Umphimbo, licuthe le kuvuleke iminxunya: Oonobangela, Iimpawu and Treatment

Stenosis, okanye ukuvala le kuvuleke iminxunya, - ukuncitshiswa ubukhulu bayo. Kungaba etymology eyahlukileyo. Stenosis, ikwabizwa ngokuba ekuphazamiseni emphinjeni, yahlulwe ngamaqela eziliqela, nto leyo zixhomekeke ngoonobangela esi sifo. Esi sifo ukuphuhlisa ngenxa ukwenzakala iphecana zesisu. Bha ngezifo ukuze axoke ithumba kuvuleke iminxunya (ingozi okanye amabi). Ivule uphuhliso isifo ungenelelo ngotyando, emva koko, iimpawu ahlale. Bobabini abadala kunye nabantwana ubunzima emphinjeni. licuthe le kuvuleke iminxunya kubangela yaphula umsebenzi ligwinya (dysphagia).

Yintoni licuthe le kuvuleke iminxunya

Ukuze uqonde ukuba yintoni na ngezifo, kufuneka ucinge isakhiwo yokwakheka. Yintoni na ke kuvuleke iminxunya eqhelekileyo? ukuvala lo kuvuleke iminxunya kukho kusoloko kukho zokugula? Makhe uphando.

Emphinjeni iyinxalenye yenkqubo yokwetyisa. Yena owenza kwi yabantu umsebenzi umzimba ukukhuthazwa ukutya emlonyeni ukuya kwindawo isisu. Emphinjeni okunempilo kwakhona ngokuyimfuneko valiweyo, ezo musa ukuphazamisa ekukhuthazeni ukutya.

izithintelo yokwakheka 3 ezahlulwe:

• pharyngeal;
• diaphragmatic;
• inyumoniya.

Ukongeza, kukho exineneyo komzimba ye emphinjeni. Bona zibangelwa ithoni ijwabu kwezihlunu. Xa uyekelela isithintelo shwaka.

bahlala kuzo:

• e zone kuhlangana esophageal kunye esiswini;
• ekudibaneni kwe aorta kunye kuvuleke iminxunya.

Pathology - na exineneyo ngokugqithiseleyo ukuba ithintele sicatshulwa iingqimba ukutya.

Ezibangela isifo

Stenosis ke iintlobo ezimbini:

• ukuzuza;
• bekhubazekile.

Ngowe-90% yazo zonke iimeko abafunyenwe ngezifo ezifunyenwe of etymology ezahlukeneyo.

Imithombo yesifo azalwa

Ezi izigulane bayahlupheka ukusuka ekuzalweni kuvuleke iminxunya. licuthe le kuvuleke iminxunya banesifo, ngokuqhelekileyo yabantwana yasekuqaleni. stenosis azalwa kwenzeka kwixesha ekukhuleni kosana olungekazalwa aze azalwe.

Iimbangi ezingundoqo kule ngezifo zezi:

1. Ukudibana nezinto eziyingozi kwi umama okhulelwe. iikhemikhali zasekhaya, ipetroli, idayi zingena emzimbeni yomfazi, kuchaphazela uphuhliso olungekazalwa kwaye ibangele ezingaqhelekanga.
2. X-ray zokukhanya. radiation Exposure kwakhona kubangela umahluko mutational emzimbeni. Le nto abafazi abakhulelwe ngokucacile counter iimviwo X-ray.
3. Ukuze zokwahluka nako kunokubangela ezahlukahlukeneyo zizifo. Oku iintsholongwane (umz, rubella), iintsholongwane kunye lenyama.

Izinto ezibangela izifo ezifunyenwe

Pathology ingaqala ebuntwaneni kwaye umdala ngokwaneleyo. stenosis Acquired inokuba ngenxa yezizathu eziliqela. Yena uyakwazi ukubonakalisa ngokwayo kwi ezimbi kakhulu singabalulekanga echaphazela emphinjeni.

licuthe le kuvuleke iminxunya rhoqo kwenzeka ngenxa izilonda. Kamva, le ukhukhuliseko ziqala zarubtsovyvatsya. Iindawo apho akhiwa amanxeba, okuphawuleka ngakumbi kuyehla, ngenxa ukutya awukwazi ukuhamba ngokukhululekileyo. Loo nkqubo isiseko ngezifo. Kulo mzekelo, ukufumanisa exineneyo cicatricial ye emphinjeni.

Nezilonda kungabangela evela zinto zilandelayo:

• yezihlunu Ithemba hiatal ;
• gastritis ezingapheliyo kunye isilonda esiswini;
• toxemia ngexa lokukhulelwa, nto leyo ukhatshwa reflex gag;
• isifo reflux gastroesophageal ;
• loloyiko kodonga esophageal emva kotyando;
• ephula isifo.

Stenosis kungabangela ukudumba kuvuleke iminxunya ebangelwe kwii usulelo. Pathology ingaqala kwi imvelaphi negcushuwa, icesina nebomvu, isifo sephepha kunye ukubola komqala.

Ukwenzakala, ezifana ukutsha imichiza okanye thermal le kuvuleke iminxunya, iindonga izixhobo ezonakeleyo okanye ezinye izinto ezinokuba nayo kuba unobangela sifo. Ukunyhashwa nini nokuba engafanelekanga elitsolo ekujongeni le phecana zesisu. esilondeni esophageal kufuna unyango eyaneleyo kwaye ngexesha elifanelekileyo. Kungenjalo, oko kunokukhokelela exineneyo.

Kakhulu amathuba izinto eziphembelela licuthe le kuvuleke iminxunya, zezi:

• unyawo mbaleki kaThixo;
• therapy radiation;
• collagen;
• Sclerotherapy of emithanjeni varicose.

Le miqathango kufuneka lilawulwe ukubonakala yamathumba. Ngelishwa, umhlaza esophageal - yinto ngezifo eqhelekileyo. Noko ke, kunzima kakhulu ukuba ukunyanga.

Pathology kuvela kwakhona ngenxa yezizathu zokonzakala izifo zingakuchaphazeli emphinjeni. It kwemithambo aortic, iindawo ezandisiweyo nkovu, ithumba mediastinal, indawo engalunganga iimpahla.

izinga lophuhliso

Kukho izigaba ezine yokuphuhlisa esi sifo:

1. I isidanga sokuqala stenosis. Ngokulula kophilisiweyo, ngaphandle thethwano olungele ukusebenza nge gastroenterologist. Kweli nqanaba, ubukhulu be kuvuleke iminxunya liye lancitshiswa 9 mm. Kwathi, kodwa ngenkankulu iingqimba ukutya.
2. bolwesibini udidi - kuvuleke iminxunya linciphise 6 mm.
3. I degree yesithathu licuthe le kuvuleke iminxunya lwenzeka kwi-3 mm.
4. The degree lesine - licuthe le kuvuleke iminxunya ku-1 mm yenza ukugula kakhulu. Kweli nqanaba esi sifo osetyenzisiweyo ukudla libhunga lolawulo stagnates ethunjini, ekugqibeleni baziqwebele njengesihlalo apho nobumdaka kwakheka, echaphazela umzimba womntu. Nokuba xa ukuginyile amathe umntu ukomiwa phezu amahlaba, Ukuphelelwa kunye nokuhlasela ukhohlela.

Zimpawu uphawu

A umqondiso kukuvela stenosis kwenziwa kukwaphula inkqubo ligwinya.

Ezinye iimpawu ngqo ezibonisa licuthe le kuvuleke iminxunya:

1. Regurgitation ubisi nestvorozhennogo usana. Ukuba ubisi akafuni curdle, ngoko ayikwazanga ukungena esiswini. exineneyo azalwa le kuvuleke iminxunya zingenzeka sele ngexesha ngokufakela lokondla equlethe particulates. Kulo mzekelo, usana uyala ukuba adle, Kunjani rhoqo, yena a reflex gag.
2. Xa abadala kukho iintlungu esifubeni oko kwenzeka ngenxa ntshikilelo izihlunu kuvuleke iminxunya xa ezama ukutyhalela ukutya ngokusebenzisa constriction, phezu isisu.
3. izinkcwe kakhulu (hypersalivation) - kubangelwa ubunzima lokutya inokuqokelelana kuvuleke iminxunya, ngaphandle kokuba akwazi ukuba ayidlulisele esiswini.
4. Isicaphucaphu kunye nokugabha.
5. Ukuqhela umthamo omkhulu yencindi ukusuka impumlo.
6. Ukuncitshiswa ngesiquphe ubunzima okubangelwa ukuphazamiseka ukudla, ukungakwazi ukuba kudlule ukutya ngokusebenzisa kuvuleke iminxunya kwaye betha naye esiswini. Ukuba le meko iphuhlisa beriberi. cachexia (emaciation lomzimba) ukuze aphuhlise ukugula kakhulu.

Stenosis kungenziwa nzima pneumonia. Ngokufuthi, kule meko kwi yomoya ukufumana wayemana ukutya. Ngenxa yoko, esi sifo ukuphuhlisa ukudumba kakhulu le kuvuleke iminxunya, baze ukuba komsipha ukopha. iingxaki zifuna ungenelelo yezonyango engxamisekileyo.

iindlela isifo

iindlela ezimbini zisetyenziswa ukumisela licuthe le kuvuleke iminxunya:

1. Endoscopy. Uphononongo kucwangcisa nokunciphisa ubukhulu. Ukuba stricture esophageal wabumba (loloyiko), ngoko eli uphando kakhulu ulwazi. It likuvumela ukuba utshekishe abangaboniyo le isifo. Ukongeza, kukho biopsy kwenziwa.
2. X-ray. Iveliswe inxaxheba barium. Utyhila ugcwalisa iziphene, ukhuphela umzimba nokuchasanisa.

ukudla olungasebenziyo

Kulo naliphi na inqanaba stenosis, qiniseka ukuba babambelele ukutya. Kufuneka ukuba adle iinxalenye iqhezu, encinane yaye ngokufuthi. Ukusuka ukudla ngaphandle zonke ukutya ezinokubangela ubunzima yokuginya ngaloo ukutsarhwa.

Musa ukutya ukutya eshushu, kufuneka kube kufudumele. Ukuyondelelana kwendlela izitya - ulwelo, semi-ulwelo okanye ethambileyo. Kulo mzekelo, umzimba kufuneka kwamkela zonke iivithamini eziyimfuneko okunesondlo kunye neeminerali.

unyango lwezifo

Ziziphi nyango Kucetyiswa ukuba izigulane abafunyenwe licuthe le kuvuleke iminxunya? Ukuphatha ezimbi - ukwandiswa kwendawo yonakele.

Kubalulekile ukuba ukulibala kwizidlo. De kwakhona, kufuneka utye ukutya elulwelo kunye nezo ulwelo.

Ukuba kukho stricture Peptic le kuvuleke iminxunya, isigulana ubonisa esesiwini kunye imixube ibambane.

Noko ke, unyango elondoloza kunqabile kukhokelela ukugqiba alulame. Amaninzi oko ezimiselweyo ukulungiselela nomonde uqhaqho.

Bougienage (ulwandiso ezingezizo ngohlobo izixhobo ezizodwa) ezisetyenziswa kwimeko zafumana ithumba nabungozi ye emphinjeni. Ngexesha unyango ubungakanani bougie abadlulayo ngcembe sitshintshele esikhudlwana.

Kwimeko apho iingxaki enyanzeliswa phezu gastrostomy ukunika izigulane nesondlo esifanelekileyo kunokwenzeka.

Esophagoplasty - ummandla abohlukeneyo kwesisu okanye isisu emphinjeni.

Kwiimeko kakhulu, xa umzimba kakhulu ungapheliswa, okanye aqhube umsebenzi akwenzeki, yenzelwa gastrostomy. Kulo mzekelo, umzimba uyakwazi bayondliwa enterally.

zokuthintela izifo

Isiphumo unyango kuxhomekeke licuthe le kuvuleke iminxunya kwemodeli zonyango. Resection of stenting esophageal kwaye zithathwa ndlela ilungileyo unyango lwesi sifo.

Emva bougienage kunye endoscopy bangafumana likakade.

Uthintelo stenosis lubandakanya unyango ngokukhawuleza xa iimpawu zokuqala zesi sifo.

Kunyanzelekile ukuba ukujongana izifo ezinokubangela licuthe emphinjeni. Ngononophelo ukuphepha ukuvuleleka ukuba kuvuleke iminxunya bamachiza nezinye izinto eziyingozi. Ikhusela emphinjeni ngokubethwa izinto kwamanye amazwe.