Yu intestinal sɛf de gɛt ridyus blɔd flɔ? Dɛn kɔl dis Mesenteric Ischemia!

Yu dɔn ɛva gɛt bɛlɛ we nɔ go ebul fɔ bia? Ɔ yu kin fil lɛk se yu bɛlɛ de at afta yu dɔn it ɛn i tan lɛk se i de wɔs? If yu gɛt sɔm kayn sik lɛk dis, e kin bi bikɔs ɔf wan sik wae nɔr kin bɔrku bɔt wae kin denja. Wi go tɔk bɔt wan pan dɛn kayn tin ya tide. Dɛn kɔl am Mesenteric Ischemia . Nɔ wɔri, wi go tɔk bɔt dis simpul wan ɛn di we we yu go ɔndastand.

Wetin na dis mesenteric ischemia?

Fɔ tɔk am simpul wan, mesenteric ischemia na we sɔm pat dɛn na yu dijestiv sistɛm nɔ de gɛt inof blɔd . I tan lɛk we di wata we de na yu tap de rɔn smɔl. Bɔku tɛm, dis kin apin bikɔs di blɔd vesel dɛn we de gi blɔd to dɛn pat dɛn de kin blok.

Dis sik kin bɔrku pan pipul dɛm wae dɔn ol, mɔr lɛk di wan dɛm wae gɛt hat sik ɔr blɔd we nɔr de rɔtin.

Tink bɔt am, ɔl di sɛl dɛn, ɔl di tisu dɛn, ɛn ɔl di ɔgan dɛn na wi bɔdi nid ɔksijɛn. Dis ɔksijɛn de kɔmɔt na di blɔd. So, we di blɔd nɔ de go fayn, dɛn ɔgan ɛn tisu dɛn de nɔ gɛt bɛtɛ ɔksijɛn ɛn dɛn nɔ kin ebul fɔ wok fayn. If di blɔk bad bad wan, dɛn ɔgan ɛn tisu dɛn de kin ivin bigin fɔ day . Bɔku tɛm dis kin bi wan sik we de mek pɔsin day. So, i rili impɔtant fɔ no ɛn trit di sik kwik kwik wan.

Wetin di wɔd dɛn "mesentery" ɛn "ischemia" min?

• Mesentery: Dis na ɔgan we tan lɛk mɛmbran insay wi bɛlɛ. Na di tin we de ol wi smɔl intestinal, big intestinal, ɛn sɔm ɔda ɔgan dɛn na dɛn ples. Dɔn bak, wan nɛtwɔk we gɛt blɔd vesel dɛn de pas na dis mɛsentri we de gi blɔd to dɛn ɔgan dɛn de.
• Ischemia: Dis na we wan pat pan wi bɔdi nɔ de gɛt inof blɔd.

di mεsεntri ischemia min se dis rεdכks bכdi fכ fכlכ de afekt yu mεsεntri εn di כgan dεm we de wit am.

Yu tink se kayn tin dɛn de we kin apin to dis?

Yes, tu kayn mεsεntrik ischemia de mεntal:

1. Akyu Mɛsɛntrik Ischemia

Lɛk at atak ɔ strok, dis na tin we kin apin wantɛm wantɛm. Na we wan big at we de blok, jɔs lɛk dis wan. Bɔku tɛm na bikɔs blɔd de klɔt . De sik kin kam wantɛm wantɛm ɛn dɛn kin rili bad. Dis na mɛdikal imejensi we nid fɔ gɛt tritmɛnt kwik kwik wan .

2. Krכnik mεsεnεrik Ischemia (Krכnik mεsεntrik Ischemia) .

Dis kayn de divεlכp sכmtεm as tεm de go. I kin bi bikɔs yu mɛsenterik at dɛn kin smɔl smɔl. Di sayn dɛm kin wɔs as tɛm de go.

Udat dɛn kin gɛt dis sik mɔ? (Di tin dɛn we kin mek pɔsin gɛt prɔblɛm)

Mesenteric ischemia kin kכmכn mכr wit di ej. I kin gɛt fɔ du bak wit at sik ɛn sik dɛn we de mek di blɔd de rɔn, mɔ di tin dɛn we kin mek blɔd klɔt.

Na sɔm tin dɛn we kin mek pɔsin gɛt prɔblɛm:

• At ritm dizayd, fɔ ɛgzampul , atrial fibrillation .
• Koronari at sik .
• Dayabitis (Dayabitis Mɛlitɔs) .
• At we nɔ de wok fayn .
• Ay blɔd prɛshɔn (Hypertension) .
• di ay kכlestכl lεvεl na di bכdi (Hyperlipidemia) .
• Dizayd dɛn we de mek pɔsin gɛt aypa kɔaguleshɔn .
• Di ɔpreshɔn we dɛn jɔs du.
• Sik dɛm we de na di blɔd vesel dɛm na di limb dɛm, fɔ ɛgzampul , peripheral artery disease .
• Yuz tabak - ilɛksɛf yu bin de yuz am trade ɔ yu de yuz am naw.

Dis sik nɔr kin bɔrku. I kin apin to lɛk 1 ɔ 2 pan ɔl 1,000 pipul dɛn we de na ɔspitul.

Aw dis sik kin afɛkt di bɔdi? Wetin mek i denja?

Ɛni sɛl, tisu, ɛn ɔgan na wi bɔdi nid blɔd ɛn ɔksijɛn ɔltɛm. If da sapɔt de lɔs, dɛn kin bigin fɔ day. di men rizin we mek di mesenteric ischemia denja na bikɔs i de afɛkt wi intestines . Bɔku trilyɔn baktri dɛn de insay wi intestinal.

Nɔmal wan, dɛn bɔdi ya kin fayn fɔ wi, ɛn dɛn kin ɛp wi fɔ digest di it we wi de it. Bɔt we di intestinal dɛn bigin fɔ day, dɛn bɔdi ya kin skata to ples dɛn we dɛn nɔ fɔ de ɛn mek dɛn gɛt denja infɛkshɔn . Dis kin mek yu gɛt wan sik we de mek yu layf de pan denja we dɛn kɔl sɛpsis . Sepsis na we wi imyun sistεm de riak pasmak pan infεkshכn, we de mek wi כwn bכdi dεm.

Wetin kin mek dis apin?

difrεn kכz dεm de fכ difrεn tכp dεm fכ di mεsεntrik ischemia.

Di tin dɛn we kin mek pɔsin gɛt Akyu mɛsenterik Ischemia:

Wan tin we tan lɛk waks we dɛn kɔl plek kin gɛda insay wi at, ɛn dis kin mek dɛn at. Dɛn kɔl dis atɛrosklɛrosis . Dɛn kin si dis wit at sik. If wan pan dɛn plek ya brok, blɔd kin klɔt.

We dɛn we di blɔd kin mek pɔsin blok:

• bכdi we de kכlכt na yu mεsεntrik at (15% - 25%): Sכm mεdikal kכndyushכn dεm de mek i izi fכ blכd kכlכt fכ fכm na yu bכdi vεsεl dεm. If dis kayn klɔt fɔm na yu mɛsenterik at, i kin mek yu gɛt akyu mɛsentrik ischemia.
• di mεsεntrik atεri εmbolizm (50%): Dis kin apin we wan bכdi we dεn fכm כdasay na di bכdi brok εn i de lod insay wan mεsεntrik at. Blɔd nɔ kin ebul fɔ flɔ pas di klot.
• di bכdi we de kכlכt na di mεsεntrik vein dεm (5%):Dis kin apun to pipul dεm wae gεt kכndyushכn wae de mek di bכdi kכlכt izi wan (lεk kכndyushכn dεm we dεn kin gεt frכm pikin). we kכlכt fכm na di mεsεntrik vein dεm, di blכd fכ fכlכ de blכk, εn blכd de fulכp biεn di kכlכt. Dis kin apin mɔ pan yɔŋ pipul dɛn.

wan kayn de bak we dεn kכl nכn-okluziv mεsεntrik ischemia (NOMI) . Na lɛk 20% pan di sik pipul dɛn we gɛt akyu mɛsenterik ischemia kin fɔdɔm insay dis kategori. Dis kin apin bikɔs di blɔd vesel dɛn kin kɔnstrikt ɔ spam. Dis kin gɛt bɔku tin dɛn we kin mek i apin:

• Drug: Sɔm at mɛrɛsin kin mek di blɔd vesel dɛn smɔl, ɛn drɔgs lɛk kɔkɛyn kin mek i smɔl.
• Di we aw dɛn kin du mɛrɛsin: Tin dɛn lɛk dayalaysis ɛn ɔpreshɔn kin mek di mɛsentri blɔd vesel dɛn kɔnstrikt.
• Wεlth kכndishכn: Dis kכndyushכn kin kכz fכ tin dεm lεk sepsis, at fεil, dεn wata, alerji, εn כda tin dεm.

Dis NOMI situeshɔn tek sɔm tɛm fɔ wɔs, bɔt i stil denja.

Di tin dɛn we kin mek pɔsin gɛt Chronik Mesenteric Ischemia:

Bɔku tɛm, dis kin apin bikɔs ɔf sik dɛn we de mek di blɔd de go na di blɔd we de mek di blɔd vesel dɛn smɔl. Dis narrowing, we dɛn kin kɔl bak stenosis , kin mek di blɔd we de flɔ to di mesentery nɔ bɔku as tɛm de go.

I kin bi bak we blɔd klɔt we de fɔm na wan mɛsentri blɔd vesel. If dis apin, di klot kin gro big ɛn di sayn dɛm kin bɔku fɔ sɔm dez ɔr wik.

pan ɔl we dis krεse sik nɔr de trɛtin layf wantɛm wantɛm, lɛk 40% pan di sik pipul dɛm wae gɛt akyu mɛsenterik ischemia gɛt krεse sik wae dɔn de bifo. Dat min se di sayn dɛn we pɔsin kin gɛt we di blɔd vesel dɛn smɔl kin wɔs wantɛm wantɛm we dɛn blɔd de blok bikɔs ɔf nyu blɔd we de klɔt.

Wetin na di sayn dɛm fɔ dis?

Di simptom dɛm fɔ mesenteric ischemia kin difrɛn difrɛn wan bay di kayn.

Di sayn dɛm fɔ Akyu Mɛsɛntrik Ischemia:

De sayn dɛm fɔ dis sik kin kam wantɛm wantɛm. Dɛn na:

• Sivεr bεlε pen: Dis na di mכst kכmכn simptom (75% - 80% pan di sik pipul dεm gεt am). Bɔku tɛm, i kin apin afta yu dɔn it. I nɔ kin izi fɔ no ustɛm i de na di bɛlɛ, bɔt di pen kin rili bad . Di pɔsin we sik kin se we dɔktɔ fil di bɛlɛ, i kin at pas aw i bin de tink. Dis kin bi di onli simptom na NOMI.
• Blɔt, nɔs, ɛn vɔmit: Dɛn tin ya kin kam wit bɛlɛ pen. Vɔmit kin kɔmɔn bak pan bɔku pipul dɛm (lɛk 70%).
• di chenj dεm we de apin na di bכdi we de muv: Dis kin kכz fכ tin dεm lεk kכnstεpshכn.
• Daya: Na lɛk 40% pan di sik pipul dɛn kin gɛt am. Bɔt i nɔ kin kɔntinyu fɔ de, bɔt i kin kam wan wan tɛm. Dayrɛa kin rili bad, dɔn yu kin gɛt siriɔs pen. Na di siriɔs stej fɔ di sikBlɔd dayarɛa na kɔmɔn tin.
• We yu de lɔs yu wet: Dɛn kin si dis bak pan akyu kes dɛm. I kin bi bikɔs i nɔ lɛk it bikɔs i de fil pen ɔ ɔda tin dɛn we kin apin bifo di sik bigin.
• Fiva: Dis kin bi sayn fɔ se yu gɛt infekshɔn we denja.

Bɔrku tɛm, di simptom dɛm fɔ krɛse mɛsenterik ischemia (luk dɔŋ ya) kin kam bifo dis akyu kכndyushכn bigin. Na lɛk af pan di wan dɛn we gɛt akyu sik kin gɛt krɛse sik fɔs.

Di simptom dɛm fɔ Kronik Mɛsenteri Ischemia:

De sayn dɛm fɔ dis sik kin apia smɔl smɔl ɛn kin bɔku as tɛm de go.

• Bɛlɛ at: Dis kin apin mɔ wan ɔ tu awa afta yu dɔn it. I kin fil lɛk se sɔntin de prɛs pan yu bɛlɛ (kramp). di pen kin apin na di כp pat na di bכdi כ arawnd di bεlε bכtכm.
• Fɔ fred fɔ it ɛn fɔ lɛf fɔ it bɔku bɔku it: As di sik de go bifo, di pen kin de mɔna am. Dis kin mek yu gɛt wan sik we dɛn kɔl "fud fred." Dis min se yu fɔ avɔyd it bikɔs yu tink se i go at afta yu dɔn it. Dis kin mek yu nɔ gɛt bɔku bɔku bɔdi .
• Chenj na tɔylɛt abit: Nid fɔ go tɔylɛt mɔ ɔ smɔl pas aw i bin de bifo.
• Daya: Na lɛk wan pat pan tri pan dɛn sik pipul ya kin gɛt dayarɛa. Bɔku tɛm, i kin de fɔ lɔng tɛm.

Aw dɔktɔ dɛn kin no bɔt dis? (Diagnosis) .

Dɔktɔ kin no if i gɛt mɛsenterik ischemia bay we i de du wan kɔmbayn ɛgzam pan in bɔdi, tɛst na lab, ɛn tɛst we i de tek imej. Bɔt i sɔri fɔ no se dis sik nɔ kin izi fɔ no we i bigin. Wan ɔda prɔblɛm na dat, bɔrku pipul dɛm wae gɛt dis sik nɔr kin ebul fɔ tɔk ɔr ansa kwɛstyɔn dɛn fayn fayn wan, mɔr lɛk wae dɛn de fil bad bad wan.

Us kayn tɛst dɛn kin du?

Bɔrku tɛst dɛn de wae kin ɛp fɔ no dis sik:

Fɔ chɛk yu bɔdi

Na dis say yu dɔktɔ de luk, fil, ɛn lisin to yu fɔ si if ɛni prɔblɛm de. Insay mesenteric ischemia, dɔktɔ dɛn kin fɛn tin dɛn lɛk:

• Sayn dɛm we pɔsin kin si: Fɔ blo na wan pan di men sayn dɛm. Sɔm pipul dɛn kin notis se dɛn de lɔs dɛn wet. bכku pipul dεn kin ledɔm na di pikin in posishכn bikoz dεn kin fil bad bad wan.
• Sayn dɛm we yu kin fil: Di dɔktɔ go palpate yu bɛlɛ. Sɔm pipul dɛn kin gɛt sɔri-at na sɔm say dɛn na dɛn bɛlɛ. Bɔku pipul dɛn go tɛns we di dɔktɔ tray fɔ tɔch dɛn bɛlɛ (guarding). Bɔku tɛm, di wan dɛn we sik kin tɔk se i kin at pas fɔ jɔs tɔch dɛn bɛlɛ.
• Sayn dɛm we yu kin yɛri: Yu dɔktɔ go lisin to di sawnd dɛm na yu dijestiv sistɛm wit stetɔskɔp. Dɛn sawnd ya we dɛn kɔl borborygmi , nɔ kin yɛri bɛtɛ na di mɛsenteri ischemia. If i siriɔs, nɔr de sawnd atɔl. Sɔntɛm,Yu kin yɛri "bruit" sawnd bak. Dis na sawnd we dɛn kin yɛri wit sɔm blɔd klɔt.

Dɛn fyzikal tɛst ya nɔr kin no ɛnitin we impɔtant te di sik dɔn rili go bifo. So i kin tek lɔng tɛm fɔ no bɔt dis sik, we na wan pan di rizin dɛn we mek i rili denja.

Labɔrɔtɔri tɛst dɛn

Dɛn tɛst ya kin luk fɔ chenj dɛn na di blɔd, mɔ di ɔksijɛn we de insay ɛn di ebul we i ebul fɔ klɔt. Dɛn kin luk bak aw di imyun sistɛm de ansa to wan infɛkshɔn. Ɔda tɛst dɛn kin luk fɔ kemikal dɛn we kin gɛda na di blɔd bikɔs di sɛl ɛn tisu dɛn dɔn pwɛl ɔ we de day.

Imej ɛn Ɛndoskopi

di bεst we fכ no di mεsεntrik ischemia na fכ luk fכ εria dεm we di bכdi fכ fכlכ dכn כ we nכ de fכ fכlכ. Bɔku tɛst dɛn we dɛn kin du fɔ tek pikchɔ kin ɛp fɔ du dis:

• Ultrasound: Dis min se yu fɔ sɛn ay frikyuɛnsi sawnd wev dɛn tru wan divays we dɛn put na yu bɛlɛ skin. Dɛn sawnd wev ya de wok di sem we aw bat dɛn de "si," we de mek wan pikchɔ we de ɛp dɔktɔ dɛn fɔ fɛn say dɛn usay blɔd de flɔ slo ɔ we nɔ de. Difrɛn kayn ɔltra saund kin no bak ɔmɔs blɔd de flɔ tru difrɛn blɔd vesel dɛn.
• Angiography: Dis na di bεst εn rilibul we fכ no di mesenteric ischemia. Insay angiografi, dɛn kin put wan day we dɛn kɔl kɔntrast insay di men blɔd vesel dɛn na yu bɛlɛ. Dɔn di bɛlɛ dɛn kin sho klia wan we dɛn tek ɛkstrem rayt ɔ CT skan . I kin sho bak se di vessel dεm we dεn blכk sכm pat כ kכmplit wan. Sɔntɛnde, dɛn kin put kateta , we na wan lɔng tin we tan lɛk tiub, insay wan big blɔd vesel ɛn dɛn kin si di blɔd vesel we di sik afɛkt frɔm insay.
• Ɛndoskopi: Insay dis we aw dɛn de du dis, dɔktɔ kin put wan tin we kin chenj we dɛn kɔl ɛndoskop insay yu dijestiv trakt fɔ luk fɔ sayn dɛn we de sho se yu gɛt ischemia. If di prɔblɛm de nia di bɛlɛ, dɛn kin put di ɛndoskɔp tru yu mɔt ɛn pas am dɔŋ insay di smɔl intestinal. if di prכblεm de na di big intestכn כ di lכw pat pan di sכmכl intestכn, dεn de put di εndoskop tru yu rεktum (we sεm lεk kכlonoskopi). Dɛn kin yuz anestezi fɔ dɛn tin ya. Dɛn kin du ɛndoskopi fɔ pipul dɛn we nɔ kin ebul fɔ gɛt kɔntrast injɛkshɔn (fɔ ɛgzampul, di wan dɛn we gɛt alɛji ɔ kidni prɔblɛm).

Yu tink se tritmɛnt de fɔ dis? Yu tink se dɛn kin mɛn am?

Yɛs, dɛn kin trit di mɛsenterik ischemia ɛn rivɛns am if dɛn kech am kwik .

Di fɔs tin we yu fɔ du na fɔ mek blɔd go bak kwik kwik wan. Bikɔs di mesenteric ischemia kin bi denja as tɛm de go, dɔktɔ dɛn kin se dɛn fɔ du ɔpreshɔn wantɛm wantɛm.

We di blɔd dɔn flɔ bak, di nɛks tin we dɛn fɔ du na fɔ chɛk fɔ si if ɛni tisu dɔn pwɛl ɔ we dɔn day. If sɔm pat dɛn na di intestinal ɔ kɔlon dɔn day bikɔs dɛn nɔ gɛt blɔd, fɔ pul dɛn pat dɛn de na di wangren we fɔ mek di tin dɛn we dɔn pwɛl ɛn mek dɛn nɔ gɛt prɔblɛm dɛn we go mek pɔsin in layf de pan denja.

Us tritmɛnt ɛn mɛrɛsin dɛn kin gi?

di tritmεnt dεm εn di intavεnshכn dεm difrεn dipכnt pan di kayn mεsεntrik ischemia εn di say we di kכz de.

Tritmɛnt fɔ Akyu Mɛsɛntrik Ischemia:

Di tritmɛnt we go wok pas ɔl fɔ dis na ɔpreshɔn , bikɔs di dɔktɔ kin pul di blɔd we dɔn klɔt dairekt wan, mek di blɔd vesel we dɔn smɔl, ɔ put stent , we tan lɛk freym we kin mek di blɔd vesel opin.

If i nɔ pɔsibul fɔ mek di blɔd go bak dairekt wan, di dɔktɔ we de du di ɔpreshɔn kin tek wan pat pan di blɔd vesel frɔm ɔda pat na yu bɔdi ɛn mek wan baypas . Di baypas de baypas di say we dɛn dɔn blok ɛn mek di blɔd flɔ bak.

Afta di blɔd dɔn go bak, di dɔktɔ we de du di ɔpreshɔn go chɛk di tisu we de rawnd am fɔ si if i gɛt sayn dɛn we de sho se i dɔn pwɛl. If ɛni say de we dɔn day ɔ we dɔn pwɛl, dɛn go pul am ɛn mek di say fayn so dat i go wok fayn tumara bambay. Bɔku tɛm, dɛn kin nid fɔ du dis ɔpreshɔn fɔ di sɛkɔn tɛm, bikɔs i kin tek tu dez fɔ mek sɔm pan di tisu dɛn we dɔn day ɔ we dɔn pwɛl, kam fɔ si.

Di mɛrɛsin ɛn ɔda tritmɛnt dɛn we de sɔpɔt pɔsin kin gɛt:

• Fluid we dɛn kin put insay di bɛlɛ (IV): Dɛn tin ya kin ɛp if di blɔd prɛshɔn we de dɔŋ ɔ we nɔ gɛt wata na di bɔdi na prɔblɛm.
• Blɔd transfyushɔn: Dis rili impɔtant if bɔku blɔd dɔn lɔs.
• Ɔksijɛn: Dis kin mek yu bɔdi nɔ tray tranga wan fɔ mek blɔd go ɔlsay.
• Antibayɔtik: Dɛn tin ya impɔtant wit intestinal ɔpreshɔn, bikɔs di risk fɔ gɛt di sik kin bɔku bikɔs ɔf di baktri dɛm we nɔmal fɔ de na dɛn ɔgan dɛm de.
• Di tin dɛn we de mek blɔd tan: Dɛn mɛrɛsin ya de mek blɔd nɔ klɔt. dis nכ de כnli mek di mεsεntri ischemia nכ de kam bak, bכt i de mek i nכ gεt at atak, strכk, εn pulmonary embolism. Bɔt dɛn nɔ kin gi blɔd tin fɔ pipul dɛn we de pan denja fɔ mek dɛn blɔd bad bad wan.

Tritmɛnt fɔ Nɔn-ɔkluziv mɛsenterik ischemia (NOMI):

pan ɔl we dis na sɔbtayp fɔ akyu mɛsenterik ischemia, nɔ kin nid ɔpreshɔn ɔltɛm fɔ kɔrɛkt dis prɔblɛm (ɛn i nɔ kin rili ɛp fɔs), bikɔs NOMI kin involv fɔ smɔl di blɔd vesel dɛn we nɔ gɛt ɛni rial blɔk.

Di tin we impɔtant pas ɔl na NOMI na fɔ fɛn di tin we mek di vessel dɛn smɔl, trit am, ɛn mek i nɔ apin igen. Dis min se yu fɔ stɔp di mɛrɛsin ɔ drɔgs we bin de mek di blɔd vesel dɛn smɔl. If di tin we kin mek pɔsin gɛt NOMI na ɔda sik lɛk sepsis, fɔ trit da sik de go mek di blɔd flɔ bak to di mɛsentri.

If NOMI de wit di blɔd vesel dɛn we de smɔl, yu fɔ du balɔn angioplastyWan tin we dɛn kɔl kateshɔn kin ɛp. Insay dis prosidur, dɛn kin put kateta insay wan big blɔd vesel ɛn gayd am to di say we di blɔd afɛkt. Na de, dɛn kin blo wan balyɔn we de na di ɛnd pan di kateshɔn, ɛn dis kin mek di blɔd vesel we di sik afɛkt big.

Ɔda tritmɛnt dɛn:

• Vasodilators: Dɛn mɛrɛsin ya kin mek yu blɔd vesel dɛn big, ɛn dis kin mek blɔd flɔ izi wan.
• Antibayɔtik: Dɛn tin ya impɔtant ilɛksɛf yu nɔ gɛt ɔpreshɔn, bikɔs ɛni tɛm we di intestinal dɛn pwɛl, i kin izi fɔ mek yu gɛt di sik.
• Ɔksijɛn: I de mek di bɔdi nɔ tray tranga wan fɔ mek di blɔd go ɔlsay.

Tritmɛnt fɔ Kronik Mɛsenterik Ischemia:

Di tritmɛnt fɔ dis kin difrɛn smɔl dipen pan di kɔz, bɔt bɔku pan di tritmɛnt dɛn kin fiba di wan dɛn fɔ akyu mɛsenteri ischemia.

Ɔpreshɔn na kɔmɔn tin fɔ dis, mɔ if blɔd de klɔt sloslo ɔ blɔd vesel dɔn smɔl bad bad wan. Dɛn kin nid ɔpreshɔn bak if blɔd de kɔmɔt insay pɔsin in bɔdi, infekshɔn, sɛpsis, ɔ ɔda siriɔs prɔblɛm dɛn de. Dɛn kin du baypas ɔpreshɔn bak if ɔda we dɛn nɔ ebul fɔ mek di blɔd go bak.

Dɛn de tink bak bɔt balyɔn angioplasty ɛn ɔda kateshɔn-based prosidur dɛm fɔ dis kɔndishɔn. Bɔku tɛm, dɔktɔ dɛn kin se dɛn fɔ du di ɔpreshɔn we dɛn de yuz kateshɔn pas di ɔpreshɔn ɛnitɛm we i pɔsibul. Bikɔs ɔpreshɔn nɔ kin tek bɔku pipul dɛn, i kin izi fɔ mek pɔsin wɛl frɔm di we aw dɛn kin du am wit kateshɔn.

Di mɛrɛsin dɛm wae dɛn kin gi fɔ dis kin bi di sem wit di wan dɛm wae dɛn kin gi fɔ akyu kes dɛm. I kɔmɔn bak fɔ gi mɛrɛsin we de mek blɔd tan we di blɔd we de klɔt de mek pɔsin blok we i nɔ de muv am.

Wetin na de prɔblɛm wae kin kam wit dis sik ɛn tritmɛnt?

Di kɔmplikeshɔn ɛn sayd ɛfɛkt dɛm fɔ dis prɔsidyu kin difrɛn difrɛn wan bay di tritmɛnt we yu de gɛt. Yu dɔktɔ kin ɛksplen di patikyula sayd ɛfɛkt ɛn prɔblɛm dɛn we yu kin gɛt fayn fayn wan.

in jεnarכl, dεn kכmplikεshכn ya kin apin wit mεsεntrik ischemia:

• Sepsis: Dis na infεkshכn wae de pasmak wae de mek yu imyun sistεm de riak pasmak εn mek yu bכdi damej we de mek yu layf de pan denja.
• Yu intestin ɔ kɔlon brok ɔ bɔs: Dis kin apin we sɔm pat dɛn pan dɛn ɔgan dɛn de, ilɛksɛf dɔn day ɔ we de day, bigin fɔ brok.
• We yu de lɔs yu wet: Dis kin apin mɔ pan krɛse mɛsenterik ischemia, bɔt i kin apin bak pan akyu kes dɛm (espɛshali pan pɔsin we bin gɛt krɛse sik bifo di sɔdɛn exacerbation).

Di prɔblɛm dɛn we kin apin we dɛn du ɔpreshɔn fɔ di mɛsenterik ischemia:

• Prɔblɛm dɛn we kin kam wit di we aw pɔsin de digest afta dɛn dɔn du di ɔpreshɔn.
• Kɔnstipɛshɔn ɔ dayarɛa.
• Blɔd we de kɔmɔt.
• Infεkshכn dεm.
• Kidni we nɔ de wok fayn .
• At atak ɔ strok (insay sɔm mɔnt afta dɛn du di ɔpreshɔn).

di prכblεm dεm we de fכ it afta dεn dכn pul di pat dεm na di sכmכl intestכnI kin apin. We sɔm pat dɛn na di smɔl intestinal nɔ de, i nɔ kin izi fɔ tek di tin dɛn we de insay di it. Bɔrku pipul dɛm wae gɛt dis prɔblɛm, wae dɛn kɔl shɔt bɔdi sindrom, nid spɛshal we fɔ it, lɛk fɔ gi dɛn tin fɔ it.

Aw a go tek kia ɔf misɛf ɛn kɔntrol mi sik dɛn?

If yu gɛt mesenteric ischemia, yu nid fɔ go to dɔktɔ kwik kwik wan (espɛshali if na wan kayn we we kin apin wantɛm wantɛm). If yu gɛt chronic mesenteric ischemia, yu fɔ trit di sik lɛk aw yu dɔktɔ tɛl yu. Nɔ tray fɔ trit am yusɛf , bikɔs dis kin bi imejensi we go mek yu layf de pan denja.

Aw kwik a go wɛl afta dɛn dɔn trit mi?

If dɛn no di sik ɛn trit am kwik, bɔku pipul dɛn go bigin fɔ wɛl wans di blɔd we de go na di say we di sik dɔn afɛkt dɔn fayn. Ɔda wan dɛn kin bigin fɔ wɛl afta sɔm dez ɔ sɔm wiks.

Fɔ di wan dɛn we dɛn dɔn ɔpreshɔn, i kin tek sɔm tɛm fɔ mek dɛn wɛl. Bikɔs ɔpreshɔn na siriɔs tin, i kin tek tɛm fɔ mek i wɛl.

Aw a go ridyus di risk fɔ mek dis apin?

Bɔku tin dɛn de we yu kin du fɔ ridyus yu risk fɔ gɛt mesenteric ischemia. Bɔku pan dɛn tin ya na fɔ protɛkt ɔ avɔyd di kɔndishɔn dɛn we de mek di risk fɔ gɛt mɛsenterik ischemia.

Tin dɛn we yu kin du:

• Gɛt chɛk-ap ɛvri ia: Dis kin ɛp yu dɔktɔ fɔ kech di fɔs sayn dɛm fɔ tin dɛm lɛk at sik, ay blɔd prɛshɔn, ɛn ay kɔlɔstrel. Fɔ kech dɛn tin ya bifo di simptom dɛn sho kin mek big difrɛns fɔ mek yu nɔ gɛt siriɔs prɔblɛm lɛk mesenteric ischemia.
• Lɛf fɔ smok: Dis kin min fɔ vap ɛn fɔ it tabak. If yu nɔ de yuz tabak, nɔ bigin. If yu tek tabak, i kin pwɛl yu blɔd vesel ɛn i kin rili mek yu gɛt prɔblɛm lɛk mɛsenterik ischemia.
• Tek yu mɛrɛsin kɔrɛkt wan: If yu gɛt ay blɔd prɛshɔn, ay kɔlɔstrel, ɔ dayabitis, if yu tek yu mɛrɛsin kɔrɛkt wan, dat kin ɛp fɔ mek yu nɔ pwɛl we kin mek yu gɛt mesenteric ischemia.
• It fayn, balans it: Bɔrku pan de prɔblɛm dɛm wae kin mek yu gɛt mesenteric ischemia gɛt fɔ du wit yu wet ɛn yu it. Fɔ it we gɛt bɔku fat ɔ sɔdiɔm kin mek yu kɔlɔstrel ɛn blɔd prɛshɔn go ɔp, ɛn dɛn ɔl tu kin mek yu gɛt mɛsenterik ischemia.
• Stay active: Fɔ du bɔdi wok impɔtant fɔ di wɛlbɔdi na yu at ɛn di blɔd sistɛm, ɛn bak fɔ mek yu gɛt wɛl bɔdi wet.

Yu tink se dɛn go ebul fɔ mek dis nɔ apin?

Bɔrku pan di tin dɛm wae kin ɛp fɔ mek yu nɔr gɛt mesenteric ischemia na di sem wit di wan dɛm wae kin ridyus di risk. Bɔt i sɔri fɔ no se, insay sɔm kes dɛm – mɔ if yu gɛt injuri ɔ wan kɔndishɔn we de mek yu blɔd klɔt izi wan – i nɔ pɔsibul fɔ mek yu nɔ gɛt am.

Wetin kin apin if yu gɛt dis sik? Wetin yu go ɛkspɛkt fɔ go bifo?

Bɔt i sɔri fɔ no se, mɛsenterik ischemia, ilɛksɛf na di kayn sik we i gɛt, na sik we at fɔ no. We yu wet fɔ mek dɛn no se yu gɛt di sik, dat kin mek yu nɔ gɛt di tritmɛnt. If dɛn nɔ gɛt di tritmɛnt kwik, bɔku tɛm, akyu mɛsenterik ischemia kin kil pɔsin. Di mכtalman rεt fכ di akyu fכm fכ di sik de bitwin 50% εn 80% , εspεshali if di tritmεnt delay. If dεn gεt tritmεnt insay 12 awa afta di blכk bigin, di mכtalman rεt kin lכs lεk 14%. Krεse mεsεntri ischemia kin gεt lכng tεm bad bad ifekt dεm bak, i kin bi fכ di risk fכ di blכd fכ fכlכ prכblεm כ fכ di nyutrishכnal dεfichεshכn.

Pipul wae gɛt mesenteric ischemia kin gɛt mɔ risk bak fɔ gɛt ɔda tin dɛm wae gɛt fɔ du wit ischemia, lɛk hat atak, strok, ɛn pulmonary embolism. Fɔ go to yu dɔktɔ ɔltɛm impɔtant fɔ mek yu nɔ gɛt prɔblɛm dɛn we go de fɔ lɔng tɛm ɛn fɔ mek yu nɔ gɛt ɔda sik dɛn we go mek yu layf de pan denja.

Aw lɔng dis tin go las?

Akyu mesenteric ischemia na sכt tεm kכndyushכn, biכs i kin kil (if dεn nכ trit am). Krεse mεsεntrik ischemia kin tek de כ wik fכ divεlכp. Bɔt, tritmɛnt fɔ dis kɔndishɔn – mɔ fɔ trit am kwik kwik wan – kin ɔltɛm rivɛns di kɔndishɔn insay sɔm awa.

Ustɛm a kin go bak na wok/skul?

Yu dɔktɔ kin tɛl yu fayn fayn wan bɔt aw yu fɔ wɛl. Dipen pan aw yu sik ɛn di tritmɛnt wae yu de gɛt, bɔrku pipul kin go bak to nɔrmal tin fɔ du insay sɔm dez ɔr wik. If tin tranga, mɔ afta dɛn dɔn du di ɔpreshɔn, i kin tek lɔng tɛm.

Aw a kin tek kia ɔf misɛf (afta a dɔn wɛl)?

Afta yu gɛt mesenteric ischemia, i rili impɔtant fɔ fala yu dɔktɔ in instrɔkshɔn. Na in na di bɛst pɔsin fɔ gayd yu fɔ no aw fɔ kia fɔ yusɛf ɛn mek yu nɔ gɛt ɔda prɔblɛm.

Bɔku tɛm, yu fɔ du dɛn tin ya:

• Si yu dɔktɔ lɛk aw dɛn se: Fɔ fala yu kin mek big difrɛns fɔ kech kɔmplikeshɔn ɔ ɔda prɔblɛm dɛn we gɛt fɔ du wit dis sik.
• Tek yu mɛrɛsin dɛn jɔs lɛk aw dɛn tɛl yu fɔ tek am: Dis kin apin mɔ fɔ mɛrɛsin dɛn we gɛt fɔ du wit yu at, yu blɔd sistɛm, dayabitis, kɔlɔstrel, ɔ yu blɔd we de mek yu blɔd klɔt.
• Stɔp fɔ smok, ɔ nɔ bigin: Smok na big tin we kin mek yu gɛt mesenteric ischemia bikɔs i kin pwɛl yu blɔd vesel dɛn. I kin mek am izi bak fɔ mek blɔd klɔt, we kin blok impɔtant blɔd vesel dɛn.
• Fɔ fala yu dɔktɔ in advays bɔt aw fɔ it ɛn aw fɔ du tin: Dɛn advays ya go ɛp fɔ mek yu ɔl gɛt wɛlbɔdi, ɛn i go ɛp fɔ mek yu nɔ gɛt di sik we dɛn kɔl mesenteric ischemia bak.

Ustɛm a fɔ go to dɔktɔ?

If di sayn dɛm fɔ mesenteric ischemia kam bak, chenj, ɔr kam bad, yu fɔ go to yu dɔktɔ. Dɔn bak, aks am bɔt ɛni spɛshal wɔnin sayn ɔ sayn we yu fɔ kɔl in ɔfis fɔ, ɔ go to dɔktɔ.

Ustɛm a fɔ go na ɔspitul kwik kwik wan? (Imejɛnsi dɛn)

Yu fɔ go to dɔktɔ kwik kwik wan if yu sik dɛn we nɔ de mɛn chenj ɔ kam bad bad wan, ɔ if yu gɛt ɛni sayn fɔ akyu mɛsenteri ischemia.

Di akyu simptom dɛm na:

• Bɛlɛ de at (espɛshali if i bigin wantɛm wantɛm).
• Bɛlɛ de blo, nɔs, ɛn vɔmit.
• Chenj na di tɔylɛt abit (aw ɔltɛm yu kin go).
• Dayrɛa we kin rili bad ɔ we kin apin ɔltɛm.
• We yu de lɔs yu wet wantɛm wantɛm.

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

Mesenteric ischemia kin bi wan sik we de mek pɔsin fred, mɔ we i kam wantɛm wantɛm. Bɔt gud tin na dat, di mɛrɛsin dɛn we dɛn de yuz tide dɔn mek bɔku tin dɛn fɔ no bɔt di sik kwik kwik wan ɛn fɔ trit am. Sɔm tin dɛn de bak we yu kin du fɔ ridyus yu risk fɔ gɛt dis sik ɛn fɔ mek i nɔ kam bak wans yu dɔn wɛl. De bes tin wae yu kin du na for no yu risk dem en manej dem. Yu dɔktɔ kin ɛp yu fɔ du dɛn tu gol ya. I kin ɛp yu fɔ wɛl frɔm di sik ɔr fɔ mek yu nɔr gɛt am ɔltogɛda.

Nɔ ɛva ɔndastand se yu bɛlɛ de at bad bad wan. If yu gɛt dawt, go to dɔktɔ wantɛm wantɛm.