We yu de it, yu kin ɛva fil lɛk se di wata we yu de drink nɔ de go dɔŋ yu trot? I kin tan lɛk se sɔntin dɔn stɔp na yu trot... Sɔntɛm di it de kam bak ɔp na yu trot. Dis nɔto jɔs ɛnitin, i kin bi sayn fɔ wan sik we dɛn kɔl Achalasia . Pan ɔl we bɔku pipul dɛn kin tink se dis na nɔmal tin, i rili impɔtant fɔ no bɔt dis. So lɛ wi tɔk bɔt am tide.
Fɔ tɔk am simpul wan, wetin na Akalasia?
Tink bɔt am, we wi de it, di it nid fɔ kɔmɔt na wi mɔt to wi bɛlɛ, nɔto so? Dis joyn de apin along wan tiub we dεn kכl εsophagus. Fɔ mek dis prɔses apin fayn fayn wan, tu tin dɛn nid fɔ apin.
1. di εsophagus nid fכ kכntrakt εn push di it dכn, lεk fכ swεl wan tכb fכ tut paste.
2. wan sכm valv (mכsul flap) we de na di εnd pan di εsophagus, usay it de go insay di bεlε, nid fכ opin.
Naw, if yu gɛt achalasia, dɛn tu prɔses ya nɔ de wok fayn. di εsophagus nכ kin push di it dכn, εn da valv de nכ de opin fayn. Wetin kin apin da tɛm de? di it kin stכk na di lכw pat na di εsophagus. I tan lɛk se dreyn we dɔn lɔk na sink. Afta sɔm tɛm, dis it we stik kin bigin fɔ kam bak ɔp na di trot.
Dis na tin we nɔ kin apin so ɔltɛm . I kin afɛkt lɛk wan pan ɛvri milyɔn pipul dɛn. Bɔt i nɔ kin kam wantɛm wantɛm, i kin divɛlɔp smɔl smɔl fɔ lɔng tɛm. Sɔm pipul dɛn kin liv fɔ lɔng lɔng tɛm ɛn nɔr kin gɛt sɔm kayn sik. Pan ɔl we dɛn nɔ go ebul fɔ mɛn am ɔl, if yu tek di rayt tritmɛnt, yu kin liv nɔmal layf.
Wetin na di tin dɛn we kin mek pɔsin gɛt Akalasia?
Dɛn nɔr dɔn no bɔt di rayt tin we kin mek dis sik apin yet, bɔt sɔm tin dɛn de we dɔktɔ dɛn tink se i pɔsibul.
- Di tin dɛn we kin mek pɔsin gɛt jɛnɛtiks: Dis min se i kin kɔmɔt frɔm am.
- Ɔtoimyun prɔblɛm: Dis na we di imyun sistɛm we de protɛkt wi bɔdi de atak wi yon nɛv sɛl dɛn.
- Wan vayral infεkshכn: Dɛn kin tink se sɔm vayral infεkshɔn kin pwɛl di nεv dεm na di εsophagus.
- Nyurodijenεraytiv: Na di nεv dεm we de kכntro di mכsul dεm na di εsophagus de pwεl sכmtεm sכmtεm.
Dis sik kin afɛkt ɛnibɔdi. I kin afɛkt man ɛn uman ikwal. Bɔt i kin bɔku pan pipul dɛn we ol bitwin 25 ɛn 60. I kin afɛkt pikin dɛn bak. Dɛn kin si am bak pan pipul dɛm wae gɛt Down syndrome.
Yu tink se difrɛn kayn Achalasia dɛn de?
Yɛs, dɛn sheb Akalasia to tri men kayn dɛn. Dipen pan us kayn yu gɛt, di sayn dɛm ɛn di tritmɛnt dɛm kin difrɛn.
| Tayp fɔ di Achalasia | Wan simpul ɛksplen |
|---|---|
| Tayp 1 (Tayp 1 - Klasik Achalasia) . | Dis na di klashik tayp. na ya, i tan lεk se di mכsul dεm na di εsophagus nכ de du natin. Di it de muf dɔŋ jɔs bikɔs ɔf di graviti. |
| Tayp 2 we de na di wɔl | Dis na di kayn we we pipul dɛn kin gɛt mɔ. na ya, prεshכn de bכku insay di εsophagus, we de mek di כl εsophagus kכmprεs. Di sayn dɛm kin tranga smɔl pas di fɔs kayn. |
| Tayp 3 (Tayp 3 - Spastik Achalasia) . | Dis na di kayn we we kin rili bad. di mכsul dεm na di lכw pat na di εsophagus kin kכntrakt wan wan (spasm). Sɔntɛnde, ivin we yu de slip na nɛt, yu kin wek wit bad bad pen na yu chɛst, lɛk at atak . |
Wetin na di men sayn dɛm fɔ dis?
Di men ɛn kɔmɔn sayn fɔ achalasia na we i nɔ izi fɔ swɛla wata ɛn sɔlid tin dɛn . Fɔd kin stɔp na di trot, ɛn dis kin mek di εsophagus big ɔ big.
Apat frɔm dat, yu kin si dɛn tin ya bak:
- Chɛst pen afta yu dɔn it.
- Fɔd de kam bak ɔp insay di trot.
- At bɔn ɛn nɔ de it fayn.
- We yu de lɔs yu wet we yu nɔ gɛt rizin.
- Kɔf na nɛt.
- Fɔ vɔmit.
- Fɔd ɔ wata we de go insay di lɔng kin mek yu gɛt nyumonia.
- Choking we yu de chok.
- Hiku ɔ i nɔ izi fɔ pas stɔl.
Dɛn sayn ya kin wɔs, mɔ if yu it sɔlid it bifo yu go slip. Sɔm pipul dɛn kin fil bad bak we dɛn de it tin dɛn lɛk mit ɛn bred.
Aw yu go fɛn dis, Dɔktɔ?
Bikɔs di sayn dɛm fɔ achalasia rili fiba ɔda kayn sik dɛm na yu bɛlɛ, lɛk GERD (Gastroesophageal Reflux Disease), yu dɔktɔ kin trit dat fɔs. Bɔt if dɛn tin ya nɔ impɔtant, dɛn kin du dɛn tɛst ya fɔ chɛk if dɛn gɛt achalasia.
- Manometry: Dis na di bɛst tɛst fɔ kɔnfɔm di kɔndishɔn. na ya, dεn kin put wan tin tyub tru yu nos insay yu bεlε εn di dכkta de mכsu di trεnk we di mכsul dεm na yu εsophagus εn di wok we di valv we de dכn de du we yu sכlow wata.
- Ɔpa Ɛndoskopi: Dɛn kin put wan tiub we gɛt kamɛra, we dɛn kɔl ɛndoskɔp, tru yu mɔt ɛn dɛn kin chɛk di insay pat pan yu εsophagus ɛn bɛlɛ. Dɛn kin yuz am fɔ chɛk fɔ si if i nɔ fayn ɛn if i smɔl, ɛn dɛn kin tek bayɔpsi if nid de.
- Barium Swallow: Dɛn kin kɔl dis bak Ɛsophagogram. Na ya, dɛn kin gi yu wan spɛshal wata we dɛn kɔl barium fɔ drink ɛn dɛn kin tek ɛkstrem rayt. dis wata de mek di εsophagus klia wan pan di εks-ray. Dis kin mek am izi fɔ si if ɛnitin de we de mek i smɔl.
- pH Testing: Dis de mכsu di asid we de na yu εsophagus. Dis kin ɛp fɔ no if yu gɛt ɔda sik, lɛk GERD.
Wetin na di tritmɛnt dɛn?
di men gol fכ tritmεnt na fכ lכs εn wayd di tayt mכsul dεm na di lכw pat pan di εsophagus, fכ mek it εn wata pas izi wan insay di bεlε. Yu dɔktɔ go disayd di bɛst tritmɛnt fɔ yu bay yu ej, di sayn dɛn we yu gɛt, ɛn ɔda wɛlbɔdi prɔblɛm dɛn.
Ɔpreshɔn
Di tritmɛnt we go wok fayn fɔ achalasia na ɔpreshɔn. Bɔrku pipul dɛn kin gɛt wɛl bɔdi fɔ lɔng tɛm afta dɛn dɔn du dɛn ɔpreshɔn.
- Heller Myotomy: Dis na di ɔpreshɔn we dɛn kin du pas ɔl. Bɔku tɛm dɛn kin du am wit laparoskopik, we min se dɛn kin du am tru sɔm smɔl smɔl say dɛn we dɛn kɔt na di bɛlɛ ɛn wit di ɛp we kamɛra de ɛp am. Na ya, di dɔktɔ kin kɔt ɛn lus di tayt mɔsul layt we de dɔŋ di εsophagus.
- Peroral Endoscopic Myotomy (POEM): Dis na nyu ɔspitul we dɛn kin du. Dɛn nɔ kin kɔt ɛni say na do. dεn kin put di εndoskop tru di mכt, dεn kin kɔt sכm sכm pat na di layn na di εsophagus, εn dεn kin kכt di tayt mכsul tru.
Dɛn tu ɔpreshɔn ya kin wok fayn, bɔt sɔm pipul dɛn kin gɛt asid riflɔks afta dɛn dɔn du am.
Tritmɛnt dɛn we nɔto ɔpreshɔn
Nɔto ɔlman nid ɔpreshɔn. Dɛn we ya kin ɛp, bɔt dɛn nɔto sɔlv fɔ ɔltɛm lɛk ɔpreshɔn. Yu go nid fɔ du am bɔku tɛm.
- Botox injεkshכn: We dεn de du εndoskopi, dεn de gi Botox (botulinum toxin) injεkshכn to di tayt mכsul dεm. Dis kin mek di mɔsul dɛn rilaks fɔ sɔm tɛm.
- Nyumɛtik Dilayshɔn: .we dεn de yuz εndoskop, dεn de put wan balכn insay di εsophagus we sכmtεm εn inflate am fכ strεch εn wayd di mכsul dεm.
- Mɛrɛsin dɛm: Mɛrɛsin dɛm lɛk naytrɛt ɛn kalsiɔm chanɛl blɔk kin ɛp fɔ rilaks tayt mɔsul dɛm. Bɔt dɛn tin ya kin mek pɔsin gɛt sayd ɛfɛkt, so yu fɔ yuz dɛn jɔs lɛk aw yu dɔktɔ tɛl yu.
Dɛn tin ya kin ɛp we yu de liv wit Akalasia
Nɔr patikyula it nɔr de fɔ dis sik. Bɔt yu go ɔndastand us it dɛn kin go dɔŋ izi wan ɛn wetin nɔ kin izi. I fayn bak fɔ rayt bɔt am na buk. I rili impɔtant fɔ tek tɛm wit aw yu de it ɛn ustɛm yu de it.
- Chew it fayn fayn wan ɛn it am smɔl smɔl .
- It we yu sidɔm stret . Dis go ɛp di it fɔ go dɔŋ izi wan wit di ɛp we di graviti de ɛp am.
- Nɔ it sɔlid it we de nia fɔ go slip .
- Fɔ it ɛn drink we rili ɔt ɔ we rili kol kin mek sɔm pipul dɛn mɔsul spam.
- Drink smɔl mɔ wata we yu de it.
- Sɔm pipul dɛn se we pɔsin drink tin dɛn we gɛt kabon, dat kin ɛp fɔ push it dɔŋ.
If yu sik bad, i go fayn fɔ chenj to wata we yu de it fɔ sɔm tɛm. Bɔt if yu du dat, tɔk to yu dɔktɔ fɔ mek shɔ se yu de gɛt di it we yu nid. If yu de lɔs bɔku bɔku wet, tɛl yu dɔktɔ bak, bikɔs i kin bi sayn fɔ se yu nɔ de it fayn.
Di tin we impɔtant pas ɔl na dat, sɔm pipul dɛn we gɛt Achalasia kin gɛt kansa na dɛn it tumara bambay. So, i impɔtant fɔ go to dɔktɔ fɔ mek dɛn chɛk yu ɔltɛm.
Mɛsej we dɛn kin kɛr go na os
- Achalasia na wan sik we wi bɔdi nɔ kin ebul fɔ muv it fayn fayn wan dɔŋ di εsophagus to di bɛlɛ.
- Di men sayn dɛm na we i nɔ kin izi fɔ swɛla, i kin fil pen na in chɛst, ɛn it kin stɔp na in trot.
- Dis na tin we nɔ kin apin so ɔltɛm. Pan ɔl we dɛn nɔ go ebul fɔ mɛn am ɔl, if dɛn de trit am ɛn chenj dɛn layf, dɛn kin kɔntrol di sik dɛn fayn fayn wan ɛn liv nɔmal layf.
- If yu gɛt sayn dɛm lɛk dis, nɔr ignore dɛm ɛn definitely go to doctor.
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