So ɛyɛ den ma wo nso sɛ wobɛmene aduan? So ɛte sɛ nea biribi akɔhyɛ wo menewam? Momma yɛnka Zenker Diverticulum ho asɛm!

Ɛtɔ mmere bi a, ebia wobɛte nka sɛ wo ho nyɛ wo dɛ kakra bere a woremene aduan no, ɛnte saa? Anaasɛ ebia wobɛte nka sɛ biribi akɔhyɛ wo menewam. Eyinom betumi ahaw yɛn da biara da asetra. Ebia nea enti a ɛte saa ne biribi a wunsusuw ho. Ɛnnɛ yɛrebɛka tebea a ɛte saa ho asɛm, a ɛne Zenker Diverticulum.

Dɛn ne Zenker Diverticulum no?

Sɛ yɛbɛka no tiawa a, Senck’s diverticulum yɛ kotoku ketewaa bi a ɛba wo menewa atifi, anaasɛ wo menewam (a wɔsan frɛ no aduan paipu). Susuw ho hwɛ, ntini bi wɔ wo menewa atifi, a nnuruyɛfo frɛ no cricopharyngeus ntini . Ɛyɛ adwuma te sɛ ɔpon. Sɛ yɛmene a, saa ntini yi dwo na ɛma aduan kɔ fam kɔ ​​aduan no mu. Nanso sɛ saa ntini yi ntumi nyɛ adwuma yiye, kyerɛ sɛ, sɛ yɛmene a, sɛ yɛremene no a, ɛntena hɔ yiye a, nhyɛso pii boaboa ano wɔ wo menewam. Susuw ho hwɛ, te sɛ sɛ wopiapia nsu paipu na wokura baabi biako a, nsu no nhyɛso kɔ soro.

Bere kɔ so no, saa nhyɛso yi ma kotoku anaa diverticulum bi ba, baabi a ntini piapia kɔ baabi a ɛyɛ mmerɛw wɔ menewa no fasu mu. Saa kotoku yi betumi de ɔhaw ahorow te sɛ ɛyɛ den sɛ wobɛmene, aduan a ɛsan ba soro kɔ menewam, ne ahome a ɛyɛ hu aba. Mpɛn pii no, ayaresa no hwehwɛ sɛ wɔyɛ oprehyɛn de yi kotoku no anaasɛ wosiesie. Afei nso, sɛ wosakra ɔkwan a wofa so didi na wonom no a, ebetumi aboa ma saa sɛnkyerɛnne ahorow yi bi so atew.

Dɛn ne Zenker Diverticulum ho sɛnkyerɛnne ahorow?

Nsɛnkyerɛnne no betumi ayɛ soronko agyina kotoku yi kɛse (diverticulum) ne beae a ɛwɔ so. Sɛ kotoku no sua a, ebia worennya yare no ho sɛnkyerɛnne biara koraa. Nanso, ɔhaw ahorow fi ase bere a kotoku no sõ araa ma ɛmma wontumi mene ade no. Hwɛ sɛ wowɔ saa sɛnkyerɛnne ahorow yi bi anaa:

• Asiane a ɛwɔ aspiration pneumonia mu: Ɛtɔ mmere bi a, aduan a womene anaasɛ nsu a ɛwɔ wo menewam no betumi akɔ wo trachea (mframa afiri) mu wɔ akwanhyia mu na ɛde ɔyare mmoawa aba w’ahurututu mu. Eyi betumi ayɛ asiane kakra , efisɛ ahurututu mu nyarewa nyɛ aseresɛm.
• Bad breath (`Halitosis`): Aduan kɔhyɛ saa kotoku no mu wɔ menewa mu, na efi ase sɛe wɔ hɔ. Ɛno na hua bɔne bi fi anom. Eyi yɛ biribi a ɛde aniwu ba ɔmanfo mpo mu.
• Aduan anaa nsu a ɛsan ba wo menewam: Aduan a womene no betumi asan aba wo menewam. Eyi ba bere a aduan ahyɛ kotoku no ma no. Ɛte sɛ nneɛma a ɛrehuruw afi bag a ɛyɛ ma mu. Ɛtɔ mmere bi a eyi betumi asi anadwo bere a woada no.
• Ɛyɛ den sɛ wobɛmene (`Dysphagia`): Eyi ne sɛnkyerɛnne titiriw ne nea ɛtaa ba . Bere a kotoku no nyin no, ɛma ɔkwan a wɔfa so fa menewa no mu no yɛ teateaa, na ɛma ɛyɛ den sɛ wɔbɛmene aduan. Mfiase no, ebia ɛbɛyɛ den sɛ wobɛmene nnuan a ɛyɛ den nkutoo, nanso akyiri yi ebetumi ayɛ den sɛ wobɛmene nsu nso.
• Sɛ wote nka sɛ biribi akɔhyɛ wo menewam (`Globus sensation`):Ebia wobɛte nka sɛ biribi aka wo menewam, te sɛ bɔɔl. Saa atenka yi nso betumi aba bere a wunnnidi no. Saa atenka yi ba bere a kotoku no sõ na ɛmia cricopharyngeus ntini, anaasɛ ɛwo kotoku no atifi no.
• Hoarseness (Dysphonia): Nne mu nsakrae, a ɛyɛ dede, betumi aba. Nea enti a ɛte saa ne sɛ kotoku no sõ na ɛmia ntini bi a ɛhwɛ yɛn nne so, a ɛyɛ anom ntini a ɛsan ba bio no so .
• Wo mu duru a woanhyɛ da: Ebia wobɛtew wo mu duru so a wunnim efisɛ wuntumi nmene aduan yiye, na ɛno betumi ama woanya aduan pa a wonnya nni.

Dɛn na ɛde Zenker Diverticulum ba?

Nokwarem no, wɔhyehyɛ saa Zenker diverticulum yi efisɛ cricopharyngeal muscle a madi kan aka ho asɛm no nnyaa ahotɔ koraa. Mpɛn pii no, ɛsɛ sɛ saa ntini yi mu yɛ den na ɛto yɛn ɛwo kotoku no atifi bere nyinaa. Ɛma yɛn ho dwo yɛn bere a yɛmene aduan nkutoo na ɛma aduan kɔ fam. Nanso sɛ saa ntini yi anhome bere a yɛmene aduan a, ɛwo kotoku no atifi no mmue yiye.

Bere koro no ara mu no, ntini afoforo a tumi wom a ɛwɔ yɛn menewam no pia aduan no kɔ fam kɔ ​​cricopharyngeal ntini a ɛyɛ den no so. Eyinom abien nyinaa ma nhyɛso kɛse ba menewa no afasu so.

Wɔ Senkers diverticulum fam no, saa nhyɛso yi ma wɔpia ntini kotoku bi fi baabi a ɛyɛ mmerɛw wɔ menewa no fasu mu, na ɛyɛ kotoku. Saa kotoku yi na esiw aduan a efi menewa mu kɔ aduan mu no kwan.

Abenfo da so ara nnim nea enti a saa cricopharyngeal ntini yi mu yɛ den bere a ɛsɛ sɛ wɔma ɛyɛ mmerɛw no ankasa. Ɛmfa ho nea ɛde ba biara no, nea efi mu ba ne kotoku a ɛhyɛ abufuw yi a ɛba.

Hena na ɔwɔ asiane kɛse mu sɛ obenya saa tebea yi?

Ɛwom sɛ saa tebea yi betumi aba obiara so de, nanso nnipa binom wɔ asiane mu kakra sɛ wobenya bi. Hwɛ:

• Mfe: Eyi taa ba nnipa a wɔadi fi mfe 70 kosi 90. Eyi kyerɛ sɛ ɛda adi sɛ ɛba bere a worenyin no. Nanso, wɔntaa nhu nso wɔ nnipa a wonnyinii sen saa no mu.
• Bɔbeasu: Nhwehwɛmu ahorow kyerɛ sɛ mmarima taa nya saa tebea yi sen mmea.
• Esophageal dysmotility: Sɛ wowɔ tebea afoforo a ɛma wo esophageal no ntumi nyɛ adwuma yiye, kyerɛ sɛ, sɛ wowɔ ɔhaw ahorow a ɛfa sɛnea wotumi nantew ho a, asiane a ɛwɔ hɔ sɛ wubenya eyi no yɛ kɛse.

Dɛn ne nsɛnnennen a ebetumi aba wɔ Zenker Diverticulum mu?

Sɛ wɔansa saa tebea yi yiye a, nsɛnnennen bi betumi aba, enti ɛho hia sɛ wohu eyi.

• Aspiration ahurututu mu yare:Eyi yɛ aniberesɛm kakra. Sɛ aduan a ɛsan ba fi saa kotoku a ɛwɔ menewam no mu ba no di mfomso kɔ ahurututu no mu a, ebetumi ama obi anya ɔyare mmoawa na ama obi anya ahurututu mu yare. Sɛ wotaa kɔfefe anaasɛ ɛyɛ den ma wo sɛ wobɛhome a, ɛsɛ sɛ wususuw eyi nso ho.
• Aduan pa a wonnya nni: Sɛ aduan ntumi mfa wo aduan mu yiye esiane saa kotoku no nti a, wo nipadua no ntumi nnya aduannuru a ehia, na ɛde aduan pa a enni hɔ ba. Eyi betumi ama woayɛ mmerɛw, wo mu duru so atew, na woate nka sɛ woabrɛ bere nyinaa.

Ɔkwan bɛn so na nnuruyɛfo hu eyi?

Sɛ wowɔ sɛnkyerɛnne ahorow a ɛkyerɛ sɛ ɛyɛ den sɛ wobɛmene ade a, ɛsɛ sɛ wudi kan kɔ oduruyɛfo nkyɛn. Oduruyɛfo no bebisa wo wo yare no ho sɛnkyerɛnne na wahwɛ wo. Ebia obebisa nso sɛ wowɔ ɔhaw afoforo wɔ sɛnea ɛwo kotoku no yɛ adwuma ho (esophageal dysmotility). Afei ɛda adi sɛ wɔde wo bɛkɔ oduruyɛfo bi a ɔyɛ saa beae yi, yafunu mu yafunu ho oduruyɛfo nkyɛn. Ɔbɛyɛ sɔhwɛ ahorow a ɛho hia de ahu nea ɛde wo haw no reba ankasa.

Sɔhwɛ ahorow bi a ebetumi aba ni:

• Esophageal manometry test: Eyi sɔ sɛnea wo esophagus no reyɛ adwuma yiye, sɛ ebia ntini ahorow no twetwe yiye, ne sɛ ebia cricopharyngeal muscle no regye n’ahome yiye anaa.
• Esophagram (barium swallow): Wɔ sɔhwɛ yi mu no, wonom aduru bi a wɔfrɛ no barium na wɔyɛ X-ray de hwɛ nea ɛkɔ so wɔ wo esophagus mu bere a womene aduan no. Sɛ kotoku bi wɔ hɔ a, wotumi hu no pefee.
• Upper endoscopy: Eyi hwehwɛ sɛ wɔde afiri ketewaa bi a wɔde mfoninitwa afiri ahyɛ mu fa ano no mu na wɔhwɛ aduan no ase. Eyi ma wotumi hu aduan no mu tẽẽ, baabi a kotoku no wɔ, ne ne kɛse.

Ɔkwan bɛn so na wɔsa Zenker Diverticulum?

Mpɛn pii no, ayaresa a eye sen biara ne sɛ wɔbɛyɛ oprehyɛn de ayi kotoku no anaasɛ wobesiesie. Eyi bɛma woatumi amene ntɛm bio. Nanso, ɛnyɛ obiara na ɛsɛ sɛ wɔyɛ no oprehyɛn. Nnuruyɛfo betumi akamfo akyerɛ sɛ wɔnyɛ oprehyɛn sɛ kotoku no de nsɛnnennen a emu yɛ den te sɛ aduan pa a wonnya nni anaasɛ aspiration pneumonia reba a.

Oprehyɛn ahorow pii wɔ hɔ a wobetumi ayɛ ama eyi:

• Oprehyɛn a wɔbue mu: Wɔ oprehyɛn a ɛte sɛɛ mu no, wɔtwa ne kɔn mu ketewaa bi. Oduruyɛfo no kɔ kotoku no mu tẽẽ na oyi fi hɔ anaasɛ osiesie ntini no.
• Endoscopic oprehyɛn: Eyi hwehwɛ sɛ wɔde nnwinnade nketenkete fa ano no mu de yɛ kotoku no anaasɛ woyi fi hɔ. Wɔntwa ntwitwiridii biara wɔ akyi. Eyi ma bere a wɔde sa yare no so tew na ennya akuru biara.
• ZPOEM (`Peroral endoscopic myotomy a wɔde hwɛ nipadua no mu'):Eyi nso yɛ endoscopic adeyɛ. Sɛ yɛbɛka no pɛpɛɛpɛ a, `ZPOEM` gyina hɔ ma `Zenker Peroral Endoscopic Myotomy`. Wɔ eyi mu no, cricopharyngeal ntini no trɛw kakra na ɛyɛ mmerɛw. Afei, aduan no kɔ fam ntɛmntɛm.

Wo yafunu mu ɔyaresafo ne wo besusuw oprehyɛn a eye ma wo ho.

Bere tenten ahe na egye na obi ho atɔ no wɔ oprehyɛn akyi?

Bere a wo ho bɛtɔ wo wɔ oprehyɛn akyi no gu ahorow gyina oprehyɛn ko a woyɛɛ no ​​so. Ebia wo ho bɛtɔ wo ntɛmntɛm wɔ endoscopic oprehyɛn anaa ZPOEM oprehyɛn mu sen oprehyɛn a wɔabue mu. Wo duruyɛfo bɛkyerɛkyerɛ eyi mu akyerɛ wo kɔ akyiri. Nanso, mpɛn pii no wubetumi ahwɛ nea edidi so yi kwan:

• Ɛho behia sɛ wotra ayaresabea hɔ da koro anaa nnanu, ebia nna pii mpo.
• Sɛ woyɛ oprehyɛn no wie a, ebehia sɛ wudi nsu anaa nnuan a ɛyɛ mmerɛw a wɔayam no yiye bɛyɛ nna abien kosi adapɛn abien.
• Sɛ wɔyɛ wo oprehyɛn a wɔabue ano a, wobetumi afa afiri a wɔde ma wo bere tiaa mu so ama wo aduan kosi sɛ kuru no bɛsa.

So nsɛnnennen betumi afi oprehyɛn mu aba?

Sɛnea ɛte wɔ oprehyɛn biara ho no, nsɛnnennen nketenkete betumi aba wɔ oprehyɛn ahorow yi mu. Nsɛnnennen pii wɔ hɔ a ɛtaa ba a ebetumi aba wɔ oprehyɛn a wɔabue ano ne oprehyɛn a wɔde endoscopic yɛ nyinaa mu:

• Mogya a ɛretu
• Tokuru anaa ntetewmu a ɛwɔ aduan mu (esophageal rupture) .
• Nyarewa a ɛba kɔn anaa koko mu (mediastinitis) .
• Anofafa, sẽ, tɛkrɛma, anaa anom a opira bere a wɔreyɛ endoscopic oprehyɛn no
• Sɛ ntini a ɛhwɛ ɛnne nhama so no sɛe bere a wɔreyɛ oprehyɛn a wɔabue ano a, ɛnne no a ɛyɛ den

Nanso eyinom ho yɛ na na wɔtaa hu. Nnuruyɛfo bɛbɔ wo amanneɛ wɔ eyi nso ho.

Bere bɛn na ɛsɛ sɛ mekɔ oduruyɛfo nkyɛn?

Sɛ ɛkɔ so yɛ den ma wo sɛ wobɛmene a, ɛbɛyɛ papa sɛ wobɛkɔ oduruyɛfo nkyɛn a wummu w’ani ngu so. Afei nso, sɛ wɔayɛ wo oprehyɛn ama Zenker diverticulum a, frɛ wo yafunu mu ɔyaresafo ntɛm ara sɛ wunya ɔyare no ho sɛnkyerɛnne biara te sɛ atiridiinini anaasɛ akisikuru a .

Nea ɛho hia ne sɛ ɛwom sɛ wobetumi de ayaresa asa tebea yi de, nanso ɛtɔ mmere bi a kotoku no tumi san ba bio. Enti, bisa wo duruyɛfo no sɛnkyerɛnne ahorow a ebia worehwehwɛ a ɛkyerɛ sɛ kotoku foforo bi ayɛ wo menewam.

Dɛn na metumi ayɛ na ama manya ahotɔ?

Sɛ wowɔ Zenker diverticulum a, ebetumi ayɛ den sɛ wobɛmene. Ebetumi ayɛ te sɛ nea aduan akɔhyɛ wo menewam. Sɔ nneɛma a ɛnyɛ den yi hwɛ, a ebetumi aboa ma wɔapia aduan no akɔ fam afa kotoku no mu:

• Di w’aduan nketenkete, na ɛnyɛ akɛse.
• Chem nnuan nyinaa yiye ansa na woamene. Eyi bɛboa ma aduan no asɛe yiye na ayɛ mmerɛw sɛ wɔbɛmene.
• Nom nsu biako anaa abien wɔ adidi ntam. Eyi boa ma wɔpia aduan no kɔ fam.
• Ɛyɛ papa sɛ wobɛtew nnuaba, aba, ne nnuan a ɛwɔ were te sɛ apɔw-mu-teɛteɛ ne tomato so, efisɛ ebetumi akɔhyɛ kotoku no mu. Afei nso, nnuan a ɛyɛ nwunu paa betumi akɔhyɛ mu.

Susuw ho hwɛ, mmere bi wɔ hɔ a yɛte anigye anaa awerɛhow kɛse nka na yɛn menewa te sɛ nea ayɛ mmerɛw. Saa ara nso na tebea horow te sɛ Zenker diverticulum betumi ama adeyɛ a ɛyɛ mmerɛw a ɛne sɛ wɔbɛmene aduan mpo ayɛ den yiye.

Eyi yɛ kotoku a ɛba wɔ menewa mu. Ɛba bere a aduan ntumi mfi menewa mu nkɔ aduan no mu no. Ebia ɔhaw no befi hɔ akosi sɛ kotoku no bɛyɛ kɛse araa ma ɛrentumi nyɛ yiye sɛ wɔbɛmene aduan. Nanso ɛnyɛ nea ɛyɛ papa wɔ n’ankasa mu. Nea eye ne sɛ, ayaresa pa wɔ hɔ a wɔde sa eyi.

Nea etwa to no, nneɛma a ɛsɛ sɛ yɛkae

Okay, enti momma yɛnkae wo nneɛma kakraa bi a yɛaka ho asɛm a yesusuw sɛ ɛho hia wo:

• Zenker’s diverticulum yɛ kotoku ketewaa bi a ɛba wo menewa atifi, wɔ wo menewam atifi.
• Nsɛnkyerɛnne titiriw ne sɛ ɛyɛ den sɛ ɔbɛmene (dysphagia) . Nsɛnkyerɛnne afoforo betumi ayɛ ɔhome bɔne (halitosis), aduan a ɛkyere ne menewa, ne te nka sɛ biribi akɔhyɛ ne menewam.
• Sɛ wowɔ saa sɛnkyerɛnne ahorow yi a, akyinnye biara nni ho sɛ kɔ oduruyɛfo nkyɛn . Mma w’ani ngu so.
• Oprehyɛn ahorow wɔ hɔ a wɔde sa eyi, na nsakrae a wɔyɛ wɔ aduan mu nso betumi aboa ma wɔadi yare no ho sɛnkyerɛnne ahorow so.
• Sɛ wɔsa yare mpo a, ɛtɔ mmere bi a tebea yi betumi asan aba bio , enti hu ɛno nso.

Mewɔ anidaso sɛ saa nsɛm yi bɛboa wo. Sɛ wowɔ biribi a ɛhaw wo a, ntwentwɛn wo nan ase sɛ wo ne wo duruyɛfo bɛkasa. Kae sɛ, sɛ wohu yare no ntɛm na wosa yare a, eye sen biara!

Zenker ’s Diverticulum, menewa mu kotoku, ɛyɛ den sɛ ɔbɛmene, aduan a ɛnyɛ den, menewa mu yare, ahurututu, cricopharyngeal ntini