Yu kin gɛt prɔblɛm bak fɔ swɛla it? Lɛ wi lan bɔt Plummer-Vinson syndrome?

Yu kin si am se i nɔ izi fɔ swɛla it? Ɔ yu kin fil taya ɔltɛm, ɛn yu kin fil se yu nɔ gɛt bɛtɛ trɛnk? Sɔntɛnde, dɛn tin ya kin tan lɛk se na nɔmal tin, bɔt ɔda rizin kin de biɛn dɛn. Tide wi go tɔk bɔt wan sik we nɔ kin bɔku bɔt we impɔtant bɔt mɛrɛsin. Dat na di sik we dɛn kɔl Plummer-Vinson syndrome.

Wetin na di sik we dɛn kɔl Plummer-Vinson syndrome?

Fɔ tɔk am simpul wan, Plummer-Vinson syndrome (PVS) na wan sik we tri rilayt simptom dɛn kin apin togɛda. Sɔntɛnde, dɔktɔ dɛn kin kɔl dis "triad," we min "tri kɔmbaynshɔn." Lɛ wi tek tɛm luk wetin na dɛn tri tin ya:

1. Iron-deficiency anemia: Dis na we yu bɔdi nɔ gɛt inof ayron fɔ mek di prɔtin we dɛn kɔl ɛmoglobin insay yu rɛd blɔd sɛl. Yu no, ɛmoglobin na di tin we de kɛr ɔksijɛn go na ɔl di sɛl dɛn na yu bɔdi. So, we yu nɔ gɛt bɛtɛ ayɛn, di ɛmoglobin nɔ de kɔmɔt fayn, ɛn yu bɔdi nɔ de gɛt di ɔksijɛn we i nid. Dis na wae de mek yu gɛt sayn dɛm lɛk fɔ taya ɛn fɔ pale.

2. di εsophageal wεb dεm: Dis na we tכn, nכn nכmal tisu dεm de fכm insay yu εsophagus, כ fכd paip. Tink bɔt am lɛk spayda wɛb we de fɔm akɔdin to yu ɛsophagus. Dis kin mek di εsophagus smɔl ɛn blok. Dis kin mek i nɔ izi fɔ mek it pas dɔŋ.

3. I nɔ izi fɔ swɛla (Dysphagia): Dis na di nem we dɔktɔ dɛn kin gi to di prɔblɛm we i kin gɛt fɔ swɛla it ɛn drink bikɔs ɔf di εsophageal wɛb dɛn we wi bin dɔn tɔk bɔt. Sɔm pipul dɛn kin gɛt prɔblɛm fɔ swɛla nɔto jɔs sɔlid it dɛn bɔt dɛn kin gɛt wata bak.

Dɛn kin kɔl dis wit ɔda nem dɛn. Wan pan dɛn na saydropenic dysphagia. Ɛn na Yunaytɛd Kiŋdɔm, dat na, na Ingland, dɛn kin kɔl am Paterson-Brown Kelly syndrome.

Naw, na sɔntin we yu nɔ fɔ fred. Dɛn se pipul dɛm wae gɛt Plummer-Vinson syndrome (PVS) kin gɛt smɔl risk fɔ gɛt kansa na dɛn esophageal ɔr hypopharyngeal cancer leta na layf. Bɔt dis na jɔs risk . Yu dɔktɔ go de chɛk yu ɔltɛm ɛn wach yu as nid de fɔ no ɛni kayn tin we tan lɛk dis kwik kwik wan.

Wetin na di sayn dɛm fɔ dis?

Okay, naw lɛ wi si us sayn dɛm pɔrsin wae gɛt Plummer-Vinson syndrome (PVS) de sho. Dɛn sik ya nɔ kin apin to ɔlman di sem we, ɛn sɔm pipul dɛn kin jɔs gɛt sɔm pan di sayn dɛm.

• Fɔ fil taya ɛn taya ɔltɛm: Dis na big sayn fɔ sho se yu nɔ gɛt ayɔn. Yu kin fil taya ivin afta yu dɔn du smɔl smɔl wok dɛn ɛn yu kin slip ɔl di de.
• I nɔ izi fɔ blo (dyspnea): Yu kin fil shɔt fɔ blo, nɔto jɔs we yu de waka smɔl, klaym stej, bɔt sɔntɛnde ivin we yu jɔs tinap.
• I nɔ kin izi fɔ swɛla it:Dis na di sayn wae de sho se dis sik de si. Ɛspɛshali we yu de swɛla sɔlid it dɛn lɛk rays, bred, mit ɛn fish, yu kin fil se yu trot ɛn yu chɛst tayt. Sɔm pipul dɛn kin gɛt fɔ drink smɔl wata fɔ swɛla it. Pan ɔl we i nɔ kin izi fɔ it sɔlid it dɛn fɔs, leta i kin at fɔ swɛla wata bak.
• di tכng kin inflam, swεla, εn rεd (glossitis): Di tכng kin sכft, rεd, εn sכmtεm i kin fil lεk se i de bכn.
• Dray mɔt (xerostomia): Di insay pat na di mɔt kin fil dray ɔltɛm, ɛn yu kin fil se yu nɔ gɛt saliva.
• Angular cheilitis: Di kɔna dɛn na di mɔt kin krak, rɛd, ɛn tan lɛk sɔri.
• Di nel dɛn kin brok ɛn flat lɛk spun: Di nel dɛn kin wik bad bad wan ɛn i kin brok izi wan. Sɔntɛnde di nel dɛn kin sink na di midul, lɛk spun (koilonychia).
• di tayroyd gland we de swel εn lumps (thyroid nodules): Di tayroyd gland we de na di fכnt pat na di nεk kin big εn fil lεk lump.
• Splenomegaly: di splin na wan ɔgan we de ɔp di lɛft say na wi bɛlɛ. I kin swel bak pan dis sik, bɔt bɔrku tɛm i nɔ kin kɔz ɛni big big sayn.

Wetin na di rizin fɔ dis?

Infakt, di wan dɛn we de stɔdi bɔt dis stil nɔ shɔ 100 pasɛnt wetin kin mek pɔsin gɛt Plummer-Vinson syndrome (PVS). Bɔt sɔm tin dɛn de we dɛn kin tink ɛn tink se:

• Ayɔn we nɔ de na di bɔdi na di men tin we dɛn kin tink se: Bɔku pipul dɛn kin tink se we pɔsin nɔ gɛt ayɔn fɔ lɔng tɛm, dat kin mek di mɔsul dɛn na di εsophagus wik ɛn mek wɛb. Ayron nid fכ bכku εnzym dεm na wi bכdi.
• Nutritional deficiencies: Dɛn biliv se nɔto jɔs ayɛn, bɔt ɔda vaytamɛn ɛn minral dɛn kin afɛkt dis bak.
• Autoimyun sik dɛm: Yu go dɔn yɛri bɔt sik dɛm lɛk rεumatoid arthritis ɛn celiac disease. Dis na ɔtoimyun sik dɛm we kin apin we wi yon imyun sistɛm atak wi yon sɛl dɛm. So, bikɔs sɔm pipul dɛn we gɛt PVS kin gɛt dɛn sik ya bak, dɔktɔ dɛn kin tink se i kin gɛt fɔ du wit di imyun sistɛm.
• Jɛnɛtik inflɔwɛns: Ɔda pipul dɛn biliv se dis na jɛnɛtik kɔndishɔn, we min se if pɔsin na di famili gɛt am, ɔda pipul dɛn kin gɛt am bak.

Bɔt dɛn tin ya stil na jɔs tiori dɛn. Wi nid fɔ du mɔ risach fɔ no di rayt tin we mek i apin.

Udat de pan big risk fɔ gɛt dis?

Plummer-Vinson syndrome (PVS) na wan sik we nɔ kin apin so ɔltɛm . I nɔ de afɛkt ɔlman. Bɔt, akɔdin to sɔm statystik, i kin apin mɔ pan wayt uman dɛn. I kin afɛkt uman dɛn we ol midul ej, bitwin 40 ɛn 70 ia.Dis na di tin we kin mek pɔsin gɛt dis sik. Bɔt, i nɔ kin apin so ɔltɛm, dat na, i nɔ kin apin so ɔltɛm, dɛn kin ripɔt se i kin apin to yɔŋ pipul dɛn ɛn ivin pan smɔl pikin dɛn.

Trade, dat na, insay di fɔs 1900 dɛm, dis sik bin de sɔm kayn we na Skandinevian kɔntri dɛm (e.g., Swidan, Nɔwe). Bɔt bay di let 1900s, dat min se insay di las sɔm dikɛd ia, i nɔ bin bɔku na dɛn kɔntri dɛn de. Dɛn tink se di men rizin fɔ dis na di we aw di pipul dɛn na dɛn kɔntri dɛn de bin gɛt bɛtɛ tin fɔ it da tɛm de, mɔ bikɔs i izi fɔ gɛt it dɛn we gɛt bɔku ayɔn.

Wetin na di prɔblɛm dɛn we kin apin we pɔsin gɛt PVS?

As wi bin dɔn tɔk bɔt smɔl bifo, dɛn dɔn si se pipul dɛm wae gɛt Plummer-Vinson syndrome (PVS) kin gɛt smɔl ay risk fɔ gɛt esophageal cancer ɛn hypopharyngeal cancer, wan kansa na di ɔda pat na di trot, we dɛn kɔl hypopharynx, pas pipul dɛm wae nɔr gɛt PVS.

Bɔt nɔ mek yu fred fɔ dis. Nɔto ɔlman we gɛt PVS go gɛt kansa. Dis na jɔs wan tin we kin mek pɔsin gɛt prɔblɛm.

Bikɔs dis sik nɔ kin bɔku, nɔto inɔf risach data de fɔ tɔk ɛksaktɔli ɔmɔs pipul dɛn we gɛt PVS kin rili gɛt kansa.

Bɔt if yu gɛt dis sik, yu dɔktɔ go tray fɔ no ɛnitin lɛk kansa kwik kwik wan , bikɔs da tɛm de, chans de fɔ mek dɛn trit yu ɛn mɛn am. Na dat mek i impɔtant fɔ go fɔ chɛk-ap ɔltɛm, lɛk aw yu dɔktɔ se.

Aw dɛn kin no se pɔsin gɛt Plummer-Vinson syndrome (PVS)?

If yu gɛt di sayn dɛn we wi dɔn tɔk bɔt, we yu go to dɔktɔ, i go aks yu kwɛstyɔn dɛn ɛn chɛk yu. Dɔn, dɛn go ɔda fɔ du blɔd tɛst ɛn sɔm spɛshal imej prosidur fɔ kɔnfirm if yu gɛt PVS.

• Blɔd tɛst: Dɛn tin ya kin chɛk mɔ fɔ si if pɔsin nɔ gɛt ayrɔn.
• Kɔmplit Blɔd Kɔnt (CBC): Dis kin chɛk bɔku tin lɛk yu rɛd blɔd sɛl, wayt blɔd sɛl, ɛn ɛmoglobin lɛvɛl.
• Peripheral Blood Smear (PBS): Dis min se yu fɔ luk wan blɔd ɔnda maykroskɔp fɔ chɛk di shep ɛn saiz fɔ di rɛd blɔd sɛl dɛn. we di ayron dεn nכ de, di rεd bכdi sεl dεm kin sכm sכm εn pale (maykrosaytik, haypokromik).
• di tεst dεm fכ di ayron lεvεl: Tεst dεm lεk sεrum fεritin, sεrum ayron, εn TIBC (Total Iron Binding Capacity) kin gi yu aydia fכ di כmכnt fכ ayron na di bכdi.

• Imej tɛst: Dɛn wan ya de luk fɔ di εsophageal wɛb ɛn di tin we kin mek pɔsin nɔ ebul fɔ it fayn.
• כp εndoskopi (OGD - Esophago-Gastro-Duodenoskopi):insay dis, dεn de put wan tכb we gεt sכmכl kεmεra we dεn tay tru di mכt εn dεn de egzamin di εsophagus, bεlε, εn di fכs pat pan di sכmכl intestin. Dis de mek yu ebul fɔ si dairekt if di wɛb dɛn de. If nid de, dɛn kin tek smɔl pat pan di tisu (bayopsi) fɔ chɛk am.
• Barium swallow / Esophagram: Insay dis tɛst, yu de drink wan tin we dɛn kɔl barium ɛn mek dɛn tek ɛkstrem rayt pikchɔ. di barium de mek yu si di εsophagus pan di X-ray, we de mek yu si say dεm we tik כ blok.
• Vidiofluoroskopi: Dis na ɛkstrem rayt tɛst bak. I de rikodɔm wan fim we yu de swɛla difrɛn kayn it dɛn. Dis kin ɛp yu fɔ si di rayt we aw yu de swɛla ɛn usay di prɔblɛm de.

Sɔntɛnde, di dɔktɔ kin nid fɔ du mɔ tɛst fɔ no di rial tin we mek di ayɔn nɔ gɛt bɛtɛ ayɔn. Fɔ ɛgzampul, dɛn kin luk fɔ ɔlsa na dɛn bɛlɛ ɔ blɔd de kɔmɔt na dɛn intestinal.

Aw dɛn kin trit dis?

Tu men gol de we yu de trit Plummer-Vinson syndrome (PVS). Wan na fɔ kɔrɛkt di ayɛn we nɔ de , ɛn di ɔda wan na fɔ adrɛs di prɔblɛm we i kin gɛt fɔ swɛla it .

• Tritmɛnt fɔ pɔsin we nɔ gɛt ayɔn:
• Di men tin na fɔ gi yu bɔdi di ayɛn we i nid. Yu kin tek ayɛn sɔpɔtmɛnt fɔ dis. Yu fɔ tek dɛn tin ya jɔs lɛk aw yu dɔktɔ tɛl yu, fɔ di tɛm we yu nid dɛn.
• Fɔ sɔm pipul dɛn, if dɛn nɔ absɔb di ayɔn pils we dɛn de it fayn fayn wan, ɔ if di ayɔn we nɔ de na di bɔdi rili bad, sɔntɛnde dɛn kin gi ayɔn insay di bɛlɛ (IV - Intravenous iron).
• If yu gɛt ɔda mɛrɛsin we de mek yu nɔ gɛt ayɔn (e.g., ebi ebi blɔd we yu de gɛt we yu de gɛt mɔnt, ɛmoroyd, bɛlɛ ɔlsa), yu fɔ rili trit dat bak.

• Tritmɛnt fɔ mek i nɔ izi fɔ swɛla (Dysphagia):
• Bɔku tɛm, we dɛn trit dis ayɔn we nɔ de, ɛn di bɔdi gɛt ayɔn, di εsophageal wɛb dɛn kin dɔn ɔlmost ɔtomɛtik wan, ɛn di prɔblɛm we i kin gɛt fɔ swɛla it kin ridyus bad bad wan.
• Lɛ wi se na ayɛn tritmɛnt nɔmɔ nɔ de mɛn di prɔblɛm we yu gɛt fɔ swɛla ɔltogɛda. If na so, wan we de fɔ mek yu εsophagus big, ɔ lɔng. Dɛn kɔl am dilayshɔn fɔ di εsophageal . Dɛn kin du dis we dɛn de du ɛndoskopi. dεn kin put wan sכmכl tin we lεk balכn insay di pat we sכmtεm na di εsophagus εn dεn kin blo am כ dilayt fכ mek di εsophagus big. Dis nɔto big ɔpreshɔn, bɔt na simpul tin we nɔ kin mek pɔsin fil pen, ɛn dɛn nɔ kin kɔt ɛni say na di εsophagus. Sɔm pipul dɛn kin nid fɔ mek dɛn du dis pas wan tɛm.

Wetin na di lukin-grɔn fɔ dis sityueshɔn?

Infakt, pɔrsin wae gɛt Plummer-Vinson syndrome (PVS) kin ɛkspɛkt fɔ gɛt gud tin fɔ du ɛn fɔ wɛl .

Fɔ bɔku pipul dɛn, wans dɛn dɔn kɔrɛkt di ayɔn we nɔ de, di sayn dɛn we de sho se dɛn gɛt anemia (lɛk we dɛn taya ɛn we dɛn nɔ de blo fayn) kin ridyus bad bad wan. Dɔn bak, di prɔblɛm we pɔsin kin gɛt fɔ swɛla it kin rili bɛtɛ.

If di prɔblɛm fɔ swɛla nɔ sɔlv bay ayɔn tɛrapi nɔmɔ, di tritmɛnt we wi bin dɔn tɔk bɔt fɔ dilayt di ɛsophageal kin mek i nɔ izi fɔ swɛla. Sɔm pipul dɛn kin nid fɔ gɛt dis dilayshɔn tritmɛnt pas wan tɛm. Bɔt na wan we we rili simpul ɛn we nɔ gɛt bɔku prɔblɛm.

Yu dɔktɔ kin want fɔ du sɔvɛlayshɔn ɛndoskopi fɔ chɛk fɔ si if yu gɛt tin dɛn lɛk kansa na yu ɛsophagus ɔ yu trot. Bɔt mɛmba se fɔ gɛt PVS na jɔs wan tin we kin mek pɔsin gɛt kansa. Fɔ gɛt PVS nɔ min se yu go mɔs gɛt kansa.

Tɔk to yu dɔktɔ bɔt aw fɔ gɛt PVS kin afɛkt yu kansa risk, aw fɔ tek kia ɔf am go bifo, ɛn aw ɔltɛm yu fɔ gɛt tɛst.

Yu tink se dɛn kin ebul fɔ avɔyd Plummer-Vinson Syndrome (PVS)?

Dɔktɔ dɛn stil nɔ no bɛtɛ bɛtɛ wan wetin kin mek pɔsin gɛt Plummer-Vinson syndrome (PVS), so i nɔ pɔsibul fɔ tɔk fɔ tru if patikyula we de fɔ mek i nɔ gɛt am.

Bɔt fɔ mek yu nɔ gɛt ayɔn ɛn fɔ trit am kwik kwik wan if yu gɛt wan sik we de mek yu nɔ gɛt ayɔn, dat kin mek yu nɔ gɛt PVS.

So, i fayn fɔ mek shɔ se yu de gɛt inof ayɛn frɔm wetin yu de it ɛn drink. Put tin dɛn we gɛt ayrɔn (e.g. rɛd mit, pis, spinach, lentil, soya) insay yu it.

Ustɛm a fɔ go to dɔktɔ?

If yu gɛt sayn dɛn we de sho se yu nɔ gɛt blɔd (fɔ ɛgzampul, yu taya we yu nɔ go ebul fɔ bia, yu nɔ de blo ɔltɛm, yu skin de shayn), ɛn if dɛn sayn dɛn de nɔ bɛtɛ afta lɛk tu wiks so, mek shɔ se yu go to dɔktɔ.

Dɔn bak, if yu fil se yu gɛt prɔblɛm fɔ swɛla it, mɔ if yu fil lɛk se yu de stɔp pan sɔlid it , ɛn di sik nɔ de bɛtɛ, i go fayn fɔ mek yu go to dɔktɔ fɔ advays yu pas fɔ nɔ pe atɛnshɔn to am.

Wetin a fɔ aks di dɔktɔ?

We yu go to dɔktɔ, aks am bɔt wetin de mɔna yu ɛn wetin yu de fred. Fɔ ɛgzampul, yu kin aks kwɛstyɔn dɛn lɛk:

• Wetin kin de mek a nɔ gɛt bɛtɛ blɔd?
• Us tɛst dɛn a nid fɔ du fɔ no fɔ tru if a gɛt Plummer-Vinson syndrome (PVS)?
• Us kayn tritmɛnt yu kin kɔmɛnt fɔ mi?
• A go nid fɔ gɛt ɔpreshɔn fɔ mek a nɔ ebul fɔ it fayn fɔ kɔrɛkt mi disfagia? Ɔmɔs tɛm a go nid fɔ mek dɛn du am?
• A fɔ wɔri bɔt di risk we a go gɛt fɔ gɛt kansa tumara bambay? Wetin a fɔ du bɔt am?

If yu tink se yu gɛt sayn dɛn fɔ Plummer-Vinson syndrome (PVS), go to dɔktɔ wantɛm wantɛm. Yu nɔ nid fɔ liv wit di dɔl taya we kin kam wit anemia. Yu nɔr nid fɔ liv bak wit de pen wae yu de swɛla (dysphagia) wae de mek fɔ it na woke. Sɔntɛnde, di sɔlv kin simpul lɛk sɔm ayɛn tablɛt dɛn. If nɔto so, yu kin gɛt fridɔm bay we yu dilayt yu ɛsophagus. Bɔt sɔm tritmɛnt dɛn de we go ɛp yu fɔ fil fayn .

Fɔ dɔn, di tin dɛn we impɔtant pas ɔl we wi fɔ mɛmba

Plummer-Vinson syndrome (PVS) na wan sik we nɔ kin apin so ɔltɛm. Bɔt di men tin dɛn we i kin du na we i nɔ gɛt ayɔn, i nɔ kin izi fɔ swɛla (dysphagia), ɛn di wɛb we de na di εsophageal . If yu de taya ɔltɛm, i nɔ izi fɔ swɛla, ɔ yu tɔng de at, i impɔtant fɔ go to dɔktɔ pas fɔ dismis am as sɔntin we nɔmal.

Gud tritmɛnt dɛn de fɔ PVS. Bɔku tɛm, bɔku sayn dɛn kin bɛtɛ wans dɛn dɔn kɔrɛkt di ayɔn we nɔ de ɛn di εsophagus dɔn dilayt if nid de.

Pan ɔl we wi de tɔk bɔt di risk fɔ gɛt kansa, mɛmba se na jɔs wan tin we kin mek pɔsin gɛt kansa. If yu tɔk to yu dɔktɔ, du di tɛst dɛn we yu nid, ɛn gɛt di rayt tritmɛnt, yu go ebul fɔ gɛt wɛlbɔdi. So nɔ fred ɛnitin, ɛn if yu gɛt prɔblɛm, go to dɔktɔ wantɛm wantɛm. Yu wɛlbɔdi rili valyu to yu!

` Plummer-Vinson syndrome, PVS, ayɔn dɛfisiɛns, disfagia, prɔblɛm fɔ swɛla, ɛsophageal varices, anemia