Yu tink se it kin kam bak na yu trot afta yu dɔn it? Lɛ wi tɔk bɔt dis Rumination Syndrome!

Afta yu it, yu kin fil bak se di it de kam bak ɔp na yu trot bifo i ful-ɔp fɔ digest? If yu nɔ gɛt di nɔys we yu de vɔmit, yu tink se i kin jɔs kam ɔp smɔl, ɛn sɔntɛnde yu kin it am bak ɛn swɛla am? Ɔ i kin kɔmɔt na do we yu nɔ no? Dis na prɔblɛm we kin rili mek sɔm pipul dɛn vɛks. Tide wi go tɔk bɔt dis sik we dɛn kɔl Rumination Syndrome. Nɔ fred, di tin we impɔtant pas ɔl na fɔ no bɔt dis.

Wetin na Rumination Syndrome?

Fɔ tɔk am simpul wan, Rumination Syndrome na we di it we wi de it de kam bak ɔp frɔm di bɛlɛ ɛn go insay di mɔt bifo i dayjɛst fayn fayn wan. Insay mɛrɛsin, dɛn kin kɔl dis bak rigurgitation. Sɔm pipul dɛn kin it ɛn swɛla di it we kin kam bak ɔp na dɛn trot, ɛn ɔda wan dɛn kin spit am. Bɔrku tɛm, dis kin apin jɔs afta yu dɔn it, ɔr insay sɔm minit.

Di tin we impɔtant pas ɔl na dat we dis kin apin, yu nɔ kin fil ɛni pen ɔ nɔs lɛk fɔ vɔmit we kin kam wit bɛlɛ we de at. I jɔs tan lɛk se di it de kam ɔp witout bɔku tray. Tink bɔt am lɛk aw smɔl pikin kin du we dɛn gɛt sɔm milk na dɛn trot.

Wan ɔda tin na dat, bɔku tɛm di it we kin kam na di trot lɛk dis nɔ kin gɛt sɔl ɔ bita teys. di rizin fכ dis na biכs di it nכ bigin fכ daygεst fayn fayn wan yet wit di bεlε asid. Dat min se di it nɔ dɔn ful-ɔp yet insay di dijestiv prɔses.

dis rigεshכn fכ it insay di trot, we sכmtεm dεn kכl ``rigεtεshכn,'' kin bi rεflεks akshכn we de apin insεf εn dεn nכ kin kכntro am. Bɔt fɔ sɔm pipul dɛn, as tɛm de go, dis kin bi sɔntin we dɛn kin du bay wilful ɔ bi abit. Bɔt di tin we impɔtant pas ɔl fɔ mɛmba na dat, dis nɔto bikɔs yu bɛlɛ de at, sik lɛk gastritis, ɔ ɛni ɔda siriɔs bɛlɛ sik.

Udat kin gɛt dis sik?

Fɔ lɔng tɛm naw, dɔktɔ dɛn dɔn no se dis sik we dɛn kɔl Rumination Syndrome kin apin to yɔŋ pikin dɛn ɛn di wan dɛn we nɔ ebul fɔ gro fayn. Bɔt fɔ tru, i kin afɛkt ɛnibɔdi we ol ɛni ej . Dat min se yɔŋ pikin dɛm, yɔŋ pipul dɛm, ɛn big pipul dɛm ɔl kin gɛt dis sik.

Risach dɔn sho se pikin ɛn big pipul dɛn we gɛt mɔ strɛs ɔ wɔri kin gɛt mɔ risk fɔ gɛt rumination syndrome. So, yu kin gɛt dis kayn tin wae yu gɛt bɔrku strɛs, sɔri, ɔr wɔri .

Wetin na di sayn dɛm fɔ dis?

Okay, so aw wi go no dis Rumination Syndrome? Wetin na di sayn dɛm fɔ dis? Mek wi si.

• Di men sayn na we yu de it bak ɔltɛm, dɔn yu de it am bak ɔ swɛla am, ɔ yu de spit am. Dis kin apin afta ɛvri it.
• Bɛlɛ nɔ kin fil fayn.Yu kin fil ful, yu kin blo, ɛn sɔntɛnde yu nɔ kin it fayn ɛn yu bɛlɛ kin at.
• Prɔblɛm dɛn we gɛt fɔ du wit dɛn tit. Bad briz ɛn tut kin rɔtin bikɔs it kin stɔp na di trot ɔltɛm. Dis na bikɔs di it we de kɔmɔt na di bɛlɛ kin gɛt sɔm asid.
• We yu de lɔs yu wet. Bikɔs di it we yu de it nɔ de tek yu bɔdi fayn fayn wan, as tɛm de go yu kin lɛf fɔ it bɔku bɔku it dɛn. Dis kin afɛkt di we aw pikin dɛn de gro mɔ.
• Lip dɛn we dɔn dray ɛn we gɛt chɛp.

If yu pikin gɛt dis sik, dɛn kin du tin lɛk fɔ swɛt ɛn arch dɛn bak. (Bɔt dis sayn kin bi sayn bak fɔ di gastroesophageal reflux, we na we di bɛlɛ asid kin kam ɔp na di trot, so i fayn fɔ go to dɔktɔ.) Bebi dɛn kin mek sawnd bak we de grɔmbul.

Wetin mek dis de apin? Wetin na di rizin dɛn?

Dɛn nɔr ɔndastand di rayt tin we kin mek pɔsin gɛt Rumination Syndrome gud gud wan yet. Bɔt dɔktɔ dɛn biliv se i kin apin we sɔm pipul dɛn gɛt prɔblɛm wit dɛn maynd ɔ dɛn kin gɛt tin dɛn we kin mek dɛn strɛs na dɛn layf. Dis min se i kin gɛt fɔ du wit mental wɛlbɔdi .

If dɛn ɛksplen am wit mashin, as i de apin insay wi bɔdi, i kin bi sɔntin lɛk dis:

1. We wi de it, di bɛlɛ de bɔku, we min se i de big.

2. Dɔn, di bɛlɛ prɛshɔn de go ɔp.

3. di sem tεm, di lכw εsophageal sphincter we de wok lεk valv usay wi εsophagus (di tכb we de kכri it frכm di mכt to di bεlε) de kכnekt to di bεlε, de rilaks.

we dεn tin ya de apin wan wan, di it dεm we dεn nכ daygεst na di bεlε de bigin fכ ``regurgitate'' bak כp di εsophagus, dat na, insay di mכt.

Aw dɔktɔ dɛn kin no dis?

Okay, naw lɛ wi si aw dɔktɔ kin no dis, dat na aw dɛn kin disayd "Dis na Rumination Syndrome."

Bɔrku tɛm, yu kin no dis tru wan mɛdikal histri ɛn yu dɔktɔ in bɔdi ɛgzam. Na mɔtalman, if yu dɔn de rigurgitat it fɔ at le 3 mɔnt, bɔt yu nɔ vɔmit, inof pruf de fɔ sho se yu kin gɛt Rumination Syndrome.

Frɔm di Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) we di dɔktɔ dɛn gri wit, fɔ mek dɛn no se pɔsin gɛt dis sik, dɛn fɔ du dɛn tin ya:

• Fɔd kin kɔntinyu fɔ kam ɔp na di trot fɔ at le wan mɔnt. Dɛn kin chew di it we kin kam ɔp, swɛla, ɔ drɛb am.
• dis fכd we de kam bak nכ fכ bi fכ wan gεstrointestinal kכndishכn כ כda mεdikal kכndyushכn (fכ egzampl, kכndishכn dεm we dεn kכl gastroesophageal reflux כ pyloric stenosis).
• Dis disɔda fɔ it nɔ kin apin in wan wit ɔda disɔda fɔ it, lɛk anorexia nervosa, bulimia nervosa, binge eating disorder, ɔ avoidant/ restrictive food intake disorder.
• If de sik wae de kam wit ɔda kayn maynd sik (lɛk intɛlektual disabled), de sayn dɛm fɔ siriɔs fɔ mek yu nid fɔ go to dɔktɔ.

Apat frɔm dat, dɔktɔ dɛn kin du sɔm tɛst dɛn bak fɔ no if ɔda sik de mek pɔsin gɛt dɛn sik ya. Fɔ ɛgzampul:

• Gastric emptying test: Dis de sho aw lɔng i tek fɔ mek it kɔmɔt na di bɛlɛ to di smɔl intestin.
• Ɔpa ɛndoskɔpi: Insay dis we aw dɛn kin du dis, dɔktɔ kin put wan tin tiub wit wan smɔl kamɛra we dɛn kɔl ɛndoskop dɔŋ yu trot fɔ chɛk yu ɛsophagus ɛn yu bɛlɛ. Dis kin ɛp fɔ chɛk fɔ ɛni ɔlsa ɔ ɔda prɔblɛm dɛn we de insay.
• X-ray: Dɛn kin tek pikchɔ dɛn bɔt di insay pat pan di εsophagus ɛn di bɛlɛ.

Wetin na di tritmɛnt?

Okay, so wetin na di tritmɛnt dɛm fɔ Rumination Syndrome? Dis na sɔntin we pɔsin nɔ go ebul fɔ mɛn? Nɔ.

di men εn mכst ifektiv tritmεnt fכ dis na ``bihayvכral tεrapi.'' Simpul wan, na fכ chenj yu bihayvya fכ stכp di it fכ kam dכn yu trot. di bihayvya tεrapi we dכkta dεn kin gi fכ dis na ``diaphragmatic breathing.'' Sכm pipul dεn kin kכl dis bak ``bεlε brith.''

Wetin na dayafragmatik brith?

Di dayafragm na big mɔsul we tan lɛk dome we de bitwin wi chɛst ɛn wi bɛlɛ. Na di men mɔsul we de wok we wi de blo. Dayafragmat brith de aim fɔ rilaks yu dayafragm, yuz am fayn we yu de blo, ɛn ɛp fɔ mek i strɔng. Dis kin ɛp fɔ kɔntrol di it we de go dɔŋ yu trot.

Na dis na aw fɔ du am:

1. Ledɔm yu fes ɔp pan flat ples (lɛk di flɔ) ɔ na bed. Bɛn yu ni ɛn put pilo ɔnda yu ed. If yu want, yu kin put pilo ɔnda yu ni dɛn bak fɔ sɔpɔt yu leg dɛn.

2. Put wan an pan yu chɛst ɛn put di ɔda an smɔl dɔŋ yu rib, dat na, pan yu bɛlɛ. Dis go ɛp yu fɔ fil se yu dayafragm de muv ɛn yu bɛlɛ de go ɔp ɛn fɔdɔm we yu de blo.

3. Naw, blo tru yu nos. As yu de du dat, di an we de na yu bɛlɛ fɔ go ɔp. Dat min se yu bɛlɛ fɔ opin. Tray fɔ kip di an pan yu chɛst na wan ples as yu ebul, ɛn nɔ muv am. Wi de tich dis to yɔŋ pikin dɛm, "Breath in lɛk opera singer."

4. Neks, purs yu lips likl (layk fo blo wistle) and exhale tru yu maut. As yu de du dis, tayt yu bɛlɛ mɔsul dɛm ɛn lɛ dɛn go insay Dis min se di an we de na yu bɛlɛ fɔ go dɔŋ. Na dis tɛm, kip di an pan yu chɛst stil as yu ebul.

Aw ɔltɛm a fɔ du dis ɛgzampul fɔ blo?

Du dis ɛgzampul tri to 4 tɛm insay di de, fɔ lɛk 5 to 10 minit wan tɛm. I kin tranga smɔl fɔs, bɔt i go izi fɔ yu we yu de praktis. If yu want fɔ mek dis ɛgzampul tranga smɔl, yu kin du am we yu ol sɔntin lɛk buk na yu bɛlɛ.

Di tin we impɔtant pas ɔl na fɔ praktis dis ‘bɛlɛ brith’ afta ɛvri it, ɔ ivin we yu de it smɔl it, if nid de. Dis go ɛp bɔku fɔ mek di it nɔ go dɔŋ yu trot.

Us prɔblɛm dɛn dis kin mek?

If dɛn nɔ trit am fayn, Rumination Syndrome kin pwɛl wi εsophagus (di tiub we de kɛr it frɔm di mɔt to di bɛlɛ). Bikɔs we di tin dɛn we de insay di bɛlɛ kin kam ɔp ɔltɛm, i nɔ kin fayn fɔ di εsophagus.

Apat frɔm dat, ɔda prɔblɛm dɛn kin apin. Dɛn na:

• Shem, di diskɔmfɔt we pɔsin kin gɛt we i de na sosayti. Dis kin afɛkt di maynd bak.
• Nɔ gɛt wɛlbɔdi it. Na bikɔs di bɔdi nɔ de tek di it fayn fayn wan.
• Fɔ nɔ gro fayn. Dis kin gɛt big impak pan di pikin dɛn we de gro, mɔ.
• Ilektrolayt imbalans na di bɔdi. Dat min se, i nɔ balans di kayn sɔl dɛn we di bɔdi nid.
• Di wata we nɔ de na di bɔdi. Wata nɔ de na di bɔdi.
• Aspirashכn fכ it insay di windpaip כ di lכng. Dis kin denja smɔl bikɔs i kin mek yu gɛt infɛkshɔn na yu lɔng.
• Shot we yu de blo.
• Infεkshכn dεm na di lכng lεk nyumonia.
• Na tin dɛn we nɔ kin apin so ɔltɛm, we kin rili bad, ivin day kin apin. (Dis na tin we nɔ kin apin so ɔltɛm, bɔt i fayn fɔ no).

We dɛn de fɔ mek dis nɔ apin?

Pan ɔl we i at fɔ tɔk if dɛn kin ebul fɔ avɔyd am kpatakpata, sɔntɛm dɛn kin ridyus di prɔblɛm. Mɔtalman, bay we yu lan mɔ gud we dɛn fɔ dil wit tin dɛn we kin mek yu strɛs, .Dis min se bay we yu yuz ``positiv coping strategies``, i posibul fכ ridyus di risk fכ divεlכp ``Rumination Syndrome`` to sכm mak. Fɔ mek yu gɛt gud maynd wɛlbɔdi rili impɔtant.

Wi go ebul fɔ liv wit dis sityueshɔn? Wetin na di tumara bambay?

Yes, bɔrku pipul dɛn de liv kɔmplit wɛl bɔdi, nɔrmal layf wit Rumination Syndrome. If dɛn trit am ɛn manej am fayn, bɔku tɛm i nɔ kin gɛt big impak pan di tin dɛn we yu de du ɛvride. So, nɔ pwɛl at if yu kam fɔ no se yu gɛt am.

Ustɛm a fɔ go to dɔktɔ?

If yu ɔ yu pikin gɛt sɔm sayn dɛn fɔ Rumination Syndrome, we na wetin wi bin dɔn tɔk bɔt, mɔ if it de kam ɔp yu trot ɔltɛm, fɔ tru, go to yu famili dɔktɔ ɔ dɔktɔ we de mɛn pikin dɛn. Dat na di bɛst tin fɔ du. Dɛn kin ebul fɔ chɛk yu fayn fayn wan ɛn advays yu bɔt wetin de mek dis sik ɛn wetin fɔ du.

Us kwɛstyɔn dɛn yu fɔ aks di dɔktɔ?

If yu gɛt dis sik, yu kin aks kwɛstyɔn dɛn lɛk dis we yu go to dɔktɔ. Dis go ɛp yu fɔ ɔndastand dis klia wan:

• "Dɔkta, aw siriɔs dis Rumination Syndrome?"
• "Wetin bi di rial rizin fo dis?"
• "Us tritmɛnt rayt fɔ mi? Wetin a fɔ du?"
• "Eni mɛrɛsin de fɔ dis? Ɔ na jɔs ɛksesaiz fɔ blo?"
• "Dis go afɛkt mi ɛvride layf?"

Fɔ dɔn, sɔm tin dɛn fɔ mɛmba (Take-Home Message) .

Okay, wi don tok plenti boht Rumination Syndrome. Fɔ dɔn, na sɔm impɔtant tin dɛn we yu fɔ mɛmba:

Rumination Syndrome na wan sik we di it kin kam bak ɔp na di trot jɔs afta i dɔn it, bifo i dayjɛst. Dis nɔto fɔ vɔmit. E kin apun pan pipul dɛm wae gɛt ɛni ej, ɛn sɔmtɛm kin gɛt fɔ du wit strɛs.

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If yu gɛt dɛn kayn sik ya , nɔr shem ɔr frayd. Si dɔktɔ kwik kwik wan ɛn gɛt advays. Bihayvya tritmεnt lεk dayafragmatik brith εksεsayz kin εp fכ kכntrכl dis to big mak.

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Fɔ go to di rayt dɔktɔ ɛn tritmɛnt na di bɛst we fɔ mɛn dis sik. Nɔto yu wan de, ɛn ɛp de.

` Rumination Syndrome, it we de kam ɔp na di trot, rigurgitation, dijestiv sistɛm, strɛs, dayafragmatik brith, bihayvya tɛrapi