Yu splin de pan denja? Tide wi go tɔk bɔt (Ruptured Spleen)!

Yu dɔn ɛva tink bɔt di smɔl ɔgan we de na di lɛft say na yu bɛlɛ, jɔs dɔŋ yu rib dɛn? Dis na wetin wi kin kɔl di splin. I de lɛk di sayz we yu an na yu an. Bɔt i de du big wok. Bɔt sɔntɛnde dis splin kin wund ɛn brok. If dat apin, i kin rili siriɔs smɔl.

Wetin na di splin? Wetin i min if i brok?

Fɔ tɔk am simpul wan, yu splin na smɔl ɔgan we rili impɔtant we de na di lɛft say na yu bɛlɛ we de ɔp, we tan lɛk fist. I de wok lɛk filta. I kin ol lɛk wan pat pan di blɔd na wi bɔdi ɛnitɛm, i kin klin am, ɛn kip di rɛd blɔd sɛl dɛn ɛn di pletlɛt dɛn. I de ɛp bak fɔ mek wayt blɔd sɛl dɛn we de fɛt sik. di splin na wan כgan we lεk sak insay, we wan tכn layεr fכ tisu kכba am. Blɔd vesel dɛnsɛf de rɔn tru am.

Bɔt wit di say we di splin de, mɔ if dɛn bit am tranga wan, i kin izi fɔ mek i wund. If di ɔda kɔva we a tɔk bɔt dɔn rɔtin ɔ brok, na dat wi kin kɔl ‘splenic rupture’ . If di splin brok, we yu kɔmpia am to ɔda ɔgan dɛn we de insay wi bɛlɛ, chans de fɔ mek blɔd kɔmɔt na di bɔdi, we kin mek wi layf de pan denja. So, if yu splenic rupture na imejensi we yu nid fɔ go to dɔktɔ wantɛm wantɛm. Sɔntɛnde, i kin nid fɔ du ɔpreshɔn.

Wetin na di tin dɛn we kin mek pɔsin in splin brok?

Okay, naw lɛ wi si wetin mek di splin de brok lɛk dis.

Bɔrku tɛm, di men rizin fɔ dis na wae pɔrsin gɛt injury frɔm aksidɛnt. Fɔ ɛgzampul, imajin se motoka aksidɛnt. na lɛk 50% to 75% pan dɛn kayn aksidɛnt ya kin mek di splin brok. Na di sem tin kin apin to injuri we kin apin we pɔsin de ple spɔt. Dis kin apin mɔ pan spɔt dɛn we gɛt fɔ du wit bɔdi to bɔdi, lɛk rɔgbi. Sɔntɛnde, di splin kin brok bikɔs ɔf sɔntin we siriɔs lɛk we pɔsin blo am bad bad wan, we pɔsin chuk am wit nɛf, ɔ we pɔsin shot am.

Di impɔtant tin na dat sɔmtɛm di splin kin brok wantɛm wantɛm afta di aksidɛnt. Bɔt sɔntɛnde, sɔm tɛm afta di aksidɛnt, di wund kin swel ɛn di splin kin brok. Dɛn kɔl dis ‘Delayed Rupture’.

Yu tink se wan splin kin brok we i nɔ du ɛni bad tin?

Naw yu go tink se pas aksidɛnt apin, natin nɔ go apin to di splin. Bɔt pan ɔl we i nɔ kin apin so ɔltɛm, di splin kin brok fɔ insɛf ɛn nɔ gɛt ɛni aksidɛnt. Dis kin sɔprayz smɔl fɔ yɛri, nɔto so?

dis kin apin we di splin bigin fכ swel bikoz fכ כda כndalayn mεdikal kכndyushכn na di bכdi. As i de swel, da ɔda kɔva we a bin dɔn tɔk bɔt de wik smɔl smɔl, ɛn leta i kin brok.

Sɔm tin dɛm wae kin mek dis kayn splin swel na:

• Tayp dεm fכ kεnsar, fכ egzampl `(Lymphoma)`.
• Infɛkshɔn dɛn, .Lεk `(Mononucleosis)` כ `(Malaria)`.
• Krεse sik dεm wae de mek yu fil bad , lεk epataytis, wan sik na di liva, ɔr pankrεas.

Aw e kin fil we yu splin brok?

Okay, naw lɛ wi si aw i kin fil if yu splin brok.

di splin, lεk aw a bin se, de na di כp lεft say na yu bכdi, jכs dכn yu lεft rib kεj εn dayafragm. We di splin brok, yu kin fil shap pen na da say de.

Bɔt ɔda tin de ya. Di sem aksidɛnt dɛn we kin mek pɔsin in splin brok kin mek ɔda pipul dɛn wund bak, nɔto so? Fɔ ɛgzampul, yu kin brok wan rib. Dɔn, yu nɔ go ebul fɔ no difrɛns bitwin di pen frɔm we yu splin dɔn brok frɔm di pen frɔm ɔda injury dɛn.

Afta we yu splin brok, yu kin fil pen we de kɔmɔt na yu lɛft chɛst ɔ yu sholda. Dɛn kɔl dis sayn we Kehr mek . dis kin apin biכs we di splin de bכn, di bכdi de prεs pan wan nεv we de rכn frכm yu nεk dכn tru yu lεft chεst (di lεft frεnik nεv). Yu kin fil se de pen de wɔs we yu de blo.

Ɔda sayn dɛn de we de sho se yu splin dɔn brok?

Apat frɔm di pen, yu kin gɛt ɔda sayn dɛn bikɔs yu de blɔd insay yu bɔdi ɛn yu blɔd prɛshɔn go dɔŋ wantɛm wantɛm. Si if dɛn tin ya tan lɛk se yu sabi am:

• Diziz ɔ layt ed
• Mental kɔnfyushɔn ɔ disorientation
• Di vishɔn we nɔ klia
• Paleness ɛn faintness
• Nɔr de rɛst ɔr de wɔri
• Vɔmit

Wetin kin apin if di splin brok? Wetin dɛn fɔ du?

Imajin se yu gɛt bad bad pen na di ɔp lɛft say na yu bɛlɛ, ɔ yu gɛt da Kehr sayn de we a bin tɔk bɔt. If dɛn sik ya apin ivin afta sɔm tɛm afta di aksidɛnt, yu fɔ go stret na di Imejɛnsi Rum (ER). Kɔl ambulans if nid de.

Na de, yu go nid fɔ tɛl di dɔktɔ dɛn bɔt yu sik dɛn, ɛni aksidɛnt we yu jɔs gɛt, ɛni infɛkshɔn we yu gɛt, ɔ ɛni sik we nɔ de mɛn we yu gɛt. Di mɛdikal tim go chɛk yu sik ɛn wok fɔ mek yu stebul, ɛn dɛn go gi yu blɔd if nid de.

Aw yu go no if yu splin dɔn brok?

Okay, naw lɛ wi si aw dɔktɔ dɛn kin fɛnɔt dis.

Fɔs, if yu sik stebul (we min se tin lɛk blɔd prɛshɔn ɛn at rit de nia nɔmal), di mɛdikal tim go chɛk yu stɛp bay stɛp.Fɔs, dɛn kin chɛk dɛn bɔdi. Dɔn , dɛn kin du imej tɛst dɛn lɛk skan.

Bɔt if yu wund pan aksidɛnt ɛn kam na di imejensi rum, di mɛdikal tim go fɔs du spɛshal ɔltrasɔund nia di bed. dis dεn kכl am ``FAST ultrasound.'' Dis de chεk fכ si if blכd de insay yu bכdi.

If di FAST ɔltrasɔund kɔnfirm se yu de blɔd, ɛn yu impɔtant sayn dɛn nɔ stebul, di mɛdikal tim no se yu splin dɔn brok ɛn dɛn nid tritmɛnt kwik kwik wan.

ivin if yu kכndyushכn stebul, if dεn saspek se yu gεt spεlin injuri, bכku tεm dεn go du ``CT scan`` . Dis kin tek gud luk pan di splin ɛn aw di injuri dɔn rich. Dɔn dɛn kin gred di injuri frɔm I to V, dipen pan aw di injuri siriɔs.

Aw dɛn kin trit pɔsin we gɛt splin we dɔn brok?

Di tritmɛnt fɔ di splin we dɔn brok de dipen pan aw di injuri siriɔs. Sɔm smɔl smɔl lacerations kin stɔp fɔ blɔd fɔ dɛnsɛf. Bɔt ɔda wan dɛn kin nid fɔ gɛt tritmɛnt kwik kwik wan. di lasereshכn dεm we rili siriכs (Gred V) nid fכ kכl di splin fכ pul di splin. Bɔt, i nɔ kin si wantɛm wantɛm se i gɛt bad bad injuri na di splɛn. Sɔntɛnde, pɔrsin wae gɛt stebul kin nɔr stebul afta sɔm awa bikɔs i de blɔd pasmak.

Na sɔm pan di men we dɛn fɔ trit pɔsin we gɛt splin we dɔn brok:

• Embolization: Dis prosidur kin ɛp fɔ kɔntrol blɔd we de na Gret III ɛn IV splenic injuries, bifo ɔ insted ɔf ɔpreshɔn. Embolization na wan tin we nɔ de du ɔpreshɔn. Na wan intavɛnshɔnal raydiɔlɔjis de du am. We dɛn yuz raydiɔlɔji imej tɛknik, dɛn kin put smɔl tiub (kateta) insay wan blɔd vesel ɛn put wan smɔl bid we tan lɛk spɔnj insay fɔ mek di blɔd nɔ kɔmɔt.
• Splenorrhaphy: Fɔ Gret III ɔ IV injuri, dɛn kin du dis apat frɔm ɛmbolizayshɔn. Splenorrhaphy na ɔpreshɔn fɔ mek di splin fayn. Dis kin min fɔ sutura di wund, yuz ilɛktrɔkɔtiri, ɔ fɔ put tin dɛn we dɛn kin put pan di wund fɔ stɔp di blɔd. If i wok fayn, dis kin mek yu nɔ nid fɔ pul wan pat ɔ ɔl di splin.
• Splenectomy: If dɛn nɔ ebul fɔ kɔntrol di blɔd we de kɔmɔt bad bad wan ɔda we, ɛn no we nɔ de fɔ sev di splin, dɛn kin nid fɔ pul pat ɔ ɔl di splin.bכt 20% pan di spεlin rכpchכ dεm de dכn dis we. Bikɔs dis na ɔpreshɔn we dɛn kin du wantɛm wantɛm, i go mɔs bi se dɛn kin du am as ɔpreshɔn we dɛn kin du fɔ opin bɛlɛ. Dis kin mek am izi fɔ di dɔktɔ we de du di ɔpreshɔn fɔ manej yu imejensi sityueshɔn.

Wetin na di chans fɔ mek yu sev we yu splin brok?

Dis rili dipen pan aw bad yu injury de ɛn aw yu kin fɛn am kwik kwik wan ɛn trit am. Wan smɔl kɔt go blɔd smɔl smɔl, smɔl smɔl. So yu gɛt sɔm tɛm, bɔt i kin izi fɔ mek yu mis am. If i de blɔd bad bad wan, di sayn dɛm go klia, bɔt i rili denja. If i de blɔd bad bad wan insay di bɔdi, i kin day insay sɔm awa if dɛn nɔ trit am wantɛm wantɛm. So dis nɔto sɔntin we wi fɔ tek am layt.

Aw lɔng i kin tek fɔ wɛl frɔm di splin we dɔn brok?

Dipen pan di saiz fɔ yu injury ɛn di tritmɛnt we yu gɛt, i kin tek ɛnisay frɔm tri to twɛlv wik fɔ wɛl. If dɛn dɔn du ɔpreshɔn pan yu, yu go nid fɔ de na ɔspitul fɔ sɔm dez afta dat. Afta dɛn dɔn du ɔpreshɔn we dɛn opin, dɛn kin kɔt big say fɔ mek i wɛl. Dɛn kin gi yu mɛrɛsin fɔ mek yu fil pen we yu go na os. Bɔt smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl.

Aw a fɔ kia fɔ misɛf we a de liv witout spleen?

Yɛs, yu kin liv we yu nɔ gɛt yu splin. Bɔt i kin afɛkt yu imyun sistɛm. Bikɔs di splin na impɔtant ɔgan we de protɛkt yu frɔm infɛkshɔn, yu kin gɛt sik smɔl afta dɛn dɔn pul yu splin (splenectomy).

Yu dɔktɔ we de du ɔpreshɔn go tɛl yu fɔ gi yu sɔm spɛshal vaysin dɛn fɔ protɛkt yu frɔm infɛkshɔn na di ɔspitul ɛn afta yu dɔn go na os. I go advays yu bak fɔ tek antibayɔtik wantɛm wantɛm if yu gɛt infekshɔn.

Fɔ tɔk smɔl, wetin wi nid fɔ mɛmba (Take-Home Message) .

Okay, so dis na di impɔtant mɛsej we wi nid fɔ kɛr go na os frɔm ɔl dis tɔk.

Ilɛksɛf di splin we brok na smɔl ɔ big, na imejensi. Di blɔd we de kɔmɔt insay di bɔdi kin mek pɔsin in layf de pan denja if dɛn nɔ de manej am fayn.

Bɔt di gud nyus na dat, bɔku pan di splin rɔp, if dɛn no ɛn trit am kwik, dɛn kin ebul fɔ kɔntrol am wit simpul tin dɛn we go sev di splin. Bɔt dis dipen pan aw yu go no ɛn trit yu injury kwik kwik wan.

If yu ivin tink se yu gɛt injuri na yu splin, di bɛst tin fɔ du na fɔ go to dɔktɔ wantɛm wantɛm ɛn mek dɛn chɛk am fɔ si if i de blɔd.

` Splin, Splin rupture, Ruptured Spleen, Intanεt bכdi de bכn, Bεlε pen, Imejensi tritmεnt, Kehr in sayn