So wo mene bere a woremene aduan no? Momma yensua esophageal dysmotility ho ade!

So woate nka pɛn sɛ aburow kurukuruwa anaa biribi aka wo menewam bere a woredidi no? Anaasɛ ɛyɛ den ma wo sɛ wobɛmene aduan, te sɛ nea biribi akɔhyɛ wo koko mfinimfini? Ɛtɔ mmere bi a eyinom yɛ nneɛma a ɛba kwa ara kwa, nanso sɛ wowɔ saa ɔhaw ahorow yi bere nyinaa a, ebetumi afi yɛn aduan mu ntini bi a ɛnyɛ adwuma yiye, kyerɛ sɛ, aduan paipu (Esophageal Dysmotility) . Momma yɛnka eyi ho asɛm nkɔ akyiri kakra nnɛ, ɛyɛ?

Dɛn ne Esophageal Dysmotility?

Sɛ yɛbɛka no tiawa a, esophageal dysmotility kyerɛ tebea horow a yɛn esophaguus, afiri a ɛde aduan fi ano kɔ yafunu mu no ntumi mfa aduan ne nsu nkɔ fam yiye. Fa no sɛ ɛyɛ ɔkwan a wɔfa so kɔ baabiara. Ɛsɛ sɛ aduan ne anonne fi menewa mu kɔ yafunu mu.

Eyi ne nea ɛtaa ba:

1. Nea edi kan no, ntini bi a ɛwɔ wo menewam atifi (yɛfrɛ no Upper Esophageal Sphincter ) bue ma aduan ne nsu fi wo menewam ba. Ɛte sɛ apon bi a wɔabue.

2. Afei, ntini a ɛwɔ aduan mu no twetwe na ɛhome wɔ ɔkwan a ɛyɛ dɛ so, na ɛpia aduan no kɔ fam. Eyi kɔ fam te sɛ asorɔkye.

3. Awiei koraa no, wɔ esophagus no ase awiei, baabi a aduan hyɛn yafunu no mu no, ntini foforo (yɛfrɛ eyi Lower Esophageal Sphincter) bue na ɛma aduan ne nsu kɔ yafunu no mu.

Afei, baabi wɔ saa adeyɛ yi mu no, sɛ saa ntini ahorow yi ntumi nyɛ adwuma yiye a, ɛno na aduan fi ase kyekyere na ɛyɛ den sɛ wɔbɛmene. Ɛno ne nea yɛfrɛ no esophageal dysmotility.

Dɛn ne tebea yi ho sɛnkyerɛnne?

Sɛ wowɔ esophageal motility disorders a, ebia wubehu sɛnkyerɛnne ahorow te sɛ:

• Ɛyɛ den sɛ wobɛmene (Dysphagia): Eyi ne sɛnkyerɛnne titiriw. Ɛyɛ nkate a ɛkyerɛ sɛ aduan akɔhyɛ menewa anaa moma so. Ebia ɛbɛyɛ den ama nnipa binom sɛ ɛnyɛ nnuan a ɛyɛ den nko na wɔbɛmene, na mmom nsu nso.
• Koko mu yaw bere a woadi akyi: Ɛtɔ mmere bi a ɛyaw yi tumi te sɛ komayare, na ɛno nti na ɛho hia sɛ wuhu nea ɛyɛ ankasa no.
• Koma a ɛyɛ yaw: Saa ɔhyew yi betumi aba bere a yafunu mu acid ba soro kɔ aduan no mu no. Nanso, ɛyɛ gastroesophageal reflux disease (GERD) nso ho sɛnkyerɛnne.

Nea ɛka eyi ho no, ebia nnipa binom behu nneɛma te sɛ aduan a ɛsan ba wɔn menewam, wɔn mu duru a ɛso tew, ne ɔfe.

Dɛn ne nneɛma a ɛde ɔbarima ne ɔbea nna a ɛnyɛ den ba?

Nneɛma pii wɔ hɔ a ebetumi de tebea yi aba. Ebi ne nneɛma atitiriw a ɛde ba a ɛka aduannoa mu nneɛma nkutoo, bere a afoforo nso yɛ tebea horow a ɛto so abien a ɛka nipadua no nyinaa.

Nneɛma titiriw a ɛde ba (ɛka aduannoa mu ntini nkutoo) .

Nneɛma atitiriw a ɛde ba a wɔtaa hu ne:

• Achalasia: 1 .Nea ɛba ne sɛ wo esophageal sphincter (LES), ntini a ɛwɔ wo esophagus awiei baabi a ɛhyɛn wo yafunu mu no ntumi nnye n’ahome yiye. Fa no sɛ ɔpon a ɛwɔ wo esophagus ase no mmue yiye. Eyi ma aduan ne nsu san kɔ wo menewam.
• Eosinophilic Esophagitis: Wɔ eyi mu no, mogya mu nkwammoaa fitaa soronko bi a wɔfrɛ no eosinophils boaboa ano wɔ esophagus no afasu mu, na ɛma obi ho yɛ no hyew, na ɛma esophaguus no mu hohoro na ɛyɛ teateaa, na ɛma ɛyɛ den sɛ aduan bɛfa fam.
• Esophageal Spasm: Wɔ eyi mu no, ntini a ɛwɔ esophagus no mu no twetwe a ɛnyɛ nea wɔpɛ, ntɛmntɛm koraa, anaasɛ ɛnyɛ nea ɛne ne ho nhyia. Te sɛ nam asinasin a ɛwɔ aduan mu no, ɛtwetwe bere nyinaa, a enni nhyehyɛe biara. Afei aduan no bɔ mmɔden sɛ ɛbɛsan aba soro sen sɛ ɛbɛkɔ fam.

Nneɛma a ɛto so abien a ɛde ba (a nyarewa a ɛka nipadua no nyinaa na ɛde ba) .

Ɛtɔ mmere bi a, aduruyɛ mu tebea afoforo nso betumi ama ɔbarima ne ɔbea nna no asɛe.

• Chagas Yare: Eyi yɛ ɔyare a enni sabea a efi aboa bi te sɛ triatomine (afew) mmoawa a wɔka wɔn no mu ba. Saa ɔyare mmoawa yi nso betumi aka aduannuru, na ama ayɛ den sɛ ɔbɛmene.
• Esophageal Sclerosis: Sclerosis yɛ ɔyare a nipadua no tumi ko tia nyarewa. Eyi kyerɛ sɛ nipadua no mu tumi a ɛko tia nyarewa no tow hyɛ n’ankasa nkwammoaa so. Wɔ eyi mu no, ntini a ɛyɛ den a ɛnyɛ ne kwan so boaboa ano wɔ nipadua no mu. Sɛ saa ntini a ɛyɛ den yi boaboa ano wɔ aduan no mu a, ɛbɛyɛ den sɛ aduan bɛfa fam.

Nea ɛka eyi ho no, akisikuru a ɛyɛ kokoram a ɛwɔ aduan no mu nso betumi ama aduan no asiw na ayɛ den sɛ ɔbɛmene.

Dɛn ne nsɛnnennen a ɛwɔ tebea yi mu?

Nsɛnnennen atitiriw a ebetumi aba esiane aduan mu ntini a ɛma obi tumi keka ne ho nti no mu biako ne aspiration pneumonia ne ahurututu mu nyarewa afoforo. Wo de susuw ho hwɛ, sɛ aduan a ɛkyekyere aduan no mu no kɔ ɔkwan a ɛnteɛ so, kyerɛ sɛ, ɛkɔ wo mframa afiri (trachea) mu, na efi hɔ kɔ w’ahurututu mu a, dɛn na ɛba? Ɛno ne bere a tebea horow a emu yɛ den te sɛ ahurututu mu yare betumi aba. Afei nso, nneɛma te sɛ aduan pa a wonnya nni ne mu duru a ɛso tew betumi aba.

Ɔkwan bɛn so na nnuruyɛfo hu saa tebea yi?

Sɛ wowɔ saa sɛnkyerɛnne ahorow yi a, ɛsɛ sɛ wudi kan kɔ oduruyɛfo nkyɛn. Obebisa wo wo yare no ho sɛnkyerɛnne na wayɛ wo nipadua mu nhwehwɛmu. Afei sɛ ɛho hia a, wɔde wo bɛkɔ yafunu mu yafunu ho oduruyɛfo nkyɛn .

Wɔatete saa animdefo yi titiriw ma wɔahu na wɔasa nyarewa a ɛwɔ aduan mu, a ɛwo kotoku ka ho. Wobetumi ayɛ nhwehwɛmu ahorow de ahu sɛnea aduan ne anonne fa wo menewam. Ebi ne:

• Barium Swallow / Esophagram: Wɔ sɔhwɛ yi mu no, wɔma wo nsu titiriw bi a wɔfrɛ no barium sɛ nom, na wɔyɛ X-ray bere a ɛfa wo esophagus mu no. Eyi ma wuhu sɛnea wo menewam no te ne sɛ ebia biribi asiw kwan anaa.
• EndoFLIP sɔhwɛ:Saa sɔhwɛ yi susuw sɛnea awotwaa no mu kɛse te ne sɛnea ntini a ɛwɔ awotwaa no mu no reyɛ adwuma.
• Esophageal Manometry: Te sɛ endoflip no, eyi yɛ sɔhwɛ a ɛkyerɛ sɛnea ntini a ɛwɔ aduan mu no twetwe, gye n’ahome, na ɛpia aduan kɔ fam yiye.
• Upper Endoscopy: Eyi hwehwɛ sɛ wɔde afiri a ɛyɛ tratraa a ɛyɛ mmerɛw (endoscope) a mfoninitwa afiri ketewaa bi ne hann fa ano bɛhyɛ mu de ahwehwɛ aduannoa mu, yafunu, ne dwensɔtwaa ketewa no fã a edi kan no mu. Eyi ma oduruyɛfo no tumi hwɛ aduan no mu tẽẽ sɛ ebia akuru biara, ɛho ahonhon, anaasɛ ɛyɛ teateaa anaa. Sɛ ɛho hia a, wobetumi afa ntini ketewaa bi (biopsy) akɔyɛ mu nhwehwɛmu.

Ɔkwan bɛn so na wɔsa ɛwo a ɛma obi tumi keka ne ho no?

Ayaresa no gyina nea ɛde wo tebea no reba no so. Sɛ efi ade titiriw bi a ɛde ba a, wobetumi de ayaresa a edidi so yi mu biako anaa nea ɛboro saa ayɛ wo yare:

• Nnuru: Nnuru a ɛma aduan mu ntini dwo anaasɛ ɛtew ɔfe so.
• Akwan a ɛnyɛ oprehyɛn: Sɛ nhwɛso no , ɛwo a wɔtrɛw mu . Wɔ eyi mu no, bere a wɔreyɛ endoscopy no, wɔde afiri titiriw bi di dwuma de trɛw aduan no mu mmeae a ayɛ teateaa no. Eyi ma ɛyɛ mmerɛw sɛ wobɛmene aduan.
• Oprehyɛn a Ɛnyɛ Den: Sɛ nhwɛso no, oprehyɛn te sɛ Heller Myotomy anaa Peroral Endoscopic Myotomy (POEM) yɛ adwuma denam ntini a ɛwɔ aduan no mu a ɛma ɛyɛ mmerɛw so, na ɛma ɛyɛ mmerɛw sɛ aduan bɛfa aduan no mu.

Sɛ efi ade a ɛto so abien a ɛde ba a, ade titiriw a ɛsɛ sɛ wɔyɛ ne sɛ wɔbɛsa yare a ɛde ba no.

Dɛn na yebetumi ahwɛ kwan afi tebea yi mu?

Mpɛn pii no, wobetumi asa achalasia, tebea bi a ɛka aduan mu ntini nkutoo no yiye. Nnuru, akwan a wɔnyɛ oprehyɛn, ne oprehyɛn betumi ama ayɛ mmerɛw kɛse sɛ aduan ne anonne befi aduan mu akɔ yafunu mu.

Nanso, ade biako a ɛsɛ sɛ yɛkae ne sɛ ɛnyɛ obiara tebea na ɛyɛ pɛ. Ɛyɛ papa sɛ wo ne wo duruyɛfo bɛkasa na ama woate wo tebea no ne nea wobɛhwɛ kwan no ase.

Mɛyɛ dɛn ahwɛ me ho? So ɛsɛ sɛ mesesa m’adidi?

Yiw, nsakrae nketenkete kakraa bi a wobɛyɛ wɔ ɔkwan a wofa so didi mu no betumi aboa ma saa ɔhaw ahorow yi bi so atew.

• Adwene mu Adidi: Didi nkakrankakra na we w’aduan yiye. Twɛn kakra bere a woamene ano biako awie ansa na woanom foforo. Nhwɛ TV anaa mfa wo fon nni dwuma bere a woredidi no. Hwɛ w’aduan yiye.
• Tena ase tẽẽ bere a woredidi: Nnidi bere a woda mpa so anaasɛ wode wo ho to sofa so no. Didi bere a wote akongua so gyina hɔ. Eyi bɛboa ma tumi a ɛtwe ade ba fam no ama aduan no akɔ fam.
• Nom nsu nkakrankakra:Nom nsu biako anaa abien wɔ aduan a wode bɛhyɛ w’ano kakraa biara mu. Eyi bɛma aduan no ayɛ nwini na ayɛ mmerɛw sɛ wɔbɛmene. Ɛboa ma wudidi brɛoo nso.

Nnuan bɛn na ɛnsɛ sɛ midi?

Mpɛn pii no, eye sɛ wobɛtew nnuan te sɛ eyinom so anaasɛ wobɛkwati:

• Nnuan a ɛyɛ den sɛ wobɛwe na egye bere ansa na woayam: Sɛ nhwɛso no, nhabannuru a wɔannoa no yiye, a ɛyɛ den, nam a ɛyɛ hama na srade wom.
• Nnuan a ebetumi akɔhyɛ aduan mu: Sɛ nhwɛso no, ebetumi ayɛ den ama nnipa binom sɛ wɔbɛmene paanoo a ɛyɛ mmerɛw a wɔde esiam, aburow fitaa (titiriw nea ɛyɛ nnam), ne pasta ayɛ. Sɛ woredi a, bubu mu nketenkete, we no yiye, na fa nsu di.

Eyinom yɛ akwankyerɛ ahorow a wɔde ma wɔ ɔkwan a ɛkɔ akyiri so ara kwa. Ɛho behia sɛ wosɔ hwɛ kakra hwɛ nnuan a ɛyɛ den ne nea ɛyɛ mmerɛw ma wo. Wubetumi nso ahwehwɛ afotu afi aduannuru ho ɔbenfo hɔ sɛ ɛho hia a.

Bere bɛn na ɛsɛ sɛ mesan kɔ oduruyɛfo nkyɛn bio?

Sɛ wo yare no ho sɛnkyerɛnne no ankɔ yiye bere a woafi ayaresa ase akyi, anaasɛ ɛte sɛ nea ɛreyɛ kɛse a, hwɛ hu sɛ wobɛkɔ wo duruyɛfo nkyɛn bio.

Ebia mmere bi wɔ hɔ a wompɛ sɛ wudidi mpo esiane sɛ wo menewam ntumi nkɔ baabiara yiye nti. Ebia wobɛte ehu nso nka sɛ, "So aduan a edi hɔ no bɛyɛ den dodo?" Ɛtɔ da bi a, te sɛ aduan a ɛka wo menewam no, ebia wobɛte nka sɛ, "So eyi ano aduru biara nni hɔ? So ɛsɛ sɛ metra ase saa?"

Nanso kae sɛ, ayaresa ahorow bi wɔ hɔ a ebetumi aboa wɔ tebea horow yi mu. Sɛ ɛyɛ den ma wo sɛ wobɛmene anaasɛ wo koko yɛ wo yaw bere a woadi awie a, wo ne wo duruyɛfo nka ho asɛm. Sɛ nhwehwɛmu ahorow kyerɛ sɛ wowɔ saa ɛwo a ɛma wotumi keka wo ho yi a, wo duruyɛfo bɛkyerɛ wo ayaresa a ɛfata sen biara ama wo.

Awiei koraa no, nkrasɛm a wode bɛkɔ fie:

• Aduan a ɛyɛ den sɛ wobɛmene ne koko mu yaw bere a woadi awie no nyɛ nneɛma a ɛsɛ sɛ wobu no adewa.
• Ebia eyinom yɛ sɛnkyerɛnne ahorow a ɛkyerɛ sɛ aduan mu ntini a ɛnyɛ adwuma yiye .
• Nneɛma pii betumi ama eyi aba, enti ɛho hia yiye sɛ wubehu yare no yiye.
• Mma ɛnhaw wo, ayaresa ahorow wɔ hɔ a wɔde sa tebea horow yi. Wo ne wo duruyɛfo nkasa na yɛ ayaresa nhyehyɛe a ɛbɛyɛ adwuma yiye ama wo.
• Wubetumi nso anya ahotɔ denam nsakrae nketenkete a wobɛyɛ wɔ w’aduan mu no so.

Sɛ wowɔ nsɛmmisa foforo bi fa eyi ho a, ntwentwɛn wo nan ase sɛ wubebisa wo duruyɛfo. Kɔ so nya apɔwmuden!

Esophagus , Ɛyɛ den sɛ wobɛmene, Esophageal Dysmotility, Koko mu yaw, Digestive system, Achalasia, Endoscopy