Yu dɔn ɛva fil lɛk se sɔntin stɔp na yu trot ɔ chɛst we yu de it, drink smɔl wata, ɔ ivin swɛla wan pil? Yu fil se yu nɔ ebul fɔ swɛla it izi wan lɛk aw yu bin de swɛla? Sɔntɛm yu nɔ no se yu de avɔyd it dɛn lɛk kɔs kɔs it ɛn mit. If yusɛf fil lɛk dis, nɔ dismis am as nɔmal tin. Tide wi go tok boht wan mεdikal kכndyushכn wae kin de kכz dis. Dat na we di εsophagus de smɔl, we dɛn kɔl Esophageal Stricture .
Wetin na Ɛsophageal Stricture?
Okay, mek wi ɔndastand dis rili simpul wan. yu no se wi gεt pat we lεk tכb we de kכri it frכm wi mכt to wi bεlε (bεlε). Wi kin kɔl dis di εsophagus . I tan lɛk wata paip. ‘Stricture’ min ɛni tiub, pasej, ɔ paip na wi bɔdi we kin smɔl ɔ blok. So, Esophageal Stricture na we da tiub de kin sכmtεm abnכmal fכ sכm rizin.
Imajin se dɔti ɛn rɔst kin gɛda insay wata paip, ɛn smɔl smɔl i kin mek di paip smɔl. Di sem tin kin apin to wi εsophagus. We i smɔl, i de mek di ples fɔ it ɛn drink nɔ pas dɔŋ izi wan. Na dat mek i nɔ kin izi fɔ wi fɔ swɛla.
dis blכk kin apin frכm insay di εsophagus כ frכm na do. di dilik layn na di εsophagus (we dεn kכl di `mucosa`) kin inflamed כ ska εn tik. We dis kin apin, di layn nɔ kin strɛch we wi de swɛla. sכmtεm, sכmtin lεk tכmכro na כda כgan we de rawnd di εsophagus kin mek di εsophagus blok dis we, ivin if prεshכn de kכmכt na do. Bɔrku tɛm, dis kin apin sloslo, as tɛm de go.
Yu tink se dis tin we de apin rili siriɔs?
Naw yu go de wɔnda if dis na sɔntin we denja. Fɔ tru, as dɔktɔ dɛn, wi nɔ de tek dis sik as sɔntin we nɔ impɔtant. Bikɔs i kin afɛkt di we aw yu de swɛla it dairekt wan, ɛn if yu nɔ trit am, i kin wɔs as tɛm de go.
De bɛst tin na dat, bɔrku tɛm, dis sik kin wɛl ɔltogɛda wit simpul, smɔl smɔl mɛrɛsin. Bɔt, insay wan rili smɔl pasɛnt, dat na, rili smɔl, di tin we kin mek dis blɔk kin bi kansa. Dat na siriɔs kɔndishɔn. Na dat mek wi se if i nɔ izi fɔ yu fɔ swɛla, nɔ ignore am ɛn go to yu dɔktɔ kwik kwik wan.
Wetin na di sayn dɛm fɔ dis? Aw yu de fil?
De fɔs ɛn kɔmɔn sayn na wae i nɔr kin izi fɔ swɛla.. Yu kin ebul fɔ kɔntrol dis bay we yu tek smɔl smɔl it dɛn we yu bigin fɔ it, it dɛn fayn fayn wan, ɛn swɛla dɛn. Yu kin de avɔyd bak fɔ it tin dɛn we gɛt spays ɛn kɔs kɔs (fɔ ɛgzampul, rays we dɛn dɔn frɛsh, mit). Bɔt as yu trot de blok mɔ ɛn mɔ, dɛn tin ya nɔ go ɛp igen. Yu kin fil lɛk se wan lump de na yu trot, ɔr lɛk se yu trot mɔsul dɛn nɔ de wok fayn.
Imajin, wan pat pan kɔk we yu bin lɛk fɔ it, naw de mek yu trot fil tayt. So yu don kot bak fo it chicken. Yu tink se na bikɔs ɔf "gastritis." Bɔt di rial rizin kin bi ɔda tin.
Apat frɔm dis men sayn, sɔm ɔda sayn dɛn kin apia.
| Di sayn we de sho se di sik de | Fɔ ɛksplen am simpul wan |
|---|---|
| Nɔn-kardiak chɛst pen | Mi chɛst de at, bɔt nɔto bikɔs ɔf at prɔblɛm. Na bikɔs ɔf wan prɔblɛm we de na mi ɛsophagus. |
| Fɔ kɔf ɔ chok we yu de swɛla it | Yu kin kɔf ɔ chok wantɛm wantɛm we yu de swɛla it. Dis kin bi bikɔs di it nɔ de go dɔŋ fayn. |
| Rigurjiteshɔn | Di it we dɛn swɛla kin kam bak ɔp insay di trot. I nɔ tan lɛk fɔ vɔmit, i jɔs tan lɛk se i de kam ɔp. |
| We yu nɔ bin want fɔ lɔs yu wet | Bikɔs yu nɔ de it bɛtɛ, yu bɔdi wet go bigin fɔ go dɔŋ we yu nɔ ivin no. |
Wetin na di men rizin dɛn we mek dɛn de du dis?
Bɔku rizin dɛn de we mek di εsophagus kin smɔl. Lɛ wi sheb dɛn to tri men kategori.
1. Kronik Ɛsofagaytis
Dis na di tin we kin mek pɔsin gɛt dis sik pas ɔl . I kin apin we di insay wɔl na di εsophagus inflam fɔ lɔng tɛm. Jɔs lɛk aw wund na wi skin kin lɛf ska as i de wɛl, na so bak we di εsophagus de kɔntinyu fɔ wund, ska tisu (we dɛn kin kɔl bak fibrosis) kin fɔm. dis ska tisu nכ de strεch lεk nכmal tisu, i de tik. Dis na di rizin we mek di εsophagus kin smɔl.
Di men tin we kin mek dis apin na di kronik asid riflɔks . Bɔku pan wi kin kɔl dis "gastritis." Fɔ tɔk am simpul wan, na we di asid we de na di bɛlɛ de kam ɔp ɛn go insay di εsophagus. we dis kin apin bכku tεm, di asid kin bכn εn inju di dilik layn na di εsophagus. As tɛm de go, dɛn injury ya kin bi skata ɛn blok di εsophagus. Dis na di kɔz fɔ pas 75% pan di kes dɛm.
Apat frɔm dat, bɔku ɔda rizin dɛn de:
- Pill Esophagitis: Sɔm pen kil, mɔ NSAID (nonsteroidal anti-inflammatory drugs) ɛn acetaminophen (paracetamol), kin lod na di esophagus ɛn pwɛl in wɔl we dɛn yuz am ɔltɛm, mɔ we dɛn swɛla am wit smɔl wata.
- Infεkshכn εsophagitis: pan pipul dεm we dεn imyun sistεm wik (lεk HIV pasεnshכn εn kansa pasεnshכn), sכm vayrus dεm (HPV, HSV-1) εn fכn (Candida albicans) kin mek di εsophagus inflameshn.
- Eosinophilic Esophagitis: Dis na wan sik we nɔ kin apin so ɔltɛm we pɔsin gɛt prɔblɛm wit di imyun sistɛm. Di bɔdi kin riak pasmak to sɔm alɛrjens, we kin mek di εsophagus inflamɛns fɔ lɔng tɛm. Dis kin bigin we i smɔl.
2. Injuri ɔ Trauma to di εsophagus
Ska ɛn blok kin apin bak bikɔs ɔf ɛni injuri na di insay wɔl na di εsophagus. Dɛn tin ya kin apin bak as sayd ɛfɛkt fɔ aksidɛnt ɔ mɛrɛsin.
- Kɔstik Injɛshɔn: If yu drink kɔstik wata lɛk asid, if yu mistek ɔ wit di intenshɔn fɔ kil yusɛf, i kin mek yu bɔn bad bad wan ɛn gɛt skata na di εsophagus.
- Tεmכl Injuri: If yu sכlow sכmtin we rili hot (e.g. hot ti, hot porridge) wan wan i kin bכn di εsophagus.
- Tritmɛnt fɔ kansa:We dɛn de tek redyushɔn tɛrapi fɔ kansa na di nɛk ɔ chɛst eria, inflamɛns na di ɛsophagus (mucositis) ɛn di ɔbstrɔkshɔn we de afta dat (RIES) kin apin as sayd ɛfɛkt.
- Mεdikeshכn: We di εsophagus dεn dilayt, if yu injεkt stεroyd dεm na di εria we dεn blכk i kin ridyus di inflamεshכn εn i kin mek i nכ kam bak.
- εndoskopik Stricturoplasty: Insay dis, dεn kin pas wan spεshal instrכmεnt we lεk naif tru di εndoskop, we de kכt di ska tisu we de mek di blכk na difrεn ples dεm, we de mek di εria big.
- Stent: dεn kin put wan sכm sכm tכb we lεk mεsh (wan `stεnt`) na di εria we dεn blכk fכ kip i opin. Dis tan lɛk stent fɔ wan at we dɔn blok.
- Ɔpreshɔn: Dɛn nɔ kin du dis ɔltɛm. if yu gεt kansa εn siriכs obstrכkshכn we nכ de rεspכnd to כda tritmεnt dεm, i kin nid fכ du כpεrayshכn fכ pul di pat we dεn dכn pwεl na di εsophagus (`Esophagectomy`).
- If yu fil ɛni prɔblɛm fɔ swɛla it.
- If yu kin gɛt at bɔn ɔltɛm ɔ yu kin fil lɛk se asid de kam ɔp na yu trot.
- If yu lɔs yu wet fɔ no rizin.
- If wan pat pan it stɔp ɔlsay na di trot.
- If yu nɔ ebul fɔ swɛla sɔlid it atɔl.
- If it go insay di trakya we yu swɛla ɛn mek i nɔ izi fɔ blo.
- If yu gɛt siriɔs pen na yu chɛst.
- I nɔ izi fɔ swɛla nɔto nɔmal tin . Na wan sayn we de sho se i gɛt di sik. So nɔ ignore am.
- Di men tin we kin mek pɔsin in at bɔn na we i kin gɛt gastritis fɔ lɔng tɛm ɔ we i kin gɛt asid we de tɔn bak . If yu gɛt at bɔn ɔltɛm, mek dɛn trit am.
- If yu no dis sik kwik kwik wan ɛn trit am, dat kin mek yu wɛl fayn fayn wan. So if yu gɛt sɔm sayn dɛn, nɔ fred fɔ go to dɔktɔ.
- bכku blכk dεm kin kכl wit wan simpul prכsidכm we dεn kכl dilayshכn.
- If yu chok wantɛm wantɛm ɔ yu chɛst de pen bad bad wan, go to Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm.
I rili impɔtant: If pɔsin it dis kayn pɔyzin tin, kɔl di Nashɔnal Pɔyzin Infɔmeshɔn Sɛnta na di Kɔlɔmbɔ Nashɔnal Ospital wantɛm wantɛm . Dɔn bak, kɛr di pɔsin go na ɔspitul Imejɛnsi Tritmɛnt Yunit (ETU) kwik kwik wan.
3. Kansa
Dis kin tan lɛk se yu de mek yu fred, bɔt i impɔtant fɔ no. Kansa na di εsophageal kin mek bak dis kayn chok. Bɔt nɔto lɛk ɔda tin dɛn we kin mek pɔsin chok bikɔs ɔf kansa kin apin kwik kwik wan . If pɔsin we dɔn de it fayn fɔ sɔm wiks gɛt prɔblɛm fɔ swɛla, i rili impɔtant fɔ mek i wɔri. difrεn kayn εsophageal kansa dεm de (Adenocarcinoma, Squamous cell carcinoma).
Aw dɛn kin du di diagnosis?
If yu gɛt dɛn sik ya, i go mɔs bi se yu dɔktɔ go sɛn yu to dɔktɔ we de mɛn yu bɛlɛ. I go tek tɛm lisin to yu sayn dɛm ɛn tɛl yu fɔ du sɔm tɛst fɔ no if yu gɛt dis sik.
| Tɛst | Wetin de apin? |
|---|---|
| Tɛst fɔ Swɛla Bariɔm | Dis na ɛks-ray tɛst. Dɛn gi yu wan wayt wata we tan lɛk chalk we dɛn kɔl barium fɔ drink. As yu de swɛla am, dɛn kin tek wan vidio ɛkstrem rayt fɔ si aw di wata de muf dɔŋ yu ɛsophagus. Dis kin si klia wan if ɛnitin de we de blok ɔ we de smɔl ɛnisay. |
| Ɔpa Ɛndoskopi / EGD Tɛst | Dis na di tɛst we dɛn kin du ɛn we kin kɔrɛkt pas ɔl fɔ no di sik. dεn gi yu wan sεdativ, εn dεn kin put wan tin, fleksibul tyub (wan `εndoskop`) wit sכmכl kεmεra we dεn atak tru yu mכt fכ egzamin yu εsophagus, bεlε, εn di fכs pat pan yu sכmכl intestin. Dis kin mek di dɔktɔ ebul fɔ si di insay pat pan yu ɛsophagus pan skrin. Yu kin si usay di blɔk de, di tin we mek i blo, ɛn di kayn we aw di inflamɛns de. if nid de, dεn kin tek sכm sכm tisu frכm wan εria we dεn sכspεkt εn sεn am na labכtכri fכ egzamin (a `bayopsi`). |
Aw dɛn kin trit am?
Di men gol fɔ trit dis na fɔ mek di εsophagus we dɔn blok big bak so dat yu go ebul fɔ swɛla it we nɔ gɛt ɛni prɔblɛm.
Men tritmɛnt: Ɛsophageal Dilation
Dis na di tritmɛnt we dɛn kin yuz mɔ. Fɔ tɔk am simpul wan, i min fɔ mek di say we dɛn blok big smɔl smɔl. semweso lεk εndoskopi, dεn kin put spεshal instrכmεnt (lεk skop כ silinda) insay di εsophagus fכ mek di blכk bכku sכmtεm. Dɛn nɔ kin du dis wan tɛm, bɔt dɛn kin du am bɔku tɛm insay di wik. As di narrowing de big smɔl smɔl, i nɔ go izi fɔ yu fɔ swɛla smɔl smɔl. Dis tritmɛnt kin rili wok fɔ simpul blɔk.
Ɔda tritmɛnt dɛn
Fɔ sɔm kɔmpleks blɔk, ɔ insay kes dɛm we nɔ de ansa to dilayshɔn tritmɛnt, ɔda tritmɛnt we dɛn kin nid fɔ yuz.
Ustɛm yu fɔ go to dɔktɔ?
I rili impɔtant fɔ no bɔt dɛn sik ya, bikɔs di kwik we dɛn no dɛn, na di mɔ i izi fɔ trit.
| Ustɛm fɔ go to dɔktɔ | |
|---|---|
| Di tin dɛn we kin apin we yu fɔ go to dɔktɔ: | |
| Go na ɔspitul in Imejɛnsi Tritmɛnt Yunit (ETU) wantɛm wantɛm! | |
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