Yu fil se yu it de stɔp na yu trot instead fɔ go dɔŋ yu trot? Ɔ bɔku tɛm yu chɛst kin bɔn, yu kin fil pen, ɛn yu nɔ kin want fɔ it? Bɔrku pipul kin tink se dɛn sik ya na kɔmɔn gas prɔblɛm (gastritis), bɔt sɔmtɛm ɔda rizin kin de biɛn dis. Tide wi go tɔk bɔt wan sik we nɔ tu nyu, bɔt naw i dɔn kɔmɔn mɔ ɛn mɔ. Dat na Eosinophilic Esophagitis we gɛt di sik.
Fɔ tɔk am simpul wan, wetin na Eosinophilic Esophagitis?
Dis nem kin tan lɛk se i lɔng smɔl ɛn i kɔmplikt, bɔt lɛ wi kip am simpul.
di tכb we de kכri it frכm wi mכt to wi bεlε dεn kכl am di εsophagus . I tan lɛk wata paip. di "eosinophilic" pat kכmכt frכm wan kayn wayt bכdi sεl na wi bכdi we dεn kכl "eosinophils." "Esophagitis" na inflameshn na di εsophagus, we min se i de swel כ injuri.
So, fɔ tɔk am simpul wan, Eosinophilic Esophagitis (EoE) na we wan kayn wayt blɔd sɛl we dɛn kɔl eosinophils kin gɛda bɔku bɔku wan na wi esophagus, we kin mek inflamɛns insay da tiub de. Dis tan lɛk alɛji we kin apin na wi skin, bɔt dis kin apin insay di bɔdi, insay di it paip.
As tɛm de go, dis inflamɛns kin mek fayn fayn ska tisu dɛn fɔm insay di εsophagus, ɛn di tiub kin smɔl smɔl. Tink bɔt am lɛk wata paip we de klos wit rɔst. Wetin kin apin da tɛm de? We yu swɛla wan mɔt fɔ it, i nɔ kin go dɔŋ izi wan. Yu kin fil lɛk se di it dɔn stɔp, ɔ yu kin fil lɛk se i de go dɔŋ smɔl smɔl.
Dis na sik wae de teik lɔng tɛm, wae nɔr de mɛn . Naw, no mɛrɛsin nɔ de fɔ am. Bɔt bɔku tritmɛnt dɛn de we go ɛp yu fɔ kɔntrol di sik dɛn, fɔ ridyus di inflamɛns, ɛn ɛp yu fɔ liv nɔmal layf.
Wetin na di sayn dɛm fɔ dis sik?
Di sayn dɛm kin difrɛn smɔl fɔ yu ej. Di sayn dɛm nɔ kin bɔku pan yɔŋ pikin dɛm lɛk aw i kin bi pan big pipul dɛm.
| Grup we dɛn ol | Di kɔmɔn sayn dɛm |
|---|---|
| Smɔl pikin dɛn ɛn pikin dɛn we de smɔl |
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| Pikin dɛn ɛn big pipul dɛn we dɔn big |
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Apat frɔm dɛn men sayn ya, pipul dɛm wae gɛt ɛni ej kin gɛt dɛn sik ya bak:
- Bɛlɛ pen: Pen na di bɛlɛ eria.
- Nɔs ɛn vɔmit: Fɔ fil sik ɛn vɔmit afta yu dɔn it.
- Rigurgitation: Na di it we yu swɛla ɔ di wata we de na yu bɛlɛ de kam bak na di trot ɔ yu mɔt.
- Fɔd impak: Dis na mɛdikal imejensi . Wan pat pan it kin stɔp na wan pat we smɔl na di εsophagus, ɛn dis kin mek i nɔ izi fɔ blo. If na so i bi, i impɔtant fɔ go na ɔspitul in imejensi rum (ETU) wantɛm wantɛm. Sɔntɛnde, dis blɔk kin mek di εsophagus bɔs.
Sɔm pipul nɔr kin gɛt dis sik ɔltɛm. Dɛn kin go fɔ sɔm tɛm ɛn afta dat dɛn kin kam bak.
Wetin mek dis kin apin? Wetin na di rizin dɛn?
Pan ɔl we dɛn nɔ no yet di rayt rizin, dɛn biliv se na bikɔs wi imyun sistɛm nɔ de wok fayn. Wi imyun sistɛm kin mistek no se sɔntin we nɔmal fɔ du bad, lɛk it we wi de it, na ɛnimi.
we dεn nכ no dis fayn, dεn kin sεnd bכku sεl dεm we dεn kכl eosinophils to di εsophagus fכ ansa. Dɛn sɛl ya kin gɛda de ɛn mek di inflamɛns we wi bin dɔn tɔk bɔt.
Us it dɛn kin mek dis sik pas ɔlman?
Bɔrku tɛm, na di it dɛm wae wi de it kin kam wit dɛn alɛji ya. Di it dɛm wae kin gɛt dis sik na:
- Milk ɛn tin dɛn we dɛn mek wit milk (Dairy) .
- Eg
- Wit
- Soya
- Sifud/shɛlfish
- Pinat ɛn ɔda nɛt (Pinat, tik nɛt) .
Udat de pan denja fɔ gɛt dis sik?
Wi kin kɔl tin dɛm wae de inkrisayz de risk fɔ gɛt wan sik risk factors. Bɔrku pipul dɛm wae gɛt EoE kin gɛt wan ɔr mɔr pan dɛn ɔda alɛrgik kɔndishɔn ya bak.
- Asma we gɛt asma
- Kɔl we kin kam ɔltɛm (Allergic rhinitis) .
- Ekzema ɛn rash (Ekzima / Atɔpik dɛmatitis) .
- Ɔda tin dɛn we kin mek pɔsin alɛji fɔ it
Dɔn bak, if sɔmbɔdi na yu famili, mɔ yu brɔda ɛn sista ɔ yu mama ɔ papa gɛt dis sik, yu kin gɛt dis sik smɔl.
Aw dɔktɔ kin no bɔt dis?
We yu tɛl yu dɔktɔ bɔt yu sik, i go aks yu sɔm kwɛstyɔn dɛn.
- Di we aw yu de it: Bɔrku pipul dɛn nɔr no se dɛn kin ajɔst to dɛn sik ya. Fɔ ɛgzampul, we dɛn de it, dɛn kin it dɛn it fayn fayn wan ɛn swɛla am wit bɔku wata. Sɔm pipul dɛn nɔ kin it tin dɛn we at fɔ swɛla, lɛk bred ɛn mit. Yu dɔktɔ go aks yu bɔt dɛn tin ya.
- Yu ɛn yu famili in mɛdikal istri: Aks if yu ɔ ɛnibɔdi na yu famili gɛt alɛji, lɛk asma ɔ ɛkzema.
Afta dis infɔmeshɔn, if di dɔktɔ sɔspɛkt se yu gɛt EoE, i go rifer yu to gastroenterologist , we go du sɔm tɛst fɔ kɔnfirm di diagnosis.
1. εndoskopi (EGD): dis na fכ put wan tin, fleksibul tכb wit sכmכl kεmεra na di εnd tru di mכt fכ egzamin di εsophagus, bεlε, εn di biginin fכ di sכmכl intestin. Dis kin mek di dɔktɔ ebul fɔ chɛk insay di εsophagus wit in yay fɔ si if i gɛt inflamɛns, swel, wayt spat, ɛn fɔ smɔl.
2. Bayopsi: We dɛn de du di ɛndoskopi, di dɔktɔ kin tek smɔl smɔl tisu frɔm di wɔl na di εsophagus. Dis nɔ de mek pɔsin fil pen. afta dat dεn de egzamin di sεmpl כnda maykroskכp fכ si if abnכmal hכy nכmba dεm fכ di eosinofil dεm de. dis bayopsi na di onli we fכ difinitivli no di Eosinophilic Esophagitis.
Wetin na di tritmɛnt dɛm fɔ dis?
di men gol fכ tritmεnt na fכ kכntrכl di inflameshn na di εsophagus. Tu men we dɛn de fɔ du dis. Sɔntɛnde, dɛn kin yuz dɛn tu we ya togɛda. Yu kin disayd us we go fayn fɔ yu bay we yu tɔk to yu dɔktɔ.
1. Tritmɛnt wit mɛrɛsin
Dɛn kin yuz dɛn mɛrɛsin ya fɔ ridyus di inflamɛns:
- Proton Pump Inhibitors (PPI): Dis na mεdikeshכn dεm we dεn kin gi fכ gastritis, bכt dεn kin ridyus di inflameshn we EoE kin mek bak.
- Kכtikostεroyd: Dis na stεroyd dεm we dεn swεla we dεn kin put insay di εsophagus. Dɛn kin wok dairekt na di say we di inflamɛns de ɛn dɛn kin ridyus di swɛlin.
- Bayolojikal ejen dɛn:Dɛn kin yuz vaysin dɛn bak fɔ dis wok, lɛk di Dupilumab (Dupixent® we dɛn jɔs dɔn mek. Dɛn tin ya kin afɛkt di alɛji prɔses dairekt wan ɛn kɔntrol di sik.
2. Di Tɛrapi we pɔsin kin it
Dis min se yu fɔ pul di it dɛn we yu tink se yu go gɛt alɛji to smɔl smɔl.
- Di it we dɛn kin it: Di 6 men it grup dɛn we kin mek pɔsin gɛt alɛji, dat na milk, eg, flawa, soya, sifud, ɛn nɛt, dɛn ɔl kin kɔmɔt na di it wan tɛm.
- Dɔn di dɔktɔ go du ɔda ɛndoskopi insay sɔm tɛm fɔ si if di inflamɛns dɔn stɔp.
- We di inflamɛns dɔn stɔp, dɛn kin put di it grup dɛn we dɛn dɔn pul bak insay di it wan bay wan, fɔ sɔm wiks.
- afta dεn ad εvri it grup, dεn de du εndoskopi εn bayopsi bak fכ si if di inflameshn dכn kam bak. Dis we ya, yu kin no uskayn it we yu nɔ lɛk.
Dis prɔses kin tek sɔm tɛm ɛn i nid fɔ dedikeshɔn. Bɔt we yu dɔn no di rayt it we yu nɔ lɛk, yu kin pul da it de kɔmɔt na yu it fɔ yu layf ɛn kɔntrol di sik we yu nɔ tek mɛrɛsin.
Aw yu de liv wit dis sityueshɔn?
Bikɔs Eosinophilic Esophagitis na wan sik we nɔ de mɛn, sɔm tɛm dɛn kin tranga fɔ liv wit am. Bɔt if dɛn trit am fayn, i kin lɛf smɔl fɔ lɛ dɛn kɔntrol di sayn dɛn we de sho se i sik.
Bɔt mɔ fɔ pɔsin we dɔn gɛt it we dɔn stɔp na in trot, dɛn kin fred fɔ swɛla it bak (phagophobia). Dɛn kin fred fɔ it bɔku bɔku it dɛn na dɛn mɔt, ɔ fɔ it tin dɛn lɛk bred. Dɛn advays ya go ɛp yu insay tɛm dɛn lɛk dis.
- Gɛt ɛp frɔm pɔsin we sabi bɔt it: Wan pɔsin we sabi bɔt it kin ɛp yu fɔ mek fayn it we gɛt fayn fayn it dɛn we yu de yuz it dɛn we nɔto alɛrjens.
- Sik mɛntɛl hεlth sɔpɔt: I rili impɔtant fɔ go to ɛp frɔm saykayatrist ɔr sayɛnsman fɔ mek yu nɔr frayd fɔ swɛla, ɛn bak fɔ kɔntrol de strɛs wae kin kam wit dis sik wae nɔr de dɔn.
- Tɔk to pipul dɛm wae dɔn gɛt dis kayn sik: Aks yu dɔktɔ bɔt sɔpɔt grup dɛm wae yu kin tɔk to ɔda pipul dɛm wae gɛt dis sik. Na big trɛnk fɔ no se nɔto yu wangren de.
Di tin we impɔtant pas ɔl na fɔ fala yu dɔktɔ in instrɔkshɔn dɛn gud gud wan ɛn go na klinik dɛn di rayt tɛm.
Mɛsej we dɛn kin kɛr go na os
- Eosinophilic Esophagitis (EoE) na wan alɛji inflamɛns na di εsophagus.
- I nɔ kin izi fɔ swɛla, di chɛst kin pen, ɛn di it we kin stɔp na di trot na di men sayn dɛm.
- Dɛn kin no dis sik fayn fayn wan tru ɛndoskopi ɛn bayɔpsi.
- Di tritmɛnt na fɔ tek mɛrɛsin ɔ fɔ pul di it dɛn we gɛt alɛrji na di it.
- Dis nɔto sik we de mek yu layf de pan denja, ɛn if yu gɛt di rayt tritmɛnt ɛn manej yu, yu kin liv nɔmal layf.
- If yu gɛt dɛn sik ya, yu go mɔs go to dɔktɔ.
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