Ɛnnɛ yɛrebɛka aduruyɛ mu nhwehwɛmu bi a ebia ɛyɛ foforo ma wo ho asɛm, nanso ebetumi ayɛ nea ɛho hia yiye. Wɔfrɛ no esophagoscopy. Ebia edin no bɛyɛ te sɛ nea ɛyɛ hu kakra, nanso mma ɛnhaw wo, momma yɛmma ɛnyɛ mmerɛw, ɛnte saa? Yɛbɛka biribiara a ɛsɛ sɛ wuhu nnɛ, te sɛ nea ɛyɛ, nea enti a wɔyɛ, sɛnea ɛba, ne sɛ ɛyɛ yaw anaa.
Dɛn ne esophagoscopy? Sɛ yɛbɛka no tiawa a...
Sɛ yɛbɛka no tiawa a, esophagoscopy yɛ adeyɛ a wɔde hwɛ wo esophagus (afiri a efi wo menewam kɔ wo yafunu mu bere a womene aduan ne anonne) no mu yiye. Fa no sɛ woretwam mfoninitwa afiri ketewaa bi afa ɔkwan bi so wɔ wo nipadua mu.
Wɔ sɔhwɛ yi mu no, nnuruyɛfo de afiri ketewaa bi a ɛyɛ mmerɛw (a wɔfrɛ no endoscope ) di dwuma. Saa endoscope yi wɔ mfoninitwa afiri ketewaa bi ne kanea bi wɔ n’afã biako. Enti, wɔde saa afiri yi fa w’anom, anaa ɛtɔ mmere bi a wo hwene mu, na wɔde fa wo menewam, na ɛma oduruyɛfo no hu pefee sɛ ebia biribi asɛe, sɛ yare ho sɛnkyerɛnne bi wɔ hɔ, anaasɛ biribi foforo a ɛyɛ soronko wɔ hɔ a. Ɛtɔ da bi a, wɔde saa kwan yi nso di dwuma de yi ntini ketewaa bi (tissue sample/biopsy) fi esophagus no mu kɔhwehwɛ mu bio. Yɛbɛka saa asɛm no ho asɛm akyiri yi.
Ɛyɛ ade a ɛfata sɛ wobɛte ehu anaa ehu nka kakra bere a wɔka kyerɛ wo sɛ wɔde afiri bi bɛhyɛ wo menewa anaa wo hwene mu no. Nanso sɔhwɛ yi ne ɔkwan a eye sen biara a wobɛfa so ahu nea ɛrekɔ so wɔ saa afiri a ɛho hia yi a ɛde w’aduan ne w’anom ano no mu ankasa. Sɛ wunim saa a, ebetumi aboa wo ma wo ho atɔ wo.
Dɛn nti na ɛsɛ sɛ wɔyɛ wo esophagoscopy?
Afei ebia worebisa wo ho sɛ, ‘Dɛn nti na wɔbɛka akyerɛ me sɛ menyɛ sɔhwɛ yi?’ Yiw, ɛno yɛ asɛmmisa pa. Ebia oduruyɛfo bi de wo bɛkɔ akɔyɛ nhwehwɛmu yi esiane nneɛma pɔtee bi nti. Momma yɛnhwɛ nea wɔyɛ:
- Ɔfe a ɛkɔ so daa: Ɛtɔ mmere bi a, sɛ wowɔ ɔfe a ɛyɛ den sɛ wubehu nea ɛde ba na sɛ wode nnuru di dwuma daa a, eyi betumi aboa ma woahu sɛ ebia nea ɛde ba no yɛ wo menewam haw anaa.
- Ɛyɛ den sɛ wobɛmene (Dysphagia): Sɛ wote nka sɛ woremene anaasɛ woreyɛ yaw bere a woremene aduan anaa anonne a. Sɛ wote nka sɛ biribi akɔhyɛ wo menewam, anaasɛ wote nka sɛ aduan akɔhyɛ wo moma so a.
- Akisikuru ne akisikuru a ɛtaa ba: Sɛ wotaa nya akisikuru ne ɔfe a ntease biara nnim a, ɛsɛ sɛ wohwɛ sɛ nea ɛde ba no yɛ ɔhaw bi wɔ aduannoa mu anaa yafunu atifi anaa.
- Komayare a Ɛkɔ So: Sɛ wowɔ komayare a ɛkɔ so daa a yɛtaa susuw sɛ ɛyɛ "yafunu mu," nanso nnuru nnya ahotɔ a, sɔhwɛ yi ho hia na ama woahu nea ɛde ba.
Nea ɛka saa sɛnkyerɛnne ahorow yi ho no, sɛ aduan kɔhyɛ wo menewam, anaasɛ womene biribi wɔ akwanhyia mu (sɛ nhwɛso no, mmofra nkumaa betumi amene nneɛma te sɛ sika, agode asinasin, anaa batere, ɛnte saa?) a, wɔde saa kwan a wɔfa so hwɛ aduan mu yi nso di dwuma de yi ade a akyeakyea no fi hɔ.
Saa sɔhwɛ yi nso ho hia yiye na ama wɔahu aduan mu yare ahorow bi . Nhwɛso kakraa bi ni:
- Barrett esophagus: Eyi yɛ tebea a ɛma nkwammoaa a ɛwɔ esophagus no ase no sesa ma ɛyɛ te sɛ nkwammoaa a ɛwɔ yafunu no mu. Saa tebea yi betumi afi acid a ɛsan kɔ nipadua no mu bere tenten mu aba. Asiane ketewaa bi wɔ hɔ sɛ ebetumi abɛyɛ kokoram, enti ɛho hia sɛ wokɔhwɛ mu daa.
- Dysphagia: Sɛnea yɛadi kan aka no, ɛyɛ den sɛ wobɛmene. Nneɛma pii betumi de eyi aba, na eyi bɛboa wo ma woahu.
- Esophageal cancer: Eyi yɛ asɛmfua a ɛyɛ hu. Nanso sɛ wohu no ntɛm a, hokwan a ɛwɔ hɔ sɛ wɔbɛsa no yare na wɔasa no yɛ kɛse koraa. Ɛno nti na sɛ adwenem naayɛ bi wɔ hɔ a, wɔyɛ sɔhwɛ yi.
- GERD (Gastroesophageal Reflux Disease): Eyi yɛ tebea a nnipa pii frɛ no "yafunu mu" kɛkɛ. Eyi ne bere a yafunu mu acid san kɔ soro kɔ aduan no mu. Eyi betumi ama obi anya komayare na ne menewa mu ayɛ no yaw.
- LPR (Laryngopharyngeal Reflux): Eyi te sɛ GERD, nanso wɔ eyi mu no, yafunu mu acid sen kɔ aduan no mu, kɔ menewa ne nne adaka no mu pɛɛ. Eyi betumi ama nneɛma te sɛ nsu a ɛtaa ba menewam, nne a ɛsakra, ne menewam yare a ɛkɔ so daa.
So esophagoscopy ahorow bi wɔ hɔ?
Yiw, akwan titiriw abien na ɛwɔ hɔ a wɔfa so yɛ sɔhwɛ yi. Ɛwom sɛ ɔkwan a wɔfa so yɛ no yɛ pɛ wɔ abien no nyinaa mu de, nanso ɔkwan a wɔfa so de tube a mfoninitwa afiri no wom no hyɛ mu no yɛ soronko kakra.
1. Transoral esophagoscopy: Wɔ eyi mu no, oduruyɛfo no de afiri bi a wɔfrɛ no esophagoscope fa w’anom na ɔde hyɛ wo menewam. Eyi ne ɔkwan a wɔtaa fa so yɛ adwuma.
2. Transnasal esophagoscopy: Wɔ saa kwan yi so no, wɔde afiri no fa wo hwene mu . Ɛfa wo hwene mu, kɔ wo menewam, na ɛkɔ wo menewam. Nnipa binom ka sɛ saa kwan yi yɛ mmerɛw kakra efisɛ ɛmma akisikuru pii nsen ɔkwan a wɔfa so de anom no.
Akwan abien no nyinaa yɛ adwuma wɔ ɔkwan koro so. Wɔde mfonini ahorow a efi mfoninitwa afiri a ɛwɔ afiri no so no kyerɛ wɔ kɔmputa kɛse bi so. Afei oduruyɛfo no betumi ahu wo menewam no mu yiye. Esophagoscopes binom yɛ nea ɛyɛ mmerɛw, bere a afoforo yɛ dade nhama a ɛyɛ den a ɛnkotow (rigid esophagoscopy). Wo duruyɛfo begyina wo tebea no so asi ɔkwan a eye ma wo ho gyinae.
Wobɛyɛ dɛn asiesie wo ho ama esophagoscopy?
Ɛho behia sɛ woyɛ ahosiesie bi ansa na wɔayɛ nhwehwɛmu yi, efisɛ ɛtɔ mmere bi a wɔde nnuru a wɔde kum nipadua no di dwuma na amma woante ɛyaw anaasɛ wo ho nyɛ wo dɛ biara wɔ sɔhwɛ no mu.Enti biribiara nni hɔ a ɛsɛ sɛ wohaw wo ho wɔ ho. Wo duruyɛfo bɛkyerɛ wo nea ɛsɛ sɛ woyɛ pɛpɛɛpɛ. Nanso mpɛn pii no, ɛsɛ sɛ wususuw nneɛma yi ho:
- Yɛ nhyehyɛe ma obi de kar mfa wo nkɔ fie: Mpɛn pii no, wubetumi akɔ fie da koro no ara a wobɛyɛ sɔhwɛ no. Nanso, wɔbɛma wo aduru a wɔde kum nipadua no (sɛ́ ɛyɛ nea wɔde kum nipadua no nyinaa anaa ne fã bi) na worentumi nka kar. Enti, ebehia sɛ wode obi bɛka kar de wo akɔ fie. Mma wo nkutoo nkɔ, efisɛ ɛnyɛ nea asiane biara nni ho.
- Ahosiesie a wobɛyɛ ama aduru a wɔde kum nipadua no: Ebia wɔbɛka akyerɛ wo sɛ gyae adidi anaa anonne koraa bɛyɛ nnɔnhwerew awotwe ansa na wɔayɛ nhwehwɛmu no. Eyi kyerɛ sɛ ɛsɛ sɛ wo yafunu da mpan. Eyi yɛ nea wɔde bɛtew asiane a ɛwɔ hɔ sɛ yafunu mu nneɛma bɛsan aba wo menewam ne w’ahurututu mu bere a wɔreyɛ aduru a ɛma obi dwensɔ no so. Ebia wɔbɛka akyerɛ wo nso sɛ gyae nnuru bi, titiriw nnuru a ɛma mogya yɛ mmerɛw (te sɛ aspirin ne warfarin), anaa nhabannuru a wɔde ma no nom nna kakraa bi. Wo duruyɛfo bɛkyerɛkyerɛ eyinom nyinaa mu akyerɛ wo.
Dɛn na ɛba bere a wɔreyɛ esophagoscopy no?
Okay, afei momma yɛnhwɛ nea ɛba wɔ sɔhwɛ ankasa no mu. Nea edi kan no, oduruyɛfo a ɔde aduru a ɛma obi dwensɔ bɛma woada koraa, anaasɛ ɔbɛma wo nnuru a ɛma wo ho dwo wo. Afei, wo duruyɛfo no bɛyɛ nhwehwɛmu no te sɛ eyi:
- Wɔde aduru a wɔde petepete wo menewam wɔ mpɔtam hɔ no gu wo menewam. Wɔde tube no fa w’ano mu. Sɛ wɔde fa wo hwene mu hyɛ mu a, wo hwene mu nso yɛ mmerɛw. Eyi remma ɛnyɛ mmerɛw koraa sɛ wode tube no bɛhyɛ mu.
- Afei, wɔde ahwɛyiye kɛse fa esophagoscope tube no mu fa ano anaa hwene mu.
- Wɔde nkakrankakra fa nsukorabea no fa aduan mu, ebia ɛkɔ yafunu no atifi (duodenum) nyinaa.
- Wɔde video a efi mfoninitwa afiri a ɛwɔ tube no mu no kyerɛ wɔ screen kɛse bi so. Oduruyɛfo no hwɛ eyi bere a ɔreyɛ nhwehwɛmu no.
- Sɛ oduruyɛfo no pɛ a, obetumi akyere mfonini ahorow yi agu hama so na watwa mfonini ama akyiri yi wahwɛ.
- Adeɛ a ɛho hia paa ne sɛ, sɛ wohu biribi a ɛyɛ adwenem naayɛ – sɛ nhwɛsoɔ no, akuru, akisikuru, anaa ntini a ɛnteɛ – wobɛtumi ayɛ biopsy de ahwehwɛ mu akɔ akyiri. Eyi kyerɛ sɛ wobɛfa ntini ketewaa bi na wode afiri a wɔde hwɛ nneɛma nketenkete ahwɛ. Nyarewa ho ɔbenfo , oduruyɛfo a ne ho akokwaw wɔ ntini mu nhwehwɛmu mu na ɔyɛ eyi. Saa nipadua mu nhwehwɛmu yi nkutoo ne ɔkwan a wobɛfa so ahu no yiye sɛ ebia biribi te sɛ kokoram anaa yare foforo bi wɔ hɔ anaa.
Bere tenten ahe na egye na wɔde ayɛ esophagoscopy?
Bere a ebegye no bɛsono a egyina sɔhwɛ ko a woreyɛ ne sɛ ebia ɛsɛ sɛ woyɛ biribi foforo biara wɔ sɔhwɛ no mu anaa. Sɛ nhwɛso no, ebia wobetumi awie transnasal esophagoscopy a ɛyɛ hwene mu hwɛ ara kwa no wɔ bɛyɛ simma 10-15 mu. Nanso, transoral esophagoscopy a wɔfa ano no betumi agye bere tenten.Wɔ biako fam no, titiriw sɛ ɛhwehwɛ sɛ wɔyɛ nipadua mu nhwehwɛmu anaasɛ wɔyɛ nneɛma nketenkete afoforo (te sɛ sɛ wɔasiw aduan no mu a wɔbɛtrɛw mu) a, ebetumi agye simma 20 kosi dɔnhwerew biako. Nanso, wo duruyɛfo no bedi kan akyerɛ wo bere tenten a ɛtaa gye.
So Esophagoscopy yɛ yaw?
Eyi ne asɛmmisa a nnipa pii bisa, ne ade a ɛbɔ nnipa pii hu. Dabi, sɔhwɛ yi nyɛ yaw. Nokorɔ mu. Sɛ oduruyɛfo no de afiri no hyɛ mu a, ebia wobɛte nka sɛ wo ho nyɛ wo dɛ kakra, wobɛte nka sɛ biribi reba wo menewam, na ebia wo ho bɛtɔ wo kakra. Nanso ɛnyɛ yaw. Na esiane sɛ wɔbɛma wo aduru a wɔde kum nipadua no (a ɛyɛ ne nyinaa anaa ne fã bi) nti, mpɛn pii no worente biribiara nka, anaasɛ worenkae. Enti nsuro eyi a ɛho nhia.
Dɛn na ɛsɛ sɛ yɛhwɛ kwan bere a wɔayɛ esophagoscopy awie no?
Mpɛn pii no, esophagoscopy yɛ adeyɛ a wɔde kɔ ayaresabea . Eyi kyerɛ sɛ wubetumi akɔ fie da koro no ara. Nanso esiane sɛ wɔama wo aduru a wɔde kum nipadua no nti, ɛho behia sɛ wotra oduruyɛfo adwumayɛbea anaa ayaresabea wɔ dan a wɔde ma wɔn ho tɔ mu bere tiaa bi kosi sɛ aduru a wɔde kum nipadua no mu nsunsuanso no bɛsɛe. Eyi taa yɛ bɛyɛ dɔnhwerew biako anaa abien. Sɛ nhwɛso no, ebetumi agye bɛyɛ dɔnhwerew biako ansa na aduru a ɛma wo ho yɛ wo yaw no asɛe wɔ wo menewa anaa wo hwene mu. Saa bere yi mu no, nnuruyɛfo no bɛhwɛ wo tebea no so. Sɛ w’adwene mu da hɔ pɛ a, wubetumi afrɛ obi ma ɔne wo aba.
Ebia wo menewa mu bɛyɛ wo yaw kakra anaasɛ wo ho ayɛ wo yaw da koro anaa nnanu wɔ sɔhwɛ no akyi. Eyi yɛ ade a ɛfata. Nsu a ɛyɛ hyew bi a wobɛnom anaa biribi a ɛyɛ nwini te sɛ ice cream a wubedi betumi aboa.
Mfaso bɛn na ɛwɔ esophagoscopy so?
Mfaso pii wɔ sɔhwɛ yi so ma wo. Ɛnyɛ biribi a ɛte sɛɛ a wobɛyɛ ara kwa. Hwɛ:
- Wobetumi ahu tebea horow te sɛ Barrett esophagus , GERD , ne esophageal akuru no pɛpɛɛpɛ.
- Ebetumi ahu sɛ ebia wowɔ kokoram nkwammoaa wɔ wo menewam, anaasɛ wowɔ tebea horow a edi kokoram anim a ebetumi abɛyɛ kokoram. Sɛ wohu kokoram ntɛm a, hokwan a ɛwɔ hɔ sɛ wɔbɛsa no na wɔasa no yɛ kɛse koraa. Eyi yɛ sɔhwɛ yi so mfaso a ɛho hia sen biara no mu biako.
- Wobetumi ayi nneɛma a akɔhyɛ aduan mu (s.e., aduan asinasin, biribi a abofra ketewa bi amene) afi hɔ.
- Ɛtɔ da bi a, sɛ mogya tu wɔ akyi berɛmo no mu a, wobetumi afa eyi so ayɛ ayaresa ketewaa bi de asiw ano.
So asiane bi wɔ esophagoscopy mu?
Sɛnea ɛte wɔ aduruyɛ mu adeyɛ biara ho no, asiane ahorow bi wɔ hɔ. Nanso, esophagoscopy yɛ adeyɛ a ahobammɔ wom yiye, na nsɛnnennen a anibere wom kakraa bi pɛ na ɛwɔ mu. Nanso, nneɛma bi a ebetumi asi ni:
- Mogya a ɛretu: Ebia mogya bɛtu kakra, titiriw sɛ wɔyɛ biopsy a. Nanso ɛtaa gyina n’ankasa, anaasɛ wobetumi afa endoscope no so asiw ano.
- Menewa a ɛyɛ abufuw anaasɛ ɛyɛ wo yaw: Ebia wo menewa mu yɛ wo yaw anaasɛ ɛyɛ wo yaw da koro anaa nnanu wɔ sɔhwɛ no akyi. Eyi yɛ ade a ɛfata.
- Ɔyare mmoawa: Ɛntaa nsi koraa.
- Nea wɔyɛ wɔ aduru a wɔde kum nipadua no ho: Eyi nso ho yɛ na koraa. Oduruyɛfo a ɔde aduru a ɛma obi dwensɔ no ma n’ani da hɔ wɔ eyi ho.
- Tokuru anaa ntetewmu: Eyi nso yɛ ɔhaw a ɛntaa nsi koraa na anibere wom. Nanso, sɛ ɛba a, ebia ɛho behia sɛ wɔyɛ oprehyɛn. Nnuruyɛfo hwɛ yiye paa na wɔwɔ osuahu wɔ eyi mu, enti asiane no sua koraa.
"Kae sɛ asiane ahorow yi sua koraa. Wo duruyɛfo rehyɛ nhwehwɛmu yi ama wo efisɛ mfaso a ɛwɔ so no boro asiane nketenkete no so koraa."
Dɛn na efi esophagoscopy mu ba?
Nnuruyɛfo yɛ nhwehwɛmu yi esiane nneɛma ahorow nti, enti nea efi mu ba no gu ahorow sɛnea ɛfata. Momma yɛnhwɛ nhwɛso kakraa bi:
- Sɛ nhwehwɛmu no kyerɛ sɛ wowɔ GERD , a, wo duruyɛfo bɛkyerɛ wo ayaresa (nnuru) ne akwan a wobɛfa so adi so (asetra kwan mu nsakrae, aduan a wudi).
- Sɛ wowɔ Barrett’s esophagus , nhwehwɛmu no betumi ahu sɛ wo tebea no yɛ nea ɛyɛ den anaasɛ ɛreyɛ kɛse. Eyi bɛboa ma wɔahu nea ɛsɛ sɛ wɔyɛ akyi ne mpɛn dodow a ɛsɛ sɛ wɔsan yɛ sɔhwɛ bio.
- Sɛ ɛyɛ den ma wo sɛ wobɛmene (dysphagia) , nhwehwɛmu yi betumi aboa ma woahu nea ɛde ba. Ebetumi ayɛ aduannuru a asiw anaa ɔhaw foforo. Afei wobetumi afi ase ayɛ ayaresa sɛnea ɛfata.
- Sɛ woyɛ biopsy a, wubetumi ahu pɛpɛɛpɛ sɛ ebia wowɔ kokoram anaa yare pɔtee foforo.
Bere bɛn na mɛhu nea efi sɔhwɛ no mu aba?
Ɛtɔ da bi a, oduruyɛfo no betumi aka nea ebefi mu aba no akyerɛ wo bere a wɔayɛ nhwehwɛmu no akyi pɛɛ. Ɛne sɛ, nea wɔde endoscope no hu. Nanso, sɛ oduruyɛfo no fa ntini ahorow (biopsy) na ɔde kɔ lab a, ebetumi adi nna kakraa bi anaa dapɛn biako ansa na nea efi mu ba no asan aba. Sɛ ɛba saa a, oduruyɛfo no bɛkyerɛ wo bere a wubetumi ahwɛ nea ebefi mu aba no kwan, ne sɛ ebia ɛsɛ sɛ wosan ba bɛhwehwɛ wɔn, anaasɛ wɔbɛfrɛ wo. Enti mma ɛnhaw wo.
Bere a ɛsɛ sɛ wosan kɔ oduruyɛfo nkyɛn wɔ nhwehwɛmu no akyi
Sɛ wokɔ fie wɔ nhwehwɛmu no akyi a, akyinnye biara nni ho sɛ ɛsɛ sɛ wobɔ wo duruyɛfo amanneɛ sɛ wuhu sɛnkyerɛnne biara a ɛyɛ soronko a. Hwɛ nneɛma te sɛ:
- Sɛ hwene mu mogya no annyae (sɛ wɔde tube bi fa hwene no mu a).
- Sɛ wowɔ menewam a emu yɛ den a ɛkɔ so yɛ wo yaw a , kosi sɛ wuntumi nmene.
- Sɛ wowɔ koko mu yaw a emu yɛ den a .
- Sɛ wote nka sɛ ɛyɛ den sɛ wobɛhome a .
- Sɛ wowɔ atiridiinini (mpɛn pii no ɛboro 100.4°F anaa 38°C).
- Sɛ wotwam tuntum, tarry stools(Eyi betumi ayɛ mogya a ɛretu wɔ nipadua no mu ho sɛnkyerɛnne).
- Sɛ wofe mogya, anaasɛ wofe a ɛte sɛ kɔfe a wɔayam a.
- Yafunu mu yaw a emu yɛ den anaasɛ ne ho popo.
Sɛ biribi te sɛ eyi si a , ntwentwɛn wo nan ase . Frɛ wo duruyɛfo ntɛm ara anaa kɔ ayaresabea a ɛbɛn wo.
Nsonsonoe bɛn na ɛda Esophagoscopy ne Bronchoscopy ntam?
Eyinom abien nyinaa yɛ endoscopy ahorow . Ɛne sɛ, akwan a wɔfa so de tube a mfoninitwa afiri wom di dwuma de hwɛ nipadua no mu. Nanso baabi a wɔhwɛ no yɛ soronko.
Esophagoscopy hwɛ esophagus , aduan paipu, ne ebia yafunu no atifi.
Ahurututu mu nhwehwɛmu hwɛ wo mframa kwan (mframa kwan) ne mframa kwan a ɛwɔ w’ahurututu mu no . Ɛne sɛ, mframa kwan a ɛma wutumi home.
Enti, wo duruyɛfo no begyina wo sɛnkyerɛnne ahorow so asi nhwehwɛmu abien yi mu nea wuhia ho gyinae. Sɛ nhwɛso no, mmere bi wɔ hɔ a wobetumi ayɛ abien no nyinaa de ahu nea ɛde ɔfe a ɛkɔ so daa ba.
Nkrasɛm a Etwa To a Wɔde Kɔ Fie
Okay, enti mewɔ anidaso sɛ seesei woanya adwene pa wɔ esophagoscopy ho. Kae sɛ, sɛ wowɔ sɛnkyerɛnne ahorow te sɛ komayare, ɛyɛ den sɛ wobɛmene, anaasɛ wo menewam yɛ wo yaw bere nyinaa a, nfɛre anaasɛ nsuro sɛ wo ne wo duruyɛfo bɛkasa. Esophagoscopy nyɛ sɔhwɛ a ɛyɛ yaw, nanso ebetumi ayɛ nea ɛnyɛ dɛ kakra. Sɛ wowɔ dadwen anaa ehu bi wɔ nhwehwɛmu yi ho a, ntwentwɛn wo nan ase sɛ wobɛka akyerɛ wo duruyɛfo. Wɔbɛkyerɛkyerɛ biribiara mu akyerɛ wo na wɔama wo mmoa a wuhia wɔ sɔhwɛ no mu ne bere a woawie no. Wɔayɛ sɔhwɛ ahorow yi sɛnea ɛbɛyɛ a ɛbɛboa wo ma woahu wo tebea no ntɛm na ama woasan akɔ ne kwan so. Enti, nsuro sɛ wobɛyɛ sɔhwɛ yi sɛ ɛho hia a.
` Esophagoscopy, esophagus, endoscopy, ɛyɛ den sɛ wɔbɛmene, koko a ɛyɛ hyew, GERD, biopsy

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