Yu de gɛt dis strenj pen na yu bɛlɛ? Lɛ wi tɔk bɔt (Rɛktus Sheath Hematoma)!

Yu dɔn ɛva gɛt wan bad bad bɛlɛ pen wantɛm wantɛm ɛn we kin tan lɛk se yu bɛlɛ dɔn gɛt smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl. Ɔ yu dɔn ɛva kɔf tranga wan ɛn afta dat yu notis wan blu spat na yu bɛlɛ layn? pan ɔl we dɛn tin ya nɔ kin bɔku, sɔm tɛm dɛn kin bi sayn fɔ wan sik we dɛn kɔl `(Rectus Sheath Hematoma)` we kin apin na wi bɛlɛ layn. So tide, lɛ wi tɔk bɔt dis smɔl mɔ, bikɔs i rili impɔtant fɔ no bɔt dis.

Fɔs, lɛ wi si wetin na dis `(Rectus Sheath)`?

Fɔ tɔk am simpul wan, yu `(Rectus Sheath)` na strɔng, fayv kɔva we de rawnd di mɔsul dɛn we de bifo yu bɛlɛ. fכ bi prεsis, na tik mεmbran (dεn kכl am bak `(aponeurosis)`). insay dis kכva na di tu men mכsul dεm na yu bכdi, di `(rectus abdominis)` (we wi kin kכl "siks-pak" mכsul dεm) εn di `(pyramidalis)`.

imajin, dis `(Rectus Sheath)` gεt fכnt (anterior) wכl εn bak (posterior) wכl. dis wכl dεm na di sem fas (`(fascia)`) we de rawnd כda mכsul dεm na yu bכdi. Dat na:

• yu ``(eksternal abdominal obliques)`` (ekstans abdominal oblique mכsul dεm) .
• Yu ``(intanεt abdominal obliques)`` (intanεt abdominal oblique mכsul dεm) .
• Yu `(transversus abdominis)` (krɔs bɛlɛ mɔsul) .

di ``Rectus Sheath'' de fכm frכm di kכva dεm fכ dεn meatus ya.

כlso, di supεriכr εn infεriכr epigastric atεri dεm, we na di men bכdi vεsul dεm we de gi bכdi to yu bכdi mכsul dεm, de pas tru dis `(Rεktus Shit). so di men wok we dis `(Rectus Sheath)` de du na fכ protεkt dεn mכsul dεm, bכdi vεsεl dεm, εn כgan dεm we de rawnd na di bכdi wכl.

Bɔt na smɔl tin de. Dis `(Rectus Sheath)` nɔ de kɔba wetin de insay kɔmplit wan. di tכp pat pan yu `(rectus abdominis)` mכsul de kכba wit dis `(Rectus Sheath)` na di tu say dεm, fכnt εn bak. כltu, wan bכnda de bitwin di tכp εn di bכtכm pat pan dis mכsul, we dεn kכl di `(arcuate line)`. dis layn de bכt wan tכd pan di we dכn frכm yu nεv to usay yu tu pεlvik bon dεm de mit bifo (`(pubic symphysis)`).

di imכtant tin na, dכn dis `(arcuate line)`, di lכw pat pan yu `(rectus abdominis)` mכsul na di `(Rectus Sheath)` nכmכ de kכba am frכm di fכnt. No `(posterior rectus sheath)` de frɔm di bak! dat min se nכ dis kayn sεt de fכ protεkt di lכw pat pan di `(rεktus abdominis)` mכsul. Mɛmba dis, bikɔs dis impɔtant fɔ di `(Rectus Sheath Hematoma)` kɔndishɔn we wi de tɔk bɔt.

So wetin na `(Rɛktus Shit Ɛmatoma)`?

`(Hematoma)` na, simpul wan, wan kכlekshכn fכ bכdi insay yu tisu dεm. naw, if di `(epigastric arteries)` insay di `(Rectus Sheath)` we wi bin tכk bכt fכs bigin fכ bכn insay sכm we, dat bכdi kin kכlekt na da εria de na yu bεlε. dis kכlekshכn fכ bכdi dεn kכl am `(Rectus Sheath Hematoma).`

If na so i bi, di blɔd we de kɔmɔt, mɔ frɔm di infɛriɔ epigastrik at kin siriɔs smɔl. Bikɔs, lɛk aw wi bin dɔn tɔk bifo tɛm, nɔ kɔva nɔ de dɔŋ di arcuate line, ɛn if di blɔd bigin fɔ kɔmɔt de, no tisu nɔ de fɔ stɔp di blɔd fɔ skata. So, bɔku blɔd kin gɛda.

Udat dɛn dis kayn tin kin afɛkt mɔ?

Rɛktus Shit Ɛmatoma kin bɔku pan uman dɛn pas man dɛn, ɛn i kin bɔku bak pan pipul dɛn we dɔn pas 60 ia .

Aw dis sik kin kɔmɔn?

Rɛktus Sheath Hematoma na rili wan sik we nɔ kin apin so ɔltɛm . I de afekt כnli 1% to 2% pan di sik pipul dεm we de prεzεnt wit bεlε pen. So, yu nɔ go yɛri bɔt am bɔku tɛm.

Wetin na di sayn dɛm we de sho se yu gɛt dis sik?

Di tin we kin apin mɔs pan dis sik na we pɔsin kin fil pen na in bɛlɛ . Dis pen: .

• Yu kin bigin wantɛm wantɛm.
• I kin bi shap pen we pɔsin nɔ go ebul fɔ bia.
• I kin bi bak we yu de fil pen ɔltɛm.
• Di pen kin bɔku we yu shek, bɛn, ɔ strɛch yu bɛlɛ mɔsul dɛn.

Apat frɔm dat, sɔntɛnde we yu tɔch yu bɛlɛ, yu kin fil lɛk se yu gɛt wan bɔtul .

Ɔda sayn dɛm wae yu kin si na:

• Nɔs ɛn vɔmit
• Fiva
• Bluish skin ɔ brus (espɛshali na di bɛlɛ eria) .
• Anemia (we min se di blɔd de go dɔŋ) .
• Di at rit we de go ɔp (tachycardia) .
• Lɔw blɔd prɛshɔn (haypɔtɛnshɔn) .

Wetin kin mek dis apin?

di men tin we kin mek yu gεt `Rεktus Sheath Hematoma` na we di bכdi de bכn insay di `(Rεktus Sheath).` Dis kin apin bכku tεm we sכm kayn trauma de na di bכdi wכl .

fכ simpul wan, dis kכndyushכn kin apin if di `(epigastric artery)`, di sכm sכm bכdi we de branch frכm am, כ di `(rectus abdominis)` mכsul insεf dεn dכn pwεl. as wi bin se, di bכdi mכsul dεm de gi bכdi bay di supεriכr εn infεriכr `(epigastric arteries)`. bak, if di `(inferior epigastric artery)` dכn dכn, di situeshכn kin bi sכmtεm siriכs, biכs i nכ gεt nכ protεkshכn bihayn am dכn di `(arcuate line)`.

Imajin, if yu gɛt dairekt blow na yu bɛlɛ, ɔ if yu put bɔku pawa pan di bɛlɛ mɔsul dɛn wantɛm wantɛm (fɔ ɛgzampul, if yu kɔf tranga wan fɔ lɔng tɛm, ɔ if yu strɛch yu bɛlɛ we yu de es sɔntin we ebi), dis `(epigastric artery)` kin bɔs ɛn bigin fɔ blɔd, we kin mek wan `(hematoma)`.

Wetin na di risk factor dɛm fɔ dis?

di big tin we kin mek yu gɛt `Rectus Sheath Hematoma` na fɔ yuz mɛrɛsin dɛn we de mek blɔd nɔ klɔt (`(anticoagulants)` ɔ ``blood thinners``) . Klose to 70% pan di pipul dɛm wae gɛt ``Rectus Sheath Hematoma`` de tek sɔm kayn ``(anticoagulant)`` mɛrɛsin. dis mεdikeshכn dεm de slo di blכd prכsεs, we de mek i mכr lεk se ``(hεmatoma)`` go divεlכp.

Wan ɔda big tin we kin mek pɔsin gɛt sik na di kidni sik we nɔ de mɛn . Klose to 60% pan di pipul dεm we gεt rεktus sheath hematoma gεt stej 3 כ hכy kidni sik.

Ɔda tin dɛn we kin mek pɔsin gɛt dis sik na:

• Di ɔpreshɔn we dɛn jɔs du na di bɛlɛ
• Yuz sterɔyd ɔ mɛrɛsin dɛn we de mek pɔsin nɔ ebul fɔ fɛt di sik
• Rili siriɔs ɛn kɔntinyu fɔ kɔf
• Fɔ tek `Antiplatelet therapy` (mɛrɛsin we de mek di blɔd pletlɛt nɔ klɔmp togɛda) .
• We uman gɛt bɛlɛ
• Krεse sik dεm, lεk haypatεnshכn εn atεrosklεrosis (di at dεm de tכn bikoz fεt dεm de dכn na di wכl dεm na di at dεm) .

Impɔtant: If yu de tek mɛrɛsin dɛn we de mek yu nɔ gɛt blɔd lɛk dis, yu fɔ tek tɛm mɔ if yu gɛt bɛlɛ pen wantɛm wantɛm.

Aw dɛn kin du di diagnosis?

Sɔntɛnde, i nɔ kin izi fɔ no if pɔsin gɛt rɛktus sheath hematoma, bikɔs di sayn dɛn we i kin gɛt kin tan lɛk ɔda prɔblɛm dɛn we kin apin na di bɛlɛ.

I go mɔs bi se yu dɔktɔ go du blɔd tɛst fɔs fɔ no if yu gɛt ɛmoglobin ɛn ɛmatokrit. mכr dan haf pan di pipul dεm we gεt rεktus sεt hεmatoma go gεt sכm hεmoglobin lεvεl (we min se dεn gεt lכw bכdi vכlyum).

Neks, yu dɔktɔ kin du ɔltra saund fɔ yu bɛlɛ wɔl. Dis kin ɛp fɔ no if ɛnitin de we tan lɛk blɔd insay di bɛlɛ in wɔl ɛn aw di ɛmatoma big.

Sɔntɛnde, dɛn kin du CT skan fɔ gɛt mɔ kɔrɛkt ɛn klia pikchɔ bɔt di sik. CT skan, mɔ di wan we de yuz kɔntrast day, kin sho di rayt say we di day de lik frɔm di blɔd vesel we dɔn pwɛl. Dis kin ɛp di dɔktɔ bak fɔ no usay di blɔd de kɔmɔt.

Aw dɛn kin trit am?

di gud nyus na dat mכst rεktus sεt hεmatoma dεm kin hεl fכ dεn wan εn dεn nכ nid εni spεshal mεdikal tritmεnt. Di tritmɛnt fɔ dis sik kin gɛt fɔ du wit:

• Fɔ put ays pak (ays ɔ kol kɔmprɛs) .
• Rɛst
• Yuz kɔmɔn pen kil (`(analgesic)`)

bכt 80% pan di rεktus sεt hεmatoma dεm de kכl wit simpul tritmεnt lεk dis.

Bɔt if dɛn simpul tritmɛnt ya nɔ ɛp, ɔ if di sik rili siriɔs, di dɔktɔ kin yuz tritmɛnt we dɛn kɔl ``angioembolization.`` Dis nɔto ɔpreshɔn. i involv fכ kכmbayn ``angiography`` (wan we fכ tek pikchכ fכ di bכdi vεsul dεm) εn ``embolization`` (wan we fכ kכloz di bכdi vεsεl), fכ fכn di bכdi we de bכn εn kכloz am.

if dis ``angioembolizεshכn`` mεtכd nכ wok, dεn kin nid כpεrayshכn as las risכt. we dεn de du di כpεrayshכn, dεn de pul di bכdi we dεn kכlכt (``hεmatoma``) εn dεn de kכloz di vein we de bכn.

We yu de du tritmɛnt ɛn afta yu dɔn gɛt di tritmɛnt, yu dɔktɔ go wach yu kɔndishɔn wit blɔd tɛst ɛn ɔltra saund. Dis kin ɛp fɔ no if blɔd ɔ infɛkshɔn kam bak.

Wetin go apin afta dat? Yu tink se i go bɛtɛ?

כl di rεktus sεt hεmatoma dεm de rεsכlt fכ sכmtεm insay tu to tri mכnt . Bɔrku pipul dɛm wae gɛt dis sik kin wɛl fayn fayn wan ɛn nɔr kin gɛt ɛni ɔda prɔblɛm.

Bɔt, insay sɔm kes dɛm – mɔ pan pipul dɛm wae de tek antikoagulant – dis kɔndishɔn kin kil . Bɔt, i nɔ kin apin so ɔltɛm. Akɔdin to di las data, less dan 2% pan pipul dɛm de day wit Rectus Sheath Hematoma.

Jɔs lɛk ɛni ɔda sik, if yu no di sik kwik kwik wan ɛn trit yu kwik kwik wan, dat kin mek yu gɛt chans fɔ wɛl . So, if yu tink se yu gɛt sayn dɛm fɔ `Rectus Sheath Hematoma`, mek shɔ se yu go to dɔktɔ.

Fɔ dɔn, tin dɛn we wi fɔ mɛmba

yu `(Rectus Sheath)` na imכtant sheath we de protεkt di כgan dεm, tisu dεm, εn bכdi vεsul dεm na yu bכdi wכl. if yu bכdi wכl inju εni we, wan `(epigastric artery)` kin rכp εn mek yu gεt `(Rectus Sheath Hematoma)`.

Bɔrku tɛm, dis sik nɔr kin nid fɔ gɛt big mɛrɛsin. Simpul tin dɛn lɛk fɔ put ays, fɔ rɛst, ɛn fɔ tek mɛrɛsin fɔ mek yu fil pen kin ɛp.

Bɔt sɔm kes dɛn kin rili siriɔs. If yu gɛt bad bad bɛlɛ pen wantɛm wantɛm, i go fayn ɔltɛm fɔ go to dɔktɔ fɔ no if yu nid tritmɛnt. Nɔ panik, bɔt i impɔtant fɔ mek yu ɛn yu famili no bɔt dɛn tin ya.

` Rɛktus Shit Ɛmatoma, bɛlɛ pen, bɛlɛ de blɔd, epigastrik at, antikɔagulɛnt, bɛlɛ mas, bɛlɛ pen