Blɔd we de kɔmɔt insay di bɛlɛ? (Hemoperitoneum) Lɛ wi tɔk bɔt dis!

Yu dɔn ɛva gɛt bɛlɛ we yu nɔ ebul fɔ ɛksplen, yu fil lɛk yu ful-ɔp, ɛn yu ed bigin fɔ tɔn wantɛm wantɛm? Sɔntɛm dis na imejensi. Tide wi go tɔk bɔt ɛmoperitoneum, we de blɔd insay di bɛlɛ. Dis nɔto izi tin fɔ du, so i impɔtant fɔ tek tɛm lisin.

Fɔ tɔk am simpul wan, Ɛmoperitoneum na di blɔd we de gɛda na di ɛmti ples we de insay yu bɛlɛ, we na di peritoneal cavity. ‘hεmo’ min bכdi, εn 'pεritכniכm' min di mεmbran we de layn dis bכdi kכva. So, blɔd we de kɔmɔt insay di bɔdi lɛk dis (wi kin kɔl am bak intanɛnt blɔd ɔ blɔd) rili denja ɛn i nid fɔ go na ɔspitul wantɛm wantɛm.

Wetin mek dis rili siriɔs?

Imajin, wetin go apin if blɔd na wi bɔdi lik kɔmɔt na di veins ɛn gɛda ɔdasay? Di blɔd we de rich na wi impɔtant ɔgan ɛn tisu dɛn kin go dɔŋ. We blɔd de flɔ insay di bɔdi, wi nɔ kin si ɔmɔs blɔd de flɔ ɛn aw i de muv fast. Ɛspɛshali na dis bɛlɛ, bɔku bɔku blɔd kin gɛda. If dɛn nɔ stɔp di blɔd dis we, i kin mek i lɔs in blɔd te i go mek i day. Na dat mek dis rili siriɔs.

Wetin na di sayn dɛm we de sho se yu gɛt dis sik?

Di sayn dɛm fɔ ɛmoperitoneum kin difrɛn frɔm wan pɔrsin to ɔda pɔrsin, i kin difrɛn frɔm di kɔz.

• Yu kin gɛt bad bad bɛlɛ pen ɔ yu bɛlɛ pen wantɛm wantɛm.
• Bɔt fɔ sɔm rizin dɛn, di pen kin stɔp as yu de kam.
• Yu bɛlɛ kin fil fɔ opin ɛn i kin fil pen we yu tɔch yu .
• If di blɔd kɔntinyu fɔ kɔmɔt, di sayn dɛn we de sho se pɔsin nɔ gɛt bɛtɛ blɔd go bigin fɔ sho smɔl smɔl.
• Yu kin fil lɛk se yu de tɔn diziz, yu ed kin layt, ɛn yu kin fil lɛk yu nɔs .
• Yu kin fil bak se yu at de bit de go ɔp .

If yu gɛt dɛn sik ya, yu fɔ rili go to dɔktɔ wantɛm wantɛm.

Wetin kin bi di rizin dɛn?

Bɔku tin dɛn de we kin mek pɔsin gɛt ɛmopɛritoneum, bɔt sɔm pan dɛn na di wan dɛn we kin apin mɔ. Dɔktɔ dɛn kin sheb dɛn tin ya to tri pat:

1. I kin mek pɔsin fil bad

2. Na insɛf sɛf

3. As sayd ɛfɛkt fɔ mɛrɛsin (Iatrogenic) .

pan dεn wan ya, di injuri dεm we de kכmכt frכm aksidεnt εn εktopik bεlε na di men tin dεm we de mek di εmoperitoneum.

1. Traumatik Ɛmopɛritoneum

Dis kin apin if wan ɔgan ɔ blɔd vesel we de na yu bɛlɛ dɔn wund. Di say dɛm wae kin afɛkt pas ɔl na di liva ɛn di splin.Dɛn tu ɔgan ya kin blɔd bɔku. E kin apun frɔm wan had blow (blunt trauma) ɔr frɔm sɔntin we de pier insay (penetrating trauma) we aksidɛnt apin.

Tink bɔt tin dɛn lɛk dis:

• Fɔdɔm frɔm ɔp.
• Aksidɛnt dɛn we kin apin na motoka.
• Kɔlishin dɛn we dɛn de ple.
• Wan dairekt blow to di bɛlɛ.
• Wan pɔsin we dɛn chuk wit nɛf.
• Wan gɔn shot.

If yu gɛt bɛlɛ pen ɛn ɔda sayn dɛn afta yu dɔn gɛt siriɔs aksidɛnt lɛk dis, di bɛst tin fɔ du na fɔ go na ɔspitul wantɛm wantɛm.

2. Spontan Ɛmopɛritoneum

Dɛn kɔl dis Spɔntan ɔ Nɔntraumatik Ɛmopɛritoneum. Dis na blɔd we kin apin fɔ insɛf, we nɔ gɛt ɛni denja. I kin kam bikɔs ɔf sik ɔ ɔda tin we de insay di bɔdi. Sɔntɛnde, wan ɔgan ɔ blɔd vesel kin brok insay, bikɔs i swel frɔm insay, ɔ bikɔs ɔf injuri we i bin dɔn gɛt bifo. di tisu dεm we nכ de gro (lεk tכmכro) kin apin bak insay di bכdi εn bכdi kin kכmכt.

Lɛ wi tɔk bɔt sɔm rizin dɛn:

• Wan blɔd vesel we dɔn brok (Ruptured Aneurysm).
• Rupchɔ fɔ wan arteriovenɔs malfɔmeshɔn (AVM).
• Di vays dɛn we de na di bɛlɛ we dɔn brok.
• Ɛmatoma we kin brok.
• Tumɔs dɛn kin bɔn.
• Wan ovarian sist we dɔn brok.
• wan ruptured ectopic pregnancy - dis na spεshal fכ uman dεm.
• Spɔntan Splenik Rupchɔ.
• Bɛlɛ ɔ intestinal pɔrfɔreshɔn (Gastrointestinal Perforation).
• Galblad we gɛt pɔt.
• Ɛmoraji pankrɛas.

3. As wan sayd ɛfɛkt fɔ mɛrɛsin (Iatrogenic Hemoperitoneum) .

Dis kin apin as wan sayd ɛfɛkt fɔ sɔm mɛrɛsin. Dis nɔ kin apin so ɔltɛm, bɔt i kin apin. Dis kin apin if wan ɔgan ɔ blɔd vesel dɔn pwɛl bay aksidɛnt we dɛn de du tritmɛnt.

Sɔm ɛgzampul dɛn:

• Ɔpreshɔn fɔ di bɛlɛ, lɛk laparoskopi, ɔpreshɔn fɔ pul wan ɔgan, ɔ we dɛn de bɔn pikin bay sizarian.
• Tεst fכ tek tisu sεmpl (Biopsy), fכ egzampl, frכm di liva (Liver Biopsy) כ kidni (Kidney Biopsy).
• di mεtכd dεm fכ put tכb (kateta) tru di bεlε, dat na we dεn de du PEG כ Paracentesis.
• εndoskopi tεst dεm, fכ egzampl, כp εndoskopi כ kolonoskopi.

If yu gɛt ɛni ɔda kayn sayn afta sɔmtin lɛk dis, i impɔtant fɔ tɛl di dɔktɔ we trit yu bɔt am.

Aw i kin afɛkt uman dɛn spɛshal wan?

di כgan dεm na di uman rεprכdaktiv sistεm de insay dis bכdi bak. So, dɛn kin blɔd bak insay di bɛlɛ dis we. fכ egzampl, tin dεm lεk ovarian sist (ovary dεm we rכp) εn εktopik bεlε kin apin . Dis na tin dɛn we kin apin kwik kwik wan.

di risk fכ hεmoperitoneum we uman bεlε kin inkrεs pan difrεn we dεm. sכm kayn liva tכmכro kin gro kwik kwik wan εn bכs we uman bεlε. Dɔn bak, blɔd kin kɔmɔt we i de bɔn pikin, i kin apin bay insɛf ɔ bikɔs ɔf mɛrɛsin.

Na spɛshal risk we uman gɛt bɛlɛ? (Spontaneous Hemoperitoneum we yu bεlε - SHiP)

Spontaneous Hemoperitoneum in Pregnancy (SHiP) na wan sik we nɔ kin apin we uman gɛt bɛlɛ. I kin apin insay di sɛkɔn ɔ tɔd tri mɔnt. Wi nɔ no di rayt tin we mek i apin. Bɔku tɛm, na blɔd vesel we brok. Bɔt dɔktɔ dɛn stil nɔ shɔ wetin mek i kin apin. Sɔm pruf dɛn sho se i kin gɛt fɔ du wit ɛndometriosis we bin dɔn de bifo ɔ in vitro fεtilayzeshɔn (IVF) .

Ɔda tin dɛn de we kin mek pɔsin gɛt prɔblɛm?

Yɛs, sɔm ɔda tin dɛn kin mek dis prɔblɛm bɔku.

• If yu gɛt prɔblɛm wit yu blɔd ɔ yu nɔ de blɔd, yu go gɛt blɔd in jɔnaral. Dis kin inklud fɔ blɔd we de kɔmɔt insɛf ɔ fɔ blɔd bɔku bikɔs ɔf smɔl injury. Yu kin blɔd bak pas ɔda pipul dɛn.
• Fɔ pipul dɛn we gɛt sɔm sik dɛn we nɔ de mɛn, if di sik wɔs ɛn wan ɔgan bɔs, dɛn kin blɔd fɔ dɛnsɛf na dɛn bɛlɛ. Bɔt, dis nɔ kin rili kɔmɔn.

Wetin na di prɔblɛm dɛn we kin apin?

Blɔd insay di bɛlɛ na siriɔs tin bikɔs na sɔntin we de apin insay di bɔdi ɛn i kin rili siriɔs bay di tɛm we yu no am. Kɔmplikɛshɔn kin apin if yu lɔs bɔku blɔd kwik kwik wan. Aw bɔku yu blɔd ɛn aw i kin apin kwik, i kin dipen pan di fɔs tin we kin mek yu blɔd (injury ɔ sik), ɔmɔs yu kin blɔd, ɛn aw yu kin gɛt tritmɛnt kwik kwik wan.

If di blɔd de kɔmɔt bad bad wan, i kin mek pɔsin gɛt wan sik we dɛn kɔl Hypovolemic Shock. Bifo dat, di ɔgan dɛn we nɔ de wok fayn ɛn ivin day kin apin. So, dis na tin we rili impɔtant, ɛn nɔto wan sɛkɔn fɔ west.

Aw yu kin fɛn dis? (Diagnosis) .

If yu gɛt blɔd we de kɔmɔt insay yu bɔdi, i impɔtant fɔ mek dɛn no am kwik kwik wan. We dɔktɔ dɛn nid fɔ si kwik kwik wan wetin de apin insay yu bɔdi, dɛn kin bigin wit kwik imej tɛst.

• Dat min se dɛn fɔ du ɔltra saund.Sɔntin lɛk CT skan.
• FAST Ultrasound na bedsayd test we dɛn mek spɛshal fɔ chɛk if blɔd de kɔmɔt insay yu bɛlɛ. FAST na akɔdin fɔ Fokus Asɛsmɛnt wit Sɔnografi fɔ Trauma.

Bɔku tɛm, dɔktɔ dɛn kin yuz dɛn imej tɛst ya fɔ si if yu gɛt ɛmoperitoneum ɛn usay di blɔd de kɔmɔt. Bɔt sɔntɛnde, di pikchɔ dɛn nɔ kin klia. Dɛn kin nid fɔ tek wan sɛmpul fɔ wata frɔm yu bɛlɛ wit nidul ɔ tiub (paracentesis). If yu sik bad bad wan, dɛn kin nid fɔ kɛr yu go na wan ɔpreshɔn we dɛn kin du fɔ fɛn di prɔblɛm ɛn sɔlv am wantɛm wantɛm.

Wetin na di tritmɛnt dɛn?

We di dɔktɔ dɔn no se i gɛt ɛmopɛritoneum, dɛn go luk fɔ si usay di blɔd de kɔmɔt ɛn if i stil de kam. If blɔd de kɔmɔt, dɛn nid fɔ stɔp am wantɛm wantɛm. Aw dɛn go du dis go dipen pan yu kɔndishɔn.

• If ɛnitin apin we nɔ izi fɔ yu, yu go nid fɔ du ɔpreshɔn kwik kwik wan fɔ mek yu gɛt wund ɔ fɔ lɔk yu blɔd vesel.
• If yu kɔndishɔn stebul, yu nɔ go ebul fɔ du natin big ɛn jɔs de manej am kɔnsavaytiv wan.

Di tritmɛnt dɛn kin bi:

• Manejmɛnt fɔ Pen.
• Blɔd transfyushɔn.
• Evakueshɔn/Drenage.
• Fɔ trit di ɔndalayn kɔndishɔn.
• Embolization na tritmɛnt we de blok wan blɔd vesel.
• Endoskopi prosidur fɔ klos wan wund.
• Laparoscopy na ɔpreshɔn fɔ no di prɔblɛm ɛn/ɔ fɔ mek di wund fayn bay we dɛn de yuz di sem tɛknik.
• Exploratory laparotomy fɔ fɛn di prɔblɛm ɛn/ɔ ripa di wund tru bɛlɛ ɔpreshɔn.

Aw di op fɔ wɛl?

Yu go wɛl go dipen pan aw yu de gɛt tritmɛnt kwik ɛn aw yu blɔd de flɔ fayn fayn wan. If yu gɛt prɔblɛm we de mek yu blɔd klɔt ɔ ɔda tin we nɔ de mɛn we de afɛkt yu jenɛral wɛlbɔdi, yu sik kin rili siriɔs. If yu gɛt tritmɛnt kwik kwik wan, dat kin ɛp fɔ mek yu nɔ gɛt prɔblɛm dɛn we kin mek yu blɔd lɔs bad bad wan. If yu ebul fɔ avɔyd dɛn prɔblɛm dɛn de, yu gɛt bɛtɛ chans fɔ mek yu wɛl ful wan.

Ɛmoperitoneum na imejensi we kin apin wantɛm wantɛm ɛn we pɔsin nɔ bin de tink se i go apin. If yu dɔn gɛt aksidɛnt, yu go dɔn ɔlrɛdi de go to dɔktɔ. Bɔt if nɔto dat, yu nɔ go no wetin de apin we di sayn dɛn de sho.De tin wae impɔtant pas ɔl na fɔ nɔr ignore yu symptoms ɛn go to dɔktɔ bifo dɛn wɔs. If yu gɛt di sik kwik ɛn gɛt tritmɛnt, yu chans fɔ wɛl go fayn.

Fɔ dɔn, tin dɛn we yu fɔ mɛmba

εmoperitoneum na wan imejensi kכndyushכn we de mek yu layf de pan denja we blɔd de kכmכt insay di bεlε.

• If yu gɛt sɔm kayn sik lɛk fɔ gɛt siriɔs pen na yu bɛlɛ wantɛm wantɛm, yu blo, yu ed de tɔn, ɔ yu fil se yu wik , nɔ tek am layt.
• Dis kin apin as wan sayd ɛfɛkt we aksidɛnt, sɔm sik dɛn, prɔblɛm dɛn we gɛt fɔ du wit bɛlɛ, ɛn tritmɛnt dɛn we dɛn kin gi.
• De tin wae impɔtant pas ɔl na fɔ no ɛn trit de sik kwik kwik wan. If yu du dat, yu kin mek yu nɔ gɛt siriɔs prɔblɛm dɛn ɛn mek yu wɛl ful wan.
• If yu gɛt dɛn sik ya, go to dɔktɔ wantɛm wantɛm ɔ go na ɔspitul we de nia yu. Taym na di men tin na ya. Nɔ wɔri, bɔt na kwik.

` Ɛmopɛritoneum, bɛlɛ blɔd, blɔd we de kɔmɔt insay, bɛlɛ blɔd, bɛlɛ pen, ɔpreshɔn, imejensi kia