Yu pikin dɔn de ple fayn ɛn wantɛm wantɛm i bigin fɔ vɔmit bad bad wan? Sɔntɛm fɔ lɔng tɛm, ɔ ivin tu ɔ tri dez, dɛn kin vɔmit ɔltɛm. Dɔn dɛn kin bigin fɔ ple bak lɛk se natin nɔ apin. Afta sɔm mɔnt, dɛn kin bigin fɔ du di sem tin bak. Dis kin apin nɔto to yu nɔmɔ, bɔt to big pɔsin bak. Tide wi de tɔk bɔt dis kayn bad bad vɔmit we kin kam ɛn go we nɔ gɛt ɛni rizin.
Wetin na Sayklis Vɔmit Sindrom (CVS)?
Fɔ tɔk am simpul wan, Cyclic Vomiting Syndrome (CVS) na wan sik we yu kin gɛt bad bad nɔys ɛn vɔmit fɔ no rizin. Di spɛshal tin bɔt am na dat, insay dɛn episɔd ya, yu kin gɛt wɛlbɔdi ɔlsay ɛn yu nɔ kin gɛt ɛni sik.
Tink bɔt am lɛk se na swich na wi bɔdi. Wantɛm wantɛm, dis swich de ‘on’ ɛn vɔmit de bigin. I kin las fɔ lɔng lɔng tɛm, sɔntɛm ivin fɔ sɔm dez. Insay dis tɛm, i kin so tranga dat yu nɔ kin ivin ebul fɔ grap na bed. Yu kin ivin gɛt fɔ go na ɔspitul ɛn gi yu salin (IV fluid) fɔ mek yu nɔ gɛt wata na yu bɔdi. Dɔn, lɛk se di swich dɔn ‘ɔf’, wantɛm wantɛm ɔl di sayn dɛn kin dɔn ɛn yu kin kam bak to nɔmal.
Dis sik kin te fɔ sɔm mɔnt ɔr ivin sɔm ia. Bɔt nɔto ɔltɛm di sayn dɛn kin de. Bɔku tɛm, i kin apin sɔm tɛm insay di ia. Fɔ sɔm, i kin ivin apin wan ɔ tu tɛm insay di mɔnt. Bɔrku tɛm, de kayn sik, di tɛm fɔ de, aw i kin tranga, ɛn aw lɔng de sik kin bi di sem fɔ di sem pɔrsin ɛvri tɛm.
Aw dis sik kin kɔmɔn?
CVS kin apin mɔ pan pikin dɛn. Statistikin sho se pan 100,000 pikin dɛm na lɛk 3 kin gɛt dis sik. Bɔrku tɛm, pikin dɛn kin bigin am bitwin 3 ɛn 7. Bɔt i impɔtant fɔ mɛmba se i kin bigin pan ɛni ej.
Wetin na di sayn dɛm fɔ CVS?
Wi kin no se CVS kin apin insay 4 men stej dɛn, lɛk di tin dɛn we de apin na wan ple.
| Tɛm | Wan simpul we fɔ tɔk bɔt wetin de apin |
|---|---|
| 1. Prɔdrom faz | Minit ɔ awa bifo di vɔmit bigin, yu kin bigin fil lɛk, "O, dis go tranga." Yu kin fil tin lɛk fɔ nɔs ɛn fɔ swet. Fɔ bɔku pipul dɛn, dis kin bigin ali mɔnin. |
| 2. Di faz we yu de vɔmit | Dis na di tɛm we at pas ɔl. Yu de vɔmit ɔltɛm. Sɔntɛnde, bɔku tɛm insay wan awa. Yɔŋ pikin dɛn kin gɛt projɛktayl vɔmit. Dis kin las frɔm sɔm awa to sɔm dez. E kin so tranga dis tɛm dat yu kin fil lɛk fɔ de na bed yu wan, nɔr kin ebul fɔ tɔk ɔr de wit ɛnibɔdi. |
| 3. Rikavari faz | Di vɔmit ɛn nɔys de go dɔŋ smɔl smɔl, ɛn yu de bigin fɔ fil fayn. Yu fil lɛk se yu de kam bak to layf. |
| 4. Wɛl faz | Yu go wɛl kpatakpata bak. Yu go bak to yu nɔmal layf lɛk se yu nɔ ɛva sik. Dis tɛm fɔ wɛl go las te di nɛks tɛm we yu vɔmit. |
Apat frɔm dɛn men stej ya, yu kin si sɔm ɔda sayn dɛm:
- Bɛlɛ we de at bad bad wan
- Dayarɛa (bɛlɛ de at) .
- Diziz ɔ vertigo
- Drol ɔ drɔl
- Intɛns tɔsti
- Fil fɔ it
- Pale skin
- Ed kin at bad bad wan ɛn taya pasmak
- Fɔ fil lɛk layt ɔ sawnd (blu yay, i nɔ kin izi fɔ yɛri sawnd) .
- Fiva (we kin rich 101°F ɔ 38.33°C)
- Retching (dry-heaving) - Dis min se yu kin fil lɛk fɔ vɔmit, bɔt natin nɔ de kɔmɔt bikɔs natin nɔ de na yu bɛlɛ.
Wetin mek dis kin apin? Wetin na di rizin dɛn?
Wi nɔr no fɔ tru if na dis nɔmɔ kin mek pɔsin gɛt CVS, bɔt sɔm tin dɛn de we dɛn kin tink se de mek i gɛt am.
- Isyu wit yu bren-gut aks: Fɔ tɔk am simpul wan, kɔmyunikeshɔn de bitwin wi bren ɛn di nerv dɛn na wi gut. We sɔntin go rɔng wit dis ‘kɔmyunikeshɔn’, vɔmit we pɔsin nɔ ebul fɔ kɔntrol kin apin. Sɔm sayɛnsman dɛn kin kɔl dis prɔblɛm wit di bren-gut.
- di chenj dεm we de apin na yu כtonom nεv sεstem:Dis sistɛm de kɔntrol tin dɛn na wi bɔdi we wi nɔ ebul fɔ kɔntrol, lɛk at rit, blɔd prɛshɔn, ɛn vɔmit. If sɔntin nɔ go fayn wit dis sistɛm, pɔsin kin vɔmit.
- Maygren ed pen: Na lɛk 80% pan di pikin dɛm wae gɛt CVS ɛn 25% pan di big pipul dɛm kin gɛt maygren bak. Maygren nɔto jɔs bad bad ed pen. Lɛk CVS, maygren kin bi wan strenj filin we i bigin. Bɔrku pipul dɛm wae gɛt CVS gɛt famili histri bɔt maygren.
- abnכmal maytochכndrial DNA: maytochכndria na di pawaful sεl dεm na wi bכdi. Di instrɔkshɔn (DNA) we de tɛl dɛn aw fɔ wok kin chenj bay wan sik, jɛnɛtik kɔndishɔn, ɔ mɛrɛsin/tɔksin. di nεv sεl dεm na wi intestinal nid bכku εnεji fכ wok fayn fayn wan. we prכblεm de wit dis εnεji sכs (di maytochכndria), vכmit we dεn nכ kin kכntrol kin apin.
Wetin na di tin dɛn we kin mek pɔsin gɛt CVS?
Sɔm tin dɛn we kin apin, it, ɛn di we aw pɔsin de tink kin mek pɔsin vɔmit. Wi kin kɔl dɛn tin ya ‘trig’.
- Chenj na di wɛda (especially common in ɔtom ɛn winta) .
- Fɔd dɛn lɛk chɔklɛt, chiz, kɔfi, ɛn MSG
- Pikin dɛn gladi pasmak (fɔ ɛgzampul, batde pati, piknik)
- Bɔrku pipul dɛn kin gɛt siriɔs strɛs ɛn wɔri
- Alɛji, sayn infɛkshɔn, ɔ kol
- Fɔ mek yu bɔdi wok pasmak
- Go fɔ lɔng tɛm we yu nɔ it
- Yuz kanaba fɔ lɔng tɛm
- Di uman dɛn we kin gɛt mɔnt ɛvri mɔnt
- Sik we pɔsin kin gɛt we i de muv
If yu pe atɛnshɔn to we yu ɔ yu pikin bigin fɔ vɔmit, ilɛksɛf na afta yu it sɔntin ɔ we sɔntin we de mek yu vɛks apin, i go izi fɔ no di tin dɛn we de mek yu vɔmit.
Wetin na di prɔblɛm dɛn we kin kam wit dis?
We wi kɔntinyu fɔ vɔmit bad bad wan, dat kin ambɔg wi bɔdi.
| Kɔmplikɛshɔn | Fɔ tɔk am simpul wan... |
|---|---|
| Di wata we nɔ de na di bɔdi | Fluid we de lɔs pasmak frɔm di bɔdi bikɔs ɔf vɔmit ɛn dayarɛa. Dis kin mek pɔsin denja. |
| Esophagitis we gɛt di sik | wi εsophagus de inju εn swεla bikoz fכ di bεlε asid we de kam wit vכmit. |
| Mallory-Weiss bin de kray | Di prɛshɔn we wi kin gɛt we wi de vɔmit kin kɔt di ɔda pat we de dɔŋ na wi εsophagus. Dis kin mek blɔd kɔmɔt wit di vɔmit. |
| Tut we de rɔtin | di bεlε asid we de go insay di mכt kin sכlv di tut inεmεl εn mek di tut dεm rɔtin. |
Aw dɔktɔ go no se dis na CVS?
Fɔ no CVS na smɔl triki bikɔs nɔr wan tɛst nɔr de wae spɛshal fɔ no am. Yu dɔktɔ go want fɔ mek shɔ se yu nɔ gɛt ɔda tin dɛn we kin mek yu gɛt di sem kayn sik.
Yu dɔktɔ go aks yu bɔku tin bɔt yu mɛdikal istri, yu famili mɛdikal istri, ɛn aw yu de vɔmit. Dɔn i go du wan ɛgzam pan in bɔdi ɛn sɔntɛm i go ɔda fɔ mek dɛn du sɔm tɛst dɛn.
Test dɛn we dɛn kin du
- Blɔd ɛn urine tɛst (Lab test): Dɛn tɛst ya kin ɛp fɔ si if ɛni mɛtabolik sik, maytochondrial sik, ɔ prɔblɛm de wit ɔda ɔgan dɛn na di bɔdi.
- Imej tɛst: Dɛn tin ya kin luk fɔ prɔblɛm wit di ɔgan dɛn na yu dijestiv sistɛm ɛn yu nervɔs sistɛm. Fɔ ɛgzampul, dɛn kin aks yu fɔ du ɔltrasɔund na yu bɛlɛ, MRI ɔ CT skan fɔ yu bren, ɔ fɔ du ɔpa GI siriɔs. Yu kin nid bak fɔ du tɛst fɔ ɛmti yu bɛlɛ fɔ chɛk aw di it de muv kwik kwik wan na yu insay.
- Ɔpa ɛndoskopi: Na tɛst we dɛn kin put smɔl kamɛra insay di mɔt fɔ luk fɔ prɔblɛm dɛn na di εsophagus, bɛlɛ, ɛn smɔl intestin.
Wetin na di tritmɛnt dɛm fɔ CVS?
Di tritmɛnt dipen pan us stej yu de pan.Dat min se, if yu de vɔmit ɔr de tray fɔ mek yu nɔ vɔmit.
- Prodrome phase: As soon as di sayn dɛm bigin, dɛn kin gi mɛrɛsin fɔ ridyus nɔs, fɔ ridyus bɛlɛ asid, ɛn fɔ trit maygren.
- Di tɛm we yu de vɔmit: Insay dis tɛm, dɛn go gi yu mɛrɛsin bak fɔ trit maygren, fɔ ridyus di asid na yu bɛlɛ, ɛn fɔ mek yu nɔ wɔri. Yu kin nid fɔ go na ɔspitul ɛn gi yu IV wata fɔ mek yu nɔ gɛt wata na yu bɔdi. If yu rɛst na dak ɛn kwayɛt ples dis tɛm, dat kin ɛp fɔ mek yu nɔ gɛt di sik.
- Di tɛm we yu de wɛl: If nid de, kɔntinyu fɔ gi salin, smɔl smɔl yu go go na wata ɛn afta dat yu go it sɔlid it dɛn.
- Insay di Wɛl Faz: Di dɔktɔ kin gi yu mɛrɛsin fɔ mek yu nɔ vɔmit tumara bambay.
Dɛn kin yuz mɛrɛsin fɔ mɛn maygren, mɛrɛsin fɔ mek pɔsin nɔ fil fayn, ɛn sɔntɛnde ivin mɛrɛsin fɔ mek pɔsin gɛt sik we de mek pɔsin sik.
Sɔm pipul dɛn dɔn si bɛnifit frɔm sɔpɔtmɛnt dɛn lɛk kɔɛnzym Q10, riboflavin, ɛn L-karnitin. Bɔt, nɔ ɛva bigin ɛnitin we yu nɔ go to yu dɔktɔ.
Yu tink se dɛn go ebul fɔ mek dis tin nɔ apin?
Pan ɔl we dɛn nɔ go ebul fɔ stɔp am ɔltogɛda, dɛn kin ridyus di risk fɔ mek pɔsin vɔmit bak.
- No di tin dɛm wae de mek yu trit yu (fud, tin dɛm wae de apin) ɛn nɔr de nia dɛm as yu ebul.
- Yuz di mɛrɛsin jɔs lɛk aw di dɔktɔ tɛl yu.
- If yu gɛt alɛji ɛn sayn prɔblɛm, mek dɛn trit dɛn kwik kwik wan.
- Stay aktif, bɔt nɔ tray pasmak.
- Slip fayn fayn wan.
- Manej di strɛs ɛn wɔri we yu de wɔri.
Kwɛstyɔn dɛn we yu fɔ aks di dɔktɔ
We yu go to yu dɔktɔ, i go fayn fɔ aks dɛn kwɛstyɔn ya.
- Us tɛst dɛn a fɔ no fɔ tru if a gɛt CVS?
- Us mɛrɛsin a fɔ tek fɔ stɔp fɔ vɔmit ɛn fɔ mek i nɔ kam bak?
- Us chenj dɛn we a fɔ chenj mi layf fɔ avɔyd di tin dɛn we kin mek a gɛt prɔblɛm?
- Us ɔda tin dɛn a kin du fɔ ridyus di sik?
- Us simptom a fɔ si yu fɔ, ɔ a fɔ go stret na di ɔspitul in ETU (Imergency Treatment Unit)?
Bɔku tɛm, CVS na wan sik we kin mek pɔsin in at pwɛl ɛn we kin mek pɔsin in at pwɛl. No wan saiz-fit-ɔl sɔlv nɔr de fɔ dis prɔblɛm, ɛn no wan saiz-fit-ɔl layf stayl chenj nɔr pafɛkt fɔ ɔlman. Yu ɛn yu dɔktɔ go nid fɔ woke wit yu fɔ fɛn di rayt tritmɛnt ɛn trig fɔ yu. As tɛm de go, bɔku pipul dɛn kin bɛtɛ fɔ avɔyd tin ɛn tin dɛn we kin mek dɛn nɔ fil fayn.
Mɛsej we dɛn kin kɛr go na os
- CVS nɔto jɔs wan bɛlɛ we de at. Na rial kכndyushכn wae de chenj bitwin di tεm dεm we yu de vכmit εn di tεm dεm we yu de fil fayn fayn wan.
- Pan ɔl we i nɔ kin izi fɔ fɛn di tin we mek i kam, sɔm tritmɛnt dɛn de. Di tin we impɔtant pas ɔl na fɔ gɛt kɔrɛkt diagnosis.
- Fɔ no wetin kin mek yu ɔr yu pikin gɛt dis sik (lɛk it, strɛs) na big ɛp fɔ kɔntrol di sik.
- We yu vɔmit bad bad wan, mɔ if di bɔdi nɔ ebul fɔ kip wata dɔŋ, i rili impɔtant fɔ go na ɔspitul in ETU (Emergency Treatment Unit) fɔ mek yu nɔ gɛt wata na yu bɔdi.
- Nɔ ɛva tek mɛrɛsin fɔ yusɛf. Ɔltɛm, go to dɔktɔ we sabi du di wok fɔ advays yu.
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