Yu kin fil se yu trot ɔ yu chɛst gɛt smɔl smɔl bɔdi we yu de it ɔ drink? Sɔntɛnde yu kin fred fɔ it bikɔs i kin fil lɛk se yu it nɔ de go dɔŋ? Dis kin bi bikɔs ɔf wan sik we nɔ kin apin so ɔltɛm we dɛn kɔl Achalasia. Fɔ liv wit dis sik nɔr kin izi. I nɔ kin izi fɔ swɛla it, ɛn if pɔsin nɔ it fayn, i kin ivin mek i nɔ gɛt bɛtɛ tin fɔ it. So tide wi go tɔk bɔt wan ɔpreshɔn we dɛn kɔl Heller Myotomy, we dɛn kin du as tritmɛnt fɔ dis.
Wetin na di ɔpreshɔn we dɛn kɔl Heller Myotomy?
Fɔ tɔk am simpul wan, Heller Myotomy na smɔl ɔpreshɔn fɔ kɔt di sik we dɛn kɔl Achalasia . Achalasia na wan sik we nɔ kin apin so ɔltɛm we kin afɛkt wi ɛsophagus, ɔ it paip. dis na we di prכsεs fכ sεnd it εn wata frכm di εsophagus to di bεlε nכ de wok fayn.
di wod "myotomy" min fכ kכt mכsul. Insay wan Heller Myotomy, di dɔktɔ we de du ɔpreshɔn kin kɔt sɔm smɔl smɔl tin dɛn na wan ring we gɛt mɔsul we de dɔŋ yu εsophagus, we dɛn kɔl di Lower Esophageal Sphincter (LES) . di LES na tik mכsul we de sidon bitwin di lכw pat pan yu εsophagus εn di כp pat pan yu bεlε. I tan lɛk valv.
If yu gɛt achalasia, di LES mɔsul nɔ de opin ɛn lɔk fayn fayn wan. dis de mek di it nכ de pas frכm di εsophagus insay di bεlε. Heller Myotomy ɔpreshɔn de wok bay we i de rilaks di LES mɔsul ɛn opin am.
Bɔku tɛm dɛn kin du dis ɔpreshɔn wit ɔda we we dɛn kɔl fundoplication . Dis kin min se di dɔktɔ tek wan pat pan yu bɛlɛ ɛn rap am rawnd yu ɛsophagus. dis de ridyus di risk fכ di bεlε asid fכ kam bak כp insay yu εsophagus (rifluks).
Di impɔtant tin na dat, di ɔpreshɔn we dɛn kin du fɔ mɛn pipul dɛn we dɛn kɔl Heller Myotomy nɔto kɔmplit mɛrɛsin fɔ Achalasia. I kin mek pɔsin fil fayn fɔ lɔng tɛm, bɔt i kin nid fɔ mek dɛn du dis ɔpreshɔn bak as tɛm de go.
Aw yu kin pripia bifo dɛn du yu ɔpreshɔn?
Fɔ mek shɔ se yu fit fɔ mek dɛn du yu ɔpreshɔn, yu dɔktɔ go tɛl yu fɔ du sɔm tɛst dɛn bifo dɛn du di ɔpreshɔn. Fɔ ɛgzampul, dɛn kin du blɔd tɛst, ɛkstrem rayt na in chɛst, ɛn ECG.
Bifo di ɔpreshɔn, di dɔktɔ we de anestez yu we go anestez yu go tɔk to yu. Dɛn go aks yu kwɛstyɔn dɛn lɛk:
- Yu dɔn gɛt anestezi bifo ɛn aw di ɛkspiriɛns bin bi?
- Us ɔyl, mɛrɛsin, ɔ vaytamɛn dɛn yu kin yuz?
- Yu de yuz tabak, rɔm, ɔ ɔda drɔgs?
Sɔm tin dɛn de we yu fɔ du fɔ rɛdi fɔ ɔpreshɔn. Dɛn fɔ tɔk bɔt dɛn tin ya ɛn kɔnfɔm wit yu dɔktɔ.
| Wetin fɔ du | Wetin mek dat impɔtant? |
|---|---|
| Fɔ lɛf fɔ yuz nikotin (ɛni we, ivin sigrɛt ɛn i-sigrɛt) . | Nikotin kin afɛkt di we aw yu blɔd de go, ɛn dis kin mek di wund dɛn nɔ wɛl afta dɛn dɔn ɔpreshɔn yu. |
| Fɔ fast. | Yu dɔktɔ kin tɛl yu fɔ nɔ it ɛnitin fɔ 6 awa ɔ mɔ bifo dɛn du di ɔpreshɔn. Yu kin ebul fɔ drink klia wata (lɛk wata) fɔ sɔm tɛm bifo yu du di prɔsidyu. Bɔt mek shɔ se yu aks yu dɔktɔ bɔt dis. |
| Fɔ plan fɔ de na ɔspitul. | Dis na big ɔpreshɔn, so yu go nid fɔ de na ɔspitul fɔ at le wan de afta di ɔpreshɔn. Dɔn bak, arenj fɔ mek pɔsin drayv yu go na os ɛn de wit yu fɔ di fɔs 24 awa. |
| Fɔ plan fɔ mek yu wɛl. | Afta dɛn dɔn du di ɔpreshɔn, di dɔktɔ kin gi yu mɛrɛsin fɔ mek yu fil pen. Yu nɔ go ebul fɔ drayv te yu tek dɛn, so fɛn pɔsin fɔ ɛp yu fɔ du dɛn wok dɛn de. |
Aw dɛn kin du di ɔpreshɔn?
Naw lɛ wi luk wetin kin apin insay di ɔpreshɔn. Bɔku tɛm, dɛn kin du dis wit laparoskopik . Dat min se, wit di ɛp we wan tɛliskɔp de ɛp am. Na ya, di dɔktɔ de yuz wan tin inschrumɛnt we gɛt kamɛra we dɛn tay pan am fɔ luk insay yu εsophagus ɛn rili smɔl inschrumɛnt dɛn fɔ du di ɔpreshɔn.
- Fɔs, di dɔktɔ we de anestez go put IV layn (lɛk tiub we de gi salin) insay wan vein na yu an ɛn gi yu mɛrɛsin fɔ mek yu slip. Yu nɔ go fil ɛnitin we dɛn de du di ɔpreshɔn.
- nεks, di sכjaman go mek lεk 5 rili sכm sכm insεshכn dεm na yu bεlε (bכlε).
- Dɔn, yu bɛlɛ kin ful-ɔp wit kabon dayɔgzayd gas. Dɛn kin du dis fɔ mek i izi fɔ muv di ɔspitul inschrumɛnt dɛn ɛn fɔ mek yu ebul fɔ si di εsophagus ɛn di ɔp pat na di bɛlɛ klia wan.
- Naw di dɔktɔ kin put kamɛra ɛn smɔl smɔl tin dɛn we dɛn kin yuz fɔ du ɔpreshɔn tru dɛn say dɛn de .
- we yu yuz dεn instrכmεnt dεm ya, dεn de kכt di mכsul layεr we de dכn na di εsophagus lεng wan εn di LES de opin.
- Dɔn, dɛn kin du wan tin we dɛn kɔl fundoplication. Dis min se yu fɔ tek wan pat pan di ɔp pat na di bɛlɛ ɛn rap am rawnd di εsophagus. Dis kin mek di bɛlɛ asid nɔ kam ɔp.
- Fɔ dɔn, dɛn kin pul di kamɛra ɛn di tin dɛn we dɛn de yuz fɔ wok, ɛn dɛn kin stich dɛn smɔl smɔl say dɛn de.
Bɔku tɛm, dis wan ol ɔpreshɔn kin tek lɛk tu awa so.
Wetin kin apin afta di ɔpreshɔn?
Di tin we kin apin afta dɛn du di ɔpreshɔn kin difrɛn smɔl frɔm wan pɔsin to ɔda pɔsin. Bɔt bɔku tɛm, yu go de na ɔspitul fɔ wan nɛt. Insay dis tɛm, dɛn go gi yu wata ɛn it tru wan IV layn. Afta dat, di tɛm fɔ wɛl kin bigin.
Di tin we impɔtant pas ɔl na dat yu εsophagus kin swel afta dɛn dɔn du di ɔpreshɔn. I kin tek lɛk tu mɔnt fɔ mek dis swɛlin go dɔŋ kpatakpata. So yu go nid fɔ chenj di tin dɛn we yu de it smɔl smɔl.
Yu mɛdikal tim go ɛksplen dis to yu, bɔt di usual it plan na dis.
| Tɛm | Fɔd de fɔ it |
|---|---|
| Fɔs ɛn sɛkɔn de | Klia likwid dɛn. Fɔ ɛgzampul: chukchuk/bif brot (diluted), jeli, ays pak, wata. |
| Frɔm di tɔd de te to di de we mek sɛvin | Di it dɛn we dɛn kin mek wit milk. Fɔ ɛgzampul: ayskrim, stray krim sup, pɔrit lɛk Krim ɔf Wit ɔ Krim ɔf Rays. |
| Frɔm di de we mek et te dɛn chɛk-ap fɔ tu wiks | Sɔft it dɛn. Yu dɔktɔ go tɛl yu ustɛm yu kin bigin fɔ ad sɔlid it dɛn. |
Wetin na di bɛnifit ɛn prɔblɛm dɛn we dis ɔpreshɔn de gi?
Bɛnifit dɛn
Bɔrku pipul dɛm wae gɛt achalasia kin kin tek Heller Myotomy wae ɔda tritmɛnt dɛm wae nɔr de du ɔpreshɔn nɔr kin woke fayn. Di men bɛnifit fɔ dis prɔsidyu na dat di sayn dɛm fɔ achalasia kin dɔn afta di ɔpreshɔn.
Wan analisis we dɛn jɔs dɔn du pan risach dɔn sho se bitwin 87% ɛn 92% pan di pipul dɛm wae dɔn gɛt dis tritmɛnt dɔn gɛt dɛn sik dɔn go. Bɔt, lɛk aw wi bin dɔn tɔk bifo tɛm, dis nɔ kin mɛn achalasia ɔltogɛda. Sɔmtɛm di sik kin kam bak 5-10 ia afta dɛn dɔn du di ɔpreshɔn.
Risk dɛn we kin apin
Jɔs lɛk ɛni big ɔpreshɔn, Heller Myotomy gɛt prɔblɛm dɛn. Jɛnɛral risk dɛn inklud fɔ blɔd pasmak ɛn infɛkshɔn. Apat frɔm dat, sɔm patikyula prɔblɛm dɛn we kin apin na:
- Barrett in εsophagus we i de yuz fɔ it
- Infεkshכn dεm na di εsophageal
- GERD (gastroesophageal riflɔks sik) .
- Di εsophageal we de brok
Ustɛm fɔ go to dɔktɔ
If yu gɛt ɛni wan pan dɛn sayn ya afta dɛn dɔn du yu ɔpreshɔn, kɔl yu dɔktɔ wantɛm wantɛm, ɔ go na di Imejɛnsi Dipatmɛnt (ETU) na di ɔspitul we de nia yu.
- If di say we dɛn du di ɔpreshɔn rɛd ɛn swel.
- If pus de kɔmɔt frɔm di ɔspitul wund.
- If yu nɔ ebul fɔ ivin swɛla likwid.
- If di pen kil we di dɔktɔ gi nɔr de pul di pen.
Difrɛns bitwin Heller Myotomy ɛn POEM ɔpreshɔn
Yu go dɔn yɛri bak bɔt wan ɔpreshɔn we dɛn kɔl POEM. POEM na shɔt fɔ Peroral Endoscopic Myotomy . Lɛk Heller Myotomy, dis na tritmɛnt bak fɔ di sik we dɛn kɔl Achalasia.
Di difrɛns bitwin dɛn tu na dat, insay POEM ɔpreshɔn, dɛn nɔ kin kɔt yu bɛlɛ. Bifo dat, yu dɔktɔ kin put ɛndoskɔp (wan tiub we gɛt kamɛra we dɛn tay) tru yu mɔt ɛn dɔŋ yu ɛsophagus. afta dat dεn kin kכt di LES mכsul opin frכm insay. insay Hεla Mayotomi, dεn kin du dis frכm do tru sכm sכm sכm say dεm na yu bεlε.
Mɛsej we dɛn kin kɛr go na os
- Heller Myotomy na ɔpreshɔn we dɛn kin du fɔ mɛn achalasia, we na wan sik we kin mek i nɔ izi fɔ swɛla.
- dis kin bi laparoskopik tru sכm sכm say dεm na di bכdi, usay di lכw εsophageal sphincter de rilaks.
- Pan ɔl we dis ɔpreshɔn de mek pɔsin nɔ gɛt di sik fɔ lɔng tɛm, i nɔto kɔmplit mɛrɛsin fɔ Achalasia.
- We yu de wɛl afta dɛn dɔn du yu ɔpreshɔn, yu go nid fɔ fala spɛshal it fɔ sɔm wiks.
- I rili impɔtant fɔ fala yu dɔktɔ in instrɔkshɔn dɛn jɔs lɛk aw dɛn gi yu bifo ɛn afta dɛn du di ɔpreshɔn.
- Go to dɔktɔ wantɛm wantɛm if yu si ɛni sayn we de wɔn yu, lɛk we yu de swel, yu gɛt pus, ɔ yu nɔ ebul fɔ swɛla wata na di say we dɛn de du di ɔpreshɔn.
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