So ɛyɛ den ma wo nso sɛ wobɛmene aduan? Momma yensua Plummer-Vinson yare no ho ade?

So ɛyɛ den ma wo sɛ wobɛmene aduan? Anaasɛ wote nka sɛ woabrɛ bere nyinaa, na wote nka sɛ woayɛ ɔkwasea? Ɛtɔ mmere bi a, ɛte sɛ nea saa nneɛma yi yɛ nea ɛfata, nanso ebia ntease foforo bi wɔ akyi. Ɛnnɛ yɛrebɛka ayaresa tebea bi a ɛntaa nsi nanso ɛho hia ho asɛm. Ɛno ne Plummer-Vinson yare no.

Dɛn ne Plummer-Vinson yare no?

Sɛ yɛbɛka no tiawa a, Plummer-Vinson syndrome (PVS) yɛ tebea a ɛma sɛnkyerɛnne abiɛsa a ɛfa ho bom ba. Ɛtɔ mmere bi a nnuruyɛfo frɛ eyi sɛ "triad," a ɛkyerɛ "abiasa a wɔaka abom." Momma yɛnhwɛ nea tebea abiɛsa yi yɛ:

1. Dade a enni mogya mu: Eyi ne bere a wo nipadua nni iron a ɛdɔɔso a ɛbɛma protein a wɔfrɛ no hemoglobin a ɛwɔ wo mogya mu nkwammoaa kɔkɔɔ mu no. Wunim, hemoglobin ne nea ɛde mframa pa kɔ wo nipadua mu nkwammoaa biara mu. Enti, sɛ wunni dade a ɛdɔɔso a, hemoglobin ntumi nyɛ yiye, na wo nipadua no nnya mframa pa a ehia no. Eyi na ɛde sɛnkyerɛnne ahorow te sɛ ɔbrɛ ne honam ani hwɛbea ba.

2. Esophageal webs: Eyi ne bere a ntini a ɛyɛ tratraa a ɛnyɛ nea ɛfata ba wo esophageal, anaa aduan paipu mu. Fa no sɛ akɔre ntaban a ɛba wo menewam. Eyi ma aduannuru no mu yɛ teateaa na esiw. Eyi ma ɛyɛ den sɛ aduan bɛfa.

3. Ɛyɛ den sɛ wobɛmene (Dysphagia): Eyi ne edin a nnuruyɛfo de frɛ aduan ne anonne a ɛyɛ den sɛ wɔbɛmene esiane aduan mu ntini a yɛaka ho asɛm wɔ atifi hɔ nti. Ebia ɛbɛyɛ den ama nnipa binom sɛ ɛnyɛ nnuan a ɛyɛ den nko na wɔbɛmene, na mmom nsu nso.

Wɔde din afoforo frɛ eyi. Biako ne sideropenic dysphagia a ɛyɛ mmerɛw. Na wɔ United Kingdom, kyerɛ sɛ, wɔ England no, wɔfrɛ no Paterson-Brown Kelly syndrome.

Afei, biribi a ɛnsɛ sɛ wusuro ni. Wɔkyerɛ sɛ nnipa a wɔwɔ Plummer-Vinson syndrome (PVS) no wɔ asiane a ɛkɔ soro kakra sɛ wobenya kokoram wɔ aduan mu anaa hypopharyngeal kokoram akyiri yi. Nanso, eyi yɛ asiane ara kwa . Wo duruyɛfo bɛhwɛ wo daa na wahwɛ wo sɛnea ɛho hia na ama wahu tebea horow a ɛtete saa biara ntɛm.

Dɛn ne eyi ho sɛnkyerɛnne?

Okay, afei momma yɛnhwɛ sɛnkyerɛnne ahorow a obi a ɔwɔ Plummer-Vinson syndrome (PVS) da no adi. Saa sɛnkyerɛnne ahorow yi mma obiara wɔ ɔkwan koro so, na ebia nnipa binom benya sɛnkyerɛnne ahorow no bi pɛ.

• Ɔbrɛ ne ɔbrɛ a wɔte nka bere nyinaa: Eyi yɛ dade a enni nipadua no mu ho sɛnkyerɛnne titiriw. Wote nka sɛ woabrɛ bere a woayɛ nnwuma nketenkete mpo akyi na wote nka sɛ woda da mũ nyinaa.
• Ɔhome a ɛyɛ den (dyshnea): Ebia wobɛte nka sɛ wo home yɛ wo yaw, ɛnyɛ bere a wonam kakra, foro antweri nko, na mmom ɛtɔ mmere bi mpo a wugyina hɔ ara kwa.
• Ɛyɛ den sɛ wobɛmene aduan:Eyi ne yare yi ho sɛnkyerɛnne a ɛda nsow sen biara. Titiriw sɛ womene nnuan a ɛyɛ den te sɛ aburow, paanoo, nam ne mpataa a, ɛte nka sɛ wo menewa ne wo koko mu ayɛ den. Ɛsɛ sɛ nnipa binom nom nsu kakra ansa na wɔamene aduan. Ɛwom sɛ mfiase no ɛyɛ den sɛ wobedi nnuan a ɛyɛ den de, nanso akyiri yi ebetumi ayɛ den sɛ wobɛmene nsu nso.
• Tɛkrɛma ho yɛ hyew, ɛho ahonhon, na ɛyɛ kɔkɔɔ (glossitis): Tɛkrɛma no yɛ mmerɛw, ɛyɛ kɔkɔɔ, na ɛtɔ mmere bi a ebetumi ayɛ te sɛ nea ɛrehyew.
• Ano a ɛyɛ kusuu (xerostomia): Ano mu te sɛ nea ɛyɛ nwunu bere nyinaa, na ɛte sɛ nea nnompe nni hɔ.
• Angular cheilitis: Ano ntwea so mpaapae, ɛyɛ kɔkɔɔ, na ɛte sɛ akuru.
• Nnadewa no yɛ mmerɛw na ɛyɛ tratraa te sɛ nkankyee: Nnadewa no yɛ mmerɛw yiye na ɛnyɛ den sɛ ebebubu. Ɛtɔ da bi a nnadewa no kɔ mfinimfini, te sɛ nsenia (koilonychia).
• Thyroid gland a ɛho ahonhon ne akuru (thyroid nodules): Thyroid gland a ɛwɔ kɔn no anim no betumi ayɛ kɛse na ayɛ te sɛ akuru.
• Splenomegaly: Akisikuru yɛ akwaa bi a ɛwɔ yɛn yafunu no benkum so atifi. Ebetumi nso ahonhon wɔ tebea yi mu, nanso mpɛn pii no ɛmma yare no ho sɛnkyerɛnne titiriw biara mma.

Dɛn nti na ɛte saa?

Nokwarem no, nhwehwɛmufo da so ara ntumi nhu nea ɛde Plummer-Vinson syndrome (PVS) ba no ɔha biara mu nkyem 100. Nanso nneɛma kakraa bi wɔ hɔ a wosusuw na wosusuw sɛ:

• Dade a enni nipadua no mu ne ade titiriw a wosusuw sɛ: Nnipa pii susuw sɛ dade a enni nipadua no mu bere tenten no ma ntini a ɛwɔ aduan mu no yɛ mmerɛw na ɛyɛ nhama. Dade ho hia ma enzyme ahorow pii a ɛwɔ yɛn nipadua mu.
• Aduan a enni nipadua mu: Gyidi bi wɔ hɔ sɛ ɛnyɛ iron nko, na mmom vitamin ne mineral afoforo nso betumi aka eyi.
• Nyarewa a nipadua no tumi ko tia nyarewa: Ebia woate nyarewa te sɛ ntini mu yare ne celiac yare ho asɛm. Eyinom yɛ nyarewa a nipadua no tumi ko tia nyarewa a ɛba bere a yɛn ankasa nipadua mu tumi a ɛko tia nyarewa no tow hyɛ yɛn ankasa nkwammoaa so no. Enti, esiane sɛ nnipa bi a wɔwɔ PVS nso wɔ saa nyarewa yi nti, nnuruyɛfo susuw sɛ ebia ɛne nipadua no mu tumi a ɛko tia nyarewa no wɔ abusuabɔ.
• Awosu mu nkɛntɛnso: Afoforo gye di sɛ eyi yɛ awosu mu tebea, a ɛkyerɛ sɛ sɛ obi wɔ abusua no mu a, ɛda adi sɛ afoforo nso benya bi.

Nanso eyinom da so ara yɛ nsusuwii ahorow ara kwa. Nhwehwɛmu foforo ho hia na ama wɔahu nea ɛde ba ankasa.

Hena na ɔwɔ asiane kɛse mu sɛ obenya eyi?

Plummer-Vinson syndrome (PVS) yɛ tebea a ɛntaa nsi koraa . Ɛnka obiara. Nanso, sɛnea akontaabu kyerɛ no, ɛtaa ba mmea aborɔfo so. Ɛtaa ka mmea a wɔadi mfe mfinimfini, a wɔadi fi mfe 40 kosi 70.Eyi ne ade a ɛtaa de ba. Nanso, ɛntaa mma koraa, kyerɛ sɛ, ɛntaa mma koraa, wɔabɔ amanneɛ sɛ ɛba mmerante ne mmabaa ne mmofra nkumaa mpo mu.

Bere bi a atwam, kyerɛ sɛ, wɔ 1900 mfe no mfiase no, na saa yare yi abu so kakra wɔ Scandinavia aman mu (e.g., Sweden, Norway). Nanso, ebeduu 1900 mfe no awiei, kyerɛ sɛ, wɔ mfe du du kakraa a atwam no mu no, abɛyɛ nea ɛntaa nsi koraa wɔ saa aman no mu. Wosusuw sɛ nea enti titiriw a ɛte saa ne aduannuru a nnipa a wɔwɔ saa aman no mu no nyaa nkɔso saa bere no, titiriw sɛnea na ɛnyɛ den sɛ wobenya nnuan a iron pii wom no.

Dɛn ne nsɛnnennen a ebetumi afi PVS mu aba?

Sɛnea yɛaka ho asɛm kakra pɛn no, wɔahu sɛ nnipa a wɔwɔ Plummer-Vinson syndrome (PVS) no wɔ asiane kɛse kakra sɛ wobenya esophageal kokoram ne hypopharyngeal cancer, kokoram a ɛwɔ wɔn menewa ase, a wɔfrɛ no hypopharynx, sen nnipa a wonni PVS.

Nanso mma eyi nnyɛ wo hu. Ɛnyɛ obiara a ɔwɔ PVS na obenya kokoram. Eyi yɛ asiane a ɛde ba ara kwa.

Esiane sɛ saa yare yi ho yɛ na nti, nhwehwɛmu ho nsɛm a ɛdɔɔso nni hɔ a ɛbɛma wɔaka nnipa dodow pɔtee a wɔwɔ PVS a wonya kokoram ankasa.

Nanso sɛ wowɔ saa tebea yi a, wo duruyɛfo bɛbɔ mmɔden sɛ obehu biribiara te sɛ kokoram ntɛm , efisɛ ɛnde hokwan kɛse wɔ hɔ sɛ wobɛsa wo yare na wasa. Ɛno nti na ɛho hia sɛ wokɔ kɔhwɛ wo daa, sɛnea wo duruyɛfo ka no.

Ɔkwan bɛn so na wohu Plummer-Vinson yare (PVS) no?

Sɛ wowɔ sɛnkyerɛnne ahorow a yɛaka ho asɛm wɔ atifi hɔ no a, sɛ wokɔ oduruyɛfo nkyɛn a, obebisa wo nsɛm na wahwɛ wo. Afei, wɔbɛkra sɛ wɔnyɛ mogya mu nhwehwɛmu ne mfoninitwa akwan titiriw bi de kyerɛ sɛ ebia wowɔ PVS anaa.

• Mogya mu nhwehwɛmu: Eyinom titiriw na ɛhwɛ sɛ mogya a ɛtɔ kɔ nipadua mu a dade nni mu anaa.
• Mogya Dodow a Edi Mu (CBC): Eyi betumi ahwɛ nneɛma pii te sɛ wo mogya mu nkwammoaa kɔkɔɔ, mogya mu nkwammoaa fitaa, ne hemoglobin dodow.
• Peripheral Blood Smear (PBS): Nea ɛka eyi ho ne sɛ wɔbɛhwɛ mogya bi wɔ afiri a wɔde hwɛ nneɛma nketenkete mu de ahwɛ sɛnea mogya mu nkwammoaa kɔkɔɔ no te ne ne kɛse. Wɔ dade a enni nipadua mu mu no, mogya mu nkwammoaa kɔkɔɔ no betumi ayɛ nketewa na ayɛ mmerɛw (microcytic, hypochromic).
• Dade dodow ho nhwehwɛmu: Nhwehwɛmu te sɛ serum ferritin, serum iron, ne TIBC (Total Iron Binding Capacity) betumi ama woanya dade dodow a ɛwɔ nipadua no mu ho adwene.

• Mfonini a wɔde yɛ nhwehwɛmu: Eyinom hwehwɛ aduan mu nhama ne nea ɛde aduan a ɛyɛ mmerɛw ba.
• Ɔsoro ntini mu nhwehwɛmu (OGD - Oesophago-Gastro-Duodenoscopy):Wɔ eyi mu no, wɔde afiri bi a mfoninitwa afiri ketewaa bi abata ho no fa ano no mu na wɔhwehwɛ aduannuru, yafunu, ne dwensɔtwaa ketewa no fã a edi kan no mu. Wei ma wutumi hu tẽẽ sɛ wɛb ahorow no wɔ hɔ anaa. Sɛ ɛho hia a, wobetumi afa ntini ketewaa bi (biopsy) akɔyɛ mu nhwehwɛmu.
• Barium swallow / Esophagram: Wɔ sɔhwɛ yi mu no, wonom ade bi a wɔfrɛ no barium na wɔma wotwa X-ray mfonini. Barium no ma wotumi hu aduan no mu wɔ X-ray no so, na ɛma wuhu mmeae a ayɛ den anaasɛ asiw.
• Videofluoroscopy: Eyi nso yɛ X-ray nhwehwɛmu. Ɛkyere video a ɛkyerɛ sɛ woremene nnuan ahorow. Eyi betumi aboa wo ma woahu sɛnea woremene ne baabi a ɔhaw no wɔ no pɛpɛɛpɛ.

Ɛtɔ mmere bi a, ebia ebehia sɛ oduruyɛfo no yɛ nhwehwɛmu pii na ama wahu nea ɛde dade a enni nipadua no mu ba ankasa. Sɛ nhwɛso no, ebia wɔbɛhwehwɛ yafunu mu akuru anaa mogya a ɛretu wɔ dwensɔtwaa mu.

Ɔkwan bɛn so na wɔsa eyi?

Botae atitiriw abien na ɛwɔ hɔ bere a wɔresa Plummer-Vinson syndrome (PVS) no. Biako ne sɛ wobesiesie dade a enni nipadua no mu , na biako nso ne sɛ wobedi sɛnea ɛyɛ den sɛ wɔbɛmene aduan no ho dwuma .

• Ayaresa a wɔde sa dade a enni nipadua mu:
• Ade titiriw ne sɛ wobɛma wo nipadua no anya dade a ehia. Wubetumi anom dade a wɔde ka ho ama eyi. Ɛsɛ sɛ wofa eyinom sɛnea wo duruyɛfo ka kyerɛ wo no pɛpɛɛpɛ, bere tenten a wuhia no.
• Wɔ nnipa binom fam no, sɛ wɔannye dade aduru a wɔnom no yiye, anaasɛ dade a enni nipadua no mu no mu yɛ den yiye a, ɛtɔ mmere bi a wobetumi de dade ahyɛ ntini mu (IV - Intravenous iron).
• Sɛ wowɔ aduruyɛ mu tebea foforo a ɛde dade a enni nipadua mu ba (sɛ nhwɛso no, mogya a ɛtɔ kɛse wɔ brayɛ mu, akisikuru, yafunu mu akuru) a, akyinnye biara nni ho sɛ ɛsɛ sɛ wosa ɛno nso.

• Ayaresa a wɔde sa yare a ɛyɛ den sɛ wɔbɛmene (Dysphagia): .
• Mpɛn pii no, sɛ wɔsa dade a enni nipadua no mu yi, na nipadua no nya dade a, ɛkame ayɛ sɛ ɛwo ntaban no yera ara kwa, na ɛyɛ den sɛ wɔbɛmene aduan no so tew kɛse.
• Fa no sɛ dade a wɔde sa yare nkutoo ntumi nsa wo mene a ɛyɛ den sɛ wobɛmene no koraa. Sɛ saa a, ɔkwan bi wɔ hɔ a wɔfa so trɛw wo menewam, anaasɛ wɔma ɛyɛ tenten. Wɔfrɛ no esophageal dilation . Wɔyɛ eyi bere a wɔreyɛ endoscopy no. Wɔde afiri ketewaa bi a ɛte sɛ balloon hyɛ aduan no fã a ayɛ teateaa no mu na wɔma mframa anaasɛ wɔtrɛw mu ma ɛtrɛw. Eyi nyɛ oprehyɛn kɛse, na mmom ɛyɛ oprehyɛn a ɛnyɛ den a mpɛn pii no ɛnyɛ yaw a ɛhwehwɛ sɛ wɔtwitwa aduan no mu. Ebia ɛho behia sɛ nnipa binom ma wɔyɛ eyi bɛboro pɛnkoro.

Dɛn ne tebea yi ho anidaso?

Nokwarem no, obi a ɔwɔ Plummer-Vinson syndrome (PVS) betumi ahwɛ kwan sɛ nneɛma pa befi mu aba na ne ho atɔ no .

Wɔ nnipa pii fam no, sɛ wosiesie dade a enni nipadua no mu pɛ a, mogya a ɛtɔ kɔ nipadua mu ho sɛnkyerɛnne (te sɛ ɔbrɛ ne ahome a ɛyɛ tiaa) so tew kɛse. Afei nso, sɛnea ɛyɛ den sɛ ɔbɛmene aduan no tu mpɔn kɛse.

Sɛ wɔamfa dade a wɔde sa yare nkutoo ansiesie ɔhaw a ɛne sɛ wɔbɛmene no a, mpɛn pii no, aduru a wɔde trɛw aduan mu a yɛadi kan aka ho asɛm no ma ɛyɛ den sɛ wɔbɛmene ade no tu mpɔn. Ebia ɛho behia sɛ nnipa binom yɛ saa aduru a wɔde trɛw mu yi bɛboro pɛnkoro. Nanso ɛyɛ adeyɛ a ɛyɛ mmerɛw yiye na asiane nnim.

Ebia wo duruyɛfo bɛpɛ sɛ ɔyɛ surveillance endoscopy de hwɛ sɛ tebea horow te sɛ kokoram wɔ wo menewam anaa wo menewam anaa. Nanso kae sɛ PVS a obi wɔ no yɛ asiane a ɛde kokoram ba nkutoo . PVS a wowɔ no nkyerɛ sɛ akyinnye biara nni ho sɛ wubenya kokoram.

Wo ne wo duruyɛfo nkasa mfa sɛnea PVS a wowɔ no ka wo kokoram ho asiane, sɛnea wobɛhwɛ so akɔ w’anim, ne mpɛn dodow a ɛsɛ sɛ woyɛ nhwehwɛmu ho asɛm.

So wobetumi asiw Plummer-Vinson Syndrome (PVS) ano?

Nnuruyɛfo da so ara nnim nea ɛde Plummer-Vinson syndrome (PVS) ba ankasa, enti ɛnyɛ nea wobetumi aka no pen sɛ ebia ɔkwan pɔtee bi wɔ hɔ a wɔbɛfa so asiw ano anaa.

Nanso, sɛ wusiw dade a enni nipadua mu ano na wosa no ntɛm ara sɛ wowɔ tebea bi a ɛde dade a enni nipadua mu ba a, ebetumi atew asiane a ɛwɔ hɔ sɛ wubenya PVS no so.

Enti, ɛyɛ papa sɛ wobɛhwɛ sɛ worenya dade a ɛdɔɔso afi nea wudi ne nea wonom mu. Fa nnuan a dade wom (sɛ nhwɛso no, nam kɔkɔɔ, peas, spinach, lentils, soya) ka w’aduan ho.

Bere bɛn na ɛsɛ sɛ mekɔ oduruyɛfo nkyɛn?

Sɛ wowɔ mogya a ɛtɔ kɔ wo so ho sɛnkyerɛnne ahorow (sɛ nhwɛso no, ɔbrɛ a wuntumi nnyina ano, ahome a ɛyɛ tiaa bere nyinaa, wo honam ani yɛ fitaa), na sɛ saa sɛnkyerɛnne ahorow no ankɔ yiye wɔ bɛyɛ adapɛn abien akyi a, hwɛ hu sɛ wobɛkɔ oduruyɛfo nkyɛn.

Afei nso, sɛ wote nka sɛ worehyia ɔhaw wɔ aduan a wobɛmene mu, titiriw sɛ wote nka sɛ woakɔfa aduan a ɛyɛ den ho , na tebea no ankɔ yiye a, ɛbɛyɛ papa sɛ wobɛkɔ oduruyɛfo nkyɛn akɔhwehwɛ afotu mmom sen sɛ wubebu w’ani agu so.

Dɛn na ɛsɛ sɛ mibisa oduruyɛfo no?

Sɛ wokɔ oduruyɛfo nkyɛn a, bisa no nsɛm a ɛhaw wo ne nea wusuro no. Sɛ nhwɛso no, wubetumi abisa nsɛm te sɛ:

• Dɛn na ebetumi ama mogya atɔ me mu?
• Nhwehwɛmu bɛn na ɛsɛ sɛ meyɛ na ama mahu no yiye sɛ mewɔ Plummer-Vinson syndrome (PVS) anaa?
• Ayaresa bɛn na wokamfo kyerɛ me?
• So ɛho behia sɛ wɔyɛ me oprehyɛn a wɔtrɛw me esophageal mu de siesie me dysphagia no? Mpɛn ahe na ebehia sɛ mema wɔyɛ?
• So ɛsɛ sɛ mehaw me ho wɔ asiane a ɛwɔ hɔ sɛ menya kokoram daakye no ho? Dɛn na ɛsɛ sɛ meyɛ wɔ ho?

Sɛ wususuw sɛ wowɔ Plummer-Vinson syndrome (PVS) ho sɛnkyerɛnne a, kɔ oduruyɛfo nkyɛn ntɛm ara. Ɛho nhia sɛ wo ne ɔbrɛ a ɛyɛ kusuu a mogya a ɛtɔ kɔ nipadua mu ba no tra ase. Ɛho nhia nso sɛ wo ne ɛyaw a ɛwɔ menewa mu (dysphagia) a ɛma adidi yɛ adwumaden no tra ase. Ɛtɔ mmere bi a, ano aduru no yɛ mmerɛw te sɛ dade aduru kakraa bi. Sɛ ɛnte saa a, ebia wubenya ahotɔ denam wo menewam a wobɛtrɛw mu no so. Nanso, ayaresa ahorow bi wɔ hɔ a ebetumi aboa wo ma wo ho atɔ wo .

Nea etwa to no, nneɛma a ɛho hia sen biara a ɛsɛ sɛ yɛkae

Plummer-Vinson syndrome (PVS) yɛ tebea a ɛntaa nsi koraa. Nanso, nneɛma atitiriw a ɛwom ne mogya a ɛtɔ kɔ nipadua mu a dade nnim, ɛyɛ den sɛ ɔbɛmene (dysphagia), ne ɛwo a ɛwɔ aduan mu . Sɛ worehyia ɔbrɛ a ɛkɔ so daa, ɛyɛ den sɛ wobɛmene, anaa wo tɛkrɛma a ɛyɛ wo yaw a, ɛho hia sɛ wokɔ oduruyɛfo nkyɛn sen sɛ wobɛpow sɛ ɛyɛ biribi a ɛfata.

Ayaresa pa wɔ hɔ a wɔde sa PVS. Mpɛn pii no, yare no ho sɛnkyerɛnne pii tu mpɔn bere a wɔasiesie dade a enni nipadua no mu na sɛ ɛho hia a, wɔtrɛw aduan no mu.

Ɛwom mpo sɛ yɛka asiane a ɛwɔ kokoram mu ho asɛm de, nanso kae sɛ ɛyɛ ade a ɛde asiane ba ara kwa. Sɛ wo ne wo duruyɛfo kasa, yɛ nhwehwɛmu a ɛho hia, na wonya ayaresa a ɛfata a, wubetumi akɔ so anya apɔwmuden. Enti nsuro biribiara, na sɛ wowɔ ɔhaw bi a, hwehwɛ aduruyɛfo afotu ntɛm ara. W’akwahosan som bo ma wo yiye!

` Plummer-Vinson syndrome, PVS, dade a enni nipadua mu, aduan a wontumi nnom, ɛyɛ den sɛ wɔbɛmene, aduan mu ntini a ɛyɛ mmerɛw, mogya a ɛtɔ kɔ nipadua mu