Kodi Zenker's Diverticulum ndi Kodi Amachitiridwa Chiyani?

Zamkati

• Magawo
• Zizindikiro zake ndi ziti?
• Nchiyani chimayambitsa izi?
• Kodi amapezeka bwanji?
• 'Dikirani kuti muwone' ikuyandikira
• Chithandizo cha opaleshoni
• Njira za Endoscopic
• Opaleshoni yotseguka
• Zovuta zake ndi ziti?
• Chiwonetsero

Kodi diversiculum ya Zenker ndi chiyani?

Diverticulum ndi mawu azachipatala omwe amatanthauza kapangidwe kachilendo, kofanana ndi thumba. Diverticula imatha kupanga pafupifupi magawo onse am'mimba.

Thumba likamapanga pamphambano wa pharynx ndi kholingo, limatchedwa diversiculum ya Zenker. Pharynx ili kumbuyo kwa mmero wanu, kuseri kwa mphuno ndi pakamwa.

Diverticulum ya Zenker imakonda kupezeka mu hypopharynx. Ili ndiye gawo lalifupi kwambiri la pharynx, pomwe limalumikizana ndi chubu (chotupa) chotsogolera m'mimba. Diverticulum ya Zenker nthawi zambiri imawoneka m'dera lotchedwa Killian's triangle.

Zinker's diverticulum ndizosowa, zomwe zimakhudza pakati pa anthu. Amakonda kuchitika pakati pa okalamba komanso achikulire, makamaka anthu azaka za m'ma 70 ndi 80. Zenker's diverticulum ndizosowa pakati pa anthu ochepera zaka 40. Zimakhudza abambo nthawi zambiri kuposa akazi.

Amatchulidwanso kuti pharyngoesophageal diverticulum, hypopharyngeal diverticulum, kapena thumba la pharyngeal.

Magawo

Pali mitundu ingapo yosiyanasiyana yosanja ma diversiculum a Zenker:

Zizindikiro zake ndi ziti?

Kuvuta kumeza, komwe kumatchedwanso dysphagia, ndichizindikiro chofala kwambiri cha Zenker's diverticulum. Zikuwoneka kuti pafupifupi 80 mpaka 90 peresenti ya anthu omwe ali ndi diverticulum ya Zenker.

Zizindikiro zina za diverticulum ya Zenker ndi awa:

• kubwezeretsanso chakudya kapena mankhwala akumwa
• mpweya woipa (halitosis)
• mawu okweza
• chifuwa chosatha
• kumeza zakumwa kapena nkhani ya chakudya "pansi pa chitoliro cholakwika" (aspiration)
• kumverera kwa chotupa kukhosi kwanu

Ngati sanalandire chithandizo, zizindikilo za Zenker za diverticulum zitha kukulirakulira pakapita nthawi.

Nchiyani chimayambitsa izi?

Kumeza ndi njira yovuta yomwe imafunikira kulumikizana kwa minofu mkamwa, pharynx, ndi ezophagus. Mukameza, minofu yozungulira yotchedwa chapamwamba esophageal sphincter imatseguka kuti ilole kuti chakudya chofunidwa chidutse. Mutatha kumeza, mpweya wapamwamba wotsekemera umatseka kuti mupewe mpweya kuti usalowe m'mimba.

Kupanga kwa diverticulum ya Zenker kumakhudzana ndi vuto lakuthwa kwa m'mimba. Pamene chapamwamba chotupa cha mmero sichitseguka konse, chimapanikiza dera la khoma la pharynx. Kupsinjika kwakukulu uku kumakankhira minofu kunja, ndikupangitsa kuti izipanga diverticulum.

Matenda a reflux a Gastroesophageal (GERD) komanso kusintha kwakukhudzana ndi minofu ndi mamvekedwe amtunduwu kumaganiziranso kuti zimathandizira pantchitoyi.

Kodi amapezeka bwanji?

Lankhulani ndi dokotala wanu ngati inu kapena munthu amene mumamusamalira akukumana ndi zizindikiro za Zenker's diverticulum.

Zenker's diverticulum imapezeka pogwiritsa ntchito mayeso otchedwa barium swallow. Kumeza kwa barium ndi X-ray yapadera yomwe imawonekera mkamwa mwanu, pharynx, ndi kholingo. Barium swallow fluoroscopy imalola dokotala wanu kuwona momwe mumamezera poyenda.

Nthawi zina, zikhalidwe zina zimapezeka pambali pa Zenker's diverticulum. Dokotala wanu angakupatseni mayeso owonjezera kuti muwone kapena kuthana ndi zina. Endoscopy wapamwamba ndi njira yomwe imaphatikizapo kugwiritsa ntchito malo ochepera, okhala ndi kamera kuyang'ana pakhosi ndi pakhosi. Esophageal manometry ndi mayeso omwe amayesa kupanikizika mkati mwa kholingo.

'Dikirani kuti muwone' ikuyandikira

Matenda ofatsa a Zenker's diverticulum sangafunikire chithandizo mwachangu. Malingana ndi zizindikiro zanu komanso kukula kwa diverticulum, dokotala wanu angakuuzeni kuti "dikirani kuti muwone".

Kusintha momwe mumadyera nthawi zina kumathandizira kusintha zizindikilo. Yesetsani kudya chakudya chochepa nthawi imodzi, kutafuna bwinobwino, ndi kumwa pakati pa kulumidwa.

Chithandizo cha opaleshoni

Zovuta mpaka zovuta za Zenker's diverticulum nthawi zambiri zimafuna kuchitidwa opaleshoni. Pali njira zingapo zopangira opaleshoni. Dokotala wanu akhoza kukuthandizani kumvetsetsa njira yomwe ili yabwino kwa inu.

Njira za Endoscopic

Mukamapanga endoscopy, dokotalayo amalowetsa chida choonda ngati chubu chotchedwa endoscope mkamwa mwanu. Endoscope ili ndi kuwala ndi kamera. Itha kugwiritsidwa ntchito kupangira pakhoma pakhoma lomwe limasiyanitsa diverticulum ndi zotchinga za kum'mero.

Endoscopies a Zenker's diverticulum amatha kukhala okhwima kapena osinthika. Endoscopy yolimba imagwiritsa ntchito endoscope yosalephera ndipo imafunikira ochititsa dzanzi. Ma endoscopy okhwima amafunika kukulitsa khosi.

Chifukwa cha kuopsa kwa zovuta, njirayi siyikulimbikitsidwa kwa anthu omwe ali ndi:

• diverticulum yaying'ono
• cholozera chakuthupi chachikulu
• zovuta kutulutsa khosi lawo

Endoscopy yosinthasintha imagwiritsa ntchito endoscope yokhotakhota ndipo imatha kuchitidwa popanda mankhwala oletsa kupweteka. Ndi njira yovutikira yocheperako yomwe ikupezeka pochiza Zenker's diverticulum. Kawirikawiri ndi njira yopita kuchipatala yomwe imakhala ndi chiopsezo chochepa chazovuta.

Ngakhale ma endoscopy osinthasintha amatha kuchepetsa zizindikilo za Zenker za diverticulum, kuchuluka kwa kubwereza kumatha kukhala kwakukulu. Njira zingapo zosinthira endoscopy zitha kugwiritsidwa ntchito kuthana ndi zomwe zimachitika mobwerezabwereza.

Opaleshoni yotseguka

Ngati endoscopy siyingatheke kapena diverticulum ndi yayikulu, opaleshoni yotseguka ndiye njira yotsatira. Kuchita opaleshoni ya Zenker's diverticulum kumachitidwa pansi pa zowawa zambiri.

Dokotalayo amapanga tinthu tating'onoting'ono m'khosi mwako kuti apange diverticulectomy. Izi zimaphatikizapo kulekanitsa diverticulum kuchokera kukhoma lanu lam'mimba. Nthawi zina, dokotalayo amachita diverticulopexy kapena kupotoza mosiyanasiyana. Njirazi zimaphatikizapo kusintha mawonekedwe a diverticulum ndikusoka m'malo mwake.

Kuchita opaleshoni yotseguka kumachita bwino kwambiri, ndipo zizindikilo zake sizingachitike pambuyo pake. Komabe, pamafunika kukhala mchipatala masiku angapo ndipo nthawi zina, kubwerera kuchipatala kuti mukachotsere ulusi. Mungafunike kugwiritsa ntchito chubu chodyetsera kwa sabata imodzi kapena kupitilira apo. Dokotala wanu angakuuzeni kutsatira zakudya zinazake mukamachiritsa.

Zovuta zake ndi ziti?

Ngati sanalandire chithandizo, diversiculum ya Zenker imatha kukulira kukula, kukulitsa zizindikiritso zanu. Popita nthawi, zizindikilo zoyipa monga zovuta kumeza ndikubwezeretsanso zimatha kukhala zovuta kukhala athanzi. Mutha kukhala ndi vuto la kuperewera kwa zakudya m'thupi.

Kutentha ndi chizindikiro cha diversiculum ya Zenker. Zimachitika mukamapumira chakudya kapena zinthu zina m'mapapu m'malo mozimeza. Zovuta zakukhumba zimaphatikizapo aspiration chibayo, matenda omwe amapezeka chakudya, malovu, kapena zina zikakodwa m'mapapu anu.

Mavuto ena osowa a Zenker's diverticulum ndi awa:

• kutsekeka kwa mitsempha (kutsamwa)
• kutaya magazi (kutuluka magazi)
• liwu la mawu lofa ziwalo
• squamous cell carcinoma
• ziphuphu

Pafupifupi 10 mpaka 30 peresenti ya anthu omwe amachitidwa opaleshoni yotseguka kwa Zenker's diverticulum amakumana ndi zovuta. Mavuto omwe angakhalepo ndi awa:

• chibayo
• mankhwala
• kuwonongeka kwa mitsempha (kupuwala)
• kutaya magazi (kutuluka magazi)
• fistula mapangidwe
• matenda
• stenosis

Lankhulani ndi dokotala wanu za kuopsa kochitidwa opaleshoni yotseguka kwa diversiculum ya Zenker.

Chiwonetsero

Zenker's diverticulum ndizosowa zomwe zimakhudza kwambiri achikulire. Zimachitika pakatundu kanyama kamene pharynx imakumana ndi kholingo.

Mitundu yofatsa ya Zenker's diverticulum mwina singafune chithandizo. Chithandizo cha mitundu yochepa mpaka yoipa ya Zenker's diverticulum nthawi zambiri imaphatikizapo kuchitidwa opaleshoni.

Kuwona kwakanthawi kwa Zenker's diverticulum ndikwabwino. Ndi chithandizo, anthu ambiri zimawoneka bwino.