Yu kin muv yu bɔdi ɔltɛm? Yu fɔ go na di bafa fayv ɔ siks tɛm insay di de, ɛn sɔntɛnde yu fɔ go ivin pas dat? Dis sik wae kin kam wit yu bɛlɛ pen ɛn nɔr kin fil fayn, kin dɔn mek i nɔr izi fɔ yu fɔ du yu ɛvride wok fayn fayn wan. Yu go dɔn go to dɔktɔ fɔ dis, ɛn yu go dɔn du skan ɛn tɛst. Bɔt dɛn ɔl kam bak as "nɔmal." So yu kin de tink se, "So wetin bad wit mi?" If yu dɔn gɛt dis kayn tin, i go rili impɔtant fɔ mek yu no bɔt di sik we wi de tɔk bɔt tide, dat na Maykroskɔpik Kɔlaytis (MC) .
Fɔ tɔk am simpul wan, wetin na Maykroskɔpik Kɔlaytis?
Dis nem kin tan lɛk se i kɔmplikt smɔl, bɔt lɛ wi brok am ɛn ɔndastand am simpul wan.
- Kolaytis: Dis min se di layn na yu big intestin (kɔlɔn) de inflamɛns ɔ swel. jכs lεk we wi skin kin rεd εn swεla we wi gεt wund, wi kin kכl am ‘kכlaytis’ biכs sכmtin we fiba dis kin apin insay di intestinal.
- Maykroskɔpik: Dis wɔd min ‘maykroskɔpik’. Dis min se di inflamɛns so smɔl dat yu nɔ go ebul fɔ si am wit di yay, di kamɛra we dɛn yuz we dɛn de du ɛndoskopi, ɔ we dɛn de skan. yu kin si am klia wan if dεn tek wan rili sכm tisu frכm yu big intestin εn luk am כnda maykroskכp.
Fɔ tɔk am simpul wan, Maykroskɔpik Kɔlayt na inflammatory kɔndishɔn na di big intestin we dɛn nɔ kin no bay rutin tɛst ɛn dɛn kin no am nɔmɔ tru maykroskɔp. dis na biכs di sεl dεm na yu kכlon de "angri" כltεm. Dis kin mek bɔku tɛm yu kin gɛt wata we de kɔmɔt na yu bɔdi.
Dis kɔndishɔn kin mek yu fil bad smɔl. I kin kam wantɛm wantɛm, go insɛf afta sɔm tɛm, dɔn i kin kam bak bak. Bɔt di gud nyus na dat pan ɔl we i kin sik fɔ ɔl in layf, bɔku tɛm dɛn kin ebul fɔ kɔntrol am fayn . I jɔs nid di rayt mɛrɛsin ɛn sɔm chenj dɛn we yu de it.
Tu men kayn Maykroskɔpik Kɔlayt de:
We dɔktɔ luk pan wan tisu sɛmpul frɔm yu kɔlon ɔnda maykroskɔp, dɛn kin sheb di sik to tu men kayn bay di chenj dɛn we dɛn si. Bɔt yu nɔr nid fɔ wɔri tumɔs bɔt dis, bikɔs de sik ɛn tritmɛnt fɔ ɔl tu di kayn sik dɛn kin rili fiba. di difrεns de כnli na di maykroskכpik lεvεl.
| Di kayn sik we pɔsin kin gɛt | Simply minin |
|---|---|
| Kɔlajɛn Kɔlayt | kolagen na wan kayn ‘gכm’ we de ol wi bכdi in tisu dεm togeda. insay dis kayn, dis layεr fכ kolagen כnda di layn fכ di big intestin de tik bכku pas nכmal. |
| Limfosaytik Kɔlayt | di limfosayt dεm na wan kayn wayt bכdi sεl we lεk di ‘sכjaman dεm’ we de insay wi bכdi in difεns sistεm. insay dis kayn we, di nכmba fכ dεn limfosayt dεm ya we de na di layn na di big intestin de inkrεs bכku pas aw i nכmal. I tan lɛk se ami de kam na say we prɔblɛm de ɛn gɛda. |
Wetin na di sayn dɛm wae kin kam pan dis sik?
Di men ɛn mɔs anɔynt sayn fɔ Maykroskɔpik Kɔlayt na we yu de muv yu bɔdi wit wata ɔltɛm (dayarɛa) . Dis kin apin fayv to tɛn tɛm insay di de, sɔm tɛm dɛn kin ivin pas dat. Imajin aw yu de fred fɔ kɔmɔt na os, fɔ go wok, ɔ fɔ travul.
Dis nɔ tan lɛk we pɔsin de muv in bɔdi we nɔmal. I kin las fɔ sɔm dez, wik, ɛn sɔntɛnde mɔnt.
Apat frɔm dat, yu kin si sɔm ɔda tin dɛn:
- Bɛlɛ pen ɛn limp: Yu kin fil pen we yu de swɛt na yu bɛlɛ.
- Bloating and flatulence: Na filin lɛk se di bɛlɛ ful-ɔp wit gas.
- Fɔ fil se yu nid fɔ go na di bafa kwik kwik wan ɛn i nɔ izi fɔ yu fɔ kɔntrol am: Fɔ rɔn jɔs lɛk aw yu fil se yu nid fɔ go na di bafa.
- rumbling sawnd dεm frכm insay di bεlε: Abnכmal sawnd dεm we dεn de yεri we yu de digεst.
Wetin mek dis kin apin? Wetin na di rizin dɛn?
Sayɛnsman dɛn nɔ dɔn fɛn wan patikyula rizin yet fɔ dis, bɔt bɔku tin dɛn de we dɛn tink se go mek dis apin.
- Jɛm, vayrɔs, ɔ baktri dɛm: Dis kin apin bikɔs yu go dɔn gɛt gut infɛkshɔn trade, we dɔn chenj di we aw yu imyun sistɛm de wok.
- Awtoimyun sik: Dis na we wi bɔdi in imyun sistɛm nɔ de biev fayn ɛn atak wi yon wɛlbɔdi sɛl dɛn. Sɔm pipul dɛm wae gɛt maykroskɔpik kɔlayt kin gɛt ɔda ɔtoimyun sik dɛm bak (e.g., rεumatoid at, tayroyd sik).
- Jɛnɛtiks:If pɔrsin na yu famili gɛt dis sik ɔr ɔda sik na yu intestinal, yu kin gɛt dis sik bak.
- Sɔm mɛrɛsin dɛn: Sɔm risach dɔn sho se sɔm mɛrɛsin dɛn we wi kin tek fɔ lɔng tɛm kin mek dis sik ɔ mek i wɔs.
Mɛrɛsin dɛn we nid spɛshal atɛnshɔn
If yu de tek ɛni wan pan dɛn mɛrɛsin ya fɔ lɔng tɛm, i impɔtant fɔ tɔk to yu dɔktɔ bɔt am. Nɔ ɛva stɔp fɔ tek dɛn mɛrɛsin ya we yu nɔ go to yu dɔktɔ.
| Kategori fɔ drɔgs | Wetin dɛn kin yuz am fɔ mɔ? |
|---|---|
| Nɔn-stɛroyd anti-inflammatory drɔgs (NSAID) . | Fɔ ridyus di pen ɛn swɛlin (e.g. Ibuprofen, Diclofenac) . |
| Proton pɔmp inhibito dɛn (PPI dɛn) . | Fɔ gastritis ɛn at bɔn (e.g. Omeprazole, Esomeprazole) . |
| Sεlektiv sεrotonin riuptek inhibito dεm (SSRI) . | Fɔ Dipreshɔn ɛn Wɔri Wɔri |
| Statin dɛn we dɛn kin yuz | Fɔ mek di kɔlɔstrel we de na di blɔd nɔ bɔku |
| Beta-blɔk dɛn | Fɔ ay blɔd prɛshɔn ɛn at sik |
Yu tink se strɛs kin afɛkt dis?
Yɛs, na fɔ tru. Big kɔnekshɔn de bitwin wi bren ɛn wi gut pas aw yu go tink. Sɔntɛnde wi kin se, "Di gut na di sɛkɔn bren." Na tru. We wi gɛt bɔku strɛs ɛn wɔri, di ɔmon dɛn we de na wi bɔdi kin chenj. Dis kin afɛkt wi dijestiv sistɛm dairekt wan. So, e fayn fɔ tek smɔl tɛm fɔ tink bɔt aw yu maynd bin de pan de dɛm wae yu gɛt dɛn sik ya.
Udat dɛn kin gɛt dis sik?
Pan ɔl we dis sik kin kam pan ɛnibɔdi, sɔm pipul dɛn kin gɛt bɔku prɔblɛm.
- Uman dɛn we dɔn pas 60 ia: Pan ɔl we dɛn nɔ no di rayt tin we kin mek i sik, dis sik kin bɔku pan uman dɛn we gɛt dis ej grup.
- Pipul wae gɛt ɔda (autoimmune) sik dɛm: Dis risk kin pasmak fɔ pipul dɛm wae gɛt Celiac disease (di bɔdi in alɛji to di protin gluten we de insay wit flawa).
- Pipul dɛn we de smok: Smok na wan tin we kin mek pɔsin gɛt dis sik ɛn i kin mek di sik wɔs.
Aw fɔ no di sik kɔrɛkt wan?
As a bin dɔn tɔk, i nɔ kin izi fɔ no dis wit di tɛst we dɛn kin du ɔltɛm, so if yu gɛt dɛn sik ya, i go mɔs bi se dɛn go sɛn yu to dɔktɔ we de mɛn yu bɛlɛ .
di men tεst dεm fכ kכnfכm di diagnosis na kכlonoskopi εn bayopsi .
- Kolonoskopi: Dis min se yu fɔ put wan fleksibul tiub wit smɔl kamɛra tru yu rɛktum fɔ chɛk yu wan ol big intestin. Dɛn go gi yu wan jenɛral anestetik bifo dɛn du di ɔpreshɔn, so yu nɔ go fil ɛni pen.
- Bayopsi: We dɛn de du di kɔlonɔskopi, yu dɔktɔ go tek smɔl smɔl tisu frɔm di layn na yu big intestin. Dɛn kɔl dis bayɔpsi. Dɔn dɛn kin chɛk di tisu ɔnda maykroskɔp fɔ no if yu gɛt maykroskɔpik kɔlaytis ɛn if na so, us kayn.
Apat frɔm dat, dɛn kin du blɔd ɛn stɔl tɛst fɔ no ɔda sik dɛn we pɔsin kin gɛt.
Aw fɔ trit ɛn manej?
Di tritmɛnt we dɛn kin pik kin difrɛn difrɛn wan fɔ di kayn sik ɛn aw yu sik kin tranga. Sɔntɛnde, smɔl chenj dɛn na di it kin mek big difrɛns. Sɔm pipul dɛn kin nid mɛrɛsin bak.
1. Di chenj we yu de it ɛn di we aw yu de liv yu layf
Dis na di fɔs ɛn impɔtant tin we wi fɔ du. Wetin yu nid fɔ du ya na fɔ no us it dɛn de "trig" yu simptom dɛm. Dis kin difrɛn fɔ ɛnibɔdi.
- Fɔ avɔyd di tin dɛn we kin mek pɔsin gɛt alɛrjens:Bɔrku it dɛn de wae kin mek bɔrku pipul dɛn gɛt di sik bad bad wan. Alkol, kafin (kɔfi, ti), milk ɛn tin dɛn we dɛn mek wit milk, gluten (wit, bali), ɛn it dɛn we gɛt bɔku shuga na sɔm pan di tin dɛn we dɛn kin yuz mɔ.
- It we nɔ gɛt bɔku fat ɛn fayv: We di sayn dɛn kin rili bad, if yu it it dɛn we nɔ gɛt bɔku fat ɛn fayv, dat kin mek yu nɔ gɛt bɔku bɔku fayba. (e.g. wayt rays, boiled potato, sup, banana).
- Elimination Diet: Dis min se yu fɔ pul di it dɛn we yu tink se de mek yu nɔ fil fayn fɔ sɔm tɛm, dɔn yu fɔ ri-introdyus dɛn wan bay wan fɔ si us it dɛn de mek yu gɛt di sik. I bɛtɛ fɔ du dis ɔnda di gayd fɔ dɔktɔ ɔ pɔsin we sabi bɔt it.
- Anti-inflammatory diet: Sɔm it dɛn gɛt di abiliti fɔ ridyus inflammatory na di bɔdi. Fɔd lɛk fresh vɛjitebul, frut, fish (especially fish we gɛt ɔyl lɛk salmon ɛn makrɛl), ɛn ɔliv ɔyl kin ɛp fɔ du dis.
2. Tritmɛnt wit drɔgs
If i nɔ izi fɔ kɔntrol am tru it nɔmɔ, yu dɔktɔ go gi yu mɛrɛsin.
- Mεdikeshכn dεm fכ kכntrכl dayariya: Mεdikeshכn dεm lεk Loperamide kin ridyus di fכs fכ muvmεnt fכ bכdi.
- Bismuth subsalicylate: Dis na kɔmɔn mɛrɛsin bak fɔ dayarɛa.
- Budesonide: Dis na spɛshal kayn kɔtikosterɔyd . I de wok dairekt na di intestinal fɔ ridyus inflamɛns, so i nɔ gɛt bɛtɛ sayd ɛfɛkt pas ɔda stɛroyd dɛn. Dis na tritmɛnt we rili fayn fɔ Maykroskɔpik Kɔlayt.
Apat frɔm ɔl dis, i rili impɔtant fɔ tɔk to yu dɔktɔ bɔt ɔda mɛrɛsin dɛn we yu de tek (e.g. pen kil) ɛn tek stɛp fɔ chenj dɛn if nid de, ɛn fɔ lɛf fɔ smok if yu de smok.
Yu tink se dis sik go dɔn kpatakpata?
I nɔ go go kpatakpata. Bɔt yu kin kɔntrol am fayn fayn wan ɛn yu kin liv nɔrmal layf we nɔr gɛt ɛni sayn. Dis tɛm we nɔ gɛt ɛni sayn na in dɛn kɔl am rɛmishɔn . Dis tɛm kin las fɔ sɔm mɔnt, ivin fɔ lɔng lɔng tɛm. Bɔt if yu it bad it, yu gɛt bɔku strɛs, ɔ fɔ ɔda rizin, yu sik kin kam bak (flare-up).
De tin wae impɔtant pas ɔl wae yu de liv wit dis sik na fɔ lisin to yu bɔdi. Di bɛst tritmɛnt na fɔ no wetin de mek yu gɛt di sik.
Pan ɔl we pipul dɛn nɔ no bɔt Maykroskɔpik Kɔlayt lɛk ɔda sik dɛn we de na di bɔdi, dat nɔ min se dɛn nɔ go ebul fɔ kɔntrol am. We dɔktɔ tɛl yu se yu gɛt dis sik, na wan an yu kin fil bad, "O, wetin apin to mi?" Bɔt na di ɔda say, yu kin fil fri bak, "A dɔn no di rizin fɔ di prɔblɛm we a dɔn gɛt fɔ lɔng lɔng tɛm."
If yu tray smɔl, yu it fayn it, ɛn sɔntɛm yu tek mɛrɛsin, yu go ebul fɔ kɔntrol dis sik ɛn gɛt wɛlbɔdi. Bi opin ɛn ɔnɛs to yu dɔktɔ bɔt yu sik dɛn ɛn aw dɛn de afɛkt yu layf. I go ebul fɔ ɛp yu fɔ fɛn di bɛst sɔlv fɔ yu.
Mɛsej we dɛn kin kɛr go na os
- Maykroskɔpik Kɔlayt na wan inflammatory kɔndishɔn na di big intestin we dɛn nɔ kin no bay rutin skan ɛn dɛn kin no am nɔmɔ tru maykroskɔp.
- Di men sayn na we yu de dayarɛa fɔ lɔng tɛm ɛn we gɛt wata.
- Pan ɔl we no patikyula rizin nɔ de fɔ dis, sɔm mɛrɛsin dɛn, infɛkshɔn, ɛn prɔblɛm dɛn we de wit di imyun sistɛm kin mek dɛn du dis.
- Kolonoskopi ɛn bayɔpsi impɔtant fɔ mek dɛn no di sik kɔrɛkt wan.
- We dɛn chenj di it ɛn mɛrɛsin, dɛn kin ebul fɔ kɔntrol dis sik fayn fayn wan ɛn dɛn kin liv nɔmal layf.
- If yu gɛt dɛn sik ya, nɔ tink se, bɔt fɔ tru, go to yu dɔktɔ fɔ advays.
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