So ɛyɛ den ma wo nso sɛ wobɛmene aduan? Ebia wunnim nea wɔfrɛ no "esophageal web" yi ho hwee! Momma yɛnka eyi ho asɛm!

So woate nka pɛn sɛ biribi akɔhyɛ wo menewam bere a wudidi anaa wonom biribi, anaasɛ ɛyɛ den sɛ wobɛmene? Ɛtɔ da bi a yɛmfa yɛn adwene nsi so pii, nanso sɛ ɛkɔ so a, ɛyɛ biribi a ɛsɛ sɛ yɛhwehwɛ mu. Ade biako nti a ɛyɛ den sɛ yɛbɛmene ade no betumi ayɛ tebea a yɛrebɛka ho asɛm a wɔfrɛ no "Esophageal Web". Mma ɛnhaw wo, eyi nyɛ nea asiane wom, nanso ɛho hia yiye sɛ wohwɛ yiye.

Dɛn ne saa aduan a ɛkɔ nipadua no mu yi?

Sɛ yɛbɛka no tiawa a, wo esophagus, tube a aduan fa mu kɔ yafunu no mu bere a yɛmene no, wɔ aduru a ɛyɛ tratraa a ɛba ne fã a ɛwɔ soro no mu a wɔfrɛ no ``Esophageal Web.'' Sɛ yɛbɛka no pɛpɛɛpɛ a, ɛyɛ ntini a ɛyɛ tratraa te sɛ akɔre ntaban.

Nnipa pii wɔ saa ntini a ɛte sɛɛ, nanso wonnim mpo. Efisɛ mpɛn pii no ɛmma wonnya yare no ho sɛnkyerɛnne biara . Nanso, wɔ tebea horow bi a emu yɛ den mu no, saa ntini yi betumi asiw wo menewam fã bi anaa koraa. Ɛno na ɛbɛyɛ den sɛ wobɛmene .

Nnipa dodow no ara wɔ ntini a ɛte saa biako pɛ. Nanso, ebetumi aba sɛ wubenya nea ɛboro biako. Sɛ wɔsa yare wie mpo a, ɛntaa mma sɛ tebea yi bɛsan aba bio, nanso ɛntaa nsi koraa.

Saa tebea yi a wɔfrɛ no ``Esophageal Web,'' no, wɔtaa hu wɔ nnipa a mogya a ɛtɔ kɔ nipadua mu a emu yɛ den a wɔansa no yare a dade nnim mu . Ebetumi nso aba nnipa a wɔwɔ tebea bi a wɔfrɛ no ``Plummer-Vinson syndrome.'' Saa yare yi wɔ sɛnkyerɛnne atitiriw abiɛsa: mogya a ɛtɔ kɔ nipadua mu a dade nni mu, ɛyɛ den sɛ wɔbɛmene (wɔsan frɛ no ``dysphagia,'' nnuruyɛfo frɛ no), ne ntaban, anaasɛ ntini a ɛwɔ nipadua no mu.

Saa tebea yi abu so dɛn?

Ɛyɛ den sɛ yɛbɛka nnipa dodow pɔtee a wɔwɔ eyi ankasa. Efisɛ sɛnea yɛadi kan aka no, mpɛn pii no, yare no ho sɛnkyerɛnne biara nni hɔ. Nnuruyɛfo taa hu eyi `(Esophageal Web)` bere a wɔyɛ nhwehwɛmu esiane biribi foforo nti.

Nanso, wɔahu sɛ nnipa a wɔkɔ oduruyɛfo nkyɛn esiane sɛ ɛyɛ den sɛ wɔbɛmene (dysphagia) no mu 5% kosi 15% wɔ saa ``(Esophageal Web)'' yi.

Nsonsonoe bɛn na ɛda esophageal web ne esophageal ring ntam?

Tebea foforo a ɛte sɛ `(Esophageal Web)` yi ne `(Esophageal Ring)`. Ebia woate `(Schatzki rings)` nso ho asɛm. Eyinom abien nyinaa ma wo menewam yɛ teateaa na ɛma ɛyɛ den sɛ wobɛmene. Nanso nsonsonoe titiriw a ɛda abien no ntam ne baabi a wɔhyehyɛ.

• (Esophageal Web): Eyinom na ɛba wɔ esophageal no atifi .
• (Esophageal Ring): Eyinom ba wɔ esophaguus no ase .

Web ne ring nyinaa yɛ esophageal strictures ahorow. Wɔwo nnipa binom a wɔwɔ aduan mu ntini ne nkaa. Nanso, wɔtaa nya nkɔso akyiri yi wɔ asetra mu esiane tebea afoforo nti. Mpɛn pii no, wɔnyɛ ɔhaw. Nanso, sɛ wote ɛyaw bere a woremene a, ayaresa betumi aboa wo.

Dɛn ne sɛnkyerɛnne ahorow no?

Sɛnea yɛadi kan aka no, nnipa dodow no ara a wɔwɔ aduan mu nhama no nni sɛnkyerɛnne biara . Sɛ wunni yare no ho sɛnkyerɛnne biara a, ebia wunhia ayaresa.

Nanso sɛ sɛnkyerɛnne ahorow ba a, sɛnkyerɛnne titiriw ne sɛ ɛyɛ den sɛ wobɛmene aduan ne nsu . Ɛtɔ mmere bi a, aduan tumi kɔ menewam. Sɛ eyi ba a, ebia wobɛte yaw anaa wobɛte nka sɛ biribi akɔhyɛ wo menewam. Fa no sɛ, sɛ worebɛwe aburow prɛte a ɛyɛ dɛ a, mpofirim ara wote nka sɛ aduan asinasin bi aka wo menewam, na nsu a wobɛnom mpo renkɔ. Ɛno betumi ayɛ osuahu a ɛte saa.

Sɛ wowɔ saa ntini yi a ɛne ``Plummer-Vinson syndrome'' wɔ abusuabɔ a, wubetumi nso anya sɛnkyerɛnne te sɛ tɛkrɛma a ɛyɛ yaw ne mpaapaemu wɔ w'ano ntwea so .

Dɛn ne nea enti a ɛte saa?

Abenfo da so ara nnim nea ɛde esophageal webs ba ankasa . Sɛ wɔwoo wo a na wowɔ tebea no a, ebetumi afi nsakrae a ɛbaa ɔkwan a wo menewam fa so hyehyɛe wɔ awotwaa no nkwa mu no mu. Sɛ wunya bi akyiri yi wɔ w’asetra mu a, ebetumi ayɛ aduruyɛ mu tebea foforo bi a ɛde ba.

Henanom na wɔwɔ asiane kɛse mu? (Asiane a Ɛwɔ Esophageal Web) .

Saa tebea yi a wɔfrɛ no ``Esophageal Web'' no, wɔtaa hu wɔ nnipa a wɔwɔ ayaresa tebea horow a edidi so yi mu:

• Nyarewa a nipadua no tumi ko tia nipadua no (e.g. `(Hashimoto thyroiditis)`, `(Graves' yare)`)
• Nyarewa a ɛma honam ani akisikuru (e.g. pemphigus) .
• Celiac yare (eyi yɛ protein gluten no ho akisikuru) .
• Acid reflux a ɛtra hɔ kyɛ, a ɛyɛ tebea a ɛba bere a yafunu mu yare no mu yɛ den (GERD - Gastroesophageal Reflux Disease) .
• Graft vs. host disease (wɔtaa hu eyi bere a wɔde akwaa a wɔde ma obi foforo akyi) .
• mogya a ɛtɔ kɔ nipadua mu a dade nnim
• Psoriasis a ɛyɛ mmerɛw
• Ntini mu yare a ɛma ntini mu yare

Ɛnyɛ obiara a ɔwɔ saa tebea horow yi na obenya esophageal webs, nanso asiane no dɔɔso kakra.

Wobɛyɛ dɛn ahu eyi?

Nnuruyɛfo de nhwehwɛmu ahorow yi di dwuma de hu esophageal web:

• Esophagram (anaasɛ Barium Swallow Test): Eyi yɛ X-ray nhwehwɛmu. Wɔma wo aduru bi a wɔfrɛ no barium sɛ nom, na wɔyɛ video X-ray bere a womene no. Eyi ma oduruyɛfo no hu sɛ ebia ɛwo kotoku anaasɛ biribi foforo a ɛyɛ teateaa wɔ wo menewa mu anaa.
• Atifi Endoscopy: .Wɔ eyi mu no, oduruyɛfo de afiri a ɛyɛ tratraa a ɛyɛ mmerɛw (endoscope) fa w’anom na ɔhwɛ wo menewam. Saa tube yi wɔ camera wɔ n'awiei, enti oduruyɛfo no betumi ahu pefee sɛ ``esophageal web'' bi wɔ hɔ anaa.

Ɔkwan bɛn so na wɔsa?

Mpɛn pii no, wɛb no betumi ayera bere a wɔasa tebea a ɛde ba no . Nnuruyɛfo de nnuru, ayaresa a wɔde ma wɔ adwumayɛbea, ne oprehyɛn a wɔaka abom na edi dwuma. Wɔayɛ ayaresa nhyehyɛe bi ma ɛne w’ahiade ahorow ahyia.

Nnuru a wɔde yɛ nnuru

Sɛ nhwɛso no, sɛ mogya a ɛtɔ wo mu a iron nnim a, ebia ebehia sɛ wɔma wo nnuru a iron wom anaa nnuru a iron wom . Sɛ wowɔ GERD (acid reflux) a, ebia ɛho behia sɛ wɔma wo nnuru te sɛ H2 blockers anaa proton pump inhibitors (PPIs).

Saa ayaresa ahorow yi betumi asesa sɛnea wo menewam no yɛ na ama yare no ho sɛnkyerɛnne ahorow no afi hɔ.

Ayaresa a wɔyɛ wɔ ayaresabea hɔ

Sɛ nnuru nkutoo ntumi nyɛ adwuma a, ebia wo duruyɛfo bɛkamfo aduru bi a wɔfrɛ no esophageal dilation . Wɔyɛ eyi bere a wɔreyɛ endoscopy a ɛwɔ soro no. Oduruyɛfo no de oprehyɛn balloon anaa oprehyɛn mu nneɛma a ɛtrɛw toatoa so di dwuma de trɛw aduan no fã a ayɛ teateaa no mu. Eyi yi ntini a ɛwɔ nipadua no mu no fi hɔ, na ebetumi ama ayɛ den sɛ ɔbɛmene.

Sɛɛgyiri

Nnipa dodow no ara a wɔwɔ esophageal webs no nhia oprehyɛn . Nanso, sɛ wowɔ esophageal webs a emu yɛ den a, wobetumi de ɔkwan bi a wɔfrɛ no electrocauterization adi dwuma de ayi ntini a ɛka wo no afi hɔ. Nea ɛka eyi ho ne ɔhyew a wɔde di dwuma de twa nhama no.

Dɛn na ɛbɛba wɔ ayaresa akyi? (Nsusuwii) .

Sɛ wɔsa yare a, wobetumi agyina tebea yi ano yiye . Wɔ nnipa pii fam no, yare no ho sɛnkyerɛnne no kɔ bere a wɔatrɛw aduan mu akyi. Nanso, sɛnea yɛadi kan aka no, wɔ tebea horow a emu yɛ den mu no, nnipa binom betumi asan anya tebea no bio, na ebia ebehia sɛ wɔsan yɛ dilation ayaresa no bio. Nanso, eyi ho yɛ na koraa .

So wobetumi asiw eyi ano na amma?

Ɔkwan biara nni hɔ tẽẽ a wɔbɛfa so asiw esophageal webs a ɛbɛba no ano. Nanso, tebea horow a ɛbata ho te sɛ mogya a ɛtɔ kɔ nipadua mu a dade nnim ne acid a ɛsan kɔ nipadua no mu (GERD) a wodi ho dwuma no betumi aboa ma asiane a ɛwɔ hɔ sɛ wobenya bi no so atew.

Bere bɛn na ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn?

Sɛ wowɔ sɛnkyerɛnne bi a ɛma ɛyɛ den ma wo sɛ wobɛmene a, ka kyerɛ wo duruyɛfo. Afei wobetumi ahu nea ɛde ba na wɔakamfo ayaresa a ɛfata ama wo. Mma w’ani ngu so efisɛ ɛyɛ ɔhaw ketewaa bi, efisɛ sɛ wohu ntɛm a, ɛnyɛ den sɛ wobɛsa.

Nsɛm bɛn na wubetumi abisa oduruyɛfo no?

Sɛ wohu sɛ wowɔ esophageal web a, ebia wobɛpɛ sɛ wubisa wo duruyɛfo nsɛm te sɛ:

• So mihia ayaresa?
• Ayaresa bɛn na wokamfo kyerɛ?
• So mewɔ ayaresa tebea foforo bi a ɛhyɛ ase a ɛfa saa `(Esophageal Web)` yi ho?
• So ɛsɛ sɛ mekɔ so nom nnuru?
• Dɛn na metumi ayɛ de atew me yare no ho sɛnkyerɛnne so?

Kae sɛ, ɛnsɛ sɛ amene yɛ yaw anaa ɛyɛ den. Sɛ ɛte saa a, ebetumi ayɛ sɛnkyerɛnne a ɛkyerɛ sɛ biribi anyɛ yiye.

Nneɛma a ɛho hia sen biara a ɛsɛ sɛ wokae (Take-Home Message) .

Ɛnsɛ sɛ aduan a wɔmene no yɛ yaw anaasɛ ɛnyɛ dɛ da. Sɛ wote nka saa a, bere aso sɛ wohwehwɛ biribi mu. Saa tebea a wɔfrɛ no esophageal web yi taa nyɛ nea asiane wom . Nanso, sɛ worehu yare no ho sɛnkyerɛnne bi a, ɛbɛyɛ papa sɛ wo ne oduruyɛfo bɛkasa. Obetumi ahu nea ɛde ba no na wama wo ayaresa nhyehyɛe a ɛfata. Enti, hwɛ wo nipadua so yiye, efisɛ akwahosan ne ade a ɛho hia sen biara!

` Esophageal web, ɛyɛ den sɛ wɔbɛmene, esophagitis, Plummer-Vinson syndrome, dade a enni nipadua mu, endoscopy, barium adesua