Esophagus diverticulum

Diverticulum na esophagus wani cuta ne wanda asalin yatsun dabbar ke nunawa a cikin nau'i na jakar ko makami. A sakamakon haka, aikin yin amfani da haɗiye ko motsi da abinci ta hanyar bishiya zai iya zama rashin lafiya. Haka kuma cutar tana shafar mata da maza, musamman bayan shekaru 40.

Tsarin jigilar al'ada

1. Da asali, haɓaka suna rarraba zuwa:

• al'ada;
• samu.

• ƴan ɓangaren motsa jiki na esophagus - an kafa shi ne sakamakon yaduwa na mucosa a ƙarƙashin rinjayar ƙarfin ƙwayar intra-esophageal da ke tasowa a lokacin ragowar esophagus;
• cututtuka na cututtuka - ana haifar da ƙwayar ƙwayar ƙwayar cuta a cikin kwakwalwan da ke ciki da kuma samuwar scars, yana shimfiɗa duk fadin ɓangaren ƙosar ido zuwa ga kwayar cutar.

• ƴan hankalin gaskiya - an kafa shi ta hanyar juyawa dukkanin layuka na esophagus (mucosa, submucosa, muscle membranes);
• ƙarya diverticulum (pseudodiverticulum) - an kafa ne kawai ta hanyar mucosa na esophagus.

• pharyngeal-esophageal;
• epibronchial;
• epiphrenic.

Sakamakon abubuwan da ke tattare da esophageal diverticulum

Dalilin abin da ke tattare da yanayi na jiki shine ƙananan ƙwayar jikin kwayoyin halitta da kuma haɗin gwiwar haɗin gwiwar. An shirya diverticula wanda ya sami dalilai guda biyu:

• a sakamakon sakamakon mummunan kwayoyin (mediastenitis, tarin fuka na ƙwayoyin lymph na intrathoracic, watsi da abin da ke cikin ciki a cikin esophagus, ciwo na esophagus saboda sakamakon aiki, sakamakon sakamakon konewar sinadarai na esophagus, da dai sauransu);
• saboda rashin aikin motar da bala'i ko rashin ƙarfi na tsarin kayan haɗin kai na bango, wanda ke hade da tsufa.

Kwayoyin cututtuka na al'ada:

• wani wari mai ban sha'awa daga bakin baki ;
• wahala a cikin haɗiye da ciyarwa;
• regurgitation (wani lokaci tare da abinci da aka ci 'yan kwanaki da suka wuce);
• ciwo a cikin shafin yanar gizon haɗi;
• jin dadi na haɗuwa, jiki waje a cikin makogwaro;
• Nausea;
• Tsananta a cikin makogwaro;
• taura mai bushe (mafi yawa a daren);
• drooling.

Hanyar pharyngeal diopital (Zenker's diverticulum) za a iya gani a wuyansa tare da kai da aka mayar da shi, palpable (taushi mai laushi).

Binciken asalin halitta

Hanyar hanyar bincike don tabbatar da ganewar asali shine nazarin X-ray tare da sip na barium. Kadan ƙari, ana amfani da endoscopy na esophagus saboda hadarin lalacewar ganuwarta.

Yadda za'a bi da diverticulum na esophagus?

An yi nazari na mahimmanci game da jigilar kwayoyin halitta a cikin batun karamin rikici da kuma rashin rikitarwa. An yi amfani da farfadowa na Conservative don hana jinkirin abincin da ke cikin lalata da kuma hana ci gaba da matakai na ƙumburi.

Wani muhimmin mahimmanci a tsarin kulawa shi ne kiyaye abincin da ya hada da yin amfani da shi a hankali, abinci mai laushi. Bayan cin abinci, lallai ya kamata ku sha ruwa kadan ko shayi ba tare da tayarwa ba don "kuzari" da diverticulum.

An nuna aikin tiyata don karkatar da hanzari a cikin irin wannan hali:

• ƙaddamar da rikitarwa (zub da jini, tsinkayyar esophagus, fistula bayyanar, perforation, shigarwa, da dai sauransu);
• hanzari na girman girma;
• jinkirin abincin lokaci mai tsawo a cikin labaran ba tare da la'akari da girmanta ba.

Dalilin maganin magani shine kawar da diverticulum gaba daya. Kwanan nan, a cikin tiyata na hanzari, hanyoyi na zamani da suka cire tare da taimakon fasahohin videootorakoscopic suna ƙara karuwa.