Aw yu kin fred as mama we yu si blɔd stayn na yu smɔl pikin in dayapɛt? Ɔ di pen we yu kin fil we yu pikin kin kɔntinyu fɔ kray bikɔs in bɛlɛ de at. Bɔrku rizin kin de fɔ dis kayn sik. Bɔt sɔmtɛm di tin we kin mek i apin na wan sik we dɛn bɔn wit we wi nɔ kin yɛri bɔku bɔt, bɔt i kin rili bɔku. Tide wi de tɔk bɔt wan pan dɛn kayn tin ya, we na Mɛkɛl in divɛrtikul.
Wetin na Mɛkɛl in Divɛrtikul?
Fɔ tɔk am simpul wan, Mɛkɛl divɛrtikul na smɔl paus we de fɔm na di wɔl na wi smɔl intestinal. Dis na wan sik we de apin we dɛn bɔn am. dat min se i de fכm we di pikin stil de na di bεlε. I rili kɔmɔn. Fɔ tɔk roughly, 2 ɔ 3 pan ɛvri 100 pikin dɛn kin bɔn wit dis sik.
Tink bɔt wi insay lɛk wan lɔng tiub. If wan smɔl pat pan di tiub we tan lɛk paus kɔmɔt na di wɔl, wi kin kɔl am divɛrtikul. Bɔt di divɛrtikul we Mɛkɛl gɛt spɛshal smɔl. biכs sכmtεm insay dis sכmכl paus kin gεt כda kayn tisu dεm we nכmal fכ de na di intestines. fכ bi mכr prεsis, tin dεm lεk bεlε tisu כ pankrεas tisu. we dεn fכnshכn dis kayn nכmal tisu na ples we i nכ de, wi kin kכl am εktopik tisu na mεdikal.
Bɔrku tɛm, dis Mɛkɛl in divɛrtikul nɔ kin kɔz ɛni prɔblɛm. Sɔm pipul dɛn kin liv dɛn wan ol layf we dɛn nɔ kin ivin no se dɛn gɛt dis. Bɔt sɔntɛnde, prɔblɛm kin apin bikɔs ɔf di ɛktɔpik tisu we a bin dɔn tɔk bɔt. fכ egzampl, if bכdi tisu de insay da sכmכl paus de, i kin bigin fכ kכl asid lεk di bεlε. di wכl na di sכmכl intestin nכ kin ebul fכ bia dis asid. Dɔn ɔlsa kin fɔm de ɛn bigin fɔ blɔd.
Wetin na di "Rule of 2s" we gɛt fɔ du wit dis?
wan we fכ izi fכ mεmba sכm imכtant tin dεm bכt mεkεl in divεrtikul na fכ yuz di "rul fכ tu." Dis kin ɛp wi fɔ mɛmba tin dɛm lɛk aw de sik kin kɔmɔn ɛn udat kin gɛt am.
| "Rul ɔf 2s" Fakt dɛn | Simpul ɛksplen |
|---|---|
| 2% pan di pipul dɛn we de de | Na lɛk 2% pan di ɔl pipul dɛm gɛt dis sik. |
| Na 2% nɔmɔ kin gɛt kɔmplikeshɔn | Na 2% pan di pipul dɛm wae gɛt dis kin gɛt sɔm kayn sik ɔr kɔmplikeshɔn (dat na, 98 pan 100 pipul dɛm nɔr gɛt prɔblɛm). |
| Di sayn dɛm kin sho ɔnda 2 ia | If di simptom dεm de sho, dεn kin bi mכst pan pikin dεm we nכ rich 2 ia yet. |
| 2 tεm pas aw i kכmכn pan man dεm | Man pikin dεm kin gεt kכmplikεshכn frכm dis kכndyushכn tu tεm pas uman pikin dεm. |
| i de lεk 2 fit frכm di εnd pan di sכmכl intestin | dis sכmכl paus de lεk 2 fit frכm usay di sכmכl intestכn de jכyn di big intestכn. |
| 2 tכp dεm fכ εktopik tisu | tu men tכp dεm kin de we nכ de insay dis. |
Wetin na di sayn dɛm we de sho se yu gɛt dis sik? Ustɛm wi fɔ dawt?
As a bin se bifo, bohku pipul no geht eni simptom. Bɔt if kɔmplikeshɔn dɛn kam pan sɔm we, den di sayn dɛn kin sho. Dɛn kin si dɛn tin ya bɔku tɛm we dɛn smɔl, bɔt sɔntɛnde dɛn kin apin ivin afta dɛn dɔn big. Dis na di men kɔmplikɛshɔn ɛn di sayn dɛm wae gɛt fɔ du wit dɛm.
Blɔd we de kɔmɔt na di bɛlɛ
Dis na di kɔmplikeshɔn we kin apin pas ɔl. di asid we de kכmכt frכm di εktopik gεstrik tisu we a bin mεnshכn de mek כlsa fכm na di intestinal wכl εn bigin fכ bכn.
- Speshal tin: Bɔku tɛm, i nɔ kin fil pen we yu de blɔd dis we.
- Di sayn dɛm fɔ pikin dɛm: Yɔŋ pikin dɛm kin notis dak rɛd blɔd na dɛn stɔl. Sɔntɛnde, di stɔl kin gɛt dak pepul kɔlɔ, ɛn i kin tan lɛk jeli.
- Di sayn dɛm fɔ big pipul dɛm: Na big pipul dɛm, di stɔl kin tɔn blak, lɛk tar .
- Apat frɔm dat: As di blɔd de kɔntinyu fɔ kɔmɔt, di blɔd we de na di bɔdi kin go dɔŋ, ɛn dis kin mek di bɔdi nɔ gɛt bɛtɛ blɔd . Dis kin mek yu gɛt sɔm sayn dɛm lɛk wae yu de shayn, yu taya, ɛn yu ed de tɔn.
Infεkshכn na di divεrtikul (Diverticulitis) .
Sɔntɛnde, sɔm pat dɛn na di stɔl kin stɔp insay da smɔl paus de, ɛn dis kin mek baktri infekshɔn ɛn swel.
- Di sayn dɛm: Dis kin tan lɛk di pen we pɔsin kin gɛt we i gɛt apɛndiks. Bɔku pen kin de na di bɛlɛ, mɔ we de rawnd di nɛf . Di bɛlɛ kin swel ɛn i kin fil pen we yu tɔch am. Fiva kin apin.
Intestinal Obstrɔkshɔn
Dis na sik wae nɔr kin bɔrku bɔt kin siriɔs. di mεkεl in divεrtikul kin blok di it we de pas tru di sכmכl intestכn kכmplit כ pat.
- Di sayn dɛm: Di bɛlɛ ful-ɔp, yu bɛlɛ kin pen bad bad wan, yu kin nɔs, ɛn yu kin vɔmit.
- Aw i kin apin: Sɔntɛnde wan strip pan di tisu frɔm divɛrtikul kin blok di intestinal. כda tεm dεm, wan kכndyushכn we wan pat pan di intestin de slip insay כda wan (intussusception) kin apin.
Di tin we impɔtant pas ɔl na dat, if yu si blɔd na yu pikin in stɔl, nɔ ignore am. Ivin if no pen nɔ de, kɛr yu pikin go to dɔktɔ wantɛm wantɛm.
Yu tink se dɛn prɔblɛm dɛn ya kin mek pɔsin denja?
Yɛs. If dɛn nɔ trit dɛn prɔblɛm ya, dat kin mek pɔsin in layf de pan denja. Fɔ ɛgzampul, if yu kɔntinyu fɔ blɔd, dat kin mek yu blɔd lɔs bad bad wan ɛn i kin mek yu shɔk. כlso, if di wund dip εn di intestinal pכl, di baktri dεm we de na di intestin kin spre כlsay na di bכdi, we kin mek i gεt siriכs infεkshכn (sepsis). So, i rili impɔtant fɔ go to dɔktɔ jɔs lɛk aw di sik dɔn sho.
Wetin mek dis tin kin apin?
Dis na stori we rili intrestin. insay di fכs wik dεm we di pikin de divεlכp as εmbriyo na di mama in bεlε, di pikin de gεt it frכm sכmtin we dεn kכl di yכlk sak. leta, we di plasεnta de divεlכp, di nid fכ dis yכlk sak de dכn. di tכb we de kכnekt di εmbrayo εn di yכlk sak (vitelline duct) fכ shrink εn i de abzכp insay di bכdi dis tεm.
Bɔt sɔntɛnde, dis tiub nɔ kin shrink ɔl, ɛn smɔl pat pan am kin lɛf. dat pat we de rεst na in de rεst insay di sכmכl intestin as mεkεl in divεrtikul. Sayɛnsman dɛn stil nɔ gɛt klia aidia wetin mek da ɛktɔpik tisu de fɔm insay am.
Aw fɔ no dis sik?
Sɔm pipul dɛn kin no se dɛn gɛt am bay we dɛn de du skan fɔ ɔda rizin. Ɔ dɛn kin jɔs bigin fɔ luk fɔ am we di sayn dɛn de sho. Di dɔktɔ dɛn we de mɛn pikin dɛn, mɔ if pikin we nɔ rich 2 ia yet gɛt blɔd we nɔ de pen na dɛn stɔl, kin sɔprayz se dis sik. Dipen pan di sayn dɛm, yu dɔktɔ kin tɛl yu fɔ du wan ɔ mɔ pan dɛn tɛst ya:
- Meckel’s Scan: Dis na di tɛst we impɔtant pas ɔl ɛn we bɛtɛ pas ɔl. Insay dis tɛst, dɛn kin injɛkt wan rili smɔl, sef doz fɔ wan redioaktiv tin insay wan vein na di an. if di bεlε tisu de insay di mεkεl in divεrtikul, di tisu de abzכp dis sכbstans. Dɔn, we yu si am wit spɛshal kamɛra (gama kamɛra), na di say nɔmɔ we di tisu de go shayn klia wan.
- Angiogram: Dis na spɛshal ɛkstrem tɛst fɔ di blɔd vesel dɛn. I kin chɛk fɔ ɛni abnɔmal blɔd vesel we de gi blɔd to di Mɛkɛl in divɛrtikul ɔ fɔ ɛni blɔd we de kɔmɔt.
- Ɛndoskopi: Sɔntɛnde, dɛn kin yuz smɔl tiub we gɛt kamɛra (enteroscopy) ɔ smɔl kapsul we tan lɛk kamɛra we dɛn kin swɛla (kapsul ɛndoskopi) fɔ chɛk insay di insay. If na smɔl pikin, dɛn kin put dis kamɛra kapsul insay di intestinal afta dɛn dɔn anestez am.
Wetin na di tritmɛnt dɛn?
If kɔmplikɛshɔn kam frɔm wan Mɛkɛl divɛrtikul, di wangren ɛn di bɛst tritmɛnt na fɔ pul di pat pan di divɛrtikul tru ɔpreshɔn. Dɛn kɔl dis ɔpreshɔn smɔl bɔdi rɛsekshɔn . Fɔ tɔk am simpul wan, dɛn kin kɔt di smɔl pat pan di insay we gɛt di divɛrtikul ɛn pul am, ɛn di ɔda tu pat dɛn na di insay kin kɔnɛkt bak.
Bɔku tɛm, dɛn kin du dis ɔpreshɔn wit laparoskopik . Dis min se dɛn kin du di ɔpreshɔn tru sɔm smɔl smɔl say dɛn na di bɛlɛ, pas fɔ kɔt big say. Dis kin mek i wɛl kwik kwik wan ɛn i nɔ kin gɛt bɔku skata.
Sɔntɛnde, ivin if nɔ simptom nɔ de, if skan fɛn ɛktɔpik gastric tisu insay wan Mɛkɛl divɛrtikul, yu dɔktɔ kin se yu fɔ du ɔpreshɔn fɔ pul am fɔ mek yu nɔ gɛt prɔblɛm dɛn tumara bambay.
Afta di ɔpreshɔn, yu ɛn yu pikin nɔ go mɔs dis prɔblɛm igen.
Mɛsej we dɛn kin kɛr go na os
- Meckel in diverticulum na wan bad bad tin we kin apin we pɔsin bɔn pikin, bɔt bɔku tɛm i nɔ kin du bad. Insay 98 pan 100 kes dɛm, i nɔ kin kɔz ɛni prɔblɛm.
- If yu notis dak rɛd blɔd na yu smɔl pikin in stɔl we nɔ gɛt ɛni pen , i kin bi sayn fɔ Mɛkɛl in divɛrtikul.
- Di sayn dɛm lɛk bad bad bɛlɛ pen rawnd di nɛv, fiva, ɛn vɔmit kin gɛt fɔ du bak wit dis.
- If yu gɛt ɛni wan pan dɛn sik ya, nɔ panik ɛn go to dɔktɔ wantɛm wantɛm. If dɛn no dis sik kwik kwik wan, dɛn kin mɛn am ɔl if dɛn du am simpul ɔpreshɔn.
- If yu na big pɔsin ɛn yu nɔr dɔn gɛt ɛni sayn te naw, di chans fɔ gɛt prɔblɛm tumara bambay nɔr kin bɔku.
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