Yu splin de waka waka? (Wandering Spleen) Lɛ wi tɔk bɔt dis!

Sɔntɛnde yu kin fil wan strenj filin na yu bɛlɛ, yu kin fil pen we yu nɔ ebul fɔ no gud gud wan, ɔ yu kin fil fɔ ful-ɔp ɛn ebi? Sɔntɛm yu fil lɛk se yu de ol sɔntin na yu bɛlɛ ɛn i de muf rawnd. Rizin kin de fɔ dis, bɔt tide wi go tɔk bɔt wan rare kɔndishɔn we bɔku pipul dɛn nɔ yɛri bɔt. Dat na di kɔndishɔn we dɛn kɔl ‘Wandering Spleen’ , we min se di splin de muf frɔm wan ples to ɔda ples na Sinhala.

Fɔ tɔk am simpul wan, wetin dis splin we de waka waka min?

Okay, fɔs lɛ wi luk wetin dis ‘Wandering Spleen’ bi. Yu no, lɛk ɔl di ɔgan dɛn na wi bɔdi, dɛn nɔ jɔs de fiks na wan ples. Dɛn gɛt smɔl smɔl band dɛn we de ɛp fɔ ol dɛn na dɛn ples, we dɛn kɔl ligament . Wi splin na ɔgan bak. Na smɔl ɔgan we tan lɛk wi fist. i kin de na di lεft say na wi bכdi, jכs insay di rib kεj, jכs oba di bεlε.

so, if di ligament dεm we de εp fכ kip di splin in ples wik, כ if dεn ligament dεm de nכ de fayn fayn wan frכm we dεn bכn am, den di splin kin muv rawnd, "waka" rawnd, frכm in nכmal posishכn. Na dat wi de kɔl ‘Wandering Spleen’.

Naw imajin wetin go apin we yu muf frɔm wan ples to ɔda ples lɛk dis:

• Di splin kin twist: Jɔs lɛk we wi swɛt wet klos, di splin kin twist wantɛm wantɛm. Dɛn kɔl dis ‘Splenic Torsion’ insay mɛrɛsin. We dis twist, i kin mek yu bɛlɛ fil bad bad wan.
• I kin prɛs pan ɔda ɔgan dɛn: As di splin de muv rawnd, i kin prɛs pan ɔda ɔgan dɛn we de nia am.
• di blɔd we de flɔ na di splin kin kɔt: Sɔntɛnde, di splin kin twist, ɛn di blɔd vesel dɛn we de gi am kin twist, we kin mek di blɔd we de flɔ na di splin kin kɔt ɔl ɔ sɔm pat pan am. we dis apin, di tisu we de na di splin de bigin fכ day. Dɛn kɔl dis ‘Splenic Infarction’ .

Bɔt sɔmtɛm dis ‘Wandering Spleen’ kɔndishɔn kin de witout ɛni sayn. Sɔm pipul dɛn de we, we dɛn de du bɛlɛ skan, fɔ ɛgzampul, CT skan , fɔ sɔm ɔda sik, kin aksidɛntli no se dɛn splin nɔ de usay i fɔ de.

So, us savis di splin de gi wi bɔdi?

Yu kin de wɔnda, "Wetin mek wi gɛt dis splin na wi bɔdi?" di splin na pat pan wi limfatik sistεm . Fɔ tɔk am simpul wan, i tan lɛk bɔdi gad. I gɛt sɔm men wok dɛn:

• I de kip ɛn filta blɔd: Di splin de kip sɔm pan wi blɔd, ɛn i de ɛp bak fɔ klin am bay we i de pul tin dɛn lɛk ol rɛd blɔd sɛl dɛn na di blɔd.
• I de protɛkt frɔm sik dɛn: Wan ɔda impɔtant wok we di splin de du na fɔ ɛp fɔ fɛt di jem dɛn we de kam insay wi bɔdi. Dat min se i de gi big sɔpɔt to wi imyun sistɛm.

nכmal wan, di splin de kכnekt to wi bεlε εn kidni dεm bay di ligament dεm. we da kכnεkshכn de lכs, di ‘Wandering Spleen’ kכndyushכn we wi bin dכn tכk bכt de apin.

Aw dis sik kin kɔmɔn?

Infakt, dis kכndyushכn we dεn kכl ‘Wandering Spleen’ nכ kin bכku . Di mɛdikal ripɔt dɛn sho se na lɛk 500 pan dɛn kayn sik ya nɔmɔ dɛn dɔn ripɔt ɔlsay na di wɔl. Dat min se i de dawt if ivin wan pan ɛvri milyɔn pipul dɛn go gɛt am. Risach dɔn sho se lɛk wan pat pan tri pan dɛn pipul ya we dɛn ripɔt na pikin dɛn we nɔ rich 10 ia yet, we dɛn bɔn wit dis sik. Dɛn kin tɔk bak se sɔntɛnde dis sik kin apin afta uman gɛt bɛlɛ.

Wetin na di sayn dɛm fɔ dis?

difrεn kכmכn simptom dεm de we yu kin si pan di kes fכ ‘Wandering Spleen’. Bɔt mɛmba se dɛn sik ya nɔ kin apin to ɔlman, ɛn sɔm pipul dɛn nɔ kin gɛt ɛni sayn atɔl.

• Bloating: Fɔ fil lɛk se yu bɛlɛ blo, jɔs lɛk balyɔn.
• Bɛlɛ pen bak: Dis pen kin bi wan wan tɛm, i kin tranga smɔl, ɔ i nɔ kin ebul fɔ bia. I kin kam ɛn go, i kin stɔp, dɔn i kin kam bak.
• Nɔs ɛn vɔmit: Nɔs ɛn vɔmit kin apin wit di bɛlɛ we de at.
• Lump we de muv rawnd na di bɛlɛ: Sɔm pipul dɛn kin fil sɔntin lɛk smɔl bɔl ɔ sop we dɛn tɔch dɛn bɛlɛ. We yu swɛt am, i kin fil lɛk se i de muv rawnd smɔl.
• Pen na di ɔpa lɛft bɛlɛ: Dis kin bi sayn fɔ se di splin dɔn big.

Imajin, yu padi, mek wi se Nimalini. I dɔn de fil smɔl pen na in lɛft say na in bɛlɛ fɔ lɔng lɔng tɛm. Sɔm dez i nɔ kin ebul fɔ bia, ɛn i kin ivin vɔmit. We i go to dɔktɔ ɛn du ɔltra saund fɔ in bɛlɛ, i kam fɔ no se in splin nɔ de usay i fɔ de, bɔt i de dɔŋ smɔl ɛn i twist smɔl. Na so ɛkspiriɛns kin tan lɛk.

Wetin kin mek dis apin?

Tu men tin de we kin mek yu gɛt di sik we dɛn kɔl ‘Wandering Spleen’:

1. we dεn bכn pikin: we pikin de gro na di bεlε, di ligament dεm we de ol di splin in ples kin nכ de divεlכp fayn. If dat apin, dis sik na tin we dɛn bɔn wit.

2. Sɔntin we kin apin leta:

• bεlε: fכ sכm uman dεm, we dεn bεlε, bikoz fכ di כmon dεm we de chenj εn di strεch we di bεlε de strεch, di ligament dεm we de ol di splin in ples kin lכs. if dis lכs de kכntinyu afta dεn bכn pikin, wan ‘Wandering Spleen’ kin kam.
• Aksidɛnt ɔ injuri:Dis kכndyushכn kin apin if di splin dεm dεn dכn pwεl bay wan big aksidεnt כ injuri na di bεlε, εn di ligament dεm dεm dεn dεm bak.

Us prɔblɛm dɛn dis kin mek?

Pan ɔl we ‘Wandering Spleen’ na wan sik we nɔ kin apin so ɔltɛm, sɔntɛnde i kin mek yu gɛt siriɔs prɔblɛm. As wi bin dɔn tɔk, di men wan dɛn na di splenic torsion ɛn splenic infarction.

apat frכm dat, rεli rεli , dis kכndyushכn kin mek wan kכndyushכn we dεn k כl pankrεas tel nεkrכsis . dis na biכs di splin de rili nia di pankrias. So we prɔblɛm de wit di splin, sɔntɛnde i kin afɛkt di pankrias bak.

Aw dɔktɔ dɛn kin fɛn dis?

If yu gɛt di sayn dɛn we wi dɔn tɔk bɔt, di fɔs tin we dɔktɔ go du we yu si yu na fɔ chɛk yu gud gud wan. Dɛn go fil yu bɛlɛ mɔ, dɛn go chɛk fɔ ɛni ɔnusual lumps ɔ pen we yu prɛs pan am.

Dɔn, dɛn go ɔda tɛst dɛn we kin luk insay di bɛlɛ fɔ si ɛksaktɔli wetin de apin. Di tin dɛn we impɔtant pas ɔl na:

• CT scan (Computed Tomography - CT scan): Dis tεst kin tek klia pikchכ dεm fכ di כgan dεm we de insay di bכdi.
• כltra saund na di bכdi: dεn kin yuz dis bak fכ si di kכndishכn fכ di כgan dεm we de insay di bכdi.

Dɛn tɛst ya kin sho bɔku tin, lɛk usay di splin de, di sayz we i gɛt, if i dɔn swel, ɛn if di blɔd de wok fayn fayn wan.

Wetin na di tritmɛnt dɛm fɔ dis?

Di men ɛn kɔmɔn tritmɛnt fɔ Wandering Spleen na fɔ ɔpreshɔn fɔ pul di splin (Splenectomy) . Yes, yu kin de tink se, "O, fɔ pul di splin? Dat na big tin, nɔto so?" Wi go tok abaut dat in a bit.

Bɔku tɛm, dɛn kin du dis ɔpreshɔn wit laparoskopik . Dat min se, ɔpreshɔn we dɛn kin put kamɛra ɛn dilik inschrumɛnt dɛn tru sɔm smɔl smɔl say dɛn, pas fɔ kɔt big say na di bɛlɛ. Di bɛnifit fɔ dis we na dat di wund dɛn kin wɛl kwik ɛn di tɛm we dɛn kin de na ɔspitul kin shɔt.

sכmtεm, if di splin nכ twist כ damej, dεn kin muv am bak to in כrijinal posishכn εn fiks am de (splenopexy). Bɔt dɛn kin du dis pan tin dɛn we nɔ kin apin so ɔltɛm. Di tin we dɛn kin du mɔ na fɔ pul di splin.

Yu kin liv witout spleen? / Wetin kin apin afta dɛn pul di splin?

Dis na di big kwɛstyɔn we bɔku pipul dɛn gɛt. Na nɔmal tin fɔ tink bɔt tin dɛn lɛk, "Wetin go apin to mi if dɛn pul mi splin? A nɔ go ebul fɔ liv nɔmal layf?"

Bɔt wan tin we go kɔrej yu na dat di splin nɔto impɔtant ɔgan na wi bɔdi. Dis min se yu kin liv nɔmal, wɛlbɔdi layf if yu nɔ gɛt am. Bɔku pipul dɛn kin liv fayn fayn wan we dɛn nɔ gɛt splin.

Bɔt, wan tin de. wan pan di men wok dεm we di splin de du na fכ protεkt frכm infεkshכn. So we dɛn pul di splin, yu bɔdi kin gɛt sɔm infɛkshɔn dɛn smɔl. Dat min se yu chans fɔ sik kin bɔku smɔl. Na dat mek di sef we wi go tɔk bɔt nɛks impɔtant.

Aw yu kin tek kia ɔf yusɛf afta dɛn dɔn pul yu splin?

Afta yu dɔn pul di splin, yu nid fɔ tek tɛm mɔ fɔ protɛkt yusɛf frɔm infɛkshɔn. Na sɔm tin dɛn we yu kin du:

• Gɛt yu vaysin dɛn rayt: If yu nɔ gɛt splin, yu bɔdi in difɛns frɔm sɔm baktri ɛn vayral infɛkshɔn dɛn nɔ kin bɔku. So, yu dɔktɔ go gi yu sɔm spɛshal vaysin dɛn (fɔ ɛgzampul, agens nyumonia, mɛningaytis, influenza). I rili impɔtant fɔ gɛt dɛn vaysin ya rayt ɛn di rayt tɛm.
• If dɛn gi yu antibayɔtik, yuz am kɔrɛkt wan: If yu imyun sistɛm wik bikɔs ɔf ɔda sik, yu dɔktɔ kin gi yu antibayɔtik fɔ tek ɛvride. Yuz dɛn kɔrɛkt wan. Dɔn bak, if yu gɛt fiva ɔ kol, yu dɔktɔ kin tɛl yu fɔ bigin fɔ tek antibayɔtik wantɛm wantɛm.
• Tek tɛm we yu de travul: Sɔm kɔntri dɛn kin gɛt sik dɛn lɛk malaria . If pɔsin we nɔ gɛt splin sik wit dis sik, i kin rili siriɔs. So, bifo yu travul go ɔda kɔntri, mek shɔ se yu tɔk to dɔktɔ ɛn gɛt di advays we yu nid ɛn ɔda vaysin dɛn.
• Tek tɛm wit animal dɛn we yu de mɛn ɛn we animal dɛn de bit: Yu kin fil bak fɔ sɔm 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 smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl.
• Wear Medical Alert Bracelet: I fayn fɔ kɛr smɔl breslɛt ɔ kad we de tɛl yu se dɛn dɔn pul yu splin. Dis go ɛp dɔktɔ dɛn if ɛnitin apin we nɔ izi fɔ du.

Ustɛm yu nid fɔ go to dɔktɔ kwik kwik wan?

If yu gɛt ɛni sayn fɔ se yu gɛt di sik afta dɛn dɔn pul yu splin, yu fɔ go to dɔktɔ wantɛm wantɛm. Nɔ delay. Go na ɔspitul kwik kwik wan, mɔ if yu gɛt ɛni wan pan dɛn sayn ya:

• Chills we de mek pɔsin kol.
• Ay fiva (tɛmpracha pas 103°F Fahrenheit ɔ 39.4°C sɛlshiɔs).
• Vɔmit we nɔ de stɔp ɛn de wɔs.
• Bɔrku ed pen, stif nɛk, ɛn blurred vishɔn (dɛn kin bi sayn dɛm fɔ mɛningaytis).
• I nɔ izi fɔ blo, i kin kɔf bad bad wan.

Tin dɛm lɛk dis kin bi sayn fɔ se yu gɛt infekshɔn, so fɔ trit yu kwik kwik wan rili impɔtant.

Fɔ dɔn, a fɔ se...

We yu kam fɔ no se yu gɛt wan sik we dɛn kɔl ‘Wandering Spleen’, yu kin fil fri na wan an, yu kin tink se, "O, dis na di kɔz fɔ dis strenj pen ɛn diskɔmfɔt we a dɔn de gɛt fɔ lɔng tɛm." Bɔt i nɔmal fɔ mek yu fred smɔl ɛn wɔri we dɛn tɛl yu se yu fɔ du ɔpreshɔn, se dɛn go pul yu splin.

Bɔt mɛmba se pan ɔl we di splin na impɔtant ɔgan, i nɔto sɔntin we yu go ebul fɔ liv witout. Yu kin liv wɛlbɔdi, nɔmal layf. Di tin we impɔtant pas ɔl na fɔ fala di tin dɛn we yu nid fɔ du fɔ protɛkt yusɛf frɔm infɛkshɔn afta di ɔpreshɔn. Yu dɔktɔ go ɛksplen dis to yu mɔ. If yu gɛt ɛni kwɛstyɔn ɔ dawt, nɔ fred fɔ aks. Dɛn go gladi fɔ ɛp yu.

Nɔ wɔri! Mɛdikal sayɛns dɔn go bifo bɔku tide. Bɔku pipul dɛn tide kin ebul fɔ trit dɛn sik ya fayn fayn wan ɛn liv wɛl layf afta dɛn dɔn gɛt am.

` Spleen, Wandering Spleen, Abdominal pen, Splenic Torsion, Splenic Infarction, Splenectomy, Fɔ pul di splin, Ɔpreshɔn