Esophageal leiomyoma: Zviratidzo neMarapirwo

Kazhinji vanhu vane kusagadzikana mune yegurokuro. Mukanyiwa kunogona akanzwa apo pakuparadza, kusagadzikana, kuda kurutsa, dumbu marwadzo, chirungurira, belching. Zviratidzo izvi anoratidza zvokurwara pamusoro nemudumbu. Chii kungava? Somuenzaniso, leiomyoma.

Benign bundu, iro rinowanikwa pamasvingo yegurokuro, nezita iri. kuremara kwakadaro kunogona kuumbwa somunhu chairema nodes uye multiple. By pacharo, chikwata ichi sokunge munhu rakachenuruka vaaleanpunainen outgrowth uye vanogona kukura 5 cm.

Saka chii chinonzi leiomyoma pakati yegurokuro uye sei kukurira kuremara ichi, isu funga pazasi.

Benign mapundu zvisaitike yegurokuro

Kutanga, zvinokosha kusimbisa kuti leiomyoma kunoitika muna zvisingawanzoitiki zviitiko. Kazhinji, ndiko chikamu kusvika 5% vose bundu urema, uye vakawanda asingatani vanhu.

Esophageal leiomyoma (ICD-10 anotaura ichi chirwere D13.0 yekubvuma) - munhu benign bundu, iyo yakawanikwa kubva tsandanyama kana nhengo fibers, achitumira zvokudya mudumbu. kuremara kwakadaro ane diki dzeraundi chimiro, asi zvinogona kuwedzera nokusika kumativi pachavo isingaperi uwandu nemamwe dzakabatana iyo chacho chikuru kushanda yegurokuro.

Chii chinogona kukonzera kuremara ichi?

Pane zvimwe zvinhu zvinogona kukonzera chimiro leiomyomas, anoti:

• nyanyisa mapundu pedyo nehama;

• simba rokuzvidzivirira;

• kusvuta uye doro;

• Kudya kukodzera.

Zvikonzero izvi zvinogona kukanganisa chokwadi kuti muviri pane kutadza, iyo inotungamira isingaperi uye kusingadzoreki muchitokisi kupesana.

Zviratidzo kuti dzinoratidza chimiro leiomyomas

Leiomyoma pakati yegurokuro ndiyo inenge nguva kunoitika pasina zviratidzo zvichikurukura. Uyezve, bundu ichi kwenguva refu zvavo pacharo haritauri ngaateme, sezvo kukura kwayo anononoka. Chikonzero ichi kuti urema ichi zviratidzo kutangawo zvishoma nezvishoma.

Asi pane nguva chirwere anotanga kutaura pacharo parutivi anotevera zviratidzo:

• Wekutanga chikuru chepfungwa - vachinetseka pakuparadza zvokudya;

• pakuonekwa kusagadzikana seri breastbone, asi ichi chiratidzo sokuti kana bundu zvasvika masendimita mana;

• mashoko kakawanda panowanikwa chirungurira uye belching;

• simba salivation;

• svoto uye retching;

• palpitation uye arrhythmia;

• chakaoma chikosoro, umo mune chido kukosora chavasina com;

• kurasikirwa kudya.

Marwadzo kuti kunoitika apo pakuparadza kana pakarepo pashure pokudya zvokudya, kazhinji anoonekwa chipfuva uye anopa kudzokera nzvimbo. Dzimwe nguva munhu anogona kanganisa, uye titadze kurwadziwa xiphoid. Asi pamusoro kusimba marwadzo, vane zvakananga novimba sei bundu rakura.

Kana esophageal leiomyoma iri zviduku, zvakanga icharatidza pari muchimiro spasm, yakabuda yegurokuro. Uye dzimwe nguva kuva kuvapo yokumwe muviri manzwiro seri breastbone.

Zvinofanira kucherechedzwa kuti munhu anorwara kunopindirana ichi chirwere haisi kukanganiswa, sezvo zvose zviri pamusoro zviratidzo kuwedzera zvishoma nezvishoma.

Chinhu zviripo yoga kusimbisa kuti munhu tinganetseka matambudziko mwoyo, panyaya apo yegurokuro leiomyoma inowedzerawo ukuru. Izvi zvinoitika nokuti mukuru anova bundu, ndipo pariri pazvisviniro nhengo dzakavandika dzevanhu.

mamwe zvinhu

Uye kana izvi zvaitika, mumwe munhu ane zvimwe zviratidzo, zvakadai:

• kukosora, umo pasina mukana vachivhiringidza munhu chikosoro;

• zvakakomba kupfupika mweya;

• hoarseness;

• cyanosis, uye arrhythmia.

Izvi zvinoitika kana bundu iri mupasi munzvimbo yacho bifurcation yacho trachea. Naizvozvo, kana munhu ane kanenge vaviri zvinhu zvataurwa pamusoro apa, kushanya rirege kunonoka kuti gastroenterologist. Zvakakosha kunzwisisa kuti kukurumidza kupiwa mukana wokuzvidzivirira anogona kutsamwisa leiomyoma degeneration kuva akaipa bundu. Kana kuita biopsy pakati yegurokuro leiomyoma? On ichi - on.

How rokuongorora chirwere ichi?

Leiomyoma dzakaonekwa kushandisa mhando inoverengeka unyanzvi, anoti:

• kuitisa zvizere vaongo-;

• Via paku kuongorora;

• pachishandiswa kugunun'una zvomurwere.

Kana ukakanganwa kubvisa bundu, mukana tidzivise matambudziko yakakura. Uyezve, panguva yakafanira mharuro kurapwa kuchabatsira kuwedzera kwevanhu lifespan.

Chaiyo chirwere rinoitwa uchishandisa maekisirei uye endoscope, vachibvumira kuti nyanzvi zvinokwanisika kuti zvakarurama kuziva nzvimbo bundu, uye kunhonga zvakafanira kurapwa. How zvakajeka mifananidzo vari vakawana? Leiomyoma yegurokuro nokuda endoscopy zvakanaka kunorondedzerwa.

Nokuti kuonekwa zviduku bundu nodules vachishandisa endoscopy yose mumatumbu njanji. Panyaya iyi, kana munhu yakatanga zviratidzo chirwere, anofanira pakarepo kubvunza chiremba ndiani kuitisa kwazvo kuongorora zvose zvichemo kutumira ongororo.

Kazhinji, yakadaro fungira chirwere gastroenterologist anogona nechekare pahwaro murwere kugunun'una. Asi kuti asimbise nokufungirana Panotoda paku kuongorora.

Kana uchishandisa nzira yakadaro yokuongororwa, kufanana X-ray, zviratidzo chirwere vari chinoratidzwa tichitarisa zvinodiwa yegurokuro kusvikira apo bundu. Panguva iyoyowo, kana kushandiswa pachena radiography, ipapo mufananidzo anonyatsoratidza mumvuri anomera.

Sezvinotsanangurwa apa, leiomyoma anogona kuitika mumwe muzvizhinji kuti neoplasm kana anomera. Kuti zvakarurama zvisimbiswe chirwere, shandisa nzira esophagoscopy. With nzira iyi zvinokwanisika kuti vafungidzire mapundu muudzame hukuru zvikuru, uyewo kuti kuongorora zvinonyatsorehwa mamiriro ezvinhu mucosa uye kutora zvinhu kudzidza biopsy. It histological mugumisiro uye inosimbisa kana bundu iri benign. Yatinofanira zvinomuomera kuikanganwa leiomyoma pakati yegurokuro?

Mune zvimwe zviitiko, kuvhiya anogadzwa?

Bvisai leiomyoma zvinogoneka chete tichibatsirwa pakuvhiya. Asi kana imi kufungawo ayo kunonoka kukura, zvino kuvhiya kubviswa haina kuita mune nyaya apo bundu iri diki.

Kuvhiya kupindira iri basa chete apo kwakanga kwakapararira leiomyoma pakati yegurokuro. Operation zvinogoneka idzodzo nguva, kana murwere hapana contraindications kuti nzira iyi.

Kuvhiya kupindira haina kuitwa:

• kana bundu asingasviki 5 cm;

• kana malignancy Kwabviswa;

• vanhu havana uremu.

Kana munhu ane bundu zviduku saizi, chiremba chete anoona nguva dzose kuongorora kushandisa endoscopy uye X-ray. kwemarudzi aya kuongorora anobatsira sei uye pakuita kuvhiyiwa.

Nzira oparesheni

Saka, munhu akawana leiomyoma pakati yegurokuro. kazhinji kurapwa kuri kuvhiyiwa. Asi kana bundu iri yakakura.

Kuti aite izvi, shandisa laparoscopic kuswedera thoracotomy. Asi nzira iyi rinoitwa sezvinotevera: chiremba, achitungamirira vavhiyiwa, inoita incision pechipfuva uye anoita basa. Nzira iyi rakanyatsojeka zvinorwadza uye kunoda mamwe nguva yokuderedza post-kushanda nguva.

Mumakore achangopfuura vanachiremba vakaona parizvino vava nzira itsva kuti kunobatsira kubvisa bundu pasina kucheka pachipfuva. Musimboti evanhu uyu kuti chiremba anongotaura anoita punctures mana mudumbu kana iri sternum uye husks leiomyoma kuburikidza pinholes izvi. Uye Chikurukuru - ndiwo mukana vasakanganise mucous membranes.

Kuvhiya uku rinoitwa pasi kutarisana kuzvidzora, izvo anoitwa esophagoscopy. A ndinoiitawo kuti unyanzvi ichi chikuru ndechokuti zvinokwanisika kubvisa zvachose matambudziko akadai stenosis.

Kana apedza pamwe kuvhiyiwa, munhu ari cheka duku ina dhayamita anenge mashanu millimeters. Kana nokufembera, ipapo vose zvakanaka, uye panguva iyoyo hapana zvazvo vakanga vakachengeta munguva yakareba.

esophageal leiomyoma: wongororo

Reviews vanoti leiomyoma - a benign bundu, kunoitika kwazvo kashoma muvanhu. Zviratidzo zvacho zvichikurukura mhanya uye kuonekwa zvishoma nezvishoma. A kurapwa kuremadza zvinokwanisika chete tichibatsirwa munhu kuvhiya. Kazhinji, asi fungidziro zvikuru zvakanaka nokuda kwayo kunonoka kukura.

mhedziso

Nokupfupikisa zvose pamusoro apa, tinoda vanhu vose chimwe chinhu: regai neoplasms, benign uye kunyange kunonoka kukura, haana kuvatendera dzingaidza. Zvakanaka, kana paiva mumwe kupfuura zviratidzo hwobva kushanyira munhu gastroenterologist kana chiremba. Zvakakosha kunzwisisa kuti utano chete mumaoko murume pachake.