Yu tink se i nɔ kin izi fɔ swɛla it? Yu tink se na Eosinophilic Esophagitis (EoE)?

We yu de it, i nɔ kin izi fɔ yu fɔ swɛla it, ɔ yu kin fil lɛk se i dɔn stɔp na yu trot? Ɔ yu gɛt bɔn ɔ pen na yu chɛst? Bɔrku pipul kin tink se dis na gastritis, bɔt sɔmtɛm, de tin wae kin mek dis kin bi difrɛn, wae gɛt fɔ du wit alɛji. Bikɔs ɔf dis sik, sɔm pipul dɛn kin ivin fil lɛk se dɛn nɔ want fɔ it. Tide wi de tɔk bɔt dis kayn sik, bɔt nɔto bɔku pipul dɛn dɔn yɛri bɔt am, we dɛn kɔl Eosinophilic Esophagitis.

Fɔ tɔk am simpul wan, wetin na Eosinophilic Esophagitis (EoE)?

Pan ɔl we dis nem kin tan lɛk se i kɔmplikt smɔl, di stori rili simpul. Mek wi brok dis nem.

• di εsophagus na di tכb we de kכri it frכm wi mכt to wi bεlε. Wi kin kɔl dis na Sinhala as gullet.
• Eosinophils na wan kayn wayt blɔd sɛl na wi bɔdi. Dɛn kin bɔku na wi bɔdi we wi gɛt alɛji.
• Di sɔfix -itis min "inflammation" ɔ "swelling."

Fɔ tɔk am simpul wan, Eosinophilic Esophagitis (EoE) na alɛji we de mek wayt blɔd sɛl dɛn we dɛn kɔl eosinophils gɛda na wi εsophagus, we kin mek di εsophagus swel. Tink bɔt am lɛk ɛkzema, usay di skin kin rɛd, swel, ɛn it, bɔt di sem tin kin apin insay di εsophagus.

if dis swel de kכntinyu, ska tisu de fכm insay di εsophagus, we de mek di pasej fכ it sכmtεm sכmtεm. Dis na we yu bigin fɔ gɛt prɔblɛm fɔ swɛla ɛn fil lɛk se yu it dɔn stɔp. Di it we yu de it nɔ kin pas izi wan frɔm yu mɔt to yu bɛlɛ, ɛn i kin fil se i stɔp. Dis na wan sik we nɔ de mɛn . Dis min se i nɔ go bɛtɛ wan nɛt, ɛn yu go gɛt fɔ tek tritmɛnt fɔ di res ɔf yu layf. Bɔt nɔ wɔri, gud tritmɛnt dɛn de we kin ɛp fɔ kɔntrol am.

Wetin na di sayn dɛm fɔ EoE? Dɛn kin chenj wit di ej?

Yɛs, de sayn dɛm fɔ dis sik kin difrɛn difrɛn wan bay di ej wae i de apun. Nɔto di sayn dɛm we kin apin to smɔl pikin, bɔt na pan big pɔsin. Lɛ wi luk dis fɔ mek wi ɔndastand dis klia wan.

Apat frɔm dɛn men sayn ya, sɔm ɔda sayn dɛn de we kin apin pan ɛni ej:

• Bɛlɛ we de at: Pen na di bɛlɛ eria.
• Nɔs ɛn vɔmit: Nɔs ɛn vɔmit afta yu dɔn it.
• Rigurgitation: Na di it we yu swɛla go bak na yu trot ɔ yu mɔt.
• Fɔd Impakshɔn: Dis na mɛdikal imejensi . Wan it we dɛn de it kin stɔp na wan say we smɔl na di εsophagus, i nɔ kin muf dɔŋ di trot ɔ i nɔ kin kam bak ɔp. If na so i bi, i kin izi fɔ mek di εsophageal brok, so i impɔtant fɔ go na ɔspitul in imejensi rum (ETU) wantɛm wantɛm.

Wetin mek wi gɛt dis? Wetin na di rizin?

Fɔ tɔk am simpul wan, di men rizin fɔ dis na bikɔs wi imyun sistɛm de riak pasmak to sɔm alɛrjens dɛn. Fɔ tɔk di kɔrɛkt tin, we sɔm tin dɛn we de insay di it we wi de it, ɔ tin dɛn we de na di say we wi de liv lɛk dɔst, go insay wi aywe, wi bɔdi kin tink se dis na big ɛnimi.

afta dat, di imyun sistεm de sεnd bכku sεl dεm, inklud di eosinophils, insay di εsophagus fכ atak di ‘εnεmi.’ Dɛn sɛl ya kin gɛda ɛn mek inflamɛns ɔ swel insay di εsophagus.

Men it dεm we kin trigεr EoE

Bɔku tɛm, na di it dɛn we wi de it kin mek wi gɛt dɛn alɛji ya. Pan dɛn wan ya, sɔm men pipul dɛn de we dɛn tink se dɛn de tink.

Bɔrku pipul nɔr kin gɛt ɔl dɛn prɔblɛm ya. Sɔntɛm wan ɔ tu pan dɛn tin ya go mek yu gɛt prɔblɛm. Wi go si aw fɔ no klia wan we wi de tɔk bɔt tritmɛnt.

Udat de pan ay risk fɔ gɛt EoE?

Pan ɔl we ɛnibɔdi kin gɛt dis sik, sɔm pipul dɛn kin gɛt dis sik mɔ. Na mɔtalman, pipul dɛm wae gɛt ɔda alɛji sik kin gɛt bɔrku risk fɔ gɛt EoE.

• Asma we gɛt asma
• Alɛji raynayt - we yu nɔs de rɔn bɔku tɛm, we yu de sniz
• Sik dɛn we kin kam pan pɔsin in skin (Eczema, Atopic dermatitis) .
• Ɔda tin dɛn we kin mek pɔsin alɛji fɔ it

If yu gɛt dɛn kayn tin ya, dat min se yu imyun sistɛm kin jɔs fil fɔ di tin dɛn we kin mek yu gɛt alɛrjens. Dɔn bak, if pɔsin na yu famili (mama ɛn papa, brɔda ɛn sista) gɛt EoE, yu gɛt smɔl risk fɔ gɛt am bak.

Aw yu go no fɔ tru if yu gɛt dis sik?

If yu gɛt di sik dɛn we wi bin dɔn tɔk bɔt, di fɔs tin we yu fɔ du na fɔ go to dɔktɔ we sabi du di wok. Di dɔktɔ go aks yu sɔm kwɛstyɔn dɛn fɔs ɛn luk yu mɛdikal istri.

Tin dɛn we yu kin aks yu dɔktɔ:

• Di we aw yu de it: Yu de it yu it fayn fayn wan fɔ mek i izi fɔ swɛla? Yu avɔyd sɔm it dɛn lɛk bred ɛn mit? Yu de drink bɔku wata fɔ ɛp yu fɔ swɛla yu it? Dɛn tin ya kin mek yu dɔktɔ no aw yu de bia wit yu sik dɛn we yu nɔ no.
• Yu ɔda mɛrɛsin dɛn: Aks if yu gɛt asma, alɛji fɔ dɔst, ɔ sik dɛn na yu skin.
• Yu famili mɛdikal histri: Aks if ɛnibɔdi na yu famili gɛt di sem kayn prɔblɛm fɔ swɛla ɔ EoE.

Bay dis infɔmeshɔn, if yu dɔktɔ sɔspɛkt EoE, i go rifer yu to gastroenterologist, we go du tu men tɛst fɔ kɔnfirm di diagnosis.

1. Ɛndoskopi ɔ EGD:Dis min se yu fɔ put wan tint tiub we kin chenj ɛn we gɛt kamɛra na di ɛnd tru yu mɔt fɔ chɛk yu εsophagus, bɛlɛ, ɛn di fɔs pat pan yu smɔl intestinal. Dɛn go gi yu mɛrɛsin we nɔ de mek yu fil pen we dɛn de du dis. Di dɔktɔ kin si tin dɛn lɛk fɔ swel, wayt spat, ɛn fɔ smɔl insay yu ɛsophagus tru di kamɛra.

2. Bayopsi: We dɛn de du di ɛndoskopi, di dɔktɔ kin tek smɔl sampul pan di tisu frɔm di layn na di εsophagus. Dɛn kɔl dis bayɔpsi. afta dat dεn de egzamin di tisu כnda maykroskכp fכ si if di nכmba dεm we nכ de fכ di eosinofil dεm we nכ nכmal. Dis bayɔpsi impɔtant fɔ kɔnfɔm EoE.

Wetin na di tritmɛnt dɛm fɔ EoE?

di men gol fכ trit EoE na fכ kכntrכl di inflameshn na di εsophagus. Tu men we dɛn de fɔ du dis: fɔ tek mɛrɛsin ɛn fɔ chenj di tin dɛn we yu de it. Yu ɛn yu dɔktɔ go disayd togɛda us we fɔ du am bɛtɛ fɔ yu.

Tritmɛnt wit mɛrɛsin

Dɛn mɛrɛsin ya kin ɛp fɔ ridyus di swɛlin na di trot.

• Proton Pump Inhibitors (PPI): Dis na wan kayn mɛrɛsin we dɛn kin gi fɔ gastritis. Dɛn kin ɛp bak fɔ ridyus di swɛlin na di εsophagus insay sɔm EoE pasɛnt dɛn.
• Kɔtikosterɔyd: Dɛn wan ya na pawaful mɛrɛsin dɛn we de ridyus di inflamɛns. Dɛn kin gi dɛn as sɔlv we dɛn kin put pan pɔsin (as sprɛy ɔ tablɛt). Dɛn mɛrɛsin ya kin wok dairekt na di trot, so dɛn nɔ kin gɛt bɛtɛ sayd ɛfɛkt.
• Bayolojikal ejen: Fɔ sɔm pipul dɛn, we ɔda tritmɛnt nɔ de wok, dɛn kin gi dɛn patikyula mɛrɛsin, lɛk dupilumab (Dupixent®), as injɛkshɔn. dis dεm de tכk εn kכntrכl di spεsifi k pat pan di imyun sistεm we de mek di alarjik riakshכn.

Chenj di it we yu de it (Food Group Elimination) .

Dis na tritmɛnt bak we rili fayn. I involv fɔ pul di 6 men it grup dɛm we wi bin dɔn tɔk bɔt fɔs we kin mek yu gɛt alɛji (milk, eg, wit, soya, nɛt, sifud) kɔmɔt na yu it.

1. Fɔs, stɔp fɔ it ɔl dɛn it grup ya fɔ sɔm tɛm.

2. Afta dat, di dכkta go du כda εndoskopi εn bayopsi fכ si if di swel na di εsophagus dכn dכn.

3. If di blo we yu de blo dɔn go dɔŋ, dat min se wan ɔ mɔ pan dɛn it ya na in de mek yu gɛt prɔblɛm.

4. Dɔn, ad di it grup dɛn we yu dɔn pul bak to yu it, wan bay wan, fɔ sɔm wiks.

5. Afta dɛn ad ɛni it grup, dɛn kin du bayɔpsi bak fɔ si if di swɛlin dɔn kam bak.

Pan ɔl we dis we fɔ du tin kin tan lɛk se i kin tek bɔku tɛm ɛn i kin tranga, na di bɛst we fɔ no ustɛm yu nɔ kin it. We yu dɔn no dat, yu kin avɔyd jɔs dɛn it dɛn de ɛn it ɔl ɔda tin dɛn nɔmal wan.

Yu tink se fɔ liv wit EoE na prɔblɛm?

EoE nɔto sik we de mek pɔsin in layf de pan denja, bɔt bikɔs i nɔ de mɛn, i nid fɔ gɛt tritmɛnt fɔ ɔl in layf ɔ fɔ mɛn di it.

Fɔ bɔrku pipul, de sik kin dɔn ɔlmost afta dɛn dɔn bigin fɔ trit am. Bɔt sɔm pipul dɛn, mɔ di wan dɛn we dɔn gɛt bad bad ɛkspiriɛns wit it impak, kin gɛt fred fɔ swɛla (phagophobia) . Dɛn kin fil fɔ fred ɛn wɔri fɔ it bɔku bɔku it dɛn lɛk bred.

Sɔm tin dɛn de we go ɛp yu pan tɛm lɛk dis:

• Kɔnekt wit ɔda pipul dɛm: Fɔ tɔk to ɔda pipul dɛm wae no bɔt dis sik ɛn gɛt am kin ɛp yu bad bad wan. I go ɛp yu fɔ fil lɛk se nɔto yu wangren de. Yu kin aks yu dɔktɔ bɔt sɔpɔt grup dɛn.
• Gɛt ɛp frɔm pɔsin we sabi bɔt it: Pɔsin we sabi bɔt it kin ɛp yu fɔ mek fayn it wit it dɛn we fayn fɔ yu ɛn we nɔ gɛt ɛnitin we go ambɔg yu.
• Gɛt mɛntɛl hεlth sɔpɔt: If tin lεk fɔ frayd fɔ swɛla de afɛkt yu layf, i impɔtant fɔ tɔk to mɛntɛl hεlth pɔrsin bɔt am.

If yu gɛt di sik bak afta yu dɔn trit yu, ɔ if yu gɛt nyu prɔblɛm fɔ swɛla, go to yu dɔktɔ wantɛm wantɛm.