Achalasia: zofunika za matendawa

Pakali pano, mndandanda wa matenda ambiri kutchulidwa matenda pa mundawo m'mimba. matenda mantha, kutupikana, nyengo, matenda osiyanasiyana - izi ndi zifukwa zikubweretsa matenda a mtundu uwu.

Mmodzi wa pathologies ambiri m'mimba ndipo matumbo ndi achalasia zokhudzana ndi matenda neuromuscular la kholingo. Mu matenda pali kusintha mu ndime ya misa chakudya yokha ndi kum'mero, motero, ku mmero kwa m'mimba. Iwo amayamba ndi mkhutu motility wa kum'mero ndi kupanda reflex Kuwulura yekha wa esophageal sphincter m'munsi. Matendawa amapezeka anthu a m'badwo uliwonse, koma nthawi zambiri mu uthunthu wa zaka makumi awiri ndi makumi asanu akale, amuna ndi akazi.

gulu la matenda

Madokotala anaulula siteji 4 matenda, yodziwika ndi kusintha zosiyanasiyana kholingo:

- siteji Ine wofanana ndi reversibility wa spasms nthawi ya cardia, si limodzi ndi mbali ya kholingo;

- sitepe II lililonse azilandira patsogolo motility esophageal ndi amveke makoma ake;

- pa siteji III limapezeka stenosis cardia ndi kum'mero kuchokera patsogolo azilandira motility matenda ake ndi kamvekedwe;

- kumapeto kwa dipatimenti siteji IV esophageal amalandira zotupa sizingasinthe; Umayamba ndi esophagitis periezofagit.

Masiteji Ine ndi II unatha pafupi miyezi ingapo, III gawo khumi - zaka khumi ndi zisanu ndi IV-TH zaka zambiri.

achalasia cardia ndi a pulayimale ndi sekondale.

Zimayambitsa matenda

Pali malingaliro angapo za zimayambitsa matenda Komabe, mu dera zachipatala ndi chimodzi chimene ndipo ndiribe kubwera. zifukwa zongopeka:

- chosowa mavitamini B;

- kusintha ndi chiwonongeko cha mantha dongosolo parasympathetic;

- kutukusira kwa dongosolo lymphatic, mapapo ndi mediastinum;

- khansa m'mimba, matenda a Chagas.

Achalasia - Zizindikiro:

- dysphagia, kapena zophinja Pomeza;

- regurgitation kapena kayendedwe ka misa chakudya zosiyana. Chizindikiro chimenechi limodzi ndi kusanza;

- kupweteka pachifuwa. Mu siteji yoyamba ndi yachiwiri ya ululu kugwirizana ndi spasms, ndipo III - IV ndi esophagitis;

- kufooka, kuwonda, utachepa kuchita.

bwanji matenda?

Disease anapezeka ndi ndime X maphunziro esophagogastroscopy ndi barium.

Achalasia - mankhwala

Cholinga chachikulu cha mankhwala kusintha patency chakudya mu mmero ndi kuchotsa zizindikiro matenda m'munsi. Izi kukakwaniritsa kaya mwa njira opaleshoni kapena mankhwala osokoneza bongo.

Cardia insufficiency chithandizo kumakhala ndi izi:

- kuwala zakudya №1 kapena # 1a;

- kugawanika chakudya, zomwe zikusonyeza kufunika kwa kudya zisanu - kasanu ndi kamodzi patsiku, koma chakudya ozizira kapena otentha kwambiri;

- osati mowa ndi fodya;

- kugwiritsa ntchito mankhwala: "nitroglycerin" "Isosorbide dinitrate" "Nifedipine", "Novocaine," "atropine sulphate," "MANKHWALA OLETSA VUTOLI" "poizoni" (jekeseni), ndipo ena.

Ndi mankhwala si kwambiri, basi yochepa midadada zizindikiro za matenda. Aluso kuchitapo kanthu pa opaleshoni. Kwenikweni, amagwiritsidwanso ntchito limodzi ndi mankhwala. Limagwiritsa ntchito zambiri mwa zotsatirazi njira opaleshoni:

- pneumatic cardiodiosis (kuwonjezeka cardia ntchito zochulukitsira). Zotsatira za njira izi ndi mkulu - 80%;

- Njira vneslizistoy cardiotomy ndi Geller (kotenga minofu kung'ambika chipolopolo);

- dilatation zibaluni (kusiyana wapadera m'munsi esophageal sphincter ulusi).

Kumene, dokotala chimaika mankhwala okha. Ndipo izo zimatengera zovuta ndi mtundu wa matenda.