Yu kin gɛt at bɔn bak bɔku tɛm? Mek wi tok abaut dis (Heartburn)!

Yu dɔn ɛva fil se yu de bɔn na yu chɛst midul? I kin tan lɛk se yu de bɔn na yu chɛst? Bɔrku pipul kin kɔl am "at bɔn," bɔt i nɔr rili bi at prɔblɛm. na di asid we de na yu bɛlɛ de kam ɔp insay yu it paip (ɛsophagus). Dis it paip de rɔn rayt tru yu chɛst, nia yu at. Na dat mek sɔmtɛm dɛn kin mistek kɔl am at prɔblɛm. Fɔ sɔm pipul dɛn, na tin we kin apin wan wan tɛm, bɔt fɔ ɔda pipul dɛn, na prɔblɛm we kin apin ɔltɛm. If i kin apin ɔltɛm, i kin bi sayn fɔ wan sik we dɛn kɔl GERD (Gastroesophageal Reflux Disease). Lɛ wi tɔk mɔ bɔt dis, nɔto so?

Wetin rili na at-bɔn?

Fɔ tɔk am simpul wan, at bɔn na we di bɛlɛ asid de flɔ bak ɔp insay di εsophagus. wi bεlε gεt tik tik mכkus layn fכ protεkt am frכm dεn asid dεm ya. Bɔt wi εsophagus nɔ gɛt da kayn protɛkshɔn de. So, we di bεlε asid rich na di εsophagus, i de bכn di dilik tisu we de de, we de mek di bכdi inflameshn.

Bɔrku pipul dɛn dɔn gɛt at pwɛl sɔm tɛm na dɛn layf. Sɔntɛnde i kin apin afta yu it it we gɛt bɔku spays ɔ we gɛt ɔyl, ɔ we bɔku prɛshɔn de pan di bɛlɛ, lɛk we yu gɛt bɛlɛ. Bɔt if dis at bɔn kin apin bɔku tɛm, de afta de, i kin bi sayn fɔ wan sik we nɔ de mɛn we dɛn kɔl `GERD (Gastroesophageal Reflux Disease). Na kɔntri lɛk Amɛrika, dɛn kin se lɛk 20% pan pipul dɛn gɛt `GERD`.

Udat kin gɛt dis chɛst infɛkshɔn pas ɔlman?

Fɔ tru, ɛnibɔdi kin gɛt dis, bɔt fɔ sɔm pipul dɛn, di risk kin bɔku smɔl.

• Fɔ di wan dɛn we fat: Dat min se, di wan dɛn we gɛt bɔdi mas indeks (BMI) we pas 30.
• Fɔ di wan dɛn we gɛt bɔku bɔku bɔdi: If di `BMI` valyu pas 25.
• Pipul dɛn we de smok ɛn di wan dɛn we de smok sɛkɔnhand kin gɛt dis sik bak.

Aw pɔsin kin fil da tɛm de we pɔsin gɛt infεkshɔn na in chɛst?

Chɛst pen na, fɔ tɔk tru, bɔn we de kɔmɔt insay yu chɛst, lɛk asid riflɔks. Yu εsophagus de na di midul pan yu chεst. So dis pen kin bigin de. Bɔt sɔntɛnde dis pen kin go ɔlsay na yu chɛst, ivin te to yu trot. I kin kɔmɔt frɔm we yu de bɔn smɔl to we yu de fil bad bad wan.

Ustɛm yu kin fil dis pen pas ɔlman?

Sɔntɛm yusɛf go dɔn ɛkspiriɛns dis. Sɔntɛnde, yu kin fil mɔ pen na yu chɛst.

• We yu de ledɔm, mɔ if yu ledɔm kwik kwik wan afta yu dɔn it.
• We yu de bɛn fɔ go bifo.
• We yu it dina rili let.
• We yu de it it we gɛt ɔyl, sɔl, ɔ we gɛt spays.

Aw lɔng pɔsin we gɛt trot we de at kin las?

Dis kin las frɔm sɔm minit to sɔm awa.Bɔku tɛm, dis inflamɛns kin stɔp wans di las it we yu it dɔn kɔmɔt na yu bɛlɛ. Dis na bikɔs natin nɔ de fɔ kam bak ɔp insay di bɛlɛ. Dipen pan wetin yu it, i kin tek ɛnisay frɔm tu to fayv awa fɔ digest. I kin tek lɔng tɛm fɔ dayjɛst it dɛn we gɛt fat ɛn we gɛt ɔyl.

Us ɔda sayn dɛn kin kam wit di chɛst inflamɛns?

Sɔmtɛm i kin tranga fɔ no if yu gɛt angina ɔ ɔda kayn pen na yu chɛst. If yu nɔ shɔ bɔt di pen we yu de gɛt, i go fayn fɔ mek yu tɔk to dɔktɔ. I impɔtant bak fɔ luk fɔ ɔda sayn dɛm wae kin kam wit de pen. Dɛn ɔda sayn ya kin ɛp yu fɔ no difrɛns bitwin at atak ɛn ɔda sik na yu chɛst.

At bכn we asid rεfluks kin kam wit dεn simptom dεm ya:

• Fɔ pis bɔku tɛm.
• Wan sawt teys na di mɔt.
• Vɔmit.
• Fɔd de go insay di trot.

Sɔm pipul kin sho bak atypical symptoms lɛk:

• Bɛlɛ ful-ɔp, we de blo.
• Hiccups we pɔsin kin gɛt.
• Kɔf we de kɔntinyu fɔ kɔf.
• Inkris pan asma.
• Trot de at.
• Inflameshɔn na di larynx (`Laryngitis`).
• I nɔ izi fɔ swɛla ɔ yu fil se sɔntin dɔn stɔp na yu trot.
• Chɛst pen we nɔ de bikɔs ɔf at sik, lɛk `(Angina)`.

Wetin mek wi kin gɛt dis chɛst infɛkshɔn?

כltεm we i kin gεt wit wan kכndyushכn lεk GERD, at bכn kin apin we di bεlε jus dεm, dat na asid εn εnzym dεm, fכ fכlכ bak כp insay di εsophagus. As a bin dɔn tɔk, di bɛlɛ gɛt layn we de protɛkt am, bɔt di ɛsophagus nɔ gɛt am. usay wi εsophagus de kכnekt to di bεlε, wan valv de we dεn kכl di Lower Esophageal Sphincter (LES). I wok na fɔ stɔp di tin dɛn we de insay di bɛlɛ fɔ kam bak ɔp. Bɔt sɔm tɛm, if dis valv wik ɔ i nɔ lɔk fayn, di tin dɛn we de insay di bɛlɛ kin bigin fɔ kam ɔp.

Bɔku rizin dɛn de we mek di Lɔwa Ɛsophageal Sfincter kin wik ɔ rilaks tumɔs:

• Fɔ inhal sigrɛt smok (smok).
• εkstra prεshכn na di bεlε bikoz fכ tin dεm lεk di bכdi wet pasmak, we yu de wɛr tayt klos, εn bεlε.
• Wan kɔndishɔn we dɛn kɔl `Hiatal Hernia`. dis na we wan pat pan di bεlε de push כp tru di dayafragm.
• If yu it big it wan tɛm, i kin mek yu bɛlɛ strɛch ɛn mek di it de na di bɛlɛ fɔ lɔng tɛm.
• Indigestion ɛn gas. We gas bɔbul dɛn de travul go ɔp di GI trakt.
• Fɔ ledɔm tumɔs kwik afta yu dɔn it.
• Sɔm it dɛn: tin dɛn lɛk kɔfi, chɔklɛt, laym, mint, tomato sos.
• Sɔm mɛrɛsin dɛn: lɛk bɔn kɔntrol pils ɛn sɔm mɛrɛsin fɔ ay blɔd prɛshɔn.

Bɔrku tɛm, pas wan pan dɛn tin ya kin kam togɛda fɔ mek asid riflɔks ɛn at bɔn.

Wetin mek di chɛst infɛkshɔn kin apin wantɛm wantɛm we nɔ gɛt ɛni sayn bifo?

If yu nɔr bin dɔn gɛt bad bad pen na yu chɛst bifo ɛn i bigin wantɛm wantɛm, ɛn yu nɔr dɔn mek ɛni big chenj na yu it ɔr yu layf dis biɛn tɛm, i kin bi bikɔs ɔf ɔda rizin. Dɛn tin ya kin apin smɔl smɔl as tɛm de go.

• We wi de ol: As wi de ol, wi mɔsul dɛn de wik. Wan pan dɛn mɔsul dɛn de na di sfinktɔ we de dɔŋ di εsophageal.
• We yu de gɛt bɔku bɔku bɔdi: Bɔku pipul dɛn kin gɛt mɔ wet smɔl smɔl. Bɔt sayn dɛn we de sho se yu gɛt mɔ wet (lɛk we yu de blo) kin apin wantɛm wantɛm, wans dɛn dɔn krɔs wan patikyula mak.
• Mɛrɛsin: If yu jɔs bigin fɔ tek nyu mɛrɛsin ɔ chenj di mɛrɛsin, aks yu dɔktɔ if da mɛrɛsin de de mek yu gɛt mɔ asid.

Yu tink se at-bɔn kin kɔmɔt ɔltɛm frɔm di asid riflɔks we wi bin dɔn tɔk bɔt?

Bɔrku tɛm, at pwɛl na prɔblɛm wit di εsophagus. Di men tin we kin mek i apin na di asid we de tɔn bak. Bɔt sɔm ɔda tin dɛn de we kin mek pɔsin in at bɔn bak. Fɔ ɛgzampul:

• εsophageal ulcers: Ɔlsa na pen we de kam bikɔs di layn na di dijestiv trakt de rɔtin. εsophageal ulcers nכ kin kכmכn pas כlsa na di bεlε כ intestinal. We dɛn kin apin, bɔku tɛm na di asid we de kɔmɔt na di bɔdi kin kam bak. Bɔt nɔto di wangren tin we kin mek pɔsin gɛt asid bak. If yu yuz di mɛrɛsin dɛn we nɔ de stɛroyd (NSAID) lɛk aspirin ɛn ibuprofen pasmak, dat kin mek yu gɛt ɔlsa bak.
• Esophagitis: If di esophagus inflamed bad bad wan, yu kin fil se yu de bɔn. GERD, vayrɔs, fɛns infɛkshɔn, ɛn sɔm mɛrɛsin dɛn kin mek dis apin. Eosinophilic esophagitis, we na wan alɛji kɔndishɔn na di εsophagus, kin mek bak yu chɛst pen.
• Fכnshכnal at bכn/rεfluks haypasεnsitiviti: Dis na dizכrd dεm fכ di gכt-bren kכnεkshכn. Dat min se prɔblɛm de wit di we aw yu nervɔs sistɛm de sɛn signal frɔm yu dijestiv sistɛm to yu bren. Functional hatburn de fil jכs lεk rεgulεr hat bכn. Bɔt, tɛst nɔ de sho ɛni asid riflɔks, bɔn, ɔ iritashɔn. Riflɔks haypa sɛnsitiviti kin kam bikɔs tin dɛm wae nɔr gɛt asid kin kam na yu trot. Visceral hypersensitivity kin kכntribyut bak to dis inflameshn.

Dis infekshɔn na di chɛst siriɔs?

Pan ɔl we at-bɔn wan wan tɛm kin mek yu nɔ fil fayn, i nɔ kin mek yu gɛt bɔku prɔblɛm. Infakt, i nɔmal fɔ mek sɔm asid kam ɔp na yu trot, ɛn bɔku pipul dɛn nɔ kin ivin notis am. If yu du dat, i kin bi bikɔs yu εsophagus de gɛt mɔ asid pas aw i ebul fɔ bia. If i kin apin wan wan tɛm, i kin tan lɛk smɔl wund we kin wɛl kwik kwik wan. Bɔt if i kin apin ɔltɛm, di layn na yu εsophagus nɔ kin gɛt inof tɛm fɔ wɛl.

As di layn na di εsophagus de kɔntinyu fɔ inju, i kin mek i gɛt prɔblɛm dɛn we go de fɔ lɔng tɛm, lɛk:

• di εsophageal strictures: we di tisu dεm na di εsophagus de kכntinyu fכ inflam, ska tisu dεm de bigin fכ fכm as tεm de go. Di εsophagus tan lɛk wan lɔng tiub. dis inflameshn εn skata kin mek di εsophagus sכmtεm (a stricture). Dis kin mek i nɔ izi fɔ swɛla ɛn it kin stɔp na di εsophagus.
• Intestinal metaplasia: Sɔntɛnde, insted fɔ gɛt skata, di tisu kin chenj fɔ tan lɛk di layn na di intestinal . dεn kכl dis intestinal mεtaplasia biכs di tisu de chenj fכ lεk di layn na di intestinal. we dis kin apin na di εsophagus, dεn kin kכl am bak Barrett's Esophagus. Dɛn kin tek dis as prɛkansa kɔndishɔn.
• Kansa na di εsophageal: Na sכm pipul dεm nכmכ de apin na di εsophageal cancer. כltu, wan klia rod de frכm di inflameshn we de kɔntinyu (εsophagitis) to di sεl chenj dεm (Barrett's Esophagus) to kεnsar. Di risk kin go ɔp dipen pan aw yu inflamɛns tranga ɛn aw lɔng dɛn nɔr dɔn trit am.

Asid riflɔks, we kin mek yu at bɔn, kin sho bak ɔda prɔblɛm dɛn we de na yu dijestiv sistɛm. Fɔ ɛgzampul, yu kin gɛt tumɔs asid na yu bɛlɛ. Dis kin mek yu gɛt prɔblɛm dɛn lɛk gastritis ɛn bɛlɛ ɔlsa. Asid riflɔks kin mek yu asma ɔ ɔda kayn sik dɛn we yu kin gɛt we yu de blo, wɔs bak. If dis asid go insay yu trot, i kin mek yu swel, yu gɛt sɔri, ɛn yu kin gro.

Aw yu go no fɔ tru if yu gɛt sayn infɛkshɔn?

At bɔn na filin we yu gɛt. Bɔku dɔktɔ dɛn kin no am we yu tɔk bɔt am to dɔktɔ. If e kin bi wan wan tɛm ɛn nɔr tu tranga, yu nɔr go nid ɛni big tɛst. Bɔt if dɛn sɔprayz se yu gɛt wan sik we nɔ de mɛn, dɛn kin du tɛst fɔ si if ɛnitin dɔn pwɛl yu ɛsophagus. Da tɛm de, dɛn kin sɛn yu to dɔktɔ we de mɛn yu bɛlɛ.

Na sɔm tɛst dɛn we dɛn kin du fɔ chɛk yu ɛsophagus:

• Ɛndoskopi (`Ɔpa Ɛndoskopi` / `EGD prosidyushɔn`):Ɛndoskopi na tɛst we de luk insay yu bɔdi. Dis min se yu fɔ pas wan lɔng tiub wit smɔl kamɛra (ɛndoskɔp) tru yu bɔdi. כp εndoskopi de egzamin yu כp dijestiv trakt, frכm yu εsophagus tru yu bεlε to di tכp pat pan yu sכmכl intestin. dis tiub de insay yu trot (dεn gi yu mεdisin fכ numb am). I kin chɛk fɔ kɔndishɔn dɛn lɛk ɛsophagitis, hεnia, ɛn Barrett in εsophagus.
• εsophageal pH test: Dis involv fכ put wan sכmכl, wayales kכpsul na yu εsophagus. I de mɛzhɔ di pH ɔ asid na yu εsophagus as tɛm de go. dis kin bi we dεn de du כp εndoskopi כ tru wan nasogastric tכb. Di data de transmit to wan risiva we yu de wɛr rawnd yu wes. Dɛn go aks yu fɔ rayt yu sik dɛn ɛn kɔmpia dɛn to di data. Afta sɔm tɛm, di dɔktɔ go pul di kapsul ɛn analayz di data.

Wetin na di tritmɛnt fɔ nyumonia?

Yu kin gɛt rilif frɔm at pwɛl wan wan tɛm wit mɛrɛsin na os, mɛrɛsin dɛn we yu nɔ kin bay (OTC), ɛn chenj yu layf. Bɔt fɔ mek yu at pwɛl mɔ ɛn mɔ, yu kin nid fɔ tek mɛrɛsin dɛn we dɛn kin gi yu. Dɛn mɛrɛsin ya de wok bay we dɛn de ridyus di asid we de kɔmɔt na di bɛlɛ ɛn go insay di εsophagus. Bɔt di ɔndalayn prɔblɛm wit di Lɔwa Ɛsophageal Sfincter na sɔntin we dɛn mɛrɛsin ya nɔ de adrɛs. If di mɛrɛsin nɔr de woke, yu kin nid ɔda tritmɛnt.

Bɔku kayn mɛrɛsin fɔ mek pɔsin in chɛst inflamɛns:

• Antasid: Antacids (lɛk Tums® ɛn Rolaids®) de mek di asid we de na yu bɛlɛ nɔ de wok. Dis min se ivin if di asid go insay yu trot, i nɔ go ambɔg yu ɛsophagus. Sɔntɛnde, dɛn kin gɛt ɔda tin dɛn we kin ɛp fɔ mek yu nɔ gɛt di sik. Fɔ ɛgzampul, Simethicone kin ɛp fɔ mek yu bɛlɛ nɔ pwɛl, ɛn Magnesium kin ɛp fɔ mek yu nɔ gɛt kɔnstipɛshɔn. Antasid dɛn fayn fɔ mek yu at bɔn wan wan tɛm. Bɔt dɛn kin gɛt bad bad tin dɛn if dɛn tek dɛn ɔltɛm.
• Alginates: Alginates na natura l shuga we de insay si-sid. dεn de fכt pan asid εn mek wan fכshal barεri bitwin di asid εn di εsophagus, we de εp fכ stכp am fכ go bak כp insay di trot. If yu nɔ ebul fɔ tek antisid bikɔs ɔf ɔda kɔndishɔn, yu kin tek alginates nɔmɔ. Ɔda we de fɔ mek dɛn gɛt mɛrɛsin dɛn we gɛt alginate wit antasid fɔ mek dɛn ebul fɔ du mɔ.
• Histamin rεsεptכr antagonist dεm (H2 blכk dεm):Dɛn mɛrɛsin ya de wok bay we dɛn de blok di kemikal we dɛn kɔl histamines we de gi sayn to di bɔdi fɔ mek asid. Sɔm H2 blɔk dɛn de we dɛn kin bay na kɔwnta, ɛn ɔda wan dɛn na prɛskrishɔn nɔmɔ. Pan ɔl we dɛn kin tek dɛn bɔku tɛm pas di wan dɛn we de mek dɛn nɔ gɛt asid, dɛn nɔ kin wok fɔ lɔng tɛm ɔltɛm. If yu bɔdi yus to dɛn, dɛn nɔ go ebul fɔ wok fayn.
• Proton Pump Inhibitors (PPI): Dis na wan kayn mɛrɛsin we gɛt mɔ pawa fɔ blok asid. Dɛn kin ɛp bak fɔ mek di tisu dɛn wɛl. If yu at bɔn bad bad wan, ɔ if sayn dɛn de fɔ se di tisu dɛn dɔn pwɛl na yu ɛsophagus, yu dɔktɔ kin gi yu dɛn tin ya as fɔs layn tritmɛnt. dεn de 90% ifektiv fכ ridyus asid rεfluks. If yu gɛt ɔlsa na yu ɛsophageal, na dɛn nɔmɔ go ɛp am fɔ wɛl.

Ɔda tritmɛnt dɛn fɔ saynsaytis:

• If infekshɔn de, antibayɔtik ɔ antivayrɔs.
• Trit di inflamɛns insɛf wit `(Tɔpical Steroids)` ɔ `(Dupilumab)`.
• Low-dose neuromodulators ɛn kɔmplimɛnt tɛrapi fɔ aktiv nyumonia.
• If na hiatal hεnia mek yu chεst pen, yu nid fכ du כpεreshכn f כ kכrekt am (hεnia ripa כpεrayshכn).

Fɔ GERD we nɔ de ansa to mɛrɛsin – ɔ as ɔda we fɔ tek lɔng tɛm mɛrɛsin – yu dɔktɔ kin gi yu advays lɛk dis:

• Nissen Fundoplication: Dis na smɔl ɔpreshɔn we de tayt di spes bitwin di bɛlɛ ɛn di εsophagus. I rili fayn fɔ trit GERD ɛn di sayn dɛm we i kin gɛt.
• `Transoral Incisionless Fundoplication`: dis na di sem כpεrayshכn we wi bin mεnshכn oba we dεn nכ כpεrayshכn, bכt tru wan `εndoskop`.
• `LINX device`: Dis na ɔda ɔpreshɔn we nɔ de tek bɔku tin. insay dis, dεn de put wan `LINX divays`, we na sכm magnεtik ring, na di jכnkshכn bitwin di bכdi εn di εsophagus. Dis kin ɛp fɔ mek asid nɔ kam ɔp na di trot.

Yu tink se fɔ trit pɔsin we gɛt infɛkshɔn na in chɛst, i go mɛn am?

At bɔn na sik we pɔsin kin mɛn. Di bɛst tin na dat yu kin ebul fɔ manej am bay we yu mek sɔm smɔl chenj dɛn na yu it ɛn layf, ɛn kip antisid dɛn nia yu fɔ yuz wan wan tɛm. If yu nid fɔ du dat, mɛrɛsin dɛn we de tek lɔng tɛm kin rili wok bak fɔ kɔntrol di asid we de kam bak. Fכnshכnal dizכrd kin tranga sכmtεm fכ mεnεj. Bɔt if dɛn tray ɔltɛm ɛn yuz tritmɛnt dɛn togɛda, dɛn kin bɛtɛ as tɛm de go.

Us chenj na wi layf fɔ kɔntrol di inflamɛns?

Fɔ ɛp fɔ mek asid nɔ kam bak, tray dɛn tin ya:

• It sɔm smɔl smɔl it dɛn ɔl di de. We yu nɔ gɛt bɛtɛ tin fɔ digest wan tɛm, di asid we yu bɛlɛ de mek bak kin go dɔŋ.
• Lus yu bɛlt. di prεshכn na di bכdi kin mek di asid rεfכlכs. If yu lɔs yu wet, dat kin ɛp bak.
• Nɔ go slip afta yu dɔn it ful it. Wet fɔ at le tri to fayv awa bifo yu ledɔm.
• Slip na yu lɛft say. dis de put yu Lower Esophageal Sphincter oba di tin dεm we de insay yu bεlε, lεk εya pכket. We yu slip na yu sayd ɔ rayt say, da valv de kin go insay di tin dɛn we de insay.
• Nɔ it tin dɛn we de mek yu gɛt trig. Pe atɛnshɔn to us it dɛn de mek yu chɛst pen mɔ ɛn mɔ.
• Lɛf fɔ smok. Chɛst pen na jɔs wan pan di rizin dɛn we kin mek pɔsin lɛf fɔ smok. Yu dɔktɔ kin ɛp yu fɔ du dis.

Ustɛm yu fɔ go to dɔktɔ?

Si dɔktɔ pan dɛn kayn tin ya:

• If yu gɛt chɛst pen at least wan tɛm insay di wik.
• If yu gɛt atypical symptoms.
• If i nɔ izi fɔ yu fɔ swɛla ɔ yu nɔ ebul fɔ gɛt inof kalori.
• If yu dɔn pas 60 ia.
• If yu gɛt chɛst pen lɛk ``Angina'' (tayt, kɔnstrikt).
• If yu tritmɛnt nɔr de gi yu rilif.

Fɔ dɔn, a fɔ se...

Wan wan tɛm, yu trot kin at. Bɔku pipul dɛn kin ebul fɔ manej dɛn wit sɔm simpul chenj dɛn. Bɔt if yu gɛt dɛn ɔltɛm, yu go nid fɔ go to dɔktɔ. Nɔ ignore di trot we de at we nɔ de dɔn. Fɔ fil pen na yu trot kin min se i de pwɛl. Dis kin mek rial damej as tɛm de go. Dɔn bak, di trot we de at fɔ lɔng tɛm kin bi sayn fɔ sho se ɔda prɔblɛm dɛn de we nid fɔ gɛt tritmɛnt. So, tɔk to dɔktɔ bɔt di trot we kin at we nɔ de dɔn.

` At bכn, GERD, Asid Riflaks, εsophagus, Bεlε, Chεst Inflamεshכn