Yu gɛt smɔl paus na yu ɛsophagus? (Ɛsophageal Divɛrtikul)?

Sɔntɛnde yu kin fil lɛk se sɔntin dɔn stɔp na yu trot we yu de swɛla it? Ɔ yu jɔs gɛt bad smel we de kɔmɔt na yu mɔt? Dis kin bi sayn dɛm fɔ wan sik we dɛn kɔl esophageal diverticulum, we wi go tɔk bɔt tide. Nɔ wɔri, i nɔ kɔmɔn so. Bɔt i fayn fɔ no smɔl bɔt am. Lɛ wi tɔk bɔt am simpul wan, di we we yu go ɔndastand.

Wetin na dis smɔl paus we de na di εsophagus (Esophageal Diverticulum)?

Okay, fɔs lɛ wi si wetin na dis (Esophageal Diverticulum) . Yu no, wi gɛt wan tiub we de tek it frɔm wi mɔt to wi bɛlɛ, wi kɔl am di ɛsophagus . I tan lɛk wata paip, bɔt dɛn mek am wit mɔsul. Insay dis it paip insay, sɔntɛnde i kin kɔmɔt na say dɛn we wik na di wɔl, ɛn i kin mek sɔntin lɛk smɔl pɔch, ɔ smɔl pɔkit. Na dat mek wi de kɔl am dis. Tink bɔt am lɛk taya na motoka we kin ol ɛn bɔl smɔl na wan ples. Na so dis tin tan.

Tu kayn dɛn smɔl bag dɛn ya de.

• ‘Tru’ paus: dis min se כl di layεr dεm na di wכl na di εsophagus , inklud di mכskul layεr, de kכmכt.
• ‘Fal’ paus: Dis na we na sכm layεr dεm na di wכl nכmכ, lεk di mכkus εn di layεr we de dכn (sכbmכkus), de kכmכt. I tan lɛk se na sɔm trɛd dɛn nɔmɔ dɛn kin pul kɔmɔt.

Dɔktɔ dɛn kin no dɛn sist ya bay usay dɛn de na di εsophagus. di tin dεm we de mek sist dεm na difrεn say dεm kin difrεn.

Wetin na di kayn we aw di εsophageal diverticulum de?

Lɛ wi si wetin na di men kayn dɛn we pɔsin kin si.

Zenker in divεrtikulכm

Dis na di kayn we we dɛn kin yuz mɔ . I de fכm na di tכp pat pan di εsophagus, usay di trot mit di mכt. Bɔku tɛm, dɛn tin ya na ‘fals’ paus. Di men rizin na dat we it at fɔ swɛla , we di trot mɔsul dɛn nɔ de wok fayn, di prɛshɔn we de insay di ɛsophagus de go ɔp ɛn push am kɔmɔt tru wan wik ples. Imajin se wata paip we dɔn blok wan tɛm, ɛn we di wata kam insay kwik kwik wan, di paip kin swel bifo di say we i dɔn blok.

Killian-Jamieson Divɛrtikulɔm

Dis nɔ kin apin smɔl. i kin apin na di sεvikal εsophagus, di pat pan wi nεk we de rכn paralel to di spayna. Bɔku tɛm dɛn kin si am lɛk wan smɔl ‘fal’ paus. Dɛn tink se na bikɔs di tisu dɛn we de na da say de wik we dɛn bɔn am.

Divɛrtikul we de na di midesophageal

Dis na ‘tru’ paus. Dɛn kin fɔm na di pat pan di εsophagus we de rɔn tru di midul pan wi chɛst. dεn kכl dεm bak (thoracic diverticula) , we min se dεn de fכm na di chεst cavity. sכmtεm dεn kin kכl dεm (traction diverticula).di rizin fכ dis na dat dεn de fכm we sכm εksternal fכs de pul pan di wכl fכ di εsophagus (trakshכn). fכ egzampl, di limf no dεm na di chεst kin swel εn stכk na di εsophagus, dεn we di swel sכm, di wכl na di εsophagus kin pul.

Divɛrtikul we de mek pɔsin gɛt di sik we dɛn kɔl Epiphrenic

dis kin apin na di εnd pan di εsophagus, jכs bifo di it go insay di bεlε (distal esophagus). Bɔku tɛm, dɛn tin ya na ‘fals’ paus. Na ya bak, di tin we kin mek i apin na we pɔsin de prɛs. fכ egzampl, if di lכw pat pan di εsophagus blכk, di paus kin fכm bikoz fכ di prεshכn we de kכmכt we it de tray fכ pas tru am insay di bεlε.

Aw dis sik kin kɔmɔn?

di εsophageal divεrtikul dεm na dεn rili rεr . Dɛn tink se dɛn kin afɛkt lɛk 1% pan di pipul dɛn nɔmɔ . Dɛn kin bɔrku pan pipul dɛm wae dɔn pas 50 ia , mɔr lɛk afta dɛn dɔn ol 70. Dɛn kin bɔrku smɔl bak pan man dɛm pas uman dɛm.

Wetin na di simptom dɛm fɔ wan esophageal diverticulum?

Bɔrku tɛm, dɛn divɛrtikul ya nɔ kin kɔz ɛni sayn . Sɔntɛm yu nɔ go ivin no se yu gɛt wan. Bɔt wan kayn we dɛn kɔl Zenker’s diverticulum kin mek yu gɛt sɔm kayn sik. If yu gɛt dɛn sik ya, yu kin gɛt:

• I kin tan lɛk se yu de kɔf wit tikl na yu trot.
• Fɔ fil lɛk se wan lump de na yu trot we yu de swɛla it.
• Wan filin lɛk se it dɔn stɔp na di trot.
• Fɔd kin kam bak ɔp na di trot (regurgitation) we yu bɛn fɔ go bifo ɔ ledɔm.
• Bad breath fɔ natin.
• Wiz na sawnd we pɔsin kin blo we i de blo fɔ natin.

Sɔm pipul dɛn nɔ kin gɛt ɛni wan pan dɛn sik ya ɛn dɛn kin jɔs no am bay chans we dɛn de du tɛst fɔ ɔda rizin.

Wetin kin mek di εsophageal diverticulum?

Tu men kayn tin dɛn de we kin mek pɔsin gɛt dis sik. Wan na pulsion causes, ɛn di ɔda wan na traction causes.

di pulshכn pכch dεm: כl di εsophageal pכch dεm de fכl insay dis kεtכgrεf. 'Pulshɔn' min "push." dis min se intanεt prεshכn de kכntinyu na di εsophagus. Bɔku tɛm dis kin apin we wi de swɛla it. Sɔm mεdikal kכndyushכn dεm na di εsophagus we de mek i at fכ swεl it kin mek dis abnכmal prεshכn. Fɔ ɛgzampul:

• (Achalasia) (we di mכsul dεm na di lכw εsophagus nכ de rilaks) .
• Di spasm dɛn we de na di εsophageal
• di strikt dεm na di εsophageal
• Eosinophilic εsophagitis we gɛt di sik

Trakshɔn bag dɛn:dis dεm kin fכm we sכmtin de pul na di כdasay na di wכl na di εsophagus εn pul am. dis na wetin de mek ‘tru’ paus dεm, we na di כl tik we di εsophagus wכl de pul insay. Dɛn kin si dɛn tin ya mɔ na di midul pat na di chɛst. Infεkshכn na di chεst kεviti (mediastinitis) kin mek yu swel, we kin stik na di εsophagus, εn afta dat i kin pul di εsophagus as di swεla de go dכn. Sɔm ɛgzampul dɛn bɔt dɛn kayn sik ya na:

• Tubakulosis sik we dɛn kɔl Tuberculosis
• Histoplasmosis , we na wan sik we dɛn kɔl fɛns

Dɛn tu tin ya we kin mek wi gɛt dis sik na nyu tin dɛn we kin mek wi gro insay wi layf. Na smɔl tɛm nɔmɔ, sɔm anal sak dɛn kin de we dɛn bɔn am. כ, we di tisu dεm na di anal kanal wik we dεn bכn am, i kin mek i izi fכ mek wan sak divεlכp leta. Bɔt bɔku tɛm, dis sak nɔ kin divɛlɔp pas ɔda mɛrɛsin sik fɔs.

Wetin na di poshubul komplikashכn dεm fכ dis εsophageal diverticulum?

As dis paus de big as tɛm de go, i kin izi fɔ mek it stɔp insay . Dis kin fil lɛk se yu trot gɛt wan bɔtul, ɔ i kin gɛt di sik ɛn i kin mek yu fil pen . Di it we stɔp kin mek yu blo bad ɛn mek yu mɔt te. If i gɛt di sik, i kin blɔd ɛn swel. If yu gɛt siriɔs kes, i kin fil lɛk wan smɔl smɔl tin we yu kin fil na yu nɛk na do.

כda tin na dat, it kin stכp fכ sכm tεm εn afta dat i kin kam bak כp na di trot we yu chenj di posishכn (fכ egzampl, we yu bεnd ova). Dis kin mek yu kɔf, yu nɔ ebul fɔ blo fayn, ɛn yu trot kin at. if dis apin na nɛt we yu de slip, di it patikyula dεm kin go insay di lכng dεm we yu nכ no (silent aspiration) . If dis apin, i kin mek yu gɛt infɛkshɔn na di lɔng dɛn (aspiration pneumonia) . Dis kin kכmכn pasmak pan pipul dεm wae gεt Zenker in divεrtikul.

Na dis kansa? Yu tink se i kin bi kansa?

sכm sכm pasεnshכn (bכt 0.05%) pan pipul dεm we gεt εsophageal diverticulum dεn fכnshכn fכ divεlכp squamous cell carcinoma na di εsophagus. Bɔt i nɔ klia yet if dis na jɔs tin we apin ɔ if di iritashɔn we nɔ de dɔn frɔm di divɛrtikul de mek di kansa. Bɔt dis risk rili smɔl .

Aw yu go no if yu gɛt ɛsophageal diverticulum?

wan mεdikal tεst we de luk insay di εsophagus kin no dis sak. Bɔrku tɛm, dɛn nɔr kin gɛt sayn, so dɛn kin no bɔt dɛn bay we dɛn de du ɛgzam fɔ ɔda rizin. If yu gɛt sɔm sayn dɛn we gɛt fɔ du wit yu ɛsophagus, yu dɔktɔ go du wan tɛst we dɛn kɔl raydiɔlɔji ɔ ɛndoskopi. Pan ɔl we raydiɔlɔji de tek pikchɔ frɔm do, ɛndoskopi de yuz kamɛra fɔ luk insay.

Us kayn tɛst dɛn go du?

Na sɔm tɛst dɛn we pɔsin kin du:

• Esophagram / Barium Swɛla Tɛst: .

Dis na wan kayn ɛkstrem rayt. Dɛn kin tek wan vidio (fluoroscopy) fɔ yu ɛsophagus we yu de swɛla. Insay dis, dɛn kin gi yu wan chalk likwid we dɛn kɔl barium fɔ drink. I de kot di insay pat pan yu εsophagus. Dɔn, dɛn kin tek ɛkstrem rayt we yu de swɛla am. Dis kin mek yu si klia wan aw yu εsophagus shep, di we aw it de pas, ɛn ɛni paus we kin de.

• Ɔpa Ɛndoskopi / EGD Tɛst:

insay dis, dεn kin put wan lכng tכb wit sכmכl kεmεra we dεn k כl εndoskop tru di mכt εn pas tru di εsophagus to di bεlε. Dɛn go gi yu sɛdate insay dis tɛm, so yu nɔ go fil ɛni prɔblɛm. Yu kin si di pikchɔ dɛn we de na di kamɛra na kɔmpyuta skrin. If pɔch de, yu kin si am dairekt wan.

• Tɛst fɔ Manomɛtri fɔ di Ɛsophageal:

Bikɔs i nɔ izi fɔ swɛla na di men tin we kin mek di farin paus dɛn, yu mɛdikal tim kin tɛl yu bak fɔ du dis tɛst. Dis de mekɔp aw di mɔsul dɛn na yu trot kin kɔntrakt tranga wan we yu de swɛla. Dɛn kin tek dɛn mɛzhɔmɛnt ya bay we dɛn de yuz sɛns dɛn we de na wan tiub we dɛn kin put tru yu nos ɛn insay yu trot.

Wetin na di tritmɛnt dɛm fɔ di εsophageal diverticulum?

Mɔs pan di skrotal sak dɛn nɔ nid tritmɛnt . If dɛn nɔ de kɔz ɛni sayn ɔr prɔblɛm, dɛn kin lɛf dɛn wan. Bɔt if di sak de mek yu gɛt sayn ɔ kɔmplikeshɔn, i kin nid fɔ lɔk ɔ pul am. Dɔktɔ dɛn gɛt difrɛn we dɛn fɔ du dis. Yu kin nid bak fɔ trit di ɔndalayn kɔndishɔn we mek yu skrotal sak.

Aw dɛn kin trit wan εsophageal diverticulum?

Dɔktɔ kin du dis bay we i de du ɔpreshɔn ɔ bay we i de yuz ɛndoskopi. Difrɛn we dɛn kin bi di bɛst fɔ difrɛn kayn paus dɛn. Yu dɔktɔ go disayd us we fɔ du am fayn fɔ yu bay aw yu gɛt wɛlbɔdi. Fɔ ɛgzampul, if yu want fɔ du di wok we nɔ go ambɔg yu, fɔ du ɛndoskɔpi na fayn tin fɔ du. Yu dɔktɔ go tɔk to yu bɔt di prɔblɛm dɛn ɛn di bɛnifit dɛn we ɛni wan pan di we dɛn de du.

Ripair we dɛn kin du fɔ ɔpreshɔn

Dɔktɔ we de du ɔpreshɔn kin kɔt di pɔch ɔlsay (diverticulectomy) ɔ pul am ɔp ɛn siŋ am bak na di wɔl na yu ɛsophagus (diverticulopexy) . Di ɔpreshɔn kin gɛt fɔ du bak wit wan tin we dɛn kɔl myotomy . Mayotomy na wan we we de kɔt wan mɔsul na yu ɛsophagus fɔ ridyus di tayt. Dis kin nid fɔ ɛp fɔ di prɔblɛm fɔ swɛla we mek yu paus fɔm.

Ɛndoskopik Divɛrtikulotomi

Wan ɔda we fɔ du ɔpreshɔn na fɔ put ɛndoskɔp tru di mɔt insay di ɛsophagus ɛn du di ɔpreshɔn tru am. Dɛn kɔl dis di Dohlman prosidur.dis involv fכ kכt di septum bitwin di paus εn di כda wכl na di εsophagus. Yu kin du dis bay we yu yuz lɛsa, ilɛktrɔkɔtiri, ɔ stepla. Dɛn tin ya kin kɔt ɛn sidɔm di wund.

Aw lɔng i kin tek fɔ mek pɔsin wɛl afta dis ɔpreshɔn?

Yu go nid fɔ de na ɔspitul fɔ lɛk wan de so. Dɔn yu go nid fɔ rɛst na os fɔ sɔm wiks. Yu trot kin at ɛn swel fɔ sɔm wiks. Dis kin mek i nɔ izi fɔ swɛla it. Dɛn kin advays fɔ mek pɔsin nɔ fil pen, bɔt i nɔ kin nid fɔ du am. Yu dɔktɔ go advays yu bɔt aw ɛn ustɛm fɔ bigin wit tin dɛn we gɛt wata, smɔl smɔl yu fɔ it tin dɛn we saf, dɔn yu fɔ it tin dɛn we yu kin it ɔltɛm.

Wetin na yu las kɔmɛnt bɔt dis sityueshɔn?

Bɔrku pipul dɛn gɛt wan εsophageal diverticulum ɛn i nɔ de kɔz ɛni prɔblɛm . Bɔt if i apin, bɔku we dɛn de fɔ fiks am. di sakses rεt fכ dεn כpεrayshכn dεm ya pas 90% . כltu, 10% risk de fכ komplikεshכn lεk blɔd, infεkshכn, כ damej pan di εsophagus. Yu mɛdikal tim go tɔk to yu wan wan bɔt di prɔblɛm ɛn bɛnifit dɛn we difrɛn tritmɛnt dɛn kin gɛt.

If yu gɛt wan sik we de mek i nɔ izi fɔ yu fɔ swɛla, yu kin gɛt pɔch lɛk dis na di wɔl na yu ɛsophagus. dis paus kin fכm na wik ples na yu εsophagus bikoz fכ di abnכmal prεshכn we de apin we yu sכlow. Sɔntɛm i nɔ go ɛva mɔna yu. Bɔt if yu gɛt ɛni nyu sayn we gɛt fɔ du wit yu εsophagus, go to dɔktɔ. Da we de, dɛn kin no klia wan if na pɔch ɔ ɔda tin ɛn gi yu di tritmɛnt we yu nid.

Impɔtant tin dɛn fɔ mɛmba (Take-Home Message) .

• εsophageal diverticulum na sכmכl pכket we de fכm na di wכl na di εsophagus.
• Dɛn tin ya nɔ kin apin so ɔltɛm ɛn bɔku tɛm dɛn nɔ kin sho di sayn dɛm.
• If di sayn dɛn kin apin, dɛn kin bi se i nɔ kin izi fɔ swɛla, it kin stɔp na yu trot, ɛn yu kin blo bad.
• Bɔku tɛm, dɛn tin ya nɔ kin nid fɔ gɛt tritmɛnt .
• Bɔt if di sayn dɛn rili bad ɔ kɔmplikeshɔn dɛn apin, dɛn kin trit ɔpreshɔn ɔ ɛndoskopik prosidur fayn fayn wan.
• I impɔtant fɔ go to dɔktɔ if yu gɛt prɔblɛm fɔ swɛla ɔ yu gɛt nyu sayn dɛn. Nɔ wɔri, dɔktɔ dɛn de fɔ ɛp yu.

A op se dis infɔmeshɔn go yusful to yu. Stay wit wɛlbɔdi!

` Esophagus, esophageal, diverticulum, i at fɔ swɛla, trot we de at, riflɔks, ɛndoskopi