Yu kin gɛt at bɔn bak afta yu dɔn it? A nɔ no if na GERD (Gastroesophageal Reflux Disease)!

Adu! Aw di bɔdi? Tide wi go tɔk bɔt wan kɔndishɔn we bɔku pipul dɛn gɛt, bɔt sɔm nɔ kin pe atɛnshɔn tumɔs to am, bɔt na sɔntin we nid fɔ pe atɛnshɔn smɔl. Yu dɔn ɛva gɛt bɔn na yu chɛst afta yu dɔn it, yu trot dɔn sɔl, ɔ ivin we yu de it? Sɔm pipul dɛn kin tink se dis na nɔmal tin, bɔt if i kin apin bɔku tɛm ɛn i kin ambɔg yu ɛvride wok, i kin bi sayn fɔ wan sik we dɛn kɔl `GERD (Gastroesophageal Reflux Disease).` Lɛ wi tɔk bɔt dis mɔ ditayli, so dat yu go ɔndastand dis bak fayn fayn wan.

Wetin na GERD (Gastroesophageal Reflux Disease) jɔs?

Fɔ tɔk am simpul wan, GERD na we di asid we de na wi bɛlɛ we na di wata we de ɛp fɔ dayjɛst it, de flɔ bak ɔp, dat na, insay di ɛsophagus (fud paip), go to di trot. Naw yu kin de tink se, "O, dat kin apin to mi bak, i kin fil lɛk se i de kam bak ɔp na wi trot we wi de it." Yes, na dat wi kin kɔl GER (Gastroesophageal Reflux) ɔ jɔs "reflux". Sɔntɛm wi go dɔn gɛt dis ɛkspiriɛns frɔm we wi smɔl. Bɔt if dis GER kɔndishɔn kin apin bɔku tɛm, if yu gɛt sɔm sayn dɛn lɛk at bɔn ɛn rigurgitation pas tu tɛm insay di wik, ɔ if i kin mek yu gɛt ɔda prɔblɛm dɛn, fɔ ɛgzampul, i nɔ kin izi fɔ swɛla, yu kin kɔf ɔltɛm, yu kin lɔs yu wet, ɔ yu kin pwɛl di ɛsophagus, den wi kin kɔl dis sik GERD (Gastroesophageal Reflux Disease). Dat min se `GERD` na wan sik wae nid mכr kia εn tritmεnt pas jכs trot we de at. Imajin, wan mɔsul de we tan lɛk domɔt bitwin wi bɛlɛ ɛn wi it. wi kכl dis `LES (Lower Esophageal Sphincter)` כ di lכw εsophageal sphincter . Dis domɔt kin opin we wi swɛla it, ɛn i kin lɔk bak we di it go insay di bɛlɛ. dis de mek di it εn asid we de na di bεlε nכ de kam bak כp insay di εsophagus. bכt if dis `LES` nכ kכloz fayn, כ if i opin tu tεm, den di tin dεm we de insay di bεlε de kכmכt.

Wetin mek GERD kin apin? Wetin na di men tin dɛn we kin mek pɔsin gɛt dis sik?

Nɔto wan tin nɔmɔ de we kin mek pɔsin gɛt GERD, bɔku tin dɛn de we kin mek i gɛt am. Lɛ wi tek tɛm luk di men tin dɛn we kin mek i apin.

• Wik we di lכw εsophageal sphincter ( LES ): As a bin dכn tכk, di prכblεm kin stat we dis mכsul nכ de wok fayn. Sɔm it dɛn, drink dɛn (lɛk kɔfi , ti, chɔklɛt , rɔm), smok , ɛn sɔm mɛrɛsin dɛn kin mek dis mɔsul rilaks.
• Hiatal Hernia : Dis na we di כp pat pan di bεlε de push כp insay di chεst. Dis kin mek di risk fɔ mek asid riflɔks bɔku.
• Fat(Ovaweit/Obesity): As di bɔdi wet de go ɔp, di prɛshɔn we de insay di bɛlɛ de go ɔp. Dis prɛshɔn kin push di tin dɛn we de insay di bɛlɛ ɔp.
• Bεlε : di כmon dεm we de chenj we uman bεlε kin mek yu gεt GERD , we kin mek di pikin prεshכn na di bεlε we di pikin de gro. Dis kin stɔp afta dɛn bɔn di pikin.
• Aw fɔ it: Fɔ it bɔku it wan tɛm, ledɔm afta yu dɔn it, ɛn it klos to di tɛm we yu go slip, dat kin mek bak GERD wɔs.
• Sɔm it ɛn drink dɛn: It dɛn we gɛt bɔku fat, we gɛt spays , tomato, sitrus frut (lɛk ɔrɛnj ɛn laym), mint, chɔklɛt, kɔfi, ɛn drink we gɛt kabon kin mek sɔm pipul dɛn gɛt mɔ GERD. Bɔt dis kin difrɛn frɔm wan pɔsin to ɔda pɔsin .
• Smok: Smok de mek di LES mכsul wik εn i de ridyus di prodyushכn fכ saliva, we de εp fכ neutralize di asid dεm na di εsophagus.
• Sɔm mɛrɛsin dɛn: Sɔm mɛrɛsin fɔ asma, ay blɔd prɛshɔn mɛrɛsin, mɛrɛsin fɔ mek yu nɔ fil pen, slip pils, ɛn sɔm mɛrɛsin fɔ mek yu gɛt GERD sik bak. If yu de tek ɛni mɛrɛsin ɛn yu tink se na dɛn de mek yu gɛt dɛn sik ya, i go fayn fɔ mek yu tɔk to yu dɔktɔ.

Wetin na di sayn dɛm fɔ GERD?

Di sayn dɛm fɔ GERD kin difrɛn smɔl frɔm wan pɔrsin to ɔda pɔrsin. Lɛ wi tek wan luk pan sɔm pan de sik wae kin kam pan pɔrsin.

Di sayn dɛm wae kin kam pan big pipul dɛm

• At bɔn: Dis na di men sayn wae bɔrku pipul kin gɛt. Na bɔn we de kɔmɔt na di sɛntrɔm pan di chɛst to di trot afta yu dɔn it, ɔ we yu ledɔm ɔ bɛn. I impɔtant fɔ mɛmba se dis nɔto at prɔblɛm , bɔt if yu gɛt pen na yu chɛst wantɛm wantɛm, i impɔtant fɔ go to dɔktɔ.
• Rigurgitation: Na di it ɔ wata we de te we sɔl kɔmɔt na di bɛlɛ go kam bak na di trot ɔ di mɔt.
• I nɔ kin izi fɔ swɛla (Dysphagia): I kin fil lɛk se yu de chok ɔ yu de fil pen we yu de swɛla it.
• Globus sensation: Na filin fɔ gɛt lump na yu trot , bɔt i kin jɔs apin if yu nɔ it ɔ wata.

Sɔm pipul dɛn kin gɛt dɛn kayn sik ya bak (Atypical symptoms) .

Pan ɔl we dɛn tin ya nɔ kin bɔku, dɛn kin kam wit GERD:

• Persistent dry cough: Na kɔf we kin wɔs mɔ na nɛt ɛn nɔ gɛt ɔda kɔz.
• Laryngitis: Di trot kin at ɛn di vɔys kin chenj.
• Asma: GERD kin mek yu gɛt nyu asma ɔ i kin mek di asma we dɔn de, wɔs.
• Nauses we kin de ɔltɛm.
• Bad breath we pɔsin kin blo.
• Dental erosion: Di bɛlɛ asid we de kam insay di mɔt kin pwɛl di tit.
• Slip distɔblɛshɔn: Chɛst pen ɛn kɔf we kin apin na nɛt kin mek i nɔ izi fɔ slip fayn.

Impɔtant: If yu gɛt sɔm sayn dɛn lɛk pen na yu chɛst, i nɔ izi fɔ blo, ɔ yu de fil pen we de rayt to yu jaw ɔ yu an, i kin bi bikɔs ɔf GERD, bɔt i impɔtant fɔ chɛk fɔ si if yu gɛt mɔ siriɔs sik, lɛk at atak. So go to dɔktɔ wantɛm wantɛm.

Wetin fɔ du if yɔŋ pikin ɛn bebi dɛn gɛt GERD?

i nכmal fכ pikin dεm fכ gεt sכm milk na dεn trot (GER). Bɔt if i tɔn to GERD, yu kin notis sɔm sayn dɛn lɛk dis:

• Bɔku bɔku milk we yu de vɔmit ɔ we yu de gi yu bak.
• Dɛn kin kray we dɛn gi dɛn tin fɔ it, dɛn nɔ kin want fɔ it, ɛn dɛn kin vɛks.
• Di bɔdi wet nɔ de go ɔp fayn fayn wan, ɛn sɔntɛnde di wet de go dɔŋ.
• Prɔblɛm dɛn we yu kin gɛt we yu de blo lɛk fɔ kɔf ɛn fɔ swɛt.
• We dɛn de it ɔ afta dɛn dɔn it, dɛn kin bɛn dɛn bɔdi lɛk bɔw.
• A kin kray ɔltɛm we a nɔ ebul fɔ ɛksplen.

If yu pikin gɛt dɛn sik ya, i bɛtɛ fɔ go to dɔktɔ we de mɛn pikin dɛn.

Aw dɔktɔ dɛn kin no if pɔsin gɛt GERD? (Diagnosis) .

Bɔrku tɛm, dɔktɔ kin gɛs if yu gɛt GERD bay we i de lisin to yu sayn dɛm ɛn chɛk yu.

• Aks bɔt di sayn dɛm: De dɔktɔ go aks yu bɔt us sayn dɛm yu gɛt, aw lɔng dɛn dɔn de, ɛn ustɛm dɛn kin tranga pasmak.
• Di chenj na yu layf ɛn mɛrɛsin: Sɔntɛnde yu dɔktɔ kin tɛl yu fɔ chenj sɔm tin dɛn we yu de it ɛn gi yu wan simpul GERD mɛrɛsin fɔ shɔt tɛm fɔ si if yu sik dɛn go bɛtɛ.
• Ɔda tɛst dɛn: If di sik bad bad wan, if di mɛrɛsin nɔ de wok, ɔ if dɛn tink se ɔda prɔblɛm dɛn de, di dɔktɔ kin ɔda fɔ du tɛst dɛn lɛk:
• Ɔpa Ɛndoskopi: Dis min se yu fɔ put smɔl, tin, we gɛt kamɛra, tru yu mɔt fɔ chɛk yu ɛsophagus, bɛlɛ, ɛn di fɔs pat pan yu smɔl intestin. Dis kin ɛp fɔ chɛk fɔ si if yu εsophagus dɔn pwɛl ɔ ɔda prɔblɛm dɛn. If nid de, dɛn kin tek smɔl sampul pan di tisu (bayopsi).
• ambulatory acid (pH) probe test: insay dis tεst, dεn de put wan vεri tכn tכb tru di nos insay di εsophagus εn lεf am na in ples fכ lεk 24 awa, fכ mכsu aw כltεm εn fכ aw lכng asid de fכlכ insay di εsophagus.
• εsophageal manometry: dis de mכsu di prεshכn εn di wok we di LES εn εsophageal mכsul dεm de du. Dis impɔtant fɔ pipul dɛm wae nɔr kin izi fɔ swɛla.
• Bariɔm swɛla tɛst `(Bariɔm swɛla / Ɛsofagram)`:Insay dis, yu kin drink wan wata we dɛn kɔl barium ɛn tek ɛkstrem rayt pikchɔ dɛn. Dis kin sho di shep we di εsophagus gɛt ɛn ɛnitin we de ambɔg am. Bɔt dɛn nɔ de yuz am bɔku igen fɔ no if pɔsin gɛt GERD.

Wetin na di tritmɛnt dɛm fɔ GERD? Wetin wi fɔ du?

Tri men we dɛn de fɔ trit GERD: fɔ chenj di we aw pɔsin de liv in layf, fɔ tek mɛrɛsin, ɛn sɔm kayn bad bad tin dɛn, fɔ du ɔpreshɔn.

1. Fɔ chenj di we aw yu de liv yu layf (dɛn na di fɔs ɛn impɔtant tin dɛn we yu fɔ du!) .

If yu du dɛn tin ya bifo ɔ wit mɛrɛsin, dat kin ɛp fɔ kɔntrol di GERD simptom dɛm bad bad wan.

• Fɔ kɔntrol yu wet: If yu fat pasmak, fɔ tray fɔ lɛf fɔ it ivin smɔl, dat kin mek big difrɛns.
• Fɔ avɔyd it dɛn we de mek yu gɛt trig: No di it dɛn we yu tink se go mek yu GERD sik wɔs (lɛk it dɛn we gɛt spays, we gɛt fat, chɔklɛt, kɔfi, sitrus frut) ɛn ridyus dɛn as yu ebul. Nɔto ɔlman kin gɛt di sem it, so yu nid fɔ no di wan dɛn we kin afɛkt yu.
• Fɔ chenj di we aw yu de it:
• Bifo yu it bɔku tin wan tɛm, it sɔm smɔl smɔl it dɛn.
• Afta yu it, nɔ ledɔm fɔ at le 2-3 awa, sidɔm.
• Finish dina at least 3 awa bifo yu go slip.
• Slip wit di ed fɔ di bed ɔp: Rays di ed fɔ di bed bay lɛk 6-8 inch. Dis kin wok fayn if yu put sɔntin lɛk wud ɔnda di bed in leg fɔ mek di bed in ed ay, pas fɔ yuz bɔku pilo.
• Nɔ smok: If yu de smok, fɔ lɛf fɔ smok nɔto jɔs fɔ GERD, bɔt fɔ yu wan ol bɔdi bak.
• Nɔ wɛr tayt klos: Nɔ wɛr tayt klos we de swɛt yu bɛlɛ.

2. Mɛrɛsin dɛn we dɛn tek pan dɔktɔ advays

If di chenj we yu de chenj yu layf nɔmɔ nɔ go du fɔ yu, yu dɔktɔ kin gi yu dɛn mɛrɛsin ya. Nɔ ɛva kɔntinyu fɔ yuz dɛn mɛrɛsin ya if yu nɔ gɛt dɔktɔ advays.

• Antasid: Dɛn tin ya kin mek pɔsin fil fayn kwik kwik wan. Dɛn kin mek di asid we de na di bɛlɛ nɔ gɛt pawa. Bɔt fɔ yuz dɛn tin ya ɔltɛm nɔ fayn, bikɔs dɛn kin mek yu gɛt sayd ɛfɛkt. (Ɛgzampul: `Digene`, `Gɛlusil`).
• H2 rεsεpכta blכk dεm: dεn ya de ridyus di prodakshכn fכ asid na di bεlε. Mεdisin dεm lεk Famotidine εn Cimetidine de pan dis kεtכgrεf.
• Proton Pump Inhibitors (PPI): Dis na di pawaful drɔgs we de ridyus di asid we de. Sɔm ɛgzampul dɛn na Omeprazole, Esomeprazole, Lansoprazole, ɛn Pantoprazole. Dɛn mɛrɛsin ya de wok bay we dɛn de blok di asid we dɛn de mek bɔku bɔku wan. Bɔt dɛn kin mek sɔm sayd ɛfɛkt dɛn we dɛn yuz dɛn fɔ lɔng tɛm, so dɛn fɔ jɔs yuz dɛn ɔnda dɔktɔ in sɔpɔtishɔn.

3. Ɔpreshɔn insay sɔm kes dɛn

Bɔku tɛm, dɛn kin kɔntrol GERD bay we dɛn chenj dɛn layf ɛn tek mɛrɛsin. Bɔt if ɛni wan pan dɛn tin ya nɔ wok, if di mɛrɛsin dɛn mek yu gɛt siriɔs sayd ɛfɛkt, ɔ if GERD dɔn mek yu gɛt siriɔs prɔblɛm dɛn (lɛk Barrett in esophagus), dɔktɔ dɛn kin se dɛn fɔ du ɔpreshɔn.

• Fundoplication: Dis na di ɔpreshɔn we dɛn kin du pas ɔl. insay dis, dεn de tek di כp pat pan di bεlε εn rap am rawnd di lכw pat pan di εsophagus fכ mek di LES strכng. Dis kin bi naw wit laparoskopik (tru smɔl smɔl say dɛn we dɛn kɔt).
• Bɔku ɔda we dɛn de we dɛn de yuz tide bak.

Us prɔblɛm kin apin if dɛn nɔ trit GERD fayn? (Kɔmplikeshɔn dɛn) .

I nɔ fayn fɔ jɔs tink se GERD na jɔs at-bɔn. If dɛn nɔ trit am fayn, as tɛm de go, prɔblɛm dɛn lɛk:

• εsophagitis: di layn na di εsophagus kin inflamed εn irita bikoz fכ ripit di asid rεfluks. Dis kin mek i fil pen, blɔd, ɛn i nɔ kin izi fɔ swɛla.
• di εsophageal stricture: If yu inflamesh fכ lכng tεm, i kin mek di εsophagus skata, we kin mek i at fכ it fכ pas.
• di εsophagus fכ Barrett: insay dis kכndishכn, di sεl dεm na di lכw pat pan di εsophagus de chenj fכ lεk di sεl dεm na di bεlε. Dɛn kin tek dis as prɛkansa kɔndishɔn we kin mek pɔsin gɛt kansa mɔ ɛn mɔ . Pipul wae gɛt dis sik kin gɛt mɔr risk fɔ gɛt kansa na dɛn εsophageal.
• Esophageal cancer: Pipul wae gɛt Barrett’s esophagus kin gɛt dis kansa as tɛm de go. Nɔto ɔlman we gɛt GERD kin gɛt am, ɛn i nɔ kin apin so ɔltɛm , bɔt i kin gɛt prɔblɛm.
• Di prɔblɛm dɛn we de apin na di say we yu de blo: If di asid dɛn we de kam ɔp go insay di say we yu de blo, tin dɛn lɛk fɔ kɔf ɔltɛm, fɔ swɛt, ɛn nyumonia kin apin.

Dis na di rizin we mek i impɔtant fɔ go to dɔktɔ we yu nɔ fɔ pe atɛnshɔn to di sayn dɛn we de sho se yu gɛt GERD.

Fɔ dɔn, tin dɛn we yu nid fɔ mɛmba (Take-Home Message) .

GERD na sɔm kayn sik wae de mɔna yu ɛn kin siriɔs if yu nɔr trit yu. Bɔt di gud nyus na dat , bɔku pan dɛn kin kɔntrol am .

Mɛmba:

* If yu gɛt sɔm sayn dɛn ɔltɛm lɛk we yu de fil pen na yu chɛst ɔ yu trot we de at, nɔ ignore dɛn. Si dɔktɔ fɔ advays.

* Simpul chenj dɛn na layf (kɔntrol di it, fɔ lɛf fɔ it bɔku bɔku it, chenj di we aw yu de slip) kin gi yu bɔku rilif.

* Yuz di mɛrɛsin we yu dɔktɔ gi yu di rayt we ɛn fɔ di tɛm we yu tɛl yu. Nɔ stɔp ɔ bigin di mɛrɛsin fɔ yusɛf.

* If yu de smok, tray fɔ stɔp.

* If yɔŋ pikin dɛn gɛt sayn dɛn fɔ GERD, go to dɔktɔ we de mɛn pikin dɛn wantɛm wantɛm.

Fɔ liv wit GERD kin tranga, bɔt if yu de trit yu fayn fayn wan, yu kin liv nɔrmal, kɔmfyut layf. Tɔk bɔt di tin dɛn we de mɔna yu ɛn di prɔblɛm dɛn we yu gɛt wit yu dɔktɔ. Wi de wish yu gud wɛlbɔdi! GERD, Gastroesophageal Riflɔks Disiz, At Bɔn, Asid Riflɔks, Sinhala Mɛdikal Atikul