Esophageal Cuta: Bayyanar cututtuka da kuma Jiyya

aiki na esophagus yiwuwa da aka sani ga kowa da kowa. A cewar wannan mai sauki, da farko duba, jiki ya yi lõma da mutum abinci motsa a cikin ciki. Kamar yadda ya juya waje, esophageal cuta, da bayyanar cututtuka na wanda za a tattauna a wannan labarin ne quite hadaddun da bambance bambancen, kamar yadda sauƙi zama inflamed da kuma kula da dukan kurakurai a cikin mu rage cin abinci.

Sha'awa, da mutum, ganowa ãyõyin wata cuta da ake kira jiki, mafi sau da yawa dangana su ga matsalolin da ciki, zuciya ko kashin baya cuta, da kuma inganta halin da ake ciki, kokarin samun su san su.

Mene ne dysphagia?

Don fara, bari mu dubi rakiyar kusan kowace cuta daga cikin esophagus bayyanar cututtuka.

Na farkon su - dysphagia. Wannan shi ne wani take hakkin hadiya matakai cewa sa aikin matsaloli ko Organic cikas ga harkar abinci ta hanyar da esophagus.

Wannan take hakkin characterizes ji cewa abinci da aka makale a lokacin da hadiya ko nassi na ciki. Af, shi yana zuwa a iya bambanta daga Afaq, wanda shi ne wata ãyã daga cikakken mai shãmakacẽwa na esophagus da bukatar gaggawa magani.

ƙwannafi

Wani alama da cutar da ciki da kuma esophagus ne retrosternal kona abin mamaki cewa shimfidawa a wuyansa, da kuma wani lokacin a hannun. Yawancin lokaci, ƙwannafi tare da regurgitation (ejection) na ciki abinda ke ciki, kazalika da ji cewa rolls sama zuwa makogwaro dumi kalaman.

Ƙwannafi ne m bayan cin abinci, a lokacin da haƙuri leans gaba, daukan wani kwance matsayi ko jiki straining. Kuma ta ƙaruwa za a iya rage idan kawai ya yi lõma da yau, su sa 'yan sips na ruwa ko dauki antacid (hydrochloric acid neutralizing mataki) take nufi.

A m, kuma mai tsanani ƙwannafi - a tabbata ãyã daga matsaloli tare da aiki na esophagus, misali, bile reflux ko hydrochloric acid, cuta jiki ta ikon budewa da kuma ta mucosal kumburi (oesophagitis).

odynophagia

Soreness yi na hadiya da ya auku a baya da breastbone, - odynophagia, yawanci lalacewa ta hanyar rauni mucosal surface na esophagus. Ya kamata a bambanta daga spastic ciwon kirji hade da turawa wuya dunƙule na abinci. Odynophagia - maras takamaiman alama, kuma haka a kan yana da wuya a tantance abin da irin Pathology a bayyana jiki ne dalilin da zafi.

Domin reflux esophagitis kayyade alama ba na hali ba, amma shi za a iya gano a wani dauke da kwayar cutar esophagitis (musamman a lokacin da Candida jinsin, kuma herpes). Idan wani sinadaran kuna, miki da ciwon daji zafi ne ma lura a cikin esophagus - dalilan da irin wannan cututtuka a wadannan lokuta ne a kan surface.

Atypical ciwon kirji

Atypical zafi ne daban-daban daga ƙwannafi ko odynophagia. Ba kamar da karshen, ta hanyar, shi kuma iya faruwa da reflux esophagitis, kazalika da a lokuta da esophageal motility cuta, kamar esophagospasm. Wannan alama ya bayyana a matsayin lokacin da abinci, da kuma spontaneously.

Constant da excruciating zafi a cikin esophagus, da Sanadin wanda za mu tattauna daga baya, dõmin ta kasance wata ãyã daga ciwon daji ko esophageal ulcers. Ba zato ba tsammani, a daya kuma wannan haƙuri shi na iya samun wani daban-daban hali, wani lokacin marasa lafiya ko da wuya a bayyana su ji.

A wasu lokuta, da ciwon kirji iya dangantawa da atypical disturbances a esophageal motility. A wannan yanayin, marasa lafiya na iya samun karin da kuma halayya cuta, ciki, da tsoro da kuma psychosomatic cuta da kuma m yanayi.

regurgitation

Wannan alama an ambata a cikin bayanin ƙwannafi, kamar yadda yana da wata ãyã ta abõkinsa. Reguritatsiya yakan auku ba tare da tashin zuciya da kuma diaphragm ƙanƙancewa kuma yawanci ana tare da da yawa daga cikin cututtuka na esophagus da ciki.

Alamun abandonment na ciki abinda ke ciki a cikin bakinka bi pathologies kamar esophageal stricture ko diverticulum. A gastro-esophageal reflux reguritatsii shiga zuwa wani da kuma bayyanar a bakin m ko m iyawa cewa shi ne saboda gazawar da esophageal sphincter.

The bayyana alama hatsari popadenii ciki abinda ke ciki a cikin numfashi tsarin da kuma iya sa ba kawai tari, amma kuma choking. Wani lokaci regurgitation iya haifar da muradinta na ciwon huhu.

Ta yaya babban cutar da esophageal achalasia

Ãyõyin esophageal cutar gubar zuwa zafi da tsanani daga cikin sternum, bayyanar regurgitation, reflux, da matsaloli tare da hadiya da tashin zuciya, ƙwannafi, halitosis saboda da Rotting abinci a cikin esophagus, iya nuna abin da ya faru na achalasia.

Wannan cuta aka sanshi a matsayin "cardiospasm" kuma shi ne mai neuromuscular Pathology cewa accompanies da take hakkin da bude daga cikin sphincter, located a cikin ƙananan ɓangare na esophagus da ake kira cardiac. A sakamakon haka, da abinci ba zai iya samu shiga cikin ciki, haifar da cututtuka da aka jera a sama.

A Sanadin cutar ne ba a sani ba. Kuma a wasu lokuta, ta bayyanar shi ne kwatsam, da kuma a wasu - shi tasowa sannu a hankali. A haƙuri nuni sau da yawa adapts achalasia, rage su ci na wani babban adadin ruwa, gymnastic bada, da dai sauransu.

Amma da kara ci gaba da na Pathology na bukatar wani tsanani amsa tambayar da yadda za mu bi da esophagus. Don yin wannan, yi amfani da hanyoyin da nufin cire shingen da nassi na abinci - cardiodiosis (balan-balan dilation na sphincter) ko kardiomiotomiyu (m incision na sphincter tsoka). Drug magani ne ma yawanci wani karin hali.

Alamun da kuma lura da esophageal spasm

Cututtuka na esophagus, wanda muka yi la'akari da cututtuka iya ci gaba a cikin al'ada aiki na sphincter. Lokacin da wannan ya auku a cikin wannan sashin jiki spasm, wanda yawanci shi ne a sakamakon cututtuka na narkewa kamar tsarin ko juyayi cuta.

A wannan cuta da haƙuri tanã kai ƙãra na zafi mai sãɓãnin ƙarfi a cikin lokaci na wucewa abinci ta hanyar da esophagus da hadiya matsaloli. Af, wani lokacin da zafi ya auku tsakanin abinci, sa'an nan kuma suka za a iya rikita batun tare da bayyanar cututtuka na angina.

A jarrabawa na esophagus a wannan cuta ana lura da nakasawa saboda tsoka spasms. Wadannan cututtuka bukatar magani na esophagus, kullum ra'ayin mazan jiya, da kuma, a Bugu da kari, ya kamata a nada wani ƙwauro rage cin abinci, da kuma antispasmodic kwayoyi, da kuma nitrofuran da magani mai kantad da hankali jamiái. A cikin hali na naci disturbances haƙuri bukata balan-balan dilatation ko tiyata.

Mene ne reflux esophagitis?

Cutar da ake kuma kira peptic esophagitis kuma halin da amai da abinda ke ciki na ciki a cikin esophagus. Dalilin wannan sabon abu ne da gazawar da ƙananan sphincter. Tsawo mataki na ciki ruwan 'ya'yan itace da bile yana da wani m yanayi da take kaiwa zuwa kumburi da kuma ulceration na mucosa, a cikin abin da scarring auku takaita da esophagus.

Matsayin mai mulkin, cutar na faruwa sannu a hankali da kuma sau da yawa yana gani a jarirai.

A wannan cuta da bayyanar cututtuka da esophagus mafi yawa ana bayyana a cikin nau'i na ƙwannafi da kuma kona abin mamaki a cikin retrosternal yanki, wanda na iya faruwa ko a aggravated ta lankwasawa gaba, kwance, a lokacin shan taba ko shan barasa.

Esophagitis za a iya wuya da zub da jini (sau da yawa boye), tsammãni ciwon huhu da kuma tabo canje-canje a cikin esophagus.

Don gane asali da wannan Pathology ezofagogasteroskopiyu yi da X-ray barium. A lura da nufin kawar da babban Sanadin esophagitis (pylorospasm, a hernia hiatal piloroduodenalnyh ko stenosis). A haƙuri aka ma wajabta kwayoyi da rage acidity ( "Ranitidine" da "Famotidine"), antacids da antispasmodics. Rage cin abinci domin cututtuka na esophagus ƙwauro, kuma fractional iko.

diaphragmatic hernia

Wani lokacin ta hanyar nakasar da kuma samu lahani a cikin diaphragm cikin kirji rami motsa da na ciki gabobin - irin wannan jiha aka bayyana a matsayin wani diaphragmatic hernia. Mafi sau da yawa shi tasowa a cikin esophageal bude. Kamar yadda aka ambata a sama, wani alama da wannan cuta ne a cikin ni'imar reflux esophagitis, kazalika da boye zub da jini da kuma anemia yanayin.

Yadda za mu bi da esophagus a cikin wannan harka solves da m ganewar asali amfani da X-ray, kuma endoscopy. Yawanci, far ne ra'ayin mazan jiya, da nufin rage reflux. A lokuta da takaita da esophagus ko zub da jini, m baki.

Barrett ta esophagus cuta

Lokacin da zafi a cikin makogwaro, bayan da sternum, suka jefa ciki abinda ke ciki a cikin bakinka, ƙwannafi, acid iyawa a bakin, kullum tari da kuma hoarseness iya magana na esophagus cuta, da ake kira Barrett ta metaplasia.

A dalilin, wanda tsokani ci gaban da wannan cuta ba a kafa, amma gano cewa, shi ne quite wani tsanani wahala ya taso ne saboda gastro-oesophageal reflux esophagitis (kwace). Bugu da kari, shi ne wannan Pathology iya zama} ashin domin ci gaba da ciwon daji.

Barrett ta metaplasia tare da degeneration na mucosal surface na sel - Kwayoyin rufi na esophagus an maye gurbinsu da sel da hanji mucosa. Ba zato ba tsammani, an dauke a precancerous yanayin, ko da kuwa da cewa ciwon daji na esophagus - a rare cuta.

Barrett ta metaplasia: ganewar asali da kuma lura da esophageal cuta

A bayyanar cututtuka, da magani daga wanda bukatar daidai ganewar asali, tare da Barrett ta metaplasia dole tabbatar da ƙarin bincike kamar yadda endoscopy da biopsy.

Domin wannan haƙuri ta makogwaro to saka musamman na bakin ciki tube, ta hanyar abin da esophagus za a iya binciki, sa'an nan kai da shi daga cikin nama samfurin ga m bincike na Kwayoyin.

A lura da Barrett ta esophagus mayar da hankali ne yawanci a kan magani kwace sa metaplasia, kazalika da rigakafin ciwon daji. Far yana da guda harafin kamar yadda na lura da grabs (antacids da antireflux magunguna), amma shi ne mafi tsanani. Idan haka ne, tare da rage cin abinci far ba ya kawo taimako, kazalika da a lokuta da ƙeta na hernia, da haƙuri, m baki aka kira fundoplication (samuwar wani wucin gadi bawul).

Ciwon daji na esophagus

Cututtuka na esophagus, da bayyanar cututtuka da wanda aka tattauna a cikin labarin - shi ne wani hadadden cutar, amma mafi tsanani Pathology ne babu shakka da ciwon daji.

A ci gaban da cancerous marurai a cikin esophagus taka muhimmiyar rawa na kullum kumburi a jikinsa lalacewa ta hanyar sinadaran, thermal ko inji ruri. A shan taba da barasa zagi kara hadarin tasowa ciwon daji ta hanyar 12 sau!

Yawancin lokaci, a farkon da cuta ne asymptomatic, kuma wannan tsari zai iya daukar har zuwa 2 shekaru. Lokacin da ciwon daji ke tsiro zuwa irin wannan har saboda shi Narrows da lumen na esophagus, da mãsu haƙuri yana da ãyõyin matsaloli tare da nassi na abinci ta hanyar jiki mai suna. Kara dysphagia - halayyar alama da ciwon daji. Kuma idan a farkon rashin lafiya, ya bayyana ne kawai idan aka haɗiye shi, ko talauci chewed abinci mai tauri, sa'an nan daga baya da haƙuri iya kawai amfani da kayayyakin a cikin wani ruwa ko Semi-ruwa form.

Data alamomi ƙara tabarbarewar da janar yanayin: lethargy, asarar ci, nauyi asara. A kaifi takaita da lumen na saukarwa a cikin esophagus kuma bayyana wuce kima salivation.

A wasu marasa lafiya da ci gaban marurai yana tare da m majiyai a baya, ko a baya da breastbone. Yawanci, suna faruwa ne a lokacin da ingestion kuma bayan wani lokaci bace. Da wuya irin zafi ne mai gudana.

Jiyya ciwon daji na esophagus

Jiyya na cututtuka na esophagus, ciwon daji na shafa tafasa saukar zuwa tiyata, radiation da jiyyar cutar sankara. A cikin farko idan da mãsu haƙuri ne gaba daya, ko partially cire esophagus. Wannan dogara, yafi a kan yadda kowa ne tsari. Bugu da ƙari, Lymph nodes an cire a cikin bangarori na metastasis bayyanar. Duk da haka, wannan hanya na lura iya contraindicated a wasu marasa lafiya (misali, cututtukan zuciya ko cuta daga cikin numfashi tsarin ayyuka).

Radiation far - kadai hanyar da za a iya amfani da su bi mafi yawan marasa lafiya da esophageal ciwon daji (40% na lokuta shi zai iya taimaka ya kawar da tsanani asibiti manifestations da cutar). Jiyyar cutar sankara ne yafi amfani ga low-sa nau'i na cutar daji.

Akwai kuma hade far a cikin abin da radiation far kafin tiyata don rage tasiri na gida komawa da kuma rage ƙari girma.

benign ciwace-ciwacen daji

Daga cikin benign ciwace-ciwacen daji a cikin esophagus hada epithelial da kuma wadanda ba epithelial siffofin maruran. Wannan shi ne wani fairly m cuta, kuma su alama ne m Hakika na cutar da kuma rashin mai tsanani bayyanar cututtuka.

Kamar yadda mai mulkin, wadannan siffofin maruran ci gaba daga bangon daga cikin esophagus da kuma wani lokacin fada cikin lumen. Mafi na kowa daga cikinsu akwai leiomyoma, da kuma na biyu wuri ne cystic neoplasms.

Babban bayyanar cututtuka a gaban benign marurai na karuwa sannu a hankali dysphagia, da kuma (a lokacin da ci gaban polyps) abin mamaki na da ciwon kasashen waje jiki, wanda ya haddasa tashin zuciya da kuma amai.

Yawancin wadannan siffofin marurai suna gano kwatsam a lokacin radiological jarrabawa.

Kamar da yawa daga esophageal cuta, da jiyya na kirki marurai rage su m kau, domin kauce wa yiwu rikitarwa dangantawa da ƙari girma. Yawanci, kau faruwa ba tare da lalacewar da esophageal mucosa, kuma yana da m hangen nesa.

Mallory-Weiss ciwo

Lokacin da cuta daga cikin esophagus da ciki cututtuka sau da yawa bayyana kansu da amai ko gagging ta. Wani lokaci haƙuri a wannan lokacin akwai wani hutu a mucous membrane na esophageal-ciki maha? Ar. Wannan Pathology a magani da aka kira wani ciwo Mallory-Weiss.

Kamar yadda mai mulkin, shi ne wata alama ce ta ciwo mai tsanani a cikin kirji, da kuma a cikin aman jini bayyana. Ko da yake mafiya yawa daga cikin wadanda aka ci zarafinsu zub da jini tsaya a nan ba da kansa, irin wannan haƙuri ya kamata a asibiti cikin gaggawa don kauce wa tsanani da rikitarwa.

Kamar yadda riga-ga zalunta Syndrome amfani vasoconstrictors, haka kuma, idan ya cancanta, electrocoagulation.

Malformations na esophagus

Wani lokaci da cutar daga cikin maƙogwaro da esophagus tsaye hade da munanan a cikin ci gaban da karshen - ga underdevelopment na da siffar, size, ko ba daidai ba da wuri.

Yawanci, irin Pathology bayyana a takaita da esophagus, gaban nakasar tracheal esophageal fistulae, da kuma wani lokacin a total rashi na bayyana jiki. Abin baƙin ciki, ci gaban esophageal Pathology iya azaba ko da jariri ga yunwa, don haka tiyata ake bukata mu rabu da su.