Sɔntɛnde yu kin fil lɛk se yu it kin stɔp na yu trot we yu de it, ɛn dis kin mek i nɔ izi fɔ swɛla? Ɔ yu jɔs gɛt pen na yu chɛst ɔ yu bɛlɛ nɔ de fil fayn? Bɔku pipul dɛn kin tink se dis na nɔmal tin, sɔntɛm na gastritis, bɔt dis kin bi sɔntin we difrɛn ɛn sɔntin fɔ wɔri bɔt. Wi de tɔk bɔt dis kayn kɔndishɔn tide. Na Eosinophilic Esophagitis, ɔ EoE fɔ shɔt tɛm.
Wetin na EoE rili?
Fɔ tɔk am simpul wan, Eosinophilic Esophagitis (EoE) na alɛji we wi gɛt to wi ɛsophagus, di tiub we de kɛr it frɔm wi trot to wi bɛlɛ. Tink bɔt am dis we: if yu gɛt alɛji fɔ sɔntin lɛk pinat, yu go gɛt rash ɛn it we yu it am. Semweso, we pɔsin we gɛt EoE de pan sɔntin we de mek i gɛt trig, in ɛsophagus go riak. Di tin we kin mek yu gɛt dis sik kin bi it (lɛk milk, eg, ɔ soya) ɔ pɔlin we de na di say we yu de.
We sɔntin lɛk dis kam insay di bɔdi, wan kayn wayt blɔd sɛl we dɛn kɔl eosinophils, we na pat pan wi imyun sistɛm, kin gɛda bɔku bɔku wan na di wɔl dɛn na di say dɛn we di briz de blo, lɛk se dɛn de go fɛt. we dεn sεl dεm ya gεt, dεn de pul kεmεkal dεm we de mek di insay pat pan di aywe dεm swel εn rεd (inflammation) .
Jɔs lɛk we wata paip swel insay, i kin mek i nɔ izi fɔ mek wata pas. We dis tiub swel, i kin mek i nɔ izi fɔ mek it pas dɔŋ. As tɛm de go, dis kin smɔl. Dis na bikɔs:
- I nɔ kin izi fɔ swɛla it (dysphagia).
- Fɔd impakshɔn.
- Fɔ vɔmit.
- Bɛlɛ de pen.
- Chɛst de pen.
Simptom dɛm lɛk EoE kin bi wan chalenj kɔndishɔn, bɔt yu kin mɛn am fayn fayn wan wit yu dɔktɔ in ɛp.
Di sayn dɛm kin rili kɔnfyus!
di men rizin wae mek EoE kin tranga smɔl fɔ no na bikɔs in simptom dɛm rili fiba di wan dɛm wae gɛt Gastroesophageal Reflux Disease (GERD) . As wi ɔl no, dis na wetin dɛn kin kɔl bak ‘acid reflux’ ɔ at bɔn. Bikɔs dɛn tu sik ya gɛt sɔm sayn dɛn lɛk pen na in chɛst, i nɔ kin izi fɔ swɛla, ɛn i kin mek i vɔmit, i kin rili izi fɔ mek dɛn kɔnfyus dɛn tu.
Bɔt di rizin dɛn we mek dɛn tu tin ya apin rili difrɛn.
- GERD de kכz bay we di bεlε asid de fכlכ כp insay di εsophagus. dis kin apin we di mכsul, lεk di valv bitwin di bכdi εn di εsophagus, nכ de kכloz fayn fayn wan.
- EoE nɔto sɔntin we di bɛlɛ asid kin mek, na di imyun sistɛm riakshɔn we alɛji kin mek.
Wan ɔda tin na dat sɔm pipul dɛn we gɛt GERD kin gɛt sɔm kayn eosinophils bak na dɛn ɛsophagus, we kin mek di diagnosis kɔmplikt mɔ.
| Di kwaliti we pɔsin gɛt | Eosinofilik Ɛsofagɛt (EoE) . | GERD (at we de bɔn) . |
|---|---|---|
| Di rut we de mek pɔsin gɛt dis sik | Wan imyun sistɛm rispɔns bikɔs ɔf alɛji. | Asid na di bɛlɛ we de kam insay di εsophagus. |
| Di men sayn dɛn we de sho se i gɛt dis sik | I nɔ izi fɔ swɛla bad bad wan, it chok, vɔmit, chɛst pen. | Chɛst pen, sɔl teist na di trot, chɛst pen, i nɔ izi fɔ swɛla. |
| Rispɔns to mɛrɛsin | Bɔku tɛm, di mɛrɛsin dɛn we dɛn kin yuz fɔ mɛn di sik we dɛn kɔl gastritis (asid blɔk) nɔ kin mɛn am. | Gastritis kin ansa fayn to mɛrɛsin (asid blɔk). |
Bɔt wan impɔtant tin de we wi fɔ mɛmba! Chɛst pen kin bi sayn bak fɔ sho se yu gɛt at atak. So if yu gɛt pen na yu chɛst wit shɔt briz, pen we de rayt dɔŋ yu an, ɔ yu de swet, nɔ wet ɛn si dɔktɔ ɔ go na di ɔspitul we de nia yu in Imejɛnsi Dipatmɛnt (ETU). Dis rili impɔtant.
So aw ɛksaktɔli di dɔktɔ kin fɛn dis?
Afta yu dɔn lisin to yu sik, yu dɔktɔ go mɔs du sɔm tɛst fɔ no if na GERD, EoE, ɔ ɔda tin.
1. Fɔ aks yu fɔ di ditel dɛn
Fɔs, yu dɔktɔ go aks yu bɔku tin bɔt yu sik dɛn. Aw lɔng yu dɔn gɛt dɛn, ustɛm dɛn kin wɔs, i kin kam afta yu it sɔm it dɛn, ɛn if ɛnibɔdi na yu famili gɛt alɛji ɔ asma.
2. Ɛndoskopi tɛst
Dis na di impɔtant tin we yu fɔ du fɔ no if yu gɛt di sik. Ɛndoskopi na fɔ put wan tint tiub we kin chenj wit kamɛra ɛn layt tru yu mɔt fɔ chɛk di insay pat pan yu ɛsophagus, bɛlɛ, ɛn di fɔs pat pan yu smɔl intestin. Dɛn kin yuz anestezi fɔ mek yu fil fayn we dɛn de du dis. Dis kin mek di dɔktɔ ebul fɔ chɛk wit in yay fɔ si if yu it yu it dɔn swel, i dɔn smɔl, yu gɛt wayt spat, ɔ ɔda tin dɛn dɔn chenj.
3. Bayɔpsi tɛst
We dɛn de du di ɛndoskopi, di dɔktɔ kin tek wan smɔl tisu sɛmpul frɔm di wɔl na di εsophagus ɛn sɛn am na di lab. Dɛn kɔl dis bayɔpsi. dis tisu sεmpl dεn de egzamin כnda maykroskכp fכ si if abnכmal hכy nכmba dεm fכ eosinofil dεm de, we wi bin tכk bכt bifo. if yu gεt EoE, di nכmba fכ dεn sεl dεm ya go rili hכy. Dis tɛst na 100% shɔ fɔ kɔnfɔm di sik.
Wae dɛn dɔn no se yu gɛt EoE, natin nɔr de fɔ wɔri bɔt. Yu kin wok wit yu dɔktɔ fɔ mɛn am. Dɛn kin tray fɔ no di it dɛn we yu gɛt alɛji to ɛn dɛn kin se yu fɔ it di it dɛn we yu nɔ want fɔ it. Ɔ dɛn kin gi yu mɛrɛsin fɔ mek yu nɔ swel na yu ɛsophagus. Di tin we impɔtant pas ɔl na fɔ fala yu dɔktɔ in instrɔkshɔn dɛn di rayt we.
Mɛsej we dɛn kin kɛr go na os
- Eosinophilic Esophagitis (EoE) nכto jכs gastritis כ GERD (gastroesophageal reflux disease), na alerji kכndyushכn we de apin na di εsophagus.
- I nɔ izi fɔ swɛla, di it we de stɛp na di εsophagus, ɛn di chɛst pen na di men sayn dɛm. Nɔ ignore dɛn tin ya.
- If yu gɛt pen na yu chɛst, i impɔtant fɔ go to dɔktɔ wantɛm wantɛm fɔ mek yu nɔ gɛt siriɔs sik lɛk at atak.
- Ɛndoskopi ɛn bayɔpsi impɔtant fɔ no di sik kɔrɛkt wan.
- Dis nɔto sik we yu fɔ fred ɛn yu kin kɔntrol am fayn fayn wan wit di chenj we yu de it ɛn tek mɛrɛsin ɔnda di gayd we yu dɔktɔ de gi.
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