Sɔntɛnde yu kin gɛt wan strenj pen we kin bigin na yu bɛlɛ we de dɔŋ ɛn travul go na yu bak? Ɔ yu kin fil ful ɔ yu nɔ kin fil fayn afta yu dɔn it? Sɔntɛm biɛn dɛn tin ya na prɔblɛm wit wan rili impɔtant ɔgan we wi nɔ kin tɔk bɔt bɔku, bɔt i kin bi. Tide, lɛ wi tɔk bɔt di pankrias ɛn in inflamɛns, `(Pancreatitis)`.
Wetin na dis pankrias? Wetin kin apin to am?
Fɔ tɔk am simpul wan, yu pankrias na smɔl pat pan yu bɛlɛ, bɔt i rili impɔtant. if yu put yu rayt an kכros yu bכdi, na so yu pankrias big, bihayn yu bεlε εn sכmtεm bifo yu spayna. dis sכmכl כgan de du tu big tin dεm: 1.
I de εp fכ digεst: I de mek spεshal εnzym dεm (lεk amylase) we de εp yu bכdi fכ tek di nyutriεnt dεm we de insay di it we wi de it. dis εnzym dεm de travul dכn wan pankrεas dakt insay di sכmכl intestin, usay dεn de stכr di it we wi de it. 2.
Fɔ kɔntrol di blɔd shuga lɛvɛl: Yu go dɔn yɛri bɔt insulin. Di pankrias de mek ɔmon dɛn we de ɛp fɔ mek di blɔd shuga nɔ de.
So, wetin na pankrias?
Pankrias na
inflamɛns ɔ swel na yu pankrias. I tan lɛk we wi gɛt injuri sɔmsay na wi bɔdi, i kin swel ɛn at. Dis inflamɛns na in de mek di bɛlɛ pen we wi bin dɔn tɔk bɔt. Tink bɔt am, we wi bɔdi in difɛns sistɛm (immune system) de tray fɔ mɛn wan say we wund, inflamɛns kin apin. dis inflameshn kin apin we di pankrias inju כ damej. Bɔku tɛm, dis kin apin bikɔs di gal ston dɛn de blok di pankrias dakt ɔ we pɔsin de drink pasmak.
Yu tink se kayn tin dɛn de we kin apin to dis?
Yɛs, tu kayn pankrias de mɔ:
1. Akyu Pankriaytis
Dis na
di kayn we fɔ sɔm tɛm . I kin apin we di pankrias de tray fɔ wɛl afta i dɔn gɛt smɔl, shɔt tɛm injuri. Bɔrku pipul dɛn kin wɛl kpatakpata insay sɔm dez. Bɔt i nid fɔ gɛt di rayt tritmɛnt
, lɛk fɔ rɛst, fɔ drink bɔku wata, ɛn fɔ tek mɛrɛsin fɔ mek pɔsin fil pen . כltu, sכmtεm dis ``Acute pancreatitis'' kכndyushכn
kin rili siriכs εn kin mek yu gεt kכmplikεshכn dεm we de mek yu layf de pan denja .
2. Pankriaytis we nɔ de mɛn
Dis na
di kayn we we de te, we de go bifo . I nɔ kin jɔs bɛtɛ, i kin wɔs as tɛm de go. Dis kכndyushכn kin apin we di pankrias de kכntinyu fכ damej. dis kin mek ska (`(Fibrosis)`) na di pankrias tisu, we de bigin fכ prodyuz sכm di εnzym dεm εn כmon dεm we i nid fכ mek. Dis kin tek sɔm ia fɔ mek i apin.
Aw dis sik kin bɔku?
Insay kɔntri lɛk Amɛrika, i pas 200,000 pipul dɛn we de na ɔspitul ɛvri ia bikɔs dɛn gɛt akyu pankrias. Fɔ dɛn wan ya, dɛn se lɛk 20% de pan siriɔs kɔndishɔn. Krɛse pankrias nɔ kin bɔku smɔl, bɔt i stil kin mek lɛk 86,000 pipul dɛn kin go na ɔspitul ɛvri ia. Dɛn kin si dis kɔndishɔn mɔ ɛn mɔ bak na Sri Lanka.
Wetin na di sayn dɛm we de sho se yu gɛt dis sik? Aw yu de fil?
Di men sayn we de sho se pɔsin gɛt pankrias na we i de fil pen na in bɛlɛ . Bɔt ɔda sayn dɛn kin apin bak.
Di akyu simptom dɛm:
Di sayn dɛm fɔ wan sik we nɔ de mɛn:
Dɛn tin ya min se yu pankrias de fel smɔl smɔl.
Aw dis pen kin fil?
Pankriaytis pen kin
kɔmɔt frɔm mɔdaret to siriɔs . Bɔku tɛm i kin fil lɛk se i
de rayt frɔm di bɛlɛ to di ɔdasay . Akyu pankrias kin
tranga pasmak, ɛn kin fil lɛk pen we yu de chuk yu . I kin at bak we yu tɔch yu bɛlɛ. Di pen we de kam pan pankrias we nɔ de dɔn kin difrɛn frɔm wan pɔsin to ɔda pɔsin. Sɔntɛnde, i kin kam ɛn go, bɔt i nɔ kin ɛva go kpatakpata. I kin kɔmɔn pas ɔl afta yu dɔn it. Fɔ sɔm pipul dɛn, di pen kin de ɔltɛm.
We di pen de wɔs:- We yu ledɔm bak.
- We yu de kɔf.
- We yu de du ɛksɛsayz.
- We yu de it tumɔs.
Pen kin ridyus we:- We yu sidɔm stret.
- We yu bɛn fɔ go bifo.
- We yu kɔl op lɛk bɔl.
- We yu de it smɔl.
Aw yu go no if di pankrias nɔ de wok fayn?
We di pankrias stɔp fɔ wok fayn bikɔs ɔf di pankrias we nɔ de dɔn, yu kin fɔs notis chenj dɛn na yu dijestiv sistɛm. we di pankrias nכ ebul fכ prodyuz inof dijestiv εnzym dεm εn sεnd dεm to di intestכn dεm, di bכdi nכ kin ebul fכ tek di nyutriεnt dεm we de insay it fayn fayn wan, spεshal fεt. Dis kin mek yu nɔ fil fayn afta yu dɔn it, ɛn di fat we yu nɔ digest kin pas na yu stɔl. As tɛm de go, yu kin bigin fɔ lɛf fɔ it bɔku bɔku it dɛn bak.
Wetin na di men rizin dɛn?
di tu men tin dεm we de mek yu gεt pankrεas na: 1.
Galston (Gallstones) 2.
We yu de drink pasmak. we dεn tu kכz ya kam togεda, dεn de mek lεk 80% pan di wan dεm we gεt pankrεas.
1. Galston pankrias
di bayl we de na yu gal blad de go insay yu intestines tru di kכmכn bayl dakt. dis dakt εn di pankrεas dakt dεn tu de opin insay yu intestכn dεm na di sem say. Imajin wetin go apin if galston stɔp na da jɔnkshɔn de? di pankrias jus dεm nכ kin kכmכt, dεn kin stכk insay di pankrεas. Dɔn di prɛshɔn de go ɔp, ɛn dɛn ɛnzaym dɛn de bigin fɔ wok insay di pankrias, ɛn dɛn kin bigin fɔ dayjɛst di pankrias insɛf. Na dat kin mek dis inflamɛns.
2. Fɔ drink rɔm pasmak
Fɔ drink pasmak na tin bak we kin mek pɔsin gɛt pankrias. Pan ɔl we sayɛnsman dɛn stil nɔ shɔ
ustɛm i kin apin, dɛn kin tink se di pɔyzin tin dɛn we de insay rɔm kin mek di pankrias inflamɛns, ɔ di dijestiv ɛnzaym dɛn kin gɛt kemikal. Dɛn se na lɛk af pan ɔl di wan dɛn we gɛt akyu ɛn krɛs pankrias, na bikɔs dɛn de drink pasmak.
Ɔda rizin dɛn
Apat frɔm dɛn tu men rizin ya, ɔda rizin dɛn de, bɔt dɛn nɔ kin bɔku smɔl.
- Difrɛn infɛkshɔn, fɔ ɛgzampul vayrɔs.
- di bכdi in כwn imyun sistεm de atak di pankrias (`(Autoimmune pancreatitis)`).
- jεnεtik mכtεshכn dεm we de pas dכn tru jεnereshכn (`(Hεreditary pancreatitis)`).
- Kɔmplikɛshɔn dɛm fɔ di kɔndishɔn dɛm lɛk sistik fibrosis.
- di hכy lεvεl fεt (triglycerides) na di bכdi (`(Hypertriglyceridemia)`).
- di hεy blכd kalsiכm lεvεl (Hypercalcemia).
- rεdyus bכdi saplai to di pankrεas (`(Ischemia)`).
- Di stetmɛnt we pɔsin gɛt fɔ gɛt kansa.
- Injuri dɛn we de na di pankrias.
- Sɔm mɛrɛsin dɛn kin ambɔg di pankrias.
Ɔl dɛn rizin ya ad pan lɛk 20%. Sɔntɛnde, dɛn nɔ kin ebul fɔ fɛn ɛni rizin.
Yu tink se akyu ɛn krɛse inflamɛns na di sem?
Bɔku tɛm, pankrias kin apin wantɛm wantɛm ɛn i kin go fɔ sɔm tɛm (`(Acute)`). כltu, if tin dεm de we de kכntinyu, lεk sik dεm we dεn kin gεt frכm pikin, pankrεas kin apin fכ sכm tεm (`(Krכnik pankrεas)`). Semweso,
if akyu pankrias de apin bɔku tɛm, i kin bi bak wan sik we go de fɔ lɔng tɛm.Imajin, we dɛn kɔntinyu fɔ prɛs di pankrias ɛn damej, di bɔdi kin yus to am ɛn i kin kɔntinyu fɔ gɛt inflamɛns ivin afta di damej dɔn stɔp.
Dis kin mek pɔsin day?
Yɛs,
if akyu pankrias kin rili bad, di prɔblɛm dɛn kin ivin mek pɔsin day. Na smɔl pipul dɛm, siriɔs akyu pankrias kin mek dɛn gɛt wan riakshɔn we kin afɛkt di wan ol bɔdi. Dis kin mek yu shɔk ɛn bɔku ɔgan dɛn nɔ de wok fayn. If dɛn nɔ trit am kwik, i kin mek pɔsin in layf de pan denja.
I bɛtɛ fɔ go na ɔspitul bikɔs i nɔ kin izi fɔ ɔndastand aw di sik siriɔs we yu gɛt sɔm sayn dɛm. Wetin na di prɔblɛm dɛn we kin apin?
Bɔrku pan di kes dɛm wae gɛt akyu pankrias nɔr kin kɔz kɔmplikɛshɔn. Bɔt lɛk 1 pan ɛvri 5 kes dɛm kin bi bad bad wan. I nɔr klia yet wetin mek sɔm pipul dɛn kin gɛt dis kayn sik. I kin ivin mek pɔsin day. Pankrias we nɔ de dɔn kin mek yu gɛt prɔblɛm dɛn bak, bɔt dɛn kin kam smɔl smɔl ɛn nɔ kin mek pɔsin in layf de pan denja wantɛm wantɛm. Mɔs pan di kɔmplikeshɔn dɛn kin bi wit tritmɛnt.
Di prɔblɛm dɛn we kin apin we pɔsin gɛt Akyu Pankriaytis:
- di tisu dεm we de day (`(Necrosis)`) εn infεkshכn: Insay lεk 1 pan 3 kes dεm we gεt siriכs akyu pankrεas, di pankrias kin so swεla dat di bכdi we de gi am kin kכt. Dɔn, di tisu we de na sɔm pat dɛn na di pankrias kin day. Dis day tisu na gud ples fɔ baktri dɛm. If di bɔdi gɛt di sik, dɛn kin skata kwik kwik wan ɛn go insay di blɔd. Infεkshכn na di bכdi (`(Septicemia)`) na imejensi. di bכdi de ansa dis wit wan kכndyushכn we dεn kכl `(Systemic Inflammatory Response Syndrome)`. dis de mek di bכdi vεsul dεm de big, di bכdi prεshכn de dכn (`(Septic shock)`) εn di bכdi to di imכtant כgan dεm de dכn, we kin mek i gεt `(Multiple organ failure)`.
- pankrεas pseudocyst dεm: if di pankrias inflameshn i kin blכk di dakt we de kכri pankrεas jus to di intestin. afta dat di jus de lik rawnd di pankrias, we de mek di tisu dεm we de rawnd am inflameshn. as tεm de go, wan had sak wit wata de fכm rawnd di εria we inflamed, we dεn kכl pseudocyst. Bɔrku tɛm, dɛn sist ya nɔ kin mek yu gɛt sayn ɔr nid fɔ gɛt tritmɛnt. Bɔt sɔntɛnde, dɛn kin gɛt di sik ɔ gro big ɛn mek prɔblɛm. Na smɔl tɛm nɔmɔ blɔd vesel kin go insay di sist ɛn blɔd. If na so i bi, dɔktɔ dɛn go nid fɔ pul di wata ɔ stɔp di blɔd.
- Kronik pankriaytis: We akyu pankrias de apin bɔku tɛm, i kin bi kronik. we di pankrias de kכntinyu fכ inflam, ska (fibrosis) de divεlכp na di tisu. dis de mek di pankrias nכ de wok lεk gland. As tɛm de go, di bɔdi in ebul fɔ mek ɛnzaym ɛn ɔmon dɛn kin go dɔŋ smɔl smɔl, ɛn dis kin mek i gɛt mɔ prɔblɛm dɛn.
Di prɔblɛm dɛn we kin apin we pɔsin gɛt pankriaytis we nɔ de mɛn:
Dɛn tin ya kin apin smɔl smɔl:
- Exocrine pancreatic insufficiency (EPI), malabsorption, ɛn malnutrition: As di pankrias de gɛt skata, i de mek smɔl pan di ɛnzaym dɛn we i nid fɔ dayjɛst it. Dis kin mek i nɔ izi fɔ di bɔdi fɔ tek di tin dɛn we de insay di bɔdi , mɔ di fat ɛn vaytamɛn dɛn we kin sɔlv di fat. di fat we pasmak kin kɔmɔt na di stɔl, we kin mek di stɔl gɛt ɔyl ɛn leta, i kin gɛt dayarɛa. We yu nɔ gɛt bɛtɛ tin fɔ it frɔm yu it, yu kin tan lɛk tin ɛn bigin fɔ fil di bad tin dɛn we kin apin we yu nɔ gɛt bɛtɛ tin fɔ it.
- Lɔw blɔd shuga (`(Hypoglycemia)`), ay blɔd shuga (`(Hyperglycemia)`), ɛn tayp 1 dayabitis (`(Type 1 diabetes)`): We di pankrias inflamɛns fɔ lɔng tɛm i kin ridyus bak di ɔmon dɛn we de kɔntrol di blɔd shuga. dipכnt pan us כmon dεn afekt fכs, di lכs fכ glukagon kin mek di bכdi shuga dכn (`(Hypoglycemia)`) כ di lכs fכ insulin kin mek di bכdi shuga hכy (`(Hyperglycemia)`). Afta sɔm tɛm, dɛn tu ɔmon dɛn ya kin lɔs ɛn dayabitis kin kam.
- Pen we nɔ de dɔn: Pan ɔl we sɔm pipul dɛn kin fil fri frɔm di pen we dɛn de fil, ɔda pipul dɛn kin si se di pen kin kam tranga ɛn i kin kɔntinyu fɔ de. Dis kin tranga fɔ kɔntrol, ivin wit mɛrɛsin, ɛn i kin afɛkt yu maynd wɛl bɔdi bak.
- Di risk fɔ gɛt pankrias kansa: Ɛni inflamɛns we nɔ de dɔn ɛnisay de mek di risk fɔ gɛt kansa bɔku. Pipul wae dɔn gɛt pankrias fɔ lɔng tɛm kin gɛt 1% to 2% risk fɔ gɛt pankrias kansa (pancreatic adenocarcinoma). Bikɔs di sayn dɛm kin tan lɛk di wan dɛm wae kin gɛt wae pɔrsin kin gɛt inflamɛns we nɔr de dɔn, sɔntɛnde, pɔrsin nɔr kin notis am. Dɔktɔ dɛn kin se pipul dɛn we gɛt dis sik fɔ de chɛk ɔltɛm fɔ si if dɛn gɛt kansa.
Aw fɔ no di sik?
If yu gɛt sayn dɛm fɔ pankrias, yu dɔktɔ go chɛk yu pankrias wit blɔd tɛst ɛn imej tɛst. blɔd tɛst de luk fɔ di lɛvɛl dɛn we di pankrias ɛnzaym dɛn de na yu blɔd dɔn go ɔp. If dɛn pas tri tɛm pas aw dɛn kin du, dɛn kin sɔprayz se dɛn gɛt pankrias. Dɔn dɛn kin du CT skan ɔ MRI fɔ kɔnfirm di sik. dis skan dεm kin sho sayn dεm fכ swel εn wata we de bכku na di pankrias. If dɛn tink se yu gɛt pankrias we nɔ de mɛn, dɛn kin du ɔda tɛst dɛn:
- Glukɔs tɛst (fɔ chɛk if di pankrias de mek insulin fayn fayn wan).
- stכl εlastaz tεst (fכ chεk if di pankrias de prodyuz inof dijestiv εnzym dεm).
- fεkal fεt analisis (luk if bכku fεt de na di stכl, we na sayn fכ di fεt we dεn nכ de abzכp fayn).
- Blɔd tɛst (fɔ chɛk yu it ɛn if yu gɛt inof vaytamɛn dɛn we de sɔlv fat na yu blɔd).
Aw dɛn kin trit am?
Di tritmɛnt kin dipen pan di tin we kin mek i apin, if na akyu ɔr kin te, ɛn aw i kin tranga. Jɛnɛral wan, if yu gɛt sayn dɛm fɔ pankrias, yu fɔ go to dɔktɔ. Sɔm akyu kɔndishɔn dɛn kin bi fɔ dɛnsɛf, bɔt dis kin dipen pan de kɔz ɛn aw i siriɔs. Insai dis tɛm, bɔrku pipul dɛn nid mɛrɛsin fɔ mɛn dɛn pen fɔ ɛp fɔ kɔntrol di pen. Sɔm pipul dɛn nid tritmɛnt kwik kwik wan. Ɔda pipul dɛn kin nid fɔ kia fɔ dɛn bad bad wan bikɔs dɛn gɛt prɔblɛm dɛn.
Tritmɛnt fɔ Akyu Pankriaytis:
Sɔpɔtiv Keya
If di kɔz dɔn sɔlv ɛn di sik nɔr siriɔs, di bɛst tin fɔ du na fɔ ɛp di bɔdi fɔ wɛl fɔ insɛf. Bɔku tɛm, dis kin gɛt fɔ du wit:
- Gi salin (IV fluid): Pankrias kin mek yu nɔ gɛt wata na yu bɔdi, ɛn if yu gɛt wata na yu bɔdi rili impɔtant fɔ mek yu wɛl.
- Tiub fidin: If yu nɔ ebul fɔ it wit yu mɔt, dɛn kin gi yu it tru wan tiub we dɛn kin put tru yu nos ɔ insay yu bɛlɛ.
- Parenteral nutrition: If i rili siriɔs, dɛn kin gi nyutrishɔn dairekt tru wan vein.
- Di mɛrɛsin dɛn we de mek pɔsin fil pen: Dɛn kin gi di mɛrɛsin dɛn we de mek pɔsin fil pen insay di bɛlɛ ɔ bay we i de it.
Fɔ Rimobul Galston
If yu gɛt pankrias bikɔs ɔf galston, yu kin nid fɔ pul wan ston na yu bayl dakt. Dɛn kin se bak fɔ mek dɛn pul yu gal blad (Gallbladder removal surgery) fɔ mek dis prɔblɛm nɔ apin igen. Na dis na wetin yu kin du:
- εndoskopik rεtrogrεd cholangiopancreatography (ERCP): dis involv fכ pas εndoskop (wan tin, fleksibul tכb wit kεmεra we dεn atak) insay di bayl dakt dεm. Dɛn kin pul bɔku ston dɛn dis we. di tכb dεn de put am dכn di trot εn pas tru di bεlε insay di bayl dakt dεm.
- Ɔpreshɔn fɔ pul di gal blad: We dɛn dɔn put yu na ɔspitul fɔ gɛt gal ston, yu go gɛt prɔblɛm bak. So bɔku tɛm dɛn kin pul di gal blad. dis kin bi laparoskopik wan (`(Laparoscopic cholecystectomy)`), we min se dεn kin du am tru fכ sכm sכm sכm sכm sכm sכm sכm dεm.
Ɔda Sɔpɔt
If prɔblɛm dɛn de, dɛn kin nid dɛn tin ya bak:
- Antibayɔtiks.
- Ɔpreshɔn fɔ pul wata ɔ day tisu.
- Intensiv kia.
Tritmɛnt fɔ pankrias we nɔ de mɛn:
If yu gɛt dis sik, yu jenɛral prɛktishɔn go rifer yu to spɛshal dɔktɔ (wan gastroenterologist). Tritmɛnt kin bigin wit pen mɛnejɛmɛnt ɛn chenj layf stayl fɔ mek di sik nɔr wɔs. As tɛm de go, yu kin nid fɔ tek mɛrɛsin dɛn we de na do fɔ tek di ples fɔ di ɛnzaym ɛn insulin we yu pankrias nɔ de mek.
Di we aw pipul dɛn de liv in layf
Dis rili impɔtant.
Yu rili nid fɔ stɔp fɔ drink rɔm ɛn smok.Dɛn tu tin ya kin gɛt big impak pan pankrias, ɛn di sik kin wɔs kwik kwik wan. Yu dɔktɔ go tɛl yu usay yu go gɛt ɛp fɔ stɔp dɛn tin ya. I rili impɔtant bak
fɔ yus to it we nɔ gɛt bɔku fat, we gɛt bɔku vɛjitebul ɛn frut, ɛn drink bɔku wata ɔl di de .
Manejmɛnt fɔ Pen
Fɔ kɔntrol di pen we nɔ de dɔn kin tranga. Yu kin nid fɔ tray difrɛn mɛrɛsin ɛn we fɔ no wetin go wok fɔ yu. Mek shɔ se yu tɔk to yu dɔktɔ bɔt yu pen ɛn wetin yu go du if tin nɔr ɛp. I kin rifer yu to spɛshal pɔsin we de mɛn yu pen (spɛshal pɔsin we sabi bɔt pen we nɔ de mɛn). Sɔntɛnde, we dɛn pul di ska tisu ɔ di pankrias ston dɛn wit ɛndoskopik, dat kin ɛp fɔ ridyus di sayn dɛm. fכ injεkt anεsthεsia insay di nεv dεm na di pankrεas (wan celiac plexus block) na כda opshכn fכ di sik pipul dεm we dεn sεlekt.
Nutritional supliment dɛn we dɛn kin gi
As tεm de go, bכku pipul dεn kin gεt εksokrin pankrεas insufisεns (EPI). dεn fכ tek pankrεas εnzym dεm frכm כdasay. Dɛn nid bak fɔ tek nyutrishɔn sɔpɔtmɛnt fɔ gɛt inof kalori ɛn nyutriɛnt (vitamin ɛn minral). Sɔm pipul dɛn nɔ kin ebul fɔ bia wit glukɔs, ɛn leta dɛn kin gɛt dayabitis ɛn dɛn kin dipen pan insulin.
Ɔpreshɔn
If bad bad inflamɛns de na wan patikyula pat na di pankrias, ɛn da pat de de mek yu fil pen ɔ kɔmplikeshɔn dɛn we yu nɔ go ebul fɔ bia, yu dɔktɔ kin se yu fɔ pul da pat de (`(Rɛsekshɔn)`). insay kes dεm we rili advans, if di pankrias dכn pwεl bad bad wan εn i stil de fil bad bad wan, dεn kin pul di כl pankrias (`(Total pancreatectomy)`).
Us kayn sityueshɔn dɛn kin ɛkspɛkt fɔ lɔng tɛm?
Bɔrku pipul dɛn kin wɛl ɔltogɛda frɔm akyu pankrias. If i nɔr tranga, i kin ɔltɛm sɔlv insay 5-10 dez. If yu gɛt siriɔs prɔblɛm ɔ yu gɛt prɔblɛm, yu kin nid fɔ de na ɔspitul fɔ sɔm wiks. If yu ebul fɔ trit di tin we de mek yu gɛt dis sik, i pɔsibul fɔ mek yu nɔ gɛt di sik igen. pan di sכm nכmba fכ pipul dεm we de divεlכp כgan fεil, di mכtalman rεt na bכt 20%. Kronik pankrias na sik we de go bifo smɔl smɔl. If yu de go to dɔktɔ ɔltɛm ɛn wach aw i de go bifo, yu kin mek yu nɔ gɛt prɔblɛm dɛn bifo dɛn apin. Fɔ mɛn dɛn pen kin bi prɔblɛm fɔ sɔm pipul dɛn, ɛn i kin afɛkt dɛn maynd wɛlbɔdi ɛn kwaliti layf bak. Dɛn kin tink bɔt fɔ du ɔpreshɔn. I pɔsibul fɔ liv we yu nɔ gɛt pankrias, bɔt yu go nid fɔ abop pan insulin.
Yu tink se dɛn go ebul fɔ stɔp dis?
Nɔto ɔl di tin dɛn we kin mek pɔsin gɛt dis sik, dɛn kin ebul fɔ avɔyd. Bɔt yu kin ridyus di prɔblɛm we yu gɛt
bay we yu nɔ de drink bɛtɛ rɔm . Di ɔda men tin we kin mek yu gɛt galston na
we yu de mek yu kɔlɔstrel go dɔŋ . If yu dɔn gɛt akyu pankrias,
fɔ lɛf fɔ drink rɔm ɛn smok kin ɛp.I kin ɛp fɔ mek di sik nɔ kam bak. If na gal ston mek am, if yu pul di gal blad, dat kin mek i nɔ kam bak.
Sɔntɛm yu nɔ go tink bɔku bɔt yu pankrias te wan de i at. Dis kin rili mek yu fred ɛn strɛs fɔ mek yu pe atɛnshɔn to yu.
Fɔ dɔn, tin dɛn we wi fɔ mɛmba
If yu gɛt sayn dɛm fɔ pankrias,
duya nɔ ignore am. Si dɔktɔ wantɛm wantɛm. Bɔrku pan di kes dɛm wae gɛt akyu pankrias go bɛtɛ insay sɔm dez. If yu ebul fɔ no wetin de mek yu gɛt am, nɔr shem fɔ trit am. Krεse pankrias kin bigin sloslo εn yu nɔr kin no am bay di tεm we yu no am. Pan ɔl we sɔm tin dɛn we kin mek pɔsin gɛt rɔm, lɛk rɔm, dɛn kin no bifo tɛm, ɔda wan dɛn kin bi mɔ we nɔ kɔmɔn ɛn we dɛn nɔ kin ɛkspɛkt. Sɔntɛm yu nɔr bin dɔn ɛva tink se yu de pan denja fɔ gɛt dis sik fɔ lɔng tɛm. Bɔt, fɔ lan fɔ liv wit am kin tranga. Yu go nid dɔktɔ we yu trɔst fɔ ɛp yu fɔ manej am fɔ di res ɔf yu layf.
Yu wɛlbɔdi biznɛs na yu wok, so tek kia ɔf am. Pankriaytis, Pankriaytis, Bɛdi Pen, Galston, Alkol, Dijeshɔn
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