Yu bɔdi dɔn stɔp fɔ wok wantɛm wantɛm? Lɛ wi no bɔt dis denja sik (Ogilvie Syndrome)!

Yu dɔn ɛva fil lɛk se yu ful-ɔp wantɛm wantɛm ɛn yu bɛlɛ tayt? I tan lɛk se sɔntin stɔp na yu bɛlɛ, bɔt nɔto so. Dat na di kayn strenj, pɔtnɛshɛl denja kɔndishɔn we wi go tɔk bɔt tide. Dɛn kɔl am Ogilvie Syndrome. Lɛ wi tek tɛm luk wetin i bi, wetin mek i kin apin, aw fɔ no am, ɛn aw fɔ trit am.

Wetin na di sik we dɛn kɔl Ogilvie Syndrome?

Fɔ tɔk am simpul wan, Ogilvie Syndrome na we yu kɔlon kin stɔp fɔ wok wantɛm wantɛm fɔ no rizin. Dɔktɔ dɛn kin kɔl am bak akyu kɔlon pseudo-obstruction (ACPO) . "pseudo-obstruction" min se yu kכlon de akt lεk se na sכmtin blכk am, bכt in rialiti , nכtin nכ de blכk na in bכdi . di prכblεm de na di sistεm we de kכntro di muvmεnt fכ di kכlon. Dat min se i de stɔp fɔ push it ɛn drink fɔ go bifo tru di kɔlon. Dɔn, tin dɛn lɛk it ɛn briz kin gɛda insay di kɔlon, we kin mek di wɔl dɛn na di kɔlon big, ɔ bulge. Tink bɔt am lɛk trafik jam, usay motoka dɛn kin stɔp fɔ muf ɛn di rod kin blok.

Aw Ogilvie Syndrome difrɛn frɔm ɔda intestinal pseudo-obstructions?

Ogilvy syndrome na wan sik we de mek pɔsin sik bad bad wan . Dis min se i kin kam wantɛm wantɛm ɛn na fɔ shɔt tɛm nɔmɔ. I jɔs de afɛkt di kɔlon . "Intestinal pseudo-obstruction" na wan mכr jεnarכl tεm. I de tɔk bɔt ɛni prɔblɛm we de apin we nɔ gɛt ɛnitin fɔ ambɔg di bɔdi. Sɔm pipul dɛn kin gɛt krɛse sik na dɛn intestinal pseudo-obstruction, sɔmtɛm na bikɔs ɔf ɔda sik wae kin teik lɔng tɛm ɔr wan sik wae dɛn kin bɔn wit.

Wetin na di difrɛns bitwin Ogilvie Syndrome ɛn Paralytic Ileus?

Paralaytik ileus na akyu intestinal pseudo-obstruction bak. Bɔt i kin afɛkt di smɔl ɛn big intestinal. Dis sik kin apin mɔ afta dɛn dɔn ɔpreshɔn di bɛlɛ . dis kin apin we di intestinal dεm bigin fכ wok sloslo afta dεn dכn כpεrayshכn. Bɔku tɛm, i kin sɔlv fɔ insɛf insay sɔm dez.

Bɔt, Ogilvy syndrome kin afɛkt yu kɔlon spɛshal wan , ɛn bɔku tɛm di pat pan yu kɔlon we dɛn kɔl di cecum , usay i kin bigin. I nɔ kin kɔmɔn lɛk paralayt ileus, ɛn i kin kɔmplikt smɔl.

Udat kin gɛt di sik we dɛn kɔl Ogilvie Syndrome?

Pan ɔl we dis kin apin to ɛnibɔdi, i kin apin mɔ to pipul dɛn we dɔn ol ɛn di wan dɛn we gɛt pas wan ɔda wɛlbɔdi prɔblɛm.. Tink bɔt pɔsin we dɛn dɔn du big ɔpreshɔn, we gɛt aksidɛnt, we gɛt at prɔblɛm, ɔ we gɛt bad bad sik. Dɛn tin ya kin mek pɔsin gɛt Ogilvy syndrome. Dɔn bak, di ilɛktrɔlayt imbalans , nyurolɔjik sik dɛn , ɛn fɔ tek bɔku mɛrɛsin dɛn di sem tɛm na tin dɛn we kin mek pɔsin gɛt dis sik. Ɔl dɛn tin ya kin afɛkt wi nervɔs sistɛm . Na da nervɔs sistɛm de de tɛl di mɔsul dɛn na wi big intestin fɔ push it fɔ go bifo.

Aw kɔmɔn tin dis?

Dɛn ripɔt se Ogilvy syndrome kin apin pan lɛk wan pan ɛvri 1,000 pipul dɛm wae kin admit na ɔspitul. Di avrej ej fɔ di wan dɛn we gɛt dis sik na lɛk 60 ia.

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

We it ɛn briz we yu nɔ digest bigin fɔ gɛda na yu big intestinal, yu kin gɛt tin dɛn lɛk:

• Abdominal distension: Na di filin we yu kin fil we yu bɛlɛ blo ɛn big.
• Bɛlɛ pen: I kin mek yu bɛlɛ pen bad bad wan.
• Lɔs fɔ apɛtit: Na fɔ lɔs ɛnitin we i want fɔ it.
• Nɔs ɛn vɔmit: Fɔ fil sik ɛn vɔmit.
• Blɔt ɛn gas: Na filin fɔ ful-ɔp na yu bɛlɛ.
• Kɔnstipɛshɔn ɛn/ɔ dayarɛa: Sɔm pipul dɛn kin gɛt kɔnstipɛshɔn, ɔda wan dɛn kin gɛt dayarɛa.

Imajin Ɔnkul Nimal, i ol 65 ia, i gɛt dayabitis, ɛn i gɛt at sik. Dɛn bin du ɔpreshɔn pan am fɔ chenj in hip. Afta tu ɔ tri dez, in bɛlɛ ful-ɔp wantɛm wantɛm ɛn i nɔ bin izi fɔ mek i blo. We i tɔch in bɛlɛ, i bin at lɛk rɔk. I se i nɔ want fɔ it, ɛn i bin ivin gɛt nauses. Na we di dɔktɔ dɛn bin chɛk am, na in dɛn kam fɔ no se na Ogilvy syndrome.

Wetin kin mek pɔsin gɛt Ogilvie Syndrome?

Dɛn nɔ ɔndastand gud gud wan yet di rayt tin we mek i apin. Bɔt sayɛnsman dɛn biliv se na bikɔs wi ɔtonomik nervɔs sistɛm nɔ de wok fayn . dis כtonomik nεv sεstem na di pat pan wi bכdi we de kכntro di mכsul dεm we wi nכ de no. i de kכntro bak di wev muvmεnt (peristalsis) we de push it fכ fכd insay wi intestinal dεm. biכs dis na akyu kכndyushכn, i de trigεr bay sכm כnusual strεs pan di כtonomik nεv sεstem. Bɔt ɔda tin dɛn bak we kin mek pɔsin gɛt wɛlbɔdi.

Bɔku akyu mɛdikal kɔndishɔn dɛn de we kin mek pɔsin gɛt Ogilvy syndrome:

• At atak
• Congestive hat failure (di at mכsul dεm we de wik bikɔs ɔf at sik) .
• Injuri we kin mek pɔsin fil bad
• Sivεr infεkshכn dεm (e.g. nyumonia כ sepsis) .
• Open abdominal ɔpreshɔn we dɛn kin du
• Ɔpreshɔn fɔ opin at
• Ɔtpidik ɔpreshɔn (e.g. fɔ riples di hip) .
• Sizarian dilivri / C-sekshɔn

Di wɛl bɔdi tin dɛm wae dɔn de bifo wae kin mek pɔrsin gɛt Ogilvy syndrome:

• Kidni we nɔ de wok fayn
• Di we aw pɔsin de blo fayn
• Nyurolɔjik sik
• Di sik we de ambɔg di at ɛn di blɔd
• Kansa
• Disɔda dɛn we de mek pɔsin in bɔdi de chenj
• Ilɛktrɔlayt imbalans
• Advans ej
• Fɔ gɛt tin dɛn we nɔ fayn na yu bɔdi
• Fɔ tek bɔku mɛrɛsin dɛn di sem tɛm

Sɔm mɛrɛsin dɛn we gɛt fɔ du wit Ogilvy syndrome:

• Medikeshɔn dɛn we de mek pɔsin nɔ gɛt sik
• Amfɛtamin dɛn
• Kɔtikosterɔyd dɛn
• Opioid (dɛn mɛrɛsin dɛn we de mek pɔsin fil pen) .
• Di tin dɛn we de mek di bɔdi nɔ ebul fɔ fɛt di sik
• Spinal anestezi we dɛn kin yuz

Wetin na de prɔblɛm wae kin kam wit Ogilvie Syndrome?

Bɔrku tɛm, Ogilvy syndrome kin sɔlv fɔ insɛf ɔr wit sɔpɔt kia. Bɔt sɔntɛnde, dɛn kin nid fɔ ɛp dɛn . If dɛn nɔ no am fɔ lɔng tɛm, i kin mek i gɛt siriɔs prɔblɛm if di sik wɔs. stכdi dεm sho se komplikashכn kin apin mכr if di kכlon dilayt (mכr dan 12 sεntimita). di nכmal dayamita fכ di kכlon na lεk 8 sεntimita.

Di mɔ di bɔdi de dilayt, na di mɔ di risk go bɔku. Risk dɛn we pɔsin kin gɛt :

• Ischemia: If yu prɛs di wɔl dɛn na di kɔlon pasmak , dat kin mek di blɔd we de na di bɔdi kɔt . Dis kin mek yu gɛt siriɔs inflamɛns, we dɛn kɔl ischemic colitis . If dɛn nɔ trit am, di tisu dɛn kin day (nɛkrɔsis) . Tink bɔt am lɛk we yu de swɛt wata paip so tranga wan dat di wata nɔ go de rɔn igen.
• Pɔrfɔreshɔn: Di say dɛn we di nɛkrɔtik tisu kin te kin izi fɔ te ɔ brok . If wan pɔyzin we de na di bɛlɛ, pɔyzin ɛn baktri kin skata insay di bɛlɛ, ɛn dis kin mek pɔsin gɛt siriɔs infɛkshɔn we dɛn kɔl peritonitis .
• Sepsis: Pɛritonaytis kin izi fɔ go na di blɔd (septicemia) . Dis na imejensi! Sepsis na we di infεkshכn de spre כlsay na di bכdi εnWan kɔndishɔn we dɛn kɔl sɛptik shɔk kin apin. Dis kin mek bɔku ɔgan dɛn nɔ wok fayn.

Dɛn kɔmplikeshɔn ya kin rili denja, na dat mek i impɔtant fɔ go to dɔktɔ as yu notis di sayn dɛm fɔ Ogilvy syndrome.

Aw dɛn kin no se pɔsin gɛt Ogilvie Syndrome?

Di diagnosis de dipen pan dɛn tin ya:

• di raydioloji tεst dεm kכnfכm se di kכlon dεn dilayt εn nכ fכshal bכwel obstrכkshכn de.
• Spɛshal tɛst fɔ no ɔda sik dɛn we kin de mek yu gɛt dis sik.

Us kayn raydiolojikal tɛst kin no dis?

Fɔ mek yu go ebul fɔ luk gud gud wan insay yu kɔlon, dɔktɔ dɛn kin yuz wan tin we dɛn kɔl intanɛnt kɔntrast ɛjɛn wit raydiɔlɔji. dis kכntrast mεtirial de kכt insay yu kכlon εn i de sho klia wan pan εks-ray imej dεm. Dɛn kin gi yu dis kɔntrast fɔ drink, as inema, ɔ as wata we dɛn gi yu insay vein (IV). Kontrast CT skan ɛn kɔntrast fluoroscopy na tu we dɛn we dɛn kin yuz fɔ dis.

Wan tɛst de we dɛn kɔl gastrografin enema , we sɔntɛnde dɛn kin yuz as tritmɛnt. dis involv fכ put wan kכntrast sכlushכn we kin sכlv insay wata we dεn kכl gastrografin insay yu kכlon tru yu rεktum, εn tek fluoroscopic X-ray. (Fluoroscopy tan lɛk vidio X-ray we kin si aw di sɔlv de muv.) As sayd ɛfɛkt, di gastrografin kin wok bak lɛk laxative na di kɔlon, we kin ɛp yu bɔdi fɔ muv bak.

Aw dɛn kin trit Ogilvie Syndrome?

Di tritmɛnt dipen pan aw yu kɔlon dilayt ɛn if yu de pan risk fɔ gɛt kɔmplikeshɔn. Ɛnitɛm we i pɔsibul, dɔktɔ dɛn kin tray fɔ trit am wit sɔpɔt ɛn wach am gud gud wan . Dat min se yu fɔ ɛp di bɔdi fɔ wɛl fɔ insɛf we yu nɔ go du bɔku tin. Bɔt if nid de, dɛn kin yuz mɛrɛsin ɔ tin dɛn fɔ mek dɛn nɔ kɔmprɛs di kɔlon ɛn fɔ mek dɛn nɔ gɛt prɔblɛm dɛn. If kɔmplikeshɔn dɛn apin, dɛn nid fɔ gɛt tritmɛnt kwik kwik wan.

Kɔnsɔvativ tritmɛnt kin inklud:

• Fɔ trit ɔndalayn sik dɛm wae kin kɔntribyut to dis kɔndishɔn.
• If yu stɔp fɔ tek mɛrɛsin, dat kin mek yu gɛt dis sik.
• Bɔwel rɛst: Fɔ ridyus prɛshɔn bay we yu nɔ it bay mɔt.
• Fluid we dɛn kin put insay di bɛlɛ (IV fluid):fכ mεnten di haydreshכn εn kכrekt di ilektrolayt imbalans bay we yu gi tin dεm lεk salin insay wan vein.
• Ɛnkɔrej fɔ muv yu bɔdi bay we yu de waka ɔ chenj in pozishɔn.
• Nasogastric tube: Fɔ pul di briz ɛn wata we pasmak na di bɛlɛ.
• rεktal tכb: na kateshכn we dεn kin put tru di rεktum fכ pul di briz εn wata bay graviti.
• Fɔ wach di kɔndishɔn tru ɔltɛm imej ɛn blɔd tɛst.

Dɛn kin si dis fɔ tu to tri dez (lɛk 72 awa). Bɔt if di kɔlon dɔn ɔlrɛdi dilayt pas 12 sɛntimita, ɔ if i nɔ impɔtant afta dɛn kɔnsavaytiv tritmɛnt ya, di dɔktɔ kin disayd fɔ ɛp fɔ ridyus di prɛshɔn we de pan di kɔlon.

Di tin dɛn we dɛn kin du na:

• Kolonoskopi dikompreshכn: Kolonoskopi na diagnostik εn tritmεnt prosidכs. i min fכ put wan sכmכl kεmεra na di εnd pan wan lכng tכb we dεn kכl kכlon sכkכp insay di big intestin tru di an. di gol fכ dikompreshכn kכlonoskopi na fכ sכk di εksyכs εya na di big intestin tru di tכb εn afta dat gi inεma tru di tכb. Dis prosidur kin pul wan lay lay tin we de ambɔg yu if di mɛrɛsin nɔ wok ɔ i nɔ sef fɔ yu. Bɔt dɔktɔ dɛn kin tek tɛm yuz am bikɔs i nɔ kin izi fɔ du am ɛn i kin gɛt smɔl prɔblɛm dɛn. sכm tεm dεm, di kכlon sכkכp kin mek ol na di kכlon (bכwel pכrforeshכn).
• Neostigmine injection: Dɛn kin gi dis mɛrɛsin tru wan IV. Na wan tin we de mek di mɔsul dɛn wok. Bɔku tɛm dɛn kin yuz am fɔ ɛp di mɔsul dɛn fɔ rilaks afta dɛn dɔn anestez am. dεn sho se i de wok fayn fכ "wek" di mכsul dεm na di kכlon εn fכ stat di pεristalsis bak pan pipul dεm we gεt Ogilvy sεndrכm. Bɔt bikɔs na mɛrɛsin we rili pawaful , dɛn kin jɔs wach am gud gud wan na di say usay dɛn de kia fɔ pipul dɛn we sik bad bad wan (ICU) . Dɔktɔ dɛn go wach yu at fɔ mek shɔ se yu at rit nɔ de slo tumɔs we yu de tek neostigmine.
• Kɔlektɔmi / Kɔlɔstomi: If yu kɔlon kɔntinyu fɔ dilay pan ɔl we dɛn de du dɛn tin ya, ɔ if kɔmplikeshɔn dɛn lɛk pɔrfɔreshɔn ɔ nɛkrɔsis apin, yu kin nid ɔpreshɔn fɔ pul di pat pan yu kɔlon we afɛkt . Dis na las tin fɔ du . We dɛn pul kɔlektɔmi, yu kin gɛt kɔlostomi fɔ sɔm tɛm ɔ fɔ ɔltɛm.I kin nid bak fɔ du wan. Dat min se fɔ mek wan sɛpret opin fɔ mek di stɔl pas. Sɔntɛnde, dɛn kin rivɛns di kɔlostomi afta di ɔpreshɔn dɔn.

Yu tink se Ogilvie Syndrome kin kil pɔsin?

Yɛs, prɔblɛm dɛn kin kil pɔsin . wit komplikεshכn dεm lεk pεrforeshכn כ ischemia, di mכtalman rεt kin hכy lεk 40%. Bɔt dɛn kɔmplikeshɔn ya kin apin to less dan 15% pan pipul dɛm. If yu nɔ gɛt kɔmplikeshɔn, di rit we pipul dɛn kin day fɔ Ogilvy sindrom kin nia 15%. Dis nɔmba nɔ kin ripresent di Ogilvy syndrome nɔmɔ. Bikɔs bɔrku pipul dɛm wae gɛt Ogilvy syndrome gɛt ɔda wɛl bɔdi prɔblɛm wae kin afɛkt aw dɛn kin day.

Akyu kɔlon pseudo-obstruction na wan tin we dɛn nɔ bin de ɛkspɛkt we kin briŋ nyu kɔmplikeshɔn to pipul dɛn we dɔn ɔlrɛdi de strɛs wit ɔda wɛlbɔdi kɔndishɔn. Nɔbɔdi nɔ de ɛkspɛkt Ogilvy syndrome, bɔt ɔlman fɔ no bɔt di sayn dɛm . Fɔ no kwik kwik wan na di men tin fɔ mek yu nɔ gɛt siriɔs prɔblɛm dɛn we gɛt fɔ du wit Ogilvy syndrome. If no kɔmplikeshɔn nɔ de, i go mɔs bi se i go wɛl wit kɔnsavaytiv tritmɛnt.

Di impɔtant tin dɛn we wi nid fɔ mɛmba (Take-Home Message) .

So, Ogilvie Syndrome na wan sik wae kin siriɔs pas aw yu kin tink. Bɔt natin nɔ de fɔ wɔri bɔt, ɛn if yu no, dat kin mek yu nɔ gɛt bɔku prɔblɛm.

• Diagnosis: If yu gɛt sɔm sayn dɛn lɛk we yu de blo wantɛm wantɛm, yu bɛlɛ de at bad bad wan, yu nɔ want fɔ it, yu nɔ de fil fayn, ɔ yu de vɔmit, mek shɔ se yu go to dɔktɔ, mɔ if yu dɔn ol, yu gɛt ɔda mɛrɛsin, ɔ yu jɔs dɔn du ɔpreshɔn pan yu.
• Di tin dɛn we kin mek i apin: Bɔku tɛm, ɔda sik, ɔpreshɔn, ɔ mɛrɛsin kin kam wit dis. So i impɔtant fɔ tɛl yu dɔktɔ yu ful mɛdikal istri.
• Di prɔblɛm dɛn we kin apin: If dɛn nɔ trit dɛn kwik kwik wan, di blɔd we de flɔ na di kɔlon nɔ kin bɔku, dat kin mek di tisu dɛn day, di kɔlon kin pɔt, ɛn i kin mek i gɛt siriɔs infɛkshɔn. Dɛn tin ya kin mek pɔsin in layf de pan denja.
• Tritmɛnt: Bɔku pan di kes dɛn kin sɔlv wit sɔpɔt kia, bɔt sɔntɛnde dɛn kin nid fɔ du kɔlon skɔpi, mɛrɛsin, ɔ ivin ɔpreshɔn fɔ mek di prɛshɔn nɔ bɔku.
• If yu no am kwik, dat de sev pipul dɛn layf: Nɔ ignore dɛn sayn ya fɔ ɛni rizin. De tin wae impɔtant pas ɔl na fɔ no dɛn kwik ɛn bigin fɔ trit yu.

If yu ɔ pɔrsin wae yu sabi gɛt ɛni wan pan dɛn sik ya, nɔr shem fɔ go to dɔktɔ. Stay wit wɛlbɔdi!

` Ogilvie Syndrome, akyu kכlon pseudo-obstrukshכn, kכlon, intestinal disfכnkshכn, blo, bεlε pen, pseudo-obstrukshכn