So wo esophagus nso wɔ ɔhaw mu? Momma yɛnka Esophageal Disorders ho asɛm!

Ɛtɔ mmere bi a, wote nka sɛ ɛyɛ den ma wo sɛ wobɛmene bere a wudidi no? Anaasɛ wo moma so hyew anaasɛ wote nka sɛ biribi akɔhyɛ wo menewam? Eyinom nyɛ nneɛma a wɔanhyɛ da kɛkɛ. Eyinom betumi ayɛ ɔhaw bi a ɛwɔ wo menewam, kyerɛ sɛ, w’aduan paipu mu ho sɛnkyerɛnne. Ɛnnɛ, yɛbɛka saa aduannoa mu yare yi ho asɛm. Mma ɛnhaw wo, ɛho hia paa sɛ wuhu eyi.

Dɛn ne ‘esophagus’ no? Ɔkwan bɛn so na nyarewa a ɛwɔ aduan mu no ba?

Sɛ yɛbɛka no tiawa a, esophagus yɛ afiri bi a wɔde ntini ahorow ayɛ a ɛde aduan fi yɛn anom kɔ yɛn yafunu mu. Ɛte sɛ nsu afiri, nanso ɛyɛ den kakra. Sɛ saa aduan paipu yi ntumi nyɛ adwuma yiye, anaa sɛ ɛwɔ ɔhaw ahorow bi a, yɛfrɛ no esophageal disease. Aduan a ɛyɛ den sɛ wobɛmene, anaa nea nnuruyɛfo frɛ no (Dysphagia) , yɛ nneɛma atitiriw a ebetumi asi esiane nyarewa yi nti no mu biako.

Tebea horow yi mu nea abu so sen biara ne yafunu mu nsu a ɛsan kɔ nipadua no mu (GERD). Eyi ne bere a yafunu mu acid anaa acid san kɔ soro kɔ aduan no mu, na ɛma aduannoa no mu ntini a ɛyɛ mmerɛw no bo fuw na ɛyɛ hyew.

Nyarewa ahorow titiriw bɛn na ɛba menewam?

Nyarewa ahorow pii wɔ hɔ a ebetumi aba menewam. Ma yɛnhwɛ emu kakraa bi.

• GERD (Gastroesophageal Reflux Disease): Eyi ne nea madi kan aka ho asɛm, yare a abu so sen biara. Wɔ aduannuru no ase awiei no, ntini bi a ɛte sɛ valve a wɔfrɛ no Lower Esophageal Sphincter . Sɛ saa ntini yi antoto yiye a, yafunu mu acid ne aduan san ba soro. Fa no sɛ toa a enni ano a ɛyɛ den na emu nsɛm no fi adi.

• Achalasia: Eyi ne bere a esophageal sphincter muscle a ɛwɔ fam a madi kan aka ho asɛm no mmue yiye, anaasɛ ɛnhome. Eyi mma aduan ntumi nkɔ yafunu no mu. Nnuruyɛfo binom gye di sɛ ebia eyi yɛ yare a nipadua no tumi ko tia nyarewa . Eyi kyerɛ sɛ yɛn ankasa nipadua mu tumi a ɛko tia nyarewa no tow hyɛ yɛn ankasa nkwammoaa so. Nanso, wonnya nhuu nea ɛde ba ankasa. Ebia eyi fi ntini ahorow a ɛhwɛ aduan a wɔde di dwuma no mu ntini ahorow so no a ɛsɛe.

• Barrett’s Esophagus: Eyi yɛ tebea a emu yɛ den kakra. Sɛ wɔannya GERD bere tenten a , aduan a ɛwɔ ase no fi ase te sɛ yafunu no mu nkataso. Nkwammoaa a ɛwɔ hɔ no fi ase te sɛ nkwammoaa a ɛwɔ dwensɔtwaa mu no. Saa nsakrae yi ba baabi a ɛwo ne yafunu no hyia. Saa tebea yi ma asiane a ɛwɔ hɔ sɛ obi benya kokoram wɔ aduan mu no yɛ kɛse .

• Eosinophilic Esophagitis: Yɛwɔ mogya mu nkwammoaa fitaa bi a wɔfrɛ no eosinophils wɔ yɛn mogya mu. Sɛ saa nkwammoaa yi boaboa ano boro so wɔ aduan no mu a, aduannuru a ɛkata so no betumi ahonhon, anaasɛ ayɛ hyew. Nnuruyɛfo frɛ eyiWɔsan frɛ saa tebea yi esophagitis , na wɔtaa hu saa tebea yi wɔ nnipa a wɔn ho yɛ wɔn hyew mpɛn pii no mu.

• Esophageal Kokoram: Esophageal kokoram atitiriw abien na ɛwɔ hɔ: Squamous cell carcinoma ne Adenocarcinoma . Mpɛn pii no, sigaretnom, mframa a wɔde sa yare, ne HPV yare mmoawa no ne asiane a ɛkɔ soro sɛ wobenya squamous cell carcinoma . Sigaretnom ne acid a ɛsan kɔ nipadua no mu nso ne adenocarcinoma ho asiane a ɛkɔ soro wɔ abusuabɔ .

• Esophageal Diverticulum: Eyi yɛ ade ketewaa bi a ɛte sɛ kotoku a efi baabi a ɛyɛ mmerɛw wɔ aduan mu. Nnipa a wɔwɔ achalasia no taa nya diverticula a ɛte sɛɛ.

• Esophageal Spasms: Eyi yɛ ntini a ɛwɔ esophagus no mu a ɛtwetwe mpofirim a ɛnyɛ nea ɔpɛ . Eyi yɛ tebea a ɛyɛ yaw kɛse na ɛntaa nsi. Eyi mma aduan ntumi nkɔ fam nkɔ yafunu no mu.

• Esophageal Sttrictures: Eyi ne bere a esophaguus no yɛ teateaa dodo, na ɛma ɛyɛ den sɛ aduan ne nsu bɛfa yafunu no mu.

• Hiatal Hernias: Eyi ne bere a yafunu no fã a ɛwɔ soro no pia kɔ soro fa tokuru bi a ɛwɔ ahurututu no mu na ɛkɔ koko no mu. Saa tebea yi nso betumi ama acid a ɛsan kɔ nipadua no mu no ayɛ kɛse.

Dɛn ne asiane ahorow a ɛma obi nya menewam nyarewa?

Nneɛma bi ma asiane a ɛwɔ hɔ sɛ obi benya nyarewa wɔ nipadua no fã yi mu no yɛ kɛse. Momma yɛnhwɛ nea wɔyɛ:

• Nsã a wɔnom.
• Sɛ́ obi mu duru boro so esiane kɛseyɛ mmoroso anaa nyinsɛn nti.
• Nnuru bi , sɛ nhwɛso no, nnuru bi a ekum ɔyare mmoawa , nnuru a ekum adwenemhaw, ne nnuru a ɛma ɛyaw ano brɛ ase .
• Sɛ woayɛ radiation therapy wɔ wo kɔn anaa wo moma so a .
• Sigaretnom , ne wusiw a wɔhome bere a afoforo nom sigaret (wusiw a ɛto so abien).

So wowɔ saa sɛnkyerɛnne ahorow yi nso?

Nsɛnkyerɛnne no betumi ayɛ soronko a egyina menewa mu yare ko a obi wɔ so. Ebia wubehyia nneɛma te sɛ:

• Yafunu mu yaw, koko mu yaw, anaa akyi yaw.
• Ɔfe a ɛkɔ so anaasɛ menewa mu yaw.
• Ɛyɛ den sɛ wobɛmene aduan anaasɛ wote nka sɛ aduan akɔhyɛ menewam.
• Koma mu yare - a ehyehye wo koko mu.
• Nteɛteɛm anaa ahurututu a ɛyɛ yaw bere a ɔrehome no.
• Indigestion - Wei kyerε sε obi te yafunu mu yaw.
• Aduan anaa yafunu mu acid a ɛsan kɔ menewam anaasɛ ɛfe.
• Sɛ́ wobɛyɛ teateaa a ntease biara nnim.

Nea ɛho hia: Sɛ wokɔ so nya saa sɛnkyerɛnne yi biako anaa nea ɛboro saa a, hwɛ hu sɛ wobɛhwehwɛ aduruyɛfo afotu. Dodow a wohu yare no ntɛm no, dodow no ara na ɛyɛ mmerɛw sɛ wɔbɛsa.

Ɔkwan bɛn so na wobetumi ahu nyarewa yi pɛpɛɛpɛ?

Wo duruyɛfo bedi kan abisa wo wo yare no ho sɛnkyerɛnne na wayɛ wo nipadua mu nhwehwɛmu. Ebia wɔbɛte wo menewa nso nka bere a woremene no.

Wɔyɛ nhwehwɛmu ahorow a edidi so yi de hu nyarewa a ɛwɔ ahurututu mu:

• Upper Endoscopy: Eyi hwehwɛ sɛ wode afiri tenten bi a ɛyɛ tratraa (scope) bɛhyɛ w’anom mu de ahwehwɛ wo aduan mu ntini a ɛwɔ soro no mu. Wɔ saa adeyɛ yi mu no, wo duruyɛfo betumi afa ntini ahorow (biopsies) de ahwɛ sɛ ebia ɔfe, kokoram nkwammoaa, anaa nyarewa afoforo wɔ hɔ anaa.
• X-ray of the digestive system (Barium Swallow): Wɔ eyi mu no, wɔnom nsu bi a wɔfrɛ no barium na wɔtwa X-ray mfonini bere a ɛfa esophaguguus ne digestive system no mu no.
• Esophageal Manometry: Saa sɔhwɛ yi susuw sɛnea ntini a ɛwɔ wo esophageal sphincter mu ne esophageal sphincter a ɛwɔ fam no yɛ adwuma yiye bere a womene nsu bi no.
• Esophageal pH Test: Eyi kyerɛ yafunu mu acid (pH dodow) dodow a ɛwɔ esophagus mu.

Dɛn ne ayaresa ahorow a wɔde sa eyi?

Ɛsono akwan a wɔfa so sa yare no gyina tebea no so. Wɔn mu bi ni:

• Wɔde nnuru te sɛ antacids , proton pump inhibitors (PPIs), ne histamine receptor (H2) blockers ma de tew yafunu mu acid so.
• Wɔde ɔkwan bi a wɔfrɛ no endoscopic dilation di dwuma de trɛw aduan mu a ɛyɛ teateaa mu anaasɛ ɛma ntini a ayɛ mmerɛw no dwo.
• Wɔde botulinum awuduru (Botox®) gu nipadua no mu de siw ntini a ɛwɔ esophageal sphincter no mu a ɛtwetwe a ɛnkɔ so daa no ano anaasɛ ɛma ntini a ɛyɛ den no dwo.
• Wɔyɛ oprehyɛn bi a wɔfrɛ no esophagectomy de yi oprehyɛn a ɛyare no fã bi anaa ne nyinaa.
• Sɛnea ɛbɛyɛ na wɔasa tebea horow te sɛ GERD anaa hiatal hernia , wɔyɛ laparoscopic antireflux oprehyɛn (Nissen Fundoplication) de hyɛ ɛwo akyi ntini a ɛwɔ fam no mu den.
• Wɔde Heller Myotomy ne Peroral Endoscopic Myotomy (POEM) sa tebea horow te sɛ achalasia ne aduan mu akisikuru .

Dɛn na ɛsɛ sɛ yɛyɛ na yɛamfa yɛn ho anhyɛ menewam nyarewa ho? (Ayaresa a wɔde siw ano) .

(GERD) , a ɛkyerɛ sɛ acid reflux no, sɛ wɔansa no yiye a, ebetumi ama obi anya nyarewa afoforo a emu yɛ den wɔ aduan mu. Enti, (GERD) .Na wubetumi ayɛ saa nneɛma yi de asiw ɔhaw ahorow a ɛwɔ wo menewam no ano anaasɛ wobɛtew so:

• Kwati sɛ wubedi anadwo dasum. Anyɛ yiye koraa no, twɛn nnɔnhwerew abiɛsa wɔ adidi akyi ansa na woada.
• Tew nnuan a ɛyɛ nnuhwam, srade, tomato anaasɛ citrus, ne caffeine ne anonne a carbon wom so.
• Di nnuan nketenkete pii da biara. Di brɛoo bere a woredidi no. Gyae adidi nnɔnhwerew kakraa bi ansa na woada.
• To nsa a wonom no ano hye. Sɛ wonom sigaret a, nya mmoa na ama woagyae.
• Sɛ woda a, ma mpa no ti nkɔ soro anaasɛ fa pillow ma wo ti so da.
• Kɔ so yɛ apɔw-mu-teɛteɛ na kura mu duru a ɛfata mu.

Sɛ wɔansa a, nsɛnnennen bɛn na ebetumi aba?

Sɛ wɔansa no yiye a, aduan mu nyarewa bi te sɛ GERD ne achalasia betumi ama asiane a ɛwɔ hɔ sɛ obi benya aduan mu kokoram no ayɛ kɛse .

Ɛtɔ mmere bi a, nsu a ɛsan kɔ ahurututu mu no betumi ama aduan akɔ soro wɔ ahurututu no mu na akɔ ahurututu no mu. Wɔfrɛ eyi sɛ aspiration . Eyi betumi ama obi anya ahurututu mu yare ne ahurututu mu yare. Ɛyɛ den sɛ wobɛmene nso betumi ama asiane a ɛwɔ hɔ sɛ obi benya aduan pa nni ne nsu a ɛho ayɛ fĩ no ayɛ kɛse .

Dɛn na ɛbɛba wɔn a wɔwɔ nyarewa yi daakye? (Nsusuwii) .

Nnipa dodow no ara a wɔwɔ aduan mu yare no betumi de nnuru a wɔtɔn anaa nnuru a wɔkyerɛw ama wɔn adi wɔn sɛnkyerɛnne ahorow ho dwuma. Nanso, tebea horow bi te sɛ aduan mu kokoram anaa achalasia betumi ahwehwɛ sɛ wɔyɛ oprehyɛn. Nea ɛka ayaresa ho no, wubetumi nso adi wo yare no ho sɛnkyerɛnne ahorow ho dwuma denam nsakrae a wobɛyɛ wɔ w’aduan ne w’asetra kwan mu no so .

Nsɛmmisa a ɛho hia a ɛsɛ sɛ wubisa wo duruyɛfo

Ɛyɛ papa sɛ wubebisa wo duruyɛfo nsɛm yi:

• Akisikuru bɛn na mewɔ?
• Dɛn nti na minyaa saa menewam yare yi?
• Dɛn ne aduru a eye sen biara a wɔde sa menewam yare yi?
• Asiane ne nsunsuanso bɔne bɛn na ɛwɔ ayaresa no mu?
• So mewɔ asiane mu sɛ menya STD afoforo?
• Nsakrae bɛn na ɛsɛ sɛ meyɛ wɔ aduan anaa asetra mu de abɔ m’akwahosan ho ban?
• So ɛsɛ sɛ nsɛnnennen a ɛbɛba no haw me?

Nkrasɛm a Etwa To a Wɔde Kɔ Fie

Nyarewa a ɛwɔ aduan mu no betumi ama obi ayɛ basaa na wate yaw. Tebea a ɛtaa ba ne GERD a ɛde komayare ba. Sɛ wɔansa GERD ne nyarewa afoforo bi a ɛwɔ aduan mu a, ebetumi ama obi anya kokoram wɔ aduan mu.Enti, sɛ wowɔ sɛnkyerɛnne ahorow a, hwehwɛ aduruyɛfo afotu ntɛm ara. Mpɛn pii no, wobetumi de nnuru adi sɛnkyerɛnne ahorow no so. Ebia tebea horow a emu yɛ den te sɛ kokoram ne achalasia behia oprehyɛn. Wo duruyɛfo betumi aboa wo ma woatew asiane a ɛwɔ hɔ sɛ wubenya saa ɔhaw ahorow yi ne nsɛnnennen a emu yɛ den yi so denam nsakrae a ɛfata a ɔbɛyɛ wɔ w'aduan ne w'asetra kwan mu no so . Eyi a wobɛhwɛ so no ho hia yiye na ama woanya apɔwmuden!

` Esophagus, GERD, acid reflux, ɛyɛ den sɛ wobɛmene, koko a ɛyɛ hyew, esophageal kokoram, aduan mu nhyehyɛe