Achalasia: ulwazi olubalulekileyo malunga nesifo

Ukuza kuthi ga ngoku, uludwe izifo ezixhaphakileyo kuluhlu sifo le phecana zesisu. ukuphazamiseka luvo, ukungondleki, imozulu, usulelo ezahlukeneyo - ezi zezona zizathu ekhokelela izifo kolu hlobo.

Enye yezinto ezimbi kakhulu olufanayo isisu kwakunye namathumbu na achalasia ezinxulumene izifo neuromuscular ye emphinjeni. Kule sifo kukho utshintsho lokudlula inyambalala yokutya ngokwayo kunye kuvuleke iminxunya, ngokulandelelana, ukususela kuvuleke iminxunya ukuya isisu. Oku kubangelwa motility kakuhle le kuvuleke iminxunya kunye nokungabikho disclosure reflex kuphela sphincter esezantsi esophageal. Esi sifo senzeka xa abantu nayiphi na ubudala, kodwa ngokufuthi kuluhlu kweminyaka engamashumi amahlanu ezelwe, babhaptizwa amadoda kwanabafazi.

nokubekwa kwezifo

Oogqirha lwabonisa isigaba isifo 4, luphawulwa iinguqulelo ezininzi kule kuvuleke iminxunya:

- sigaba I luphawulwa ukuyilungisa inkantsi ixesha cardia, into ezingahambi sokongezelela kuvuleke iminxunya;

- Inyathelo II ukuze ukwandiswa ngokuqhelekileyo ngcembe motility esophageal kunye yokukhulisa kweendonga zayo;

- at sigaba III kubonakala cardia stenosis kunye kuvuleke iminxunya ukusuka ukwanda okuthe motility yayo disorder nethoni;

- ekupheleni isebe Inqanaba IV esophageal ifumana izilonda ongenakulungiseka; Iqala kwaye esophagitis periezofagit.

Amanqanaba I and II yathatha malunga ezimbalwa kweenyanga, sigaba III malunga elishumi - iminyaka elishumi elinesihlanu, yaye engamashumi IV-th elide.

achalasia cardia walapho eziziprayimari nezizisekondari.

Ezibangela isifo

Noko ke kukho yeengcinga eziliqela ngezinto ezibangela sifo, ekuhlaleni zonyango zifana yaye abazange beze. izizathu kwerandi:

- ukungabikho iivithamini B;

- utshintsho nentshabalalo inkqubo parasympathetic nervous;

- ukudumba nkqubo emithanjeni, imiphunga kunye mediastinum;

- umhlaza esiswini, isifo ka Chagas.

Achalasia - Iimpawu:

- dysphagia, okanye ubunzima ukuginya;

- regurgitation okanye ukuhamba iingqimba ukutya kwicala elahlukileyo. Le uphawu ihamba ukubuyisa;

- iintlungu esifubeni. Isigaba I no II iintlungu ezinxulumene ne inkantsi, kunye III - IV kunye esophagitis;

- ubuthathaka, ukwehla kobunzima, yehle ubuchule ukusebenza.

kubhaliwe unesifo njani?

Isifo axilonge izifundo X esophagogastroscopy ndima barium.

Achalasia - unyango

Eyona njongo iphambili ye unyango kukuphucula patency ukutya kwelo kuvuleke iminxunya kunye neempawu zesifo ukususa isiseko. Oku kufezwa nokuba iindlela utyando okanye iziyobisi.

insufficiency Cardia unyango lubandakanya oku kulandelayo:

- ukudla ukukhanya №1 okanye # 1a;

- izidlo uphuphu, nto leyo ithetha ukuba kufuneka ukuba adle malunga ezintlanu - izihlandlo ezintandathu ngosuku, ngaphandle ukutya okubandayo kakhulu okanye ashushu kakhulu;

- ngaphandle kotywala kunye yecuba;

- ukusetyenziswa kweziyobisi: "Nitroglycerin" "Isosorbide dinitrate" "Nifedipine", "Novocaine," "atropine sulfate," "antispasmodics" "yoluvo botulinum" (isitofu), kunye nabanye.

Unyango ngamachiza ayikho kakuhle kakhulu, njengoko kuphela okwethutyana iibhloko iimpawu zesi sifo. ngempumelelo ngaphezulu Ukungenela yotyando. Ngokusisiseko, lisetyenziswa ngaxeshanye kunye unyango ngamachiza. Isebenzisa ngaphezulu ubuchule zoqhaqho zilandelayo:

- cardiodiosis womoya (ukwanda cardia usebenzisa wegazi). Isiphumo sale ndlela iphezulu - ukuya kutsho kuma-80%;

- Indlela vneslizistoy cardiotomy ngu Geller (kwezihlunu longitudinal asike iqokobhe);

- ibhaloni dilatation (umsantsa ezizodwa Imicu sphincter esophageal osezantsi).

Kakade ke, ugqirha kumtyumba unyango kuphela. Kwaye oko kuxhomekeke kubunzima kunye uhlobo lwesifo.