Na jɔs bɛlɛ we de at? Sɔntɛm na peritonitis! Mek wi tok.

Yu go mɔs gɛt bɛlɛ pen sɔntɛnde, nɔto so? Wi kin tink bɔt am as sɔntin we smɔl lɛk gastritis , ɔ sɔntin lɛk fɔ it bɔku tin. Bɔt nɔto ɔl di bɛlɛ pen na so simpul, sɔntɛnde i kin siriɔs smɔl ɛn nid fɔ pe atɛnshɔn to am wantɛm wantɛm. Pɛritonitis na wan pan dɛn kayn sik dɛn de. Pan ɔl we di nem kin tan lɛk se i kɔmplikt smɔl, lɛ wi tɔk bɔt am ditayli ɛn rili simpul, nɔto so? Na bikɔs fɔ no bɔt dis kin rili impɔtant to yu ɛn di wan dɛn we yu lɛk.

Wetin na di peritoneum? Usay i de?

Okay, fɔs lɛ wi luk wetin na di peritoneum , ɛn usay i de, we na di kɔz fɔ dis sik we dɛn kɔl peritonitis.

Fɔ tɔk am simpul wan, di peritoneum na wan rili tin mɛmbran we de layn insay yu bɛlɛ (di wan ol eria bitwin yu chɛst ɛn yu wɛst). Tink bɔt am lɛk wan tint plastic sheet we de ɛp fɔ mek yu ɔgan dɛn, lɛk yu intestin , liva , ɛn bɛlɛ , nɔ de.

tu men pat dεm de fכ dis pεritoneum:

1. Parietal peritoneum: dis na di layεr we de kכba di insay wכl na di bכdi.

2. Visceral peritoneum: dis na di mεmbran we de rawnd di כgan dεm we de insay di bכdi (lεk di intestכn dεm εn di bεlε).

bitwin dεn tu mεmbran dεm ya sכm sכm spεs de we dεn kכl di pεritoneal cavity . I gɛt smɔl wata we de ɛp di ɔgan dɛn fɔ slayv rawnd we dɛn nɔ de rɔb pan dɛnsɛf we dɛn de muv. di pεritoneum de gi sכm sכpכt bak fכ di כgan dεm εn i de εp dεm fכ de na di ples.

So, wetin na Pɛritonaytis?

Naw yu gɛt rough aidia bɔt wetin na di peritoneum. Pɛritonitis na di inflamɛns na di peritoneum, we min se i kin swel, rɛd, ɛn gɛt infɛkshɔn . Insay mɛrɛsin, wɔd dɛn we kin dɔn wit "-itis" kin tɔk bɔt inflamɛns. Fɔ ɛgzampul, apɛndiks ɛn gastritis.

Bɔku tɛm, na baktri dɛn kin mek dis inflamɛns .Na bikɔs ɔf wan infekshɔn. Bɔt sɔmtɛm i kin bi bak bikɔs ɔf di fɛns infɛkshɔn ɔ ɔda rizin dɛn. Bɔt we dis kin apin, i kin mek big prɔblɛm insay di bɛlɛ.

Wetin na di tin dɛn we kin mek pɔsin gɛt Pɛritonaytis?

Bɔku tin dɛn de we kin mek pɔsin gɛt peritonitis. Lɛ wi sheb dɛn to difrɛn kategori dɛn.

Di tin we kin mek i apin mɔ: Infɛkshɔn

Dis na di men rizin. Sɔm kayn tin dɛn de fɔ dis bak.

• Sɛkɔndari Pɛritonaytis: Dis na di kayn we we dɛn kin gɛt mɔ. dis kin apin we infεkshכn de spre to di pεritoneum frכm prכblεm na כda כgan insay di bεlε.
• Apɛndiks: Yu go dɔn yɛri bɔt apɛndiks. na we wan pat pan di sכmכl intestin we dεn kכl di apεndiks de inflamed εn infεkt. If dɛn nɔ trit am fayn, i kin brok, we kin mek di jem ɛn pus we de insay de skata ɔlsay na di bɛlɛ. Na da tɛm de peritonitis kin kam.
• Gastric ɔ Bowel Perforation: Gastrik ɔlsa kin rili bad ɛn i kin gɛt perforation. כ, wan kכndyushכn lεk divεrtikulεt kin mek di intestinal wכl wik εn i kin pכt. Sɔmtɛm, dis kin apin bak bikɔs ɔf injury ɔr aksidɛnt. we dεn mek dis ol, di bכdi asid εn di tin dεm we de insay di intestinal de lik insay di pεritonial kεviti, we de mek i gεt siriכs infεkshכn.
• di gal blad we de brok: Prɔblɛm lɛk gal ston kin mek di gal blad gɛt di sik ɛn sɔntɛnde i kin brok. dis de mek di bayl we de kכmכt na di gal blad de lik insay di pεritonial kεviti, we de mek di pεritonaytis.
• Pankrias: Di pankrias na impɔtant gland na wi bɔdi. we i inflamed (Pancreatitis), di enzym dεm we de kכmכt frכm am kin pwεl di pεritoneum εn mek peritonitis.
• Infεkshכn afta di כpεrayshכn: Afta dεn dכn כpεrayt di bεlε, sכmtεm infεkshכn kin spre to di pεritoneum tru di wund כ כda we dεm.
• Abdominal trauma: Pɛritonaytis kin apin we di bɛlɛ ɔgan dɛn dɔn pwɛl bikɔs ɔf sɔntin lɛk motoka aksidɛnt ɔ naif stab wund, ɛn di tin dɛn we de insay de lik insay di peritoneal cavity.
• di prכblεm dεm we de wit uman dεm: pan uman dεm, kכndyushכn dεm lεk infεkshכn na di fallopian tyub dεm (salpingitis), aka Pelvic Inflammatory Disease (PID) , kin mek di infεkshכn spre to di pεritoneum.

• Spontaneous Bacterial Peritonitis (SBP): Dis na spɛshal kes. Dɛn kin si am pan pipul dɛm wae gɛt liva sik (e.g. cirrhosis) wae kin mek yu gɛt ascites. na ya, if yu nכ gεt klia ol כ te na di bכdi, di wata we de insay di bεlε de infεkt wit baktri dεm, we de mek i gεt pεritonaytis.

• Fɔ di wan dɛn we de du Pɛritonial Dayalaysis (PD):Pɛritonial dayalaysis na tritmɛnt fɔ sɔm pipul dɛn we gɛt kidni we nɔ de wok fayn. insay dis prosidכs, dεn injεkt spεshal wata insay di pεritoneal cavity fכ pul di west prכduk dεm na di bכdi. we dεn de du dis, sכmtεm di jεm dεm kin kכmכt tru di kateshכn, we kin mek i gεt pεritonaytis.

Di tin dɛn we nɔ kin gɛt di sik (Sterile Peritonitis) .

Dis nɔ kin apin smɔl. wetin de apin ya na di pεritoneum de inflamed bikoz fכ wan kεmikכl sכbstans (e.g. bayl, bכdi, wan tin we dεn de yuz we dεn de du כpεrayshכn). If na so i bi, no baktri infεkshכn de fכs, bכt infεkshכn kin jɔyn leta.

Wetin na di sayn dɛm fɔ peritonitis? Aw dɛn kin no se i gɛt am?

Di sayn dɛm fɔ peritonitis kin kam wantɛm wantɛm ɔr kin kam smɔl smɔl. Bɔt i impɔtant fɔ no bɔt dɛn sik ya, bikɔs dis na imejensi!

"If yu gɛt bɛlɛ pen we yu nɔ go ebul fɔ bia, we de kɔntinyu fɔ de wit fiva, nɔ dismis am as nɔmal. Si dɔktɔ wantɛm wantɛm."

Di men tin dɛn we dɛn kin du na dɛn tin ya:

• Sivεr bεlε pen: Dis na di men εn siriכs sayn. Pan ɔl we fɔs i kin jɔs at usay di infekshɔn bigin, di pen kin skata ɔlsay na di bɛlɛ as tɛm de go. Di pen kin bɔku bak we yu de muv, kɔf, ɔ blo.
• Tɛnd: We dɔktɔ palpat di bɛlɛ, i kin gɛt bad bad pen.
• abdominal rigidity /guarding: di abdominal mכsul dεm kin bi rigid εn stif, lεk plank. Dis na bikɔs di bɔdi de tray fɔ protɛkt insɛf frɔm inflamɛns insay.
• Fiva ɛn kol: Fiva kin apin bikɔs ɔf infekshɔn.
• Nɔs ɛn Vɔmit: Dɛn tin ya kin apin wit di lɔs fɔ it.
• di bכdi de blo/distεnshכn: di bכdi de fil se i swεla εn i de blo.
• Taya, taya pasmak.
• At bit kwik kwik wan (Tachycardia).
• I nɔ izi fɔ yu fɔ blo: I nɔ izi fɔ blo bikɔs yu bɛlɛ de pen.
• Tɔsti, Dray mɔt.
• Ridyus di urine we de kɔmɔt.
• Kɔnstipɛshɔn ɔ Dayarɛa: Sɔm pipul dɛn kin gɛt dis bak.

Imajin, yu padi, lɛ wi se Nimali, wantɛm wantɛm i gɛt bad bad bɛlɛ pen, fiva ɛn kol. I tink se, ‘O, dis na jɔs nɔmal bɛlɛ pen’ ɛn de na di sayd. Bɔt di pen de wɔs ɛn wɔs, in bɛlɛ de at so i nɔ ebul fɔ ivin tɔch am, ɛn in bɛlɛ kin fil lɛk se i dɔn blo. Na da tɛm de, e kin bi sayn fɔ wan siriɔs sik lɛk peritonitis. If na so i bi, di bɛst tin fɔ du na fɔ go na ɔspitul ɛn nɔ de te .

Wetin dɔktɔ kin du if dɛn tink se gɛt peritonitis?

We yu go to dɔktɔ wit dɛn sik ya, i go aks yu fɔs bɔt yu sik (history taking). Tin dɛm lɛk wae de pen bigin, aw e bigin, ɛn if yu gɛt ɔda sik.

Dɔn dɛn kin du wan ɛgzam pan pɔsin in bɔdi . Dɛn kin chɛk di bɛlɛ spɛshal wan fɔ si if i gɛt smɔl smɔl bɛlɛ, if di bɛlɛ strɔng, ɛn if i gɛt sawnd na di bɔdi.

Test fɔ kɔnfirm di diagnosis:

If, afta dɛn simptom ɛn tɛst ya, di dɔktɔ sɔprayz se i gɛt peritonitis, i kin du sɔm ɔda tɛst dɛn fɔ kɔnfirm am.

• Blɔd tɛst: Dis kin mɔs chɛk di nɔmba fɔ di wayt blɔd sɛl dɛn (WBC) we de na di blɔd. Dis nɔmba go bɔku if di sik de. i de chεk bak fכ inflammatory mak dεm lεk CRP (C-Reactive Protein) . I kin chɛk bak di kidni fɔ wok ɛn di wata we nɔ de na di bɔdi.
• εks-ray na di bכdi: dεn kin yuz dis fכ si if ol de na di intestin εn di briz dכn go insay di pεritoneal cavity (pneumoperitoneum).
• Ultrasound scan ɔ CT scan: Dɛn skan ya kin sho klia wan wetin de apin insay di bɛlɛ. dεn kin εp fכ no di kכz fכ pεritonaytis (e.g. apendisayt, gal blad sik), if di bכdi fulכp wit wata (ascites), כ if absεs dεn fכm.
• Paracentesis: If ascitic fluid de na di bɛlɛ, dɛn kin pul smɔl pan di wata wit wan tin nidul ɛn sɛn am na lɛbɔraytri fɔ tɛst am. Dɛn kin yuz dis fɔ chɛk fɔ si if baktri, pus, ɛn us kayn sɛl dɛn de. Dis impɔtant mɔ fɔ no if pɔsin gɛt SBP.

Aw dɛn kin trit Pɛritonaytis?

Di tin we impɔtant pas ɔl fɔ mɛmba na dis: Pɛritonitis na mɛdikal imejensi! So, e fayn fɔ go na ɔspitul ɛn bigin fɔ trit yu kwik kwik wan. If yu delay di tritmɛnt, dat kin mek yu layf de pan denja.

Bɔku we dɛn de fɔ trit pɔsin:

• Antibayɔtik: Dɛn kin gi dɛn tin ya fɔ kil di baktri dɛm we mek di sik. Bɔku tɛm dɛn kin gi dɛn insay di bɛlɛ (IV) fɔs, usay dɛn kin absɔb dɛn kwik kwik wan insay di bɔdi. Sɔntɛnde, dɛn kin gi am pas wan kayn antibayɔtik.
• Ɔpreshɔn:
• Bɔku tɛm, mɔ we pɔsin gɛt sɛkɔndari peritonitis, dɛn kin nid fɔ du ɔpreshɔn.
• Dɛn kin du ɔpreshɔn fɔ trit di ɔndalayn prɔblɛm we mek di peritonitis. fכ egzampl, if di apεndiks brok, dεn kin pul am (apεndiks), if ol de na di intestכn, dεn kin kכl am, if di gal blad brok, dεn kin pul am.
• Dɔn bak, we dɛn de du di ɔpreshɔn, dɛn kin was ɔl di pus, dɔti, ɛn wata we gɛt di sik we de insay di bɛlɛ fayn fayn wan. Dɛn kɔl dis peritoneal lavage.Dɛn kin tɔk bak.
• Sɔpɔtiv kia:
• Di tin dɛn we de mek pɔsin nɔ fil pen: Kɔntrol bad bad pen.
• Intravenous saline (IV fluids): Tin dɛm lɛk fɔ vɔmit ɛn fiva kin mek yu nɔ gɛt wata na yu bɔdi, we kin mek yu nɔ gɛt wata ɛn sɔl na yu bɔdi. Dɛn kin gi saline fɔ stɔp dis.
• Ɔksijɛn: If i nɔ izi fɔ yu fɔ blo.
• sכmtεm dεn kin put wan tכb (Nasogastric tube - NG tube) tru di nos fכ drεn di tin dεm we de insay di bεlε (air, liquid). Dis kin ɛp fɔ mek yu nɔ vɔmit ɛn blo.
• Tritmɛnt na intensiv kia yunit (ICU) kin nid bak, mɔ if di pɔsin in kɔndishɔn siriɔs.

Yu tink se Pɛritonitis denja? Wetin na di prɔblɛm dɛn we kin apin?

Yɛs, peritonitis na wan sik we rili siriɔs, we kin mek pɔsin in layf de pan denja . Na dat mek i rili impɔtant fɔ gɛt tritmɛnt kwik kwik wan. If dɛn nɔ trit am ɔ dɛn nɔ trit am, siriɔs prɔblɛm kin apin.

• Sepsis ɛn sɛptik shɔk: Na sik we di infekshɔn kin go insay di blɔd ɛn skata ɔlsay na di bɔdi, we kin pwɛl di ɔgan dɛn ɛn mek di blɔd prɛshɔn go dɔŋ bad bad wan. Dis kin kil pɔsin.
• Intra-abdominal Abscess: di pus kin kכlekt na ples dεm insay di pεritoneum εn fכm absεs. Dis nid fɔ trit bak, sɔntɛm dɛn kin du ɔda ɔpreshɔn ɔ dɛn kin yuz tiub fɔ mek di pus kɔmɔt.
• di bכdi we de adheshon: As di inflameshn de hεl, di pat dεm na di intestin dεm kin stik togeda כ to di pεritoneum. Dɛn adheshon ya kin mek leta mek di bɔdi nɔ ebul fɔ waka .
• Ɔgan dɛn we nɔ de wok fayn: Di wok we impɔtant ɔgan dɛn, mɔ di kidni, liva, ɛn lɔng dɛn kin wok fayn.
• Wund infεkshכn: Di wund we dεn du כpכt kin gεt infεkshכn.
• If dɛn nɔ trit am kwik, i kin ivin mek pɔsin day. Dis na di tin we denja pas ɔl.

Yu tink se dɛn kin ebul fɔ mek dɛn nɔ gɛt Pɛritonaytis?

Pan ɔl we yu nɔ go ebul fɔ avɔyd am kpatakpata, tin dɛn de we yu kin du fɔ ridyus di prɔblɛm.

• If yu gɛt tin dɛn we kin mek yu gɛt peritonitis (e.g. apɛndisayt, bɛlɛ ɔlsa, galston), i rili impɔtant fɔ go to dɔktɔ kwik ɛn di rayt we . Nɔ ignore di sayn dɛm.
• Pipul dɛn we de du peritoneal dialysis fɔ tek di bɛst kia wit hajɛns lɛk aw dɔktɔ ɛn nɔs dɛn tɛl dɛn we dɛn de du di prɔsidyu. Tin dɛm lɛk fɔ kip di say we de rawnd di kateshɔn klin ɛn was yu an fayn fayn wan impɔtant.
• Afta dɛn dɔn ɔpreshɔn yu bɛlɛ, if yu gɛt sayn dɛn we de sho se yu gɛt di sik, lɛk we yu gɛt pus we de kɔmɔt na di wund, we yu de rɛd, we yu de swel, ɔ we yu gɛt fiva , yu fɔ tɛl yu dɔktɔ wantɛm wantɛm.
• I impɔtant fɔ mek pipul dɛn we gɛt liva sik, mɔ di wan dɛn we gɛt asita, tek dɛn mɛrɛsin lɛk aw dɛn dɔktɔ tɛl dɛn ɛn fɔ wach dɛn SBP simptom dɛn.

Fɔ dɔn, tin dɛn fɔ mɛmba (Take-Home Message) .

Okay, so wi don tok plenti boht peritonitis tide. I rili impɔtant fɔ mɛmba dɛn tin ya.

• If yu gɛt siriɔs bɛlɛ pen we yu nɔ go ebul fɔ bia, mɔ if i kam wit fiva, nɔ tink se na sɔntin we simpul. I kin bi sayn fɔ wan siriɔs sik lɛk peritonitis.
• Pɛritonitis na wan mɛdikal imejensi. Taym na di difrɛns bitwin layf ɛn day.
• If yu no di sik kwik kwik wan ɛn trit yu kwik kwik wan, dat kin sev pipul dɛn layf ɛn ridyus di prɔblɛm dɛn we kin apin.
• If yu ɔ pɔsin we yu sabi gɛt dɛn sik ya, nɔ shem fɔ go na ɔspitul ɔ go to dɔktɔ wantɛm wantɛm.

A op se yu si dis infɔmeshɔn yusful. Stay wit wɛlbɔdi!

` Pɛritonaytis, bɛlɛ pen, bɛlɛ kaviti, infɛkshɔn, apɛndiks, ɔpreshɔn