Yu kin gɛt prɔblɛm bak fɔ swɛla it? Sɔntɛm yu nɔ no bɔt dis we dɛn kɔl "ɛsophageal web"! Lɛ wi tɔk bɔt dis!

Yu dɔn ɛva fil lɛk se sɔntin stɔp na yu trot we yu de it ɔ drink sɔntin, ɔ i nɔ izi fɔ swɛla? Sɔntɛnde, wi nɔ kin pe atɛnshɔn tumɔs to am, bɔt if i kɔntinyu fɔ de, na sɔntin we wi nid fɔ chɛk. Wan rizin fɔ dis kayn prɔblɛm fɔ swɛla kin bi di kɔndishɔn we wi go tɔk bɔt we dɛn kɔl "Esophageal Web". Nɔ wɔri, dis nɔr denja, bɔt i rili impɔtant fɔ no bɔt.

Wetin na dis εsophageal wεb?

fכ simpul wan, yu εsophagus, di tכb we it de pas tru to di bεlε we wi de sכlow, gεt wan tכn mεmbran we de fכm insay di כp pat pan am we dεn kכl Esophageal Web.'' fכ bi prεsis, na tכn mεmbran lεk spayda in wεb.

Bɔrku pipul kin gɛt dis kayn mɛmbran, bɔt dɛn nɔr kin ivin no am. Bikɔs bɔku tɛm i nɔ kin mek pɔsin gɛt ɛni sayn . Bɔt insay sɔm siriɔs kes dɛm, dis mɛmbran kin blok yu εsophagus pat pan am ɔ kɔmplit wan. Na da tɛm de i kin at fɔ swɛla .

Bɔku pipul dɛn gɛt wan kayn mɛmbran nɔmɔ. Bɔt, i pɔsibul fɔ gɛt pas wan. Ivin afta dɛn dɔn trit am, i nɔ kin izi fɔ mek dis sik kam bak, bɔt i nɔ kin apin so ɔltɛm.

dis kכndyushכn, we dεn kכl Esophageal Web,'' dεn kin si am mכst pan pipul dεm we gεt siriכs, we dεn nכ trit wit ayron-dεfisiεns anemia . I kin apin bak pan pipul dɛm wae gɛt wan sik wae dɛn kɔl Plummer-Vinson syndrome.'' Dis sindrom gɛt tri men sayn dɛm: ayɔn-deficiency anemia, i nɔ kin izi fɔ swɛla (dɛn kin kɔl am bak dysphagia,'' dɔktɔ dɛn kin kɔl am), ɛn di wɛb, ɔ mɛmbran.

Aw dis sik kin kɔmɔn?

I at fɔ tɔk klia wan ɔmɔs pipul dɛn rili gɛt dis. Bikɔs, lɛk aw wi bin dɔn tɔk, bɔku tɛm dɛn nɔ kin gɛt ɛni sayn. Dɔktɔ dɛn kin fɛn dis (Esophageal Web) we dɛn de du tɛst fɔ ɔda rizin.

כltu, dεn fכnshכn se bitwin 5% εn 15% pan di pipul dεm we kin go to dכkta biכs fכ difεlεnt fכ sכlow (dysphagia) gεt dis (Esophageal Web)''.

wetin na di difrεns bitwin εsophageal wεb εn εsophageal ring?

כda kכndishכn we fiba dis (Esophageal Web) na (Esophageal Ring). Yu kin dɔn yɛri bak bɔt (Schatzki rings). Dɛn tu tin ya kin mek yu εsophagus smɔl ɛn mek i nɔ izi fɔ swɛla. Bɔt di men difrɛns bitwin dɛn tu na usay dɛn kin fɔm.

• (Esophageal Web): Dɛn tin ya kin de na di ɔp pat na di εsophagus.
• (Esophageal Ring): Dɛn tin ya kin mek na di ɔda pat we de dɔŋ di εsophagus.

כl tu di wεb εn di ring na di kayn εsophageal strictures. sכm pipul dεn kin bכn wit εsophageal wεb εn ring dεm. Bɔt bɔku tɛm, dɛn kin gɛt leta na layf bikɔs ɔf ɔda tin dɛn. Bɔku tɛm, dɛn nɔ kin bi prɔblɛm. Bɔt if yu de fil pen we yu de swɛla, tritmɛnt kin ɛp yu.

Wetin na di sayn dɛm we de sho se yu gɛt dis sik?

As wi bin dɔn tɔk, bɔku pipul dɛn we gɛt ɛsophageal wɛb nɔ kin gɛt ɛni sayn . If yu nɔ gɛt di sik, sɔntɛm yu nɔ nid tritmɛnt.

Bɔt if di sayn dɛn kin apin, di men sayn na we i nɔ kin izi fɔ swɛla it ɛn wata . Sɔntɛnde, it kin stɔp na di trot. We dis kin apin, yu kin fil pen ɔ yu kin fil se sɔntin dɔn stɔp na yu trot. Imajin, we yu want fɔ it wan fayn plet we gɛt rays, wantɛm wantɛm yu kin fil lɛk se wan it dɔn stɔp na yu trot, ɛn ivin wata we yu de drink nɔ go go. Dat kin bi ɛkspiriɛns lɛk dat.

If yu gɛt dis mɛmbran we gɛt fɔ du wit Plummer-Vinson syndrome,'' yu kin gɛt sɔm sayn dɛm bak lɛk we yu tɔng de at ɛn krak krak na di kɔna dɛm na yu mɔt .

Wetin na di rizin dɛn we mek dɛn de du dis?

di masta sabi pipul dεm stil nכ no εksεktεli wetin de mek di εsophageal wεb dεm. if dεn bכn yu wit di kכndyushכn, i kin bi fכ di chenj na di we aw yu εsophagus fכm we di pikin de liv. If yu gɛt am leta na yu layf, i kin bi wan sayd ɛfɛkt fɔ ɔda mɛrɛsin.

Udat dɛn de pan big risk? (Di tin dɛn we kin mek pɔsin gɛt sik na di ɛsophageal Web)

Dis kכndyushכn we dεn kכl Esophageal Web'' dεn kin si am mכst pan pipul dεm we gεt dεn mεdikal kכndyushכn dεm ya:

• כtoimyun sik dεm na di tayroyd gland (e.g. (Hashimoto in tayroyd), (Graves' sik))
• Sik dɛm wae de mek yu skin blista (e.g. pemphigus) .
• Siliak sik (dis na alɛji to di prɔtin gluten) .
• Lכng tεm asid rεfluks, we na wan kכndyushכn we de apin we di gεstritis de kam siriכs (GERD - Gastroesophageal Reflux Disease) .
• Graft vs. host disease (dεn kin si dis afta dεn transplant כgan) .
• Anemia we nɔ gɛt ayɔn
• Psoriasis we dɛn kɔl Psoriasis
• Rimatɔyd at at sik

Nɔto ɔlman we gɛt dɛn kayn tin ya go gɛt ɛsophageal wɛb, bɔt di risk kin bɔku smɔl.

Aw yu no dis?

Dɔktɔ dɛn kin yuz dɛn tɛst ya fɔ no if pɔsin gɛt di wɛb we de na di εsophageal:

• Esophagram (ɔ Barium Swallow Test): Dis na ɛkstrem rayt tɛst. Dɛn kin gi yu wan sɔlvushɔn we dɛn kɔl barium fɔ drink, ɛn dɛn kin tek wan vidio ɛkstrem rayt we yu de swɛla am. Dis kin mek di dɔktɔ si if yu εsophageal wɛb ɔ ɔda tin we smɔl na yu εsophagus.
• Ɔpa Ɛndoskopi: .Insay dis, dɔktɔ kin put wan tint tiub we kin chenj (ɛndoskɔp) tru yu mɔt ɛn chɛk di insay pat pan yu εsophagus. dis tכb gεt kεmεra na di εnd, so di dכkta kin si klia wan if εsophageal wεb'' de.

Aw dɛn kin trit am?

Bɔku tɛm, di wɛb kin dɔn we dɛn trit di ɔndalayn kɔndishɔn we de mek i apin . Dɔktɔ dɛn kin yuz wan kɔmbayn mɛrɛsin dɛn, tritmɛnt dɛn we dɛn kin du na ɔfis, ɛn ɔpreshɔn. Dɛn kin mek wan tritmɛnt plan fɔ wetin yu nid.

Mɛrɛsin dɛn we dɛn kin yuz

Fɔ ɛgzampul, if yu gɛt anemia we nɔ gɛt ayɔn, dɛn kin nid fɔ gi yu ayrɔn pils ɔ infushɔn we gɛt ayɔn . If yu gɛt GERD (acid reflux), yu kin nid fɔ gi yu mɛrɛsin lɛk H2 blɔk ɔ protɔn pɔmp inhibito (PPI).

Dɛn tritmɛnt ya kin chenj di strɔkchɔ na yu εsophagus ɛn mek yu nɔr gɛt di sik.

Di tritmɛnt dɛn we dɛn kin gi na di klinik

If di mɛrɛsin nɔmɔ nɔ wok, yu dɔktɔ kin tɛl yu fɔ du wan tin we dɛn kɔl esophageal dilation . dis dεn kin du am we dεn de du כp εndoskopi. Di dɔktɔ kin yuz wan ɔspitul balyɔn ɔ sɔm ɔspitul dilata dɛn fɔ strɛch di pat we dɔn smɔl na di εsophagus. Dis kin pul di mɛmbran, we kin mek i nɔ izi fɔ swɛla.

Ɔpreshɔn

Bɔku pipul dɛn we gɛt ɛsophageal wɛb nɔ nid ɔpreshɔn . Bɔt if yu gɛt siriɔs kes fɔ di εsophageal wɛb, dɛn kin yuz wan we we dɛn kɔl ilɛktrɔkɔtɛrayzeshɔn fɔ pul di tisu we afɛkt. Dis involv fɔ yuz ɔt fɔ kɔt di wɛb.

Wetin go apin afta dɛn dɔn trit am? (Autluk) .

Wit tritmɛnt, dɛn kin rili telɛ dis sik. Fɔ bɔku pipul dɛm, di sayn dɛm kin go afta dɛn dɔn dilayt di εsophageal. Bɔt lɛk aw wi bin dɔn tɔk, if i siriɔs, sɔm pipul dɛn kin gɛt dis sik bak, ɛn dɛn kin nid fɔ gɛt di dilayshɔn tritmɛnt bak. Bɔt dis nɔ kin apin so ɔltɛm .

Yu tink se dɛn go ebul fɔ mek dis nɔ apin?

no dairekt we de fכ mek di εsophageal wεb dεm nכ de divεlכp. Bɔt fɔ manej di tin dɛn we gɛt fɔ du wit am, lɛk we i nɔ gɛt ayɔn ɛn asid riflɔks (GERD), i kin ɛp fɔ ridyus di risk fɔ gɛt dɛn.

Ustɛm yu fɔ go to dɔktɔ?

If yu gɛt ɛni sayn we de mek i nɔ izi fɔ yu fɔ swɛla, tɛl yu dɔktɔ. Dɔn dɛn kin no di rizin ɛn tɛl yu di rayt tritmɛnt fɔ yu. Nɔr ignore am bikɔs na smɔl prɔblɛm, bikɔs i izi fɔ trit if dɛn no am kwik.

Us kwɛstyɔn dɛn yu kin aks di dɔktɔ?

If dɛn no se yu gɛt ɛsophageal wɛb, yu kin aks yu dɔktɔ kwɛstyɔn dɛn lɛk:

• A nid tritmɛnt?
• Us kayn tritmɛnt yu kin advays?
• A gɛt ɛni ɔda ɔndalayn mɛdikal kɔndishɔn we gɛt fɔ du wit dis (Esophageal Web)?
• A go gɛt fɔ kɔntinyu fɔ tek mɛrɛsin?
• Wetin a go du fɔ ridyus mi sik?

Mɛmba se fɔ swɛla nɔ nid fɔ mek i fil pen ɔ i nɔ fɔ izi. If na so i bi, i kin bi sayn fɔ sho se sɔntin nɔ rayt.

Di tin dɛn we impɔtant pas ɔl fɔ mɛmba (Take-Home Message) .

Fɔ swɛla it nɔ fɔ ɛva mek yu fil pen ɔ nɔ fɔ mek yu fil fayn. If yu fil da we de, na tɛm fɔ mek dɛn chɛk sɔntin. Dis kכndyushכn we dεn kכl εsophageal wεb n כ kin denja . Bɔt if yu de gɛt sɔm kayn sik, i go fayn fɔ tɔk to dɔktɔ. I kin no di ɔndalayn kɔz ɛn gi yu di rayt tritmɛnt plan. So, tek kia ɔf yu bɔdi, bikɔs wɛlbɔdi na di tin we impɔtant pas ɔl!