Ei a harsa em? I rilruah a tang em ni? Hei hi Achalasia a ni thei!

Chaw i ei lai hian i tui in tur chu i kawr hnuaiah a tla lo ang tih i hre ngai em? I rilruah thil a inkhung ang maiin a lang... Chaw chu i rilruah a rawn chho leh mai thei. Hei hi engkim mai a ni lo va, Achalasia tih hming pu natna chhinchhiahna a ni thei bawk. Mi tam takin hei hi thil pangngaiah ngai mah se, hei hi hriat chian a pawimawh hle. Chuvangin vawiinah hian sawi ila.

A awlsam zawngin, Achalasia chu eng nge ni?

Ngaihtuah teh, kan ei lai hian chaw chu kan ka atanga kan pum thlengin a kal a ngai a ni lawm ni? He zinkawng hi esophagus an tih tube zawhin a thleng thin. Hetiang kalphung hi a dik taka a thlen theih nan thil pahnih a awm a ngai a ni.

1. Esophagus hian ei tur chu a inzawm khawm a, a hnuai lam a nawr a ngai a, toothpaste tube hrual ang maiin.

2. Esophagus tawp lama valve (muscle flap) te tak te, chaw kawng chhunga chaw a luhna hmun chu hawn a ngai a.

Tunah chuan achalasia i neih chuan heng process pahnih hi a thawk tha lo hle. Esophagus hian chaw chu a nawr thla thei lo va, chu valve chu a inhawng tha lo. Chuti a nih chuan eng nge thleng? Chaw chu chaw kawng hnuai lam ah a tang a. Sink chhunga drain khar ang mai a ni. A tawpah chuan he chaw hnim hring hi a rilruah a rawn chho leh tan ta a ni.

Hei hi a awm lo hle a ni . Mi maktaduai khat zinga pakhat vel a nghawng a ni. Mahse a lo thleng thut lo va, kum tam tak chhung chu a lo thang zauh zauh thin. Mi thenkhat chu kum tam tak chhung chu natna lanchhuahna nei lovin an dam thin. Dam kim thei lo mah se, enkawl dan dik tak chuan nun pangngaiin i nung thei a ni.

Achalasia awm chhante chu engte nge ni?

Hei hi a chhan dik tak hi hriat chhuah a la ni lo a, mahse doctor-te'n thil awm thei tura an ngaih thil tlemte a awm.

• Genetic causes: Hei hian rochun theih a ni tihna a ni.
• Autoimmune problems: Hei hi kan taksa vengtu immune system-in kan nerve cells a beih hian a ni.
• Viral infection: Viral infection thenkhat chuan chaw kawng chhunga nerve te a tichhe thei niin an ngai.
• Neurodegenerative: Chaw ei kawng ruh (muscles) control tu nerve te tihchhiat zauh zauh.

Hetiang dinhmun hian tu pawh a nghawng thei a ni. Hmeichhia leh mipa pawh a nghawng vek a ni. Mahse kum 25 leh 60 inkar ah a tam ber a, naupang a nghawng thei bawk. Down syndrome vei zingah pawh hmuh tur a awm bawk.

Achalasia chi hrang hrang a awm em?

Ni e, Achalasia hi chi thum ah then a ni. Eng chi nge i neih a zirin symptom leh enkawl dan a inang lo thei.

Hemi chhinchhiahna berte chu engte nge ni?

Achalasia natna lan chhuahna ber leh langsar ber chu tui leh thil chi hrang hrang ei harsat hi a ni . Chaw ei tur chu rilruah a tang thei a, chu chuan chaw kawng chu a tizau emaw, a ti lian emaw thei a ni.

Chu bakah, heng features te hi a hmuh theih bawk:

• Chaw ei zawhah rilru na.
• Chaw ei chu rilru chhungah a rawn chho leh ta.
• Lung na leh chaw ei loh.
• Chhan awm lovin taksa rihna tihtlem .
• Zanah khuh.
• Luak chhuak.
• Chaw emaw tui emaw lung chhunga lut chuan pneumonia a thlen thei.
• Choking a awm.
• Hiccups emaw, bawlhhlawh kal harsa emaw.

Engtin nge hei hi i hmuh theih, Doctor?

Achalasia symptoms hi gastrointestinal condition dang, GERD (Gastroesophageal Reflux Disease) ang chi nen a inang em em avangin, chu chu i doctor chuan a enkawl hmasa mai thei. Mahse, hengte hi a tha lo a nih chuan heng test te hi achalasia awm leh awm loh enfiah nan tih theih a ni.

• Manometry: Hei hi a natna hriat chian nan test tha ber a ni. Hetah hian i hnar kaltlangin i pum chhungah tube te tak te dahin doctor chuan i chaw kawng chhunga thau chakna leh a hnuai lama valve hnathawh dan chu tui i ei laiin a teh thin.
• Upper Endoscopy: Camera nei tube, endoscope an tih chu i hmuiah dahin i chaw kawng chhung leh i pum chu enfiah a ni. Thil dik lo leh narrowing awm leh awm loh enfiah nan hman a ni a, a tul chuan biopsy lak theih a ni bawk.
• Barium Swallow: Hei hi Esophagogram an ti bawk. Hetah hian tui bik barium an tih chu in turin an pe che a, X-ray an la bawk. He tui hian X-ray-ah esophagus chu chiang takin a lang thei a ni. Hei hian a chhungah hian narrowing a awm em tih hriat a awlsam phah hle.
• pH Testing: Hei hian i chaw kawng chhunga acidity a teh thin. Hei hian natna dang, GERD ang chi i neih leh neih loh hriat theih nan a pui thei a ni.

Enkawlnate chu engte nge ni?

Enkawlna tum ber chu chaw kawng hnuai lam ruh tight tak takte tihzauh leh zau zawka siam a ni a, chu chuan ei leh in leh tui te chu awlsam zawkin pum chhungah a lut thei a ni. I kum, i natna lan chhuah dan leh i hriselna dinhmun dangte a zirin i doctor chuan i tana enkawlna tha ber tur a rel ang.

Inzai

Achalasia enkawlna tha ber chu operation hi a ni. Mi tam zawk chuan operation hnuah hun rei tak chhung an dam leh thin.

• Heller Myotomy: Hei hi surgery neih tam ber a ni. Laparoscopic hmanga tih a ni fo a, chu chu pum chhunga incision tenau tlemte hmanga tih a ni a, camera hmanga tih a ni. Hetah hian doctor chuan esophagus hnuai lama tight muscle layer chu a cut a, a tizau bawk.
• Peroral Endoscopic Myotomy (POEM): Hei hi surgery tih dan thar a ni. Pawn lamah pawh incision siam a ni lo. Endoscope hi ka chhungah dahin, chaw kawngkhar lining-ah incision te tak te siam a ni a, tight muscle chu a cut chhuak a ni.

Heng surgery pahnih hi a hlawhtling a, mahse mi thenkhat chuan a hnuah acid reflux an nei thei a ni.

Surgery hmanga enkawlna ni lo

Mi zawng zawng hian operation an mamawh vek lo. Heng hmanrua te hian a pui thei a, mahse surgery angin solution awm reng a ni lo. Vawi tam tak i tih a ngai mai thei.

• Botox injection: Endoscopy an tih lai hian Botox (botulinum toxin) injection hmangin taksa ruh tight te chu an pe thin. Hei hian hun engemaw chen chu taksa ruhte a ti hahdam a ni.
• Pneumatic Dilation hmanga tihzauh (Pneumatic Dilation) .Endoscope hmangin balloon chu chaw kawng zau takah an thawn a, chu chu an inflating chuan taksa ruhte chu an inzawm khawm a, an tizau bawk.
• Damdawi: Damdawi nitrates leh calcium channel blocker te hian taksa ruh tight tak takte chu a ti hahdam thei a ni. Mahse, hengte hian side effect a thlen thei a, chuvangin doctor-in a tih ang chauha hman tur a ni.

Heng thilte hian Achalasia nena kan khawsak hunah a pui thei a ni

Hetiang dinhmun hi ei leh in bik a awm lo. Mahse eng ei tur nge awlsam taka a tlahniam tih leh eng nge harsa tih i hrethiam ang. Lehkhabuah pawh ziak tel a tha. Ei dan leh ei huna fimkhur a pawimawh hle.

• Chaw ei tha la , a te te in ei rawh .
• Thut ding chungin chaw ei rawh . Hei hian gravity puihnain ei tur chu awlsam zawkin a tlahniam thei dawn a ni.
• Mut hma hnaih lamah solid food ei suh .
• Ei leh in lum lutuk emaw, vawt lutuk emaw hian mi thenkhat taksa ruh a ti na thei a ni.
• Chaw ei lai hian tui tlem tal in la.
• Mi thenkhat chuan carbonated drinks in hian ei tur a ti hniam thei niin an sawi.

I dinhmun a nasat chuan hun engemaw chen chu liquid diet lama inthlak hi a tha mai thei. Mahse i tih chuan i doctor nen inbia la , i mamawh ei leh in i dawng em tih hriat chian rawh. I taksa rihna a tlahniam nasa hle a nih chuan i doctor hnenah pawh hrilh la, ei leh in tha lo tihna a ni thei.