Yu kin gɛt bɛlɛ pen ɔltɛm? Dis kin bi ɔlsa na yu bɛlɛ (Peptic Ulcer Disease)! Lɛ wi tɔk bɔt dis.

Bɔku tɛm yu kin fil se yu bɛlɛ de bɔn, yu bɛlɛ nɔ kin fil fayn? Bɔku pan wi kin fɔgɛt se dis na nɔmal tin, sɔntɛm wi kin tink se na "gastritis". Bɔt, sɔmtɛm dis diskɔmfɔt kin bi sɔntin we siriɔs smɔl. Dat na di kɔndishɔn fɔ bɛlɛ ɔlsa, ɔ lɛk aw dɔktɔ dɛn kin kɔl am, `Pɛptik Ɔlsa Disease (PUD). So, tide wi go tɔk bɔt dis smɔl mɔ, lɛk se wi de tɛl wi padi. Na bikɔs fɔ no bɔt dis kin rili impɔtant to yu.

Wetin na Pɛptik Ɔlsa Sik? Fɔ tɔk am simpul wan...

Fɔ tɔk am simpul wan, peptik ɔlsa sik na wan opin sɔri we de fɔm pan di layn na wi dijestiv sistɛm, di pat pan di dijestiv trakt usay wi de dayjɛst it ɛn drink. di wod "peptic" min "we de rilet to dijeshn." i kכmכt frכm di wכd "pεpsin," we na wan mכtalman digεstiv εnzym we de prodyuz na wi bεlε.

Imajin, insay wi bɛlɛ wi gɛt bɛlɛ asid ɛn dis ɛnzaym we dɛn kɔl pepsin. Dɛn tu ya de ɛp wi wit kemikal fɔ brok di it we wi de it ɛn dayjɛst am. Dis jus gɛt asid bad bad wan, fɔ tɔk di kɔrɛkt tin, i kin rɔtin. dis jus sכmtεm de go insay di fכs pat pan wi sכm sכm intestכn (duodenum).

Naw luk, di wan ol dijestiv trakt de layn wit wan mכkus mεmbran we de protεkt, lεk shild we de protεkt di wכl dεm frכm di harsh tin dεm we de insay. dis mεmbran we de protεkt de rili strכng na di bכdi εn di fכs pat pan di sכmכl intestin. Bɔt pan pɔsin we gɛt peptik ɔlsa sik, dis tin we de protɛkt am kin wik . Dɔn dɛn harsh dijestiv jus dɛn de kin it di wɔl dɛn.

Ɔlsa na eroshɔn we dip fɔ go insay ɔl di tri layers na di layn na di bɛlɛ. כltu, dεn כlsa dεm ya kin apin na di bεlε כ di fכs pat pan di sכmכl intestin (duodenum), biכs na de di dijestiv jus dεm de wok mכst. Bɔt nɔto ɔltɛm, dɛn kin apin na ɔda say dɛn.

Usay dɛn wund ya kin apin? Ɛni kayn dɛn de?

yes, dεn כlsa dεm ya kin apin mεntal wan na wi bεlε εn di fכs pat pan di sכmכl intestin (duodenum).

• Duodenal ulcers: Dis na di wan dεm we kכmכn pas כl, we de akכnt fכ lεk 80%.
• Ɔlsa na di bɛlɛ: Dɛn kin si dɛn tin ya na lɛk 20% pan di kes dɛm.

Bɔt we nɔ kin apin so ɔltɛm, di asid we de na di bɛlɛ kin lik go ɔda say dɛn, ɛn dis kin mek yu gɛt ɔlsa. Fɔ ɛgzampul:

• Ɛsophageal ulcer: Sɔm pipul dɛn kin gɛt chronic acid reflux, we na we di bɛlɛ asid kin kam ɔp na di trot. If dis kɔntinyu, di layn na di εsophagus kin west smɔl smɔl, ɛn dis kin mek yu gɛt ɔlsa. dis na biכs di layn na di εsophagus nכ de rεsist to asid lεk di layn na di bεlε.
• Ɔlsa we de na jejunal: .di jejunum na di midul pat pan wi sכmכl intestכn. sכm כpεrayshכn dεm (e.g., gastrojejunostomy - כpεrayshכn we de kכnekt di bεlε dairekt to di jejunum) kin mek dis pat injuri.

Aw dis sik kin kɔmɔn?

Ɔlsay na di wɔl, bitwin 5% ɛn 10% pan pipul dɛm go gɛt peptik ɔlsa sik (PUD) sɔm tɛm na dɛn layf. Pan ɔl we i kin apin pan ɛni ej, i kin apin mɔ pan pipul dɛn ɛn man dɛn we dɔn ol.

Wetin na di sayn dɛm fɔ dis? Aw yu no am?

I sɔprayz fɔ no se lɛk 70% pan di pipul dɛm wae gɛt dis sik nɔr kin sho ɛni sayn . Bɔt de tin wae pipul dɛm wae gɛt dis sik kin tɔk pas ɔl na:

• Epigastric pen: Fɔ tɔk klia wan, na pen we de kɔmɔt na di midul pan di bɛlɛ , dɔŋ di chɛst.
• Dispepsia: Na wan kɔlekɛshɔn fɔ di dijestiv diskɔmfɔt dɛm we kin apin afta yu it. Dis kin min se yu de fil pen na yu bɛlɛ we de ɔp, yu de bɔn , yu de fil ful afta yu it, ɛn yu de fil ful ɔltɛm.

dis bכn sensεshכn lεk di filin fכ di bεlε asid εn εnzym dεm we de it di layn na di bεlε. Sɔm pipul dɛn kin tɔk bɔt am se "lɛk se sɔntin de dig insay di bɛlɛ." Yu kin ivin ebul fɔ no usay di pen de.

Pan ɔl we i nɔ kin izi fɔ no if di ɔlsa de na di bɛlɛ ɔ na di smɔl intestinal, sɔm tin dɛn de we go ɛp yu fɔ no:

• If yu gɛt ɔlsa na yu bɛlɛ , di pen kin wɔs jɔs afta yu it (insay 30 minit), bikɔs na da tɛm de di mɔs gastric jus kin kɔmɔt.
• If yu gɛt ɔlsa na di bɔdi , di pen kin stɔp afta yu dɔn it. Bɔt afta tu to tri awa, di pen kin go ɔp bak as di it ɛn di jus we de digest pas insay di smɔl intestinal. Sɔm pipul dɛn kin mistek kɔl dis fɔ angri, bikɔs we pɔsin it, i kin mek i fil fayn. Fɔ wek na nɛt bikɔs ɔf pen na tin bak we kin apin to pipul dɛn we gɛt dɛn smɔl intestin ɔlsa ya.

Apat frɔm dis, yu kin si ɔda tin dɛn bak lɛk:

• Bɛlɛ we dɔn blo
• Bɔrp ɔ belch ɔltɛm
• I nɔ kin want fɔ it igen
• Nɔs ɛn vɔmit

Wetin kin apin if dɛn nɔ trit am? Wetin na di prɔblɛm dɛn we kin apin?

Sɔm pipul dɛn kin gɛt sɔm kayn sik afta de sik dɔn gɛt ɔda prɔblɛm dɛn. Dis kin apin if dɛn nɔ trit am fɔ lɔng tɛm. If nɔto dat, di wund dɛn kin bigin fɔ blɔd , ɔ di wɔl kin dip mɔ ɛn mek ol .

If yu gɛt blɔd we de kɔmɔt na yu bɛlɛ, yu kin gɛt sɔm sayn dɛn lɛk:

• Blɔd na di stɔl ( blak, tarry stɔl ) .
• Kɔfi grɔn vɔmitus
• Diziz ɔ fɔdɔm
• Paleness na di skin (Pallor) .
• Di at rit kwik kwik wan

If ol na di dijestiv trakt (gastrointestinal perforation) apin, simptom dεm lεk:

• Sɔdɛn, bad bad, shap bɛlɛ pen
• Bɛlɛ de swel ɛn pen we yu nɔ go ebul fɔ bia
• Fiva ɛn kol kol

If dɛn nɔ trit am fɔ lɔng tɛm, di ɔlsa kin wɛl ɛn afta dat i kin kam bak. Insay sɔm pipul dɛn, di skata ɛn swel na di dijestiv trakt kin bɔku, ɛn dis kin mek di bɛlɛ nɔ ebul fɔ waka . Dis kin mek yu gɛt sɔm sayn dɛm lɛk:

• Bloating, swelling, ɛn pen
• Nɔs ɛn vɔmit
• I nɔ kin want fɔ it ɛn i nɔ kin gɛt bɔku bɔku bɔdi
• Inkontinɛns ɛn kɔnstipɛshɔn

Wetin mek wi kin gɛt dɛn bɛlɛ ɔlsa ya? Wetin na di men tin dɛn we kin mek pɔsin gɛt dis sik?

Di layn we de protɛkt wi dijestiv trakt dɛn mek am fɔ bia wit harsh asid ɛn ɛnzaym dɛn ɛn fɔ mek insɛf fayn if i pwɛl. Dis kin apin mɔ na di bɛlɛ ɛn di fɔs pat pan di smɔl intestinal. Bɔt ɔlsa kin apin we sɔntin ambɔg dɛn natura difens ya.

fכ mek dis protεkshכn dכn εn fכ mek כlsa dip fכ go insay di mכkus, wan kכndyushכn we go de fכ lכng tεm כ we de k כntinyu fכ apin. Sayɛnsman dɛn dɔn no tu men tin dɛn we kin mek bɔku pan dɛn PUD ya:

1. H. pylori (Helicobacter pylori) Bakterial Infεkshכn: Dis baktri de liv na di bεlε εn/כ sכm intestכn fכ klos to af pan di pipul dεm na di wכl. Fɔ bɔku pipul dɛn, i nɔ kin kɔz ɛni prɔblɛm. Bɔt if di baktri tu big, i kin mek ɔda maykroɔganism dɛn we de de nɔ balans ɛn mek dɛn gɛt inflammatory response . Dis inflamɛns we kin te fɔ lɔng tɛm kin mek di wɔl wik ɛn i kin mek i nɔ ebul fɔ mek insɛf fayn. Sɔntɛnde, di bɔdi kin ivin atak di wɔl dairekt wan.

2. Yuz pasmak pan nonsteroidal anti-inflammatory drugs (NSAID): Dis na di pen kil we wi de bay frɔm di famasi we wi nɔ gɛt prɛskrishɔn, lɛk aspirin ɛn ibuprofen. Bikɔs dɛn kin tek dɛn we dɛn nɔ gɛt dɔktɔ advays, bɔku pipul dɛn kin tek dɛn pas aw dɛn nid am. Dis kin afɛkt di kεmikכl bεlε na wi bεlε εn sכm sכm intestinal. NSAID dεm de wok bay we dεn de ridyus di kεmεkal dεm we dεn kכl prostaglandin, we de mek di layn dεm na di dijestiv trakt dεm we dεn dכn pwεl.

Apat frɔm dɛn tu men rizin ya, ɔda rizin dɛn de we nɔ kin bɔku:

• Ɔda infɛkshɔn dɛn
• Di blɔd saplai we dɔn ridyus (`Ischemia`) .
• Bɔrku strɛs na yu bɔdi (bɔku tɛm na bikɔs ɔf sik ɔr aksidɛnt wae kin mek pɔrsin in layf de pan denja) .
• Kimotɛrapi ɔ redyushɔn tɛrapi
• Zollinger-Ellison syndrome - na wan kכndyushכn we di bεlε de mek tu mכch asid
• Crohn in sik - na wan inflammatory kondishכn na di dijestiv trakt
• Bɛlɛ kansa

Udat de pan big risk fɔ gɛt dis sik?

If yu gɛt H. pylori infɛkshɔn ɔ yu de yuz NSAID bɔku tɛm, yu go gɛt dɛn bɛlɛ ɔlsa ya. Di risk kin bɔrku mɔ if yu gɛt dɛn tu tin ya we kin mek yu gɛt dis sik.

Apat frɔm dat, fɔ smok, fɔ drink rɔm, ɛn sɔm ɔda mɛrɛsin dɛn we yu kin tek kin ɛp bak fɔ du dis. Pan ɔl we dɛn tin ya nɔmɔ nɔ strɔng fɔ mek yu gɛt ɔlsa, we dɛn kam togɛda wit H. pylori infɛkshɔn ɔ yuz NSAID, dɛn kin mek yu gɛt ɔlsa na yu bɛlɛ.

Aw dɔktɔ dɛn kin no bɔt dis?

If yu dɔktɔ sɔprayz se yu gɛt ɔlsa na yu bɛlɛ bay di sayn dɛn we yu gɛt ɛn di tin dɛn we kin mek yu gɛt dis sik, dɛn go fɔs chɛk yu ɛsophagus fɔ si if yu gɛt ɔlsa. Dɛn go tɛst bak fɔ H. pylori infɛkshɔn.

fכ bכku pipul dεm, na כp εsophageal εndoskopi (EGD tεst) na di las diagnosis. Dis min se yu fɔ put wan tint tiub wit smɔl kamɛra na di ɛnd tru di mɔt ɛn chɛk di εsophagus, bɛlɛ, ɛn di fɔs pat pan di smɔl intestin. dis tεm, dεn kin tek sכm sכm tisu (bayopsi) bak frכm di bεlε fכ chεk fכ H. pylori de.

Ɛndoskopi rili yusful bikɔs i nɔ jɔs de mek yu si pikchɔ dɛn, bɔt i de mek yu pas inschrumɛnt dɛn tru di tiub if nid de ɛn du tritmɛnt. Fɔ ɛgzampul, if wund de blɔd, yu kin trit am wantɛm wantɛm fɔ stɔp am.

Ɔda tɛst dɛn:

• dεn kin du `CT skan (Computed Tomography scan)` כ `GI series X-ray exam` fכ no di big big lεsin dεm.
• yu kin du ``Urea breath test`` כ ``stool test`` fכ no ``H. pylori`` infεkshכn.

Wetin na di tritmɛnt dɛn?

Di men tritmɛnt fɔ ɔlsa na di bɛlɛ na wan kɔmbayn mɛrɛsin dɛn we de ridyus di asid na di bɛlɛ, protɛkt di layn, ɛn ɛp am fɔ wɛl . If yu gɛt infekshɔn, yu kin nid antibayɔtik bak . Di tin we impɔtant pas ɔl na fɔ fɛn ɛn trit wetin mek di ɔlsa kam.

Bɔrku tɛm, dɛn kin wɛl wund wit mɛrɛsin nɔmɔ. Bɔt if prɔblɛm dɛn de, lɛk wund we de blɔd ɔ wund we gɛt pɔt, dɛn kin nid fɔ gɛt ɔda tritmɛnt. Bɔku pan dɛn prɔblɛm ya kin bi wit simpul mɛrɛsin, lɛk ɛndoskopi.

Di mɛrɛsin dɛn we dɛn kin yuz

• Antibayɔtik: If yu gɛt infekshɔn wit H. pylori ɔ ɔda baktri, yu dɔktɔ go gi yu wan kɔmbayn antibayɔtik fɔ kil di baktri. (Ɛgzampul: Amɔksisilin, Klaritromaysin, Mɛtronidazɔl)
• Saytoprotɛktiv ɛjɛn: Dɛn mɛrɛsin ya de wok bay we dɛn de kɔt ɛn protɛkt di bɛlɛ layn te i wɛl. (Eks: `Sukralfet`, `Misoprostol`, `Bismut sabsalisaylet`)
• di histamin rεsεpכta blכk dεm (H2 blכk dεm): dεn mεdikeshכn dεm ya de ridyus asid bay we dεn de blכk di kεmikכl we de gi signal fכ di bεlε fכ prodyuz asid. (Eks: `Famotidin`, `Simetidin`)
• Proton pump inhibitors (PPI): Dɛn mɛrɛsin ya de ridyus di bɛlɛ asid ɛn ɛp di layn na di bɛlɛ fɔ wɛl bay we dɛn de protɛkt am. (Ɛks: Ɔmɛprazɔl, Pantɔprazɔl, Ɛsomprazɔl)
• Ɔda mɛrɛsin dɛn we de mek yu fil pen instead fɔ tek NSAID: If yu kin tek NSAID, yu kin tɔk to yu dɔktɔ bɔt ɔda we fɔ tek am. Acetaminophen (paracetamol) na wan tin we nɔ gɛt NSAID ɛn i nɔ gɛt di sem ifɛkt pan di bɛlɛ layn.

Di we aw dɛn kin du mɛrɛsin

If yu gɛt kɔmplikɛt wund we de blɔd, yu dɔktɔ go nid fɔ trit am dairekt wan. Bɔku tɛm dɛn kin du dis we dɛn de du di ɛndoskopi. Dɛn kin stɔp di blɔd bay we dɛn bɔn di wund ɔ injɛkt mɛrɛsin. If ol de, dɛn kin stich am fɔ lɔk am.

Na smɔl tɛm nɔmɔ if ɔlsa dɔn blok di εsophagus, dɛn kin nid fɔ du sɔntin fɔ opin am bak. Dis kin min fɔ sok di tin dɛn we de insay di bɛlɛ ɔ, nɔto ɔltɛm, dɛn kin du ɔpreshɔn pan am.

Wetin wi fɔ du fɔ protɛkt wisɛf frɔm dis kayn tin? (Prɛvenshɔn) .

Di impɔtant tin dɛm wae yu kin du fɔ protɛkt yusɛf frɔm peptik ɔlsa sik na:

1. Gɛt tɛst fɔ H. pylori infɛkshɔn ɛn trit: Bɔku pipul dɛn gɛt H. pylori infɛkshɔn bɔt dɛn nɔ no am. Yu kin no if yu gɛt am bay we yu du wan simpul yuria briz tɛst. If yu du dat, gɛt tritmɛnt bifo prɔblɛm kam. Ivin if dɛn dɔn trit yu bifo, i fayn fɔ mek dɛn tɛst yu bak, bikɔs sɔntɛnde i kin kam bak.

2. Yuz NSAID jɔs lɛk aw dɛn tɛl yu: If yu dɔn yus fɔ tek NSAID fɔ smɔl pen ɛn pen ɛvride, tek tɛm nɔ tek pas di doz we dɛn se yu fɔ tek. If yu gɛt histri fɔ gɛt ɔlsa na yu bɛlɛ, i go fayn fɔ mek yu nɔ yuz am. If nid de, tek dɛn wit ɔda mɛrɛsin we de protɛkt di bɛlɛ layn.

Yu tink se dɛn wund ya go wɛl if dɛn nɔ gɛt mɛrɛsin?

If dɛn pul di tin we mek di ɔlsa, di ɔlsa kin wɛl. Bɔt bɔku tɛm, dɛn kin nid fɔ du dɔktɔ chɛk fɔ no wetin mek dɛn du dis. If di kɔz na H. pylori infɛkshɔn ɔ ɔda mɛrɛsin, dɛn go nid tritmɛnt fɔ pul am.

If di kɔz na jɔs NSAID, di ɔlsa kin wɛl insɛf if yu stɔp fɔ tek dɛn. Bɔt yu fɔ go to dɔktɔ fɔ kɔnfirm dis. Yu kin gɛt H. pylori infɛkshɔn bak, ɛn NSAID kin mek di infɛkshɔn we nɔ bin de ambɔg yu bifo, wɔs.

Wetin kin apin afta dɛn dɔn trit am? Aw lɔng i kin tek fɔ mek i wɛl?

Bɔku pan di ɔlsa dɛn na di bɛlɛ kin wɛl insay sɔm wiks . Bɔrku pipul dɛn nid fɔ tek di mɛrɛsin fɔ lɛk tu mɔnt so. Dis mɛrɛsin kin rili wok. Bɔt pipul dɛm wae gɛt lɔng tɛm sik lɛk Zollinger-Ellison syndrome kin nid fɔ tek di mɛrɛsin fɔ di res ɔf dɛn layf.

Afta di tritmɛnt, di dɔktɔ go du fɔlɔp tɛst fɔ mek shɔ se di ɔlsa dɔn wɛl ɔl ɛn di infɛkshɔn nɔ de igen. H. pylori na wan triki baktri ɛn sɔntɛnde i kin kam bak. Dɔn bak, if di tin dɛn we bin mek di ɔlsa kɔntinyu, di ɔlsa kin kam bak.

Na smɔl tɛm nɔmɔ, sɔm pipul dɛn kin gɛt ɔlsa na dɛn bɛlɛ we nɔ kin wɛl we nɔ kin wɛl wit tritmɛnt. Dɛn tin ya kin mek yu gɛt prɔblɛm lɛk fɔ fil pen fɔ lɔng tɛm ɛn fɔ gɛt bɔku bɔku skata. insay dεn kayn kes dεm ya, i kin nid fכ כpεrayshכn (e.g., fכ pul di ska tisu (payloroplasty), כ fכ kכt wan nεv we de kכntro di bεlε asid prodakshכn (vagotomy)).

Yu nid fɔ chenj di we aw yu de it ɛn di we aw yu de liv yu layf?

Fɔ it ɛn drink nɔ kin mek yu gɛt ɔlsa na yu bɛlɛ, bɔt if yu gɛt ɔlsa, sɔm it ɛn drink dɛn (espɛshali it dɛn we gɛt spays, we gɛt sɔl) kin mek dɛn wɔs . If yu gɛt sɔm sayn dɛn ɔ yu bin dɔn gɛt ɔlsa na yu bɛlɛ bifo, yu fɔ avɔyd fɔ drink rɔm ɛn smok kpatakpata .

Tɔk to yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek (especially NSAID). Sɔm mɛrɛsin dɛn kin kam wit prɔblɛm we dɛn tek dɛn togɛda.

Yu nɔ go ebul fɔ mɛn dis bay we yu yuz antisid na os?

Antasid dεm de wok bay we dεn de neutralize asid εn rεdכks di simptom dεm lεk at bכn, at bכn, εn dεn nכ de it fayn. Dɛn kin mek ɔlsa fil fayn fɔ sɔm tɛm, bɔt dɛn nɔ kin mɛn di ɔlsa . If yu bin dɔn gɛt ɔlsa na yu bɛlɛ bifo, antisid kin ɛp fɔ mek dɛn nɔ kam bak.

Wetin na di bɛst tɛm fɔ go to dɔktɔ?

If yu tink se yu gɛt ɔlsa na yu bɛlɛ, mek shɔ se yu go to dɔktɔ . Pan ɔl we mɛrɛsin dɛn we yu nɔ kin bay kin ebul fɔ kɔntrol yu sik dɛn fɔ sɔm tɛm, dɛn nɔ go mɛn di ɔlsa. Dɛn fɔ no ɛn trit di tin we mek i apin.

Ɔlsa we dɛn nɔ trit, ivin if yu nɔ gɛt siriɔs sik, kin mek yu gɛt siriɔs prɔblɛm dɛn. If yu gɛt H. pylori, we na di men tin we kin mek yu gɛt ɔlsa na yu bɛlɛ, i kin mek yu gɛt ɔda prɔblɛm dɛn bak (lɛk di risk fɔ gɛt bɛlɛ kansa).

If yu si sayn dɛm fɔ siriɔs prɔblɛm lɛk dis, go na imejensi rum wantɛm wantɛm:

• Wan pen we kin mek pɔsin fil bad ɔltɛm.
• Sayn dɛm fɔ blɔd na di stɔl (blak stɔl) ɔ blɔd we de vɔmit.
• Sayn dɛm fɔ se yu blɔd dɔn lɔs bad bad wan (pallor, fainting).

Di impɔtant tin dɛn we wi nid fɔ mɛmba (Take-Home Message) .

Pɛptik Ɔlsa Disiz na siriɔs sik we de afɛkt yu dijestiv sistɛm. I kin apin we yu natura difens sistɛm wik. Dis sik kin tek tɛm fɔ kam ɛn bɔrku tɛm i kin nid mɛrɛsin fɔ mek i wɛl.

Bɛlɛ ɔlsa na wan sik we kin apin ɛn we pɔsin kin trit. Bɔt i impɔtant fɔ go to tritmɛnt ilɛksɛf yu nɔ gɛt siriɔs sik.If dɛn nɔ trit di wund dɛn, i kin dip ɛn siriɔs. So, nɔr delay fɔ tɔk to dɔktɔ bɔt yu sayn dɛm. Yu wɛlbɔdi biznɛs fayn!

` Bɛlɛ ɔlsa, peptik ɔlsa, bɛlɛ inflamɛns, H. pylori, NSAID, gastritis, indigestion