We yu go na tɔylɛt ɛn si se yu stɔl gɛt difrɛn, strenj blak kɔlɔ pas aw i kin bi, ɔlman kin fred smɔl, nɔto so? Bɔku tin dɛn kin kam na mi maynd. "Dis na somtin we denja? Wai dis de hapun to mi?" Na nɔmal tin fɔ tink. Dis na rili wan sayn wae nɔr fɔ ignore, ɛn e kin rili impɔtant. So tide wi go tok abaut dis blak stul, we na wetin wi medikal kol Melena.
Wetin na Mɛlena?
Fɔ tɔk am simpul wan, melena na blak, tar stɔl we kin kam bikɔs blɔd de kɔmɔt na di ɔp pat na yu dijestiv sistɛm, dat na , na di bɛlɛ ɔ ɔp pat na di smɔl intestinal .
Imajin, pan ɔl we blɔd rɛd, as i de kɔmɔt na di bɛlɛ to di insay, i de riak wit di kemikal dɛn we de na wi bɔdi we de digest. Jɔs lɛk aw ayɛn kin rɔst we i de na di san, as dis blɔd de travul na di dijestiv trakt fɔ lɔng tɛm, in kɔlɔ kin chenj ɛn i kin blak, stika, ɛn tar. Na dat wi de kɔl melena.
Wetin na di difrɛns bitwin melena ɛn nɔmal blak stɔl?
Di impɔtant tin fɔ ɔndastand ya na dat nɔto ɛvri tɛm we yu stɔl de tɔn blak, na bikɔs ɔf blɔd. Sɔm it ɛn mɛrɛsin dɛn kin mek yu stɔl blak bak. Na we dɔktɔ chɛk yu stɔl ɛn kɔnfyus se blɔd de insay, na in dɛn kin kɔl am melena.
Lɛ wi no klia wan bɔt dis difrɛns.
| Di kwaliti we pɔsin gɛt | Melena - Bikɔs ɔf blɔd | Kɔmɔn blak stɔl (bikɔs ɔf it ɔ mɛrɛsin) . |
|---|---|---|
| Kɔlɔ | Blak we rili dak (Jet blak). | I kin blak, bɔt i kin bi dak brawn ɔ grɛn bak. |
| Ɔltɛm | I kin stika ɛn i kin atak lɛk tar. | I gɛt di sem kɔnsistɛns lɛk nɔmal stɔl, ɛn i nɔ gɛt ɛni stika. |
| Smɛl | Wan smel we rili strɔng ɛn we nɔ fayn . Dat na bikɔs di blɔd de digest. | Nɔmal ɔda, nɔ patikyula smel we nɔ fayn. |
Wetin fɔ du if blɔd de kɔmɔt na di ɔda pat we de dɔŋ?
Yu go de wɔnda wetin mek nɔto ɔl di blɔd we de kɔmɔt na blak. Di rizin na usay di blɔd de kɔmɔt. If di blɔd kɔmɔt na say we de dɔŋ na di dijestiv trakt, lɛk di big intestinal, i nɔ kin tek lɔng fɔ mek di blɔd kɔmɔt. Na dat mek i kin kɔmɔt na di stɔl as brayt rɛd kɔlɔ .
Wetin na di men tin dɛn we kin mek Mɛlena gɛt dis sik?
Bɔku tin dɛn de we kin mek pɔsin gɛt blɔd na di ɔpa gastrointestinal, ɛn sɔm pan dɛn kin siriɔs.
- Pɛptik ɔlsa sik: Dis na di wan we kin mek i sik pas ɔl. Dɛn ɔlsa ya kin apin we di sik we dɛn kɔl gastritis kin rili bad.
- Sivεr inflameshn na di bεlε כ εsophagus (gastritis כ εsophagitis): di bεlε wכl כ εsophagus (fud paip) kin swεla εn inflam.
- Acute hemorrhagic erosive gastropathy: Sɔm mɛrɛsin dɛn lɛk pen kil, ɔ we pɔsin drink pasmak, dat kin mek di bɛlɛ wɔl rɔtin ɛn blɔd.
- Gastrointestinal perforation: Na perforation na di dijestiv trakt bikɔs ɔf aksidɛnt ɔ ɔda tin.
- Varicose veins in di esophagus ɔr bɛlɛ: Varicose veins na di esophagus ɛn bɛlɛ, mɔ pan pipul dɛm we gɛt liva sik kin swel ɛn brok, we kin mek yu blɔd bɔku.
- di εsophagus we de te biכs fכ vכmit pasmak: We yu de vכmit kכntinyu εn wit fכs pasmak, di εsophagus kin te εn blכd.
- Kansa: If yu gɛt kansa na yu bɛlɛ, yu it, ɔ yu pankrias, i kin mek yu blɔd bak.
- Vayral fiva lɛk Ebola: Pan ɔl we dɛn tin ya nɔ kin apin na Sri Lanka, sɔm bad bad vayral sik dɛn kin mek bak blɔd kɔmɔt insay pɔsin in bɔdi.
Ɔda rizin dɛn we mek di stɔl kin blak we i nɔ de blɔd
Bifo yu panik, tink if dɛn tin ya de mek yu stɔl bak blak.
- Ayɔn tablɛt: I rili kɔmɔn fɔ mek di stɔl tɔn blak we yu de tek ayɛn tablɛt fɔ anemia. Dis na nɔmal tin ɛn nɔto natin fɔ wɔri bɔt.
- Sɔm mɛrɛsin dɛn: Sɔm mɛrɛsin dɛn we gɛt bismuth subsalicylate, we dɛn kin yuz fɔ mɛn bɛlɛ prɔblɛm kin mek pɔsin gɛt blak stɔl bak.
- Charcoal we dɛn dɔn aktiv: .Dis mɛrɛsin we dɛn kin gi we pɔsin it pɔyzin, kin mek bak di stɔl tɔn blak.
- Fɔ it tin dɛn we gɛt dak kɔlɔ: If yu it bɔku bɔku it dɛn we gɛt dak kɔlɔ lɛk blɔd sosish, bluberi, ɛn pepul greps, dat kin chenj yu stɔl in kɔlɔ bak.
Wetin mek yu fɔ go to dɔktɔ ɛn us tɛst dɛn kin du?
If yu ivin tink se yu gɛt Mɛlena, di bɛst tin fɔ du na fɔ go to dɔktɔ, pas fɔ jɔs gɛs na os. Di dɔktɔ go aks yu kwɛstyɔn dɛn, rɔn di tɛst dɛn we yu nid, ɛn fɛn di rizin.
Bifo yu bigin fɔ trit yu, i impɔtant fɔ no di rayt tin we mek di blɔd de kɔmɔt. Dis kin bi bay we yu du tɛst dɛn lɛk:
- Fecal Occult Blood Test: Dis kin no if smɔl blɔd de na di stɔl we di yay nɔ de si.
- Blɔd tɛst: Dɛn kin gi yu aidia bɔt ɔmɔs blɔd yu bɔdi dɔn lɔs ɛn wetin de mek di blɔd de kɔmɔt.
- Skan: Tɛst lɛk CT skan ɔ CT angiogram kin ɛp fɔ no usay di blɔd de kɔmɔt.
- כp εndoskopi (EGD tεst): Dis na di tεst we imכtant pas כl εn we dεn kin du mכst. Dɛn kin put wan tint tiub we kin chenj ɛn we gɛt kamɛra we dɛn tay tru di mɔt ɛn chɛk di εsophagus, di bɛlɛ, ɛn di biginin fɔ di smɔl intestin. dis kin εp fכ si εksakכt usay di bכdi de, sכmtεm dεn kin trit am wantεm, εn tek sכm sכm tisu fכ egzamin (a `bayopsi`).
Risk simptom dɛm wae nid fɔ admit ɔspitul kwik kwik wan
If yu gɛt dɛn sik ya wit blak stɔl, go na ɔspitul in imejensi dipatmɛnt (ETU) wantɛm wantɛm, bikɔs dɛn tin ya kin bi sayn fɔ se yu de blɔd bad bad wan.
- Blɔd we de vɔmit (fres rɛd ɔ brawn lɛk kɔfi grɔn).
- Diziz bad bad wan, fil lɛk yu ed layt, ɛn yu kin fɔdɔm.
- Hat kin bit kwik kwik wan ɛn i nɔ kin izi fɔ blo.
- Blak stɔl fɔ sɔm dez insay wan row.
Mɛmba se blɔd we de kɔmɔt insay yu bɔdi na siriɔs tin ɔltɛm. Bay di tɛm we yu notis blak stɔl, i kin dɔn pas sɔm dez frɔm we di blɔd bigin fɔ kɔmɔt. So, i rili impɔtant fɔ go to dɔktɔ ɛn nɔ de te.
Mɛsej we dɛn kin kɛr go na os
- Blak, tar stɔl (melena) na big sayn fɔ blɔd, bɔku tɛm na di ɔp pat na di dijestiv trakt (lɛk di bɛlɛ).
- Nɔto ɔltɛm blak stɔl kin bi bikɔs blɔd de kɔmɔt. Ayɔn sɔpɔtmɛnt, sɔm mɛrɛsin dɛn, ɛn it dɛn bak kin mek dis apin.
- Melena kin gɛt wan smel we rili strɔng ɛn we nɔ kin fayn na di stɔl. Dis na gud sayn fɔ difrɛns am frɔm nɔmal blak stɔl.
- If blak stɔl gɛt ɔda sayn dɛn lɛk bɛlɛ pen, vɔmit, ɔ big big diziz, nɔ ignore am.
- If yu saspek se yu gɛt melena, nɔ delay ɛn go to yu dɔktɔ wantɛm wantɛm. I impɔtant fɔ fɛn di rayt rizin.
- If yu gɛt siriɔs sayn lɛk fɔ vɔmit blɔd, fɔ mek yu ed de tɔn bad bad wan, ɔ fɔ gɛt prɔblɛm fɔ blo, go na ɔspitul in Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm.
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