Yu dɔn gɛt pankrias bak bikɔs ɔf galston? (Gallstone Pancreatitis) Lɛ wi tɔk bɔt dis!

Yu dɔn ɛva yɛri se gal ston kin mek di pankrias swel bad bad wan ɔ i kin gɛt inflamɛns? Dis na wetin dɔktɔ dɛn kin kɔl `(Gallstone Pancreatitis)` ɔ `(Biliary Pancreatitis)`. Dis kin rili bi siriɔs sik. Bɔt nɔ wɔri, bikɔs gud tritmɛnt dɛn de fɔ dis. Tide, wi go tɔk bɔt ɔltin simpul we we yu go ɔndastand.

So wetin na dis pankrias?

Fɔ tɔk am simpul wan, di pankrias na impɔtant ɔgan we de insay wi bɛlɛ, biɛn di bɛlɛ. I tan lɛk smɔl faktri na wi bɔdi. I de mek di mɔs impɔtant dijestiv ɛnzaym dɛn we de ɛp wi fɔ dayjɛst di it we wi de it. we wi it, εn di it rich di sכmכl intestinal, di pankrias kin gεt signal fכ rilis dεn εnzym dεm ya. dεn εnzym dεm ya de travul frכm di pankrias along wan sכmכl tכb (di pankrεas dakt) εn de jכyn wan tכb we big sכmtεm (di kכmכn bayl dakt). na along dis big tכb we di εnzym dεm, wit di bayl we de kכmכt na di liva εn gal blad de go na di כp pat pan di sכmכl intestin. na de di digεshכn prכsεs kin rili apin.

Okay, so wetin na dɛn galston ya?

Gal ston dεm de fכm na wi gal blad. di gal blad na sכmכl sak we de kכlekt εn stכr di bayl, we di liva de mek. Dis bayl gɛt difrɛn tin dɛn. Sɔntɛnde, if bɔku bɔku kɔlɔstrel ɔ bilirubin de na dis bayl, i kin tan lɛk slɔd we de dɔŋ di gal blad. If dɛn nɔ ɛmti di gal blad fayn fayn wan, dis tin we tan lɛk slɔd kin gɛda ɛn as tɛm de go i kin mek ston. Na dɛn tin ya wi kin kɔl galston.

Yu tink se pankrias we de mek pɔsin gɛt gal ston, i denja?

Yɛs, dis na siriɔs sik . If yu gɛt pankrias, i impɔtant fɔ go to dɔktɔ kwik kwik wan. Di sayn dɛm kin bi smɔl ɔr kin tranga. Bɔt, di lɔng we yu nɔr de gɛt tritmɛnt, na di mɔr de sik go wɔs. Ɛspɛshali if ston stɔp na di bayl dakt, na di mɔ i go gɛt prɔblɛm dɛn. If i siriɔs, i kin mek pɔsin in layf de pan denja.

Aw dis sik kin bɔku?

Galston na prɔblɛm we bɔku pipul dɛn kin gɛt. Bɔt nɔto ɔlman gɛt dɛn. Fɔ ɛgzampul, na Amɛrika, dɛn se 10% to 15% pan pipul dɛn gɛt gal ston. Bɔt na 0.1% pan dɛn pipul dɛn de kin gɛt pankrias bikɔs ɔf galston. Akyu pankrias kin afɛkt lɛk 0.4% pan di pipul dɛm na Amɛrika. Gal ston na di kɔz fɔ lɛk 35% pan dɛn kayn sik ya. Di sɛkɔn tin we kin mek pɔsin drink rɔm.

Wetin kin mek pɔsin gɛt galston?

I nɔ kin izi fɔ no wan tin we kin mek pɔsin gɛt gal ston, bɔt bɔku tin dɛn kin mek i apin:

• If yu blɔd kɔlɔstrel bɔku, i kin bi bikɔs ɔf di it we yu de it ɔ yu gɛt prɔblɛm wit yu bɔdi. If na so i bi, kɔlɔstrel kin gɛda bak na yu bayl.
• If yu gɛt liva sik, di bilirubin lɛvɛl na yu blɔd ɛn bayl kin go ɔp.
• If wan fכnshכnal dizכrd de we di gal blad nכ de εmpti fayn fayn wan.
• di εstrojen we pasmak kin mek bak di gal blad nɔ ɛmti. Dis na di rizin we mek dis risk kin bɔku we uman gɛt bɛlɛ.

Aw gal ston kin mek pɔsin gɛt pankrias?

Imajin se yu pankrias, gal blad, ɛn bayl dakt de kɔnɛkt to dɛnsɛf bay wan tiub we dɛn kɔl di kɔmɔn bayl dakt. nכmal wan, di bayl we de kכmכt na yu gal blad de fכlכ tru dis kכmכn bayl dakt insay yu sכmכl intestin. Bɔt if yu gɛt galston, dɛn kin travul bak tru dis dakt.

Pan ɔl we ston dɛn kin pas izi wan we dɛn yɔŋ, smɔl smɔl dɛn kin big as nyu bayl de pas oba dɛn. So, ston we bin de pas izi wan kin stɔp leta, mɔ if di dakt smɔl. Gal ston kin stɔp insay di pankrias dakt ɔ i kin stɔp na do na di dakt, we kin mek i gɛt pankrias.

Tu tiori de bɔt aw dis blɔk de mek pɔsin gɛt pankrias:

1. di fכs tiori na dat we ston de lod na do na di kכmכn bayl dakt, di bayl kin fכlכ bak insay di pankrias. Bayl kin rɔtin bad bad wan, we kin mek di pankrias vɛks.

2. di sεkכn tiori na dat di pankrεas εnzym dεm de rispansabl fכ di inflameshn. Dɛn mek dɛn ɛnzaym ya fɔ dayjɛst di prɔtin, kabɔhaydrɛt, ɛn fat dɛn we de na di smɔl intestinal. So, dɛn kin rɔtin bak bad bad wan. Pan ɔl we tik tik layn de protɛkt wi smɔl intestin frɔm dɛn tin ya, di pankrias nɔ gɛt da kayn protɛkshɔn de.

nכmal wan, di pankrεas εnzym dεm de aktibכt afta dεn rich di sכmכl intestin. כltu, if dεn kriya pasmak prεshכn bikoz fכ wan blכk na di pankrεas dakt, di εnzym dεm kin aktibכt bay da prεshכn de.

Bɔt wi no se kɔz ɛn ɛfɛkt rilayshɔn de bitwin gal ston ɛn akyu pankrias. We yu go na ɔspitul fɔ tritmɛnt, di pankrias go wɛl wans dɛn dɔn pul di ston dɛn we de na di bayl dakt.

Wetin na di sayn dɛm fɔ pankrias we pɔsin kin gɛt we i gɛt galston?

De sayn dɛm wae pɔrsin kin si na:

• Bɛlɛ pen bad bad wan. Yu kin fil dis na di ɔp lɛft say na yu bɛlɛ, usay yu pankrias de. I kin tan lɛk se naif de chuk yu ɔ swɛt yu frɔm insay. Dis pen kin go bak na yu chɛst, yu sholda, ɔ yu bak.
• Nɔs ɛn vɔmit.

As de sik de kam tranga, sɔm kayn sik lɛk dis kin apin bak:

• Di bɛlɛ we de blo.
• Di wata we nɔ de na di bɔdi.
• Di at rit de go ɔp.
• Fɔ blo kwik kwik wan ɔ fɔ mek i nɔ izi fɔ blo.
• Lɔw blɔd prɛshɔn.
• Lɔw bɔdi tɛmpracha.
• Fiva ɛn kol kol.
• Jaundice (we di yay ɛn di skin de yɔlɔ).

Wetin na di kɔmplikɛshɔn dɛm wae de pan pankrias we kin kam wit gal ston?

If yu pankrias kɔntinyu fɔ inflam bad bad wan, in tisu dɛn go pwɛl smɔl smɔl ɛn di blɔd go bigin fɔ stɔp. Dis kin mek di pankrias nɔ de wok igen. di kכntinyu fכ inflameshn kin mek wata kכmכt na di tisu dεm bitwin di כgan dεm (peritonitis). dis wata kin spre go insay di chεst kεviti, i kin prεs pan di lכng dεm εn di at. As dis wata de gɛda, di bɔdi in blɔd de go dɔŋ, ɛn dis kin mek di bɔdi nɔ gɛt wata bad bad wan. dis kin mek di kidni dεm de kip wata, we kin mek dεn gεt wan denja kכndyushכn we dεn kכl haypovolemik shכk.

we ston blok na di bayl dakt, i kin mek prכblεm fכ כda כgan dεm we kכnekt to da dakt sistεm de. di bayl kin bak ɔp insay di liva ɛn gal blad, we kin mek i gɛt kɔlesistaytis ɛn liva sik. we di prεshכn na di dakt dεm go כp, di digεstiv wata lεk bayl kin lik insay di bכdi. we di bכdi blok kin mek di baktri dεm we de kכmכt na di sכmכl intestin bak go bak insay di dakt dεm, we kin mek i gεt infεkshכn. If dis infεkshכn spre to di bכdi, i kin mek wan sistεmik infεkshכn we de afekt di כl bכdi εn i kin ivin mek yu gεt wan kכndyushכn we de kil we dεn kכl sεptik shכk.

Aw dɛn kin no dis sik?

We yu kam na ɔspitul wit di tipik simptom dɛm, di dɔktɔ go fɔs du blɔd tɛst fɔ chɛk yu pankrias ɛnzaym lɛvɛl. Dɛn go chɛk yu liva ɛnzaym lɛvɛl bak fɔ si aw bɔku damej dɔn apin to yu liva. Dɔn, dɛn go du imej tɛst fɔ luk yu pankrias ɛn no aw di inflamɛns siriɔs.

כltra saund na di bכdi kin no di gal ston dεm na di bayl dakt dεm. If nid de, CT skan kin luk di pankrias mɔ ditayli. Sɔntɛnde, bay di tɛm we yu kam insay fɔ tritmɛnt, di ɔrijinal ston we bigin di inflamɛns kin dɔn pas insɛf. Bɔt if ɔda ston dɛn de rawnd, dɔktɔ dɛn kin no se na dat mek i kam.

Aw dɛn kin trit pankrias we kin kam wit gal ston?

If yu sik rili bad, dɛn go admit yu na di say usay dɛn de kia fɔ pipul dɛn we sik bad bad wan. Bɔrku tɛm (lɛk 80%) if yu sik nɔr so bad, sɔpɔt kia na di fɔs tritmɛnt. Dis na di wangren tritmɛnt fɔ pankrias.

Sɔpɔtiv kia

Dɛn kin bigin fɔ trit am lɛk dis:

• IV fluid: Bikɔs bɔku pipul dɛn nɔ gɛt wata na dɛn bɔdi, dɛn nid fɔ mek di blɔd volyum kam bak. Di mɛdikal tim go put wan salin kateshɔn insay wan vein na yu an ɔ yu an ɛn kɔntinyu fɔ gi yu wata. Dɛn wata ya gɛt ilɛktrɔlayt dɛn bak.
• Fɔ mek pɔsin nɔ fil pen:Bɔku pipul dɛn kin gɛt bad bad pen, so dɛn fɔ gi dɛn strɔng mɛrɛsin fɔ mɛn dɛn pen, ilɛksɛf na injɛkshɔn ɔ tru salin.
• Bɔwel rɛst: Yu go nid fɔ stɔp fɔ it te yu pankrias kol. dis na biכs we yu de it, yu dijestiv sistεm de wok, we de gi signal fכ yu pankrias fכ rilis mכr εnzym dεm εn yu liva εn gal blad fכ rilis mכr bayl. Dis kin mek di prɛshɔn pan yu bayl dakt dɛn go ɔp mɔ ɛn mɔ, ɛn dis kin mek di sik wɔs.
• Nyutrishɔn sɔpɔt: Dipen pan aw yu sik bad ɛn aw lɔng yu de na ɔspitul, yu mɛdikal tim kin ad smɔl glukɔs to di salin sɔlvushɔn fɔ gi yu ɛnaji. Dɛn kin gi yu nyutrishɔn bak tru wan nasogastric tube ɔ saline solution.

Apat frɔm dat, dɛn kin du dɛn tritmɛnt ya bak:

• Nausea mɛrɛsin fɔ yu.
• Fɔ gi ɔksijɛn.
• Antibayɔtik if dɛn kɔnfyus se yu gɛt di sik.
• fכ put wan nasogastric (NG) tכb tru di nos insay di bεlε fכ pul wata na di bεlε.
• Fɔ put urinary catheter fɔ pul urine ɛn mɛzhɔ di urine we de kɔmɔt.

Yu go nid fɔ de pan dis sɔpɔtiv kia te yu pankrias bigin fɔ kol. If i nɔr kin tranga, dis kin ɔltɛm sɔlv insay sɔm dez. Sɔpɔtiv kia kin ɛp bak fɔ mek ston pas insɛf bifo i siriɔs.

Di we aw dɛn kin pul galston `(Galston intavɛnshɔn dɛn)`

I nɔ go te igen, yu go nid fɔ pul ɛni gal ston we dɔn stɔp na yu dakt dɛn. Dis kin bi as imejensi ɔpreshɔn, ɔ afta sɔpɔt kia. I dipen pan yu kɔndishɔn. Ilɛksɛf di fɔs ston we mek di ston blok nɔ de igen, dɛn go nid fɔ pul ɔl di ɔda ston dɛn.

Yu go nid fɔ du wan ɔ ɔl tu pan dɛn we ya:

• ERCP (Endoscopic retrograde cholangiopancreatography): Dɛn kɔl dis ERCP fɔ shɔt tɛm. Dis na tin we dɛn kin du we rili na intanɛnt ɛgzam, ɛn i kin mek dɔktɔ dɛn ebul bak fɔ kɔrɛkt ɛni prɔblɛm we dɛn gɛt da tɛm de. dεn de egzamin di bayl dakt dεm bay we dεn de yuz εks-ray εn εndoskop (wan lכng tכb wit kεmεra we dεn atak). dis εndoskop dεn kin put am tru di trot insay di bεlε, εn afta dat dεn kin pas כda tכb tru am insay di bayl dakt dεm. Di dɔktɔ kin si dɛn dakt ya bay we i yuz fluoroscopic X-ray teknɔlɔji. dεn kin pas instrכmεnt dεm tru di tכb fכ pul di gal ston dεm εn dεn kin put stεnt dεm fכ rεliv di blכk.
• Fɔ pul di gal blad: .If galston dɔn mek yu put yu na ɔspitul, yu go gɛt prɔblɛm wit am bak. So, di wangren tritmɛnt fɔ gal ston we de kɔz prɔblɛm na fɔ pul di gal blad. Dis na wan we we rili sef ɛn we go wok fayn. dis kin bi tru laparoscopic cholecystectomy. dis min se dεn kin sכm sכm sכm sכm sכm sכm sכm dεm εn dεn kin put kεmεra we dεn kכl laparoskop tru wan pan di say dεm fכ pul di gal blad. Sɔm pipul dɛn, dipen pan dɛn kɔndishɔn, kin nid bak fɔ gɛt tradishɔnal opin ɔpreshɔn.

Yu tink se dɛn kin ebul fɔ mek dɛn nɔ gɛt pankrias we kin kam wit gal ston?

If yu dɔn gɛt sayn dɛn we de sho se yu gɛt galston bifo, dat na sayn we de wɔn yu . Yu fɔ rili mek dɛn chɛk dɛn ɛn pul dɛn if yu gɛt dɛn. Biliary colic na wan rɛd layt. Na pen we de apin na di rayt say na yu bɛlɛ, jɔs dɔŋ yu rayt rib kech, usay yu gal blad de. I kin wɔs afta yu dɔn it ɛn i kin kam wit nɔys. if dis biliary colic kam εn go, i min se blכk de, bכt nכto komplit blכk, na di gal blad כ di bayl dakt dεm. Dis pen kin kam ɛn go as di gal blad de kɔntrakt ɛn bɔku. I kin izi fɔ mek i tɔn to sɔntin we rili siriɔs.

Impɔtant: Di sayn dɛm lɛk bɛlɛ pen ɛn nɔs, mɔ afta yu it, kin bi sayn fɔ `(biliary colic)`. Nɔ ɛva ignore di pen. Go to dɔktɔ fɔ no wetin mek i apin. Di kwik we yu gɛt tritmɛnt fɔ pankrias, na di mɔ yu go wɛl.

Aw lɔng dis tin go las?

Dis nɔ kin go fɔ insɛf. Bɔt if yu gɛt wan sik we nɔ kin izi fɔ yu, we nɔ kin izi fɔ yu, fɔ sɔm dez fɔ sɔpɔt yu na ɔspitul i fayn. Bɔt yu go stil nid fɔ pul wan splint.

Aw lɔng e kin tek fɔ wɛl afta dɛn dɔn trit am?

Bɔku pipul dɛn kin gɛt fɔ pul dɛn gal blad. Di tɛm we yu go wɛl kin dipen pan us kayn ɔpreshɔn yu dɔn du. I kin tek lɛk tu wiks so fɔ mek i wɛl afta dɛn dɔn du am ɔpreshɔn wit laparoskopik. If dɛn du ɔpreshɔn pan yu opin wan, i kin tek lɛk siks to et wiks.

Wetin na di rikavari stet fɔ pipul dɛm wae de na ɔspitul wit pankrias bikɔs ɔf galston?

If yu nɔ gɛt siriɔs ɔ kɔmplikɛt sik, yu kin ɛkspɛkt fɔ mek yu wɛl ful wan. Dɛn kin tek am se fɔ pul di gal blad na smɔl ɔpreshɔn, ɛn nɔto bɔku prɔblɛm dɛn kin apin. Ivin if yu nɔ gɛt yu gal blad, yu dijestiv sistɛm kin wok nɔmal wan.

Na lɛk 20% pan di kes dɛm kin siriɔs ɔr kɔmplikt. We dɛn kayn tin ya apin, i nɔ kin izi fɔ mek dɛn chenj di damej we dɛn dɔn ɔlrɛdi du. Ivin wit intensiv kia, lɛk 25% pan dɛn kayn kes ya kin kil pɔsin. Di wan dɛn we de sev fɔ de na ɔspitul fɔ sɔm wiks fɔ mek dɛn wɛl.

If yu nɔ no se yu gɛt galston (ɛn bɔku pipul dɛn nɔ no), yu kin sɔprayz ɛn wɔri we yu gɛt pankrias wantɛm wantɛm bikɔs ɔf galston. Di pen kin tranga ɛn i kin tan lɛk se i de kam fɔ natin. If yu tink se yu go gɛt galston, i go fayn fɔ mek yu tɛst yu kwik kwik wan.

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

Okay, so na sɔm tin dɛn we yu nid fɔ mɛmba frɔm wetin wi dɔn tɔk bɔt:

• Galston pankrias na siriɔs sik. So if yu gɛt sɔm sayn dɛn, go to dɔktɔ wantɛm wantɛm.
• Di men sayn dɛn kin bi we yu kin fil pen bad bad wan na yu bɛlɛ we de ɔp, mɔ na di lɛft say, yu kin gɛt nɔys, ɛn yu kin vɔmit .
• Di mɔ we dɛn de delay fɔ di tritmɛnt, na di mɔ prɔblɛm dɛn kin apin.
• If yu no se yu gɛt galston, ɔ yu dɔn gɛt sɔm kayn sik lɛk `(biliary colic),` bifo tɛm, no bɔt am.
• Bɔku tɛm, fɔ pul di gal blad na di sɔlv we go de sote go, ɛn na ɔpreshɔn we nɔ bad.
• If yu fil pen na di ɔp rayt say na yu bɛlɛ afta yu dɔn it, i kin bi sayn fɔ se yu gɛt gal ston. Tɔk to dɔktɔ bɔt am.

If yu nɔr de panik, gɛt di rayt mɛrɛsin, ɛn gɛt di rayt tritmɛnt, yu kin wɛl ɔlsay frɔm dis sik. If yu gɛt ɛni ɔda kwɛstyɔn, nɔ shem fɔ tɔk to yu dɔktɔ.

` Galston, Pankreas, Galston Pankreas, Bɛlɛ pen, Galblad we dɛn pul, ERCP, Pankreas, Bayl