Esophageal leiomyoma: Zizindikiro ndi Chithandizo

Nthawi zambiri anthu ndi kusapeza mu kholingo. Mtanda akhoza kufika pamene Pomeza, kusapeza, nseru, m'mimba, kutentha, belching. Zizindikiro izi zikusonyeza kudwala pa mundawo m'mimba. Kodi izo zingakhale? Mwachitsanzo, leiomyoma.

Chosaopsa chotupa, lomwe limapezeka pa makoma a kholingo, atchedwa dzina ili. Chotero chilema ndi akhoza kupangidwa monga gulu la mfundo ndi ku angapo. Palokha, gulu ili zikuwoneka ngati wotumbululuka pinki outgrowth ndipo akhoza kukula kwa masentimita 5.

Chotero kodi ndi leiomyoma wa kum'mero ndi mmene kuthana ndi chilema ichi, tikambirana pansipa.

zotupa chosaopsa akuwuka mu kholingo

Choyamba, tiyenera anatsindika kuti leiomyoma amapezeka nthawi zina. Monga ulamuliro, ndi kuchuluka kwa 5% ya zopindika onse chotupa, ndipo ambiri amakonda munthu.

Esophageal leiomyoma (ICD-10 amatanthauza matenda D13.0 kachidindo) - mtima wabwino chotupa chimene opangidwa kuchokera minofu kapena chiwalo ulusi, kutumiza chakudya m'mimba. Chotero chilema ali wamng'ono zozungulira mawonekedwe, koma mwina kukuza ndi kulenga padziko okha nambala wopandamalire mayunitsi lapadera lomwe zina ndi ntchito yaikulu ya kholingo.

N'chiyani chingachititse chilema izi?

Pali zinthu zina zimene zimachititsa maonekedwe a leiomyomas, akuti:

• zotupa zilonda mu achibale;

• chofooka chitetezo;

• kusuta mowa;

• zosayenera zakudya.

zifukwa izi zingakhudze chakuti thupi la munthu pali kulephera, imbaenda ku malire ndi kusalankhula magawano selo.

Zizindikiro zomwe zikuonetsa kuti maonekedwe a leiomyomas

Leiomyoma wa kum'mero ndi pafupifupi nthawi zonse amapezeka popanda zizindikiro zilizonse kusonyeza. Komanso, chotupa ichi kwa nthawi yaitali ambiri iko kokha apereke chifukwa kukula kwake wosakwiya. Pachifukwa ichi kuti zizindikiro chilema kupanga pang'onopang'ono.

Koma apo pakubwera nthawi imene matenda ayamba kunena lokha ndi zizindikiro zotsatirazi:

• Woyamba ndi waukulu Mbali - movutikira Pomeza chakudya;

• maonekedwe a kusapeza kumbuyo breastbone, koma chizindikiro uyu amaoneka ngati chotupa anafika masentimita anayi;

• pakutchulidwa kawirikawiri kutentha ndi belching;

• amphamvu salivation;

• kunyansidwa ndi retching;

• palpitation ndi arrhythmia;

• chifuwa youma, imene akufuna kutsokomola Anapitirizabe kathakal;

• kusafuna kudya.

Ululu umene umachitika Pomeza kapena yomweyo atatha kudya chakudya, nthawi zambiri anawona pachifuwa ndi kupereka ku dera. Nthawi zina munthu akhoza kusokoneza, ndi ululu ogontha xiphoid lapansi. Koma ndi nkhani ya mphamvu ya ululu, ali mwachindunji amadalira mmene chotupa wakula.

Ngati esophageal leiomyoma ndi ochepa, izo chizindikiro panopa mu mawonekedwe a kuphipha, amene anaonekera mu kholingo. Ndipo nthawi zina kukhalapo chakunja kutengeka thupi kumbuyo breastbone lapansi.

Tikumbukenso kuti munthu akudwala ichi chonse matenda si bwanji, popeza anthu onse zizindikiro pamwamba kuonjezera pang'onopang'ono.

Ndi ofunika payokha kutsindika kuti munthu akhoza mavuto mtima, ngati pamene kum'mero leiomyoma umachuluka kukula. Izi zimachitika chifukwa chakuti wamkulu amakhala chotupacho, m'pamenenso amayikanikiza pa ziwalo.

mbali zina

Ndipo pamene izi zichitika, munthu ali ndi zizindikiro zina, monga:

• kutsokomola, limene palibe n'zotheka kusokoneza munthu chifuwa;

• aakulu kupuma movutikira;

• hoarseness;

• cyanosis, ndi arrhythmia.

Izi zimachitika pamene chotupa cha isanafalikire m'dera la bifurcation wa trachea lapansi. Choncho, ngati munthu ali ndi osachepera angapo mbali tafotokozazi, ulendo sayenera kuchedwa kwa gastroenterologist a. Nkofunika kudziwa kuti mwina mwadzidzidzi imfayo leiomyoma alibe mu chotupa chotupa. Pamene mukuchita biopsy wa leiomyoma kum'mero? Pa - pa.

Kodi matenda izi?

Leiomyoma wapezeka ntchito mitundu yambiri ya njira, akuti:

• kuchita kuyendera zonse;

• kudzera Kafukufuku malangizo;

• pamaziko a madandaulo a wodwalayo.

Ngati inu kuiwala yochotsa chotupacho, mwayi kupewa mavuto zotheka ndinu wamkulu. Komanso, panthawi yake mwambo wa mankhwala kuthandiza kuonjezera kutalika kwa moyo wa anthu.

matenda enieni imagwiridwa ntchito X-ray ndi endoscope, walola katswiri n'zotheka molondola kudziwa malo chotupa, ndi kunyamula zofunika mankhwala. Pangwe zithunzi analandira? Leiomyoma kum'mero ndi endoscopy bwino kumatanthauza.

Pakuti kudziwika tinatake tozungulira yaing'ono chotupa ntchito endoscopy lonse m'mimba njanji. Pankhaniyi, ngati munthu anayamba Musiyeni zizindikiro za matenda, ayenera yomweyo kufunsa dokotala amene kuchititsa kusanthula mozama madandaulo onse ndi kutumiza kwa kafukufukuyu.

Childs, chotero akuganiza matenda gastroenterologist mungathe kale pamaziko a madandaulo mtima. Koma pofuna kutsimikizira kukayikitsa m'pofunika Kupenda malangizo.

Pamene ntchito njira ngati matenda monga X-ray, zizindikiro za matenda m'kukoma mfundo za kudzazidwa kholingo poti chotupa. Pa nthawi yomweyo, ngati ntchito radiography mbalambanda, ndiye chithunzi bwino mthunzi wa zotupa lapansi.

Monga tafotokozazi, leiomyoma angagwe ngati kuchuluka imodzi neoplasm kapena zotupa. Pofuna molondola kutsimikizira matenda, ntchito njira esophagoscopy. Njira imeneyi n'zotheka kuti muzione zotupa mwatsatanetsatane, komanso kuti aone mkhalidwe wonse wa mucosa ndi kutenga chuma kuphunzira biopsy. Ndi chifukwa histological ndi kutsimikizira ngati chotupa ndi mtima wabwino. Kuli kofunika kuchotsa leiomyoma la kholingo?

Nthawi zina, opaleshoni Amasankhidwa?

Tayani leiomyoma ndi zotheka mothandizidwa ndi opaleshoni. Koma ngati muyenera kuganizira kukula pang'onopang'ono, ndiye kuchotsa opaleshoni si agwiritsa ntchito ngati kumene chotupa ichi ndi yaing'ono.

Opaleshoni alowererepo akapatsidwa kokha pamene anali ponseponse leiomyoma la kholingo. Opaleshoni n'zotheka zonsezi ngati wodwalayo palibe contraindications kwa njirayi.

Opaleshoni alowererepo si ikuchitika:

• ngati chotupa zosakwana masentimita 5;

• ngati chotupa chija Kwaletsedwa;

• anthu Musataye kulemera.

Ngati munthu ali ndi chotupa cha kukula yaing'ono, dokotala akungoyang'ana yekha ndi mosamala zonse ntchito endoscopy ndi X-ray. Izi mitundu ya Kafukufuku kuthandiza kuchita ndi kuchita opaleshoni.

Njira ya opaleshoni

Choncho, munthu wina anakumana leiomyoma la kholingo. Chithandizo zambiri imakhala opaleshoni. Koma ngati chotupa ichi zikuluzikulu.

Kuchita izi, ntchito njira laparoscopic ndi thoracotomy. Koma njira imeneyi imagwiridwa motere: madokotala, opaleshoni akutsogolera wopanga ang'ambe thupilo a chifuwa ndi amachita ntchitoyo. Njira imeneyi imakhala yopweteka kwambiri ndipo pamafunika nthawi zina kuchepetsa pambuyo ntchito nthawi.

M'zaka zaposachedwapa, madokotala akhala panopa udakhazikitsa njira zatsopano kumathandiza kuchotsa chotupa popanda kudula pachifuwa. Akamanena za mpheto izi kuti dokotala limangotichititsa punctures anayi pamimba kapena mu sternum ndi gaga leiomyoma kudzera pinholes izi. Ndipo ambiri Chofunika - ndi mwayi kwa anthu nembanemba mucous.

opaleshoni Izi anachita pansi pa ulamuliro zithunzi, amene imagwiridwa ndi esophagoscopy. A kuphatikiza yaikulu njira imeneyi ndiye kuti n'zotheka kwathunthu kuthetsa mavuto monga stenosis.

Mukamaliza ndi opaleshoni, munthu ndi anayi amacheka yaing'ono m'mimba mwake pafupifupi zisanu millimeters. Monga zonenera, ndiye iwo onse zabwino, ndipo nthawi palibe musabise anali anamuona pa nthawi yaitali.

esophageal leiomyoma: Ndemanga

Reviews amati leiomyoma - mtima wabwino chotupa, kumene kumachitika kawirikawiri anthu. zizindikiro zake kusonyeza mofulumira ndipo amaoneka pang'onopang'ono. A mankhwala vuto zimenezi zimatheka mothandizidwa ndi ndondomeko opaleshoni. Nthawi zambiri, madokotala ananena zawo zabwino ndithu chifukwa chitukuko pang'onopang'ono.

Pomaliza

Kufotokoza onse pamwamba, tikufuna anthu onse chinthu chimodzi: tiyeni neoplasms, chosaopsa ndipo ngakhale kukula pang'onopang'ono, sadzawalola Musiyeni. Chabwino, ngati panali wina zizindikiro pamwamba ayenera yomweyo kukaona gastroenterologist kapena dokotala. Nkofunika kuzindikira kuti thanzi okha m'manja mwa munthuyo.