Achalasia: anokosha ruzivo pamusoro chirwere

Pari, mazita rakajairika zvirwere dzakanyorwa chirwere ndiko nemudumbu. Huta zvinetso, kushaya zvokudya zvinovaka muviri, okunze, zvirwere zvakasiyana-siyana - Ndivo zvikonzero inoenda nezvirwere izvi mhando.

Chimwe chezvinhu zvakafanana pathologies mudumbu uye ura ndiyo achalasia chokuita neuromuscular zvirwere yegurokuro. In chirwere ichi pane shanduko mundima zvokudya zvavo pamusoro pachayo uye yegurokuro, ukuwo, kubva yegurokuro kusvikira mudumbu. It kunokonzerwa havachanyatsogoni motility pakati yegurokuro uye kushaya dzepanguva Kuziviswa chete repasi esophageal sphincter. The chirwere rinowanikwa mune vanhu chero zera, asi kazhinji zviri kuwanda maviri kusvikira pamakore makumi mashanu, vose varume navakadzi.

kupatsanura zvirwere

Doctors kwakaratidza Danho 4 chirwere, inozivikanwa nokuchinja-siyana mune yegurokuro:

- I Danho kunoratidzwa ne reversibility nguva kurwadza kwacho pakati Cardia, haina pamwe kuri kuwedzera yegurokuro;

- danho II nokuti kwese rakadzikama kuwedzera esophageal motility uye amplification masvingo aro;

- Panguva III rinowanika stenosis Cardia uye yegurokuro kubva rakadzikama kuwedzera ayo motility rebipolar uye matauriro;

- pakuguma pachikuva IV esophageal dhipatimendi anogamuchira kusingarapiki maronda; Rinotanga uye esophagitis periezofagit.

Matanho I uye II yakatora pamusoro vaviri mwedzi, III pechikuva anenge gumi - nemashanu, uye IV-fung refu emakore.

achalasia Cardia iri uyewo nesekondari.

Zvinokonzera chirwere

Zvisinei pane dzakawanda hypotheses pamusoro zvinokonzera hosha, mune zvokurapa rwakafanana dhinomineta uye havana kuuya. vari dzokufungidzira zvikonzero:

- kushaya mavhitaminzi B;

- kuchinja uye kuparadzwa parasympathetic tsinga;

- kuzvimba nhengo dzinobudisa ino, mapapu uye mediastinum;

- kenza mudumbu, chirwere pakati Chagas.

Achalasia - Zviratidzo:

- dysphagia, kana chinetso pakuparadza;

- regurgitation kana kufamba zvavo zvokudya negwara. chiratidzo ichi pamwe kurutsa;

- kurwadziwa muchipfuva. In pachikuva I uye II nokurwadziwa chokuita kurwadza kwacho, uye III - IV pamwe esophagitis;

- utera, uremu, ungaderedza kugona kushanda.

Sei chirwere?

Chirwere chirwere ne X zvidzidzo esophagogastroscopy ndima uye barium.

Achalasia - kurapwa

The chinangwa chikuru kurapwa ndiko kuvandudza patency kwezvokudya ari yegurokuro uye kubvisa zvirwere zviratidzo chawo. Izvi zvaitwa mukuzarurirwa zvomusejari nzira kana zvinodhaka.

Cardia insufficiency kurapwa kunosanganisira zvinotevera:

- chiedza kudya №1 kana # 1a;

- paradzanisa zvokudya, izvo zvinoreva kuti vanofanira kudya mashanu - katanhatu pazuva, asi zvakare kutonhora kana akanyanya kupisa zvokudya;

- achisiya doro uye fodya;

- Kushandisa zvinodhaka: "nitroglycerin" "Isosorbide dinitrate" "Nifedipine", "Novocaine," "atropine sulfate," "antispasmodics" "Botulinum toxin" (jekiseni), uye vamwe.

Treatment zvinodhaka hakusi inoshanda chaizvo, sezvo chete kwenguva inoperera zviratidzo chirwere. More inobudirira kuvhiya kupindira. Zvikurukuru, rinoshandiswa muna kufanana kurapika. Inoshandisa zvakawanda zvinotevera zvomusejari unyanzvi:

- pneumatic cardiodiosis (kuwedzera Cardia vachishandisa expanders). Zvinoitwa Nzira iri kumusoro - 80%;

- Method vneslizistoy cardiotomy kubudikidza Geller (longitudinal tsandanyama kwetsinga deko);

- dilatation chibharuma (chaiyo pakakoromoka nechepazasi esophageal sphincter fibers).

Chokwadi, chiremba anogadza kurapwa chete. Zvino zvinoenderana kunzwisisa uye mhando zvirwere.