Yu kin gɛt at bɔn bak ɛn bɛlɛ asid kin kam ɔp na yu trot? (Asid Riflɔks & GERD) .

Yu dɔn ɛva gɛt bɔn na yu chɛst ɔ fil lɛk se sɔntin frɔm yu bɛlɛ de kam ɔp na yu trot afta yu dɔn it? Bɔrku pipul dɛn dɔn gɛt dis wan ɔr tu tɛm. Tide wi go tɔk bɔt dis ‘asid riflɔks’ ɔ, insay mεdikal tεm , asid rεflɔks ɛn GERD (gastroesophageal reflux disease) . Bikɔs dis na prɔblɛm we bɔku pipul dɛn gɛt, i rili impɔtant fɔ no bɔt am.

Wetin na asid riflɔks, mi padi?

Fɔ tɔk am simpul wan, di it, drink, ɛn asid wata we de na yu bɛlɛ fɔ jɔs go wan we, we de dɔŋ. Bɔt sɔm tɛm, we dis bɛlɛ asid, dat na, asid tin dɛn , de flɔ bak ɔp yu εsophagus insay yu trot , wi kin kɔl am Asid Rifluks.

Imajin, wetin kin apin we dis asid rich usay i nɔ fɔ rich? Na dat na di prɔblɛm. Dis asid kin bɔn, wund, ɛn swel di dilik tisu dɛn we de insay yu εsophagus. Dis εsophagus na pat we lεk tכb we de kכmכt frכm yu bεlε tru yu chεst to yu trot. So, if i pwɛl, wi kin gɛt bɔku prɔblɛm dɛn.

Wi ɔl kin gɛt asid riflɔks wan wan tɛm. I kin fil lɛk se yu nɔ de it fayn ɔ yu at de bɔn we yu nɔ de digest di it. Dis wan wan asid riflɔks nɔ kin fayn, bɔt i nɔto sik. Bɔt, fɔ sɔm pipul dɛn, i kin apin ɔltɛm. If yu kɔntinyu fɔ gɛt asid rɔflɔks kin ambɔg yu nɔmal layf ɛn i kin rili pwɛl di tisu dɛn na di εsophagus .

So wetin na GERD? Yu tink se i siriɔs pas dat?

GERD tinap fɔ Gastroesophageal Riflux Disease.Di shɔt nem fɔ am. Insay sɔm kɔntri dɛn dɛn kin kɔl am bak GORD, we tinap fɔ Gastro-oesophageal Reflux Disease. כltu, GERD na wan kכndyushכn we asid de kכntinyu fכ kam כp insay yu εsophagus, we na krכnik asid rεfluks kכndishכn. If yu gɛt dis asid we de kam ɔp na yu trot pas tu tɛm insay di wik, fɔ sɔm wiks, dɛn kin tek am se na sik we nɔ de mɛn, we na GERD.

Wi kin gɛt asid riflɔks fɔ sɔm tɛm, lɛk fɔ it bɔku wan de. Bɔt GERD na ɔda tin, we kin kam bikɔs ɔf wan prɔblɛm we de kɔntinyu fɔ de ɛn we de wok wit mashin . dat min se di mεkanism dεm we de mek asid nכ de kam כp insay yu εsophagus nכ de wok fayn fayn wan.

Aw kɔmɔn dɛn tu tin ya kin apin?

Ɔl tu di wan dɛn we de kam wan wan tɛm, we nɔ gɛt kɔmplikɛt gastroɛsophageal reflux (GER) ɛn gastroesophageal reflux disease (GERD) kin rili kɔmɔn . Na Amɛrika nɔmɔ, dɛn se lɛk 20% pan di big pipul dɛn ɛn lɛk 10% pan di pikin dɛn gɛt GERD. Dɛn kin si dis sik bak pan bɔku pipul dɛn na Sri Lanka.

Wetin na di sayn dɛm fɔ Asid Riflɔks ɛn GERD?

Bɔku sayn dɛn de we de sho se asid riflɔks ɛn GERD. Si if yu gɛt ɛni wan pan dɛn tin ya:

• Backwash/Regurgitation: Afta yu dɔn it, yu kin fil lɛk se yu bɛlɛ asid, tin dɛn we yu kin it, ɔ wata kin kam bak ɔp na yu trot. I tan lɛk se yu de vɔmit , bɔt i nɔ de kɔmɔt ɔlsay. Sɔntɛnde, yu kin gɛt wan strenj sɔl teys na yu mɔt.
• At bɔn: Asid na tin we strɔng. So i kin rili fil lɛk se i de bɔn di tisu dɛn na di εsophagus. If dis de na di chɛst, wi kin kɔl am at bɔn . If i de nia di bɛlɛ, sɔm pipul dɛn kin kɔl am asid indigestion .
• Nɔn-kardiak chɛst penChɛst pen : Sɔm pipul nɔ kin fil pen na di εsophagus as inflamɛns. Dis pen de mek di sem nerv dɛm we de fil pen na di at , so i kin fil lɛk pen na yu chɛst, we tan lɛk at atak.
• Nɔs : Asid riflɔks ɔ riflɔks kin mek yu fil nɔs ɛn nɔr kin want fɔ it. Ivin afta sɔm tɛm, yu kin fil lɛk se it stil de na yu bɛlɛ, lɛk se mɔ de fɔ dayjɛst.
• Trot we de at : If asid go insay yu trot, i kin at ɛn wund yu trot. Yu kin fil lɛk se sɔntin dɔn stɔp na yu trot, ɔ i nɔ kin izi fɔ yu fɔ swɛla . Bɔku tɛm, asid kin kam ɔp na nɛt we yu de slip.
• Di sayn dɛm fɔ asma: GERD kin mek di asma simptom dɛn wɔs pan pipul dɛm wae gɛt asma, ɛn ivin pan pipul dɛm wae nɔr gɛt asma, i kin mek yu gɛt asma sayn dɛm lɛk fɔ kɔf ɔltɛm , fɔ swɛt, ɛn fɔ gɛt prɔblɛm fɔ blo. If di asid patikyula dεm go insay di say dεm we di briz de blo, dεn kin sכmtεm sכmtεm.

Di sayn dɛm kin kam tranga:

Di sayn dɛm fɔ GERD kin wɔs pan tɛm lɛk dis:

• Na nɛt ɔ we yu de ledɔm.
• Afta yu dɔn it big it ɔ it we gɛt fat.
• We yu bɛn fɔ go bifo.
• Afta we yu dɔn smok ɔ drink rɔm.

Smɔl pikin dɛn kin gɛt GERD bak?

Yɛs, ivin smɔl pikin dɛn kin gɛt GERD. I nɔmal fɔ mek pikin dɛn tɔn bak smɔl afta dɛn dɔn drink. pan ɔl we sɔm asid de insay di tin dɛn we de kɔmɔt na di wata we de kɔmɔt na di bɔdi, i nɔ go du fɔ mek di pikin gɛt ɛni big prɔblɛm. Bɔt GERD na wan sik we rili siriɔs . I kin mek di pikin nɔ fil fayn ɛn i kin gɛt prɔblɛm dɛn, ivin we i de gi am tin fɔ it.

di pikin dεm we dεn bכn bifo tεm כ wit wan kכndyushכn we riliyt to di εsophagus kin gεt GERD. If dɔktɔ we de mɛn pikin dɛn notis se yu pikin gɛt prɔblɛm fɔ it ɔ slip, dɛn kin want fɔ chɛk fɔ si if i gɛt GERD.

GERD simptom dεm na bebi dεm (כ yכng pikin dεm):

• Kray ɔltɛm, nɔr de rɛst (Excessive fussiness).
• I nɔ izi fɔ slip.
• Fɔ nɔ gri fɔ it.
• Fɔ vɔmit smɔl smɔl.
• We yu de blo ɔ yu de ala lawd lawd wan we yu de blo.
• Bad breath we pɔsin kin blo.

Wetin na di tin dɛn we kin mek asid tɔn bak?

fכ mek asid go insay yu εsophagus, i fכ pas tru di valv we de dכn na yu εsophagus we nכmal fכ mek tin nכ kam bak כp. Dɛn kɔl dis valv di Lɔwa Ɛsophageal Sfincter (LES) .

Yu LES na wan sɛkɔral mɔsul. I kin opin we yu swɛla sɔntin, dɔn i kin lɔk bak fɔ mek di tin dɛn we de insay yu bɛlɛ nɔ kam ɔp. I kin opin smɔl bak we yu burp ɔ hiccup fɔ mek di briz bɔbul dɛn kɔmɔt.

Asid riflɔks kin apin we yu LES wik ɔ lɔs fɔ alaw asid fɔ kam ɔp . Sɔm tin dɛn we kin apin fɔ sɔm tɛm, lɛk fɔ ledɔm afta yu dɔn it big it, kin mek di LES rilaks. Bɔt if yu gɛt GERD, yu LES kin lɔs ɔltɛm.

Aw di LES de wik?

Bɔku rizin dɛn de we mek di LES kin wik fɔ sɔm tɛm ɔ fɔ ɔltɛm. Sɔntɛnde, wan wan asid riflɔks kin divɛlɔp to krɛse GERD we sɔm pan dɛn tin ya kin kam togɛda ɔ kin de fɔ lɔng tɛm. Na sɔm tin dɛn we kin mek pɔsin gɛt asid riflɔks ɛn GERD:

• Hiatal Hernia: Dis kin tan lɛk se i kɔmplikt, bɔt lɛ a tɔk am simpul wan. Wan mɔsul de we dɛn kɔl dayafragm we de sheb yu chɛst ɛn yu bɛlɛ. yu εsophagus de kכnekt to yu bεlε tru dis dayafragm. Insay hiatal hεnia, di כp pat pan yu bεlε de push כp tru di opin na yu εsophagus εn insay yu chεst . Dɔn i kin trɔp wit yu εsophagus, we kin mek asid kam de. כlso, di LES valv we wi bin tכk bכt fכs de muv כp bak tru di dayafragm, so i nכ gεt sכmכl sכpכt. Dis sik kin kam mɔr as yu de ol, i kin kam smɔl smɔl, ɛn i kin tranga pasmak as tɛm de go.
• Bεlε: I rili kכmכn fכ gεt tεmporari asid rεfluks we yu bεlε. di prεshכn εn spεs we de go כp na di bεlε kin mek di mכsul dεm we de sכpכt di LES na di εsophagus strεch, tayt, εn wik. di hכmon dεm we uman bεlε kin mek bak di LES rilaks. Insay dis tɛm, wan ɔmon we dɛn kɔl rilaksin kin kɔmɔt bɔku bɔku wan. Dis kin mek di mɔsul dɛn rilaks fɔ mek ples fɔ di pikin. di εstrojen εn projεstεron lεvεl dεm bak de inkrεs, we kin mek di LES rilaks.
• Fat:if yu fat de mek di prεshכn εn spεs na di bεlε go כp bak, jכs lεk aw bεlε de du, we kin afekt di LES. Bɔt bikɔs di pɔsin we fat kin te pas di uman we i gɛt bɛlɛ, di mɔsul kin wik sote go. Dis na wan big tin bak we kin mek pɔsin gɛt hiatal hεnia. כlso, biכs di fεt tisu de kכl εstrojen, di εstrojen lεvεl dεm de inkrεs bak as di bכdi fεt de inkrεs.
• Smok: Tabako smok de rilaks di LES, ilɛksɛf yu smok am yusɛf ɔ yu inhal sɛkɔn-han smok. Smok kin mek yu kɔf bak, we kin opin di LES. If yu kɔntinyu fɔ smok ɛn kɔf, i kin mek di mɔsul dɛn na di dayafragm wik, ɛn dis kin mek yu gɛt hiatal hεnia. Smok kin mek yu nɔ ebul fɔ digest bak ɛn i kin mek yu bɛlɛ gɛt mɔ asid.

Wetin na di poshubul komplikashכn dεm we di pεrsisεnt asid rεfluks (GERD) kin gεt?

Asid we de na di bɛlɛ na sɔntin we rili pawaful. Dɛn mek am fɔ brok di it we yu de it. Yu bɛlɛ gɛt strɔng layn fɔ protɛkt am frɔm dis asid. Bɔt yu ɔda ɔgan dɛn nɔ gɛt dis protɛkshɔn. Asid riflɔks kin afɛkt yu ɛsophagus mɔ. Bɔt sɔntɛnde i kin ivin go ɔp insay yu winda ɔ usay yu de blo. Smɔl asid kin mek yu nɔ fil fayn fɔ sɔm tɛm. Bɔt tumɔs asid kin pwɛl dɛn ɔgan dɛn ya.

Di prɔblɛm dɛn we kin apin:

• εsophagitis: Dis na inflameshn na di layn na di εsophagus, we min se i de swel εn i de at. If εsophagitis de kɔntinyu, i kin mek i gɛt prɔblɛm dɛn lɛk pen we de kɔntinyu ɛn ɔlsa na di εsophagus. As tɛm de go, i kin mek di tisu dɛn chenj lɛk skata ɔ intestinal metaplasia , we na prɛkansa kɔndishɔn.
• Barrett in Ɛsophagus:dis na di nem fכ di kכndishכn fכ intestinal mεtaplasia na di εsophagus, we dεn bin mεnshכn oba. dis min se di layn na di εsophagus de chenj εn i de lεk di layn na di intestin. Dis kin apin we pɔsin de pan asid ɛn inflamɛns fɔ lɔng tɛm. Dis na tin we kin mek pɔsin gɛt kansa na di εsophageal.
• εsophageal stricture: Ska tisu kin fכm na yu εsophagus fכ protεkt am frכm inflameshn εn injuri we de kכntinyu. dis ska tisu kin mek di εsophagus sכmtεm sכmtεm. Dɛn kɔl dis strikt. Dis kin mek i nɔ izi fɔ swɛla , we kin mek i nɔ izi fɔ it ɔ drink, ɛn i kin mek ɔda prɔblɛm dɛn.
• Laryngopharyngeal Reflux (LPR): Sɔm pipul dɛn we gɛt GERD kin gɛt wan sik bak we dɛn kɔl LPR. Dis na we asid de kam ɔp insay di trot. Asid kin slip insay yu trot we yu de slip. I kin mek yu trot swel, yu vɔys kin ala, ɛn yu vɔys kɔd kin gro. Yu kin aspiret di asid patikyula dεm bak insay yu aywe dεm.
• Asma: If asid go insay di say we pɔsin de blo, i kin mek pɔsin we dɔn ɔlrɛdi gɛt asma in kɔndishɔn wɔs, ɛn ivin pɔsin we nɔ bin dɔn gɛt sik we i de blo bifo kin gɛt sɔm sayn dɛn we tan lɛk asma. di sכm sכm asid pat dεm kin irita di brכnkial tכb dεm εn mek dεn kכnstrikt. Dis kin mek yu kɔf ɛn i nɔ kin izi fɔ yu fɔ blo.

Wetin na di mɛrɛsin dɛm fɔ GERD?

Sɔm pipul dɛn kin ridyus di asid we de kam bak bay we dɛn de chenj di we aw dɛn de liv dɛn layf, lɛk fɔ chenj di tin dɛn we dɛn de it, fɔ lɛf fɔ drink rɔm ɛn smok, ɛn fɔ lɛf fɔ it bɔku bɔku it dɛn. Dɔktɔ dɛn kin ɛnkɔrej yu fɔ fala dɛn tin ya. Bɔt if yu gɛt persistent acid reflux ɔ GERD, dɔktɔ dɛn kin tɛl yu fɔ tek mɛrɛsin dɛn we de ridyus di asid na yu bɛlɛ. Dis go ɛp fɔ ridyus di asid we de kam ɔp, bɔt i nɔ go ambɔg yu so.

Mɛrɛsin dɛn we dɛn kin yuz

Ɔpreshɔn

Fɔ siriɔs GERD ɔ kes dɛm we dɛn nɔ kin kɔntrol wit mɛrɛsin, dɛn kin se dɛn fɔ du ɔpreshɔn fɔ tay di LES mɔsul, lɛk fɔ du Nissen fundoplication .

Tin dɛm fɔ ɛp fɔ kɔntrol di asid riflɔks na os

Tray dɛn tin ya fɔ kɔntrol di asid riflɔks na os:

• Fɔ it smɔl smɔl tin dɛn: Big it dɛn kin ful-ɔp yu bɛlɛ ɛn put prɛshɔn pan di LES.
• Fɔ it dina kwik: It dina at le 2-3 awa bifo yu go slip.
• Slip na di lεft say: Dis de put di LES oba di tin dεm we de insay di bεlε.
• Ridyus di prɛshɔn na yu bɛlɛ: Wear klos we nɔ tay ɛn lɔs yu wet if nid de.
• Klof fɔ smok ɛn drink rɔm: Dɛn tin ya kin mek di LES wik ɛn mek di asid bɔku.