So ɛyɛ den ma wo nso sɛ wobɛmene aduan? Ebia ɛyɛ ‘Schatzki Ring’ no nti!

Sɛ wudidi, titiriw biribi a ayow te sɛ paanoo anaa nam a wɔanwene no yiye a, so wote nka mpofirim sɛ wo menewa asiw? Anaasɛ wote ɛyaw bi nka wɔ wo koko mfinimfini? Ɛtɔ da a, saa nneɛma yi ma wote nka sɛ wompɛ sɛ wudidi, ɛnte saa? Sɛ wowɔ saa ɔhaw ahorow yi a, nea ɛde ba no betumi ayɛ ɔhaw ketewaa bi a ɛwɔ wo menewam, kyerɛ sɛ, w’aduan paipu mu. Ɛnnɛ yɛrebɛka tebea a ɛte saa ho asɛm, a wɔfrɛ no ‘Schatzki Ring’.

Dɛn ne ‘Schatzki Ring’ yi? Momma yɛnte ase tiawa koraa, ɛnte saa?

Fa no sɛ wɔ w’aduan paipu (nnuruyɛfo frɛ no esophagus) ase, baabi a aduan hyɛn wo yafunu mu no, ntini ketewaa bi a ɛka ho wɔ hɔ. Ɛte sɛ rɔba a ɛwɔ w’aduan paipu mu. Wɔfrɛ saa ntini nkaa foforo no Schatzki Nkatabo . Wɔde radiologist a odii kan huu no, Richard Schatzki, din ato so.

Afei dɛn na ɛba esiane saa mpɛtea yi nti? Esophagus no yɛ teateaa kakra, kyerɛ sɛ, ɛyɛ teateaa. Afei, sɛ womene aduan a, ɛnyɛ den sɛ saa nnuan asinasin no bɛfa yafunu no mu ntɛm. Ɛtɔ da bi a, sɛ eyi yɛ teateaa araa ma aduan asinasin no betumi akɔhyɛ hɔ na entumi nkɔ yafunu no mu mpo a. Eyi ne nea yɛfrɛ no sɛ ɛyɛ den sɛ obi bɛmene ade (dysphagia) .

Nanso, ɛnyɛ obiara a ɔwɔ Schatzki mpɛtea na obenya yare no ho sɛnkyerɛnne atitiriw biara. Nnipa binom hu sɛ wɔanya bi wɔ akwanhyia mu bere a wɔma wɔyɛ ɔhaw foforo ho sɔhwɛ no. Sɛ ɛnyɛ den koraa sɛ wobɛmene a, ebia worenhia ayaresa.

Dɛn ne ‘Schatzki Ring’ ho sɛnkyerɛnne? Hwɛ sɛ wo nso wowɔ eyinom anaa

Nsɛnkyerɛnne titiriw ne sɛnea ɛyɛ den sɛ ɔbɛmene (dysphagia) a yɛadi kan aka ho asɛm no. Nanso, ebia sɛnkyerɛnne afoforo pii wɔ hɔ:

• Aduan nkɛntɛnso: Bere a wufi ase didi akyi bere tiaa bi no, aduan bi betumi akɔhyɛ Schatzki ring no mu bere a wobɔ mmɔden sɛ wobɛmene no. Eyi betumi ama ayɛ den sɛ wobɛmene nsu ketewaa bi mpo. Ɛtɔ mmere bi a, ebia wobɛte ɛyaw a ano yɛ den anaasɛ wobɛhyew bere a woremene (odynophagia) . Ebia wobɛbɔ mmɔden sɛ wubeyi aduan asinasin a akyea no afi wo menewam, na ebia wobɛfe.
• Koko mu yaw a ɛnyɛ koma: Eyi betumi ayɛ te sɛ nea biribi akɔhyɛ koko mu. Ebia nnipa binom bɛhaw wɔn ho sɛ ɛyɛ komayare. Nanso, eyi nyɛ koma mu haw.

Mpɛn pii no, saa sɛnkyerɛnne ahorow yi da adi bere a wɔadi nneɛma te sɛ paanoo a ayɛ mmerɛw anaa nam a wɔannoa no yiye akyi. Saa sɛnkyerɛnne ahorow yi mma mpofirim, na mmom ɛkɔ so nkakrankakra. Ɛwom sɛ tebea yi betumi afi ase wɔ mfe biara mu de, nanso mpɛn pii no wohu bere a woadi mfe 25. Susuw sɛnea ɛnyɛ dɛ bere a wo ne wo nnamfo kɔ apontow ase na mpofirim ara ɛyɛ den ma wo sɛ wobɛmene nam bi no ho hwɛ.

Dɛn nti na ‘Schatzki Ring’ yi yɛ? Dɛn ne nea enti a ɛte saa?

Nea ɛde eyi bae ankasa no, wonnya nhuu pefee. Ebia ɛyɛ awo mu tebea , a ɛkyerɛ sɛ wɔde bi awo wo.

Nanso nhwehwɛmufo gye di sɛ ebia nneɛma afoforo di dwuma. Sɛ nhwɛso no, wosusuw sɛ yafunu mu acid a ɛsen kɔ soro kɔ aduan no mu no ne ade titiriw a ɛde ba. Abenfo gye di sɛ sɛ yafunu mu acid anaa nnuru bi pira aduan no fã a ɛwɔ fam no mpɛn pii a, ntini foforo nyin wɔ saa beae no bere a opira no sa no. Fa no sɛ akuru a ɛba yɛn honam ani bere a wɔatwa yɛn honam ani no.

Tebea afoforo pii wɔ hɔ a ebetumi aboa ma wɔayɛ saa `(Schatzki ring):

• Gastroesophageal reflux disease (GERD): Eyi yɛ yafunu mu yare a emu yɛ den kɛse, na yɛn mu pii nim. GERD yɛ tebea a yafunu mu acid san kɔ soro bere nyinaa kɔ aduan no mu. Saa acid yi betumi asɛe aduan a ɛwɔ aduan mu no.
• Hiatal hernia: Nnipa binom susuw sɛ hiatal hernia ne Schatzki ring yɛ ade koro. Nanso, wɔnyɛ saa. Nanso, abusuabɔ bi wɔ abien no ntam. Nnipa pii a wɔwɔ Schatzki mpɛtea nso wɔ hiatal hernia. Eyi ne bere a yafunu no fã a ɛwɔ soro no pia kɔ soro fa tokuru ketewaa bi a ɛwɔ ahurututu no mu no mu. Eyi ma ɛnyɛ den sɛ yafunu mu nneɛma te sɛ acid bɛforo akɔ aduan no mu. Eyi nso betumi asɛe aduan a wɔde di dwuma no.

Ɔkwan bɛn so na nnuruyɛfo hu Schatzki Ring?

Sɛ ɛyɛ den ma wo sɛ wobɛmene a, wo duruyɛfo bedi kan ayɛ wo nipadua mu nhwehwɛmu . Obebisa wo wo yare no ho sɛnkyerɛnne, titiriw nnuan a ɛma wo haw no mu yɛ den. Sɛ ɔwɔ biribi a ɛhaw no a, wobetumi de wo akɔ yafunu mu ɔyaresafo nkyɛn .

Saa oduruyɛfo titiriw no betumi ayɛ nhwehwɛmu ahorow yi:

• Endoscopy: Eyi hwehwɛ sɛ wɔde afiri tenten bi a ɛyɛ mmerɛw (a wɔfrɛ no endoscope) a mfoninitwa afiri ketewaa bi ne hann a ɛfa ano no abata ho bɛhyɛ mu na wɔahwɛ aduannoa no mu. Eyi ma wotumi hu Schatzki mpɛtea no tẽẽ.
• Barium esophagram: Ɛtɔ mmere bi a wɔfrɛ eyi barium mene nhwehwɛmu . Wɔ sɔhwɛ yi mu no, womene aduru anaa nsu a wɔde aduru bi a wɔfrɛ no barium ayɛ. Afei, oduruyɛfo no de fluoroscopic X-ray (X-ray mfonini ahorow a ɛkeka ne ho) di dwuma de hwɛ sɛnea aduan no fa wo menewam bere a womene no. Eyi betumi ama woanya sɛnea mprɛte no kɛse te, anaa sɛnea wo menewam a ɛyɛ teateaa no ho adwene.

Nea ɛho hia ne sɛ bere a saa ntini a ɛyɛ mpɛtea yi reyɛ kɛse no, baabi a ɛwɔ wo menewam no mu yɛ teateaa. Ɛno na ɛbɛyɛ den sɛ aduan bɛkɔ wo yafunu mu.

Ɔkwan bɛn so na wɔsa Schatzki Ring?

Ɛda adi sɛ wo yafunu mu ɔyaresafo bɛyɛ esophagogastroduodenoscopy (EGD) a ɛbɛma wo yafunu mu atrɛw . Mma ɛnhaw wo, eyi yɛ adeyɛ a ɛware, nanso ɔkwan a wɔfa so yɛ no yɛ mmerɛw.

Nea ɛkɔ so wɔ eyi mu ne sɛ, wɔde ``endoscope'' di dwuma, kyerɛ sɛ, wɔde tube a ɛwɔ camera no, balloon ketewa anaa dilator bi kɔ esophagus no mu. Afei, wɔ beae a ``Schatzki ring'' no wɔ no, wɔma saa balloon anaa afiri yi mframa gu mu, na wɔtrɛw beae a ayɛ teateaa no mu. Ɛte sɛ nea woreyɛ tube a ɛyɛ teateaa no kɛse kakra. Eyi twe saa ntini a ɛboro so no fi mu.

So ayaresa ahorow betumi de ɔhaw ahorow aba?

Ebia nneɛma nketenkete bi bɛba wɔ esophageal dilation procedure (EGD) no akyi, nanso mpɛn pii no eyinom nyɛ aniberesɛm.

• Mogya a ɛretu kakra
• Koma mu yare, te sɛ yafunu mu yare
• Menemkuro

Nanso ɛntaa nsi koraa , sɛ wɔyɛ saa aduan a ɛtrɛw yi a, ɛwo fasu no betumi atetew kakra (atetew tokuru bi mu). Eyi yɛ tebea a emu yɛ den. Enti, sɛ wuhu sɛnkyerɛnne ahorow a edidi so yi mu biara wɔ ayaresa akyi a , ɛsɛ sɛ wobɔ wo duruyɛfo amanneɛ ntɛm ara :

• Sɛ wowɔ tebea bi a wuntumi nmene mu a
• Sɛ ɛyɛ den ma wo sɛ wobɛhome a
• Sɛ wowɔ koko mu yaw a emu yɛ den a
• Sɛ wofe mogya a

Sɛ biribi te sɛ eyi si a, ntwentwɛn wo nan ase kakra mpo, ɛyɛ?

Sɛ wowɔ ‘Schatzki Ring’ a, dɛn na wubetumi ahwɛ kwan?

Mpɛn pii no, bere a wɔtrɛw aduan mu akyi no, aduan a ɛbɛkyere esiane Schatzki mpɛtea no nti no begyae kɛse. Wobɛtumi amene aduane ntɛm bio.

Nanso, ebetumi aba sɛ saa mpɛtea yi `bɛsan aba`. Sɛ ɛba saa a, ebia ɛho behia sɛ wosan kɔ wo duruyɛfo nkyɛn bio na ebia woyɛ ayaresa foforo. Enti ɛho hia sɛ wohwɛ yare no ho sɛnkyerɛnne ahorow no yiye.

Mɛyɛ dɛn ahwɛ me ho? Dɛn na ɛsɛ sɛ meyɛ?

Sɛ ɛyɛ den ma wo sɛ wobɛmene esiane Schatzki mpɛtea nti a, ebia wubehyia ɔhaw pii, titiriw bere a wudi nneɛma te sɛ paanoo a ayow anaa nam akɛse no. Ebia wo duruyɛfo betu wo fo sɛ fa w’adwene si nnuan a ɛyɛ mmerɛw so kakra ansa na woasa wo yare ne bere a woawie no.

• Nnuadewa ne aburow a wɔanoa no yiye
• Soup ahorow a wɔde yɛ soup
• Nnuaba a ɛyɛ mmerɛw te sɛ banana ne papaya
• Yogurt, nufusu a wɔayam

Saa nneɛma yi yɛ mmerɛw sɛ wɔbɛmene. Sɛ woredidi a , we w’aduan no yiye, mene no nkakrankakra, nkakrankakra.Ɛho hia paa nso sɛ wode yɛ wo su. Mfa ahopere mfi adi nkɔdidi.

Bere bɛn na ɛsɛ sɛ mesan kɔ oduruyɛfo nkyɛn bio?

Sɛ wote nka sɛ wo yare no ho sɛnkyerɛnne no resan aba bio, te sɛ wo menewa anaa wo koko mu yaw a, hwɛ hu sɛ wobɛkɔ wo yafunu mu ɔyaresafo nkyɛn bio. Ebia ɔbɛpɛ sɛ ɔyɛ sɔhwɛ pii de hwɛ sɛ ebia Schatzki mpɛtea no asan aba bio anaa.

So saa ‘Schatzki Ring’ yi ntumi nyɛ yiye wɔ n’ankasa so?

Dabi, eyi nyɛ tebea a ɛno ankasa bɛyɛ yiye. Sɛ wobɛyi `(Schatzki ring)` afiri hɔ a, ɛhia sɛ wokɔ ayaresa. Sɛ wɔsa yare a ɛte saa mpo a, sɛnea yɛadi kan aka no, saa tebea yi betumi asan aba bio. Afei ɛho behia sɛ wɔsan sa yare bio.

Awiei koraa no, nneɛma kakraa bi a ɛsɛ sɛ wokae (Take-Home Message) .

Mpɛn pii no, adidi yɛ bere a yegye yɛn ahome, di aduan a ɛyɛ dɛ, na ebia yɛne abusuafo nya bere. Nanso sɛ wowɔ ``Schatzki ring'' wɔ wo esophagus mu a, saa anigye no betumi ayera bere a ɛyɛ den ma wo sɛ wobɛmene aduan no, na adidi mpo betumi ayɛ yaw.

Sɛ wowɔ saa sɛnkyerɛnne ahorow yi a, ade a eye sen biara a ɛsɛ sɛ woyɛ ne sɛ wobɛhwehwɛ aduruyɛfo afotu a wummu w’ani ngu so.

Ayaresa betumi atew Schatzki ring ho sɛnkyerɛnne so kɛse. Sɛ nhwehwɛmu ahorow kyerɛ sɛ wowɔ saa tebea yi a, wo ne wo duruyɛfo nkasa mfa ayaresa a eye ma wo ho. Ɔbɛkyerɛkyerɛ akwan a wubetumi afa so ne nea wubetumi ahwɛ kwan afi ayaresa mu. Mma ɛnhaw wo, ayaresa ahorow a etu mpɔn wɔ hɔ a wɔde sa eyi!

` Schatzki ring, dysphagia, ɛyɛ den sɛ wɔbɛmene, ɛwo, GERD, hiatal hernia, endoscopy, esophageal dilation