Yu dɔn ɛva fil lɛk se yu it dɔn stɔp na yu chɛst instead fɔ go dɔŋ yu bɛlɛ? Ɔ sɔntɛm yu kin fil lɛk se i kin kɔntinyu fɔ kam bak na yu trot afta yu dɔn drink smɔl wata? Na nɔmal tin fɔ mek dis apin wan wan tɛm. Bɔt if i kɔntinyu, nɔto sɔntin we wi go ignore. Tide, wi go tɔk bɔt wan sik wae kin mek pɔrsin nɔr fil fayn, bɔt nɔr kin no bɔt am bad bad wan. Dat na Achalasia.
Fɔ tɔk am simpul wan, wetin na Akalasia?
Achalasia na wan sik we nɔ kin apin so ɔltɛm we kin afɛkt wi εsophagus. Fɔ ɔndastand dis simpul wan, lɛ wi fɔs luk aw wi εsophagus kin wok nɔmal wan.
Imajin se wi εsophagus na tכb we dεn mek wit mכsul dεm we de kכmכt frכm wi mכt to wi bεlε (bεlε). we wi sכlow it, di mכsul dεm na dis tכb de kכntrakt frכm tכp to dכn insay wan wev lεk we (dεn kכl dis peristalsis insay mεdikal tεm), we de push di it bכl dכn.
na di bכtכm pat pan dis εsophagus, usay i de kכnekt to di bεlε, wan ring fכ mכsul de we de wok lεk valv. Wi kɔl dis di Lɔwa Ɛsophageal Sfinktɔ (LES) . I tan lɛk domɔt. dis doa (LES) de opin di rayt tεm we di it bכl kam dכn, εn afta di it go insay di bεlε, i de kכlos tayt bak. biכs fכ dis kכlos, di bεlε asid dεm nכ de kam bak כp insay di εsophagus.
Naw, pɔrsin wae gɛt Achalasia kin gɛt tu prɔblɛm wae de ambɔg dis prɔses.
1. di mכsul dεm na di εsophagus nכ de wok fayn: di wef lεk prכsεs we de push it dכn (peristalsis) we a bin mεnshכn nכ de apin fayn fayn wan. Either e nor de hapun at ol, or e de hapun very wik.
2. di lכw εsophageal sphincter (LES) nכ de opin: ivin if it de kam dכn, di pat we lεk valv we dεn fכ go insay di bεlε (LES) nכ de opin lεk aw i fכ opin. I de kɔntinyu fɔ tayt.
So imajin, di it nɔ de push ɔp, ɛn di domɔt nɔ de opin na di bɔt. Wetin kin apin da tɛm de? Ɔl di it ɛn drink we wi de swɛla kin stɔp insay di ɛsophagus. I nɔ de go insay di bɛlɛ. Na dat na di basically wetin kin apin na Achalasia.
Dis sik kin afɛkt lɛk wan pan ɔl 100,000 pipul dɛm na kɔntri dɛm lɛk Amɛrika. Dat min se i rili rare. Bɔrku tɛm, i kin ambɔg big pipul dɛm wae ol bitwin 25 ɛn 60 ia, bɔt sɔmtɛm i kin afɛkt pipul dɛm wae yɔŋ pas dat.
Wetin na di sayn dɛm fɔ pɔrsin wae gɛt Achalasia?
De sayn dɛm fɔ achalasia nɔr kin apin wan tɛm. Dɛn kin kam on rili smɔl smɔl. Yu kin gɛt dis sik fɔ sɔm mɔnt ɔr ivin sɔm ia, bɔt yu nɔr kin notis bɔrku difrɛns. Di sayn dɛm kin jɔs wɔs as tɛm de go.
Lɛ wi si wetin na dɛn sayn ya na di tebul we de dɔŋ ya.
| Di sayn we de sho se di sik de | Wan simpul ɛksplen |
|---|---|
| I nɔ kin izi fɔ swɛla (Dysphagia) . | Dis na di men ɛn kɔmɔn sayn. I kin fil lɛk se i dɔn blok na yu trot ɔ yu chɛst we yu de it. Fɔs, i kin jɔs afɛkt sɔlid it dɛn, bɔt leta, dis diskɔmfɔt kin apin we yu de drink wata bak. |
| Rigurgitation (fud we de kam bak ɔp na di trot) . | Fɔd we dɛn dɔn swɛla, we nɔ digest de kam bak ɔp na di mɔt. Dis nɔto di sem tin wit fɔ vɔmit. I nɔ de te sawnd bikɔs dɛn nɔ miks am wit bɛlɛ asid. Dis kin apin mɔ we yu de slip. |
| Chɛst de pen | Chɛst pen we kin kam ɛn go kin apin. Sɔm pipul dɛn kin ivin mistek tink se dis na at atak. |
| We yu de lɔs yu wet | Bikɔs it nɔ de go insay di bɛlɛ fayn ɛn bikɔs i nɔ izi fɔ it, di bɔdi kin bigin fɔ lɛf fɔ it fɔ natin. |
| Ɔda tin dɛn we de apin | I nɔ kin izi fɔ swɛla, at kin bɔn, ɛn hiccup ɔltɛm kin apin bak. |
Wetin mek dis de apin? Wetin na di rizin?
Infakt, dɔktɔ dɛn stil nɔ shɔ 100% wetin de mek pɔsin gɛt Achalasia. Bɔt wan pan di men tin dɛn we pipul dɛn kin tɔk na dat na sik we pɔsin kin gɛt we i de fɛt insɛf .
Fɔ tɔk am simpul wan, i min se di difɛns sistɛm na wi bɔdi (immune system) kin mistek atak wi yon gud sɛl dɛn. Na dis na wetin dɛn biliv se kin apin na Akalasia:
- Wi imyun sistεm de stimulate bay sכmtin lεk vayral infεkshכn.
- Dɔn dis imyun sistɛm kin mistek bigin fɔ atak di nɛv sɛl dɛn we de kɔntrol di wok we di mɔsul dɛn na wi εsophagus de du.
- Bikɔs ɔf dis atak, dɛn nɛv sɛl dɛn de kin pwɛl smɔl smɔl.
- we dεn nεv sεl dεm de lכs, di mכsul dεm na di εsophagus nכ de gεt di signal dεm fכ kכntrakt fayn fayn wan. εn di lכw εsophageal sphincter (LES) nכ de gεt di signal dεm fכ rilaks. Na dat de mek dis prɔblɛm.
Di tin we impɔtant pas ɔl na dat dis nɔto sik we pɔsin kin gɛt frɔm in mama ɛn papa ɔ we pɔsin kin gɛt. So nid nɔ de fɔ wɔri bɔt am.
Us kɔmplikɛshɔn kin apin bikɔs ɔf dis kɔndishɔn?
If dɛn nɔ trit achalasia fayn, i kin mek sɔm siriɔs prɔblɛm dɛn. Fɔ it ɛn drink we kin gɛda na di εsophagus kin kam bak ɔp na di trot ɛn aksidɛntli travul go ɔp di briz paip insay di lכng. If dat apin, prɔblɛm dɛn lɛk dis kin apin.
- Aspiration pneumonia: Na bad bad nyumonia we kin kam bikɔs it ɔ drink kin kam insay di lɔng.
- Infεkshכn na di lכng εn brכnkiεktasis: If yu inhal it bכku tεm na di lכng, i kin ivin mek di lכng dεm pwεl fכ כltεm.
- Di risk fɔ gɛt kansa na di εsophageal kin bɔku: We achalasia de fɔ lɔng tɛm, chenj kin apin na di sɛl dɛn na di εsophagus, ɛn di risk fɔ gɛt kansa na di εsophageal kin go ɔp smɔl pas di avɛrej pɔsin.
- Malnutrishɔn: Bikɔs di bɔdi nɔ de tek it fayn, di bɔdi kin tan lɛk tin ɛn i nɔ kin gɛt di it we i nid.
Dis na di rizin we mek wi se if i nɔ izi fɔ yu fɔ swɛla, yu fɔ ignore am ɛn go to yu dɔktɔ kwik kwik wan.
Aw dɔktɔ kin no bɔt dis sik?
We yu go to dɔktɔ, i go aks yu bɔt di sayn dɛn we yu gɛt ɛn du ɛgzam fɔ yu bɔdi. Dɔn i go tɛl yu fɔ du sɔm tɛst fɔ no if yu gɛt Achalasia. Di tri tɛst dɛn we dɛn kin du mɔ na:
1. Esophagram (Barium Swallow) Test: Insay dis tɛst, dɛn kin gi yu wan spɛshal wata we dɛn kɔl barium fɔ drink. Dis wata kin sho wayt pan ɛkstrem rayt. As yu de swɛla am, dɛn kin tek sɔm ɛkstrem pikchɔ dɛn. dis de mek yu si klia wan aw di wata de muv tru di εsophagus, if i blok enisay, if di εsophagus wayd, כ if di lכw pat sכmtεm (dεn kכl dis bak di ‘bכd in bich’ sayn).
2. Esophageal Manometry: Dis na di bεst εn akכrd tεst fכ no Achalasia. insay dis, dεn kin put wan tכb we rili tכn we kin fכm tru yu nos insay yu εsophagus. pan tap we dεn aks yu fכ sכlow sכm wata, di sεns dεm we de na di tyub kin mכsu di prεshכn we di mכsul dεm we de kכntrakt na yu εsophagus kכrekt wan, if di muvmεnt we lεk wev (peristalsis) de apin, εn if di lכw εsophageal sphincter (LES) de rilaks fayn fayn wan.
3. Ɔpa Ɛndoskopi: Insay dis tɛst , dɛn kin put wan fleksibul tiub (ɛndoskɔp) we gɛt kamɛra we dɛn tay tru di mɔt insay di εsophagus ɛn dɛn kin si di insay dairekt pan skrin. dis kin kכnfכm if di εsophagus dכn blכk, if it stכp, כ if כda kכndyushכn dεm lεk kεnsar.
Wetin na di tritmɛnt dɛm fɔ Achalasia?
di men gol fכ trit achalasia na fכ rilaks di tayt lכw εsophageal sphincter (LES), we de mek di it pas izi wan insay di bεlε.
Di impɔtant tin na dat dɛn tritmɛnt ya nɔ kin ebul fɔ mɛn Achalasia ɔltogɛda, bikɔs di nɛv sɛl dɛn we dɔn lɔs nɔ kin ebul fɔ mek bak. Bɔt dɛn tritmɛnt ya kin ɛp yu fɔ kɔntrol yu sik ɛn liv nɔmal layf .
Dɛn kin sheb di tritmɛnt opshɔn dɛn to tu kategori: nɔ-ɔspitul ɛn ɔspitul. Yu dɔktɔ go tɔk to yu bɔt di tritmɛnt we fit yu pas ɔl bay aw yu sik, yu ej, ɛn wetin yu lɛk.
| Di kayn tritmɛnt we dɛn kin gi | Aw fɔ du am ɛn diskripshɔn |
|---|---|
| Tritmɛnt dɛn we Nɔ De Ɔspitul | |
| Balɔn Dilayshɔn | we dεn de du εndoskopi, dεn de put wan balכn tru wan tכb insay di pat we sכmtεm na di εsophagus εn inflate am. Di mɔsul we dɔn smɔl kin rilaks, ɛn dis kin mek di say we de opin big smɔl. Dɛn kin du dis ɔnda layt anestezi. Yu kin nid fɔ du dis tritmɛnt bɔku tɛm. |
| Mɛrɛsin we dɛn kin gi | Dɛn kin yuz mɛrɛsin fɔ rilaks di LES mɔsul. Wan we na fɔ injekt Botox® (botulinum toxin) insay di mɔsul. Pils dɛn de bak lɛk nifedipine ɛn isosorbide. Bɔt di tin dɛn we dɛn tin ya kin du na fɔ shɔt tɛm nɔmɔ. |
| Di Tritmɛnt dɛn we Dɛn De Du fɔ Ɔpreshɔn | |
| Laparoskopik Hɛlɛ Mayotɔmi | Dis na di ɔpreshɔn we dɛn kin du pas ɔl ɛn we kin wok fayn. Dɛn kin kɔt sɔm rili smɔl smɔl tin dɛn na di bɛlɛ, dɛn kin put kamɛra ɛn dilik inschrumɛnt dɛn, ɛn dɛn kin kɔt di mɔsul fayv dɛn we tayt na di bɔt ɔf di εsophagus jisnɔ ɛn separet frɔm di ɔdasay. Dɔn dɛn kin fri di tayt ɛn dɛn kin lus di domɔt. |
| Pεroral εndoskopik Mayotomi (POEM) . | Dis na nyu we fɔ du tin. we dεn nכ mek εni insayshכn na di כdasay na di bכdi, dεn de put εndoskop tru di mכt εn kכt di tayt mכsul frכm insay di εsophagus. |
Na smɔl tɛm nɔmɔ, if di sayn dɛn rili bad ɛn ɔda tritmɛnt dɛn nɔ wok, i kin nid fɔ du ɔpreshɔn fɔ pul di wan ol ɛsophagus (ɛsophagectomy) .
Wetin a fɔ wɔri bɔt afta a dɔn gɛt tritmɛnt?
Achalasia simptom kin kam bak afta dɛn dɔn trit am. So, yu go nid fɔ de tɔk to yu dɔktɔ fɔ lɔng tɛm. I go de chɛk ɔltɛm fɔ si if dɛn tin ya:
- Yu ebul fɔ pas inof it ɛn drink tru yu ɛsophagus insay yu bɛlɛ?
- Bikɔs di domɔt we de dɔŋ dɔn lɔs, wan kɔndishɔn we di bɛlɛ asid dɛn kin flɔ bak insay di εsophagus (GERD) dɔn kam.
- Risk de fɔ mek yu gɛt kansa na yu εsophageal?
Dis sik nɔ go afɛkt yu layf, bɔt i rili nid fɔ gɛt di rayt tritmɛnt ɛn fɔ fala am .
Wetin a fɔ du we a de liv wit Akalasia?
Apat frɔm tritmɛnt, fɔ mek smɔl chenj dɛn na yu layf ɛn aw yu de it kin ridyus dɛn diskɔmfɔt ya bad bad wan.
- Chenj di we aw yu de it: We yu de it, brok yu it to smɔl smɔl, chew am fayn fayn wan, ɛn swɛla am. Drink plɛnti wata wit yu it. Dis go ɛp di it fɔ de wet ɛn go dɔŋ izi wan.
- It we yu sidɔm stret: Sidɔm stret we yu de it. Nɔ ledɔm fɔ wan ɔ tu awa afta yu dɔn it. Dis go ɛp di graviti fɔ mek di it go dɔŋ.
- Nɔ it bifo yu go slip: Stɔp fɔ it sɔlid it dɛn at le 3-4 awa bifo yu go slip. Dis go gi yu bɛlɛ tɛm fɔ dayjɛst di it bifo yu ledɔm.
- Slip wit yu ed ɔp: Kip yu ed ɔp smɔl bay we yu de yuz ɛkstra pilo we yu de slip. dis go ridyus di risk fכ it na di εsophagus fכ go insay di windpaip.
Us it dɛn a nɔ fɔ it?
Pɔsin we gɛt achalasia kin gɛt prɔblɛm fɔ swɛla sɔm it dɛn. Tek tɛm mɔ wit dɛn kayn it ya.
- Fɔd dɛn we kin stɔp na di εsophagus: apul we dɛn nɔ pul, greps, raw vɛjitebul, mit we gɛt strɛch ɔ we dɛn dɔn dray.
- Fɔd dɛn we kin strɔng na di εsophagus: Tin dɛn lɛk bred, rays, potato, chips, ɛn pasta kin stik togɛda na di εsophagus ɛn bi sɔlid.
- Tin dɛm we de mek di εsophagus vɛks: it dɛn we gɛt spays, drink dɛn we gɛt kabon (lɛk soda), rɔm.
Yu nɔ nid fɔ stɔp fɔ it dɛn it ya ɔltogɛda, bɔt if yu nɔ fil fayn, i go fayn fɔ lɛ yu nɔ de nia dɛn.
Mɛsej we dɛn kin kɛr go na os
- Achalasia na wan sik we nɔ kin apin so ɔltɛm we di mɔsul dɛn na di εsophagus ɛn di lכw εsophageal sphincter (LES) nɔ de wok fayn.
- I nɔ izi fɔ swɛla, we yu de swɛla bak, ɛn we yu de fil pen na yu chɛst na di men sayn dɛm.
- Dɛn sayn ya kin apin wan wan tɛm, so nɔr ignore ivin smɔl prɔblɛm fɔ swɛla.
- Pan ɔl we dɛn nɔ go ebul fɔ mɛn am ɔl, ɔpreshɔn ɛn ɔda tritmɛnt dɛn kin ebul fɔ kɔntrol di sik dɛn fayn fayn wan ɛn mek pipul dɛn liv nɔmal layf.
- If yu gɛt dɛn sik ya, i rili impɔtant fɔ go to yu famili dɔktɔ kwik kwik wan fɔ advays.
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