Nutcracker Esophagus

Zamkati

• Zizindikiro zake ndi ziti?
• Zimayambitsa chiyani?
• Kodi amapezeka bwanji?
• Amachizidwa bwanji?
• Kukhala ndi mtedza wa nutcracker

Kodi mtedza wa nutcracker ndi chiyani?

Chikhodzodzo cha Nutcracker chimatanthauza kukhala ndi mitsempha yolimba yam'mero ​​mwanu. Amadziwikanso kuti jackhammer esophagus kapena hypercontractile esophagus. Ili m'gulu la zikhalidwe zokhudzana ndi kusuntha kwachilendo ndi magwiridwe antchito am'mimba, otchedwa matenda a motility.

Mukameza, malingaliro anu am'mimba, omwe amathandiza kusunthira chakudya m'mimba mwanu. Ngati muli ndi mtedza wa nutcracker, mavutowa ndiolimba kwambiri, amayambitsa kupweteka pachifuwa komanso kupweteka mukamameza.

Zimakhudzana kwambiri ndi kufalikira kwa minyewa. Kusiyanitsa kwakukulu pakati pazikhalidwe ziwirizi ndikuti mtedza wa nutcracker nthawi zambiri sukuyambitsa kuyambiranso chakudya kapena zakumwa, ndipo kufalikira kwamatenda am'mimba kumachita kawirikawiri.

Zizindikiro zake ndi ziti?

Chizindikiro chachikulu cha mtedza wa nutcracker ndikumeza kowawa. Muthanso kukhala ndi zisonyezo zina, kuphatikiza:

• mwadzidzidzi komanso kupweteka pachifuwa komwe kumatha kukhala kwa mphindi zingapo kapena kumachitika ndikutuluka kwa maola ambiri
• vuto kumeza
• kutentha pa chifuwa
• chifuwa chowuma
• kumverera ngati kena kake kakumamatira kukhosi kwako

Zimayambitsa chiyani?

Matenda a Nutcracker ndi osowa kwambiri. Zomwe zimayambitsa nutcracker esophagus sizidziwika. Komabe, zikuwoneka kuti zikugwirizana ndi vuto lokhala ndi minofu yolimba komanso makulidwe am'mero. Kwa anthu ena, ma spasms amawoneka kuti amangochitika akamadya zakudya zozizira kapena zotentha. Zimakhala zachilendo kwa anthu omwe ali ndi mtedza wa nutcracker amakhalanso ndi matenda a reflux am'mimba.

Madokotala apeza zinthu zingapo zomwe zingapangitse chiopsezo chanu chokhala ndi mtedza wa nutcracker. Izi zikuphatikiza:

• kukhala wazaka zopitilira 50
• kukhala wamkazi
• kumva kutentha pa chifuwa
• kukhala ndi matenda a reflux am'mimba (GERD)

Kodi amapezeka bwanji?

Dokotala wanu ayamba ndikukuyesani mayeso kuti muwone zovuta zilizonse. Angakufunseni kuti muwone kangati kupuma komanso ngati akuwoneka kuti akukhudzana ndi zakudya zina. Kungakhale kothandiza kusungitsa cholembera cha chakudya ndikulemba mukamamva zizindikilo sabata limodzi kapena awiri asanakonzekere.

Kutengera zotsatira za mayeso anu, dokotala wanu atha kupereka lingaliro loyesa matenda, monga:

• kumeza barium, komwe kumaphatikizapo kumeza mtundu wa utoto womwe udzawonekere pa X-ray
• esophageal manometry, yomwe imayesa kupanikizika kwa minofu ya kholingo ndi zotupa zilizonse
• endoscopic ultrasound, yomwe imatha kukupatsirani tsatanetsatane wa minofu ndi zotumphukira
• endoscopy, yomwe imaphatikizapo kugwiritsa ntchito kamera yaying'ono kuti muyang'ane mkatikati mwanu
• Kuwonetsetsa kwa pH, yomwe imayesa zizindikiro zilizonse za asidi Reflux poyeza pH m'mimba mwanu

Amachizidwa bwanji?

Matenda ambiri a mtedza wa nutcracker amatha kuchiritsidwa ndi mankhwala osakaniza ndi mankhwala akunyumba. Nthawi zina, mungafunike chithandizo china.

Mankhwala omwe angathandize kuchiza mtedza wa nutcracker ndi awa:

• zotseka za calcium
• proton pump pump inhibitors
• nitrate, monga timagulu ting'onoting'ono ta nitroglycerin (Nitrostat)
• hyoscyamine (Levsin)
• mankhwala anticholinergic

Mankhwala azinyumba otsatirawa amathanso kukuthandizani kupumula kummero:

• kumwa madzi ofunda
• kuchita masewera olimbitsa thupi komanso njira zopumira
• kupewa zakudya ndi zakumwa zomwe zimayambitsa matenda anu

Ngati mankhwala ndi zithandizo zapakhomo sizikupatsani chithandizo chilichonse, dokotala wanu atha kupereka chithandizo chowonjezera, monga:

• jakisoni wa botulinum (Botox) kuti muchepetse minofu m'mimba mwanu
• Kuchita opaleshoni kuti muchepetse umodzi mwaminyewa yanu kuti muchepetse kupindika
• Ndondomeko ya POEM (peroral endoscopic myotomy), yomwe imagwiritsa ntchito endoscope m'malo mochita opareshoni kuti ichepetse gawo la minofu mkati

Kukhala ndi mtedza wa nutcracker

Ngakhale kuti khola la nutcracker limakhala lopweteka kwambiri, mutha kulisamalira ndi mankhwala ndi njira zothetsera minofu m'mimba mwanu. Nthawi zina, mungafunike kupewa zakudya zina. Yesetsani kutsatira njira zilizonse zomwe mungazindikire ndi zizindikilo zanu. Izi zidzakuthandizani dokotala kupeza njira yothandiza kwambiri yothandizira inu.