Achalasia ye-esophagus chirwere chinoratidzirwa nehutachiona hwemabasa emishonga inokonzera kuzarura pasi shophincter sezvo zvokudya zvinoswededzwa. Pamusana pekuderera kwemaitiro emotokari yesimbi, zvokudya zvakamedza zvinowedzera, izvo zvinotungamirira kumanzwiro ekudzvinyirira. Vanachiremba havana kuisa zvikonzero zvipi zvechirwere ichi. Kunyange zvakadaro, chikuru chinhu chikuru chekuvapo kwematambudziko makuru eurological.
Achalasia ye-esophagus - zviratidzo
Kuziva achalasia kunogona kuva pane zvikonzero zvinotevera.
- Dysphagia, iyo mune vamwe varwere inoratidza kuti chirwere chinokura, asi vamwe vanoitika kamwe kamwe. Dysphagia inowedzera nekudya kwakakurumidza kwekudya, nekugadzirisa kwezvinhu zvisina kucheneswa uye kushandiswa kwezvokudya zvakaoma. Muzviitiko zvakawanda, zvinokonzera dysphagia zvinoratidzwa, umo murwere anonyanya kudya zvokudya zvinorema kudarika mvura.
- Kudzorera (kudzorerazve) kwakajairika muAchalasia yeeophagus. Chikonzero chekuitika kwaro ndechekunyora kwakakomba kwemasimba kana izere nezvokudya. Nemhaka yeizvi, varwere vanowanzotambura nekugumburwa nekukanganiswa kurwisana usiku.
- Kune imwe chiratidzo chiratidzo che chasiasia uye achalasia yeeophagus chirwere chepfuva uye kuora mwoyo . Kuunganidza zvinhu zvinokonzera manzwiro ekudzvinyirira, izvo zvinopa mushure nemutsipa. Kakawanda kuvapo kwepfungwa kunobatanidzwa ne reflux. Zvisinei, ne achalasia, kuora mwoyo kunogona kuitika kwete pakarepo mushure mekudya, uye kutora mishonga haina michero.
Kuongororwa kwechirwere
Kuzivikanwa kweAchalasia yeeophagus kunoitika radiologically. Muchikamu chekupedzisira chechirwere, icho chinoratidzwa nehupamhi yakawedzerwa, kuongorora kunoita kuti zvikwanise kuona kuwedzera kwehupamhi hwomumvuri wemukati kunyanya kurudyi, kuvapo kwemvura inoputika nemhepo mukati mehutachi.
Kushandiswa kwe-X-ray kuongorora kunobatsira kuziva hutano hwakasiyana-siyana hunoratidzwa ne achalasia uye nekugadzirwa kwechirwere chechirwere. Kujekesa kuongororwa kunogona kuva pane zviratidzo zvinotevera:
- kuwedzera kwemumvuri weiyo, iyo inowanikwa kumativi ose;
- kunyangarika kana kuwedzerwa kuderedzwa muhuwandu hwemhepo inopisa mudumbu
- Chikamu chepamuviri chinoderedza, nekugadzira sunga;
- kukanganisa kwemotokari inoshandiswa nheyo;
- kuvepo mukati mezvinyorwa zvezvimedu zvezvokudya, mvura;
- Kuvhura kwe cardia kunoitika mushure mekunge nguva yakareba.
Achalasia ye-esophagus - kurapa
Kurapa kweAchalasia kunosanganisira nzira dzakawanda:
- Kurwisana nemishonga, iyo isingarapiki zvachose chirwere chacho. Chaizvoizvo, kugamuchirwa kwavo kunobatsira kurarama nekliniki zviratidzo zvechirwere. Murwere anotora sedative, mavitamini, anoteerera kudya.
- Pamwe pamwe nokutora mishonga, murwere ane ahalasia yeeophagus angashandisa kurapwa nemishonga yevanhu. Kuti iite normalize yakaderera sphincter, inokurudzirwa kunwa tinctures ye magnolia muzambiringa, eleutherococcus, ginseng . Kuchengetedza kufambiswa kwezvokuvhiringidza zvirongwa, shandisa
infusion ye oregano, althea midzi, mbeu ye quince. - Kushandisa pneumatic dilator kukubvumira kuwedzera cardia. Bhaluni yakaiswa mudumbu yakazadzwa nemhepo uye inowedzera muhukuru. Nokudaro, chiedza chemukati chinowedzera. Inenge makumi masere pamapfumbamwe ematambudziko aya nzira iyi inobvumira kuita kuti mutevedzeri ave nemamiriro ezvinhu uye kuti abudise chirwere.
- Zvirwere zviviri-cardiomyotomy zvinowanikwa apo kushandiswa kwe dilator hakuna kupa migumisiro yakanaka. Nzira yacho inosanganisira incision, yakaitwa munharaunda yakasara yeiyo inophagus. Iyi nzira ine simba rakanaka pane achalasia ye esophagus cardia uye kurapa kwayo. Kudzorera kunoonekwa mune makumi mapfumbamwe muzana yematambudziko.