Yu tink se gastritis na di rial tin we kin mek yu bɛlɛ inflamɛns? Lɛ wi tɔk bɔt Ɛlikobaktɔ paylɔri (H. pylori)!

Bɔku pan wi gɛt prɔblɛm wit dis bɛlɛ inflamɛns, we dɛn kɔl gastritis. Fɔ sɔm pipul dɛn, i dɔn bi pat pan dɛn layf. Dɛn de tek sɔm mɛrɛsin ɔltɛm ɛn kɔntrol di tin dɛn we dɛn de it. Bɔt yu dɔn ɛva tink se di tin we kin mek dis apin na smɔl bɔdi we de na yu bɛlɛ? Yɛs, na dat wi go tɔk bɔt tide. Di nem fɔ dis baktri na Helicobacter pylori, ɔ H. pylori fɔ shɔt.

Fɔ tɔk am simpul wan, udat na dis H. pylori?

H. pylori na wan kayn baktri we de liv na yu bɛlɛ, ɔr bɛlɛ layn. Infakt, na di krεse sik wae de kam pan pɔrsin wae gɛt bɔrku bɔrku bɔrku sik na di wɔl. Jɔs tink bɔt dat, i pas af pan di pipul dɛn na di wɔl we gɛt dis bɔdi na dɛn bɛlɛ! Bɔt di wɔndaful tin na dat, nɔto dɛn ɔl kin sik.

Bɔrku tɛm, wi kin gɛt dis H. pylori infεkshɔn we wi yɔŋ. Pikin dɛn we de na say dɛn we pipul dɛn kin bɔku ɛn we nɔ gɛt klin, kin de pan denja mɔ. Bɔt nɔr wɔri, bɔrku pipul dɛn gɛt dis baktri na dɛn bɔdi wae nɔr de kɔz ɛni bad tin.

Wetin kin rili apin if yu gɛt di sik wit H. pylori?

Yu kin de wɔnda aw dis baktri kin ebul fɔ bia wit di harsh bɛlɛ asid dɛn we de na wi bɛlɛ. di H. pylori baktri dεm gεt spεshal abiliti fכ du dis. i de mek εnzym dεm we kin mek di asid we de rawnd am nכtralayz. I tan lɛk se yu de bil shild we de protɛkt am rawnd insɛf.

We dɛn protɛkt dis baktri dis kayn we, i kin go insay yu bɛlɛ layn smɔl smɔl. We yu rich de, i kin mek di bɛlɛ inflamɛns ɔ swela fɔ lɔng tɛm. Dis kin mek wi gɛt tri men prɔblɛm dɛn:

1. Pɛptik Ɔlsa: Dis na di kayn we we dɛn kin gɛt mɔ. na wan pen we de fכm na di insay wכl na di bεlε כ di biginin fכ di sכmכl intestכn (duodenum). Dis na wetin wi kin kɔl ‘bɛlɛ ɔlsa’.

2. Gastritis: Dis de tכk bכt inflameshn na di insay layn na di bεlε. Fɔ tɔk am simpul wan, na di insay pat na di bɛlɛ we de rɛd ɛn swel.

3. Bɛlɛ Kansa: Nɔ mek yu fred wit dis. Fɔ gɛt H. pylori infɛkshɔn na jɔs wan risk factor fɔ gɛt bɛlɛ kansa. Dat min se nɔto ɔlman we gɛt H. pylori go gɛt kansa. Infakt, bɔrku pipul dɛm wae gɛt H. pylori nɔr kin ɛva gɛt kansa.

Wetin na di sayn dɛm fɔ H. pylori infɛkshɔn?

As wi bin dɔn tɔk, bɔrku pipul dɛm wae gɛt H. pylori, mɔr pikin dɛm, nɔr kin sho ɛni sayn. Na smɔl pipul dɛn nɔmɔ kin gɛt dis sik. If dɛn du dat, bɔku tɛm na di gastritis ɔ bɛlɛ ɔlsa we wi bin dɔn tɔk bɔt.

Di men sayn na di bɛlɛ pen.Wan pen we de bɔn ɔ we pɔsin de chuk pɔsin. Bɔrku tɛm dis pen kin kam sɔm awa afta yu dɔn it ɛn na nɛt. De pen kin te frɔm sɔm minit to sɔm awa. De pen kin kam ɛn go fɔ sɔm dez ɔr wik.

Yu kin si us ɔda sayn dɛm wae gɛt fɔ du wit dis infɛkshɔn na di tebul wae de dɔŋ ya.

H. pylori de mek chenj na di stɔl?

Dis na kwɛstyɔn we rili impɔtant. Bɔrku pipul dɛm wae gɛt H. pylori gɛt nɔrmal stɔl. Dis na bikɔs, lɛk aw wi bin dɔn tɔk, bɔku pipul dɛn nɔ kin gɛt ɛni sayn.

Fɔ ɛgzampul, if yu stɔl dak blak, lɛk tar , i kin min se yu de blɔd bikɔs ɔf ɔlsa na yu ɔpa dijestiv trakt, we sɔntɛm na H. pylori mek am. If yu stכl rεd, i kin bi sayn fכ blɔd na yu lכw dijestiv trakt.

If yu notis blak, tarry stɔl lɛk dis, nɔ ignore am. Na imejensi. Yu fɔ go to dɔktɔ wantɛm wantɛm. Ɔ, go na di Imejɛnsi Dipatmɛnt (ETU) na di ɔspitul we de nia yu. Di dɔktɔ go no di tin we mek i apin ɛn gi am di tritmɛnt we i nid.

Aw dɛn kin pas H. pylori?

Yɛs, i kin skata frɔm wan pɔsin to ɔda pɔsin. Di H. pylori baktri dɛm de na di saliva, vɔmit, stɔl, ɛn tit plek fɔ pɔsin we gɛt di sik. So tu men we dɛn de we i kin skata:

• Klos kɔntakt: Yu kin gɛt di infekshɔn bay we yu sheb tin dɛn fɔ it, drink glas, ɔ kɔntakt wit pɔsin we gɛt di sik in vɔmit ɔ stɔl. Di baktri kin pas to ɔda pɔsin bay we yu yuz pɔsin in an we nɔ de was in an fayn fayn wan wit sop afta i dɔn go na di bafa.
• Fɔd ɔ wata we gɛt dɔti: Na say dɛn we nɔ fayn, dis bɔdi kin go insay wi bɔdi tru wata ɔ it we dɛn nɔ klin fayn.

Aw dɔktɔ kin no H. pylori?

If yu dɔktɔ saspek dis afta i dɔn lisin to yu sayn dɛm, i go tɛl yu fɔ du bɔku tɛst fɔ no if yu gɛt di sik.

• Breath Test: Dis min se yu fɔ gi yu spɛshal wata fɔ drink, dɔn yu fɔ tɛst yu briz. If yu gɛt H. pylori baktri, dɛn kin no wan spɛshal kemikal na yu briz afta yu dɔn drink di wata.
• Stɔl Tɛst: Dɛn kin tek wan sɛmpul pan yu stɔl ɛn tɛst am fɔ antijen dɛn we gɛt fɔ du wit di H. pylori baktri dɛm.
• Blɔd Tɛst: Dis de tɛst yu blɔd fɔ di antibodi dɛm we yu bɔdi dɔn mek agens H. pylori. Bɔt i nɔ kin izi fɔ no fɔ tru if di infɛkshɔn de wok naw ɔ i dɔn de fɔ lɔng tɛm.
• Ɔpa Ɛndoskopi: Insay dis tɛst, dɛn kin put wan smɔl tiub we gɛt kamɛra tru yu mɔt ɛn luk dairekt insay yu bɛlɛ. Dis kin si klia wan if ɛni ɔlsa ɔ inflamɛns de. i kin tek sכm sכm tisu (bayopsi) bak frכm wan εria we dεn saspek εn tεst am fכ kכnfכm 100% if H. pylori de.

Wetin na di tritmɛnt dɛm fɔ H. pylori?

Fɔs, if yu gɛt H. pylori infɛkshɔn bɔt nɔr gɛt ɛni sayn, bɔrku tɛm yu nɔr go nid tritmɛnt. Bɔt if yu gɛt sɔm sayn dɛn, yu dɔktɔ go tɛl yu fɔ gi yu tritmɛnt.

Bɔku tɛm, di tritmɛnt kin tek lɛk 14 dez ɛn dɛn kin tek sɔm mɛrɛsin dɛn togɛda.

• Antibayɔtik: Dɛn kin gi dɛn tin ya fɔ kil baktri dɛm. Bɔku tɛm, dɛn kin gi tu difrɛn kayn antibayɔtik dɛn di sem tɛm. fכ egzampl, dכg dεm lεk `(Amoxicillin)`, `(Clarithromycin)`, `(Metronidazole)`.
• Proton Pump Inhibitor (PPI): Dis na wan kayn mɛrɛsin we de ridyus di asid we yu bɛlɛ de mek. Ɛgzampul dɛn na `(Omeprazole)`, `(Lansoprazole)`, `(Esomeprazole)`. We di asid dɔn ridyus, di bɛlɛ ɔlsa kin wɛl ɛn antibayɔtik kin wok fayn.
• Bismuth subsalicylate: Sɔntɛnde yu dɔktɔ kin miks dis mɛrɛsin wit ɔda mɛrɛsin dɛn. Dis de gi protɛkshɔn fɔ di bɛlɛ layn.

Dɔn bak, if yu gɛt H. pylori infɛkshɔn, nɔ tek pen kil we de insay di kategori fɔ ``NSAID'' (e.g., Ibuprofen, Diclofenac) we yu nɔ go to yu dɔktɔ, bikɔs dɛn mɛrɛsin ya kin mek yu gɛt ɔlsa na yu bɛlɛ.

If yu gɛt H. pylori, us it dɛn bad fɔ yu?

We yu gɛt H. pylori, sɔm it dɛn kin mek yu bɛlɛ at ɛn yu nɔ kin fil fayn. Pan ɔl we dɛn nɔ kin afɛkt ɔlman di sem we, i fayn fɔ tek tɛm smɔl bɔt dɛn it ya.

Aw yu go avɔyd dis?

Sɔm simpul tin dɛn de we yu kin du fɔ ridyus yu risk fɔ gɛt H. pylori.

• Drink klin wata, mɔ na say dɛn we gɛt dɔti wata. Yuz klin wata fɔ kuk.
• Wash yu an dɛn fayn fayn wan. Bifo yu it ɛn afta yu dɔn yuz di bafa, mek shɔ se yu was yu an fayn fayn wan wit sop ɛn wata fɔ at le 20 sɛkɔn. Dis abit kin ɛp fɔ protɛkt yu frɔm H. pylori nɔmɔ, bɔt i kin ɛp fɔ protɛkt yu frɔm bɔku ɔda sik dɛn bak.