I ei lai te, tui tlem i in lai te, pill i ei lai te pawhin i kawr emaw, i rilruah emaw thil eng emaw a tang ang maiin i inhriat ngai em? Tûn hma angin chaw ei awlsam thei lo ang maiin i inhria em? Coarse foods leh sa ang chi ei tur chu i hriat lohvin i pumpelh mai thei. Nang pawhin hetiang hian i inhriat chuan thil pangngai angin hnawl suh. Vawiin hian damdawi lam thil pakhat, hei hi a thlen thei tih kan sawi dawn a ni. Chu chu chaw kawng (esophagus) tihtlem a ni a, damdawi lam chuan Esophageal Stricture tiin an sawi a ni.
Esophageal Stricture tih hi eng nge ni?
Okay, hei hi awlsam takin i hrethiam ang u. I hria em, kan ka atanga kan pum (stomach) thlenga ei tur phurtu tube ang chi kan nei a. Hei hi esophagus kan ti a . Tui pipe ang mai a ni. ‘Stricture’ tih hian kan taksa chhunga tube, passage, pipe eng pawh a zim emaw, a block emaw a kawk a ni. Chuvangin, Esophageal Stricture chu chu tube chu eng emaw chhan vanga a tlangpuiin a tawi lutuk a ni.
Tui pipe chhungah bawlhhlawh leh hnim hring a lo awm a, zawi zawiin pipe chu a ti tawi ta hle tih han mitthla teh. Chutiang bawk chu kan chaw kawng (esophagus) ah pawh a thleng thin. A zim chuan ei leh in tur awlsam taka a kal theihna tur hmun a ti tlem a ni. Chuvang chuan ei harsa kan ti thin.
He blockage hi esophagus chhung atang emaw pawn lam atang emaw a awm thei. Esophagus lining nalh tak (`mucosa` an tih) chu a inflamed emaw, scarred emaw, thickened emaw a ni thei. Chutiang a nih chuan kan ei hian lining chu a inzawm lo. A châng chuan, chaw kawng chhehvêla organ danga tumor ang chi thil hian hetiang hian chaw kawng chu a tikhawlo thei a, pawn lam aṭanga pressure awm pawh ni se. A tam zawkah chuan he thil hi a thleng zawi hle a, hun kal zelah a thleng thin.
He dinhmun hi a pawi em?
Tunah chuan hei hi thil hlauhawm tak a ni em tih i ngaihtuah mai thei. Dik tak chuan doctor kan nih angin he dinhmun hi kan ngai pawimawh lo. A chhan chu ei tur i ei theihna a nghawng nghal a, enkawl loh chuan hun kal zelah a na zual thei bawk.
A tha ber chu a tam zawkah chuan he natna hi damdawi lam thil awlsam leh tenau tak tak hmangin tihdam vek theih a ni. Mahse, za zela tlemte chauh, chu chu a tlem hle a, he blockage awm chhan hi cancer a ni thei. Chu chu dinhmun pawi tak a ni. Chuvang chuan ei harsa i neih chuan ngaihthah suh la, a rang thei ang bera doctor pan rawh kan ti a ni.
Hei hi eng symptoms nge ni? Engtin nge i ngaih?
A chhinchhiahna hmasa ber leh langsar ber chu ei harsat hi a ni.. Chu chu a tir lamah chaw te te ei a, i ei tha a, i ei a, i ei thei a ni. Chaw rimtui, hmin (entir nan, buhfai hmin, sa) pawh i ei lo mai thei bawk. Mahse i kawr a inkhar nasat deuh deuh chuan heng thilte hian a pui tawh dawn lo. I rilruah lump a awm ang maiin i inhria thei a, i rilru ruhte chu a thawk tha lo ang maiin i inhria thei bawk.
Ngaihtuah teh, vawk chi khat i ei duh thin kha tunah chuan i rilru a ti na hle. Chuvangin vawk ei kha i ti tlem ta a ni. "Gastritis" vang niin i ngai. Mahse a chhan dik tak chu thil dang a ni thei.
He symptom lian ber bakah hian symptom dang engemaw zat a lang thei bawk.
| Symptom a ni | A awlsam zawngin sawifiah a ni |
|---|---|
| Noncardiac rilru natna | Ka rilru a na a, mahse thinlung lam harsatna vang a ni lo. Ka esophagus-a harsatna awm vang a ni. |
| Chaw ei laia khuh emaw, khuh emaw | Chaw i ei hian i khuh emaw, i chok emaw nghal mai thei. Hei hi ei tur a tlak hniam loh vang pawh a ni thei. |
| Regurgitation a ni | Chaw ei tawh chu a rilruah a rawn chho leh thin. Luak chhuak ang a ni lo, a rawn chhuak ang maiin a lang. |
| Tum loh vanga taksa rihna tihtlem | I ei tlem avangin i taksa rihna chu i hriat loh pawhin a tlahniam tan ang. |
Hei hi a chhan berte chu engte nge ni?
Esophagus hi a zim theih chhan hrang hrang a awm. Tin, chi thum ah then ila.
1. Chronic Esophagitis natna awm thei
Hei hi a chhan ber a ni . Esophagus chhungril bang hi hun rei tak chhunga a inflamed chuan a thleng thin. Kan vunah hliam hian a dam rualin hliam a hnutchhiah ang bawkin, chaw kawng (esophagus) a hliam chhunzawm zel chuan hliam tissue (fibrosis tia hriat bawk) a lo awm thin. He scar tissue hi tissue pangngai angin a inzawm lo va, a thick zawk thin. Hei vang hian chaw kawng (esophagus) a zim thin.
Hei hi a chhan ber chu chronic acid reflux a ni . Mi tam tak chuan hei hi "gastritis" kan ti thin. A awlsam zawngin, chaw kawng chhunga acid lo chhuak a, chaw kawng chhunga a luh hian a ni. Chutiang a nih fo chuan acid hian chaw kawng (esophagus) lining nalh tak chu a kang a, a hliam bawk. Hun a kal zel a, heng hliamte hi hliam a lo ni a, chaw kawng chu a tikhawlo thin. Hei hi hri kai 75% aia tam awm chhan a ni.
Chu bâkah, a chhan dang engemaw zât a awm bawk:
- Pill Esophagitis: Natna tidamtu thenkhat, a bik takin NSAIDs (nonsteroidal anti-inflammatory drugs) leh acetaminophen (paracetamol) te hi esophagus-ah a lo awm thei a, hman fo chuan a bang a tichhe thei a, a bik takin tui tlemtea ei chuan a bang a tichhe thei a ni.
- Infectious Esophagitis: Mite taksa chak lohna nei (HIV vei leh cancer vei te ang chi) ah chuan virus thenkhat (HPV, HSV-1) leh fungi (Candida albicans) te hian chaw kawng a ti na thei a ni.
- Eosinophilic Esophagitis: Hei hi taksa hriselna lama harsatna avanga lo awm a ni. Taksa hian allergen thenkhat a overreact a, chu chuan esophagus ah chronic inflammation a thlen thin. Hei hi naupan lai atanga tan theih a ni.
2. Hliam emaw Trauma emaw a awm
Esophagus chhung lam bang hliam eng pawh a awm avangin scarring leh blockage a awm thei bawk. Chungte chu accident emaw, damdawi lam enkawlna emaw avanga side effect angin a thleng thei bawk.
- Caustic Ingestion: Caustic liquid acid ang chi, tihsual emaw, mahni intihhlum tumna emawa in hian chaw kawng kang nasa tak leh hliam na tak a thlen thei a ni.
- Thermal Injury: Thil lum tak tak (e.g., tea lum, porridge lum) ei nghal chuan chaw kawng chu a kang thei a ni.
- Cancer enkawl dan: 1.1.Kawng emaw, rilru emaw area-a cancer vei tan radiation therapy an dawn hian ei tur kawng (mucositis) leh a hnu lama tihkhawtlai (RIES) te hi side effect angin a awm thei a ni.
- Damdawi: Esophagus a dilated laiin, a block na hmunah steroid inject hian inflammation a tihziaawm a, a lo awm leh tur a veng thei bawk.
- Endoscopic Stricturoplasty: Hemiah hian chemte ang chi hmanraw bik endoscope kaltlangin, chu chuan blockage thlentu scar tissue chu hmun engemaw zatah a tikehsawm a, a hmun chu a zau zawk a ni.
- Stenting: Tube te tak te, mesh ang chi (a `stent`) chu a block na hmunah dahin a inhawng reng thin. Hei hi artery blocked tan stent ang a ni.
- Surgery: Hei hi tih a tlem hle. Cancer leh enkawlna dang dawng lo, inkharkhip nasa tak a awm chuan chaw kawng chhia (`Esophagectomy`) tihbo nan operation (`Esophagectomy`) neih a ngai mai thei.
- Chaw ei harsatna i neih chuan.
- I rilru a na fo emaw, i rilruah acid a rawn lut fo thin a nih chuan.
- A chhan hriat loha i taksa rihna i tihtlem chuan.
- Chaw ei tur pakhat chu a rilruah a tlakbuak vek a nih chuan.
- Chaw solid i ei thei lo tak tak a nih chuan.
- Chaw ei hian trachea-ah a lut a, thawk harsatna a thlen chuan.
- I rilru natna nasa tak i neih chuan.
- Chaw ei harsa hi thil pangngai a ni lo . Symptom a ni. Chuvangin ngaihthah suh.
- Lung natna thlentu ber chu hun rei tak chhunga gastritis emaw acid reflux emaw a ni. Lung natna i neih fo chuan enkawl tir rawh.
- He natna hi a hmaa hriatchhuah leh enkawl chuan damna tha tak a thlen thei a ni. Chuvangin symptoms i neih chuan doctor pan hlau suh.
- Blockage tam tak chu dilation tih hmanga tihdam theih a ni.
- Sudden choking emaw, i rilru na tak emaw i neih chuan Emergency Department (ETU) ah kal nghal rawh.
Pawimawh tak: Miin chutiang thil tha lo tak chu a ei chuan Colombo National Hospital-a National Poisons Information Center chu biak nghal rawh . Tin, damlo chu damdawi in Emergency Treatment Unit (ETU) ah a rang thei ang bera hruai thin tur a ni.
3. Cancer natna a ni
Hei hi hlauhawm tak angin a lang thei a, mahse hriat a pawimawh hle. Esophageal cancer hian hetiang chi choking hi a thlen thei bawk. Mahse, thil dang ang lo takin cancer vanga choking symptoms chu a lang nghal vat thin . Kar tlemte chhung chaw ei \ha tawh chuan ei harsat a neih chuan a bik takin ngaihtuah a pawimawh hle. Esophageal cancer hi chi hrang hrang a awm a (Adenocarcinoma, Squamous cell carcinoma).
Engtin nge diagnosis hi siam a nih?
Heng symptoms te hi i neih chuan i doctor chuan gastroenterologist hnenah a refer mai thei che. I natna lan chhuah dan chu ngun takin a ngaithla ang a, i natna hriat chian nan test eng emaw zat neih a rawt ang.
| Fiahna | Eng thil nge thleng? |
|---|---|
| Barium Swallow Test a ni | Hei hi X-ray test a ni. Chalky white liquid barium an tih chu in turin an pe che a. I ei lai chuan video X-ray lak a ni a, chu tui chu i chaw kawng hnuai lam atanga a kal dan tur a ni. Hei hian khawi hmunah pawh blockage emaw narrowing emaw a awm em tih chiang takin a hmu thei. |
| Upper Endoscopy / EGD Test hmanga enfiah a ni | Hei hi natna hriat theihna atana test hman tlanglawn ber leh dik ber a ni. Sedative an pe che a, i hmuiah camera te tak te dahna tube te tak te, flexible tak (`endoscope`) dahin i esophagus, i pum leh i small intestine part hmasa ber chu an enfiah a ni. Hei hian doctor chuan i chaw kawng chhung lam chu screen-ah a hmu thei a ni. Blockage awmna hmun, a chhan leh inflammation awm dan te chu a hriat theih. A tul chuan rinhlelhna hmun atanga tissue te tak te chu la chhuakin laboratory-ah enfiah turin thawn theih a ni (a `biopsy`). |
Engtin nge enkawl a nih?
Hei hi enkawlna tum ber chu chaw kawng khar chu zau lehzual a, chutiang chuan harsatna awm lovin chaw i ei thei ang.
Enkawlna ber chu: Esophageal Dilation tih a ni
Hei hi enkawl dan tlangpui a ni. A awlsam zawngin, blockage chu zawi zawiin tihzauh a ngai a ni. Endoscopy ang bawkin, chaw kawngkhar chhungah hian hmanraw bik (scope emaw cylinder emaw ang chi) dahin, a blockage chu zawi zawiin a zau zawk thin. Hei hi vawi khatah tih vek a ni lo va, kar khatah vawi eng emaw zat tih a ni. Narrowing chu a zau zauh zauh chuan i ei harsatna chu a tlahniam zauh zauh ang. He treatment hi blockage awlsam tak tan chuan a hlawk hle.
Enkawlna dang
Complex blockage thenkhat tan emaw, dilation treatment dawng lo tan emaw chuan enkawlna dang hman a ngai mai thei.
Engtikah nge Doctor i hmuh ang?
Heng symptoms te hi hriat chian a pawimawh hle a, a chhan chu an hriat thuai poh leh enkawl a awlsam zawk thin.
| Damdawi lam thurawn lak hun tur | |
|---|---|
| Doctor i hmuh huna thil awm dan tlangpui: | |
| Damdawi in pakhata Emergency Treatment Unit (ETU)-ah kal nghal rawh! | |
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