So wo menewa anaa wo moma so yɛ wo yaw? So ɛyɛ den sɛ wobɛmene? Momma yensua eyi (Esophagitis) ho ade!

So ɛtɔ mmere bi a wote nka sɛ wo menewa mu yɛ wo yaw, sɛ womene aduan a, wo moma so hyew? Anaasɛ wote nka sɛ aduan akɔhyɛ wo menewam? Mma w’ani ngu saa nneɛma yi so kɛkɛ. Efisɛ eyinom betumi ayɛ tebea bi a wɔfrɛ no Esophagitis a yɛrebɛka ho asɛm nnɛ no ho sɛnkyerɛnne. Enti, momma yɛnka eyi ho asɛm nkɔ akyiri, te sɛ nea yɛne yɛn adamfo bi rekasa.

Dɛn ne Esophagitis? Sɛ yɛbɛka no tiawa a...

Esophagitis yɛ ɔfe anaa ɔfe a ɛwɔ esophagus, afiri a ɛde aduan fi wo menewam kɔ ​​wo yafunu mu no mu. Fa no sɛ wo honam ani atwa a ɛma wo ho yɛ kɔkɔɔ, wo hohoro, na wote yaw. Ɛno ne nea ɛkɔ so wɔ wo esophagus mu. Ebia wobɛte nka sɛ wo menewa mu yɛ wo yaw, wo ho hyehye wo, anaasɛ wo ho hyehye wo.

Wunim nea enti a saa ɔfe yi ba? Yɛn nipadua no wɔ nhyehyɛe bi a wɔfrɛ no nipadua mu ahoɔden a ɛko tia nyarewa . Ɛno na ɛbɔ yɛn ho ban fi nyarewa ne mmoawa ho. Enti, sɛ ɔyare mmoawa bi wɔ hɔ, akisikuru bi wɔ hɔ, anaasɛ sɛ aduannoa no asɛe wɔ ɔkwan bi so a, saa nipadua no mu tumi a ɛko tia nyarewa yi yɛ adwuma na ɛbɔ mmɔden sɛ ɛbɛsa no yare. Ɛno ne bere a saa ɔfe ne ɔfe yi ba. Ɛtɔ da bi a, yafunu mu acid a efi yafunu mu no tumi kɔ menewa no mu, na nnuru bi a yɛnom betumi asɛe aduannoa yi (Esophagitis).

Saa tebea yi (Esophagitis) abu so dɛn?

Nokwarem no, nea ɛde (Esophagitis) ba titiriw ne acid reflux , a ɛyɛ tebea a yɛtaa te ho asɛm a wɔfrɛ no `(GERD - Gastroesophageal Reflux Disease)`. Eyi yɛ ɔhaw a nnipa pii wɔ. Nanso, (Esophagitis) ahorow afoforo ho yɛ na koraa. Sɛ nhwɛso no, nnipa a wɔn nipadua mu tumi a ɛko tia nyarewa no yɛ mmerɛw nkutoo na wɔtaa hu ɔyare mmoawa a ɛwɔ aduan mu.

Sɛ yɛwɔ esophagitis a, sɛnkyerɛnne bɛn na yebetumi ahwɛ kwan?

Sɛ wowɔ esophagitis a, ebia wubenya nea edidi so yi:

• Me menewa yɛ me yaw , te sɛ bere a atiridii wɔ me so no.
• Koma a ɛyɛ yaw - Wei ne ɔhaw kɛse a nnipa pii bɔ amanneɛ.
• Ɛyɛ den sɛ wobɛmene aduane - te sɛ nea wo menewa asiw.
• Koko mu yaw - Ɛtɔ da bi a wobetumi adi mfomso aka sɛ eyi yɛ komayare yaw, enti ɛho hia sɛ wuhu no yiye.

Ɛyaw yi betumi ayɛ nea emu yɛ den kakra, ɛtɔ mmere bi a ɛnyɛ den pii. Ebetumi nso ayɛ nea ɛkɔ so daa, anaasɛ ebetumi aba na akɔ.

Ɛdenam nea ɛde tebea no ba ne sɛnea emu yɛ den so no, wubetumi nso anya sɛnkyerɛnne ahorow te sɛ :

• Acid a ɛsan kɔ nipadua no mu .
• Aduan a ɛsan kɔ nipadua no mu .
• Sɛ́ wobɛte nka sɛ aduan akɔhyɛ menewam .
• Nnuan a wɔmfa nni dwuma yiye .
• Ebia ɛbɛyɛ den ama mmofra nkumaa sɛ wobedi .
• Akisikuru ne ɔfe .
• Ɛtɔ mmere bi a ebia mogya bɛka ɔfe no ho .
• Ano mu akuru nso betumi aba.

Nea ɛho hia: Sɛ wowɔ saa sɛnkyerɛnne ahorow yi mu biako anaa nea ɛboro saa, titiriw sɛ ɛyɛ den sɛ wobɛmene anaa wo koko mu yaw a, ɛbɛyɛ papa sɛ wobɛhwehwɛ aduruyɛfo afotu.

Dɛn na ɛde aduan mu yare ba?

Sɛnea yɛadi kan aka ho asɛm kakra no, ntini a ɛwɔ wo menewa mu no betumi ahonhon bere a wo nipadua mu tumi a ɛko tia nyarewa no reko atia ɔyare mmoawa, bere a wo ho yɛ wo hyew, anaa bere a biribi a epira bɔ wo menewam no.

Nneɛma atitiriw a ɛde esophagitis ba ne:

• Acid a ɛsan kɔ nipadua no mu .
• Nnuru a yɛnom no bi .
• Mmoawa a wɔde nyarewa ba .
• Nneɛma a ɛma obi ho yɛ no hyew .
• Mframa a wɔde sa nneɛma te sɛ kokoram.
• Nyarewa a nipadua no tumi ko tia nyarewa .

Esophagitis ahorow nketewa ahorow wɔ hɔ a egyina nea ɛde ba no so.

Dɛn ne aduan mu yare ahorow?

Afei momma yɛnhwɛ esophagitis ahorow atitiriw no bi.

1. Reflux esophagitis (a acid a ɛsan kɔ nipadua no mu na ɛde ba) .

Eyi ne ɔkwan a ɛtaa ba . Ɛba saa: Acid ne aduan mu nsu a efi wo yafunu mu no foro kɔ w’aduan paipu mu. Eyi sɛe w’aduan paipu (mucosa) a ɛyɛ mmerɛw no na ɛma wo hohoro. Sɛ wotaa nya acid reflux anaasɛ wotaa fe a, eyi betumi aba.

Ebia eyi fi:

• `(GERD - Yare a ɛsan kɔ yafunu mu)`
• `(Bile reflux)` - Wei kyerε sε, bile firi yafunu mu kɔ soro kɔ aduane paipu mu.
• Adidi mu haw te sɛ `(Bulimia nervosa)`.

2. Nnuru a ɛma obi nya aduan mu yare

Ɛtɔ da bi a wɔfrɛ eyi "pill esophagitis." Nnuru bi a wɔtaa de di dwuma no, sɛ wɔnom a nsu nnim a, ebetumi akɔhyɛ aduan no mu, baabi a ɛporɔw na ɛsɛe aduan a ɛwɔ akyi no.

Nnuru ahorow pii wɔ hɔ a ebetumi anya saa nkɛntɛnso yi:

• Sɛ nhwɛso no, nnuru a wɔde kum ɛyaw ano aduru a ɛnyɛ steroid a ɛko tia ɔyare mmoawa (NSAIDs).
• `(Acetaminophen)` (paracetamol) a wɔde di dwuma wɔ ɔkwan a ɛyɛ nwonwa so.
• `(Antibiotics)` ahorow bi.
• `(Potassium chloride)` aduru a wɔde yɛ aduru.
• Bisphosphonates yɛ aduru bi a wɔde sa nnompe mu nyarewa.
• Nnuru a wɔde sa yare.

Kae: Eyi nti na ɛho hia sɛ wonom nsu kuruwa biako bere a worenom nnuru a wɔde sa yare no.

3. Ɔyare mmoawa na ɛde ba (Infectious esophagitis) .

Mpɛn pii no, ɔyare mmoawa a ɛba aduan a ɛkɔ nipadua no mu no ntaa mma. Nanso, sɛ wo nipadua mu tumi a ɛko tia nyarewa no ayɛ mmerɛw a, ., a ɛkyerɛ sɛ sɛ nipadua no tumi a ɛko tia nyarewa no sua a, hokwan a ɛwɔ hɔ sɛ nyarewa ahorow yi bɛba no yɛ kɛse. Mpɛn pii no, saa nyarewa yi fi baabi foforo trɛw kɔ aduan mu.

Nea ɛtaa ba ne fungal yare mmoawa , na ɔyare mmoawa di akyi .

Nyarewa pii betumi ama obi anya aduan mu yare:

• Nwansena `(Candida albicans)` (eyi ne nea ɛtaa de `(mmɔkaw yare mmoawa)` ba).
• `(Cytomegalovirus - CMV)`.
• Herpes simplex mmoawa 1 (HSV-1) a wɔnom.
• `(Nnipa papillomavirus a wɔnom - HPV)`.

Nneɛma pii nti na tumi a ɛko tia nyarewa no betumi ayɛ mmerɛw:

• `(HIV/AIDS)` tebea.
• Awosu mu ahoɔden a ɛko tia nyarewa bi (Primary immunodeficiency disorders - PIDD) .
• Nnuru a ɛma nipadua no tumi ko tia nyarewa (e.g., nnuru a wɔde ma nnipa a wɔde wɔn akwaa foforo ama wɔn).
• Asikyireyareɛ.
• Kokoram ahorow bi, s.e. `(Leukemia)`, `(Lymphoma)`.
• Nnuru a wɔde sa yare yɛ kokoram ayaresa.

4. (Eosinophilic aduan mu yare) .

Eyi yɛ soronko kakra. Ɛyɛ nipadua no mu tumi a ɛko tia nyarewa a ɛyɛ adwuma boro so na ɛde ba . Yɛwɔ mogya mu nkwammoaa fitaa bi a wɔfrɛ no ``Eosinophils'' wɔ yɛn nipadua mu. Sɛ yɛwɔ allergy anaa ɔyare mmoawa a, saa ``Eosinophils'' nkwammoaa yi boaboa ano boro so wɔ esophagus no mu na ɛkɔ so ma ɔfe wɔ hɔ, bere mpo a ahunahuna no atwam. Eyi yɛ tebea a ɛntaa nsi , na ɛda adi sɛ ɛba nnipa a wɔn ho yɛ wɔn hyew pii so .

5. Autoimmune esophagitis a ɛma nipadua no tumi ko tia nyarewa

Wɔ eosinophilic esophagitis akyi no, nyarewa afoforo bi a nipadua no tumi ko tia nyarewa nso betumi de esophagitis aba sɛ nea efi mu ba. Nhwɛso ahorow:

• `(Graft vs host disease)` (tebea a ebetumi aba wɔ akwaa a wɔde ma akyi).
• Inflammatory bowel disease (IBD) (tebea a ɛma aduan mu yɛ hyew).
• `(Behçet yareɛ)`.

6. Esiane mframa a wɔde sa yare nti (Radiation esophagitis) .

Sɛ wɔde mframa a wɔde sa wo yare a wɔde asi wo menewam, wo moma so, anaa wo menewam so a, ebetumi ama wo menewam ntini no ho ahonhon (radiation mucositis). Eyi taa yɛ bere tiaa mu adeyɛ . Nanso, wɔ tebea horow a ɛntaa nsi mu no, nnipa binom betumi anya tebea bi a ɛtra hɔ kyɛ (esophagitis) esiane mframa a wɔde sa yare nti.

So Esophagitis yɛ tebea a emu yɛ den? Sɛ wobu ani gu so a, dɛn na ɛba?

Esophagitis yɛ tebea a wobetumi asa na wɔasa. Nanso, sɛ wɔannya Esophagitis a emu yɛ den a, nsɛnnennen a emu yɛ den betumi aba. Ma yɛnhwɛ nea ɛnonom yɛ.

• Akuru a ɛwɔ aduan mu:Eyinom yɛ akuru a abue wɔ aduan paipu no mu. Eyi betumi ama obi ate yaw na mogya atu. Ɛntaa mma sɛ kuru a ɛnyɛ nea ɛsa betumi akɔ so anyin na ama tokuru ayɛ aduan paipu no mu (yafunu mu tokuru). Sɛ eyi ba a, mmoawa a efi aduan paipu mu no betumi akɔ koko no mu anaa mogya no mu, na ɛde ɔyare mmoawa a ɛyɛ hu (septicemia) aba.
• Esophageal stricture: Sɛ ntini a ɛwɔ esophaguus no mu no hohoro bere tenten a, akuru betumi aba. Saa akuru yi betumi atew aduan no mu, na ama ayɛ den sɛ wɔbɛmene aduan. Sɛ eyi mu yɛ den a, ebetumi ama obi ho atɔ ne mu duru, ne mu duru so atew, na wanya aduan pa.
• Intestinal metaplasia: Eyi yɛ nsakrae a ɛba esophagus nkwammoaa mu. Sɛ nsakraeɛ yi ba wɔ aduane mu a, wɔsan frɛ no ``Barrett aduane mu''. Sɛnea ɛbɛyɛ na wɔatumi ayɛ nsakrae wɔ ɔfe a ɛkɔ so no mu no, ntini a ɛkata aduan no mu no sesa ma ɛyɛ te sɛ ntini a ɛkata dwensɔtwaa no so no. Saa nsakrae yi nso betumi ayɛ ade a edii aduan mu kokoram anim.

Enti, sɛ wowɔ (Esophagitis) ho sɛnkyerɛnne ahorow a, mmu w’ani ngu so. Ɛho hia paa sɛ wobɛkɔ oduruyɛfo nkyɛn ntɛm ara na woanya ayaresa a ɛfata.

Ɔkwan bɛn so na nnuruyɛfo hu sɛ obi anya aduan mu yare?

Mpɛn pii no, oduruyɛfo betumi agyina wo yare no ho sɛnkyerɛnne so asusuw sɛ wowɔ aduan mu yare. Ebia wo duruyɛfo bɛkyerɛw wo nnuru bi a esiw acid ano de ahwɛ sɛ ɛboa anaa. Sɛ wɔyɛ saa a, ebia wobehu sɛ wowɔ reflux esophagitis.

Sɛ ɛno anyɛ yiye a, ebia ɛho behia sɛ wɔyɛ sɔhwɛ afoforo. Ebia ɛho behia sɛ woyɛ endoscopy a ɛwɔ soro, a wɔde mfoninitwa afiri di dwuma de hwɛ wo menewam. Anaasɛ ebia wubehia sɛ wɔyɛ wo esophageal pH nhwehwɛmu, a ɛkyerɛ acid dodow a ɛwɔ wo esophagus mu.

So wobetumi asa Esophagitis koraa?

Yiw, akyinnye biara nni ho sɛ ebetumi ayɛ saa. Sɛ wobɛsa (Esophagitis) a, ɛsɛ sɛ wugyae nneɛma a ɛrehyɛ wo esophagitis abufuw, kyerɛ sɛ, ɛma ɛho ahonhon, na woma no bere ma ɛsa fi awosu mu. Ɛdenam nea ɛde ba no so no, ebia ebehia sɛ woyɛ nsakrae bi wɔ w’asetra kwan mu anaasɛ wode nnuru di dwuma. Nnuru betumi aboa ma woabɔ wo menewam ho ban na aboa ma ayɛ yiye ntɛmntɛm.

Dɛn ne ayaresa ahorow a wɔde sa Esophagitis?

Mpɛn pii no, ayaresa no hwehwɛ sɛ wɔnom nnuru ne asetra mu nsakrae.

Nnuru ahorow a wɔde di dwuma:

• Nnuru a ɛtew acid so: Nnuru te sɛ `(Antacids)`, `(H2 blockers)` (e.g. Famotidine), ne `(Proton-pump inhibitors - PPIs)` (e.g. Omeprazole, Esomeprazole) betumi aboa ma wɔasiw acid a ɛsan ba no ano. Wobetumi atɔ eyinom bi wɔ nnurutɔnbea `(OTC - Over-the-counter)`, bere a afoforo nso hwehwɛ sɛ oduruyɛfo kyerɛw krataa.
• Nnuru a wɔde ko tia ɔyare mmoawa:Wɔ nnipa a wɔwɔ eosinophilic esophagitis fam no, ɛtɔ mmere bi a nnuruyɛfo kamfo kyerɛ sɛ wɔnnom aduru bi a ɛyɛ nsu a ɛyɛ steroid. Saa nsu yi kata aduan no mu na ɛtew ɔfe so. Ɛsan nso nnya nsunsuanso bɔne pii sen nnuru a wɔnom.
• Nnuru a wɔde ko tia fungal a wɔde sa fungal yare: Wɔde ma fungal yare te sɛ (Candida).
• Nnuru a wɔde ko tia mmoawa a wɔde nyarewa ba: Wɔde ma mmoawa a wɔde nyarewa ba te sɛ herpes.
• Monoclonal antibodies: Eyinom yɛ protein ahorow a wɔde nsa ayɛ. Wɔne yɛn nipadua mu tumi a ɛko tia nyarewa no yɛ adwuma de boa ma ɔfe no gyae. Dupilumab yɛ nnuru a ɛte saa no mu biako. U.S. Aduan ne Nnuru Dwumadibea (FDA) apene so sɛ wɔmfa nsa eosinophilic esophagitis.

Nsakrae a ɛba asetra mu:

• Nsakrae a ɛba aduan mu: Hu na kwati nnuan a ɛkanyan acid reflux anaasɛ akisikuru (e.g. nnuan a ɛyɛ nnuhwam, nnuan a srade wom, chocolate, kɔfe, citrus nnuaba).
• Nnuru a Ɛsɛ sɛ Wosusuw Ho: Sɛ worenom nnuru a ebetumi ama woanya aduan mu yare a, wo ne wo duruyɛfo nkasa mfa nsakrae a wobɛdan akɔ aduru foforo so anaasɛ wobɛnom nsu mu. Sɛ worenom aduru bi a, hwɛ hu sɛ wode nsu kuruwa kɛse bi bɛnom na mma bere a woanom awie no nna fam.
• Anadwo su: Sɛnea ɛbɛyɛ a acid a ɛsan ba no so bɛtew no, nnidi kakraa bi anadwo. Titiriw no, anyɛ yiye koraa no, wie w’anwummere aduan nnɔnhwerew abiɛsa ansa na woada. Eyi bɛma w’aduan anya bere ayam ansa na woada.
• Akwahosan ho su pa: Sɛ wonom sigaret a, gyae. Kwati nsa. Eyinom bɛboa kɛse wɔ wo menewam a wobɛbɔ ho ban no mu.

So Esophagitis no ankasa bɛyɛ yiye?

Sɛ wugye di sɛ nea ɛde wo menewam yare no ba no agyae a, ebia ɛno ankasa befi hɔ wɔ adapɛn kakraa bi mu. Nanso, nyansa wom sɛ wobɛkɔ oduruyɛfo nkyɛn ma wɔahu yare no yiye. Wo duruyɛfo betumi ahu nea ɛde wo menewa mu yare no ba ankasa na watu wo fo wɔ ɔkwan a eye sen biara a wobɛfa so ayɛ saa tebea pɔtee no ho ayaresa ho.

Bere tenten ahe na esophagitis betumi atra hɔ?

Egyina sɛnea ɛyɛ mmerɛw sɛ wobedi nea ɛde ba no so. Wɔ nsɛm bi a ɛkɔ so daa mu no, ebia ebehia sɛ wosɔ nnuru ahorow hwɛ kosi sɛ wubenya ayaresa a ɛfata. Sɛ wufi ase sa yare wie a, mpɛn pii no, wo ho tɔ wo ntɛm. Nanso, ebetumi adi adapɛn abiɛsa kosi asia ansa na ne ho atɔ no koraa. Sɛ nea ɛde ba no yɛ tebea a ɛtra hɔ kyɛ (e.g., GERD, autoimmune disease) a, ebia ebehia sɛ wokɔ so nom nnuru de siw ano.

Sɛ wowɔ esophagitis a, wobɛyɛ dɛn ahwɛ wo ho kosi sɛ ɛbɛsa?

Wɔ bere a wo ho retɔ wo no, hwɛ yiye wɔ nneɛma yi ho:

• Kwati nneɛma a ɛhyɛ wo menewam yaw , te sɛ nnuan a ɛyɛ nnuhwam ne akisikuru, nsa, ne sigaretnom.
• Enkosi sɛ aduan paipu no bɛsa no, kwati sɛ wode nhyɛso bɛto so dodo.Bɔ mmɔden sɛ wubedi aduan a ɛyɛ mmerɛw (e.g. akutu, soup, nhabannuru a wɔanoa yiye).
• Sɛ woredidi a, bubu mu nketenkete, we no yiye, na mene.
• Nom nsu pii. Anaasɛ, nom nhabannuru tii a eye ma aduan mu, te sɛ marshmallow ntini tii ne elm tii a ɛyɛ hwerɛma. Eyinom nso betumi aboa ma nsu a ɛwɔ nipadua no mu no akɔ so atra hɔ.

Bere bɛn na ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn wɔ esophagitis ho?

Sɛ wowɔ esophagitis ho sɛnkyerɛnne ahorow, nanso wɔanhu nea ɛde ba, anaasɛ ayaresa a woreyɛ mprempren no mmoa a, akyinnye biara nni ho sɛ ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn. Ɛtɔ mmere bi a, aduan mu yare betumi de nea ɛboro biako aba. Ebia ebehia sɛ wɔsa eyinom mu biara yare.

So (Esophagitis) ne (GERD) yɛ ade koro?

Eyi yɛ asɛm a nnipa pii bisa. GERD ne ade a ɛtaa de aduan mu yare ba. Nanso, ɛnyɛ ɛno nkutoo na ɛde ba . Afei nso, ɛnyɛ obiara a ɔwɔ GERD na onya esophagitis. Sɛnea ɛbɛyɛ na aduannuru no mu ayɛ hyew no, ɛsɛ sɛ wɔkɔ so de asikre di dwuma bere tenten.

Wo menewam no fi wo menewam kɔ ​​wo yafunu mu, fa wo moma so. Mpɛn pii no, sɛ ɛnyɛ yaw a, yennwen ho pii, ɛnte saa? Nanso sɛ ɛba saa a, ebia worenhu ntɛm ara sɛ ɛyɛ ɛyaw wɔ wo menewam. Ebia ɛbɛyɛ te sɛ ɛyaw wɔ wo koko mu, anaasɛ ɛbɛyɛ te sɛ nea wo menewa mu yɛ wo yaw. Enti, wɔ asɛm yi mu no, wubenya hokwan asua nea ebetumi asɛe wo menewam ne sɛnea wobɛkwati.

Nnipa pii nya esophagitis esiane acid reflux nti. Anyɛ yiye koraa no, ɔmanfo no mu 20% na wɔwɔ saa ɔhaw yi. Nanso, nnuru a wɔde kum ɛyaw a wɔtɔn a wɔmfa nnuru nhyɛ mu te sɛ NSAID a wɔde di dwuma boro so no yɛ ade foforo a ɛtaa de ba. Nyarewa a nipadua no tumi ko tia nyarewa ne ɔyare mmoawa a ɛbata nipadua no mu tumi a ɛko tia nyarewa a ayɛ mmerɛw ho no ntaa mma. Ɛtɔ da bi a, ebetumi ayɛ nneɛma a ɛde ba yi a wɔaka abom. Sɛ wususuw sɛ wowɔ esophagitis a, kɔ oduruyɛfo nkyɛn na kɔhu sɛ wowɔ wo yare no.

Nneɛma a ɛho hia sen biara a ɛsɛ sɛ yɛkae tiawa

Okay, enti nneɛma a ɛsɛ sɛ wokae fi nea yɛaka ho asɛm no mu ni:

• Esophagitis yɛ wo aduan paipu (esophagugus) mu a ɛho ahonhon anaasɛ ɛyɛ hyew.
• Mpɛn pii no, tebea bi a wɔfrɛ no gastroesophageal reflux disease (GERD) na ɛde eyi ba.
• Afei nso, nneɛma te sɛ nnuru bi, mmoawa a wɔde nyarewa ba, akisikuru, ne mframa a wɔde sa yare betumi de eyi aba.
• Sɛ ɛyɛ den ma wo sɛ wobɛmene, wo koma atɔ wo yaw, anaa wo koko yɛ wo yaw a, mmu w’ani ngu so kɛkɛ. Hwɛ oduruyɛfo.
• Esophagitis yɛ tebea a wotumi sa a ebia ebehia nnuru ne asetra mu nsakrae bi nso.

Enti, mewɔ anidaso sɛ saa nsɛm yi ho bɛba wo mfaso. Kɔ so nya apɔwmuden!

`esophagitis, esophagitis, menewa mu yaw, koko mu ɔfe, GERD, ɛyɛ den sɛ ɔbɛmene, reflux, komayare