Yu kin gɛt bak yu trot we kin at ɔltɛm? Yu vɔys de ala? Dis kin bi LPR (Laryngopharyngeal Reflux)!

Yu gɛt nid bak fɔ klin yu trot ɔltɛm? I kin fil lɛk se wan lump de na yu trot? Yu vɔys de sawnd difrɛn smɔl ɛn i de ala? Bɔku pan wi kin dismis dɛn tin ya as jɔs kɔmɔn kol ɔ alɛji. Bɔt i kin bi sɔntin we difrɛn pas aw yu tink. Dis na wetin wi kin kɔl LPR, ɔ "Silent Reflux" insay mɛrɛsin. Lɛ wi tɔk bɔt am jɔs tide.

Wetin na dis LPR ɛksaktɔli?

Fɔ tɔk am simpul wan, LPR na spɛshal kayn gastritis. Asid riflɔks na we di bɛlɛ asid ɛn dijestiv jus dɛn de flɔ bak ɔp insay di trot. dis kin bi na di chεst, na di lכw pat pan di εsophagus. Wi kin kɔl am at-bɔn.

Bɔt insay LPR, dɛn bɛlɛ asid ya kin kam ɔp ivin ay ɛn rich na wi larynx, di vɔys bɔks, ɛn di farinx. Bikɔs i kin kam ɔp pas di εsophagus, di sayn dɛm kin rili difrɛn frɔm di rεgulεr gastritis. Na dat mek bɔku pipul dɛn nɔ kin ivin no se na wan kayn gastritis. Bifo yu at pwɛl ɛn yu bɛlɛ de pen, LPR kin afɛkt di pat dɛn na yu vɔys, yu trot, ɛn yu nos mɔ. Dɛn kin kɔl am bak "Silent Reflux" bikɔs i nɔ de sho di ɔspitul gastritis simptom dɛm.

Wetin na di difrɛns bitwin LPR ɛn GERD?

Yu go dɔn yɛri di wɔd GERD. GERD tinap fɔ Gastroesophageal Riflux Disease. I de tɔk bɔt wan kɔndishɔn we gɛt gastritis we nɔ de dɔn. Pan ɔl we dɛn tu tin ya kin gɛt fɔ du wit di bɛlɛ asid we kin kam ɔp, sɔm smɔl difrɛns de bitwin dɛn tu tin ya.

Lɛ wi ɔndastand dis difrɛns klia wan smɔl.

Wetin na di sayn dɛm fɔ LPR?

Bikɔs di sayn dɛm fɔ LPR difrɛn smɔl, sɔmtɛm dɛn kin mistek kɔl am asma, alɛji, ɔr bad kol. Di men sayn dɛm wae de sho se yu gɛt dis sik na:

• Di vɔys we de ala ɔ we de dɔŋ.
• Wan filin lɛk sɔntin lɛk bɔl de stɔp na di trot.
• Nid fɔ klia yu trot ɔltɛm .
• Kɔf we nɔ de dɔn we kin te fɔ lɔng tɛm.
• Mucus we pasmak na di trot ɛn nos.
• I nɔ izi fɔ swɛla it.
• Trot we de at we nɔ de chenj .
• Lɔs yu vɔys ɔ laryngitis.
• Wiz na sawnd we pɔsin kin mek we i de blo.
• Drip we de afta di nos.
• Bɔku tɛm, yu kin gɛt infɛkshɔn na di ɔpa respiratɔri trakt lɛk kol ɛn flu.
• Nyu biginin fɔ asma ɔ fɔ wɔs asma we dɔn de .

Wetin mek dis LPR kin apin? Lɛ wi luk sɔm rizin dɛn.

Imajin se tu impɔtant get dɛn de na di rod frɔm wi bɛlɛ to wi trot. dis na di mכsul ring dεm we de na di tכp εn dכn pat pan wi εsophagus. Dɛn tan lɛk valv dɛn. wi kכl dεn ya `(εsophageal sphincters)`.

1. di lכw εsophageal Sfincter (LES): dis de bitwin di εsophagus εn di bεlε. di men wok we i de du na fכ mek di bכdi asid nכ fכ fכlכ bak כp insay di εsophagus.

2. Ɔpa Ɛsofajial Sfinktɔ (UES): .Dis de bitwin di εsophagus εn di trot. I de mek ɛnitin we dɔn go insay di εsophagus nɔ go insay di trot.

fכ mek LPR apin, dεn tu valv dεm ya nכ fכ klos fayn. nכmal gastritis kin apin we di lכw εsophageal sphincter (LES) wik. כltu, fכ mek LPR apin, di כp εsophageal sphincter (UES) dεm tu nכ fכ klos fayn εn i fכ lכs. dis na we di bεlε asid kin lik כp insay di εsophagus.

So wetin mek dɛn get ya wik?

Bɔku rizin dɛn kin de fɔ dis. Sɔm kin de fɔ shɔt tɛm, ɛn ɔda wan dɛn kin de as tɛm de go.

1. Tin dεm we de wik di lכw εsophageal sphincter (LES) .

• Sɔm mɛrɛsin dɛn: Sɔm mɛrɛsin dɛn lɛk kalsiɔm chanɛl blɔk fɔ ay blɔd prɛshɔn, bɛnzodiazepin fɔ mek yu maynd kol, ɛn nɔ-stɛroyd anti-inflammatory drugs (NSAIDs).
• Sɔm it ɛn drink dɛn: kɔfi, chɔklɛt, rɔm, mint, galik, ɛn anɔynt.
• Di we aw pɔsin de liv in layf:
• Fɔ ledɔm fɔ at le 3 awa afta yu dɔn it.
• Fɔ it bɔku tin wan tɛm.
• We yu wɛr tayt klos ɔ bɛlt we de mek yu bɛlɛ kɔnstrikt.
• Ɔda tin dɛn we kin apin:
• Hiatal hernia: Wan pat pan di bɛlɛ de kɔmɔt na di chɛst.
• di bεlε: Na di כmon dεm we de chenj εn di prεshכn we de go כp na di bεlε.
• Fat pasmak: Di prɛshɔn we de na di bɛlɛ de go ɔp.
• Smok: Di kemikal dɛn we de insay tabak de mek dis mɔsul ring rilaks.

2. Tin dɛn we de wik di ɔpa get (UES) .

afta di asid dεm dכn kכmכt tru di lכw εntra εn kam כp, dεn nid fכ stכp dεm fכ rich di trot tru dis כp εntra. Bɔt dɛn tin ya kin mek i wik bak.

• Ledɔm: We wi de ledɔm na nɛt, dɛn tu get ya kin rilaks smɔl.
• Burping: We yu burp, dɛn tu valv ya kin opin, we kin mek smɔl asid go insay yu trot wit di briz bɔbul dɛn.
• fכ bεnd fכwכd, εksεsayz, sing: dεn tin ya kin mek di prεshכn na di bכdi bכku εn put prεshכn pan di כp pat pan di uterus.
• Smok ɛn drink rɔm: Dɛn tu tin ya de opin ɔl tu di domɔt dɛn.

Wetin na di prɔblɛm dɛn we pɔsin kin gɛt we i gɛt LPR?

If dɛn nɔ trit LPR fayn, sɔm prɔblɛm dɛn kin apin as tɛm de go.

• di mכkus we pasmak εn infεkshכn we de fכm bכku tεm: we di bεlε asid de rifכl insay di trot de ambɔg di nכmal prכsεs fכ kכl mכkus frכm di trot εn nos. We di mכkus de bכku, di jεm dεm kin kam togεda, we kin mek i gεt infεkshכn bכku tεm.
• Prɔblɛm wit yu vɔys ɛn trot we nɔ de dɔn: Dis we de swel fɔ lɔng tɛm na yu trot ɛn vokal kɔd kin mek i nɔ izi fɔ tɔk ɛn swɛla. as tεm de go, sכm sכm sכm sכm sכm sכm dεm (vokal kכd lεshכn) kin divεlכp bak pan di vכkal kכd dεm.
• Di kɔmplikɛshɔn dɛn we kin apin to di sistɛm we pɔsin kin blo:di asid dεm we de go insay di trot kin, sכmtεm we wi nכ no, travul go na di lכng wit wi brith, spεshal wan we wi de slip na nɛt. Dis kin mek yu gɛt infɛkshɔn na yu lɔng ɛn ɔda prɔblɛm dɛn we yu de blo.

Aw a go no fɔ tru if dis na LPR?

If yu gɛt di sayn dɛm wae wi bin dɔn tɔk bɔt, mɔr lɛk if yu nɔr ebul fɔ fɛn ɛnitin wae de mek yu gɛt dis sik, i go fayn fɔ go to spɛshal dɔktɔ fɔ yu yes, nos, ɛn trot (ENT Surgeon). Di dɔktɔ go lisin to yu sayn dɛm ɛn chɛk yu trot.

Bɔku men tɛst dɛn de we dɛn kin du fɔ dis:

• Fleksibul Laryngoscopy: na we dεn de pas wan sכmכl kεmεra we dεn tay pan wan fleksibul, tכn tכb tru di nos εn insay di trot fכ egzamin insay di larynx εn trot. Dis na simpul tɛst we dɛn kin du bɔku tɛm na di dɔktɔ in ɔfis.
• Ɔpa Ɛndoskopi: Dis na fɔ put wan tiub wit kamɛra tru yu mɔt fɔ chɛk yu ɛsophagus ɛn yu bɛlɛ. Dis kin ɛp fɔ no wetin mek yu gɛt LPR.
• εsophageal pH test: Na tεst we de mכsu di asid lεvεl dεm na yu trot εn εsophagus fכ 24 awa.
• Esophageal Manometry: na tεst we de mכsu aw di mכsul dεm na di εsophagus de wok εn trεnk.

Wetin na di tritmɛnt dɛm fɔ LPR?

Di men tin we wi de pe atɛnshɔn pan fɔ trit LPR na fɔ chenj wi layf ɛn di we aw wi de it.

Fɔ chenj di we aw pɔsin de liv in layf ɛn di we aw i de it

Bɔrku tin de wae yu kin du yusɛf fɔ kɔntrol LPR. Na dɛn tin ya impɔtant pas ɔl.

Tritmɛnt wit drɔgs

Pan ɔl we yu de chenj yu layf, yu dɔktɔ kin gi yu sɔm mɛrɛsin dɛn fɔ ɛp fɔ mɛn di damej we de na yu trot ɛn larynx.

• Proton Pump Inhibitors (PPI): dεn de wok bay we dεn de ridyus di prodakshכn fכ asid na di bεlε. Dɛn kin nid fɔ yuz dɛn tin ya fɔ sɔm mɔnt.
• H2 Blockers: Dis na ɔda kayn mɛrɛsin we de ridyus di asid prodakshɔn.
• Alginates: Dɛn mɛrɛsin ya de mek wan layt we de protɛkt di bɛlɛ, we de mek di asid nɔ kam ɔp.

Ɔpreshɔn

I nɔ kin rili nid fɔ du ɔpreshɔn fɔ LPR. Dɛn kin jɔs tink bɔt ɔpreshɔn if patikyula kɔz de, lɛk hiatal hεnia, ɔ if ɔda tritmɛnt dɛn nɔ wok.