Yu kin gɛt bɔdi bak ɔltɛm? Lɛ wi lan bɔt dis maykroskɔpik kɔlayt!

Sɔntɛnde yu kin gɛt wata we de muv yu bɔdi we kin las fɔ sɔm dez? Along wit dat, yu kin fil plenti diskomfot en pen na yu bele, no so? Dis na wan sik wae wi nɔr kin tɔk bɔt bɔrku, bɔt e kin afɛkt bɔrku pipul dɛm. Na dat na maykroskɔpik kɔlaytis. Tide, wi go tɔk bɔt dis ditayli ɛn rili simpul wan.

Wetin na Maykroskɔpik Kɔlayt?

Fɔ tɔk am simpul wan, maykroskɔpik kɔlayt na wan inflamɛns we kin de (we kin te) na di layn na yu big intestin (dɛn kin kɔl am bak yu kɔlon). di wod "colitis" min inflameshn na di big intestin. dεn kכl am "maykroskopik" biכs di inflameshn nכ de si wit di nek yay. Na maykroskɔp nɔmɔ yu kin si am klia wan.

Dis na wan kayn inflammatory bowel disease (IBD) bak. Bɔt i difrɛn smɔl frɔm ɔda kayn IBD. Di sɛl dɛn we de na yu intestinal kin vɛks ɔltɛm . Di men sayn na we yu kin gɛt dayarɛa ɔltɛm, we gɛt wata. Lɛk ɔda sik dɛn we nɔ de mɛn, i kin kam ɛn go, dɔn i kin go, dɔn i kin kam bak. Dat min se sɔm tin dɛm (wi kin kɔl dɛm ``trigger'') kin mek di sik wɔs, sɔmtɛm i kin go fɔ insɛf, ɛn afta dat i kin kam bak afta sɔm tɛm. Pan ɔl we i kin sik fɔ ɔl in layf, bɔku tɛm dɛn kin kɔntrol am fayn fayn wan wit mɛrɛsin .

Udat go mɔs gɛt dis?

Dis sik kin rili kam pan ɛnibɔdi, bɔt sɔm pipul dɛn kin gɛt am mɔr.

• Dɛn kin si dis pan pipul dɛn we dɔn ol .
• Dɛn dɔn si bak se uman dɛn kin gɛt am smɔl pas man dɛn.
• Dis risk kin bɔku bak fɔ pipul dɛn we de smok .
• I kin apin bak pan pipul dɛm wae gɛt sɔm ɔtoimyun sik dɛm, mɔr lɛk siliyak sik (gluten allergy).

Dɛn bin jɔs tink se maykroskɔpik kɔlayt nɔ kin bɔku pas ɔda inflammatory bowel diseases. Bɔt bikɔs dɛn nid fɔ tek bayɔpsi na di kɔlon fɔ no di sik kɔrɛkt wan, dɛn biliv naw se bɔku pipul dɛn kin gɛt dis sik pas aw wi bin tink .

Dis na sik we denja?

Nɔ, we yu kɔmpia am wit ɔda kayn bad bad IBD, dɛn nɔ kin tek maykroskɔpik kɔlayt as siriɔs sik we kin mek pɔsin in layf de pan denja. Bɔt di dayarɛa we kin de ɔltɛm ɛn we kin rili bad kin mek i nɔ gɛt wata na in bɔdi, i kin mek i nɔ gɛt bɔku bɔku bɔdi, ɛn sɔntɛm i nɔ kin it fayn. Bɔt, i nɔ kin rili bad so.

Dis na sik wae de kam ɛn go ɛn yu kin kɔntrol am wit mɛrɛsin, so nɔr nid fɔ panik. Bɔt fɔ liv wit bɛlɛ we nɔ fayn afta ɛvri it kin afɛkt yu kwaliti layf . So, i impɔtant fɔ mek wi no bɔt dis.

Wetin na di men kayn maykroskɔpik kɔlayt?

di dכkta dεm kin כnli kכnfכm dis sik bay we dεn luk wan tisu sεmpl frכm di layn na yu intestinal (intestinal mucosa) כnda maykroskכp. Dɔn dɛn kin no di patikyula kwaliti dɛn we dɛn sɛl dɛn de gɛt. Dɛn kin yuz dɛn kayn tin ya fɔ no di sɔbtayp dɛm fɔ di sik. Naw, tu men sɔbtayp dɛn de we dɛn dɔn no. Dɛn de tɔk bɔt bɔku ɔda wan dɛn bak.

• kolagenus colitis: di kכnektiv tisu we de layn yu kכlon na kolagen εn εlastin. insay dis kayn, di kolagen bכnd dεm we de na di layn na yu kכlon de tik abnכmal. dis lεk di we aw kolagen εn εlastin de swεla na כda kכnektiv tisu sik dεm lεk rεumatoid atraytis. Dɛn kin si dɛn ɔtoimyun kɔndishɔn ya bak pan pipul dɛn we gɛt maykroskɔpik kɔlayt.

• limfosaytik kolεt: insay dis kayn we, di nכmba fכ di limfosayt dεm we nכ de inkrεs, we na wan kayn sεl we de na di layn na di kכlon (εpitel). Limfosayt na wan kayn wayt blɔd sɛl. Dɛn na pat pan wi imyun sistɛm ɛn dɛn de protɛkt wi frɔm infɛkshɔn. I nɔmal fɔ mek di nɔmba fɔ di wayt blɔd sɛl dɛn go ɔp we inflamɛns de we gɛt fɔ du wit di imyun sistɛm.

Di bɛst tin na dat di sayn dɛm fɔ ɔl tu di kayn sik dɛn kin fiba. Ɛn di tritmɛnt we dɛn kin gi na di sem. Di wangren difrɛns na we yu luk dɛn ɔnda maykroskɔp. Sɔm sayɛnsman dɛn tink se fɔ tru, dɛn tin ya na tu kes dɛn we gɛt di sem sik. Sɔmtɛm, yu kin ivin si ɔl tu kayn sik dɛn pan di sem pɔsin. Dɛn kɔl dis "inkɔmplit maykroskɔpik kɔlayt."

apat frכm dat, sכm pipul dεn tink se wan kכndyushכn we dεn kכl mastocytic enterocolitis dεn fכ tek am bak as wan kayn maykroskopik kolaytis. I gɛt bɔku pan di sem sayn dɛn. כltu, "enterocolitis" min se i nכ de afekt nכto di big intestכn nכmכ, bכt i de afekt di sכm intestכn bak. "Mastocytic" min se abnכmal inkrεs de na כda kayn imyun sεl we dεn kכl mast sεl dεm na di layn na di intestin.

Wetin na di sayn dɛm fɔ dis?

di men εn di mכst prominεnt sεmtin fכ maykroskopik kolεt na di krεse, wata we de muv di bכdi.. Bɔku tɛm, yu kin gɛt fayv to tɛn bɔdi muvmɛnt ɛvride. Sɔm pipul dɛn kin gɛt mɔ ɔ smɔl pas dis. Na smɔl tɛm nɔmɔ dɛn dɔn ripɔt se maykroskɔpik kɔlayt kin apin we pɔsin nɔ de muv in bɔdi ɔ we i gɛt kɔnstipɛshɔn. Insay dɛn kayn tin ya, dɛn kin no am bay we dɛn de luk fɔ ɔda tin.

Apat frɔm di men sayn dɛm, sɔm kɔmɔn sayd ɛfɛkt dɛm de wae yu kin si:

• Bɛlɛ pen ɛn kramp.
• Abdominal distenshɔn ɛn blo.
• I nid fɔ go na di bafa kwik kwik wan ɛn i nɔ izi fɔ ol di stɔl bak.
• Fɔ yɛri di bɔdi sawnd (lɛk di bɛlɛ we de grɔmbul).
• Sɔm pipul dɛn kin gɛt prɔblɛm fɔ it tin dɛn we gɛt gluten (lɛk bred ɛn nuts).
• Fɔ fil taya ɔltɛm (Fatigue).

If de sik tranga pasmak, sɔm sayn dɛm lɛk:

• Di wata we nɔ de na di bɔdi.
• Nɔs ɛn vɔmit.
• We yu de lɔs yu wet.

Apat frɔm dis, sɔm pipul dɛn kin tɔk bɔt ɔda tin dɛn:

• Mɔsul dɛn kin kramp ɔ di mɔsul dɛn kin pen.
• Joint pen ɛn stiffness.
• Ed we de at ɔ maygren.
• Sɔl dɛn na yu mɔt.
• Skin rash dɛn we de kɔmɔt.
• At bɔn, asid we de tɔn bak.
• Di limf no dɛm we dɔn swel.
• Tayrɔyd prɔblɛm dɛn.
• di prכblεm dεm na di nεv sεstem (e.g., difεlεns fכ waka - `(ataxia)`).

Impɔtant: If yu gɛt wan ɔr mɔr pan dɛn sik ya, i nɔr min se yu gɛt maykroskɔpik kɔlayt. Bɔt i go fayn fɔ mek yu go to dɔktɔ, mɔ if yu gɛt dayarɛa ɔltɛm.

Wetin na di rizin dɛn we mek dɛn de du dis?

Sayɛnsman dɛn stil nɔ dɔn fɛn ɛni patikyula rizin fɔ dis, bɔt dɛn tink se bɔku tin dɛn kin mek dis apin:

• Fɔ gɛt sɔm baktri dɛm, baktri dɛm we gɛt pɔyzin, ɛn vayrɔs dɛm.
• כtoimyun rεspכns na rεspכns we de apin bikoz fכ mistek na wi bכdi in כwn imyun sistεm. Dat min se di imyun sistɛm de wok agens wi yon sɛl dɛn.
• Jɛnɛtiks. Dat min se i kin bi sɔntin we kɔmɔt frɔm jɛnɛreshɔn.

Sɔm risach dɔn sho se sɔm pan di mɛrɛsin dɛn we wi kin yuz kin mek bak dis prɔblɛm kam. Fɔ ɛgzampul:

• Nɔnsterɔyd anti-inflammatory drɔgs (NSAID) - fɔ ɛgzampul, pen kil lɛk ibuprofen ɛn diklofenac.
• Proton pump inhibitors (PPI) - mεdikeshכn dεm lεk Omeprazole, we dεn kin yus fכ trit gastritis.
• Sεlektiv sεrotonin riuptek inhibito (SSRI) - mεdikeshכn dεm we dεn kin yuse fכ trit mεntal sik lεk diprεshכn.
• Ɔmon riplesmɛnt tɛrapi (HRT).
• Beta blɔk - sɔm mɛrɛsin dɛn we dɛn kin yuz fɔ mɛn ay blɔd prɛshɔn.
• Statins - Mεdikeshכn dεm fכ lכs kכlestכl.

Nɔto ɔlman wae de tek dɛn mɛrɛsin ya go gɛt dis sik. Bɔt dɛn kin tink se dɛn tin ya kin bi wan pan di tin dɛn we kin mek i apin. If yu de tek dɛn mɛrɛsin ya, nɔ stɔp fɔ tek dɛn we yu nɔ tɔk to yu dɔktɔ.

Aw fɔ no dis sik kɔrɛkt wan? (Diagnosis) .

Bɔku tɛm, na wan dɔktɔ we de mɛn di bɛlɛ kin no se pɔsin gɛt maykroskɔpik kɔlaytis. I go aks yu fɔs bɔt yu mɛdikal istri ɛn ɛni mɛrɛsin we yu de tek naw. Dɔn, dɛn kin du difrɛn tɛst fɔ si if ɔda tin dɛn de we kin mek yu gɛt dis sik.

• Blɔd tɛst dɛn
• Stɔl tɛst dɛn
• Sɔntɛm na imej tɛst dɛn

If dɛn tɛst ya nɔ fɛn klia rizin, di dɔktɔ go tɛl yu fɔ du kɔlonɔskɔpi ɛn bayɔpsi . Dis na di men we fɔ kɔnfɔm maykroskɔpik kɔlayt.

We yu de du kɔlon skɔpi, yu dɔktɔ go put wan lɔng inschrumɛnt we kin chenj (we dɛn kɔl kɔlon skɔp) tru yu rɛktum ɛn insay yu big intestin. Dɛn go put yu na slip we dɛn de du dis prɔsidyu, so yu nɔ go fil ɛni pen. dεn go put wan sכmכl instrכmεnt tru di instrכmεnt εn dεn go tek wan sכmכl tisu (bayopsi) frכm di layn na yu kכlon εn egzamin am כnda maykroskכp. Dis na di onli we fɔ no if yu gɛt maykroskɔpik kɔlaytis.

Aw dɛn kin trit am?

Di tritmɛnt kin difrɛn difrɛn wan bay di sayn dɛm wae yu gɛt ɛn aw dɛn kin tranga. Sɔm pipul dɛn kin nid fɔ chenj smɔl smɔl pan di tin dɛn we dɛn de it ɛn di we aw dɛn de liv dɛn layf. Ɔda pipul dɛn kin nid fɔ tek mɛrɛsin we dɛn kin bay na kɔt (OTC) ɔ we dɛn kin gi dɛn mɛrɛsin.

Imajin, fɔ sɔm pipul dɛn, di sayn dɛn kin kam wantɛm wantɛm ɛn afta dat dɛn kin dɔn fɔ dɛnsɛf. Fɔ sɔm pipul dɛn, if dɛn kɔntrol di tin dɛn we dɛn de it, dat kin mek dɛn rili fil fri. Fɔ ɔda pipul dɛn, dɛn kin jɔs nid fɔ tek mɛrɛsin we dɛn de flay, ɔ dɛn kin nid fɔ tek mɛrɛsin ɔltɛm.

Sɔm mɛrɛsin dɛn we dɛn kin yuz:

• mεdisin dεm we de tik di stכl εn rεdכks di fכs fכ muvmεnt fכ di bכdi (`Bulking agents`): fכ egzampl, tin dεm lεk Isabgol `(psyllium).`
• Anti-diarrheals: Mεdisin dεm we de slo di rεt fכ intestinal kכntrikshכn εn kכntrכl dayariya : Fכ egzampl, loperamide כ diphenoxylate.
• Bismuth subsalicylate (lɛk Pepto Bismol®): Fɔ dayarɛa, at bɔn, nɔs, ɛn fɔ nɔ it fayn.
• Budesonide: .Dis na wan kayn kɔtikosterɔyd. I de absɔb insay di bɔdi na di big intestinal, usay i de ridyus di inflamɛns.
• Mesalamine: Dis na rili mɛrɛsin fɔ ɔlsɛrativ kɔlayt, we na ɔda inflammatory bowel disease. Bɔt dɛn kin yuz am bak fɔ ridyus di swɛlin ɛn pen.
• di bayl asid sikεstrant dεm (e.g., colesevelam, colestipol): dεn kin gi yu dεn tin ya if yu gεt prכblεm usay yu bכdi nכ de abzכp bayl fayn fayn wan (bayl asid malabsכpshכn).

If di mɛrɛsin dɛn we wi dɔn tɔk bɔt nɔ ɛp bɔku, ɛn yu dɔktɔ tink se i kin bi bikɔs ɔf wan ɔtoimyun kɔz, den dɛn kin gi ɔda mɛrɛsin dɛn we de tɔch di imyun sistɛm:

• Di tin dɛn we de mek di bɔdi nɔ ebul fɔ fɛt di sik.
• TNF inhibito dεm (e.g. adalimumab, infliximab).
• kromolin sכdiכm (de tכk di mast sεl dεm, spεshal wan insay mastosaytik εnterokolaytis).
• Naltrexone we gɛt smɔl doz.

Ɔda advays dɛn we yu kin gɛt frɔm yu dɔktɔ:

• If yu de tek ɔda mɛrɛsin naw, tink bɔt fɔ chenj di doz ɔ chenj di mɛrɛsin.
• Fɔ lɛf fɔ smok kpatakpata.
• Tray fɔ no us it dɛn yu gɛt alɛji fɔ ɛn uswan de mek yu sik wɔs.

Yu tink se dis sik go dɔn kpatakpata?

Nɔto sote go. Bɔt, yu kin nɔr gɛt ɛni sayn fɔ lɔng tɛm . Wi kin kɔl dis ``rɛmishɔn`` fɔ di sik. Dis rεmishכn kin las fכ mכnt, ivin fכ ia. Bɔt, lɛk ɛni sik we nɔ de mɛn, i kin kam bak bikɔs ɔf ``trig dɛn``. If yu no di tin dɛn we de mek yu fil bad, yu kin mek di flare-up nɔ bɔku.

Aw lɔng flawa-ap kin las?

Dis kin difrɛn frɔm wan pɔsin to ɔda pɔsin. Bɔt di tipik tɛm we di flare-up kin te frɔm sɔm dez to sɔm wiks. Bɔrku pipul dɛn dɔn ebul fɔ ridyus di tɛm ɛn di kayn we aw dɛn kin gɛt dis flawa bay we dɛn nɔ de it it ɛn kemikal dɛn we de mek dɛn vɛks, ɛn bay we dɛn de tek mɛrɛsin we dɛn nid am. Mek shɔ se yu tɔk to yu dɔktɔ if yu sik dɛn de wɔs.

Wetin na di bɛst it ɛn drink fɔ pɔsin we gɛt maykroskɔpik kɔlaytis?

nכ spεsifi k "maykroskopik kolכt it" de fכ maykroskopik kolεt. Bɔt i kin ɛp fɔ kɔntrol yu sik dɛn bay we yu de ridyus di it dɛn we de mek dɛn wɔs ɛn ad mɔ it dɛn we de ridyus di inflamɛns. Yu patikyula it dɛn go difrɛn fɔ yu. I go tek sɔm tɛm fɔ praktis fɔ no wetin go wok fɔ yu. Yu dɔktɔ kin tɛl yu tin dɛn lɛk:

Fɔ pul di it dɛn we kin mek pɔsin gɛt alɛrji

Na sɔm it dɛm wae dɛn dɔn no se kin ebul fɔ mek di sayn dɛm fɔ maykroskɔpik kɔlayt bɔku:

• Rum.
• Kafin (we de insay kɔfi, ti, ɛn sɔm sɔft drink dɛn).
• Gluten (na protin we de insay grens lεk wit, bali, εn ray - insay tin dεm lεk bred, pasta, εn kek).
• Milk ɛn tin dɛn we dɛn mek wit milk.
• Suga.
• Atifishal tin dɛn we dɛn kin yuz fɔ swit.

Fɔ it dɛn we nɔ gɛt bɔku fat ɛn we nɔ gɛt bɔku fayv

We di flare-up de, sɔm dɔktɔ dɛn kin se yu fɔ "gastrointestinal soft diet." Dis min se yu fɔ it tin dɛn we nɔ gɛt bɔku fat ɛn we nɔ gɛt bɔku fayv. Dis de ridyus di wok we yu de du na yu dijestiv sistɛm. Bɔt sɔm it dɛn we yu kin it pan dis it nɔ kin fayn fɔ yu.

Di it we dɛn kin it fɔ pul di it

Wan we fɔ no ustɛm yu gɛt alɛji fɔ it na fɔ tray fɔ it tin dɛn we yu nɔ want fɔ it. Fɔ ɛgzampul, it we nɔ gɛt bɔku FODMAP. Dis na it we pɔsin kin it fɔ shɔt tɛm. Insay dis, yu kin pul sɔm it grup dɛn kɔmɔt kpatakpata ɛn afta dat yu kin put dɛn bak wan bay wan fɔ si uswan yu kin fil fɔ it. I rili impɔtant fɔ aks fɔ di gayd frɔm pɔsin we sabi bɔt it we dɛn dɔn rɛjista we yu de du sɔntin lɛk dis.

Di it we de mek pɔsin nɔ gɛt inflammatory

Dɛn dɔn si se sɔm it dɛn lɛk it dɛn we gɛt bɔku bɔku fat, kin mek di bɔdi nɔ inflamɛns. Di Mɛditarenian it na gud ɛgzampul fɔ dis kayn it we de mek pɔsin nɔ gɛt inflammatory. Tumɛrik na gud tin bak fɔ ad to yu it, bikɔs i gɛt tin dɛn we de mek yu nɔ gɛt inflammatory.

Yu tink se probayotiks gud fɔ dis?

Bifo dis tɛm, dɛn bin de rɛkɔmɛnd probayotiks as tritmɛnt fɔ maykroskɔpik kɔlayt. Bɔt di gaydlain dɛn we de naw nɔ de advays dɛn bikɔs dɛn nid fɔ du mɔ risach. So, nɔ tek probayotik if yu dɔktɔ nɔ advays yu.

Maykroskɔpik kɔlayt na wan sik we dɛn stil nɔ ɔndastand gud gud wan. Fɔ di ɔda inflammatory bowel diseases, na di wan we dɛn nɔ no bɛtɛ. Bɔt, sayɛnsman dɛn de tink naw se i go bi se i kɔmɔn lɛk di ɔda wan dɛn. Na smɔl patikyula risach de bɔt am, ɛn naw nɔr gɛt ɛni mɛrɛsin we dɛn dɔn tɔk bɔt fɔ am. Laki, bɔku tɛm dɛn kin kɔntrol am wit di tritmɛnt dɛn we dɛn de gi naw. If yu tray smɔl, fɔ fɛn di rayt mɛrɛsin ɛn it, yu kin ebul fɔ kɔntrol yu sik dɛn fayn fayn wan we dɛn kam.

Fɔ dɔn, na sɔm tin dɛn we wi fɔ mɛmba

• Maykroskɔpik Kɔlayt na wan sik we pɔsin kin ebul fɔ kɔntrol , so nɔ wɔri.
• Fɔ no dis kɔrɛkt wan, dɛn nid fɔ du kɔlonɔskɔpi ɛn bayɔpsi.
• Wok wit yu dɔktɔ fɔ fɛn di tritmɛnt we go woke fayn fɔ yu.
• I rili impɔtant fɔ no di it, drink, ɛn ɔda tin dɛn we de mek yu sik (trig).
• If yu gɛt sɔm sayn dɛm, nɔr ayd dɛm ɛn sɔfa, bɔt go to dɔktɔ. Nɔto yu wan de!

Maykroskɔpik Kɔlayt, Dayarɛa, Bɛlɛ we de at, Intestinal inflamɛns, Kɔlayt, Fɔd alɛji, Gastroɛnterɔlɔji