Yu bɛlɛ de fil lɛk se i de stɔp? Lɛ wi tɔk bɔt Gastric Outlet Obstruction (GOO)!

Yu kin fil ɛni prɔblɛm ɔ nɔ kin fil fayn na yu bɛlɛ afta yu dɔn it? Sɔntɛm yu kin fil ful ivin afta yu dɔn it smɔl? Ɔ yu kin vɔmit afta yu dɔn it? Dɛn tin ya nɔto jɔs random tin dɛn. Di poshubul mεdikal rizin bihayn dis na di kכndyushכn we wi go tכk bכt tide, we dεn kכl Gastric Outlet Obstruction, כ GOO (Gastric Outlet Obstruction) . Nɔ wɔri, wi go tɔk bɔt dis ditayli ɛn simpul wan.

Yu no wetin na Gastric Outlet Obstruction (GOO)?

Fɔ tɔk am simpul wan, Gastric Outlet Obstruction (GOO) na we di pasej bitwin yu bɛlɛ ɛn yu smɔl intestin de blok fɔ sɔm rizin. Dis pat na wetin wi kɔl di pylorus . Tink bɔt am lɛk dis: wi bɛlɛ na bag we dɛn mek wit mɔsul dɛn we de ɛp wi fɔ dayjɛst it. Na di bɔt ɔf dis bag na di paylɔs, we de wok lɛk valv. na di wan we de kכntro di pas we di it we dεn digεst de pas insay di sכmכl intestכn. So, insay GOO, sɔntin de rɔng wit dis paylɔs ɔ di tin dɛn we de rawnd am, ɛn di it nɔ kin ebul fɔ kɔmɔt na di bɛlɛ. I tan lɛk se hairball de blok dreyn.

Yu gɛt dɛn sik ya bak?

If yu gɛt GOO, yu kin gɛt sɔm sayn dɛn lɛk:

• Nɔs: Na fɔ fil ɔltɛm se yu sik.
• Vɔmit afta yu dɔn it: Vɔmit kin apin, mɔ jɔs afta yu it. Sɔntɛnde, ivin tin dɛn we dɛn bin dɔn it sɔm dez bifo kin kɔmɔt wit di vɔmit.
• Bɛlɛ pen: Yu kin gɛt wan pen we nɔ klia na di ɔp bɛlɛ.
• Fɔ sati kwik: Fɔ fil ful bifo yu dɔn fɔ it.
• We yu de lɔs yu wet: We yu de lɔs yu wet bikɔs yu nɔ de tek di it fayn ɛn yu de vɔmit.

Imajin se yu dɔn it di it we yu lɛk, bɔt yu bɛlɛ de fil ful bifo yu ivin dɔn af pan di plet. Ɔ, yu de vɔmit wit fɔrina tin na yu bɛlɛ jɔs afta yu it. If dis kɔntinyu fɔ apin, yu nid fɔ wɔri.

Wetin mek dis kin apin? Wetin na di tin dɛn we kin mek pɔsin gɛt GOO?

Bɔku difrɛn tin dɛn de we kin mek pɔsin gɛt GOO. Dɔktɔ dɛn kɔl dɛn tin ya “mɛkanikal tin dɛn we de ambɔg am.” dis min se fyzikal blכk de we di it de pas frכm di bεlε. Dɛn tin ya we de ambɔg kin bi fayn ɔ bad bad tin .

Benign kɔz dɛn

Dis min se dis blok nɔto bikɔs ɔf kansa.

• Pεptik כlsa: Dis na sכm dεm we de fכm na di bεlε כ di biginin fכ di sכmכl intestin (duodenum). Ska we de fכm afta dεn כlsa dεm ya hεl kin mek di paylכrus sכmtεm sכmtεm bak.
• Bezoar dɛn:Dis na tin dεm lεk ia, di it dεm we dεn nכ dεgεst, כ כda tin dεm we kin gɛda na di bεlε εn fכm bכku. Dɛn tin ya kin blok di paylɔs bak. Sɔmtɛm, dis kin apin if yu aksidɛntli swɛla tin lɛk ia wit yu it.
• Pyloric stenosis: Dis na wan sik we kin apin to sɔm yɔŋ pikin dɛn. di payloric mכsul dεm kin sכm, we kin mek i at fכ dεn fכ du tin dεm lεk fכ sכk fayn fayn wan. I fayn fɔ no dis as i kin apin to wi smɔl pikin dɛn bak.
• Eosinophilic gastroenteritis: Dis na wan sik we nɔ kin apin so ɔltɛm, we kin mek di bɔdi gɛt inflammatory (inklud di bɛlɛ ɛn di smɔl intestin). Dis kin mek bak di paylɔs tik ɛn smɔl.
• Crohn’s disease: Dis na inflammatory kondishɔn bak na di intestines. if i afekt di bכdi εn di sכmכl intestכn, striktכ dεm kin fכm εn blok di paylכrus.
• Hiatal hεnia: Big hiatal hεnia kin mek pat pan di bεlε push tru di dayafragm insay di chεst kεviti. Sɔntɛnde dis kin mek di bɛlɛ twist ɔ fold, we kin mek yu gɛt GERD.
• Pankrias: if di pankrias inflamesh, i kin mek di fכs pat pan di sכmכl intestכn (duodenum) inflamed, we de blok di pas we di it de kכmכt na di bεlε.

Di bad bad tin dɛn we kin mek pɔsin gɛt prɔblɛm

Sɔntɛnde, dis blɔk kin bi bak bikɔs ɔf kansa.

• Bεlε kεnsar: Kansa tכmכro dεm we de fכm na di bεlε kin mek di paylorus כ di tisu we de rawnd am bulge εn blok.
• Pankrias kansa: di tכmכro dεm we de divεlכp na di pankrεas kin mek bak di fכs pat pan di sכmכl intestכn bulge, we de blכk di pas we di it de kכmכt na di bεlε.
• di gεstrointestinal stromal tumor (GIST): Dis na wan kayn tכmכro we nכ kin fכm na di wכl dεm na di bεlε כ di intestines. Sɔntɛnde, dɛn kin mek tin dɛn we de ambɔg am bak.
• Limfoma: Dis na kansa we de na di limfatik sistɛm. If i afɛkt di limf no dɛm we de rawnd di bɛlɛ ɛn smɔl intestinal, dɛn kin swel ɛn mek GOO.
• Metastatic cancer: If kansa kam ɔdasay na di bɔdi ɛn i go spre to di bɛlɛ ɔ di tisu dɛn we de rawnd am, i kin mek bak di bɔdi nɔ ebul fɔ waka.

Udat de pan ay risk fɔ gɛt dis GOO?

Sɔm pipul dɛn kin gɛt GOO pas ɔda pipul dɛn. Na sɔm tin dɛn we kin mek dis apin:

• H. pylori infεkshכn: Dis baktri de mek di layn na di bεlε wik, we de mek i izi fכ gεt pεptik כlsa. Dɛn ɔlsa ya kin leta skata ɛn smɔl di paylɔs.
• Yuz NSAID pen kil fɔ lɔng tɛm:If yu kɔntinyu fɔ yuz sɔm mɛrɛsin dɛn we de mek yu fil pen (Nonsteroidal anti-inflammatory drugs - NSAIDs) kin pwɛl di layn na di bɛlɛ ɛn i kin mek yu gɛt ɔlsa.
• If yu dɔn du ɔpreshɔn pan yu bɛlɛ bifo tɛm: Di paylɔs kin smɔl bak bikɔs ɔf di skata dɛn we dɛn bin dɔn du to yu bɛlɛ bifo tɛm.
• Gastroesophageal reflux disease (GERD): We asid riflɔks ɔltɛm kin pwɛl di layn na di bɛlɛ, we kin mek di ska tisu fɔm ɛn mek i nɔ ebul fɔ waka.

Us kɔmplikɛshɔn kin apin if di GOO kɔndishɔn kin bi siriɔs?

If dɛn nɔ trit GOO fayn, as tɛm de go i kin mek i gɛt siriɔs prɔblɛm dɛn lɛk:

• We yu nɔ gɛt wata na yu bɔdi: We yu kɔntinyu fɔ vɔmit, dat kin mek yu nɔ gɛt wata na yu bɔdi, ɛn dis kin mek yu nɔ gɛt wata ɛn sɔl na yu bɔdi.
• Ilektrolayt imbalans: We yu vɔmit, i kin mek di bɔdi lɔs impɔtant ilɛktrɔlayt dɛn lɛk sɔdiɔm ɛn potashɔm, we kin mek di mɔsul ɛn di nervɔs sistɛm nɔ wok fayn.
• Malnutrishɔn: Bikɔs it nɔ de tek di it fayn, di bɔdi nɔ de gɛt di tin dɛn we i nid, we kin mek i nɔ gɛt bɛtɛ it ɛn in mɔsul dɛn kin west.
• Aspiration pneumonia: We yu de vɔmit, tin we yu dɔn vɔmit kin go insay yu lɔng. Dis kin mek yu gɛt nyumonia. Dis na tin we de mek pɔsin denja.

Impɔtant: If yu gɛt dɛn sik ya, i rili impɔtant fɔ go to dɔktɔ wantɛm wantɛm fɔ advays. Dis kin ɛp fɔ mek yu nɔ gɛt prɔblɛm dɛn lɛk dis.

Aw dɔktɔ kin no dis GOO kɔndishɔn kɔrɛkt wan?

Bɔku tɛst dɛn de we dɛn kin du fɔ kɔnfɔm di diagnosis fɔ GOO. Yu dɔktɔ go fɔs chɛk yu ɛn aks yu bɔt di sik dɛn we yu gɛt. Dɔn, dɛn kin du dɛn tɛst ya:

• X-ray: X-ray pikchɔ dɛn we de na di bɛlɛ kin gi sɔm aidia fɔ no if ɛnitin de we de ambɔg am.
• εndoskopi: insay dis tεst, dεn kin put wan tכn tכb we kin fכm wit kεmεra we dεn atak tru di mכt fכ luk dεn wan dεm we de insay di bεlε εn di paylכrus. Dis kin ɛp bak fɔ no wetin mek di blɔk de blok.
• כp GI siriכs: Insay dis, yu de drink wan spεshal likwid (kכntrast sכlushכn) εn dεn de tek wan siriכs εks-ray pikchכ dεm we i de pas tru yu dijestiv sistεm.
• Gastric emptying scan: Dis tɛst de mɛzhɔ aw di it de ɛmti kwik kwik wan frɔm di bɛlɛ.
• CT skan: Dis kin tek ditayli pikchɔ dɛn bɔt di bɛlɛ, di fɔs pat pan di smɔl intestinal, ɛn di ɔgan dɛn we de rawnd am. Dis kin rili ɛp fɔ no wetin mek di blɔk de blok.

Wetin na di tritmɛnt dɛm fɔ dis? Yu tink se dɛn kin mɛn am?

Di gud nyus na dat, tritmɛnt dɛn de fɔ GOO. Di tritmɛnt de dipen pan wetin mek di blɔk ɛn aw di sik siriɔs.

• Di mɛrɛsin dɛn we dɛn kin yuz:If na peptik ɔlsa mek GOO, dɛn kin gi yu mɛrɛsin dɛn we de ridyus di bɛlɛ asid (lɛk proton pump inhibitors (PPI) ). Dɛn tin ya kin ɛp di ɔlsa fɔ wɛl ɛn ridyus di blɔk.
• Ɛndoskopik ɔpreshɔn: Sɔntɛnde, dɛn kin du ɔpreshɔn lɛk payɔroplasti di sem tɛm we dɛn de du di ɛndoskopi fɔ mek di say we dɔn smɔl big.
• Laparoscopic ɔ opin ɔpreshɔn: Dipen pan di kɔz ɛn kɔndishɔn fɔ GOO, ɔpreshɔn kin nid fɔ du am. Dis kin min fɔ pul di ska tisu, di bezoar, ɔ if i siriɔs, fɔ pul pat pan di bɛlɛ ɔ smɔl intestin.
• Balɔn ɛntɛroskɔpi: Insay dis we, dɛn kin yuz spɛshal kateta we gɛt balɔ tip fɔ mek di paylɔs big we dɛn nɔ go du ɔpreshɔn pan am opin.

Wetin na di layf we pɔsin we gɛt GOO de liv?

Di prɔgnosis ɛn layf ɛkspɛkteshɔn fɔ pɔrsin wae gɛt GOO de dipen pan di kɔz fɔ di blok ɛn aw di kɔndishɔn siriɔs. If yu no di sik kwik kwik wan ɛn trit yu, dat kin mek yu gɛt gud tin fɔ du. Bɔt if dɛn nɔ trit di sik, i kin wɔs, i kin mek i gɛt prɔblɛm ɛn i kin afɛkt layf.

Wetin wi kin du fɔ mek GOO nɔ fɔm?

Pan ɔl we i nɔ pɔsibul fɔ mek GOO nɔ fɔm ɔltogɛda, tin dɛn de we wi kin du fɔ ridyus di risk.

Yu tink se wi fɔ mek dɛn chenj dɛn ya we wi de liv wi layf?

• Klof fɔ smok: Smok kin mek di ɔlsa na yu bɛlɛ wɔs ɛn i kin mek yu gɛt prɔblɛm dɛn lɛk skata. Fɔ lɛf fɔ smok na gud tin fɔ yu ɔl yu wɛlbɔdi ɛn di dijestiv sistɛm.
• Manej strɛs: We yu kɔntinyu fɔ strɛs, dat kin mek yu gɛt mɔ prɔblɛm wit yu dijestiv. So tray fɔ kɔntrol strɛs tru tin dɛn lɛk ɛksɛsayz, rilaks tɛknik, ɛn tink gud wan.

Trit di ɔndalayn mɛdikal kɔndishɔn dɛn fayn fayn wan

• Tritmɛnt fɔ H. pylori infɛkshɔn: If dɛn no se yu gɛt H. pylori infɛkshɔn, fɔ trit am wit antibayɔtik kin ridyus di risk fɔ gɛt ɔlsa ɛn GOO kɔmplikeshɔn dɛn bad bad wan. Afta yu dɔn trit yu, yu dɔktɔ go chɛk fɔ si if di infekshɔn dɔn go ɔlsay.
• GERD Manejmɛnt: Pipul dɛn we gɛt gastroesophageal reflux disease (GERD) kin gɛt persistent acid reflux. Dis kin pwɛl di layn na di bɛlɛ ɛn mek yu gɛt ɔlsa. So, i impɔtant fɔ tek GERD mɛrɛsin ɛn mek chenj na yu layf fɔ manej am.

Lɛ wi intres smɔl, nɔto so?

• Di mɛdikal chɛk-ap ɔltɛm: We yu de go to dɔktɔ ɔltɛm, dɛn kin no di prɔblɛm dɛn we de na di dijestiv sistɛm we kin mek pɔsin gɛt kɔndishɔn lɛk GOO ɛn trit am kwik kwik wan.
• Yuz mɛrɛsin dɛn we sef:Sɔm mɛrɛsin dɛn, mɔ di NSAID (Nonsteroidal anti-inflammatory drugs) we de mek pɔsin nɔ fil pen, kin pwɛl di layn na di bɛlɛ ɛn i kin mek yu gɛt ɔlsa. So tek tɛm we yu de yuz dɛn. If nid de, tɔk to yu dɔktɔ bɔt ɔda tin dɛn we yu go ebul fɔ du.

Aw a kin kia fɔ misɛf? (Afta dɛn dɔn trit am)

Afta yu dɔn trit GOO, yu go nid fɔ mek sɔm chenj dɛn na yu layf:

• Di chenj we yu de chenj di tɛm we yu de it: Bifo yu it big it wan tɛm, it smɔl smɔl it dɛn bɔku tɛm insay di de. Dis go mek di lod we de na yu bɛlɛ nɔ bɔku.
• Stress management: Sɔm dijestiv simptom dɛm kin wɔs we yu strɛs, so if yu yuz di we aw yu de mek yu at kol, dat kin ɛp.

Us it dɛn nɔ fayn fɔ it we yu gɛt GOO?

If yu gɛt GOO, yu fɔ avɔyd fɔ it raw frut, vɛjitebul, ɛn ɔl gren, bikɔs i at fɔ pas na di blɔk. I fayn bak fɔ lɛ yu nɔ it bɔku tin dɛn we gɛt spays, ɔyl, ɛn asid, bikɔs dɛn kin mek di layn na di bɛlɛ vɛks.

Ustɛm a fɔ go to dɔktɔ?

If yu kɔntinyu fɔ gɛt sɔm sayn dɛm lɛk nɔs, vɔmit, ɛn bɛlɛ pen, i rili impɔtant fɔ go to dɔktɔ fɔ no wetin mek yu gɛt am ɛn fɔ mek yu nɔ gɛt prɔblɛm.

Mɛmba se, fɔ trit di ɔndalayn kɔndishɔn dɛn kwik kwik wan kin ridyus di risk fɔ GOO bad bad wan ɛn mek yu kɔntinyu fɔ gɛt yu ɔl di dijestiv wɛlbɔdi.

Wetin na di impɔtant kwɛstyɔn dɛn we wi fɔ aks di dɔktɔ?

If yu gɛt GOO, yu kin aks yu dɔktɔ kwɛstyɔn dɛn lɛk dɛn wan ya:

• Wetin na di tin we kin mek a gɛt mi GOO kɔndishɔn?
• Aw bad di blɔk de?
• Us tritmɛnt opshɔn dɛn a gɛt?
• Wetin na di bɛnifit ɛn bad tin dɛn we dɛn tritmɛnt dɛn de gɛt?
• Wetin na di lukin-grɔn fɔ mi kɔndishɔn?
• A go gɛt fɔ chenj di it we a de it afta a dɔn gɛt tritmɛnt?

Wetin na di difrɛns bitwin Gastric Outlet Obstruction (GOO) ɛn Gastroparesis?

di gastric outlet obstruction (GOO) εn gastroparesis dεn tu kin mek prכblεm wit di pas we di it de pas frכm di bεlε. Bɔt di tin dɛn we kin mek dɛn tu tin ya ɛn di we aw dɛn kin du tin difrɛn.

Tink bɔt GOO as dreyn we dɔn klos. dis fyzikal blכk de mek di it nכ kכmכt na di bεlε εn kכntinyu fכ go to di rεst כf di dijestiv prכsεs.

Gastroparesis nɔto fyzikal blɔk lɛk GOO. na wan kכndyushכn we di mכsul dεm na di bεlε wכl we nכmal fכ εp fכ push it kכmכt na di bεlε kin wik כ i nכ de wok, we kin mek di it kכmכt na di bεlε delay.

Fɔ dɔn, di tin we impɔtant pas ɔl fɔ mɛmba (Take-Home Message) .

Na nɔmal tin fɔ fil fɔ fred ɛn wɔri we dɛn no se yu gɛt Gastric Outlet Obstruction (GOO). Bɔt di tin we impɔtant pas ɔl na fɔ mɛmba se dis na sik we pɔsin kin mɛn.Dɔktɔ dɛn gɛt bɔku ɛkspiriɛns fɔ mɛn dis sik. Dɔn bak, tritmɛnt dɛn de we go wok fayn, i go dipen pan di tin we mek i apin. Bɔku pipul dɛn kin gɛt dis sik. If yu gɛt di rayt tritmɛnt, yu kin wɛl kwik kwik wan. Yu fɔ tink gud wan, pe atɛnshɔn fɔ gɛt di bɛst tritmɛnt, ɛn mɛmba se nɔto yu wangren de du dis. Yu mɛdikal tim go ɛp yu ɛvri step na di rod.

` Gastric Outlet Obstruction, GOO, bεlε de at, vכmit, bεlε, paylorus, dijeshכn, ful, bεlε pen, pεptik כlsa, H. pylori, εndoskopi, gastroparesis