Imajin se yu sik bad bad wan ɛn yu de vɔmit ɔltɛm. Aw i go mek yu fred if yu vɔmit blɔd wantɛm wantɛm? Na sɔntin we rili de wɔri bɔku pipul dɛn. Bɔt wan pan di men tin dɛn we kin mek pɔsin vɔmit blɔd lɛk dis na wan sik we dɛn kɔl Mallory Weiss Tear. Nɔ wɔri, tide wi go tɔk bɔt dis na simpul ɛn klia we.
Fɔ tɔk am simpul wan, wetin na dis Mallory Weiss Tear?
Wan tiub de we de kɛr it frɔm wi trot to wi bɛlɛ, dat na wi bɛlɛ, we wi kin kɔl di mɛrɛsin we dɛn kɔl ɛsophagus . insay wan kכndyushכn we dεn kכl Mallory Weiss Tear, di insay wכl fכ dis εsophagus tכb, spεshal wan usay i kכnεkt to di bεlε, kin tכn sכmtεm. I tan lɛk rɔba tiub we de bɔs frɔm insay. Dis kray wata de mek blɔd kɔmɔt na di smɔl smɔl blɔd vesel dɛn we de de. Na di blɔd we de kɔmɔt we wi de vɔmit.
Dis sik gɛt in strenj nem frɔm dɔktɔ dɛn we nem Kenneth Mallory ɛn Soma Weiss, we bin tɔk bɔt am fɔ di fɔstɛm insay 1929. Dɛn bin notis se pipul dɛn we de drink tumɔs rɔm ɛn vɔmit pasmak go gɛt dɛn kray wata ya na dɛn ɛsophagus.
Di bɛst tin na dat bɔku tɛm dɛn kray wata ya kin wɛl fɔ dɛnsɛf we dɛn nɔ gɛt ɛni spɛshal tritmɛnt . Bɔt sɔm tɛm dɛn de, i kin nid fɔ gɛt tritmɛnt.
Wetin mek dis kin apin? Wetin na di tin dɛm wae kin mek dis sik ɛn di tin dɛm wae kin mek pɔrsin gɛt dis sik?
Di men rizin fɔ dis na bikɔs di prɛshɔn we de insay wi bɛlɛ kin go ɔp wantɛm wantɛm ɛn kwik kwik wan. Imajin, we di prεshכn insay di bεlε de go כp, di tin dεm we de insay di bεlε de push bak כp, dat na, tכwεd di εsophagus. dis tranga prεshכn na in de tear di wכl na di εsophagus.
difrεn situeshכn dεm de we di intra-abdominal prεshכn kin inkrεs.
| Di rizin fɔ di prɛshɔn we de go ɔp | Wan simpul ɛksplen |
|---|---|
| Fɔ vɔmit bad bad wan | Dis na di rizin we bɔku pipul dɛn kin du. we yu de vכmit kכntinyu εn bכku bכku prεshכn de kכmכt insay di bכdi tכwεd di trot. |
| Fɔ es ɔ fɔ strɛch | Tin dɛm lɛk fɔ es sɔntin we rili ebi ɔ fɔ strɛs we yu de go na di bafa kin mek bak prɛshɔn pan di bɛlɛ. |
| Kɔf we de kɔntinyu fɔ kɔf | Wan bad bad kɔf we dɔn de go fɔ sɔm wiks de mek bak kɔntinyu fɔ prɛs di bɛlɛ. |
| Fɔ gi CPR | Dis kɔndishɔn kin apin bak bikɔs ɔf di kɔmpreshɔn we dɛn kin gɛt na in chɛst we dɛn de du CPR, we na imejensi tritmɛnt we dɛn kin gi pɔsin we in at dɔn stɔp. |
| Injury na in chɛst ɔ bɛlɛ | If pɔsin wund in chɛst ɔ in bɛlɛ bikɔs ɔf aksidɛnt, dat kin mek bak di prɛshɔn go ɔp. |
Ɔda tin dɛn we kin mek pɔsin gɛt mɔ prɔblɛm
Apat frɔm dat, sɔm mɛrɛsin ɛn abit dɛn kin mek pɔsin gɛt wan sik we dɛn kɔl Mallory Weiss Tear.
- Fɔ drink rɔm pasmak: Dis na di men tin we kin mek pɔsin gɛt dis sik . Yuz rɔm kin involv bitwin 50% ɛn 70% pan pipul dɛm wae gɛt dis sik.
- Bulimia: Dis na wan sik we de mek pipul dɛn it pasmak ɛn afta dat dɛn kin fos dɛn fɔ vɔmit. Dis we aw yu de vɔmit ɔltɛm de mek yu gɛt prɔblɛm dɛn.
- Cyclic Vomiting Syndrome (CVS): Dis na wan sik wae de mek pɔrsin de vɔmit fɔ sɔm dez ɛn nɔr gɛt ɛni kɔz.
- Hyperemesis Gravidarum (we yu de vɔmit pasmak we yu gɛt bɛlɛ): Dis sik kin apin bak bikɔs sɔm mama dɛn we gɛt bɛlɛ kin vɔmit pasmak.
- Gastroesophageal Reflux Disease (GERD): Dis na we di bɛlɛ asid de kam ɔp insay di trot. Dis kin mek di εsophagus wik fɔ ɔltɛm.
Wetin na di sayn dɛm fɔ dis? Aw yu no am?
Di men ɛn kɔmɔn sayn fɔ dis sik na fɔ vɔmit blɔd . Ɛnibɔdi we si dis kin fred bad bad wan. Dis blɔd kin apia difrɛn we dɛn:
- Brayt rɛd: Dis min se nyu blɔd, we min se blɔd de kɔmɔt na di say we dɛn kɔt wantɛm wantɛm.
- Dak brawn, lɛk kɔfi grɔn: Dis na aw blɔd we dɔn go insay di bɛlɛ kin tan afta i dɔn put am na di bɛlɛ asid fɔ sɔm tɛm ɛn afta dat i kin kɔmɔt.
Apat frɔm we yu de vɔmit blɔd, yu kin si bɔku ɔda sayn dɛn.
| Di sayn we de sho se di sik de | Wetin dis min? |
|---|---|
| Dak blak, stika stɔl dɛn | I tan lɛk tar. Dis na bikɔs di blɔd we de kɔmɔt na di ɔpa dijestiv trakt de travul tru di insay, i de digest, ɛn kɔmɔt wit di stɔl. Dis na wetin dɛn kɔl blɔd. |
| Diziz ɛn fɔdɔm | As blɔd de kɔmɔt na di bɔdi, di blɔd we de na di bɔdi de go dɔŋ ɛn blɔd prɛshɔn kin go dɔŋ. Dis kin mek pɔsin in ed de tɔn ɛn fɔdɔm. |
Yu tink se dis kin rili siriɔs? Wetin na di prɔblɛm dɛn we kin apin?
Bɔrku tɛm, dis nɔr kin bi siriɔs sik. Bɔt if dɛn nɔ trit am, di kɔntinyu fɔ lɔs blɔd kin mek i gɛt anemia , we kin mek i gɛt sɔm sayn dɛn lɛk fɔ taya ɔltɛm ɛn fɔ blo shɔt.
Bɔt i nɔ kin apin so ɔltɛm, if di wata we de kɔmɔt na di εsophagus big ɛn bɔku blɔd lɔs wantɛm wantɛm, di bɔdi kin shɔk . Dis na siriɔs sik we nid fɔ gɛt mɛrɛsin kwik kwik wan.
If yu fil se yu nɔr de rɛst pasmak, yu mɔt dɔn dray, yu de fil lɛk yu nɔr de fil fayn, yu de fil kol ɛn yu nɔr de fil fayn, yu at de bit kwik kwik wan, yu de blo shalo ɛn kwik, ɛn yu wik bad bad wan, dɛn tin ya kin bi sayn dɛm fɔ shok. If na so i bi, yu fɔ go na ɔspitul wantɛm wantɛm.
Aw yu go fɛn dis, Dɔktɔ?
If yu gɛt sayn dɛn lɛk fɔ vɔmit blɔd, yu dɔktɔ go aks yu sɔm kwɛstyɔn dɛn fɔs, mɔ bɔt tin dɛn lɛk fɔ vɔmit, kɔf, ɛn fɔ drink rɔm. Dɔn, dɛn kin du dɛn bɔdi ɛgzam ɛn du blɔd tɛst, mɔ fɔ kɔmplit blɔd kɔnt (CBC) . Dis kin chɛk fɔ si if pɔsin nɔ gɛt bɛtɛ blɔd.
Bɔt di men tɛst fɔ kɔnfɔm dis kɔndishɔn na ɛndoskɔpi .
Wetin na ɛndoskopi tɛst?
Nɔ fred di nem. Dis min se yu fɔ put wan tin we tan lɛk tin we kin chenj (ɛndoskɔp) we gɛt kamɛra we dɛn tay dɔŋ yu trot fɔ chɛk di insay pat pan yu εsophagus ɛn yu bɛlɛ. Dɛn go gi yu anestezi if yu want fɔ fil ɛni prɔblɛm we dɛn de du dis prɔsidyu. Dis kamɛra de mek di dɔktɔ ebul fɔ si ustɛm di kray wata de, aw i big, ɛn if i stil de blɔd.
Aw dɛn kin trit am? Yu tink se i nid fɔ du ɔpreshɔn?
As a bin dɔn tɔk bifo tɛm, fɔ bɔku pipul dɛn, dɛn kray wata ya kin wɛl fɔ dɛnsɛf insay sɔm dez we dɛn nɔ gɛt ɛni spɛshal tritmɛnt. Bɔt yu dɔktɔ kin gi yu mɛrɛsin fɔ ridyus di asid na yu bɛlɛ fɔ ɛp yu fɔ wɛl te di wund wɛl.
- H2-rεsεptor blכkεr dεm
- Proton pɔmp inhibito dɛn (PPI dɛn) .
Dɛn mɛrɛsin ya de ridyus di we aw di bɛlɛ de mek di gastric acid. Bikɔs we di asid dɔn ridyus, di wund we dɔn rɔtin kin wɛl kwik kwik wan.
Wetin fɔ du if di blɔd nɔ stɔp?
Na smɔl tɛm nɔmɔ if di blɔd nɔ stɔp fɔ insɛf, dɛn kin trit am di sem tɛm we dɛn de trit am wit di ɛndoskopi. Dɛn tin ya nɔto big big ɔpreshɔn.
- εndoskopik injεkshכn tεrapi: dεn kin injεkt mεdikeshכn lεk εpinephrine insay di wund tru di εndoskop. Dis kin mek di blɔd vesel dɛn kɔnstrikt ɛn stɔp di blɔd wantɛm wantɛm.
- εndoskopik εlektrokoaguleshכn: dεn kin du dis bay we dεn de yuz ilektrikal kכrant fכ sial di vein we de bכn, we lεk we dεn de sכlda.
- Endoscopic hemoclip: Dɛn kin put smɔl mɛtal klip fɔ lɔk di kray wata.
- εndoskopik bכnd ligεshכn: dεn kin put wan tin we lεk rכba bכnd oba di εria we dεn tכn fכ stכp di bכdi kכmplit wan.
Na smɔl tɛm nɔmɔ, we nɔ pan dɛn tin ya nɔ kin wok fayn, wi kin yuz wan we we dɛn kɔl angiotherapy ɔ laparoscopic procedure. So, nid nɔ de fɔ mek wi fred tumɔs fɔ mek dɛn gɛt ɔpreshɔn.
Yu tink se dɛn go ebul fɔ mek dis nɔ apin igen?
Yɛs, i rili pɔsibul. De men tin wae yu fɔ du na fɔ kɔntrol di men tin dɛm wae de mek dis sik.
1. Kɔntrol di we aw yu de drink rɔm: If yu na pɔsin we de drink pasmak, yu kin ridyus dis prɔblɛm bad bad wan bay we yu stɔp fɔ drink ɔ lɛf fɔ drink am kpatakpata. If yu nid ɛp fɔ du dis , tɔk to yu dɔktɔ opin wan . I go ebul fɔ gi yu di gayd we yu nid.
2. Gɛt tritmɛnt fɔ ɔda mɛrɛsin: If yu gɛt sik lɛk GERD , ɔ yu de vɔmit ɔltɛm, i rili impɔtant bak fɔ mek dɛn trit am fayn fayn wan.
Ustɛm yu fɔ go to dɔktɔ wantɛm wantɛm?
Dis na di pat we impɔtant pas ɔl. If yu gɛt ɛni wan pan dɛn sik ya, nɔ de na os.Go na ɔspitul in Imejɛnsi Tritmɛnt Yunit (ETU) wantɛm wantɛm.
- If blɔd de na di vɔmit (ivin if i rɛd ɔ di kɔlɔ we kɔfi grɔn gɛt).
- If yu stɔl blak lɛk tar .
Mɛmba se dɛn sik ya kin bi sayn fɔ nɔto jɔs Mallory Weiss Tear, bɔt ɔda siriɔs tin dɛn lɛk bɛlɛ ɔlsa ɛn kansa. So nɔ ɛva ignore dɛn sayn ya te yu no gud gud wan wetin na di kɔz. If yu go to dɔktɔ kwik kwik wan, dat kin sev yu layf.
Mɛsej we dɛn kin kɛr go na os
- Mallory Weiss Tear na we di insay wכl na di εsophagus (di tכb we de rכn frכm di trot to di bεlε) we de kכz fכ vכmit כ rεtch pasmak.
- Di men sayn dɛm na fɔ vɔmit blɔd ɛn pas blak, tar stɔl.
- Fɔ drink pasmak na wan big tin we kin mek pɔsin gɛt dis sik.
- Bɔrku tɛm dɛn kray wata ya kin wɛl fɔ dɛnsɛf if yu nɔr gɛt ɛni tritmɛnt, bɔt nɔr kin ɛva ignore de sayn dɛm.
- If yu de vɔmit blɔd ɔ yu de pas blak stɔl, go na ɔspitul in Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm ɛn go to yu dɔktɔ.
💬 Comments (0)
No kɔmɛnt nɔ de yet. Ad yu kɔmɛnt ya fɔ di fɔs tɛm.
Ad yu kɔmɛnt