Chaw i ei hian i rilru a khauh ang maiin i hria em? Heng esophageal muscle spasms (Esophageal Spasms) te hi i zir dawn a ni.

I rilruah natna rang tak, na tak, mi pakhatin i rilru a hnim ang maia i ei lai emaw, i in lai emaw khan i nei tawh em? Chaw ei chu i rilruah a tlakbuak ang maiin i hria em? Mi tam tak chuan hei hi heart attack a ni tih an hlau a, mahse chutiang chu a ni ngai lo. Hei hi i chaw kawng (esophagus) chhunga ruh (muscles) a inthlak danglam vang a ni thei. Vawiin hian esophageal spasms, a nih loh leh ``Esophageal Spasms'' chungchang hi i hriatthiam theih tur awlsam takin kan sawi dawn a ni.

Esophageal spasms tih hi eng nge ni?

A awlsam zawngin sawi ila, kan chaw kawng (esophagus) hi taksa peng hrang hrang atanga siam tube a ni a, chu chuan kan ei tur kan ei chu kan kawr atanga kan pum thlengin a phur a ni. A tlangpuiin thil kan ei hian he tube chhunga thau te hi rhythmic takin, wave ang maiin an inzawm khawm a, chu chuan chaw chu kan pum chhungah a rawn nawr thla a ni. Damdawi lamah chuan he thil hi ``peristalsis`` kan ti thin.

Mahse, ``Esophageal Spasms'' tih condition i neih chuan heng muscle contraction rhythm hi a erratic lo hle. Random leh connection nei lovin an spasm emaw, an spasm nasa lutuk emaw leh chak takin an spasm emaw a ni. Tui pipe hmun khata a inkhar nghal mai ang maiin han ngaihtuah teh.

Muscle te a nghet a, a tension chuan ei leh in chu awlsam takin a tlahniam thei lo. Hei hi ei harsa i tih leh i rilru natna i hriat lai a ni. A châng chuan, chaw ei tawh chu a rawn lang leh thei (regurgitate).

Hetiang dinhmun hi chi hrang hrang lian ber ber a awm em?

Ni e, chi hnih a awm. Hengte hi hriatthiam a pawimawh.

Eng nge a lan chhuah dan? Engtin nge a awm?

He natna lan chhuah dan lian ber leh langsar ber pahnih chu ei harsa (dysphagia) leh noncardiac chest pain te hi a ni. Mahse, mi thenkhat chuan he natna hi an nei thei a, symptom engmah nei lovin an nei thei a ni.

Symptoms hi a na lo thei hle a, mahse a chang chuan a na hle. Mi thenkhat tan chuan chaw ei hnuah chauh an awm thin. Mi dangte tan chuan chhan hriat lohvin an rawn lang nghal vek. Minute tlemte emaw darkar khat emaw a aia rei emaw pawh an daih thei.

Engvangin nge hetiang hi a lo awm? A chhan engte nge ni?

Dik tak chuan doctor-te hian he thil hi a chhan dik tak hi an la hre lo. Mahse, chaw kawng ruh (muscles) control tu nerve-te hnathawh that loh vang niin an ngai tlangpui. Electrical circuit-a short ang maiin nerve atanga taksa peng hrang hranga signal lo lutte chu a tibuai a ni.

Hei hi nghawng nei thei thil dang engemaw zat a awm bawk:

• GERD natna: A tam zawkah chuan hetiang natna vei te hian GERD (Gastroesophageal Reflux Disease) an nei bawk. He acid hi rei tak ei hian chaw kawng chhunga nerve te a tichhe thei niin an ngai.
• Damdawi thenkhat: Zirchianna thar chuan thla thum aia rei opioid ang chi natna tidamtu chak tak hmangtute pawhin he natna hi an vei tam zawk tih hmuhchhuah a ni.

He rash hi triggers a ni

Mi thenkhat tan chuan heng symptoms te hi thil engemaw avanga lo awm a ni. Heng thilte hi tlem i ngaihtuah ve mai thei bawk.

• Ei leh in hunah, a lum lutuk emaw, a vawt lutuk emaw pawh nise .
• Stress nasa tak emaw lungkhamna emaw a awm lai hian .
• A châng chuan exercise i tih hian .

Mahse he natna hi engtik lai pawhin a thleng thei a, chhan awm lovin.

Engtin nge hei hi i hmuh theih, Doctor?

Heng symptoms te hi natna dang tam tak nen a inang avangin `(Esophageal Spasms)` tih hi eng nge ni tak tak tih hriat chian a buaithlak deuh thei.

1. Lung natna i vei loh nan fimkhur: I rilru natna neia Doctor i pan dawnin doctor-in a tih hmasak ber tur chu heart attack ang chi thil pawi tak i neih loh nan a ni. Chumi atan chuan ECG (Electrocardiogram) ang chi test an ti ang .

2. A chhan tlangpui dangte paih chhuah: A dawtah chuan heng natna lan chhuah chhan tlangpui dang a awm loh nan test engemawzat neih a ni ang.

• Upper Endoscopy: Hetah hian tube te tak te, flexible tak, camera vuah chu hmui kaltlangin leh chaw kawng leh pum chhungah dahin a chhung lam en turin an dah a. Hei hian inthlâk danglamna, structural defect, emaw, blockage emaw a awm leh awm loh hriat nân a ṭanpui a ni.
• Esophagram (Barium Swallow): Hetah hian barium an tih tui in tur an pe che a, X-ray image an la thin. Hei hian chaw kawng khawi hmunah pawh blockage emaw narrowing (stricture) emaw a awm leh awm loh chiang takin a hmu thei a ni.

3. Specialized tests: A chunga kan sawi atang hian a chhan hriat theih a nih loh chuan heng test te hi tih a ni a, hei hi natna dik tak a ni em tih hriat theih a ni.

• Esophageal Manometry: He natna (gold-standard) dik taka hriat theihna tur test tha ber leh rintlak ber a ni.. Hetah hian tube te tak te tak mai chu hnar kaltlangin kawchhungah a kal thla a. Tichuan tui tlem tal ei turin an ti che a, i ei rualin ril muscle-a pressure chu a danglam a, contractions pattern chu an teh thin. A ruala lo awm thin contraction pangngai lo tam tak a awm chuan chu chu he natna chhinchhiahna pawimawh tak a ni.

Hei hi eng enkawlna nge ni?

Enkawlna tum ber chu zunthlum (urethra) chhunga ruh (muscles) te tih hahdam leh natna lanchhuahna tihziaawmna a ni. Symptoms i neih loh chuan enkawlna engmah i mamawh lo mai thei.

In lama i tih theih thilte

Research atanga a lan dan chuan peppermint oil hian chaw kawng (esophagus) ruh (smooth muscles) a ti hahdam thei a ni. Tui glass khatah peppermint oil tlemte dah a, in chuan natna lan chhuahna tenau thenkhat chu a tiziaawm thei a ni. Eng ei leh in nge i thinlung natna thlentu tih hriat a, chu ei tur chu pumpelh chu a \angkai thei bawk.

Damdawi ei tur

I doctor chuan natna lan chhuahna control nan heng ang damdawi hi a pe thei ang:

• Calcium channel blockers: Hengte hi a takah chuan thisen sang damdawi a ni. Chaw ei hmaa ei chuan chaw kawng chhunga thau te chu a ti hahdam a, ei a awlsam phah hle.
• Nitrates: Thin natna tihziaawmna atan a pui.
• Tricyclic antidepressants: Dose tlemtea pek a nih chuan natna hriat theihna nerve control-na hmangin natna tihziaawmna atan a pui thin.

Botulinum toxin (Botox®) injection hmanga tihdam theih a ni

Enkawlna dang a hlawhtlin loh chuan endoscopy ang chiah hian tube an dah a, Botox chu chaw kawng ruh (muscles)-ah an inject a ni. Hei hian chu ruhte chu rei lo te chhung atan a titawp a ni. Tichuan spasm chu a reh ta. Mahse, hei hian a nghawng chu thla 6 vel chauh a ni.

Inzai

Hei hi natna khirh tak takah chauh tih a ni a, enkawlna dangin hna a thawk lo. He surgery hi ``Myotomy'' an ti a, doctor chuan chaw kawng hnuai lam ruh te chu a tikehsawm a. Tichuan, taksa ruhte hian an inzawm theihna an hloh ta a ni. Tichuan, gravity chuan chaw chu a hnuai lamah a kal thei ta a ni.

Engtikah nge Doctor ka hmuh ang?

Hei hi a pawimawh hle a, a chhan chu a natna lan chhuah dan chu heart attack nen a inang thei a ni.