Yu kin dɔn de sɔfa wit bɛlɛ pen fɔ lɔng tɛm bikɔs ɔf galston. We dɛn bin dɔn du ɔpreshɔn fɔ pul yu gal blad, sɔntɛm yu bin tink se yu nɔ gɛt dis pen atɔl. Bɔt wetin yu go du if yu stil gɛt di sem bad bad bɛlɛ pen afta di ɔpreshɔn? I rili de mek pɔsin vɛks. Bɔku pipul dɛn kin gɛt dis kayn ɛkspiriɛns. So tide wi go tɔk bɔt wan kɔndishɔn we kin mek dis strenj bɛlɛ pen ivin afta dɛn dɔn pul di gal blad. Dat na Sfincter of Oddi Disfunction .
Fɔ tɔk am simpul wan, wetin na Sphincter of Oddi Dysfunction?
Fɔ ɔndastand dis, lɛ wi fɔs luk di we aw wi de digest. I rili simpul. We wi de it it, wi bɔdi de mek tu spɛshal jus dɛn we de ɛp fɔ digest am.
1. Bail: Na di liva de mek dis. Dɛn kin kip am na di gal blad. I de ɛp fɔ mek di fat dɛn we de na di bɔdi digest.
2. Pankrias jus: Na di pankrias de mek dis. di εnzym dεm we de insay de εp fכ digεst di protin dεm εn di kabohaydret dεm we de insay it.
Dɛn tu jus ya kin travul go na wi smɔl intestinal, usay dɛn kin jɔyn wit it fɔ kɔmplit di dijeshɔn prɔses.
Naw, na di impɔtant tin ya. Usay dɛn tu jus ya kin go insay di smɔl intestinal, na de wan smɔl mit de we tan lɛk get . I tan lɛk valv. Dis na wetin wi kɔl di Sfincter of Oddi . Nɔmal wan, we yu nid fɔ dayjɛst it, dis get kin opin, di jus dɛn kin go insay, dɔn i kin lɔk bak.
Sphincter of Oddi Dysfunction na we dis get nɔ de wok fayn. Dat min se dis mit nɔ de opin we i fɔ opin ɛn i kin tayt. afta dat di bayl we de kכmכt na di liva εn di jus we de kכmכt na di pankrias nכ kin ebul fכ pas to di sכmכl intestin εn i kin stכk. I tan lɛk se trafik jam. We di jus stɔp lɛk dis, di prɛshɔn we de nia di rod dɛn we dɛn jus dɛn de kɔmɔt kin bɔku, ɛn dis kin mek yu bɛlɛ kramp bad bad wan.
Bɔku tɛm dɛn kin si dis sik pan pipul dɛn we dɛn dɔn ɔpreshɔn fɔ pul dɛn gal blad. So sɔm tɛm dɛn kin kɔl am post-cholecystectomy syndrome .
Wae na de men kayn dis sik?
Sphincter of Oddi Dysfunction kin afɛkt yu pan tu men we dɛn.
- Biliary Dyskinesia: Dis na wan sik we di bayl dakt dεm kin blok. Di prɔblɛm na di we aw di bayl de flɔ.
- Pankrias: Dis na we di pankrias jus kin blok, we kin mek di pankrias swel ɛn inflam.
Apat frɔm dat, dɔktɔ dɛn kin sheb di sik to tri kategori (Kategori I, II, ɛn III). Dis rili impɔtant bikɔs dɛn kin disayd di tritmɛnt bay dis kategori.
| Di kayn sik we pɔsin kin gɛt | Tɔk bɔt |
|---|---|
| Kategori I we dɛn kɔl | Di pɔsin we sik gɛt bɛlɛ we de at. Apat frɔm dat, klia pruf de fɔ dis prɔblɛm frɔm blɔd tɛst ɛn skan (ultrasound) . (e.g., di εlevεt liva εnzym dεm, dilayt bayl dakt dεm). |
| Kategori II | Di pɔsin in bɛlɛ de at, ɛn na wan pan di blɔd tɛst ɔ skan nɔmɔ de sho ɛni abnɔmal tin. |
| Kategori III | Dis na di kayn we we at fɔ no. Di pɔsin we sik gɛt bɛlɛ we de at, bɔt no blɔd tɛst ɔ skan nɔ go ebul fɔ fɛn ɛnitin we nɔ rayt. Di wangren pruf na di pen we di pɔsin de fil. |
Wetin na di men sayn dɛm fɔ dis sik?
Di men ɛn kɔmɔn sayn na di bɛlɛ pen bad bad wan, we fiba di pen we pɔsin kin gɛt wit gal ston.
- Di pen kin bigin na di ɔp rayt say na di bɛlɛ.
- Sɔntɛnde dis pen kin travul bak to di rayt sholda ɔ bak .
- Di pen nɔ kin de ɔltɛm. I kin go fɔ insɛf afta lɛk 30 minit ɔ wan awa so. Dɔn i kin kam bak bak insay wan de ɔ wan wik.
- Sɔm dez de pen nɔr kin so, ɔda de dɛn nɔr kin ebul fɔ bia.
Apat frɔm dis men pen, dɛn tin ya kin apin bak:
- Nɔs ɛn vɔmit
- Fiva ɛn kol kol
- Rɔnbɛlɛ
De impɔtant tin na dat, dɛn sayn ya nɔr kin de ɔltɛm. Dɛn kin lɛk fɔ kam ɛn go.
Udat de pan big risk fɔ dis sik?
Dɛn nɔr dɔn fɛn di rayt tin we kin mek dis sik apin yet, bɔt sɔm tin dɛn kin mek pɔsin gɛt dis sik.
| Risk factor | Tɔk bɔt |
|---|---|
| Fɔ pul di gal blad | Dis na di men ɛn di kɔmɔn tin we kin mek pɔsin gɛt prɔblɛm. |
| Ej ɛn man ɔ uman | Dis sik kin mɔs pan uman dɛn we ol bitwin 20 ɛn 50 ia. |
| Ɔda ɔpreshɔn dɛn we dɛn kin du | כpεrayshכn dεm fכ lכs yu wet (e.g. gastric bypass כpεrayshכn), liva transplant, εn כda tin dεm. |
| Ɔda tin dɛn we kin apin to pɔsin we sik | Kכndishכn dεm lεk pankrεas we de kam bak, haypotayroydism, εn iritabl bכwel sεndrכm (IBS). |
| Sɔm mɛrɛsin dɛn | Yuz sɔm pen kil fɔ lɔng tɛm (espɛshali opiate). |
Aw dɛn kin no di sik?
If yu dɔktɔ saspek dis afta i yɛri bɔt yu sik, di fɔs tin we i go du na fɔ mek shɔ se no ɔda siriɔs tin nɔ de fɔ mek yu bɛlɛ pen. Dis na bikɔs ɔda tin dɛn lɛk bɛlɛ ɔlsa (pɛptik ɔlsa), gal ston, ɛn pankrias ɔ bayl dakt kansa kin mek bak di sem kayn sik. Sɔmtɛm, at sik (angina) pen kin fil bak lɛk bɛlɛ pen.
Afta yu dɔn kɔnfyus se dɛn tin ya nɔ de, dɛn kin du dɛn tɛst ya fɔ chɛk fɔ Sphincter of Oddi Dysfunction:
- Blɔd tɛst dɛn:Chek fכ di liva εn pankrεas εnzym lεvεl dεm we dεn εlevεt.
- Skan: Dɛn kin yuz skan lɛk abdominal ɔltra saund, CT skan, ɛn MRCP fɔ chɛk if di bayl dakt ɔ pankrias dakt dɔn swel/dilayt.
- Ɛndoskopi: Dɛn kin put wan tiub we gɛt kamɛra tru di mɔt fɔ chɛk di bɛlɛ ɛn di smɔl intestin.
ERCP tɛst we dɛn kin du
Sɔntɛnde, mɔ if dɛn tink se tayp I ɔ II, dɛn kin du spɛshal tɛst we dɛn kɔl ERCP (Endoscopic Retrograde Cholangiopancreatography) . insay dis, dεn kin put wan kεmεra tכb, we lεk εndoskop, insay di sfinkt na Oddi, εn dεn kin put wan sכm sכm tכb fכ mכsu di prεshכn na da mכsul de (manometri). Dɔn dis kin no klia wan if i de opin ɔ lɔk fayn fayn wan.
Bɔt dis ERCP tɛst na smɔl risk tɛst. Smɔl pasɛnt pan pipul dɛm wae gɛt am kin gɛt pankrias afta dɛn dɔn du di tɛst. So, di dɔktɔ kin tɛl yu fɔ du dis tɛst afta i dɔn tek tɛm tink bɔt di nid ɛn di prɔblɛm we kin apin.
Aw dɛn kin trit am?
Di tritmɛnt opshɔn dɛm dipen pan us kayn (kategori) fɔ Sphincter of Oddi Dysfunction yu gɛt.
- Fɔ Katej III: I at fɔ no dis, so bɔku tɛm dɛn nɔ kin advays fɔ du ɔpreshɔn. Di dɔktɔ go gi yu mɛrɛsin fɔ mek yu nɔ fil pen ɛn mɛrɛsin fɔ mek yu nɔ fil pen fɔ kɔntrol di pen.
- Fɔ Katej I & II: If di pen rili bad ɛn i at fɔ kɔntrol wit mɛrɛsin, yu dɔktɔ kin tɛl yu fɔ gi yu tritmɛnt we dɛn kɔl sphincterotomy wit ERCP .
Wetin na dis Sfincterotomy?
dis involv fכ kכt wan sכmכl pat pan di tisu we dεn kכl di Sfincter of Oddi wit wan sכmכl instrכmεnt we dεn pas tru di kεmεra tכb we dεn de du di ERCP egzamin. Dɔn, dɛn kin opin di tayt opin fɔ ɔltɛm. afta dat, di dijestiv jus dεm de fכlכ insay di sכmכl intestכn we nכ de ambɔg. Dis kin mek i nɔ gɛt di pen kpatakpata.
Bɔt dis na tritmɛnt bak we kin gɛt sɔm prɔblɛm dɛn. Risk de bak fɔ gɛt pankrias. So, dɛn kin yuz dis tritmɛnt we ɔda tritmɛnt dɛn nɔ dɔn gi fayn fayn tin dɛn.
Mɛsej we dɛn kin kɛr go na os
- If yu stil gɛt bɛlɛ pen afta dɛn dɔn pul yu gal blad, nɔ ignore am. I kin bi Sfincter of Oddi Dysfunction.
- Pan ɔl we dis sik nɔr de mek yu layf de pan denja, de pen kin bi big tin wae de ambɔg yu ɛvride layf.
- Nɔr kin de ɔltɛm, na di kayn we aw dis sik kin kam ɛn go wan wan tɛm.
- Yu dɔktɔ go no us kayn (I, II, ɔ III) pan di sik yu gɛt tru tɛst ɛn i go gi yu di tritmɛnt we fit yu pas ɔl.
- Sɔm pipul kin ebul fɔ kɔntrol dɛn pen wit mɛrɛsin nɔmɔ. Ɔda wan dɛn kin nid tritmɛnt lɛk fɔ pul sfinktɔri.
- Bifo ɛni tritmɛnt, tɔk to yu dɔktɔ opin wan bɔt di gud ɛn bad tin dɛn.
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