Sɛ womene aduan bi a, so woasusuw sɛnea ɛkɔ wo yafunu mu pɛpɛɛpɛ ho pɛn? Anaasɛ ɛtɔ da bi a wote ɔhyew nka wɔ wo moma so bere a woadi aduan a ɛyɛ nnuhwam akyi, na wususuw sɛ, "Oh my, dɛn ne eyi?"? Yɛn nyinaa anya saa osuahu ahorow yi. Ɛnnɛ yɛbɛka yɛn nipadua no fã bi a ɛho hia paa a ɛka eyinom nyinaa ho asɛm. Ɛno ne esophagus, anaa sɛnea wɔfrɛ no wɔ Borɔfo kasa mu no, `(Esophagus)`.
Sɛ yɛbɛka no tiawa a, dɛn ne aduan mu ntini?
Sɛ yɛbɛka no pɛpɛɛpɛ a, esophagus yɛ yɛn aduan paipu. Ɛne sɛ, ɛyɛ ntini a ɛde aduan ne nsu fi wo menewam kɔ wo yafunu mu. Ɛyɛ yɛn aduan mu nneɛma a ɛho hia yiye. Sɛ yɛmene aduan a, ɛnkɔ yafunu mu tẽẽ. Esophagus ne bridge a ɛde kɔ yafunu no mu wɔ nhyehyɛe a ahobammɔ wom mu.
Fa no sɛ womene aburow ano biako. Nea edi kan no, efi w’ano kɔ wo menewam. Ɛhɔ no, ntini ketewaa bi a wɔfrɛ no epiglottis no to mu. Wunim nea enti a ɛte saa? Ɛyɛ sɛ wobɛma w’aduan ankɔ ɔkwan a ɛnteɛ so, akɔ wo mframa afiri (trachea) mu. Wo menewam fã ketewaa bi nso wɔ hɔ a wɔfrɛ no uvula a ɛmma nea wonom no nkɔ wo hwene mu. Eyinom nyinaa si a wunhu mpo. So ɛnyɛ nwonwa?
Ɔkwan bɛn so na esophaguus no yɛ adwuma? Ɛyɛ adwinnade a ɛyɛ nwonwa yiye!
Eyi yɛ adeyɛ a ɛyɛ nwonwa yiye. Wɔ aduannuru no atifi ne ase no, ntini abien a ɛyɛ adwuma te sɛ apon abien wɔ hɔ. Yɛfrɛ eyinom ``sphinctres``.
1. Upper Esophageal Sphincter: Ɛha na aduan mu ntini no fi ase. Sɛ womene aduan a, saa valve yi nya sɛnkyerɛnne bi a ɛka sɛ, "Aduan no ni." Saa bere no, ebue. Sɛ aduan no kɔ mu wie a, ɛsan to mu bio. Mmere foforo nso, wɔto mu denneennen.
2. Peristalsis: Sɛ aduan hyɛn esophagus no mu pɛ a, ɛnyɛ sɛ ɛhwe ase kɛkɛ. Ntini a ɛwɔ aduan no afasu mu no twetwe (ɛtwetwe) te sɛ asorɔkye, na ɛpia aduan no kɔ fam. Eyi ne nea yɛfrɛ no ``peristalsis.'' Saa adeyɛ yi ma aduan kɔ yafunu no mu sɛ́ wugyina hɔ anaasɛ woda fam no.
3. Lower Esophageal Sphincter (LES): Sɛ aduan no kɔ fam nyinaa wie a, ebue foforo ansa na akɔ yafunu no mu. Ɛno ne sphincter a ɛwɔ fam no. Te sɛ nea ɛwɔ soro no, eyi nso bue bere a aduan ba mu na ɛma aduan no fa yafunu no mu. Afei ɛto mu denneennen bio.
Ɛho hia paa sɛ ɔpon a ɛwɔ fam yi to mu yiye. Efisɛ, saa ɔpon yi mma yafunu mu acid ne aduan mu nsu no ntumi nsan mma soro, kyerɛ sɛ, ɛkɔ aduan mu. Ade titiriw nti a "gastritis" anaa "komayare" haw a nnipa pii wɔ no ba ne sɛ saa apon a ɛwɔ fam yi ntumi nyɛ adwuma yiye.
Esophagus ne trachea - ma yenhunu nsonsonoee a eda mmienu no ntam
Nnipa pii ma abien no adwene tu fra. Esophagus ne trachea yɛ ntini abien a ɛbɛn wɔn ho wɔn ho wɔ kɔn no mu, nanso ɛsono wɔn dwumadi koraa.
| Su a ɛwɔ hɔ | Esophagus a ɛwɔ aduan mu | Trachea a ɛwɔ nipadua no mu |
|---|---|---|
| Sestɛm | Nnuan a wɔyam no fã bi | Ɔhome nhyehyɛe no fã bi |
| Dwumadi titiriw | Aduan ne anonne a wɔde fi menewam kɔ yafunu mu | Mframa (home) a wɔde kɔ ahurututu mu na efi mu ba |
| Beaeɛ | Ɛwɔ ahurututu no akyi ne akyi berɛmo no anim | Ɛwɔ esophagus no anim |
Dɛn ne nyarewa ne tebea horow a ɛtaa ba a ɛka aduannoa mu?
Yɛn aduan nso tumi de nyarewa ahorow ba. Ebia woate eyinom bi ho asɛm.
Koko mu ɔfe ne GERD tebea
Eyi ne ɔhaw a ɛtaa ba. Esophageal sphincter (LES) a ɛwɔ fam a madi kan aka ho asɛm no ntumi nto mu yiye, na ɛma yafunu mu acid san kɔ soro kɔ esophagus no mu, a ɛno ne nea yɛfrɛ no ``Acid Reflux''. Eyi na ɛde komayare ba.
Sɛ saa `Acid Reflux` yi kɔ so na ɛtaa ba a, yɛfrɛ no Gastroesophageal Reflux Disease (GERD) . Eyi yɛ tebea a emu yɛ den. Wɔ komayare akyi no, yare no ho sɛnkyerɛnne te sɛ anom dɛ a ɛyɛ yaw, ɔfe, koko mu yaw, dede a ɛyɛ den, ne mene a ɛyɛ den nso betumi aba. Sɛ wɔansa GERD yiye a, ebetumi asɛe aduan no mu kɛse bere a bere kɔ so no.
Ayaresa mu tebea afoforo
GERD akyi no, ɔhaw afoforo pii betumi aba.
| Aduruyɛ mu tebea | Sɛ yɛbɛka no tiawa a... |
|---|---|
| Achalasia na ɛwɔ hɔ | Eyi yɛ yare a ɛntaa nsi. Nea ɛkɔ so wɔ ha ne sɛ esophageal sphincter (LES) a ɛwɔ fam no mmue bere a ɛsɛ sɛ ebue no. Enti aduan ntumi nkɔ yafunu no mu. |
| Esophageal Diverticulum a Ɛwɔ Akwantuo mu | Nkotoku ketewaa bi a epue fi baabi a ɛyɛ mmerɛw wɔ aduannoa no fasu mu. Sɛ saa kotoku yi yɛ kɛse a, ebia aduan bɛkyere na ama ayɛ den sɛ wɔbɛmene. |
| Nkwammoaa a Ɛwɔ Esophageal Varices | Mogya ntini a ɛwɔ aduan mu a ɛho ahonhon. Sɛ eyinom pae na mogya tu a, ebetumi de wɔn nkwa ato asiane mu. |
| Esophagitis a ɛyɛ mmerɛw | Ɔfe a ɛba aduan a ɛwɔ aduan mu no mu. Eyi betumi afi acid a ɛsan kɔ nipadua no mu, ɔyare mmoawa, anaa nnuru bi mu aba. |
| Barrett Nkwammoaa a Wɔde Di Dwuma | GERD a ɛtra hɔ kyɛ no ma nsakrae ba nkwammoaa a ɛwɔ aduan a ɛwɔ ase no mu, na ɛma asiane a ɛwɔ hɔ sɛ obi benya aduan mu kokoram no yɛ kɛse. |
Ɛntaa mma koraa sɛ kokoram betumi aba wɔ aduan mu. Ahorow atitiriw abien na ɛwɔ hɔ: adenocarcinoma ne squamous cell carcinoma.
Wobɛyɛ dɛn ahu sɛ wowɔ saa ɔhaw ahorow yi? Dɛn ne sɛnkyerɛnne ahorow no?
Sɛ wowɔ ɔhaw bi wɔ wo menewa mu a, ebia wubehu sɛnkyerɛnne ahorow. Sɛ wowɔ eyinom mu biako anaa nea ɛboro saa a, ɛho hia sɛ woyɛ aso.
- Koma mu yare: .Ɛte sɛ nea ɛyɛ hyew wɔ koko no mfinimfini, nnompe no akyi.
- Ɛyɛ den sɛ wobɛmene (Dysphagia): Sɛ woremene aduan a, obi te nka sɛ ne menewa anaa ɔte yaw.
- Regurgitation: Aduan a wɔanwene a ɛsan kɔ anom.
- Koko mu yaw: Ɛyɛ te sɛ nea ɛyɛ den anaa ɛyaw wɔ koko mu, sɛ ɛnyɛ te sɛ komayare mpo a.
- Ɔfe a ɛkɔ so: Ɔfe a ɛyɛ den, titiriw anadwo.
- Hoarse anaa menewa a ɛyɛ yaw.
- Ɔhome bɔne (Halitosis).
- Sɛ́ wobɛyɛ teateaa a ntease biara nnim.
- Mogya a wɔfe anaa ɔfe.
Sɛ wowɔ saa sɛnkyerɛnne ahorow yi bi, titiriw no, ɛyɛ den sɛ wobɛmene, aduan a ɛbɛkyere, mogya a wobɛfe, anaasɛ wo mu duru so tew kɛse a, kɔ wo duruyɛfo nkyɛn ntɛm ara . Eyinom betumi ayɛ biribi a emu yɛ den sen yafunu mu yare a ɛnyɛ den ho sɛnkyerɛnne.
Ɔkwan bɛn so na oduruyɛfo hu saa tebea horow yi?
Sɛ wokɔ oduruyɛfo nkyɛn a, obebisa wo yare no ho sɛnkyerɛnne, na sɛ ɛho hia a, ɔbɛkamfo nhwehwɛmu bi akyerɛ wo. Mma ɛnhaw wo, eyinom ne nea ɛbɛboa wo ma woahu nea enye ankasa.
- Upper Endoscopy: Eyi hwehwɛ sɛ wɔde afiri a ɛyɛ tratraa a ɛyɛ mmerɛw a mfoninitwa afiri wom bɛhyɛ ano de ahwehwɛ aduannoa mu, yafunu, ne dwensɔtwaa ketewa no fã a edi kan no mu. Eyi ma wotumi hwɛ emu pefee sɛ ebia opira, ɔfe, anaa nsakrae biara nni hɔ.
- Biopsy: Bere a wɔreyɛ endoscopy no, woyi ntini ketewaa bi fi baabi a adwenem naayɛ wom no na wɔde kɔ aduruyɛdan mu kɔhwɛ. Eyi betumi aboa ma wɔahu sɛ ebia kokoram nkwammoaa bi wɔ hɔ anaa.
- Barium Swallow: Wɔ sɔhwɛ yi mu no , wɔma wo nsu a ɛte sɛ chalky sɛ nom. Afei, wɔtwe X-ray mfonini ahorow pii. Barium nsu no ma X-ray no tumi kyerɛ sɛnea ɛwo kotoku no te ne sɛnea aduan fa mu no pefee.
- Esophageal pH test: Wɔde afiri a ɛyɛ tratraa paa fa hwene no mu kɔ esophaguus no mu na wogyaw wɔ hɔ bɛyɛ nnɔnhwerew 24 de susuw mpɛn dodow ne bere tenten a yafunu mu acid ba. Eyi boa ma wohu sɛnea GERD no mu yɛ den no pɛpɛɛpɛ.
Ɔkwan bɛn so na wɔsa?
Ayaresa a wubetumi apaw no gyina tebea a wowɔ no so. Ɛtɔ mmere bi a, aduan ne asetra mu nsakrae betumi ama nsakrae kɛse aba. Nnipa binom hia nnuru, na ebia ebinom mpo behia oprehyɛn.
Nnuru ahorow a wɔde di dwuma
- Nnuru a ɛko tia acid: Eyinom ma acid a ɛwɔ yafunu no mu no yɛ nea ɛnyɛ adwuma bere tiaa bi. Wɔde di dwuma de ma ahotɔ ntɛm fi komayare mu.
- H-2 Nneɛma a Wɔde Siw Nneɛma a Wɔde Gye Nneɛma:Eyinom ma yafunu mu acid a ɛba no so tew.
- Proton Pump Inhibitors (PPIs): Eyinom tumi siw acid a ɛba no ano sen H-2 a esiw ano, na ɛboa nso ma wɔsa nneɛma a asɛe wɔ aduan mu a acid de ba no.
- Nnuru afoforo: Nnuru te sɛ Baclofen brɛ sɛnea ɛbue a ɛbue wɔ ɔkwan a ɛnyɛ nea wɔpɛ so no so.
Nneɛma titiriw a wɔyɛ ne oprehyɛn ahorow
- Esophageal Dilation: Sɛ esophageal Dilation: Sɛ esophagus no mu teateaa (stricture) esiane ɔfe a ɛtra hɔ kyɛ nti a, wɔde afiri te sɛ balloon di dwuma de trɛw baabi a ayɛ teateaa no.
- Laparoscopic Antireflux Surgery: Eyi hwehwɛ sɛ wɔfa yafunu no atifi fã na wɔde kyekyere aduan no fã a ɛwɔ fam no ho, na ɛma wonya valve foforo. Eyi hyɛ esophageal sphincter (LES) a ɛwɔ fam no mu den na ɛmma acid ntumi nkɔ soro.
- LINX mfiri a wɔde hyɛ nipadua mu: Wɔde afiri bi a ɛte sɛ magnetic ring atwa aduan a ɛwɔ ase no ho ahyia. Eyi mma acid ntumi mma, nanso ɛma aduan fa fam ntɛmntɛm.
- Esophagectomy: Wɔ tebea horow a emu yɛ den yiye te sɛ kokoram mu no, ebia ɛho behia sɛ wɔyɛ oprehyɛn yi esophaguus no.
Nkrasɛm a Wɔde Kɔ Fie
- Esophagus yɛ yɛn aduan mu nneɛma a ɛho hia yiye. Ne dwumadi a ɛfata ho hia na ama obi anya apɔwmuden.
- Mmu w’ani ngu sɛnkyerɛnne ahorow te sɛ komayare a ɛtaa yɛ, ano a ɛyɛ dɛ a ɛyɛ yaw, anaasɛ ɛyɛ den sɛ wobɛmene sɛnea ɛte daa no so. Wobetumi ayɛ aduruyɛ tebea bi ho sɛnkyerɛnne a edi kan.
- Nneɛma a ɛnyɛ den mpo te sɛ nnuan a ɛyɛ nnuhwam, srade, kɔfe, ne chocolate a wobɛto ano hye, na woanda hɔ nnɔnhwerew 2-3 bere a woadi anadwo awie no betumi ama woanya ahotɔ kɛse.
- Sɛ wowɔ wo yare no ho sɛnkyerɛnne ahorow ho dadwen bi a, nsuro sɛ wo ne wo duruyɛfo bɛkasa . Ɛho hia kɛse sɛ wubehu yare no yiye na woasa no yare sen sɛ wobɛsa wo ho yare.
💬 Comments (0)
No comments yet. Be the first to share your thoughts here.
Add Your Comment