Fɔ blo na sɔntin we wi ɔl kin du ɔltɛm, bɔt wi nɔ kin tink bɔku bɔt am. Dis prɔses kin apin frɔm di de we dɛn bɔn wi te to di de we wi day. Bɔt yu dɔn ɛva wɔnda udat na di rial hiro, ɔ masta injinia, we de biɛn dis we aw pɔsin de blo? Na im wi go tok abaut tide. Na di dayafragm , ɔ wetin wi kin kɔl am na Inglish. Dis nɔto jɔs mɔsul, bɔt na pɔsin we rili impɔtant ɛn wɔndaful na wi bɔdi.
Fɔ tɔk am simpul wan, wetin na dis big dayafragm?
Tink bɔt wan tint, strɔng mɔsul bitwin yu chɛst ɛn yu bɛlɛ, we shep lɛk ambɔla. Na di dayafragm dat. I de ɔnda wi lɔng ɛn at.
Dis mɔsul nɔ jɔs de hang rawnd. I gɛt kɔnekshɔn to:
- Di bon we de na di midul pat pan yu chɛst (sternum) .
- To di bɔt ɔf yu rib kech
- If yu bak brok, yu spayna go brok.
Wan pan di men wok dεm we i de du na fכ wok lεk wכl bitwin yu chεst kεviti (we yu lכng εn at de) εn yu bכdi kכva (we yu כgan dεm lεk yu bεlε, intestכn, εn liva de).
Wetin di big dayafragm de du? Na jɔs fɔ blo?
Nɔ, fɔ blo na jɔs di men tin we i de du ɛn na wetin wi ɔl no. Bɔku ɔda impɔtant tin dɛn de apat frɔm dat. Lɛ wi luk ɛni wan pan dɛn wan bay wan.
1. Masta fɔ di we aw pɔsin de blo
Dis na di men wok we di Gret Wɔl de du. Dis kin apin insay wan rili wɔndaful we.
- We yu de blo: Yu dayafragm de tayt, i de muf dɔŋ to yu bɛlɛ lɛk ɛlivat. Dis kin mek di ples we de insay yu chɛst bɔku. Dis kin mek di ples we yu lɔng dɛn gɛt fɔ blo, we kin mek di briz go insay yu lɔng dɛn.
- We yu de blo: Di dayafragm de stɔp fɔ kɔntrakt ɛn rilaks. Dɔn i kin muf go ɔp ɛn go na di chɛst, ɛn i kin mek wan shep we tan lɛk ambɔla. na dis tεm ya, dεn kin push di briz we de na di lכng dεm kכmכt.
Fɔ tɔk am simpul wan, wit ɛvri briz we yu de blo, dis big dayafragm de muf ɔp ɛn dɔŋ. I tan lɛk natura l ɛya pɔmp na wi bɔdi.
2. Ɔda impɔtant tin dɛn fɔ du apat frɔm fɔ blo
di dayafragm nכ de limited to di prכsεs we i de brith. I de du sɔm ɔda rili impɔtant wok dɛn.
- di prεshכn we de go insay di bכdi: we di dayafragm kכntrakt, i de mek prεshכn insay di bכdi. Dis prɛshɔn de ɛp wi fɔ du bɔku tin dɛn. Fɔ ɛgzampul, dis prɛshɔn impɔtant fɔ tin dɛn lɛk fɔ pis ɛn fɔ pul dɔti.
- Fɔ mek asid nɔ kam bak:Wan prɔblɛm we bɔku pipul dɛn gɛt na gastritis, we na wan inflamɛns na di bɛlɛ. Wan rizin fɔ dis na bikɔs di bɛlɛ asid kin kam ɔp na di trot. di tכb we wi it de travul tru (Esophagus) de go na di bεlε tru di dayafragm. di dayafragm de wok lεk klem rawnd dis it tכb, we de mek di bεlε asid nכ kכmכt.
- fכ mek we fכ imכtant nεv dεm εn vessel dεm: sכm pan di imכtant nεv dεm, blכd vεsεl dεm, εn כda tin dεm na wi bכdi de pas tru di septum.
| Di strɔkchɔ we de krɔs di Gret Baria Rif | Di wok we i de du simpul. |
|---|---|
| Aorta we de na di bɔdi | Di men blɔd vesel we de kɛr blɔd we gɛt ɔksijɛn frɔm di at to di wan ol bɔdi. |
| Ɛsophagus we de na di bɔdi | Di tiub we de kɛr di it we wi de it ɛn drink frɔm di trot to di bɛlɛ. |
| Infεriכr Vena Kava | Di men blɔd vesel we de briŋ klin blɔd frɔm di ɔda pat dɛn na di bɔdi bak to di at. |
| Frɛnik Nɛv | di nεv we de kכntro di muvmεnt fכ di dayafragm, dat na in muvmεnt כp εn dכn. Dis tan lɛk rimot kɔntrol. |
| Di Dakt we de na di Tɔrɔsik | wan chanεl we de kכri wan wata we dεn kכl limf, we de insay di bכdi in limf sistεm. |
| Vagus Nɛv we de na di bɔdi | Na nerve we de du bɔku impɔtant wok dɛn, lɛk fɔ kɔntrol wi dijestiv sistɛm. |
Wetin na di sik dɛm wae kin afɛkt di big dayafragm?
Jɔs lɛk aw ɔda pat dɛn na wi bɔdi kin gɛt sik, na so di dayafragm kin pwɛl bak bikɔs ɔf difrɛn prɔblɛm dɛn, sik dɛn, ɛn aksidɛnt dɛn. Lɛ wi tek tɛm luk di wan dɛn we impɔtant pas ɔl.
- Ɛnia dɛn: .
- Hiatal Hernia: Dis na di kayn we we pipul dɛn kin gɛt mɔ. dis na we di כp pat pan yu bεlε de push כp tru wan ol na di dayafragm, insay yu chεst. Tink bɔt am lɛk smɔl balyɔn we de kam ɔp. Bɔrku tɛm dis sik kin apun as yu de ol ɛn yu de gɛt bɔku bɔku bɔdi.
- Dayafragmatik Ɛnia: Dis na we ɔda ɔgan na di bɛlɛ (lɛk di insay) de push tru wan ol na di dayafragm insay di chɛst. Sɔntɛnde, dɛn tin ya kin de we dɛn bɔn am ɔ kin apin afta big aksidɛnt.
- Phrenic Nerve Damage: As wi bin dɔn tɔk, dis nerve de kɔntrol di dayafragm. if dis nεv dכn pwεl, di dayafragm nכ go ebul fכ wok fayn fayn wan. Dis nerve kin pwɛl bikɔs ɔf kansa, ɔpreshɔn (especially at bypass surgery), aksidɛnt, ɛn sɔm infɛkshɔn.
- Mɔsul Spasm: Bikɔs di dayafragm na mɔsul bak, sɔntɛnde i kin spasm. Dis na wan sik we kin apin we wi de du ɛksɛsayz tumɔs ɔ rɔn, ɛn di pen we kin kɔmɔt na di sayd na di bɛlɛ, we dɛn kɔl "sayd stich," kin dɔn bay we wi rɛst fɔ sɔm tɛm.
- Wik ɔ Paralayz: Sɔm nyurolɔjik sik dɛm lɛk Multiple Sclerosis (MS) ɛn Amyotrophic Lateral Sclerosis (ALS), kin mek di dayafragm wik ɔ paralayz kpatakpata. Dayabitik nyuropathy, spɛshal kɔd injuri, ɛn lɔng sik lɛk COPD kin mek bak di dayafragm wik.
Wetin na di sayn dɛm fɔ prɔblɛm wit di big dayafragm?
If prɔblɛm de wit di big dayafragm, yu kin gɛt difrɛn difrɛn sayn dɛn. Dɛn tin ya kin kam ɛn go fɔ sɔm tɛm, ɔ dɛn kin de fɔ ɔltɛm.
- Bɛlɛ pen, chɛst pen, ɛn wan sɔl teys na di trot (Asid riflɔks, at bɔn).
- Fɔ kɔf bɔku tɛm ɛn i nɔ kin izi fɔ swɛla it.
- Di kɔlɔ we di skin kin chenj (sɔntɛnde di skin kin tɔn blu).
- At bit kwik kwik wan, chɛst de pen ɔ tayt.
- Fɔ fil se yu nɔ gɛt bɛtɛ briz, mɔ we yu de ledɔm.
- Ed de at.
- Hikup wae kin kam ɛn go ɔltɛm ɔr kin kɔntinyu fɔ de ɛn nɔr kin go.
- Pen ɔ prɛshɔn na di chɛst, bak, sayd, sholda, ɔ bɛlɛ (espɛshali dɔŋ di rib kech). Dis pen kin wɔs afta yu dɔn it.
- Fɔ fil lɛk se yu bɛlɛ de at ɔnda di rib.
I rili impɔtant: Di sayn dɛm lɛk pen na yu chɛst, yu chɛst tayt, ɛn yu nɔr de blo fayn kin rili fiba di wan dɛm wae gɛt hat atak. So, if yu gɛt ɛni wan pan dɛn sik ya, nɔ ignore dɛn ɛn de na os. Go na di ɔspitul we de nia yu in Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm. Dis kin bi tin we kin mek pɔsin day ɔ day.
Aw kɔmɔn tin dɛn ya kin apin?
Di men tin we kin mek pɔsin gɛt prɔblɛm wit di frεnik na we di frεnik nerve kin pwɛl, ilɛksɛf na ɔpreshɔn ɔ aksidɛnt. Na lɛk 20% pan di sik pipul dɛn kin gɛt sɔm damej pan dis nerve afta dɛn dɔn ɔpreshɔn di at baypas.
Di kɔndishɔn we wi bin tɔk bɔt we dɛn kɔl `(Hiatal Hernia)` na in bak rili kɔmɔn. I kin apin mɔ pan pipul dɛn we dɔn pas 50 ia ɛn di wan dɛn we gɛt bɔku bɔku bɔdi. Akɔdin to sɔv, lɛk 55% pan pipul dɛm wae dɔn pas 50 ia, dat na lɛk wan pan ɛvri tu pipul dɛm, kin gɛt sɔm digri pan `(Hiatal Hernia)`.
Aw wi go mek di Gret Baria Rif gɛt wɛlbɔdi?
Di dayafragm na mɔsul bak. So, lɛk ɔda mɔsul dɛn na wi bɔdi, wi kin mek i strɔng bay we wi de ɛksesaiz am. Spɛshal ɛksesaiz dɛn de fɔ blo fɔ am. dεn kכl dεn tin ya `(Diaphragmatic breathing exercises)`. Dɛn tin ya kin ɛp di dayafragm fɔ wok fayn fayn wan. Dɛn ɛksesaiz ya kin mek bak yu nɔ gɛt strɛs na yu maynd.
Apat frɔm dat, fala dɛn tin ya fɔ mek yu dayafragm gɛt wɛlbɔdi:
- Nɔ it big it dɛn wan tɛm. It sɔm smɔl smɔl it dɛn ɛvride. Nɔ it tin dɛn we gɛt ɔyl, spaysi, ɛn sawnd we kin mek yu bɛlɛ at.
- Mek yu gɛt wɛlbɔdi bɔdi wet. di wet we pasmak de put prεshכn we nכ nid pan di dayafragm.
- Wom yusɛf bifo yu du ɛksɛsayz. Dis kin gi yu dayafragm ɛn ɔda mɔsul dɛn tɛm fɔ rɛdi fɔ di wokɔt.
- We yu de du ɛksɛsayz, nɔ tray pasmak wan tɛm. Smɔl smɔl, yu de du yu ɛksesaiz mɔ ɛn mɔ.
- If yu gɛt mɛdikal kɔndishɔn (e.g., dayabitis, lɔng sik) we de mek yu gɛt prɔblɛm wit yu dayafragm, go to dɔktɔ ɔltɛm.
Ustɛm a fɔ go to dɔktɔ?
If yu gɛt ɛni wan pan di sayn dɛm we wi bin dɔn tɔk bɔt, i go fayn fɔ go to dɔktɔ fɔ mek dɛn chɛk am. Sɔm sayn dɛm kin bi sayn fɔ ɔda sik, so i impɔtant fɔ gɛt di rayt diagnosis.
A de mɛmba una bak, .If yu gɛt pen na yu chɛst, yu chɛst de prɛs, ɔ yu nɔ ebul fɔ blo, na imejensi. Go na ɔspitul in Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm.
Yu risk fɔ gɛt prɔblɛm wit yu dayafragm kin bɔku if yu gɛt ɛni wan pan dɛn tin ya:
- כtoimyun dizכrd dεm, fכ egzampl. Lupus we gɛt di sik
- Lɔng sik dɛm lɛk COPD ɛn lɔng kansa
- At sik we dɛn nid fɔ du ɔpreshɔn
- Laym sik
- Nyuromɔskular disɔda, ɛgz. MS
- Fat
- Vayral infεkshכn dεm lεk HIV
Mɛsej we dɛn kin kɛr go na os
- di dayafragm na imכtant mכsul we de separet di chεst εn di bכdi, we imכtant fכ brith.
- apat frכm we i de blo, i de du wok dεm bak lεk fכ εp fכ digεst εn fכ mek di bεlε asid nכ go insay di trot.
- Ɛnia, di nerve damej, ɛn sɔm mɛrɛsin kin afɛkt di wok we di dayafragm de du.
- If yu gɛt sɔm kayn sik lɛk yu bɛlɛ we de at, i nɔ izi fɔ blo, ɛn yu chɛst de pen, nɔ ignore am.
- Chɛst pen ɛn at fɔ blo na imejensi we nid fɔ gɛt tritmɛnt kwik kwik wan. Go na di Imejɛnsi Dipatmɛnt (ETU) na di ɔspitul we de nia yu.
- di dayafragm kin kip strכng tru spεshal εksεsayz dεm fכ brith εn fכ liv fayn layf.
- If yu gɛt ɛni sayn, mek shɔ se yu go to yu dɔktɔ fɔ gi yu di rayt advays ɛn tritmɛnt.
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