Yu kin fil lɛk se yu trot dɔn blok wantɛm wantɛm we yu de it? Ɔ yu gɛt bɔn na yu chɛst we nɔ de go ilɛksɛf yu tek bɔku mɛrɛsin? Yu kin tink se dis na kɔmɔn gastritis prɔblɛm. Bɔt if yu gɛt dɛn sik ya, nɔ jɔs ignore am. Bikɔs dis kin bi sayn fɔ ɔda wɛl bɔdi prɔblɛm wae wi nɔr kin yɛri bɔrku bɔt, bɔt wi fɔ wɔri bɔt smɔl. Tide wi de tɔk bɔt wan pan dɛn kayn sik ya, we na Eosinophilic Esophagitis (EoE).
Wetin na Eosinophilic Esophagitis (EoE)?
Okay, dis nem kin soun likli komplikayt, bot mek wi kip am simpul.
Fɔ tɔk am simpul wan, Eosinophilic Esophagitis (EoE) na alɛji we kin kam bikɔs ɔf di imyun sistɛm riakshɔn. I kin afɛkt mɔ di εsophagus , we na di mɔsul tyub we de kɛr it frɔm di mɔt to di bɛlɛ.
Naw, luk, eosinophils na wan kayn wayt blɔd sɛl we de na wi blɔd. Dɛn sɛl ya kin bɔku na wi bɔdi we wi gɛt alɛji ɔ parasayt infɛkshɔn . insay EoE, bכku nכmba pan dεn eosinophil sεl dεm, fכ sכm rizin, de kכmכt insay di tisu dεm na wi εsophagus. We dɛn gɛda, di insay pat pan di εsophagus kin swel, rɛd, ɛn i kin bigin fɔ pwɛl. Dis swel de mek di εsophagus stɔp fɔ wok fayn fayn wan. Na dat mek i nɔ kin izi fɔ wi fɔ swɛla it, ɛn it kin stɔp.
Di impɔtant tin na dat EoE nɔto sɔntin we de kam ɛn go. Na wan sik we nɔ de mɛn , we kin de fɔ lɔng tɛm. Yu kin si am pan pikin ɛn big pipul, mɔ pan man dɛn.
Wetin na di men sayn dɛm fɔ EoE?
Pɔsin wae gɛt EoE kin gɛt difrɛn kayn sayn dɛm. Sɔm pan de sayn dɛm kin rili fiba di wan dɛm wae gɛt fɔ du wit nɔmal gastritis, na dat mek pipul dɛm kin kɔnfyus am. Lɛ wi tek wan luk pan di men sayn dɛm.
| Di sayn we de sho se di sik de | Wan simpul ɛksplen |
|---|---|
| I nɔ kin izi fɔ swɛla (Dysphagia) . | Fɔ fil lɛk se it dɔn stɔp na yu trot instead fɔ go dɔŋ we yu de it. I kin tan lɛk se di εsophagus dɔn smɔl. |
| Di Impekshɔn we Fɔd De Du | Dis na mɛdikal imejensi . Wan pat pan it kin stɔp ɔlsay na di εsophagus, we kin mek i nɔ pɔsibul fɔ swɛla ivin wan drop pan saliva. If dis apin, yu fɔ go na di ɔspitul in Imejɛnsi Tritmɛnt Yunit (ETU) wantɛm wantɛm. |
| Chɛst pen ɔ inflamɛns | Jɔs lɛk aw yu kin gɛt gastritis, yu kin bɔn ɔ pen na di midul pat na di chɛst. Bɔt di spɛshal tin na dat dis pen nɔ de go dɔŋ ivin afta yu tek mɛrɛsin lɛk antasid, we dɛn kin gi fɔ gastritis. |
| Vɔmit ɛn bɛlɛ pen | Dis sayn kin apin mɔ pan yɔŋ pikin dɛn. I kin mek i nɔ want fɔ it, i kin mek i fil pen na in bɛlɛ, ɛn i kin mek i vɔmit. |
Wetin mek EoE kin apin? Wetin na di tin dɛn we kin mek i apin?
Bikɔs EoE na nyu mɛdikal kɔndishɔn, dɛn nɔ no yet 100% bɔt di tin dɛn we kin mek i gɛt am. Bɔt sɔm impɔtant tin dɛn de we di wan dɛn we de stɔdi bɔt dis biliv se na:
- di imyun sistεm rεspכns: di we aw pipul dεn aksept naw na dat wi imyun sistεm de riak pasmak pan sכm tin dεm (especially it dεm). spεshal wan, wi bכdi de mistek fכ sכm it dεm (e.g., milk, eg , soya, wit) כ tin dεm na di envayroment (e.g., pכlεn, dכst mit, mכld) as "εnεmi" εn i de sεnd eosinofil dεm insay di bכdi fכ fכt dεm.
- Jɛnɛtiks: Dis sik kin te fɔ rɔn na famili. Dis min se if pɔsin na yu famili gɛt EoE, asma, ɔ alɛji, lɛk ɛkzema, yu kin gɛt smɔl risk fɔ gɛt EoE.
EoE na? Ɔ GERD? Wetin mek yu fɔ kɔnfyus di tu pipul dɛn?
Dis na di big prɔblɛm fɔ bɔku pipul dɛn. Di sayn dɛm fɔ EoE rili fiba wetin wi ɔl no as GERD (Gastroesophageal Reflux Disease) , we na wan kɔndishɔn we di bɛlɛ asid kin kam ɔp na di trot. Bikɔs ɔf dis, bɔku pipul dɛm wae gɛt EoE kin go pan GERD tritmɛnt fɔ lɔng tɛm ɛn nɔr kin bɛtɛ.
Lɛ wi si wetin na di men difrɛns bitwin dɛn tu.
| Point fɔ kɔmpia | Eosinofilik Ɛsofagɛt (EoE) . | GERD (Gɛstrik Riflɔks) . |
|---|---|---|
| Di rut we de mek pɔsin gɛt dis sik | Wan alɛji rispɔns fɔ di imyun sistɛm. | Asid na di bɛlɛ we de kam ɔp di εsophagus. |
| Inflameshɔn na di chɛst | Yu kin si am bɔku tɛm. | Wan men tin we dɛn kin du. |
| Rispɔns to antisid dɛn | Bɔku tɛm , nɔbɔdi nɔ kin ansa ɔ dɛn kin ansa smɔl. | Bɔku tɛm, dɛn kin kɔntrol am fayn fayn wan . |
| Fɔd pɔyzin | I kin rili kɔmɔn ɛn i kin tranga. | Rili low. |
| Ɔda alɛji dɛn | Na klia link de wit tin dɛm lɛk asma, ɛkzema, ɛn hay fiva. | Bɔku tɛm, no dairekt kɔnekshɔn nɔ de . |
Aw ɛksaktɔli di dɔktɔ kin fɛn dis?
If yu gɛt di sayn dɛm we a bin dɔn tɔk bɔt, mɔ if yu nɔ fil fri we yu tek mɛrɛsin fɔ gastritis, yu fɔ rili go to yu dɔktɔ ɛn tɛl am bɔt am. Afta yu dɔn lisin to yu sik dɛn fayn fayn wan, i go se yu fɔ du tɛst fɔ no if dis na EoE.
di men tεst dεm we dεn kin du fכ dis na εndoskopi εn bayopsi .
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 εsophagus ɛn yu bɛlɛ. Nɔ wɔri, dɛn kin gi yu sɔm anestezi fɔ dis, so yu nɔ go fil ɛni prɔblɛm.
We dɛn de du di ɛndoskopi, di dɔktɔ go tek wan smɔl sampul pan di tisu (bayopsi) frɔm di εsophagus ɛn sɛn am na di lab. di onli we fכ bi 100% sכri se yu gεt EoE na fכ luk fכ abnכmal hכy nכmba dεm fכ di eosinofil dεm na di tisu.
Mɛsej we dɛn kin kɛr go na os
- Nɔ ɛva ɔndastand di sayn dɛm lɛk fɔ at fɔ swɛla, fɔ it we de stɔp na yu trot, ɔ fɔ pen na yu chɛst we nɔ de ansa di mɛrɛsin.
- EoE nכ de kכz fכ bכdi asid, na alerjik rεspכns fכ di imyun sistεm.
- Yu sik kin tan lɛk GERD, bɔt de kɔz ɛn tritmɛnt difrɛn atɔl.
- Fɔ no gud gud wan wetin na di sik, i impɔtant fɔ go to dɔktɔ ɛn if nid de, dɛn fɔ du ɛndoskopi ɛn bayɔpsi.
- Bifo yu fɔ mɛn yusɛf, tɔk to yu dɔktɔ opin wan bɔt di sayn dɛn we yu gɛt. Fɔ no di sik kɔrɛkt wan na di fɔs tin we yu fɔ du fɔ mek yu gɛt di tritmɛnt fayn fayn wan.
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