Esophageal leiomyoma: Iimpawu and Treatment

Amaxesha amaninzi abantu babe kabi kwi emphinjeni. Semali kungenziwa xa yokuginya, ukungakhululeki, isicaphucaphu, nesisu esibuhlungu, heartburn, belching. Ezi iimpawu zibonisa ngezifo le phecana zesisu. ingaba yintoni? Ngokomzekelo, leiomyoma.

ithumba ingozi, ebonakala iindonga kuvuleke iminxunya, ubizwa ngelo gama. Loo sifo kuyilwa njengeyunithi lweendawo kunye multiple. Ngokwawo, le yunithi ukhangeleka izalelwe baluthuthu epinki kwaye akhule ukuya ku-5 cm.

Ngoko ke yintoni na leiomyoma le kuvuleke iminxunya nendlela ukujongana nale siphene, sibheka ngezantsi.

yamathumba ebubonisayo evela emphinjeni

Okokuqala, kubalulekile egxininisa ukuba leiomyoma yenzeka kwiimeko ezinqabileyo. Ngokuqhelekileyo, oko kwi-5% yazo zonke iziphene ithumba benegxaki ipesenti phezulu, kwaye nalo umntu.

leiomyoma Esophageal (ICD-10 ubhekisela kule sifo ikhowudi D13.0) - ithumba nabungozi, nto leyo eyenziwe kwimicu kwezihlunu okanye umbutho, ukuthumela ukutya esiswini. Loo isiphako ngokumila encinane setyhula, kodwa ukwandisa nokuyila ngeenxa ngokwabo inani olungenasiphelo leeyunithi eyodwa leyo ephazamisa nguwona msebenzi emphinjeni.

Yintoni enokubangela le siphene?

Kukho ezinye izinto engabangela ukubonakala leiomyomas, ezizezi:

• yamathumba amabi, emizalwaneni close;

• inkqubo omzimba buthathaka;

• ukutshaya kunye notywala ukusetyenziswa;

• ukudla engafanelekanga.

Ezi zizathu zingachaphazela yinto yokuba umzimba womntu kukho ukusilela, nto leyo ekhokelela ukuba ukwahlukana yeseli obungenasiphelo olungalawulwayo.

Iimpawu ezibonisa ukubonakala leiomyomas

Leiomyoma le kuvuleke iminxunya phantse lonk 'eyenzeka kungekho naziphi na iimpawu zokubonisa. Ngapha koko, le ithumba ixesha elide ngokubanzi asibikho kukhupha, ekubeni ukukhula kwayo kade. Kungenxa yesi sizathu ukuba iimpawu isiphako nazo zikhula kancinci.

Kodwa kuza ixesha xa isifo eqala ngokubanga ngokwawo ezi mpawu zilandelayo:

• Eyona yokuqala engundoqo feature - ubunzima ukuginya ukutya;

• imbonakalo kabi ngasemva breastbone, kodwa uphawu kubonakala ukuba ithumba yafikelela iisentimitha ezine;

• bekusenzeka rhoqo heartburn kunye belching;

• izinkcwe kakhulu;

• isicaphucaphu kunye ubuqhophololo;

• palpitation kunye arrhythmia;

• ukhohlokhohlo owomileyo, apho kukho umnqweno ukuba sikhohlele com babenamathele;

• ukulahlekelwa onombilini.

Ntlungu kwenzeka xa yokuginya okanye ngoko nangoko emva abadla ukudla, kaninzi kubonwa esifubeni kwaye unika emva ndawo. Maxa wambi umntu aphazamise, kunye iintlungu buthuntu kwi xiphoid. Kodwa ngokuphathelele ngobunzulu iintlungu, baxhomekeke ngqo kwi indlela nethumba likhule.

Ukuba leiomyoma esophageal incinane kakhulu, oko kuya kubonisa ngoku ngohlobo spasm, esavela emphinjeni. Kwaye ke ngamanye amaxesha ibe ubukho imvakalelo umzimba angaphandle emva breastbone.

Kufuneka kuqatshelwe ukuba umntu ogulayo nale zizonke sifo alichatshazelwa, ekubeni ukwandisa zonke ezi mpawu zingasentla ngcembe.

Kwakhona kubalulekile ngokwahlukeneyo ukugxininisa ukuba umntu zinokuba neengxaki intliziyo, kwimeko apho ukunyuka leiomyoma kuvuleke iminxunya ubukhulu. Oku kwenzeka ngenxa yokuba i enkulu iba ithumba, kokukhona ndingungelwe amalungu oluntu.

iimpawu ezongezelelweyo

Xa kusenzeka oku, umntu iimpawu ezongezelelekileyo, ezifana:

• isikhohlela, apho kungekho amathuba uphazamisana nomntu ukhohlokhohlo;

• ukuphelelwa kakhulu ngumphefumlo;

• hoarseness;

• cyanosis, kunye arrhythmia.

Oku kwenzeka xa thumba yenzelwe kwindawo bifurcation le noqhoqhoqho. Ngoko ke, ukuba umntu ubuncinane ezimbalwa iimpawu ezichazwe ngentla, ukutyelela akufuneki ukuba ulibele a gastroenterologist. Kubalulekile ukuqonda ukuba abanaluncedo ngesiquphe ukuze bandiqumbise leiomyoma ukonakala ibe ithumba. Xa kubalwa biopsy le leiomyoma umphimbo? Kule - on.

Indlela ukuxilonga kwesi sifo?

Leiomyoma Sithole ngokusebenzisa iintlobo ezininzi ubuchule, ezizezi:

• ukuba lenze uhlolo ngokupheleleyo;

• nge vo weentambula;

• ngokwesiseko izikhalazo malunga nesigulane eso.

Ukuba ulibale ukuba asuse ithumba, ithuba ukuphepha iingxaki kunokwenzeka omkhulu. Ngaphezu koko, lokwaluka kwangethuba unyango kuya kunceda ukwandisa sempilo yoluntu.

diagnosis obububo wenziwa usebenzisa-X-reyi kwaye i mbhobho, evumela yingcali kuyenzeka ukufumanisa ngokuchanileyo indawo apho ithumba, babuthe unyango kuyimfuneko. afunyanwa njani imifanekiso ecacileyo? Leiomyoma emphinjeni ngu endoscopy zichazwe kakuhle.

Ekufunyanisweni kwe-maqhuqhuva ezincinane ithumba usebenzisa yonke endoscopy umkhondo yokwetyisa. Kulo mzekelo, ukuba umntu waqalisa imkhathaza kweempawu zesi sifo, ufanele ngoko nangoko udibane nogqirha oya kuqhuba uhlalutyo ngokucokisekileyo zonke izikhalazo kwaye uyithumele ku phando.

Ngokuqhelekileyo, ezifana kokugula gastroenterologist umrhanelwa ungakwazi sele ngokusekelwe izikhalazo nomonde. Kodwa ukuze uqinisekise i urhano kuyimfuneko iimviwo instrumental.

Xa usebenzisa indlela lokuqonda ngezifo, ngathi X-ray, imiqondiso sifo zibonakaliswa ngokwemigaqo ukuzaliswa kuvuleke iminxunya ukuya kwindawo apho ithumba. Ngelo xesha, ukuba kusetyenziswa ray lehewu, ngoko ke umfanekiso ibonakala ngokucacileyo ithunzi nangezilonda.

Njengoko kuchaziwe ngentla, leiomyoma zingenzeka njengenye nobuninzi neoplasm okanye yamathumba. Ukuze uqinisekise ngokuchanileyo isifo, sebenzisa indlela esophagoscopy. Ngale ndlela ke kunokwenzeka ukuba nomfanekiso yamathumba ngokubanzi, kwakunye ukuvavanya imeko jikelele isifo aphange izinto ukufunda biopsy. It japan histological yaye uqinisekisa ukuba ithumba kuba nabungozi. Ingaba kuyimfuneko ukucima leiomyoma le kuvuleke iminxunya?

Kwezinye iimeko, utyando umiswa?

Lahla lo leiomyoma kunokwenzeka kuphela encediswa zotyando. Kodwa ukuba uthathe ingqalelo ukukhula kwayo kade, ngoko kokususa ke kubhenelwa kuko kwimeko apho lo Ithumba lincinane.

ungenelelo Surgical yabelwa kuphela xa leiomyoma ngokuxhaphaka emphinjeni. Umsebenzi kunokwenzeka kwezo meko, ukuba isigulane akukho Izimo kule nkqubo.

ungenelelo Surgical akwenziwanga:

• ukuba ithumba ngaphantsi kwe-5 cm;

• ukuba yobubi akafakwa;

• abantu ukuncipha.

Ukuba umntu ithumba esinobukhulu encinane, ugqirha imilindo kuphela ukuhlolwa rhoqo usebenzisa endoscopy kunye X-ray. Ezi ntlobo ngophengululo kunceda ntoni aze enze uqhaqho.

Indlela yokusebenza

Ngoko ke, umntu wafumana leiomyoma ye emphinjeni. Unyango ngokuqhelekileyo sikuko uqhaqho. Kodwa ukuba oku thumba enkulu.

Ukuze wenze oku, sebenzisa indlela laparoscopy kunye thoracotomy. Kodwa le ndlela kwenziwa ngolu hlobo lulandelayo: ugqirha, usebenzela ekhokelayo, yenza imbobo lwe esifubeni kwaye yenza umsebenzi. Le ndlela kakhulu buhlungu kwaye kufuna ixesha elongeziweyo ekunciphiseni ixesha post-operative.

Kwiminyaka yakutshanje, oogqirha baye okwangoku yamkela indlela entsha enceda ukuba balahle nethumba ngaphandle ukunciphisa esifubeni. Undoqo kule entamo kukuba ugqirha umane ukuhlatywa ezine esiswini okanye kwentamo kunye ngeengxam ezabe leiomyoma ngokusebenzisa ezi pinholes. Kwaye okona kubalulekileyo - lithuba aluchaphazeli inwebu yangaphakathi.

Olu tyando lwenziwa phantsi kolawulo ezibonwayo, nto leyo lwenziwa yi esophagoscopy. A plus elikhulu kule ndlela kukuba kunokwenzeka ukuba ukuphelisa ngokupheleleyo iingxaki ezifana stenosis.

Xa begqibile utyando, lo mntu ukusikwa ezine encinane sangqa malunga ezintlanu iimilimitha. Ke ukuba iingqikelelo, ngoko ke bonke kakuhle, kwaye okwangoku akukho likakade zaye iqatshelwe ixesha elide.

leiomyoma esophageal: ncomo

Ukuphonononga zibonisa ukuba leiomyoma - ithumba nabungozi, nto leyo eyenzeka kunqabile kakhulu ebantwini. iimpawu zayo luphawu akhawuleza kuvela ngokucothayo kakhulu. A unyango yale isiphako kunokwenzeka kuphela ngoncedo etyandwa. Ngokubanzi, i-ALS kakhulu kakuhle ngenxa kuphuhliso yayo kade.

isiphelo

Eshwankathela zonke ngentla, sinqwenela bonke abantu enye into: ke neoplasms, ebubonisayo, nkqu kunye nophuhliso kade, kuwavumela kukuphatha. Kaloku, ukuba kukho nokuba wayengomnye mpawu zingasentla kwangoko kufuneka atyelele gastroenterologist okanye gqirha. Kubalulekile ukuqonda ukuba impilo kuphela ezandleni zomntu ngokwakhe.