Yu fil se sɔntin dɔn stɔp na yu trot ɔ wan lump de na yu trot we yu de swɛla? Sɔntɛnde, afta sɔm tɛm, mɔ we yu bɛn ɔ twist, yu kin fil lɛk se di it we yu dɔn it kin kam bak na yu trot? Di tin we kin mek dis apin kin bi wan smɔl paus we de fɔm na yu εsophagus, di tiub we wi kin swɛla it tru. We wi de tɔk bɔt mɛrɛsin, wi kin kɔl dis Esophageal Diverticulum . Nɔ fred we yu yɛri dis nem, lɛ wi tɔk bɔt am simpul wan.
Fɔ tɔk am simpul wan, wetin na dis Ɛsophageal Diverticulum?
Tink bɔt yu ɛsophagus, we na di mɔsul tyub we de kɛr it frɔm yu mɔt to yu bɛlɛ, lɛk taya na motoka. Sɔntɛnde, if wik ples de na taya, di prɛshɔn we di briz de insay de mek wan smɔl bɔbul kɔmɔt na da wik ples de, nɔto so? Na so i bi wit dis wan.
If wik ples de na di mucos layn na wi εsophagus, di prεshכn we de kכmכt we wi de swεl it de mek wan sכmכl pכch, כ ol, fכm ausayd da wik spat de. Na dat wi kin kɔl Esophageal Diverticulum . Sɔm pan di it ɛn wata we yu de swɛla kin trɔp insay dis paus.
Wae na de men kayn dis sik?
Dɔktɔ dɛn kin sheb dɛn paus ya (diverticula) to difrɛn kayn dɛn bay aw dɛn kin fɔm ɛn usay dɛn de. Lɛ wi tek wan luk pan di men kayn dɛn.
Fɔs, tu kayn dɛn de: "tru" ɛn "fal".
- Tru Divεrtikulכm: Insay dis kes, di paus de fכm bay we i de bulg kכmכt frכm כl di layεr dεm na di εsophageal wכl, inklud di mכsul dεm.
- Falz Divεrtikul: Insay dis, na wan wan pan di insay layεr dεm na di wכl de bulge kכmכt.
Naw lɛ wi si aw dɛn kin sheb dɛn tin ya akɔdin to usay dɛn de na di εsophagus.
| Divɛrtikul tayp | Di say we dɛn de ɛn simpul diskripshɔn |
|---|---|
| Zenker Divɛrtikulɔm | Dis na di kayn we we dɛn kin yuz mɔ . I de divεlכp na di כp pat na di εsophagus, nia di biginin fכ di trot. כltεm, dεn ya na "fals" divεrtikul. Di men tin we kin mek i gɛt prɔblɛm na di prɛshɔn we kin kam bikɔs i nɔ kin izi fɔ swɛla it. |
| Killian-Jamieson Divɛrtikulɔm | Dis smɔl smɔl pas Zenker Diverticulum. I kin apin na di nɛk eria. Bɔku tɛm, i kin apia lɛk smɔl, wan pɔch. I kin bi bikɔs di tisu dɛn we de na da say de wik we dɛn bɔn am. |
| Divɛrtikul we de na di midesophageal | dis dεm de divεlכp na di midul pan di εsophagus, we na di pat we de insay di chεst kεviti. bכku tεm dεn kin kכl dεm "tru" divεrtikul dεm. Dɛn kin kɔmɔt frɔm di trakshɔn we de na do. Infεkshכn na di chεst kin mek dεn tin ya fכm we di tisu swel εn stik na di εsophagus, pul am kכmכt. |
| Divɛrtikul we de mek pɔsin gɛt di sik we dɛn kɔl Epiphrenic | dis dεm de divεlכp na di lכw pat pan di εsophagus, nia usay i kכnεkt to di bεlε. dεn kכl dεn tin ya bak "false" divεrtikul, we de kכz fכ intanεt prεshכn. fכ egzampl, if di lכw pat pan di εsophagus blok, dεn kin fכm as it de tray fכ push tru insay di bεlε. |
Yu tink se dis na tin we rili kɔmɔn?
Nɔ, dis na rili sik we nɔ kin apin so ɔltɛm . I kin afɛkt lɛk 1% pan di pipul dɛn. I kin pasmak pan pipul dɛm wae dɔn pas 50 ia, mɔr lɛk afta dɛn dɔn ol 70. I kin bɔrku smɔl bak pan man dɛm pas uman dɛm.
Yu gɛt dɛn sik ya bak?
Bɔrku pipul kin gɛt dis divɛrtikul bɔt nɔr kin gɛt ɛni sayn. Sɔntɛm yu nɔ go ivin no se yu gɛt am fɔ di res ɔf yu layf. Bɔt if yu du dat, i go mɔs bi se na Zenker diverticulum. Si if yu de gɛt ɛni wan pan dɛn sik ya:
- I kin fil lɛk se yu de tikl na yu trot ɛn na dat mek yu kin kɔf .
- Fɔ fil lɛk se wan lump de na yu trot we yu de swɛla it.
- Fɔ fil lɛk se it dɔn stɔp na yu trot .
- Rigurgitation na we di it de kam bak na di trot we yu bɛn ɔ tilt.
- Bad breath fɔ no patikyula rizin.
- Sɔntɛnde, wan sawnd we de mek pɔsin swɛt kin kɔmɔt na di chɛst.
Wetin mek sɔntin lɛk dis kin apin? Wetin na di rizin dɛn?
Tu men kayn tin dɛn de we kin mek dɛn tin ya kin apin. Wan na intanɛnt pulshɔn, ɛn di ɔda wan na ɛksternal trakshɔn.
1. Bikɔs ɔf prɛshɔn (Pulsion Diverticula) .
כl di εsophageal divεrtikul dεm de divεlכp dis we. dis na we prεshכn de kכnstant na di sem ples insay di εsophagus. Bɔku tɛm, dis prɛshɔn kin apin we wi de swɛla. Dis abnɔmal prɛshɔn kin kam bak bikɔs ɔf ɔda mɛrɛsin dɛn we kin mek i nɔ izi fɔ swɛla.
Sɔm pan dɛn kayn tin ya na:
- Achalasia: I nɔ ebul fɔ rilaks di mɔsul dɛn na di ɔda pat na di εsophagus.
- di εsophageal spasms: di mכsul dεm na di εsophagus de kכntrikshכn we nכ de rεgulεr.
- Esophageal strictures: Na di εsophagus we de smɔl ɔ we de smɔl.
- Eosinophilic esophagitis: Inflameshɔn na di εsophagus bikɔs ɔf alɛji.
2. Bikɔs ɔf di trakshɔn (Trakshɔn Divɛrtikula) .
Dis na we sɔntin we de na do na di εsophagus de push di wɔl fɔ go na do. dis de mek "tru" divεrtikul, we min se di כl tik we di wכl de push insay. Bɔku tɛm dɛn tin ya kin apin na di midul pat na di εsophagus. dis kin bi we di tisu dεm we de insay di chεst kεviti de swel, we de stik to di εsophagus, εn afta dat dεn de pul am kכmכt.
Infεkshכn dεm we kin mek di chεst tisu swel na:
- Tubakulosis sik we dɛn kɔl Tuberculosis
- Histoplasmosis (na wan infεkshכn we fכn) .
De impɔtant tin na dat dis sik kin kam bɔku tɛm as a rizulta fɔ ɔda ɔndalayn mɛdikal kɔndishɔn. i rili rare fכ divεrtikul fכ divεlכp insεf.
Us prɔblɛm dɛn dis kin mek?
As tɛm de go, dis paus (diverticulum) kin gro smɔl smɔl. Dis kin mek di risk fɔ mek it stɔp insay am mɔ ɛn mɔ. We it kin stɔp lɛk dis, yu kin fil lɛk se na smɔl smɔl tin na yu trot. Dɔn bak, di it we stɔp kin mek pɔsin gɛt infɛkshɔn, i kin mek i fil pen, ɛn i kin mek i swel .
Di it we stɔp kin mek yu bret bad ɛn i kin mek yu mɔt te. If i tranga, i kin ivin fil lɛk se yu gɛt wan bɔtul na yu nɛk.
Wan ɔda tin na dat di it we dɔn stɔp kin kam bak ɔp na di trot we yu chenj di pozishɔn, fɔ ɛgzampul we yu bɛn. Dis kin mek yu kɔf ɛn nɔ blo fayn. Di tin we denja pas ɔl na dat if dis apin na nɛt we yu de slip , di tin dɛn we de mek yu it kin go insay yu lɔng dɛn we yu nɔ ivin no. Insay mɛrɛsin, wi kin kɔl dis silent aspiration . Dis kin mek pɔsin gɛt infekshɔn na di lɔng dɛn, we dɛn kɔl Aspiration Pneumonia .
Na dis kansa? Yu tink se prɔblɛm de we go mek yu gɛt prɔblɛm?
Dis kwɛstyɔn go dɔn kam to yusɛf. Dis sik nɔto rili kansa. Bɔt rili smɔl , dat na, pan pipul dɛn we gɛt dis divɛrtikulsכm sכm pasεnshכn, we na lεk 0.05%, dεn fכnshכn fכ divεlכp squamous cell carcinoma insay dis paus. I nɔ klia yet if di iritashɔn we nɔ de dɔn we pɔsin kin it fɔ lɔng tɛm na dis paus kin bi wan rizin. Bɔt mɛmba se dis risk rili smɔl .
Aw yu no dis sik?
Bɔku tɛm, na bay chans dɛn kin no dis. dis paus dεn kin כnli fכ no we dεn de egzamin yu εsophagus fכ כda kכndyushכn. Bɔt if yu gɛt sɔm sayn dɛn, yu dɔktɔ go tɛl yu fɔ du tɛst fɔ chɛk yu ɛsophagus. Tu men we dɛn de fɔ du dis. Dɛn tin ya na raydiɔlɔji ɛn ɛndoskɔpi.
Na sɔm kayn tɛst dɛn ya we yu kin du:
- Esophagram (Barium Swallow Test): Dis tan lɛk ɛkstrem rayt. Dɛn gi yu wan chalky liquid we dɛn kɔl barium fɔ drink. we dεn sכlow dis, dεn kin si di insay pat pan di εsophagus klia wan. Dɔn, as yu de swɛla am, dɛn kin tek wan vidio ɛkstrem rayt (fluoroscopy). Dis go sho yu if sak de.
- Upper Endoscopy (EGD Test): Dis min se yu fɔ put smɔl tiub we gɛt kamɛra tru yu mɔt fɔ chɛk yu ɛsophagus ɛn yu bɛlɛ. Dɛn go gi yu anestezi fɔ mek shɔ se yu nɔ fil ɛni prɔblɛm we dɛn de du dis prɔsidyu. Yu kin si di pikchɔ dɛn we de na di kamɛra na kɔmpyuta skrin, we go mek di dɔktɔ si ustɛm ɛn aw big di divɛrtikul big.
- Esophageal Manometry Test: Dɛn kin du dis tɛst if yu sɔprayz se di divɛrtikul de mek i nɔ izi fɔ swɛla. Dis tɛst de chɛk aw yu mɔsul dɛn strɔng ɛn aw dɛn de wok fayn.
Wetin na di tritmɛnt dɛm fɔ dis?
di gud nyus na dat mכst pan di εsophageal diverticula dεm nכ nid nכ tritmεnt . If yu nɔr gɛt ɛni sayn ɔr kɔmplikeshɔn, yu kin jɔs lɛf am.
Bɔt if yu sik dɛn de ambɔg yu ɛvride layf ɔ if prɔblɛm dɛn apin, dɛn kin nid fɔ pul di sak ɔ lɔk am. Bɔku we dɛn de fɔ du dis. Yu kin nid bak fɔ trit de ɔndalayn kɔndishɔn wae mek yu gɛt am.
Di we aw dɛn kin trit am
- Ɔspitul Ripa: Ɔspitul kin kɔt ɛn pul di paus ɔl (diverticulectomy). כ, dεn kin siw am bak insay di wכl na di εsophagus (diverticulopexy). Sɔntɛnde, if di tin we kin mek di mɔsul tayt, dɛn kin du wan tin we dɛn kɔl myotomy (fɔ kɔt ɛn lɔs wan mɔsul) di sem tɛm we dɛn de du dis ɔpreshɔn.
- Tritmɛnt tru ɛndoskɔp (Endoscopic Diverticulotomy):Dis na tin we simpul pas fɔ du ɔpreshɔn. dεn kin put εndoskop tru di mכt εn dεn kin kכt di sεptam bitwin di paus εn di εsophageal wכl. Dɛn kin du dis bay we dɛn de yuz lɛsa, ilɛktrɔkɔtiri, ɔ stepla divays. Dɛn tin ya kin kɔt ɛn sidɔm di wund di sem tɛm.
Yu dɔktɔ go tɔk to yu bɔt di tritmɛnt we go fayn fɔ yu sik.
Aw lɔng e kin tek fɔ wɛl afta dɛn dɔn trit am?
Afta di tritmɛnt, yu go nid fɔ de na ɔspitul fɔ lɛk wan de so. Dɔn yu go nid fɔ go na os ɛn rɛst fɔ sɔm wiks. Insay di fɔs dez, yu trot kin at ɛn swel. Dis kin mek i nɔ izi fɔ swɛla smɔl.
Yu dɔktɔ go gi yu mɛrɛsin fɔ mek yu fil pen. Dɛn go gi yu instrɔkshɔn bak bɔt aw fɔ bigin wit tin dɛn we gɛt wata, smɔl smɔl fɔ chenj to tin dɛn we saf, dɔn yu fɔ it tin dɛn we yu kin it ɔltɛm. Fɔ fala dɛn instrɔkshɔn ya rili impɔtant fɔ mek yu wɛl kwik kwik wan.
Fɔ dɔn, bɔrku pipul dɛm wae gɛt dis sik nɔr kin gɛt ɛni prɔblɛm. Ivin if i du dat, tritmɛnt dɛn de we go ɛp am. Di sakses rεt fɔ tritmεnt pas 90%.
So if yu gɛt dɛn sik ya, nɔ fred fɔ go to dɔktɔ ɛn gɛt advays. I go rɔn di tɛst dɛn we yu nid fɔ du fɔ yu, ɛksplen klia wan if yu gɛt dis sik, ɛn if na so, wetin fɔ du nɛks.
Mɛsej we dɛn kin kɛr go na os
- εsophageal diverticulum na sכmכl paus we de divεlכp frכm wan wik ples na di wכl na di tכb we wi de sכlow it tru.
- Bɔrku pipul dɛn kin gɛt dis bɔt nɔr kin gɛt ɛni sayn.
- Di sayn dɛm kin bi se i nɔ kin izi fɔ swɛla, it kin stɔp na yu trot, yu kin blo bad, ɛn yu kin fil se sɔntin dɔn stɔp na yu trot.
- Dis nɔto kansa, ɛn di risk fɔ mek i bi kansa rili, rili smɔl.
- If yu gɛt sɔm sayn dɛm, yu kin no dis sik izi wan wit Barium Swallow Test ɔ Endoscopy.
- Bɔku tɛm, dɛn nɔ nid ɛni tritmɛnt. Bɔt if di sik bad bad wan, dɛn kin du ɔpreshɔn ɔ ɛndoskopik tritmɛnt fayn fayn wan.
- If yu gɛt ɛni dawt bɔt dis, fɔ tru, tɔk to yu dɔktɔ.
💬 Comments (0)
No kɔmɛnt nɔ de yet. Ad yu kɔmɛnt ya fɔ di fɔs tɛm.
Ad yu kɔmɛnt