Yu tink se di blɔd vesel dɛn we de na yu ɛsophagus, we na di tiub we de kɛr it frɔm yu mɔt to yu bɛlɛ, dɔn swel ɛn big? Sɔntɛm yu nɔ ivin yɛri bɔt dis. Bɔt dis sik we dɛn kɔl Esophageal Varices, kin mek pɔsin nɔ tɔk natin ɛn wantɛm wantɛm i kin denja. So tide, lɛ wi lan ɔltin bɔt am rili simpul wan, lɛk se wi de tɔk to wi padi.
Fɔ tɔk am simpul wan, wetin na di εsophageal varices?
Imajin, sɔntɛnde wi leg dɛn kin gɛt veins we swel ɛn twist? Wi kin kɔl dɛn ‘varicose veins’. Di sem tin kin apin insay wi gulet. Di wɔl dɛn na dɛn vein dɛn ya kin rili wik. So chans de fɔ mek blɔd kɔmɔt insay dɛn, ɔ dɛn go bɔs wantɛm wantɛm ɛn blɔd. Dis blɔd we de kɔmɔt insay di bɔdi kin kam wantɛm wantɛm, i kin rili bad, ɛn i kin ivin mek i day.
dis kכndyushכn kin k כz fכ di prεshכn we de go כp na di men bכdi we de pas tru di liva εn כda vein dεm we kכnekt to am (Portal Hypertension). dis abnכmal prεshכn de mek di sכm sכm vein dεm na di liva swel εn big. Bɔrku tɛm dɛn kin si dis sik pan pipul dɛm wae gɛt liva sik.
Aw siriɔs dis tin de apin?
Di risk we denja pas ɔl fɔ gɛt pɔtal vein trombosis na fɔ blɔd . Nɔto ɔlman kin blɔd, bɔt lɛk 50% pan pipul dɛn kin de pan denja. di hכy pכtal haypatεnshכn, na di mכr risk fכ blɔd. Dis prɛshɔn kin go ɔp wit di liva sik, mɔ di sirosis .
Pipul wae gɛt siriɔs sirosis na di liva kin gɛt ɔda prɔblɛm dɛn apat frɔm dɛn vein ya we kin swel. Bɔt di men rizin we mek pɔsin de na ɔspitul ɛn day na we dɛn vein ya kin brok ɛn blɔd kin kɔmɔt. If yu blɔd wan tɛm dis we, di risk fɔ day na lɛk 20%. Dɔn bak, di blɔd kin kam bak ɔltɛm.
Wetin na di sayn dɛm fɔ dis sik?
Bikɔs dɛn vein ya de insay di bɔdi, dɛn nɔ de si dɛn lɛk vein na di leg. Yu nɔ go ivin fil dɛn we yu de swɛla it. Infakt, dɛn nɔ kin sho ɛni sayn te dɛn bigin fɔ blɔd .
Bɔt if dɔktɔ si ɔda sayn dɛn we de sho se yu gɛt liva sik ɔ pɔtal haypatɛyshɔn, dɛn kin sɔprayz dis bak.
| Tayp fɔ di simptom | Fɔ ɛksplen |
|---|---|
| Simptom dɛm wae de sho se yu gɛt liva sik | |
| Jandis we gɛt di sik | Yu skin ɛn yu yay dɛn kin tɔn yɔlɔ. |
| Asayt we de mek pɔsin gɛt sik | di bכdi de swεla bikoz fכ di wata we de kכmכt na di bכdi (bεlε). |
| Ɛdima | Di leg ɛn fut dɛn kin swel. |
| Di pen we de na di ɔp pat na di bɛlɛ | Pen we pɔsin kin gɛt we i de swel na di liva ɔ di splin. |
| Wan filin we de mek pɔsin fil bad | Hepatic encephalopathy na wan sik we di liva nɔ de wok fayn, we de afɛkt di bren. |
| Simptom dɛm fɔ blɔd we de kɔmɔt na wan vein | |
| Blɔd we de vɔmit | If di blɔd de kɔmɔt sloslo, di vɔmit kin tan lɛk kɔfi grɔn. If wan vein bɔs wantɛm wantɛm, yu go vɔmit fresh, rɛd blɔd. |
| Blɔd we de na di stɔl | If blɔd travul tru di dijestiv trakt, i kin mek di stɔl dak blak, lɛk tar (melena). If blɔd de kɔmɔt kwik kwik wan, dɛn kin pas fresh rɛd blɔd bak. |
| Paleness we pɔsin kin gɛt | Wan pale appearance lɛk se di blɔd dɔn kɔmɔt na di fes. |
| Taya ɛn diziz | Fɔ fil taya, wik, ɛn diziz bikɔs ɔf di blɔd prɛshɔn we de dɔŋ. |
I rili impɔtant: If yu gɛt sayn dɛm fɔ hypovolemic shock bikɔs yu de blɔd pasmak, go na ɔspitul imejensi rum (ETU) wantɛm wantɛm. Dɛn sayn ya na: yu at kin bit kwik kwik wan, yu kin blo kwik kwik wan, yu kin swet kol, ɛn yu nɔ kin no natin.
Wetin mek dɛn vein dɛn ya kin swel? Wetin na di kɔz?
As wi bin dɔn tɔk, di men tin we kin mek i apin na wan sik we dɛn kɔl ``Portal Hypertension.`` Lɛ wi ɔndastand dis smɔl mɔ simpul wan.
Tink bɔt wi liva lɛk big filta. Di blɔd we de kɔmɔt na di it we de na di bɛlɛ de pas na di liva, usay dɛn kin klin am ɛn go na di at. di men vein we de bring dis bכdi to di liva dεn kכl am ``Pכtal Vein``.
Naw, if di liva gɛt skata ɛn at bikɔs ɔf sik lɛk sirosis , da blɔd de nɔ go ebul fɔ pas na di liva izi wan. I tan lɛk se big trafik jam de na rod. dis kin mek di bכdi prεshכn insay di pכtal vein de inkrεs bכku bכku wan.
di bכdi de tray fכ kכmpεns dis prεshכn we de inkrεs bay we i de divεlt bכdi tru sכm sכm sכm sכm sכm sכm sכm sכm sכm sכm sכm sכm sכm sכm sכm sכm sכm sכm sכm sכm sכm sכm sכm sכm sכm sכm sכm sכm sכm sכm sכm bכdi dεm. di vein dεm na di ureter na jכs dεn kayn sכm sכm vessel dεm de. Bɔt dɛn smɔl smɔl vein dɛn ya nɔ kin ebul fɔ bia di bɔku bɔku blɔd ɛn prɛshɔn. Dis kin mek dɛn swel, dɛn kin big, ɛn dɛn kin bɔs ɛnitɛm.
De men tin wae kin mek yu gɛt liva sirosis na:
- Fɔ drink rɔm pasmak.
- Fat liva (Nɔnalcoholic Steatohepatitis).
- Vayral ɛpatitis infɛkshɔn dɛn we dɔn de fɔ lɔng tɛm.
- di bכdi in yon imyun sistεm de atak di liva (Autoimmune Hepatitis).
- Ɔda tin dɛn we kin mek yu blɔd kin klɔt, parasayt infɛkshɔn (Schistosomiasis) ɛn ɔda tin dɛn.
Aw yu go no if yu gɛt dis sik?
Bɔrku tɛm, yu kin jɔs no bɔt dis afta dɔktɔ dɔn chɛk yu. If yu dɔn ɔlrɛdi gɛt sirosis na di liva, bɔku tɛm yu dɔktɔ go tɛl yu fɔ chɛk fɔ dis kayn vein we de swel.
di men tεst na di Upper Endoscopy כ EGD tεst .
Dis min se yu fɔ put wan tint tiub we kin chenj ɛn we gɛt kamɛra we dɛn tay tru yu mɔt ɛn chɛk yu ɛsophagus, bɛlɛ, ɛn di biginin fɔ yu smɔl intestin. Dis kin mek yu dɔktɔ si klia wan if yu vein dɛn dɔn swel, aw dɛn big, ɛn if dɛn de pan denja fɔ mek blɔd kɔmɔt.
Wetin na di tritmɛnt dɛm fɔ dis?
Laki, difrɛn tritmɛnt dɛn de fɔ kɔntrol di blɔd ɛn fɔ mek i nɔ blɔd bak. Di men gol dɛm fɔ tritmɛnt na fɔ:
- Kɔntrol aktif blɔd if wan de.
- Fɔ mek yu nɔ gɛt blɔd tumara bambay.
- If i pɔsibul, ridyus di kɔndishɔn fɔ `(Pɔtal Haypatɛnshɔn)`.
1. Kɔntrol di blɔd we de kɔmɔt (imejɛnsi) .
Dis na mɛdikal imejensi. Na di ɔspitul, dɛn go gi yu IV wata, dɛn go gi yu blɔd if nid de, ɛn dɛn go gi yu ɛndoskopi afta yu sik dɔn stebul. De:
- Varicose Band Ligation: dεn de pas wan sכmכl instrכmεnt tru di εndoskop εn dεn de put wan sכmכl rכba bכnd rawnd di varicose vein. Dis kin mek di blɔd nɔ go na di vein ɛn i kin kɔntrol di blɔd we de kɔmɔt.
- Mεdikeshכn dεm: Dεn kin gi mεdikeshכn dεm we de dכn blכd prεshכn εn kכnstrikt blɔd vεsul dεm (Octreotide, Vasopressin) tru wan vein.
2. Fɔ mek i nɔ blɔd bak
Ilɛksɛf blɔd de kɔmɔt ɔ nɔ de kɔmɔt, if risk de fɔ mek blɔd kɔmɔt, di dɔktɔ go bigin fɔ trit am fɔ mek i nɔ gɛt am.
- Beta-blɔka: Dis kayn mɛrɛsin, we dɛn kin gi fɔ ay blɔd prɛshɔn, kin ridyus di risk fɔ blɔd bay lɛk 50%.
- Band Ligation: Dɛn kin yuz dis we bak as prɛvɛnshɔn fɔ sɔm pipul dɛn.
3. Fɔ trit di ɔndalayn kɔz
If di tritmɛnt dɛm wae wi dɔn tɔk bɔt nɔr ridyus di risk fɔ blɔd, yu dɔktɔ kin gi yu ɔda we fɔ ridyus di kɔndishɔn fɔ ``Portal Hypertension.''
- Transjugular Intrahepatic Portal-Systemic Shunt (TIPS): Dis nɔto ɔspitul we dɛn kin du. insay dis prosidכs, dεn de put sכm sכm tכb (stεnt) insay wan vein insay di liva we de kכri bכdi frכm di pכtal vein, we de mek nyu kכnεkshכn, כ "sכtkat." Dis kin ridyus di prɛshɔn bad bad wan.
- כpεrayshכn: כpεrayshכn dεm lεk ``Distal Splenorenal Shunt (DSRS)`` dεn de ridyus prεshכn bak bay we dεn de divεrt di bכdi fכ fכlכ.
Nɔ fɔgɛt: Di tin we impɔtant pas ɔl na fɔ trit di ɔndalayn kɔz fɔ di liva we de pwɛl. Fɔ lɛf fɔ drink rɔm, fɔ lɛf fɔ it bɔku bɔku it, ɛn fɔ trit tin dɛn lɛk epataytis C, dat kin ɛp fɔ mek di liva nɔ pwɛl ɛn mek di sik nɔ wɔs.
Mɛsej we dɛn kin kɛr go na os
- Esophageal varices na siriɔs sik we bɔku tɛm nɔ kin mek yu gɛt ɛni sayn te blɔd kɔmɔt.
- Di men tin we kin mek dis apin na di pɔtal haypatɛnshɔn we kin kam wit di liva sik, mɔ di sirosis.
- If yu gɛt liva sik, i rili impɔtant fɔ tɔk to yu dɔktɔ ɛn go de chɛk yu ɔltɛm.
- If yu notis sɔm sayn dɛm lɛk fɔ vɔmit blɔd ɔ fɔ pas blak stɔl, na imejensi. Go na ɔspitul in Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm.
- Di chenj na yu layf, lɛk fɔ lɛf fɔ drink rɔm ɛn fɔ liv fayn layf, kin go fa fɔ mek yu gɛt wɛlbɔdi na yu liva ɛn fɔ mek dis sik nɔ wɔs.
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