Bɔku tɛm yu kin fil ful afta yu dɔn it, yu bɛlɛ kin pen, ɛn yu kin gɛt dɔti smel ɛn ɔyl stɔl? Yu kin de lɔs yu wet bak fɔ natin. Dɛn tin ya nɔto sayn dɛn we wi fɔ ignore. Tide wi de tɔk bɔt wan sik we dɛn kɔl Exocrine Pancreatic Insufficiency, ɔ EPI fɔ shɔt, we kin mek dɛn gɛt dɛn sik ya.
Fɔ tɔk am simpul wan, wetin na EPI?
Okay, mek wi put am dis we. Wi gɛt wan ɔgan we dɛn kɔl pankrias na wi bɛlɛ. Di men wok we i de du na fɔ mek ɛnzaym dɛn , we na wan spɛshal kayn kemikal we de ɛp wi fɔ dayjɛst di it we wi de it. Dɛn ɛnzaym ya kin go insay wi smɔl intestinal ɛn brok di it we wi de it, mɔ di ɔyl ɛn fat, so dat wi bɔdi go ebul fɔ tek dɛn.
naw, wetin kin apin to pכsin we gεt EPI na dat di pankrias nכ de prodyuz inof εnzym dεm. Wetin kin apin da tɛm de? Fɔd nɔ de digest fayn. di bכdi nכ de tek di nyutriεnt dεm we i nid, spεshal fεt εn fεt-sכlubul vaytam in dεm (lεk vaytam in A, D, E, εn K). Dis kin mek yu gɛt prɔblɛm lɛk we yu bɛlɛ kin at ɛn we yu de lɔs yu wet.
Bɔt nɔ wɔri. Naw, rili gud tritmɛnt dɛn de fɔ dis. If yu gɛt di rayt tritmɛnt, yu kin liv nɔmal layf bak.
Wetin na di tin dɛn we kin mek pɔsin gɛt EPI?
di men tin we de mek EPI na sɔm kayn damej pan di pankrias. Dis kin gɛt bɔku tin dɛn we kin mek i apin.
- Pankrias we kin gɛt bɔku tɛm: Dɔktɔ dɛn kin kɔl dis pankriaytis we nɔ de mɛn . wetin de apin ya na di εnzym dεm we dεn prodyuz na di pankrias de bigin fכ wok insay di pankrias bifo dεn rich di sכmכl intestin. Dis kin pwɛl di pankrias insɛf. Dis risk kin bɔrku pan pipul dɛm wae de drink bɔrku rɔm. כlso, tin dεm lεk di hεy bכdi fεt lεvεl (Triglycerides) εn wik imyun sistεm kin afekt dis bak.
- Ɔpreshɔn: Sɔntɛnde, dis sik kin kam we dɛn du ɔpreshɔn pan di pankrias, bɛlɛ, ɔ intestinal.
- Sik dɛm we pɔsin kin gɛt we i bɔn: Sɔm sik dɛm we pɔsin kin gɛt frɔm in mama ɛn papa kin mek pɔsin gɛt EPI bak.
- Sistik Faybrosis: Pipul wae gɛt dis sik kin mek tik tik mכkus na dεn bɔdi. dis mכkus de blכk di pankrεas dakt dεm, we de mek di εnzym dεm nכ de kכmכt.
- Shwachman-Diamond Syndrome: Dis na sik bak we pɔsin kin gɛt we i kam pan jɛnɛtiks. insay dis kכndishכn, di sεl dεm we de prodyuz εnzym dεm na di pankrias de lכs.
- Ɔda sik dɛm: Sɔm pipul dɛm kin gɛt EPI bak bikɔs ɔf ɔda sik dɛm na di dijestiv sistɛm, lɛk Kron sik ɛn Siliak sik.
Aw yu go no if yu gɛt EPI? Wetin na di sayn dɛm we de sho se yu gɛt dis sik?
We di fɔs tɛm, i nɔ kin gɛt ɛni sayn, bɔt as di pankrias de pwɛl ɛn di ebul we i ebul fɔ tek fat de go dɔŋ, di sayn dɛn kin bigin fɔ sho smɔl smɔl.
Di tin we impɔtant pas ɔl na fɔ go to dɔktɔ jɔs lɛk aw yu notis dɛn sik ya, pas fɔ tink se, "Na jɔs bɛlɛ we de at."
Di tebul dɔŋ ya de sho di sayn dɛm wae kin kam pan pɔrsin.
| Tayp fɔ di simptom | Tɔk bɔt |
|---|---|
| Di simptom dɛm fɔ di dijestiv sistɛm |
|
| Di sayn dɛm wae kin kam wae yu nɔr gɛt bɛtɛ vaytamɛn |
Aw di dɔktɔ kin no dis sik klia wan?
We yu go to dɔktɔ, i go aks yu bɔt di sik dɛn we yu gɛt ɛn afta dat i go ɔda fɔ du bɔku tɛst fɔ no if yu gɛt di sik.
Kwɛstyɔn dɛn we yu fɔ aks di dɔktɔ
- Yu gɛt pen na yu bɛlɛ we de ɔp?
- Yu tink se di stɔl gɛt bad smel ɔ i gɛt ɔyl? Yu tink se i at fɔ was am?
- Yu gɛt dayarɛa ɔ yu gɛt blo?
- Yu dɔn lɔs yu wet dis biɛn tɛm?
Test dɛn we dɛn kin advays
Difrɛn kayn tɛst dɛn de fɔ dis.
| Test tayp | Wetin dis tɛst de du? |
|---|---|
| Tɛst fɔ Blɔd | i de chεk di bכdi in vaytam in lεvεl dεm εn if di pankrεas de prodyuz εnzym dεm. I kin chɛk bak fɔ ɔda tin dɛn we kin mek i sik, lɛk di sik we dɛn kɔl celiac disease. |
| Stɔl Tɛst dɛn | 3 de fεkal tεst de mכsu aw bכku fεt de insay di stכl. fεkal εlastaz-1 tεst de chεk bak fכ di lεvεl dεm fכ wan imכtant εnzym we di pankrias de prodyuz. |
| Tɛst dɛn we dɛn kin yuz fɔ tek pikchɔ | Dɛn tin ya kin ɛp fɔ si if di pankrias dɔn inflam.
|
Wetin na di tritmɛnt dɛn?
Di men ɛn di bɛst tritmɛnt fɔ EPI na Pankrias Ɛnzaym Riplesmɛnt Tɛrapi (PERT) . Fɔ tɔk am simpul wan, na fɔ tek pils fɔ tek di ples fɔ di ɛnzaym dɛn we yu pankrias nɔ de mek.
- Aw fɔ tek PERT tablɛt: Dɛn tablɛt ya fɔ tek we yu de it . if yu tek am bifo yu it, di enzym dεm go dכn kכmכt na di bεlε bifo di it rich am. If dɛn tek am afta yu it, di ɛnzaym dɛn go dɔn kam tu let afta di it dɔn bigin fɔ dayjɛst. So, yu fɔ tek dɛn tablɛt ya wit di men it dɛn ɛn snek dɛn .
- Mεdikeshכn dεm we de rεdכks bεlε asid: sכmtεm, hεvi bεlε asid kin pwεl dεn εnzym pil dεm ya bifo dεn wok. Fɔ stɔp dis, yu dɔktɔ kin gi yu mɛrɛsin lɛk `Proton pump inhibitors` (e.g. omeprazole) ɔ `H2 blockers` (e.g. famotidine).
- Di tin dɛn we dɛn kin yuz fɔ mɛn pen:If pen de, yu kin tek wan jenɛral pen kil lɛk Paracetamol pan yu dɔktɔ in advays. If di pen bad bad wan, dɛn kin gi yu mɛrɛsin dɛn we strɔng pas am. Bɔt dɛn kayn mɛrɛsin ya kin mek pɔsin gɛt adikshɔn, so dɛn fɔ tek tɛm pasmak ɛn ɔnda dɔktɔ advays.
apat frכm dat, i rili imכtant bak fכ trit di כndalayn sik (e.g. Krכnik Pankriaytis, Sistik Faybrosis) we mek di EPI kכndishכn.
Aw yu go tek kia ɔf yusɛf?
Apat frɔm mɛrɛsin, yu layf ɛn it abit impɔtant bak fɔ kɔntrol dis sik.
- It sɔm smɔl smɔl it dɛn: Bifo yu it tri big it dɛn ɛvride, it smɔl smɔl it dɛn lɛk siks tɛm so insay di de. Dis go mek am izi fɔ digest.
- Nɔ drink rɔm ɛn smok: Rɔk kin mek i nɔ izi fɔ mek di bɔdi tek fat ɛn i kin pwɛl di pankrias bak. Smok kin ambɔg di pankrias bak.
- Tek vaytamɛn: Bikɔs di bɔdi nɔ de tek dɛn fayn, yu go gɛt fɔ tek vaytamɛn A, D, E, ɛn K na do. Fɔ dis, yu dɔktɔ go gi yu di rayt vaytamɛn ɛn di doz.
- Aks advays frɔm pɔsin we sabi bɔt it: I rili impɔtant fɔ aks fɔ advays frɔm pɔsin we sabi bɔt it fɔ pripia it we gɛt fayn fayn tin dɛn we go fayn fɔ yu.
EPI nɔto kɔndishɔn fɔ wɔri bɔt. If yu gɛt di rayt tritmɛnt ɛn layf, yu go mɔs ebul fɔ kɔntrol am ɛn liv nɔmal layf. Di tin we impɔtant pas ɔl na fɔ kɔntinyu fɔ tɔk to yu dɔktɔ ɛn fala wetin i tɛl yu fɔ du.
Mɛsej we dɛn kin kɛr go na os
- EPI na wan dijestiv dizכrd we de apin we di pankrias nכ de prodyuz inof εnzym dεm.
- Bɛlɛ pen, ɔyl stɔl, dayarɛa, ɛn we yu de lɔs in wet na di men sayn dɛm. Nɔ ignore dɛn tin ya.
- Dɛn kin no di sik kɔrɛkt wan bay we dɛn de du blɔd, stɔl, ɛn skan tɛst.
- Dɛn kin trit dis sik fayn fayn wan wit ɛnzaym pils we dɛn kɔl PERT.
- I rili impɔtant fɔ avɔyd fɔ drink rɔm ɛn smok kpatakpata ɛn fɔ it tin dɛn we go mek yu nɔ gɛt bɛtɛ it.
- If ɛni prɔblɛm kam, tɔk to yu dɔktɔ instead fɔ disayd fɔ yusɛf.
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