Sɔntɛnde yu kin fil tayt ɔ pen na yu chɛst we yu swɛla smɔl it ɔ tek wata? I kin tan lɛk se it dɔn stɔp na yu trot, ɔ lɛk se sɔmbɔdi de swɛt yu chɛst. Dis na di kɔndishɔn we wi go tɔk bɔt tide, we dɛn kɔl
esophageal spasms . Pan ɔl we dis kin mek wi fred smɔl, i kin ɛksplen bɔku tin dɛn we wi no mɔ bɔt am.
wetin na dis kכntrikshכn fכ di mכsul dεm na di an?
Fɔ tɔk am simpul wan, we yu swɛla it ɔ drink, wan pat de we tan lɛk tiub we de pul am na yu mɔt go na yu bɛlɛ. Wi kin kɔl am
di εsophagus . di wכl dεm na dis εsophagus na mכsul dεm. We yu swɛla sɔntin, dɛn mɔsul ya kin kɔntrakt ɛn rilaks ɔltɛm frɔm ɔp to dɔŋ, ɛn dɛn kin push di it ɔ drink insay di bɛlɛ. Lɛk wef. Wi kin kɔl dis prɔses
``(Peristalsis)`` . כltu, pan pכsin we gεt ``(Esophageal Spasms)``, sכm prכblεm de wit di we aw dεn mכsul dεm ya de kכntrakt na di εsophagus. Ɔ di mɔsul dɛn kin kɔntrakt wantɛm wantɛm ɛn strɔng wan, ɔ dɛn kin kɔntrakt di we we nɔ de ɔltɛm ɛn we nɔ de chenj. Dɔn i nɔ kin izi fɔ mek di it ɔ drink go dɔŋ fayn fayn wan. Sɔntɛnde, di tin dɛn we dɛn dɔn swɛla kin kam bak ɔp na di trot. Dɔn bak, dis kin mek yu chɛst pen.
Yu tink se difrɛn kayn dis de?
yes, tu men kayn dεm de: 1.
Distal Esophageal Spasm: Dis na we di mכsul dεm na di lכw pat pan di εsophagus de kכntrakt insay wan chaotic, we nכ de kכdכn. Dis na di rizin we mek
regurgitation kin mɔna. 2.
Hypercontractile Esophagus: Sɔntɛnde dɛn kin kɔl dis Nutcracker Esophagus ɔ Jackhammer Esophagus. dis na we di mכsul dεm na di εsophagus
de kכntrakt bכku bכku wan εn kwik kwik wan . Dis kin mek yu chɛst pen bad bad wan, mɔ we yu de swɛla. Sɔm pipul dɛn kin fil lɛk se dɛn de swɛt dɛn chɛst.
Aw dis sik kin kɔmɔn?
fכ tru, dis kכndyushכn we dεn kכl `(Esophageal Spasms)`
nכto so kכmכn . fכ egzampl, fכ di dכkta dεm se di kayn we dεn kכl `Distal Esophageal Spasm` de apin pan lεk wan pan כndrεd tawzin pipul dεm insay wan ia. So nɔ wɔri bɔt am we yu nɔ nid fɔ wɔri.
Wetin na di sayn dɛm fɔ dis?
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 nɔto ɔlman go gɛt dɛn sik ya. Sɔntɛnde, di pen na in chɛst we dis mɔsul dɛn kin kɔntrakt
kin fil lɛk di pen we pɔsin kin fil we i gɛt at atak .
Impɔtant: If yu gɛt siriɔs pen na yu chɛst we yu nɔ ebul fɔ ɛksplen ɛn we de te pas fayv minit, duya go to dɔktɔ wantɛm wantɛm. I rili impɔtant fɔ no if na at atak ɔ nɔto so.
Dɛn sayn ya kin rili smɔl fɔ sɔm pipul dɛm, ɛn kin tranga pasmak fɔ ɔda pipul dɛm. Sɔntɛnde, dɛn kin bigin pan patikyula tɛm, lɛk afta dɛn dɔn it. Bɔt sɔntɛnde, dɛn kin kam wantɛm wantɛm fɔ natin. We dɛn kɔntrakshɔn ya bigin, dɛn kin las frɔm sɔm minit to pas wan awa.
Aw di pen na yu chɛst kin fil?
If yu gɛt ɛsophageal spasm, yu chɛst kin fil lɛk dis:
- Yu kin fil se yu de swɛt, tayt, prɛs, ɔ ebi na di midul pan yu chɛst, spɛshal wan biɛn di brɔst bon (sternum).
- Sɔm pipul dɛn kin fil lɛk se dɛn at kin bɔn , we min se dɛn kin bɔn na dɛn chɛst .
- Di pen kin de na di rayt say, lɛft say, ɔ rayt na di midul pan di chɛst, dɔn i kin go na di nɛk, lɛft an, ɔ bak .
Aw di prɔblɛm fɔ swɛla (Dysphagia) kin fil?
Wit dis diskɔmfɔt, yu kin gɛt dɛn tin ya:
- I kin tan lɛk se sɔntin dɔn stɔp na yu trot .
- Filin lɛk se it de tray fɔ kam bak ɔp di trot .
Wetin mek dis de apin? Wetin na di rizin dɛn?
Dɔktɔ dɛn stil
nɔ no bɛtɛ bɛtɛ wan wetin kin mek i apin. Bɔt sɔm pipul dɛn biliv se na
di nerve dɛn we nɔ fayn na di nerves we de kɔntrol di mɔsul dɛn na di esophagus kin mek i apin. Sɔntɛnde, dɛn nεv ya we nɔ fayn kin gɛt fɔ du wit tumɔs asid na di εsophagus. Bɔku pipul dɛn we gɛt ɛsophageal spasm kin gɛt
wan sik we kin de fɔ lɔng tɛm we dɛn kɔl gastroesophageal reflux disease (GERD) . dis kכndyushכn de mek di bεlε asid fכ fכlכ bak כp insay di εsophagus. dεn tink se dis asid kin pwεl di nεv dεm na di εsophagus. Risach wae dɛn dɔn du dis biɛn tɛm dɔn sho se pipul dɛm wae
dɔn de tek opioid fɔ pas tri mɔnt kin gɛt esophageal spasm. Bɔt dɛn nid fɔ du mɔ risach fɔ no di rayt tin we kin mek i apin ɛn di tin dɛn we kin mek i apin.
Wetin na de tin wae kin mek pɔrsin gɛt dis sik?
Sɔm pipul dɛn kin si se sɔm tin dɛn kin mek di sayn dɛn we de sho se di εsophageal spasm kin apin ɔ i kin mek i wɔs. Fɔ ɛgzampul:
- Afta yu it it ɔ drink we rili ɔt ɔ we rili kol .
- Bifo, di tɛm, ɔ afta sɔm tɛm we yu bin de strɛs ɔ wɔri bad bad wan .
- We yu de du ɛksɛsayz .
Bɔt dɛn kɔntrakshɔn ya kin apin ɛnitɛm.
Aw dɔktɔ dɛn kin no dis?
Yu dɔktɔ go fɔs chɛk yu ɛn tek tɛm lisin to yu sayn dɛn. If yu gɛt pen na yu chɛst, .
Dɛn kin aks yu fɔ du tɛst lɛk ilɛktrokardiogram (EKG) fɔ chɛk if yu gɛt at sik. Wae yu dɔn pul yu at sik, dɛn go aks yu fɔ du tɛst fɔ no ɔda kɔmɔn tin dɛm wae kin de kɔz yu sik. Dɛn tin ya kin bi: Test dɛn we dɛn kin du bɔku tɛm
- Ɔpa Ɛndoskɔpi: Dis kin min se di dɔktɔ de put wan tin tiub (we dɛn kɔl ɛndoskɔp) insay yu εsophagus. Dis tiub gɛt smɔl layt ɛn kamɛra na wan ɛnd. Dis kin mek di dɔktɔ ebul fɔ si insay yu ɛsophagus. Dis kin ɛp fɔ chɛk fɔ ɛni chenj na di strɔkchɔ we kin de mek yu chɛst de pen ɔ i nɔ kin izi fɔ swɛla.
- Barium swallow (`Esophagram` ɔ `Barium Swallow`): Insay dis tɛst, yu de drink wan wata we gɛt wan tin we dɛn kɔl barium. Dɔn di dɔktɔ kin tek ɛkstrem pikchɔ dɛn we de sho di barium we de muv dɔŋ yu ɛsophagus. dis kin εp fכ rכl כda kכz dεm, lεk we di εsophagus sכmtεm sכmtεm (`stricture`).
Spɛshal tɛst fɔ no if di mɔsul dɛn de spam
- εsophageal Manometry: Dis na di gold-standad tεst fכ no di εsophageal spasm dεm. i de mכsu di prεshכn wev dεm we de apin insay di εsophagus we yu de sכlow. If yu gɛt bɔku abnɔmal mɔsul kɔntrakshɔn na di ɔda pat na di εsophagus di sem tɛm, na sayn fɔ dis kɔndishɔn.
- Functional Lumen Imaging Probe (FLIP): dis na nyu tεst we kin gi infכmeshכn bכt di muvmεnt fכ di anus εn aw di anus wכl de ansa we di prεshכn chenj.
Us ɔda sik dɛn we gɛt di sem kayn sayn?
Esophageal Spasms kin tranga smɔl fɔ no, bikɔs sɔm ɔda tin dɛn de we kin mek di men tin dɛn we kin mek pɔsin fil pen na in chɛst ɛn i nɔ kin izi fɔ swɛla . Afta yu dɔn mek shɔ se yu prɔblɛm nɔr kam bikɔs ɔf at sik, yu dɔktɔ go pul ɔda kɔmɔn dijestiv kɔndishɔn dɛm wae kin mek yu gɛt di sem kayn sik. Dɛn tin ya kin bi:- `( GERD )` (Dis kin apin bak togɛda wit `( Esophageal Spasms)`).
- di strikt dεm na di εsophageal.
- Hiatal hεnia .
Wetin na di tritmɛnt dɛm fɔ dis?
Di praymar gol fɔ tritmɛnt fɔ di εsophageal spasm na fɔ rilaks di mɔsul dɛm na di εsophagus ɛn ridyus yu simptom dɛm.Bɔt if yu nɔ gɛt ɛni sayn frɔm dɛn mɔsul ya we de spam, yu nɔ go nid tritmɛnt. Yu dɔktɔ kin tɛl yu wan ɔ mɔ pan dɛn tritmɛnt ya:- Di mɛrɛsin dɛn we yu kin yuz na os: Risach dɔn sho se pepamint ɔyl kin ɛp fɔ rilaks di mɔsul dɛn na di an. If yu drink sɔm drop dɛn pan pepamint ɔyl na wata, dat kin ɛp fɔ mek yu nɔ gɛt smɔl smɔl sik dɛn. Dɔn bak, if yu no di tin dɛn we de mek yu nɔ gɛt di sik, dat kin ɛp fɔ mek yu nɔ gɛt kɔntrakshɔn tumara bambay.
- Di mɛrɛsin we dɛn kin gi:
- If yu tek kalsiɔm chanɛl blɔk (wan kayn mɛrɛsin we dɛn kin yuz fɔ mɛn ay blɔd prɛshɔn) bifo yu it, dat kin ɛp bɔku pipul dɛn fɔ swɛla izi wan.
- Naytrɛt de ɛp fɔ mek yu nɔ gɛt pen na yu chɛst .
- Trisayklik antidipreshan kin tɔch di nerv dɛm we dɔn pwɛl na di yes ɛn ridyus di pen.
- Botulinum toxin ( Botox ®) injεkshכn: Botox® injεkshכn kin mek di mכsul dεm na di anus paralayz fכ sכm tεm εn stכp dεm fכ kכntrakt. Yu dɔktɔ kin tɛl yu fɔ du dis if ɔda tritmɛnt dɛn nɔ ɛp yu. Di tin dɛn we dis tritmɛnt kin du kin las fɔ lɛk siks mɔnt.
- Ɔpreshɔn : If yu sik bad bad wan ɛn ɔda tritmɛnt dɛn nɔ ɛp yu, yu dɔktɔ kin tɛl yu fɔ du ɔpreshɔn we dɛn kɔl myotomy . We dɛn de du mayotomi, yu dɔktɔ kin kɔt di mɔsul we de dɔŋ yu εsophagus. Dis kɔt de mek di mɔsul nɔ wok kpatakpata. Dis kin stɔp di abnɔmal kɔntrakshɔn. Bikɔs dɛn nɔ de yuz di mɔsul we de na yu εsophagus igen, graviti de mek it ɛn drink go dɔŋ yu εsophagus.
Bɔrku pipul dɛm wae gɛt ɔl tu di esophageal spasm ɛn GERD kin gɛt rilif frɔm ɔl tu di sik dɛm we dɛn tek mɛrɛsin dɛm wae dɛn kɔl proton pump inhibitors (PPIs) . Dɛn mɛrɛsin ya de wok bay we dɛn de ridyus di asid we de na di bɛlɛ. Bɔku tɛm, di spasm we de na di εsophageal we di opioid kin mek kin go afta yu dɔn stɔp fɔ tek di mɛrɛsin dɛn. Yu tink se dɛn go ebul fɔ stɔp dis?
כnכfכs, e nכ posεbul fכ kכmplit fכ mek dis kכndyushכn nכ apin. Bɔt yu kin ɛp bay wae yu no ɛn avɔyd tin dɛm wae de mek yu sik wɔs (fɔ ɛgzampul, sɔm it ɛn drink dɛm).Dis kin ɛp fɔ mek di mɔsul dɛn nɔ bigin ɔ wɔs. Yu tink se dis na denja tin?
Sɔntɛnde, di spasm na di εsophageal kin mek yu chɛst pen ɛn i nɔ kin izi fɔ swɛla. Bɔt dɔktɔ dɛn nɔ kin si dis sik as siriɔs prɔblɛm fɔ yu wɛlbɔdi . If i nɔ izi fɔ swɛla, i kin mek yu fil lɛk se yu de chok, bɔt di Ɛsophageal Spasms nɔ de mek yu layf de pan denja . Bɔku tɛm, dɛn nɔ kin mek yu nɔ gɛt di it we yu nid. Ɛsophageal Spasm nɔ de mek yu gɛt mɔ esophageal kansa ɔ ɔda siriɔs tin dɛn we de afɛkt di esophagus. Wetin go apin afta dɛn dɔn trit am? (Autluk) .
Di prɔgnosis fɔ Esophageal Spasms kin difrɛn difrɛn wan bay aw yu simptom dɛn siriɔs. Bɔrku pipul dɛn kin gɛt smɔl smɔl sayn dɛm nɔmɔ. Tritmεnt kin bכku bכku wan bכku di sayn dεm fכ Esophageal Spasms. Yu dɔktɔ go de wach yu ɔltɛm fɔ mek shɔ se di mɛrɛsin dɛn we yu de tek de wok. If dɛn du ɔpreshɔn pan yu, dɛn go sɛtul fɔ fala yu fɔ mek shɔ se yu de wɛl fayn fayn wan. Ustɛm yu fɔ rili go to dɔktɔ?
Sɔntɛnde, di spasm na di εsophageal kin mek yu gɛt sayn dɛn we fiba di wan dɛn we gɛt at atak. Hat atak kin mek yu layf de pan denja if yu nɔ trit am wantɛm wantɛm. So, if yu gɛt ɛni wan pan dɛn sik ya , kɔl 911 ɔ go to dɔktɔ wantɛm wantɛm:- If yu gɛt ebi, tayt filin na yu chɛst we de las fɔ pas fayv minit.
- If yu gɛt pen ɔdasay na yu chɛst, fɔ ɛgzampul na yu sholda, yu an, ɔ yu nɛk .
- If yu gɛt prɔblɛm fɔ blo (dyspnea) .
- If yu gɛt at bit kwik kwik wan ɔ nɔ de bit ɔltɛm (at de bit) .
- If yu fil se yu de diziz, yu de fil fɔdɔm, ɔ yu wik (lɛk se yu de kam fɔ fɔdɔm) .
- If yu gɛt kol swet .
- If yu gɛt nɔys ɔ yu de vɔmit .
Bɔku tɛm, di chɛst pen ɛn i nɔ kin izi fɔ swɛla na sayn dɛn fɔ wan prɔblɛm we kin apin. Bɔt sɔntɛnde, dɛn kin bi sayn fɔ wan sik we rili siriɔs, lɛk kansa. So, if yu gɛt dɛn sik ya fɔ pas tu wiks, go to dɔktɔ ɔltɛm fɔ mek dɛn chɛk yu. Us kwɛstyɔn dɛn yu fɔ aks di dɔktɔ?
Yu kin aks di dɔktɔ kwɛstyɔn dɛn lɛk:- Wetin na di tin we kin mek dɛn mɔsul dɛn ya kin kramp?
- Aw a go no wetin de mek a gɛt dis sik?
- Us kayn tritmɛnt yu kin kɔmɛnt fɔ mi?
- Wetin na di bad tin dɛn we dɛn tritmɛnt dɛn de kin du?
- Aw lɔŋ a go nid tritmɛnt ɛn monitarin?
If dɛn nɔ trit yu, di mɔdaret to siriɔs esophageal spasm kin gɛt bad bad impak pan yu kwaliti layf. Ivin tin dɛn we yu kin ɛnjɔy, lɛk fɔ it, kin tranga fɔ du bikɔs ɔf dɛn sik ya. De pen wae yu kin fil fɔ lɔng tɛm kin mek yu nɔr de wit tin dɛm wae yu lɛk, ɔr kin ivin mek yu at pwɛl. So, if yu de fil pen na yu chɛst , i nɔ izi fɔ swɛla, ɔ ɔda sayn dɛn we de sho se yu εsophageal spasm , go to dɔktɔ fɔ tɔk bɔt aw fɔ trit yu. Ɔltɛm, go to dɔktɔ wantɛm wantɛm if yu gɛt pen na yu chɛst we yu nɔ ebul fɔ ɛksplen.
Fɔ dɔn, na sɔm tin dɛn we wi fɔ mɛmba
Okay, so wi don tok plenti boht `(Esophageal Spasms)`. Mɛmba se dis nɔto tin we bɔku pipul dɛn kin gɛt. Bɔt if bɔku tɛm yu kin fil sɔntin lɛk fɔ blok we yu de swɛla it, lɛk we yu de fil pen na yu chɛst, nɔ ignore am. Ɛspɛshali bikɔs di pen na yu chɛst kin tan lɛk di sayn dɛn we pɔsin kin gɛt we i gɛt at atak, so tek tɛm wit am. Gud tritmɛnt dɛn de fɔ dis. Yu dɔktɔ go ɛp yu fɔ no di rayt tin we mek yu gɛt di sik ɛn pik di tritmɛnt we go fayn fɔ yu. Nɔr wɔri, wit de rayt tritmɛnt, yu kin kɔntrol dis sik fayn fayn wan. I rili impɔtant fɔ mek yu kɔntinyu fɔ liv yu layf.
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