Chaw ei pawh i harsat em? I rilruah thil eng emaw a inkhung ang maiin i hria em? Zenker-a Diverticulum chungchang hi han sawi ila!

A châng chuan chaw ei lai hian tlem a nuam lo deuh mai thei, a dik em? A nih loh leh, i rilruah thil a inkhung ang maiin i inhria thei bawk. Hengte hi kan nitin nunah min tibuaitu a ni thei. Hei hi a chhan chu i ngaihtuah ngai loh thil a ni mai thei. Vawiin hian chutiang dinhmun chu kan sawi dawn a, chu chu Zenker-a Diverticulum a ni.

Zenker-a Diverticulum chu eng nge ni?

A awlsam zawngin, Senck’s diverticulum chu i rilru chunglam, a nih loh leh esophagus (food pipe tia hriat bawk)-a lo awm, pouch te tak te a ni. Ngaihtuah teh, i rilru chung lamah hian ruh pakhat a awm a, chu chu doctor-te chuan cricopharyngeus muscle tiin an sawi a ni. Kawngkhar ang maiin a thawk a ni. Kan ei hian he ruh hian a ti hahdam a, chaw chu chaw kawng chhungah a kal thla thei a ni. Mahse he muscle hian hna a thawk tha lo a nih chuan, chu chu kan ei laiin a relax tha lo a nih chuan i rilru chhungah pressure nasa tak a lo awm thin tihna a ni. Ngaihtuah teh, tui pipe i hrual a, hmun khata i vawn chuan tui pressure a sang ang.

Hun a kal zel a, he pressure hian pouch emaw diverticulum emaw a siam a, chutah chuan tissue chu rilru bang chhunga hmun chak lo tak hmangin a chhuak chhuak thin. He pouch hian harsatna a thlen thei a, chu chu ei harsat, ei tur a rawn chho leh a, thawk hahna te a ni. A tam zawkah chuan enkawlnaah hian operation hmanga pouch lakchhuah emaw siamthat emaw a ngai thin. Tin, i ei leh in dan thlak danglam hian heng natna lan chhuah dan thenkhat hi a tihziaawm thei bawk.

Zenker’s Diverticulum natna lan chhuah dan chu engte nge ni?

He pouch (diverticulum) lian leh te leh a awmna hmun a zirin symptoms a inang lo thei. Pouch a te a nih chuan symptoms i nei lo thei. Mahse, harsatna chu pouch chu a lian tawk a, ei tur tibuaitu a nih chuan a intan thin. Heng symptoms te hi i nei em tih en rawh:

• Aspiration pneumonia vei theihna: A chang chuan, ei tur i ei emaw, i rilru chhunga mucus emaw chu i trachea (windpipe)-ah a lut palh thei a, i lungah natna a thlen thei bawk. This can be a bit dangerous , a chhan chu lung infection hi fiamthu a ni lo.
• Bad breath (`Halitosis`): Chu bawm chhungah chuan chaw a lut a, chutah chuan a chhe tan ta a ni. Chutah chuan ka chhung atangin rimchhia a lo chhuak thin. Hei hi khawtlang nunah pawh mualphona thlentu thil a ni.
• Chaw emaw, mucus emaw i rilru atanga lo lut leh: Chaw i ei thin chu i rilruah a rawn chho leh thei. Hei hi pouch chu ei tur a khat chuan a thleng thin. Bag khat chhunga thil zuang chhuak ang mai a ni. A châng chuan zanah i mut laiin hetiang hi a thleng thei bawk.
• Chaw ei harsa (`Dysphagia`): Hei hi a lan chhuah dan ber leh langsar ber a ni . Pouch a lo lian chhoh zel chuan rilru chhunga kalna kawng chu a ti tawi a, ei tur ei a harsa hle. A tirah chuan solid foods chauh ei a harsa thei a, mahse a hnuah chuan liquids pawh ei a harsa thei bawk.
• Thil pakhat chu rilruah a tlakbuak ang maia hriat (`Globus sensation`):I rilruah thil pakhat, ball ang maia awm ang maiin i inhria mai thei. Hetiang rilru put hmang hi ei loh lai pawhin a awm thei bawk. Hetiang hriatna hi sac a lian a, cricopharyngeus muscle, a nih loh leh esophagus chunglam a press hian a lo awm thin.
• Hoarseness (Dysphonia): Aw inthlak danglam, hoarseness, a awm thei. Hei hi a chhan chu sac hian kan aw control tu nerve, recurrent pharyngeal nerve , chu a lian a, a press vang a ni.
• Tum loh vanga taksa rihna tihtlem: Chaw ei tur i ei that theih loh avangin hriat lohvin i thau a tlahniam thei a, chu chuan ei leh in tha lo a thlen thei a ni.

Eng thilin nge Zenker-a Diverticulum hi a thlen?

Dik tak chuan he Zenker’s diverticulum hi ka sawi tawh ang khan cricopharyngeal muscle hi a relax kim loh vang a ni. A tlangpuiin he thau hian kan chaw kawng chunglam chu a tikhauh reng tur a ni a, a khar fo tur a ni. Chaw kan ei hian a ti hahdam chauh a, ei tur chu a tla thla thei bawk. Mahse he ruh hi chaw kan ei hian a relax lo a nih chuan esophagus chunglam chu a inhawng tha lo.

Chutih rual chuan kan rilru chhunga taksa peng chak dangte chuan ei tur chu cricopharyngeal muscle tight lam pan chuan an nawr thla a. Heng pahnih hian rilru bangte chu pressure nasa tak a thlen a ni.

Senkers’ diverticulum-ah chuan he pressure hian tissue pouch pakhat chu a rilru bang chhunga hmun chak lo tak atangin a nawr chhuak a, pouch a siam a ni. He pouch hian chaw ei tur chu ril atanga esophagus-a kalna tur a tikhawlo a ni.

Mithiamte chuan he cricopharyngeal muscle hi a relax tur laiin engvangin nge a tight tih chiang takin an la hre lo. Eng pawh ni se, a rah chhuah chu he pouch tibuaitu hi a lo piang ta a ni.

He natna hi tute nge vei theihna chance sang zawk?

He natna hi tu chungah pawh lo awm thei mahse, mi thenkhat chuan an vei theihna chance a sang deuh hlek a ni. En teh:

• Kum: Hei hi kum 70 leh 90 inkar ah a tam ber a, hei hian kum upat deuh deuhin a awm tam zawk tihna a ni. Mahse, chu aia naupang zawkah pawh hmuh tur a awm tlem hle.
• Gender: Zirna hrang hrangah chuan hmeichhia aiin mipain he natna hi an vei tam zawk tih a tarlang.
• Esophageal dysmotility: I esophagus hnathawh that lohna tur thil dang i neih chuan, chu chu motility problem i neih chuan hei hi i vei theihna a sang hle.

Zenker’s Diverticulum avanga harsatna awm thei te chu engte nge ni?

He natna hi uluk taka enkawl a nih loh chuan harsatna engemaw zat a awm thei a, chuvangin hei hi hriat a pawimawh hle.

• Aspiration pneumonia: 1. A rilru a hah lutuk chuan a rilru a buai em em a.Hei hi a serious deuh. Chu bawm atanga chaw lo chhuak leh chu rilruah a kal palh a nih chuan bacteria infection a thlen thei a, pneumonia a thlen thei bawk. I khuh fo emaw, thawk harsatna i neih chuan hei pawh hi i ngaihtuah tel tur a ni.
• Malnutrition: Chu pouch avang chuan ei tur chu i digestive system kaltlangin a kal tha lo a nih chuan i taksain a mamawh nutrients a hmu thei lo va, chu chuan malnutrition a thlen thin. Hei hian a tichak lo thei che a, i taksa a ti hniam thei a, i chau reng bawk.

Engtin nge doctor-te hian hei hi an hriat chhuah?

Chaw ei harsa tih lanchhuahna i neih chuan Doctor i pan hmasa phawt tur a ni. Doctor chuan i symptoms te a zawt ang che a, a enfiah ang che. Tin, chaw kawng hnathawh danah harsatna dang i neih leh neih loh (esophageal dysmotility) a zawt thei bawk. Chumi hnuah chuan he lama specialist, gastroenterologist hnenah refer i ni mai thei. I harsatna thlentu dik tak hriat tumin test tul tak tak a ti ang.

Test theih thenkhat chu hetiang hi a ni:

• Esophageal manometry test: Hei hian i esophagus hnathawh that dan te, muscle te a contract tha em tih te, cricopharyngeal muscle a relax tha em tih te a test thin.
• Esophagram (barium swallow): He test-ah hian barium an tih solution i in a, X-ray la in ei tur i ei hian i esophagus chhunga thil thlengte chu an en a ni. Pouch a awm chuan chiang takin a lang thei.
• Upper endoscopy: Hei hian camera hmanga thuam tube te tak te chu ka chhungah dahin chaw kawng hnuai lam en a ni. Hei hian chaw kawng chhung lam, pouch awmna leh a lian zawng te chu direct-in a hmu thei a ni.

Zenker-a Diverticulum hi engtin nge enkawl a nih?

A tam zawkah chuan enkawlna tha ber chu operation hmanga pouch lakchhuah emaw siamthat emaw hi a ni. Hei hian awlsam takin i ei leh thei ang. Mahse, mi zawng zawng hian zai an mamawh vek lo. Doctor-te chuan pouch hian harsatna lian tak a thlen a, chu chu malnutrition emaw aspiration pneumonia emaw a nih chuan operation tih an rawt thei a ni.

Chumi atan chuan surgery chi hrang hrang tih theih a awm a:

• Open surgery: Hetiang surgery-ah hian a kawngah hian incision te tak te siam a ni. Doctor chuan sac-ah direct-in a kal a, a la chhuak emaw, a taksa ruh chu a siam tha emaw a ni.
• Endoscopic surgery: Hei hi ka chhunga hmanraw te te dahin pouch siam emaw lakchhuah emaw a ni. Pawn lamah pawh incision siam a ni lo. Hei hian dam hun a ti tlem a, hliam a awm lo.
• ZPOEM (`Peroral endoscopic myotomy' tih a ni a, a chhuahna tur hmun leh a hmanna tur a awm lo):Hei hi endoscopic procedure a ni bawk. A dik zawka sawi chuan `ZPOEM` tih hi `Zenker-a Peroral Endoscopic Myotomy` tihna a ni. Hei hian cricopharyngeal muscle chu a inzawm khawm a, a relax deuh bawk. Tichuan, chaw chu awlsam zawkin a tla thla ta a ni.

I gastroenterologist chuan eng surgical procedure nge i tan a tha ber tih a sawipui ang che.

Operation hnuah a dam leh theih nan eng chen nge a duh?

Operation hnua dam leh hun chhung hi i surgery chi hrang hrang a zirin a inang lo. Open surgery aiin endoscopic surgery emaw ZPOEM surgery emaw atanga i dam chak zawk mai thei. I doctor chuan hei hi chipchiar takin a hrilhfiah ang che. Mahse, a tlangpuiin a hnuaia mite hi i beisei thei ang:

• Ni khat emaw ni hnih emaw chhung chu damdawi inah i awm a ngai dawn a, ni engemaw zat pawh a awm mai thei.
• Surgery zawhah ni hnih atanga kar hnih vel chhung chu tui emaw, chaw nêm, hmin ṭha tak emaw i ei a ngai ang.
• Open surgery i neih chuan hliam a dam hma loh chuan temporary feeding tube hmangin ei tur pek i ni thei bawk.

Surgery atang hian complication a awm thei em?

Surgery dang ang bawkin, heng surgery te hi harsatna tenau tak tak a awm thei a ni. Open surgery leh endoscopic surgery-ah pawh hian harsatna tlanglawn tak tak a awm thei a:

• Thisen chhuak
• Esophagus chhunga khur emaw, tear emaw (esophageal rupture) .
• Kawng emaw, rilru emawa natna (mediastinitis) .
• Endoscopic surgery neih laiin hmui, ha, lei emaw, hmui emaw hliam
• Open surgery neih laiin vocal cords control tu nerve a chhiat chuan aw ri bengchheng

Mahse hengte hi a tlem a, hmuh tur a awm fo bawk. Hemi chungchang pawh Doctor ten an hriattir ang che.

Engtikah nge Doctor ka hmuh ang?

Chaw ei harsatna i neih chhunzawm chuan ngaihthah lova Doctor pan mai a tha ber. Tin, Zenker’s diverticulum operation i neih tawh chuan, natna hrik i neih chuan i gastroenterologist ko nghal rawh, chu chu khawsik emaw, zun emaw a ni

A pawimawh ber chu he natna hi enkawlna hmanga tihdam theih ni mah se, a chang chuan pouch hi a lo lang leh thei a ni. Chuvangin, i rilruah pouch thar a lo awm tih tilangtu symptom i zawn theih tur chu i doctor hnenah zawt rawh.

Hahdamna ka hmuh theih nân eng nge ka tih theih ang?

Zenker’s diverticulum i neih chuan ei harsa tak a ni thei. Chaw ei tur chu i rilruah a tlakbuak ang maiin a awm thei. Heng thil awlsam tak takte hi han ti ve teh, chu chuan ei tur chu pouch kaltlangin a hnuai lam pan turin a pui thei ang:

• I chaw ei tur chu a te tein ei la, a lian lo takin ei rawh.
• Chaw zawng zawng chu i ei hmain uluk takin chew hmasa phawt ang che. Hei hian chaw chu a chhe tha zawk ang a, ei pawh a awlsam phah ang.
• Chaw ei inkar ah tui vawi khat emaw pahnih emaw in thin ang che. Hei hian ei tur chu a hnuai lam pan turin a pui thin.
• Nuts, thlai chi, leh ei tur vun nei apple leh tomato ang chi te hi tihtlem a tha a, bag chhungah a inkhung thei a ni. Tin, ei tur vawt tak takte pawh a tlakbuak thei bawk.

Ngaihtuah teh, kan hlim hle emaw, kan lungngai em em emaw a, kan rilru pawh a inkharkhip ang maia kan hriat hun a awm. Chutiang bawkin Zenker-a diverticulum ang chi dinhmun hian chaw ei mai mai pawh hi a ti harsa hle thei a ni.

Hei hi pouch a ni a, a rilruah a lo awm thin. Chaw ei tur chu ril atanga esophagus-a a kal theih loh hunah a lo awm thin. Buaina chu a bo thei a, chu chu pouch chu a lian tawk a, ei tur ei theih loh khawpa lian a nih thlengin. Mahse, a mah chauhin a ṭhat phah lo. Vanneihthlak takin hei hi enkawl dan tha tak tak a awm.

A tawp berah chuan thil hriat reng tur

Okay, chuvangin kan sawi tawh tlemte i tana pawimawh nia kan hriatte kha han hriat nawn tir ila:

• Zenker’s diverticulum hi pouch te tak te, i rilru chunglam, i chaw kawng chunglam atanga lo piang chhuak a ni.
• A lan chhuah dan ber chu ei harsa (dysphagia) a ni. A lan chhuah dan dangte chu thawk hah (halitosis), ei tur chu rilruah a tlakbuak, leh rilruah thil a tlakbuak tih hriatna te a ni thei.
• Heng symptoms te hi i neih chuan doctor pan ngei ang . Ngaihthah suh.
• Hei hi surgery hmanga enkawlna a awm a , ei leh in tihdanglam hian symptoms control nan a pui thei bawk.
• Enkawlna nen pawh, he natna hi a lo awm leh thei fo , chuvangin chu pawh chu hre reng ang che.

He thu hi in tan a tangkai ngei ka beisei. Thil ngaihtuah tur i neih chuan doctor nen inbiakna neih hreh suh. Hriat hmasak leh enkawl hi a tha ber tih hre reng ang che!

Zenker 's Diverticulum, ril pouch, ei harsa, dysphagia, rilru natna, larynx, cricopharyngeal muscle te a awm bawk