Ðe ŋɔti me veve ɣesiaɣi hã le ŋuwòa? Ðe wò gbe le ɖiɖim? Esia ate ŋu anye LPR (Laryngopharyngeal Reflux)!

Ðe wòhiãna ɣesiaɣi hã be nàkɔ wò ŋɔti mea? Ðe wòwɔna na wò abe ɖe ƒunukpeƒetetedɔ aɖe le wò ŋɔti me enea? Ðe wò gbe ɖina vie eye wòɖina sesĩea? Mía dometɔ akpa gãtɔ bua nusiawo be wonye dzamezã alo nulɔdɔ ko. Gake ate ŋu anye nusi to vovo na esi nèsusu. Esiae nye nusi míeyɔna be LPR, alo "Silent Reflux" le atikewɔwɔ me. Mina míaƒo nu tso eŋu egbea ko.

Nuka tututue nye LPR sia?

Kpuie ko la, LPR nye dɔgbo ƒe dɔléle tɔxɛ aɖe. Acid reflux nye ne dɔgbo me acid kple nuɖuɖume tsiwo gagbugbɔ yi dzi yi ŋɔti me. Zi geɖe la, wosea esia le akɔta, le nuɖuɖutome ƒe akpa si le anyime. Míeyɔa esia be dzimedzoedoname.

Gake le LPR me la, dɔgbo me aɖi siawo dona ɖe dzi wu gɔ̃ hã eye woɖoa míaƒe lãkusi, gbeɖiɖiɖaka, kple lãkusi me. Esi wònye be edona to nuɖuɖutome ta la, dzesiawo to vovo kura tso dɔgbo ƒe dɔléle si wozãna edziedzi gbɔ. Esia tae ame geɖe menya gɔ̃ hã be enye dɔgbo ƒe dɔléle ƒomevi aɖe o. Le esi teƒe be dzimeve kple dɔgbo nave LPR la, wò gbe, ŋɔti, kple ŋɔti ƒe akpa aɖewo koŋue wògblẽa nu le. Wogayɔnae be "Silent Reflux" elabena meɖea dɔgbo ƒe dɔléle ƒe dzesi siwo bɔ la fiana o.

Vovototo kae le LPR kple GERD dome?

Ðewohĩ èse nya GERD kpɔ. GERD tsi tre ɖi na Gastroesophageal Reflux Disease. Efia nɔnɔme aɖe si me dɔgbo ƒe dɔléle si nɔa anyi ɖaa le. Togbɔ be nɔnɔme eveawo siaa bia be dɔgbo me acid va dona hã la, vovototo sue aɖewo le wo ame evea dome.

Mina míase vovototo sia gɔme nyuie vie.

Nukae nye LPR ƒe dzesiwo?

Esi wònye be LPR ƒe dzesiwo to vovo vie ta la, woate ŋu abui vodadatɔe ɣeaɖewoɣi be asrã, nulɔdɔ, alo dzamezã vɔ̃ɖi. Dzesi vevitɔwoe nye:

• Gbea ƒe ɖiɖi alo eƒe ɖiɖi.
• Seselelãme aɖe si le abe nane si le abe bɔl ene la tsi ŋɔti me.
• Hiahiã ɣesiaɣi be nàkɔ wò ŋɔti me .
• Kɔdzidede si nɔa anyi didi si nɔa anyi didi.
• Ʋuʋudedi si gbɔ eme le ŋɔti kple ŋɔti me.
• Nuɖuɖu mimi sesẽ .
• Kɔmeve si nɔa anyi ɖaa .
• Gbe ƒe bu alo lãkusidɔ.
• Ʋuʋudedi nye ɣlidodo ne wole gbɔgbɔm.
• Postnosal tsidzadza.
• Yagbɔgbɔ ƒe akpa si le etame ƒe dɔlélewo abe dzamezã kple dzamezã ene enuenu.
• Asrã ƒe gɔmedzedze yeye alo asrã si li xoxo ƒe gbegblẽ .

Nukatae LPR sia dzɔna? Na míalé ŋku ɖe susu aɖewo ŋu.

Tsɔe be agbo vevi eve le mɔa dzi tso míaƒe dɔme va ɖo míaƒe ŋɔti me. Esiawoe nye lãmeka siwo le míaƒe nuɖuɖutome ƒe tame kple ete. Wole abe valvɔwo ene. Míeyɔa esiawo be `(esophageal sphincters)`.

1. Lower Esophageal Sphincter (LES): Esia le nuɖuɖutome kple dɔgbo dome. Eƒe dɔ vevitɔe nye be wòaxe mɔ na dɔgbo me acid be wòagatrɔ ayi dzi ayi nuɖuɖutome o.

2. Nuɖuɖutome ƒe Ʋuka si le Etame (UES):Esia le nuɖuɖutome kple ŋɔti dome. Exea mɔ na nusianu si ge ɖe nuɖuɖutome be wòagage ɖe ŋɔti me o.

Be LPR nadzɔ la, mele be ʋuƒo siawo evea siaa natu nyuie o. Dɔgbo ƒe dɔléle si sɔ dzɔna ne nuɖuɖutome ƒe akpa si le ete (LES) gbɔdzɔ. Gake hafi LPR nate ŋu adzɔ la, ele be nuɖuɖutome ƒe akpa si le etame (UES) hã nagatu nyuie o eye wòaɖe asi le eŋu. Esiae nye ɣeyiɣi si me dɔgbo me acid ate ŋu age ɖe nuɖuɖutome.

Eyata nukatae agbo siawo gbɔdzɔ?

Susu geɖewo ate ŋu anɔ esia ta. Wo dometɔ aɖewo nɔa anyi ɣeyiɣi kpui aɖe, evɔ bubuwo ya va nɔa tsitsim le ɣeyiɣi aɖe megbe.

1. Nusiwo gbɔdzɔa nuɖuɖutome ƒe akpa si le ete (LES) .

• Atike aɖewo: Atike aɖewo abe calcium channel blockers na ʋusɔgbɔdɔ, benzodiazepines na susu ƒe fafa, kple nonsteroidal anti-inflammatory drugs (NSAIDs).
• Nuɖuɖu kple nunono aɖewo: kɔfi, tsokolet, aha sesẽ, mint, galik, kple anyitsi.
• Agbenɔnɔ ƒe nɔnɔmewo:
• Mlɔ anyi gaƒoƒo 3 ya teti le nuɖuɖu vɔ megbe.
• Nuɖuɖu geɖe le ɣeyiɣi ɖeka me.
• Awu sesẽwo alo alidziblanu siwo xea ƒodoa dodo.
• Nɔnɔme bubuwo:
• Hiatal hernia: Dɔgbo ƒe akpa aɖe dona ɖe akɔta.
• Fufɔfɔ: Le lãmetsiŋusẽ ƒe tɔtrɔ kple ƒodo ƒe nyaƒoɖeamenu si dzi ɖe edzi ta.
• Lolo akpa: Nyaƒoɖeamenu si dzina ɖe edzi le ƒodo me.
• Sigaretnono: Atike siwo le atama me nana lãmeka sia ɖea dzi ɖi.

2. Nusiwo gbɔdzɔa agbo si le etame (UES) .

Ne aɖiawo ge ɖe eme to mɔ si le ete eye wova dzi vɔ la, ehiã be woaxe mɔ na wo be woagaɖo ŋɔti me to mɔ si le etame sia dzi o. Gake nusiawo ate ŋu ana wòagbɔdzɔ hã.

• Mlɔƒe: Ne míemlɔ anyi le zã me la, agbo siawo evea siaa ɖea dzi ɖi vie.
• Ʋuʋudedi: Ne èle ʋuʋum la, ʋuƒo siawo evea siaa ʋuna, si wɔnɛ be aɖi sue aɖe gena ɖe wò ŋɔti me kpe ɖe ya ƒe kuɖɔwo ŋu.
• Abɔbɔ ɖe ŋgɔ, kamedede, hadzidzi: Dɔwɔna siawo ate ŋu ana ƒodoa ƒe nyaƒoɖeamenu nadzi ɖe edzi eye wòana vidzidɔa ƒe akpa si le etame nate ŋu aƒoe.
• Sigaretnono kple ahanono: Esiawo evea siaa ʋua ʋɔtru eveawo siaa.

Nukawoe nye kuxi siwo ate ŋu ado tso LPR me?

Ne womeda LPR nyuie o la, kuxi aɖewo ate ŋu ado mo ɖa le ɣeyiɣi aɖe megbe.

• Aɖuɖɔtoe si gbɔ eme kple dɔlékuiwo xɔxɔ enuenu: Dɔgbo me acid ƒe gege ɖe ŋɔti me gblẽa nu le ʋuʋudedi ɖeɖeɖa le ŋɔti kple ŋɔti me ƒe ɖoɖo si sɔ ŋu. Ne ʋuʋudedi ƒo ƒu la, dɔlékuiwo ate ŋu aƒo ƒu, si ana woaxɔ dɔlékuiwo enuenu.
• Gbe kple ŋɔti me kuxi siwo nɔa anyi didi: Kɔ kple gbeɖiɖikawo ƒe vuvu ɣeyiɣi didi sia ate ŋu ana nuƒoƒo kple nu mimi nasesẽ. Le ɣeyiɣi aɖe megbe la, ƒuƒu suesuesuewo (gbeɖiɖi ƒe abi) hã ate ŋu ado ɖe gbeɖiɖikawo dzi.
• Yagbɔgbɔ ƒe dɔwɔwɔ ƒe kuxiwo:Acid siwo gena ɖe ŋɔti me ate ŋu, ɣeaɖewoɣi le manyamanya me, azɔ mɔ ayi lãkusi me kple míaƒe gbɔgbɔ, vevietɔ ne míedɔ alɔ̃ le zã me. Esia ate ŋu ahe aɖuɖɔtoedɔlékuiwo kple gbɔgbɔtsixe ƒe kuxi bubuwo vɛ.

Aleke mawɔ anya kple kakaɖedzi nenye be LPR ye nye esia?

Ne dzesi siwo ŋu míeƒo nu tsoe va yi la le ŋuwò, vevietɔ ne mète ŋu ke ɖe nusi gbɔ wòtso ŋu o la, anyo wu be nàkpɔ to, ŋɔti, kple ŋɔti ŋuti nunyala bibi (ENT Surgeon). Ðɔktaa aɖo to wò dzesiwo eye wòado wò ŋɔti kpɔ.

Dodokpɔ vevi geɖewo li wowɔna na esia:

• Flexible Laryngoscopy: Dɔwɔwɔ si me wotsɔa fotoɖemɔ̃ sue aɖe si wotsɔ bla ɖe mɔ̃ si le tsɛ si te ŋu trɔna bɔbɔe ŋu toa ŋɔti me yia ŋɔti me tsɔ léa ŋkume kple ŋɔti ƒe eme. Esia nye dodokpɔ bɔbɔe aɖe si woate ŋu awɔ le ɖɔkta ƒe dɔwɔƒe zi geɖe.
• Upper Endoscopy: Esia bia be nàde mɔ̃ aɖe si me fotoɖemɔ̃ le to wò nu me be nàdo wò nuɖuɖutome kple dɔgbo kpɔ. Esia ate ŋu akpe ɖe ŋuwò nànya nusi gbɔ wò LPR tso.
• Nuɖuɖutome pH dodokpɔ: Dodokpɔ si me wodzidzea acid ƒe agbɔsɔsɔ le wò ŋɔti kple nuɖuɖutome le gaƒoƒo 24 me.
• Esophageal Manometry: Dodokpɔ si dzidzea lãmeka siwo le nuɖuɖutome ƒe dɔwɔwɔ kple ŋusẽ.

Nukawoe nye atike siwo wozãna na LPR?

Nusi koŋ ŋu wotsia dzi ɖo le LPR dada me enye míaƒe agbenɔnɔ kple nuɖuɖu ƒe nɔnɔmewo tɔtrɔ.

Agbenɔnɔ kple nuɖuɖu ƒe nɔnɔmewo tɔtrɔ

Nu geɖe li wò ŋutɔ nàte ŋu awɔ atsɔ aɖu LPR dzi. Esiawoe nye nu vevitɔwo kekeake.

Atike vɔ̃ɖiwo zazã

Togbɔ be èle tɔtrɔwo wɔm le agbenɔnɔ me hã la, wò ɖɔkta ate ŋu aŋlɔ atike aɖewo na wò be wòakpe ɖe ŋuwò nàda nusiwo gblẽ le wò ŋɔti kple wò ŋɔti ŋu.

• Proton Pump Inhibitors (PPIs): Esiawo wɔa dɔ to acid si dona le dɔgboa me dzi ɖeɖe kpɔtɔ me. Ðewohĩ ahiã be woazã esiawo ɣleti geɖe.
• H2 Blockers: Esiawo nye atike ƒomevi bubu si ɖea acid ƒe wɔwɔ dzi kpɔtɔna.
• Alginates: Atike siawo wɔa ametakpɔnu aɖe ɖe dɔgboa ƒe lãkusi dzi, si wɔnɛ be acid mete ŋu dona o.

Amekoko

Ƒã hafi wòhiãna be woawɔ dɔ na LPR. Ne nane koŋ gbɔe wòtso, abe hiatal hernia ene, alo ne atikewɔwɔ bubuwo do kpo nu ko hafi wobua amekoko ŋu.