Yu kɔlon de gɛt smɔl blɔd flɔ? Dis na ischemic colitis?

Yu dɔn ɛva gɛt bɛlɛ we de at bad bad wan wantɛm wantɛm, ɛn gɛt smɔl blɔd na yu stɔl? Ɔ yu bɛlɛ kin fil ful ɛn yu kin fil pen we yu tɔch yu? If yu gɛt wan ɔ tu pan dɛn sik ya, i kin bi bikɔs ɔf wan sik we dɛn kɔl ischemic colitis, we wi go tɔk bɔt tide. Nɔ fred, ilɛksɛf di nem tan lɛk se i kɔmplikt smɔl. Lɛ wi tɔk bɔt dis simpul we we ɔlman go ɔndastand.

Wetin na ischemic colitis? Fɔ tɔk am simpul wan...

Fɔ tɔk am simpul wan, ischemic colitis na inflamɛns na yu big intestinal, ɔ di pat we wi kɔl di kɔlon, bikɔs di blɔd nɔ de flɔ (dɛn kɔl dis ischemia). Yu no se ɔl di sɛl ɛn tisu dɛn na wi bɔdi nid ɔksijɛn fɔ liv ɛn wok. Na di blɔd de kɛr dis ɔksijɛn go to dɛn. So, we di bכdi fכ fכlכ di big intestin dכn dכn fכ sכm rizin, i nכ de gεt inof כksijεn. Na da tɛm de di tisu dɛn na da intestinal de kin pwɛl ɛn inflam, we min se dɛn kin swel, rɛd, ɛn pen. I tan lɛk se tik de dray we i nɔ gɛt bɛtɛ wata.

Dis inflamɛns na rili di we aw wi bɔdi de tray fɔ mek di tin dɛn we dɔn pwɛl. Na dat mek wi nɔ kin fil fayn, wi bɛlɛ kin at, wi kin blo, ɛn sɔntɛnde wi kin gɛt blɔd. Ischemic Colitis kin mɔs afɛkt di dilik layn na yu big intestin, we dɛn kɔl di mucosa . Jɔs lɛk di dilik skin we de insay wi mɔt, di insay pat pan di intestinal sɛf de kɔba di layn. Bɔt if dis blɔd we nɔ de flɔ (ischemia) rili bad ɔ i kin te, i kin pwɛl di dip pat dɛn na di intestin bak.

Wetin na di difrɛns bitwin nɔmal kɔlayt ɛn ischemik kɔlayt?

Yu go dɔn yɛri di wɔd kɔlayt.'' Kɔlaytis'' jɔs de tɔk bɔt inflamɛns na di kɔlon. Ischemic colitis'' na כda kayn inflameshn, bכt i nכ kin kכmכn sכmtεm. we bכku pipul dεn yεri kכlaytis,'' dεn kin tink bכt lכng tεm inflammatory bowel disease (IBD) lεk Ulcerative Colitis'' כ Crohn's Disease.'' Dɛn kכndyushכn ya kin bigin na di layn na di kכlon.

Bɔt, (Ischemic Colitis) na sɔntin we difrɛn. I kin rili bigin as prɔblɛm wit yu blɔd sistɛm. Dat min se, i kin bi bikɔs ɔf prɔblɛm wit yu at, blɔd vesel. I kin bi bikɔs blɔd prɛshɔn smɔl, ɔ i kin bi bikɔs ɔf sɔm sik dɛn na di blɔd vesel dɛn. we di bכdi fכ fכlכ to di at dεm we de gi bכdi to di kכlon dכn, di rizulεt na di kכlon tisu we de inflamesh. If nɔto dat, i nɔto wan patikyula sik we de na di kɔlon.

Udat kin gɛt dischemic colitis (Ischemic Bowel Disease)?

Dis sik kin bɔrku pan pipul dɛm wae dɔn pas 60. Dɔn bak, .Pipul wae gɛt dis sik kin gɛt bɔrku risk bak fɔ gɛt dis.

Apat frɔm dat, bɔku ɔda tin dɛn de we kin mek pɔsin gɛt dis sik. Lɛ wi si wetin dɛn bi:

• Tayp 2 Dayabitis: Na bikɔs dayabitis kin pwɛl di blɔd vesel.
• Kidni we nɔ de wok fayn ɛn di wan dɛn we de du dayalaysis tritmɛnt: Kidni sik kin afɛkt di blɔd we de go bak.
• Lɔw blɔd prɛshɔn: We blɔd prɛshɔn go dɔŋ, di blɔd we de flɔ to di ɔgan dɛn kin go dɔŋ bak.
• di haypoalbuminemia na we di protin albumin we de na di bכdi de dכn.
• Pɛriferal at sik: Di at we de gi blɔd to di an ɛn fut dɛn kin smɔl ɔ blok.
• Ischemic cardiomyopathy: Na sik dɛn we kin kam bikɔs di blɔd nɔ de go na di at mɔsul.
• Blɔd klɔt disɔda: Di risk fɔ mek blɔd klɔt insay di blɔd vesel dɛn kin bɔku.
• Krכnik kכnstipeshכn wit fεkal impakshכn: Dis kin mek prεshכn pan di intestines εn i kin mek di bכdi fכ fכlכ.
• Yuz drɔgs lɛk kɔkɛyn.
• Fɔ gɛt wan abdominal aortic aneurysm.

If yu gɛt dɛn tin ya we kin mek yu gɛt dis sik, i bɛtɛ fɔ tek tɛm smɔl.

Aw ischemic colitis kin afɛkt yu bɔdi?

Fɔ bɔku pipul dɛn, dis na prɔblɛm fɔ shɔt tɛm nɔmɔ. Dat min se i kin jɔs afɛkt smɔl pat pan di kɔlon ɛn i kin wɛl insay sɔm dez. Pan ɔl we di inflamɛns kin mek pɔsin nɔ fil fayn ɛn mek i fil pen fɔ sɔm tɛm, wans dɛn dɔn adrɛs di tin we mek di blɔd nɔ de flɔ fayn fayn wan, dis sik go bɛtɛ bak klos to ɔtomɛtik wan.

Bɔt sɔntɛnde, dis kin bi mɔ siriɔs prɔblɛm.

• Sɔm pipul kin gɛt ripit episɔd dɛm fɔ Ischemic Colitis'' na di sem eria. we dis apin, skata kin apin na da εria de εn di intestכn kin sכmtεm (stricture). Dis kin mek i nɔ izi fɔ mek it ɛn drink pas am izi wan.
• pan tap dat, if di ischemia we na di rεdukshכn pan di bכdi fכ fכlכ, siriכs inof, di intestinal tisu kin day (gangrene). Dis na tin we rili denja. If dat apin, .
• wan ol (perforation) na di intestin kin apin.
• Kɔmplikeshɔn dɛn we kin mek pɔsin in layf de pan denja lɛk fɔ gɛt siriɔs infɛkshɔn ɛn sɛpsis (blɔd pɔyzin) kin apin.
• If na so i bi, dɛn fɔ du ɔpreshɔn pan am kwik kwik wan .

Wetin na di sayn dɛm fɔ ischemic colitis?

If na so i bi, yu kin gɛt wan ɔ mɔ pan dɛn sayn ya:

• Bɛlɛ pen ɛn kramp: Dis na di men sayn. I kin bigin wantɛm wantɛm.
• Bεlε kin swεla εn i kin tεnd: Yu kin fil pen we yu tɔch yu bεlε.
• Dayarɛa ɛn fɔ poop kwik kwik wan: Nid fɔ go na tɔylɛt ɔltɛm.
• Blɔd poop: Blɔd na di stɔl, sɔm tɛm dɛn kin dak rɛd ɔ blak.
• Low fiva: Yu kin fil smɔl fiva.
• Nɔs ɔ nɔ want fɔ it: Na filin we yu nɔ want fɔ it ɔ drink .

Imajin, if yu bigin fɔ gɛt bad bad bɛlɛ kramp wantɛm wantɛm ɛn blɔd de pas, nɔ jɔs tink se na jɔs bɛlɛ bɔg. Go to dɔktɔ wantɛm wantɛm.

Wetin na di tin dɛn we kin mek pɔsin gɛt ischemic colitis?

Infakt, bɔku rizin dɛn kin de we kin mek di blɔd we de go na di kɔlon nɔ kin bɔku. Bɔku tɛm, dis na fɔ shɔt tɛm nɔmɔ. Sɔmtɛm, de kɔz kin dɔn go bay di tɛm we dɛn kin no di sik. If yu bin dɔn gɛt ischemic colitis'' wan tɛm nɔmɔ ɛn yu dɔn wɛl, yu dɔktɔ nɔ go ebul fɔ tɛl yu di rayt kɔz. Bɔt dɛn kin mek yu gɛs bay yu mɛdikal istri ɛn ɔda sik dɛn we yu gɛt.

Mɔ, sik dɛn we de afɛkt yu blɔd sistɛm, lɛk at sik ɛn blɔd vesel sik, kin mek di blɔd nɔ flɔ to di at we de gi blɔd to di intestinal. Sɔntɛnde , blɔd we de klɔt kin blok wan at, ɔ sɔntin we de na do kin kɔmprɛs wan at.

tu men at dεm de we de gi bכdi to wi intestכn dεm - di supεriכr εn infεriכs mεsεntrik at dεm . dis at dεm kin rili sεnsitiv to εnitin we de mek di bכdi vεsul dεm kכnstrikt (vasoconstriction). Fɔ ɛgzampul, kol pasmak, sik wae kin mek yu blɔd prɛshɔn dɔŋ, ɛn sɔm mɛrɛsin dɛm (vasoconstrictors) kin afɛkt dis. Dɛn at dɛn ya kin ansa we blɔd prɛshɔn smɔl bay we dɛn kin kɔnstrikt shap. Sayɛnsman dɛn tink se dis na tin we wi bɔdi de protɛkt. Dat min se we di bɔdi lɔs blɔd, i de ridyus di blɔd we de go na ples dɛn lɛk di insay fɔ mek di blɔd go na impɔtant pat dɛn lɛk di bren ɛn di at. we dis "imergency response" de trigεr, di intestכn dεm kin lכs bכdi.

Sɔntɛnde, dɔktɔ dɛn kin sheb dis to tu kayn tin dɛn we kin mek pɔsin gɛt dis sik:

1. di kכz dεm we de kכlכs: Dis min se i de blok frכm insay wan atεri (e.g. bכdi we de kכlכt).

2. di kכz dεm we nכ de kכlכs: dis min se di bכdi fכ fכlכ de dכn bikoz fכ כda kכz (e.g. lכw bכdi prεshכn, di at dεm we de sכmtεm sכmtεm) pas fכ wan at we de blok.

Di tɔd rizin na we i wund we dɛn de du di ɔpreshɔn.Pan ɔl we dis nɔ kin apin so ɔltɛm, risk de fɔ mek dɛn ripɛnt AAA we dɛn de du ɔpreshɔn fɔ ripɛnt wan rupchɔ abdominal aortic aneurysm (AAA). If dis kin apin, i kin rili siriɔs pas ɔda tin dɛn we kin apin fɔ sɔm tɛm ɛn i kin mek pɔsin in layf de pan denja. Dis kכndyushכn kin apin pan lεk 2% to 3% pan di AAA כpεrayshכn dεm, εn lεk 50% pan dεn sik pipul dεm de day.

Aw dɛn kin no se pɔsin gɛt ischemic colitis?

Di sayn dɛm fɔ dis sik (lɛk bɛlɛ pen ɛn dayarɛa) kin rili bɔku, we min se dɛn sik ya kin kam bak frɔm ɔda bɛlɛ sik dɛm. So, dכkta dεm nid fכ mek sכh se nכ כda mεdikal kכndyushכn de bifo dεn kin definitivli se dis na Ischemic Colitis''.

• Yu kin gɛt imej tɛst (e.g., CT skan) fɔ yu kɔlon.
• Dɛn kin du blɔd tɛst fɔ chɛk fɔ si if pɔsin gɛt di sik ɛn ɔda tin dɛn. Bɔku tɛm, kɔlaytis kin mek di wayt blɔd sɛl dɛn bɔku.

If yu dɔktɔ sɔspɛkt se yu gɛt Ischemic Colitis, di bɛst we fɔ kɔnfirm di diagnosis na wit kɔlonoskɔpi. Dis min se yu fɔ put wan smɔl tiub we gɛt layt tru yu an fɔ luk insay yu kɔlon. If yu gɛt Ischemic Colitis, di tɛst kin luk fɔ sayn dɛm fɔ di sik. If nid de, yu kin tek smɔl tisu (bayopsi) frɔm yu kɔlon di sem tɛm ɛn sɛn am na lab fɔ mek dɛn du am mɔ tɛst.

Aw dɛn kin trit ischemic colitis?

Di tritmɛnt dipen pan aw di sik siriɔs ɛn if yu gɛt ɔda prɔblɛm dɛn (e.g., infɛkshɔn na di bɛlɛ).

• If tin tranga ɔ we at fɔ du, dɛn kin nid fɔ du ɔpreshɔn kwik kwik wan .
• Bɔt dɛn kin ebul fɔ mɛn bɔku kes dɛn wit mɛrɛsin.
• Dɛn go gi yu IV wata (lɛk salin) tru wan vein .
• Dɛn go gi bɔku bɔku antibayɔtiks fɔ mek dɛn nɔ gɛt ɔ trit infɛkshɔn.
• Dɛn kin gi ɔksijɛn tritmɛnt bak fɔ mek di at wok fayn ɛn fɔ mek di blɔd go bifo.
• Di dɔktɔ go stɔp ɛni mɛrɛsin we dɛn tink se de ɛp fɔ mek di sik kam (Ischemic Colitis).
• Di tin we impɔtant pas ɔl na fɔ "bɔwel rɛst." Dis min se yu nɔ fɔ yuz yu dijestiv sistɛm te yu bɔdi wɛl. Dɛn go gi yu likwid it ɔ IV nyutrishɔn .

Ɔda tritmɛnt dɛn we dɛn kin nid:

• di bכdi dεkכmprεshכn bay nasogastric tכb: dεn kin yuz dis mεtכd fכ pul di briz, wata, כ it frכm di bεlε if pat pan di intestin blכk biכs fכ ischemic colitis.
• Di tritmɛnt dɛn we di blɔd vesel dɛn kin gi:If di at blok, di dɔktɔ go nid fɔ ɔpreshɔn fɔ pul am, sɔlv wan blɔd we dɔn klɔt, ɔ put stent na blɔd vesel we dɔn smɔl.
• Kɔlektɔmi: If di kɔlon tisu dɔn day (gangrene) ɔ di kɔlon wɔl dɔn brok (rupchɔ), dɛn go nid fɔ kɔt di pat we dɔn pwɛl. dis ɔpreshɔn kin involv bak fɔ put wan kɔlostomi bag fɔ sɔm tɛm ɔ fɔ ɔltɛm (wan sɛpret opin na di skin na di bɛlɛ fɔ mek di stɔl pas).

Wetin pɔsin we gɛt ischemic colitis fɔ tek tɛm it?

If yu de wɛl frɔm Ischemic Colitis, yu dɔktɔ go advays yu fɔs fɔ fast . Afta dat, yu kin chenj smɔl smɔl to likwid it , ɛn afta dat yu kin chenj to sɔft it .

Nɔ it tin dɛn we gɛt bɔku fayv insay dis tɛm. I nɔ fayn fɔ mek yu wok pasmak te dɛn wɛl. Di eria nid mɔ blɔd flɔ ɛn ɔksijɛn fɔ dayjɛst it. We yu rɛst yu insay, dat de gi yu bɔdi chans fɔ mek da blɔd de kam bak.

If yu gɛt lɔng tɛm sik we dɛn kɔl chronic'' Ischemic Colitis'', ɔ if yu gɛt ɔda krɛse sik we de mek yu gɛt am, yu dɔktɔ go gi yu spɛshal it gaydlayn fɔ fala fɔ lɔng tɛm.

Yu tink se dɛn kin ebul fɔ avɔyd ischemic colitis?

Bikɔs bɔku tin dɛn de we kin mek pɔsin gɛt dis sik, i nɔ go pɔsibul fɔ avɔyd dɛn ɔl kpatakpata. Bɔt i rili impɔtant fɔ kɔntrol ɛni mɛrɛsin we yu dɔn gɛt (espɛshali at, blɔd vesel, ɛn kidni sik) .

• Nɔ fɔ smok ɛn fɔ tek drɔgs.
• If yu it tin dɛn we go ɛp yu at, dat kin mek dɛn tin ya nɔ wɔs ɔr nɔr gɛt prɔblɛm.
• Ischemic Colitis (dεn kin kכl am bak "runner's colitis") kin kכz sכmtεm bay we yu de du εksεsayz tranga wan . Dis na bikɔs di at nɔ ebul fɔ pɔmp inof blɔd. If yu na atlet we de bia, if yu gɛt bɔku wata , dat kin ɛp fɔ mek dis nɔ apin.

Wetin na di lukin-grɔn fɔ ischemic colitis? (Autluk) .

Di gud nyus na dat bɔrku pipul dɛm (lɛk 75%) wae kin gɛt akyu ischemic colitis kin gɛt wan sik wae nɔr kin pasmak, fɔ sɔm tɛm. i de afekt כnli di mכkus na wan pat pan di intestin εn i de rεsכlv kכmplit wan wit standad tritmεnt.

Na smɔl pipul dɛn nɔmɔ kin gɛt prɔblɛm dɛn we kin mek dɛn du ɔpreshɔn. Bɔku tɛm, dɛn kayn prɔblɛm ya kin apin to pipul dɛn we dɔn ɔlrɛdi gɛt ɔda sik dɛn lɛk at sik ɔ kidni sik. Fɔ dɛn pipul ya, ɔpreshɔn kin gɛt prɔblɛm ɛn i nɔ kin izi fɔ mek dɛn wɛl. Akɔdin to di statystik, dis grup gɛt ay risk fɔ gɛt bad bad tin ɛn day (lɛk 40%). Bɔt da risk de nɔto jɔs bikɔs ɔf di kɔndishɔn (Ischemic Colitis).

Dis sik wae dεn kכl (Ischemic Colitis) kin tek sכm tεm fכ dכkta dεm fכ no, εn bak di wan dεm we de gεt am. Bikɔs, we yu se bɛlɛ de pen, nɔbɔdi nɔ de tink wantɛm wantɛm se dis na prɔblɛm wit yu at ɛn blɔd. Bɔt we dɛn dɔn no di sik kɔrɛkt wan, yu kin ɛkspɛkt fɔ wɛl ɔl ɛn kwik, ilɛksɛf yu fɔ de na ɔspitul fɔ sɔm tɛm. Bɔt sɔmtɛm, (Ischemic Colitis) kin tranga, so nɔr ignore yu symptoms. If dɛn nɔ impɔtant, tɛl yu dɔktɔ wantɛm wantɛm.

So, wetin na di impɔtant tin dɛn we wi nid fɔ mɛmba frɔm dis stori?

Okay, na sɔm tin dɛn we wi dɔn tɔk bɔt fɔ mek yu ed rawnd:

• Nɔ ignore di bɛlɛ pen we kin kam wantɛm wantɛm, mɔ if i gɛt blɔd stɔl. I kin bi sayn fɔ wan kɔndishɔn we dɛn kɔl Ischemic Colitis''.
• I rili impɔtant fɔ go to dɔktɔ kwik kwik wan. Di kwik we dɛn no di sik, na di mɔ i izi fɔ trit ɛn mek i nɔ gɛt prɔblɛm dɛn.
• If yu gɛt tin dɛn we kin mek yu gɛt dis sik lɛk dayabitis, at sik, ɔ ay blɔd prɛshɔn, kɔntrol dɛn fayn fayn wan.
• Adopt layf we gɛt wɛlbɔdi. Nɔ smok ɛn tek drɔgs we yu nɔ nid. It gud it.
• Nɔ panik, bɔt tek tɛm. Ischemic Colitis na wan sik wae kin mɛn bɔrku tɛm. Bɔt, dɛn nid fɔ pe atɛnshɔn to am.

If yu gɛt ɛni ɔda kwɛstyɔn bɔt dis, mek shɔ se yu tɔk to yu famili dɔktɔ. I kin gi yu di bɛst advays.