We wi gɛt bɛlɛ pen ɔ inflamɛns, bɔku tɛm wi kin tink bɔt gastritis. Bɔt sɔmtɛm di tin we kin mek pɔsin fil da pen de kin bi ɔlsa na di bɛlɛ ɔ ɔlsa na di bɛlɛ (Stomach Ulcer / Gastric Ulcer). Jɔs lɛk aw pɔsin kin gɛt wund na wi skin, dis na ɔlsa we kin mek na di insay wɔl na di bɛlɛ. Dis na wan sik wae kin pasmak ɛn dɛn kin trit am ɛn mɛn am. Bɔt if dɛn nɔ trit am fayn, i kin mek pɔsin gɛt siriɔs sik. So, wetin na bɛlɛ ɔlsa? Wetin mek i kin apin? Wetin na di sayn dɛm we de sho se yu gɛt dis sik? Wetin na di tritmɛnt ɛn prɛvɛnshɔn we dɛn kin du? Wi go tɔk bɔt ɔl dɛn tin ya na dis atikul.

Wetin na dis bɛlɛ ɔlsa? (Ovaviu)

Aw bɛlɛ ɔlsa kin kam?

Wi bɛlɛ gɛt haydroklɔrik asid ɛn ɛnzaym dɛn we de ɛp fɔ dayjɛst it. Dɛn tin ya rili strɔng. So, fכ protεkt di bεlε wכl dεm frכm dεn asid dεm ya, wan layn de we de protεkt di bεlε we dεn mek wit tik mכkus. Bɔt if fɔ sɔm rizin dis layn we de protɛkt am dɔn pwɛl, da strɔng asid de kin it di bɛlɛ wɔl. wan ‘open sore’ we de fכm we yu it am, dεn kכl am bεlε כlsa.

Aw i kɔmɔn?

Dis na rili wan sik we kin rili kɔmɔn. I kɔmɔn bak na Sri Lanka. Di men rizin fɔ dis na bikɔs di tu men tin dɛn we kin mek pɔsin gɛt bɛlɛ ɔlsa kin bɔku na wi sosayti. Dɛn na:

1. Bɔku pipul dɛn de yuz mɛrɛsin fɔ mɛn pen we dɛn nɔ de bay na kɔt ( NSAID ) .
2. Di prɛvalɛns fɔ H. pylori infɛkshɔn .

Bɛlɛ Ɔlsa vs Pɛptik Ɔlsa

Dɛn tu nem ya kin mek pɔsin kɔnfyus. "Peptic Ulcer Disease " na wan kכndyushכn we di layn na di bεlε כ di fכs pat pan di sכmכl intestin ( duodenum) de pwεl bay bכdi asid.) na wan kɔmɔn nem fɔ ɔlsa. So, ɔlsa we kin apin na di bɛlɛ (Gastric Ulcer / Stomach Ulcer) na wan kayn ɔlsa we de na di bɛlɛ. כlsa dεm we de apin na di fכs pat pan di intestin dεm dεn kכl dεm "Duodenal Ulcers". Di tin dɛn we kin mek dɛn tu tin ya ɛn di we aw dɛn kin trit dɛn ɔl tu rili fiba.

Di sayn dɛn ɛn di tin dɛn we kin mek pɔsin gɛt dis sik

Wetin na di sayn dɛm we de sho se pɔsin gɛt ɔlsa na in bɛlɛ?

• Men simptom: Bɔn pen: Di men simptom we bɔku pipul dɛn kin fil na we dɛn de bɔn ɔ sting pen na di ɔp bɛlɛ (jɔs dɔŋ di midul pan di chɛst, ɔp di nɛvl, ɛn i ebi pasmak na di lɛft). Dis kin fil lɛk se asid de bɔn, ɔ lɛk se sɔntin de it insay (wan kwaliti we de gnaw). Dis filin nɔto jɔs filin, bɔt na tru tru di asid ɛn ɛnzaym dɛn we de it di wund. Dis pen kin wɔs pan ɛmti bɛlɛ, mɔ na nɛt. Sɔm pipul dɛn kin si se di pen kin dɔn we dɛn it, bɔt fɔ ɔda pipul dɛn (especially wit bɛlɛ ɔlsa), di pen kin wɔs we dɛn it.
• Nɔ digest ɛn ful: Bɔrku pipul dɛm wae gɛt bɛlɛ ɔlsa kin gɛt sayn dɛm wae de sho se dɛn nɔr kin it fayn. Dis na filin fɔ ful wit yu bɛlɛ we yu de bɔn. Yu kin fil ful jɔs afta yu bigin it, ɔ yu kin fil ful fɔ lɔng tɛm afta yu dɔn it.
• Ɔda tin dɛn we kin apin to pɔsin: Apat frɔm dɛn tin ya, di sayn dɛn we gɛt fɔ du wit di tin dɛn we mek i wund kin bi:
  • Asid riflɔks ɛn at bɔn
  • Nɔs ɛn vɔmit
  • Bloating, belch, ɛn gas pen
• Saylent Ɔlsa ɛn Simptom dɛm fɔ Kɔmplikeshɔn: I sɔprayz fɔ no se sɔm pipul dɛn kin gɛt bɛlɛ ɔlsa bɔt dɛn nɔ kin fil ɛni pen ɔr simptom. Dɛn kɔl dɛn tin ya "saylent ulcers." Dɛn nɔ kin no se dɛn gɛt ɔlsa te wan siriɔs prɔblɛm apin, lɛk fɔ blɔd ɔ fɔ mek pɔrfyushɔn. Go to dɔktɔ wantɛm wantɛm if yu gɛt ɛni wan pan dɛn sayn ya:
  • Paleness na di skin (Pallor) .
  • Diziz, wik ɔr fɔdɔm - kin bi bikɔs ɔf blɔd we de lɔs.
  • Blak, tar stɔl - bikɔs ɔf di blɔd we dɛn dɔn dayjɛst.
  • Vɔmit we tan lɛk kɔfi grɔn - bikɔs blɔd de klɔt na di bɛlɛ.
  • Wantɛm wantɛm, bad bad bɛlɛ pen we nɔ de go - kin bi sayn fɔ se yu gɛt pɔrfyushɔn.

Aw siriɔs di prɔblɛm dɛn we kin apin?

If dɛn nɔ trit am, ɔlsa na di bɛlɛ kin mek yu gɛt siriɔs prɔblɛm:

• Ɔlsa we de blɔd: Di wund kin blɔd ɔltɛm, smɔl smɔl ɔ wantɛm wantɛm. If i de blɔd smɔl smɔl, as tɛm de go, di blɔd we de na di bɔdi kin go dɔŋ, ɛn dis kin mek i nɔ gɛt bɛtɛ blɔd. If i blɔd bad bad wan, di bɔdi kin shɔk ɛn ivin day.
• Perforated Ulcers: Na imejensi we nɔ kin apin bɔt we kin rili siriɔs we di ɔlsa kin brok ɔlsay na di bɛlɛ ɛn mek wan ol. dis ol kin mek di bכdi asid εn baktri dεm lik insay di bכdi, we kin mek i gεt bad bad infεkshכn (peritonitis). Dis infεkshכn kin spre bak to di bכdi, we kin mek i gεt wan sik we de mek i day we dεn kכl sepsis.

Wetin na di men tin dɛn we kin mek pɔsin gɛt ɔlsa na di bɛlɛ?

Di tu men tin dɛm we kin mek pɔsin gɛt bɛlɛ ɔlsa na Sri Lanka ɛn ɔlsay na di wɔl na:

• H. pylori (Helicobacter pylori) baktriyal infεkshכn: Dis na baktri infεkshכn we rili kכmכn. Dɛn se na lɛk af pan di pipul dɛn na di wɔl gɛt dis bɔdi we de liv na dɛn bɛlɛ. Fɔ bɔku pipul dɛn, dis baktri nɔ kin kɔz ɛni prɔblɛm. Bɔt pan sɔm pipul dɛn, dis baktri kin gro tumɔs na di bɛlɛ ɛn bigin fɔ it di layn we de protɛkt di bɛlɛ. Dis kin mek yu gɛt inflamɛns we nɔ de dɔn, we as tɛm de go i kin mek yu gɛt ɔlsa na yu bɛlɛ.
• Yuz NSAID pen kil: NSAID (Nonsteroidal Anti-inflammatory Drugs) na wan kayn pen kil we wi kin bay bɔku tɛm na di famasi. Sɔm ɛgzampul dɛn na Ibuprofen, Naproxen, Diclofenac, Aspirin.Mɛrɛsin dɛn lɛk dis de pan dis grup. (Paracetamol nɔto mɛrɛsin na dis grup). We dɛn NSAID ya go insay di bɛlɛ, dɛn kin mek di bɛlɛ wɔl wam smɔl, ɛn dɛn kin mek dɛn nɔ mek sɔm kemikal dɛn bak we de protɛkt ɛn mek di bɛlɛ wɔl fayn. Nɔmal wan, wi bɛlɛ wɔl kin wɛl frɔm smɔl smɔl damej lɛk dis. Bɔt if wi tek dɛn NSAID ya tumɔs, di bɛlɛ wɔl nɔ kin gɛt bɛtɛ tɛm fɔ mek insɛf fayn. Smɔl smɔl, di layt we de protɛkt am kin west ɛn ɔlsa kin kam.

Ɔda tin dɛn we nɔ kin apin so ɔltɛm

Apat frɔm dɛn tu men tin ya we kin mek pɔsin gɛt ɔlsa na di bɛlɛ kin kam bak bikɔs ɔf dɛn tin ya, i nɔ kin apin so ɔltɛm:

• Ɔda infɛkshɔn: Nɔto ɔltɛm, ɔda baktri, vayral, ɔ fɛns infɛkshɔn kin afɛkt di bɛlɛ ɛn mek yu gɛt ɔlsa.
• Zollinger-Ellison syndrome: Dis na wan sik we nɔ kin apin so ɔltɛm we di bɛlɛ kin mek tumɔs gastric acid, we kin mek di bɛlɛ layn pwɛl.
• Sivεr fysiolojikal strεs: di כmon εn kεmikכl chenj dεm we de apin as di bכdi de tray fכ rεkכv frכm wan sik we de mek i day (e.g., siriכs bכn, big כpεrayshכn) כ aksidεnt kin mek di bεlε asid bכku, we kin mek di divεlכpmεnt fכ wetin dεn kכl "strεs כlsa." Dis nɔto di strɛs we wi kin gɛt na wi maynd ɛvride.

Yu tink se di we aw pɔsin de liv in layf kin afɛkt am?

Bɔku pipul dɛn kin tink se we pɔsin it tin dɛn we gɛt spays ɛn we pɔsin strɛs, dat kin mek pɔsin gɛt ɔlsa na in bɛlɛ. Di tru tin na dat, ɛvride layf (lɛk wetin yu de it ɛn drink, jenɛral strɛs) nɔ de mek yu gɛt ɔlsa na yu bɛlɛ dairekt wan. Bɔt if yu dɔn ɔlrɛdi gɛt ɔlsa na yu bɛlɛ, dɛn tin ya kin mek yu sik dɛn wɔs . Dis na bikɔs dɛn kin mek yu bɛlɛ gɛt mɔ asid, ɛn dis kin mek di ɔlsa wɔs.

• Fɔ smok
• Yuz rɔm
• Fɔd dɛn we gɛt spays
• Fɔd dɛn we gɛt asid lɛk tomato ɛn sitrus frut
• drink dɛn we gɛt kafinɛ lɛk kɔfi ɛn ti

Diagnosis ɛn Tɛst dɛn

Aw yu go no se yu gɛt ɔlsa na yu bɛlɛ?

We yu go to dɔktɔ, dɛn go aks yu fɔs bɔt di sik dɛn we yu gɛt, if yu kin tek NSAID ɔltɛm, ɛn if yu bin dɔn gɛt H. pylori infɛkshɔn bifo. If yu simptom sho se yu gɛt ɔlsa na yu bɛlɛ, dɛn kin nid fɔ chɛk insay yu bɛlɛ fɔ kɔnfirm.

Us kayn tɛst yu kin du?

Tu men tin dɛn de we di dɔktɔ nid fɔ no:

1. Yu gɛt H. pylori infɛkshɔn?
2. Yu gɛt ɔlsa na yu bɛlɛ? Aw i tan lɛk?

di bεst we fכ du dεn tu dεm ya di sem tεm na fכ du εndoskopi .

• Upper Endoscopy / EGD test: Dis involv fכ put wan lכng, tin, fleksibul tyub (endoscope) wit kεmεra εn layt na di εnd tru yu mכt εn dכn yu trot fכ egzamin insay yu bεlε εn sכmכl intestin. Dɛn go gi yu mɛrɛsin fɔ mek yu fil fayn. Di dɔktɔ kin yuz di kamɛra fɔ luk di bɛlɛ wɔl na skrin fɔ si if ɛni ɔlsa de ɔ blɔd de kɔmɔt. I kin yuz smɔl inschrumɛnt bak fɔ tek smɔl pat pan di tisu (bayopsi) frɔm say we dɛn tink se i gɛt ɔ ɔlsa fɔ tɛst fɔ H. pylori baktri. If blɔd de kɔmɔt frɔm ɔlsa, dɛn kin gi tritmɛnt fɔ stɔp di blɔd wantɛm wantɛm (fɔ ɛgzampul, fɔ bɔn di blɔd vesel) we dɛn de du dis ɛndoskopi.
• Ɔda Tɛst dɛn: Pan ɔl we ɛndoskopi na di bɛst we, sɔntɛnde dɛn kin yuz ɔda we dɛn:
  • Upper GI X-ray series (Barium Swallow): Insay dis, dɛn kin swɛla wan likwid we dɛn kɔl barium ɛn tek X-ray imej. Bikɔs di barium de kɔt di layn na di bɛlɛ, yu kin si ɛni lɛsin pan di ɛkstrem rayt. Bɔt dis nɔ kin kɔrɛkt lɛk ɛndoskopi, ɛn dɛn kin mis smɔl smɔl lɛsin dɛn.
  • H. pylori tεst dεm: sεparat tεst dεm de fכ chεk fכ di prεsεns fכ di baktri dεm:
    • Yuria Briz Tɛst: Dɛn kin gi yu spɛshal wata fɔ drink, dɔn dɛn kin tɛst yu briz we yu de blo.
    • Blɔd Tɛst: Dis de tɛst fɔ antibodi dɛn we de agens H. pylori. Bɔt i nɔ go ebul fɔ no fɔ tru if yu gɛt di sik naw ɔ yu dɔn gɛt di sik bifo.
    • Stul Antijen Tεst: dεn de tεst wan stכl sεmpl fכ si if baktriyal antijen dεm de.

Ɔda tin dɛn we dɛn kin mistek kɔl bɛlɛ ɔlsa

If tɛst sho se yu nɔ gɛt ɔlsa na yu bɛlɛ, di tin we kin mek yu gɛt di sik kin bi ɔda tin, lɛk:

• GERD (Gastroesophageal Reflux Disease): If asid we de kɔmɔt na di bɛlɛ de kɔntinyu fɔ kam bak ɔp na di trot (acid reflux), i kin mek yu gɛt sɔm sayn dɛn bak lɛk at bɔn, nɔ de it fayn, ɛn nɔs.
• Functional Dyspepsia: Dis na wan sik wae de sho se yu nɔr de it fayn fayn wan (bɛlɛ pen, at bɔn, ful) we nɔr gɛt klia kɔz na yu bɔdi. Pan ɔl we di sayn dɛn we pɔsin kin si na di bɛlɛ, ɔlsa nɔ de we pɔsin kin si na di bɛlɛ in wɔl.
• Bɛlɛ Kansa: Dis nɔ kin apin so ɔltɛm, bɔt i kin mek yu gɛt sayn dɛn we fiba bɛlɛ ɔlsa (bɛlɛ pen, we yu de lɔs, yu nɔ kin want fɔ it). Na dat mek i impɔtant fɔ gɛt bayɔpsi we dɛn de du ɛndoskopi.

Manejmɛnt ɛn Tritmɛnt

Aw fɔ mɛn ɔlsa na yu bɛlɛ kwik kwik wan?

We dɛn dɔn pul di tin we mek di ɔlsa, di layn we de na di bɛlɛ go bigin fɔ wɛl smɔl smɔl. Fɔ ɛgzampul, if na NSAID mek yu ɔlsa, if yu stɔp fɔ tek di mɛrɛsin, di ɔlsa kin wɛl we yu nɔ gɛt ɛni ɔda tritmɛnt. Bɔt if yu gɛt H. pylori infɛkshɔn, yu go nid fɔ tek antibayɔtik fɔ kil di baktri dɛm. Apat frɔm dat, dɔktɔ kin gi am ɔda mɛrɛsin dɛn we de ridyus di asid na di bɛlɛ ɛn we de protɛkt di layn we de na di bɛlɛ te di ɔlsa wɛl. If yu tek dɛn mɛrɛsin ya kɔrɛkt wan, dat kin ɛp fɔ mek di ɔlsa wɛl kwik kwik wan.

Us tritmɛnt dɛn de we pɔsin kin gɛt?

Bɔku tɛm, dɛn kin trit ɔlsa na di bɛlɛ wit kɔmbayn mɛrɛsin dɛn. Dɛn mɛrɛsin ya na:

1. I de ridyus di asid we de na di bɛlɛ.
2. I de kɔba, protɛkt, ɛn ɛp di wund fɔ wɛl.
3. If infεkshכn de (H. pylori), dεn go kכl am.

Na smɔl tɛm nɔmɔ dɛn kin nid fɔ du mɛrɛsin fɔ stɔp di blɔd ɔ fɔ lɔk wan ol.

• Di mɛrɛsin dɛn we dɛn kin yuz:
  • Antibayɔtik : If yu gɛt H. pylori ɔ ɔda baktri infɛkshɔn, i go mɔs bi se yu dɔktɔ go gi yu tu ɔ tri antibayɔtik wan tɛm fɔ 7-14 dez fɔ kil di baktri kpatakpata. Di antibayɔtik dɛm we dɛn kin yuz mɔ na: Tɛtrasayklin, Mɛtronidazɔl, Klaritromaysin, ɛn Amɔksisilin. I impɔtant fɔ tek di ful kɔs fɔ di mɛrɛsin we yu dɔktɔ gi yu fɔ di ful tɛm we di kɔs de, ɔ di infekshɔn kin kam bak.
  • Saytoprotɛktiv ɛjɛn: Dɛn mɛrɛsin ya de wok bay we dɛn de mek wan layt we de protɛkt (kot) oba di bɛlɛ wɔl, we de protɛkt am te di ɔlsa wɛl. Bɔku tɛm dɛn kin yuz dɛn fɔ trit ɛn protɛkt ɔlsa we NSAID kin mek. Ɛgzampul dɛn: Sukralfɛt, Misoprostol, Bismut sabsalisaylɛt.
  • H2 blכk dεm (Histamine receptor blockers / H2 blockers): dεn de blכk wan kεmikכl we dεn kכl histamine, we de gi signal fכ di bכdi fכ prodyuz asid na di bεlε, εn ridyus di asid prodakshכn. Ɛgzampul dɛn: Famotidin, Simɛtidin, Nizatidin.
  • Proton Pump Inhibitors (PPI): dis na pawaful mεdikeshכn dεm bak we de ridyus di prodakshכn fכ asid na di bεlε. Dɛn kin protɛkt di bɛlɛ layn bak ɛn mek ɔlsa wɛl kwik kwik wan. Na dis na di mɛrɛsin dɛn we dɛn kin yuz mɔ fɔ mɛn bɛlɛ ɔlsa. Ɛgzampul dɛn: Ɔmɛprazɔl, Ɛsomprazɔl, Lansoprazɔl, Pantoprazɔl, Rabɛprazɔl.
• Di we aw fɔ mɛn am: Wan kɔmplikɛt wund (blɔd, pɔrfɔreshɔn) go nid fɔ gɛt di dɔktɔ fɔ trit am dairekt wan . Bɔku tɛm dɛn kin du dis di sem tɛm we dɛn kin du di ɛndoskopi. Yu kin stɔp wund we de blɔd bay we yu injekt mɛrɛsin ɔ bɔn am. If pɔrfɔreshɔn de, dɛn go nid fɔ lɔk am wit ɔpreshɔn.
• Ɔpreshɔn fɔ ɔlsa we nɔ de dɔn:Na smɔl tɛm nɔmɔ, sɔm pipul dɛn bɛlɛ ɔlsa kin kɔntinyu if dɛn nɔ gɛt tritmɛnt, ɔ dɛn kin wɛl ɛn kam bak. Dis kin mek yu gɛt pen fɔ lɔng tɛm ɛn skata na yu bɛlɛ. Sɔntɛnde dis ska tisu kin blok di say we de kɔmɔt na di bɛlɛ to di insay. If dɛn kayn tin ya apin, dɛn kin nid fɔ du ɔpreshɔn, lɛk:
  • Fɔ pul di ska tisu ɔ fɔ opin di say we dɛn dɔn blok (Pyloroplasty).
  • vagotomy na di kכt we di vagus nεv de kכt, we de mek di bεlε asid kכmכt.

Aw fɔ mek dɛn nɔ gɛt dis sik? (Prɛvenshɔn) .

Aw dɛn go mek ɔlsa na di bɛlɛ nɔ fɔm ɔ kam bak?

Na sɔm tin dɛn ya yu kin du fɔ mek yu nɔ gɛt bɛlɛ ɔlsa, ɔ fɔ mek i nɔ kam bak afta i dɔn wɛl:

• Fɔ pul H. pylori infɛkshɔn: Bɔku pipul dɛn gɛt H. pylori infɛkshɔn bɔt dɛn nɔ no am. Yu kin no if yu gɛt am wit simpul briz tɛst ɔr stɔl tɛst. If yu du dat, yu kin pul am wit antibayɔtik bifo i kam wit ɛni prɔblɛm.
• Yuz NSAID di rayt we: If yu de tek NSAID ɔltɛm na di famasi fɔ bɔdi pen ɛn ed we de at, mek shɔ se yu nɔ tek pas di doz we dɛn se yu fɔ tek. If yu kɔntinyu fɔ tek NSAID pan dɔktɔ in advays fɔ ɔda sik (e.g. at at sik), if i pɔsibul, ridyus di doz, chenj to ɔda mɛrɛsin, ɔ tɔk to yu dɔktɔ bɔt fɔ tek ɔda mɛrɛsin we de protɛkt yu bɛlɛ (lɛk PPI) di sem tɛm.
• Ridyus ɔda bad abit dɛn: If yu gɛt H. pylori infɛkshɔn ɔ yu de tek NSAID, fɔ smok ɛn drink rɔm kin mek yu gɛt ɔlsa na yu bɛlɛ. So i impɔtant fɔ lɛf dɛn abit dɛn ya.

Aw lɔng i go tek fɔ mek i wɛl? (Autluk / Prɔgnosis)

Aw lɔng i kin tek fɔ mek ɔlsa na di bɛlɛ wɛl?

If yu tek yu mɛrɛsin dɛn jɔs lɛk aw dɛn tɛl yu fɔ tek ɛn avɔyd tin dɛn we de mek di ɔlsa wɔs (NSAID, smok, rɔm), bɔku tɛm di ɔlsa fɔ wɛl ɔlsay insay sɔm wiks . Yu dɔktɔ kin ripit ɛndoskopi ɔ ɔda tɛst fɔ mek shɔ se di ɔlsa dɔn wɛl ɔl ɛn di H. pylori infɛkshɔn dɔn go ɔlsay.

Kɔndishɔn dɛn we nɔ de mɛn

Bɔrku pipul dɛn jɔs nid tritmɛnt fɔ shɔt tɛm. Bɔt sɔm pipul dɛn kin gɛt sik dɛn we nɔ de mɛn we kin mek dɛn gɛt ɔlsa na dɛn bɛlɛ. Fɔ ɛgzampul, pɔsin we gɛt Zollinger-Ellison syndrome, we wi bin dɔn tɔk bɔt, gɛt wan sik we in bɛlɛ de mek tumɔs asid. Dɛn pipul ya kin nid fɔ tek mɛrɛsin (lɛk PPI) fɔ lɔng tɛm.

Wetin fɔ du if yu sɔprayz se yu gɛt ɔlsa na yu bɛlɛ? (Livin Wit)

Di impɔtant tin fɔ go to dɔktɔ fɔ advays

If yu tink se yu gɛt ɔlsa na yu bɛlɛ, mek shɔ se yu go to dɔktɔ. Di mɛrɛsin dɛn we dɛn kin bay na kɔt lɛk antasid ɔ bismuth subsalicylate kin mek di sik nɔ kam fɔ sɔm tɛm, bɔt dɛn nɔ go mɛn di ɔlsa. Di ɔndalayn kɔz (H. pylori ɔ NSAID) fɔ trit fɔ mek di ɔlsa wɛl.

Risk dɛn if dɛn nɔ trit am

Ivin if yu nɔ gɛt siriɔs sik, if yu nɔ trit yu bɛlɛ ɔlsa, dat kin mek yu gɛt siriɔs prɔblɛm dɛn lɛk we yu de blɔd ɔ we yu gɛt blɔd. Risk de bak fɔ gɛt bɛlɛ kansa if dɛn nɔ trit di H. pylori infɛkshɔn, we na di men tin we kin mek pɔsin gɛt bɛlɛ ɔlsa, fɔ lɔng tɛm.

Ustɛm yu fɔ go to tritmɛnt kwik kwik wan?

If yu gɛt dɛn sik ya, go na ɔspitul wantɛm wantɛm (ETU) :

• Bɛlɛ pen we yu nɔ go ebul fɔ bia, we yu nɔ go ebul fɔ bia.
• If yu gɛt blak blɔd na yu stɔl ɔ yu vɔmit blɔd (lɛk kɔfi grɔn).
• Sayn dɛm fɔ blɔd pasmak (pale skin, diziz pasmak, fɔdɔm).

Dɔn

Bɛlɛ ɔlsa na wan sik we kin apin ɛn we pɔsin kin trit. Di men tin dɛn we kin mek i gɛt H. pylori infɛkshɔn ɛn di yus fɔ NSAID pen kil. If yu gɛt sɔm sayn dɛm lɛk bɛlɛ inflamɛns, pen, ɛn nɔ de it fayn, i rili impɔtant fɔ go to dɔktɔ pas fɔ jɔs tink se na gastritis. Dɔn, dɛn kin no di rizin, dɛn kin bigin fɔ tek di rayt tritmɛnt, ɛn dɛn kin avɔyd siriɔs prɔblɛm dɛn. Dɔn bak, fɔ ridyus di smok ɛn drink rɔm, ɛn yuz NSAID mɛrɛsin dɛn nɔmɔ we nid de, insay di smɔl doz, fɔ di shɔt tɛm we pɔsin kin gɛt, kin ɛp fɔ protɛkt yu frɔm bɛlɛ ɔlsa. Stay wit wɛlbɔdi!