Yu dɔn ɛva gɛt shap pen na yu chɛst wantɛm wantɛm, lɛk pɔsin we de swɛt yu trot, we yu de it ɔ drink? I kin tan lɛk se it dɔn stɔp na yu trot? Bɔku pipul dɛn kin fred se dis na at atak, bɔt nɔto so i kin bi ɔltɛm. Dis kin bi bikɔs di mɔsul dɛn na yu ɛsophagus nɔ de swɛla. Tide, wi go tɔk bɔt di εsophageal spasms, ɔ ``Esophageal Spasms'', insay wan simpul we we yu go ɔndastand.
Wetin na di spasm we de na di εsophageal?
Fɔ tɔk am simpul wan, wi εsophagus na tiub we dɛn mek wit mɔsul dɛn we de kɛr di it we wi de swɛla frɔm wi trot to wi bɛlɛ. Nɔmal wan, we wi swɛla sɔntin, di mɔsul dɛn na dis tiub kin kɔntrakt insay wan ritmik we, lɛk wev, fɔ push di it dɔŋ insay wi bɛlɛ. insay mεdikal, wi kin kכl dis prכsεs ``peristalsis``.
כltu, if yu gεt wan kכndyushכn we dεn kכl ``Esophageal Spasms'', di ritm fכ dεn mכsul kכntrikshכn dεm ya kin bi erratic. Dɛn kin spasm randomly ɛn nɔ gɛt ɛni kɔnekshɔn, ɔ dɛn kin spasm pasmak ɛn fɔs. Tink bɔt am lɛk se wata paip de blok wantɛm wantɛm na wan ples.
We di mɔsul dɛn stif ɛn tɛns, it ɛn drink nɔ kin izi fɔ go dɔŋ. Dis na we yu gɛt prɔblɛm fɔ swɛla ɛn fil pen na yu chɛst. Sɔntɛnde, it we dɛn swɛla kin kam bak ɔp (regurgitate).
Yu tink se men kayn tin dɛn de we kin mek pɔsin gɛt dis sik?
Yɛs, tu men kayn dɛn de. I impɔtant fɔ ɔndastand dɛn tin ya.
| Tayp fɔ di Spasm | Fɔ tɔk am simpul wan, wetin kin apin? |
|---|---|
| Distal (ɔ difyuz) ɛsophageal spasm | insay dis, di mכsul dεm na di lכw pat pan di εsophagus mεnli kכntrakt insay wan chaotic εn we nכ kכdכnayt. Dis na di rizin we mek i kɔmɔn fɔ si it we dɛn dɔn swɛla de tray fɔ kam bak ɔp na di trot. |
| haypakontraktayl (nutkraker ɔ jackhammer) εsophagus | insay dis kes, pan כl we di ritm fכ di mכsul dεm we de kכntrikshכn kכrekt, di kכntrikshכn dεm de apin fכs εn lawd pas aw i kin bi. Lɛk we dɛn bit am wit hama. Dis kin mek yu fil pen bad bad wan we yu de swɛla ɛn fil se yu chɛst tayt. |
Wetin na di sayn dɛm we de sho se yu gɛt dis sik? Aw i kin fil?
Di tu men ɛn kɔmɔn sayn dɛm fɔ dis sik na we i nɔ kin izi fɔ swɛla (dysphagia) ɛn di pen we nɔ de na di chɛst we nɔ de na di at . Bɔt sɔm pipul dɛn kin gɛt dis sik ɛn nɔr kin gɛt ɛni sayn.
I rili impɔtant: Di tin we de mek pɔsin fred ya na dat dis chɛst pen kin fil sɔmtɛm jɔs lɛk at atak. So if yu gɛt siriɔs pen na yu chɛst we yu nɔ ebul fɔ ɛksplen ɛn we kin tek pas fayv minit, nɔ jɔs tink se na ɔda tin. Go na ɔspitul in Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm. E fayn fɔ mek yu fɔs mek shɔ se nɔto siriɔs tin lɛk at atak.
Di sayn dɛm kin nɔr kin so, bɔt sɔmtɛm dɛn kin tranga. Fɔ sɔm pipul dɛn, dɛn kin jɔs apin afta dɛn dɔn it. Fɔ ɔda pipul dɛn, dɛn kin kam wantɛm wantɛm fɔ no rizin. Dɛn kin las fɔ sɔm minit ɔ ivin fɔ wan awa ɔ mɔ.
| Aw yu de fil | Tɔk bɔt |
|---|---|
| Chɛst kin fil tayt/tayt | I kin fil lɛk se sɔmbɔdi de prɛs dɔŋ di midul pan di chɛst, jɔs dɔŋ di sternum, lɛk se dɛn de put wet pan am. |
| At bɔn | Yu kin fil se yu chɛst de bɔn. |
| Fɔ skata pen | Sɔntɛnde, yu kin fil di pen we kin bigin na di sɛntrɔm pat na di chɛst lɛk se i de travul go na di nɛk, lɛft an, ɔ bak. |
| I nɔ kin izi fɔ swɛla (Dysphagia) . |
|
Wetin mek dis de apin? Wetin na di rizin dɛn?
Infakt, dɔktɔ dɛn stil nɔ no di rayt tin we mek dis de apin. Bɔt bɔku pipul dɛn biliv se na bikɔs di nɛv dɛn we de kɔntrol di mɔsul dɛn na di ɛsophagus nɔ de wok fayn. Lɛk shɔt na ilɛktrik sɔrkwit, di signal dɛn we de kɔmɔt na di nɛv dɛn to di mɔsul dɛn kin ambɔg.
Bɔku ɔda tin dɛn de we kin afɛkt dis:
- GERD kɔndishɔn: Bɔrku tɛm, pipul dɛm wae gɛt dis sik kin gɛt GERD (Gastroesophageal Reflux Disease) bak. dεn biliv se if yu de pan dis asid fכ lכng tεm, i kin pwεl di nεv dεm na di εsophagus.
- Sɔm mɛrɛsin dɛm: Nyu risach dɔn sho se pipul dɛm wae de yuse strɔng pen kil lɛk opioid fɔ pas tri mɔnt kin gɛt dis sik bak.
Trig fɔ dis rash
Fɔ sɔm pipul dɛn, sɔm tin ya kin mek dɛn gɛt dɛn sik ya. Yu kin wɔri bak smɔl bɔt dɛn tin ya.
- We yu de it ɔ drink, ilɛksɛf i rili wam ɔ i rili kol .
- Di tɛm we pɔsin kin strɛs ɔ wɔri bad bad wan .
- Sɔntɛnde we yu de du ɛksɛsayz .
Bɔt dis pen kin apin ɛnitɛm, fɔ natin.
Aw yu go fɛn dis, Dɔktɔ?
biכs dεn simptom dεm ya lεk di wan dεm fכ bכku כda sik dεm, i kin kכmplikt sכmtεm fכ no wetin εksakכt na ``Esophageal Spasms''.
1. Mek shɔ se yu nɔ gɛt at sik: We yu go to dɔktɔ wit chɛst pen, di fɔs tin we di dɔktɔ go du na fɔ mek shɔ se yu nɔ gɛt siriɔs tin lɛk at atak. Fɔ dat, dɛn go du tɛst dɛn lɛk ECG (Electrocardiogram) .
2. Fɔ pul ɔda tin dɛn we kin mek pɔsin gɛt dis sik: Dɔn, dɛn go du bɔku tɛst fɔ mek shɔ se nɔ ɔda kɔmɔn tin nɔ de we kin mek pɔsin gɛt dɛn sik ya.
- כp εndoskopi: insay dis, dεn de put wan sכmכl fכ fכm we gεt kεmεra we dεn atak tru di mכt εn insay di εsophagus εn bεlε fכ luk insay. Dis kin ɛp fɔ si if ɛni chenj de, di strɔkchɔ we nɔ fayn, ɔ we de blok.
- Esophagram (Barium Swallow): Insay dis, dɛn kin gi yu wan wata we dɛn kɔl barium fɔ drink ɛn dɛn kin tek ɛkstrem rayt pikchɔ dɛn. dis de mek yu si klia wan if eni blכk כ narrowing (stricture) de enisay na di εsophagus.
3. Spɛshal tɛst: If dɛn nɔ ebul fɔ no di kɔz frɔm wetin wi dɔn tɔk bɔt, dɛn kin du dɛn tɛst ya fɔ no if dis na di rayt sik.
- Esophageal Manometry: Dis na di bεst εn rilibul tεst fכ no dis sik kכrekt wan (gold-standard).. insay dis, wan tכb we rili tכn de pas dכn di trot tru di nos. Dɔn dɛn kin aks yu fɔ swɛla smɔl wata, ɛn di prɛshɔn we de na di trot mɔsul dɛn kin chenj as yu de swɛla, ɛn dɛn kin mɛzhɔ di we aw di kɔntrakshɔn dɛn de. If bɔku abnɔmal kɔntrakshɔn de we kin apin di sem tɛm, dat na di men sayn fɔ dis sik.
Wetin na di tritmɛnt dɛm fɔ dis?
Di men gol fɔ tritmɛnt na fɔ rilaks di mɔsul dɛm na di urethra ɛn ridyus di simptom dɛm. If yu nɔ gɛt ɛni sik, yu nɔ go nid ɛni tritmɛnt.
Tin dɛn we yu kin du na os
Risach dɔn sho se pepamint ɔyl kin mek di smɔl smɔl mɔsul dɛn na di εsophagus rilaks. If yu ad sɔm drop dɛn pan pepamint ɔyl to wan glas wata ɛn drink am, dat kin ɛp fɔ pul sɔm smɔl smɔl sayn dɛn. I kin fayn bak fɔ no ustɛm ɛn us it dɛn kin mek yu at bɔn ɛn avɔyd dɛn it dɛn de.
Mɛrɛsin we dɛn kin gi
Yu dɔktɔ kin gi yu mɛrɛsin lɛk dɛn wan ya fɔ kɔntrol di sik dɛn we de sho se yu gɛt am:
- Calcium channel blockers: Dɛn tin ya na rili mɛrɛsin fɔ ay blɔd prɛshɔn. We dɛn tek am bifo dɛn it, dɛn kin mek di mɔsul dɛn na di εsophagus rilaks, ɛn dis kin mek i izi fɔ swɛla.
- Naytrɛt: Ɛp fɔ ridyus di pen na di chɛst.
- Tricyclic antidepressants: We dɛn gi dɛn smɔl smɔl, dɛn kin ɛp fɔ ridyus di pen bay we dɛn kin kɔntrol di pen-sɛnsitiv nerves.
Botulinum toxin (Botox®) injεkshכn dεm
If ɔda tritmɛnt dɛn nɔ wok, dɛn kin put wan tiub, we tan lɛk ɛndoskopi, ɛn dɛn kin put Bɔtɔk insay di mɔsul dɛn na di εsophagus. Dis kin mek dɛn mɔsul dɛn de nɔ wok fɔ sɔm tɛm. Dɔn di spasm kin stɔp. Bɔt di ifɛkt we dis kin gɛt kin las fɔ lɛk 6 mɔnt nɔmɔ.
Ɔpreshɔn
Dɛn kin jɔs du dis pan kes dɛm we rili siriɔs usay nɔr ɔda tritmɛnt nɔr dɔn woke. dis כpεrayshכn dεn kכl am ``Myotomy.'' di dכkta de mek sכmכl kכt na di mכsul dεm we de dכn na di εsophagus. Dɔn, di mɔsul dɛn nɔ kin ebul fɔ kɔntrakt. Dɔn, graviti de mek di it ebul fɔ muf dɔŋ.
Ustɛm a fɔ go to dɔktɔ?
Dis kin rili impɔtant bikɔs de sik kin tan lɛk wae pɔrsin gɛt hat atɔk.
| If yu gɛt dɛn sik ya, go na ɔspitul in Imejɛnsi Tritmɛnt Yunit (ETU) wantɛm wantɛm! | |
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| If dɛn sayn ya nɔ de igen fɔ pas tu wiks, go to dɔktɔ. | |
If di sayn dɛm lɛk pen na yu chɛst ɔr i nɔr kin izi fɔ swɛla, nɔr ignore am lɛk aw i nɔrmal ɛn tɔk to yu dɔktɔ bɔt am. |
Mɛsej we dɛn kin kɛr go na os
- Esophageal Spasms na wan sik we de mek yu chɛst de pen ɛn tayt we yu de swɛla it, we kin ambɔg yu layf ɛvride.
- Dis chɛst pen kin fil sɔmtɛm lɛk at atak. So, if yu gɛt pen na yu chɛst wantɛm wantɛm we yu nɔ ebul fɔ ɛksplen, go na ɔspitul in Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm ɛn yu nɔ tink bɔt ɛni ɔda tin.
- Pan ɔl we wi nɔ no di rayt tin we kin mek dis apin, GERD ɛn sɔm mɛrɛsin dɛn kin ɛp fɔ du sɔntin.
- Gud tritmɛnt de fɔ kɔntrol dis sik, so if yu gɛt sɔm sayn dɛm, nɔr jɔs ignore dɛm ɛn tɔk to yu dɔktɔ.
- Dis nɔto siriɔs sik we kin mek pɔsin in layf de pan denja ɔ we kin mek pɔsin gɛt siriɔs sik lɛk kansa. So nɔ fred we yu nɔ nid fɔ fred.
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