Yu kin chok we yu de swɛla it? Lɛ wi lan bɔt di esophageal dysmotility!

Yu dɔn ɛva fil lɛk se na rays ɔ sɔntin we stɔp na yu trot we yu de it? Ɔ i nɔ kin izi fɔ yu fɔ swɛla it, lɛk se sɔntin dɔn stɔp na yu chɛst midul? Sɔntɛnde dɛn tin ya na jɔs random tin, bɔt if yu gɛt dɛn kayn diskɔmfɔt ya ɔltɛm, i kin bi bikɔs ɔf wan patikyula tin we nɔ de wok fayn na wi εsophagus, dat na di it paip (Esophageal Dysmotility) . Mek wi tok abaut dis fo likl mo ditel tide, okay?

Wetin na di Esophageal Dysmotility?

Fɔ tɔk am simpul wan, di esophageal dysmotility de tɔk bɔt difrɛn tin dɛn we wi esophagus, di tiub we de kɛr it frɔm di mɔt to di bɛlɛ, nɔ kin ebul fɔ muv it ɛn wata dɔŋ fayn fayn wan. Tink bɔt am lɛk wan rod we pɔsin kin waka. Fɔ it ɛn drink fɔ kɔmɔt na di trot to di bɛlɛ.

Dis na wetin kin apin:

1. Fɔs, wan mɔsul we de ɔp yu εsophagus (wi kɔl am Upper Esophageal Sphincter ) de opin fɔ mek it ɛn wata kam insay frɔm yu trot. I tan lɛk se get de opin.

2. Neks, di mכsul dεm na di εsophagus de kכntrakt εn rilaks insay wan ritm we, we de push di it dכn. Dis kin muf dɔŋ lɛk wef.

3. fכ finish, na di lכw εnd pan di εsophagus, usay it de go insay di bεlε, wan כda mכsul (wi kכl dis di lכw εsophageal Sphincter) de opin εn alaw it εn wata fכ go insay di bεlε.

naw, sכmsay na dis prכsεs, if dεn mכsul dεm ya nכ de wok fayn, na da tεm de it kin bigin fכ stכk εn i kin at fכ sכlow. Na dat wi kin kɔl esophageal dysmotility.

Wetin na di sayn dɛm fɔ dis sik?

We yu gɛt disɔda we de mek yu nɔ ebul fɔ waka, yu kin gɛt sɔm sayn dɛn lɛk:

• I nɔ kin izi fɔ swɛla (Dysphagia): Dis na di men sayn. Na filin se it dɔn stɔp na yu trot ɔ na yu chɛst. Sɔm pipul dɛn kin gɛt prɔblɛm fɔ swɛla nɔto jɔs sɔlid it dɛn bɔt dɛn kin gɛt wata bak.
• Chɛst pen afta yu it: Dis pen kin fil sɔmtɛm lɛk at atak, na dat mek i impɔtant fɔ no ustɛm i bi.
• At bכn: Dis bכn sεns kin apin we di bεlε asid kam כp insay di εsophagus. Bɔt i kin bi bak wan sayn fɔ di sik we dɛn kɔl gastroesophageal reflux disease (GERD).

Apat frɔm dis, sɔm pipul dɛn kin gɛt tin dɛn lɛk we it kin kam bak na dɛn trot, we dɛn kin lɔs dɛn wet, ɛn we dɛn kin kɔf.

Wetin na di tin dɛm wae kin mek pɔrsin nɔr kin ebul fɔ gɛt erectile dysfunction?

Bɔku tin dɛn de we kin mek pɔsin gɛt dis sik. Sɔm na di men tin dɛn we kin afɛkt di εsophagus nɔmɔ, ɛn ɔda wan dɛn na sɛkɔndari tin dɛn we kin afɛkt di wan ol bɔdi.

di praymar kכz dεm (we de afekt כnli di εsophagus) .

Di praymar kɔz dɛm wae dɛn kin si mɔr na:

• Akalasia:wetin kin apin na we yu lכw εsophageal sphincter (LES), di ring fכ mכsul we de na di εnd pan yu εsophagus usay i de go insay yu bεlε, nכ de rilaks fayn. Tink bɔt am lɛk se di domɔt we de dɔŋ yu εsophagus nɔ de opin fayn. Dis kin mek it ɛn wata bak ɔp insay yu εsophagus.
• Eosinophilic Esophagitis: Insay dis, wan spɛshal kayn wayt blɔd sɛl we dɛn kɔl eosinophils kin gɛda na di wɔl dɛn na di esophagus, we kin mek pɔsin gɛt alɛji, we kin mek di insay pat pan di esophagus swel ɛn smɔl, we kin mek i nɔ izi fɔ mek it pas dɔŋ.
• εsophageal Spasm: Insay dis, di mכsul dεm na di εsophagus de kכntrakt we dεn nכ want, kwik kwik wan, כ we nכ de kכntrakt. Lɛk wan mit we de na di εsophagus, i kin kɔntrakt ɔltɛm, ɛn i nɔ kin ɔda. Dɔn di it kin tray fɔ kam bak ɔp instead fɔ go dɔŋ.

Sɛkɔndari kɔz dɛm (we kin kam wit sik dɛm wae de afɛkt di wan ol bɔdi) .

Sɔntɛnde, ɔda mɛrɛsin kin mek bak di erectile function nɔ fayn.

• Chagas Disease: Dis na infεkshכn we de kכmכt we animal de bit lεk triatomine (kissing) bug. Dis infεkshכn kin afekt di εsophagus bak, we kin mek i at fכ sכlow.
• Esophageal Sclerosis: Sklerosis na wan sik we de mek pɔsin nɔ ebul fɔ fɛt insɛf. Dis min se di bɔdi in imyun sistɛm de atak in yon sɛl dɛn. insay dis, tik tik we nכ nכmal de bכlכp na di bכdi. we dis kayn tik tik tik bכku na di εsophagus, i kin at fכ it fכ pas dכn.

apat frכm dis, kansa tכmכro na di εsophagus kin mek bak di εsophagus bכku εn i kin at fכ swεl.

Wetin na de prɔblɛm wae kin kam wit dis sik?

wan pan di men komplikashכn dεm we kin apin bikoz fכ di εsophageal motility disorder na aspiration nyumonia εn כda lכng infεkshכn dεm. Imajin, wetin go apin if it we stɔp na di εsophagus go di rɔng we, dat na, go insay yu briz paip (trachea), ɛn frɔm de go insay yu lɔng? Na da tɛm de siriɔs tin lɛk nyumonia kin kam. Dɔn bak, tin dɛn lɛk we yu nɔ gɛt bɛtɛ it ɛn we yu nɔ gɛt bɔku bɔku bɔdi kin apin.

Aw dɔktɔ dɛn kin no bɔt dis sik?

If yu gɛt dɛn sik ya, yu fɔ go to dɔktɔ fɔs. I go aks yu bɔt yu sik dɛn ɛn du yu bɔdi ɛgzam. Dɔn, if nid de, dɛn go sɛn yu to dɔktɔ we de mɛn yu bɛlɛ .

Dɛn spɛshal tren dɛn ya spɛshal wan fɔ no ɛn trit sik dɛn we de na di dijestiv sistɛm, ivin di ɛsophagus. Dɛn kin du difrɛn tɛst fɔ si aw it ɛn drink de muv tru yu ɛsophagus. Sɔm pan dɛn na:

• Barium Swallow / Esophagram: Insay dis tɛst, dɛn kin gi yu wan spɛshal wata we dɛn kɔl barium fɔ drink, ɛn dɛn kin tek ɛkstrem rayt as i de pas dɔŋ yu esophagus. Dis kin mek yu si di shep we yu εsophagus gɛt ɛn if ɛnitin de we dɔn blok.
• EndoFLIP tɛst: .dis tεst de mכsu di sayz fכ di insay pat pan di skrotum εn aw di mכsul dεm na di skrotum de wok.
• εsophageal Manometry: Lεk εndoflip, dis na tεst we de mכsu aw di mכsul dεm na di εsophagus de kכntrakt, rilaks, εn push it dכn.
• Ɔpa Ɛndoskopi: Dis na fɔ put wan tin we kin chenj (ɛndoskɔp) wit smɔl kamɛra ɛn layt tru di mɔt fɔ chɛk di εsophagus, bɛlɛ, ɛn di fɔs pat pan di smɔl intestinal. Dis kin mek di dɔktɔ ebul fɔ luk dairekt insay di εsophagus fɔ ɛni lɛsin, swel, ɔ smɔl. If nid de, dɛn kin tek smɔl sampul pan di tisu (bayopsi) fɔ ɛgzamin.

Aw dɛn kin trit di prɔblɛm dɛn we gɛt fɔ du wit di we aw di εsophageal motility disorder?

De tritmɛnt dipen pan wetin de kɔz yu sik. If na bikɔs ɔf di men tin, dɛn kin trit yu wit wan ɔ mɔ pan dɛn tritmɛnt ya:

• Mεdikeshכn dεm: Mεrεsin dεm we de rilaks di mכsul dεm na di εsophagus כ ridyus di swεl.
• Di we dɛn we dɛn nɔ de du ɔpreshɔn: Fɔ ɛgzampul , dilashɔn na di εsophageal . insay dis, we dεn de du εndoskopi, dεn de yuz spεshal tin fכ mek di εsophagus we sכmtεm sכmtεm big. Dis kin mek i izi fɔ swɛla it.
• Minimally Invasive Surgeries: Fɔ ɛgzampul, ɔpreshɔn lɛk Heller Myotomy ɔ Peroral Endoscopic Myotomy (POEM) de wok bay we dɛn de rilaks di mɔsul dɛn na di εsophagus, we de mek am izi fɔ mek it pas dɔŋ di εsophagus.

If na bikɔs ɔf sɛkɔndari kɔz, di men tin fɔ du na fɔ trit di sik we de ɔnda am.

Wetin wi go ɛkspɛkt frɔm dis sityueshɔn?

Bɔku tɛm, dɛn kin trit achalasia, we na wan sik we kin afɛkt di εsophagus nɔmɔ, fayn fayn wan. Mɛrɛsin, we dɛn nɔ de du ɔpreshɔn, ɛn ɔpreshɔn kin mek am izi fɔ mek it ɛn drink pas frɔm di ɛsophagus to di bɛlɛ.

Bɔt, wan tin we wi fɔ mɛmba na dat nɔto ɔlman in kɔndishɔn na di sem. I bɛtɛ fɔ tɔk to yu dɔktɔ fɔ ɔndastand yu sik ɛn wetin fɔ ɛkspɛkt.

Aw a go tek kia ɔf misɛf? A nid fɔ chenj di we aw a de it?

Yɛs, if yu chenj sɔm smɔl smɔl tin dɛn to di we aw yu de it, dat kin ɛp fɔ mek sɔm pan dɛn tin ya we yu nɔ kin fil fayn, nɔ bɔku.

• Tin fɔ it wit yu maynd: It sloslo ɛn chew yu it fayn fayn wan. Wet fɔ smɔl tɛm afta yu dɔn swɛla wan mɔt bifo yu tek ɔda wan. Nɔ wach TV ɔ yuz yu fon we yu de it. Pe atɛnshɔn to yu it.
• Sidɔm stret we yu de it: Nɔ it we yu de ledɔm na bed ɔ ledɔm na di sofa. It we yu sidɔm stret na chia. Dis go ɛp di graviti fɔ mek di it go dɔŋ.
• Drink wata smɔl smɔl:Drink wan ɔ tu sip wata ɛvri sɔm mɔtful it. Dis go mek di it wet ɛn mek i izi fɔ swɛla. I de ɛp yu bak fɔ it sloslo.

Us it dɛn a nɔ fɔ it?

Jɛnɛral wan, i bɛtɛ fɔ ridyus ɔ avɔyd it dɛn lɛk dɛn tin ya:

• Fɔd dɛn we at fɔ it ɛn we kin tek tɛm fɔ dayjɛst: Fɔ ɛgzampul, vɛjitebul dɛn we nɔ kuk fayn, we at, mit dɛn we gɛt strɛch, we gɛt fat.
• Fɔd dɛn we kin stɔp na di εsophagus: Fɔ ɛgzampul, sɔm pipul dɛn kin gɛt prɔblɛm fɔ swɛla saf saf bred dɛn we dɛn mek wit flawa, wayt rays (espɛshali di wan dɛn we kin stika), ɛn pasta. We yu de it dɛn, brok dɛn smɔl smɔl, chew dɛn fayn fayn wan, ɛn it dɛn wit wata.

Dis na jɔs jɔnaral gaydlayn dɛn. Yu go nid fɔ tray smɔl fɔ si us it dɛn at ɛn wetin izi fɔ yu. Yu kin aks bak fɔ advays frɔm pɔsin we sabi bɔt it if nid de.

Ustɛm a fɔ go to dɔktɔ bak?

If yu sik nɔr de bɛtɛ afta yu dɔn bigin fɔ trit yu, ɔr if i tan lɛk se dɛn de wɔs, mek shɔ se yu go to yu dɔktɔ bak.

Sɔntɛnde, yu nɔ kin ivin want fɔ it bikɔs yu nɔ de muv fayn na yu ɛsophagus. Yu kin fil bak se yu de fred, "Di nɛks it go tu at?" Sɔntɛnde, lɛk it we stɔp na yu ɛsophagus, yu kin fil lɛk, "No sɔlv nɔ de fɔ dis? A go gɛt fɔ liv lɛk dis?"

Bɔt mɛmba se, tritmɛnt dɛn de we kin ɛp fɔ gɛt dɛn sik ya. If i nɔ izi fɔ yu fɔ swɛla ɔ yu de fil pen na yu chɛst afta yu dɔn it, tɔk to yu dɔktɔ bɔt am. If tɛst sho se yu gɛt dis kayn ɛsophageal motility disorder, yu dɔktɔ go gi yu di tritmɛnt we fit yu pas ɔl.

Fɔ dɔn, mɛsej we yu kin kɛr go na os:

• I nɔ izi fɔ swɛla it ɛn di pen na yu chɛst afta yu dɔn it nɔto tin dɛn we yu fɔ tek am layt.
• dis kin bi sayn dεm fכ di εsophageal dysmotility .
• Bɔrku rizin kin de fɔ dis, so i rili impɔtant fɔ gɛt kɔrɛkt diagnosis.
• Nɔr wɔri, tritmɛnt de fɔ dɛn kayn sik ya. Tɔk to yu dɔktɔ ɛn mek wan tritmɛnt plan we go wok fɔ yu.
• Yu kin gɛt fridɔm bak bay we yu chenj smɔl smɔl tin dɛn we yu de it.

If yu gɛt ɛni ɔda kwɛstyɔn bɔt dis, nɔ shek fɔ aks yu dɔktɔ. Stay wit wɛlbɔdi!

Esophagus , I at fɔ swɛla, Esophageal Dysmotility, Chɛst pen, Dijestiv sistɛm, Achalasia, Ɛndoskopi