Imajin se yu go si dɔktɔ fɔ sɔm ɔda bɛlɛ prɔblɛm, sɔntɛm di "gastritis" we wi ɔl gɛt. Di dɔktɔ lisin to yu simptom ɛn se, "Lɛ wi put kamɛra insay ɛn luk insay yu bɛlɛ." I bin du wan ɛndoskɔpi. Afta di egzamin, di dɔktɔ se, "Sɔmtin de lɛk smɔl tumbu insay yu bɛlɛ, dat na, na di wɔl na yu bɛlɛ. Wi kɔl dɛn polip ya." I rili nɔmal fɔ mek yu fred ɛn wɔri we yu yɛri sɔntin lɛk dis. "Na tumor? Dat min kansa?" Yu kin tink. Bɔt nɔ wɔri. Bɔku tɛm, dɛn tin ya nɔto tin dɛn we wi fɔ fred. Tide, wi go tɔk bɔt bɛlɛ polyp insay wan simpul ɛn klia we.
Fɔ tɔk am simpul wan, wetin na bɛlɛ polip?
Bɛlɛ polip ɔ gastric polyps na smɔl smɔl tin dɛn we de gro we de mek na di layn na yu bɛlɛ, lɛk smɔl smɔl tɔŋ dɛn. insay wi bεlε, wan tכn mεmbran de we gεt wan tin we de kכmכt lεk mכkus. dis polip dεm de gro frכm dis mεmbran. Imajin se sɔntɛnde wi kin gɛt smɔl smɔl mɔl dɛn na wi skin, nɔto so? Dis na sɔntin lɛk dat, bɔt i de gro insay di bɛlɛ.
Bɔku pan dɛn polip ya nɔ gɛt kansa (benign) , we min se dɛn nɔ de du bad.
Yu tink se dɛn polip ya rili denja? Wetin wi go se bɔt di risk fɔ gɛt kansa?
Dis na di big kwɛstyɔn we de na ɔlman in maynd. Na sɔntin we yu fɔ mɛmba: Bɔku pan di bɛlɛ polyp dɛn nɔto kansa. Ɛn di risk fɔ mek dɛn gɛt kansa rili smɔl.
כltu, dεn kin kכnsidr sכm kayn polip dεm as "prεkansa." Dis min se dɛn nɔ gɛt kansa we yu dɔktɔ fɛn dɛn, bɔt if dɛn nɔ trit dɛn fɔ lɔng tɛm, dɛn kin gɛt kansa afta sɔm ia.
I tan lɛk wud we dɔn ol ɛn bigin fɔ rɔtin. I nɔ rɔtin ɔl da tɛm de, bɔt if wi nɔ fiks am, wan de i kin rɔtin ɔl. Na dat dɛn prɛkansa polip ya bi.
Dis na di rizin we mek dɔktɔ dɛn kin disayd fɔ pul dɛn polip ya jɔs afta dɛn si dɛn. If yu du dat, i go mek yu nɔ gɛt ɛni prɔblɛm we go apin tumara bambay.
Wetin na di men kayn bɛlɛ polyp?
Difrɛn kayn bɛlɛ polyp dɛn de. Di dɔktɔ go tek wan smɔl pat pan yu polip ɛn sɛn am na di lab (wi kɔl dis bayɔpsi).(say) na di onli we fɔ no ustɛm i bi. I risk ɛn tritmɛnt na di kayn we aw dɛn de sho am. Lɛ wi tek wan simpul luk pan dɛn kayn dɛn ya.
| Polip Tayp | Diskripshɔn ɛn risk |
|---|---|
| Fɔndik gland pɔlip dɛn | Dis na di kayn we dɛn we pipul dɛn kin gɛt mɔ. Bɔrku tɛm, dɛn nɔr kin gɛt kansa pasmak . Bɔku tɛm, dɛn kin kam bikɔs dɛn de yuz sɔm mɛrɛsin dɛn (PPI) fɔ lɔng tɛm fɔ gɛt gastritis. |
| Polip dɛn we gɛt haypaplastik | Di sɛkɔn kayn we we kɔmɔn pas ɔl. Dɛn tin ya gɛt fɔ du wit inflamɛns na di bɛlɛ (gastritis). Di risk fɔ gɛt kansa pan dɛn wan ya bak rili smɔl . Bɔt sɔntɛnde, dɛn kin bi sayn fɔ wɔn pɔsin fɔ ɔda kayn kansa, so dɔktɔ dɛn kin chɛk bak di tisu we de rawnd am. |
| Adenomatous polip (adenomas) . | Dis na di kayn polip dɛm we kin apin bifo kansa . Dɛn kin apin na lɛk 10% pan di kes dɛm. If dɛn fɛn dis kayn pɔlip, di dɔktɔ go mɔs pul am kpatakpata. |
| Ɔda kayn dɛn we nɔ bɔku | apat frכm dεn wan ya, כda kayn dεm de we nכ kin apin lεk Gastric neuroendocrine tumors , Hamartomatous polyps , εn Gastrointestinal stromal tumors (GIST) . De risk ɛn tritmɛnt fɔ dɛn tin ya kin difrɛn difrɛn wan bay di kayn. |
Wetin na di sayn dɛm wae de sho se yu gɛt polyp na yu bɛlɛ?
Di amazing tin ya na dat, bɔrku bɛlɛ polyp nɔr de kɔz ɛni simptom.Bɔrku pipul kin kam fɔ no se dɛn gɛt pɔlip na dɛn bɛlɛ we dɛn de du ɛndoskopi fɔ ɔda rizin. Fɔ tɔk am strikt wan, dɛn tin ya na tin dɛn we dɛn kin fɛn we nɔ apin.
Bɔt, na smɔl tɛm nɔmɔ, sɔm polip kin mek yu gɛt sɔm sayn dɛn. Tu men we dɛn de:
1. Blɔd we de kɔmɔt:
- Sɔm polip dɛn kin blɔd smɔl frɔm di say we dɛn de. Sɔntɛm wi nɔ go fil dis blɔd.
- Bɔt if yu kɔntinyu fɔ blɔd lɛk dis, di blɔd kin kɔmɔt wit yu stɔl. Di blɔd we de kɔmɔt na di bɛlɛ kin mek yu stɔl blak ɛn tar .
- We yu blɔd lɛk dis fɔ lɔng tɛm, yu bɔdi kin lɔs blɔd ɛn nɔ gɛt blɔd . Dɔn yu kin fil lɛk se yu nɔ gɛt bɛtɛ trɛnk, yu taya ɔltɛm, ɛn yu kin gɛt sɔm sayn dɛn lɛk fɔ tɔn yu ed ivin we yu de klaym stej .
2. Fɔ mek pɔsin nɔ ebul fɔ du sɔntin:
- Na sכm tεm, if di polip bכku bכku wan, i kin blכk di it paip na di bεlε.
- If dis apin, yu kin gɛt sɔm sayn dɛn lɛk fɔ nɔs, vɔmit, bɛlɛ pen, yu nɔ go want fɔ it, ɛn yu nɔ go gɛt bɔku bɔku bɔdi .
If yu gɛt dɛn kayn sik ya, i nɔr min se yu gɛt pɔlip. Bɔt if yu gɛt dɛn sik ya, i go fayn fɔ mek yu go to yu dɔktɔ kwik kwik wan fɔ no wetin mek yu gɛt dis sik.
Wetin mek dɛn polip ya kin fɔm? Wetin na di men tin dɛn we kin mek pɔsin gɛt dis sik?
Pan ɔl we i nɔ kin izi fɔ no di rayt tin we kin mek pɔsin gɛt bɛlɛ, sɔm pipul dɛn we de stɔdi bɔt dis dɔn no bɔku men tin dɛn we kin mek pɔsin gɛt polyp.
- Krכnik gastritis: if di bכdi layn fכ lכng tεm i kin mek chenj dεm na di sεl dεm εn di fכmeshכn fכ di polip dεm. Gastritis, mɔ we wan baktri infεkshɔn we dɛn kɔl H. pylori kin kam wit, na di men tin we kin mek dis apin.
- Proton-pump inhibitors (PPI): Dis na di drɔgs we wi kin yuz fɔ gastritis, lɛk Omeprazole ɛn Pantoprazole. we dεn yuz dεn dכg dεm ya fכ lכng tεm, dεn de kכntro di prodyushכn fכ bεlε asid, εn fכ ansa, sכm sεl dεm kin gro pasmak εn fכm polip (bכku tεm fכndik gland polip dεm we nכ de du bad). Tɔk to yu dɔktɔ bɔt dis. Wi nɔ de tɛl yu fɔ stɔp fɔ tek di mɛrɛsin, bɔt i go chenj di doz if nid de.
- di sεndrכm dεm we de kכmכt na di bכdi: Na sכm hεridita kכndyushכn dεm (fכ egzampl, Familial Adenomatous Polyposis - FAP) kin mek bכku nכmba fכ polip dεm fכm na di bεlε εn di intestinal dεm.
Aw dɔktɔ dɛn kin trit dis?
We dɛn fɛn pɔlip, di tritmɛnt kin dipen pan in kayn, saiz, ɛn nɔmba.
1. 1. 1. .Fɔ pul di polip (Polypectomy): .
- Bɔku tɛm, if di dɔktɔ si pɔlip we dɛn de du di ɛndoskopi, i go yuz spɛshal tin fɔ kɔt am ɔl ɛn pul am. Dɛn kɔl dis polypectomy . Yu nɔ go fil ɛni pen we yu de du dis prɔsidyu.
- sכm dip כ big polyp dεm kin nid spεshal prosidכs lεk EMR כ ESD fכ pul. Na tin dɛn we nɔ kin apin so ɔltɛm, i kin nid fɔ du ɔpreshɔn.
2. Fɔl-ɔp Skrin dɛn:
- If yu bin gɛt polip bifo kansa, yu dɔktɔ go tɛl yu fɔ go bak fɔ mek dɛn du ɛndoskopi leta fɔ chɛk fɔ nyu polip.
- I rili impɔtant fɔ mek yu nɔ skip di tɛst dɛn akɔdin to di schedule we yu dɔktɔ gi yu.
3. Fɔ trit di ɔndalayn kɔz:
- If na H. pylori infεkshכn mek di polyp dεm, yu dכkta go gi yu antibaytik. Sɔm kayn polip kin go fɔ dɛnsɛf wans di infekshɔn dɔn wɛl.
- If dɛn tink se di kɔz na PPI mɛrɛsin, yu dɔktɔ kin disayd fɔ chenj di mɛrɛsin ɔ ridyus di doz. Nɔ ɛva stɔp fɔ tek mɛrɛsin we yu dɔktɔ dɔn gi yu fɔ yusɛf.
Fɔ fɛn pɔlip nɔto sɔntin we yu fɔ fred. I tan lɛk smɔl signal frɔm yu bɔdi. Yu bɔdi de tɛl yu se, "Sɔmtin de apin na mi bɛlɛ, pe atɛnshɔn to am." Di tin we impɔtant pas ɔl na fɔ lisin to da sayn de ɛn fala wetin yu dɔktɔ tɛl yu fɔ du.
Wetin a fɔ aks mi dɔktɔ?
We yu kam fɔ no se yu gɛt polip, i nɔmal fɔ gɛt bɔku kwɛstyɔn. Nɔ shek fɔ aks dɛn kwɛstyɔn ya we yu go si yu dɔktɔ.
- "Dɔkta, us kayn polip a gɛt?"
- "Risk de fɔ mek dis mek pɔsin gɛt kansa?"
- "A de pan ay risk fɔ gɛt bɛlɛ kansa tumara bambay pas ɔda pipul dɛn?"
- "Wetin kin de mek dɛn polip ya?"
- "Us chenj a fɔ mek to mi layf ɛn it fɔ mek tin lɛk dis nɔ apin tumara bambay?"
- "Wetin a fɔ du mi nɛks ɛndoskopi?"
Di ansa to dɛn kwɛstyɔn ya go ɛp yu fɔ ɔndastand di tin we de apin to yu klia wan.
Mɛsej we dɛn kin kɛr go na os
- di bכdi polip dεm na sכm sכm tin dεm we de fכm na di insay wכl na di bεlε. Bɔku pan dɛn tin ya nɔto kansa atɔl.Ɛn i nɔ de ambɔg wi.
- Bɔku tɛm, dɛn kin no bɔt dɛn tin ya bay chans, bikɔs bɔku tɛm dɛn nɔ kin mek pɔsin gɛt ɛni sayn .
- Fɔ fɛn pɔlip de gi yu dɔktɔ impɔtant infɔmeshɔn bɔt yu bɛlɛ wɛlbɔdi, we kin ɛp fɔ trit ɔda ɔndalayn kɔndishɔn dɛn, lɛk gastritis.
- If dɛn fɛn wan kayn kansa, if yu pul am kwik, dat kin mek yu nɔ gɛt di prɔblɛm we go apin tumara bambay.
- Nɔ ɛva skip yu dɔktɔ apɔntinmɛnt, mɔ we yu de chɛk-ap . I rili impɔtant fɔ yu wɛlbɔdi fɔ lɔng tɛm.
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