Achalasia cardia

I-Akhalasia (iguqulelwe ukusuka kwisiGrike ibhekiselele ekuphumuleni kwe-muscle) i-cardia (i-sphincter eyahlula i-esophagus ukusuka kwisithuba sangaphakathi sesisu) isifo apho ubuchule be-sphincter esezantsi ye-esopha buya kucoca ngokukhululeka xa ukutya kungena kuyo. Ngenxa yoko, i-tonus ye-esophagus iyaphazamiseka, kukho ukulibaziseka kwinqanaba lokutya.

Iimbangela ze-achalasia ye-cardia

Izizathu ezithile zokuphuhliswa kwengqondo ye-achalasia azizange zifundwe ngokucatshulwa namhlanje, kodwa izinto ezinokuthi zinokwenzeka ukuba zikhona:

• utshintsho olusuqukayo kwiimbilini ze-nerve ezijongene nesopopu;
• uxinzelelo lwengqondo.

Iimpawu ze-achalasia ye-cardia

1. I-Dysphagia kukuphulaphula ukugwinya. Isibonakaliso sokuqala nesiguquliyo esi sifo. Ubunzima buyenzeka emva kwemizuzwana emininzi emva kokungcinywa, kwaye iimvakalelo ezimbi azikho emqaleni, kodwa kummandla wesifuba. Kwezinye izigulane le ngxaki inokuqala ibe yi-episodic kwaye ivele kuphela ngokukhawuleza kokutya, kodwa ekugqibeleni ibe yigxina.
2. Ukuphinda kuhlaziywa kukuphosa okuphambene nokuqukethwe kwesisu nesisu. Iyakwazi ukugcinwa kokubili ngendlela yokuhlaziywa, kunye nendlela yokuhlanza, kwaye ivele ngokukhawuleza ngexesha lokutya, emva koko emva kwayo, okanye emva kweeyure ezingama-2-3 emva kokutya.
3. Intlungu e-achalasia ye-cardia ibonwa ngesisu esingenalutho okanye ngexesha lokutya. Intlungu ihlala kwindawo yesifuba, kodwa inganikwa umhlathi, intamo, phakathi kwamahlombe.
4. Iphunga elimnandi lisuka emlonyeni , isisongela, iziphene zibolile, ezibangelwa ukuxhamla kokutya okungapheliyo kwindawo.
5. Ukunciphisa umthamo , obangelwa ngumda wokutya, ukuphepha ukuphazamiseka.

Ngesi sifo, iimpawu zihamba ngokukhawuleza, kodwa ziqhubeka ziqhubeka.

Achalasia cardia - udidi

Ngokuxhomekeke kwinqanaba lokuphuhliswa kwezilwanyana, i-cardia alchasia ihlukaniswe zibe zigaba ezine:

1. Achalasia cardia ye-degree. Kukho ukuphulwa okungapheliyo kwinqanaba lokutya ngokusebenzisa i-oopopus. I-esophagus ngokwayo ayinakwandiswa.
2. I-Achalasia ye-cardia ye-2 degree. I-Spasm ye-sphincter kwaye, ngokufanelekileyo, ukuphulwa kwendlela yokutya, isigxina. Ukwandiswa kwe-esopha kugqitywa.
3. I-Achalasia ye-cardia yesilinganiso se-3. Ukongezelela kwimeko engapheliyo, iimpembelelo ze-anatomical zivela: utshintsho oluthile kwaye ngenxa yokunciphisa ububanzi bendawo, ukulukhupha okungaphantsi kabini ngaphezu kwendawo yesifo.
4. Achalasia cardia 4 degrees. Ukucacisa ngokucacileyo izilonda zesifo somzimba, ukuphuhliswa kweenkqubo ezivuthayo ze-mucosa, ukubonakala kwezilonda kwiindonga zesigxu.

Unyango lwe-achalasia ye-cardia

Ukunyanga kwesifo kuyancitshiswa ukuze kubuyiselwe ubuchule obuqhelekileyo besigxina:

1. Utywala. Unomntu oncedisayo kwaye uquka ukuthatha imishanguzo esusa i-spasm ye-muscle ehamba phambili (i-nitrate iqela), i-antispasmodics, i-calcium antagonists. Kungekudala, i-toxin ye-botulin isetyenziselwe ukuphatha i-achalasia ye-cardia.
2. I-cardiodilation. Ukwandiswa kwemishini ye-cardia ngokusungulwa kwe-endoscopic ibhaluni ekhethekileyo, ehlaselwe yomoya.
3. Inyango yokuphanda. Kukho iintlobo ezingaphezu kwama-25 zomsebenzi wokuphelisa i-achalasia yesifo. Uhlobo lotyando lugqitywa ngugqirha kuxhomekeke kuphuhliso oluthile lwesifo kwisigulane esithile.
4. Unyango lwe-achalasia ye-cardia kunye nezilwanyana zamalungu. Ngumsebenzi oncedisayo. Ukwandisa ithoni ye-sphincter, kucetyiswa ukuba uthathe i-althea, i- ginseng , i-eleutherococcus ekhishwe. Njengezilwanyana ezichasayo zokusetyenziswa kwamachiza e-alder kunye nembewu ye-quince.