We yu swɛla it, yu dɔn ɛva tink bɔt aw i kin go na yu bɛlɛ? Ɔ yu kin fil sɔm tɛm dɛn de bɔn na yu chɛst afta yu it spaysi it, ɛn yu kin tink se, "Oh my, wetin na dis?"? Wi ɔl dɔn gɛt dɛn ɛkspiriɛns dɛn ya. Tide wi go tɔk bɔt wan rili impɔtant pat na wi bɔdi we de insay ɔl dis. Dat na di εsophagus, כ as dεn kכl am na Inglish, `(Esophagus)`.
Fɔ tɔk am simpul wan, wetin na di εsophagus?
di εsophagus na, fכ bi prεsis, wi it paip. Dat min se na wan mɔsul tiub we de kɛr it ɛn wata frɔm yu trot to yu bɛlɛ. Na wan rili impɔtant pat pan wi dijestiv sistɛm. We wi swɛla it, i nɔ de go stret na di bɛlɛ. di εsophagus na di brij we de kכri am go na di bεlε insay wan we we כganayz, we sef.
Imajin se yu swɛla wan mɔt wit rays. Fɔs, i kin kɔmɔt na yu mɔt to yu trot. Na de, wan smɔl flap pan di mɔsul, we dɛn kɔl di epiglottis, kin lɔk. Yu no wetin mek? Na fɔ mek yu it nɔ go di rɔng we, insay yu windpaip (trachea). sכm pat de bak na yu trot we dεn kכl di uvula we de mek wetin yu de drink nכ go insay yu nos. Ɔl dis kin apin we yu nɔ ivin no. Yu nɔ tink se i wɔndaful?
Aw di εsophagus de wok? Na wan we we rili wɔndaful!
Dis na wan tin we rili strenj. na di tכp εn dכn pat pan di εsophagus, tu ring dεm de fכ mכsul we de wok lεk tu doa. Wi kin kɔl dɛn tin ya ``sphinctres``.
1. di כp εsophageal Sfincter: Na dis say di εsophagus de bigin. We yu swɛla it, dis valv kin gɛt signal we se, "Na ya di it de kam." Da tɛm de, i kin opin. Afta di it dɔn go insay, i kin lɔk bak. Ɔda tɛm dɛn, dɛn kin lɔk am tayt tayt wan.
2. Pɛristalsis: Wans it dɔn go insay di εsophagus, i nɔ kin jɔs fɔdɔm dɔŋ. di mכsul dεm na di wכl dεm na di εsophagus de kכntrakt (kכntrakt) lεk wev, we de push di it dכn. dis na wetin wi kכl ``peristalsis.'' Dis prכsεs de muv it insay di bεlε ilɛksɛf yu tinap ɔ yu de ledɔm.
3. Lower Esophageal Sphincter (LES): Afta di it dɔn go ɔlsay dɔŋ, ɔda say de opin bifo i go insay di bɛlɛ. Dat na di sfinktɔ we de dɔŋ. Lɛk di wan we de ɔp, dis wan kin opin bak we it kam insay ɛn mek di it pas insay di bɛlɛ. Dɔn i kin lɔk tayt wan bak.
I rili impɔtant fɔ mek dis get we de dɔŋ lɔk fayn. biכs, dis get de mek di bεlε asid εn di dijestiv jus dεm nכ de kam bak כp, dat na, insay di εsophagus. di men rizin fכ di prכblεm fכ "gastritis" כ "at bכn" we bכku pipul dεn gεt na dat dis lכw get nכ de wok fayn.
εsophagus εn trachea - mek wi no di εksakכt difrεns bitwin di tu
Bɔku pipul dɛn kin kɔnfyus dɛn tu tin ya. di εsophagus εn di trachea na tu tכb dεm we de nia wan wan na di nεk, bכt dεn gεt difrεn wok dεm.
| Di kwaliti we pɔsin gɛt | Ɛsophagus we de na di bɔdi | Trakia we de na di bɔdi |
|---|---|---|
| Sistɛm | Pat pan di dijestiv sistɛm | Pat pan di respiratory system |
| Men wok we dɛn de du | Fɔ transpɔt it ɛn drink frɔm di trot to di bɛlɛ | Fɔ tek briz (brith) insay ɛn kɔmɔt na di lכng |
| Ples | i de biɛn di trakya ɛn bifo di spayna | I de bifo di εsophagus |
Wetin na di kɔmɔn sik ɛn kɔndishɔn dɛm wae kin afɛkt di εsophagus?
Wi it kin mek wi gɛt difrɛn sik dɛn bak. Sɔntɛm yu dɔn yɛri bɔt sɔm pan dɛn tin ya.
Inflameshɔn na di chɛst ɛn GERD kɔndishɔn
Dis na di prɔblɛm we bɔku pipul dɛn kin gɛt. di lכw εsophageal sphincter (LES) we a bin tכk bכt nכ de kכloz fayn fayn wan, we de mek di bכdi asid fכ fכlכ bak כp insay di εsophagus, we na wetin wi kכl ``Acid Reflux''. Dis na wetin kin mek yu at bɔn.
if dis `Acid Reflux` de kכntinyu εn de apin bכku tεm, wi kin kכl am Gastroesophageal Reflux Disease (GERD) . Dis na siriɔs kɔndishɔn. Apat frɔm we yu at de bɔn, sɔm sayn dɛn lɛk we yu de te na yu mɔt, we yu de kɔf, we yu de fil pen na yu chɛst, we yu de kray, ɛn we i nɔ izi fɔ swɛla kin apin bak. If dɛn nɔ trit GERD fayn, i kin mek di εsophagus pwɛl bad bad wan as tɛm de go.
Ɔda tin dɛn we kin apin to pɔsin we sik
Apat frɔm GERD, bɔku ɔda prɔblɛm dɛn kin apin.
| Mɛdikal kɔndishɔn | Fɔ tɔk am simpul wan... |
|---|---|
| Achalasia we dɛn kɔl | Dis na sik we nɔ kin apin so ɔltɛm. wetin de apin ya na dat di lכw εsophageal sphincter (LES) nכ de opin we i fכ opin. So it nɔ kin pas insay di bɛlɛ. |
| Divɛrtikul we de na di ɛsophageal | Smɔl paus we de kɔmɔt na wan wik ples na di wɔl na di εsophagus. If dis paus big, it kin stɔp ɛn mek i nɔ pɔsibul fɔ swɛla. |
| Varices we de na di εsophageal | di bכdi we de na di εsophagus de swεla. If dɛn tin ya bɔs ɛn blɔd, dɛn kin mek pɔsin in layf de pan denja. |
| Esophagitis we gɛt di sik | Inflameshɔn na di layn na di εsophagus. Dis kin bi bikɔs ɔf asid riflɔks, infɛkshɔn, ɔ sɔm mɛrɛsin dɛn. |
| Barrett in Ɛsophagus | GERD we de tek lכng tεm de mek chenj dεm na di sεl dεm na di lכw εsophagus, we de mek di risk fכ gεt εsophageal kansa bכku. |
Na smɔl tɛm nɔmɔ, kansa na di εsophageal kin apin. tu men kayn dεm de: adenocarcinoma εn squamous cell carcinoma.
Aw yu go no if yu gɛt dɛn prɔblɛm ya? Wetin na di sayn dɛm we de sho se yu gɛt dis sik?
If yu gɛt prɔblɛm wit yu εsophagus, yu kin gɛt difrɛn sayn dɛn. If yu gɛt wan ɔ mɔ pan dɛn tin ya, i impɔtant fɔ pe atɛnshɔn.
- At we de bɔn:I kin fil lɛk se yu de bɔn na di midul pan di chɛst, biɛn di bon dɛn.
- I nɔ izi fɔ swɛla (Dysphagia): Na filin fɔ chok ɔ pen we yu de swɛla it.
- Rigurgitation: Na di it we yu nɔ dayjɛst kam bak na di mɔt.
- Chɛst pen: Na filin fɔ tayt ɔr pen na yu chɛst, ivin if i nɔr fil lɛk at atak.
- Kɔf we de kɔntinyu fɔ kɔf: Na kɔf we kin wɔs, mɔ na nɛt.
- Hoarseness ɔ trot we de at.
- Bad briz (Halitosis) we de mek pɔsin blo.
- Fɔ bi tin fɔ no rizin.
- Fɔ vɔmit ɔ vɔmit blɔd.
If yu gɛt ɛni wan pan dɛn tin ya, mɔ i nɔ izi fɔ swɛla, it we de stɔp, yu de vɔmit blɔd, ɔ yu de lɔs bɔku bɔku wet, go to yu dɔktɔ wantɛm wantɛm . Dɛn tin ya kin bi sayn fɔ sɔntin we siriɔs pas simpul gastritis.
Aw dɔktɔ kin no bɔt dɛn sik ya?
We yu go to dɔktɔ, i go aks yu bɔt di sik dɛn we yu gɛt ɛn if nid de, i go tɛl yu fɔ du sɔm tɛst dɛn. Nɔ wɔri, na dɛn wan ya go ɛp yu fɔ no di rayt tin we nɔ fayn.
- Upper Endoscopy: Dis min se yu fɔ put wan tint, fleksibul tiub wit kamɛra tru di mɔt fɔ chɛk di εsophagus, bɛlɛ, ɛn di fɔs pat pan di smɔl intestin. Dis kin mek yu ebul fɔ luk insay klia wan fɔ ɛni injuri, inflamɛns, ɔ chenj.
- Bayopsi: We dɛn de du di ɛndoskopi, dɛn kin tek wan smɔl pat pan di tisu frɔm di say we dɛn sɔprayz ɛn sɛn am na di lɛbɔraytri fɔ mek dɛn tɛst am. Dis kin ɛp fɔ no if ɛni kansa sɛl de de.
- Barium Swallow: Insay dis tɛst , dɛn gi yu wan chalky liquid fɔ drink. Dɔn, dɛn kin tek bɔku ɛkstrem pikchɔ dɛn. di barium likwid de mek di X-ray sho klia wan aw di εsophagus shep εn aw it de muv tru am.
- εsophageal pH test: dεn de put wan tכb we rili tכn tru di nos insay di εsophagus εn lεf am na in ples fכ lεk 24 awa fכ mכsu aw כltεm εn fכ aw lכng bεlε asid de kam כp. Dis kin ɛp fɔ no kɔrɛkt wan aw GERD siriɔs.
Aw dɛn kin trit am?
Di tritmɛnt opshɔn dɛm dipen pan di kɔndishɔn wae yu gɛt. Sɔntɛnde, di chenj we pɔsin de it ɛn di we aw i de liv in layf kin mek big difrɛns. Sɔm pipul dɛn nid mɛrɛsin, ɛn ɔda wan dɛn kin ivin nid ɔpreshɔn.
Di kayn drɔgs dɛn we dɛn kin yuz
- Antacids: Dɛn wan ya de mek di asid we de na di bɛlɛ nɔ de wok fɔ sɔm tɛm. Dɛn kin yuz dɛn fɔ mek pɔsin nɔ gɛt at pwɛl kwik kwik wan.
- H-2 Risɛptɔ Blɔka dɛn:dis dεm de ridyus di prodyushכn fכ di bεlε asid.
- Proton Pump Inhibitors (PPI): dis dεm de wok bכku fכ blok asid prodakshכn pas H-2 blכk dεm, εn dεn de εp bak fכ hεl di damej to di εsophagus we asid de kכz.
- כda mεdikeshכn dεm: Mεdikeshכn dεm lεk Baclofen de rεdכks di invכlכntary opin fכ di lכw εsophageal sphincter (LES).
Speshal prosidur ɛn ɔpreshɔn
- di εsophageal Dilation: if di εsophagus sכmtεm (stricture) bikoz fכ di inflameshn we de fכ lכng tεm, dεn de yuz wan tin lεk balכn fכ mek di εsophagus sכmtεm big.
- Laparoscopic Antireflux Surgery: Dis na fɔ tek di ɔp pat na di bɛlɛ ɛn rap am rawnd di ɔda pat na di εsophagus, we go mek nyu valv. dis de mek di lכw εsophageal sphincter (LES) strכng εn i de stכp di asid fכ kam כp.
- LINX divays implantashכn: dεn implant wan magnεtik ring lεk divays rawnd di lכw εsophagus. dis de mek asid nכ de kam כp, bכt i de mek di it pas dכn izi wan.
- Esophagectomy: If i rili siriɔs, lɛk kansa, dɛn kin nid fɔ ɔpreshɔn di εsophagus.
Mɛsej we dɛn kin kɛr go na os
- di εsophagus na wan rili imכtant pat pan wi dijestiv sistεm. I rili impɔtant fɔ mek pɔsin gɛt wɛlbɔdi.
- Nɔ ignore di sayn dɛm lɛk fɔ gɛt at bɔn ɔltɛm, fɔ te yu mɔt sɔl, ɔr fɔ gɛt prɔblɛm fɔ swɛla lɛk aw i nɔmal. Dɛn kin bi fɔs sayn dɛm fɔ wan mɛrɛsin sik.
- Ivin simpul tin dɛm lɛk fɔ stɔp fɔ it tin dɛm we gɛt spays, ɔyl, kɔfi, ɛn chɔklɛt, ɛn nɔ fɔ ledɔm fɔ 2-3 awa afta yu dɔn it na nɛt kin gi yu big rilif.
- If yu gɛt ɛnitin we de mɔna yu bɔt yu sik, nɔ fred fɔ tɔk to yu dɔktɔ . I impɔtant fɔ gɛt di rayt diagnosis ɛn tritmɛnt pas fɔ mɛn yusɛf.
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