Yu dɔn ɛva fil lɛk se yu bɛlɛ dɔn swel ɛn blo lɛk balɔ we ful-ɔp wit wata? Yu kin si se i nɔ kin izi fɔ yu fɔ blo ɛn fil lɛk se yu nɔ ebul fɔ it ɔ drink fayn? Dis kin bi bikɔs yu bɛlɛ ful-ɔp wit wata we nɔmal. Insay mɛrɛsin, dɛn kin kɔl dis sik ascites. So tide wi go tɔk bɔt wan simpul, bɔt we rili impɔtant fɔ mɛn dis wata we dɔn gɛda. Dat na paracentesis.
Fɔ tɔk am simpul wan, wetin na paracentesis?
Paracentesis na wan we we de pul di wata (wata) we pasmak na yu bɛlɛ, ɔ di bɛlɛ. Imajin se di ɔgan dɛn we de insay yu bɛlɛ, lɛk yu liva ɛn yu intestinal, gɛt wan tin we dɛn kɔl di peritoneum. dis na di spεs bitwin dεn tu layεr dεm ya, usay dis wata we dεn kכl ascites de kכmכt.
Insay dis tritmɛnt, dɔktɔ kin yuz wan tint nidul ɛn wan smɔl plastic tyub (kateta) we dɛn kin tay pan am fɔ pul dis wata we dɔn gɛda. I tan lɛk se yu de pul wata na tank. We dɛn pul di wata dis we, di prɛshɔn ɛn di prɔblɛm we de na di bɛlɛ, lɛk fɔ blo, kin ridyus bad bad wan.
Wetin mek dɛn de du dis tritmɛnt?
Dɛn kin du dis fɔ tu men rizin dɛn: wan fɔ no if pɔsin gɛt di sik , ɛn di ɔda wan fɔ trit am .
- Diagnostic Paracentesis: Fɔ tɔk am simpul wan, fɔ no wetin mek di bɛlɛ ful-ɔp wit wata. Di dɔktɔ pul wan sampul pan di wata ɛn sɛn am na wan lɛb. Di tɛst rizɔlt go ɛp fɔ no di rayt tin we mek di sik kam.
- Therapeutic Paracentesis: Dɛn kin du dis fɔ pul di diskɔmfɔt we wata we de na di bɛlɛ kin mek i nɔ fil fayn. Bɔku tɛm, dɔktɔ dɛn kin yuz dis tritmɛnt we diuretik ɔ it we nɔ gɛt bɔku sɔl nɔ ebul fɔ kɔntrol di sik.
| Di kayn infɔmeshɔn we dɛn gɛt | Tɔk bɔt |
|---|---|
| Men tin dɛn we kin mek pɔsin gɛt ascites | |
| Sirosis na di liva | Dis na di tin we kin mek pɔsin blo pasmak. |
| Pɔtal Haypatɛyshɔn | Blɔd prɛshɔn we de go ɔp na di men vein na di liva. Kɔmɔn pan di wan dɛn we gɛt sirosis. |
| Infεkshכn dεm | Pɛritonaytis na infεkshɔn pan di wata we de na di bɛlɛ. |
| Kansa | Kansa na di ovaria, uterus, liva, pankrias, ɔ kɔlon. |
| Ɔgan we nɔ de wok fayn | Liva ɔ at we nɔ de wok fayn. |
| Di simptom dɛm wae de dɔŋ wae yu de pul wata | |
| Karakta | Bɛlɛ pen ɛn prɛshɔn, bɛlɛ we de opin, i nɔ kin izi fɔ blo, i kin gɛt kɔnstipɛshɔn, i kin blo, ɛn i nɔ kin want fɔ it igen. |
Aw yu kin rɛdi fɔ dis?
Dis nɔto big ɔpreshɔn, bɔt yu go nid fɔ pripia smɔl bifo tɛm. Yu dɔktɔ go ɛksplen ɔltin to yu.
- Mɛdikal istri: Yu dɔktɔ go aks yu bɔt di sik dɛn we yu bin dɔn gɛt trade, di ɔpreshɔn dɛn we yu bin dɔn du, ɛn di alɛji dɛn we yu bin gɛt. I impɔtant fɔ mek dɛn no if yu gɛt bɛlɛ.
- Advays bɔt mɛrɛsin: If yu de tek tin dɛn we de mek yu blɔd tan lɛk (Aspirin) ɔ (Warfarin), yu dɔktɔ kin advays yu fɔ stɔp fɔ tek dɛn mɛrɛsin dɛn de fɔ sɔm dez. Yu dɔktɔ kin advays yu bak fɔ stɔp fɔ tek pen kil (NSAID) ɔ sɔm mɛrɛsin fɔ dayabitis. I rili impɔtant fɔ fala wetin yu dɔktɔ tɛl yu fɔ du.
- Fast: Dɛn go advays yu fɔ lɛf fɔ it ɔ drink fɔ sɔm awa bifo yu gɛt tritmɛnt.
Wetin kin apin we dɛn de trit am?
Dɛn kin du dis na di dɔktɔ in ɔfis ɔ na ɔspitul. I bɛtɛ fɔ pis ɛn ɛmti yu blad bifo di tritmɛnt.
1. Fɔ pripia yu: Fɔs, dɛn go mek yu ledɔm na bed.
2. Klin ɛn mek yu nɔ gɛt bɛtɛ trɛnk: Afta dat, dɛn kin klin di say we dɛn de chuk am fayn fayn wan ɛn mek di say nɔ gɛt bɛtɛ trɛnk . Dɛn kin gi smɔl injɛkshɔn fɔ dis. We dɛn chuk am, i kin fil pen smɔl, lɛk se ant bit am, bɔt afta dat, nɔ pen nɔ de na da say de.
3. Fɔ put di kateshɔn insay: Bɔku tɛm di dɔktɔ go yuz ɔltra saund skan fɔ si ustɛm di wata de. afta dat, tru di say we dεn pankshכn, dεn go put di kateshכn εn wan sכmכl plastic tכb (kateta) we dεn tay pan am sכmtεm insay di bכdi.
4. Fɔ pul di wata: Dɔn yuz sirinj ɔ vaykum bɔtul fɔ pul di wata. If yu gɛt sɔm lita wata fɔ pul, yuz dis vaykum bɔtul fɔ mek di wok go kwik.
5. Fɔ pul di stinga ɛn bandej: We di wata dɔn drayn, pul di stinga, put prɛshɔn pan di say fɔ stɔp di blɔd, ɛn put klin bandej.
Fɔ sɔm pipul dɛn, ivin if dɛn pul di wata dis we, i kin kɔntinyu fɔ kam bak. Fɔ dɛn kayn pipul ya, dɛn kin put wan spɛshal tyub we kin tek lɔng tɛm (Tunneled Peritoneal Drainage Catheter). Dɔn yu kin pul di wata na os. Yu dɔktɔ go disayd if i fayn fɔ yu.
Yu tink se dis kin mek pɔsin fil bad? Aw lɔng i go tek?
Yu kin fil smɔl pen we yu gɛt di numbing injection, bɔt yu nɔ go fil bɔku pen we dɛn pul di wata. Bɔt yu kin fil smɔl prɛshɔn ɔ yu nɔ kin fil fayn na yu bɛlɛ. If yu fil ɛni diskɔmfɔt ɔ diziz, nɔ fred fɔ tɛl di dɔktɔ ɔ nɔs we de de.
Dis prɔses kin tek bitwin 20 ɛn 45 minit . I kin difrɛn difrɛn wan bay di kayn wata we dɛn de pul. Fɔ no di sik, dɛn kin tek smɔl tin, we na lɛk 25 mililita. Fɔ tritmɛnt, sɔmtɛm dɛn kin pul 5 lita ɔ mɔ.
Aw fɔ tek tɛm we yu de go na os?
I bεst fɔ rεst fɔ di fɔs 24 awa afta yu dɔn trit yu. Yu dɔktɔ go advays yu bɔt aw fɔ kia fɔ di wund.
- Fɔ kia fɔ wund: Was yu an fayn fayn wan wit sop ɛn wata bifo yu chenj di bandej. Tɛl yu dɔktɔ if di wund rɛd, swel, ɔ pus we de kɔmɔt.
- Di it: Yu go nid fɔ ridyus di sɔl we yu de it, bikɔs sɔl de mek wata kɔntinyu fɔ de na di bɔdi.
- Mɛrɛsin: Tek di diuretics we yu dɔktɔ tɛl yu fɔ tek di rayt tɛm.
- Fɔ mek yu klin:Nɔ mek di wund wet te i wɛl. So, i bɛtɛ lɛ yu nɔ was ɛn tek spɔnj bat.
Ustɛm yu fɔ go to dɔktɔ wantɛm wantɛm?
Kɔmplikeshɔn nɔ kin bɔku, bɔt i impɔtant fɔ du sɔntin kwik kwik wan if ɛni risk simptom kam.
| Chans | Sayn dɛn |
|---|---|
| Kɔl yu dɔktɔ. | |
| Sayn dɛn we de sho se pɔsin gɛt di sik | Fiva ɛn kol, rɛd ɔ pen na di say we dɛn injekt, ɛn wan dɔti smel we de kɔmɔt na di bɔdi ɔ pus. |
| Go na di Imejɛnsi Tritmɛnt Yunit (ETU) wantɛm wantɛm. | |
| Imejɛnsi tin dɛn we kin apin | Chɛst pen, tranga fɔ blo bad bad wan, diziz, bad bad bɛlɛ pen ɔ swel. |
Mɛsej we dɛn kin kɛr go na os
- Paracentesis na wan mɛrɛsin we rili sef we de pul di wata we pasmak na di bɛlɛ.
- Dis kin ɛp yu fɔ no wetin de mek yu blo ɛn ridyus di prɔblɛm we i de mek yu nɔ fil fayn.
- I rili impɔtant fɔ fala yu dɔktɔ in instrɔkshɔn dɛn gud gud wan, bifo ɛn afta di tritmɛnt.
- Yu fɔ de wach fɔ sayn dɛn we de wɔn yu lɛk fiva, we yu wund de swel, ɛn yu bɛlɛ de at bad bad wan. If ɛni wan pan dɛn tin ya apin, go to dɔktɔ wantɛm wantɛm.
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