Yu gɛt di prɔblɛm bak fɔ gɛt at bɔn ɔltɛm ɛn it kin kam ɔp na yu trot? Pan ɔl we wi kin kɔl dis gastritis, sɔntɛnde dis kin bi wan sik we rili siriɔs. If di prɔblɛm stɔp afta yu dɔn tek mɛrɛsin fɔ sɔm dez, bɔt i kam bak, yu kin wɔnda bak if no sɔlv nɔ de fɔ dis fɔ ɔltɛm. Na fɔ dɛn kayn pipul ya di mɔdan tritmɛnt we dɛn kɔl TIF we wi de tɔk bɔt tide impɔtant.
Simply put, wetin na dis TIF?
TIF na abbrevieshɔn fɔ "Transoral Incisionless Fundoplication." Lɛ wi brok di wɔd dɛn fɔ ɔndastand dis.
- Transoral: Dis min "through the mouth." Dis min se dɛn kin du di tritmɛnt bay we dɛn de put inschrumɛnt dɛn insay yu mɔt.
- Insisionless: Dis min se "nɔ insishɔn." Yɛs, yu yɛri dat rayt! Dis tritmɛnt nɔ min fɔ mek dɛn kɔt yu bɛlɛ. So nid nɔ de fɔ wɔri bɔt big big ɔpreshɔn.
- Fundoplication: Dis na wetin i rili de du. i involv fכ tek di tכp pat pan yu bεlε (dεn kכl am `fundus`) εn rap am rawnd di lכw pat pan yu εsophagus, tayt am sכmtεm.
Fɔ tɔk am simpul wan, TIF na wan we we nɔ de invayd we de yuz kamɛra (ɛndoskɔp) we dɛn put insay di mɔt fɔ mek di valv bitwin di ɔp pat na yu bɛlɛ ɛn yu ɛsophagus strɔng.
Aw TIF tritmɛnt de ɛp fɔ mek GERD bɛtɛ?
Fɔ ɔndastand dis, lɛ wi fɔs luk wetin mek wi kin gɛt at bɔn. usay wi εsophagus (fud paip) de kכnekt to wi bεlε, na de wan ring fכ mכsul de we de wok lεk valv. We wi swɛla, i kin opin ɛn mek it pas insay di bɛlɛ, dɔn i kin lɔk bak. dis de mek di asid bכdi asid nכ de kam bak כp insay di εsophagus.
Bɔt, if yu gɛt GERD (Gastroesophageal Reflux Disease) , na dat wi de tɔk bɔt, di mɔsul dɛn we de wok lɛk di valv wik. So di bɛlɛ asid kin kam ɔp izi wan. Dis na wetin yu kin fil lɛk fɔ bɔn, bita teys na yu trot.
Sɔm pipul dɛn kin gɛt wan sik bak we dɛn kɔl hiatal hernia . Dis na we di ɔp pat na di bɛlɛ de push tru wan smɔl ol na di dayafragm, we na di big wɔl we de sheb wi chɛst ɛn wi bɛlɛ. TIF tritmεnt kin tayt dis wik valv εn kin kכrekt sכm sכm hiatal hεnia dεm bak.
Udat dis TIF tritmɛnt go fayn fɔ?
TIF nɔto fɔ ɔlman. I fayn mɔ fɔ:
- Fɔ di wan dɛn we gɛt mɔdaret to siriɔs GERD ɔ smɔl hiatal hεnia.
- Fɔ di wan dɛn we de fred fɔ du big ɔpreshɔn, ɔ we nɔ ebul fɔ du am.
- Fɔ di wan dɛn we want fɔ avɔyd fɔ tek mɛrɛsin fɔ gastritis fɔ di res ɔf dɛn layf.
Di tritmɛnt we dɛn kin yuz mɔ fɔ GERD na wan kayn mɛrɛsin we dɛn kɔl proton pump inhibitors (PPIs) . Bɔt sɔm pipul dɛn nɔ kin ebul fɔ tek dɛn mɛrɛsin ya as tɛm de go. Ɔda pipul dɛn nɔ kin want fɔ tek dɛn fɔ lɔng tɛm. Fɔ dɛn pipul dɛn de, TIF na fayn ɔda we fɔ du ɔpreshɔn ɛn fɔ tek mɛrɛsin fɔ lɔng tɛm.
Wetin fɔ du bifo dɛn gɛt TIF tritmɛnt?
If yu intres pan dis tritmɛnt, yu fɔ tɔk to yu dɔktɔ fɔs bɔt am . Wan dɔktɔ we de mɛn di bɛlɛ ɔ wan jenɛral ɔspitul kin du dis. I go chɛk yu ɛn disayd if dis rili fayn fɔ yu. Yu go nid fɔ mek dɛn du sɔm tɛst dɛn.
| Test dɛn we pɔsin kin du | Fɔ tɔk am simpul wan, wetin kin apin? |
|---|---|
| Esophagram we yu kin yuz | we yu de sכlow wata, dεn de mכnitor di wok we di εsophagus de du wit vidio εks-ray (`fluoroscopy`). |
| Ɔpa Ɛndoskopi | dεn kin put kεmεra tru di mכt εn dεn kin si di kכndishכn insay di εsophagus εn bεlε dairekt wan. |
| εsophageal pH tεst | we dεn de du di εndoskopi, dεn de put wan sכm sכm sεns na yu εsophagus εn i de mכsu di כmכnt כf asid we de go insay yu εsophagus כl di de. |
| Manometry na di εsophageal | di prεshכn εn di wok we di mכsul dεm na di εsophagus de du dεn de mכsu bay we dεn de yuz wan sכm sכm tכb (nasogastric tube) we dεn put tru di nos. |
Bɔt mɛmba se if yu gɛt big hiatal hεnia, i nɔ izi fɔ swɛla, siriɔs erosive esophagitis, ɔ wan kɔndishɔn we di layn na yu εsophagus dɔn chenj fɔ ɔltɛm (Barrett’s esophagus), TIF tritmɛnt nɔ go fayn fɔ yu.
Wetin kin apin we dɛn de trit am?
Dɛn kin du dis tritmɛnt ɔnda jenɛral anestezi, we min se yu dɔn slip ɔl. So yu nɔ de fil ɛnitin.
Di dɔktɔ kin put ɛndoskɔp, kamɛra, ɛn TIF divays tru yu mɔt. we di dכkta de luk di imej dεm na di skrin, i de tek tεm fold di כp pat pan di bεlε rawnd di εsophagus εn i de yuz sכm sכm klip כ stich (`fasteners`) fכ ol am na in ples. Dis tan lɛk fɔ mek pɔsin we wik, strɔng, lɛk di kɔla we de na di shit.
Di wan ol tin we dɛn kin du kin tek lɛk 45 to 60 minit so . Afta di tritmɛnt, dɛn go de wach yu ɛn bɔku tɛm dɛn kin alaw yu fɔ go na os di sem de, ɔ dɛn kin aks yu fɔ de na ɔspitul fɔ wan nɛt.
Afta tritmɛnt... pen ɛn tɛm fɔ wɛl
We yu wek, dɛn go gi yu mɛrɛsin fɔ mek yu fil pen tru di salin sɔlvushɔn. Bɔrku pipul dɛn kin jɔs gɛt smɔl diskɔmfɔt wae kin teik wan ɔr tu dez. Trot we de at ɛn smɔl pen na in chɛst na kɔmɔn tin.
As fɔ di tɛm we yu de wɛl, yu kin bigin fɔ du tin dɛn we yu kin du ɔltɛm insay sɔm dez. Bɔt i go tek lɛk tu to siks wik so fɔ mek di insay pat pan di εsophagus wɛl ɔlsay. Insay dis tɛm, yu go nid fɔ chenj di tin dɛn we yu de it.
- Insay di fɔs tɛm: klia wata (e.g. sup wata, ɔrɛnj jus) .
- Neks: Tik tik wata ɛn it dɛn we dɛn dɔn grɔn fayn fayn wan
- Afta sɔm wiks: Yu kin yus to it ɔltɛm.
Insay dis tɛm, i rili impɔtant fɔ avɔyd tin dɛn lɛk fɔ es ebi ebi tin dɛn ɛn fɔ ɛksesaiz tranga wan fɔ lɛk wan mɔnt so .
Ɛni risk de we dis kin apin?
Jɔs lɛk ɛni mɛdikal prɔsidyu, TIF kin gɛt smɔl smɔl risk dɛn. Bɔt di chans fɔ mek dɛn tin ya apin rili smɔl.
| Sɔm prɔblɛm dɛn we kin apin (we nɔ kin apin so ɔltɛm) . | |
|---|---|
| Damej na di εsophagus ɔ di bɛlɛ | Blɔd we de kɔmɔt ɔ we de mek pɔrfɔshɔn. |
| Infεkshכn dεm | Kכndishכn dεm lεk chεst infεkshכn (mediastinitis). |
| Ritɔn fɔ di sayn dɛm | If di sayn dɛn de kam bak as tɛm de go, yu kin nid fɔ chenj to ɔda we fɔ trit yu. |
Wetin na di difrɛns bitwin TIF ɛn tradishɔnal ɔpreshɔn (Nissen Fundoplication)?
Di klas ɔpreshɔn fɔ GERD dɛn kɔl am Nissen fundoplication . Di men difrɛns na dat di dɔktɔ kin akses di bɛlɛ tru wan say we dɛn kɔt na di bɛlɛ. Sɔntɛnde, dɛn kin du am wit laparoskopik, tru sɔm smɔl smɔl say dɛn we dɛn kɔt am.
כda difrεns na dat di Nissen prosidכs de rap di bεlε tayt tayt wan rawnd di εsophagus. Dis kin mek i rili wok fɔ siriɔs GERD. Bɔt fɔ sɔm pipul dɛn, dis tayt kin mek dɛn gɛt sayd ɛfɛkt lɛk fɔ swɛla ɛn i nɔ kin izi fɔ pas di briz (belching) .
Lɔng tɛm sayd ɛfɛkt lɛk dis nɔ kin bɔku wit TIF tritmɛnt. I de gi wan mɔdaret sɔlvishɔn fɔ wan mɔdaret prɔblɛm. So, i kin gi gud sɔlv fɔ di prɔblɛm witout di risk ɛn lɔng tɛm fɔ wɛl we dɛn du ɔpreshɔn.
TIF tritmεnt stil rili nyu, bכt di fכs rizulεt dεm sho se di sakses rεt na lεk 80% afta 5 ia. Sakses min se di sik pipul dɛn dɔn gɛt lɔng tɛm rɛmishɔn ɛn dɛn dɔn ebul fɔ ridyus ɔ stɔp fɔ yuz mɛrɛsin kpatakpata.
Mɛsej we dɛn kin kɛr go na os
- TIF na wan mכdan, nכn-invasiv tritmεnt fכ pεrsisεnt gastroesophageal reflux disease (GERD) εn sכm sכm hiatal hεnia.
- Dɛn kin du dis wit di ɛp we dɛn kin yuz kamɛra we dɛn kin put tru di mɔt. So, no risk ɔ pen nɔ de we gɛt fɔ du wit big ɔpreshɔn.
- Dis na gud opshɔn fɔ pipul dɛm wae gɛt mɔdaret GERD wae nɔr want fɔ tek mɛrɛsin fɔ di res ɔf dɛn layf ɔr gɛt big ɔpreshɔn.
- Bifo yu go gɛt tritmɛnt, mek shɔ se yu tɔk to yu dɔktɔ fɔ si if dis fayn fɔ yu.
- Di tɛm fɔ wɛl nɔr kin shɔt, bɔt i impɔtant fɔ fala dɔktɔ advays ɛn rɛst te yu wɛl ɔl.
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