Achalasia: nui 'ike e pili ana i ka maʻi

I ka lā, i ka papa inoa o ka loa e like me ka maʻi puʻuwai i helu 'ia mai nei o ka gastrointestinal'āpana. Ko mākou hopohopo kāna hana, malnutrition, aniau, likeʻole nā mea palahēhē - kēia mau mea i ka papa kuhikuhiE kumu alakai i ka maʻi o kēiaʻano.

Kekahi o ka loa e like me ka pathologies o ka'ōpū a me ka naʻau liʻiliʻi mea achalasia pili i neuromuscular maʻi o ka esophagus. Ma keia maʻi he mea he loli i loko o ka hooholo ia ana o ka ai nā paʻi hua ma luna iho, a me ka esophagus, niioaaonoaaiii, mai ka esophagus a hiki i ka'ōpū. Ua ua kena ae la ia e hoʻopōʻino motility o ka esophagus, a me ka nele o reflex ke kaikoeke wale o ka lalo esophageal sphincter. I ka maʻi i loko o ia lŘlŘ kanaka o kekahi mau makahiki, akā, ka hapanui pinepine ma ka laulā o ka iwakalua a hiki i ke kanalima o ka makahiki, na kane a me na wahine.

Mea Maluna o ka maʻi

Kauka hoikeia mai ke kahua 4 maʻi, wehewehe aku ia e loli likeʻole i loko o ka esophagus.

- I ke kahua me ua wehewehe aku ma ka reversibility o ka manawa spasms o cardia, ua i pu ma ka palena manawa no ka esophagus;

- ka anu u II no typical napoo anoe? O esophageal motility a me ka amplification o kona mau pā;

- i kahua III,ʻikea stenosis cardia a me esophagus, mai ka napoo anoe o kona motility kāna hana a me ka leo;

- i ka hopena o ke kahua IV esophageal 'Oihana ke launa mai irreversible lesions; Ua hoʻomaka a esophagitis periezofagit.

Kahua o ka hoʻonaʻauao I a me II mau ae la ia no ka mau o ka mahina, III kahua e pili ana i umi - umikumamalima makahiki, a me IV-la makahiki lōʻihi.

achalasia cardia Ua hoi o iniiaiie a me nā haumāna.

Nā kumu o ka maʻi

Aia i kekahi mau hypotheses e pili ana i na kumu o ka maʻi, nae, i loko o ka 'inikua kaiāulu i kekahi mau denominator, a i ole hele mai. i speculative kumu:

- ka nele o nā wikamina B;

- loli ma a me ka make ana o ka parasympathetic ko mākou hopohopo oihana;

- li nui o ka lymphatic'ōnaehana, maʻiʻaʻai a me mediastinum;

- Ka maʻi 'aʻai o ka opu, maʻi o Chagas.

Achalasia - Symptoms:

- dysphagia, a me ka pilikia moni 'ia;

- regurgitation a holo o ka ai nā paʻi hua ma ka kekahi ao ao. Kēia symptom ua pu ma ka luaʻi;

-ʻeha i loko o ka pahu. I kahua I a me II o ka eha pili me spasms, a me III - IV me ka esophagitis;

- nawaliwali, ke kaupaonaʻana poho, ua hoʻemi akamai i ka hana.

Pehea ua mea diagnosed?

Maʻi diagnosed ma ka X haʻawina esophagogastroscopy e hooholo ia a me ka barium.

Achalasia - lapaʻau

ʻO ka pahuhopu nui o ka lapaʻau mea, e hoʻoikaika i ka patency o kaʻai i loko o ka esophagus a me ke kāpaeʻana maʻi symptoms kumu. Keia ua hooko kekahi eʻoki lāʻau lapaʻau 'ana i kūpono' ole ma ka ai '.

Cardia insufficiency lapaau komo ai na kēia:

- malamalamaʻai №1 a # 1a;

- mahaeʻai, a hoʻohuʻu ka pono, eʻai e pili ana i elima - eono manawa o ka lā, ke ole he anu, a ua wela ka ai;

- loa o ka waiʻona a me ka uahi paka;

- i ke ano o ka ai ': "Nitroglycerin" "Isosorbide dinitrate" "Nifedipine", "Novocaine," "atropine sulufahate," "antispasmodics" "Botulinum toxin" (ka pahu kui), a me kekahi poe e ae.

Iapaau ana me ka ai 'mea,ʻaʻole loa ka hoʻokō, like wale hulina i ālai' na symptoms o ka maʻi. More ka hoʻokō meaʻoki lāʻau lapaʻau 'uao. Holo nōhie, ka mea, ua hoʻohana 'ia i loko o laua me ka lāʻau lapaʻau. Ua hoʻohana hou o ke kēiaʻoki lāʻau lapaʻau 'ana i kūpono.

- pneumatic cardiodiosis (? Anoe? Cardia ka hoʻohana expanders). Ke kanawai o keia iaoia mea kiʻekiʻe - i ka 80%;

- Ano O vneslizistoy cardiotomy e Geller (lonikū Muscle dissection iwi);

- dilatation hoʻonui (kūikawā nahā i haʻahaʻa esophageal sphincter olona,).

O ka holo ana, ke kauka e koho i lapaau wale. A ka mea hilinaʻi nui ma luna o ka ka manaʻo pohihihi a me ka 'ano o ka maʻi.