Yu dɔn ɛva fil dis kayn we? I kin fil lɛk se yu bɛlɛ ful-ɔp, yu nɔ ebul fɔ pas gas, yu nɔ ebul fɔ ɛmti yu bɛlɛ, yu fil lɛk se yu de kam fɔ vɔmit, i rili at. Dis kin apin mɔ afta dɛn dɔn du sɔm kayn ɔpreshɔn. Bɔku pipul dɛn kin tink se dis na nɔmal tin ɛn i go dɔn afta dɛn dɔn rɛst smɔl. Bɔt dis kin bi bak wan sayn fɔ wan kɔndishɔn we wi kin kɔl `Paralytic Ileus` na mɛrɛsin. Nɔr frayd fɔ di nem, dis kin bi fɔ sɔm tɛm. Lɛ wi tɔk bɔt dis simpul wan, di we we ɔlman go ɔndastand.
Fɔ tɔk am simpul wan, wetin na Paralytic Ileus?
Fɔ ɔndastand dis, wi fɔs nid fɔ no smɔl bɔt aw wi insay de wok. Tink bɔt wi insay lɛk wan lɔng tiub. Di it we wi de it de travul along dis tiub, i de digest, di tin dɛn we wi nid de tek, ɛn di dɔti tin dɛn de kɔmɔt na do as fes.
So, fכ push dis it fכ fכd, di wכl dεm na di intestinal dεm de kכntrikt כltεm εn εkspεnd lεk wev. I tan lɛk se katapila de muf. Wi kin kɔl dis na mɛrɛsin ``(Peristalsis)`` . dis muvmεnt na in de muv it, wata, εn briz dכn di intestכn dεm.
naw `Paralytic Ileus` min se da wev de, dat `(Peristalsis)` muvmεnt de stכp fכ sכm tεm, εn di intestin dεm de bi `patli' fכ sכm tεm. `Paralytic` min paralayz. Dat min se nכ mεkanikal blכk, lεk tכmכro, de na di intestinal dεm, bכt di muvmεnt fכ di intestin dεm dכn stכp. Dis na prɔblɛm we de apin we pɔsin de wok.
We di bɔdi stɔp dis we, it, wata, ɛn briz kin bigin fɔ gɛda na wan ples. Na da tɛm de wi kin bigin fɔ gɛt sɔm sayn dɛm lɛk fɔ blo, bɛlɛ pen, ɛn vɔmit.
De impɔtant tin na dat, bɔrku tɛm dis kin bi fɔ sɔm tɛm ɛn kin trit am . we dεn dכn no di כndalayn kכz εn trit, di bכdi fכnshכn go kam bak to nכmal.
Wetin na di sayn dɛm fɔ dis sik?
Pɔrsin wae gɛt Paralytic Ileus kin gɛt wan ɔr mɔr pan dɛn sik ya di sem tɛm.
| Di sayn we de sho se di sik de | Wan simpul ɛksplen |
|---|---|
| Di bɛlɛ we de blo | di bεlε de fil bכku blo εn tayt biכs di briz εn wata we de kכmכt na di bεlε. |
| Di bɛlɛ we de kɔmɔt na di bɛlɛ | Wi kin si se di bɛlɛ dɔn big bikɔs i de blo. |
| Gas we dɛn kin yuz | Bikɔs di intestinal muvmɛnt dɔn stɔp, di briz nɔ de pas nɔmal wan. |
| Banbɛlɛ | I nɔ ebul fɔ pas stɔl bikɔs ɔf di bɔdi we nɔ de wok fayn. |
| Nɔs ɛn vɔmit | Vɔmit kin apin as di tin dɛn we de insay di insay de kam ɔp. Sɔntɛnde dis vɔmit kin gɛt grɛn ɔ brawn kɔlɔ. |
| Di wata we nɔ de na di bɔdi | If yu vɔmit ɛn nɔ it ɔ drink, dat kin mek yu nɔ gɛt wata na yu bɔdi. |
Wonin: If yu gɛt ɛni wan pan dɛn sik ya we rili bad , fɔ ɛgzampul, yu bɛlɛ de pen we yu nɔ go ebul fɔ bia ɔ yu de vɔmit ɔltɛm, tek am se na imejensi ɛn go na ɔspitul in Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm.
Wetin na di tin dɛn we kin mek pɔsin gɛt Paralayt Ileus?
Nɔto wan rizin de fɔ dis kayn tin, bɔt sɔm tin dɛn de we kin mek i apin. Lɛ wi luk dɛn wan bay wan.
1. Ɔpreshɔn
Di men ɛn kɔmɔn tin we kin mek dis apin na ɔpreshɔn. Bɔku tɛm dɛn kin tink se dis sik go apin afta dɛn dɔn ɔpreshɔn di bɛlɛ, mɔ. Ɔpreshɔn na big big shɔk to di bɔdi. fכ ansa dis, di intestin dεm stכp fכ wok fכ sכm tεm. Dɔktɔ dɛn no bɔt dis ɛn dɛn dɔn plan fɔ gi di rayt tritmɛnt fɔ am.
2. Inflameshɔn na di bɛlɛ
εni inflameshn כ infεkshכn we apin insay di bכdi kin mek di intestin dεm nכ wok fayn. imajin, if wan kכndishכn de lεk "bכn" bikoz fכ sכm prכblεm insay di bεlε, i go afekt di intestכn dεm.
Sɔm ɛgzampul dɛn:
- Apɛndiks: Na inflamɛns na di apɛndiks.
- Pankreas: Na inflamɛns na di pankrias.
- Pɛritonitis: Inflameshɔn na di layn na di bɛlɛ.
- Divɛrtikulayt: Na inflamɛns na di smɔl smɔl say dɛn we tan lɛk paus na di big intestinal.
- Kɔlesistaytis: Na inflamɛns na di gal blad.
- Sepsis: Na bad bad infekshɔn we dɔn skata ɔlsay na di bɔdi.
3. Sɔm mɛrɛsin dɛn
Sɔm mɛrɛsin dɛn we wi kin tek kin mek wi bɔdi nɔ de muv fayn as sayd ɛfɛkt.
- Opioid: Strɔng pen kil lɛk mɔfin ɛn tramadol.
- Anticholinergics: Na mɛrɛsin dɛn we dɛn kin gi fɔ sɔm alɛji ɛn maynd sik.
- Tricyclic antidepressants: Na mɛrɛsin wae dɛn kin yuse fɔ trit sɔm kayn pwɛl hat sik.
4. Ilɛktrɔlayt distɔblɛshɔn
fכ di mכsul dεm na wi bכdi, inklud di wan dεm na wi intestinal, fכ wok fayn, dεn nid fכ gεt di rayt lεvεl dεm fכ ilektrolayt lεk potashכm εn kalsiכm. we dεn tin ya nכ de bεlε, di intestin dεm kin stכp fכ wok.
- Hypokalemia: Di potassium lɛvɛl na di blɔd de go dɔŋ.
- Hypercalcemia: I de mek di kalsiɔm we de na di blɔd go ɔp.
- Hypomagnesemia: Di magnɛsium lɛvɛl na di blɔd de go dɔŋ.
5. Ɔda sik dɛn we pɔsin kin gɛt we i de mɛn pipul dɛn
apat frכm dis, nכmba כf כda sik dεm kin mek `Paralytic Ileus`.
- Renal we nɔ de wok fayn
- Sivεr infεkshכn lεk nyumonia
- Spinal kɔd injuri dɛn
- At atak
- Kεtoacidosis we gɛt fɔ du wit dayabitis
- Tayrɔyd sik dɛn
Aw dɔktɔ kin no bɔt dis?
We yu go na ɔspitul, di dɔktɔ go fala sɔm tin dɛn fɔ no bɔt dis sik.
1. Mɛdikal histri ɛn di sayn dɛm: Fɔs, dɛn go aks yu bɔku tin dɛm, lɛk us kayn diskɔmfɔt yu de gɛt, aw lɔng yu dɔn gɛt am, if dɛn jɔs dɔn du ɔpreshɔn pan yu, ɛn us mɛrɛsin yu de tek.
2. Fɔ chɛk yu bɔdi: Dɔn, di dɔktɔ go chɛk yu bɛlɛ. if yu nכ de yεri nכmal bכdi sawnd dεm we yu de lisin to yu bכdi wit stεtoskop, dis na big sayn fכ wan kכndyushכn we dεn kכl `Paralytic Ileus`.
3. X-ray ɔ Ultrasound Scan: Dɛn kin du X-ray ɔ ultrasound skan fɔ di bɛlɛ fɔ no if di intestinal dɛn ful-ɔp wit gas ɛn i dɔn swel. i kin kכnfכm bak se nכ כda mεkanikal blכk de na di intestכn dεm.
4. Blɔd tɛst: Dɛn kin du blɔd tɛst fɔ chɛk di lɛvɛl we di ilɛktrɔlayt ɛn minral dɛn de na yu blɔd.
Wetin na di tritmɛnt dɛm fɔ dis?
Tu men gol dɛn de fɔ tritmɛnt. Wan na fɔ trit di ɔndalayn kɔz fɔ di sik, ɛn di ɔda wan na fɔ gi di bɔdi di sɔpɔt we i nid te di insay dɛn bigin fɔ wok bak.
| Di we aw dɛn kin trit am | Tɔk bɔt |
|---|---|
| Bɔwel rɛst | di it we yu de it dεn kin stכp kכmplit wan te di bכdi fכnshכn kam bak to nכmal. Dis kin mek di insay dɛn rɛst. |
| Parenteral nyutrishɔn we dɛn kin gi | Bikɔs yu nɔ de it wit yu mɔt, yu go nid fɔ gi yu bɔdi di tin dɛn we yu nid, di wata we yu nid, ɛn di ilɛktrɔlayt dɛn we i nid tru wan IV (saline) infushɔn. Dis impɔtant fɔ mek yu nɔ gɛt wata na yu bɔdi. |
| Nasogastric tiub ples fɔ put am | Sɔntɛnde we i kin rili bad, dɛn kin put smɔl tiub tru di nos insay di bɛlɛ fɔ pul di briz ɛn wata we dɔn gɛda na di bɛlɛ ɛn fɔ mek i nɔ vɔmit ɛn nɔ fil fayn na di bɛlɛ. |
| Di mɛrɛsin dɛn (Prokinetics) . | Sɔntɛnde dɛn kin gi mɛrɛsin fɔ ɛp fɔ bigin fɔ muv di bɔdi bak. |
Wetin kin apin afta dɛn dɔn trit am?
Bɔrku tɛm, dis sik kin bɛtɛ insay tu to tri dez . We yu intestinal dɛn bigin fɔ wok bak, yu go bigin fɔ pas gas. Dat na di bɛst sayn. Dɔn, as yu dɔktɔ advays yu, yu kin bigin fɔ it wata smɔl smɔl, dɔn tin dɛn lɛk sup, ɛn afta dat yu kin it tin dɛn ɔltɛm.
If i las pas fayv dez, di dɔktɔ go chɛk mɔ fɔ si if ɔda tin de we mek i du dat.
Mɛsej we dɛn kin kɛr go na os
- Paralaytik Ileus nɔto fɔ blok na di intestinal, bɔt na fɔ stɔp di intestinal muvmɛnt fɔ sɔm tɛm.
- Di tin we kin mek pɔsin gɛt dis sik pas ɔl na ɔpreshɔn, bɔt i kin kam bak bikɔs ɔf infekshɔn, sɔm mɛrɛsin dɛn, ɛn ɔda mɛrɛsin dɛn.
- Di men sayn dɛm na fɔ blo, gas, kɔnstipɛshɔn, ɛn vɔmit. If dɛn tin ya bad, yu fɔ go na ɔspitul wantɛm wantɛm.
- Dis na wan sik wae de kam fɔ sɔm tɛm wae kin dɔn insay sɔm dez. Ɔspitul tritmɛnt de gi di bɔdi di sɔpɔt we i nid.
- If yu gɛt sɔm kayn sik lɛk dis, nɔr jɔs ignore dɛm ɛn se, "Dis kin jɔs bi sɔmtin," bɔt fɔ tru, go to yu dɔktɔ fɔ advays.
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