Wi ɔl dɔn gɛt dis ɛkspiriɛns sɔm tɛm. We wi it ɔ drink sɔntin kwik kwik wan, wi trot kin tayt wantɛm wantɛm, wi kin fil lawd lawd wan, ɛn wi kin fil lɛk se wi de chok. Wi se, "Wi bin go di rɔng we." Bɔku tɛm, i kin go afta wi dɔn drink sɔm wata. If dis kin apin wan wan tɛm, nɔto natin fɔ wɔri bɔt. Bɔt if yu gɛt dis prɔblɛm fɔ swɛla it ɛn drink ɔltɛm, dat min se sɔntin de we de blok di we aw it de travul frɔm yu mɔt to yu bɛlɛ. Insay mɛrɛsin, wi kin kɔl dis sik disfagia .
Dis nɔto jɔs tin we nɔ izi fɔ du. Sɔntɛnde, i kin bi sayn fɔ se yu gɛt siriɔs sik. Fɔ ɛgzampul, dis sik kin kam pan pipul dɛm wae dɔn gɛt strok. If yu nɔ trit yu, it ɔ drink kin go insay yu aywe, we min se yu lɔng. Insay mɛrɛsin, wi kin kɔl dis aspireshɔn . Dis kin mek yu gɛt siriɔs sik lɛk lɔŋ infɛkshɔn ɛn nyumonia. So, i rili impɔtant fɔ mek wi no bɔt dis.
Sɔm kayn disfagia de?
Fɔ tɔk am simpul wan, yɛs. Dɛn kin sheb dɛn prɔblɛm ya fɔ swɛla to tri men kayn tin dɛn dipen usay dɛn kin apin. Tink bɔt am lɛk we yu de travul frɔm yu mɔt to yu bɛlɛ. tri men tin dεm de we yu kin stכp pan dis joyn: di mכt (oral cavity), di trot (pharynx), εn di tכb we de kכri it go na di bεlε, di εsophagus. If prɔblɛm de na ɛni wan pan dɛn stɔp ya, di waka kin shɔt, we min se i nɔ kin izi fɔ swɛla.
| Tayp fɔ disfagia | Fɔ tɔk am simpul wan... |
|---|---|
| Disfagia we dɛn kɔl Oral Disphagia | Di prɔblɛm de na yu mɔt. Dis kin apin we di mɔsul dɛn we de insay fɔ it it, mek it bɔl wit yu tɔŋ, ɛn miks am wit saliva wik. |
| Oropharyngeal Dysphagia (Difrɛn prɔblɛm we gɛt fɔ du wit di trot) . | Prɔblɛm kin apin we dɛn push wan it we dɔn fɔm na di mɔt dɔŋ di trot. Bɔku tin dɛn de we kin apin ɔtomɛtik wan na ya. Fɔ ɛgzampul, di larynx (voys bɔks) kin lɔk fɔ mek it nɔ go insay di winda. Dis kכndyushכn kin apin bikoz fכ difεkt na dis prכsεs. |
| Disfagia we de na di ɛsophageal | Prɔblɛm kin apin we di it de muf dɔŋ di trot, dɔŋ di εsophagus, ɛn go insay di bɛlɛ. di it de push dכn bay di kכntrikshכn dεm we lεk wev (peristalsis) na di εsophagus. dis diskɔmfɔt kin apin if dɛn ambɔg dis prɔses ɔ di εsophagus blɔk. |
Wetin na de tin wae kin mek pɔrsin nɔr ebul fɔ it fayn?
Eni kכndyushכn we de afekt di nεv כ mכsul dεm we de εp fכ sכlow kin mek dis.
Sik dɛm na di nervɔs sistɛm ɛn di bren
Na di bren ɛn di nervɔs sistɛm de kɔntrol di we aw wi bɔdi de muv. Sik dɛm wae kin afɛkt dis sistɛm kin mek i nɔr izi fɔ swɛla.
- Strɔk: If di blɔd nɔ de flɔ na di bren, i kin pwɛl di pat dɛn we de kɔntrol di we aw pɔsin de swɛla.
- Pakinsin sik: Smɔl smɔl di pat dɛn na di bren we de afɛkt di kɔdineshɔn fɔ di muvmɛnt dɛn kin wik.
- Multiple Sclerosis (MS): Na wan sik we de ambɔg di bɔdi we de ambɔg di nerve sheath.
- Amyotrophic Lateral Sclerosis (ALS): Na sik we de mek di nεv dεm we de kכntro di mכsul dεm wik.
- Dimɛnshɔn: Na wan sik wae de afɛkt mɛmori ɛn kɔdineshɔn fɔ muvmɛnt.
- Bren tumor: Dɛn tin ya kin bi kansa ɔr nɔr kin fayn. Dɛn kin ambɔg di nerve signal dɛm.
- Sεribra palsi: Na kכndyushכn we de apin we dεn bכn am εn i de afekt di mכsul dεm kכdכnayshכn.
Di prɔblɛm dɛn we kin apin na di mɔsul dɛn
Disfagia kin kam bak bay sik dɛm wae kin afɛkt di mɔsul dɛm na di trot ɛn di εsophagus we kin ɛp fɔ swɛla.
- Achalasia: Na tin we nɔ kin apin so ɔltɛm we di mɔsul dɛn we de dɔŋ di εsophagus nɔ kin rilaks, we kin mek it nɔ pas insay di bɛlɛ.
- Sklerodama: Na sik we pɔsin kin gɛt we i de fɛt insɛf ɛn we kin mek di tisu dɛn na di εsophagus at, ɛn dis kin mek i nɔ izi fɔ mek di mɔsul dɛn push di it dɔŋ.
- Muscular dystrophy: Na grup we gɛt sik dɛn we pɔsin kin gɛt frɔm in mama ɛn papa we kin mek di mɔsul dɛn wik smɔl smɔl.
- Myasthenia gravis: Na ɔtoimyun sik we de ambɔg di signal frɔm di nerves to di mɔsul dɛm.
di εsophageal narrowing, obsstruction, εn strכkchכral prכblεm dεm
- Kansa: Kansa tכmכro dεm na di ed, nεk, כ εsophagus kin blכk di fכd pasεj.
- GERD (Acid Reflux): di kכnstant fכ fכlכ di bεlε asid כp di εsophagus kin pwεl di tisu dεm, we kin mek di ska dεm εn sכmtεm sכmtεm. dis dεn kכl dis εsophageal strictures .
- Eosinophilic esophagitis: Na wan kayn wayt blɔd sɛl (eosinophils) kin gɛda na di esophagus, we kin mek i at ɛn i nɔ kin izi fɔ swɛla.
- Divεrtikulכm na di εsophageal:wan sכmכl εria we lεk paus de fכm na wan wik pכynt na di wכl na di εsophagus. di tin dεm we de fכ it kin stכp na dis εria, we kin mek yu fil lεk se sכmtin sכk na di trot.
Impɔtant tin na dat, pan ɔl we ol pipul dɛn nɔto di rayt tin we kin mek pɔsin nɔ ebul fɔ it bɛtɛ it, na big tin we kin mek pɔsin gɛt dis sik. Dis sik kin mɔs pan ol pipul dɛm bikɔs ɔf di risk fɔ mek dɛn mɔsul wik ɛn bɔku pan di nyurolɔjik sik dɛm we wi dɔn tɔk bɔt.
Aw fɔ no dis sik?
We yu go to dɔktɔ, i go tek tɛm lisin to yu sayn dɛn ɛn du yu bɔdi ɛgzam. Dɔn, dɛn kin se dɛn fɔ du sɔm spɛshal tɛst dɛn fɔ no di rizin we mek dɛn du dis.
- Barium swallow (Esophagram ɔ Barium swallow test): Insay dis tɛst, yu kin drink wan wata we dɛn kɔl barium. Dis wata kin sho wayt pan ɛkstrem rayt, so yu kin wach di εsophagus we de wok lɛk fim we yu de swɛla am.
- Upper endoscopy (EGD): Insay dis prosidur, yu dɔktɔ kin put wan smɔl tiub we gɛt kamɛra dɔŋ yu trot fɔ chɛk yu trot, esophagus, ɛn bɛlɛ. Dis kin ɛp fɔ chɛk fɔ si if di tɔŋ dɛn de ɛn if i dɔn blok.
- FIES (Fiberoptic Endoscopic Evaluation of Swallowing): Na tɛst we wan Spich-Language Pathologist (SLP) kin du. Dɛn kin put smɔl kamɛra tru yu nos fɔ si if it ɔ drink we gɛt kɔlɔ de go insay yu aywe we yu swɛla am.
- Esophageal manometry: Dɛn kin put wan tiub tru yu nos insay yu bɛlɛ ɛn mɛzhɔ di prɛshɔn, ɔ kɔntrakshɔn, fɔ di mɔsul dɛn na yu ɛsophagus we yu de drink wata.
Aw dɛn kin trit am?
Di tritmɛnt dipen pan wetin mek yu nɔ ebul fɔ it fayn ɛn aw i siriɔs.
- Mɛrɛsin: Dɛn kin gi antibayɔtik fɔ wan infɛkshɔn, ɛn dɛn kin gi mɛrɛsin we de kɔntrol asid fɔ sik dɛn lɛk GERD.
- Chenj fɔ liv yu layf: Yu dɔktɔ ɔ pɔsin we de mɛn yu we de tɔk kin tɛl yu fɔ chenj di tin dɛn we yu de it. Dɛn kin advays yu fɔ it tin dɛn we saf ɛn we dɔn krɔs fayn fayn wan, it yu it fayn fayn wan, ɛn tek smɔl smɔl mɔt.
- Ɔda mɛrɛsin dɛn: If di εsophagus smɔl, we dɛn de fɔ mek i big. Dɛn kin yuz Botox® injɛkshɔn bak fɔ trit sɔm mɔsul prɔblɛm dɛn.
- Fidin tyub: Insay kes dɛm we rili siriɔs, dat na we i nɔ pɔsibul fɔ it ɛn drink ɛn di risk fɔ chok de bɔku, dɛn kin yuz dis we fɔ gi nyutrishɔn.
- Rihabiliteshɔn ɛgzampul: Wan pɔsin we de mɛn pipul dɛn we de tɔk ɛn langwej (SLP) kin tich yu ɛksesaiz fɔ mek yu mɔsul dɛn we yu de swɛla strɔng. Dɛn kin tich yu bak aw fɔ it fayn, aw fɔ ol yu ed, ɛn di kɔrɛkt we fɔ pul it if i stɔp.
Us prɔblɛm dɛn kin apin if dɛn nɔ trit am?
If dɛn nɔ trit dis sik, i kin mek i gɛt siriɔs wɛlbɔdi prɔblɛm, ɛn i kin ivin day. So, i rili impɔtant fɔ tek kia ɔf dis.
Di men tin dɛn we kin mek pɔsin gɛt prɔblɛm na:
- Dihaydreshɔn: Wata nɔ de na di bɔdi bikɔs i nɔ ebul fɔ drink bɛtɛ wata.
- Malnutrishɔn: Nɔ gɛt di rayt it.
- Chok: I kin ivin mek pɔsin in layf de pan denja.
- Aspiration Pneumonia: Na bad bad nyumonia we kin kam we yu inhal it ɔ drink na di lɔng. Sɔmtɛm, mɔ pan pipul dɛm we dɔn gɛt strok, dɛn kin inhal it insay di lɔng dɛn we dɛn nɔ ivin kɔf (saylent aspiration). Dis na tin we rili denja.
Ustɛm yu fɔ go to dɔktɔ?
If yu notis se yu de gɛt dis prɔblɛm fɔ swɛla pas wan ɔ tu tɛm, go to yu dɔktɔ wantɛm wantɛm. I impɔtant fɔ fɛn ɛn trit di rizin we mek yu gɛt dis sik.
| Sɔntin yu nɔ plan! Go na di ETU (Imejɛnsi Tritmɛnt Yunit) wantɛm wantɛm. | |
|---|---|
| Pozishɔn | If yu fil se sɔntin dɔn stɔp na yu trot ɛn i nɔ izi fɔ yu fɔ blo . |
| Pozishɔn | Di mɔsul dɛn kin wik wantɛm wantɛm, di pat pan di bɔdi nɔ kin wok fayn igen (paralysis), ɔ i nɔ kin ebul fɔ swɛla ɔltogɛda . |
Pan ɔl we tin dɛn lɛk fɔ kɔf ɛn swɛt kin mek yu nɔ fil fayn, dɛn na wɔnin frɔm yu bɔdi. So nɔ ignore dɛn sayn dɛn de.
Mɛsej we dɛn kin kɛr go na os
- If yu gɛt prɔblɛm fɔ swɛla it, ɛn i kin apin bɔku tɛm, nɔ jɔs tink se i "go di rɔng we."
- Disfagia nɔto jɔs wan tin wae nɔr kin izi fɔ yu, e kin bi sayn fɔ siriɔs sik lɛk strok, kansa, ɔr nyurolɔjik sik.
- Nɔ ignore di prɔblɛm fɔ swɛla, go to yu dɔktɔ wantɛm wantɛm fɔ no di rayt diagnosis.
- Di wan dɛn we de mɛn pipul dɛn we de tɔk ɛn langwej (SLP) kin rili ɛp dɛn bay we dɛn de tich ɛksesaiz dɛn we de mek di mɔsul dɛn strɔng ɛn aw fɔ it fayn.
- If i nɔ izi fɔ yu fɔ blo ɔ swɛla wantɛm wantɛm, na imejensi. Go na ɔspitul in ETU wantɛm wantɛm.
👩🏽 ⚕️ Ɔda kwɛstyɔn dɛn (FAQ dɛn)
💬 Gemfibrozil (Lopid) tablɛt na mɛrɛsin we dɛn kin yuz fɔ mɛn us sik?
Dis nɔto kɔlestɔl (Statin) pil we dɛn kin yuz ɔltɛm! Dis na wan mɛrɛsin we rili wok (Fibrate) we kin ridyus di lɛvɛl fɔ wan denja kayn fat we dɛn kɔl ‘Very High Triglycerides’ wantɛm wantɛm bay lɛk 50% fɔ di wan dɛn we gɛt siriɔs/abnɔmal ay triglisɛrɛyd! Dɔktɔ dɛn kin gi dis pil wantɛm wantɛm bikɔs if di triglisɛrɛyd dɛn bɔku bad bad wan, di pankrias kin bɔs (Pancreatitis) ɛn mek pɔsin day.
💬 Aw dis pawaful ɔyl pil (Gemfibrozil) de sɔlv triglisɛrɛyd we i go insay wi bɔdi?
Dis nɔto kɔlɔstrel mashin we de stɔp di liva! dis pil de go to wi liva εn fεt sεl dεm (PPAR-alpha activation), εn i de fulכp aktibכt/tכn pan di ‘fat-breaking enzyme (Lipoprotein lipase)’ na di bכdi! afta dat, dεn εnzym dεm de brok dכn di fεt (VLDL/Triglycerides) we de insay di bכdi lεk riva insay pis dεm εn pwεl am (εn dis de inkrεs gud kכlestכl/HDL bכku bכku wan).
💬 Wetin mek dɛn se nɔ fɔ tek dis (Gemfibrozil) wit rɛgyula kɔlɔstrel pils (Statins)? Wetin na di prɔblɛm dɛn we kin apin?
Dat na di big ɛn kil denja we dis kin apin! If yu tek dis pil we yu de tek wan rεgulεr kכlestכl pil (Atorvastatin/Simvastatin), insay di fכs wik, 100% pan yu mכsul dεm go mεlt (Severe Rhabdomyolysis) εn yu kidni dεm go rכt kכmplit εn yu go day. Dis kin kil pɔsin so dat i kin kil pɔsin! Dɔn bak, di risk fɔ gɛt ‘Gallstones / Cholelithiasis’ rili bɔku.
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