Yu de gɛt smɔl smɔl tin dɛn we de gro insay yu bɛlɛ? Lɛ wi tɔk bɔt bɛlɛ polip!

Yu dɔn ɛva du ɛndoskopi fɔ yu bɛlɛ prɔblɛm ɔ wan sik lɛk gastritis? Da tɛm de, di dɔktɔ kin dɔn tɛl yu se, "Yu gɛt sɔm smɔl smɔl tin dɛn we de gro insay yu bɛlɛ, we wi kin kɔl polip." Dis kin tan lɛk se i de mek pɔsin fred smɔl, nɔto so? Bɔt nɔ wɔri. Bɔku tɛm, dɛn tin ya nɔ kin denja. Lɛ wi lan mɔ bɔt bɛlɛ polyp tide.

Wetin na dɛn polyp ya na di bɛlɛ?

Fɔ tɔk am simpul wan, Bɛlɛ Polips na smɔl smɔl tin dɛn we de gro ɔ we de gro na di layn na yu bɛlɛ . Dɛn kin kɔl dɛn bak Gastric Polyps. Tink bɔt am, wi bɛlɛ gɛt mukɔs layn, ɛn na de dɛn polip ya de gro. dis dεm jכs lεk polip dεm we de divεlכp na כda pat dεm na wi bכdi, fכ egzampl, na di big intestinal.

Di impɔtant tin na dat bɔku pan dɛn bɛlɛ polyp ya nɔto kansa (benign) . Dat min se dɛn nɔ de kɔz bɔku bad tin. Bɔt sɔm kayn dɛn de we kin tɔn to kansa as tɛm de go. Na dat mek i impɔtant fɔ no bɔt dɛn tin ya.

Dɛn bɛlɛ polip ya denja?

Dis na big prɔblɛm fɔ bɔku pipul dɛn. Infakt, di risk fɔ gɛt kansa pan bɔku pan di kayn bɛlɛ polyp dɛn we dɛn kin gɛt kin rili smɔl, sɔm tɛm dɛn kin ivin nɔ de. Sɔm kayn dɛn kin gɛt prɛkansa . Bɔt ivin dɛn wan ya nɔ kin gɛt kansa we dɔktɔ dɛn fɛn dɛn. I kin tek lɔng tɛm fɔ mek pɔlip tɔn to kansa. Na dat mek dɔktɔ dɛn kin pul dɛn jɔs afta dɛn dɔn fɛn dɛn, fɔ mek dɛn nɔ gɛt kansa tumara bambay.

Impɔtant: Nɔ panik if yu si pɔlip. Lisin gud wan to wetin yu dɔktɔ se. Bɔku tɛm, i kin izi fɔ pul dɛn tin ya.

Wetin na dɛn kayn tɔŋ ya we kin mek na di bɛlɛ?

difrεn kayn polip dεm de na di bεlε. di wan dεm we kכmכn pas כl na di εpitel polip dεm . dis na dεn wan dεm we de gro frכm di tכp layεr na di layn (εpitel) na di bεlε. pan tap dat, di kayn dεm de bak we de stat frכm sכm dip layεr εn kכmכt, we dεn kכl mεsenchymal polyps . Dɛn tin ya nɔ kin bɔku smɔl.

Tayp dεm fכ di Epithelial Polyps:

di kayn polip dεm we dεn kin si mכst de fכl כnda dis kεtכgrεf.

• Fundic Gland Polyps: Dis na di kayn gastric polyps we kכmכn pas כl.. dis kin fכm na di כp pat na di bכdi (fundus). If dɛn jɔs fɔm, di risk fɔ gɛt kansa kin rili smɔl, if nɔto dɛn nɔ de. כltu, wit sכm rare hereditary kansa kכndishכn dεm (fכ egzampl, `Familial Adenomatous Polyposis (FAP)` εn `Gastric Adenocarcinoma εn Proximal Polyposis of the Stomach (GAPPS)`) dεn kin divεlכp mכr tεm. Insay dɛn kayn tin ya, dɛn kin bi prɛkansa bifo dɛn gɛt kansa.

• Hyperplastic Polyps: Dis na di sɛkɔn kayn we dɛn kin yuz mɔ. Dɛn tin ya bak nɔ kin gɛt kansa. Bɔku tɛm dɛn kin gɛt fɔ du wit gastritis . Bɔt sɔntɛnde, dɛn kin de wit ɔda kansa, so dɛn kin tek dɛn bak as sayn we de wɔn pipul dɛn. We dɔktɔ dɛn fɛn dɛn, dɛn kin chɛk bak di tisu dɛn we de rawnd fɔ si if ɛni kansa sɛl de.

• Adenomatous Polyps (Adenomas): lεk 10% pan כl di bεlε polyp dεm na dis kayn. Dis na di kayn polyp wae de bifo kansa wae gɛt di ay risk fɔ gɛt kansa . Bɔku tɛm, dɛn kin apin wan wan. כltu, dεn kin apin mכr bak pan pipul dεm we gεt hεriditi kכndyushכn lεk Familial Adenomatous Polyposis (FAP). Dɔktɔ dɛn kin pul dɛn polip ya jɔs afta dɛn dɔn fɛn dɛn ɛn tɛst dɛn fɔ si if dɛn gɛt kansa.

• Gastrik Nyuroεndokrin Tכmכro dεm (dεn kכl dεm bak Carcinoid Tumors): dεn ya de kכmכt frכ m nyuroεndokrin sεl dεm we de na di layn na di bεlε. dεn de mek lεk 1% pan כl di tכmכro dεm na di bεlε. Dɛn kin gɛt kansa ɔr nɔr gɛt ɛni prɔblɛm. Fכ difrεn tכp dεm de, εvri wan gεt difrεn sכm prכgnosis. Dɔktɔ dɛn kin no if pɔsin gɛt kansa bay we dɛn no di kayn kansa.

• Hamartomatous Polyps (ɔ Hamartomas): Dis na smɔl nɔmba, lɛk 1% pan di gastric polyps. Dɛn kin apin fɔ dɛnsɛf, ɔ dɛn kin gɛt fɔ du wit sik dɛn we nɔ kin bɔku we pɔsin kin gɛt frɔm in mama ɛn papa lɛk `Peutz-Jeghers syndrome`, `Juvenile Polyposis Syndrome`, `PTEN Hamartoma Tumor Syndrome`. We dɛn kin apin fɔ dɛnsɛf, dɛn kin bi wan tumbu we nɔ bad ɛn we kin gro in wan. Bɔt we dɛn kin apin wit di sik dɛn we wi bin dɔn tɔk bɔt, dɛn kin gro bɔku bɔku wan ɛn i kin gɛt kansa.

Di kayn dɛn we di Mɛsenchymal Pɔlip dɛn de:

dis na di kayn polip dεm we nכ kin kכmכt frכm layεr dεm we dip sכmtεm.

• Inflammatory Fibroid Polyps: Dis na wan kayn we we nɔ kin bɔku, we nɔ kin fayn fɔ gro. Wi nɔ stil no di rayt we aw dɛn kin mek dɛn. Sɔntɛnde, dɛn kin kɔl dɛn tin ya granulomas.Dɛn kin kɔl am bak pɔlip. na wan kכlekshכn fכ di imyun sεl dεm we de kכmכt di tεm we wan inflammatory kכndishכn de. Dɛn wan ya kin fɔm fɔ dɛnsɛf, dɛn smɔl. Bɔt if dɛn big, dɛn kin mek prɔblɛm. if big wan fכm na di bεlε, i kin blכk di say we di bכdi de go insay (pylorus).

• Gastrointestinal Stromal Tumors (GIST): Dis na tumor we nɔ kin bɔku, we kin apin bifo kansa. dεn de stat na di dip layεr na di bεlε layn (di mכskulכris propria). Dɔktɔ dɛn kin pul dɛn we dɛn fɛn dɛn. Dɛn kin nid fɔ du wan sɛpret prosidur (Endoscopic Mucosal Resection (EMR) ɔ Endoscopic Submucosal Dissection (ESD)) fɔ pul dɛn.

• Leiomyomas: Dis na rεre, smol mכsul tכmכro dεm. dεn de fכm insay di layεr we dεn kכl `Muscularis Propria` εn dεn kin apia lεk lumps na di insay wכl na di bεlε. Sɔmtɛm dɛn tin ya kin bi kansa (Leiomyosarcomas). Dɛn kin nid fɔ du ɔda tin fɔ pul dɛn tumbu ya.

Aw kɔmɔn tin kin gɛt fɔ du wit bɛlɛ?

Infakt, ɔltogɛda, bɛlɛ polyp nɔ kin bɔku so. pan 100 כp εndoskopi egzamεn dεm, dεn fכnshכn dεm na lεk 4 pan dεm. bכt af pan dεn polip dεm ya na di wan dεm we wi bin dכn tכk bכt `Fundic Gland Polyps`. כlmost 30% na `Hyperplastic Polyps`, 10% na `Adenomatous Polyps`. Di ɔda 10% na ɔda kayn dɛn we nɔ kin bɔku.

Yu tink se bɛlɛ polyp gɛt sɔm sayn dɛn?

Bɔrku tɛm, bɛlɛ polyp nɔr kin kɔz ɛni sayn. Dɛn kin ɔltɛm kam fɔ no am bay we dɛn de du tɛst we yu de du fɔ ɔda rizin. Bɔt sɔm kayn polip kin blɔd . Na smɔl tɛm nɔmɔ, sɔm kayn dɛn kin gro big fɔ mek i nɔ ebul fɔ ambɔg am . Na sɔm sayn dɛm wae yu kin gɛt:

• Blɔd: Yu nɔ go fil di blɔd we de kɔmɔt insay yu bɛlɛ. Bɔt if bɔku blɔd de kɔmɔt, yu kin notis sayn dɛn we de sho se blɔd de na yu stɔl. (We blɔd kɔmɔt na di ɔp pat na yu bɛlɛ , di stɔl go blak, tar, pas fɔ rɛd.) As tɛm de go, di blɔd we yu de lɔs kin mek yu nɔ gɛt blɔd . Dis kin mek yu gɛt sɔm sayn dɛm lɛk wae yu de shayn, yu wik, ɛn yu taya.

• Blɔk: If pɔlip big fɔ blok yu dijestiv trakt, yu kin gɛt sɔm sayn dɛn lɛk nɔs, blo, ɛn bɛlɛ pen . Yu bɛlɛ kin at bak we yu prɛs pan am. If pɔlip rili blok di say we yu bɛlɛ de go insay, yu kin vɔmit, yu nɔ go want fɔ it, ɛn yu nɔ go gɛt bɔku bɔku bɔdi .

Aw dɛn polip ya tan lɛk?

Difrɛn kayn bɛlɛ polyp kin luk difrɛn. Sɔm dɛn kin rayz, sɔm kayn we lɛk tumbu, ɛn ɔda wan dɛn kin flat smɔl. dכkta dεn kכl polip dεm we wayd, we rayz sכmtεm "sessile," εn polip dεm we gεt ed we lεk stכl "pedunculated." Sɔm kayn dɛn kin gɛt ɔlsa na di say we dɛn de ɛn dɛn kin blɔd.

di polip dεm kin kכmכt frכm wan milimita to sεvεra sεntimita. Bɔku pan dɛn smɔl, bikɔs dɛn kin gro sloslo. Big big polip kin gɛt kansa, bikɔs dɛn dɔn ol. Bɔt i nɔ kin izi fɔ mek dɔktɔ dɛn tɔk fɔ tru if dɛn gɛt kansa ɔ nɔ gɛt kansa if dɛn nɔ luk dɛn ɔnda maykroskɔp.

Wetin kin mek yu bɛlɛ gɛt pɔlip?

di bכdi polip dεm we de divεlכp in asosieshכn wit di kכndishכn dεm we dεn kin gεt bכdi na jεnεtik. כltu, sporadik polyp dεm de infכmeshכn bay jεnεtik kכz dεm εn כda tin dεm. dat min se difrεn kayn polip dεm de divεlכp bikoz fכ difrεn jεnεtik mכtεshכn dεm, bכt i lεk se כda tin dεm de involv bak fכ mek dεn mכtεshכn ya.

Na sɔm pan di rizin dɛn we mek di wan dɛn we de stɔdi bɔt dis dɔn si:

• Kronik Gastritis: Gastritis na inflamɛns na di bɛlɛ layn. I kin bi erosive ɔ nɔ erosive. Erosive gastritis na di wan we kin bɔku pas ɔl. I kin kam bikɔs ɔf kemikal eroshɔn ɔ wan infɛkshɔn we nɔ de dɔn lɛk H. pylori. Nonerosive gastritis kin mek di bכdi layn tכn (atrophic gastritis), we kin mek difrεn chenj dεm na di sεl dεm. di tu kayn dεm kin mek difrεn kayn tכmכro dεm, spεshal wan di haypaplastik polip dεm, adenomas, inflammatory fibroids, εn nyuroεndokrin tכmכro dεm.

• Proton-Pump Inhibitors (PPI): Dis na di drɔgs we wi kin tek ɔltɛm fɔ gastritis, at bɔn, ɛn asid riflɔks, lɛk Omeprazole. We dɛn yuz dɛn tin ya fɔ lɔng tɛm ɛn bɔku tɛm, dɛn kin afɛkt di we aw di bɛlɛ layn de wok. we dεn dכg dεm ya stכp sכm sεl dεm fכ mek asid, כda sεl dεm kin bigin fכ mek mכr asid pas aw i nid fכ mek di asid we nכ de. Dis na kכmכn kכz fכ dεn inosεnt `Fundic Gland Polyps` dεm. sכmtεm, dis kin afekt bak di divεlכpmεnt fכ `Gastric Neuroendocrine Tumors`.

Aw dɛn kin fɛn polyp (dɛn kin no)?

כl di bכdi polip dεm dεn kin fכnshכn we dεn de du כp εndoskopi (EGD) . di gastroenterologist כ sajin we de du dis tεst de tek sכm sכm pat pan di tisu (bayopsi) frכm di polyp, כ i de pul di polyp kכmplit wan (polypectomy). Dɔn dɛn kin sɛn di tisu sɛmpul dɛn fɔ mek dɛn go tɛst dɛn mɔ. Wan dɔktɔ we de stɔdi bɔt sik dɛn kin chɛk dɛn ɔnda maykroskɔp fɔ no us kayn pɔlip i bi ɛn if i gɛt kansa.

Wetin i min if yu gɛt polip na yu bɛlɛ?

Difrɛn kayn polip kin min difrɛn tin. Dipen pan di kayn polip we dɛn fɛn, yu dɔktɔ kin ɔda fɔ mek dɛn du ɔda tɛst fɔ chɛk fɔ ɔda tin dɛn we kin apin. Fɔ ɛgzampul, dɛn kin ɔda fɔ mek dɛn du tɛst fɔ chɛk fɔ si if dɛn gɛt H. pylori infɛkshɔn ɔ ɔda tin dɛn we de mek pɔsin fil bad.

Di nɔmba fɔ di polip dɛn we yu gɛt ɛn dɛn saiz impɔtant bak. If yu gɛt bɔku bɔku polip, yu dɔktɔ kin tɛl yu fɔ du yu jenɛtik tɛst fɔ luk fɔ di sik dɛn we yu gɛt frɔm yu mama ɛn papa. If dɛn kɔnfyus se yu gɛt dis kayn sik we yu kin gɛt frɔm yu mama ɛn papa, yu go nid fɔ chɛk fɔ si if pɔsin gɛt pɔlip na ɔda pat dɛn na yu bɔdi. If dɛn fɛn di polip dɛn we gɛt prɛkansa, yu kin nid fɔ du ɔda ɛndoskopi kwik kwik wan.

Wetin na di tritmɛnt fɔ bɛlɛ polyp?

Di tritmɛnt dipen pan di kayn polyp we yu gɛt ɛn dɛn kɔndishɔn. Dipen pan dis, dɛn kin advays fɔ du dɛn tritmɛnt ya:

• Fɔ pul di polip na di bɛlɛ: Sɔntɛm yu dɔktɔ dɔn pul di polip we dɛn de du ɛndoskopi (polypectomy). Bɔt sɔntɛnde, dɛn kin nid fɔ fɛn ɔ pul mɔ polip dɛn. sכm tranga, dip polyp dεm kin nid spεshal prosidכs (`EMR`, `ESD`) כ, sכmtεm, כpεrayshכn.

• Ɔda Pɔlip Skrin: If yu dɔktɔ fɛn ɛn pul di polip dɛn we gɛt kansa ɔ we kin gɛt kansa, dɛn fɔ chɛk yu bak kwik kwik wan fɔ si if nyu wan dɛn de kam. Yu dɔktɔ go tɛl yu aw ɔltɛm fɔ gɛt riskrin, i go dipen pan di kayn ɛn di kayn polip we dɛn fɛn. Dɛn kin want bak fɔ wach aw yu bɔdi de du tritmɛnt.

• Tritmɛnt fɔ Rilat Kɔndishɔn: Sɔntɛnde, dɛn kin fɔs no se yu gɛt wan sik we dɛn kin trit, lɛk gastritis, bikɔs ɔf dɛn bɛlɛ polyp ya. Yu dɔktɔ kin trit di polyps ɛn i kin trit di ɔndalayn kɔndishɔn bak. di polip dεm we gεt dairekt rilayt wit H. pylori infεkshכn כ di yus כf proton pכmp inhibito (PPI) kin go we dεn trit dεn kכndyushכn dεm de.

Yu kin mek yu nɔ gɛt bɛlɛ polyp?

Fɔ trit krɛse gastritis ɛn di tin dɛn we kin mek i gɛt am kin ɛp fɔ mek yu nɔ gɛt sɔm kayn bɛlɛ polyp. כlso, fכ ridyus di yus fכ mεdikeshכn dεm we dεn kכl `Proton Pump Inhibitors (PPIs)` kin εp fכ ridyus di fכmeshכn fכ sכm kayn polip dεm. כltu, mכst polyp dεm we de divεlכp in asosieshכn wit `PPIs` na benign. So no lɔ nɔ de we se yu fɔ stɔp fɔ tek di mɛrɛsin fɔ mek yu nɔ gɛt dɛn. I bɛtɛ fɔ mek yu tɔk bɔt dis wit yu dɔktɔ.

Wetin kin apin we yu gɛt polip na yu bɛlɛ?

If yu dɔktɔ fɛn polip na yu bɛlɛ, dɛn go du tɛst fɔ no us kayn dɛn ɛn wetin dɛn min.Bɔku tɛm, dɛn nɔ kin siriɔs. di chans fכ fכn polip we de tכn to bεlε kεnsar de sכmtεm sכmtεm 2%. Dɛn kin no se yu gɛt ɔda sik we dɛn kin trit.

A nid fɔ chenj mi it afta dɛn dɔn pul di polip?

it we gɛt fayn fayn tin dɛn fɔ it kin ɛp di bɛlɛ fɔ wɛl afta dɛn dɔn pul di polip dɛn tru ɛndoskopi. Dɔn bak, gud it impɔtant fɔ mek yu nɔ gɛt gastritis, we na di men tin we kin mek yu gɛt pɔlip na yu bɛlɛ. Dɔktɔ dɛn kin advays yu fɔ fala wan it we nɔ de mek yu bɔdi wam . Dat min se, insted fɔ put atifishal it dɛn, shuga we pasmak, ɛn sɛtyuret fat, dɛn fɔ put natura it dɛn we gɛt ɔl gren, slim protin, ɛn ɔnsatyuret fat fɔs.

Ustɛm a fɔ go to dɔktɔ?

Afta dɛn dɔn pul di polyps , i rili impɔtant fɔ go bak fɔ screening apɔntinmɛnt lɛk aw yu dɔktɔ tɛl yu. I go tɛl yu ɔmɔs tɛm fɔ kam bak. Dɔn bak, if yu gɛt ɛnitin we nɔ kɔmɔn, lɛk we yu bɛlɛ de pen ɔ we yu stɔl chenj, yu fɔ mek yu dɔktɔ no bak. Dɔn i kin tɛl yu if na nɔmal tin ɔ if yu nid fɔ chɛk am.

Us kwɛstyɔn dɛn a fɔ aks di dɔktɔ?

Yu kin aks kwɛstyɔn dɛn lɛk dɛn wan ya:

• Us kayn polip a gɛt?
• Mi polip dɛn de pan denja fɔ gɛt kansa?
• A kin gɛt bɔku kansa na mi bɛlɛ ɔ a nɔ kin gɛt bɛtɛ kansa?
• Wetin na di tin we kin mek a gɛt polyp na mi bɛlɛ?
• Us chenj dɛn a fɔ mek fɔ mek di bɛlɛ polyp nɔ kam tumara bambay?
• Ustɛm a fɔ du mi nɛks ɛndoskopi?

Fɔ dɔn, mɛmba dis (Take-Home Message) .

Fɔ fɛn polip na yu bɛlɛ kin bi aksidɛnt, we yu de du mɛdikal ɛgzam fɔ ɔda tin. I kin mek pɔsin in at pwɛl smɔl. Bɔt mɛmba se bɔku pan di bɛlɛ polip dɛn nɔto kansa, ɛn dɛn nɔ kin gɛt kansa. Bɔrku tɛm, dɛn kin jɔs bi ɔda sayn fɔ de sik wae mek yu kam to dɔktɔ.

Dipen pan di kayn bɛlɛ polyp we yu gɛt, yu dɔktɔ go gɛt bɔku impɔtant infɔmeshɔn bɔt yu gastrointestinal wɛlbɔdi. I go no wetin fɔ du fɔ trit yu sik ɛn kɔntrol di risk fɔ gɛt bɛlɛ kansa. If prɔblɛm de, i bɛtɛ ɔltɛm fɔ no kwik pas leta, nɔto so? So nɔ fred, lisin to wetin yu dɔktɔ se, ɛn gɛt di rayt tritmɛnt.

` Bεlε polip, bεlε tכmכro, gastritis, εndoskopi, bεlε kεnsar, bεlε prכblεm, di kayn polip dεm