Achalasia: mōhiohio nui e pā ana ki te mate

Ki te rā, te rārangi o nga ma'i tino noa mate e rārangi ko o te wahi gastrointestinal. disorders tailiili, pohokore, āhuarangi, ngā mate - ko nga take matua ārahi ki mate o tenei momo enei.

Ko tētahi o nga pathologies tino noa o te puku, me te paru, ko te achalasia e pā ana ki mate uauaio o te pū kai. I roto i tenei mate i reira ko te huringa i roto i te wahi o te tini kai ki runga ki ake me te pū kai, aua, i te pū kai ki te puku. Kei te meinga te reira na roto i te motility waimaero o te pū kai, me te kore o te whākinga pūpū anake o te sphincter esophageal raro. Puta te mate i roto i te iwi o tetahi tau, engari te nuinga maha i roto i te whānuitanga o rua tekau ki te rima tekau nga tau tau, e rua nga tangata me nga wahine.

whakarōpū o mate

whakakitea Doctors atamira 4 mate, āhuatanga e huringa ngā i roto i te pū kai:

- āhuatanga atamira ahau e te ànui o mamae wā o cardia, e kore e haere tahi e te toronga o te pū kai;

- taahiraa II mo angamaheni roha on o motility esophageal me amplification o ona taiepa;

- i te atamira III puta cardia stenosis me pū kai i te roha on o tona mate motility me te reo;

- i te mutunga o te tari atamira IV esophageal e tango pāpaka tina heke; E haamata te reira a esophagitis periezofagit.

Wāhanga ahau ko II roa e pā ana ki o nga marama i te tokorua, III atamira e pā ana ki kotahi tekau - ma rima nga tau, me te tekau tau te roa o IV-th.

Ko hoki o tuatahi, me te tuarua achalasia cardia.

Ko te take o te mate

He maha ngā whakapae e pā ana ki te take o te mate, heoi, i roto i te hapori hauora ki te tauraro noa, me te kore i tae mai. He take natulá:

- te kore o te huaora B;

- huringa me pāpaka i roto i te pūnaha io parasympathetic;

- mumura o te pūnaha lymphatic, pūkahukahu me te mediastinum;

- mate pukupuku o te puku, mate o Chagas.

Achalasia - Tohu:

- dysphagia, ranei uaua horomia;

- regurgitation kaupapa o papatipu kai ranei i roto i te huarahi i te ritenga. haere tahi ana tēnei tohu e na roto i te ruaki;

- te mamae i roto i te pouaka. I roto i te atamira ahau me II o te mamae e pā ana ki mamae, a III - IV ki esophagitis;

- ngoikore, mate taimaha, heke kaha ki te mahi.

Pehea te pāngia ai?

Mate pāngia e te irava me konu rangahau X esophagogastroscopy.

Achalasia - maimoatanga

Ko te whāinga matua o te maimoatanga he ki te whakapai ake i te patency o kai i roto i te turanga pū kai, me te whakakore tohu mate. rite tenei te rānei e tikanga hāparapara i taero ranei.

Cardia iti hoki maimoatanga tā te whai ake:

- te marama kai №1 ranei # 1a;

- kai ritua, e uhinga a te hiahia ki te kai e pā ana ki e rima - ono nga wa i te ra, ki te kahore te kai matao rawa ranei wera rawa;

- whakarerenga o waipiro me hikareti;

- te whakamahi o te raau taero: "Nitroglycerin" "Isosorbide dinitrate" "Nifedipine", "Novocaine," "atropine pūkawa," "antispasmodics" "tāoke Botulinum" (werohia), me ētahi atu.

e kore he tino whai hua Treatment ki taero, rite anake poto poraka nga tohu o te mate. More whai hua he wawaotanga hāparapara. Fele, Kei te whakamahia te reira i roto i te whakarara ki maimoatanga tarukino. whakamahi te reira i atu o nga tikanga hāparapara e whai ake nei:

- cardiodiosis whāhauhau (cardia roha te whakamahi i expanders). Ko te pānga o tenei tikanga, ko te tiketike - ki runga ki te 80%;

- Tikanga vneslizistoy cardiotomy e Geller (uaua roa anga tuaki);

- pītore poihau (āputa motuhake o raro muka sphincter esophageal).

O te akoranga, e whakaturia ana te tākuta maimoatanga anake. A tei reira ki runga ki te whīwhiwhi me te momo o te mate.