipul dɛn dɔn gɛt gud tin fɔ du fɔ lɔng tɛm afta dɛn dɔn trit dɛn fayn. Fɔ no di sik kwik kwik wan na di men tin. Ɛn, bikɔs difrɛn tritmɛnt dɛn de, yu dɔktɔ kin ɛp yu fɔ mek wan tritmɛnt plan we go wok fɔ yu ɛn ɛp yu fɔ wɛl. Yu kin ɛp bak fɔ kɔntrol yu sik dɛn bay we yu de mɛmba wetin yu de it ɛn drink. Nɔ sɔfa yu wan, go to dɔktɔ jɔs lɛk aw yu nɔ fil fayn. Wi de wish yu fɔ wɛl kwik kwik wan!

` kכlon strikt, kכnstipshכn, bεlε at, dijestiv sistεm, kכlon sכkכpi, bכwel sik