Kenza Esophageal - zviratidzo

Kanzera reEsophageal chirwere chinoratidzwa nekuumbwa kwemarara mumasero kubva epithelial membrane. Mune mukomana, kenza yakawanda kaviri seyavakadzi. Pakati pevarwere vanorwara nechirwere ichi, vazhinji (vanenge 80%) vanhu vanopfuura makumi matanhatu.

Zvinokonzera chirwere chacho

Kanzera yeEsophageal, zviratidzo zvisingamboiti kuti tisazvidya mwoyo mumatanho ekutanga echirwere, simuka nokuda kwezvikonzero zvinotevera:

• kunyadziswa kwezvinhu zvakatsva uye zvinopisa;
• kuiswa kwezvokudya zvinokuvadza muto (mafupa mashoma);
• miitiro yakaipa;
• hypovitaminosis ;
• kuvapo kwezviremara zvinosuruvarisa zvepamu kana imwe yezvirwere zvayo (tylosis, achalasia);
• Kukuvadza kunokonzerwa nekupisa, zvose zvemakemikari uye zvinopisa.

Tumhanho ye-esophagus - zviratidzo

Mune matanho okutanga, kenza yekusaphageal inosangana ne:

• kuderera kwehupenyu hwakanaka;
• kusimba mumuviri;
• kurasikirwa nechido;
• kupera kwekugadzirisa;
• rinopinza kuora kurasikirwa .

Sezvo zviratidzo izvi zvichionekwa zvishoma nezvishoma, zvinoramba zvisingaonekwi kwenguva refu.

Kukura kwemarara kunokonzera kuonekwa kwezviratidzo zvakakomba zvikuru:

• Chiratidzo chekutanga chekudzivirira chirwere chekushaya hosha chinonzi dysphagia, umo murwere anorema kuedza kudya;
• manzwiro ekudzvinyirira mubhokisi, kudzorera kumutsipa uye kumashure;
• regurgitation (otgirgivanie) mushure mekudya kana mushure mekunwa mvura;
• salivation yakawandisa;
• mumakamuri ekupedzisira, apo bundu rinokura pabronchi uye trachea, murwere ane kukwezva kuhoora;
• Iko kusvibiswa kwezwi ndeyekukura kwechirwere cheplexus chegwenzi re thoracic.

Kuongororwa kwekenza

Iyo tsanangudzo yemukenza wekushongedza kana pane zviratidzo zvayo uye zviratidzo zvinowanikwa nenzira dzakasiyana siyana:

1. X-ray kuongorora, iyo ndeimwe yenzira dzinokosha dzokugadzirisa tumarara. Iyi nzira inokubvumira kuti uongorore hukuru hwehuipi hwakaipa, chiyero chekuvharwa kweeophagus uye kuvapo kwekusiyanisa mashoma mubronchi.
2. Kana zviratidzo zvekushaya chikwata zvinowanzoitika, dzinoshandisa imwe nzira yekuongorora - esophagoscopy. Iko inokubvumira kuti udzidze pamusoro pemucosa, uongorore nzvimbo yakaderera uye chiyero chemuviri. Mumwe nyanzvi anogona kutora chidimbu chechigamba chekutsvakurudza mberi. Kana chiremba akacherechedza maitiro akaipa pachikwata chekutanga, ipapo nekubatsira kwekushandisa kwema laboratori imwechete, anogona kuibvisa.
3. Kuongororwa ne fibrobronchoscopy inopa ruzivo pamusoro pekumera kwechiremera chinogadzirwa mubronchi uye trachea.
4. Nekubatsirwa kwekombiyuta tomography, chiremba anoratidza ukuru uye chimiro chekushanduka kwemasimba, anogadza kuvapo kwekumera pane dzimwe nhengo.
5. Kuti usabvisa zvipembenene zvechimiro chemasastatic mune dzimwe nhengo dzinokosha, ultrasound kuongororwa kwezviviri zviri mudumbu remuviri zvinoshandiswa.

Kurapwa kwekenza yemajoka

Kupindira kwokupindira ndiyo nzira huru yekurwisa chirwere ichi. Zvisinei, kuoma kwayo kunowanikwa muchokwadi chokuti varwere vanowanzopedzwa nemhaka yenzara uye dysphagia, vasingatenderi kubviswa kwemasimba uye kuchinjwa kwacho nechikamu chemukati mudumbu kana mudumbu.

Kuvhiya kunoitwa nevarwere mumatunhu ekutanga uye echipiri chekenza. Nemhaka yekuti iko nekupfuurira mberi kwechirwere, kuzvimba inomera mubronchi nedzimwe nhengo, kupindira kwokuvhiya kunogona kuva kwakaoma.

Murwere, ari muzvikamu zvechitatu uye zvechina zvechirwere, anogadzira gastrostomy - gomba iro anogamuchira kudya.

Iye zvino kakawanda uye kakawanda, irradiation radiacharus eopopus iri kushandiswa. Muchikamu chekupedzisira, iyi nzira inobviswa kuti ibvise zviratidzo: kupora kurwadziwa uye kurasa dysphagia.

Kurapa kwekenza yekushayikwa kunopa chirevo chakanaka pane zvidzidzo 1 ne2, kubva pakupedzisira varwere vanowanzofa nekupera.