Yu ɔl tu intestinal dɛn dɔn inflam? Dis na Ɛntɛrokolaytis!

Sɔntɛnde, yu bɛlɛ kin at, yu kin blo, ɛn yu kin gɛt dayarɛa wit ɔda sayn dɛm? Sɔntɛnde dis kin bi sɔntin we rili siriɔs pas fɔ jɔs pen na yu bɛlɛ. Tide wi go tɔk bɔt wan sik we dɛn kɔl ɛntɛrokolayt , we kin afɛkt ɔl tu di smɔl intestinal ɛn di big intestin di sem tɛm . I kin afɛkt yɔŋ pikin dɛn mɔ ɛn di wan dɛn we nɔ gɛt bɛtɛ wɛlbɔdi.

So wetin na Ɛntɛrokolaytis?

Fɔ tɔk am simpul wan, Ɛntɛrokolaytis na inflamɛns na wi intestinal sistɛm. I gɛt tu pat dɛn. wan na "enteritis", we na inflameshn na di sכmכl intestכn. di כda wan na "colitis", we na inflameshn na di big intestin. we dεn tu tin ya kam togεda, wi kin kכl am Enterocolitis.

i kin kכmכn fכ inflameshn fכ apin na di sכmכl intestכn כ di big intestכn. Bɔt if dɛn ɔl tu gɛt inflam di sem tɛm, i kin siriɔs smɔl . Dɔn bak, dis sik kin afɛkt pipul dɛn we gɛt wik imyun sistɛm, mɔ di pikin dɛn we dɛn jɔs bɔn ɛn yɔŋ pikin dɛn .

Aw Enterocolitis kin afɛkt di bɔdi?

We wi intestinal dɛn kin inflam, i kin mɔs afɛkt di dilik layn na di intestines, we wi kin kɔl di mucosa . dis inflameshn de mek di εria swel, i de fil pen, εn i de chenj di we aw di intestin dεm de kכl wata εn tek di nyutriεnt dεm. Dis kin gɛt big impak pan yu dijeshɔn ɛn yu bɔdi muvmɛnt .

Tink bɔt dis, we wi bɔdi gɛt jem, infɛkshɔn, ɔ injuri, wi bɔdi in difɛns sistɛm, di imyun sistɛm , kin kam insay. Na dat na inflamɛns. So, wit di intestinal inflameshn, kɔmɔn simptom dɛm lɛk diskɔmfɔt ɛn fiva kin apin bak.

Wetin na di sayn dɛm fɔ Enterocolitis?

Dɛn tin ya na de sayn dɛm wae dɛn kin si pan dis sik:

• Bɛlɛ de at ɛn i de limp.
• Dayarɛa, sɔntɛnde blɔd kin kam wit am .
• Di it nɔ de te.
• Nɔs ɛn vɔmit.
• Fiva.
• Fɔ fil se yu taya pasmak.
• Fɔ fil lɛk se yu bɛlɛ dɔn swel ɛn blo.

If yu gɛt wan ɔr mɔ pan dɛn sik ya, mɔ if dɛn nɔr de bɛtɛ insay sɔm dez, i go fayn fɔ mek yu go to dɔktɔ.

Aw lɔŋ ɛntɛrokolayt kin las?

I rili dipen pan wetin de kɔz de sik. Di tin we kin mek pɔsin gɛt sik pas ɔl na infɛkshɔn . Bɔku tɛm, dɛn tin ya kin apin fɔ shɔt tɛm nɔmɔ. Wi imyun sistɛm kin kɔntrol dɛn fɔ insɛf. Bɔt sɔntɛnde yu kin gɛt fɔ tek mɛrɛsin.

Bɔt sɔm tin dɛn de we nɔ kin apin so ɔltɛm, fɔ ɛgzampul:Enterocolitis, we kin kam wit tin dɛm lɛk ɔtoimyun sik kin te fɔ sɔm tɛm. Pan ɔl we dɛn sik ya we nɔ de mɛn nɔ kin ebul fɔ wɛl ɔl, dɔktɔ dɛn kin gi yu mɛrɛsin fɔ kɔntrol di inflamɛns.

Wetin na di tin dɛm wae kin mek pɔrsin gɛt Enterocolitis?

infakt, inflameshn na di sכmכl intestכn (enteritis) εn di big intestכn (colitis) kin apin fכ eni rizin, εn di tu intestכn dεm kin inflamesh, dat na, εnterocolitis. Bɔt if dat apin, i min se i kin rili bad pas aw i kin bi , ɛn i kin min bak se di imyun sistɛm wik.

Bɔku tɛm, dis kin apin bikɔs ɔf:

• Vayral infɛkshɔn: Fɔ ɛgzampul, bɛlɛ flu.
• Parasayt infεkshכn dεm: lεk giardiasis.
• Baktri infεkshכn: lεk fכd pכyzin.

Apat frɔm dat, fɔ yuz sɔm tin dɛn pasmak kin mek bak. Fɔ ɛgzampul, fɔ kɔntinyu fɔ drink rɔm, drɔgs lɛk kɔkɛyn, ɛn sɔm drɔgs dɛn we dɛn nɔ kin bay na kɔt. Dɔn bak, sik dɛn we nɔ de mɛn na di bɔdi lɛk di sik we dɛn kɔl Celiac disease ɛn Crohn’s disease kin mek dis sik bak.

If yu imyun sistɛm wik, yu go gɛt ɛntɛrokolayt. Dis sik kin afɛkt pikin dɛn we dɛn jɔs bɔn ɛn smɔl pikin dɛn , ɛn pipul dɛn we gɛt sik dɛn we nɔ de mɛn, lɛk HIV .

Sɔm patikyula kayn ɛntɛrokolayt de?

Yɛs, dɔktɔ dɛn dɔn no sɔm patikyula kayn ɛntɛrokolayt. Dɛn kin sheb dɛn tin ya bay di tin dɛn we kin mek dɛn gɛt dɛn. Dis na infεkshכn dεm we kכmpleks εn sik dεm we kin afekt כl tu di intestin dεm.

Nekrɔtizing Ɛntɛrokolaytis (NEC) .

Dis kin apin mɔ pan pikin dɛn we sik ɛn we dɛn bɔn bifo tɛm . Dɛn pikin ya dɔn ɔlrɛdi gɛt prɔblɛm wit dɛn imyun. Ivin if dεn de gi dεm nכmal baktri dεm tru di bεlε milk, dεn intestכn dεm de riak bad. Di inflamɛns ɛn swel kin so bad dat di blɔd we de go na di layn na di intestinal kin kɔt, ɛn di tisu dɛn kin bigin fɔ day . Na dat di wɔd "necrotizing" min.

Dɔktɔ dɛn nɔ no bɛtɛ bɛtɛ wan wetin kin mek pɔsin gɛt NEC. I kin bi bikɔs di pikin in intestinal nɔ gɛt inof blɔd saplai, ɔ bikɔs di blɔd saplai de mek i izi fɔ gɛt baktriyal infɛkshɔn. I tan lɛk se dɛn tu tin ya de ɛp.

Pseudomembranous Ɛntɛrokolaytis

Dɛn kin kɔl dis bak antibaytik -associated enterocolitis . Na baktri infekshɔn kin kam wit am. I sɔprayz fɔ no se dɛn kin trit am wit antibayɔtik .Di yus fɔ antibayɔtiks na wan tin bak we kin mek pɔsin gɛt dis sik. wan spεshal baktri we dεn kכ l Clostridium difficile (C. diff) de rispansabl fכ dis. Dis `C. diff` infεkshכn kin divεlכp mכst pan pipul dεm we dεn tek antibaytik fכ trit כda infεkshכn. Mɔs pan di antibayɔtik nɔ de kil `C. diff`, bכt dεn de kil di gud baktri dεm na wi intestכn dεm we de kil `C. difrɛns`. Dɔn `C. diff` kin izi fɔ gro aut ɔf kɔntrol.

As dis baktri de gro, i de pul pɔyzin insay di layn na di intestinal. Sɔm pipul dɛn kin gɛt siriɔs riakshɔn to dɛn pɔyzin ya, we kin mek dɛn gɛt wan sik we dɛn kɔl ɛntɛrokolayt. Dis infεkshכn kin kכ mכn na כspitul εn nכs os dεm biכs di pipul dεm we de de nכ kin gεt di imyuniti, dεn kin yus antibaytik bכku , εn di C. diff baktri dεm kin ebul fכ liv fכ lכng tεm pan difrεn say dεm.

Ɛmorajik Ɛntɛrokolaytis

Dis kכndyushכn kin kכz fכ wan E. coli infεkshכn. E. coli na baktri we nɔmal fɔ liv na wi intestinal we nɔ gɛt ɛni bad tin. Bɔt wan spɛshal wan we dɛn kɔl Enterohemorrhagic E. coli (EHEC) , ɔ Shiga toxin-producing E. coli (STEC), denja. dis strayn de atak di layn na wi intestinal dεm εn i de mek tכxin dεm we dεn kכl Shiga tכxin dεm we de mek inflameshn εn εmoraji.

"Enterohemorrhagic" min se blɔd de kɔmɔt na di smɔl intestinal. Pipul dεm we de riak bad bad wan to Shiga tכxin kin gεt εnterokolaytis εn blɔd na dεn tu intestinal dεm. Dis kin mek yu gɛt blɔd dayarɛa (disɛntri) . Dis sik kin afɛkt pikin dɛn we rili yɔŋ ɛn ol pipul dɛn .

Fɔd Protɛin-Induse Ɛntɛrokolaytis Sindrom (FPIES) .

Dis na alɛji fɔ it. I kin mɔs afɛkt pikin dɛn we nɔ rich tu ia yet. I kin mek di layn na dɛn intestinal inflamɛns. `FPIES` na wan nɔ-IgE mɛdiet alɛji . So i difrɛn frɔm ɔda alɛji dɛn we yu go dɔn yɛri bɔt.

insay mכst alerji, wi imyun sistεm de mek spεshal antibodi dεm we dεn kכ l IgE antibodi dεm agens di alerji. Dɛn antibodi ya kin mek pɔsin gɛt di sik wantɛm wantɛm, ɛn dis kin mek i gɛt sɔm sayn dɛn na di nos, trot, lɔng, ɛn skin. כltu, insay nכn-IgE-mεdiet alerji, `IgE` antibodi dεm nכ de prodyuz. bifo dat, wan dilay riakshכ n de apin nכmכ na di intestinal dεm, we de mek di simptom dεm fכ εnterokolayt.

Hirschsprung-Asosiet Ɛntɛrokolaytis

Dis na Hirschsprung sik.Hirschsprung in sik na wan kכmכn εn denja kכmplikεshכn fכ bכn pikin dεm we de afekt di big intestכn. di pikin dεm we gεt di sik we dεn kכl Hirschsprung gεt sכm kayn sεl dεm we de na di layn na di big intestin, bכku tεm na wan εria. dis sεl dεm de involv insay di mכsul dεm we de kכntrikshכn we de εp fכ muv di stכl tru di big intestin, we dεn kכ l pεristalsis .

Insay dis say we nɔ gɛt sɛl, di stɔl kin stɔp na wan ples ɛn i nɔ kin ebul fɔ go bifo, we kin mek i blok . dis blכk de mek gud envayroment fכ di baktri dεm fכ gro. dis baktri dεm we de gro de spre כlsay na di intestinal dεm, leta i de pwεl di layn na di intestinal, we de mek baktri dεm fכ go insay da layεr de. כl dεn tin ya kin kכntribyut fכ divεlכpmεnt fכ εnterokolaytis.

Nyutropenik Ɛntɛrokolaytis

Dis kin afɛkt pipul dɛm wae gɛt wan sik wae dɛn kɔl nyutropenia . Dis min se dɛn gɛt wan kayn wayt blɔd sɛl we dɛn kɔl nyutrofil we smɔl pas di nɔmal . Dɛn nyutrofil ya na dɛn tin ya we nɔmal fɔ ɛp fɔ protɛkt wi frɔm infɛkshɔn. Pipul wae gɛt nyutropenia kin gɛt siriɔs infɛkshɔn, ɛn dɛn kin gɛt ɛnterocolitis bak.

Bɔku pipul dɛn we gɛt nyutropenik ɛntɛrokolaytis dɔn gɛt kemotɛrapi fɔ blɔd kansa lɛk lukimiya ɛn limfoma . Dɛn tin ya kin mek pɔsin gɛt nyutropenia, ɛn kemotɛrapi kin mek di layn na di intestin dɛn wik bak. Bɔt i kin apin bak pan pipul dɛn we gɛt nyutropenia we ɔda tin dɛn lɛk HIV/AIDS ɛn sik dɛn we dɛn kin gɛt we dɛn de fɛt dɛnsɛf .

Aw dɛn kin no se pɔsin gɛt Ɛntɛrokolaytis?

Infakt, di sayn dɛm fɔ ɛnta, kɔlayt, ɛn ɛntɛrokolaytis rili fiba. Sɔntɛm dɔktɔ nɔ go ebul fɔ no wantɛm wantɛm us pat pan yu intestinal dɛn afɛkt. Bɔt, bay di sayn ɛn sayn dɛn we yu gɛt na yu bɔdi, i go sɔprayz se i gɛt inflamɛns. Dɔn, in wok na fɔ no wetin de mek i gɛt am. Na da tɛm de nɔmɔ dɛn go ebul fɔ no di patikyula kayn ɛntɛrokolayt.

Dɔktɔ dɛn kin yuz blɔd tɛst, stɔl, ɛn imej tɛst fɔ no wetin mek i apin. di imej tεst dεm lεk abdominal ultrasound כ CT skan kin luk fכ pruf fכ inflameshn na di intestines εn posεbul kכmplikεshכn dεm. Blɔd tɛst ɛn stɔl tɛst kin ɛp fɔ no sɔm patikyula infɛkshɔn ɔ sik dɛn we kin gɛt fɔ du wit am.

Aw dɔktɔ dɛn kin trit ɛntɛrokolaytis?

Di tritmɛnt dipen pan di tin we mek i apin. Di tritmɛnt kwik kwik wan kin bi:

• Fɔ gi antibayɔtik , antivayrɔs, ɔ antiparasayt drɔgs fɔ trit infɛkshɔn.
• Fɔ gi IV fluid ɛn ilɛktrɔlayt fɔ trit di wata we de kɔmɔt na yu bɔdi we yu gɛt dayarɛa ɛn vɔmit.
• Fɔ gi kɔtikosterɔyd fɔ ridyus inflamɛns.
• Fɔ gi mɛrɛsin fɔ mek pɔsin fil pen.

Sɔntɛnde, di wan dɛn we sik kin nid:

• di we aw dεn de pul wata, gas, כ sכlid dεm frכm di intestinal כ di pεritoneal cavity (drenage) .
• Ɔpreshɔn intavɛnshɔn fɔ mek wan ol na di intestinal ripɛnt, pul wan blɔk, ɔ pul di tisu we dɔn day.
• Tɛmporari colostomy ɔ ileostomy ɔpreshɔn fɔ ridayrɛkt di it we de pas te di intestinal dɛn wɛl.
• Fɔ gi nyutrishɔn we dɛn kin put insay di bɛlɛ (IV nyutrishɔn) .

Yu tink se mi pikin go wɛl if i gɛt ɛntɛrokolayt?

di kכndishכn dεm we de afekt pikin dεm, spεshal wan nεkrכtayzin εnterokolaytis (NEC) εn Hirschsprung-associated enterocolitis, kin mek dεn layf de pan denja . Bɔt if dɛn no di sik ɛn trit dɛn di rayt tɛm, bɔku pan di pikin dɛn kin wɛl . Sɔm kin gɛt infɛkshɔn we nɔ de dɔn ɔ ɔda prɔblɛm dɛn we kin de fɔ lɔng tɛm.

So, if yu smɔl pikin sho ɛni wan pan dɛn sik ya, go to dɔktɔ kwik kwik wan. Di kwik we yu no am, na di mɔ i izi fɔ trit.

Wetin na di prɔblɛm dɛn we kin apin we pɔsin gɛt siriɔs ɛnterokolayt?

Di prɔblɛm dɛn we kin apin kin bi:

• Strikchɔ ɛn ɔbstrɔkshɔn: If yu inflamɛns fɔ lɔng tɛm ɛn wund di layn na di intestin kin mek yu gɛt skata. Dis ska tisu kin mek di intestinal smɔl ɛn mek i nɔ izi fɔ mek sɔlid it pas.
• Ischemia ɛn nekrɔsis: If dɛn kɔt di blɔd we de go na di layn na di intestin, di tisu kin day. Dɛn fɔ pul dis day tisu fɔ mek di ɔda pat dɛn nɔ pwɛl.
• Short bowel syndrome: Pikin dεm we dεn dכn pul pat pan dεn intestines bikoz fכ di komplikashכn dεm kin gεt difrεnt fכ abzכp di nyutriεnt dεm frכm it (malabsorption). Dis kin mek i nɔ gɛt bɛtɛ it, i nɔ kin ebul fɔ gro fayn, ɛn i kin delay fɔ gro ɛn divɛlɔp.
• Kכlestasis: We di εnterokolayt de, di bayl kin bכku na di bayl dakt dεm fכ pikin dεm we nכ ebul fכ daygεst it nכmal wan. we di bayl nכ de fכlכ nכmal wan insay di intestinal fכ εp fכ digεst di it, i kin bכku εn prεsipitεt, fכ mek gal ston dεm.I kin mek bak di bayl flɔd na di gal blad ɛn di liva, we kin mek di bɔdi inflamɛns.
• di intestinal perforation: di tisu dεm we de day, bad bad injuri, כ baktri dεm we de kam insay di intestinal kin mek di layn na di intestinal brok כ pכrכshכn, we kin mek baktri dεm lik kכmכt.
• Septicemia, Sepsis, ɛn Shock: If wan infekshɔn we brok kɔmɔt na di intestinal go spre to di bɛlɛ (peritonitis), afta dat i kin spre to di blɔd (septicemia). dis kin mek di bכdi inflameshn εn bכdi kכlכt כlsay na di bכdi (sepsis). Sepsis na imejensi . If i rili siriɔs, i kin mek pɔsin gɛt sɛptik shɔk . Dis kin mek bɔku ɔgan dɛn nɔ wok ɛn day.

Di tin we impɔtant pas ɔl fɔ mɛmba (Take-Home Message) .

Inflameshɔn na di intestines na kɔmɔn tin, mɔ we pɔsin gɛt infɛkshɔn. Bɔt if i afɛkt yu smɔl intestinal ɛn yu kɔlon di sem tɛm, we dɛn kɔl ɛntɛrokolayt, i kin siriɔs smɔl . Dis sik kin mɔs afɛkt pipul dɛm wae gɛt wik imyun sistɛm. So, e kin frayd pas fɔ simpul bɛlɛ pen fɔ di wan dɛn we gɛt dis sik ɛn di wan dɛn we dɛn lɛk.

Bɔt if dɛn tek tɛm ɛn ansa kwik kwik wan , dɔktɔ dɛn kin trit dis bifo prɔblɛm dɛn kam. If yu ɔ pɔsin we yu lɛk gɛt wikɛd imyun sistɛm, i rili impɔtant fɔ no bɔt di risk fɔ gɛt ɛnterokolayt. If yu notis ɛni sayn, nɔ de te ɛn go to dɔktɔ. Dɔn wi kin kɔntrol dis sik bifo i wɔs.

` Enterocolitis, intestinal infεkshכn, bεlε inflameshn, dayariya, pikin sik dεm, imyuniti, digεshכn