Yu kin gɛt siriɔs pen bak na di rayt say na yu bɛlɛ, dɔŋ yu rib, wit nɔys ɛn vɔmit? Bɔrku tɛm, wi kin tink se na gastritis, bɔt i kin bi sɔntin we siriɔs pasmak. Tide, wi go tɔk bɔt wan kɔndishɔn we bɔku pipul dɛn nɔ no bɔt, bɔt i rili impɔtant fɔ no bɔt. Dat na inflameshn na di gal blad, ɔ insay mεdikal tεm, kolεsistaytis.
Wetin na dis gal blad? Wetin na dis inflamɛns?
Fɔ tɔk am simpul wan, di gal blad na smɔl ɔgan we tan lɛk sak we de ɔnda wi liva. di men wok we i de du na fכ stכr wan wata we dεn kכl "bile" we di liva de mek fכ sכm tεm. We wi it it we gɛt bɔku fat ɔ ɔyl, di gal blad de pul sɔm bayl insay wi smɔl intestin fɔ ɛp fɔ digest am. Dis bayl de travul tru wan sistem we gɛt smɔl smɔl tiub dɛn we tan lɛk wata paip. Dɔktɔ dɛn kin kɔl dɛn tin ya "bile dakt."
Naw imajin, wetin go apin if wan pan dɛn bayl dakt ya blok fɔ sɔm rizin, ɔ if di gal blad gɛt di sik? Na da tɛm de di gal blad kin swel ɛn i kin fil pen ɛn inflam. Wi kin kɔl dis kɔndishɔn kɔlɛsistaytis .
Yu tink se men kayn gal blad inflamɛns de?
Yɛs, wi kin si dis sityueshɔn tu men we dɛn.
1. Akyu Kɔlesistaytis: Dis na bad bad sik we kin bigin wantɛm wantɛm. Di pen kin rili bad.
2. Kronik Kɔlesistaytis: Dis nɔto tin we kin apin wantɛm wantɛm . Na wan sik we di gal blad kin wik as tɛm de go, we kin mek pɔsin fil pen wan wan tɛm we kin stɔp.
Apat frɔm dat, dɛn kin sheb am bak akɔdin to di tin we mek i apin. if na gal ston dεn kכz am, dεn kכl am ``Calculous cholecystitis''. if na כda tin dεm we nכ gεt ston, dεn kכl am ``Acalculous cholecystitis''. Bɔt i impɔtant fɔ mɛmba se na lɛk 95% pan di kes dɛm, di tin we kin mek i apin na gal ston .
Wetin na di sayn dɛm wae de sho se yu gɛt gal blad inflamɛns?
I rili impɔtant fɔ no dɛn sik ya kɔrɛkt wan, so dat yu go go to dɔktɔ kwik kwik wan.
| Di sayn we de sho se di sik de | Tɔk bɔt |
|---|---|
| Bɔku pen na di ɔp rayt say na di bɛlɛ | Dis na di men sayn we de sho se yu gɛt dis sik. Di pen kin bɔku wantɛm wantɛm ɛn i kin rich di mak. Sɔm pipul kin fil dis pen wae de muv to dɛn rayt sholda ɔr bak. Di pen kin bɔku we yu de blo dip dip wan. Sɔm pipul dɛn kin ivin mistek se dis na chɛst pen ɔ at atak. |
| Nɔs ɛn vɔmit | I rili kɔmɔn fɔ gɛt siriɔs bɛlɛ pen wit nɔys ɛn vɔmit. |
| Fiva | Sɔm pipul dɛn kin gɛt fiva we pas 100 digri F. Fiva kin min se infekshɔn ɔ inflamɛns de we rili siriɔs. Bɔt, pipul dɛn we dɔn ol nɔ kin gɛt fiva. |
| Ɔda tin dɛn we de apin | Yu kin si sɔm sayn dɛm lɛk fɔ blo, pen we yu tɔch yu bɛlɛ, taya, ɛn nɔr kin want fɔ it, mɔ pan pipul dɛm wae dɔn ol. |
De impɔtant tin na dat, pan wan sik wae nɔr de mɛn, dɛn sayn ya nɔr kin rili bad. Afta yu it wan patikyula it we gɛt fat, yu kin gɛt prɔblɛm wit yu bɛlɛ ɛn yu kin gɛt nɔys fɔ sɔm awa ɛn afta dat i go dɔn.
Wetin mek dis gal blad inflamɛns kin apin?
As wi bin dɔn tɔk, di men tin ɛn di tin we kin mek pɔsin gɛt mɔ ston na gal ston . dis dεm de fכm we difrεn tin dεm na di bayl de kכmכt εn i de at as tεm de go, lεk sכm ston dεm. If dɛn ston ya stɔp na di gal blad ɔ na di bayl dakt, di bayl nɔ kin ebul fɔ flɔ kɔmɔt ɛn i kin gɛda insay di gal blad. Dɔn di gal blad kin swel, i kin gɛt inflamɛns, ɛn i kin ivin gɛt baktri.
Bɔt nɔto jɔs ston, ɔda rizin dɛn kin de bak.
- biliary stricture: Ɔda sik dɛn kin mek di bayl dakt dɛn gɛt skata ɛn dɛn kin smɔl.
- biliary dyskinesia: di mכsul dεm na di gal blad nכ de kכntrakt fayn fayn wan, we de mek di bayl nכ de kכmכt.
- Gal blad kansa: Na smɔl tɛm nɔmɔ, kansa na di gal blad ɔ di bayl dakt kin mek bak di bayl dakt dɛn blok.
- di bכdi we de bכku (Ischemia): If di bכdi we de gi di gal blad dכn dכn fכ sכm rizin, inflameshn kin apin.
- Infɛkshɔn dɛn: .ivin if yu nɔ gɛt gal ston, di gal blad nɔ kin gɛt di sik bikɔs ɔf baktriyal infɛkshɔn.
Udat de pan denja fɔ gɛt dis sik?
Pipul wae kin gɛt bɔrku gal ston kin gɛt dis inflamɛns. Dɛn na:
- Uman dɛn
- Mama dɛn we gɛt bɛlɛ
- Fat pasmak (we pɔsin we gɛt bɔku bɔku bɔdi) .
- Pipul dɛn we gɛt dayabitis
- Pipul dɛn we gɛt ay kɔlɔstrel na dɛn blɔd
- Pipul dɛn we dɔn lɔs bɔku bɔku wet wantɛm wantɛm
- Pipul dɛn we dɔn pas 40 ia
Yu tink se dis na siriɔs sik? Wetin na di prɔblɛm dɛn we kin apin?
Yɛs, dis nɔto kɔndishɔn we wi fɔ tek am layt . pan akyu kכndishכn, di bayl dakt de blok, we de mek di bayl bak כp insay di bכdi. Dis kin mek di wan ol bɔdi fil ebi.
Sɔm pan di siriɔs prɔblɛm dɛn we kin apin if dɛn nɔ trit dɛn na:
- Gangrene: If yu swel pasmak, i kin mek di blɔd nɔ go na di gal blad ɛn mek di tisu day.
- di gal blad we de pכt: afta di tisu dεm day, di gal blad wכl de pכt, we de mek di bayl εn tכxin dεm lik insay di bכdi.
- Pɛritonaytis: We di bayl lik insay di bɛlɛ, di jεm kin go insay di dilik layn na di bɛlɛ ɛn mek i gɛt siriɔs infεkshɔn.
- Septicemia: If dis infekshɔn spre to di blɔd, i kin mek pɔsin in layf de pan denja.
- Pankrias: Dipen pan usay di ston de, di pankrias kin afɛkt bak.
So, if yu gɛt sɔm kayn sik lɛk dis, di bɛst tin fɔ du na fɔ go to dɔktɔ wantɛm wantɛm , pas fɔ de na os ɛn tink se "i kin bi gastritis."
Aw dɔktɔ kin no bɔt dis?
We yu go to dɔktɔ, i go aks yu bɔt di sayn dɛn we yu gɛt. Dɔn i go chɛk yu. Wan tɛst de we bɔku pipul dɛn sabi fɔ chɛk fɔ si if di gal blad gɛt inflamɛns. Insay de, di dɔktɔ go prɛs di ɔp rayt say na yu bɛlɛ ɛn aks yu fɔ tek dip briz. if yu fil bad bad pen, dat na di ki sayn fכ di gal blad inflameshn (`Murphy's sign`).
Afta dat, yu kin rifer to dɛn tɛst ya fɔ no if yu gɛt di sik:
- Blɔd tɛst: Kɔmplit blɔd kɔnt (CBC) ɛn liva wok tɛst.
- Abdominal ultrasound: Dis kin si klia wan tin lɛk gal ston ɛn swel.
- CT scan: Dɛn kin du dis if dɛn nid fɔ mek pikchɔ klia wan.
- HIDA skan: Dis kin no kכrekt wan aw di gal blad de wok fayn εn if eni blכk de na di bayl dakt dεm.
Aw dɛn kin trit am? Yu tink se dɛn go ebul fɔ mɛn dis?
Yɛs, na fɔ tru. If dɛn no se yu gɛt gal blad inflamɛns, dɛn go admit yu na ɔspitul ɛn dɛn go bigin fɔ trit yu.
Di fɔs tritmɛnt we dɛn kin gi:
- Saline (IV fluids): Dis na wata we de gi yu bɔdi di wata we i nid we i de gi yu dijestiv sistɛm rɛst.
- IV antibayɔtik: Dɛn kin gi antibayɔtik tru wan vein fɔ mek i nɔ gɛt ɔ trit di infɛkshɔn if i de.
- IV pen rilif: Dɛn kin gi strɔng pen kil fɔ kɔntrol di bad bad pen.
Di men ɛn di tritmɛnt we go de sote go:
di mכst pεrmanεnt εn bεst tritmεnt fכ gal stכn na fכ כspitul fכ pul di gal blad (`Cholecystectomy`) . Bɔku tɛm, di rut fɔ ɔl dɛn prɔblɛm ya na di gal blad ɛn di ston dɛn we de insay, ɛn if dɛn pul am kpatakpata, i kin sɔlv di prɔblɛm.
Nɔ fred fɔ "oh, ɔpreshɔn!" Dis na ɔpreshɔn we rili kɔmɔn, we nɔ gɛt bɔku prɔblɛm naw. Bɔku tɛm, dɛn kin du am wit laparoskopik . dis min se dεn kin pul di gal blad bay we dεn de yuz kεmεra insted fכ wan big say we dεn kכl di bכdi. Dis kin ɛp yu fɔ wɛl kwik ɛn nɔr de na ɔspitul. Bɔt insay sɔm kɔmpleks kes dɛn, i kin nid fɔ mek dɛn du ɔpreshɔn opin wan.
Ɔda tin dɛn de we pipul dɛn we nɔ kin ebul fɔ du ɔpreshɔn kin du?
Sɔntɛnde, pɔsin we gɛt ɔda siriɔs mɛrɛsin nɔ kin ebul fɔ du ɔpreshɔn wantɛm wantɛm. If dɛn kayn tin ya apin, dɛn kin yuz wan tin we dɛn kɔl drenaj fɔ sɔm tɛm fɔ mek di prɛshɔn we de na di gal blad nɔ bɔku. כ, dεn kin yuz wan prכsidכm we dεn kכl εndoskopik rεtrogrεd kכlangiopankrεatografi (ERCP) fכ pul ston dεm na di bayl dakt dεm. Bɔt bɔku tɛm, dɛn tin ya na tin dɛn we dɛn kin sɔlv fɔ sɔm tɛm. Dɔn, di bɛst we fɔ sɔlv di prɔblɛm na fɔ pul di gal blad.
No prɔblɛm nɔ de afta dɛn dɔn pul di gal blad?
Dis na kwɛstyɔn we bɔku pipul dɛn gɛt. Yu tink se i pɔsibul fɔ liv we yu nɔ gɛt gal blad? Rili. Di wangren wok we di gal blad bin de du na fɔ kip di bayl. we dεn pul am, di bayl we de kכmכt na di liva de mek in we dεn go insay di sכmכl intestin.
I kin tek sɔm wik ɔ mɔnt fɔ mek di bɔdi ajɔst to dis nyu sistɛm. Insay da tɛm de, sɔm pipul dɛn kin fil bad fɔ sɔm tɛm, lɛk:
- I at smɔl fɔ dayjɛst it dɛn we gɛt ɔyl ɛn fat.
- Sɔm pipul dɛn kin gɛt sayn dɛn we tan lɛk dayarɛa.
Bɔt as tɛm de go, yu bɔdi go ajɔst to dis. Yu dɔktɔ go advays yu bɔt aw fɔ it fayn.
Mɛsej we dɛn kin kɛr go na os
- Bɔrku pen na di ɔp rayt say na di bɛlɛ, nɔs, ɛn fiva kin bi sayn dɛm fɔ inflamɛns na di gal blad. Nɔ ignore am, tink se na "gastritis."
- Di men rizin fɔ dis na galston.
- If dɛn nɔ trit dis, dis kin bi siriɔs tin we kin mek di gal blad brok, infekshɔn na di bɛlɛ, ɛn ivin prɔblɛm dɛn we kin mek pɔsin in layf de pan denja.
- If yu gɛt dɛn sik ya, go to dɔktɔ wantɛm wantɛm. If nid de, go na di Imejɛnsi Dipatmɛnt (ETU) na di ɔspitul we de nia yu.
- Fɔ pul di gal blad we dɛn du ɔpreshɔn pan na di tritmɛnt we go de sote go ɛn we nɔ go mek i nɔ gɛt wan prɔblɛm. No tin nɔ de we go ambɔg yu fɔ liv nɔmal layf we yu nɔ gɛt gal blad.
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