Achalasia: imininingwane ebalulekile mayelana isifo

Kuze kube manje, uhlu izifo ezivame kakhulu efakwe ohlwini sifo yokusetshenziswa pheshana emathunjini. iziyaluyalu Nervous, ukungondleki, isimo sezulu, izifo eziningi - lawa izizathu eziyinhloko okuholela izifo yalolu hlobo.

Omunye pathologies ezivamile isisu namathumbu kuyinto achalasia ezihlobene izifo kwamanyuroni we emphinjeni. Kulesi isifo kukhona ushintsho ukudlula uquqaba ukudla oku uqobo kanye kuqhoqhoqho, ngokulandelana, kusukela emphinjeni kuya esiswini. Sibangelwa motility kahle we emphinjeni kanye nokuntuleka ukuvezwa reflex kuphela ephansi sphincter ngomphimbo. Lesi sifo kwenzeka kubantu zanoma iyiphi iminyaka kodwa kaningi uhla engamashumi amabili mahlanu ezelwe, kokubili amadoda nabesifazane.

Ukwahlukaniswa izifo

Odokotela wembula esiteji 4 isifo, libhekene izinguquko ezahlukene emphinjeni:

- mina esiteji libhekene reversibility ka zibe nesikhathi cardia, akuyona ephelezelwa ezinwetshiwe emphinjeni;

- Isinyathelo II ejwayelekile ukunwetshwa okusimeme motility ngomphimbo bese okhulisa kwezingange zawo;

- at esiteji III livela stenosis cardia kanye kuqhoqhoqho kusukela ukunwetshwa okusimeme motility yayo isiyaluyalu nayo ithoni;

- ekupheleni mnyango esiteji IV ngomphimbo uthola izilonda engelapheki; Iqala futhi esophagitis periezofagit.

Izigaba I neyesi-II wathatha cishe kwezinyanga ezimbalwa, III esiteji engaba yishumi - iminyaka eyishumi nanhlanu, futhi emashumini IV-th eside.

achalasia cardia nayo zamabanga aphansi naphezulu.

Izimbangela zesifo

Kukhona nemibono eziningana ngezimbangela zokuziphendukela sifo, kwezokwelapha zifana futhi abazange babe. izizathu zokucabangela:

- ukuntuleka kwamavithamini B;

- izinguquko futhi kubhujiswa lesi parasympathetic isimiso sezinzwa;

- ukuvuvukala uhlelo lymph, amaphaphu mediastinum;

- umdlavuza isisu, isifo ka Chagas.

Achalasia - Izimpawu:

- dysphagia, noma ukugwinya;

- regurgitation noma ukunyakaza ukugudluka ukudla kolunye uhlangothi. Lokhu uphawu sihambusana nokuhlanza;

- ubuhlungu esifubeni. Esigabeni I neyesi-II ka izinhlungu ezihambisana izinhlungu zibe, no-III - IV nge esophagitis;

- ubuthakathaka, ukuncipha emzibeni, kwehle ikhono emsebenzini.

is it Sitholakala kanjani?

Izifo ngomshini X izifundo esophagogastroscopy ndima barium yombala.

Achalasia - ukwelashwa

Umgomo oyinhloko kwelashwa yokuthuthukisa patency ukudla emphinjeni futhi ekuqedeni izimpawu isifo isizinda. Lokhu kufezwa ngezinkathi zezikhathi noma nge amasu kuhlinzwa noma izidakamizwa.

Cardia esingamahlalakhona yokwelapha ihilela lokhu okulandelayo:

- Ukudla ukukhanya №1 noma # 1a;

- yokuhlukanisa ukudla, okusho saba nesidingo sokudla emihlanu - kasithupha ngosuku, ngaphandle ukudla abandayo kakhulu noma kushisa kakhulu;

- ukukhishwa utshwala nogwayi;

- ukusetshenziswa kwezidakamizwa: "nitroglycerin" "Isosorbide dinitrate" "Nifedipine", "Novocaine," "atropine sulfate," "antispasmodics" "ushevu Botulinum" (umjovo), kanye nabanye.

Ngemithi akuyona ephumelela kakhulu, njengoba nje amabhlogo okwesikhashana izimpawu zesifo. Okuningi ngempumelelo Uwukungenela kuhlinzwa. Ngokuyinhloko, isetshenziswa parallel emithini yokuselapha. Isebenzisa ngaphezulu amasu kuhlinzwa ezilandelayo:

- cardiodiosis womoya (ukunwetshwa cardia usebenzisa Wegazi). Umthelela le ndlela kuphezulu - kufike ku-80%;

- Indlela vneslizistoy cardiotomy ngu Geller (imisipha longitudinal asike izidumbu zabantu igobolondo);

- dilatation ibhaluni (igebe ekhethekile aphansi sphincter ngomphimbo Imicu yotshani).

Yiqiniso, udokotela uqoka ukwelashwa kuphela. Futhi incike kushuba uhlobo lwesifo.