Chilichonse Chimene Muyenera Kudziwa Zokhudza Esophageal Diverticula

Zamkati

• Zizindikiro zake ndi ziti?
• Zimayambitsa chiyani?
• Kodi pali zoopsa zilizonse?
• Zimapezeka bwanji?
• Zimathandizidwa bwanji?
• Chithandizo chosagwira ntchito
• Chithandizo cha opaleshoni
• Kodi pali zovuta zina?
• Maganizo ake ndi otani?

Kodi diverticulum yam'mimba ndi yotani?

Diverticulum yam'mimba ndimchikwama chotuluka m'mbali mwake. Amapanga malo ofooka. Thumba limatha kukhala paliponse kuyambira mainchesi 1 mpaka 4 kutalika.

Pali mitundu itatu ya esophageal diverticula (kuchuluka kwa diverticulum), kutengera komwe amapezeka:

• Zerozo za Zenker. Mtundu uwu umayamba pafupi ndi pamwamba pammero.
• Kusintha kwapakatikati. Mtundu uwu umapezeka pakatikati pa kholingo.
• Epiphrenic diverticulum. Mtunduwu umapezeka kumunsi kum'mero.

Werengani kuti mudziwe zambiri za vutoli.

Zizindikiro zake ndi ziti?

Esophageal diverticula sizimayambitsa mavuto nthawi zonse. Akatero, zizindikirazo zimayamba kubwera pang'onopang'ono chikwama chikukula.

Zizindikiro zodziwika za diverticulum esophageal ndi awa:

• zovuta kumeza
• kumva kuti chakudya chagwidwa pakhosi
• kubwezeretsanso chakudya pogwada, kugona pansi, kapena kuyimirira
• ululu mukameza
• chifuwa chachikulu
• kununkha m'kamwa
• kupweteka pachifuwa
• kupweteka kwa khosi
• kuonda
• kusintha kwa mawu
• Chizindikiro cha Boyce, chomwe chimamveka chaphokoso pamene mpweya umadutsa mu diverticulum

Zimayambitsa chiyani?

Akatswiri sakudziwa zenizeni zomwe zimayambitsa matenda am'mimba. Anthu ena amabadwa nawo, pomwe ena amakula pambuyo pake.

Akuluakulu, nthawi zambiri amagwirizanitsidwa ndi kukakamizidwa kowonjezereka mkati mwa kholingo. Kupanikizika kumeneku kumapangitsa kuti chombocho chituluke m'dera lofooka. Zomwe zingayambitse kukakamizidwa uku ndi izi:

• Kulephera kwa ma sphincters kumapeto konse kwa kholingo
• kutupa kuchokera kunja kwa kholingo
• chakudya chosayenda bwino kudzera mummero
• Kusagwira ntchito kwa makina akumeza

Ikhozanso kukhala vuto la opaleshoni pafupi ndi khosi, kapena zomwe zimakhudza collagen, monga matenda a Ehler-Danlos.

Kodi pali zoopsa zilizonse?

Ngakhale kuti diverticulum yam'mimba imatha kuchitika nthawi iliyonse, imafala kwambiri kwa anthu azaka za m'ma 70 ndi 80. Kuphatikiza apo, anthu omwe ali ndi vuto lakumeza amatha kukhala nawo.

Zimapezeka bwanji?

Pali njira zingapo zomwe dokotala angagwiritse ntchito kuti apeze diverticulum esophageal, kuphatikizapo:

• Kumeza kwa Barium. Mudzafunsidwa kumeza yankho lomwe lili ndi barium, yomwe imawonekera pa X-ray kapena CT scan. Izi zimalola dokotala wanu kutsata mayendedwe amadzimadzi kudzera m'mimba mwanu.
• Kutsekula m'mimba endoscopy. Pogwiritsa ntchito njirayi, dokotala wanu amaika chubu chofewa, chosasunthika chokhala ndi kamera kumapeto kwa pakamwa panu mpaka pakhosi panu kuti muwone khosi lanu.
• Matenda otupa magazi. Njira imeneyi imayesa nthawi ndi mphamvu ya kutsekeka kwa mimba yanu.
• Kuyesa kwa maola 24 pH. Chiyesochi chimayeza pH m'mimba mwanu kwa maola 24 kuti muwone ngati muli ndi asidi m'mimba kapena bile m'mimba mwanu.

Zimathandizidwa bwanji?

Pali njira zingapo zochizira matenda am'mimba, kutengera kukula kwake komanso kuuma kwake.

Chithandizo chosagwira ntchito

Ma diverticula ochepera amatha kuthana ndi kusintha kwa moyo, monga:

• kutafuna chakudya chanu
• kudya zakudya zopanda pake
• kumwa madzi ambiri mukadya kuti muthandize kugaya chakudya.

Maantacids omwe amatha kugulitsanso amathanso kuthandizira kukhala ndi zizindikiro zochepa.

Chithandizo cha opaleshoni

Milandu yowopsa kwambiri imafunikira kuchitidwa opaleshoni kuti ichotse chikwamacho ndikukonzanso minofu yofooka.

Njira zochitira izi ndizo:

• Cricopharyngeal myotomy. Izi zimaphatikizapo kudula mabala ang'onoang'ono kumtunda kwa chifuwa kuti chikulitse, chifukwa chake chakudya chimatha kudutsa mosavuta.
• Diverticulopexy yokhala ndi cricopharyngeal myotomy. Izi zimaphatikizapo kuchotsa diverticulum wokulirapo potembenuza mozondoka ndikulumikiza kukhoma la pakhosi.
• Diverticulectomy ndi cricopharyngeal myotomy. Izi zimaphatikizapo kuchotsa ma diverticulum pomwe mukuchita cricopharyngeal myotomy. Ndizophatikiza zomwe nthawi zambiri zimagwiritsidwa ntchito pochizira matenda a Zenker.
• Zojambula za Endoscopic. Imeneyi ndi njira yowonongeka yomwe imagawaniza minofu pakati pa diverticulum ndi esophagus, yomwe imalola chakudya kutuluka mu diverticulum.

Kodi pali zovuta zina?

Popita nthawi, diverticulum esophageal imatha kubweretsa zovuta zina.

• Chibayo chibayo. Ngati matenda am'mimba amayamba kubwereranso, amatha kubala chibayo. Awa ndi matenda am'mapapo omwe amabwera chifukwa chotsegula zinthu, monga chakudya ndi malovu, omwe nthawi zambiri amayenda pammero.
• Kuletsa. Cholepheretsa pafupi ndi diverticulum chikhoza kukupangitsani kukhala kovuta, kapena kosatheka, kumeza. Izi zitha kuchititsanso kuti thumba liphulike ndikutuluka magazi.
• Squamous cell carcinoma. Nthawi zambiri, kukwiya kwa thumba kumatha kubweretsa ku squamous cell carcinoma.

Maganizo ake ndi otani?

Matenda opatsirana pogwiritsa ntchito esophageal diverticulum ndichinthu chosowa kwambiri chomwe chimakonda kukhudza achikulire. Ngakhale anthu ena alibe zisonyezo, ena amakumana ndi zovuta zingapo, kuphatikiza zovuta kumeza ndikubwezeretsanso. Milandu yambiri imayankha bwino pakusintha kwa moyo, opaleshoni, kapena kuphatikiza zonse ziwiri.