I rilruah thil eng emaw a inkhung a, hnim hring ang maia thil mak tak mai, i ei theih loh emaw, i chhuah theih loh emaw ang maia hriatna mak tak i nei tawh em? Mi thenkhat tan chuan hei hi an chok ang maiin a lang thei. Hei hi mi tam tak tan chuan thil hlauhawm tak a ni tak zet a ni. Hetiang harsatna avang hian mi thenkhat chuan cancer ang natna khirh tak niin an ngai a. Mahse a tam zawkah chuan hei hi `Cricopharyngeal Spasm` tih natna avanga lo awm a ni a, tunlaia kan sawi tak hi a ni a, chutiang chuan a hlauhawm lo.
A awlsam zawngin, Cricopharyngeal Spasm chu eng nge ni?
Hei hi hrethiam tur chuan kan kawr chhunga thau te tak te pakhat chungchang hi i zir hmasa ang u. He ruh hi cricopharyngeal muscle an ti a. A dik tak chuan ei tur kan ei hian food pipe (esophagus) chung berah a awm a. Ring ang maiin a che thin. `(upper esophageal sphincter - UES)` kan ti bawk.
He muscle hnathawh ber chu ei tur emaw tui emaw kan ei laiin a inhawng a, a hnuai lamah kan dah a, hun dangah pawh a khar bawk. Hetianga khar hian pum chhunga thil awmte, a bik takin acids te chu kawchhung chhungah a rawn chho leh thei lo.
Cricopharyngeal Spasm hi he ruh hi a inzawm tlat a, a inzawm tam lutuk a ni. Chumi awmzia chu a khar tur aia nghet zawkin a khar tihna a ni. Hei hian i ei thei a nih pawhin i rilruah harsatna leh tightness a thlen thei a ni. Hetiang dinhmun hian kum eng pawh a nghawng thei a, a chang chuan naupang tê tê pawh a nghawng thei bawk.
Hei hi eng symptoms nge ni?
Hetiang natna lan chhuah dan hi mi hrang hrangah a inang lo thei. Mi thenkhat chuan symptoms na lo tak tak an nei thei a, thenkhat erawh chuan nitin hnathawh an harsat phah thei thung.
| Symptom a ni | Chu chu engtin nge a ngaih? |
|---|---|
| Kawngkhar chhungah lump awm ang maia hriat | Hei hi a lan chhuah dan tlangpui a ni. I kawr chhungah hian engtikah mah a bo ngai lo tur, i ei theih loh tur leh i paih theih loh tur hnah a awm ang maiin a lang. |
| Suffocation/choking tih hriatna | Kawngkhar chhunga thau te chu a nghet a, mi pakhatin an kawr a hrual ang maiin a awm thin. Hei hian mi thenkhatte chu an thawk thei lo ang tih hlauhna nasa tak a thlen thei a ni. |
| A rilru a buai em em a | Mipa chuan Adama apple hnuaiah, chu chu an kawr lai takah, tight emaw pressure emaw an nei thei. |
Heta mak tak mai chu heng symptom tam tak hi tui i ei emaw i in emaw hian a bo vek a ni . Hei hi kan ei hian taksa ruhte hi a pianphungah a relax vang a ni. Tin, heng symptoms te hi i stress hian a zual thei bawk .
Engvangin nge hetiang hi a lo awm? A chhan engte nge ni?
Hei hi a chhan dik tak erawh hriat chian a la ni lo. Mahse, he natna thlentu nia ngaih thil engemaw zat a awm.
- Acid Reflux: Hei hi gastritis emaw GERD ang chi natna avanga lo awm a ni fo. Stomach acid hi kawr chhunga a rawn chhoh chuan a tul lovah rilru chhunga thau awmte chu a tichak thei a, a tikhauh thei bawk.
- Stress leh Anxiety: Hei pawh hi a chhan chak tak a ni. Kan stress hian kan taksa ruh (muscles) te hi a nghet zual sauh sauh thin. Cricopharyngeal muscle pawhin chutiang bawk chuan a chhang thei bawk.
- Kawngkhar a inflammation: He muscle hi infection thenkhat emaw, ril chhunga inflammatory condition emaw vangin a tight thei bawk.
- Neurological conditions: Heng symptoms te hi nervous system tichhe thei conditions thenkhatah pawh hmuh theih a ni a, stroke ang chi te hi a ni.
Enkawl loh chuan eng nge thleng ang?
A tam zawkah chuan hei hi natna khirh tak a ni lo. Mahse, a tlem hle a, he ruh hi rei tak a tight chuan Zenker’s diverticulum tih natna hi a lo awm thei a ni. Hei hi pouch te tak te a ni a, a hnunglam bang ah a lo awm thin. He pouch chhungah hian ei leh in leh hmui a awm khawm thei a, chu chuan a hnuah ei harsatna a thlen thei a ni. Mahse, hei hi thil awm lo tak a ni tih hre reng ang che.
Engtin nge hei hi i hmuh theih, Doctor?
Heng symptoms nei doctor pan i kal hian an tih hmasak ber tur chu i symptoms chungchang chipchiar takin an zawt ang che. Entîr nân, engtikah nge he lungawi lohna hi a lo awm a, i ei emaw, i in emaw hian a ṭhat lehzual em, leh i rilru hah lutuk hian a na zual em?
Tichuan, a tul chuan damdawi lam natna khirh tak dang a awm loh nan test eng emaw zat tih theih a ni.
- Upper Endoscopy: Hei hian tube te tak te, flexible tak, camera hmanga ril hnuai lam dahin, rilru chhung lam leh chaw kawng enfiah a ni.
- Esophageal Manometry: Hei hian i ei laiin pressure leh i rilru chhunga ruh (muscles) te hnathawh dan a teh thin.
- Barium Swallow: Hei hi X-ray test a ni. Barium an tih tui bik in turin an pe che a, i ei rualin X-ray hmangin a kal dan an enfiah thin.
Hei hi eng enkawlna nge ni?
Enkawlna chu a natna lan chhuah chhan leh a nasat danah a innghat a ni. A tam zawkah chuan enkawlna awlsam tak hmangin control theih a ni.
| Enkawl dan tur | Eng thil nge thleng? |
|---|---|
| Gastritis damdawi hman tur | A chhan chu acid reflux a nih chuan i doctor chuan pum acid control thei damdawi, H2 blocker emaw proton pump inhibitor emaw a pe ang che. |
| Botox injection hmanga tihdam theih a ni | He injection hian hun engemaw chen chu ruh tight chu a tichak lo va, a ti hahdam bawk. |
| Counselling pek a ni | A chhan chu stress a nih chuan counseling hmanga stress enkawl dan zir hian symptoms te chu a ti bo vek thei a ni. |
| Muscle tih hahdamna a ni | I doctor chuan stress avanga taksa peng hrang hrang (muscle spasm) control nan hetiang damdawi hi a pe thei ang. |
| Taksa lam enkawlna | Physics therapist chuan i kawr leh i kawng ruhte tih hahdamna tur exercise bik a zirtir thei che a ni. |
A tlem hle a, enkawlna dang a hlawhtlin loh chuan operation neih a ngai mai thei.
He harsatna tihziaawmna turin in lama i tih theih thilte
I doctor-in enkawlna a pek bakah hian he natna hi tihziaawmna tur thil engemaw zat a awm bawk.
- In tur lum tak tak in thin ang che. Tea lum cup khat ang chi thil in hian i rilru chhunga taksa peng hrang hrangte chu a ti hahdam thei a ni.
- Vawi khata chaw lian tak ei ai chuan nilengin chaw tenau engemaw zat ei thin ang che. Hei hian ril muscle te chu chawlh hun rei zawk a pe a ni.
- Kawng leh kawr vel chu massage fo thin ang che.
- Rilru ti thlamuang thei thil tihnaah inhmang rawh. Meditation leh mindfulness ang chi thil tih hian stress tihziaawmna kawngah a pui thei a ni.
- Magnesium tihpunna tur a ni. Zirna thenkhatah chuan magnesium hian taksa ruhte a ti hahdam thei tih hmuhchhuah a ni. Amaherawhchu, hetiang thil hi i hman hmain doctor i zawt hmasa phawt tur a ni.
Hetiang dinhmun hi eng chen nge a daih ang?
Mi tam zawk chuan kar thum vel hnuah symptoms tlahniam an hmu a, mahse hei hi mi hrang hrangah a inang lo.
A châng chuan, he dinhmun hi hriat chian mai mai hi hahdamna nasa tak a ni. I doctor-in i natna lan chhuah dan chu a hlauhawm lo va, enkawl theih a nih thu a hrilhfiah chuan i hlauhthawnna leh lungkhamna chu a reh ang. Chu rilru thlamuanna nen chuan i symptoms chu a tlahniam nasa hle ang.
A pawimawh ber: Heng symptoms te hi kar thum aia rei i neih chuan Doctor pan ngei ngei tur a ni. Hetiang natna emaw, chhan dang emaw i neih leh neih loh a hre thei a, a tul anga enkawlna a pe thei bawk.
Take-Home Thuchah a ni
- Cricopharyngeal Spasm natna lan chhuahna ber pakhat chu rilruah lump awm tih hriat hi a ni.
- Hei hi stress leh acid reflux vang a ni ber.
- Hei hi thil hlauhawm leh cancer natna a ni lo va , mahse a natna leh hlauhna a thlen chu a tak tak a ni.
- Hetiang dinhmun hriat theihna tur clue tha tak chu tui ei emaw in emaw hian symptoms a reh thin hi a ni.
- Symptoms a awm reng chuan doctor pan a, sawipui tur leh thurawn mumal tak dawng turin hlau suh.
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