Yu smɔl pikin de kray wantɛm wantɛm ɛn ol in bɛlɛ? Lɛ wi lan bɔt intussusception

Yu smɔl pikin kin bigin kray lawd wan wantɛm wantɛm we i de ple? I kin pul in ni dɛn na in chɛst, ol in bɛlɛ, ɛn kray nɔ stɔp? Di kray kin stɔp afta sɔm tɛm, bɔt afta lɛk 15-20 minit so, i kin bigin fɔ kray lɛk di ol man? I mek sɛns fɔ lɛ ɛni mama ɔ papa fred we i si sɔntin lɛk dis. Sɔmtɛm, dis kayn sik kin bi sayn fɔ wan mɛrɛsin wae wi nɔr kin yɛri bɔt bɔrku bɔrku, bɔt wae nid fɔ go to dɔktɔ kwik kwik wan. Na dat Intussusception bi. Lɛ wi tɔk bɔt dis ditayli tide.

Fɔ tɔk am simpul wan, wetin na Intussusception?

Intussusception na wan sik we de mek pɔsin fil pen ɛn siriɔs we kin apin na di intestinal . spεshal wan, i kin apin we wan pat pan di intestכn slip insay di כda pat we de bifo am.

Tink bɔt wan ol tɛliskɔp. We wi opin am, wan pat kin kɔmɔt na di ɔda pat. We wi klos am bak, di pat dɛn kin go bak insay, nɔto so? Na dat kin apin to wi intestines na dis situeshɔn. Bɔt wi nɔ tan lɛk tɛliskɔp, wi insay de opin ɔltɛm.

Wetin na de tin wae kin mek pɔrsin gɛt dis sik ɛn wae kin mek pɔrsin gɛt dis sik?

Intussusception na di imejensi we kin apin pas ɔl pan pikin dɛn we nɔ rich 2 ia yet. Bɔt i kin apin bak to pikin dɛn we dɔn big ɛn yɔŋ pipul dɛn. I nɔ kin bɔku pan big pipul dɛn. We i kin apin, bɔku tɛm na ɔda sik kin kam wit am, lɛk we i gɛt tumbu na di kɔlon.

Bɔku tin dɛn de we kin mek yɔŋ pikin dɛn gɛt dis sik.

Di tin dɛn we kin mek i apin to big pipul dɛn

If big pɔsin gɛt dis sik, i go mɔs bi se di tin we kin mek i gɛt dis sik na wan pan dɛn tin ya:

• Wan polip ɔ tumbu we de na di intestinal.
• Adheshon ɔ ska tisu na di intestin frɔm di ɔpreshɔn we dɛn bin dɔn du bifo.
• Kɔndishɔn dɛm wae kin mek di intestinal inflamɛns , lɛk Crohn’s disease .
• Ɔpreshɔn fɔ lɔs yu wet lɛk fɔ yuz gastric bypass.

Wetin na di sayn dɛm fɔ dis?

If dis apin to smɔl pikin we nɔ bigin tɔk yet, i go sho se i de fil pen bay we i de ala ɛn kray lawd wan wantɛm wantɛm. Da sem tɛm de, i go drɔ in ni dɛn te i rich na in chɛst.

Dis pen kin kam fɔ shɔt tɛm nɔmɔ fɔs. I kin kam ɛn go ɛvri 15-20 minit. Bɔt as tɛm de go, di pen kin bɔku ɛn i kin tek lɔng tɛm.

Bɔt nɔto ɔl pikin dɛn na di sem. Sɔm pikin dɛn nɔ kin gɛt ɛni pen atɔl. So, tek tɛm wit dɛn sayn ya we de kam biɛn ya.

Fɔ big pipul, dis sik kin bigin fɔs as simpul bɛlɛ pen. If di bɛlɛ pen , we de kam wit nɔs ɛn vɔmit , kam ɛn go, ɛn di pen de wɔs wit ɛni tɛm we i apin, yu fɔ wɔri.

Ustɛm a fɔ go to dɔktɔ?

We dɛn kɔt di blɔd we de go na wan pat na di intestinal, di tisu we de na da pat de kin bigin fɔ day. If dis apin, infεkshכn kin spre to di layn na di bכdi. Dis na wan sik we rili denja, we kin mek pɔsin in layf de pan denja we dɛn kɔl Pɛritonaytis .

If dɛn nɔ trit di pikin, i kin shɔk. Di sayn dɛm na:

• Di pikin de sho se i nɔ de rɛst.
• abnכmal puls rεt (ither rili slo כ rili fast).
• Abnɔmal brith (i kin rili shalo ɔ rili kwik).
• Skin kin kol, klem, pale, ɔ grey.
• Di kayn we aw di bɔdi nɔ gɛt layf.
• Nɔbɔdi nɔ kin no natin.

Wetin yu fɔ du bifo yu go to dɔktɔ?

Bikɔs dis na imejensi, ɔltin go apin kwik kwik wan we yu rich na ɔspitul. So nɔ panik. Di tin we impɔtant pas ɔl na, nɔ gi yu pikin ɛnitin fɔ it, drink, ɔ tek ɛni mɛrɛsin we nɔ de na kɔt te yu rich na ɔspitul.

If yu gɛt tɛm, mɛmba di ansa to di kwɛstyɔn dɛn we di dɔktɔ go mɔs aks. Dɔn yu kin gi di ditel dɛn kwik kwik wan.

• Ustɛm di sayn dɛm lɛk bɛlɛ pen bigin?
• Di pen bin de ɔltɛm ɔ i bin de kam ɛn go?
• Yu dɔn gɛt nɔys, vɔmit, ɔ dayarɛa?
• Yu dɔn si blɔd na yu stɔl?
• Yu notis se yu bɛlɛ de swel ɔ yu gɛt wan 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 smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl

Aw dɛn kin du di diagnosis?

Yu dɔktɔ go aks yu pikin in sik ɛn in mɛdikal istri. Dɔn dɛn go chɛk yu pikin. Dɛn kin gi yu bak wan IV layn fɔ kɔntrol di wata we yu pikin gɛt ɛn dɛn kin put wan nasogastric tyub fɔ ɛp fɔ pul di prɛshɔn na yu pikin in intestinal.

Apat frɔm dat, dɛn go ɔda fɔ du bɔku tɛst fɔ luk insay di bɛlɛ.

• Abdominal X-ray: Dis kin ɛp fɔ si if blɔk de na di intestin.
• Ultrasound: Dis tεst de yuz sawnd wev fכ mek imej fכ di insay כgan dεm na di bεlε. Dis na wan rili impɔtant tɛst fɔ no if pɔsin gɛt intussusception.
• di εya כ kכntrast εnima: insay dis, dεn kin put wan sכft tכb insay di an εn wan spεshal wata lεk εya כ barium de pas insay di kכlon. Dis kin mek dɛn ebul fɔ si di blɔk klia wan pan ɛkstrem rayt. Sɔntɛnde, di prɛshɔn we di inema de gi kin ɛp di kɔlon fɔ muf bak na in ples. If dat apin, i kin bi tritmɛnt bak.

Wetin na di tritmɛnt dɛn we yu kin gɛt?

Sɔm kes dɛn kin bi fɔ sɔm tɛm ɛn dɛn kin sɔlv if dɛn nɔ gɛt ɛni tritmɛnt, bɔt bɔku pan dɛn kin nid tritmɛnt.

As wi bin dɔn tɔk, if ɛnima nɔ mɛn di sik, di nɛks tin we dɛn fɔ du na fɔ ɔpreshɔn. Nɔ fred fɔ ɔpreshɔn, di dɔktɔ dɛn go du ɔl wetin dɛn ebul fɔ mek shɔ se di pikin nɔ fil ɛni pen.

Dis na wetin kin apin we dɛn de du ɔpreshɔn:

• Wan dɔktɔ we de mɛn pikin dɛn (we spɛshal fɔ gi pikin dɛn anestezi) go mek di pikin slip kpatakpata.
• If dɛn du di ɔpreshɔn wit laparoscopically, we min "keyhole surgery," di dɔktɔ kin mek sɔm smɔl smɔl say dɛn na di bɛlɛ ɛn put kamɛra ɛn smɔl inschrumɛnt dɛn tru dɛn fɔ du di ɔpreshɔn.
• If nɔto dat, dɛn kin kɔt smɔl say na di rayt say na di bɛlɛ, ɛn dɛn kin yuz dɛn an fɔ pul di pat pan di insay we dɛn put insay ɛn put am bak na in ples.
• If wan pat pan di intestinal dɔn pwɛl sɔm we ɛn dɛn nɔ ebul fɔ mek am bak, di dɔktɔ go pul di pat pan di intestinal we dɔn pwɛl ɛn kɔnɛkt di tu pat dɛn we gɛt wɛlbɔdi bak.

Wetin kin apin afta dɛn dɔn trit am?

Na lɛk wan pan ɛvri 10 pikin dɛn we dɛn de trit go gɛt di sik bak insay 72 awa. So, ilɛksɛf di tritmɛnt na ɛnima ɔ ɔpreshɔn, dɛn go kip di pikin na ɔspitul fɔ lɛk wan de so fɔ mek dɛn wach am.

• If dɛn bin mɛn yu wit ɛnima:
• di briz go kכmכt na di pikin in bכdi insay di nεks fכ awa dεm.
• Dɛn kin gi paracetamol (Acetaminophen) fɔ fiva.
• Dɛn nɔ de gi ɛnitin fɔ it ɔ drink fɔ di fɔs 12 awa. Afta dat, dɛn kin gi klia wata fɔs, dɔn dɛn kin put sɔlid it dɛn.

• If dɛn bin du ɔpreshɔn pan yu:
• Afta di ɔpreshɔn, dɛn kin kip di pikin na rum usay dɛn kin wɛl fɔ sɔm awa ɛn afta dat dɛn kin transfa am na di wɔd.
• Dɛn go gi mɛrɛsin fɔ mɛn pen tru IV fɔ di pen.
• If dɛn kɔba di say we dɛn kɔt wit goz bandej, dɛn kin pul am insay sɔm dez. If dɛn kɔba am wit sɔntin lɛk Dermabond, i go sɔlv insɛf.
• If dɛn gi dɛn wata fɔs ɛn dɛn nɔ vɔmit, dɛn go bigin fɔ gi dɛn sɔlid it.
• We di pikin bigin fɔ it ɛn drink fayn ɛn fil fayn, dɛn kin go na os.
• Yu kin was yu pikin tu de afta di ɔpreshɔn, bɔt kip am fa frɔm rɔn, jomp, ɛn ɔda tin dɛn we yu de du te yu si di dɔktɔ bak (bɔku tɛm insay 2-3 wik).