Yu kin gɛt prɔblɛm bak fɔ swɛla it? I kin fil lɛk se sɔntin dɔn stɔp na yu trot? Lɛ wi tɔk bɔt Zenker in Diverticulum!

Sɔntɛnde, yu kin fil bad smɔl we yu de swɛla it, nɔto so? Ɔ yu kin fil lɛk se sɔntin dɔn stɔp na yu trot. Dɛn tin ya kin ambɔg wi ɛvride layf. Sɔntɛm di rizin fɔ dis na sɔntin we yu nɔ de tink bɔt. Tide wi go tɔk bɔt dis kayn kɔndishɔn, dat na Zenker’s Diverticulum.

Wetin na Zenker in Divɛrtikul?

Fɔ tɔk am simpul wan, Senck’s diverticulum na smɔl paus we de fɔm na di tap pat pan yu trot, ɔ esophagus (dɛn kin kɔl am bak di it paip). Tink bɔt am, wan mɔsul de ɔp yu trot, we dɔktɔ dɛn kin kɔl di krikofarin mɔsul . I de wok lɛk domɔt. We wi swɛla, dis mɔsul kin rilaks ɛn mek di it pas dɔŋ na di εsophagus. Bɔt if dis mɔsul nɔ de wok fayn, dat min se if i nɔ rilaks fayn we wi de swɛla, bɔku prɛshɔn de kam insay yu trot. Tink bɔt am, lɛk we yu swɛt wata paip ɛn ol am na wan ples, di wata prɛshɔn kin go ɔp.

as tεm de go, dis prεshכn de mek wan paus כ divεrtikul fכm, usay di tisu de push kכmכt tru wan wik ples na di wכl na di trot. Dis paus kin mek yu gɛt prɔblɛm lɛk aw i nɔ kin izi fɔ swɛla, it kin kam bak ɔp na yu trot, ɛn yu kin blo bad. Bɔku tɛm, di tritmɛnt kin gɛt fɔ du wit ɔpreshɔn fɔ pul ɔ mek di pɔch. Dɔn bak, if yu chenj di we aw yu de it ɛn drink, dat kin ɛp fɔ ridyus sɔm pan dɛn sik ya.

Wetin na di sayn dɛm fɔ Zenker’s Diverticulum?

Di sayn dɛm kin difrɛn difrɛn wan bay di sayz fɔ dis paus (diverticulum) ɛn usay i de. If di paus smɔl, yu nɔ go gɛt ɛni sayn atɔl. Bɔt prɔblɛm kin bigin we di pɔch big fɔ mek i nɔ ebul fɔ swɛla. Si if yu gɛt ɛni wan pan dɛn sayn ya:

• Risk fɔ aspireshɔn nyumonia: Sɔntɛnde, it we yu swɛla ɔ di mכkus na yu trot kin aksidɛntli go insay yu trakya (windpaip) ɛn mek infεkshɔn na yu lכng. Dis kin denja smɔl , bikɔs infɛkshɔn na di lɔng nɔto jok.
• Bad briz (`Halitosis`): Fɔd kin stɔp na da paus de na di trot, ɛn i kin bigin fɔ pwɛl de. Na da tɛm de bad smel de kɔmɔt na di mɔt. Dis na sɔntin we de mek pipul dɛn shem ivin na di sosayti.
• Fɔd ɔ mכkus we de kam bak ɔp yu trot: Fɔd we yu de swɛla kin kam bak ɔp na yu trot. Dis kin apin we di pɔch ful-ɔp wit it. I tan lɛk se tin de jomp kɔmɔt na ful bag. Sɔmtɛm dis kin apin na nɛt we yu de slip.
• I nɔ izi fɔ swɛla (`Dysphagia`): Dis na di men ɛn di kɔmɔn sayn . As di paus de gro, i de mek di rod we de na di trot smɔl, ɛn dis kin mek i nɔ izi fɔ swɛla it. Fɔs, i kin at fɔ swɛla sɔlid it dɛn nɔmɔ, bɔt leta i kin at fɔ swɛla wata bak.
• Fɔ fil lɛk se sɔntin dɔn stɔp na yu trot (`Globus sensation`):Yu kin fil lɛk se sɔntin dɔn stɔp na yu trot, lɛk bɔl. Dis filin kin apin bak we yu nɔ de it. dis filin kin apin we di sak de big εn prεs pan di krikofarin mכsul, כ di כp pat pan di εsophagus.
• Hoarseness (Dysphonia): Wan chenj na yu vɔys, wan hoarseness, kin apin. dis na biכs di sak de big εn prεs pan wan nεv we de kכntro wi vכys, di farinj nεv we de kam bak .
• Fɔ lɔs yu wet we yu nɔ bin want: Yu kin lɔs yu wet we yu nɔ no bikɔs yu nɔ ebul fɔ swɛla it fayn, we kin mek yu nɔ gɛt bɛtɛ it.

Wetin kin mek Zɛnker in Divɛrtikul?

fכ tru, dis Zenker in divεrtikul de fכm biכs di krikofarin mכsul we a bin tכk bכt nכ fulכp rilaks. Nɔmal wan, dis mɔsul fɔ tayt ɛn lɔk di ɔp pat na wi εsophagus ɔltɛm. I kin jɔs rilaks we wi swɛla it ɛn alaw it fɔ go dɔŋ. Bɔt if dis mɔsul nɔ rilaks we wi de swɛla it, di ɔp pat na di εsophagus nɔ de opin fayn.

di sem tεm, כda pawaful mכsul dεm na wi trot de push di it dכn tכwεd di tayt krikofarin mכsul. Dɛn tu tin ya kin mek bɔku prɛshɔn na di wɔl dɛn na di trot.

insay di kes fכ Senkers in divεrtikul, dis prεshכn de mek wan paus fכ tisu de push kכmכt na wan wik ples na di wכl na di trot, we de fכm wan paus. dis paus na di tin we de mek di it nɔ pas frɔm di trot ɛn go insay di εsophagus.

di masta sabi pipul dεm stil nכ no bכku bכku wan wetin mek dis krikofarin mכsul de tayt we i fכ rilaks. Ilɛk wetin mek i apin, di tin we kin apin na we dis pɔch we kin mek pɔsin vɛks kin mek.

Udat de pan big risk fɔ gɛt dis sik?

Pan ɔl we dis sik kin kam pan ɛnibɔdi, sɔm pipul dɛn kin gɛt dis sik smɔl. Tek wan luk:

• Ej: Dis kin pasmak pan pipul dɛm wae ol bitwin 70 ɛn 90. Dis min se e kin apun as yu de ol. Bɔt, dɛn kin si am smɔl smɔl bak pan pipul dɛn we yɔŋ pas dat.
• Jɛnda: Stɔdi dɔn sho se man dɛn kin gɛt dis sik pas uman dɛn.
• di εsophageal dysmotility: If yu gεt כda kכndyushכn dεm we de mek yu εsophagus nכ de wok fayn, dat na if yu gεt mכtility prכblεm, yu risk fכ gεt dis kin bכku.

Wetin na di poshubul kɔmplikeshɔn dɛm fɔ Zenker’s Diverticulum?

If dɛn nɔ trit dis sik fayn, sɔm prɔblɛm dɛn kin apin, so i impɔtant fɔ no bɔt dis.

• Nyumonia we pɔsin kin gɛt:Dis na sɔntin we siriɔs smɔl. If di it we de kam bak ɔp frɔm da paus de na di trot go na di lɔng dɛn bay mistek, i kin mek pɔsin gɛt baktri ɛn i kin mek i gɛt nyumonia. If yu de kɔf ɔltɛm ɔ yu nɔ kin ebul fɔ blo, yu fɔ tink bak bɔt dis.
• Malnutrishɔn: We it nɔ de pas na yu dijestiv sistɛm fayn bikɔs ɔf da paus de, yu bɔdi nɔ kin ebul fɔ gɛt di nyutriɛnt dɛn we i nid, we kin mek yu nɔ gɛt bɛtɛ it. Dis kin mek yu wik, yu nɔ gɛt bɔku bɔku bɔdi, ɛn yu kin taya ɔltɛm.

Aw dɔktɔ dɛn kin no dis?

If yu gɛt sayn dɛn we de sho se i nɔ izi fɔ swɛla, yu fɔ go to dɔktɔ fɔs. Di dɔktɔ go aks yu bɔt yu sik dɛn ɛn chɛk yu. I kin aks bak if yu gɛt ɔda prɔblɛm wit di we aw di εsophagus de wok (esophageal dysmotility). Dɔn i go mɔs bi se dɛn go sɛn yu to spɛshal dɔktɔ we de du dis wok, we na dɔktɔ we de mɛn yu bɛlɛ. I go du di tɛst dɛn we i nid fɔ no wetin rili de mek yu gɛt prɔblɛm.

Na sɔm tɛst dɛn we pɔsin kin du:

• εsophageal manometry test: Dis de tεst aw yu εsophagus de wok fayn, if di mכsul dεm de kכntrakt fayn fayn wan, εn if di krikofarin mכsul de rilaks fayn fayn wan.
• Esophagram (barium swallow): Insay dis tɛst, yu kin drink wan sɔlvushɔn we dɛn kɔl barium ɛn dɛn kin tek ɛkstrem rayt fɔ si wetin kin apin insay yu esophagus we yu de swɛla it. If pɔch de, yu kin si am klia wan.
• כp εndoskopi: Dis na fכ put wan sכmכl tכb we gεt kεmεra tru di mכt εn luk dכn di εsophagus. dis kin mek yu si di insay pat pan di εsophagus dairekt wan, usay di paus de, εn in saiz.

Aw dɛn kin trit Zenker’s Diverticulum?

Bɔku tɛm, di bɛst tritmɛnt na fɔ mek dɛn du ɔpreshɔn fɔ pul ɔ mek di pɔch fayn. Dis go mek yu ebul fɔ swɛla izi wan bak. Bɔt nɔto ɔlman nid ɔpreshɔn. Dɔktɔ dɛn kin se dɛn fɔ du ɔpreshɔn if di pɔch de mek siriɔs prɔblɛm dɛn, lɛk we pɔsin nɔ de it fayn ɔ we i gɛt nyumonia we i de aspireshɔn.

Bɔku kayn ɔpreshɔn dɛn de we dɛn kin du fɔ dis:

• Opin ɔpreshɔn: Insay dis kayn ɔpreshɔn, dɛn kin kɔt smɔl pat na di nɛk. Di dɔktɔ kin go dairekt na di sak ɛn i kin pul am ɔ mek di mɔsul fayn.
• Ɛndoskopik ɔpreshɔn: Dis na fɔ put smɔl smɔl tin dɛn tru di mɔt fɔ mek ɔ pul di paus. Dɛn nɔ kin kɔt ɛni say na do. Dis kin mek di tɛm we pɔsin kin wɛl nɔ bɔku ɛn i nɔ kin lɛf ɛni skata.
• ZPOEM (`Peroral endoskopik mayotomi'):Dis na endoskopik prosidur bak. fכ bi prεsis, `ZPOEM` tinap fכ `Zenker in Pεroral εndoskopik Myotomy`. insay dis, di krikofarin mכsul de strεch sכmtεm εn i de rilaks. Dɔn, di it kin go dɔŋ izi wan.

Yu gastroenterologist go tɔk wit yu us ɔpreshɔn we go fayn fɔ yu.

Aw lɔng i kin tek fɔ mek i wɛl afta dɛn dɔn du di ɔpreshɔn?

Di tɛm fɔ wɛl afta dɛn dɔn du di ɔpreshɔn kin difrɛn difrɛn wan bay di kayn ɔpreshɔn we yu bin gɛt. Yu kin wɛl kwik kwik wan frɔm ɛndoskopik ɔpreshɔn ɔ ZPOEM ɔpreshɔn pas frɔm opin ɔpreshɔn. Yu dɔktɔ go ɛksplen dis to yu ditayli. Bɔt, bɔku tɛm yu kin ɛkspɛkt dɛn tin ya:

• Yu go gɛt fɔ de na ɔspitul fɔ wan ɔ tu dez, sɔntɛm ivin sɔm dez.
• Afta di ɔpreshɔn, yu go nid fɔ it wata ɔ sɔft it dɛn we dɛn dɔn mash fayn fayn wan fɔ lɛk tu dez to tu wiks.
• If dɛn dɔn ɔpreshɔn yu opin, dɛn kin gi yu it tru wan tiub fɔ gi yu tin fɔ sɔm tɛm te di wund wɛl.

Yu tink se prɔblɛm dɛn kin apin we dɛn du ɔpreshɔn?

Jɔs lɛk ɛni ɔpreshɔn, smɔl smɔl prɔblɛm dɛn kin apin wit dɛn ɔpreshɔn ya. Bɔku kɔmɔn kɔmplikeshɔn dɛn de we kin apin wit ɔl tu di opin ɔpreshɔn ɛn ɛndoskopik ɔpreshɔn:

• Blɔd we de kɔmɔt
• Wan ol ɔ tear na di εsophagus (esophageal rupture) .
• Wan infεkshכn na di nεk כ chεst (mediastinitis) .
• Injury to di lip, tit, tong, ɔ gam we dɛn de du ɛndoskopik ɔpreshɔn
• Di vɔys we de ala lawd wan if di nɛv we de kɔntrol di vɔys kɔd dɛn dɔn pwɛl we dɛn de du ɔpreshɔn we dɛn opin

Bɔt dɛn tin ya nɔ kin bɔku ɛn bɔku tɛm dɛn kin si dɛn. Dɔktɔ dɛn go tɛl yu bɔt dis bak.

Ustɛm a fɔ go to dɔktɔ?

If yu kɔntinyu fɔ gɛt prɔblɛm fɔ swɛla, i go fayn fɔ mek yu go to dɔktɔ ɛn nɔ pe atɛnshɔn to am. Dɔn bak, if yu dɔn du ɔpreshɔn fɔ Zenker in diverticulum, kɔl yu gastroenterologist wantɛm wantɛm if yu gɛt ɛni sayn fɔ infekshɔn, lɛk fiva ɔ pus .

Di impɔtant tin na dat, pan ɔl we dɛn kin mɛn dis sik wit tritmɛnt, sɔntɛnde di pɔch kin kam bak. So, aks yu dɔktɔ us sayn dɛn yu go de luk fɔ we de sho se nyu paus dɔn fɔm na yu trot.

Wetin a go du fɔ mek a fil fayn?

We yu gɛt Zenker in diverticulum, i kin tranga fɔ swɛla. I kin fil lɛk se it dɔn stɔp na yu trot. Tray dɛn simpul tin ya, we kin ɛp fɔ push di it dɔŋ tru di pɔch:

• It yu it smɔl smɔl, nɔto big bayt.
• Chew ɔl di it dɛn fayn fayn wan bifo yu swɛla. Dis go ɛp di it fɔ brok bɛtɛ ɛn mek i izi fɔ swɛla.
• Drink wan ɔ tu sip wata bitwin di it dɛn. Dis kin ɛp fɔ push di it dɔŋ.
• I fayn fɔ ridyus di nɔmba fɔ di nɛt, sid, ɛn it dɛn we gɛt skin lɛk apul ɛn tomato, bikɔs dɛn kin stɔp na di bag. Dɔn bak, it dɛn we rili dray kin stɔp.

Jɔs tink bɔt, tɛm kin de we wi kin rili gladi ɔ wi at pwɛl ɛn wi trot kin fil lɛk se dɛn dɔn kɔnstrikt. Semweso, kɔndishɔn lɛk Zenker in divɛrtikul kin mek ivin di simpul akt fɔ swɛla it rili at.

Dis na paus we de fɔm na di trot. I kin fכm we it nכ kin pas frכm di trot go insay di εsophagus. Di prɔblɛm kin go te di pɔch big fɔ mek i nɔ pɔsibul fɔ swɛla it. Bɔt i nɔ kin bɛtɛ fɔ insɛf. Laki, gud tritmɛnt dɛn de fɔ dis.

Fɔ dɔn, tin dɛn we wi fɔ mɛmba

Okay, so lɛ wi mɛmba yu bɔt sɔm tin dɛn we wi dɔn tɔk bɔt we wi tink se impɔtant to yu:

• Zenker in divεrtikul na sכmכl paus we de divεlכp na di כp pat pan yu trot, na di tכp pat pan yu εsophagus.
• Di men sayn na we i nɔ kin izi fɔ swɛla (dysphagia) . Ɔda sayn dɛm kin bi wae yu nɔr de blo fayn (halitosis), yu de it tin fɔ stɔp na yu trot, ɛn yu de fil se sɔntin dɔn stɔp na yu trot.
• If yu gɛt dɛn sik ya, yu go mɔs go to dɔktɔ . Nɔ ignore am.
• Ɔspitul tritmɛnt dɛn de fɔ dis, ɛn we yu chenj di it we yu de it kin ɛp bak fɔ kɔntrol di sik dɛn.
• Ivin wit tritmɛnt, dis sik kin kam bak sɔmtɛm , so no bɔt dat bak.

A op se dis infɔmeshɔn go ɛp yu. If yu gɛt ɛnitin we de mɔna yu, nɔ shek fɔ tɔk to yu dɔktɔ. Mɛmba se fɔ no di sik kwik kwik wan ɛn fɔ trit am na di bɛst!

Zenker ’s Diverticulum, trot pauch, i nɔ izi fɔ swɛla, disfagia, trot dizayd, larynx, krikofarin mɔsul