Kodi kuchitira esophageal kuphipha?

Esophageal kuphipha amatanthauza matenda yodziwika ndi episodic kuphwanya mwachindunji m'mimba motility, komanso kayendedwe ka kutsegula kwa otchedwa m'munsi sphincter chakudya. Malinga ndi akatswiri, matenda kwa onse alipo matenda muzituluka ndi matumbo n'chosoŵa. Munthu akakhala wathanzi ndondomeko m'mimba kumachitika mwamsanga Choncho, chakudya ayi zosasangalatsa mkati padziko matupi. M'nkhani ino tikambirana chiyani ndi kuphipha ya kum'mero, zizindikiro ndi kuchiza matenda.

Chifukwa pali matenda

Monga anapeza chakudya kudzera ziwalo mkati zimachitika anakonza kuchepetsa awo. Dysmotility mu kumapangitsa kuti zotsatira zoipa kwambiri, ndicho ngati matenda monga kuphipha esophageal. The zifukwa mu nkhani iyi, akhoza kukhala osiyana kwambiri. Izi nkhawa nthawi zonse, ndipo kukondoweza maganizo ndi chakudya bwino fodya ameneyu amatafunidwa.

Gawo womulera

Pa nthawi, akatswiri salembedwa kusiyanitsa mitundu iwiri ya matenda.

• Akakufunsani esophageal kuphipha ndi uncoordinated chidule thupi. Pankhaniyi, monga ulamuliro, pali dysphagia.
• Segmental esophageal kuphipha - kuchepetsa thupi pa gawo zake ndi matalikidwe kwambiri. Pankhaniyi, chakudya chitadutsa, koma munthuyo zonse mu ululu. Monga ulamuliro, kenako akufotokozera mapindikidwe wa kholingo.

Zizindikiro ndi zodabwitsa okhudzana

Nthawi zambiri, odwala amadandaula ululu ndi kusapeza mu sternum, amene angathandize nsagwada ndi mapewa. N'zochititsa chidwi kuti zomverera zosasangalatsa uka onse pa kutafuna chakudya mwachindunji, ndi wamba kuwameza malovu. Akatswiri amanena ululu zina nakweza zinachitikira pamene nkhawa, komanso chisangalalo. Kumapeto kwa kuukira odwala zambiri regurgitate pang'ono ntchofu.

Kuchiza ndi katswiri malangizo

Monga madokotala oyenerera, esophageal kuphipha zovuta kuchiza. Childs, Kwalamulidwa nitroglycerin, anticholinergics ena (mwachitsanzo, Metacin) ndi blockers kashiamu njira (Nifeipin). Dziwani kuti mankhwala onsewa okha kuchepetsa zizindikiro. Kukuza thupi kawirikawiri amagwiritsidwa ntchito njira imene kufufuma kwa zibaluni mwa kholingo. Ngati zonse njira pamwamba ndi osamveka, m'pofunika amachita opaleshoni opaleshoni. Pa ntchito, adokotala amadula kudzera minofu wosanjikiza mwamtheradi utali wonse wa thupi. Pankhaniyi, konzanso kumatenga miyezi ingapo.

Pomaliza

Pomaliza, tisaiwale kuti makamaka mankhwala njira amasankha yekha katswiri wodziwa. kawirikawiri kuti amachita chithandizo cha opaleshoni.