Yu esophagus dɔn brok? (Esophageal Rupture) Dis na siriɔs tin, lɛ wi fɛn di ditel dɛn!

Yu dɔn ɛva gɛt siriɔs pen na yu chɛst wantɛm wantɛm, i nɔ kin izi fɔ swɛla, ɛn i nɔ kin izi fɔ yu fɔ blo? Dɛn kayn tɛm dɛn de, wi nɔ kin ivin tink bɔt am, bɔt i kin rili denja. wan kayn siriכs kכndyushכn we wi go tכk bכt tide na we di εsophageal rupture, כ `(Esophageal Rupture)`. I rili impɔtant fɔ no bɔt dis, bikɔs if yu trit yu kwik kwik wan, dat kin ivin sev pɔsin in layf.

Wetin na di εsophageal rupture? Fɔ tɔk am simpul wan...

di εsophagus na di tכb we de kכri di it we wi de it εn drink frכm wi mכt to wi bεlε. Tink bɔt am lɛk wata paip. So, if ol, kray, ɔ skrach de ɛnisay na di wɔl na dis εsophagus, na dat wi kin kɔl esophageal rupture.

Naw yu go mɔs de tink se, "So wetin so big bɔt dis?" Nɔ, dis na sik we rili siriɔs . Tink bɔt am, wi trakya de insay di chɛst, bitwin di lɔng dɛn. Nɔto di it nɔmɔ we wi de it ɛn drink, bɔt di jem ɛn kemikal dɛn we gɛt fɔ du wit wi dijestiv sistɛm de pas tru dis trakya. So, if ol de na di trakya, ɔl dɛn tin ya kin gɛda insay di chɛst, na di lɔng, ɔ na di blɔd. If dat apin , siriɔs infɛkshɔn kin apin, we kin mek pɔsin in layf de pan denja.

Na dat mek i impɔtant fɔ go to dɔktɔ kwik kwik wan, insay 24 awa, if yu sɔspɛkt dis sik. sכmtεm, dεn kin trit am wit wan prכsidכm lεk ``Endoscopy'' כ כpεrayshכn.

Aw dis sik kin kɔmɔn?

Fɔ tru, we pɔsin in larynx brok na tin we nɔ kin apin so ɔltɛm . Dat min se nɔto sɔntin we ɔlman kin gɛt. Bɔt if pɔsin gɛt am, i rili siriɔs, so i impɔtant fɔ no bɔt am.

Wetin na di difrɛns bitwin we di larynx we dɔn brok ɛn dɛn ɔda tin ya?

Sɔmtɛm pipul dɛn kin kɔnfyus dis wit ɔda kayn sik wae gɛt di sem kayn sik. Lɛ wi tek wan luk pan wetin na dɛn tin dɛn de.

Esophageal Rupture ɛn Mallory-Weiss Tiar

``Mallory-Weiss tear`` na jכs tεar כ abrashכn na di layn na di εsophagus. I nɔ de go ɔlsay na di εsophagus wɔl , we min se i nɔ de mek ol. Bɔt we di εsophagus brok, di wɔl kin rɔtin kpatakpata.

Esophageal Rupture ɛn Esophageal Variceal Rupture

Dis na we di blɔd vesel dɛn na di urethra kin swel, dɛn kin opin, ɛn dɛn kin bɔs. Dis kin mek bɔku blɔd kɔmɔt , bɔt i nɔ min se di urethra insɛf dɔn brok. Di wɔl na di urethra nɔ pwɛl.

Aw dis tiar dakt kin apin?

Bɔrku tɛm, di εsophagus kin te we di εsophagus dɔn pwɛl sɔm kayn we . Dis damej kin bi na do ɔ insay. Sɔm injury kin apin wantɛm wantɛm, frɔm aksidɛnt, ɛn ɔda wan dɛn kin kam smɔl smɔl as tɛm de go.

rεli rεli, di εsophagus kin rכp wan wan biכs fכ prεshכn pasmak. Dɛn kin kɔl dis bak ``Boerhaave's syndrome.'' Dis kin apin bɔku tɛm we pɔsin de vɔmit pasmak, fɔ lɔng tɛm.

Wetin na di tin we kin mek yu trot krak?

כltεm, di εsophageal ruptures de k כz fכ damej we de apin we dεn de trit mεdikal (`iatrogenic ruptures`). dis kin apin spεshal wan we dεn de du tritmεnt dεm we involv fכ put ``εndoskop`` insay di εsophagus. ``εndoskop`` na sכm sכm tכb we gεt kεmεra we dεn tay pan am. Dɛn kin put am insay di mɔt ɛn yuz am fɔ chɛk ɛn trit di εsophagus.

Yu tink se ɔda rizin dɛn de?

Yɛs, bɔku ɔda rizin dɛn de:

• כpεrayshכn to di εsophagus, spεshal wan Nissen fundoplication εn myotomy.
• Fɔ strɛs pasmak: na tin dɛn we kin mek yu strɛs pasmak, lɛk fɔ kɔntinyu fɔ vɔmit, fɔ es ebi ebi tin, fɔ gɛt sik, ɔ fɔ bɔn pikin.
• Fɔ swɛla fɔrina tin ɔ bad bad kemikal: Sɔntɛnde, smɔl pikin dɛn kin aksidɛntli swɛla kɔyn, pis tɔys, ɔ if pɔsin drink sɔntin we at lɛk asid.
• Injury ausayd di esophagus: Tin dɛm lɛk wund we dɛn chuk am, wund we dɛn shot gɔn, ɔ brus we pɔsin gɛt we i gɛt motoka aksidɛnt.
• Kronik asid riflɔks (GERD): we di bɛlɛ asid riflɔks insay di εsophagus kin mek ɔlsa fɔm, we kin dip smɔl smɔl ɛn mek di εsophagus pכrforeshכn.
• di prεshכn we tכmכro כ fכrin tin we stכk na di urethra: Dis kin mek di tisu dεm day (nεkrכsis) na di urethra.

Udat dɛn de pan denja fɔ dis?

Wi urethra difrɛn smɔl frɔm ɔda ɔgan dɛn. dat min se, difrεnt lεk כda כgan dεm , di urethra nכ gεt kכva we de protεkt (serosal layer) na di כdasay . Dis kin mek di urethra kin pwɛl mɔ. Dis risk kin bכku if infεkshכn, swel, כ injuri de insay di urethra.

If yu dɔn gɛt ɛni wan pan dɛn tin ya bifo, yu risk fɔ gɛt rupchɔ uvula kin go ɔp smɔl:

• Kronik gastritis (`Kronik asid riflɔks / GERD`).
• Eosinophilic esophagitis (na wan kכndyushכn we de mek di εsophagus inflameshn).
• di εsophageal diverticulum (wan sכmכl pכch we de kכmכt na di wכl na di εsophagus).
• Fɔ gɛt kansa na yu it ɔ yu dɔn gɛt raytin tɛrapi to di εsophagus.
• Fɔ drink rɔm pasmak.
• Bikɔs dɛn bin dɔn du ɔpreshɔn pan am na in trot bifo tɛm.

Wetin na di sayn dɛm fɔ dis? Mek wi no di rayt tin!

Di tin dɛn we kin apin we pɔsin in larynx brok na:

• Bɔrku pen na yu chɛst - Dis na di men sayn.
• I nɔ izi fɔ swɛla .
• Di shɔt we aw yu de blo .
• Fast at rit.
• Vɔmit .
• We yu de vɔmit blɔd .
• Lɔw blɔd prɛshɔn .
• Fiva .

Bɔku tɛm, di kray wata kin apin na di midul ɔ dɔŋ pat na di chɛst. If na so i bi, dɛn kin fil di pen na di chɛst. Bɔt if di kray wata apin na di ɔpa ɔ rili dɔŋ pat na di trot, yu kin fil di pen na di nɛk, ɔp bɛlɛ, ɔ di rayt sholda blad.

If yu gɛt wan ɔr mɔr pan dɛn sik ya, nɔr ignore dɛm. I impɔtant fɔ go to dɔktɔ wantɛm wantɛm, mɔ if dɛn sayn ya kam wit pen we yu de fil na yu chɛst wantɛm wantɛm.

Us denja prɔblɛm dɛn dis kin mek?

we di tin dεm we de insay di bεlε εn di jεm dεm lik kכmכt tru di ol we de na di εsophagus, כl kayn denja kin apin. Imajin, i tan lɛk dɔti wata tank we gɛt ol insay ɛn wata we de rɔn ɔlsay.

• kεmikכl inflameshn (pleurisy) na di layn na di chεst kin apin.
• Fluid kin gɛda insay di chɛst kaviti (pleural effusion), we kin ivin bɔs.
• di briz kin trכp na di spεs bitwin di lכng dεm (di `mediastinum`) (`mediastinal emphysema`).
• dis inflameshn kin mek di tisu dεm day (nεkrכsis) na di chεst kεviti כ bitwin di lכng dεm.
• baktriyal infεkshכn na di bכdi (`septicemia`) kin apin.
• we dis ``septicemia'' kכndyushכn kin bi siriכs, i kin mek i gεt wan kכndyushכn we de mek yu layf de pan denja we dεn kכl ``sepsis'', we kin mek i gεt ``septic shכk'' εn כgan dεm fεl.

Ɔl dis de sho aw siriɔs rupchɔ larynx kin bi.

Aw yu go no fɔ tru if yu εsophagus dɔn brok? Ustɛm yu fɔ go to dɔktɔ?

If yu gɛt ɛni saspek se yu gɛt dis sik, go na ɔspitul imejensi rum (ER) wantɛm wantɛm. Bɔrku pen, i nɔ kin izi fɔ swɛla, ɛn i nɔ kin izi fɔ blo, ɔl na sayn dɛn fɔ se i gɛt ɛnitin fɔ du wit am. Mek shɔ se yu tɛl yu dɔktɔ di rayt we aw yu sik bigin ɛn wetin bin apin da tɛm de.

If dɛn sayn ya bigin afta aksidɛnt, swɛla sɔntin we nɔ fayn, ɔ vɔmit bɔku, i kin bi se i dɔn rɔtin. Di dɔktɔ go luk fɔ pruf fɔ dis.

Aw dɔktɔ dɛn kin no bɔt dis?

Di dɔktɔ go tɛl dɛn fɔ du bɔku tɛst fɔ chɛk if di εsophagus dɔn rɔtin.

• Fɔs, dɛn kin du ɛkstrem na di chɛst fɔ chɛk if wata de lik ɔ if di briz de bɔn na di chɛst.
• Fɔ kɔnfirm dis, dɛn kin aks yu fɔ du ɔda sɛnsitiv ɛkstrem tɛst we dɛn kɔl ɛsophagogram . Insay dis tɛst, yu kin drink wata we gɛt kɔlɔ (kɔntrast day) ɛn dɛn kin tek ɛkstrem rayt. Dis kin mek yu si di insay pat pan yu εsophagus klia wan. If dis wata we gɛt kɔlɔ de lik kɔmɔt na di ol, yu go si am klia wan pan di ɛkstrem rayt. Dis kin no bak usay di ol de ɛn aw fast i de lik.
• SɔntɛmDɛn kin advays bak fɔ mek dɛn du CT skan. Dis impɔtant mɔ if dɛn tink se di ɔpa ɔ dɔŋ εsophagus dɔn rɔtin. CT skan kin ɛp fɔ no di say dɛn we wata dɔn gɛda na di nɛk ɔ bɛlɛ ɛn no if dɛn nid fɔ pul dɛn.

Wetin na di tritmɛnt fɔ dis?

Bɔku standad tritmɛnt dɛn de fɔ dis:

• Fluid we dɛn kin put insay di bɛlɛ (IV fluid): Fɔ tek di ples fɔ di wata we kin lɔs bikɔs i de blɔd, we i vɔmit, ɔ we i nɔ ebul fɔ drink.
• IV antibayɔtik ɛn/ɔ antifɔngal: Fɔ mek dɛn nɔ gɛt ɛni infɛkshɔn ɔ fɔ trit wan infɛkshɔn we dɔn de.
• IV nyutrishɔn ɔ tyub fidin: Yu nɔ go ebul fɔ swɛla it wit mɔt we yu de trit yu ɛn te yu wɛl.
• Pɛkyutanɛs fluid drenaj: Dis kin nid fɔ pul ɛn disinfɛkt wata we gɛt di sik we dɔn gɛda na yu bɔdi kaviti. Yu dɔktɔ go tray fɔ pul dis wata bay we i put nidul ɔ tiub insay yu chɛst kwik kwik wan.
• Ɛndoskopik tritmɛnt: Sɔm smɔl smɔl kray wata dɛn kin trit we dɛn nɔ gɛt ɔpreshɔn bay we dɛn yuz ɛndoskop. Ɛndoskɔp na lɔng tiub we gɛt kamɛra we dɛn tay. Dɛn kin put am tru di trot insay di εsophagus ɛn dɛn kin mek di kray wata wit klip, sutura, vaykum spɔnj, ɔ stent.
• Ɔpreshɔn: Sɔm pipul dɛn nid ɔpreshɔn fɔ mek di wata we dɔn rɔtin fayn dairekt wan. We dɛn de du di ɔpreshɔn, di dɔktɔ we de du di ɔpreshɔn kin pul di wata we pasmak ɛn di tisu we dɔn day. Dipen pan yu sik, yu dɔktɔ kin yuz wan tin we nɔ go tek bɔku tɛm, lɛk Video-Assisted Thoracoscopic Surgery (VATS) . Bɔt we sɔm imejensi dɛn apin, i kin nid fɔ mek dɛn du ɔpreshɔn opin wan. Dis kin mek pɔsin ebul fɔ go na di say we dɔn pwɛl kwik kwik wan ɛn bɛtɛ.

Yu tink se i pɔsibul fɔ lɛ wi rɔnawe pan dis prɔblɛm? Wetin na di pɔsibul fɔ mek i wɛl?

Yɛs, dɛn kin mɛn pɔsin we gɛt larynx we dɔn brok. Bɔt, yu prɔgnosis dipen pan aw yu kin go fɔ tritmɛnt kwik kwik wan. Di lɔng we i tek fɔ mek di infekshɔn skata tru di chɛst kaviti ɛn go insay di blɔd, na di mɔ yu go gɛt prɔblɛm.

Di wan dɛn we kin gɛt tritmɛnt insay di fɔs 24 awa we dɛn brok kin gɛt bɔku chans fɔ wɛl ful wan. di rεt we de liv na dis grup na bכt 85%. Bɔt if 48 awa pas we dɛn nɔ gɛt tritmɛnt, da rit de go dɔŋ to 50%.

Dis nɔr de sho aw impɔtant tritmɛnt kwik kwik wan?

Faynal Mɛsej fɔ Tek-Hom

Larynx we brok na tin we de mek pɔsin fred bɔt we nɔ kin apin so ɔltɛm. Bɔt if i apin, i kin at fɔ no am wantɛm wantɛm. Na dat mek i impɔtant fɔ nɔ ɛva ignore di chɛst pen.

Wi εsophagus kin tan ɛn i kin pwɛl izi wan. I kin pwɛl di we aw i nɔ bin de tink se i go pwɛl. We dat kin apin, yu nɔ go ɔndastand usay di pen de kɔmɔt ɔ wetin i min. Bɔt, nɔ jɔs tink se, "Dis go jɔs go."

If yu ɛva gɛt pen na yu chɛst wantɛm wantɛm, ɔ yu gɛt pen na yu trot ɔ yu bɛlɛ we de ɔp, go na di imejensi rum wantɛm wantɛm. Ivin smɔl pankchɔ kin mek yu gɛt infekshɔn ɛn ɔl di denja prɔblɛm dɛn we wi bin dɔn tɔk bɔt. Yu layf valyu, so pe atɛnshɔn to di sayn dɛm ɛn go to dɔktɔ kwik kwik wan.

Esophageal Rupture, Chɛst Pen, I nɔ izi fɔ swɛla, I at fɔ blo, Boerhaave Syndrome, Imejɛnsi Tritmɛnt