Chaw i ei hian engtin chiah nge i pum chhungah a kal tih i ngaihtuah ngai em? A nih loh leh chaw tui tak i ei hnuah i rilruah a kang a, "Aw my, hei hi eng nge ni?"? Heng thil tawn te hi kan tawng vek tawh. Vawiin hian kan taksa peng pawimawh tak, heng zawng zawnga inrawlh chungchang kan sawi dawn a ni. Chu chu chaw kawng (esophagus) a ni a, sap tawnga an tih angin `(Esophagus)` a ni.
A awlsam zawngin, esophagus chu eng nge ni?
Esophagus hi, a dik tak chuan kan ei tur pipe a ni. Chu chu, i rilru atanga i pum thlenga ei leh in leh tui phur thei muscular tube a ni tihna a ni. Kan digestive system-a thil pawimawh tak a ni. Chaw kan ei hian pum chhungah a lut nghal lo. Esophagus chu mumal tak, him taka pum chhunga phurtu kawngpui (bridge) a ni.
Buhfai hmui khat i ei lai han mitthla teh. Pakhatnaah chuan i ka atanga i kawr thlengin a kal a. Chutah chuan ruh flap tlemte, epiglottis an tih chu a khar a. A chhan i hria em? I ei tur chu kawng dik lo, i thlipui (trachea) chhunga a kal loh nan a ni. I rilruah hian uvula an tih hmun tlemte a awm bawk a, chu chuan i in tur chu i hnar chhungah a lut lo. Heng zawng zawng hi i hriat loh pawhin a thleng vek a ni. Mak a ni lo maw?
Engtin nge chaw kawng (esophagus) hian hna a thawh? Mechanism mak tak a ni!
Hei hi thil kalphung mak tak a ni. Esophagus chung leh hnuai lamah hian kawngkhar pahnih ang maia thawk, muscle ring pahnih a awm a. Hengte hi ``sphinctres`` kan ti a.
1. Upper Esophageal Sphincter: Hei hi chaw kawng bul tanna hmun a ni. Chaw i ei hian he valve hian "Hetah hian ei tur a lo thleng" tih signal a dawng thin. Chutih lai chuan a inhawng ta a ni. Chaw a luh hnu chuan a khar leh thin. Hun dangah chuan khar tlat a ni.
2. Peristalsis: Chaw ei tur chu chaw kawng (esophagus)-ah vawi khat a luh chuan a tla thla mai lo. Esophagus bang chhunga muscle te chu wave ang maiin an inzawm (contract) a, ei tur chu a hnuai lamah an nawr thla a ni. Hei hi ``peristalsis'' kan tih chu a ni.Hetiang hian ei tur chu i ding emaw, i mu emaw pawhin i pum chhungah a hruai lut thin.
3. Lower Esophageal Sphincter (LES): Chaw chu a hnuai lam zawng zawnga a kal hnuah chuan pum chhunga a luh hmain hawnna dang a awm leh thin. Chu chu a hnuai lam sphincter a ni. A chunglam ang bawkin hei pawh hi chaw a luh chuan a inhawng a, chaw chu pum chhungah a kal tir thin. Tichuan nghet takin a khar leh ta a.
He gate hnuai lam hi a khar dik a pawimawh hle . A chhan chu, he gate hian stomach acid leh digestive juices te chu a rawn chho leh thei lo a, chu chu esophagus chhungah a lo lut leh thei lo a ni. Mi tam takin "gastritis" emaw "heartburn" emaw harsatna an neih chhan ber chu he gate hnuai lam hi a thawk tha lo vang a ni.
Esophagus leh trachea - an pahnih inthlauhna dik tak i hre ang u
Mi tam tak chuan an pahnih hi an ti buai hle. Esophagus leh trachea hi tube pahnih an ni a, an kawngah hian an inhnaih hle a, mahse an hnathawh dan erawh a inang lo tak zet a ni.
| Mihring ziarang | Chaw ei kawng (Esophagus) a ni | Trachea a ni |
|---|---|---|
| Tihdan | Digestive system atanga lo chhuak a ni | Thluak lam atanga lo chhuak a ni |
| Hnathawh ber | Chaw leh in tur chu kawr atanga pum thlenga phurh luh | Thli (thâwk) chu lung chhunga luh leh chhuah |
| Hmun | Trachea hnung lamah leh ruhro hma lamah a awm | Esophagus hmaah a awm |
Esophagus tibuaitu natna leh dinhmun tlanglawn tak takte chu engte nge ni?
Kan ei leh in hian natna chi hrang hrang a thlen thei bawk. Chûng zînga ṭhenkhat chu i hre tawh mai thei.
Chest inflammation leh GERD condition a awm bawk
Hei hi buaina tam ber a ni. Ka sawi tawh ang khan lower esophageal sphincter (LES) hi a khar tha lo va, chu chuan stomach acid chu esophagus chhungah a luang lut leh thei a, chu chu ``Acid Reflux'' kan tih chu a ni . Hei hi thinlung natna thlentu a ni.
He `Acid Reflux` hi a kal zel a, a thleng fo a nih chuan Gastroesophageal Reflux Disease (GERD) kan ti thin. Hei hi dinhmun pawi tak a ni. Lung natna bakah hian ka chhunga thlum lo, khuh, rilru na, ri bengchheng, leh ei harsa tih ang chi symptoms te pawh a awm thei bawk. GERD hi uluk taka enkawl a nih loh chuan hun kal zelah chaw kawng chu nasa takin a tichhe thei a ni.
Damdawi lam thil dang
GERD bakah hian harsatna dang engemaw zat a awm thei bawk.
| Damdawi lam dinhmun | A awlsam zawngin... |
|---|---|
| Achalasia a ni | Hei hi natna hmuh tur awm lo tak a ni. Heta thil thleng chu lower esophageal sphincter (LES) hi a inhawng tur hunah a inhawng lo. Chuvangin chaw chu pum chhungah a kal thei lo. |
| Esophageal Diverticulum chu a awm a | Esophagus wall-a hmun chak lo tak atanga chhuak pouch te tak te. He pouch hi a lian a nih chuan ei tur chu a inkhung thei a, ei theih lohvin a awm thei bawk. |
| Chaw ei kawng (Esophageal Varices) a awm | Esophagus chhunga thisen kalna kawng a hring chhuak. Chungte chu a puak a, thisen a chhuah chuan nunna atana hlauhawm tak a ni thei. |
| Esophagitis natna (esophagitis) a ni | Esophagus chhunga lining a inflammation awm. Hei hi acid reflux vang te, infection vang te, damdawi thenkhat vang te pawh a ni thei. |
| Barrett-a Esophagus a ni | Hun rei tak chhunga GERD hian chaw kawng hnuai lam cell-ah inthlak danglamna a thlen a, chu chuan chaw kawng cancer vei theihna a tipung a ni. |
A tlem hle a, chaw kawng cancer hi a awm thei. A chi hnih a awm a, chungte chu adenocarcinoma leh squamous cell carcinoma te an ni.
Engtin nge heng harsatnate hi i nei tih i hriat theih ang? Eng nge a lan chhuah dan?
I esophagus-ah harsatna i neih chuan symptom hrang hrang i nei thei. Heng zinga pakhat emaw a aia tam emaw i neih chuan ngaihven a pawimawh.
- Lung lam natna:A rilru lai takah, ruh hnung lamah kang ang maiin a lang.
- Chaw ei harsa (Dysphagia): Chaw ei laia rilru hah emaw, natna emaw hriatna.
- Regurgitation: Chaw ei loh chu ka chhunga a rawn kir leh thin.
- Chest pain: Thinlung natna ang maia hriat loh pawh nise, a rilru a tight emaw, a na emaw tih hriatna a ni.
- Persistent cough: Khuh na zual, a bik takin zan lama khuh.
- Hoarseness emaw, rilru na emaw.
- Thâwk rimchhia (Halitosis).
- Chhan awm lova thinrim.
- Thisen chhuah emaw, luak chhuak emaw.
Chûng chhinchhiahnate zînga i neih chuan, a bîk takin ei harsat, ei tûr a tlakbuak, thisen chhuak, a nih loh leh i taksa rihna nasa tak i neih chuan i doctor pan nghâl rawh Hengte hi simple gastritis aiin thil pawi zawk chhinchhiahna a ni thei.
Engtin nge doctor hian heng natnate hi a hriat theih ang?
Doctor i pan hunah i natna lan chhuah dan a zawt ang a, a tul chuan test thenkhat tih a rawt ang. Lungngai suh, hengte hi eng nge dik lo tih chiang taka hriat theihna tura puitu tur che an ni.
- Upper Endoscopy: Hei hi ka chhunga camera hmanga tube te tak te, flexible tak dahin chaw kawng, pum leh small intestine hmun hmasa ber enfiah a ni. Hei hian a chhung lam chu hliam, inflammation, emaw, a danglamna emaw a awm leh awm loh chiang taka en theihna a siam a ni.
- Biopsy: Endoscopy an tih lai hian rinhlelhna hmun atang hian tissue te tak te la chhuakin laboratory-ah test turin an thawn thin. Hei hian cancer cell a awm leh awm loh hriat theih nan a pui thei a ni.
- Barium Swallow: He test ah hian , in tur chalky liquid pek i ni. Tichuan, X-ray thlalak eng emaw zat lak a ni. Barium liquid hian X-ray hmangin chaw kawng (esophagus) pianzia leh ei tur a kal dan chiang takin a tarlang thei a ni.
- Esophageal pH test: Tube te tak te tak mai chu hnar hmangin esophagus chhungah dahin darkar 24 vel a hmunah dah a ni a, chu chuan stomach acid a lo chhuah tam leh rei loh tehna a ni. Hei hian GERD nasat dan dik taka hriat theih nan a pui a ni.
Engtin nge enkawl a nih?
Enkawl dan tur chu i dinhmun a zirin a ni. A châng chuan ei leh in leh nunphung tihdanglam hian danglamna nasa tak a thlen thei a ni. Mi thenkhat chuan damdawi an mamawh a, thenkhat erawh chuan operation an mamawh hial mai thei.
Damdawi chi hrang hrang
- Antacids: Hengte hian chaw chhunga acid awm chu rei lo te chhung atan a neutralize thin. Lung natna atanga chhanchhuahna rang tak pe turin an hmang thin.
- H-2 Receptor blocker te chu: 1.1.Chungte chuan pum chhunga acid siam chhuah a ti tlem a ni.
- Proton Pump Inhibitors (PPIs): Hengte hian H-2 blocker aiin acid siamchhuahna a tikhawlo zawk a, acid vanga chaw kawng chhiatna tihdamna kawngah pawh an pui bawk.
- Damdawi dang: Baclofen ang damdawi hian duh loh zawnga lower esophageal sphincter (LES) hawn chu a ti tlem a.
Thil tih dan bik leh surgery te
- Esophageal Dilation: Hun rei tak chhung inflammation avanga esophagus a narrow (stricture) chuan balloon ang chi device hmangin a narrowed area chu tihzauh nan hman a ni.
- Laparoscopic Antireflux Surgery: Hei hian chaw kawng chunglam chu la a, chaw kawng hnuai lam chu khuh a, valve thar siam a ni. Hei hian lower esophageal sphincter (LES) a tichak a, acid lo chhuak tur a titawp bawk.
- LINX device implantation: Esophagus hnuai lam vel ah magnetic ring ang chi device dah a ni. Hei hian acid a lo chhuah loh nan a veng a, mahse ei tur chu awlsam zawkin a kal thla thei a ni.
- Esophagectomy: A natna khirh tak tak, cancer ang chi ah chuan chaw kawng chu operation hmanga lakchhuah a ngai mai thei.
Take-Home Thuchah a ni
- Kan chaw ei kawng (esophagus) hi kan chaw ei kawngah a pawimawh hle. A hnathawh dan tur dik tak chu nun hrisel neih nan a pawimawh hle.
- Lung na fo, ka chhunga a thlum, a pangngai anga ei harsa tih ang chi symptoms te chu ngaihthah suh. Damdawi lam dinhmun chhinchhiahna hmasa ber an ni thei.
- Thil awlsam tak tak, spicy, oily foods, coffee, leh chocolate te tihtlem te, zan lama ei hnu darkar 2-3 chhung mut loh te pawh hian hahdamna nasa tak a pe thei che a ni.
- I natna lan chhuah dan chungchangah ngaihtuahna i neih chuan i doctor nen inbiakna neih hlau suh . Mahni invenna aiin diagnosis leh treatment dik tak neih a pawimawh zawk.
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