Yu dɔn ɛva vɔmit blɔd? Ɔ yu dɔn vɔmit sɔntin we brawn, lɛk kɔfi grɔn? Na nɔmal tin fɔ mek ɛnibɔdi we si dis fil big big fred ɛn panik. Na bikɔs wi ɔl kin fred we wi si blɔd. Bɔt bifo wi fred, lɛ wi ɔndastand wetin dis sik, we na fɔ vɔmit blɔd (we na mɛrɛsin wi kin kɔl am Ɛmatemesis), na ɛksaktɔli ɛn wetin mek i kin apin.
Yu tink se fɔ vɔmit blɔd rili siriɔs?
Fɔ tɔk am simpul wan, yɛs . Fɔ vɔmit blɔd na sɔntin we wi nɔ fɔ ɛva tek am layt. Bɔku rizin dɛn kin de fɔ dis. Sɔm pan di rizin dɛn nɔ kin rili siriɔs, bɔt sɔm pan dɛn kin bi siriɔs tin dɛn we kin ivin afɛkt layf.
Ivin dɔktɔ dɛn nɔ kin ebul fɔ tɛl yu if i siriɔs ɔ nɔto so if dɛn nɔ chɛk yu. Na dat mek, as dɔktɔ, wi kin trit ɛni kes we gɛt blɔd na di vɔmit ɔltɛm lɛk imejensi te wi ebul fɔ no di rayt tin we mek i de vɔmit. I go sef fɔ mek yu tink di sem we.
I fayn if smɔl blɔd de?
Nɔ, fɔ vɔmit blɔd nɔ kin ɛva bi nɔmal tin . Sɔntɛnde, we yu vɔmit bad bad wan, yu kin fil lɛk se yu gɛt skrach na yu trot ɛn wan ɔ tu blɔd kin kɔmɔt. Bɔt wi nɔ go ebul fɔ tɔk se na so i bi. Na bikɔs ivin smɔl drop blɔd kin bi di biginin fɔ siriɔs blɔd. So if yu vɔmit blɔd, ilɛksɛf i smɔl, i rili impɔtant fɔ tɛl dɔktɔ bɔt am .
Nɔ ignore di blɔd we de na yu vɔmit, ilɛksɛf na smɔl ɔ big. I kin bi impɔtant sayn fɔ se prɔblɛm de insay yu bɔdi.
Wetin mek blɔd de na mi vɔmit? Wetin dis min?
Bɔku tɛm, blɔd we de na yu vɔmit kin kɔmɔt sɔmsay na di ɔp pat na yu dijestiv sistɛm, lɛk yu ɛsophagus, bɛlɛ, ɔ duodenum . Sɔntɛnde, blɔd kin kɔmɔt na yu nos ɛn kɔmɔt wit yu vɔmit we yu swɛla am. Bɔt if nɔto dat, di blɔd de kɔmɔt insay yu bɛlɛ.
Wi kin gɛt sɔm tin dɛn we go ɛp wi fɔ no di kɔlɔ we dis blɔd gɛt:
- Brayt rɛd blɔd: Dis min se nyu blɔd de. I min se i go mɔs bi se blɔd de apin rayt naw . Dis kin bi kwik kwik wan ɛn i nid fɔ pe atɛnshɔn to am wantɛm wantɛm.
- Brawn/blak blɔd, lɛk kɔfi grɔn: Dis na ol blɔd. dis blɔd dɔn de na di bɛlɛ fɔ sɔm tɛm ɛn i dɔn tɔn dis kɔlɔ afta i dɔn riak wit di bɛlɛ asid. Dis min se di blɔd kin ebi smɔl, ɔ di blɔd kin dɔn stɔp.
Bɔku tɛm, bɔku bɔku blɔd fɔ lɔs insay di bɔdi fɔ mek pɔsin vɔmit.
Men tin dɛn we kin mek pɔsin gɛt blɔd we pɔsin de vɔmit
Bɔku kɔmɔn ɛn siriɔs tin dɛn de we kin mek pɔsin gɛt blɔd we pɔsin de vɔmit. Lɛ wi luk sɔm pan dɛn.
| Rizin | Simpul ɛksplen |
|---|---|
| Pɛptik ɔlsa (ɔlsa na di bɛlɛ ɔ smɔl intestinal) . | Dis na ɔlsa we kin mek na di bɛlɛ. Dɛn kin divɛlɔp ɛn blɔd bikɔs ɔf sɔm baktriyal infɛkshɔn ɔ we dɛn kɔntinyu fɔ yuz aspirin ɛn ɔda pen kil (NSAID). |
| Inflameshɔn na di bɛlɛ ɔ di εsophagus (Gastritis/Esophagitis) . | If yu drink rɔm pasmak, yu yuz sɔm tin dɛn we de mek yu fil pen, ɛn yu go gɛt asid bak, dat kin mek di insay wɔl dɛn na di bɛlɛ ɔ di εsophagus swel ɛn blɔd kɔmɔt na di blɔd vesel dɛn we de ɔnda am. |
| Blɔd vesel dɛn we dɔn swɛla (Oesophageal Varices) . | di kכndishכn dεm lεk sirosis na di liva kin mek di bכdi vεsul dεm na di εsophagus εn bεlε swεla εn rili tכn. Dɛn tin ya kin bɔs izi wan ɛn mek yu blɔd bad bad wan. Dis na wan sik we rili siriɔs. |
| Di sik we dɛn kɔl Mallory-Weiss syndrome | We yu vɔmit pasmak ɛn i bad, yu kin te na di wɔl na di εsophagus. Dɛn kɔl dis sik we dɛn kɔl Mallory-Weiss syndrome. Bɔrku tɛm, dɛn kin si dis sik afta yu dɔn drink pasmak. |
| Lump ɔ tumor | Blɔd kin kɔmɔt frɔm di tumbu dɛn we gɛt kansa ɔ we nɔ gɛt kansa. I impɔtant fɔ chɛk if yu gɛt kansa na yu bɛlɛ, yu it, ɔ yu pankrias. |
| Traumatik Injuri we pɔsin kin gɛt | If yu blo yu bɛlɛ ɔ yu chɛst bad bad wan, i kin mek yu blɔd kɔmɔt insay yu bɔdi. |
Aw di dɔktɔ kin trit dis?
We yu vɔmit blɔd ɛn go na ɔspitul, di mɛdikal tim kin manej dis as imejensi.
1. Di fɔs tin fɔ du na fɔ mek yu stebul (Resuscitation): If yu dɔn lɔs bɔku blɔd na yu bɔdi, we min se yu de diziz, yu de pale, ɛn ɔda tin dɛn, di fɔs tin fɔ du na fɔ mek yu kɔndishɔn stebul. Dis inklud fɔ gi yu IV wata, fɔ gi yu blɔd if nid de, ɛn fɔ gi yu ɔksijɛn.
2. Fɔ fɛn di tin we de mek yu blɔd de kɔmɔt: Wae yu sik dɔn stebul, yu dɔktɔ go bigin fɔ luk fɔ wetin mek di blɔd de kɔmɔt. Dɛn go aks yu kwɛstyɔn - aw lɔŋ di blɔd dɔn de go? Us kɔlɔ di blɔd gɛt? Dis dɔn apin bifo? Dɛn go mɔs aks bɔt di mɛrɛsin dɛn we yu de tek, mɔ di mɛrɛsin dɛn we de mek yu fil pen (NSAID) lɛk aspirin ɛn ibuprofen .
3. Ɛndoskopi: Dis na di men tɛst fɔ no usay di blɔd de kɔmɔt. Dis min se yu fɔ gi yu wan mɛrɛsin we nɔ de mek yu fil fayn ɛn put wan tin tiub wit kamɛra tru yu mɔt fɔ chɛk yu ɛsophagus, bɛlɛ, ɛn di fɔs pat pan yu smɔl intestin.
- Di bɛst pat na dat dɛn kin yuz dis tɛst bak fɔ trit di blɔd we de kɔmɔt. we di dכkta fכn di say we di bכdi de bכn, i kin pas sכm sכm instrכmεnt dεm tru da tכb de fכ stכp di bכdi (e.g., klip כ kכt am).
4. Bayopsi: If ɛni say de we dɛn de tink se dɛn de du di ɛgzamin, dɛn kin tek wan smɔl tisu frɔm de ɛn sɛn am na di lɛbɔraytri.
Bɔrku tɛm, dɛn kin trit dɛn sik ya wit mɛrɛsin, bɔt insay sɔm kayn bad bad tin dɛm, i kin nid fɔ du ɔpreshɔn.
Ustɛm a fɔ go to dɔktɔ wantɛm wantɛm?
Na wan ansa nɔmɔ de fɔ dis. As yu notis se yu de vɔmit blɔd so. Nɔ delay. Ɛspɛshali if yu de vɔmit blɔd wit dɛn sik ya, go na ɔspitul in Imejɛnsi Dipatmɛnt (ETU) kwik kwik wan. Kɔl ambulans if nid de.
- If yu fil se yu de tɔn bad bad wan ɔ yu de fɔdɔm.
- If yu fil se yu kɔnfyus ɔ yu nɔ gɛt bɛtɛ ed.
- If yu gɛt bad bad bɛlɛ pen.
- If yu gɛt siriɔs pen na yu chɛst.
We yu vɔmit blɔd na sayn we de wɔn yu fɔ no se sɔntin we siriɔs kin apin insay yu bɔdi, so nɔ ɛva ignore am.
Mɛsej we dɛn kin kɛr go na os
- Fɔ vɔmit wit blɔd nɔ kin ɛva bi nɔmal tin . Na imejensi ɔltɛm we nid fɔ go to dɔktɔ.
- Pan ɔl we di kɔlɔ we di blɔd gɛt (brayt rɛd ɔ kɔfi grɔn) kin gi sɔm tin dɛn we go ɛp wi, na dɔktɔ nɔmɔ go ebul fɔ no di rayt rizin.
- If yu vɔmit blɔd, mɔ if yu gɛt ɔda sayn dɛn lɛk fɔ tɔn yu ed ɛn yu de fil bad bad wan, go na ɔspitul in imejensi dipatmɛnt (ETU) wantɛm wantɛm.
- Tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek, mɔ di mɛrɛsin dɛn we de mek yu nɔ fil pen (NSAID) lɛk aspirin ɛn ibuprofen.
- Nɔ wɔri. If yu trit yu di rayt tɛm, bɔku tɛm yu kin stɔp di blɔd ɛn trit di ɔndalayn kɔndishɔn we mek i kam.
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