Imajin se yu bɛlɛ de at bad bad wan wantɛm wantɛm. Fɔs, i kin bigin lɛk se i nɔ de fil pen, bɔt afta sɔm tɛm, i nɔ kin ebul fɔ bia di pen. Di pen kin so bad dat yu nɔ kin ivin ebul fɔ waka, tinap stret, ɔ muv yu bɔdi. Bɔku pipul dɛn kin tink se dis na nɔmal bɛlɛ pen, gastritis. Bɔt dis kin bi sayn fɔ wan sik we rili siriɔs, ivin we kin mek pɔsin in layf de pan denja we dɛn kɔl Pɛritoniti . So tide, lɛ wi tɔk bɔt dis denja kɔndishɔn.
Fɔ tɔk am simpul wan, wetin na Pɛritonaytis?
Bɔku impɔtant ɔgan dɛn de insay wi bɛlɛ, lɛk di liva, insay wi bɔdi, di bɛlɛ, ɛn di uterus. dis כgan dεm de protεkt εn ol tכgeda wit wan tכn mεmbran, lεk wan polythene sheet, we de kכba di insay wכl na di bכdi. Insay mɛrɛsin, wi kin kɔl dis di peritoneum .
Pɛritonaytis na we wan jεm, lεk baktri dεm, go insay di pεritonεum, infεkt, i kin swεla bad bad wan, εn i kin inflam. Dis na mɛdikal imejensi . Bikɔs dis infɛkshɔn kin skata kwik kwik wan ɔlsay na di bɔdi ɛn i kin mek pɔsin in layf de pan denja. So, i rili impɔtant fɔ mek yu ɛn di wan dɛn we yu lɛk no gud gud wan wetin na dis.
Wetin na di sayn dɛm wae de sho se pɔrsin gɛt Pɛritonaytis?
De sik kin difrɛn frɔm pɔrsin to ɔda pɔrsin wae gɛt dis kayn sik. Bɔt sɔm kɔmɔn sayn dɛn de we yu fɔ pe atɛnshɔn mɔ to. If wan ɔ mɔ pan dɛn sayn ya apin wantɛm wantɛm, nɔ ignore am.
| Di sayn we de sho se di sik de | Tɔk bɔt |
|---|---|
| Bɛlɛ pen bad bad wan | I kin bigin lɛk dɔl pen ɔlsay na di bɛlɛ, dɔn i kin tɔn wantɛm wantɛm to shap pen we de chuk pɔsin. De pen kin so bad dat yu nɔr kin ebul fɔ muv, tinap stret, ɔr ivin kɔf. |
| Di bɛlɛ de blo ɛn tayt | We yu tɔch yu bɛlɛ, i kin fil tranga lɛk rɔk. Di bɛlɛ kin swel ɛn i kin fil pen te i at fɔ tɔch. Dɔktɔ dɛn kin kɔl dis ‘abdominal rigidity’. |
| Fiva ɛn kol kol | Fiva kin apin as di bɔdi de fɛt infɛkshɔn. Sɔntɛnde, yu kin gɛt kol at. |
| Vɔmit ɛn nɔs | If yu vɔmit, dat kin mek yu nɔ want fɔ it ɛn yu nɔ go fil fayn. |
| Ɔda tin dɛn we de apin | Yu kin si bak sɔm sayn dɛm lɛk kɔnstipɛshɔn, paralayt ileus, at bit kwik kwik wan, we yu de blo bɔku, yu mɔt ɛn lip dray bikɔs yu nɔ gɛt wata bad bad wan, ɛn yu taya pasmak. |
Wetin mek Pɛritonaytis kin apin? Wetin na di tin dɛn we kin mek i apin?
Okay, naw lε wi luk aw infεkshכn kin go insay dis protεktiv mεmbran we dεn kכl di pεritoneum. Bɔku men we dɛn de we dis kin apin.
1. Prεd fכ infεkshכn frכm כda כgan (Sεkכndari Pεritonitis) .
Dis na di tin we kin mek pɔsin gɛt dis sik. dat min se, infεkshכn na כda כgan na di bכdi de spre to di pεritoneum biכs fכ rכp כ pכrכshכn na da כgan de. Imajin sɔntin lɛk dis...
- Apɛndiks: As bɔku pipul dɛn no, apɛndiks na inflamɛns na di apɛndiks. If dɛn nɔ trit am kwik, i kin bɔs. Dɔn di baktri ɛn di tin dɛn we de insay de skata ɔlsay na di bɛlɛ, ɛn dis kin mek pɔsin gɛt peritonitis. Dis na di men tin we kin mek pɔsin gɛt peritonitis.
- Pεptik כlsa/Bכwel Pεrforeshכn: If כlsa de kam na di bεlε εn i dip fכ mek ol na di bεlε wכl, di bεlε asid εn baktri dεm kin lik insay di bεlε.
- Cholecystitis ɔ pankreas: We di inflamɛns na dɛn ɔgan ya kin kam bad bad wan, dɛn kin gɛt pɔrf, we kin mek di bayl we de kɔmɔt na di gal blad ɔ di ɛnzaym dɛn we kɔmɔt na di pankrias lik insay di bɛlɛ.
- di prכblεm dεm we de wit uman dεm: di infεkshכn kin spre bak to di pεritoneum bikoz fכ kes dεm lεk εktopik bεlε na di fallopian tyub, di tכb we rכp, כ siriכs pεlvik inflammatory disease.
- Traumatik Injuri to di Bɛlɛ: If di bɛlɛ wund, lɛk we i gɛt motoka aksidɛnt, we i fɔdɔm, ɔ we dɛn chuk am wit chukchuk, di insay dɛn kin pwɛl ɛn di baktri dɛn kin lik kɔmɔt.
- Afta di ɔpreshɔn: Afta dɛn dɔn ɔpreshɔn di bɛlɛ, smɔl chans de fɔ mek infɛkshɔn go insay tru di wund.
2. Ɔda tin dɛn we kin mek pɔsin gɛt sik (Primary ɛn Chemical Peritonitis) .
Pɛritonaytis kin apin bak fɔ ɔda rizin dɛn, lɛk we di ɔgan dɛn kin brok, lɛk aw wi bin dɔn tɔk. Dɛn tin ya nɔ kin bɔku.
- Asayt: Kɔndishɔn lɛk sirosis na di liva, sɔm kansa, ɔ at sik kin mek di bɛlɛ ful-ɔp wit wata. Dis wata we pasmak kin izi fɔ gɛt baktri, we kin mek i gɛt wan sik we dɛn kɔl Spontaneous Bacterial Peritonitis (SBP) .
- Tru mεdikal tritmεnt: We dεn de trit di pεritoneal dialysis tritmεnt fכ di sik pipul dεm we gεt kidni fεil, sכmtεm baktri dεm kin go insay tru di bεlε tyub. Dis risk de bak fɔ di sik pipul dɛm we dɛn de it tyub tru di nos.
- Kεmikכl Pεritonaytis: Dis kin kכz fכ di lik we di kεmikכl dεm we nכto baktri, bכt de insay di bכdi bכt we de ambɔg di pεritonεum. fכ egzampl, di bεlε asid, bayl, pankrεas εnzym dεm, εn כda tin dεm we dεn ya go insay di pεritoneum, dεn de mek di inflameshn.
Wetin mek Pɛritonitis denja? Wetin na di prɔblɛm dɛn we kin apin?
Pɛritonitis nɔto sɔntin we pɔsin kin ebul fɔ mɛn izi wan. If dɛn nɔ trit am kwik, i kin mek i gɛt siriɔs prɔblɛm dɛn we go mek i day.
Di prɔblɛm we denja pas ɔl ɛn we rili bad fɔ dis na wan sik we dɛn kɔl sɛpsis.
Fɔ tɔk am simpul wan, sɛpsis na we di bɔdi in imyun sistɛm we de ansa to infɛkshɔn nɔ de kɔntrol ɛn bigin fɔ pwɛl di bɔdi in yon tisu ɛn ɔgan dɛn. Dis kin mek di blɔd prɛshɔn go dɔŋ bad bad wan, di blɔd we de kɔmɔt na di blɔd kin fɔdɔm, di ɔgan dɛn nɔ kin wok fayn, ɛn ivin day. Na dat mek Pɛritonitis na mɛdikal imejensi.
Ɔda prɔblɛm dɛn we kin apin:
- Dihaydreshɔn ɛn Ilɛktrolayt Imbalans: Tin dɛn lɛk vɔmit ɛn fiva kin mek di bɔdi lɔs wata ɛn impɔtant sɔl dɛn.
- Paralytic Ileus: Di wok we di intestin dεm de du kin stכp fכ sכm tεm.
- Abdominal Adhesions: Afta di infεkshכn dכn hεl, di כgan dεm we de insay di bכdi kin stכk tכgeda, we kin mek di bכdi bכku bכku tεm tεm.
- di ifekt pan כda כgan dεm: If di infεkshכn kam tranga, כgan dεm lεk di liva εn kidni dεm kin afekt bak bay dis infεkshכn.
Aw dɛn kin no di sik ɛn trit am?
Aw di dɔktɔ kin no di sik?
We yu go na ɔspitul, mɔ di Imejɛnsi Dipatmɛnt (ETU) wit dɛn sik ya, di dɔktɔ go aks yu fɔs bɔt yu sik. Dɔn, dɛn go du yu bɔdi ɛgzam, mɔ fɔ chɛk yu bɛlɛ gud gud wan. Dɛn go chɛk fɔ si if yu bɛlɛ at, swel, ɔ yu de fil pen we yu tɔch am. Dɛn kin ɔda dɛn tɛst ya fɔ kɔnfirm di diagnosis:
- Blɔd Tɛst: Dɛn kin chɛk tin dɛn lɛk di Wait Blɔd Sɛl Kɔnt fɔ si if infɛkshɔn de na di bɔdi.
- Imej tɛst: Dɛn kin ɔda CT skan , ɔltra saund skan , ɔ MRI skan fɔ si wetin de apin insay di bɛlɛ. Dɛn tin ya kin ɛp fɔ no if wan ɔgan dɔn inflam ɔ if wata de gɛda.
- Paracentesis: If di bɛlɛ ful-ɔp wit wata, dɛn kin put wan tin nidul ɛn tek wan sɛmpul pan di wata fɔ tɛst fɔ si if i gɛt infɛkshɔn ɛn fɔ no us baktri dɛn de.
- Laparoscopy: Sɔntɛnde, if di sik nɔ klia, dɛn kin nid fɔ put smɔl kamɛra insay di bɛlɛ fɔ si di insay dairekt wan.
Wetin na di tritmɛnt dɛn?
Pɛritonitis na wan sik we kin mek pɔsin go na ɔspitul. Di tritmɛnt gɛt tri men gol: fɔ kɔntrol di infekshɔn, fɔ trit di ɔndalayn prɔblɛm we mek di infekshɔn, ɛn fɔ mek dɛn nɔ gɛt prɔblɛm dɛn we kin apin.
1. Antibayɔtik: Fɔs, dɛn kin gi brayt-spɛktrum antibayɔtik insay di bɛlɛ wit salin. Dis kin ɛp fɔ kɔntrol di infekshɔn we dɔn skata ɔlsay na di bɔdi. Dɔn, afta we dɛn dɔn du tɛst fɔ no di patikyula bɔdi we de mek di sik, dɛn kin gi am wan patikyula antibayɔtik.
2. Ɔpreshɔn: Bɔku tɛm, i kin nid fɔ du ɔpreshɔn. Ɛspɛshali if di apɛndiks dɔn bɔs ɔ ol dɔn fɔm na di intestinal, dɛn fɔ pul di pat we dɔn pwɛl ɛn was di insay pat pan di bɛlɛ fayn fayn wan ɛn klin am.
3. Sɔpɔtiv Keya: Dis inklud fɔ gi salin, mɛrɛsin fɔ mek pɔsin fil pen, ɛn ɔksijɛn if nid de. sכmtεm, dεn kin put wan nasogastric tכb tru di nos fכ pul di tin dεm we de insay di bεlε.
Aw lɔng i kin tek fɔ mek i wɛl? Ustɛm yu fɔ go to dɔktɔ wantɛm wantɛm?
Di tɛm fɔ wɛl kin difrɛn frɔm wan pɔsin to ɔda pɔsin. I dipen pan aw yu kin gɛt tritmɛnt kwik kwik wan, aw di sik kin tranga, ɛn yu ɔl wɛl bɔdi. If dɛn bigin fɔ trit am kwik, yu kin wɛl insay sɔm wiks. Bɔt if dɛn dɔn du ɔpreshɔn pan yu ɔ if di rizin we mek yu gɛt sik (lɛk sirosis) siriɔs, i kin tek lɔng tɛm fɔ mek yu wɛl ɔl.
Mɛmba se if yu gɛt bɛlɛ pen wantɛm wantɛm, we yu nɔ go ebul fɔ bia, ɛn we de mek yu fil pen mɔ ɛn mɔ, nɔ ɛva ignore am. Nɔ jɔs de na os ɛn tink se na nɔmal bɛlɛ pen.
Go na di ɔspitul we de nia yu Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm. Ɔ kɔl di 1990 ambulans savis. Insay peritonitis, ɛvri minit kin kɔnt . If yu du sɔntin kwik kwik wan, dat go sev yu layf.
Mɛsej we dɛn kin kɛr go na os
- Pɛritonaytis na siriɔs infɛkshɔn na di peritoneum, di tin we de rawnd di ɔgan dɛn we de insay wi bɛlɛ.
- Di men sayn dɛm na we yu bɛlɛ kin pen wantɛm wantɛm, yu nɔ kin ebul fɔ bia, yu bɛlɛ kin fil tranga wan, ɛn yu kin gɛt fiva.
- di men tin we de mek dis kכndyushכn na di bכdi we di bכdi de spre insay di bεlε bikoz fכ kכndyushכn dεm lεk ruptured appendicitis εn perforated stomach ulcers.
- If dɛn nɔ trit am, wan prɔblɛm we de mek pɔsin in layf de pan denja we dɛn kɔl sɛpsis kin apin.
- So, if yu gɛt bad bad bɛlɛ pen, nɔ west tɛm ɛn go na ɔspitul in Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm . Kwik tritmɛnt kin sev yu layf.











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