Yu dɔn yɛri bɔt atrophic gastritis, we na wan sik we di bɛlɛ layn kin tan lɛk tin? Mek wi tok!

Sɔntɛnde yu kin fil se yu bɛlɛ kin pwɛl, ɔ yu nɔ kin want fɔ it, ɔ yu kin fil se yu bɛlɛ ful-ɔp, nɔto so? Sɔntɛm di rizin fɔ dat nɔ simpul lɛk aw yu tink. Tide wi go tɔk bɔt wan kɔndishɔn wae de dip smɔl, bɔt kin impɔtant fɔ bɔrku pipul dɛm. Dat na wan sik we dɛn kɔl Atrophic Gastritis . Nɔ wɔri, wi go tɔk bɔt dis simpul wan, di we we yu go ɔndastand.

Wetin na Atrofik Gastritis?

Fɔ tɔk am simpul wan, atrofik gastritis na wan sik we di layn na yu bɛlɛ, di layn na yu bɛlɛ, kin tan smɔl smɔl ɛn i kin gɛt inflamɛns fɔ lɔng tɛm. Tink bɔt am lɛk wan mɛmbran we de protɛkt yu insay yu bɛlɛ. Dis na wetin de protɛkt di bɛlɛ layn frɔm di harsh asid dɛn we de na yu bɛlɛ. insay atrofik gastritis, dis protεktiv mεmbran de pwεl εn i de tכn.

Wan ɔda spɛshal tin na dat, pan dis kɔndishɔn, sɔm pan di sɛl dɛn na yu bɛlɛ kin bigin fɔ tan lɛk di sɛl dɛn we de na yu smɔl intestinal. dεn kכl dis ``intestinal mεtaplasia'' insay mεdikal tεm dεm. Dat min se di sɛl dɛn na yu bɛlɛ kin tan lɛk di sɛl dɛn we de na yu insay.

Tu men kayn dis de, nɔto so?

Yɛs, yu tɔk tru. Tu men kayn atrofik gastritis de. Lɛ wi si wetin dɛn bi.

1. Envayrɔmɛnt indyuz atrofik gastritis (EMAG) .

Dis na wan kayn. Dɔktɔ dɛn kin kɔl am `(Environmental Metaplastic Atrophic Gastritis)` ɔ EMAG fɔ shɔt. di men tin we kin mek dis apin na infεkshכn wit di baktri dεm `H. pylori` (Hɛlikɔbaktɔ paylɔri).

Imajin, insay yu bɛlɛ, wan mukɔs mɛmbran de we de protɛkt yu, lɛk ambɔla we ren nɔ kam. dis na wetin de protεkt di bεlε wכl dεm frכm di asid gastric jus dεm we de εp fכ digεst di it. Bɔt we dis baktri we dɛn kɔl `H. pylori` kam, i de akt lɛk se i de chuk da ɔmbrela de. Dɔn dɛn asid asid dɛn de kin bigin fɔ it di bɛlɛ wɔl dɛn. we dis de apin ova di ia dεm, di bεlε sεl dεm de pwεl, di layn de tכn, εn di kכndishכn fכ EMAG de mek.

2. Ɔtoimyun atrofik gastritis (AAG) .

Dis na di sɛkɔn kayn. Dɛn kɔl am `(Autoimmune Atrophic Gastritis)` ɔ AAG fɔ shɔt. Sɔntɛnde dɛn kin kɔl am bak `(Autoimmune Gastritis - AIG)`.

Naw luk, wi gɛt wan grup we gɛt bɔdi gad dɛn. Dat na wi imyun sistɛm. Dɛn wok na fɔ fɛt di jem dɛn we de mek pɔsin gɛt sik. Bɔt sɔntɛnde, lɛk se dɛn de atak wan pan dɛn yon bay mistek, dɛn bɔdi gad dɛn ya kin bigin fɔ atak wi yon wɛlbɔdi sɛl dɛn. Na dat de hapun fo AAG. na ya, di imyun sistεm de atak di hεlty sεl dεm na wi bεlε wכl dεn wan dεm.

Ɛni risk de wit ɛni wan pan dɛn kayn tin ya?

Yɛs, ɔl tu di EMAG ɛn AAG kin mek yu gɛt smɔl smɔl tɔŋ dɛn na yu bɛlɛ. dεn kכl dεn tin ya ``Nyuroεndokrin Tכmכro - NET''. Bɔt bɔku tɛm, dɛn NET ya nɔ kin gɛt kansa (benign) , we min se dɛn nɔ kin du bad. Bɔt ɔl tu di EMAG ɛn AAG kin mek yu gɛt mɔ kansa na yu bɛlɛ. So, i impɔtant fɔ mek wi no bɔt dis.

Udat kin gɛt dis EMAG mɔ?

Pipul dɛm wae gɛt bɔrku risk fɔ gɛt envayrɔmɛnt induced atrophic gastritis (EMAG) na:

• Fɔ di wan dɛn we kɔmɔt na Eshia ɔ Hispanik.
• Fɔ di wan dɛn we dɔn pas 70 ia.
• Fɔ di wan dɛn we de it bɔku it we gɛt sɔl.
• Fɔ di wan dɛn we gɛt `H. pylori` infεkshכn.
• Fɔ di wan dɛn we de liv na say dɛn we pipul dɛn kin bɔku, we pipul dɛn kin bɔku (as dis kin mek `H. pylori` skata).
• Fɔ di wan dɛn we de smok.

So udat go mɔs gɛt AAG?

Pipul dɛn de we gɛt ay risk fɔ gɛt ɔtoimyun atrofik gastritis (AAG). Dɛn na:

• Fɔ uman (mɔ pas man dɛn).
• Fɔ di wan dɛn we kɔmɔt na Afrikan Amɛrikin ɔ Nɔtan Yuropian famili.
• If sɔmbɔdi na di famili dɔn gɛt AAG bifo tɛm (i kin gɛt ɛritayt link).
• Fɔ di wan dɛn we gɛt sɔm chenj dɛn na dɛn jɛnɛtiks.
• Fɔ pipul dɛm wae gɛt ɔda ɔtoimyun sik dɛm. Fɔ ɛgzampul:
• Di sik we Addison bin gɛt
• Awtoimyun tayroyd sik dɛm (e.g. Hashimoto in sik, Graves in sik) .
• Tayp 1 dayabitis
• Vitiligo we gɛt di sik

Aw kɔmɔn tin dɛn ya kin apin?

Akɔdin to sɔm statystik dɛm frɔm Amɛrika, dɛn se lɛk 15% pan di pipul dɛm gɛt atrophic gastritis (AG) . Dɛn kin tɔk bak se di prɛvalɛns fɔ AAG kin de bitwin 0.5% ɛn 2%. Dis kɔndishɔn nɔ de witout in prɔblɛm dɛn na Sri Lanka.

Wetin na di patikyula rizin dɛn we mek dɛn mek EMAG?

as wi bin dכn tכk, di men tin we de mek EMAG na infεkshכn wit di baktri dεm `H. pylori`. Dis baktri kin gɛt di sik mɔ we dɛn smɔl. Bɔku we dɛn de we dɛn kin transmit am. Dɛn tin ya na:

• Tru dairekt kɔntakt wit fes (fes).
• Tru it.
• Na tru di saliva.
• Na bay we yu de vɔmit.
• Na bay wata.

Dat min se i rili impɔtant fɔ tek kia ɔf klin fɔ mek yu nɔ gɛt dis baktri.

Wetin na di tin dɛn we kin mek pɔsin gɛt AAG?

wetin de apin insay AAG na we wi bכdi in antibodi dεm – wan kayn protin we de protεkt wi frכm sik – de atak wi כwn hεlty bεlε sεl dεm.

כda tin na, sכmtεm dεn antibodi dεm ya kin atak wan spεshal protin we dεn kכl `Intrinsic factor` we wi bεlε sεl dεm de mek. dis `Intrinsic factor` na wan vaytam in B12.I rili impɔtant fɔ mek di bɔdi tek am. so, if `Intrinsic factor` nכ de, wi bכdi nכ go ebul fכ abzכp vaytam in B12 fayn fayn wan. dis go mek di bכdi nכ mek hεlty rεd bכdi sεl dεm, we kin mek i gεt wan spεshal kayn anemia we dεn kכl `Pernicious anemia`. we vaytam in B12 nכ de inof, i kin mek di nεv dεm dεm bak (nyuropathy).

Wetin na di sayn dɛm fɔ EMAG?

Di gud nyus na dat sɔm pipul dɛn nɔ kin gɛt ɛni sayn pan ɔl we dɛn gɛt atrophic gastritis. Bɔt we EMAG na H. pylori infɛkshɔn, sɔm sayn dɛn lɛk:

• Pen na di ɔp pat na di bɛlɛ.
• Anemia we nɔ gɛt ayɔn.
• Di it nɔ de te.
• Nɔs ɛn vɔmit.
• Pɛptik ɔlsa na di bɛlɛ ɔ smɔl intestin.
• Fɔ bi tin fɔ no rizin.

Wetin na di sayn dɛm fɔ AAG?

Lɛk EMAG, sɔm pipul dɛm wae gɛt AAG nɔr kin gɛt ɛni sayn. Bɔt if AAG mek di vaytamɛn B12 nɔ de, sɔm sayn dɛn we gɛt fɔ du wit anemia ɛn di nerve damej kin apin. Di sayn dɛm na:

• Chɛst de pen.
• Diziz, layt ed, wik.
• Di at we de blo.
• Kɔnfyushɔn na yu maynd, lɛk delirium.
• Nɔs ɛn vɔmit.
• Pale skin.
• Puls we de rɔn kwik kwik wan.
• Sεns fכ wan ringin sawnd we de kכmכt insay di yes (Tinnitus).
• Di limb dɛm nɔ de fil ɛn nɔ de fil fayn.

Aw dɔktɔ kin no dis? (Diagnosis) .

We yu ripɔt bɔt dɛn kayn sik ya, di dɔktɔ go aks yu kwɛstyɔn dɛn fɔs ɛn du yu bɔdi ɛgzam, inklud fɔ palpat yu bɛlɛ fɔ si if yu gɛt sɔri-at.

If dɛn tink se gɛt atrofik gastritis, di dɔktɔ kin tɛl yu fɔ du sɔm blɔd tɛst , lɛk:

• di hεlty rεd blɔd sεl kכnt (di lכw lεvεl kin mek i gεt anemia).
• Ayɔn lɛvɛl.
• di kayn antibodi dεm (spεshal if dεn sכspεkt AAG).
• Gastrin lɛvɛl, na wan ɔmon we de ɛp fɔ mek di bɛlɛ asid.
• di lεvεl dεm fכ `Pεpsinogen`, we na wan protin we di bεlε sεl dεm de mek.
• Vitamin B12 lɛvɛl dɛn.

Apat frɔm dat, di dɔktɔ kin du ɛndoskopi bak .

• Dis min se yu fɔ put wan tin tiub (ɛndoskɔp) wit kamɛra we dɛn tay tru yu mɔt fɔ tek gud luk insay yu bɛlɛ. Nɔ wɔri, dɛn go put yu na slip ɔ sɛdate bifo di prɔsidyu, so yu nɔ go fil ɛni diskɔmfɔt.
• dis tεm, dεn kin tek sכm sכm tisu frכm di bεlε wכl fכ bayopsi. dis kin kכnfכm if atrofik gastritis de εn if di baktri dεm H. pylori de.
• dis kin chεk bak fכ tכmכro dεm lεk di ``Nyuroεndokrin tכmכro dεm - NET dεm'' we wi bin tכk bכt bifo.

Wetin na di tritmɛnt dɛm fɔ dis?

Di tritmɛnt opshɔn dɛn dipen pan if yu gɛt EMAG ɔ AAG.

Tritmɛnt fɔ EMAG

• If H. pylori infεkshכn de, dεn kin gi antibaytik fכ kil am.
• Dɛn kin gi mɛrɛsin dɛn we de ridyus di asid na di bɛlɛ.
• i imכtant bak fכ mכnitor di kכndyushכn bay we yu de du εndoskopi egzamεn rεgulεr.

Tritmɛnt fɔ AAG

• If di vaytamɛn B12 lɛvɛl smɔl, dɛn kin nid fɔ gi vaytamɛn B12 injɛkshɔn fɔ mek dɛn go ɔp.
• If di ayɔn nɔ bɔku, dɛn kin gi am ayɔn insay di bɛlɛ .

If yu si 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. dεn kכl dis εndoskopik mכkus rεsεkshכn. As wi bin dɔn tɔk, dɛn lumps ya nɔ kin gɛt kansa (benign). Bɔt i fayn fɔ mek dɛn chɛk dɛn ɛvri tu ia.

Aw fɔ ridyus di risk fɔ gɛt atrofik gastritis (AG)?

Fɔ avɔyd H. pylori infɛkshɔn, we kin mek yu gɛt EMAG, yu nid fɔ rili tek tɛm wit klin. Mɔ:

• Afta yu dɔn chenj wan dayapɛt.
• Afta i dɔn go na di tɔylɛt.
• Bifo yu it.

Mek shɔ se yu was yu an dɛn fayn fayn wan wit sop. Instill di abit fɔ was yu an ɔltɛm insay yu pikin dɛn bak.

Bɔt natin nɔ de we wi kin du fɔ mek di ɔtoimyun kɔndishɔn we dɛn kɔl AAG nɔ apin. Bɔt i impɔtant fɔ no bɔt in sik, go to dɔktɔ kwik kwik wan if nid de, ɛn wach di sik.

Wetin kin apin wae yu de liv wit dis sik? (Autluk) .

Pan ɔl we no mɛrɛsin nɔ de fɔ atrofik gastritis, bɔku pipul dɛn kin liv nɔmal layf we nɔ gɛt ɛni sayn. Sɔm pipul dɛn kin nid fɔ tek vaytamɛn B12 ɔ ayɔn sɔpɔtmɛnt fɔ di res ɔf dɛn layf.

Smɔl nɔmba pan pipul dɛm wae gɛt dis sik, wae de pan risk smɔl, kin nid fɔ gɛt ɛndoskopi ɛvri tri to fayv ia (ɛndoskopik sɔvɛlayshɔn). Bɔt pan ɔl we di risk de fɔ gɛt bɛlɛ kansa pan dɛn pipul ya, i rili smɔl. Pipul wae gɛt dɛn lumps wae dɛn kɔl NET kin nid fɔ wach bak, bɔt bɔrku tɛm dɛn nɔr kin gɛt kansa.

Aw fɔ tek kia if yu gɛt EMAG?

If yu gɛt EMAG, yu kin du dɛn tin ya fɔ ridyus di prɔblɛm dɛn we de mit yu:

• If yu de smok, yu fɔ stɔp fɔ smok.
• Yuz to it we dɛn kin yuz sɔl (sɔdiɔm) we dɛn kin kɔntrol.
• Si dɔktɔ we de mɛn yu bɛlɛ ɛn mek dɛn chɛk yu kɔndishɔn ɔltɛm .

Aw yu de tek kia ɔf yusɛf if yu gɛt AAG?

If yu nɔ gɛt bɛtɛ vaytamɛn B12, yu kin ad it dɛn we gɛt bɔku B12 to yu it. Fɔ ɛgzampul:

• Bif
• Klam dɛn
• Eg dɛn
• Fish we gɛt ɔyl (lɛk salmɔn, makrɛl, ɛn sadin) .
• Sirial dɛn we dɛn dɔn mek wit fɔt
• Milk
• Yogɔt we yu kin yuz

Dɔn bak, pipul dɛn we gɛt AAG fɔ rili kɔntinyu fɔ go to gastroenterologist fɔ wach di kɔndishɔn ɛn mek chenj dɛn we nid fɔ apin to di tritmɛnt.

Mɛsej we dɛn kin kɛr go na os

Atrofik gastritis na wan sik we di layn na di bɛlɛ kin tan ɛn inflam. Tu kayn dεm de: EMAG, we de kכz fכ H. pylori infεkshכn, εn AAG, we de kכz fכ prכblεm wit di imyun sistεm.

• Di sayn dɛm nɔr kin sho di sem we fɔ ɔlman. Dɛn kin inklud tin dɛm lɛk bɛlɛ pen, nɔr kin want fɔ it, ɛn nɔr gɛt vaytamɛn B12.
• Dɛn kin jɔs no dis kɔrɛkt wan bay we dɛn de du blɔd tɛst ɛn ɛndoskopi.
• Di tritmɛnt inklud mɛrɛsin fɔ H. pylori, vaytamɛn B12 injɛkshɔn, ɛn ayɛn.
• Bɔku pipul dɛn kin liv nɔmal layf. Bɔt i rili impɔtant fɔ de tɔk to dɔktɔ ɛn gɛt di tɛst ɛn tritmɛnt we yu nid.

If yu gɛt ɛni ɔda kwɛstyɔn bɔt dis, ɔr if yu fil se yu gɛt dɛn sik ya, duya go to dɔktɔ fɔ advays. Nɔ wɔri, sɔlv de fɔ ɔltin!

` Atrofik Gastritis, Atrofik Gastritis, Bɛlɛ inflameshɔn, Bɛlɛ, H. pylori, Vitamin B12, Anemia, Ɛndoskopi, Gastritis