Inkqubo yokugonywa ngokuqhelekileyo kuxhomekeka kwiimeko zesimo. Ngaphezu koko, nayiphi na irregularities ekusebenzeni kwayo ikhokelela kwingxaki yomsebenzi wezitho ezisondeleyo zesisu, isicathulo se-thoracic kunye ne-mediastinum. Ingozi kakhulu kule meko i-stenosis ye-esophagus, eyinkcenkcesho yezilwanyana ze-lumen yayo, ukukhusela ukuhamba kwesidlo kwisisu.
Iimbangela ze-stenosis esophageal
Izinto ezibangela ukuphuhliswa kwesi sifo esibuzwayo:
- iimfomonic malformations of the oopopus;
- reflux esophagitis ;
- izilonda ezicuthayo;
- i-hernia yokuvulwa kwe-esophageal yesithintelo;
- gastritis esingapheliyo;
- i-toxicosis ngexesha lokukhulelwa;
- isisu sesisu;
- isifo somhlaza;
- umatshini, iikhemikhali, umonakalo oshisayo kwi-esophagus;
- i-collagenoses;
- nomhlaza;
- zamathambo;
- izihlamba ezinobunzima;
- I-lymph nodes ekhulisiwe, i-neoplasms kwi-mediastinum;
- aneorysm;
- iindawo ezikufuphi ezikufutshane.
Iimpawu ze-stenosis ye-esophagus
I-stenosis ebangelwa yintsholongwane ibonakala kwiintsuku zokuqala zobomi, ibonakaliswa ngokuhlukana kwamathambo, ukuhlaziywa ngobisi obungabhalwanga, ukukhutshwa kwe-muscus ehambelana nemiphunga empumleni.
Uhlobo oluthile lwe-pathology lukhula ngokukhawuleza:
- Kwinqanaba lokuqala, ngamanye amaxesha kunzima ukugwinya ukutya okuqinileyo.
- I-Dysphagia ye-degree e-2 ibonakaliswe ngokukwazi ukuthatha ukutya kuphela.
- Ngokuqhubela phambili kwe-dysphagia, umntu oseburhulumenteni unamafutha (isigaba 3) okanye akanako ukugwinya konke (ibanga lesi-4).
Ukongezelela, izigulana zikhalaza iintlungu zesifuba, i-laryngospasm, ukukhahlela, ukuhlahlela ukukhwehlela.
Uphuhliso olusebenzayo lwe-stenosis ye-esophageal
Unyango luxhomekeke kwisilinganiso se-dysphagia kunye nobukhulu beempawu. Iqukethe imisebenzi elandelayo:
- ukutya (utywala, ukutya okumanzi);
- ukuthatha amalungiselelo angenasiphelo kunye neengxaki ezingenakuphikiswa ;
- ibhaluni yokuhluthwa;
- i-bougienage.
Ekubeni kukho izakhiwo ezinqabileyo ezinqabileyo kwizigaba 3-4 ze-stenosis kuyacetyiswa:
- dissection endoscopic;
- endoprosthetics;
- ukuthengiswa kwecandelo elincinci;
- esophagoplasty;
- gastrostomy.