Yu kin gɛt bɔn na di midul pan yu chɛst we yu de it? Sɔntɛnde, yu kin fil sɔl teys na yu trot? Ɔ i nɔ kin izi fɔ yu fɔ swɛla it? Dis na sayn dɛm wae bɔrku pipul kin gɛt, bɔt dɛn kin jɔs dismis as "gastritis". Bɔt dɛn tin ya kin bi sayn dɛn fɔ se prɔblɛm de na wi it paip, dat na di εsophagus. So tide, lɛ wi tɔk bɔt Esophageal Disorders.
Fɔ tɔk am simpul wan, wetin na dɛn tin ya we kin mek pɔsin in it?
Okay, fɔs lɛ wi ɔndastand wetin na di ɛsophagus. Wi kin kɔl am bak di "fud paip." Fɔ tɔk am simpul wan, dis na di tiub we dɛn mek wit mɔsul dɛn we de kɛr it frɔm wi mɔt to wi bɛlɛ (bɛlɛ). We wi de swɛla it, na dis tiub de push di it dɔŋ insay wi bɛlɛ.
So, Esophageal Disorders na difrεn sik dεm εn kכndishכn dεm we de afekt di wok we dis εsophagus de wok εn disrupt in wok. Dis kin mek yu gɛt bɔku prɔblɛm lɛk aw i nɔ kin izi fɔ swɛla it (dysphagia) ɛn at pwɛl. Pan dɛn sik ya, di sik we wi ɔl dɔn yɛri bɔt pas ɔl na GERD (Gastroesophageal Reflux Disease) . Lɛ wi tɔk bɔt dat leta.
Wetin na di men sik dɛm we kin apin na di εsophagus?
Bɔku kayn sik dɛn de we kin ambɔg di trot. Sɔm kin kɔmɔn, sɔm nɔ kin kɔmɔn smɔl. I rili impɔtant fɔ mek yu ɔndastand dɛn tin ya smɔl. Lɛ wi luk dɛn di we we izi fɔ ɔndastand.
| Kɔndishɔn | Fɔ tɔk am simpul wan, na dis kin apin. |
|---|---|
| GERD (Gastroesophageal Riflɔks Sik) . | Dis na de sik wae kin pasmak. wetin de apin ya na di valv (sphincter) bitwin di εsophagus εn di bεlε nכ de kכloz fayn fayn wan. dis kin mek di bεlε asid εn di it pat dεm de fכlכ bak כp, dat na, along di εsophagus εn insay di trot. At bɔn na di men sayn fɔ dis. |
| Achalasia we dɛn kɔl | wetin de apin ya na di valv we wi bin mεnshכn (di lכw εsophageal sphincter) nכ de opin fayn fayn wan. Dat min se i nɔ de rilaks. So it nɔ kin go insay di bɛlɛ, i kin stɔp na di ɛsophagus. Pan ɔl we wi nɔ no di rayt tin we kin mek dis apin, dɛn tink se na bikɔs di nɛf dɛn we de kɔntrol di mɔsul dɛn na di εsophagus dɔn pwɛl. |
| Barrett in εsophagus we i de yuz fɔ it | pan pipul dεm we gεt GERD we dεn nכ trit fכ lכng tεm, di sεl dεm na di lכw pat pan di εsophagus kin bigin fכ chenj biכs di asid we de kam כp כltεm. Dɛn kin tan lɛk di sɛl dɛn we de na di bɛlɛ ɔ di insay. Dis na denja sik, bikɔs i de mek di risk fɔ gɛt kansa na di εsophageal bɔku. |
| Eosinophilic εsophagitis we gɛt di sik | Wetin kin apin pan dis na we wan kayn wayt blɔd sɛl we dɛn kɔl eosinophils kin gɛda na di say dɛn we di briz de blo. Dis na wan kayn sɛl we kin bɔku pan alɛji. we dεn sεl dεm ya de kכmכt, di insay pat pan di aywe dεm de swεla (inflammation). Dis sik kin kam pan pipul dɛm wae gɛt difrɛn alɛji. |
| Kansa na di εsophageal | Tu men kayn dɛn de: Squamous cell carcinoma ɛn Adenocarcinoma . Smok, drink pasmak, GERD fɔ lɔng tɛm, ɛn sɔm vayral infɛkshɔn (HPV) kin mek yu gɛt dɛn kansa ya. |
| Divεrtikulכm na di εsophageal | dis na wetin dεn kכl sכmכl paus we de kכmכt frכm wan wik ples na di wכl na di εsophagus. We yu de it, smɔl smɔl it dɛn kin stɔp insay dis pɔch. |
| Di spasm dɛn we de na di εsophageal | dεn kכl dis we di mכsul dεm na di εsophagus kכntrikshכn wan wan, we nכ nכmal, we de mek yu fil pen. Dis na tin we nɔ kin apin so ɔltɛm. Dis kin mek i nɔ izi fɔ mek it pas insay di bɛlɛ. |
| di strikt dεm na di εsophageal | Di εsophagus kin kam tu smɔl. dis kin apin biכs fכ ska we de apin we di εsophagus de hεl afta we i dכn pwεl fכ lכng tεm frכm asid rεfluks (GERD). Dis kin mek i nɔ izi fɔ mek it ɛn drink pas. |
| Hiatal hεnia dεm | Wan smɔl ol na di dayafragm, we na di mɔsul we de sheb wi chɛst ɛn wi bɛlɛ, usay di ɔp pat pan di bɛlɛ de kɔmɔt na di chɛst. dis de mek di tεndens fכ asid fכ rεfluks bכku bכku wan. |
Wetin na di tin dɛm wae kin mek pɔrsin gɛt dis kayn sik?
Okay, naw wi no us kayn sik na. So wetin mek dɛn kin apin? Bɔku tin dɛn de we kin mek pɔsin gɛt dɛn sik ya mɔ.
- If pɔsin drink pasmak: Rɔm kin pwɛl di layn we de na di εsophagus.
- di bכdi wet pasmak: biכs di prεshכn we de bכku pan di bכdi we yu fat כ we yu bεlε, chans de fכ mek di tin dεm we de insay di bכdi kכmכt.
- Sɔm mɛrɛsin dɛn: Sɔm mɛrɛsin dɛn we de mek pɔsin fil pen, we de mek pɔsin in at pwɛl, ɛn sɔm mɛrɛsin dɛn we de mek pɔsin fil bad kin afɛkt di εsophagus.
- Smok: Smok ɛn we yu de smok sɛkɔnhand, dat kin mek di valv dɛn na di ɛsophagus wik ɛn i kin mek yu gɛt kansa mɔ.
- Redyushɔn tɛrapi: If yu dɔn gɛt redyushɔn tɛrapi fɔ wan sik lɛk kansa na yu nɛk ɔ yu chɛst eria, dat kin afɛkt bak.
Yu gɛt dɛn sik ya bak?
Di sayn dɛm fɔ sik na yu trot kin difrɛn difrɛn wan bay di ɔndalayn kɔndishɔn. Bɔt sɔm kɔmɔn sayn dɛn de we yu kin si. Si if yu gɛt wan ɔ mɔ pan dɛn tin ya.
Mɛmba se nɔto ɔlman we gɛt dɛn sik ya gɛt siriɔs sik, bɔt i fayn fɔ no bɔt dɛn tin ya ɛn go to dɔktɔ.
| Di sayn we de sho se di sik de | Tɔk bɔt |
|---|---|
| At bɔn | Bɔn na di midul pan di chɛst. Dis na di men sayn fɔ GERD. |
| I nɔ izi fɔ swɛla | Fɔ fil se yu gɛt bɔku bɔku wata na yu trot we yu de swɛla it. I kin tan lɛk se dɛn nɔ swɛla wan pat pan it. |
| Rigurjiteshɔn | di bεlε asid כ di it dεm we dεn nכ daygεst de kam bak כp insay di trot כ di mכt. |
| Chɛst, bɛlɛ, ɔ bak pen | Dis pen kin apin mɔ afta yu dɔn it. |
| Fɔ kɔf fɔ lɔng tɛm ɔ fɔ gɛt trot we de at | Kɔf we de kɔntinyu fɔ kɔf we yu nɔ gɛt kol, we yu de fil lɛk se yu trot gɛt smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl. |
| We yu de lɔs yu wet | If yu de lɔs yu wet fɔ natin ɔ yu nɔ de tray tranga wan, na sɔntin we yu fɔ wɔri bɔt. |
Aw di dɔktɔ kin no bɔt dis sik?
We yu go to dɔktɔ wit dɛn sik ya, i go aks yu fɔs bɔt yu sik dɛn ditayli. Dɔn i go chɛk yu. Sɔntɛnde, i kin ivin fil yu trot we yu de swɛla.
Yu dɔktɔ kin tɛl yu fɔ du ɔda tɛst fɔ no ustɛm na di sik. Nɔ wɔri, dɛn tin ya na tɛst dɛn we yu kin du ɔltɛm.
- Ɔpa ɛndoskopi: Dis min se yu fɔ put smɔl kamɛra na di ɛnd pan wan tin we tan lɛk tin we kin chenj chenj tru yu mɔt fɔ chɛk di εsophagus, di bɛlɛ, ɛn di fɔs pat pan yu smɔl intestin. Dɛn kin tek smɔl pat pan di tisu (bayopsi) bak frɔm say we dɛn kin tink se dɛn gɛt fɔ chɛk fɔ si if dɛn gɛt kansa sɛl ɔ ɔda sik dɛn.
- Barium swallow: Na ya dɛn go gi yu wan wata we dɛn kɔl barium fɔ drink. Dis wata kin sho wayt pan ɛkstrem rayt. As yu de drink am, dɛn kin tek sɔm ɛkstrem pikchɔ dɛn. Dis de mek yu si klia wan aw di wata de muv tru yu εsophagus ɛn if i blok ɔ smɔl ɛnisay.
- Manometry we de na di εsophageal: .dis de mכsu aw di mכsul dεm na yu εsophagus εn di valv (sphincter) de wok fayn we yu sכlow wata.
- εsophageal pH test: dis de mכsu di amoun fכ asid (pH) na di εsophagus. Dis na impɔtant tin fɔ kɔnfɔm se GERD de.
Wetin na di tritmɛnt dɛm fɔ dis?
Di tritmɛnt we dɛn kin pik kin dipen pan di sik we yu gɛt. Nɔto ɔlman dɛn kin gi di sem tritmɛnt.
Mɛrɛsin dɛn we dɛn kin yuz
Bɔku tɛm, dɛn kin advays fɔs fɔ chenj yu layf wit mɛrɛsin.
- Antasid, Proton pump inhibitors (PPIs), H2 blockers: Dɛn mɛrɛsin ya de wok bay we dɛn de ridyus di asid we dɛn de mek na di bɛlɛ. Dis de ridyus di damej ɛn inflamɛns we asid kin mek to di εsophagus, ivin if i kam ɔp.
- Botulinum toxin (Botox®) injεkshכn: sכmtεm dεn kin yus dis injεkshכn fכ stכp di mכsul dεm we de spam na di εsophagus כ fכ rilaks di valv.
Ɔda tritmɛnt dɛn ɛn ɔpreshɔn dɛn
If na mɛrɛsin nɔmɔ nɔ ebul fɔ kɔntrol di sik, ɔ if i rili bad, dɛn kin nid fɔ yuz ɔda tritmɛnt dɛn.
- εndoskopik dilayshכn: na we dεn de put tכb insay εn di εsophagus we sכmtεm big bay we dεn de inflate am wit sכmtin lεk balכn, we lεk εndoskopi.
- Esophagectomy: Dɛn kin du ɔpreshɔn fɔ pul wan pat we gɛt sik ɔ ɔl di εsophagus. Dɛn kin du dis if pɔsin gɛt kansa.
- Laparoscopic antireflux surgery (Nissen fundoplication): Dis na ɔpreshɔn we dɛn kin du fɔ GERD ɔ hiatal hεnia kɔndishɔn. insay dis, di כp pat pan di bεlε de rap rawnd di lכw pat pan di εsophagus, we de mek di valv strכng.
- Hεller myotomy εn POEM (Peroral endoscopic myotomy): Dis na tritmεnt fכ kכndyushכn lεk Achalasia. dεn kin kכt di mכsul we de na di lכw εsophageal sphincter, we de rilaks am εn alaw di it fכ pas izi wan insay di bεlε.
Kɔmplikɛshɔn dɛn we kin apin if dɛn nɔ trit am
If dɛn nɔ trit dɛn sik ya fayn, sɔntɛnde di prɔblɛm kin big.
- If dɛn nɔ trit di kɔndishɔn dɛn lɛk GERD ɛn Achalasia fayn, di risk fɔ gɛt kansa na di εsophageal kin go ɔp as tɛm de go.
- biכs fכ rigεt, di it patikyula dεm kin travul go כp di winda paip εn insay di lכng dεm. Dɛn kɔl dis aspireshɔn. Dis kin mek yu gɛt infɛkshɔn na yu lɔng lɛk nyumonia .
- We i nɔ kin izi fɔ swɛla, i kin mek i nɔ it bɛtɛ, ɛn dis kin mek i nɔ gɛt bɛtɛ it ɛn i nɔ kin gɛt bɛtɛ wata .
Tin dɛn we wi kin du fɔ ridyus di prɔblɛm
Di bɛst tin fɔ du na fɔ ridyus di risk fɔ gɛt dis sik. Dɛn tin ya go ɛp yu bɔrku, mɔr lɛk fɔ kɔntrol kɔndishɔn lɛk GERD.
- Chenj di we aw yu de it:Bifo yu it big it wan tɛm, it sɔm smɔl smɔl it dɛn ɔl di de. It yu men it at least 3 awa bifo yu go slip. Nɔ snek afta yu dɔn it.
- Nɔ it sɔm it ɛn drink dɛn: Fɔ it we gɛt bɔku fat, we gɛt spays, tomato sos, sitrus frut (ɔrɛnj, tanjɛrin), chɔklɛt, kɔfi, ɛn drink we gɛt kabon (soda) kin mek di sik wɔs. Ridyus dɛn.
- Slip pozishɔn: We yu de slip, kip di ed pan di bed ɔp lɛk 6-8 inch. Yu kin du dis bay we yu put sɔntin lɛk wud ɔnda di bed in leg dɛn. Jɔs fɔ es yu ed ɔp wit tu ɔ tri pilo dɛn nɔ go du bɔku tin.
- Lɛf bad abit dɛn: If yu de smok, aks fɔ ɛp fɔ lɛf fɔ smok. Limit yu rɔm we yu de drink.
- Mek yu gɛt wɛlbɔdi: Kɔntrol yu bɔdi wet. Ɛksesaiz ɔltɛm.
Mɛsej we dɛn kin kɛr go na os
- Nɔ dismis di sayn dɛm lɛk chɛst pen, at fɔ swɛla, ɛn sɔl trot as nɔmal. Dɛn tin ya kin bi sayn fɔ se pɔsin gɛt infekshɔn na in trot.
- Pan dɛn sik ya, na GERD na di wan we bɔku pipul dɛn kin gɛt, ɛn di men tin we kin mek wi gɛt am na di we aw wi de liv wi layf ɛn di we aw wi de it fayn.
- Bɔrku pan dɛn sik ya kin kɔntrol wit simpul chenj na yu layf ɛn it.
- If yu kɔntinyu fɔ gɛt sɔm sayn dɛn lɛk dis, nɔ jɔs du ɛnitin we yu fil fɔ du, bɔt fɔ tru, go to dɔktɔ we sabi du di wok fɔ mek dɛn no yu di rayt we ɛn fɔ mek dɛn trit yu fayn fayn wan.
- If dɛn nɔ trit sɔm sik dɛn, dɛn kin go bifo to mɔ siriɔs sik dɛn lɛk kansa. So, i impɔtant fɔ du sɔntin kwik kwik wan.
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