Yu dɔn ɛva it ɛn jɔs dɔn am, ɛn insay sɔm minit, yu fil lɛk se yu go vɔmit, bɔt i nɔ tan lɛk se yu go vɔmit, i tan lɛk se yu go vɔmit, i tan lɛk se yu go vɔmit, i jɔs tan lɛk se yu go vɔmit. Yu go mɔs it am bak ɛn swɛla am. Ɔ yu kin spit am kɔmɔt. If dis kin apin ɔltɛm, afta ɛvri it we yu it, i impɔtant fɔ no bɔt dis sik we wi de tɔk bɔt tide we dɛn kɔl Rumination Syndrome. I nɔ kɔmɔn smɔl fɔ yɛri, bɔt sɔm pipul dɛn kin sɔfa kwayɛt wan.
Fɔ tɔk am simpul wan, wetin na Rumination Syndrome?
Dis na tin we rili spɛshal. I nɔ fɔ kɔnfyus wit di vɔmit we wi kin no. Vɔmit na fɔ fos fɔ pul di tin dɛn we de insay di bɛlɛ afta yu bɛlɛ at ɔ yu nɔs. Bɔt nɔto dat kin apin pan Rumination Syndrome. Dis kin apin bay insɛf, ɛn i nɔ kin gɛt ɛni pawa, pen, ɔ nɔs . I tan lɛk se yu de kam insay di trot, bɔt di sem tɛm di it we yu swɛla de kam bak ɔp insay di trot.
Imajin, wan valv de we dɛn mek wit mɔsul dɛn lɛk get bitwin wi it ɛn bɛlɛ fɔ mek di it we de na wi bɛlɛ nɔ go ɔp na wi trot. wi kכl dis di `lower esophageal sphincter (LES).` nכmal wan, dis valv de opin we wi sכlow it, εn afta dat i de kכloz tayt bak afta di it go insay di bεlε. Bɔt fɔ sɔm rizin, dis prɔses kin ambɔg pan pɔsin we gɛt Rumination Syndrome. we di prεshכn we de insay di bεlε de go כp, dis valv de jכs opin fכ ansa. Dɔn di it we dɛn nɔ digest we dɔn go insay di bɛlɛ kin kam bak ɔp.
Dis nɔto sɔntin we yu kin du bay wilful. I tan lɛk abit we di bɔdi dɔn mek fɔ insɛf. Na dat mek wi kin kɔl am ɔtomɛtik ɛn bɔku tɛm wi nɔ kin no natin .
Wetin na di men sayn dɛm fɔ dis sik?
Sɔm sayn dɛm de wae kin ɛp yu fɔ no dis sik. Si if yu gɛt dɛn tin ya bak. A go put dɛn na tebul fɔ mek i izi fɔ ɔndastand klia wan.
| Di kwaliti we pɔsin gɛt | Tɔk bɔt |
|---|---|
| Fɔd de kam dɔŋ di trot we nɔ gɛt pen | Dis na di men tin we dɛn de du. Insay sɔm minit we yu dɔn it, di it kin pas na di trot ɛn i nɔ kin at fɔ am. |
| Nɔ nɔs ɔ vɔmit nɔ de. | Di nɔys we kin kam bifo yu vɔmit nɔ kin fil atɔl pan dis kes. |
| No saw teys nɔ de na di it. | Di teist fɔ di it we de kam na yu trot na di sem we aw yu it am. I nɔ de te saw lɛk vɔmit. Dis na bikɔs di it nɔ bin dɔn gɛt inof tɛm fɔ miks wit di asid we de na yu bɛlɛ. |
| Chewing bak ɛn swɛla ɔ spit aut | Sɔm pipul dɛn kin it ɛn swɛla di it we dɔn rich dɛn trot. Ɔda wan dɛn kin spit am. |
| Di kwaliti dɛn we yɔŋ pikin dɛn gɛt | If yɔŋ pikin gɛt dis sik, dɛn kin sho tin dɛn lɛk fɔ arch dɛn bak ɛn mek sawnd dɛn we de gurgling. |
Bɔt apat frɔm dɛn men sayn ya, sɔm pipul dɛn kin gɛt bɛlɛ pen, nɔ kin fil fayn lɛk fɔ blo, ɛn sɔntɛnde dɛn kin ivin vɔmit.
Wetin mek dis kin apin? Wetin na di tin dɛn we kin mek pɔsin gɛt dis sik?
Infakt, dɔktɔ dɛn stil nɔ no di rayt tin we kin mek dis sik. I stil na mistɛri. sכm dכkta dεn kכl am `functional GI disorder`, we min prכblεm wit di fכnshכn fכ di dijestiv sistεm. Ɔda pipul dɛn se na `behavioral disorder`.
Fɔ tɔk am simpul wan, dis kin bi bad abit we di bɔdi dɔn lan. Dis sik kin bigin afta wan big big pwɛl hat sik ɔr tin wae kin mek yu strɛs. Dis min se i kin bi bikɔs ɔf sɔm prɔblɛm na di rilayshɔn bitwin wi maynd ɛn wi bɔdi.
Bɔku tin dɛn de we kin mek pɔsin gɛt dis sik:
- Bɔrku strɛs ɔr trauma: Dis kin bigin afta yu dɔn gɛt big prɔblɛm ɔr trauma na layf.
- Yu kin si dis wit ɔda mɛntɛl sik dɛm: pwɛl hat, wɔri, ɛn ɔda tin dɛm.
- Ɔda tin dɛn we kin apin we pɔsin de it: Dis kin apin mɔ to pipul dɛn we gɛt ɔda prɔblɛm dɛn we dɛn kin it.
- Dilɛys we dɛn de divɛlɔp: Dis sik kin apin mɔ to yɔŋ pikin dɛn ɛn di wan dɛn we gɛt prɔblɛm wit di divɛlɔpmɛnt.
- Imɔshɔnal neglek we dɛn smɔl: Dis kin apin to pikin dɛn we nɔ de gɛt di lɔv ɛn kia we dɛn nid frɔm dɛn mama ɛn papa ɔ di wan dɛn we de kia fɔ dɛn.
Us prɔblɛm dɛn dis kin mek?
Pan ɔl we dis nɔto sik we de mek pɔsin in layf de pan denja, i kin mek sɔm prɔblɛm dɛn if i kɔntinyu fɔ de fɔ lɔng tɛm. So, i rili impɔtant fɔ mek wi no bɔt dis.
| Kɔmplikɛshɔn | Tɔk bɔt |
|---|---|
| We yu de lɔs yu wet ɛn yu nɔ gɛt bɛtɛ tin fɔ it | Bikɔs di it we yu de it nɔ de tek di bɔdi fayn fayn wan, yu kin lɔs yu wet ɛn nɔ gɛt tin dɛn lɛk vaytamɛn ɛn minral. Dis kin mek bak pikin dɛn nɔ ebul fɔ gro fayn. |
| Prɔblɛm dɛn we gɛt fɔ du wit dɛn tit | We it de rich na di trot ɔltɛm, ivin smɔl asid na di bɛlɛ kin sɔlv di ɛnamel na di tit ɛn mek di tut rɔtin. Bad briz kin apin bak. |
| Damej to di εsophagus | we di bεlε asid de kam bak na di trot plεnti tεm i kin pwεl di tisu dεm na di εsophagus. |
| Dihaydreshɔn ɛn sɔl imbalans | Di wata kin kam bikɔs di bɔdi kin lɔs wata ɛn sɔl wit it. |
| Di tin we pɔsin want fɔ du | If di it we de insay di trot aksidɛntli go insay di say we di briz de blo , i kin mek pɔsin swɛla ɔ i kin mek i gɛt tin dɛn lɛk nyumonia. |
| Sɔshial prɔblɛm dɛn | Dis na big prɔblɛm. Bikɔs ɔf dis sik, pɔrsin kin shem fɔ it wit pipul dɛm, go pati, ɔr go wit in padi dɛm. So, smɔl smɔl dɛn kin tray fɔ pul dɛnsɛf kɔmɔt nia di sosayti. |
Aw dɔktɔ kin no bɔt dis?
If yu gɛt dɛn sik ya, mek shɔ se yu go to yu dɔktɔ . Di fɔs tin we yu dɔktɔ go du na fɔ aks yu wan ditayli kwɛstyɔn bɔt yu sik dɛn, lɛk aw dɛn bigin ɛn ustɛm dɛn kin apin.
Afta dat, yu kin nid fɔ mek dɛn du sɔm tɛst fɔ mek shɔ se no ɔda siriɔs mɛrɛsin nɔ de. Fɔ ɛgzampul:
- כp εndoskopi: dεn kin put wan sכm sכm tכb wit kεmεra tru di mכt fכ egzamin di εsophagus εn di bεlε.
- Esophagram: Dɛn kin gi sɔntin we dɛn kɔl barium fɔ drink ɛn tek ɛkstrem rayt fɔ chɛk aw i de swɛla.
- di εsophageal manometry test: na tεst we de mכsu aw di mכsul dεm na di εsophagus de wok.
- Gastric emptying study: Na tɛst we de sho aw lɔng i tek fɔ mek it kɔmɔt na di bɛlɛ.
Afta yu dɔn kɔnfyus se nɔr ɔda prɔblɛm nɔr de wit ɔl dɛn tin ya, di dɔktɔ go ebul fɔ no se yu gɛt Rumination Syndrome bay we yu kɔmpia am wit yu simptom dɛm.
Wetin na di tritmɛnt dɛm fɔ dis?
Di bɛst ɛn impɔtant tritmɛnt fɔ dis na di tritmɛnt fɔ di we aw pɔsin de biev . Dat min se, bifo wi tek mɛrɛsin, wi de kɔntrol dis sik bay we wi de chenj di we aw wi de biev ɛn di we aw wi de kɔntrol wi bɔdi.
dis de tich mεntal fכ brith εksεsayz dεm we yu de yuz di dayafragm (`diaphragmatic breathing`) . Lɛ wi si aw fɔ du dis fayn fayn wan. Dis de tich wi bɔdi fɔ stɔp di prɔses we it de tray fɔ go insay di trot.
Aw fɔ du di dayafragmatik brith ɛgzampul:
1. Fɔs, ledɔm na grɔn. Bɛn yu ni dɛn ɛn put wan smɔl pilo ɔnda yu ed.
2. Put wan pan yu an dɛn na di ɔp pat na yu chɛst. Put di ɔda an pan yu bɛlɛ, jɔs dɔŋ usay yu rib dɛn dɔn.
3. Naw tek slo blo in tru yu nos. As yu de blo, tray fɔ kip di an pan yu chɛst stil as yu ebul ɛn jɔs es di an pan yu bɛlɛ. Dat min se, yu fɔ blo yu bɛlɛ ɛn blo.
4. Dɔn, purs yu lip smɔl ɛn pul briz sloslo, tayt yu bɛlɛ mɔsul dɛn. As yu de blo, kip di an pan yu chɛst stil ɛn fil se yu bɛlɛ de go insay.
Yu fɔ praktis dis ɛgzampul bɔku tɛm insay di de. I impɔtant mɔ fɔ du dis afta yu dɔn it. If yu yuz dis we fɔ blo jɔs lɛk aw yu fil se it de kam na yu trot, yu kin stɔp da prɔses de.
Apat frɔm dat, ɔda we dɛn de fɔ trit pɔsin:
- Bayofidbak:Wan we fɔ lan fɔ kɔntrol di tin dɛn we yu bɔdi de du (lɛk we yu mɔsul dɛn de kɔntrakt) we yu de yuz mashin, we yu de yuz skrin.
- Cognitive behavioral therapy (CBT): Kɔnsul kin ɛp fɔ chenj di mental prɔblɛm ɛn di we aw pɔsin de tink we kin mek i gɛt dis sik.
- Mεdikeshכn: Sɔntɛnde, yu dכkta kin gi yu mεdikeshכn lεk baklofen, we de εp fכ tayt di lכw εsophageal sphincter. Bɔt, dɛn nɔ kin gi dis to ɔlman.
Ustɛm a fɔ go to dɔktɔ?
Dis rili impɔtant. If yu fil se yu de chok afta yu it, ɛn nɔto jɔs wan ɔ tu tɛm, bɔt i de apin ɔltɛm, duya nɔ ignore am . Nɔ west tɛm fɔ tink se, "Dis na jɔs ɔda tin." Na bikɔs dɛn tin ya kin wɔs as tɛm de go. Dɔn i kin tek lɔng tɛm fɔ trit am.
So, as yu notis ɛni wan pan dɛn sayn ya so, go to yu famili dɔktɔ ɛn tɔk bɔt dis. Di kwik we yu bigin fɔ tek tritmɛnt, na di mɔ yu go ebul fɔ wɛl kwik kwik wan.
Mɛsej we dɛn kin kɛr go na os
- Rumination Syndrome nɔto fɔ vɔmit. Na wan tin wae kin apin fɔ insɛf ɛn nɔr kin gɛt nɔs ɔr pen.
- Di men rizin fɔ dis na bad abit we di bɔdi dɔn lan. Tin dɛn lɛk strɛs kin afɛkt dis.
- Di bɛst tritmɛnt fɔ dis na bihayvya tɛrapi, mɔ di dayafragmatik brith ɛksesaiz.
- Pan ɔl we dis sik nɔ kin mek pɔsin in layf de pan denja, i kin pwɛl di tit, di gɔm, ɛn mek i nɔ gɛt bɛtɛ tin fɔ it fɔ lɔng tɛm.
- If yu gɛt dɛn kayn sik ya, nɔr shem ɔr frayd, go to dɔktɔ wantɛm wantɛm ɛn gɛt advays. Dat na di bɛst tin we yu go ebul fɔ du.
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