Yu trot kin at ɔltɛm? Dis kin bi LPR (Laryngopharyngeal Reflux)!

Bɔku tɛm yu kin fil lɛk se wan lump de na yu trot, lɛk se sɔntin dɔn stɔp insay? Bɔku tɛm yu kin fil fɔ klia yu trot ɛn se "Mm... Mm..."? Yu kin tink se na kol ɔ alɛji to dɔst. Bɔt if i nɔ dɔn stɔp fɔ sɔm mɔnt, di tin we kin mek i apin kin bi sɔntin we difrɛn smɔl ɛn we dip pas aw yu tink. Tide wi de tok boht wan "hidden" problem we bohku pipul no sabi boht, boht we bohku pipul geht. Wi kin kɔl dis LPR, ɔ Laryngopharyngeal Reflux.

Wetin na LPR? Dɛn kin kɔl dis bak ‘saylent riflɔks’?

Okay, mek wi kip dis simpul. Yu kin dɔn yɛri bɔt "gastritis" ɔ "acid reflux." dis na we di bεlε jus dεm we de εp fכ digεst di it fכ fכlכ bak כp insay di εsophagus. Bɔku tɛm, we dis kin apin, wi kin fil lɛk se wi de bɔn na wi chɛst ɔ wi bɛlɛ. Wi kin kɔl dis kɔndishɔn GERD (Gastroesophageal Reflux Disease).

Bɔt LPR na difrɛn smɔl, spɛshal kes. wetin de apin ya na di asid we de kכmכt na di bεlε nכ de stכp na di chεst, b כt i de travul fכs כp insay yu trot (farinks) εn di bכks usay yu vokal kכd dεm de (larynx).

Fɔ tɔk am simpul wan, GERD na prɔblɛm we kin bigin na di chɛst. LPR na prɔblɛm we kin go ɔp ɛn afɛkt di trot. Sɔm pipul dɛn kin gɛt dɛn tu tin ya. Sɔm pipul dɛn kin gɛt jɔs LPR.

Wetin na di sayn dɛm wae de sho se yu gɛt LPR?

If yu dɔn gɛt wan ɔ mɔ pan dɛn sik ya fɔ lɔng tɛm, wɔri. Lɛ wi tek wan luk pan di men wan dɛn.

Wetin mek di tin we de na di bɛlɛ kin kam ɔp na di trot lɛk dis?

Fɔ ɔndastand dis, wi nid fɔ no smɔl bɔt wi ɛsophagus. Tink bɔt am lɛk tiub we gɛt tu valv dɛn ɔp ɛn dɔŋ. Wi kin kɔl dɛn valv dɛn ya sfinktɔ .

1. di valv we de dכn (Lכw εsophageal Sfincter - LES):dis de bitwin di εsophagus εn di bεlε (esophagus). We wi swɛla it, i kin opin fɔ mek it pas insay di bɛlɛ, dɔn i kin lɔk tayt bak. Dis kin mek di bɛlɛ asid nɔ kam bak ɔp.

2. di כpa εsophageal Sfincter (UES): dis valv de bitwin di εsophagus εn di trot. di wok we i de du na fכ stכp εnitin we dכn go insay di εsophagus fכ go bak כp insay di trot.

Fɔ mek LPR apin, dɛn tu valv ya nɔ fɔ wok fayn. fכs, di lכw valv (LES) fכ wik, we go mek di bכdi asid fכ fכlכ bak insay di εsophagus. afta dat, di כp valv (UES) fכ wik, we go mek di asid fכ fכlכ bak insay di εsophagus.

So, wetin mek dɛn valv dɛn ya wik?

Bɔku rizin dɛn kin de fɔ dis. Sɔm na fɔ shɔt tɛm, sɔm na fɔ lɔng tɛm.

1. Tin dɛm we de wik di LES

Bɔku tɛm, di sem tin dɛn we kin afɛkt nɔmal gastritis kin afɛkt dis bak.

• Sɔm mɛrɛsin: Dɛn kin gi yu pen kil (NSAID), sɔm mɛrɛsin fɔ ay blɔd prɛshɔn (Calcium channel blockers), ɛn mɛrɛsin fɔ mental wɛlbɔdi prɔblɛm (Tricyclic antidepressants) kin mek dis valv lɔs.
• Dis kin kam bak bikɔs ɔf sɔm it ɛn drink dɛn: kɔfi, chɔklɛt, mint, galik, anɔynt, ɛn rɔm.
• Bad abit dɛn:
• Lay dɔŋ 2-3 awa afta yu it.
• If yu it bɔku tin wan tɛm, dat kin mek yu bɛlɛ blo. dis de mek di prεshכn we de insay di bכdi bכku εn i de push asid כp.
• We yu wɛr klos we tayt na yu bɛlɛ, mɔ rawnd yu wes.
• Di tin dɛn we kin mek pɔsin sik fɔ lɔng tɛm:
• Hiatal Hernia: Dis na we smɔl pat pan di bɛlɛ de kɔmɔt na di chɛst. dis de wik di wok we di LES valv de du.
• Fat: As yu de wet de go ɔp, di prɛshɔn we de insay di bɛlɛ de go ɔp. Dis na wan men tin bak we kin mek i apin.
• di bεlε: di כmon dεm we de chenj εn di prεshכn we de go insay di bεlε insay dis tεm kin mek yu gεt gεstritis εn LPR fכ sכm tεm.
• Smok: Smok na big ɛnimi we de mek dis valv lɔs.

2. Tin dεm we de wik di כp εsophageal sphincter (UES) .

afta di asid kam כp tru di lכw valv, di כp valv na di las gad rεl we de protεkt di trot. Dɛn nɔ mek wi trot fɔ bia wit asid lɛk di εsophagus. So ivin smɔl asid kin pwɛl bad bad wan.

• Ledɔm: We wi de ledɔm, dɛn tu valv ya kin lɛf smɔl. Dis kin mek LPR kin apin mɔ na nɛt we wi de slip.
• Burping: We yu burp, di tu valv dεm de opin, we de mek sכm asid fכ go insay yu trot wit di briz.
• Bεnd fכwכd, εksεsayz, sing: Aktiviti dεm lεk dεn kin inkrεs di prεshכn כnda di כp valv, we kin mek i wik.
• Smok ɛn rɔm: Dɛn ɔl tu de ambɔg ɔl tu di valv dɛn ikwal.

I denja fɔ ignore LPR stetɔs?

Yɛs, if dis sik de fɔ lɔng tɛm, sɔm prɔblɛm dɛn kin apin.

• Infεkshכn dεm we kin apin bכku tεm: Asid we de na di trot de ambɔg di nכmal klinsin prכsεs na di trot εn di sayn dεm. Dis kin mek di mכkus bכku εn yu kin gεt infεkshכn na di trot εn di say dεm we yu de blo bכku tεm.
• Prɔblɛm fɔ yu vɔys ɛn trot fɔ lɔng tɛm: We yu kɔntinyu fɔ gɛt asid, i kin pwɛl di vɔys kɔd dɛn, ɛn i kin mek tin dɛn lɛk vokal kɔd lɛsin. If yu gɛt dis sik fɔ lɔng tɛm, dat kin mek yu gɛt kansa na yu laryngeal smɔl.
• Di prɔblɛm dɛn we kin apin we pɔsin de blo: Smɔl asid we kin go insay di trot kin travul go ɔp di trakya ɛn go insay di lɔng dɛn we wi nɔ kin ivin no, mɔ we wi de slip. Dɛn kɔl dis silent aspiration . Dis kin mek yu gɛt infɛkshɔn na yu lɔng ɛn kɔndishɔn lɛk brɔnkayt.

Aw a go no gud gud wan wetin na LPR?

If yu dɔn de gɛt di sik dɛn we wi bin dɔn tɔk bɔt fɔ lɔng tɛm, di bɛst tin fɔ du na fɔ go to spɛshal pɔsin we de mɛn yu yes, nos, ɛn trot (ENT Surgeon) . I go lisin to yu sayn dɛm ɛn chɛk yu trot.

di men tεst we dεn kin du fכ dis na fכ fleksibul laryngoscopy . Dis min se yu fɔ pas wan tiub we rili tan ɛn we gɛt kamɛra tru yu nos ɛn go dɔŋ yu trot fɔ chɛk di insay pat pan yu vɔkal kɔd ɛn trot. Dis na tin we nɔ de mek pɔsin fil pen ɛn dɛn kin du am insay sɔm minit.

Dis tɛst kin chɛk fɔ si if di trot rɛd ɛn swel. Sɔntɛnde, dɛn kin nid fɔ du ɔda tɛst fɔ no if pɔsin gɛt di sik ɔ fɔ no ɔda tin dɛn we kin mek i gɛt di sik.

• Ɔpa Ɛndoskopi: Dis na fɔ put kamɛra tru di mɔt fɔ chɛk di εsophagus ɛn di bɛlɛ. i kin chεk fכ prכblεm wit di lכw εsophageal sphincter (LES) εn hiatal hεnia.
• εsophageal pH test: dis de mכsu di asid lεvεl dεm na di trot εn εsophagus fכ 24 awa.
• Esophageal Manometry: na tεst we de mכsu aw di mכsul dεm na di εsophagus εn in valv dεm de wok εn trεnk.

Okay, wetin wi de du bɔt dis naw? Wetin na di tritmɛnt dɛn?

Di tin we impɔtant pas ɔl fɔ trit LPR na fɔ chenj di we aw pɔsin de liv in layf ɛn di we aw i de it . Mɛrɛsin de kam na di sɛkɔn ples.

1. Fɔ chenj di we aw yu de liv yu layf ɛn di we aw yu de it (dis na di tin we impɔtant pas ɔl) .

If yu fala dɛn abit ya kɔrɛkt wan, bɔku tɛm yu kin kɔntrol dis sik we yu nɔ tek mɛrɛsin.

2. Tritmɛnt wit drɔgs

We yu de chenj yu layf, yu dɔktɔ kin gi yu mɛrɛsin fɔ ɛp yu trot tisu we dɔn pwɛl fɔ wɛl.

• Proton Pump Inhibitors (PPI): Drug dεm lεk Omeprazole εn Pantoprazole de wok bay we dεn de ridyus di prodakshכn fכ asid na di bεlε. Dɛn kin gi dɛn tin ya fɔ sɔm mɔnt.
• H2 Blockers: Mεdikeshכn dεm lεk Famotidine de εp bak fכ kכntrכl asid.
• Alginates: Dɛn wan ya de mek wan layt we de protɛkt di bɛlɛ, we de mek asid nɔ kam ɔp.

3. Ɔpreshɔn

Dis nɔ kin rili nid fɔ apin. Dɛn kin jɔs tink bɔt ɔpreshɔn if patikyula prɔblɛm de na in bɔdi, lɛk hiatal hεnia, ɔ if no ɔda tritmɛnt nɔ ɛp.

Fɔ dɔn, LPR na sɔm kayn tin we kin mek pɔsin vɛks, bɔt dɛn kin ebul fɔ manej am fayn if dɛn de manej am fayn. De tin wae impɔtant pas ɔl na fɔ nɔr ignore de symptoms, get wan kɔrɛkt diagnosis, ɛn mɔr fɔ peshɛnt wit de necessary lifestyle changes.