Yu gɛt ol bak na yu dijestiv trakt? (Gastrointestinal Perforation) Nɔ panik, lɛ wi no bɔt dis!

Oh, yu dɔn ɛva gɛt bɛlɛ pen wantɛm wantɛm? I tan lɛk se sɔmbɔdi de chuk yu wit nɛf frɔm insay, lɛk pen we yu nɔ go ebul fɔ bia we ful-ɔp yu bɛlɛ? Sɔntɛnde, dɛn sayn ya kin bi sayn fɔ sɔmtin we siriɔs. Tide wi go tɔk bɔt wan pɔrfɔreshɔn na di dijestiv trakt, ɔ `(Gastrointestinal Perforation)` , wan kɔndishɔn we nid fɔ gɛt imejensi mɛdikal tritmɛnt.

Wetin na dis gastrointestinal perforation?

Fɔ tɔk am simpul wan, `(Gastrointestinal Perforation)` min ol ɔ pankchɔ sɔmsay na wi dijestiv sistɛm. Tink bɔt wetin kin apin if ol fɔm na wata paip. Dis na di sem tin.

Naw yu aks, "Wetin na dis alimentary canal system?"

wi dijestiv sistεm (`(Gastrointestinal tract)` כ `(GI tract)`) na di sistεm we de kכnekt כgan dεm we de tek di it we wi de it, digεst am, abzכp di nyutriεnt dεm, εn dεn dכn west prodakt dεm. I tan lɛk wan lɔng tiub. I kin gɛt dɛn ɔgan dɛn ya mɔ:

• Esophagus: Na di tiub we de kɛr it frɔm wi mɔt to wi bɛlɛ.
• Bɛlɛ: Na di men ples usay dɛn de digest it.
• Smɔl intestinal: Usay di it de digest mɔ ɛn di nyutriɛnt dɛn de absɔb insay di bɔdi.
• Big intestכn (kכlon): Usay di it dεm we dεn nכ digεst de kכnvכlt to fεs.

So, if ol fכm na di wכl fכ wan pan dεn כgan dεm ya, na dat wi kin kכl gastrointestinal perforation .

Wetin mek dis rili denja? Wetin kin apin to wi bɔdi?

We di dijestiv trakt we gɛt pɔrfyushɔn na siriɔs tin we nid fɔ gɛt mɛrɛsin kwik kwik wan . fכ egzampl, if ol apin na di big intestכn, dat na di intestכn (`(Bowel perforation)`), stכl kin lik insay di bεlε. If ol de na di bɛlɛ ɔ smɔl intestinal, tin dɛn lɛk it we dɛn dɔn digest ɛn di jus we de na di bɛlɛ kin lik insay di bɛlɛ.

Na di tin dεm we kin apin we dεn tin ya lik insay di bεlε:

• Blɔd we de kɔmɔt insay pɔsin in bɔdi ɛn we de blɔd pasmak: Sɔntɛnde i kin mek pɔsin in layf de pan denja.
• Pεritonitis: Dis na infεkshכn εn inflameshn na di insay wכl na di bכdi. Dis kin rili denja bak.
• Di dijestiv sistɛm kin pwɛl sote go: Sɔntɛnde, if di damej bad bad wan, da pat de kin disable fɔ ɔltɛm.
• Sepsis: Na bad bad infεkshכn we de spre כlsay na di bכdi. Dis kin mek pɔsin in layf de pan denja bak.

Di tin we impɔtant pas ɔl: If dis apin, i impɔtant fɔ go to dɔktɔ wantɛm wantɛm. Fɔ de na os nɔ go du fɔ yu.

Wetin go dɔn de mek dis apin?

bכku rizin dεm de we mek wan pכrfoshכn na di εsophagus kin apin. Sɔm kin kɔmɔt frɔm aksidɛnt, ɛn ɔda wan dɛn kin gɛt ɔda sik dɛn.

Aksidɛnt ɛn tin dɛn we kin apin na do

• If pɔsin it sɔntin we de ambɔg am bay aksidɛnt: Sɔntɛnde, smɔl pikin dɛn kin swɛla smɔl smɔl batri, kɔyn, magnet, ɔ tin dɛn we shap (lɛk pin ɔ fish bon). Big pipul dɛn kin gɛt dɛn tin ya bak. Dɔn bak, if sɔntin we de mek pɔsin rɔtin (lɛk asid) go insay di bɛlɛ, i kin mek di εsophagus, di bɛlɛ, ɔ di intestinal dɛn pɔt.
• siriכs kכnstipashכn (`Bowel impaction`): If di stכl de stכp na di intestines fכ lכng tεm, fכm wan lכmp εn i at, i kin put prεshכn pan di intestines εn mek i pכrforeshכn.
• Aksidɛntal injuri: If yu gɛt shap shap blo na yu bɛlɛ, lɛk we yu gɛt motoka aksidɛnt ɔ we yu fɔdɔm frɔm ayt.
• Fɔ vɔmit bad bad wan: If yu kɔntinyu fɔ vɔmit wit pawa, sɔntɛnde i kin pwɛl di εsophagus.
• Shap wɛpɔn injuri: If yu wund na yu bɛlɛ ɔ yu chɛst bay sɔntin lɛk nɛf ɔ gɔn shot.
• di mεdikal prosidכs dεm: sכmtεm, dεn kayn pεrforeshכn ya kin apin we dεn de du כpεrayshכn כ tεst pan di dijestiv trakt (e.g., εndoskopik tεst lεk ``kolonoskopi''). Bɔt dis nɔ kin apin so ɔltɛm .

Sɔm sik kin kam wit dis sik?

Yɛs, sɔm mɛrɛsin dɛn kin mek di εsophageal perforation bɔku. Sɔm ɛgzampul dɛn na:

• Apɛndiks: Na inflamɛns na di apɛndiks.
• Kansa dεm na di dijestiv sistεm: lεk kכlכrektal kεnsar, εsophageal kansa, εn bεlε kεnsar.
• Divεrtikulayt: Infεkshכn pan di sכm sכm paus dεm (divεrtikula) na di intestinal.
• Ɛnia: Na wan pat na di bɔdi lɛk di intestin we de kɔmɔt na do tru wan say we wik.
• Bowel obstruction: Di intestinal trakt de blok.
• Gal ston: Sɔntɛnde, dɛn tin ya kin pwɛl di intestinal dɛn we dɛn de pas na di bayl dakt dɛn.
• Inflammatory Bowel Disease (IBD): Dis kin inklud kכndyushכn lεk Krכn sik εn כlsεraytiv kolεt.
• Pεptik כlsa sik: Sɔl dεm we de fכm na di bεlε כ di fכs pat pan di sכmכl intestin. Dɛn ɔlsa ya kin dip ɛn mek pɔrfɔmeshɔn.

Nɔto ɔlman we gɛt dɛn kayn tin ya go gɛt pɔrfɔreshɔn na di εsophagus. Bɔt di prɔblɛm kin pas smɔl . Na dat mek i impɔtant fɔ no bɔt dɛn sik ya ɛn go to dɔktɔ wantɛm wantɛm if yu gɛt dɛn.

Aw wi de fil bɔt dis? Wetin na di sayn dɛm we de sho se yu gɛt dis sik?

If yu gɛt pɔrfyushɔn na yu bɛlɛ, yu kin gɛt wan ɔ mɔ pan dɛn sayn ya:

• Bɔl pen ɔr kramp bad bad wan: Dis na di men ɛn bad bad sayn. I kin bigin wantɛm wantɛm ɛn i nɔ kin ebul fɔ bia.
• Bɛlɛ de blo ɔ swel: Yu bɛlɛ kin fil lɛk se i dɔn blo bad bad wan.
• Fiva ɔ kol: Na sayn fɔ se yu gɛt di sik.
• Nɔs ɛn vɔmit.
• Fɔ fil pen ɔ tayt we yu tɔch yu bɛlɛ.

If yu gɛt ɛni wan pan dɛn sik ya, go na ɔspitul wantɛm wantɛm . Nɔ west tɛm.

Aw dɔktɔ kin no bɔt dis? (Diagnosis) .

We yu go na ɔspitul, dɔktɔ go chɛk yu fɔs.

• Dɛn go fil yu bɛlɛ ɛn prɛs pan am fɔ si usay i de at ɛn if ɛnitin tayt na yu bɛlɛ.
• Dɛn kin chɛk yu impɔtant sayn dɛn:
• Blɔd prɛshɔn
• Di tɛmpracha na di bɔdi
• Pulse ɛn at rit
• Di rit we pɔsin kin blo

Dɔn di dɔktɔ kin aks yu kwɛstyɔn dɛn lɛk:

• Yu gɛt ɛni ɔda sik?
• Yu dɔn gɛt ɛni ɔpreshɔn ɔ dɔktɔ tɛst i nɔ tu te yet?
• Ustɛm di sayn dɛn bigin? Aw yu de fil?
• Ɛnibɔdi na yu famili dɔn gɛt kansa ɔ inflammatory bowel disease (IBD)?

Us tɛst dɛn de du?

Afta dɛn dɔn chɛk di pɔsin in bɔdi, di dɔktɔ kin du bɔku tɛst dɛn fɔ no if pɔrfɔshɔn de:

• Blɔd tɛst: Chɛk fɔ si if yu gɛt infɛkshɔn ɛn aw yu kidni ɛn liva de wok.
• X-ray: Chɛk fɔ si if di briz de na di bɛlɛ. If ol de na di εsophagus, di briz kin lik insay di bכdi. Dis na big sayn fɔ se pɔsin dɔn pɔt.
• CT scan: Dis kin mek yu pikchɔ klia wan ɛn gɛt mɔ tin dɛn. Dis kin rili ɛp fɔ no usay di ol de.
• כp εndoskopi: dεn kin put wan tכb we gεt kεmεra we dεn tay tru di mכt fכ egzamin di εsophagus, bεlε, εn כp pat pan di sכmכl intestin.
• Kolonoskopi: dεn de put tכb we gεt kεmεra we dεn atak tru di an fכ egzamin di big intestin (kכlon).

We dɔktɔ dɛn du wan ɔ mɔ pan dɛn tɛst ya, dɛn go ebul fɔ no klia wan if yu rili gɛt ol na yu it, usay i de, ɛn aw i bad.

Wetin na di tritmɛnt dɛm fɔ dis?

If dɔktɔ kɔnfirm se yu gɛt wan pɔrfɔreshɔn na yu bɛlɛ, bɔku tɛm dɛn kin nid fɔ du ɔpreshɔn kwik kwik wan fɔ lɔk di ol.

Di kayn ɔpreshɔn we dɛn go du kin dipen pan di sayz we di ol gɛt, usay i de, ɛn di wan ol wɛlbɔdi we yu gɛt. Bɔku kayn ɔpreshɔn dɛn de:

• Endoskopik prosidur:sכm sכm sכm ol dεm kin rεpεr we dεn nכ put big insayshכn yuz sכm sכm instrכmεnt dεm we dεn kin put tru di εndoskop (di tכb wit di kεmεra).
• Laparoskopik ɔpreshɔn: Dis kin min fɔ mek sɔm smɔl smɔl say dɛn na di bɛlɛ ɛn put kamɛra ɛn ɔspitul inschrumɛnt dɛn tru dɛn. Dɛn kin kɔl dis bak "keyhole surgery." I kin mek pɔsin wɛl kwik kwik wan.
• Tradishכnal opin כpεrayshכn: Dis na prosidכs we dεn kin mek big insishכn na di bεlε. Dɛn kin yuz dis we if di ol big ɔ if di kɔndishɔn kɔmplikt.

Sɔntɛnde, fɔ gi yu bɔdi tɛm fɔ wɛl, yu kin nid fɔ mek wan we fɔ sɔm tɛm fɔ mek yu stɔl pas . Dɛn kɔl dis fɔ mek wan stoma . Dɔn di dɔktɔ we de du di ɔpreshɔn go:

1. dεn de mek wan sכmכl opin (`stoma`) na di skin na yu bכdi.

2. Wan pat pan yu smɔl intestinal ɔ big intestinal de kɔnɛkt to dis opin.

3. Dɛn kin tay wan bag (`Colostomy bag`) na di ɔdasay na dis stoma.

Kolostomi bag na bag we dɛn kin lɔk ɛn we pɔsin nɔ kin si ɛn we kin gɛda stɔl. Yu ɔ pɔsin we de kia fɔ yu kin ɛmti di bag ɛvride. Afta yu bɔdi dɔn wɛl, bɔku tɛm yu dɔktɔ go pul di stoma ɛn di bag .

Yu nɔ tink se dis go bɛtɛ if dɛn nɔ du am ɔpreshɔn?

Sɔntɛnde , smɔl smɔl say dɛn we de na di dijestiv trakt kin wɛl we dɛn nɔ du ɔpreshɔn pan am. Bɔt, dis nɔto sɔntin we yu go disayd na os. Yu nɔr no aw siriɔs de sik te yu gɛt diagnosis. So, i rili impɔtant fɔ go to dɔktɔ wantɛm wantɛm .

If dɛn trit yu we dɛn nɔ du ɔpreshɔn, dɛn go gi yu antibayɔtik we dɛn kin put insay yu bɛlɛ (IV) ɛn kip yu na ɔspitul fɔ mek dɛn wach yu gud gud wan.

Mɛmba! di say we di εsophageal perforations kin mek yu layf de pan denja. Nɔ ɛva tray fɔ trit dis na os. If yu gɛt sɔm sayn dɛn, go na ɔspitul wantɛm wantɛm.

Wetin na di mɛrɛsin dɛn we dɛn kin yuz fɔ trit pɔsin?

Bɔku pipul dɛn, ilɛksɛf dɛn dɔn ɔpreshɔn dɛn ɔ dɛn nɔ du dɛn ɔpreshɔn, dɛn kin gi dɛn antibayɔtik fɔ trit wan pɔrfɔshɔn na di ɛsophagus. Dɛn kin gi dɛn mɛrɛsin ya fɔ mek dɛn nɔ gɛt ɛn kɔntrol di infɛkshɔn dɛn we kin kam insay di bɛlɛ bikɔs ɔf di pɔrfɔmeshɔn. Yu kin nid fɔ tek dɛn mɛrɛsin ya fɔ sɔm wiks. Tek di mɛrɛsin jɔs lɛk aw yu dɔktɔ tɛl yu fɔ tek am. Nɔ stɔp fɔ tek di mɛrɛsin te yu dɔktɔ tɛl yu fɔ tek am.

Wetin wi go du fɔ ridyus dis prɔblɛm?

I nɔ go pɔsibul fɔ mek di εsophagus nɔ pɔt ɔltogɛda. Bɔt yu kin du dɛn tin ya fɔ ridyus di prɔblɛm we yu gɛt:

• Nɔ smok ɛn yuz tin dɛn we dɛn kin yuz fɔ smok.
• It tin dɛn we go mek yu gɛt wɛlbɔdi. Ɛspɛshali, put it dɛn we gɛt fayv (vɛjitebul, frut, ɛn ligɛm) insay yu it. Dis go ɛp fɔ mek yu nɔ gɛt kɔnstipɛshɔn ɛn fɔ mek yu digest ɔltɛm.
• If yu gɛt ɔda mɛrɛsin (e.g., peptic ulcer, IBD), de tɔk to yu dɔktɔ fɔ manej dɛn. Tɛl yu dɔktɔ bɔt ɛni nyu sayn, mɔ we yu gɛt bɛlɛ pen ɔ we yu gɛt prɔblɛm wit di we aw yu de digest.

Bɔt fɔ wɛl ɛn di tumara bambay

I kin tek sɔm wiks fɔ mek i wɛl bak afta dɛn dɔn du di ɔpreshɔn fɔ wan pɔrfɔreshɔn na di ɛsophagus. Bɔrku pipul kin wɛl bak afta dɛn dɔn trit dɛn fayn fayn wan. Nɔ fɔgɛt fɔ go na di fɔlɔp apɔntinmɛnt lɛk aw yu dɔktɔ tɛl yu.

Dis sik kin apin pas wan tɛm? Yɛs, i kin ebul. Bɔt i nɔ kin apin so ɔltɛm . Tɔk to yu dɔktɔ ɔltɛm fɔ mek i ebul fɔ kɔntrol yu wɛlbɔdi biznɛs ɛn fɔ mek i nɔ gɛt bɔku ol lɛk dis tumara bambay.

Ustɛm wi fɔ go to dɔktɔ kwik kwik wan?

If yu gɛt pɔrfyushɔn na di ɛsophagus, dat kin mek yu layf de pan denja, so if yu si ɛni wan pan dɛn sayn ya, go na di imejensi rum wantɛm wantɛm. Nɔ wet te i "gɛt bɛtɛ pan in yon."

Fɔ sɔmtin, na di tin dɛn we wi nid fɔ mɛmba (Take-Home Message):

Okay, so di gastrointestinal perforation we wi bin tɔk bɔt tide na siriɔs kɔndishɔn we nid fɔ gɛt imejensi mɛdikal tritmɛnt. Bɔt, nɔ panik. Wit di advans we aw dɛn de du ɔpreshɔn ɛn mɛrɛsin tide, bɔku pipul dɛn kin wɛl ful wan if dɛn gɛt tritmɛnt kwik kwik wan.

De tin wae impɔtant pas ɔl na fɔ no bɔt de sik ɛn no bɔt de risk factor wae yu kin gɛt. Wit dis no, yu kin tek wan proaktiv we fɔ yu wɛl bɔdi ɛn inkrisayz yu chans fɔ gɛt saksesful tritmɛnt. If yu gɛt ɛni dawt, ɔ if yu gɛt bɛlɛ pen we nɔ kɔmɔn, go to dɔktɔ wantɛm wantɛm. Dat na di bɛst tin fɔ du!

` Gεstrointestinal Pεrforeshכn, Bεlε Hol, Gεstrointestinal Pεrforeshכn, Bεlε Pen, Pεritonaytis, Sεpsis, Imejensi כpεrayshכn, Kכlostomi