Achalasia: warbixin muhiim ah oo ku saabsan cudurka

Si aad u taariikhda, liiska nno ugu badan ee ku qoran cudurka waa mareenka caloosha iyo mindhicirka. xanuunada habdhiska, nafaqo-xumo, cimilada, cudurada kala duwan - kuwanu waa sababaha ugu weyn ee keentay in cudurada noocan ah.

Mid ka mid ah heley ugu badan ee caloosha iyo mindhicirrada waa achalasia la xiriira cudurada neerfaha ee hunguriga. In cudurkan uu jiro isbedel ku marinka ee tacsida cunto laftiisa iyo hunguriga, siday u kala horreeyaan, ka hunguriga caloosha. Waxaa keena motility oo yaraada ee hunguriga iyo la'aanta ah ee siidaynta reflex kaliya ee endetarms- esophageal hoose. Cudurku wuxuu ku dhacaa dadka da 'kasta, laakiin inta badan ee kala duwan ee labaatan iyo konton jirka, rag iyo dumarba.

dirka cudurada

Dhakhaatiirta ayaa shaaca ka qaaday stage 4 cudurka, lagu gartaa isbeddel ah ee kala duwan ee hunguriga:

- yada aan lagu gartaa ytimaada ee dubaaxin wakhtiga cardia, aan la Ulasocto dheeraad ah ee hunguriga,

- talaabo II for ballaarinta caadiga joogta ah motility esophageal iyo Faahfaahin of derbiyadeeda;

- marxalad III muuqataa cardia stenosis iyo hunguriga ka ballaarinta joogta ah disorder ay motility iyo midab,

- dhamaadka waaxda stage IV esophageal helo lesions karin; Waxa uu bilaabo iyo esophagitis periezofagit.

Marxaladaha aniga iyo II socday oo ku saabsan laba bilood, stage III toban ah oo ku saabsan - shan iyo toban sannadood, oo labaatan sano dheer IV-th.

cardia achalasia sidoo kale of hoose iyo sare waa.

Sababaha cudurka

Waxaa jira mala dhowr ah oo ku saabsan sababaha cudurka, si kastaba ha ahaatee, in bulshada caafimaadka si ay hooseeyaha caadi ah oo aan idiin iman. sababo kuteen:

- la'aanta vitamins B;

- isbeddel ah ee iyo burburinta nidaamka neerfaha ah parasympathetic;

- caabuq nidaamka durey, sambabada iyo mediastinum;

- kansarka caloosha, cudurada of Chagas.

Achalasia - Astaamaha:

- dysphagia, ama liqidda oo dhib ah;

- regurgitation ama dhaqdhaqaaqa tacsida cunto dhinaca ka soo horjeeda. Cudurkaan waxaa la socda matag,

- xanuunka xabadka. In marxaladda aniga iyo II xanuun la xiriira dubaaxin, iyo III - IV la esophagitis;

- daciifnimo, miisaanka oo yaraada, hoos u awooda in ay ka shaqeeyaan.

Sidee loo helaa xanuunka?

Cudurada laga helay by cilmiga X esophagogastroscopy maris iyo barium.

Achalasia - daaweynta

Ujeedada ugu muhiimsan daawaynta waa in la hagaajiyo patency cuntada ee salka hunguriga iyo baabi'inta calaamadaha cudurka. Tani waa mid ku fula ama farsamooyinka qalliinka ama by daroogada.

kaafi Cardia daaweynta ku lug leedahay soo socda:

- cunto iftiin №1 ama # 1a;

- cunto kala, taasi oo ka tarjumaysa baahida loo qabo in la cuno oo ku saabsan shan - lix jeer maalintii, marka laga reebo cuntada aad u qabow ama aad u kulul,

- saarida khamriga iyo sigaarka,

- isticmaalka daroogada: "Nitroglycerin" "Isosorbide dinitrate" "Nifedipine", "Novocaine," "atropine sulfate," "antispasmodics" "sun Botulinum" (duray), iyo kuwa kale.

Daaweynta daawooyin ma aha mid aad wax ku ool ah, sida kaliya ee ku meel gaar ah blocks calaamadaha cudurka. More wax ku ool ah waa qalliin. Asal ahaan, waxaa loo isticmaalaa in la isku midka ah daaweynta maandooriyaha. Waxa uu isticmaalaa dheeraad ah oo ka mid ah farsamooyinka qalliin soo socda:

- cardiodiosis pneumatic (cardia ballaarinta isticmaalaya expanders). Saamaynta ee habkan waa heer sare ah - ilaa 80%;

- cardiotomy vneslizistoy Habka by Geller (muruqa gaadhya qolof dissection);

- buufin Dilatation (gap gaar ah hoose fiiloyin endetarms- esophageal).

Dabcan, dhakhtarka magacaabay daaweynta oo keliya. Oo waxay ku xiran tahay kakanaanta iyo nooca cudurka.