We wi de tɔk fayn wit wan grup, ɔ we wi de it fayn fayn it, wi kin yɛri "hiccup!" sawnd, nɔto so? Wan ɔda wan... ɔda wan... sɔntɛnde i kin kam sote wi nɔ kin ebul fɔ stɔp. Dis na wetin wi kin kɔl hiccups. Dis kin rili mek pɔsin vɛks. Pan ɔl we bɔku tɛm i kin go fɔ insɛf insay sɔm minit, fɔ sɔm pipul dɛn i kin bi big ed pen we kin te fɔ sɔm dez. So tide, lɛ wi tɔk bɔt di insay stori bɔt dis hiccups smɔl mɔ .
Wetin rili na dis hiccups?
Fɔ tɔk am simpul wan, hiku na sɔntin we wi nɔ kin ebul fɔ kɔntrol ɛn we kin apin na wi bɔdi. Fɔ ɔndastand dis gud gud wan, lɛ wi lan smɔl bɔt tu pat dɛn na wi bɔdi.
Wan pan dɛn na di dayafragm . Dis na big flat pat pan di mɔsul we de sidɔm bitwin wi chɛst ɛn wi bɛlɛ, lɛk kɔtin. Dis pat pan di mɔsul de muv ɔp ɛn dɔŋ di we aw wi de blo ɔltɛm we wi de blo ɛn kɔmɔt. We wi de blo, i kin muf dɔŋ, ɛn i kin ful-ɔp wi lɔng dɛn wit briz. We wi de blo, i kin muf go ɔp, ɛn dis kin mek di briz kɔmɔt na wi lɔng.
Di ɔda pat na di vɔkal kɔd dɛn we de na wi trot. We wi de tɔk, di sawnd de kɔmɔt frɔm dɛn tin ya.
Naw luk wetin kin apin we yu gɛt hiccups. Tu tin dɛn kin apin wan tɛm:
1. Fɔ sɔm rizin, yu dayafragm kin drɔp wantɛm wantɛm we yu nɔ ebul fɔ kɔntrol am we yu de blo. Yu tek wan kwik briz insay wantɛm wantɛm.
2. bifo di briz we yu inhal go rich di lכng dεm, di spεs bitwin di vכkal kכd dεm na di trot (dεn kכl am ``glottis'') de kכloz wan wan.
Na da tɛm de dɛn vokal kɔd dɛn de klos, ɛn da difrɛn "hic" sawnd de kɔmɔt. So hiccups na we dis prכsεs de apin כva εn כva.
Bɔrku tɛm, hiku kin go fɔ insɛf ɛn nɔr gɛt ɛni tritmɛnt. Bɔt fɔ sɔm pipul dɛn, dɛn kin las fɔ sɔm dez ɔ sɔm wiks. If yu gɛt hiku we kin las pas tu dez (48 awa), i kin bi sɔntin we siriɔs ɛn yu fɔ rili go to dɔktɔ.
Ɔda nem dɛn fɔ hiccups
Insay mɛdikal sayɛns, dɛn kin kɔl dis bak `(Singultus)`. Sɔm pipul dɛn kin kɔl am bak `(Hiccough)` na Inglish.
Yu tink se kayn hiccups de?
Yɛs, dɔktɔ dɛn kin sheb di hiccups to difrɛn men kayn dɛn bay aw lɔng i kin te. E fayn fɔ no dis bikɔs e kin ɛp yu fɔ ɔndastand aw de sik kin tranga.
| Tayp fɔ Hiku | Aw lɔng i kin las? (Ɔmɔs tɛm) |
|---|---|
| Hiku we kin apin fɔ shɔt tɛm | Dis na di kayn we we wi kin gɛt. I kin go fɔ insɛf insay sɔm sɛkɔn ɔ minit. |
| Hiccups we nɔ de dɔn | Dis kayn pen kin te fɔ pas 48 awa (tu dez) wan tɛm. I kin ivin las fɔ wan mɔnt. Dis na sik wae nid fɔ go to dɔktɔ kwik kwik wan. |
| Hiku we nɔ go ebul fɔ sɔlv | Dis na tin we rili siriɔs. Hiku kin las fɔ pas wan mɔnt . |
| Hiku we kin kam bak ɔltɛm | Di hiku dɛn kin go, dɔn dɛn kin apia bak afta sɔm dez. Dis kin kɔntinyu fɔ apin. |
Wetin na di tin dɛn we kin mek pɔsin gɛt hiku?
Wɛl, dis kin kɔmplikt smɔl, bikɔs di tin dɛn we kin mek pɔsin gɛt nɔmal hiccups we kin go insay sɔm minit dɛn kin rili difrɛn frɔm di tin dɛn we kin mek pɔsin gɛt siriɔs hiccups we kin las fɔ sɔm dez.
fכ simpul wan, nεv dεm de (`(Vagus nerve)` εn `(Phrenic nerve)`) we de kכntro wi dayafragm. If dɛn nɛv ya vɛks fɔ ɛni rizin, di dayafragm kin bigin fɔ kɔntrakt wantɛm wantɛm. Na dat kin mek pɔsin gɛt hiccups.
Smɔl tin dɛn we kin mek pɔsin gɛt kɔmɔn hiccups
Bɔrku tɛm, wi nɔr kin ebul fɔ fɛn klia rizin fɔ di nɔmal hiccups wae wi kin gɛt. Bɔt tin dɛn lɛk dis kin mek pɔsin gɛt hiku:
- Fɔ it tumɔs ɔ it tumɔs.
- Fɔ it tin dɛn we gɛt spays, we gɛt chili.
- Fɔ it/drink tin dɛn we rili wam ɔ we rili kol.
- Fɔ drink tin dɛn we gɛt kabon lɛk soda .
- Fɔ swɛla tumɔs briz we yu de it ɔ drink (Aerophagia).
- Fɔ smok tin dɛn lɛk tabak ɔ marijuana.
- Fɔ drink rɔm.
Siriɔs kɔndishɔn wae kin mek yu gɛt hiccups wae kin las fɔ sɔm dez
Imajin se yu padi dɔn de gɛt hiccups ɔltɛm fɔ tri ɔ 4 dez. I nɔ ebul fɔ it ɔ slip. I tink se, "Na jɔs hiccups." Bɔt dis kin bi sayn fɔ ɔda sik we de ɔnda dis sik. Di hiku we de kɔntinyu fɔ de kin bi bikɔs ɔf siriɔs mɛrɛsin, lɛk:
- Dijestiv sistεm sik dεm: Kכndishכn dεm lεk gastritis כ gastroesophageal reflux disease (GERD).
- Sik dɛm wae gɛt fɔ du wit di sɛntral nervous system: Kɔndishɔn dɛm lɛk strok, Pakinsin sik, ɔr multiple sclerosis.
- Sik dɛm we gɛt fɔ du wit di lɔng: Kɔndishɔn dɛm lɛk nyumonia, pulmonary embolism.
- Tumɔs ɔ kansa na di bɔdi: Kansa na di chɛst, ɛsophagus (ɛsophageal kansa), ɔ pankrias (pankrias kansa).
- Prɔblɛm dɛn we gɛt fɔ du wit di bɔdi in mɛtabolism: Yuremia ɔ haypokalsimia we kin kam bikɔs di kidni nɔ wok fayn.
- Sɔm infɛkshɔn: Infɛkshɔn lɛk influenza (flu), hεpi simpul (hεpi simpul), ɔ shingles (shingles).
Di tin we impɔtant pas ɔl na dat, if yu gɛt hiccups fɔ pas tu dez, nɔ jɔs dismis am as jɔs hiccups. Fɔ tru, yu fɔ go to dɔktɔ fɔ no wetin mek i apin.
Dɔn bak, sɔm mɛrɛsin dɛn kin mek yu gɛt hiccup ɔltɛm. Fɔ ɛgzampul, sɔm mɛrɛsin dɛn lɛk dopamine agonists, benzodiazepines, sɔm kansa drɔgs, dexamethasone, ɛn azithromycin kin mek yu hiccups. If yu tink se wan mɛrɛsin we yu de tek de mek yu hiccups, tɔk to yu dɔktɔ bɔt am.
Yu tink se i nɔmal fɔ mek pikin dɛn we dɛn jɔs bɔn gɛt hiku?
Yɛs! Pan ɔl we dis na sɔntin we bɔku mama dɛn kin fred, i kin rili kɔmɔn fɔ mek pikin dɛn we dɛn jɔs bɔn gɛt hiku. Nɔ wɔri bɔt am. Dɔktɔ dɛn se di men rizin na bikɔs di pikin in bɛlɛ kin ful-ɔp wit briz. We di pikin de drink milk, i kin swɛla tumɔs briz. Dɔn di pikin in bɛlɛ kin swel ɛn i kin mek di dayafragm vɛks.
Bɔt sɔntɛnde, hiccups na pikin dɛn kin bi sayn fɔ wan kɔndishɔn lɛk GERD. If na so i bi, apat frɔm di hiccups, di pikin kin gɛt ɔda sayn dɛn bak, lɛk fɔ kɔf ɛn fɔ vɔmit milk . If yu pikin gɛt dɛn sik ya, i go fayn fɔ mek yu go to dɔktɔ we de mɛn pikin dɛn.
Ustɛm yu fɔ go to dɔktɔ bɔt hiku?
As wi bin dɔn tɔk, if yu gɛt hiku fɔ pas tu dez (48 awa) insay wan row, yu fɔ rili go to dɔktɔ. Di dɔktɔ go aks yu kwɛstyɔn dɛn lɛk:
- Bɔt yu mɛdikal istri ɛn di ɔpreshɔn dɛn we yu jɔs dɔn du.
- Bɔt di mɛrɛsin dɛn we yu de tek naw.
- Bɔt ɛni ɔda sayn we yu gɛt apat frɔm hiku (e.g. bɛlɛ at, chɛst pen, i nɔ izi fɔ blo).
- Dɔn dɛn go gi yu wan kɔmplit ɛgzam fɔ yu bɔdi.
Na frɔm dis infɔmeshɔn di dɔktɔ go tray fɔ fɛn wetin mek yu hiccups.
Us tɛst dɛn dɛn kin du?
Fɔ no di rayt tin we mek yu du dis, yu go nid fɔ du tɛst dɛn lɛk dɛn wan ya:
- Blɔd tɛst dɛn
- X-ray na di chɛst
- Wan tɛst fɔ mek pɔsin in at ritm (EKG) .
- כp εndoskopi (we dεn de egzamin di εsophagus εn di bεlε wit kεmεra) .
- CT skan na di bɛlɛ
- Bren MRI skan
Aw a go stɔp dɛn hiccups ya we de mek a vɛks?
Fɔ tɔk tru, no 100 pasɛnt ifɛktiv, sayɛns pruv "mɛjik" we nɔ de fɔ stɔp hiku. Bɔrku tɛm, nɔmal hiccups kin go fɔ dɛnsɛf ɛn wi nɔr kin du natin. Bɔt bikɔs ɔf di anɔynt we dɛn kin mek we dɛn du dat, wi kin tray difrɛn tin dɛn, nɔto so? dεn biliv se dεn hom mεdi dεm ya de mek wi `(Vagus nerve)` wok כ inkrεs di lεvεl fכ di kabכn dayכksayd na di lכng dεm.
Tin dɛn we yu kin tray na os
| We | Aw fɔ du am |
|---|---|
| Hol yu briz | Hol yu briz fɔ as lɔng as yu ebul, lɛk 10-20 sɛkɔn. |
| Kol wata drink | Tray fɔ drink wan glas kol wata smɔl smɔl, ɛn nɔ tek wan briz. |
| Fɔ swɛla wan spunful shuga | Put wan ti spɔnj shuga na yu mɔt ɛn swɛla am smɔl smɔl. |
| Fɔ blo insay wan pepa bag | (Nɔ yuz plastic bag!) Put pepa bag oba yu mɔt ɛn nos ɛn blo insay ɛn kɔmɔt insay. |
| We yu de chew wan slais laym | Bayt wan smɔl laym ɛn test am. |
| Tong we de stik aut | Grap yu tong jisnɔ ɛn pul am fɔ go bifo. |
Mɛdikal tritmɛnt fɔ hiccups we kin las fɔ sɔm dez
Hiku we kin las pas tu dez nɔto jɔs tin we kin mek pɔsin fil bad. Dɛn kin afɛkt yu layf. Yu kin fil taya bad bad wan we yu nɔ ebul fɔ it, drink, ɔ slip. If na so i bi, yu dɔktɔ kin gi yu mɛrɛsin dɛn lɛk:
- `Klɔrpromazin`
- `Mɛtɔklɔpramid`
- `Baklɔfen`
- `Gabapentin`
- Drug dεm we de ridyus di bεlε asid (Proton pump inhibitors) .
I rili impɔtant: If yu dɔktɔ si se na wan mɛrɛsin we yu de tek naw de mek yu hiccups, i kin stɔp da mɛrɛsin de ɔ gi yu difrɛn mɛrɛsin. Nɔ ɛva stɔp fɔ tek mɛrɛsin ɔ chenj di doz if yu dɔktɔ nɔ advays yu.
Sɔntɛnde, dɛn kin se dɛn kin gi tritmɛnt lɛk fɔ blok di nerve ɔ ivin hipnosis.
Yu tink se dɛn kin mek pɔsin nɔ gɛt hiku?
Fɔ mek yu nɔ gɛt hiccups ɔltɛm, rayt wetin yu de du bifo yu gɛt am. I ivin bɛtɛ if yu ebul fɔ rayt dɛn na notbuk. Dɔn yu go ebul fɔ si if patɛn de (e.g., we yu it spaysi it, drink soda). Na sɔm tin dɛn we yu kin du fɔ ɛp fɔ mek yu nɔ gɛt hiku ɔltɛm:
- Slow down we yu de it ɛn drink.
- Limit drink lɛk soda ɛn rɔm.
- Nɔ it bɔku wan tɛm, it smɔl smɔl.
- Nɔ it it ɛn drink dɛn we rili ɔt ɔ we rili kol wan tɛm.
Ustɛm fɔ go na di Imejɛnsi Tritmɛnt Yunit (ETU)!
Dis na sɔntin we yu fɔ rili mɛmba. Pan ɔl we hiku kin bɔku, i kin bi sayn fɔ sɔm siriɔs tin dɛn we kin mek pɔsin in layf de pan denja.
If yu gɛt ɛni wan pan dɛn strok simptom ya wit hiccups:
- Di fes, an, ɔ leg kin swɛt ɔ wik wantɛm wantɛm (espɛshali na wan say na di bɔdi).
- I nɔ izi fɔ tɔk ɔ ɔndastand wetin ɔda pipul dɛn de tɔk.
- I nɔ izi fɔ si na wan ɔ ɔl tu yay.
- Siriv ed pen we kin kam witout rizin.
Ɔ
If yu gɛt hiku ɛn dɛn sayn ya we de sho se blɔd de klɔt na yu lɔng (pulmonary embolism) :
- I nɔ kin izi fɔ yu fɔ blo wantɛm wantɛm.
- Shap pen na yu chɛst (espɛshali we yu de blo).
- Wan kɔf we dɛn miks wit blɔd.
If yu gɛt ɛni wan pan dɛn sik ya, nɔ delay fɔ ivin wan minit. Kɔl 1990 Ambulans Savis wantɛm wantɛm ɔ go na di Imejɛnsi Dipatmɛnt (ETU) na di ɔspitul we de nia yu. Dis na imejensi we de sev pipul dɛn layf.
Bɔku tɛm, hiku na jɔs smɔl tin we kin mek pɔsin vɛks. Bɔt if dɛn kɔntinyu fɔ de ɛn de afɛkt yu layf, nɔ fred fɔ tɔk to dɔktɔ bɔt dat. Fɔ fɛn di rizin ɛn fɔ gɛt di rayt tritmɛnt kin ɛp yu fɔ go bak na di rayt rod.
Mɛsej we dɛn kin kɛr go na os
- Natin nɔr de fɔ wɔri bɔt wit nɔmal hiccups wae go dɔn insay sɔm minit.
- If hiku de te pas tu dez (48 awa) insay wan row, nɔr ignore am. Go to dɔktɔ wantɛm wantɛm.
- Wae yu de hiccup ɔltɛm kin bi sayn fɔ wan siriɔs ɔndalayn mɛdikal kɔndishɔn.
- If hiku gɛt sɔm sayn dɛn lɛk pen na in chɛst, i nɔ kin izi fɔ blo, ɔ i nɔ kin no na wan say na di bɔdi, tek am se na imejensi ɛn go na ɔspitul in Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm.
- Hiku na kɔmɔn tin fɔ pikin dɛn we dɛn jɔs bɔn ɛn nɔto natin fɔ fred bɔt. Bɔt if yu gɛt ɔda sayn dɛn, go to dɔktɔ.
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