So ɛtɔ mmere bi a wote nka sɛ wo moma so yɛ wo yaw anaasɛ wote yaw bere a womene aduan kakra anaa wonom nsu no? Ɛte sɛ nea aduan akɔhyɛ wo menewam, anaasɛ obi repiapia wo moma so. Eyi ne tebea a yɛrebɛka ho asɛm nnɛ, a wɔfrɛ no
esophageal spasms . Ɛwom sɛ eyi yɛ hu kakra de, nanso ebetumi akyerɛkyerɛ nneɛma pii mu bere a yenim ho nsɛm pii no.
Dɛn ne saa ntini a ɛwɔ akyi berɛmo no mu a ɛtwetwe yi?
Sɛ yɛbɛka no tiawa a, sɛ womene aduan anaa anonne a, ɔfã bi wɔ hɔ a ɛte sɛ afiri a ɛde fi w’anom kɔ wo yafunu mu. Yɛfrɛ no
esophagus . Ntini na ɛyɛ aduannuru yi afasu. Sɛ womene biribi a, saa ntini ahorow yi twetwe na ɛhome daa fi soro kosi ase, na ɛpia aduan anaa anonne no kɔ yafunu no mu. Te sɛ asorɔkye. Yɛfrɛ saa adeyɛ yi
``(Peristalsis)`` . Nanso, wɔ obi a ɔwɔ ``(Esophageal Spasms)`` mu no, ɔhaw ketewaa bi wɔ ɔkwan a saa ntini ahorow yi fa so twetwe wɔ aduan no mu no ho. Ntini no twetwe mpofirim na ano yɛ den, anaasɛ ɛtwetwe wɔ ɔkwan a ɛnkɔ so daa na ɛyɛ basabasa so. Afei ɛyɛ den sɛ aduan anaa anonne no bɛkɔ fam yiye. Ɛtɔ mmere bi a nneɛma a wɔamene no tumi san ba menewam. Afei nso, eyi betumi ama obi koko ayɛ no yaw.
So eyi ahorow ahorow wɔ hɔ?
Yiw, ahorow atitiriw abien na ɛwɔ hɔ: 1.
Distal Esophageal Spasm: Eyi ne bere a ntini a ɛwɔ esophagus no ase no twetwe wɔ ɔkwan a ɛyɛ basabasa a ɛnyɛ pɛpɛɛpɛ so. Eyi nti
na regurgitation abu so no. 2.
Hypercontractile Esophagus: Ɛtɔ mmere bi a wɔfrɛ eyi Nutcracker Esophagus anaa Jackhammer Esophagus. Eyi ne bere a ntini a ɛwɔ aduan mu no
twetwe denneennen na ɛyɛ ntɛmntɛm . Eyi betumi ama obi ayɛ no yaw kɛse, titiriw bere a ɔremene no. Ebia nnipa binom bɛte nka sɛ wɔrepiapia wɔn moma so.
Saa tebea yi abu so dɛn?
Nokwarem no, saa tebea a wɔfrɛ no `(Esophageal Spasms)`
yi ntaa mma saa . Sɛ nhwɛso no, sɛnea nnuruyɛfo kyerɛ no, nea wɔfrɛ no `Distal Esophageal Spasm` no ba bɛyɛ nnipa mpem ɔha biara mu biako mu afe biara. Enti mma ɛnhaw wo wɔ ho a ɛho nhia.
Dɛn ne eyi ho sɛnkyerɛnne?
Tebea yi ho sɛnkyerɛnne atitiriw abien ne nea ɛtaa ba ne
sɛ ɛyɛ den sɛ ɔbɛmene (dysphagia) ne
koko mu yaw a ɛnyɛ koma mu yaw . Nanso, ɛnyɛ obiara na obehu saa sɛnkyerɛnne ahorow yi. Wɔ tebea horow bi mu no, koko mu yaw a ntini a ɛtwetwe yi de ba no
betumi ayɛ te sɛ ɛyaw a ɛba bere a obi anya komayare .
Nea ɛho hia: Sɛ wote wo koko mu yaw a emu yɛ den a wontumi nkyerɛkyerɛ mu a ɛkyɛ bɛboro simma anum a, yɛsrɛ wo kɔ ayaresabea ntɛm ara. Ɛho hia paa sɛ wuhu sɛ ɛyɛ komayare anaasɛ ɛnte saa.
Saa sɛnkyerɛnne ahorow yi betumi ayɛ nea emu nyɛ den koraa wɔ nnipa binom fam, na emu yɛ den kɛse wɔ afoforo fam. Ɛtɔ da bi a, wotumi fi ase wɔ mmere pɔtee bi mu, te sɛ bere a wɔadi awie no. Nanso, ɛtɔ mmere bi a wotumi ba mpofirim a ntease biara nnim. Sɛ saa ntini a ɛtwetwe yi fi ase pɛ a, ebetumi adi simma kakraa bi akosi bɛboro dɔnhwerew biako.
Koko mu yaw te dɛn?
Sɛ wowɔ esophageal spasms a, ebia wo koko mu yaw te sɛ eyi:
- Ebia wobɛte nka sɛ wo koko mfinimfini, wo nufu dompe (sternum) no akyi titiriw, wo ho ayɛ wo den, wo ho ayɛ wo den, wo ho ayɛ wo den, anaasɛ wo mu yɛ duru .
- Ebia nnipa binom bɛte nka sɛ komayare a ɛkyerɛ sɛ wɔn moma so hyew .
- Ɛyaw no betumi ayɛ ne koko nifa, benkum, anaa nifa mfinimfini, na afei atrɛw akɔ kɔn, benkum nsa, anaa akyi .
Dɛn na ɛyɛ den sɛ wobɛmene (Dysphagia)?
Sɛ wo ho nyɛ wo dɛ yi a, ebia wubehyia nea edidi so yi:
- Ɛte sɛ nea biribi akɔhyɛ wo menewam .
- Nkate a ɛte sɛ nea aduan rebɔ mmɔden sɛ ɛbɛsan aba menewam .
Dɛn nti na eyi rekɔ so? Dɛn ne nea enti a ɛte saa?
Nnuruyɛfo da so ara
nnim nea ɛde ba ankasa . Nanso ebinom gye di sɛ
ntini a asɛe wɔ ntini a ɛhwɛ ntini a ɛwɔ aduan mu no so na ɛde ba. Wɔ tebea horow bi mu no, ebia ntini ahorow a asɛe yi ne acid a ɛdɔɔso dodo wɔ aduan mu no wɔ abusuabɔ. Nnipa pii a wɔn aduan mu yare no wɔ
tebea bi a ɛtra hɔ kyɛ a wɔfrɛ no gastroesophageal reflux disease (GERD) . Saa tebea yi ma yafunu mu acid san kɔ soro kɔ aduan no mu. Wosusuw sɛ saa acid yi betumi asɛe ntini a ɛwɔ aduan mu no. Nnansa yi nhwehwɛmu ada no adi sɛ nnipa
a wɔanom opioid bɛboro asram abiɛsa no taa nya aduan mu akisikuru. Nanso, nhwehwɛmu pii ho hia na ama wɔahu nea ɛde ba ankasa ne nea ɛde asiane ba.
Dɛn ne nneɛma a ɛkanyan tebea yi?
Nnipa binom hu sɛ nneɛma bi na ɛkanyan esophageal spasms ho sɛnkyerɛnne anaasɛ ɛma ɛyɛ kɛse. Nhwɛsoɔ:
- Bere a woadi aduan anaa anonne a ɛyɛ hyew kɛse anaa ɛyɛ nwini yiye akyi.
- Ansa na adwennwen anaa dadwen a emu yɛ den aba, bere a wowɔ mu, anaa bere bi akyi .
- Bere a ɔreyɛ apɔw-mu-teɛteɛ no .
Nanso, saa ntini a ɛtwetwe yi betumi asi bere biara.
Ɔkwan bɛn so na nnuruyɛfo hu eyi?
Wo duruyɛfo no bedi kan ahwɛ wo na watie wo sɛnkyerɛnne ahorow no yiye. Sɛ wo koko yɛ wo yaw a, .
Ebia wɔbɛka akyerɛ wo sɛ yɛ nhwehwɛmu te sɛ electrocardiogram (EKG) mfa nhwɛ sɛ komayare anaa. Sɛ wopow komayare wie a, wɔbɛka akyerɛ wo sɛ yɛ nhwehwɛmu mfa nhu tebea afoforo a ɛtaa ba a ebetumi de wo sɛnkyerɛnne ahorow no afi hɔ. Ebia eyinom bi ne: Sɔhwɛ ahorow a wɔtaa yɛ
- Upper Endoscopy: Eyi hwehwɛ sɛ oduruyɛfo no de afiri a ɛyɛ tratraa (a wɔfrɛ no endoscope) bɛhyɛ wo esophagus mu. Saa tube yi wɔ kanea ketewaa bi ne mfoninitwa afiri wɔ ano biako. Eyi ma oduruyɛfo no tumi hu wo menewam. Eyi betumi aboa ma woahwɛ sɛ ebia nsakrae biara aba wo nipadua mu a ebetumi ama wo koko ayɛ wo yaw anaasɛ ayɛ den sɛ wobɛmene.
- Barium swallow (`Esophagram` anaa `Barium Swallow`): Wɔ sɔhwɛ yi mu no, wonom nsu bi a ade bi a wɔfrɛ no barium wom. Afei oduruyɛfo no twa barium a ɛrekɔ wo menewam no ho mfonini wɔ X-ray so. Eyi betumi aboa ma wɔayi nneɛma afoforo a ɛde ba no afi hɔ, te sɛ aduannoa kwan a ɛyɛ teateaa (`stricture`).
Sɔhwɛ titiriw a wɔyɛ de hu ntini a ɛyɛ mmerɛw
- Esophageal Manometry: Eyi ne sɔhwɛ a wɔde sika kɔkɔɔ yɛ a wɔde hu sɛnea ɛwo a ɛyɛ mmerɛw . Ɛsusuw nhyɛso asorɔkye a ɛba wɔ aduan no mu bere a womene no. Sɛ wowɔ ntini a ɛtwetwe wo ho a ɛnyɛ ne kwan so pii wɔ aduannoa no ase bere koro mu a, ɛyɛ tebea yi ho sɛnkyerɛnne.
- Functional Lumen Imaging Probe (FLIP): Eyi yɛ sɔhwɛ foforo a ebetumi ama wɔanya nsɛm afa sɛnea akyi berɛmo no keka ne sɛnea akyi berɛmo no fasu yɛ n’ade wɔ nhyɛso nsakrae ho.
Tebea afoforo bɛn na ɛwɔ sɛnkyerɛnne a ɛte saa ara?
Esophageal Spasms betumi ayɛ anifere kakra sɛ wobehu, efisɛ tebea afoforo pii wɔ hɔ a ebetumi de sɛnkyerɛnne atitiriw a ɛkyerɛ sɛ obi yɛ koko mu yaw na ɛyɛ den sɛ ɔbɛmene . Bere a wo duruyɛfo ahwɛ ahu sɛ ɛnyɛ komayare bi na ɛde wo haw no ba akyi no, obeyi aduan mu tebea afoforo a ɛtaa ba a ebetumi de sɛnkyerɛnne a ɛte saa ara aba no afi hɔ. Ebia eyinom bi ne:- `( GERD )` (Eyi nso betumi aba abom ne `( Esophageal Spasms)`).
- Esophageal a ɛyɛ den.
- Hiatal hernia a ɛyɛ mmerɛw .
Dɛn ne ayaresa ahorow a wɔde sa eyi?
Botae titiriw a ɛwɔ ayaresa a wɔde sa wo menewa mu akisikuru mu ne sɛ ɛbɛma ntini a ɛwɔ wo menewam no mu ayɛ mmerɛw na atew wo yare no ho sɛnkyerɛnne so.Nanso, sɛ wunni sɛnkyerɛnne biara a efi saa ntini a ɛyɛ mmerɛw yi mu a, ebia wunhia ayaresa. Ebia wo duruyɛfo bɛkamfo ayaresa a edidi so yi mu biako anaa nea ɛboro saa akyerɛ wo:- Ofie nnuru: Nhwehwɛmu ada no adi sɛ peppermint ngo betumi aboa ma ntini a ɛwɔ akyi berɛmo no mu no adwo. Sɛ wonom peppermint ngo kakraa bi wɔ nsu mu a, ebetumi aboa ma yare no ho sɛnkyerɛnne nketenkete no afi hɔ. Afei nso, sɛ wuhu nneɛma a ɛkanyan wo a, ebetumi aboa ma woasiw daakye a ɛbɛtwetwe wo no ano.
- Nnuru a wɔde di dwuma:
- Sɛ wɔnom calcium channel blockers (aduru bi a wɔde sa mogya mmoroso) ansa na wɔadidi a, ɛboa ma nnipa pii mene ntɛmntɛm.
- Nnuru a wɔfrɛ no nitrates boa ma koko mu yaw so tew .
- Nnuru a wɔde kum adwenemhaw a wɔfrɛ no tricyclic tumi de wɔn ani si ntini a asɛe a ɛwɔ aso no mu so na ɛtew ɛyaw so.
- Botulinum awuduru ( Botox ®) a wɔde twitwiw nipadua no mu: Botox® a wɔde twitwiw nipadua no betumi ama ntini a ɛwɔ akyi berɛmo no mu no ayɛ mmerɛw bere tiaa bi na asiw ano. Ebia wo duruyɛfo bɛkamfo eyi akyerɛ sɛ ayaresa afoforo ammoa wo a. Mpɛn pii no, nea efi ayaresa yi mu ba no di bɛyɛ asram asia.
- Oprehyɛn : Sɛ wo yare no ho sɛnkyerɛnne no mu yɛ den na ayaresa afoforo ammoa wo a, ebia wo duruyɛfo bɛkamfo oprehyɛn a wɔfrɛ no myotomy . Wɔ myotomy mu no, wo duruyɛfo no twa ntini a ɛwɔ wo menewam ase no. Saa ntwitwiridii yi ma ntini no nyɛ adwuma koraa. Eyi ma ntini a ɛtwetwe a ɛnyɛ ne kwan so no gyae. Esiane sɛ wɔmfa ntini a ɛwɔ wo menewam no nni dwuma bio nti, tumi a ɛtwe ade ba fam no ma aduan ne anonne kɔ wo menewam.
Nnipa pii a wɔn aduan mu akisikuru ne GERD nyinaa nya ahotɔ fi sɛnkyerɛnne abien no nyinaa mu bere a wɔnom nnuru a wɔfrɛ no proton pump inhibitors (PPIs) no . Saa nnuru yi yɛ adwuma denam yafunu mu acid a ɛba no so tew so. Esophageal spasms a opioids de ba no taa kɔ bere a woagyae nnuru no nom akyi. So wobetumi asiw eyi ano?
Nea ɛyɛ awerɛhow no, ɛrentumi nyɛ yiye sɛ wobesiw tebea yi ano koraa. Nanso, wubetumi aboa denam nneɛma a ɛma wo yare no ho sɛnkyerɛnne no yɛ kɛse a wubehu na woakwati so (sɛ nhwɛso no, nnuan ne anonne bi).Eyi betumi aboa ma ntini a ɛyɛ mmerɛw no mfi ase anaasɛ ɛnsɛe. So eyi yɛ tebea a asiane wom?
Ɛtɔ mmere bi a, esophageal Spasms betumi ama ne koko ayɛ no yaw na ayɛ den sɛ ɔbɛmene. Nanso, nnuruyɛfo mmu tebea yi sɛ ɛyɛ asiane kɛse ma w’akwahosan . Sɛ ɛyɛ den sɛ wobɛmene a, ebetumi ama woate nka sɛ woremene, nanso Esophageal Spasms nyɛ nea ɛde wo nkwa to asiane mu . Mpɛn pii no, wonsiw wo kwan sɛ wubenya aduannuru a wuhia no. Esophageal Spasms mma asiane a ɛwɔ hɔ sɛ wubenya esophageal kokoram anaa tebea afoforo a emu yɛ den a ɛka esophagus no nkɔ soro. Dɛn na ɛbɛba wɔ ayaresa akyi? (Nsusuwii) .
Nkɔmhyɛ a ɛfa Esophageal Spasms ho no gu ahorow gyina sɛnea wo sɛnkyerɛnne ahorow no mu yɛ den so. Nnipa dodow no ara wɔ sɛnkyerɛnne a emu nyɛ den nkutoo. Ayaresa betumi ama Esophageal Spasms ho sɛnkyerɛnne atu mpɔn kɛse. Wo duruyɛfo bɛhwɛ wo daa ahwɛ sɛ nnuru a wonom no reyɛ adwuma. Sɛ wɔyɛ wo oprehyɛn a, wɔbɛyɛ nhyehyɛe akɔhwɛ wo akyi de ahwɛ ahu sɛ wo ho retɔ wo yiye. Bere bɛn na ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn ampa?
Ɛtɔ mmere bi a, Esophageal Spasms betumi de sɛnkyerɛnne ahorow a ɛte sɛ komayare de aba. Sɛ wɔansa komayare ntɛm ara a, ebetumi de ne nkwa ato asiane mu. Enti, sɛ wuhu saa sɛnkyerɛnne ahorow yi mu biara a , frɛ 911 anaa kɔ ayaresabea ntɛm ara:- Sɛ wowɔ nkate a emu yɛ duru na ɛyɛ den wɔ wo moma so a ɛtra hɔ bɛboro simma anum a.
- Sɛ wote ɛyaw wɔ wo moma so baabi foforo, sɛ nhwɛso no, wo mmati, wo nsa, anaa wo kɔn mu .
- Sɛ ɛyɛ den ma wo sɛ wobɛhome (dyspnea) a .
- Sɛ wo koma bɔ ntɛmntɛm anaasɛ ɛnte saa (koma a ɛbɔ) .
- Sɛ wote nka sɛ wo ho ayɛ wo hyew, wo ho atɔ wo, anaasɛ wo ho ayɛ mmerɛw (te sɛ nea worebɛtotɔ piti) .
- Sɛ wowɔ fifiri a ɛyɛ nwini a .
- Sɛ wowɔ akisikuru anaasɛ wofe a .
Mpɛn pii no, koko mu yaw ne ɔhaw a ɛyɛ den sɛ ɔbɛmene no yɛ ɔhaw bi a ɛtaa ba ho sɛnkyerɛnne. Nanso, ɛtɔ mmere bi a wobetumi ayɛ tebea bi a emu yɛ den kɛse te sɛ kokoram ho sɛnkyerɛnne. Enti, sɛ wunya saa sɛnkyerɛnne ahorow yi bɛboro adapɛn abien a, bere nyinaa kɔ oduruyɛfo nkyɛn kɔhwɛ wo. Nsɛm bɛn na ɛsɛ sɛ wubisa oduruyɛfo no?
Wubetumi abisa oduruyɛfo no nsɛm te sɛ:- Dɛn na ɛda adi sɛ ɛde saa ntini mu akisikuru yi ba?
- Mɛyɛ dɛn ahu nea ɛkanyan me yare no ho sɛnkyerɛnne?
- Ayaresa bɛn na wokamfo kyerɛ me?
- Dɛn ne nsunsuanso bɔne a ebetumi afi saa ayaresa ahorow no mu aba?
- Bere tenten ahe na ebehia ayaresa na wɔhwɛ me so?
Sɛ wɔansa a, ɛwo a ɛyɛ mmerɛw kosi nea emu yɛ den betumi anya w’asetra so nkɛntɛnso bɔne. Nneɛma a w’ani gye ho mpo, te sɛ adidi, betumi ayɛ den sɛ wobɛyɛ esiane saa sɛnkyerɛnne ahorow yi nti. Ɛyaw a ɛtra hɔ kyɛ no betumi ama woatwe wo ho afi nneɛma a w’ani gye ho ho, anaasɛ ama woayɛ basaa mpo. Enti, sɛ worehu wo koko mu yaw , ɛyɛ den sɛ wobɛmene, anaasɛ worehu sɛnkyerɛnne afoforo a ɛkyerɛ sɛ wo mene wo menewa , kɔ oduruyɛfo nkyɛn ma wo ne wɔn nsusuw ayaresa a wubetumi apaw ho. Bere nyinaa hwehwɛ oduruyɛfo ntɛm ara sɛ wote wo koko mu yaw a wontumi nkyerɛkyerɛ mu a.
Awiei koraa no, nneɛma kakraa bi a ɛsɛ sɛ wokae
Okay, enti yɛaka `(Esophageal Spasms)` ho asɛm pii. Kae sɛ eyi nyɛ tebea a ɛtaa ba. Nanso, sɛ wotaa te nka sɛ biribi te sɛ nea asiw wo kwan bere a woremene aduan, te sɛ wo koko mu yaw a, mmu w’ani ngu so. Titiriw esiane sɛ koko mu yaw betumi ayɛ te sɛ komayare ho sɛnkyerɛnne nti, enti hwɛ yiye wɔ ho. Ayaresa pa wɔ hɔ a wɔde sa eyi. Wo duruyɛfo bɛboa wo ma woahu nea ɛde wo sɛnkyerɛnne ahorow no ba ankasa na woapaw ayaresa a ɛfata sen biara. Mma ɛnhaw wo, sɛ wɔde ayaresa a ɛfata di dwuma a, wobetumi adi tebea yi so yiye. Ɛho hia paa sɛ wobɛkɔ so akura w’asetra pa mu.
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