Chaw i ei hian i choke thin em? Esophageal dysmotility chungchang hi i zir dawn teh ang!

Chaw ei laiin buhfai hnah emaw, i rilruah thil eng emaw a lo awm ang maiin i inhriat ngai em? A nih loh leh chaw ei harsa i ti em, i rilru lai takah thil pakhat a inkhung ang maiin? A châng chuan hengte hi thil thleng mai mai a ni a, mahse hetiang harsatna hi i neih reng chuan kan chaw kawng, chu chu ei tur pipe (Esophageal Dysmotility) -a hnathawh that lohna engemaw vang a ni thei. Vawiin hian he thu hi chipchiar deuhin han sawi ila, a tha em?

Esophageal Dysmotility hi eng nge ni?

A awlsam zawngin, esophageal dysmotility tih hian kan esophagus, ka atanga chaw ei tur phurtu tube hian ei tur leh tui te chu a hnuai lam a sawn tha thei lo tihna a ni. Kawng khata kal ang maiin han ngaihtuah teh. Ei leh in tur chu ril atanga pum thlengin a kal a ngai a ni.

Hei hi a thleng tlangpui chu a ni:

1. Pakhatnaah chuan i chaw kawng chunglam ( Upper Esophageal Sphincter kan ti) a thau pakhat chu a inhawng a, chu chuan i rilru atanga ei tur leh tui a luh tir thin. Gate inhawng ang mai a ni.

2. A dawtah chuan esophagus chhunga muscle te chu rhythmic takin an inzawm khawm a, an relax a, ei tur chu a hnuai lamah a nawr thla a ni. Hei hi thlipui ang maiin a tla thla a.

3. A tawp berah chuan chaw kawng hnuai lam, chaw ei tur a luhna hmunah chuan ruh dang (hei hi Lower Esophageal Sphincter kan ti) a inhawng a, chaw leh tui chu pum chhungah a lut thei ta a ni.

Tunah chuan khawi emaw laiah he process-ah hian heng taksa ruhte hian hna an thawk tha lo a nih chuan chutih lai chuan ei tur chu a tlakbuak tan a, ei harsa a lo ni ta a ni. Chu chu esophageal dysmotility kan tih chu a ni.

Hetiang natna lan chhuah dan hi engte nge ni?

Esophageal motility disorder i neih chuan hetiang hian symptoms i nei thei a:

• Chaw ei harsa (Dysphagia): Hei hi a lan chhuahna ber a ni. Chaw ei tur chu kawr emaw, rilruah emaw a tang tih hriatna a ni. Mi thenkhat chuan solid foods chauh ni lovin liquids pawh ei harsa an ti thei.
• Chaw ei hnua rilru natna: He natna hi a chang chuan heart attack ang maiin a awm thei a, chuvang chuan eng nge a nih chiah hriat a pawimawh hle.
• Heartburn: Hetiang kang hi chu chaw kawng chhunga acid a rawn luh chuan a lo awm thei a ni. Mahse, gastroesophageal reflux disease (GERD) chhinchhiahna a ni bawk.

Hei bakah hian mi thenkhat chuan ei tur chu an rilruah a rawn chho leh a, an taksa rihna a tlahniam a, khuh te ang chi te pawh an tawng thei bawk.

Erectile dysfunction awm chhante chu engte nge ni?

Hetiang dinhmun thlentu hi thil engemaw zat a awm. Ṭhenkhat chu chaw kawng (esophagus) chauh nghawngtu primary cause an ni a, ṭhenkhat erawh chu taksa pumpui nghawng thei secondary conditions an ni thung.

A chhan ber (esophagus chauh nghawng) .

A chhan bulpui ber hmuh tam ber chu:

• Achalasia-ah chuan:Thil thleng chu i lower esophageal sphincter (LES), i esophagus tawp lama i pum chhunga a luhna ring of muscle chu a relax tha lo a ni. I esophagus hnuai lama kawngkhar chu a inhawng tha lo ang maiin ngaihtuah rawh. Hei hian ei leh in leh tui chu i esophagus-ah a back up tir thin.
• Eosinophilic Esophagitis: Hemiah hian thisen var chi khat bik eosinophils an tih chu chaw kawng bang-ah a pungkhawm a, chu chuan allergic reaction a siam a, chu chuan chaw kawng chhungril chu a ti hring a, a ti tawi a, chu chuan ei tur kaltlang a harsat phah a ni.
• Esophageal Spasm: Hetah hian chaw kawng chhunga thau te chu duh loh zawngin, rang takin emaw, inzawm lo takin emaw an inzawm khawm thin. Esophagus-a sa chi khat ang maiin a contract chhunzawm zel a, order engmah a awm lo. Tichuan chaw chu chhuk ai chuan rawn chho leh a tum ta a.

Secondary causes (taksa pum huap natna avanga lo awm) .

A châng chuan, damdawi lam thil dang pawhin erectile function a tichhe thei bawk.

• Chagas Disease: Hei hi rannungin triatomine (kissing) bug ang chi a seh avanga natna rei tak a awm a ni. He natna hian chaw kawng (esophagus) pawh a nghawng thei a, ei harsa a ti thei bawk.
• Esophageal Sclerosis: Sclerosis hi mahni invenna (autoimmune disorder) a ni a. Chumi awmzia chu taksa invenna (immune system) hian a cell-te a bei tihna a ni. Hei hian taksaah tissue thuk tak tak, a pangngai lo takin a lo pungkhawm thin. Hetiang chi thick tissue hi esophagus-ah a lo awm khawm chuan ei tur chu a kalsan a harsa thin.

Hei bakah hian chaw kawng chhunga cancer natna awm hian chaw kawng a tikhawlo thei a, ei harsa a ti thei bawk.

Hetiang dinhmun hian eng harsatna nge a thlen?

Esophageal motility disorder avanga harsatna awm thei ber pakhat chu aspiration pneumonia leh lung infection dangte a ni. Ngaihtuah teh, chaw ei tur chu kawng dik lovah, chu chu i thlipui (trachea)-ah a kal a, chuta tang chuan i lung chhungah a kal a nih chuan eng nge thleng ang? Chu chu pneumonia ang chi natna khirh tak tak a lo awm theih hun a ni. Tin, ei leh in lama harsatna leh taksa rihna tihtlem ang chi thil a awm thei bawk.

Engtin nge doctor-te hian he natna hi an hriat theih?

Heng symptoms te hi i neih chuan Doctor i pan hmasa phawt tur a ni. I natna lan chhuah dan a zawt ang che a, taksa enfiahna a nei ang che. Tichuan, a tul chuan gastroenterologist hnenah an refer ang che .

Heng specialist-te hi chaw ei kawng natna, chaw kawng (esophagus) te pawh tiamin, a bik taka enkawl leh enkawl tura zirtir an ni. I esophagus kal tlanga ei leh in a kal dan enfiah nan test hrang hrang an ti thei a ni. Chung zinga ṭhenkhat chu:

• Barium Swallow / Esophagram: He test-ah hian tui bik barium an tih chu in turin an pe che a, i esophagus atanga a kal chhuah rualin X-ray an la thin. Hei hian i chaw kawng (esophagus) pianzia leh blockage a awm leh awm loh i hmu thei a ni.
• EndoFLIP test hi: 1.1.He test hian scrotum chhungril lian leh te leh scrotum chhunga muscle te hnathawh dan a teh thin.
• Esophageal Manometry: Endoflip ang bawkin hei hi test a ni a, esophagus chhunga muscle te hi engtiang chiahin nge an inzawm khawm a, an relax a, ei tur chu engtiang chiahin nge an hnuai lam an nawr tih tehna a ni.
• Upper Endoscopy: Hei hian camera te tak te leh ka chhunga êng hmanga tube te tak te, flexible tak (endoscope) dahin chaw kawng, pum leh small intestine hmun hmasa ber enfiah a ni. Hei hian doctor chuan chaw kawng chhung lam chu direct-in a en thei a, a hliam emaw, a hring emaw, a hring emaw a awm leh awm loh a en thei a ni. A tul chuan tissue sample te tak te (biopsy) lak theih a ni a, enfiah theih a ni.

Engtin nge esophageal motility disorder hi enkawl a nih?

Enkawlna chu i dinhmun chhan a innghat a ni. A chhan bulpui vang a nih chuan a hnuaia enkawlna pakhat emaw a aia tam emaw hmanga enkawl i ni thei ang:

• Damdawi: Chaw ei kawng ruhte ti hahdam thei emaw, a hring tihziaawmna emaw damdawi.
• Surgery ni lo hman dan: Entirnan , esophageal dilation . Hemiah hian endoscopy an tih lai hian chaw kawng (esophagus) hmun zau zawkte chu tihzauh nan hmanraw bik hman a ni. Hei hian chaw ei a awlsam phah a ni.
• Minimally Invasive Surgeries: Entirnan, Heller Myotomy emaw Peroral Endoscopic Myotomy (POEM) ang chi surgery te hian chaw kawng chhunga thau te chu a ti hahdam a, ei tur chu chaw kawng hnuai lam a kal awlsam phah a ni.

Secondary cause avanga lo awm a nih chuan a bulpui ber chu a hnuaia natna awm enkawl hi a ni.

Hetiang dinhmun atang hian eng nge kan beisei theih ang?

A tam zawkah chuan chaw kawng (esophagus) chauh nghawng thei natna achalasia hi hlawhtling taka enkawl theih a ni. Damdawi, operation ni lo, surgery te hian ei leh in tur chu chaw kawng atanga chaw kawng a kal awlsam phah hle a ni.

Mahse, hriat reng tur pakhat chu mi zawng zawng dinhmun a inang vek lo tih hi a ni. I dinhmun leh i beisei tur hriat chian nan doctor nen inbiakna neih a tha ber.

Engtin nge ka in enkawl ang? Ka ei leh in dan hi thlak danglam a ngai em?

Ni e, i ei leh in dânah inthlâk danglamna tê tê tê i siam chuan heng natna ṭhenkhat hi a tiziaawm thei a ni.

• Mindful Eating: Zawi zawiin ei la, i chaw ei chu uluk takin chew rawh. Kawng khat i ei hnuah rei vak lo nghak la, a dang i ei hmain. Chaw ei laiin TV en suh, phone hmang suh. I chaw ei kha ngaihven rawh.
• Chaw ei laiin dinglam hawiin thu rawh: Khumah mu chungin emaw, sofa-ah nghatin emaw chaw ei suh. Chair-a ding chungin chaw ei rawh. Hei hian gravity chu chaw chu a hnuai lam pan turin a pui ang.
• Tui tlem tlem in in thin ang che:Chaw i ei tlem apiangin tui vawi khat emaw pahnih emaw in thin ang che. Hei hian chaw chu a hnim ang a, ei pawh a awlsam phah ang. Zawi zawiin ei turin a pui bawk.

Eng ei tur nge ka ei loh tur?

A tlangpuiin hetiang ei tur hi tihtlem emaw, ei loh emaw a tha ber:

• Chaw ei harsa leh hmin hun la duh: Entirnan, thlai tui lo, khauh, sa hrui hring, thau tak tak.
• Esophagus-a tang thei ei tur: Entîr nân, mi ṭhenkhat chuan chhang nêm tak, chhangphut nêm tak, chhangphut var (a bîk takin a hmin) leh pasta hmanga siam chu ei harsa an ti thei a ni. Ei dawnin a te tein then la, chei tha la, tui nen ei tur a ni.

Hengte hi kaihhruaina tlangpui chauh a ni. Eng ei tur nge i tan a harsa a, eng nge i tan a awlsam tih hriat nan tlem i experiment a ngai dawn a ni. A tul chuan nutritionist thurawn pawh i la thei bawk.

Engtikah nge doctor ka hmuh leh ang?

Enkawlna i tan hnua i natna lan chhuah dan a tha lo a nih chuan, a nih loh leh a na zual ang tih a hriat chuan doctor pan leh ngei ngei tur a ni.

I esophagus-a motility tha lo vangin ei pawh i duh loh hun a awm thei. Hlauhna i nei thei bawk, ​​"Chaw ei leh tur chu a harsa lutuk ang em?" A châng chuan, i esophagus-a ei tur inkhung ang maiin, "Hei hi chinfelna a awm lo em ni? Hetiang hian ka nun a ngai dawn em ni?"

Mahse, heng natnate hi a pui thei tur enkawlna a awm tih hre reng ang che. Chaw ei zawha ei harsa i neih emaw, i rilru a na emaw a nih chuan i doctor nen sawiho ang che. Test-naah hetiang esophageal motility disorder hi i nei tih a hriat chuan i doctor chuan i tana enkawlna tha ber a pe ang che.

A tawp berah chuan take-home message:

• Chaw ei harsat leh ei zawh hnua rilru natna te hi thil ngaihthah tur a ni lo.
• Hengte hi esophageal dysmotility symptoms a ni thei .
• Hei hi chhan hrang hrang a awm thei a, chuvangin diagnosis dik tak neih a pawimawh hle.
• Ngaihtuah buai suh, heng natnate hi enkawlna a awm. I doctor nen inbia la, i tana tha ber tur enkawlna ruahmanna siam rawh.
• I ei leh in lama inthlak danglamna tenau te siamin hahdamna i hmu thei bawk.

Hemi chungchanga zawhna dang i neih chuan doctor zawt hreh suh. Hrisel takin awm rawh!

Esophagus , Chaw ei harsa, Esophageal Dysmotility, Hnung na, Chaw ei leh in, Achalasia, Endoscopy