Yegurokuro, kuderedza pamusoro yegurokuro: Zvinokonzera, Zviratidzo neMarapirwo

Stenosis, kana kuderedza pamusoro yegurokuro, - zvinoderedza kwayo dhayamita. Inogona kuva akasiyana Mabviro. Stenosis, zviri unonziwo mhingaidzo pakati yegurokuro, vanokamurwa muzvikwata akawanda, izvo kuvimba zvinokonzera chirwere. chirwere ichi chinogona kuva somugumisiro kukuvara ari nemudumbu. Inotsigira zvokurwara ingawanikwa yegurokuro bundu (benign kana nyanyisa). Rinokonzera kukura chirwere anogona kuvhiya kupindira, pashure iyo mavanga zviripo. Vakuru nevana vanogona kutambura yegurokuro. aienda pamusoro yegurokuro kunowanzokonzera kutyora kumedza basa (dysphagia).

Chii aienda pamusoro yegurokuro

Kuti tinzwisise kuti uri zvokurwara, unofanira kufunga anatomical marongerwo. Chii chakaipa yegurokuro? kuderedza pamusoro yegurokuro tiine zvokurwara? Rega kuongorora.

Yegurokuro ndiyo chikamu zvomudumbu hurongwa. Iye anoita ari munhu nemuviri kusimudzira zvokudya kubva muromo kusvika nomudumbu. Yegurokuro utano chiri hazvo kuderedza, izvo hazvivhiringidzi kukurudzira chikafu.

Anatomical kurambidzwa 3 vakaparadzana:

• pharyngeal;
• diaphragmatic;
• Árbol.

Uyezve, pane vasiri aienda pamusoro yegurokuro. Vari anokonzerwa mataurire tsandanyama tishu. Nepo vakazorora varambidzwe kudya zvachose.

ivo dziri:

• mune esophageal uye gastric Junction mapazi;
• panguva mharadzano yacho yeropa uye yegurokuro.

Zvokurwara - iri kunyanya aienda kuti kuvatadzisa kwemutemo zvavo zvokudya.

Zvinokonzera chirwere

Stenosis iri nezvezvikwata zviviri:

• acquisitions;
• vachiberekwa.

Muna 90% vose zviitiko chirwere akawana zvokurwara dzakasiyana Mabviro.

Sources vachiberekwa chirwere

Varwere ava vanotambura pakuberekwa yegurokuro. aienda pamusoro yegurokuro kunokwanisa kuonekwa, kazhinji pane muduku. Vachiberekwa stenosis kunoitika munguva kukura ari mudumbu kusvikira aberekwa.

The kukonzera zvokurwara ichi ndiwo:

1. Kuonana zvinokuvadza pamusoro amai vanepamuviri. Household mishonga, peturu, madhayi kuwira muviri womukadzi, zvazvinoita kukura mudumbu uye kukonzera abnormalities.
2. X-ray irradiation. Kuonana nemwaranzi uyewo kunokonzera mutational zvakasiyana mumuviri. Ndokusaka vakadzi vane pamuviri vari categorically yemabhuku X-ray bvunzo.
3. Kuti zvarakasiya kunogonawo kukonzera zvakasiyana siyana zvirwere. Izvi nemavhairasi (semuenzaniso, rubella), mabhakitiriya uye majemusi.

Zvinokonzera vawana zvirwere

Zvokurwara anogona kuva vaduku uye vakura zvakakwana. Vawana stenosis kungava nokuda kwezvikonzero zvinoverengeka. Anokwanisa kuoneka mune zvikuru vasingakoshi pathologies kukanganisa yegurokuro.

aienda pamusoro yegurokuro kazhinji kunoitika somugumisiro nemaronda. Zvadaro, izvi Kuparara vanotanga zarubtsovyvatsya. Areas apo mavanga kuumbwa, yekudyidzana kuipa kunoderedza somugumisiro zvokudya havagoni kufamba takasununguka. mumwe muitiro kwakadaro kunogona zvinokonzera kuti zvokurwara. Muchiitiko chino, rokuongorora cicatricial aienda pamusoro yegurokuro.

Nemaronda kungakonzerwa zvinhu zvinotevera:

• axial hiatal heniya ;
• chisingaperi gastritis uye gastric urikanwi;
• toxemia panguva pamuviri, izvo pamwe ne gag dzepanguva;
• gastroesophageal reflux chirwere ;
• scarring of esophageal rusvingo pashure kuvhiyiwa;
• kutyora mucosa.

Stenosis anogona kukonzera kuzvimba yegurokuro anokonzerwa kupinda chirwere. Zvokurwara anogona kuva pamusoro pakanyorwa njovhera, nezvitsvuku nefivha, tiibhii uye diphtheria.

Makuvaro, akadai makemikari kana chafariz kutsva pakati yegurokuro, masvingo zvaparadzwa maturusi kana zvimwe zvinhu kuti anogona kuva chikonzero chacho. Kutyorwa anogona kuitika kunyange kana isina kukodzera inoda kufunga pamusoro nemudumbu. esophageal kokutsva kunoda zvakakwana uye nenguva kurapwa. Zvikasadaro, zvinogona kutungamirira aienda.

Zvikuru kashoma zvikonzero kufurira aienda pamusoro yegurokuro, ndiwo:

• mutambi rutsoka;
• nemwaranzi kurapa;
• collagen;
• Sclerotherapy kuti varicose mutsinga.

Kurambidzwa zvinosiyana chimiro anomera. Zvinosuruvarisa esophageal kenza - vanowanzochema zvokurwara. Zvisinei, zviri zvakaoma kurapa.

Zvokurwara uyewo simuka nezvikonzero kukuvara uye zvirwere kuti murege kukanganisa yegurokuro. It kutsemuka aneurysm, chakawedzerwa node nodes, mediastinal bundu, kururama nzvimbo midziyo.

ukuru pakukura

Pane matanho mana dzichiri chirwere ichi:

1. The dhigirii rokutanga stenosis. Nyore akarapa, akapa nokukurumidza kubvunza ane gastroenterologist. Panguva iyi, iyo dhayamita pakati yegurokuro ipfupi 9 mm. Food makore zvakaitika, asi yakaoma.
2. Second dhigirii - yegurokuro nhete kuti 6 mm.
3. The mwero aienda pamusoro yegurokuro rechitatu kunoitika kune 3 mm.
4. The dhigirii chechina - the aienda pamusoro yegurokuro 1 mm kunoita chirwere dzinonetsa. Panguva iyi chirwere ukapisa chikafu haisi ozeyewa nokuda muviri uye stagnates iri ura, pakupedzisira kuunganidza chetsoka iyo zvinokachidza zviri wakaumba, kukanganisa muviri womunhu. Kunyange kana ikavamedza mate munhu kudzipwa pamusoro chinyamunhari chinorwadza, breathlessness uye vangakosora kurwisa.

The mamirire Zviratidzo

A chiratidzo panowanikwa stenosis kuchikonzerwa kutyora kumedza kwacho.

Other zvisina kunanga zviratidzo anoratidza aienda pamusoro yegurokuro:

1. Regurgitation achangoberekwa nestvorozhennogo mukaka. Kana mukaka asingadi curdle, saka aisagona kuwana mudumbu. Vachiberekwa aienda pamusoro yegurokuro zvingaitika kare panguva kupinza pamusoro dzichifura ine particulates. Panyaya iyi, mwana anoramba kudya, burp kazhinji, ane gag dzepanguva.
2. In vakura pane bhokisi marwadzo kuti kunoitika nokuda kunounzwa yegurokuro tsandanyama kana kuedza kusunda zvokudya achishandisa constriction, riri mudumbu.
3. Kunwisa salivation (hypersalivation) - maitiro kusvikira mukanyiwa nechikafu uchingounganidza muna yegurokuro, vasingakwanise kupfuudza mudumbu.
4. Svoto uye kurutsa.
5. Voga hombe Vhoriyamu madzihwa kubva mhino.
6. The kungoerekana zvinoderedza uremu kunokonzerwa nenyonganyonga iri kugaya, kutadza kupfuura zvokudya kuburikidza yegurokuro uye kamurova mudumbu. Kana ichi hwapedyo beriberi. cachexia (emaciation muviri) anogona kuva chirwere chakakomba.

Stenosis inogona zvakaomesa ne nemabayo. Kazhinji, mune ichi muna Airways vawane matomu zvokudya. Somugumisiro, chirwere anogona kuva chakakomba kuzvimba yegurokuro, uye kunyange kukonzera kuti atsamwira ropa. yematambudziko akadaro zvinoda kukurumidzirwa zvokurapa kupindira.

nzira nechirwere

nzira mbiri dzinoshandiswa kugadza aienda pamusoro yegurokuro:

1. Endoscopy. Kudzidza anoisa kuderedza dhayamita. Kana esophageal stricture vakaumba (scarring), ipapo Ongororo iyi zvikuru anodzidzisa. Kunoitawo kuti nemaziso kutarisa mucosa. Uyezve, imwe biopsy zvinoitwa.
2. X-ray. Yakabudiswa pamwe kutora chikamu barium. Inoratidza ichizadza kuremara, anotaura kusiyana muviri.

haushandi chikafu

Chero pavaipfuura stenosis, iva nechokwadi kuti tiomerere kudya. Unofanira kudya migove fractional, diki uye kakawanda. Kubva kudya kuti asava zvokudya zvose anogona kukonzera kunetseka pakuparadza uye nokudaro kukonzera kutadza kufema.

Regai kudya zvokudya inopisa, kunofanira kuva kudziya. The kwemashoko midziyo - nemvura, Semi-mvura kana munyoro. Panyaya iyi, muviri unofanira kugamuchira ose anodiwa muviri mavhitaminzi uye zvicherwa.

kurapwa chirwere

Chii kwakajairika varumbidzwa varwere vari panoonekwa aienda pamusoro yegurokuro? Tikaitira pathologies - the kuwedzera ukama nzvimbo.

Zvakakosha Haazombokanganwi zvokudya. Kutozosvikira kupora, unofanira kudya emura uye Semi-mura zvokudya chete.

Kana paine peptic stricture pakati yegurokuro, murwere rinoratidza antacid uye anosunga nevamiririri.

Zvisinei, kuchinja kurapa kashoma kunotungamirira kupedza apore. Kakawanda iri ushandiswe nokuda murwere kugadzirira kuvhiyiwa.

Bougienage (chakagadzirwa kuwedzera achishandisa anokosha mano) rinoshandiswa chiitiko kuti vakawanamo benign nebundu rimwe yegurokuro. Munguva kurapwa kukura bougie vachipfuura zvishoma nezvishoma akachinja kuti yakakura mumwe.

Mune chiitiko yematambudziko seari gastrostomy kupa varwere kudya zvinovaka muviri zvinobvira.

Esophagoplasty - a bowel transplantation nzvimbo kana kuti dumbu mukati yegurokuro.

In Muzviitiko zvakaipisisa, kana muviri Aneta chaizvo, kana kuitisa kuvhiyiwa hazvibviri, rinoitwa gastrostomy. Panyaya iyi, muviri anokwanisa zvokudya enterally.

dziviriro chirwere

Kuvhiringidzwa kurapwa kunoenderana aienda pamusoro yegurokuro ose kuchirapa modalities. Resection pamusoro esophageal stenting uye vanonzi yakanakisisa nzira yokurapa chirwere ichi.

Mushure bougienage uye endoscopy tinganetseka zvazvo.

Kudzivirira stenosis kunosanganisira nokukurumidza kurapwa kana zviratidzo chirwere wokutanga.

Zvinokosha kubata nezvirwere anogona kukonzera aienda pamusoro yegurokuro. Nyatsoongorora kunzvenga nezvemidzimu yegurokuro kuti mishonga nezvimwe zvinhu zvinokuvadza. Kurambidza yegurokuro nokurohwa dzimwe zvinhu.