Dis kansa we ful-ɔp wit "jɛli" de insay yu bɛlɛ? Lɛ wi lan bɔt Pseudomyxoma Peritonei (PMP)!

Yu dɔn ɛva gɛt prɔblɛm wit yu bɛlɛ, yu dɔn fil lɛk yu ful-ɔp, ɔ yu dɔn gɛt kɔnstipɛshɔn ɔltɛm? Sɔmtɛm wi kin tink se dɛn tin ya na nɔmal tin, bɔt nɔr kin bɔrku, ɔda rizin kin de biɛn dɛn sik ya. Tide wi go tɔk bɔt wan kayn kansa sik we nɔ kin bɔku, bɔt we rili impɔtant. Dat na wan kכndishכn we dεn kכl `Pseudomyxoma Peritonei`, we wi kin kכl bak `(PMP)` fכ sכt.

Wetin na Pseudomyxoma Pɛritoni (PMP)?

Fɔ tɔk am simpul wan, `Pseudomyxoma Peritonei` na wan kayn kansa we nɔ kin bɔku. wetin de apin insay dis na we di insay pat pan yu bכdi, dat na di bכdi εn di εria we de rawnd am (`(peritoneal cavity)`) de fulכp wit kεnsar sεl dεm. dis kεnsar sεl dεm de prodyuz bכku bכku wan tin we lεk jεli, slim we dεn kכl ``mucin`` . Imajin, i tan lɛk se di insay pat na yu bɛlɛ ful-ɔp wit jɛlɛ! Dis na di rizin we mek sɔm pipul dɛn kin kɔl dis sik bak ``jelly belly.``

di nem "Pseudomyxoma Peritonei" min sכmtin lεk "fals mucinous tumor of the peritoneal cavity." Dɔktɔ dɛn kɔl dis "false tumor" bikɔs i nɔ tan lɛk ɔda kansa dɛn we kin bigin na wan ples ɛn skata. i kin rili stat wit wan sכm sכm sכm sכm we dεn kכl ``polyp'' we de fכm insay yu apεndiks, di apεndiks .

We dis polip kɔmɔt na di apɛndiks, di kansa sɛl dɛn we de mek da tin we tan lɛk jɛlɛ we a tɔk bɔt kin bigin fɔ skata ɔlsay na di bɛlɛ. As tɛm de go, dis kin afɛkt yu dijestiv sistɛm.

Wetin na di sayn dɛm wae wi kin gɛt wae wi gɛt PMP?

Bɔku tɛm, di sayn dɛm fɔ PMP kin kam wantɛm wantɛm. Yu nɔ go notis dɛn fɔs, ɔ yu kin tink se na sɔntin we nɔmal, lɛk we yu gɛt kɔnstipɛshɔn ɔ we yu nɔ de it fayn. Bɔt if dɛn sik ya kɔntinyu ɔ wɔs, yu fɔ wɔri.

Na sɔm pan di men sayn dɛm wae de sho se yu gɛt dis sik:

• di bכdi distεnshכn: di bכdi de sho se i swεla εn i de big.
• Bεlε pen: Dis tin we lεk jεli na di bεlε kin fil lεk jεnaral diskכmfכt כ pen.
• Kɔnstipɛshɔn: We pɔsin blo, i kin blok di big intestinal ɛn i kin mek i nɔ izi fɔ pas stɔl.
• i at fכ bεlε: fכ uman dεm spεshal wan, i kin at fכ bεlε pikin bikoz fכ di prεshכn we dis uterus we fulכp wit jεli כ inflameshn na di riprodaktiv כgan dεm de mek.
• Ɛnia: We di prɛshɔn we de insay di bɛlɛ go ɔp, dat kin mek wan pan yu ɔgan dɛn push kɔmɔt tru di mɔsul dɛn. pan man, inguinal hεnia na wan kכmכn simptom fכ PMP.
• Di it nɔ de te.
• Vɔmit.

Sɔntɛnde, dɔktɔ kin kech dis `PMP` kɔndishɔn kwik kwik wan we yu de chɛk yu ɛvri ia ɔ we i de tɛst yu fɔ ɔda sik. Bɔt bɔku pipul dɛn kin jɔs no bɔt am we dɛn bɛlɛ prɔblɛm de kɔntinyu ɛn de wɔs.

Wetin mek dis PMP kin apin? Wetin na di rizin?

Infakt, masta sabi pipul dɛn stil nɔ no ustɛm di chenj we kin apin we kin mek pɔsin gɛt PMP. Bɔt dɛn no se i kin bigin wit smɔl tin we de gro we dɛn kɔl pɔlip na di apɛndiks. frכm de, di kεnsar sεl dεm we de mek di mucin de travul go insay di bεlε.

Mɛmba se, `PMP` na wan sik we rili, rili rare . I kin afɛkt lɛk wan to 4 pipul dɛn pan wan milyɔn pan ia. So nɔ fred we yu yɛri bɔt dis.

Aw dɔktɔ dɛn kin no if dɛn gɛt PMP?

We yu go to dɔktɔ, dɛn go aks yu bɔt yu sik dɛn. Aw lɔng yu dɔn gɛt dɛn, ɛn if dɛn de wɔs? Dɔn dɛn go du wan ɛgzam fɔ dɛn bɔdi. Dɛn go ɔda bak fɔ mek dɛn du blɔd tɛst ɛn fɔ mek dɛn tek imej.

Blɔd tɛst dɛn

Yu dɔktɔ kin ɔda fɔ mek dɛn kɔnt yu blɔd kɔmplit wan (CBC). Dɛn kin ɔda bak fɔ mek dɛn du blɔd tɛst fɔ luk fɔ di mak dɛn we de sho di tumbu. Dis na tin dɛm wae kin sho se yu gɛt kansa na yu bɔdi.

Test dɛn fɔ tek imej

yu kin du tεst fכ si if yu bכdi כgan dεm dכn big, fulכp wit wata (ascites), כ dεn gεt bכku mכsin, lεk "jεli bεlε":

• Ɔltrasɔund na di bɛlɛ.
• Wan CT skan we dɛn kin du.
• Wan MRI skan we dɛn kin du.

Apat frɔm dat, dɔktɔ kin du nidul bayɔpsi, we min se i kin tek smɔl wata ɔ tisu frɔm insay yu bɛlɛ. Wan mɛdikal patɔlɔjis go chɛk di sampul ɔnda maykroskɔp (saytɔlɔji). Sɔntɛnde dɛn kin du laparoskopi fɔ luk insay yu bɛlɛ ɛn tek tisu sɛmpul.

Wetin na di tritmɛnt dɛm fɔ PMP? Yu tink se dɛn kin mɛn am?

Di tritmɛnt kin dipen pan bɔku tin, lɛk aw yu sik ɛn yu ɔl wɛl bɔdi. Sɔntɛnde, dɔktɔ dɛn kin trit ɛn ivin mɛn Pseudomyxoma Peritonei.

Bɔku tɛm, dis tritmɛnt kin gɛt fɔ du wit ɔpreshɔn. Dis min se dɛn fɔ pul ɔl di ɔgan dɛn we gɛt kansa sɛl dɛn. Dɛn kin gi yu bak kemotɛrapi (intraperitoneal kemotɛrapi) we dɛn de du di ɔpreshɔn. Bɔt di dɔktɔ we de du di ɔpreshɔn go jɔs du dis if di ɔpreshɔn ebul fɔ pul ɔl ɔ bɔku pan di kansa ɔ di mucin. Dɛn kin disayd fɔ du dat di tɛm we dɛn de du di ɔpreshɔn.

Difrɛn kayn ɔpreshɔn dɛn de fɔ trit PMP.

Fɔ ɛgzampul, if yu gɛt mucin na yu smɔl intestinal ɔ big intestinal, yu dɔktɔ go du yu bɔdi rɛsekshɔn . Ɔda kayn ɔpreshɔn dɛn de bak we dɛn kin pul sɔm patikyula ɔgan dɛn:

• Cholecystectomy: Dɛn kin pul yu gal blad.
• Hysterectomy wit baylateral salpingo-oophorectomy : Fɔ pul yu fallopian tyub, ovaria, ɛn uterus.
• Liva kapsulektɔmi: Fɔ pul pat pan di say we yu liva de.
• Omenectomy: Dɛn kin pul di fat layt we de bifo di bɛlɛ .
• Pεritonεktomi : fכ pul di mεmbran we de layn insay yu bכdi εn yu bכdi (peritoneum).
• Splenectomy : Fɔ pul yu splin.

Us prɔblɛm dɛn kin apin we dɛn de du di ɔpreshɔn?

We dɛn du ɔpreshɔn fɔ pul yu ɔgan dɛn, chans de ɔltɛm fɔ gɛt prɔblɛm dɛn lɛk we yu de blɔd pasmak , yu gɛt infɛkshɔn, ɔ anastomotic leak . Big big ɔpreshɔn kin mek bak prɔblɛm dɛn we kin mek pɔsin in layf de pan denja. Dɛn se lɛk wan to tu pasɛnt (1-2%) pan di wan dɛn we sik kin day afta dɛn dɔn du big ɔpreshɔn. So, i impɔtant fɔ mek yu tɔk to yu dɔktɔ bɔt ɔl dɛn tin ya.

Ɔda tritmɛnt dɛn de we nɔ gɛt fɔ du wit ɔpreshɔn?

Sɔntɛnde, yu dɔktɔ kin tɛl yu ɔda tritmɛnt dɛn we nɔto ɔpreshɔn, lɛk:

• Aktiv sɔvɛlayshɔn : If yu gɛt ali stej PMP, ɔ if na wan we we rili agresiv, ɛn di risk fɔ ɔpreshɔn pas di risk fɔ di sik, yu dɔktɔ kin se yu fɔ aktiv sɔvɛlayshɔn. Dis min se yu dɔktɔ de wach yu wɛlbɔdi ɔltɛm. Dɛn kin du imej tɛst ɛn blɔd tɛst fɔ si if di PMP de skata.
• Palliative care : If yu nɔ ebul fɔ du ɔpreshɔn, yu dɔktɔ kin tɛl yu fɔ gi yu tritmɛnt lɛk kemotɛrapi ɔ redyushɔn tɛrapi we go ebul fɔ kɔntrol di PMP kɔndishɔn ɛn ridyus di simptom dɛm.

Naw, dɔktɔ dɛn de du risach bak bɔt fɔ transplant smɔl bɔdi as tritmɛnt fɔ pipul dɛn we gɛt PMP na di smɔl intestinal.

Us kayn fiuja pɔsin we gɛt PMP kin ɛkspɛkt?

Sɔntɛnde, ɔpreshɔn fɔ pul ɔl di kansa sɛl dɛn na di bɛlɛ kin ɛp fɔ kɔntrol di sik fɔ lɔng tɛm . Ɔda tritmɛnt kin ɛp yu fɔ liv wit dis sik fɔ lɔng tɛm.

We wi de tɔk bɔt di ``survival rate``, di impɔtant tin fɔ mɛmba na dat dis na sik we nɔ kin bɔku. Dis min se na smɔl pipul dɛn nɔmɔ kin gɛt am. Risach pipul dɛm de lan wetin dɛn no bɔt am frɔm rili smɔl grup dɛm. If yu gɛt dis sik, i bɛtɛ fɔ aks yu dɔktɔ bɔt dis ``survival rate`` risach ɛn aw i kin afɛkt yu kɔndishɔn.

Aw a kin kia fɔ misɛf? (Fɔ kia fɔ yusɛf) .

If dɛn dɔn du ɔpreshɔn pan yu fɔ pul di kansa sɛl dɛn ɔ fɔ pul sɔm pat dɛn na yu bɔdi, i impɔtant fɔ mɛmba se yu bɔdi nid tɛm ɛn rɛst fɔ mek i wɛl. Fɔ ɛgzampul, if dɛn du yu ɔpreshɔn fɔ pul yu splin, yu dɔktɔ go ɛksplen aw dis go afɛkt yu.

If yu pik palliative care, yu kin gɛt fɔ gɛt kansa tritmɛnt lɛk kemotɛrapi ɛn redyushɔn tɛrapi fɔ di res ɔf yu layf. I impɔtant fɔ mek yu strɔng ɛn fala yu dɔktɔ in instrɔkshɔn dɛn gud gud wan.

Ustɛm a fɔ go to di dɔktɔ?

If yu gɛt `PMP`, yu fɔ rili tɛl yu dɔktɔ pan dɛn kayn tin ya:

• If kɔmplikeshɔn dɛn apin afta dɛn dɔn trit am. Fɔ ɛgzampul, if blɔd de kɔmɔt pasmak afta dɛn dɔn du di ɔpreshɔn, ɔ if sayn dɛn de fɔ se infɛkshɔn de na di wund we dɛn du di ɔpreshɔn.
• If di sayd ɛfɛkt dɛm fɔ tritmɛnt wɔs pas aw yu bin de tink.
• If simptom dεm de fכ `Pseudomyxoma Peritonei` we de apia bak afta dεn du di כpεrayshכn.

Fɔ dɔn, di mɛsej we impɔtant pas ɔl (Take-Home Message) .

Pseudomyxoma Peritonei (PMP) na wan sik we nɔ kin bɔku ɛn we nɔ kin izi fɔ du. Masta sabi pipul dɛn stil nɔ no bɛtɛ bɛtɛ wan wetin mek i de divɛlɔp. Yu kin gɛt am fɔ lɔng tɛm ɛn yu nɔ kin notis ɛni big chenj na yu bɔdi. We di sayn dɛn de sho, dɛn kin simpul lɛk fɔ gɛt bɛlɛ ɔ fɔ blo.

So, e kin mek yu shɔk fɔ no se na dis kayn sik wae nɔr kin bɔrku kin kam wit yu sik. I kin tranga fɔ tɛl yu se di tritmɛnt go gɛt fɔ du wit ɔpreshɔn fɔ pul wan ɔ mɔ ɔgan dɛn na yu bɛlɛ. I kin at fɔ ɔndastand ɔl dis wan tɛm.

Bɔt nɔ wɔri. Yu dɔktɔ dɛn ɔndastand se yu kin gɛt bɔku kwɛstyɔn dɛn – sɔntɛm ivin di sem kwɛstyɔn dɛn bɔku tɛm. As yu de lan bɔt yu tritmɛnt opshɔn dɛm ɛn tink bɔt yu nɛks step dɛm, dɛn want fɔ yɛri ɔltin wae de na yu maynd. Dat na yu rayt. Wae yu de na gud mental stet kin ɛp bak bɔrku pan tritmɛnt.

` Pseudomyxoma Peritonei, PMP, kansa, abdominal cavity, mucin, jeli bɛlɛ, apɛndiks, ɔpreshɔn