Yu go mɔs dɔn yɛri bɔt ‘hɛnia’, nɔto so? Sɔntɛnde, wi kin yɛri se wan pan wi fambul ɔ padi dɛn dɔn mek wan. Bɔku tɛm, we wi yɛri bɔt ɛnia, sɔm pipul dɛn kin tink se i nɔ big so. כltu, hεnia dεm gεt wan denja sayd bak, εn na da tεm de di εnia kin bi ‘strangulated’. Tide, wi go tɔk bɔt wetin kin apin we ɛnia kin strangulet, we na fɔ tɔk bɔt mɛrɛsin, we (strangulated) hεnia kin apin. Dis nɔto sɔntin we wi fɔ tek am layt, bikɔs dis na imejensi we kin afɛkt layf.
Wetin rili na strangulated hernia?
Fɔ tɔk am simpul wan, ɛnia na we di tisu dɛn we de insay wi bɛlɛ, sɔm tɛm dɛn de di insay, de kɔmɔt na do tru wan wik ples na di bɛlɛ wɔl. I tan lɛk 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 smɔl smɔl smɔl. Sɔntɛnde yu kin push dis lump bak insay, ɔ i go go bak insay insɛf.
bכt, dis hεnia de blכk, we min se di bכdi fכ fכlכ to da pat we de kכmכt na di tisu, spεshal wan to wan pat pan di intestinal, de stכp . Yu no, ɔl di tisu dɛn na wi bɔdi nid ɔksijɛn fɔ liv, ɛn na di blɔd de kɛr da ɔksijɛn de go. So we di blɔd flɔ stɔp, dɛn tisu pat dɛn de nɔ kin gɛt ɔksijɛn. Dɔn dɛn tisu dɛn de bigin fɔ day . Dɔktɔ dɛn kin kɔl dis (Necrosis) . Dis tisu we de day kin mek tu tin dɛn we rili denja:
1. (Gangrene ): Dis min se di tisu de rɔtin.
2. (Sepsis ): Dis min se di jεm dεm dכn spre כlsay na di bכdi εn di bכdi in sistεm dεm bigin fכ wok fayn.
Dɛn tu tin ya kin mek pɔsin in layf de pan denja. Bɔt, nɔ biliv se nɔto ɔl di hεnia dɛn kin put na jel lɛk dis. I kin tek sɔm tɛm fɔ mek dat apin. Wi go tɔk bɔt aw dat kin apin insay smɔl tɛm.
Aw yu go no fɔ tru if dɛn dɔn put ɛnia na jel? Wetin na di sayn dɛm we de sho se yu gɛt dis sik?
If yu gɛt ɛnia ɛn yu tink se dɛn dɔn strangulet am, luk fɔ dɛn sayn ya:
- Wan lump na di bɛlɛ ɔ di groin kin rili pen. Sɔntɛm yu nɔ go ebul fɔ put am bifo, bɔt yu nɔ go ebul fɔ put am naw.
- Nɔs ɛn vɔmit de kam.
- Big pen na di bɛlɛ ɔ di groin. Dis pen kin go ɔp smɔl smɔl ɛn i nɔ kin stɔp.
- Di skin kɔlɔ kin chenj usay di lump de. Di say kin rɛd, pepul, ɔ dak pas aw i kin bi.
Di tin we impɔtant pas ɔl: If yu gɛt ɛni wan pan dɛn sik ya, yu fɔ go ɔspitul wantɛm wantɛm ɛn yu nɔ fɔ west yu tɛm.
Aw lɔng i kin tek fɔ mek dɛn put ɛnia na jel?
Dis na tin we rili denja. Wan pat pan di intestinal we stɔp na ɛnia kin lɔs in blɔd ɛn bigin fɔ day insay lɛk 4 awa so. Na dat mek i rili impɔtant fɔ gɛt tritmɛnt kwik kwik wan.
Wetin mek ɛnia kin stɔp lɛk dis? Wetin na di rizin?
Fɔs, lɛ wi ɔndastand aw ɛnia kin fɔm. Wan wɔl we dɛn mek wit mɔsul dɛn de rawnd wi bɛlɛ. Sɔm pat dɛn na dis wɔl kin wik. afta dat, di tisu dεm we de insay di bεlε, pat dεm na di intestinal, εn כda tin dεm, de push kכmכt tru da wik ples de. Na dat wi kin kɔl hεnia. Dɔn, i tan lɛk lump frɔm do.
Naw, sɔmtɛm dis hεnia we dɔn kɔmɔt nɔ kin ebul fɔ go bak insay ɛn i kin stɔp na da wik ples de. Dɛn kɔl dis wan (Incarcerated Hernia) . Na dis tɛm, blɔd stil de flɔ, so i nɔto big prɔblɛm. Bɔt as dis hεnia we dɛn put na jel de gro smɔl smɔl, di prɛshɔn we de kɔmɔt na di bɛlɛ mɔsul dɛn kin swɛt di blɔd vesel dɛn we de go na di tisu dɛn we de insay di hεnia. Jɔs lɛk we yu swɛt wata paip tumɔs, di wata kin stɔp fɔ flɔ. na we di bכdi fכ fכlכ de stכp kכmplit wan, εn di εnia kin bi wan denja kכndyushכn we dεn kכ l "strangulated hernia."
Imajin, Ɔnkul Sumanapala na wi vilej bin gɛt ɛnia na in groin frɔm we i smɔl. I nɔ bin pe atɛnshɔn tumɔs to am. I bin tink se, "Na so i bi." I bin de du ebi ebi wok bak. Wan de, i bin gɛt pen na in bɛlɛ we i nɔ bin ebul fɔ bia ɛn i bigin fɔ vɔmit. Di say we di lump bin de na in bɛlɛ bin tɔn rɛd ɛn i bin de mek i fil pen. Na da tɛm de di dɔktɔ dɛn se, "Di hεnia dɔn stɔp ɛn nid fɔ ɔpreshɔn am kwik kwik wan." Laki, dɛn kɛr am go na ɔspitul kwik kwik wan, so i nɔ day. Bɔt if i bin dɔn let smɔl... A nɔ ebul ivin imajin.
Aw dɔktɔ kin no kɔrɛkt wan se yu gɛt strangulated hernia?
We yu go na ɔspitul, dɔktɔ go du fɔs fɔ chɛk yu bɔdi . Dɛn go aks yu bɔt yu sayn dɛm ɛn ɛni sik wae yu bin gɛt bifo. Dɔn dɛn kin du sɔm tɛst dɛn, lɛk:
Test fɔ no di sik
- Kɔmplit Blɔd Kɔnt (CBC) ɛn Besik Mɛtabolik Panɛl (BMP) : Dɛn tin ya de chɛk di nɔmba fɔ di wayt blɔd sɛl dɛn na yu blɔd (fɔ chɛk if yu gɛt infɛkshɔn) ɛn ɔda impɔtant tin dɛn na yu blɔd.
- CT Scan (Computed Tomography - CT scan) : dis kin si klia wan di kכndishכn fכ di εnia, if di pat dεm na di intestכn dכn blכk כ dεm dεm dεm.
- Abdominal Ultrasound : Dis kin gi sɔm aidia bak bɔt di hεnia ɛn di tisu we de rawnd am.
Aw yu kin trit wan strangulated hernia?
Di men ɛn wangren tritmɛnt fɔ wan strangulated hernia na ɔpreshɔn . Bɔku tɛm, dɛn kin kɔl am opin hεnia ripa ɔpreshɔn .
insay dis, di sכjaman de mek sכm sכm sכm sכm we di hεnia de εn tek tεm put di tisu we trכp bak insay di bεlε. Dɔn, dɛn kin lɔk di say we wik na di bɛlɛ in wɔl wit stich. Sɔntɛnde, dɛn kin yuz wan tin we tan lɛk mɛsh fɔ mek di mɔsul dɛn strɔng.
Bɔt if di hεnia trɔp ɛn wan pat pan di intestinal nɔ gɛt blɔd ɛn i pwɛl ɛn day, dat min se dɛn go gɛt fɔ pul di pat pan di intestinal we dɔn pwɛl.Yu kin nid fɔ pul yu smɔl bɔdi ɔ ɔpreshɔn fɔ pul yu kɔlon . Dis na big ɔpreshɔn.
Ɛni prɔblɛm de we kin apin we dɛn du ɔpreshɔn pan di hεnia?
Lɛk ɛni ɔpreshɔn, ɔpreshɔn fɔ mek pɔsin strangulated hernia kin gɛt sɔm risk dɛn, ɔ kɔmplikeshɔn dɛn. Bɔt, dɛn tin ya nɔ kin apin to ɔlman.
- Di blɔd vesel dɛn, ɔda pat dɛn, ɔ di tisu dɛn we de nia di say we dɛn de du di ɔpreshɔn we dɔn pwɛl.
- Ɛmatoma (blɔd we kin gɛda ɔnda di skin) na di say we dɛn du di ɔpreshɔn.
- Fluid akyumyuleshכn כnda di skin na di say we dεn sכj (Seroma).
- Infεkshכn na di say we dεn de du di sכjεkshכn .
If sɔntin lɛk dis apin, di dɔktɔ dɛn go gi dɛn di tritmɛnt we dɛn nid.
Aw lɔng i kin tek fɔ mek i wɛl afta dɛn dɔn du di ɔpreshɔn?
Yu go nid fɔ de na ɔspitul fɔ sɔm dez afta dɛn dɔn du di ɔpreshɔn. Di tɛm we i kin tek fɔ rili wɛl afta dɛn du ɔpreshɔn fɔ mek pɔsin gɛt strangulated hernia kin difrɛn frɔm wan pɔsin to ɔda pɔsin. I dipen pan yu kɔndishɔn ɛn di kayn ɔpreshɔn we dɛn de du.
Bɔrku tɛm yu go ebul fɔ bigin yu woke ɛvride bak insay sɔm dez afta yu dɔn ɔpreshɔn yu hεnia. Bɔt fɔ lif ebi ebi tin dɛn go de ɔf-limit fɔ sɔm tɛm. If fɔ es es impɔtant fɔ di tin dɛn we yu de du ɛvride, tɔk to yu dɔktɔ bɔt am. I go tɛl yu aw lɔng i go sef fɔ es wet.
Bɔt lɛk aw a bin dɔn tɔk, if dɛn du ɔpreshɔn pan yu fɔ pul wan pat pan di intestinal we dɔn pwɛl, i kin tek siks wiks fɔ mek i wɛl. Yu dɔktɔ go ɛksplen to yu wetin fɔ ɛkspɛkt, wetin fɔ du, ɛn wetin nɔ fɔ du we yu de wɛl.
Wetin yu kin ɛkspɛkt if yu gɛt strangulated hernia?
Wan hεnia we dɔn bi na jel kin dɔn afta dɛn dɔn ɔpreshɔn am. Bɔt i pɔsibul fɔ mek di hεnia kam bak. If yu dɔn gɛt ɔpreshɔn fɔ gɛt ɛnia bifo ɛn yu gɛt ɛni sayn bak, go to dɔktɔ wantɛm wantɛm. If dɛn no se yu gɛt nyu hεnia ɛn trit am kwik, dɛn kin mek i nɔ go na jel.
Wetin na di rεt wae pɔrsin wae gɛt strangulated hernia kin liv?
Dis kin tan lɛk se yu de mek yu fred, bɔt i impɔtant fɔ no di tru. Di kwik we yu gɛt tritmɛnt, na di mɔ yu go gɛt chans fɔ sev. Bɔt dat kin difrɛn difrɛn wan bay yu jenɛral wɛlbɔdi, yu ej, ɛn if yu bin gɛt fɔ pul wan pat pan yu bɔdi ɔ yu nɔ bin gɛt fɔ pul am.
If dɛn nɔ trit di sik, i kin rili denja. If wan strangulated hernia mek sepsis (di infekshɔn we de skata ɔlsay na di bɔdi) ɔ gangrene (di tisu day), i kin kil pɔsin.
- If pɔsin gɛt gangrene we gɛt baktriyal infɛkshɔn, i kin day insay 48 awa .
- Sepsis na we wi bɔdi de riakshɔn pasmak to infɛkshɔn. If dɛn nɔ trit am, i kin mek pɔsin gɛt siriɔs sepsis.If wan sik, dat na, sɛptik shɔk, apin, day kin apin insay 12 awa .
Na dat mek a kin se bak ɛn bak, if yu gɛt sayn dɛn fɔ strangulated hernia, go na ɔspitul witout delay .
Yu tink se dɛn kin mek pɔsin nɔ put ɛnia na jel?
Yɛs, pɔsin kin ebul fɔ avɔyd am! Dis na di bɛst nyus. If yu tink se yu gɛt hεnia, tɔk to dɔktɔ bɔt am. I go chɛk yu ɛn tɛl yu if yu nid ɔpreshɔn ɔ yu nɔ nid fɔ du ɔpreshɔn. Sɔm hεnia nɔr kin de na jel kwik kwik wan, bɔt sɔm kin go na jel. So i go fayn fɔ mek yu aks dɔktɔ fɔ advays. Dɔn dɛn kin fiks di hεnia bifo i go na jel ɔ strangul.
Ustɛm a fɔ go to dɔktɔ?
If yu gɛt hεnia, mek shɔ se yu go to dɔktɔ fɔ tɔk bɔt aw fɔ trit yu.
Bɔt if yu tink se dɛn dɔn strangulet yu hεnia, we min se yu gɛt dɛn sik ya, go na di ɔspitul imejensi rum we de nia yu wantɛm wantɛm. Ɔ kɔl 1990 (imejɛnsi nɔmba).
- Wan pen we bin de mek pɔsin fil bad wantɛm wantɛm.
- di chenj na di kכla na di skin we de rawnd wan lump na di bכdi כ di groin (fכs i de bi pale, dεn i de dak כ rεd/pכpul).
Fɔ dɔn, di tin we impɔtant pas ɔl fɔ mɛmba (Take-Home Message) .
Simpul hεnia kin rili kכmכn εn bכku tεm, i nɔr kin rili denja. Bɔt, strangulated hernia na tin we nɔ kin apin so ɔltɛm bɔt i kin rili denja, we kin mek pɔsin in layf de pan denja.
If yu tink se yu gɛt ɛnia, nɔ shek fɔ tɔk to dɔktɔ bɔt am. Nɔ jɔs sidɔm de wɔnda se, "Wetin na dat?" Yu dɔktɔ go ɛksplen to yu aw i go bi se yu hεnia go de na jel ɛn wetin yu kin du fɔ mek i nɔ gɛt am. If yu du sɔntin kwik kwik wan, dat go sev yu layf.
` Ɛnia, Strangulated Ɛnia, Intestinal Stranguleshɔn, Ɛnia Ɔpreshɔn, Imejɛnsi Tritmɛnt, Bɛdi Pen











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