Stenosis esophageal: Take, tohu, Treatment

stenosis oesophageal - he huru tahi nei e te whāiti rerekē o te lumen o te ngongo esophageal. pea tenei Pākatokato congenital puta i roto i te atu pakeke ranei. Ka taea e te mate meinga te rota o pōauautanga. Ano, raruraru ki horomia me irava o kai ki te puku i te pā tōraro i runga i te āhua o te hauora o te manawanui me te rauropi katoa. Heoi he aha he reira tenei māuiuitanga, a ahakoa ko reira taea ki te ārai i tona whanaketanga? He aha tohu kia utu koe whakarongo ki? He reira tetahi maimoatanga tino whai hua?

stenosis esophageal: he aha te mea te reira?

Kei te mohiotia te reira e te pū kai - he ngongo tuwhera e hono te korokoro me te puku. Ko tōna roa toharite 25 cm Noatia, e kore ko te diameter ngongo kākahu -. He pū kai e toru rāhuitanga whaiaroaro e kua whakaritea i roto i te rohe o te wheua ngohe cricoid, tracheal bifurcation me te piata.

I roto i te gastroenterology hou māuiuitanga noa i huaina stenosis esophageal. He aha te mea te reira? haere tahi ana tēnei māuiuitanga e hukihuki ngongo esophageal uncharacteristic. Mai i reira he he hononga tata i waenganui i tenei wahi o te wahi kūnatu me ētahi atu okana (hei tauira, pukorokoro, haoraora, pericardium, te ngōrahi mahue, te kātua o te karere vagus, tau mahani rei, wahi o te kiripūkahu), me te takahi o tona mahi tā te papatipu o pōauautanga.

Ko te take matua o te whanaketanga mate

He reira tetahi āhuatanga mōrea e tīmata te mate taua? Ka taea e stenosis esophageal i rerekē take. A, no te haere mai te reira ki momo congenital o te mate, kua pā ana ratou ki te whanaketanga fetal waimaero, hua i roto i te hypertrophy kitea o te taiepa uaua o te pū kai, te ahua o mowhiti kaiota cartilaginous ranei.

Ko stenosis riro, te take mo ratou nui atu kanorau:

• Hei tauira, ka taea te pakaru te membrane mucous rite ki te hua o te whakapā tonu ki tirotiro pekitīlia waikawa. Taua kitea i roto i te Reflux esophagitis, tuwhenua keté, gastritis ma'i, whaturama hiatal , ranei ara he toxemia nui o hapūtanga, te kore e haere tahi i te reira na roto i te ruaki auau.
• Ko reira utu ki te whakahua i te whara. Ko te stenosis tino nui o te pū kai kite weranga matū āpiha pukuriri, me te hua i roto i te kino ki te taiepa o te tinana ke. Kia whara koutou e taea e i roto i ngā ngā tukanga tātaritanga, tae atu intubation pekitīlia.
• Whāiti ranei ara oti katinga o te lumen ko te hua o te mate pukupuku o te pū kai ranei te ahua o te pukupuku mārire.
• kia stenosis oesophageal kia pā ana ki ngā mate hopuhopu, tae atu mate fungal, ngangana kirika, pakewakewa, mate kohi, diphtheria.
• I roto i ētahi wā, te whāiti o te ngongo, me pathologies katoa e pā ana ki whēkau e karapoti ana. Hei tauira, ka taea e te pū kai te kōpeke oko anomalously tūnga taikiri whakanuia ranei. Ko te take ngā pukupuku o te mediastinum me aneurysm te pūtahi o.

Forms stenoses me ratou āhuatanga

He maha ngā pūnaha o tenei whakarōpū mate. Hei tauira, kia kia congenital riro ranei stenosis esophageal. E te ara, i roto i 90% o te wā puta ai ahua congenital o te mate.

Tei runga i te maha o ngā wāhi pāngia taratahi stenosis kotahi (lumen whāiti o te pū kai i roto i te kotahi anake wahi) me te maha (i reira e rave rahi pokapū o pāpaka). Tangohia ki pūkete te constriction localization wehe i te stenosis māuiuitanga tiketike (paetata i roto i te tuarā waha), reo (Kei wahi whāiti te i te taumata o te bifurcation tracheal me te kikorangi te pūtahi o), iti (māuiuitanga takuahi whakanohoia i roto i te tari cardiac) me ngā.

He he ano hoki te wehenga mo take o te mate. Hei tauira, āhuatanga stenosis cicatricial o te pū kai e kino mucosal me kahu ētahi wā uaua o te ngongo. I te pae o te kiko pakaru āta puta kiko tūhonohono - na hanga e te nawe te. te tikanga ko te Reflux Gastro-esophageal ma'i te take. I te tahi taime te here e tika ana ki te hanganga me te tupu o te pukupuku e kia rānei mārire mārere ranei. Puta me te ahua pāmamae o te mate. I roto i tetahi hui, whakatau rite te ahua o te mate me ngā āhuatanga i muri i anake tātaritanga tupato.

Wāhanga o te whanaketanga o te mate

I roto i te rongoā hou, ki te wehewehe i wha nekehanga o stenosis esophageal:

• I roto i te wā tuatahi i te mate tahi e te whāiti o te lumen ki 9-11 mm te whānui. I te wa ano i roto i te reira, ko te tino e taea ki te whakauru i te endoscope reo-rahi.
• I runga i te taahiraa tuarua, mea i roto i te kaupapa e heke te diameter o te lumen o te pū kai i te pae o te stenosis te ki 6-8 mm. Heoi i roto i te mea te reira tonu taea ki te tomo fibrobronzoskop.
• I roto i te toru o taahiraa whāiti ngongo esophageal te me tona diameter he iti iho i te 5.3 mm. Na roto i tenei pae kia tomo anake te rata he, fiberscope motuhake ultra-angiangi.
• te wha o nga atamira o te mate āhuatanga e te whāiti whānui o te lumen, te diameter o reira ko 1-2 mm. I roto i te tahi mau tūroro i reira he oti blockage o te pū kai, i te mea rawa mōrearea.

Stenosis Esophageal: Tohu

Ko te mua pāngia te whakararuraru, e, e tango te wawe te manawanui maimoatanga tika. Na he aha te tohu haere tahi i stenosis o te pū kai? Tohu whakawhirinaki te nuinga i runga i te puka, me te atamira o te mate.

A, no te haere mai te reira ki abnormalities congenital, e taea te kite i tata tonu te tuatahi "waea whakaoho". I muri te kai i te pēpē maha ruakina mai te waiu nestvorozhennym. Ka taea hoki te kite i te hūpē kaha i te whitinga nasal, me salivation nui.

I roto i te kaupapa e te tamaiti he ahua ngawari o te stenosis congenital, timata raruraru ki te whakataki o kai tautoko ki te kai o te kai tuatahi mārō ranei.

whakawhanake māuiuitanga riro āta. Ka rite ki te tikanga, tūroro ki horomia fifi puta. Hei tauira, te mamae ka taea i roto i te irava o te kai i roto i te pū kai, me te pouaka ahua mamae. I roto i te wāhanga tuatahi o te dysphagia kitea i roto i te whakamahi o te kai maro, engari i te iti rawa whāiti te ngongo esophageal, riro uaua te tangata ki te horomia ara kai wai. I te tahi taime riro te mate kia kino e taea ana ki te horomia te wai huware ranei te manawanui ko te.

Ki te kei te stenosis e i roto i te rohe waha, engari inu taea te wai, ara ranei mongamonga o kai tiki ki te pukorokoro, i, he mahi wehe ki te mare kaha, laringospazmom, whakahēmanawatanga. I roto i te wā tino nui o te stenosis arata'i ki te whanaketanga o te wawata kakā.

E mea pinepine, timata mongamonga mārō, me te nui o te kai ki te whakaemi i te constriction, e tika ana ki te whakapairuaki auau me te ruaki, i te ahua o te mamae nui. nunu'a Dangerous o stenosis ngā te whaturama noa o te taiepa pū kai.

tikanga Modern o tātaritanga

I muri i te kōrero ki te rata o te manawanui, kia whakapuaki i whakaaro e pā ana ki te aroaro o te stenosis. O te akoranga, i roto i te heke mai hiahiatia atu rangahau te. Ko te mea tuatahi ki te kawe oesophagoscopy, mā i te reira taea ki te kitea te whāiti o te lumen pū kai, me te whanganga tona diameter, a hoki ana ki te tirotiro i te mucosa. I roto i te aroaro o te pukupuku, kia kawea ranei kia mariao unuhanga endoscopic mo te aroaro o ngā pūtau mārere.

E rite nui ko te tikanga o te tātaritanga o te Radiography te whakamahi i kaihoko rerekē (e whakamahia tai te tikanga pārana). āwhina ana tēnei tukanga ki te tūhura i te whenua, me te takiwa o te pū kai, me te ki te ako i tona ioio.

He aha e nga maimoatanga tuku rongoā hou?

Tei therapy Aronui i runga i ngā āhuatanga maha, tae atu i te āhua o te māuiuitanga, tona wāhanga o te whanaketanga, huru o te manawanui, a ai ano hoki stenosis. Tuatahi ti'a ia tatou ki te huri i te kai - e ngā te kai o te āhua-wai kai e taea haere na roto i te constriction o te pū kai. A, no te haere mai te reira ki te dysphagia nui wha tohu ka kore e taea te ara tango i te manawanui he wahi wai moku, puritia pâmuhia kai.

He maha ngā tikanga ki te tango i te here. I roto i te wā mähaki kawea i roto i te whakamahi i te bougies opupu pītore. Otiia ki te kahore he Nireaha ki te taua tikanga toronga te stenosis whakamana whakatūpehupehu tuaki endoscopic. I roto i te kaupapa e reira ko te kōpeketanga o te pū kai (hei tauira, whāiti reira tata te puku tipu), ka taea te kōkuhu motuhake te roto o te lumen o te stent, e ka pupuri i nga āhuatanga e tika ana o te pū kai.

I te tahi taime tupu te reira e te tikanga i runga ake e kore e hoatu e te hua e hiahiatia ana, ki te ahu whakamua tonu stenosis. kia whakatau i te tākuta i runga ake otinga tuwhena - te tango o te wahi i pangia o te pū kai, ki te ora i muri.

Ahakoa maimoatanga he taea tikanga tuku iho?

rongoā tuku iho - he ahumahi e tuku he maha nui o tīkina kē. He reira taea ki te pehea o ratou ki te awhina o taua mate rite stenosis o te pū kai? iwi rongoā maimoatanga i roto i tenei take, ko te Kāore. Ko reira taea e ka tūtohu i te tākuta te kai tika ranei te hoatu tetahi atu tohutohu. therapy Home i roto i tenei take e tino contraindicated.

He reira āraihia whai hua?

Kia aroha mai, te taputapu ārai tino whai hua te vai. Ko te puka congenital, he nui te whaea ki te aroturuki i te āhua o te hauora. I roto i te aroaro o ngā āhuatanga mōrearea (whakawhitia i roto i te hapū mate, a na i runga i. D.) Inspection Me ki noho te torutoru nga ra tuatahi i muri i whanau ki te taea ki te whakatika i te kai, me te wa ki te tango i mehua haumaru.

I roto i te pakeketanga, kua tohutohu tūroro ki te whai i te kai, me te te wa ki te hamani mate o te wahi kūnatu, te ārai ratou irava ki te nui ake ranei ma'i.

Ko te waitohunga mō tūroro ki stenosis esophageal

A, no te mahue stenosis esophageal kāore kia arahi ki fifi taimaha. Heoi, ka taea e pokanga whakakore i te tūkino. O te akoranga, he therapy atu i roto i te aroaro o mate te rere. Heoi, ko te tino pai te waitohunga mo te manawanui. Ko te matahoki taea, engari, kia rite ki tatauranga, i ngā take pērā ko te okotahi, ka tuhia rawa uaua.