Yu kin it fayn, bɔt yu kin fil lɛk se yu bɔdi nɔ de gɛt di rayt tin fɔ it? Yu kin gɛt bɛlɛ pen ɔltɛm, yu kin fil ful, ɔ yu kin lɔs yu wet fɔ natin? Tide wi go tɔk bɔt wan mɛrɛsin we de biɛn ɔl dɛn tin ya, bɔt we bɔku pipul dɛn nɔ no bɔt. Dɛn kɔl dis EPI, we tinap fɔ Exocrine Pancreatic Insufficiency. Pan ɔl we di nem kin tan lɛk se i kɔmplikt, lɛ wi kip am simpul.
Fɔ tɔk am simpul wan, wetin na EPI?
Imajin se insay yu bɛlɛ, biɛn yu bɛlɛ, wan smɔl ɔgan de we dɛn kɔl pankrias . I tan lɛk smɔl faktri na wi bɔdi. Dis faktri de mek spɛshal kemikal dɛn, we dɛn kɔl dijestiv ɛnzaym, we de ɛp wi fɔ dayjɛst di it we wi de it.
Enzym dɛn tan lɛk smɔl wokman dɛn we de brok it. Dɛn wok na fɔ sheb di tin dɛn we de insay di it we wi de it to smɔl smɔl tin dɛn we wi bɔdi go tek.
Naw, na dis kin apin to pɔsin we gɛt EPI:
Yu pankrias, dat enzym faktri, nɔ de wok fayn. dat min se i nכ de mek inof εnzym dεm (dεn wokman dεm) fכ daygεst it. כ, di εnzym dεm we i de mek nכ de wok fayn. Wetin kin apin da tɛm de? Di it we wi de it nɔ de digest fayn, di valyu tin dɛn we de insay de nɔ de tek di bɔdi, ɛn i jɔs de kɔmɔt na di bɔdi.
Fɔ tɔk am simpul wan, EPI na wan kɔndishɔn we yu pankrias nɔ de mek inof ɛnzaym fɔ dayjɛst di it we yu de it fayn fayn wan, we min se yu bɔdi nɔ de gɛt di nyutriɛnt dɛn we i nid.
tri men kayn εnzym dεm de we wi pankrias de mek:
- Amylase: Dis na di tin we de daygεst di kabohaydret dεm we wi de it (lεk bred εn rays).
- Lipase: Na dis de digest di fat (oil, butter, etc.) we wi de it.
- Protease and Elastase: dεn kin yuz dεn tin ya fכ digεst di protin dεm we wi de it (lεk mit, fish, eg).
insay EPI, di εnzym laypas we de daygεst fεt, de ridyus bכku bכku wan.
Wetin mek EPI kin apin? Lɛ wi luk di rizin dɛn.
Di tin dɛn we kin mek pɔsin gɛt EPI kin difrɛn fɔ big pipul ɛn pikin dɛn.
Di tin dɛn we kin mek pɔsin gɛt EPI pan big pipul dɛn
Di men tin we kin mek pɔsin gɛt EPI pan big pipul dɛn na pankriaytis we nɔ de mɛn . Fɔ tɔk am simpul wan, dis na we di pankrias kin inflam ɛn swel fɔ lɔng tɛm. Tink bɔt am lɛk wund we de kɔntinyu fɔ bɔn. As tɛm de go, di sɛl dɛn na di pankrias we de mek ɛnzaym dɛn kin pwɛl smɔl smɔl. Na lɛk et pan tɛn big pipul dɛm wae gɛt dis sik go gɛt EPI.
Apat frɔm dat, bɔku ɔda rizin dɛn de.
| Rizin | Wan simpul ɛksplen |
|---|---|
| Siliak Sik we pɔsin kin gɛt | Di we aw di bɔdi de biev we i gɛt gluten we de insay wit flawa. |
| Shuga | Ɛspɛshali if pɔsin gɛt dayabitis fɔ lɔng tɛm ɛn we pɔsin nɔ ebul fɔ kɔntrol, i kin pwɛl di pankrias. |
| Inflammatory bowel disease (IBD) we de mek pɔsin in bɔdi wam. | Fɔ lɔng tɛm inflammatory conditions na di intestines, lɛk Crohn’s disease. |
| Pankrias Kansa | Pankrias disfכnkshכn biכs fכ di kεnsar sεl dεm. |
| Ɔpreshɔn we dɛn kin du na di bɛlɛ | Ɔpreshɔn fɔ bɛlɛ ɔ intestinal, inklud ɔpreshɔn fɔ lɛ yu nɔ gɛt bɔku bɔku bɔdi. |
Di tin dɛn we kin mek pikin dɛn gɛt EPI
di men tin we kin mek EPI de pan yכŋ pikin dεm εn bebi dεm na wan kכndyushכn we dεn kכl sistik fibrosis . Dis na sik we pɔsin kin gɛt frɔm in mama ɛn papa to pikin dɛn. Dis sik kin mek di bɔdi mek tumɔs tik, stika mכkus. dis mכkus kin bכku na di lכng dεm, we de mek i at fכ brith, εn i kin blכk di dakt dεm na di pankrias bak, we de blכk di εnzym dεm we di pankrias de mek fכ pas to di intestines.
wan ɔda jεnεtik kכndyushכn we dεn kכl Shwachman-Diamond Syndrome (SDS) na in bak de mek EPI pan pikin dεm.
Wetin na di sayn dɛm fɔ EPI?
Pɔsin we gɛt EPI kin afɛkt mɔ pan di fat we de na in it.Nɔ digest fayn. Dis kin mek bɔku prɔblɛm dɛn we nɔ kin fayn ɛn we kin mek pɔsin gɛt prɔblɛm wit di dijestiv sistɛm.
| Di kɔmɔn sayn dɛm | |
|---|---|
| Bɛlɛ de pen, blo, ɛn flatulɛns | Dɛn diskɔmfɔt ya kin kam bikɔs di it we dɛn nɔ dayjɛst de fɛmɛnt na di intestinal. |
| Banbɛlɛ | Sɔm pipul dɛn kin gɛt kɔnstipɛshɔn. |
| Rɔnbɛlɛ | Bɔku pipul dɛn kin gɛt dayarɛa. |
| Stul dɛn we gɛt fat | Dis na wan rili spɛshal sayn fɔ EPI. Di stɔl kin shayn, i gɛt ɔyl, i kin flɔt insay wata, ɛn i kin smɛl bad bad wan . |
| We yu de lɔs yu wet we yu nɔ gɛt rizin | We yu de lɔs yu wet bikɔs di bɔdi nɔ de tek di tin dɛn we de mek yu bɔdi fayn. Sɔntɛm yɔŋ pikin dɛnsɛf nɔ kin gro fayn. |
Aw dɔktɔ kin no se i gɛt EPI?
Bikɔs dɛn sayn ya tan lɛk ɔda prɔblɛm dɛn na yu bɛlɛ, na yu dɔktɔ nɔmɔ go no fɔ tru if yu gɛt EPI. If yu gɛt ɔda sik we de afɛkt di pankrias (lɛk dayabitis), yu dɔktɔ kin sɔprayz se EPI.
Dɛn kin du wan ɔ mɔ pan dɛn tɛst ya fɔ no if pɔsin gɛt di sik:
- Fecal Elastase Test (FE-1): dis de tεst wan sεmpl fכ yu stכl fכ si if yu gεt wan εnzym we dεn kכl elastase, we de εp fכ digεst di protin dεm. If i smɔl, yu kin gɛt EPI.
- Fεkal Fat Tεst:Dis de mekɔp ɔmɔs fat de na di stɔl. Tumɔs fat min se di bɔdi nɔ de tek am.
- Secretin Pancreatic Function Test: Dis na tɛst we kɔmplikt smɔl. insay dis tεst, dεn de gi wan כmon we dεn kכl ‘secretin’ insay di bכdi tru wan vein na di an. dis כmon de ‘signal’ di pankrias fכ prodyuz εnzym dεm. afta dat, di dכkta de kכlekt di wata frכm di pankrias bay we i de yuz wan mεtכd lεk εndoskopi εn chεk fכ di εnzym dεm.
Apat frɔm dat, dɛn kin du tɛst lɛk CT skan ɔ ɔltra saund skan fɔ chɛk if ɛni prɔblɛm de wit di pankrias.
Wetin na di kɔmplikɛshɔn dɛm we EPI kin gɛt?
di men risk fכ EPI na di nyutrishכnal malabsכpshכn . Dis min se di bɔdi nɔ ebul fɔ tek di valyu tin dɛn we de insay it lɛk fat, prɔtin, ɛn kabɔhaydrɛt. Dɛn tin ya impɔtant fɔ mek wi bɔdi gi wi trɛnk ɛn fɔ mek di ɔgan dɛn wok fayn fayn wan.
We yu kɔntinyu fɔ go witout it lɛk dis, yu bɔdi kin wik. Wi kɔl dat malnutrishɔn .
| Di sayn dɛn we de sho se pɔsin nɔ de it fayn | |
|---|---|
| Dray skin, nel dɛn we kin brok, ɛn ia we kin lɔs | |
| Pwɛl at | |
| Swel na di bɔdi tisu dɛn (Edima) . | |
| Taya pasmak ɔ diziz | |
| Fɔ fil kol ɔltɛm | |
| Fɔ nɔ rɛst, fɔ vɛks kwik | |
| I nɔ kin izi fɔ mɛmba ɛn pe atɛnshɔn pan sɔntin | |
| Mɔsul dɛn we de west | |
Wetin na di tritmɛnt dɛm fɔ EPI?
EPI na wan sik we pɔsin kin gɛt fɔ ɔl in layf. Dis min se i nɔ go ebul fɔ wɛl ɔl. Bɔt if yu gɛt di rayt tritmɛnt, yu kin kɔntrol am fayn fayn wan ɛn yu kin liv nɔmal layf. Di men gol fɔ tritmɛnt na fɔ gi yu bɔdi di tin dɛn we i nid.
- Pankrias Ɛnzym Riplesmɛnt Tɛrapi (PERT): Dis na di men tritmɛnt. Fɔ tɔk am simpul wan, na pil (kapsul) we de gi yu di ɛnzaym dɛn we yu bɔdi nɔ de mek. Yu kin tek dis pil wit ɛvri it ɛn snek . Di ɛnzaym dɛn we de insay di pil de ɛp yu fɔ dayjɛst di it we yu de it.
- Di it we gɛt bɔku kalori ɛn we gɛt bɔku fat: I impɔtant fɔ gɛt inof kalori ɛn fat frɔm it. Dis nid fɔ bi bikɔs fat de ɛp di bɔdi fɔ tek di tin dɛn we de insay di bɔdi. I kin fayn fɔ aks fɔ advays frɔm pɔsin we sabi bɔt it fɔ dis.
- Vitamin: Pipul dɛn we gɛt EPI nɔ go ebul fɔ tek inof vaytamɛn dɛn we de sɔlv fat, lɛk vaytamɛn A, D, E, ɛn K. So, if yu nid dɛn vaytamɛn ya, yu dɔktɔ go gi yu dɛn as mɛrɛsin.
Di tin we impɔtant pas ɔl na fɔ manej di ɔndalayn mɛdikal kɔndishɔn (e.g., Chronic Pancreatitis) we mek EPI fayn fayn wan.
Yu tink se we de fɔ mek dis tin nɔ apin?
Dɛn nɔ kin ebul fɔ avɔyd di sik dɛn we de mek pɔsin gɛt EPI (lɛk Sistik Faybrosis). Bɔt di risk fɔ gɛt Chronic Pancreatitis, we na di kɔmɔn tin we kin mek big pipul dɛn gɛt, kin ridyus.
Smok ɛn drink rɔm kin rili strɛs fɔ di pankrias. dis tin dεm de mek di risk fכ inflameshn na di pankrias (pankrias) εn divεlכp EPI. So, fɔ avɔyd fɔ smok ɛn drink rɔm ɔltogɛda rili impɔtant fɔ di pankrias wɛlbɔdi.
Ustɛm fɔ go to yu dɔktɔ
If yu gɛt wan ɔ mɔ pan dɛn sayn ya, go to yu dɔktɔ kwik kwik wan.
| Go to dɔktɔ wantɛm wantɛm: | |
|---|---|
| • SMƆL TƆK: If yu fil se yu taya pasmak ɔ yu gɛt diziz | |
| • If di stɔl gɛt ɔyl ɛn i de smɛl | |
| • If yu gɛt sayn dɛn we de sho se yu nɔ de it fayn (lɛk we yu skin dray, yu ia de lɔs) . | |
| • If yu de lɔs yu wet fɔ no rizin | |
I go rili ɛp yu fɔ aks dɛn kwɛstyɔn ya we yu go to yu dɔktɔ:
- Wetin kin mek a gɛt EPI?
- Us tritmɛnt we bɛtɛ fɔ mi?
- Us chenj dɛn a fɔ mek na di it we a de it?
- A fɔ tek vaytamɛn dɛn?
- Us kɔmplikɛshɔn dɛn a fɔ wɔri bɔt?
Fɔ liv wit EPI kin tranga, bɔt mɛmba se if yu gɛt di rayt tritmɛnt ɛn chenj yu layf, yu kin liv wɛl bɔdi layf.
Mɛsej we dɛn kin kɛr go na os
- EPI na wan kכndyushכn we di pankrias nכ de prodyuz inof dijestiv εnzym dεm, we de mek di bכdi in ebul fכ abzכp di nyutriεnt dεm.
- di men εn spεshal simptom na di pas we di stɔl we gɛt ɔyl, we de smɛl fayn, we gɛt wata.
- Di men tritmɛnt na PERT (Pancreatic Enzyme Replacement Therapy). Dis fɔ tek wit ɛvri it.
- Nɔ ignore di sayn dɛm lɛk fɔ lɔs yu wet we yu nɔr ɛksplen ɔ fɔ blo. Si yu dɔktɔ wantɛm wantɛm.
- Fɔ mek di pankrias kɔntinyu fɔ gɛt wɛlbɔdi, nɔ smok ɛn drink rɔm kpatakpata.
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