Sɔm pipul dɛn we gɛt prɔblɛm wit dɛn liva kin bigin fɔ blɔd kɔmɔt na dɛn mɔt wantɛm wantɛm, ɔ dɛn kin notis blɔd na dɛn stɔl. We dis kin apin, yu nɔ kin rili ebul fɔ imajin wetin de apin. Wan pan di men rizin dɛn we kin mek yu gɛt dis sik na bikɔs di blɔd vesel dɛn we de na yu ɛsophagus , we na di tiub we di it de pas, kin swel ɛn bɔs, ɛn dis kin mek yu blɔd . I tan lɛk se di vayrɔs we de na yu leg, bɔt dis kin apin insay yu bɔdi. Tide wi go tɔk bɔt dis sik, we dɛn kɔl Esophageal Varices. Nɔ wɔri, lɛ wi kip am simpul.
Wetin na dɛn tin ya (Esophageal Varices)? Simply put am...
Imajin, yu εsophagus na wan tiub we de kɛr it frɔm yu mɔt to yu bɛlɛ. Insay dis tiub, na wan nɛtwɔk we gɛt fayn fayn blɔd vesel dɛn. If fɔ sɔm rizin, dɛn blɔd vesel ya de ɔnda tumɔs prɛshɔn, dɛn kin swel smɔl smɔl ɛn bigin fɔ big. dis dεn kכl dis εsophageal varices.
Di tin we denja pas ɔl bɔt dis na dat di wɔl dɛn na dɛn vein dɛn ya we dɔn swel kin wik bad bad wan. Lɛk balyɔn we dɔn ful-ɔp pasmak. So, i kin izi fɔ mek dɛn bɔs ɛn blɔd . Dis blɔd we de kɔmɔt insay di bɔdi kin kam wantɛm wantɛm, i kin rili bad, ɛn i kin mek i day.
Aw siriɔs wan na (Esophageal Varices)?
Di men ɛn siriɔs risk fɔ dis kɔndishɔn na fɔ blɔd . Pan ɔl we nɔto ɔlman kin blɔd, lɛk 50% pan di pipul dɛn we gɛt dis sik kin blɔd. As wi bin dɔn tɔk, dis risk de go ɔp as di prɛshɔn na di men blɔd vesel we de pas na di liva, dat na, (Portal Hypertension), de go ɔp. Bɔrku tɛm, dis sik (Portal Hypertension) kin kam wit wan sik wae nɔr de dɔn na di liva. So, as di liva sik de wɔs, dis sik de wɔs bak.
Pipul wae gɛt siriɔs sik na dɛn liva, we min sirosis, kin gɛt ɔda prɔblɛm apat frɔm di esophageal varices.. Bɔt di men rizin we mek dɛn kin put pipul dɛn we gɛt sirosis na ɔspitul ɛn day na bikɔs dɛn vein ya we dɔn swel kin bɔs ɛn blɔd. If dis kayn blɔd de kɔmɔt, di risk fɔ day na lɛk 20%. Dɔn bak, afta yu dɔn blɔd wan tɛm, di risk fɔ mek yu blɔd bak kin bɔku.
Wetin na di sayn dɛm fɔ (Esophageal Varices)?
dis vein dεm we swel nכ de si lεk aw dεn de na di leg dεm. Dɛn kin de insay di chɛst, bɔku tɛm na usay di εsophagus kin kɔnɛkt to di bɛlɛ. Yu nɔ de fil dɛn we yu de swɛla. Bɔrku tɛm, dɛn nɔ kin kɔz ɛni sayn te dɛn blɔd.
Bɔt if yu dɔktɔ si ɔda sayn dɛn we de sho se pɔtal haypatɛyshɔn ɔ kronik liva sik, i kin sɔprayz bak se di εsophageal varices. Dɛn kayn sayn ya na:
- Jaundice : Di skin ɛn di yay dɛn de yɔlɔ.
- Ascites : Na di wata we de gɛda na di bɛlɛ.
- Ɛdima : Di leg ɛn anklɛ dɛn kin swel.
- Ɔpa bɛlɛ pen : Di pen kin kam bikɔs di liva ɔ di splin de swel .
- Pruritus : I de it di skin we nɔ de du ɛni bad tin.
- Kɔnfyushɔn (Hepatic Encephalopathy) : Nɔ ebul fɔ kɔnsɛntret, nɔr de mɛmba natin.
Di sayn dɛn we de sho se pɔsin de blɔd
If wan vein we dɔn swel bɔs wantɛm wantɛm ɛn bigin fɔ blɔd, yu nɔ go fil ɛni pen wantɛm wantɛm. Bɔt yu fɔ no bɔt dɛn sayn ya we de sho se blɔd de kɔmɔt na di dijestiv trakt ɔ frɔm di bɔdi :
| Di sayn dɛn we de sho se pɔsin de blɔd | Dis na aw i kin apin... |
|---|---|
| Fɔ vɔmit blɔd frɔm di mɔt | We yu vɔmit blɔd, yu kin vɔmit blɔd we dɔn klɔt ɛn we tan lɛk kɔfi grɔn. Bɔt if wan vein bɔs wantɛm wantɛm, yu kin vɔmit fresh, rɛd blɔd. |
| Blɔd we de na di stɔl | we di bכdi we de kכmכt na di mכt dεn dכgεst εn kכmכt wit di stכl, i de tכn tar yכlכ כ blak kכla (melena). Bɔt if di blɔd de kɔmɔt kwik kwik wan, nyu rɛd blɔd kin kɔmɔt bak wit di stɔl. |
| Ɔda tin dɛn we de apin na di bɔdi | We bɔku blɔd dɔn kɔmɔt na di bɔdi, yu fes kin tɔn blak, ɛn yu kin fil taya pasmak ɛn yu nɔ gɛt layf. Lɔw blɔd prɛshɔn kin mek bak yu ed tɔn. |
Impɔtant: Simptom dɛm fɔ Imejɛnsi (Hypovolemic Shock) .
If yu gɛt sayn dɛn wantɛm wantɛm fɔ wan denja sik we dɛn kɔl hypovolemic shock, go to di ETU wantɛm wantɛm! Dɛn sayn ya na:
- Di at we de blo
- Di rεt we yu de blo de go ɔp
- Fɔ fil kol ɛn swet
- Nɔ rɛst ɛn kɔnfyushɔn
- Lɔs fɔ no bɔt sɔntin
Wetin na di tin dɛn we kin mek di εsophageal varices?
di men tin we kin mek dis sik na wan kכndyushכn we dεn kכl Portal Hypertension , we na di ay blכd prεshכ n na di men bכdi we de pas tru di liva (portal vein) εn כda vein dεm we de branch kכmכt frכm am.
Wi bɔdi de tray fɔ adap to dis prɛshɔn we de bɔku bay we i de dayrɛkt di ɛkstra blɔd to smɔl smɔl vein dɛn we nɔ ebul fɔ handle am. pan dεn wan ya, di dilik vein dεm na di ans na dεn de swel mכst.
Men tin dɛm we kin mek pɔsin gɛt pɔtal haypatɛnshɔn
Di men tin we kin mek dis apin na di sik we dɛn kɔl sirosis, we na we di liva kin at . Dis kin kam bikɔs di liva kin pwɛl fɔ lɔng tɛm. Di liva sɛl dɛn kin kɔntinyu fɔ wund ( ɛpatitis ), ɛn leta dɛn kin bi ska tisu. Dis skata de mek blɔd nɔ go pas na di liva. Dis nɔ kin apin wan tɛm, bɔt i kin apin fɔ lɔng lɔng tɛm.
Sirosis na di las stej fɔ ɛni sik we nɔ de mɛn na di liva. Fɔ ɛgzampul:
- Epataytis we pɔsin kin gɛt we i de drink rɔm
- Steatohepatitis we nɔ de drink rɔm (NASH) .
- Kronik vayral ɛpatitis (lɛk B, C) .
- Autoimyun epataytis we pɔsin kin gɛt
Ɔda tin dɛn de we kin mek pɔsin gɛt Pɔtal Haypatɛyshɔn:
- Granulomas na di liva : Dis na kכlekshכn fכ inflammatory sεl dεm we de apin wit difrεn infεkshכn dεm εn inflammatory kכndishכn dεm. Di men tin we kin mek dis apin na wan parasayt infekshɔn we dɛn kɔl Schistosomiasis, we kin afɛkt lɛk 230 milyɔn pipul dɛn ɔlsay na di wɔl.
- trombosis: if bכdi kכlכt fכm na di venכs sistεm we kכnekt to di liva, di bכdi fכ fכlכ kin bכku (e.g. Budd-Chiari syndrome).
- Di splin we de mek di bɔdi big .
- At sik : lεk at sayd fεl.
(Esophageal Varices) Diagnosis ɛn Tritmɛnt
Yu nɔ go no bɔt dis te dɔktɔ chɛk yu. If dɛn dɔn ɔlrɛdi no se yu gɛt sirosis, bɔku tɛm yu dɔktɔ go tɛl yu fɔ chɛk fɔ dis swel na di veins. di men tεst we dεn yuz fכ dis na כp εndoskopi .
Wetin na (Upper Endoscopy)?
Upper Endoscopy , we dɛn kin kɔl bak EGD tɛst, na fɔ chɛk yu ɔpa dijestiv trakt, we inklud yu ɛsophagus, bɛlɛ, ɛn di biginin fɔ yu smɔl intestin (duodenum). Na wan gastroenterologist, wan dɔktɔ we spɛshal pan sik dɛn na di dijestiv sistɛm ɛn ɛndoskopi prosidur dɛn kin du dis. di endoskop na wan lכng tכn tכb we gεt sכmכl kεmεra na di εnd. di tכb de insay yu mכt εn pas dכn yu εsophagus fכ luk dairekt fכ eni swel. If dɛn si ɛni prɔblɛm, dɛn kin put smɔl smɔl tin dɛn insay di ɛndoskɔp fɔ trit dɛn.
Wetin na di tritmɛnt fɔ (Esophageal Varices)?
Di men gol dɛm fɔ tritmɛnt na fɔ kɔntrol di blɔd we de kɔmɔt naw, fɔ mek di blɔd nɔ kɔmɔt tumara bambay, ɛn if i pɔsibul, fɔ ridyus di pɔtal haypatɛnshɔn.
| Di we aw dɛn kin trit am | Wetin kin apin to am? |
|---|---|
| Di mɛrɛsin dɛn we dɛn kin yuz | Dɔktɔ dɛn kin gi dɛn mɛrɛsin dɛn we dɛn kin put insay dɛn bɛlɛ lɛk Ɔktriɔtayd fɔ mek dɛn blɔd prɛshɔn go dɔŋ. Dɛn kin gɛt mɛrɛsin bak lɛk Beta-blockers we yu kin tek fɔ stɔp di blɔd. |
| Varikos band ligeshɔn | As soon as dεn put di εndoskop, dεn kin put sכmכl rכba bכnd rawnd di vein we de bכn, כ di vein we dεn sכspεkt fכ bכdi, εn tayt am. Dis kin mek di blɔd nɔ de kɔmɔt fayn. |
| Di we aw fɔ du di shunt | Dis na tin we kɔmplikt smɔl. Tu we dɛn de, TIPS ɛn DSRS. Dis min se dɛn fɔ mek nyu rod fɔ mek blɔd pas di liva. Ilɛksɛf na ɔpreshɔn ɔ ɛkstrem rayt, dɛn kin kɔnɛkt wan vein na di liva to ɔda vein fɔ mek i nɔ gɛt prɛshɔn. |
| Fɔ trit di ɔndalayn kɔz | Di tin we impɔtant pas ɔl na fɔ trit di rizin we mek i gɛt dis sik. Dat min se yu fɔ stɔp fɔ drink rɔm, fɔ lɛf fɔ it bɔku bɔku it, ɔ fɔ tek mɛrɛsin fɔ wan sik we de ɔnda yu lɛk epataytis C. |
Liv wit dis situeshɔn
Di we aw yu de si tin dipen pan if yu gɛt blɔd we de kɔmɔt na yu veins ɛn aw yu liva sik bad bad wan. Di wan ia we de liv fɔ pipul dɛn we gɛt sirosis ɛn blɔd na lɛk 50%. Di risk fɔ day frɔm di fɔs blɔd na 20%, ɛn di risk fɔ sɛkɔn blɔd, ivin wit tritmɛnt, kin rich 60%.
di εsophageal varices na wan siriכs kכndyushכn. Bɔt if dɛn no di liva sik kwik kwik wan, dɛn kin chenj di we aw dɛn de liv dɛn layf fɔ mek di sik nɔ go wɔs, ɛn dɛn kin mek dɛn vein dɛn ya nɔ swel bak.
Mɛsej we dɛn kin kɛr go na os
- Bɔrku tɛm, di εsophageal varices kin bi bikɔs ɔf pɔtal haypatɛnshɔn, we na wan sik we kin kam wit liva sirosis .
- Di men denja fɔ dis na we di blɔd vesel kin bɔs ɛn blɔd . Dis kin mek pɔsin in layf de pan denja.
- Ivin if yu nɔ sho ɛni big big sayn fɔs, if yu si sɔm sayn dɛn lɛk blɔd we de kɔmɔt na yu mɔt, blak stɔl, yu skin yɔlɔ, ɛn bɛlɛ we swel, go to yu dɔktɔ wantɛm wantɛm .
- Dɛn kin no dis kɔrɛkt wan ɛn dɛn kin du sɔm tritmɛnt dɛn tru wan ɛgzamin we dɛn kɔl ɛndoskopi.
- Tritmɛnt dɛn de, bɔt di tin we impɔtant pas ɔl na fɔ avɔyd tin dɛn we de pwɛl di liva (rɔm, sɔm it dɛn we nɔ fayn) ɛn fala di advays dɛn we di dɔktɔ gi yu di rayt we .
- If yu gɛt liva sik, i rili impɔtant fɔ du dɔktɔ tɛst ɔltɛm fɔ chɛk if yu gɛt prɔblɛm dɛn lɛk dis .
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