Yu kin gɛt bɛlɛ pen bak, ɔpa bɛlɛ pen, lɛk gastritis? Dis na prɔblɛm we bɔku pipul dɛn na wi kɔntri gɛt. Pan ɔl we wi kin kɔl dis "gastritis", sɔmtɛm i kin bi sɔntin we nid fɔ pe atɛnshɔn smɔl. Na dat na di kɔndishɔn we wi de tɔk bɔt tide, Pɛptik Ɔlsa Disease (PUD). Fɔ tɔk am simpul wan, dis na we ɔlsa kin kam na di insay wɔl na wi dijestiv sistɛm.
Fɔ tɔk am simpul wan, wetin na ɔlsa we de na di bɛlɛ?
Imajin, insay wi bɛlɛ, dat na, insay di bɛlɛ, dɛn kin mek asid ɛn ɛnzaym dɛn we rili strɔng fɔ dayjɛst di it we wi de it. Wan pan di men wan dɛn na pepsin. di wod "peptic" dεn kכmכt bak frכm dis pepsin. Dɛn asid ɛn pepsin ya de wok togɛda fɔ brok di it we wi de it ɛn ɛp wi fɔ dayjɛst am. Dɛn tin ya so strɔng dat ivin if dɛn fɔdɔm pan nɔmal skin, dɛn kin mek pɔsin wund.
Dɔn yu kin tink se, "If dɛn kayn harsh tin dɛn de, aw i go bi se wi bɛlɛ wɔl nɔ pwɛl?" di rizin na dat di insay wכl na wi bεlε εn duodenum kכba wit tik mכkus layn, lεk shild we de protεkt. Dis na di shild we de protɛkt di bɛlɛ wɔl frɔm dɛn harsh asid dɛn de.
כltu, insay di pεptik כlsa sik (PUD), dis protεktiv shild, di mכkus mεmbran, kin wik fכ sכm rizin. Dɔn, di harsh asid ɛn pepsin kin pwɛl di bɛlɛ wɔl dairekt wan. As tɛm de go, dɛn say dɛn de kin bigin fɔ wund. Na dat wi kin kɔl ɔlsa ɔ bɛlɛ ɔlsa.
Usay dɛn ɔlsa ya kin apin?
Dɛn ɔlsa ya kin apin mɔ na tu pat dɛn na wi dijestiv sistɛm.
1. Duodenal Ulcers: di duodenum na di fכs pat pan wi sכm sכm intestכn. Fɔd kin go ya afta di bɛlɛ. כlmost 80% pan di pεptik כlsa dεm de apin na dis εria.
2. Bɛlɛ Ɔlsa / Gastrik Ɔlsa: Dis na ɔlsa we de fɔm na di wɔl dɛn na di bɛlɛ. Dis kayn kin apin pan lɛk 20% pan di kes dɛm .
Apat frɔm dɛn tu men say ya, na smɔl tɛm nɔmɔ, dɛn kayn injury ya kin apin na ɔda say dɛn.
- εsophageal Ulcers: di εsophagus na di tכb we de kכri it frכm wi trot to wi bεlε. we wi gεt asid rεfluks (GERD) fכ lכng tεm, di bεlε asid kin kam כp εn pwεl di wכl dεm na dis tכb.
- Jejunal ɔlsa: Dɛn ɔlsa ya kin kam afta sɔm ɔpreshɔn na di bɛlɛ (e.g. gastrojejunostomy).
Aw yu go no if yu gɛt dis sik? (Sayn dɛn)
I sɔprayz fɔ no se lɛk 7 pan ɛvri 10 pipul dɛn we gɛt ɔlsa na dɛn bɛlɛ nɔ kin sho ɛni sayn. Bɔt if di sayn dɛn we pɔsin kin si, na dɛn sayn ya kin apin mɔ.
di men sayn na we yu de bɔn ɔ sting pen, mɔ na di ɔp, midul pat na di bɛlɛ (epigastric pen). Sɔm pipul dɛn kin tɔk bɔt dis pen as wae pɔrsin fil lɛk wae pɔrsin de dig na yu bɛlɛ ɔr wae pɔrsin de bɔn.
| Di sayn we de sho se di sik de | Tɔk bɔt |
|---|---|
| Bɛlɛ de pen ɔ inflamɛns | Pen na di ɔp, midul pat na di bɛlɛ. I kin bɔku ɔ i kin go dɔŋ afta yu dɔn it. Sɔntɛnde, di pen kin wɔs pan ɛmti bɛlɛ. |
| Fɔ blo | Fɔ fil ful ivin afta yu dɔn it smɔl. Fɔ fil se yu de blo. |
| Fɔ de bɔr bɔku tɛm | Fɔ go na di bafa bɔku tɛm pas aw yu kin go. |
| At bɔn | wan sεns we de bכn na di midul pan di chεst bikoz fכ di bεlε asid we de kam כp insay di trot. |
| I nɔ kin want fɔ it igen ɛn i kin gɛt nɔys | I nɔ kin want fɔ it igen, i kin fil lɛk se i de vɔmit, ɔ i kin vɔmit. |
| Pen we kin kam na nɛt | Sɔm pipul dɛn kin gɛt bɛlɛ pen we kin mek dɛn wek na nɛt. |
Wetin mek bɛlɛ ɔlsa kin kam lɛk dis? Tu men rizin dɛn!
As wi bin dɔn tɔk, ɔlsa na di bɛlɛ kin apin we di layn we de protɛkt di bɛlɛ wik. Tu men rizin dɛn de we mek dis layn we de protɛkt pɔsin kin wik. dis tu rizin dεm na dεn de rispansabl fכ mכr dan 90% pan di bεlε כlsa dεm.
1. Hεlikobakter pylori baktriyal infεkshכn
- Wetin na H. pylori?
Dis na spɛshal kayn bɔdi we kin liv na wi bɛlɛ ɛn insay wi bɔdi. I pas af pan di pipul dɛm na di wɔl gɛt dis bɔdi na dɛn bɛlɛ. Bɔt bɔrku pipul nɔr kin gɛt ɛni sayn. Bɔt pan sɔm pipul dɛn, dis baktri kin gro tumɔs ɛn bigin fɔ pwɛl di layn we de protɛkt di bɛlɛ. As tɛm de go, dis kin mek yu gɛt ɔlsa na yu bɛlɛ.
2. Yuz nכn-stεroyd anti-inflammatory drugs (NSAID) .
- Wetin na dɛn NSAID ya?
Dis na wan kayn pen we wi kin yuz bɔku tɛm. Fɔ ɛgzampul, mɛrɛsin dɛn lɛk Aspirin, Ibuprofen (e.g. Brufen), ɛn Diclofenac Sodium (e.g. Voltaren) . Wi kin yuz dɛn tin ya fɔ tin dɛn lɛk jɔyn pen, bak pen, ɛn ed we de at.
- Aw dɛn tin ya kin mek pɔsin gɛt ɔlsa na di bɛlɛ?
We dɛn tek dɛn mɛrɛsin ya fɔ lɔng tɛm ɔ dɛn tek am bɔku, di balans we di kemikal dɛn we de ɛp fɔ bil di layn we de protɛkt di bɛlɛ kin ambɔg. Dis kin mek di layn we de protɛkt di wɔl kin tan lɛk tin, ɛn dis kin mek i izi fɔ mek di asid dɛn pwɛl di wɔl.
Imajin se yu gɛt at at sik na yu ni. Yu kin kɔntinyu fɔ tek mɛrɛsin fɔ mek yu fil pen na di famasi we yu nɔ go to dɔktɔ. Afta sɔm tɛm, yu kin bigin fɔ gɛt ɔlsa na yu bɛlɛ. Wetin kin de apin ya na dat di mɛrɛsin dɛn we de mek yu fil pen kin mek di layt we de protɛkt yu bɛlɛ wik, ɛn dis kin mek yu gɛt ɔlsa.
Ɔda tin dɛn we nɔ kin apin so ɔltɛm
apat frכm di tu men kכz dεm we wi bin dכn bכn, pεptik כlsa kin divεlכp bak bikoz fכ כda tin dεm we nכ kin kכmכt sכmtεm.
- Sɔm ɔda infɛkshɔn dɛn
- Kimotɛrapi fɔ kansa
- Redyushɔn tɛrapi
- Kɔndishɔn dɛn lɛk di sik we dɛn kɔl Crohn’s disease
- Kɔndishɔn dɛn we nɔ kin apin so ɔltɛm lɛk Zollinger-Ellison syndrome
- Sivεr fכshal strεs (e.g., afta big כpεrayshכn, siriכs bכn) .
Yu tink se dis go denja if dɛn lɛf am in wan? (Kɔmplikeshɔn dɛn) .
Yɛs. Pɛptik ɔlsa nɔto sɔntin fɔ tek am layt. If dɛn nɔ trit dɛn fayn, dɛn kin mek dɛn gɛt prɔblɛm dɛn we denja.
1. Blɔd we de kɔmɔt na di bɛlɛ: If di wund dip ɛn wan blɔd vesel we de de brok, blɔd go bigin fɔ flɔ insay di bɛlɛ.
2. Pεrforeshכn na di gεstrointestinal:Dis kin denja pas dat. Di wund de go tru di wɔl na di bɛlɛ ɔ di intestinal, ɛn i de mek wan ol. Dɔn di bɛlɛ asid, it, ɛn ɔda tin dɛn kin lik insay di bɛlɛ, we kin mek i gɛt siriɔs infɛkshɔn (pɛritonitis). Dis na rili siriɔs imejensi we nid fɔ ɔpreshɔn kwik kwik wan.
| Sɔntin yu nɔ plan! If yu gɛt dɛn sik ya, go na ɔspitul wantɛm wantɛm! | |
|---|---|
| Blak stɔl dɛn | If yu stɔl stika ɛn blak, lɛk tar, i kin bi bikɔs blɔd de na di bɛlɛ ɛn da blɔd de de digest. |
| Blɔd we de vɔmit | If di vɔmit rɛd ɛn fresh blɔd ɔ brawn ɛn i tan lɛk kɔfi grɔn, dat na sayn fɔ blɔd. |
| Wan bad bad bɛlɛ pen wantɛm wantɛm | If yu gɛt siriɔs, shap pen na yu bɛlɛ we de mek i nɔ izi fɔ du ɛnitin ɔ ivin fɔ blo, dat kin bi sayn fɔ se yu bɛlɛ dɔn pɔt. |
| Ɔda tin dɛn we de apin | Sayn dɛn we de sho se pɔsin de blɔd bad bad wan na we i de shayn, i de swet pasmak, i nɔ izi fɔ blo, ɛn i nɔ de no natin. |
If yu gɛt ɛni wan pan dɛn sik ya, nɔ de na os. Go na di ɔspitul we de nia yu Imejɛnsi Dipatmɛnt (ETU) kwik kwik wan.
Aw di dɔktɔ kin no dis sik klia wan?
Afta yu dɔn lisin to yu sayn dɛm, if di dɔktɔ sɔprayz se dis kin bi ɔlsa na yu bɛlɛ, i go ɔda fɔ mek dɛn du sɔm tɛst dɛm.
1. H. pylori test: I izi fɔ chɛk if dis baktri de.
- Yuria Briz Tɛst: Dɛn kin gi yu spɛshal wata fɔ drink, ɛn dɛn kin tɛst yu briz afta shɔt tɛm.
- Stul Antigen Test: Dɛn kin tek wan stɔl sɛmpul fɔ chɛk if dis baktri de.
2. Ɛndoskopi (Ɔpa Ɛndoskopi): .
Dis na di bɛst we fɔ kɔnfɔm if yu gɛt ɔlsa na yu bɛlɛ. Dis min se yu fɔ pas wan tint tiub we kin chenj ɛn we gɛt kamɛra we dɛn tay tru yu mɔt insay yu bɛlɛ ɛn yu it, usay yu go si wetin de insay pan skrin. Dɛn go gi yu pen kil fɔ numb di pen we yu de du dis.
- Di bɛnifit dɛn: Yu kin si klia wan if ɔlsa de, usay dɛn de, ɛn aw dɛn big. Yu kin tek smɔl pat pan di tisu bak (bayopsi) wantɛm wantɛm fɔ chɛk fɔ H. pylori.
Wetin na di tritmɛnt dɛm fɔ dis?
Di gud nyus na dat, ɔlsa na di bɛlɛ na sik we pɔsin kin mɛn ɔlmost wit mɛrɛsin . Di tritmɛnt dipen pan wetin de mek yu gɛt ɔlsa.
- Tritmɛnt fɔ H. pylori infɛkshɔn:
If yu gɛt H. pylori infɛkshɔn, yu dɔktɔ go gi yu wan kɔmbaynshɔn fɔ tu ɔ tri antibayɔtik ɛn wan protɔn pɔmp inhibito (PPI) fɔ 1-2 wik. I rili impɔtant fɔ tek dɛn mɛrɛsin ya ɛksaktɔli fɔ di ful tɛm.
- If na bikɔs ɔf di we aw dɛn de yuz NSAID:
If na mɛrɛsin we de mek yu fil pen na yu ɔlsa, di fɔs tin we yu fɔ du na fɔ stɔp fɔ tek am. Dɔn, yu kin nid fɔ tek wan PPI mɛrɛsin fɔ wan ɔ tu mɔnt fɔ ridyus di asid na yu bɛlɛ ɛn ɛp di ɔlsa fɔ wɛl.
- Ɔda mɛrɛsin dɛn:
- H2 Blockers: Dis na wan kayn mɛrɛsin bak we de ridyus di prodakshɔn fɔ asid na di bɛlɛ.
- Saytoprotektiv ejen dεm: dεn ya de mek wan protεktiv kכt na di bεlε wכl εn de εp di wund fכ hεl.
Bɔku tɛm, i kin tek lɛk tu mɔnt so fɔ mek di ɔlsa dɛn wɛl kpatakpata. Afta yu dɔn trit yu, yu dɔktɔ kin tɛst yu bak fɔ si if di ɔlsa dɔn wɛl ɛn di H. pylori baktri dɔn kɔmɔt.
Aw yu go ebul fɔ rɔnawe pan dis prɔblɛm?
I impɔtant fɔ ridyus yu risk fɔ gɛt peptik ɔlsa pas fɔ sɔfa wit am. Tu men tin dɛn de we yu kin du fɔ du dat.
1. Aw fɔ no bɔt H. pylori infɛkshɔn:
If yu gɛt prɔblɛm wit yu bɛlɛ ɔltɛm, go to dɔktɔ ɛn du tɛst fɔ H. pylori. If yu du dat, gɛt di rayt tritmɛnt fɔ mɛn am.
2. Tek tɛm wit mɛrɛsin dɛn we de mek pɔsin fil pen (NSAID):
- Yuz am nɔmɔ we nid de. Nɔ tek dɛn kayn strɔng mɛrɛsin ya fɔ smɔl pen.
- Nɔ ɛva tek dis mɛrɛsin fɔ lɔng tɛm we yu nɔ go to dɔktɔ.
- If yu dɔn gɛt ɔlsa na yu bɛlɛ bifo, yu go nid fɔ stɔp fɔ tek dɛn mɛrɛsin ya ɔltogɛda. Ɔ, yu dɔktɔ kin advays yu fɔ tek dɛn wit ɔda mɛrɛsin we de protɛkt yu bɛlɛ.
Mɛsej we dɛn kin kɛr go na os
- Bɛlɛ inflamɛns ɛn pen nɔto ɔltɛm na gastritis. I kin bi bay we yu gɛt ɔlsa na yu bɛlɛ (Pɛptik Ɔlsa).
- di tu men rizin dεm fכ dis na di H. pylori baktri dεm εn di kכntinyu fכ yus NSAID pen kil dεm (e.g. Brufen, Aspirin).
- Ivin if no sayn nɔ de, sɔm pipul dɛn kin gɛt ɔlsa na dɛn bɛlɛ. So nɔ fɔ tek mɛrɛsin fɔ mek yu fil pen fɔ dɛnsɛf.
- If yu gɛt blak stɔl, yu gɛt blɔd we de vɔmit, ɔ yu bɛlɛ de at bad bad wan, na imejensi. Go na di ɔspitul in Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm.
- Dɛn kin mɛn dis sik ɔltogɛda wit mɛrɛsin. So, if yu gɛt sɔm sayn dɛn, go to dɔktɔ ɛn gɛt di rayt tritmɛnt.
- I bɛtɛ fɔ lɛ yu nɔ it tin dɛn we gɛt ɔyl, spays, smok, ɛn rɔm bikɔs dɛn kin mek di sik wɔs.
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