Yu no bɔt Gastric Varices? Lɛ wi tɔk bɔt dis!

Yu dɔn ɛva yɛri bɔt wan sik we dɛn kɔl gastric varices? Yu go dɔn yɛri dis wɔd we yu go to dɔktɔ bikɔs yu bɛlɛ de at ɔ yu gɛt prɔblɛm wit yu dijestiv. E kin bi siriɔs sik, so i impɔtant fɔ no gud gud wan wetin i bi. So, tide wi go tɔk bɔt dis kɔndishɔn we dɛn kɔl `(Gastric Varices)` insay wan simpul we, so dat yu go ɔndastand am.

Wetin na di Gastric Varices? Lɛ wi ɔndastand am simpul wan!

Fɔ tɔk am simpul wan, di Gastric Varices de swel ɛn big blɔd vesel dɛn na di layn na yu bɛlɛ. Dɛn kin tan lɛk smɔl smɔl balyɔn dɛn. Dis na siriɔs tin bikɔs if dɛn vein dɛn ya we dɔn swel bɔs, dɛn kin mek blɔd kɔmɔt na yu ɔp bɛlɛ we go mek yu day.

Yu go dɔn yɛri bɔt di εsophageal varices, we na di vein dɛn we dɔn swel na di εsophagus. Gastric varices na wan sik we nɔ kin bɔku smɔl. Bɔt if di gastric varices blɔd, dɛn kin siriɔs pas di esophageal varices.

Tink bɔt am dis we. Yu bɛlɛ gɛt wan nɛtwɔk we gɛt smɔl smɔl blɔd vesel dɛn we de kɛr blɔd. Nɔmal wan, blɔd kin pas na dɛn vessel ya ɛn nɔ gɛt ɛni prɔblɛm. Bɔt sɔntɛnde, big big blɔk kin apin na di men blɔd vesel we kin kɛr blɔd go na di liva. Dis kin kam bikɔs ɔf wan sik we dɛn kɔl sirosis, we kin mek di liva gɛt skata. afta dat, big ``trafik jam`` de pan da men vessel de, we min se di prεshכn insay di bכdi bכdi de inkrεs. bikɔs ɔf dis prɛshɔn we de go ɔp, di blɔd kin bigin fɔ luk fɔ ɔda, smɔl, shɔt rod dɛn. Bikɔs dɛn smɔl smɔl vein dɛn ya (we dɛn kɔl varices) we de na di wɔl dɛn na di bɛlɛ nɔ mek fɔ kɛr bɔku bɔku blɔd so, dɛn kin swel, bulge, ɛn kɔmɔt na do. dis kכndyushכn dεn kכl am gastric varices. If dɛn nɔ kɔntrol dis prɛshɔn, dɛn vein dɛn ya we dɔn swel kin bɔs.

Wetin na di men kayn gastric varices?

di gastric varices dεn kin mεnli kכl dεm bay we dεn kin riliyt to yu εsophagus כ nכ.

Varicose veins we gɛt fɔ du wit di εsophagus

• Tayp 1 Gastroesophageal Varices (GOV1): Dɛn kayn varices ya kin bigin nia yu esophagus. afta dat dεn de εkstendi along di "כpa sayd" (lεs kכva) na yu bεlε. Tink bɔt dɛn lɛk sayd rod we de bigin na di say we di εsophagus de jɔyn ɛn rɔn go dɔŋ di lɛft say na yu bɛlɛ. Dis na di kayn we we pipul dɛn kin gɛt mɔ.
• Tayp 2 Gastroesophageal Varices (GOV2): Dɛn wan ya kin bigin bak nia di εsophagus. כltu, dεn de εkstendi along di "greater curvature" fכ di bεlε. pan ɔl we dɛn kin bigin nia di εsophagus lɛk aw i bin de bifo, dɛn sayd rod ya kin rɔn along di rayt say na di bɛlɛ.

Varikos vein dεm we nכ riliyt to di εsophagus

• Tayp 1 Isolεt Gεstrik Variks (IGV1): .Dis kayn vayrɔs vein de na di bɛlɛ nɔmɔ. i de na di כp, rawnd pat pan di bεlε (fundus).
• Tayp 2 Isolated Gastric Varix (IGV2): Dis kayn kin swel enisay na di bεlε wכl, nכto jכs na di fכnda.

Wetin na di sayn dɛm fɔ di gastric varices?

Bɔrku tɛm, gastric varices nɔr kin kɔz ɛni simptom. Bɔt di prɔblɛm kin bigin we dɛn bɔs ɛn bigin fɔ blɔd. Dɔn, bad bad sayn dɛn kin apin wantɛm wantɛm. Dɛn kayn tɛm ya, yu kin si sayn dɛn lɛk:

• Fɔ vɔmit dak rɛd blɔd.
• Blak, tar stɔl (dis kin apin we blɔd de miks wit bɛlɛ asid, we de tɔn di stɔl blak) .
• Sɔntɛnde, dak rɛd blɔd kin de na di stɔl.
• Fɔ fil se yu gɛt diziz.
• Di at we de blo.
• Sɔntɛm yu nɔ go no natin igen.
• Di blɔd prɛshɔn we de go dɔŋ wantɛm wantɛm.
• Nɔs ɛn vɔmit.
• Go insay shɔk.
• Fɔ fil se yu wik ɛn yu nɔ gɛt layf.

If yu gɛt ɛni wan pan dɛn sik ya, i impɔtant fɔ go to dɔktɔ wantɛm wantɛm, bikɔs dis kin bi imejensi.

Wetin na di men tin dɛm wae kin mek yu gɛt gastric varices?

di men tin we kin mek yu gεt gεstrik vεris na wan liva sik we dεn kכl `(Cirrhosis). Insay sirosis, di liva sɛl dɛn kin pwɛl ɛn dɛn kin put ska tisu insay dɛn ples. Dis skata de mek blɔd nɔ go pas na di liva. fכ dis obstrכkshכn, di prεshכn na di `(Portal Vein),` we na di men vein we de bכn bכdi to di liva, de inkrεs pasmak. dis kכndyushכn dεn kכl am `(Portal Hypertension) .` we di prεshכn inkrεs lεk dis, di bכdi de push bak εn tray fכ pas tru כda sכm sכm vein dεm. biכs di vein dεm na di bεlε wכl dεn tu na sכm sכm vein dεm, dεn nכ kin ebul fכ bia dis prεshכn we de go כp εn swεla εn bi varicose.

Apat frɔm sirosis, ɔda tin dɛn de we kin mek pɔsin gɛt pɔtal haypatɛnshɔn ɛn mek i gɛt gastric varices:

• Blɔd Klɔt Blɔk na di Pɔtal Vein ɔ Splenik Vein: Dis, lɛk sirosis, de ambɔg di blɔd flɔ.
• Parasayt Infεkshכn: Wan εgzampl na wan parasayt infεkshכn we dεn kכl Schistosomiasis. Dis kin de na sɔm pat dɛn na Afrika, Sawt Amɛrika, di Karibian, di Midul Is, ɛn Is Eshia. Dis infεkshכn kin pwεl di liva εn di splin εn mek i gεt Pɔtal Haypatεnshכn.
• Ɔda tin dɛn we kin mek pɔsin nɔ gɛt sirosis: Na rare kes, pɔtal haypatɛnshɔn ɛn gastric varices kin apin we yu nɔ gɛt sirosis. Wan ɛgzampul na wan sik we dɛn kɔl Budd-Chiari syndrome, we na we di vein dɛn we de kɛr blɔd kɔmɔt na di liva kin blok.

Wetin na di poshubul kɔmplikeshɔn dɛm fɔ di gastric varices?

Di kɔmplikeshɔn we denja pas ɔl we di gastric varices kin gɛt na we pɔsin de blɔd . Dɛn blɔd vesel ya we dɔn swel na di bɛlɛ wɔl kin rili dilik. We prɛshɔn de go ɔp, i kin izi fɔ mek dɛn bɔs. If dis apin, bɔku bɔku blɔd kin kɔmɔt na di bɔdi wantɛm wantɛm, ɛn dis kin ivin mek pɔsin in layf de pan denja. Blɔd we de kɔmɔt frɔm di gastric varices na mɛdikal imejensi.

Na smɔl tɛm nɔmɔ, di gastric varices we dɛn nɔ trit kin mek ɔda prɔblɛm dɛn, lɛk:

• Iron-deficiency anemia: Smɔl smɔl, as tɛm de go, we di blɔd de lɔs, di ayɔn we de na di bɔdi kin go dɔŋ, ɛn dis kin mek pɔsin gɛt sɔm sayn dɛn lɛk fɔ taya ɛn fɔ mek i gɛt blɛsin.
• Hepatic encephalopathy: Dis na we di liva nɔ de wok fayn, we kin mek pɔyzin kin gɛda na di blɔd ɛn afɛkt di bren. Dis kin mek yu gɛt tin dɛn lɛk we yu nɔ de mɛmba fayn ɛn yu kin kɔnfyus.

Aw fɔ no di gastric varices?

εndoskopi εn כda imej tεst dεm dεn kin yuz fכ no di gastric varices. Dɛn tɛst ya kin bi:

• Upper Endoscopy: Dis na di bεst εn imכtant we fכ no di gastric varices. Dis min se yu fɔ put wan tint tiub we kin chenj ɛn we gɛt kamɛra we dɛn tay dɔŋ yu trot ɛn chɛk di insay wɔl dɛn na yu ɛsophagus ɛn yu bɛlɛ. Dɔn di dɔktɔ kin si if ɛni vays de, ɛn dɛn saiz, kɔlɔ, ɛn usay dɛn de.
• CT skan na yu bɛlɛ: Dis kin mek yu gɛt ditayli pikchɔ dɛn bɔt yu liva, splin, ɛn blɔd vesel dɛn na yu bɛlɛ. pan ɔl we i nɔ kin si di vayrɔs vein dɛn dairekt wan, i kin no di simptom dɛm we gɛt fɔ du wit di kɔndishɔn ``Portal Hypertension.'' Dis min se yu kin gɛt mɔ risk fɔ gɛt varicose veins.
• Doppler Ultrasound: Dis tεst de yuz sawnd wev fכ egzamin di bכdi fכ fכlכ pat na yu pכtal vein εn כda blכd vesel dεm na yu bεlε. If abnɔmal tin dɛn de na di we aw di blɔd de flɔ, i kin sho se pɔsin gɛt wan sik we dɛn kɔl pɔtal haypatɛnshɔn.

Aw dɛn kin trit di bɛlɛ vayrɔs veins?

di tritmεnt fכ di gastric varices dipכnt pan if di varis dεm dכn rכp εn bכdi de bכn, כ dεn nכ rכp yet.

Tritmɛnt fɔ di gastric varices we nɔ brok

Di men gol na fɔ mek blɔd nɔ kɔmɔt. Yu dɔktɔ kin gi yu sɔm mɛrɛsin dɛn lɛk beta-blɔka dɛn we nɔ de pik . Dɛn mɛrɛsin ya kin mek di blɔd prɛshɔn na di pɔtal vein, we kin mek di vayrɔs vein dɛn bɔs.

Yu dɔktɔ kin tɛl yu bak sɔm tin dɛn we yu fɔ du wit ɛndoskopik, we kin mek di vayrɔs vein dɛn dayrɛkt ɔ mek dɛn smɔl.

• Endoscopic Varicose Ligation (EVL): Insay dis prosidur, di dכkta de yuz endoskop fכ put sכm sכm rכba bכnd dεm rawnd di varicose vein dεm we swel. Dis kin mek di blɔd nɔ flɔ to di vayrɔs vein dɛn ɛn i kin mek dɛn smɔl smɔl.
• Endoscopic Cyanoacrylate Injection: Insay dis prosidur, di dכkta de injεkt wan spεshal tin we lεk glu insay di vεrikos vein. Dis kin sial di vein frɔm insay ɛn stɔp di blɔd.

Tritmɛnt fɔ di gastric varices we de blɔd

Dis na mɛdikal imejensi. Dɛn fɔ stɔp di blɔd wantɛm wantɛm ɛn dɛn fɔ mek ɛni prɔblɛm we go apin. Di tritmɛnt dɛn we yu kin gɛt na:

• Ɔspitul ɛn Blɔd Transfyushɔn: I go mɔs bi se dɛn go kip yu na di intensiv kia yunit (ICU) ɛn dɛn go de wach yu gud gud wan we dɛn de gi yu blɔd fɔ tek di ples fɔ di blɔd we dɔn lɔs.
• εndoskopik tritmεnt: pan tap we dεn de yuz am fכ di vεrikos vein dεm we nכ rכp, dεn de yuz εndoskopik tritmεnt lεk `(EVL)` כ `(Cyanoacrylate Injection)` bak fכ stכp di bכdi we de kכmכt.
• Mεdikeshכn dεm: Mεdikeshכn dεm lεk Vasopressin כ Octreotide kin εp fכ kכntrכl blɔd bay we i de ridyus di blɔd fכ fכlכ to di vεrikos vein dεm.
• Ɔda we dɛn fɔ kɔntrol di prɛshɔn:
• Balloon Tamponade: Insay dis, dɛn kin put spɛshal balyɔn insay yu εsophagus ɛn inflate am, we kin put dairekt prɛshɔn pan di varis we de blɔd. Dis na wan we fɔ sɔm tɛm we dɛn kin yuz fɔ kɔntrol di blɔd we de kɔmɔt.
• Transjugular Intrahepatic Portosystemic Shunt (TIPS): Dis na wan we we kɔmplikt smɔl. I min se yu fɔ mek nyu rod we shɔt fɔ mek blɔd go pas na yu liva. dis de mek bכdi fכ fכlכ dairekt frכm di pכtal vein to di men vein na yu liva. dis de mek di bכdi pas di blכk, we de ridyus di prεshכn na di pכtal vein. Dis kin mek bak di prɛshɔn we de pan di vayrɔs vein dɛn, we kin ɛp fɔ kɔntrol di blɔd we de kɔmɔt.

Wetin na di layf we pɔsin we gɛt gastric varices kin liv?

di rεt fכ pכsin we gεt gastric varices de liv de dipכnt pan sεvεra tin dεm:

• If dɛn de blɔd: Blɔd we de kɔmɔt frɔm di gastric varices na siriɔs prɔblɛm, we de ridyus di layf we pɔsin de liv bad bad wan.
• Di kayn we aw di liva sik kin tranga: Bɔku tɛm, di prɔgnosis nɔ kin fayn fɔ di wan dɛn we gɛt mɔ siriɔs liva sik.
• Di tritmɛnt we go wok fayn:If dɛn no di sik kwik kwik wan ɛn trit am fayn, di layf we pɔsin kin liv kin bɔku.

If yu gɛt ɛnitin fɔ wɔri ɔr dawt bɔt di gastric varices ɔr de risk factor dɛm, i bɛtɛ fɔ tɔk to dɔktɔ. Da we de, yu go ebul fɔ no mɔ bɔt di tin we de apin to yu.

Yu tink se dɛn kin mek dɛn nɔ gɛt gastric varices?

I kin tranga fɔ mek dɛn nɔ gɛt di gastric varices ɔltogɛda. Bɔt tin dɛn de we yu kin du fɔ ridyus yu risk, mɔ if yu gɛt wan sik we de mek yu gɛt pɔtal haypatɛyshɔn. Na sɔm tin dɛn we yu kin du:

Kɔntrol yu ɔndalayn mɛdikal kɔndishɔn.

If yu gɛt mɛdikal kɔndishɔn lɛk `(Cirrhosis)` ɔ `(Schistosomiasis)`, i impɔtant fɔ fala di tritmɛnt plan we yu dɔktɔ gi yu ɛksaktɔli fɔ kɔntrol di sik.

Mɛrɛsin dɛn we dɛn kin yuz

If yu dɔn ɔlrɛdi gɛt varicose veins, mɛrɛsin lɛk beta-blockers kin ɛp fɔ ridyus di risk fɔ blɔd frɔm dɛn. Bɔt dɛn mɛrɛsin ya nɔ kin mek nyu vayrɔs vein dɛn nɔ fɔm.

Di we aw pipul dɛn de liv dɛn layf kin chenj

Yu kin du dɛn tin ya fɔ ridyus yu risk fɔ gɛt gastric varices:

• Nɔ drink rɔm: Rɔm na di men tin we kin mek yu liva pwɛl. I kin mek bak di pɔtal haypatɛnshɔn wɔs.
• It fayn it: I balans it we gɛt bɔku vɛjitebul, frut, ligɛm, ɛn ɔl gren (e.g., di Mɛditarenian it) rili fayn fɔ yu liva wɛlbɔdi.
• Ridyus di sɔl we yu de it: If yu it bɔku sɔl, i kin mek di wata we de na di bɔdi go ɔp ɛn i kin mek di Pɔtal Haypatɛyshɔn wɔs.
• Mek yu gɛt wɛlbɔdi wet we go fayn fɔ yu: We yu gɛt bɔku bɔku wet, dat kin mek yu gɛt ɛkstra prɛshɔn bak pan di liva.
• Gɛt di vaysin: Dɔktɔ dɛn kin se yu fɔ tek di vaysin agens Epataytis A ɛn Epataytis B. Dɛn tin ya kin ɛp fɔ protɛkt di liva.

If yu gɛt tin dɛn we kin mek yu gɛt vays na yu bɛlɛ, i impɔtant fɔ tɔk to yu dɔktɔ ɛn du tɛst ɔltɛm, lɛk ɛndoskopi, we kin no di vayrɔs kwik kwik wan. If yu no am kwik, dat kin mek yu ebul fɔ trit am kwik ɛn i kin mek yu nɔ gɛt siriɔs prɔblɛm dɛn lɛk we yu de blɔd.

Ustɛm a fɔ go to mi dɔktɔ?

If yu sɔspɛkt se yu gɛt gastric varices, mɔ if yu gɛt sɔm sayn dɛn we kin sho se yu de blɔd, nɔ delay fɔ go to dɔktɔ. Go to dɔktɔ fɔ advays pan dɛn tin ya:

• If dɛn dɔn no se yu gɛt wan sik we de mek yu gɛt mɔtal haypatɛyshɔn, lɛk sirosis ɔ schistosomiasis: Aks yu dɔktɔ if yu fɔ du ɛndoskopi fɔ no di vayrɔs vein dɛn kwik kwik wan.
• If yu gɛt sayn dɛn we de sho se yu de blɔd na yu ɔpa dijestiv trakt: yu de vɔmit blɔd, yu de pas blɔd na yu stɔl, ɔ yu de pas blak, tar stɔl.
• If yu gɛt bɛlɛ pen ɔ blo we yu nɔ ɛksplen: Dis kin bi sayn fɔ `(Ascites)` (flɔyd we de gɛda na di bɛlɛ), we gɛt fɔ du wit `(Portal Hypertension)`.
• If yu gɛt sayn dɛm fɔ `(Portal Hypertension Encephalopathy)`: Dis min se yu kin kɔnfyus, yu kin slip, yu nɔ kin ebul fɔ kɔnsɛntret, ɛn sɔntɛm yu kin kɔma.

Fɔ no ɛn trit di gastric varices kwik kwik wan impɔtant fɔ mek dɛn nɔ gɛt siriɔs prɔblɛm dɛn lɛk fɔ blɔd. If yu gɛt ɛni kwɛstyɔn, wɔri, ɔ dawt bɔt dis, nɔ shem fɔ tɔk to dɔktɔ. I go chɛk yu sik ɛn tɛl yu bɔt aw fɔ du di rayt tin.

Ustɛm a fɔ go na di Imejɛnsi Dipatmɛnt (ETU) ?

If yu gɛt sayn dɛn we de sho se yu gastric varices dɔn brok, go na di imejensi rum (ETU) we de nia yu wantɛm wantɛm. Blɔd we de kɔmɔt frɔm di gastric varices rili siriɔs ɛn i nid fɔ go to dɔktɔ wantɛm wantɛm.

Us kwɛstyɔn dɛn a fɔ aks mi dɔktɔ?

Yu kin aks yu dɔktɔ kwɛstyɔn dɛn lɛk dɛn wan ya:

• Wetin kin mek a gɛt gastric varices?
• Wetin na di tritmɛnt opshɔn dɛm fɔ mi gastric varices?
• Wetin na de risk ɛn sayd ɛfɛkt wae pɔrsin kin gɛt wae pɔrsin gɛt tritmɛnt?
• Wetin a kin du fɔ mek mi vayrɔs veins nɔ blɔd?
• Us chenj dɛn a kin chenj mi layf fɔ mek mi liva gɛt wɛlbɔdi?
• Aw ɔltɛm a go nid fɔ wach mi vayrɔs veins?
• Wetin na de lɔng tɛm luk fɔ pɔrsin wae gɛt gastric varices?

Fɔ dɔn, mɛsej we yu kin kɛr go na os

Gastric varices kin bi tin we de mek yu fred fɔ yɛri. Bɔt if dɛn gɛt di rayt mɛrɛsin ɛn dɛn no am kwik kwik wan, bɔku pipul dɛn we gɛt dis sik kin liv ful, aktif layf. Di tin we impɔtant pas ɔl na fɔ no bɔt am kwik kwik wan. Yu dɔn ɔlrɛdi du da impɔtant tin de bay we yu rid dis atikul. Dɛn gɛt fayn tritmɛnt fɔ dis sik, ɛn yu dɔktɔ kin woke wit yu fɔ mek di bɛst plan fɔ mɛn yu vays ɛn ridyus yu risk fɔ blɔd.

Mɛmba se nɔto yu wangren de du dis waka. If yu de kia fɔ yu ɔltɛm, yu kin ebul fɔ kɔntrol dis sik ɛn gɛt kɔnfidɛns pan yu wɛlbɔdi. Nɔ fred, mek dɛn no bɔt yu, ɛn gɛt di rayt tritmɛnt. Dɔn yusɛf go ebul fɔ gɛt wɛlbɔdi!

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