Yu gɛt pen bak na di ɔp rayt say na yu bɛlɛ? Yu tink se na Mirizzi Syndrome?

Yu dɔn ɛva fil wan strenj pen ɔ diskɔmfɔt na di ɔp rayt say na yu bɛlɛ afta yu dɔn it it, mɔ di it we gɛt fat? Sɔmtɛm dis pen kin kam wit sɔm sayn dɛm lɛk fɔ nɔs ɛn fɔ yɔlɔ na yu yay, wit fiva. Bɔku tɛm, dɛn tin ya kin gɛt fɔ du wit prɔblɛm dɛn we di gal ston kin kam wit. Bɔt wan sik de we nɔ kin apin so ɔltɛm ɛn we kin kɔmplikt smɔl, we wi kin kɔl Mirizzi Syndrome. Tide, wi go tɔk bɔt dis ditayli ɛn simpul wan.

Wetin na di sik we dɛn kɔl Mirizzi Syndrome? Lɛ wi ɔndastand am rili simpul wan.

Okay, fɔs lɛ wi luk wetin na galston. yu gal blad na smɔl sak we de gɛda ɛn kip bayl, we di liva de mek. Dis bayl de ɛp wi fɔ dayjɛst di it we wi de it, mɔ di fat. Sɔntɛnde di tin dɛn we de insay dis bayl kin at ɛn tɔn to smɔl smɔl tin dɛn we tan lɛk ston we dɛn kɔl galston. Bɔrku pipul nɔr kin gɛt ɛni sayn wae dɛn gɛt dɛn ston ya. Bɔt sɔntɛnde dɛn ston ya kin stɔp na di bayl dakt dɛn, we na di smɔl smɔl tiub dɛn we de kɛr bayl.

Naw, Mirizzi Syndrome na wan kɔmplikeshɔn wae de kam wit gal ston, bɔt na difrɛn we smɔl. Wetin kin apin ya na dat wan ston we de insay di gal blad, ɔ insay ɔda bayl dakt, kin so big dat i kin prɛs pan ɔda big bayl dakt we de rɔn nia de. Imajin se we tu wata paip dɛn pas nia togɛda, sɔntin kin stɔp insay wan paip ɛn swel insay da paip de, ɛn i kin prɛs di ɔda paip na do. Na dat de apin na ya bak. Dis kin mek di bayl nɔ flɔ.

Sɔm kayn Mirizzi Syndrome de?

Yɛs, dɔktɔ dɛn kin klas Mirizzi Syndrome akɔdin to di kayn sik ɛn aw di bayl dakt dɛn dɔn pwɛl. Fɔ tɔk am simpul wan, insay sɔm kes dɛn, na di bayl dakt nɔmɔ kin smɔl frɔm di ɔdasay. כda kεys dεm we kכmpleks, i kin bi se wan abnכmal kכnεkshכn de bitwin di gal blad εn di bayl dakt we sכmtεm, we dεn kכl fistula. Dis klasification na rili impɔtant fɔ di ɔspitul dɛm fɔ plan tritmɛnt. If yu want fɔ no mɔ bɔt dis, yu kin tɔk to yu dɔktɔ.

Aw dis sik kin kɔmɔn?

Mirizzi Syndrome na rili wan sik we nɔ kin apin so ɔltɛm . I so rare dat dεn kin no am pan less dan 2.5% pan di pipul dεm we dεn du cholecystectomy. Bɔku tɛm dɛn kin kɔnfyus am wit ɔda kɔmɔn tin dɛn, so dɔktɔ dɛn kin jɔs kɔnfirm am we dɛn de du ɔpreshɔn.

Wetin na di sayn dɛm wae de sho se yu gɛt Mirizzi Syndrome?

Dɛn kin sheb di sayn dɛm fɔ dis sik to tri men kategori dɛm:

1. Inflameshɔn: Yu kin gɛt pen ɛn swel na di ɔp rayt say na yu bɛlɛ. Dis pen kin de ɔltɛm ɔr kin kam ɛn go.

2. Infεkshכn: Bɔku tɛm, fiva kin de. Di sayn dɛm kin bi fɔ nɔs, fɔ vɔmit, ɛn sɔntɛm fɔ gɛt dayarɛa.

3. Jandis: Di men sayn fɔ dis na yu skin we de tɔn yɔlɔ, di wayt na yu yay de tɔn yɔlɔ. Yu kin gɛt bak dak yɔlɔ/brawn urine ɛn layt kɔlɔ (kle kɔlɔ) stɔl.

Impɔtant: Dɛn sayn ya nɔr de fɔ di Mirizzi Syndrome. Bɔt if yu gɛt dɛn sik ya, i kin min se sɔntin nɔ fayn wit yu biliary system. So i go fayn fɔ mek yu go to dɔktɔ wantɛm wantɛm. Nɔto ɔlman go gɛt ɔl dɛn sik ya wan tɛm.

Wetin mek Mirizzi Syndrome kin apin? Wetin na di kɔz?

Fɔ tɔk am simpul wan, Mirizzi Syndrome kin kam bikɔs wan gal ston de prɛs na di ɔdasay na di bayl dakt. Lɛ wi ɛksplen dis smɔl mɔ.

Tink bɔt yu gal blad lɛk pia. Fat pat de na pia, i tan smɔl na di tap, i bulg smɔl mɔ na di nɛk, dɔn di stem de. So, di gal blad gɛt pɔch, nɛk (we dɔktɔ dɛn kɔl infundibulum ɔ Hartmann’s pouch), ɛn sistik dakt we de kɛr bayl kɔmɔt na di gal blad.

Di gal blad, di nɛk, ɛn di sistik dakt na di say dɛn we smɔl pas ɔl usay gal ston kin stɔp. Dɔn bak, dɛn strɔkchɔ ya kin rili nia dɛnsɛf. Insay sɔm pipul dɛn, dɛn kin de nia dɛnsɛf pas ɔda pipul dɛn. So, we gal ston stכk na dis ples, εn i gro εn swel, i de prεs pan di men bayl dakt we de nia (kכmכn bayl dakt - dis na di wan we de kכri bayl frכm di liva εn gal blad to di sכmכl intestin) כ di kכmכn hεpatik dakt (dis na di wan we de kכri bayl frכm di liva) frכm di כdasay. Na da tɛm de Mirizzi Syndrome kin apin.

Us ɔda kɔmplikɛshɔn kin apin bikɔs ɔf Mirizzi Syndrome?

If dɛn nɔ trit dis sik fayn, ɔda prɔblɛm dɛn kin kam. Sɔm ɛgzampul dɛn na:

• Kɔlestasis: Bikɔs di bayl nɔ kin ebul fɔ flɔ fayn, i kin bak ɔp insay di liva, we kin mek di liva inflamɛns.
• Cholangitis: Na baktri infεkshכn wit bayl kin spre to di liva, we kin mek i gεt siriכs infεkshכn. Dis na denja.
• Fistula: Bikɔs ɔf di inflamɛns we de kɔntinyu ɛn we di bayl de gɛda, di wɔl dɛn na di bayl dakt kin wik, we kin mek wan opin ɔ ol we nɔto in natura.
• Janda: Bikɔs di bayl de gɛda, di pigmɛnt bilirubin we de insay de gɛda na di blɔd, we de mek di skin ɛn di yay tɔn yɔlɔ.
• di malabsכpshכn: we di bayl nכ kin pas fayn fayn wan insay di sכmכl intestinal, di digεsshכn, spεshal wan fכ di protin dεm εn sכm nyutriεnt dεm, de bכku.

Aw dɔktɔ dɛn kin no se pɔsin gɛt Mirizzi Syndrome?

Dɔktɔ dɛn go du bɔku tɛst fɔ no if pɔsin gɛt gal ston ɛn prɔblɛm dɛn we gɛt fɔ du wit am. Fɔs, dɛn go du wan ɛgzam fɔ yu bɔdi fɔ luk yu bɛlɛ ɛn chɛk fɔ si if i swel. Dɔn dɛn go aks bɔt yu sik ɛn yu wɛl bɔdi istri.

If yu gɛt sayn dɛn fɔ se yu gɛt infɛkshɔn ɔ yu gɛt janda, yu dɔktɔ kin tɛl yu fɔ du blɔd tɛst lɛk dɛn wan ya:

• Kɔmplit blɔd kɔnt (CBC) .
• Test fɔ di wok we di liva de du

Apat frɔm dat, dɛn kin du bɔku tɛst dɛn fɔ tek di pikchɔ. Sɔm pan dɛn tin ya na:

• Ɔltrasɔund na di bɛlɛ
• CT skan (kɔmpyuta tomografi skan) .
• ERCP (Endoscopic Retrograde Cholangiopancreatography): Insay dis prosidur, dεn kin put εndoskop (tכb wit kεmεra) tru di mכt fכ luk di bayl dakt dεm.
• HIDA skan: Dis na spɛshal skan we de luk aw di gal blad de wok.
• MRI (magnɛtik rɛsɔnans imej) tɛst

Dɛn tɛst ya kin ɛp fɔ no aw di bayl dakt dɛn de, usay di ston dɛn de, ɛn if Mirizzi Syndrome de.

Aw dɛn kin trit dis?

Di men tritmɛnt fɔ Mirizzi Syndrome na ɔpreshɔn . Bɔt, no wan saiz ɔpreshɔn nɔ de fɔ ɔlman. Dɛn go mek di ɔpreshɔn fɔ yu patikyula kɔndishɔn.

Bɔku tɛm, dɛn kin pul di gal blad (cholecystectomy) ɛn dɛn kin mek di bayl dakt we dɔn blok. Sɔm kɔmplikɛt kes dɛm, dɛn kin pul di bayl dakt we dɔn blok, ɔ dɛn kin put smɔl tiub we dɛn kɔl stent fɔ mek di dakt opin. Di dɔktɔ we de du di ɔpreshɔn kin du dis ɔpreshɔn we nɔ kin ambɔg di ɔpreshɔn, we na laparoskopik (na we dɛn kin yuz kamɛra ɛn we kin mek dɛn kɔt smɔl smɔl tin dɛn), ɔ as opin prɔsidyu (laparotomy). Dis go dipen pan aw yu sik bad.

Ɛni bad tin de we di tritmɛnt kin du?

Sɔntɛnde, ɔpreshɔn fɔ Mirizzi Syndrome kin tranga smɔl. Bikɔs di inflamɛns de mek i nɔ izi fɔ si di tisu we de rawnd am klia wan. So, if di bayl dakt dεm dεn aksidεntli pwεl we dεn de du di כpεrayshכn, kכmplikεshכn dεm lεk:

• Bile lik we de lik
• Blɔd we de kɔmɔt pasmak
• Skar na yu bayl dakt dɛn

Dɔn bak, sɔm tin dɛn de we kin apin to ɛni ɔpreshɔn:

• Pen
• Blɔd we de kɔmɔt
• Infεkshכn dεm
• Riakshɔn dɛn we pɔsin kin gɛt we i de anestez

Yu dɔktɔ go ɛksplen dis to yu bifo dɛn du di ɔpreshɔn.

Nɔr way nɔr de fɔ mek dis Mirizzi Syndrome nɔr de?

I nɔ kin izi fɔ mek yu nɔ gɛt Mirizzi Syndrome kpatakpata. Bɔt yu kin ridyus yu risk to sɔm mak bay we yu ridyus di risk factor dɛm wae kin mek yu gɛt gal ston. Fɔ ɛgzampul, i fayn fɔ lɛ yu nɔ it ɛn drink we gɛt bɔku kɔlɔstrel. Aks yu dɔktɔ if ɛni patikyula tin de we yu kin du fɔ mek di bayl dakt nɔ blok.

Wetin go apin afta yu dɔn wɛl? Wetin na di tin dɛn we wi go si?

Di prɔgnosis fɔ pipul dɛm wae de wɛl frɔm Mirizzi Syndrome afta dɛn dɔn ɔpreshɔn dɛn kin jɔs fayn . De impɔtant tin na fɔ trit am kwik bifo i gɛt lɔng tɛm ifɛkt.

Di mɔ we yu ɔgan ɛn bayl dakt dɛn de pwɛl, na di mɔ di ɔpreshɔn go at fɔ du. Di mɔ di ɔpreshɔn kɔmplikt, na di mɔ yu go tek lɔng tɛm fɔ wɛl. Bɔt, ɔltogɛda, bɔku pipul dɛn kin liv fayn fayn wan if dɛn nɔ gɛt gal blad.

Ustɛm a fɔ go to dɔktɔ? Us sayn dɛn a fɔ gɛt?

If yu gɛt bad bad bɛlɛ pen wantɛm wantɛm, wit kol ɛn shek shek, nɔs, fiva, ɔ sayn dɛn fɔ janda (lɛk dak urine ɛn pal stɔl), go to dɔktɔ wantɛm wantɛm .

Dɔn bak, if yu gɛt sayn dɛn fɔ wan denja infɛkshɔn we dɛn kɔl sɛpsis (lɛk at bit kwik kwik wan, swet, ɛn i nɔ izi fɔ blo) afta dɛn dɔn du yu ɔpreshɔn, na imejensi we go mek yu layf de pan denja. So, if yu gɛt ɛni wan pan dɛn sik ya, go to dɔktɔ wantɛm wantɛm.

Yu tink se sɔntin de we gɛt fɔ du wit di sik we dɛn kɔl Mirizzi Syndrome ɛn kansa?

Risach dɔn sho se pipul dɛm wae gɛt Mirizzi Syndrome kin gɛt smɔl kansa na dɛn gal blad. Bɔt dis nɔ min se Mirizzi Syndrome insɛf de mek di kansa.

di masta sabi pipul dεm biliv se di sem kכndyushכn dεm we de mek Mirizzi sεndrכm (i.e., krεse inflameshn, bayl rεtεnshכn na di gal blad) de kכntribyut bak fכ divεlכpmεnt fכ kεnsar. Statistikin, bitwin 5% ɛn 28% pan pipul dɛm wae gɛt Mirizzi sindrom dɔn gɛt kansa na dɛn gal blad.

Yu tink se dis sik kin kil pɔsin?

Mirizzi Syndrome na tin we pɔsin kin mɛn .kɔndishɔn. Bɔt di leta we yu bigin fɔ trit yu, na di mɔ yu go gɛt prɔblɛm. di mכtalman rεt we de asai wit dis kכndyushכn dεn ripot se i de bitwin 5% εn 30%. I kin kam wit tin dɛm lɛk sepsis, liva we nɔ de wok fayn, ɔ kansa na yu gal blad.

Yu kin gɛt bɛlɛ pen wan wan tɛm afta yu dɔn it. Bɔt if yu wek na mɔnin wit bɛlɛ we de at ɔltɛm, fiva, ɔ nɔs, dat kin bi sayn fɔ se yu gɛt big prɔblɛm. Sɔntɛm yu nɔ go ivin no se yu gɛt galston. Bɔt we dɛn gro big fɔ blok wan bayl dakt, di sayn dɛn kin rili bad ɛn i kin apin ɔltɛm. If yu fil se sɔntin nɔ rayt, nɔ wet. Di kwik we yu go to dɔktɔ, na di mɔ i go fayn.

Fɔ dɔn, di tin dɛn we impɔtant pas ɔl we wi fɔ mɛmba

So, a op se yu dɔn ɔndastand mɔ bɔt di rare kɔndishɔn we dɛn kɔl Mirizzi Syndrome we wi tɔk bɔt tide. Mɛmba:

• If yu gɛt sɔm sayn dɛn lɛk we yu de fil pen ɔltɛm na yu bɛlɛ we de ɔp, fiva, ɔ janda, nɔ ignore dɛn .
• Go to dɔktɔ wantɛm wantɛm. Di kwik we dɛn no ɛn trit di sik, na di mɔ yu nɔ go gɛt prɔblɛm ɛn yu go wɛl kwik kwik wan.
• If yu no se yu gɛt galston, fala yu dɔktɔ in instrɔkshɔn dɛn gud gud wan.
• If yu it fayn it, dat kin ɛp fɔ mek yu nɔ gɛt gal ston.

If yu gɛt ɛni ɔda kwɛstyɔn, nɔ shek fɔ tɔk to yu famili dɔktɔ ɔ spɛshal pɔsin. Stay wit wɛlbɔdi!

Mirizzi Syndrome, gal ston, bayl dakt, janda, bɛlɛ pen, ɔpreshɔn, kɔlesistɛktɔmi