Yu dɔn ɛva fil lɛk se yu trot de tɔn ɔ yu de fil pen na yu chɛst we yu de it? Sɔntɛm yu smɔl pikin nɔ kin rili want fɔ it, ɛn i kin se i at fɔ it. Bɔku tɛm wi kin tink se dis na prɔblɛm wit gastritis ɔ boredom. Bɔt sɔntɛnde di rizin bihayn dis kin bi wan kɔndishɔn we wi nɔ yɛri bɔku bɔt, bɔt we wi fɔ wɔri bɔt smɔl. Tide wi de tɔk bɔt wan pan dɛn kayn tin ya, we na Eosinophilic Esophagitis, ɔ EoE fɔ shɔt tɛm.
Fɔ tɔk am simpul wan, wetin na Eosinophilic Esophagitis (EoE)?
Okay, mek wi put dis simpul wan. Wi gɛt tyub, lɛk tiub, we de kɛr it frɔm wi mɔt to wi bɛlɛ. Wi kin kɔl dis di εsophagus. Simply put, na wi "fud pipe." EoE na wan rare, alɛji-rilayt inflammatory kɔndishɔn we kin apin insay dis it paip.
Naw luk, wi bɔdi gɛt difrɛn kayn sɛl dɛn we de protɛkt wi frɔm sik. I tan lɛk ami na wi bɔdi. Eosinophils na wan kayn wayt blɔd sɛl. Nɔmal wan, dɛn pipul ya kin fɛt alɛji ɛn parasayt infɛkshɔn. Bɔt insay pɔsin we gɛt EoE, sɔntin de we nɔ rayt. dis Eosinophil sεl dεm, fכ nכ rizin, de kכmכt bכku bכku wan insay da it paip de. I tan lɛk se dɛn yon ami de atak wan pat na dɛn yon kɔntri.
we di eosinophil sεl dεm kin gɛda dis we, di insay pat pan di εsophagus kin swel, rεd, εn i kin bigin fכ pwεl. Dis na wetin wi kɔl inflammation . Dis na wetin kin mek i nɔ izi fɔ swɛla, it kin stɔp, ɛn i kin mek yu chɛst pen.
Ɛspɛshali we dis kin apin to yɔŋ pikin dɛn, dɛn nɔ kin gɛt di rayt it we dɛn nid. Dis kin mek di pikin dɛn nɔ gro fayn. Ɛn dɛn gɛt fɔ liv wit pen fɔ lɔng tɛm.
Us mɛrɛsin dɛn dɔktɔ dɛn kin gi fɔ kɔntrol EoE?
Fɔs, no mɛrɛsin nɔ de fɔ EoE. Bɔt nɔ wɔri! Tritmɛnt dɛn de we rili fayn fɔ kɔntrol di sik dɛn, fɔ ridyus di inflamɛns na di εsophagus, ɛn fɔ mek i nɔ pwɛl mɔ.
Bɔku tɛm, wit dis mɛrɛsin, yu dɔktɔ kin tɛl yu bak fɔ avɔyd sɔm it dɛn (lɛk milk, eg, ɛn soya) fɔ sɔm tɛm, bikɔs sɔm it dɛn kin mek di sik wɔs. We dɛn jɔyn di mɛrɛsin ɛn di it we dɛn de it, di tin dɛn we kin apin kin rili fayn.
Lɛ wi luk naw di men kayn mɛrɛsin dɛn we dɛn kin gi fɔ EoE.
| Tayp fɔ mɛrɛsin | Fɔ tɔk am simpul wan, wetin kin apin? | Impɔtant pɔynt dɛn |
|---|---|---|
| Proton Pɔmp Inhibitɔ dɛn (PPI dɛn) . | i de ridyus di prodyushכn fכ di bεlε asid, we de ridyus inflameshn na di εsophagus. | Bɔrku tɛm dis na di fɔs tritmɛnt fɔ bigin wit. Dɛn kin gi dis sem mɛrɛsin bak fɔ gastritis (acid reflux). |
| Kɔtikosterɔyd (nɛchral stɛroyd) . | i de kכntro di inflameshn (swεla, rεd) we de kכz bay di akyumyuleshכn fכ di eosinophil sεl dεm na di aywe dεm. | Wan tritmɛnt we rili wok. Bɔku sik pipul dɛn kin ansa dis tritmɛnt fayn fayn wan. |
1. Smɔl mɔ ditel bɔt Proton Pɔmp Inhibitors (PPI) .
If yu dɔn ɛva tek mɛrɛsin fɔ gastritis, yu kin no di nem PPI. di men wok we dεn de du na fכ kכntrכl di prodyushכn fכ di gεstrik asid na di bεlε. Bikɔs bɔku pipul dɛn we gɛt EoE kin gɛt asid riflɔks (asid riflɔks) bak, dɔktɔ dɛn go tray fɔ yuz dɛn mɛrɛsin ya fɔs. sכmtεm, we yu ridyus di bεlε asid kin ridyus di inflameshn na di εsophagus bak.
Aw dɛn kin du di tritmɛnt?
Tipikli, yu dɔktɔ go gi yu PPI wan tɛm insay di de fɔ lɛk 8 wiks. If yu sik nɔr bɛtɛ afta lɛk wan mɔnt, yu dɔktɔ kin inkrisayz di doz to tu tɛm insay di de.
Afta tu mɔnt, di dɔktɔ go chɛk yu sik dɛn bak. Sɔntɛnde, dɛn kin du ɔpa ɛndoskɔpi bak .
- Wetin na Ɔpa Ɛndoskopi?
Dis min se yu fɔ put wan tint tiub we kin chenj ɛn we gɛt smɔl kamɛra we dɛn tay tru yu mɔt ɛn chɛk di insay pat pan yu ɛsophagus (fud paip) ɛn yu bɛlɛ. Dis kin mek yu dɔktɔ si ɛksaktɔli aw yu εsophagus inflamed ɛn ɔmɔs eosinophils yu gɛt. dis tεst dεn de yuz fכ kכnfכm EoE bay we dεn tek s כm sכm sεmpl (bayopsi) εn egzamin am.
If yu sik dɔn bɛtɛ pasmak, yu dɔktɔ go tɛl yu fɔ kɔntinyu fɔ yuz di smɔl doz fɔ PPI we de kɔntrol yu sik dɛn.
2. Kɔtikosterɔyd - na pawaful mɛrɛsin we de kɔntrol inflamɛns
If PPI nɔ de wok ɔ if di sik rili bad, di dɔktɔ dɛn go nɛks tɔn to wan kayn mɛrɛsin we dɛn kɔl kɔtikosterɔyd. dis dεm de wok dayrekt fכ kכntrכl di inflameshn εn di eosinophil sεl dεm we de bכku na di εsophagus. Bɔrku pan di sik pipul dɛm kin ansa dis tritmɛnt fayn fayn wan.
Dɛn stɛroyd ya, pas fɔ gi dɛn as pils we de afɛkt di wan ol bɔdi, naw dɛn de gi dɛn di we aw dɛn de it tide we de afɛkt di ɛsophagus nɔmɔ. Fɔ ɛgzampul:
- Swallowed Inhaled Steroid: Wan inhala we dɛn kin yuz fɔ asma na fɔ sprɛy smɔl mɛrɛsin na di mɔt, miks am wit saliva ɛn swɛla am instead fɔ blo am insay.Dis min se dɛn kin inhal di mɛrɛsin dairekt insay di trot.
- Oral Disintegrating Tablet: Spɛshal kayn tablɛt dɛn de bak we dɛn mek fɔ put na di tɔŋ, sɔlv, miks wit saliva, ɛn swɛla.
Bikɔs ɔf dɛn we ya, di absɔpshɔn fɔ di mɛrɛsin to ɔda pat dɛn na di bɔdi kin rili smɔl. So, di sayd ɛfɛkt dɛm bak kin rili smɔl.
Tin dɛn we yu rili nid fɔ mɛmba
Fɔ liv wit EoE kin tranga sɔm tɛm, bɔt if yu de manej am fayn fayn wan, nɔrbɔdi nɔr de fɔ liv nɔrmal layf.
- Tɔk to yu dɔktɔ ɔltɛm: Tɔk to yu dɔktɔ opin wan bɔt ɛni kwɛstyɔn we yu gɛt, wɔri bɔt mɛrɛsin, ɔ chenj pan di sayn dɛm.
- Nɔr stɔp fɔ tek yu mɛrɛsin: Nɔr stɔp fɔ tek yu mɛrɛsin wae yu nɔr go to yu dɔktɔ, bikɔs dis kin mek yu sik kam bak.
- I impɔtant fɔ peshɛnt: I kin tek sɔm tɛm fɔ fɛn di rayt mɛrɛsin ɛn di doz fɔ yu, so peshɛnt wit di tritmɛnt we yu de gi yu.
- Tek tɛm wit di tin dɛn we yu de it: If yu dɔktɔ tɛl yu fɔ stɔp fɔ it sɔm it dɛn, fala dɛn instrɔkshɔn dɛn de kɔrɛkt wan. Na wan rili impɔtant pat pan tritmɛnt.
EoE nɔto sɔntin fɔ fred, bɔt na kɔndishɔn we dɛn fɔ rili manej ɔnda mɛdikal advays. If yu gɛt di rayt tritmɛnt ɛn chenj yu layf, yu kin kɔntrol dis sik fayn fayn wan ɛn gɛt wɛlbɔdi.
Mɛsej we dɛn kin kɛr go na os
- Eosinophilic Esophagitis (EoE) na wan inflammatory kondishכn na di εsophagus we de kכz fכ alerji.
- I nɔ kin izi fɔ swɛla, di chɛst kin pen, ɛn di it we kin stik na di men sayn dɛn. Dis kin afɛkt di we aw pikin dɛn de gro mɔ.
- Pan ɔl we dɛn nɔ kin ebul fɔ mɛn am ɔl, dɛn kin kɔntrol am fayn fayn wan wit mɛrɛsin dɛn lɛk Proton Pump Inhibitors (PPIs) ɛn Corticosteroids.
- Apat frɔm di mɛrɛsin, fɔ fala di it we di dɔktɔ tɛl yu fɔ it rili impɔtant fɔ mek di tritmɛnt go bifo.
- If yu ɔ yu pikin gɛt dɛn sik ya, mek shɔ se yu go to dɔktɔ we sabi du di wok fɔ advays yu.
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