Wi de tɔk bɔt pɔtal haypatɛyshɔn?

Yu dɔn ɛva yɛri bɔt dis sik we dɛn kɔl `(Portal Hypertension)`? Yu go si se di nem strenj smɔl ɛn i nɔ izi fɔ ɔndastand. Bɔt dis na tin we kin apin na wi liva, i kin nid fɔ tek tɛm wit wi smɔl, ɛn i kin rili siriɔs. Mek wi tok abaut dis tide simpul, fo we we yu go andastan, laik se sombodi we de klos to yu de explein am to yu, okay?

Wetin na pɔtal haypatɛnshɔn?

fכ simpul wan, ``Portal Hypertension`` na we di bכdi prεshכn na di men bכdi vεsul (`portal vein`) we kכnekt to yu liva εn di sistεm fכ sכm sכm vein dεm (`portal venous system`) we de branch כf frכm am de inkrεs pas di nכmal lεvεl. Imajin se wan big vein de na yu bɛlɛ we de gɛda dɔti blɔd frɔm ɔgan dɛn lɛk yu bɛlɛ, intestinal, pankrias, ɛn splin ɛn briŋ am kam na yu liva. na dat wi kin kכl di ``pכtal vein`` כ di pכtal vein. di sistεm we plεnti sכm sכm vein dεm we kכnekt to dis men vein de fכm dεn kכl am di ``pכtal venus sistεm`` כ di pכtal venus sistεm.

Wi liva na wan ɔgan we rili impɔtant. Na di liva de klin di blɔd we dɛn dɔn gɛda, separet di tin dɛn we i nid, ɛn sɛn am bak to di at fɔ sheb am ɔlsay na di bɔdi.

naw, if fכ sכm rizin di fכ fכlכ bכdi to di liva tru dis `(pכtal vein)` dεn blכk, כ if da joyn de slo, di prεshכn na da כl venus sistεm de inkrεs sכmtεm sכmtεm. Jɔs lɛk we dɛn blok wata paip na di midul, di prɛshɔn we di wata we de insay di paip gɛt kin go ɔp. Na dat wi kin kɔl `(Portal Hypertension)` we di prɛshɔn de go ɔp.

Dɔn wi bɔdi kin tray fɔ bia wit dis prɛshɔn we de bɔku. So, i kin bigin fɔ sɛn blɔd to ɔda, bɔku tɛm smɔl smɔl vein dɛn, usay blɔd nɔ kin flɔ, lɛk se i fɔ pas di men rod we dɛn dɔn blok. Bɔt we da ɛkstra blɔd de go insay, dɛn smɔl smɔl vein dɛn de nɔ kin ebul fɔ ol am ɛn strɛch, big, ɛn dɛn wɔl kin wik bad bad wan. sכmtεm dεn vein dεm ya we wik kin `lik` wata insay di bכdi, כ di vein dεm kin bכs εn bכdi bכtכm wan wan. Dis na di tin we denja pas ɔl.

Udat kin gɛt ``Pɔtal Haypatɛyshɔn''?

Insay di Wɛstɛn kɔntri dɛn, di men tin we kin mek pɔsin gɛt dis sik na wan sik we dɛn kɔl sirosis na di liva. sirosis na wan kכndyushכn we di liva de pwεl as tεm de go, εn di hεlty liva sεl dεm de riples wit ska tisu (had, fayv tisu). dis ska de mek big big tin we de mek di bכdi fכ fכlכ tru di liva tru di pכtal vein. I tan lɛk ston we de blok rod.

na כda pat dεm na di wכl, fכ egzampl na sכm Afrika εn Eshia kכntri dεm, i kin kכmכn bak bikoz fכ wan parasayt infεkshכn we dεn kכl ``schistosomiasis.`` Dis parasayt de pwεl di bכdi vεsul dεm na di liva. Di World Health Organization se i pas 230 milyɔn pipul dɛn ɔlsay na di wɔl we gɛt dis sik.

Aw siriɔs dis tin de apin?

di komplikashכn dεm we dεn kin kכz fכ `(Portal Hypertension)` kin mek yu layf de pan denja sכmtεm., mɔ di blɔd we de kɔmɔt insay pɔsin in bɔdi. Nɔto ɔlman kin gɛt dɛn kɔmplikeshɔn ya, bɔt di risk kin go ɔp as di prɛshɔn na di venɔs sistɛm de go ɔp. Di mɔ di prɛshɔn, na di mɔ di vein dɛn go big, wik, ɛn bɔs.

Infakt, pɔtal haypatɛnshɔn ɛn di prɔblɛm dɛn we i kin gɛt na di men tin we kin mek pipul dɛn de na ɔspitul ɛn, sɔm tɛm dɛn kin day fɔ pipul dɛn we gɛt sirosis na di liva.

Wetin na di 5 men sayn dɛm fɔ `(Portal Hypertension)`?

Wan prɔblɛm wit dis na dat, bɔku tɛm, nɔr kin gɛt ɛni ɔda sayn wae de na do te kɔmplikɛshɔn kam. Tink bɔt se lɛk 90% pan di pipul dɛm wae gɛt sirosis gɛt pɔtal haypatɛnshɔn we de divɛlɔp insay dɛn bɔdi bifo dɛn sho di sayn dɛm. כlso, lεk 40% kin dכn כlrεdi gεt big vein dεm we dεn kכl varis, we nכ gεt nכ wכn.

Di fɔs sayn dɛm we de sho kin gɛt fɔ du wit di nyu vein dɛm we dɔn big, we de lik, ɛn we de blɔd. Dɛn na:

• Blɔd we de vɔmit (sɔntɛm ivin kɔfi grɔn we tan lɛk kɔlɔ).
• Blɔd na di stɔl (bɔku tɛm i kin dak blak, tar, ɔ sɔm tɛm dɛn kin rɛd).
• Di bɛlɛ kin big wantɛm wantɛm ɛn fil ful, wit di wet we i kin gɛt kwik kwik wan. (Dis na bikɔs di bɛlɛ ful-ɔp wit wata).
• Di leg dɛn we de swel, mɔ di anklɛ dɛn (ɛdima) .
• Fɔ fil kɔnfyus smɔl, fɔ nɔr de no natin, sɔmtɛm fɔgɛt udat yu bi ɛn usai yu de (mɛntal kɔnfyushɔn) .

Wetin na di poshubul komplikashכn dεm fכ `(Portal Hypertension)`?

Dis sik kin mek yu gɛt difrɛn prɔblɛm dɛn. Lɛ wi luk dɛn wan bay wan:

• ``Ascites``: `` Ascites`` na di akyumyuleshכn fכ wata we lεk wata na di bכdi frכm di vein dεm we big, wik, we de lik insay di bכdi kכva (``peritoneal cavity``). Dis kin mek di bɛlɛ swel ɛn fil se i dɔn blo, ɛn i kin mek i nɔ want fɔ it ɛn i nɔ kin izi fɔ digest. Sɔntɛnde, dis wata kin go ɔp bak to di chɛst, ɛn dis kin mek i nɔ izi fɔ blo. i de mek bak di risk fכ divεlכp infεkshכn insay di bכdi (``peritonitis``).

• di bכdi we de kכmכt na di bכdi: di vein dεm we de big na di dijestiv trakt (esophagus, bεlε, intestines) (varices) kin bכs εn blɔd. di wan dεm we kכmכn pas כl na di εsophageal varices . dis na di vein dεm we de nia di skin εn dεn gεt rili tint wכl dεm, so dεn kin bכst izi wan. di vein dεm na di wכl dεm na di bεlε kin swel bak (dεn kכl dis pכtal haypatεnshכn gεstropathy) εn, if i tranga, dεn kin blכd. If dis blɔd kɔntinyu , anemia , ɔ blɔd nɔ de na di bɔdi, kin apin.

• `Haypersplenizm`: 1. .we di bכdi fכ fכlכ tru di splin dכn, di splin de swel wit mכr bכdi εn i de gro nyu bכdi vεsul dεm fכ tek dis εkstra bכdi. Di splin we dɔn big kin wok pasmak ɛn bigin fɔ pul mɔ impɔtant sɛl dɛn na di bɔdi in blɔd (fɔ ɛgzampul, pletlɛt , we de ɛp fɔ mek blɔd klɔt, ɛn wayt blɔd sɛl , we impɔtant fɔ mek di bɔdi nɔ ebul fɔ fɛt di sik). Dis kin mek di blɔd nɔ de klɔt (i kin izi fɔ mek yu blɔd kɔmɔt), ɛn di imyun sistɛm kin wik (i kin izi fɔ mek yu sik).

• lכw bכdi כksijεn: pan sכm pipul dεm, dis ``Pכtal Haypatεnshכn`` de mek di bכdi vεsul dεm na di lכng dεm de waid abnכmal. Dɔn di lɔng dɛn nɔ kin ebul fɔ transfa ɔksijɛn fayn fayn wan to di blɔd. di rizulεt na di lכw bכdi כksijεn lεvεl ``(hypoxemia)`` . dis spεsifi k kכndyushכn dεn kin kכl am bak ``(hεpatopulmonary syndrome)`` .

• di kidni dεm we de wok fayn: di blכd vεsεl dεm we dilayt we di pכtal haypatεnshכn kכz kin mek di bכdi vεsul dεm sכm כdasay na di bכdi (especially dεn wan dεm we de gi bכdi to di kidni dεm). If dis apin na di kidni dɛn, di blɔd we de go na di kidni dɛn kin ridyus, ɛn dis kin mek di kidni dɛn nɔ wok fayn . Dis na wan prɔblɛm we nɔ kin apin so ɔltɛm bɔt we kin rili siriɔs, we dɛn kin kɔl bak ɛpatorenal sindrom .

• Mild cognitive impairment: As wi bכdi de tray fכ adap to pכtal haypatεnshכn, i de mek nyu bכdi vεsul dεm (shunt) we de baypas di liva. Bɔt we blɔd pas di liva ɛn go dairekt insay di say we di blɔd de go, di pɔyzin we di liva fɔ de klin kɔmɔt nɔ de klin. Dɔn dɛn pɔyzin ya kin gɛda na di blɔd ɛn smɔl smɔl kin afɛkt di we aw di bren de wok. Yu kin gɛt sɔm kayn sayn dɛm fɔ sɔm tɛm lɛk fɔ kɔnfyus, nɔr de tɔk fayn, ɛn nɔr kin no natin. Dɛn kɔl dis epatik ɛnsɛfalopati .

Wetin na di men tin dɛm wae kin mek pɔrsin gɛt Pɔtal Haypatɛyshɔn?

As wi bin dɔn tɔk bɔt smɔl, sɔm men rizin dɛn de:

• Sirosis na di liva: Dis na di tin wae kin mek pɔrsin gɛt dis sik. Sirosis na di las stej fɔ lɔng tɛm liva sik. I kin mɔs bi bikɔs ɔf vayral infɛkshɔn lɛk vayral ɛpatitis C, epataytis we pɔsin kin gɛt we i de drink rɔm , ɛn di sik we dɛn kɔl fat liva we nɔ gɛt rɔm . Dis ska tisu de blok di blɔd fɔ flɔ tru di liva.

• `Granulomas na di liva`:granulomas na kכlekshכn fכ inflammatory sεl dεm we de apin wit difrεn infεkshכn dεm (e.g., schistosomiasis) εn inflammatory sik dεm. dεn lεk sכm tכmכro dεm εn dεn kin blכk di pכtal venכs sistεm. Bɔrku tɛm dɛn kin bi di prɛkursɔ fɔ di divɛlɔpmɛnt fɔ di liva fibrosis leta.

• Blɔd klɔt (Thrombosis): If blɔd klɔt (thrombosis) fɔm ɛnisay na di pɔtal venɔs sistɛm, i kin blok di blɔd flɔ to di liva, tru di liva, ɔ kɔmɔt na di liva. Dis kin gɛt bɔku tin dɛn we kin mek i apin, lɛk sɔm blɔd prɔblɛm dɛn we pɔsin kin gɛt frɔm wi mama ɛn papa.

Aw yu go no if yu gɛt `(Portal Hypertension)`?

Fɔ no fɔ tru if na so i bi, yu nid fɔ mɛzhɔ di prɛshɔn we de na di vein dɛn na di liva. dis involv fכ put sכm sכm tכb (kateta) insay di vein. Bɔt dis na tɛst we at ɛn kɔmplikt smɔl, ɛn i nɔ kin izi fɔ du am, ɛn nɔto ɔlman nid am.

Laki, dɔktɔ dɛn kin no dis sik (Portal Hypertension) bay di klinik sayn ɛn simptom dɛm. Dat min se, wetin yu de tɔk ɛn wetin dɛn de si we dɛn de chɛk yu. Skan ɛn blɔd tɛst kin kɔnfirm dis saspekshɔn.

Us sayn dɛm dɔktɔ go sɔspɛkt se i gɛt Pɔtal Haypatɛyshɔn?

• di vein dεm we big (varices) (spεshal if yu si am we dεn de du εndoskopi).
• wan splin we big (we yu de palp am ɔ we yu de skan).
• Pruf fɔ se blɔd de pas na di dijestiv trakt.
• Fɔ gɛt wata na yu bɛlɛ (ascites).
• Sayn dεm we de sho se di bren de dכn sכmtεm (as wi bin dכn tכk, sayn dεm fכ `hεpatik εnεsεfalopathy`).
• If blɔd tɛst sho se di nɔmba fɔ sɔm kayn sɛl dɛn na di blɔd (e.g. pletlet, wayt blɔd sɛl) smɔl.
• Sayn dɛn na we i izi fɔ brus ɛn we i de blɔd pasmak.

Us tɛst dɛn kin du fɔ kɔnfirm dis kɔndishɔn?

• Blɔd tɛst: Blɔd tɛst kin tɛl yu bɔku tin bɔt wetin de apin na yu ɔgan, mɔ yu liva ɛn kidni. Wan kɔmprɛhnsiv mɛtabolik panɛl kin chɛk fɔ ɛni prɔblɛm wit yu kidni ɛn liva. we yu kכmplit blכd kכnt (CBC) kin chεk fכ eni spεlin we de wok pasmak we de pul tu mכch wayt blכd sεl dεm כ pletlεt dεm. I kin chɛk bak fɔ sɔm blɔd prɔblɛm dɛn we kin mek pɔsin gɛt pɔtal haypatɛyshɔn, ɔ anemia we kin kam bikɔs ɔf blɔd we de kɔmɔt insay pɔsin in bɔdi.

• imej tεst: כltra saund skan εn CT skan kin εp fכ no if sirosis de, ascites de, כgan dεm lεk di splin de big, di pכtal venus sistεm de big, εn nyu vein dεm de fכm. Doppler ultrasound na tin we yu kin yuz mɔ.Wan kin tek pikchɔ fɔ blɔd we de flɔ insay di veins. I kin no klia wan se di blɔd dɔn blok, ɛn if di vein dɛn nɔ wayd ɔ smɔl.

• Ɛndoskopi: If yu gɛt sayn dɛn we de sho se blɔd de kɔmɔt na yu dijestiv trakt (blɔd na yu vɔmit, blɔd na yu stɔl), i go mɔs bi se yu dɔktɔ go nid fɔ du ɛndoskopi. כp εndoskopi min fכ put wan lכng tכn tiub (εndoskop) wit kεmεra tru yu mכt fכ egzamin yu εsophagus, bεlε, εn di fכs pat pan yu sכmכl intestכn (duodenum). Di dɔktɔ go luk fɔ di vein dɛn we dɔn big we dɛn kɔl varices, if dɛn de blɔd, ɛn if ɛni say de nia de we de blɔd. Di bɛst tin na dat if yu si blɔd, bɔku tɛm dɛn kin put spɛshal tin dɛn tru di ɛndoskɔp fɔ stɔp di blɔd.

Wetin na di tritmɛnt dɛm fɔ `(Portal Hypertension)`?

If Pɔtal Haypatɛyshɔn kin wɛl ɔl ɔ nɔ kin wɛl , i kin dipen pan di ɔndalayn kɔz. Fɔ ɛgzampul, if na infekshɔn ɔ blɔd klɔt na di kɔz, yu dɔktɔ kin ebul fɔ trit di ɔndalayn kɔz wit mɛrɛsin, ɛn yu Pɔtal Haypatɛyshɔn go bɛtɛ smɔl smɔl, ɛn sɔntɛnde i kin ivin go kpatakpata.

Bɔt if bɔku bɔku skata dɛn de na di liva, lɛk sirosis, bɔku tɛm i nɔ kin kɔmɔt. Dis min se di skata nɔ de go. So, pɔtal haypatɛnshɔn kin kɔntinyu fɔ de. Bɔrku tɛm, di tritmɛnt kin aim fɔ kɔntrol di denja kɔmplikeshɔn dɛm wae de kam wit pɔtal haypatɛnshɔn ɛn fɔ ridyus di damej wae dɛn kin kɔz. Dɔktɔ dɛn kin tray fɔs fɔ kɔntrol di akyu kɔndishɔn (e.g. blɔd we de kɔmɔt) ɛn afta dat dɛn kin go to sɔlv fɔ lɔng tɛm.

Fɔs layn tritmɛnt fɔ stɔp blɔd we de kɔmɔt na di dijestiv trakt:

• Ɛndoskopik tɛrapi: Di ​​dɔktɔ kin trit di blɔd we kin kɔmɔt wantɛm wantɛm tru ɛndoskopi. Dɛn we ya na sklɛrotɛrapi (fɔ injɛkt spɛshal mɛrɛsin insay di vein dɛn we de blɔd fɔ mek dɛn shrink ɛn kɔntrol di blɔd) ɛn band ( tay di vein dɛn we de blɔd wit smɔl rɔba band fɔ stɔp di blɔd).
• Mεdikeshכn: Yu dכkta kin gi yu mεdikeshכn, wit כ separet frכm εndoskopik tεrapi, fכ ridyus di prεshכn na yu vεrikos vein dεm εn ridyus di risk fכ blɔd bak. di mεdikeshכn dεm we dεn kכl beta-blכ ka kin εp fכ ridyus di pכtal prεshכn, we di vasokonstriktכ dεm kin εp fכ sכm di vein dεm we big εn ridyus di bכdi we de bכn.

Fɔs layn tritmɛnt fɔ ɔda kɔmplikeshɔn dɛn:

• if `(hεpatopulmonary syndrome)` (dεn nכ gεt כksijεn na di bכdi), dεn de gi כksijεn `(Oksijεn tεrapi)` .
• Dayalaysis if epatorenal sindrom de (kidni fεil).
• If yu gɛt hepatic encephalopathy (brain function problem), mɛrɛsin dɛn de we go ɛp yu.
• Paracentesis na we dεn de pul di wata we pasmak frכm di bכdi bikoz fכ ascites (fluid akyumyuleshכn na di bכdi) εn dεn tek sεmpl fכ da wata de fכ chεk fכ peritonitis (infεkshכn na di bכdi).

Sɛkɔn layn tritmɛnt (if blɔd de kɔmɔt ɔ ɔda prɔblɛm dɛn stil de):

Sɔntɛnde, if dɛn nɔ ebul fɔ stɔp di blɔd ɔ ɔda prɔblɛm dɛn stil de, dɔktɔ dɛn go yuz sɛkɔn layn tritmɛnt dɛn. Tu pan di men we dεm na ``shunt`` כpεrayshכn. dis dεm dεn de yuz fכ chenj di rod we di bכdi de fכ fכlכ na di ``pכtal venכs sistεm`` εn ridyus di prεshכn.

• transjugular intrahepatic portosystemic shunt (TIPS): Dis na wan we we nɔ de du ɔpreshɔn. We wan intavɛnshɔnal raydiɔlɔjis de yuz ɛkstrem rayt pikchɔ dɛn, de put wan stent (wan smɔl mɛsh tiub) insay yu liva. dεn de yuz nidul fכ mek wan tכnel tru di liva εn kכnekt di pכtal vein dεrekt to wan vein na di liva (di hεpatik vein). Dɔn di blɔd kin pas na di tanɛl, ɛn dis kin mek di prɛshɔn nɔ bɔku. Dɛn kin put di stent fɔ mek di tanɛl opin. Dis na tin we rili fayn, bɔt as tɛm de go, di stent kin blok, ɛn yu kin nid fɔ mek dɛn ripɛnt am bak (dɛn kin ripit am).

• Distal splenorenal shunt (DSRS): Dis na ɔspitul we dɛn kin du. Fɔ sɔm pipul dɛn, i kin bi bɛtɛ tin pas TIPS. Bɔt yu nid fɔ gɛt wɛlbɔdi fɔ mek dɛn du di ɔpreshɔn ɛn di tɛm we yu go wɛl. Bɔt i kin wok fayn fɔ kɔntrol di sik fɔ lɔng tɛm. dis prosidur involv fכ pul yu spεlin vein frכm yu liva εn kכnekt am to di lεft kidni vein. Dis kin pik di bכdi fכ fכlכ εn di prεshכn to di liva εn di splin.

Fɔ dɔn, fɔ di wan dɛn we gɛt siriɔs liva sik we dɛn nɔ kin ebul fɔ kɔntrol wit ɔda tritmɛnt dɛn, dɛn kin tink bɔt fɔ transplant dɛn liva .

Us kayn fɔlɔp kia a go nid?

Afta ɔl dɛn tritmɛnt ya , i impɔtant fɔ kɔntinyu fɔ de ɔnda dɔktɔ in sɔpɔtishɔn. Yu nid fɔ pe atɛnshɔn to di sik we yu gɛt. Yu go nid fɔ go to yu dɔktɔ ɔltɛm fɔ di fɔs ia afta yu dɔn gɛt tritmɛnt fɔ si if di tritmɛnt stil de wok ɛn if ɛni nyu prɔblɛm dɔn kam. Afta dat, yu go nid fɔ go to yu dɔktɔ tu tɛm insay di ia fɔ mek dɛn du yu liva skan ɛn blɔd tɛst fɔ chɛk aw yu liva de wok. Dis na lɛk we dɛn dɔn mek savis fɔ motoka, yu nid fɔ kɔntinyu fɔ kia fɔ am.

Wetin a go ɛkspɛkt wit dis sityueshɔn?

Yu prɔgnosis ɛn wɛl bɔdi go dipen pan aw yu pɔtal haypatɛnshɔn siriɔs, if yu gɛt blɔd vays, ɛn if yu gɛt ɔda kɔmplikeshɔn.Infakt, di risk fɔ day frɔm di fɔs blɔd kin rich 40%. If yu blɔd bak afta yu dɔn trit yu, di risk fɔ day frɔm di nɛks blɔd go nia 30%. De risk kin bɔrku if yu sirosis bad bad wan. Bɔt if dɛn stil ebul fɔ kɔntrol di sik na di liva we i bigin, ɛn dɛn kin trit am kwik kwik wan, dɛn kin ridyus di prɔblɛm.

Aw a go ebul fɔ mek yu nɔ gɛt `(Portal Hypertension)`?

di bεst we fכ mek dis ``(Portal Hypertension)`` nכ de na fכ tray fכ stכp di divεlכpmεnt fכ lכng tεm liva sik if i pכsibul. Yu nɔr kin ebul fɔ kɔntrol ɔl di tin dɛm wae kin mek yu gɛt dis sik, bɔt sɔm pan de tin dɛm wae kin mek yu gɛt dis sik, yu kin kɔntrol am if yu no kwik kwik wan.

• Liva sik wae kin kam wae yu de drink rɔm, ɔr liva sik wae kin kam wit mɛtabolik sik (e.g., nonalcoholic fatty liver disease), bɔrku tɛm kin bɛtɛ wit it ɛn wɛl bɔdi layf chenj (lɛk ɛksɛsayz).
• Epataytis C kin wɛl ɔlsay wit nyu antivayrɔs mɛrɛsin. So, i rili impɔtant fɔ mek dɛn du tɛst fɔ epataytis C wan tɛm na yu layf.

Aw a kin tek kia ɔf misɛf we a de liv wit `(Portal Hypertension)`?

Dis kin bi wan tranga waka, bɔt nɔto yu wangren de.

• Stay in kɔntakt wit yu mɛdikal tim, inklud yu dɔktɔ ɛn nɔs dɛm. Lisin gud wan ɛn fala wetin dɛn de tɔk.
• Go fɔ chɛk-ap pan tɛm, tek yu mɛrɛsin dɛn jɔs lɛk aw di dɔktɔ tɛl yu, di tɛm we dɛn tɛl yu. Nɔ mis wan de.
• Ɔltɛm, go to yu dɔktɔ bifo yu tek ɛni nyu mɛrɛsin (ilɛksɛf na fɔ ɔda sik ɔ fɔ wan vaytamɛn).
• Stɔp fɔ drink rɔm kpatakpata, ɔ ridyus am as yu ebul. Dis na big ɛp fɔ di liva.
• Yu go nid fɔ fala di it we nɔ gɛt bɔku sodium , mɔ if yu gɛt bɔku wata na yu bɛlɛ. Ɔ yu go nid fɔ fala di it plan we dɛn mek fɔ yu. I fayn fɔ go to pɔsin we sabi bɔt it.
• Yu kin gɛt ɔda tin dɛn we gɛt fɔ du wit dis (e.g., dayabitis, ay kɔlɔstrel). Ɛp fɔ kɔntrol dɛn wit chenj dɛn we dɛn de it ɛn aw dɛn de liv dɛn layf.

biכs dis kכndyushכn we dεn kכl ``Portal Hypertension,'' de afekt bכku כgan dεm, fכ trit am kin fil lεk fכ כt faya we de bכn na difrεn ples dεm. Yu go sɔprayz, ivin fred, fɔ no se liva sik kin afɛkt di vein dɛn na yu bɛlɛ, ɛsophagus, lɔng, ɛn kidni. Dis kin bi big shɔk, mɔr lɛk if yu nɔr ɛva gɛt ɛni sayn fɔ gɛt liva sik. Bɔt di tin we impɔtant pas ɔl na dat if yu no am kwik ɛn gɛt tritmɛnt fayn fayn wan, yu go gɛt big bɛnifit fɔ kɔntrol ``Pɔtal Haypatɛyshɔn,'' ɛn in kɔmplikeshɔn dɛm. So nɔ fred, ɛn if yu gɛt ɛni dawt, go to dɔktɔ fɔ advays.

Faynal Mɛsej fɔ Tek-Hom

Okay, so frɔm wetin wi dɔn tɔk bɔt, a op se yu dɔn gɛt bɛtɛ ɔndastandin bɔt `(Portal Hypertension)`. Na di men tin dɛn we yu fɔ mɛmba:

• di pכtal haypatεnshכn na we di prεshכn de inkrεs na di vein dεm we de kכnekt to di liva. Dis kin bi siriɔs sik .
• Di tin we kin mek pɔsin gɛt sik pas ɔl na di sik we dɛn kɔl sirosis na di liva. So, fɔ protɛkt di liva rili impɔtant.
• Bɔrku tɛm, di sayn dɛm nɔr kin apia na di fɔs tɛm. So, if yu gɛt tin dɛn we kin mek yu gɛt dis sik (e.g., krεse sik na di liva, epataytis), go tek mεdikal chεk-ap ɔltɛm.
• If yu gɛt sɔm sayn dɛn lɛk fɔ vɔmit blɔd, blak stɔl, ɔ yu bɛlɛ we dɔn opin , go to dɔktɔ wantɛm wantɛm.
• Tritmɛnt dɛn de, bɔt i bɛtɛ fɔ no am kwik ɛn bigin fɔ trit am.
• Fɔ fala yu dɔktɔ in instrɔkshɔn dɛn gud gud wan, tek yu mɛrɛsin kɔrɛkt wan, ɛn chenj di we aw yu de liv yu layf.

If yu gɛt ɛni ɔda kwɛstyɔn bɔt dis, nɔ shek fɔ tɔk to yu dɔktɔ. Stay wit wɛlbɔdi!

` Pɔtal Haypatɛnshɔn, Liva, Pɔtal Vein Prɛshɔn, Sirosis, Ɛmatmɛsis, Asayt, Liva Sik, (Sɛrosis), (Varices), (Asayt)