Yu de blɔd na yu intestin? Lɛ wi tɔk bɔt (Gastrointestinal Bleeding)!

Yu dɔn ɛva notis blɔd na yu stɔl ɔ yu vɔmit? I kin bi sayn fɔ se yu bɛlɛ dɔn pwɛl. I nɔto sɔntin we yu fɔ tek am layt. Tide wi go tɔk bɔt gastrointestinal bleeding, ɔ GI bleeding fɔ shɔt. I kin apin to ɛnibɔdi, so i impɔtant fɔ no bɔt am.

Wetin na dis blɔd we de kɔmɔt na di insay? (Blɔd we de kɔmɔt na di bɛlɛ) .

Fɔ tɔk am simpul wan, `(Gastrointestinal Bleeding)` na blɔd we de kɔmɔt na ɛni say na wi dijestiv sistɛm (dat na di we aw wi de dayjɛst di it we wi de it ɛn drink). Tink bɔt am, dis sistɛm de bigin frɔm wi mɔt, dɔn i de go tru di trot, di it we wi de it, di bɛlɛ, di smɔl intestinal, di big intestinal, ɛn leta i de dɔn na di an. So, ɛnisay na dis lɔng rod, blɔd kin kɔmɔt bikɔs ɔf injuri, infɛkshɔn, ɔ sɔm ɔda prɔblɛm.

Dɔktɔ dɛn kin sheb dis blɔd to tri men kayn, i kin dipen usay i go:

Posisibul Ɔpa GI Blɛd Sayt dɛn

dis kin apin na di כp pat na di dijestiv sistεm. Dat na:

• Esophagus (di tiub we de go na di bɛlɛ we wi de swɛla it) .
• Bɛlɛ (di dijestiv pɔch we de na di bɛlɛ) .
• Duodenum (di fכs pat pan di sכmכl intestכn) .

Sɔm say dɛn we pɔsin kin gɛt blɔd na di smɔl bɔdi

Dis kin apin na di midul pan di smɔl intestinal. Dat na:

• Jejunum (`Jejunum` - di midul pat pan di sכmכl intestin) .
• Ileum (di las pat pan di smɔl intestinal) .

Lower GI Bleed Posisibul Lokeshɔn dɛn

dis kin apin na di lכw pat pan di dijestiv sistεm. Dat na:

• Kɔlɔn (big intestinal) .
• di lכw pat pan di rεktum (`Rεktum`) .
• Anus (`Anus`) .

Yu tink se difrɛn kayn blɔd de?

Yɛs, difrɛn kayn dɛn de dipen pan aw dis blɔd de flɔ.

• Akyu Blidin: Dis na we blɔd de kɔmɔt wantɛm wantɛm ɛn we rili ebi . Dis na wan sik wae nid fɔ gɛt mɛrɛsin kwik kwik wan. I nɔ fayn fɔ delay am ivin smɔl.
• Blɔd we nɔ de dɔn: Insay dis kayn we, di blɔd kin kɔmɔt smɔl smɔl, bɔt i kin apin fɔ lɔng tɛm , ɛn i kin stɔp ɛn kam bak.
• Occult bleeding: Dis na smɔl triki. Bikɔs wi nɔ ebul fɔ si di blɔd we de kɔmɔt. Bikɔs na rili smɔl mɔni . Bɔt na we wi du tin dɛn lɛk fɔ tɛst blɔd nɔmɔ wi kin no se blɔd dɔn go dɔŋ.
• Blɔd we de kɔmɔt klia wan: Dis na we pɔsin kin si di blɔd klia wan. Yu kin si am wit di stɔl (we kin blak ɔ rɛd), ɔ wit di vɔmit .
• Blɔd we nɔ klia:Sɔntɛnde, ivin we dɔktɔ dɛn de du tɛst lɛk ``Endoscopy,'' dɛn nɔ kin ebul fɔ fɛn ɛksaktɔli usay di blɔd de kɔmɔt. Na dat mek dɛn kɔl am dis.

Wetin mek blɔd de kɔmɔt na dis pat we de ɔp? (Di Ɔpa GI Blɛd Kɔz)

Bɔku tin dɛn kin de we kin mek blɔd kɔmɔt na di ɔpa dijestiv trakt. Di men wan dɛn na:

• Pɛptik ɔlsa: Dis na di tin we kin mek pɔsin gɛt mɔl. Dɛn ɔlsa ya kin kam bikɔs ɔf tin dɛm lɛk fɔ nɔ tek mɛrɛsin fɔ bɛlɛ ɔlsa, fɔ kɔntinyu fɔ yuz sɔm pen kil dɛm, ɛn fɔ gɛt infɛkshɔn wit wan baktri we dɛn kɔl Ɛlikobakta paylɔri.
• Esophageal varices: Dis kכndyushכn kin apin pan pipul dεm wae gεt liva sik. Di blɔd vesel dɛn na di εsophagus kin swel, brok, ɛn bigin fɔ blɔd.
• Gastritis: Na inflamɛns na di layn na di bɛlɛ. Dis kin gɛt bɔku tin dɛn we kin mek i apin.
• εsophagitis: Inflamεshכn na di layn na di εsophagus.
• GERD (Chronic Acid Reflux): Bɛlɛ asid de kam ɔp (lɛk we gastritis rili bad). Dis kin pwɛl di εsophagus bak.
• Kansa: Kansa na di εsophagus ɛn bɛlɛ kin mek bak blɔd kɔmɔt. Bɔt nɔ wɔri, nɔto ɔl di blɔd we de kɔmɔt na di bɔdi na bikɔs ɔf kansa.
• di gεstrointestinal stromal tumor (GIST): Dis na wan spεsifi k tכmכro we de apin na di dijestiv sistεm.
• Sik dɛm we ɔda ɔgan dɛm kin gɛt lɛk liva kansa ɛn pankrias kansa kin gɛt indaykt ifɛkt bak.

Wetin na di tin dɛn we kin mek di GI blɔd de dɔŋ? (Lɔwa GI Blɛd Kɔz)

Bɔku rizin dɛn de we kin mek pɔsin blɔd kɔmɔt na di say we de dɔŋ di bɔdi.

• Ɛmoroyd: Dis na sɔntin we bɔku pipul dɛn sabi. di bכdi vεsεl dεm we de rawnd di ans kin swεla εn kin bכn we yu de muv bכdi.
• Anal fissures: Smɔl krak krak na di skin na di an kin apin bikɔs ɔf tin dɛn lɛk kɔnstipɛshɔn ɛn blɔd.
• di kכlon polip dεm: Dis na sכm sכm sכm tin dεm we de fכm insay di big intestinal. Sɔm pan dɛn kin tɔn to kansa.
• Kolorektal kansa: Dis na siriɔs kɔz bak.
• Divεrtikulεt εn divεrtikulכsis: Sכm sכm paus dεm we de fכm na di wכl na di big intestinal, we kin bכn blכd we dεn gεt infεkshכn.
• Crohn in sik ɛn ɔlsɛrɛtiv kɔlayt: Dis na krεse inflammatory kכndishכn dεm na di dijestiv sistεm (Inflammatory Bowel Disease - IBD).
• Ɔlsa dɛn we de na di rɛktal.
• Gastrointestinal stromal tכmכro (GIST).
• Kansa na di anal.

Wetin na di sayn dɛm fɔ dis, dɔktɔ?

Di sayn dɛm kin difrɛn difrɛn wan bay usay di blɔd de kɔmɔt ɛn aw di blɔd de kɔmɔt. Di kɔmɔn sayn dɛm na:

• Bɛlɛ de at ɔ pen.
• Blɔd na di stɔl: Sɔntɛnde di stɔl kin blak ɔ tar (dis kin apin we di blɔd kɔmɔt na di ɔpa intestin, bikɔs di blɔd de dayjɛst). Ɔ i kin rɛd (bɔku tɛm dis kin apin we di blɔd kɔmɔt na di ɔda pat na di bɔdi).
• Pale appearance: We di bɔdi lɔs blɔd, di skin kin pale.
• I nɔ izi fɔ blo (dyspnea): We yu de klaym stej ɔ we yu taya smɔl, yu kin fil shɔt fɔ blo.
• Taya pasmak ɛn wik: Fɔ fil se yu taya pasmak fɔ du ɛnitin, fil se yu nɔ gɛt layf.
• Blɔd we yu de vɔmit: Sɔntɛnde yu kin vɔmit fresh blɔd . Ɔ yu kin vɔmit blak , vɔmit we tan lɛk kɔfi grɔn (dis kin apin we di blɔd we de na di bɛlɛ miks wit di asid ɛn tɔn blak).

Yu tink se di sayn dɛm kin difrɛn pan akyu blɔd?

Yes, we yu blɔd bɔku wan tɛm (`Acute bleed`), di sayn dɛm kin tranga pasmak ɛn dɛn kin kam kwik kwik wan. If yu gɛt ɛni wan pan dɛn sik ya, yu fɔ go na ɔspitul wantɛm wantɛm :

• Diziz, fil fɔ spin, ɔr fɔdɔm (syncope).
• I nɔ izi fɔ pis ɔ di urine we nɔ de kɔmɔt bɛtɛ.
• At bit kwik kwik wan: Fɔ fil se yu de wɔri ɛn yu chɛst de bit.
• Shok: Dis na tin we rili denja. I kin apin we di bɔdi in ɔgan dɛn nɔ de gɛt inof blɔd. Di skin kin kol, i kin swet, i kin blo kwik, ɛn i nɔ kin no natin.

Aw yu kin no dis sik kɔrɛkt wan? (Diagnosis) .

If yu gɛt dɛn sik ya, di fɔs tin we yu fɔ du na fɔ go to dɔktɔ . Dɔktɔ go aks yu bɔt yu sik dɛn ɛn chɛk yu. Dɔn dɛn go ɔda fɔ du bɔku tɛst fɔ no usay di blɔd de kɔmɔt ɛn aw i siriɔs.

Us tɛst dɛn go du?

Fɔs, yu kin du dɛn tɛst ya:

• Blɔd tɛst: Dɛn tin ya kin chɛk yu blɔd kɔnt ɛn if yu gɛt anemia.
• Fecal occult blood test (FOBT): Dis kin no if blɔd de na di stɔl we yu nɔ de si.
• CT skan: Dis na spɛshal ɛkstrem rayt tɛst we dɛn kin tek tri dimɛnshɔnal (3D) pikchɔ dɛn fɔ di insay fɔ chɛk if blɔd de kɔmɔt ɔ ɔda prɔblɛm dɛn.
• εks-ray egzamin fכ di intestin dεm (`GI X-rays`): insay dis, dεn de gi wan spεshal likwid we dεn kכl `(Barium)` fכ drink כ put am tru di rεktum, εn dεn de tek wan `X-ray`. dis de mek dεn kin si di insay pat pan di intestכn dεm klia wan.
• Ɔpa ɛndoskɔpi: Insay dis we aw dɛn de du dis, dɔktɔ kin put wan tin we kin chenj (we dɛn kɔl ɛndoskɔp) tru yu mɔt fɔ chɛk yu ɛsophagus, bɛlɛ, ɛn duodenum. Di tiub gɛt smɔl kamɛra ɛn layt na di ɛnd, we de mek di dɔktɔ ebul fɔ si insay fayn fayn wan.
• Balɔn ɛntɛroskɔpi: Dis tan lɛk ɛndoskopi, bɔt i kin chɛk di say dɛn we at fɔ si na di smɔl intestinal. Dɛn kin du am bay we dɛn de blo wan smɔl balyɔn na di ɛnd pan wan tiub.
• Kolonoskopi ɔ Sigmoidoscopy: insay dis prosidur, dɛn kin put ɛndoskop tru di an fɔ chɛk di big intestin ɛn di lכw rεktum.

Yu tink se dɛn go nid fɔ du mɔ tɛst dɛn?

Sɔntɛnde, if di tɛst dɛn we wi dɔn tɔk bɔt nɔ ebul fɔ no usay di blɔd kɔmɔt, ɔ if blɔd de kɔmɔt wantɛm wantɛm, dɛn kin nid fɔ du mɔ spɛshal tɛst dɛn:

• Angiografi: Insay dis, dɛn kin put spɛshal day insay di blɔd vesel dɛn ɛn dɛn kin du ɛkstrem rayt ɔ CT skan. Dis kin mek i izi fɔ fɛn usay di blɔd kɔmɔt bikɔs di blɔd vesel dɛn kin si klia wan.
• Kapsul ɛndoskopi: Dis na wan tɛst we rili strenj. Yu de swɛla wan smɔl kamɛra we tan lɛk pil. Di kamɛra kin tek bɔku pikchɔ dɛn we i de pas na yu insay. Fɔ dɔn, dɛn kin pas di kamɛra wit yu stɔl.
• Radionuclide scan: Insay dis, dɛn kin gi yu sɔntin we gɛt sef lɛvɛl fɔ redioaktiv matirial. Dis tin de atak di rɛd blɔd sɛl dɛn, so di skan de sho usay di blɔd de flɔ.

Wetin na di tritmɛnt dɛm fɔ dis?

Di tritmɛnt dipen pan wetin mek di blɔd de kɔmɔt, usay di blɔd de, ɛn aw i bad.

Yu tink se dɛn kin mɛn am wit mɛrɛsin?

Yɛs, sɔntɛnde, mɛrɛsin kin kɔntrol di blɔd ɛn trit di tin we kin mek i blɔd. Fɔ ɛgzampul, mɛrɛsin dɛn de fɔ blɔd we pɔsin kin gɛt we i gɛt ɔlsa na in bɛlɛ, ɛmoroyd, ɔ GERD. Dɛn mɛrɛsin ya na:

• I de ridyus di asid we de na di bɛlɛ.
• I de ɛp fɔ mek blɔd klɔt.
• I de ridyus di swɛlin.

Yu nid fɔ du tin dɛn lɛk ɔpreshɔn?

Bɔku tɛm, dɔktɔ dɛn kin du tritmɛnt di sem tɛm we dɛn kin du ɛndoskɔpi ɔ kɔlonɔskopi. Dis na di smɔl smɔl inschrumɛnt dɛn we de na di ɛnd pan di tiub we dɛn kin yuz fɔ:

• fכ pul di abnכmal growth dεm, fכ egzampl, di kכlon polip dεm.
• Injekt mɛrɛsin fɔ ɛp fɔ stɔp blɔd.
• Di akt fɔ lɔk (sial) blɔd vesel wit smɔl klip ɔ band.
• Yuz lɛsa, ɔt gas, ɔ kol gas fɔ pwɛl di tisu usay di blɔd de flɔ.

Impɔtant: Dɛn kin du bɔku pan dɛn tritmɛnt ya di sem tɛm we dɛn kin du di ɛndoskopi, we dɛn nɔ kin kɔt big say, so chans de fɔ mek i wɛl kwik kwik wan.

Yu tink se di tritmɛnt difrɛn if yu blɔd kɔmɔt wantɛm wantɛm?

If di blɔd rili bad, dɛn kin nid fɔ du ɔpreshɔn kwik kwik wan . Sɔntɛnde dɛn kin yuz wan we we dɛn kɔl laparoscopy . Dis min se dɛn kin kɔt sɔm smɔl smɔl tin dɛn na di bɛlɛ, ɛn dɛn kin put kamɛra ɛn ɔspitul inschrumɛnt dɛn fɔ trit di say we di blɔd de kɔmɔt kwik kwik wan.

Aw dɛn go mek dis nɔ apin? (Prɛvenshɔn) .

Bɔku tin dɛn de we wi kin du fɔ mek dis kayn blɔd nɔ kɔmɔt na di bɔdi:

• Yuz pen kil (nonsteroidal anti-inflammatory medicines - NSAIDs) ɛn aspirin nɔmɔ we i rili nid fɔ du am. If yu kɔntinyu fɔ tek dɛn tin ya, tɔk to dɔktɔ.
• Limit yu rɔm we yu de drink. If yu drink bɔku rɔm, dat kin pwɛl yu bɛlɛ.
• If yu de smok, lɛf fɔ smok. Smok kin mek yu gɛt ɔlsa na yu bɛlɛ.
• If yu gɛt intestinal sik lɛk diverticulitis, mek dɛn trit dɛn fayn ɛn kɔntrol yu simptom dɛm.
• Gɛt tɛst fɔ di baktri we dɛn kɔl Helicobacter pylori, we kin mek yu gɛt ɔlsa na yu bɛlɛ, mɔ if yu de pan denja.

A go wɛl frɔm dis sik? Wetin na di tin dɛn we wi go si? (Autluk) .

Bɔrku pipul dɛn kin wɛl ɔltogɛda frɔm GI blɔd. Bɔt i kin tek sɔm mɔnt fɔ mek di insay de wɛl. Dɛn chenj ya we dɛn kin chenj na layf kin ɛp fɔ ridyus di risk fɔ mek ɔda GI blɔd kɔmɔt tumara bambay:

• As yu ebul, nɔ yuz mɛrɛsin dɛn we go mek yu blɔd kɔmɔt.
• Gɛt tritmɛnt fɔ infɛkshɔn lɛk Helicobacter pylori, we kin mek yu gɛt ɔlsa na yu bɛlɛ.
• Ridyus strɛs. Tray tin dɛn lɛk fɔ du ɛksɛsayz fɔ blo dip dip wan.
• Kɔntinyu fɔ liv aktif layf ɛn it fayn fayn it dɛn. Dɔn yu kin kɔntinyu fɔ gɛt wɛlbɔdi wet.

Ɛni spɛshal instrɔkshɔn dɛn de fɔ kia fɔ pɔsin we nid fɔ fala?

Ivin if di tritmɛnt dɔn wok fayn, sɔntɛnde di GI blɔd kin kam bak. So, fɔ protɛkt yu wɛlbɔdi, tek kia ɔf dɛn tin ya:

• Mek shɔ se yu go na yu dɔktɔ in apɔntinmɛnt fɔ fala yu. Dɛn apɔntinmɛnt ya kin mek yu dɔktɔ si aw yu tritmɛnt de wok fayn ɛn fɔ no if yu gɛt nyu blɔd.
• Tek di mɛrɛsin jɔs lɛk aw yu dɔktɔ tɛl yu fɔ tek am, fɔ di tɛm we yu dɔn tɛl yu. If yu gɛt prɔblɛm wit di sayd ɛfɛkt dɛm we di mɛrɛsin gɛt, tɔk to yu dɔktɔ bɔt am. I kin ebul fɔ ridyus di doz ɔ gi yu difrɛn mɛrɛsin.
• Kɔntinyu fɔ mek di fayn fayn chenj dɛn we yu dɔn mek na yu layf. Ivin if yu nɔr gɛt ɛni sik naw, wae yu de liv fayn layf, dat go ɛp yu fɔ de wɛl.

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

Blɔd we de kɔmɔt na di bɛlɛ na wan sayn we kin kam bikɔs ɔf difrɛn kayn mɛrɛsin. I kin apin ɛnisay na di dijestiv sistɛm.

Nɔ ɛva ignore blɔd we de na yu stɔl ɔ blɔd we de vɔmit. I kin bi sayn fɔ sɔntin we siriɔs.

Di bɛst tin fɔ du na fɔ go to dɔktɔ jɔs lɛk aw yu notis ɛni wan pan dɛn sayn ya. Dɔktɔ dɛn kin yuz tɛst lɛk ``Endoscopy`` ɔ ``Colonoscopy`` fɔ fɛn usay di blɔd kɔmɔt ɛn trit am. Ivin afta yu dɔn gɛt tritmɛnt, dis sik kin kam bak, so i rili impɔtant fɔ fala yu dɔktɔ in instrɔkshɔn dɛn gud gud wan. If yu gɛt ɛni kwɛstyɔn, nɔ fred fɔ aks yu dɔktɔ. Stay wit wɛlbɔdi!

` Dijestiv sistεm, intestinal bכdi, GI Blid, simptom dεm, tritmεnt, kכz, εndoskopi