Yu kin gɛt at bɔn bak bɔku tɛm? I kin tan lɛk se yu chɛst de bɔn faya. Sɔntɛnde afta yu dɔn it, mɔ na nɛt we yu de ledɔm afta yu dɔn it, yu kin fil lɛk se sɔntin we sɔl ɛn bita kɔmɔt na yu mɔt? Bɔku pan wi kin tink se dis na "gastritis" ɛn tek mɛrɛsin na famasi ɛn jɔs drink am. Bɔt yu no se if dis sik kɔntinyu fɔ lɔng tɛm, i kin pwɛl wi ɛsophagus? dis na siriכs kכndyushכn we kin apin as a rizulכt fכ da damej de, we dεn kכl `Barrett's Esophagus`. Nɔ fred, lɛ wi tɔk bɔt dis simpul wan.
Fɔ tɔk am simpul wan, wetin na Barrett’s Esophagus?
Tink bɔt wi ɛsophagus lɛk wata paip. Dis na di tiub we de kɛr di it we wi de it frɔm wi mɔt go na wi bɛlɛ. lεk כlsay na wi bכdi, insay dis tכb gεt wan tכn we de protεkt sεl dεm (layn). I wok na fɔ protɛkt di εsophagus.
Naw imajin se di harsh asid dɛn we de na wi bɛlɛ de kam ɔp ɔltɛm ɛn nak di wɔl dɛn na dis ɛsophagus. Jɔs lɛk we sɔntin we at kin kɔntinyu fɔ fɔdɔm na grɔn, da flo de kin bɔn, dɛn asid rod ya kin pwɛl di dilik sɛl layt na di εsophagus.
As dis damej de kɔntinyu fɔ apin fɔ lɔng tɛm, wi bɔdi de tray fɔ fɛn sɔlv. di bכdi de tink se, "di sεl dεm na dis εsophagus nכ kin ebul fכ hεndl dis asid atak. I bεtε fכ mek wan strכng, asid-rεsistant tכp sεl ya."
So wetin di bכdi de du na fכ riples di sεl dεm we dεn dכn pwεl na di εsophagus wit wan kayn sεl we de rεsist to asid pas di kayn we we de na wi intestinal. Fɔ tɔk am simpul wan, insted ɔf di kayn sɛl we fɔ de na di εsophagus, wan kayn sɛl we de na di intestinal de bigin fɔ gro na di εsophagus. Insay mɛrɛsin, wi kin kɔl dis intestinal metaplasia . Na dat wi kin kɔl `Barrett's Esophagus`.
Dis na rili di we aw di bɔdi de tray fɔ protɛkt insɛf. Bɔt di prɔblɛm na dat, dɛn nyu kayn sɛl ya kin gɛt kansa smɔl pas di nɔmal sɛl dɛn.
Aw siriɔs dis tin de apin? Yu tink se wi fɔ fred?
Dis kin mek yu fred. Wi ɔl kin fred we wi yɛri di wɔd "kansa risk." Bɔt di impɔtant tin fɔ ɔndastand ya na dat nɔto ɔlman we gɛt Barrett’s Esophagus go gɛt kansa.
Infakt, di risk fɔ gɛt kansa rili smɔl . Risach dɔn sho se di risk na 0.5% pan ia, we nɔ rich 1%. Dis min se na wan pan ɔl 200 pipul dɛm wae gɛt Barrett’s Esophagus go gɛt kansa insay wan ia.
Dɔn bak, dis chenj we di sɛl dɛn chenj nɔ kin bi kansa wan nɛt. Na tin we kin apin smɔl smɔl. bifo i kכmכt frכm di stet fכ `mεtaplasia` to `kεnsar`, i de go tru כda intamεdiεt stej. Wi kin kɔl am `dysplasia`. na dis stej fכ `dysplasia`, dכkta dεm kin no am. If dɛn ebul fɔ no am, dɛn kin pul da pat de we dɔn chenj na di sɛl ɛn stɔp am fɔ mek i nɔ go bi kansa.
Na dat mek dɔktɔ dɛn kin ɔltɛm chɛk ɛn wach pipul dɛn we gɛt Barrett’s Esophagus.
Wetin na di sayn dɛm fɔ Barrett’s Esophagus?
Di tin wae de sapraiz ya na dat, nɔr simptom nɔr de we spɛshal fɔ Barrett’s Esophagus. Dat min se yu nɔ de fil se di sɛl dɛn na yu εsophagus dɔn chenj.
So aw yu go fɛn dis?
Bɔrku tɛm, de ɔndalayn prɔblɛm wae de kɔz dis sik na de rizin wae mek yu de gɛt de sik. Fɔ bɔku pipul dɛn, dis kin kam wit wan sik we dɛn kɔl gastroesophageal reflux disease . As wi ɔl no, na dis dɛn kɔl GERD (Gastroesophageal Reflux Disease). dis na we di bεlε asid de kam כp εn go insay di εsophagus.
So yu de gɛt dɛn sayn ya fɔ GERD:
- At bɔn: Na tin we de bɔn we de kɔmɔt na di midul pan di chɛst.
- sכt trot: di filin fכ di tin dεm we de insay di bεlε, i.e. asid εn it we dεn nכ daygεst, de kam כp insay di mכt.
- I nɔ izi fɔ swɛla: Na filin fɔ chok we yu de swɛla it ɔ drink.
- Trot ɔ kɔf we de at ɔltɛm.
- Chɛst de pen.
De tin wae impɔtant pas ɔl na, ivin if yu dɔn gɛt dɛn kayn sik ya fɔ lɔng tɛm, ivin fɔ lɔng tɛm, sɔmtɛm wae yu kin gɛt frayd frayd wan wan tɛm, nɔr ignore dɛm. Fɔ tru, yu go si dɔktɔ ɛn gɛt advays.
Wetin na de risk factor wae kin mek dis sik?
Pan ɔl we di men tin we kin mek Barrett’s Esophagus na we di εsophagus kin pwɛl fɔ lɔng tɛm, nɔto ɔlman kin gɛt am. Bɔt sɔm pipul dɛn kin gɛt mɔ prɔblɛm. Lɛ wi tek wan luk pan udat dɛn bi.
| Risk factor | Tɔk bɔt |
|---|---|
| Fɔ gɛt GERD | Dis na di men tin we kin mek pɔsin gɛt prɔblɛm. Pipul wae dɔn gɛt GERD fɔ pas 10 ia kin gɛt bɔrku risk. Na lɛk 10%-15% pan di pipul dɛm wae gɛt GERD kin gɛt dis sik. |
| Bɔy ɔ gal | Man dεm kin gεt Barrett’s Esophagus tu to tri tεm pas uman dεm. |
| Ej | Dis kכndyushכn kin de pan pipul dεm we pas 55. Dis na biכs i kin tek tεm fכ dεn chenj dεm ya na di sεl dεm. |
| Fɔ smok | Smok na ɔda men tin we de afɛkt dis. |
Aw yu go no if yu gɛt Barrett’s Esophagus?
If yu gɛt lɔng tɛm simptom fɔ GERD, yu dɔktɔ go rifer yu to gastroenterologist. I go du tɛst fɔ no if yu gɛt dis sik. Dɛn kɔl dis ɛndoskɔpi .
Wetin na ɛndoskopi tɛst?
Dis min se yu fɔ gi yu smɔl mɛrɛsin fɔ mek yu fil fayn , dɔn yu pas wan tint tiub we kin chenj ɛn we gɛt kamɛra na di ɛnd tru yu mɔt ɛn go dɔŋ yu ɛsophagus insay yu bɛlɛ. Yu nɔ go fil ɛni pen we yu de du dis prɔsidyu.
We di dɔktɔ yuz dis kamɛra, i kin si klia wan di insay wɔl na di εsophagus.
- di insay wכl fכ nכmal εsophagus in kכla layt pink εn i gεt sכft sכft.
- Barrett’s Esophagus de sho se i gɛt rɛd-ɔrɛnj (we gɛt salmon kɔlɔ) ɛn i rɔf.
If dɛn si dis we aw pɔsin de luk chenj, di dɔktɔ go tek wan rili smɔl pat pan di tisu frɔm di say we dɛn tink se dɛn de du am fɔ mek dɛn chɛk am. Wi kin kɔl dis bayɔpsi . dis pat pan di tisu dεn de egzamin am כnda maykroskכp fכ kכnfכm 100% if di sεl dεm dεn rili chenj, we min if yu gεt Barrett's Esophagus.
Barrett in Esophagus Klasifikeshɔn ɛn Stej dɛm
Wae yu biopsy ripɔt kam, yu dɔktɔ go ɛksplen to yu di sik. Bɔku tɛm, dɛn kin sheb am to tu kayn ɛn difrɛn stej dɛn.
| Klasifikɛshɔn | Tɔk bɔt |
|---|---|
| Shɔt-sɛgmɛnt | di sεkshכn na di εsophagus usay di sεl dεm dכn chenj nכ lכng pas 3 sεntimita. |
| Lɔng-sɛgmɛnt | di lεngth fכ di sεkshכn usay di sεl dεm dכn chenj pas 3 sεntimita. |
| Stej dɛm akɔdin to di risk fɔ gɛt kansa (Dysplasia Stej dɛm) . | |
| Metaplasia we nɔ gɛt displasia | di sεl dεm dכn chenj, bכt di chenj dεm bifo kεnsar (dysplasia) nכ bigin yet. Di risk fɔ gɛt kansa rili smɔl. |
| Displasia we nɔ gɛt bɛtɛ gred | di chenj dεm we de apin na di sεl dεm bifo kansa de bigin fכ apia. Di risk fɔ gɛt kansa kin bɔku smɔl. |
| Displasia we gɛt ay gred | bכku chenj dεm de bifo di kεnsar na di sεl dεm. Di risk fɔ gɛt kansa kin bɔku. |
| Kansa we gɛt kansa | Displasia dɔn bi kansa. |
Wetin na di tritmɛnt fɔ Barrett’s Esophagus?
Dɛn kin sheb di we aw dɛn kin trit am to tri men pat dɛn.
1. Fɔ trit di ɔndalayn kɔz
Dis na di tin we impɔtant pas ɔl. Wi nid fɔ stɔp fɔ pwɛl di εsophagus. Bɔku pan di kes dɛm na GERD, we dɛn kin trit.
- Di chenj na yu layf: Ridyus di it dɛm we gɛt spays, ɔyl, kɔfi, ɛn ɔda tin dɛm.Avɔyd fɔ ledɔm fɔ 2-3 awa afta yu it na nɛt.
- Mεdikeshכn dεm: dεn de gi mεdikeshכn dεm we de kכntrכl di prodakshכn fכ asid na di bεlε. Proton Pump Inhibitors (PPI) lεk `Omeprazole` εn `Esomeprazole` de rili wok fכ dis. Dɛn tin ya kin stɔp di damej we di εsophagus kin gɛt ɛn ɛp am fɔ wɛl.
2. Sɔvɛlayshɔn
If yu sik nɔ gɛt displasia, we min se yu risk fɔ gɛt kansa nɔ bɔku, yu dɔktɔ go mɔs tɛl yu fɔ du ɛndoskopi ɛvri sɔm ia fɔ wach yu sik. If yu gɛt displasia, yu go nid fɔ du ɛndoskopi wan tɛm insay di ia.
3. Fɔ pul di sɛl dɛn we bin dɔn gɛt kansa (Dysplasia) .
If yu ripɔt se yu gɛt ``high-grade dysplasia,'' we min se yu gɛt ay risk fɔ gɛt kansa, yu dɔktɔ go se yu fɔ pul di abnɔmal sɛl dɛm. Bɔku we dɛn de fɔ du dis.
- Ablashɔn Tɛrapi: Insay dis, dɛn kin pas wan divays tru di ɛndoskopi tiub ɛn dɛn kin pwɛl di bad sɛl dɛn we dɛn de yuz rediofrikyuɛnsi ɔ krayotɛrapi.
- εndoskopik mכkus rεsεkshכn (EMR): dis na sכm sכm כpεrayshכn bak we dεn kin du tru `εndoskopi`. insay dis, dεn kin kכt di abnכmal tisu εn pul am.
- Ɔpreshɔn (Esophagectomy): If di displasia bad ɔ i dɔn go bifo to kansa, dɛn kin nid ɔpreshɔn fɔ pul di pat we dɔn pwɛl na di ɛsophagus.
Yu tink se dɛn go ebul fɔ mɛn dis sik kpatakpata?
Metaplasia, ɔ sɛl chenj nɔ de go fɔ insɛf. Bɔt di tritmɛnt dɛn we wi dɔn tɔk bɔt kin ɛp fɔ pul di tisu we dɔn pwɛl. Dɔn bak, if dɛn kɔntrol GERD fayn fayn wan, dɛn kin mek dɛn nɔ pwɛl mɔ.
Bɔt ivin afta dɛn dɔn trit yu, smɔl chans de fɔ mek dis sik kam bak, so i rili impɔtant fɔ kɔntinyu fɔ atɛnd di tɛst dɛn we yu dɔktɔ tɛl yu fɔ du.
Pɔsin wae gɛt Barrett’s Esophagus kin liv nɔrmal layf. De tin wae impɔtant pas ɔl na fɔ no de sik kwik kwik wan, ɛn fɔ fala di rayt tritmɛnt ɛn mɛrɛsin advays bifo i wɔs. If yu du dat, yu kin avɔyd siriɔs sik lɛk kansa ɛn liv fayn layf.
Mɛsej we dɛn kin kɛr go na os
- If yu gɛt sɔm sayn dɛm lɛk fɔ de pen na yu chɛst ɔltɛm ɔr yu trot de te, nɔr ignore am. Fɔ tru, yu go si dɔktɔ.
- Barrett’s Esophagus nɔto kansa, bɔt na wan sik we de mek di risk fɔ gɛt kansa na di εsophageal smɔl.
- Di risk fɔ dis kansa rili smɔl ɛn yu kin ebul fɔ avɔyd am if yu de ɔnda di rayt dɔktɔ.
- Dɛn kin no dis tru ɛndoskopi ɛn bayɔpsi.
- di men gol dεm fכ tritmεnt na fכ kכntrכl di כndalayn kכz (GERD), mכnitor di kכndyushכn כltεm, εn pul di sεl dεm we bin de bifo kansa if nid de.
- If yu fala yu dɔktɔ in instrɔkshɔn dɛn di rayt we, yu go ebul fɔ liv fayn ɛn nɔmal layf.
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