Yu rayt say na yu bɛlɛ de at bak? Lɛ wi lan bɔt kɔlesistaytis!

Yu dɔn ɛva gɛt bɛlɛ pen we yu nɔ go ebul fɔ bia, mɔ pen na di ɔp rayt say na yu bɛlɛ, wit nɔys ɛn vɔmit? Ɔ pɔsin we yu sabi dɔn ɛkspiriɛns dis? Sɔmtɛm dɛn tin ya kin bi sayn fɔ wan sik we dɛn kɔl kɔlesistaytis. Tide, lɛ wi tɔk bɔt wetin na kɔlesistaytis , wetin mek i kin apin, ɛn wetin dɛn kin du bɔt am.

Wetin na kɔlesistaytis?

Fɔ tɔk am simpul wan, kɔlesistaytis na we yu gal blad de inflamɛns ɔ swel . Tink bɔt am lɛk smɔl sak we tan lɛk pia ɔnda yu liva . Di gal blad kin kip di bayl , we na wan wata we di liva kin mek fɔ sɔm tɛm. Afta wi it, mɔ di it dɛn we gɛt fat, dɛn kin sɛn dis bayl to di smɔl intestin fɔ ɛp fɔ dayjɛst di it. Dis bayl de travul tru smɔl smɔl say dɛn we tan lɛk tiub we dɛn kɔl bayl dakt . So, if infεkshכn כ blok de na di gal blad כ di bayl dakt dεm we kכnekt to am, di inflameshn, pen, εn swεla go apin.

Difrɛn kayn kɔlesistaytis de?

Yɛs, wi kin sheb dis to sɔm men kategori dɛn:

• Akyu inflameshn : Dis na wan sik we kin apin wantɛm wantɛm, we kin rili bad.
• Inflameshɔn we nɔ de dɔn: Dis na sik we kin kam sloslo as tɛm de go ɛn i nɔ kin so bad bɔt i kin kɔntinyu fɔ de.
• Calculous inflammation: Dis na di kayn inflameshn wae kin pasmak. Na inflamɛns we di gal ston kin mek.
• Acalculous inflammation: Dis na inflameshn we kin apin bikɔs ɔf ɔda tin dɛn pas galston.

Tink bɔt am, if di gal blad swel wantɛm wantɛm bikɔs ɔf big prɔblɛm, na akyu inflamɛns . If nɔto dat, if di gal blad de swel smɔl smɔl bikɔs ɔf smɔl prɔblɛm dɛn fɔ lɔng tɛm, na inflamɛns we nɔ de dɔn . Bɔku tɛm, di tin we kin mek dɛn tu tin ya kin apin na gal ston. Na dat mek dɔktɔ dɛn kin no difrɛns if na ston de mek am ɔ nɔto ston.

Aw dis sik kin kɔmɔn?

Dɛn se lɛk 15% pan di pipul dɛn na di wɔl gɛt gal ston. lεk 20% pan dεm kin gεt kכmplikεshכn bikoz fכ gal ston, lεk kolεsistaytis . Nɔr sɔprayz, 95% pan di wan dɛm wae gɛt kɔlesistaytis na galston kin kam!

Wetin na di sayn dɛm fɔ kɔlesistaytis?

Dɛn sayn ya kin difrɛn smɔl fɔ di kayn inflamɛns.

Di sayn dɛm fɔ akyu inflamɛns:

• Bɔku pen na di ɔp pat na di bɛlɛ, mɔ na di rayt say:Dis pen kin bɔku wantɛm wantɛm ɛn i nɔ kin ebul fɔ bia. Sɔmtɛm dis pen kin pas to di rayt sholda ɔr bak. Di pen kin fil lɛk se yu de chuk yu nidul, yu de fil pen we yu nɔ de fil, ɔ yu bɛlɛ in mɔsul dɛn de twis. Di pen kin bɔku bak we yu tek dip briz. Sɔm pipul dɛn kin mistek kɔl dis fɔ pen na dɛn chɛst ɔ at atak . Dɛn kin kɔl dis pen we kin kam wantɛm wantɛm bak " Gallbladder Attack."
• Nɔs ɛn vɔmit : Dis na kɔmɔn sayn bak we kin kam wit "gal blad atak."
• Fiva: If yu gɛt fiva pas 100 digri F, dat kin sho se yu gɛt di sik ɔ yu gɛt bad bad inflamɛns.

Impɔtant: Dɛn sayn ya kin difrɛn smɔl fɔ pɔrsin wae dɔn ol. Dɛn kin jɔs nɔ want fɔ it ɛn dɛn kin taya smɔl. Fiva nɔ kin bɔku bak pan pipul dɛn we dɔn ol.

Ɔda ɔda tin dɛn we dɛn kin du:

• Fɔ blo ɛn fɔ gɛt sɔri-at .
• di mכsul dεm we de stiff na di rayt say na di bכdi.
• Wiknɛs ɛn taya , mɔ pan pipul dɛn we dɔn ol.

Di sayn dɛm fɔ inflamɛns we nɔ de dɔn:

De sayn dɛm nɔr kin rili bad lɛk wae de akyu ɛn dɛn kin kam ɛn go. Yu kin gɛt bɛlɛ pen ɛn nɔs we dɛn kɔl "biliary colic" afta yu it it we gɛt fat, ebi ebi it. Dis na bikɔs it dɛn we gɛt fat nid mɔ bayl fɔ mek dɛn ebul fɔ dayjɛst. afta dat yu dijestiv sistεm de gi signal fכ di gal blad fכ rilis mכr bayl. dis kin mek di gal blad de kכntrakt tranga wan, we de mek di prεshכn we de insay de bכku. Dis pen kin te fɔ sɔm awa.

Wetin na di men rizin fɔ dis?

Bɔku tɛm, di akyu ɛn krɛse inflamɛns kin kɔmɔt frɔm di gal ston dɛn we de blok di bayl dakt dɛn . Gal ston na tin dεm we sכlid na di bayl we dεn kכlכm ova tεm εn lεk ston. Dɛn kin fɔm na di bɔt ɔf di gal blad, bɔt sɔntɛnde dɛn kin muv rawnd. As dɛn de muv, dɛn kin stɔp na wan bayl dakt ɔ na di mɔt na di gal blad. dis kin mek di bayl bak op insay di gal blad, we kin mek yu gεt infεkshכn.

• Akyu inflamɛns: .dis kin apin we di bayl we de fכm na di gal blad dεn blכk kכmplit wan wit ston. Di gal blad kin swel mɔ ɛn mɔ ɛn di sik kin wɔs.
• Inflameshɔn we nɔ de dɔn: Sɔntɛnde, ston nɔ kin blok di dakt ɔl, bɔt i kin stɔp fɔ sɔm tɛm ɛn afta dat i kin pas bak. Fɔ ɛgzampul, yu kin jɔs fil pen we di gal blad kɔntrakt afta yu it ebi ebi it. Dis na wetin kin mek pɔsin gɛt inflamɛns we nɔ de dɔn .

Wetin na di ɔda tin dɛn we kin mek pɔsin gɛt dis sik apat frɔm galston?

pan ɔl we di tin we kin mek di bayl dakt dɛn blok bay gal ston, ɔda tin dɛn kin mek bak di gal blad swel ɛn blok di bayl fɔ flɔ. Na sɔm ɛgzampul dɛn ya:

• di biliary Stricture : we di bayl dakt dεm inflameshn kכlכs kin mek di ska tisu fכm εn sכm di dakt dεm, we kin mek di bayl fכ fכlכ.
• Biliary Dyskinesia: Dis na wan sik we de afɛkt di wok we di mɔsul dɛn na di gal blad de du . spεshal wan, di gal blad nכ de kכntrakt fayn lεk aw i fכ kכntrakt, so di bayl nכ de fכlכ kכmכt.
• di bayl Stasis: di bayl fכ fכlכ kin bכku biכs fכ di sik we de kכmכt na di liva כ di parenteral nyutrishכn we de fכ lכng tεm (IV). Mɛmba se we yu nɔ de tek it bay mɔt bɔt dɛn de gi yu IV, yu nɔ nid bayl.
• Kansa: Pan ɔl we i nɔ kin apin so ɔltɛm, wan tumbu we gɛt kansa na di gal blad ɔ di bayl dakt kin mek di bayl nɔ flɔ.

Dɛn kayn tin ya kin apin smɔl smɔl, ɛn dis kin mek pɔsin gɛt kronik acalculous cholecystitis . Bɔt dɛn kin go bifo bak to akyu akalkul kɔlesistaytis . Ɔda tin dɛn we kin mek i apin na:

• Ischemia: We di blɔd we de go na di gal blad nɔ bɔku, i kin mek pɔsin gɛt akyu ɔ krɛse inflamɛns, i kin dipen pan aw i bad. Bɔku tɛm dis kin apin we pɔsin gɛt siriɔs sik ɔ aksidɛnt. I kin bi bak we di blɔd vesel blok (vaskul ɔklushɔn) ɔ vaskulaytis .
• Infεkshכn: Baktri infεkshכn kin apin na di gal blad כ di bayl dakt, ivin if i nכ blok. Dis nɔ kin apin so ɔltɛm. Dis kin apin mɔ pan pipul dɛm wae gɛt wik imyun sistɛm. Infεkshכn kin pwεl di gal blad tisu bak.

Udat de pan big risk fɔ gɛt dis?

If yu gɛt galston, yu go gɛt kɔlesistaytis. Pipul wae kin gɛt gal ston na:

• Fɔ uman dɛn
• Fɔ uman dɛn we gɛt bɛlɛ
• Fɔ di wan dɛn we fat pasmak
• Fɔ di wan dɛn we gɛt dayabitis
• Fɔ di wan dɛn we gɛt ay kɔlɔstrel
• Fɔ di wan dɛn we dɔn lɔs dɛn wet wantɛm wantɛm ɛn kwik kwik wan (Rapid Weight Loss) .
• Fɔ di wan dɛn we dɔn pas 40 ia
• (Sɔm jɛnɛtik inflɔwɛns ɛn layf stayl kin ple bak)

Aw siriɔs dis kɔlesistaytis de?

di akyu kolεsistaytis kin kכz fכ blok na di fכlכ we di bayl de fכlכ. I nɔ jɔs de afɛkt di gal blad. i kin afekt yu כl biliary sistεm - di sistεm fכ כgan dεm we de transpכt bayl tru di bayl dakt dεm - εn mek yu inflameshn εn infεkshכn. Di bayl we dɔn gɛda kin flɔd insay di blɔd ɛn mek yu sik. I de mek bak yu dijestiv sistɛm nɔ gɛt di bayl we i nid. If yu gɛt siriɔs inflamɛns ɛn swel kin mek di tisu dɛn day (gangrene) . If dis apin, di ɔgan kin brok ɔ i kin gɛt pɔt. Dɛn kɔl dis gangrenous cholecystitis . Bɔku tɛm, inflamɛns we nɔ de dɔn nɔ kin rili siriɔs, bɔt if yu inflamɛns fɔ lɔng tɛm, dat kin mek yu gɛt siriɔs damej bak. Ska tisu kin fɔm na yu gal blad ɛn mek i nɔ kɔntrakt fayn fayn wan. dis kin mek bak di bayl fכ fכlכ.

Di prɔblɛm dɛn we kin apin we pɔsin gɛt Kɔlesistaytis:

• Damej pan yu liva, bayl dakt, ɔ pankrias (e.g., pankrias ).
• di digεstεshכn εn absכpshכn fכ di nyutriεnt dεm na di sכmכl intestin.
• If yu inflamɛns fɔ lɔng tɛm, i kin mek di gal blad gɛt skata (Gallbladder Fibrosis) ɛn i nɔ kin wok fayn.
• di tisu dεm we de day bikɔs i de swel (nεkrכsis) εn gangrenous cholecystitis .
• di gal blad perforation , we de mek di bכdi infεkshכn (peritonitis).
• Pɛritonitis kin mek yu gɛt abses ɔ blɔd pɔyzin (`Septicemia`).

Dis nɔto sɔntin fɔ jɔs trowe, bikɔs di damej we pɔsin kin gɛt tu big.

Aw dɛn kin no dis?

Dɔktɔ go aks yu fɔs bɔt di sayn dɛn we yu gɛt. If dɛn tink se gɛt kɔlesistaytis , dɛn go aks yu fɔ tek dip briz ɛn prɛs na di ɔp rayt say na yu bɛlɛ. If yu fil pen, dis na sayn wae ɔlman no bɔt de sik ( Murphy’s Sign ). Dɔn dɛn go du tɛst, lɛk fɔ tek pikchɔ fɔ luk yu gal blad ɛn bayl dakt, ɛn blɔd tɛst fɔ no ɔda tin dɛn. Sɔm pan di tɛst dɛn we dɛn kin du fɔ dis na:

• Kɔmplit Blɔd Kɔnt (CBC) .
• Tɛst dɛn we di liva de wok
• Ultrasound fɔ di bɛlɛ
• Ɛndoskopik Ɔltrasɔund
• CT Skan (CT Skan - Kɔmpyuta Tomografi Skan) .
• HIDA Skan (HIDA Skan - Ɛpatobiliari Iminodiasɛtik Asid Skan) .

Yu tink se dis kɔlesistaytis go bɛtɛ fɔ insɛf?

Nɔ, ɔl di tin dɛn we kin mek pɔsin gɛt kɔlesistaytis nid fɔ gɛt tritmɛnt. Sɔntɛnde, ston we de blok di gal blad ɔ di bayl dakt kin pas insɛf ɛn yu sik go dɔn. Bɔt fɔ wet fɔ mek dat apin nɔto gud tin - i kin mek pɔsin fil pen ɛn i kin mek i gɛt prɔblɛm. Ivin da tɛm de, i nɔ go sɔlv yu prɔblɛm dɛn. Di sem ston ɔ ɔda ston kin stɔp bak.

Wetin na di tritmɛnt fɔ dis?

Dɛn kin trit kɔlesistaytis wantɛm wantɛm na ɔspitul. Di tritmɛnt kin bigin wit dɛn tin ya:

• Gi IV fluid we yu de gi yu dijestiv sistɛm rɛst.
• Gi antibayɔtiks we dɛn kin put insay yu bɛlɛ (IV antibayɔtiks) fɔ mek yu nɔ gɛt ɔ trit infɛkshɔn.
• Gi IV pen rilif, we bɔku pipul dɛn nid.

Di tritmɛnt we go de sote go fɔ dis na fɔ ɔpreshɔn fɔ pul di gal blad (cholecystectomy) . Bɔrku tin wae kin mek pɔrsin gɛt kɔlesistaytis, lɛk gal ston, kin bigin na di gal blad. Na smɔl tɛm nɔmɔ, if di tin we mek yu gɛt kɔlesistaytis na sɔntin we dɛn kin trit apat frɔm gal ston (lɛk infɛkshɔn), i nɔ go nid fɔ du ɔpreshɔn. Dɔn bak, i go dipen pan yu ɔda wɛlbɔdi prɔblɛm dɛn, yu kin want fɔ put di ɔpreshɔn bifo tɛm ɔ nɔ du di ɔpreshɔn. If yu de put yu ɔpreshɔn bifo ɔ yu nɔ de du ɔpreshɔn, yu kin du dɛn tin ya:

• Fɔ pul wata na di gal blad ɛn fɔ mek yu nɔ gɛt prɛshɔn: Dɔktɔ kin mek smɔl say na yu bɛlɛ ɛn put drenaj tyub insay yu gal blad. Ɔ, dɛn kin yuz ɛndoskopik ɔltra saund fɔ gayd wan tiub tru yu mɔt fɔ pul wata frɔm yu gal blad insay yu dijestiv trakt.
• εndoskopik Galston Rimoval: ERCP (Endoscopic Retrograde Cholangiopancreatography) na wan we we de yuz endoskop tru yu mכt fכ luk yu biliary sistεm we yu de yuz X-ray tεknכlכji. dis de mek dεn kin put sכm sכm instrכmεnt dεm tru di εndoskop fכ pul ston dεm we stכk na di bayl dakt dεm. Dis kin mek yu nɔr gɛt di sik kwik kwik wan.

Ɔpreshɔn (Kɔlesistɛktomi) .

Ivin if di kɔlesistaytis we yu gɛt naw dɔn sɔlv - dat na, di ston we bin dɔn stɔp nɔ de stɔp igen, ɛn di sayn dɛm we mek yu go na ɔspitul nɔ de igen - we nɔ de mɛn ɛn we kin akyuDɛn tu kayn kɔlesistaytis ya kin kam bak. Gal ston dɛm we dɔn mek yu gɛt flawa wan tɛm kin du am bak. If yu gɛt flawa bɔku tɛm, dat kin mek yu gɛt inflamɛns fɔ lɔng tɛm, ɛn dɛn ɔl tu kin mek yu gɛt damej fɔ lɔng tɛm. Fɔ mek dɛn nɔ gɛt di bad bad tin dɛn we kin apin we pɔsin gɛt kɔlesistaytis bak, dɔktɔ dɛn kin se dɛn fɔ du ɔpreshɔn fɔ pul di gal blad (cholecystectomy) . Dis na kɔmɔn, smɔl tin we kin apin we nɔ kin gɛt bɔku sayd ɛfɛkt dɛn. fכ bכku pipul dεm, dεn kin du dis wit laparoskopik - tru fכ sכm sכm sכm sכm say dεm we dεn kכl bak "keyhole surgery." If tin dɛn we at fɔ du, dɛn kin nid fɔ du ɔpreshɔn opin wan.

Wetin kin apin afta di ɔpreshɔn?

yu biliary sistεm εn di dijestiv sistεm kin wok fayn if yu nכ gεt yu gal blad. di gal blad na bεsli jכs ples fכ stכr di bayl, we di liva de mek. We dɔktɔ we de du ɔpreshɔn pul yu gal blad, i kin chenj di rod fɔ di bayl dakt dɛn so dat di bayl go kɔmɔt dairekt frɔm yu liva ɛn go insay yu smɔl intestin. I kin tek sɔm wik ɔ mɔnt fɔ mek yu bɔdi ajɔst to dis chenj. Insay dis tɛm, yu kin gɛt sɔm kayn sik fɔ sɔm tɛm lɛk:

• fכ fil prεshכn כ pen na di biliary sistεm bikoz fכ di slo fכ fכlכ di bayl.
• I nɔ kin izi fɔ di it dɛn we gɛt fat, ɛn dis kin mek sɔm pipul dɛn gɛt dayarɛa.

Wetin na de luk fɔ pɔrsin wae gɛt kɔlesistaytis?

Ilɛk wetin na di kayn ɔ kɔz, kɔlesistaytis nid fɔ gɛt tritmɛnt na ɔspitul. Di ɔspitul go gi yu pen rilif kwik kwik wan ɛn luk fɔ di kɔz. Bɔku tɛm, na galston, pan ɔl we nɔto ɔltɛm. Bɔku tɛm, dɔktɔ dɛn kin se fɔ mɛn am fɔ ɔltɛm tru ɔpreshɔn. Bɔku pipul dɛn kin gɛt rili fayn tin dɛn fɔ du. If dɛn nɔ trit am, prɔblɛm dɛn we denja kin apin.

Bɔrku pen na yu bɛlɛ ɔltɛm na mɛdikal imejensi. If i sho sayn dɛm fɔ pen na di gal blad — dat na if i kam wantɛm wantɛm ɛn bad bad wan na di ɔp rayt say na di bɛlɛ, wit nɔys — i fayn fɔ go stret na di ɔspitul imejensi rum.

Ivin if yu gal blad smɔl, yu ɔl biliary system kin de pan denja if dɛn put prɛshɔn pan am. Di sayn dɛm fɔ kɔlesistaytis kin go, bɔt di ɔndalayn kɔz stil de. Di sayn dɛm kin kam bak, ɛn kɔlesistaytis go kɔntinyu fɔ pwɛl yu gal blad te yu gɛt di tritmɛnt we yu nid.

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

So, fɔ dɔn, kɔlesistaytis nɔto sɔntin we pɔsin fɔ tek tɛm tink bɔt.

• If yu gɛt sayn dɛn lɛk bad bad pen na di ɔp rayt say na yu bɛlɛ, nɔs, vɔmit, ɛn fiva, yu fɔ rili go to dɔktɔ. Nɔ delay.
• Bɔrku tɛm, dis kin kam wit gal ston, bɔt ɔda tin kin de bak.
• If dɛn trit am fayn, dis sik kin wɛl kpatakpata. Bɔku tɛm, fɔ ɔpreshɔn fɔ pul di gal blad na di bɛst sɔlvishɔn.
• If dɛn nɔ trit am , siriɔs prɔblɛm dɛn we kin ivin mek pɔsin in layf de pan denja kin apin.

So, if yu ɔr pɔrsin wae yu sabi gɛt dɛn kayn sik ya, nɔr shem fɔ go to dɔktɔ. Fɔ gɛt wɛlbɔdi na di tin we impɔtant pas ɔl!