Achalasia: ntaub ntawv tseem ceeb hais txog tus kab mob no

Rau hnub tim, daim ntawv teev cov feem ntau ailments teev tseg kab mob no yog los ntawm cov hnyuv ib ntsuj av. Tshee ntshawv siab, malnutrition, kev nyab xeeb, ntau yam kab mob - cov no yog cov tseem ceeb yog vim li cas ua rau cov kab mob ntawm hom.

Ib qho ntawm feem ntau pathologies ntawm lub plab thiab cov hnyuv yog achalasia muaj feem xyuam rau neuromuscular cov kab mob ntawm cov hlab pas. Nyob rau hauv no kab mob muaj yog ib tug kev hloov nyob rau hauv lub tso cai ntawm lub zaub mov masses ntawm nws tus kheej thiab cov hlab pas, ntsig txog, ntawm cov hlab pas mus rau lub plab. Nws yog tshwm sim los ntawm impaired kom ntawm cov hlab pas thiab cov tsis muaj reflex qhia tawm xwb ntawm sab esophageal sphincter. Tus kab mob no tshwm sim nyob rau hauv cov neeg uas muaj hnub nyoog, tab sis feem ntau nyob rau hauv ntau ntawm nees nkaum rau tsib caug xyoo, txiv neej thiab cov poj niam.

kev faib ntawm cov kab mob

Cov kws kho mob qhia theem 4 kab mob, yus muaj los ntawm ntau yam kev hloov nyob rau hauv cov hlab pas:

- Kuv nyob ntev yog tsiag ntawv los ntawm reversibility ntawm lub sij hawm chua ntawm cardia, yog tsis nrog los ntawm ib tug extension ntawm cov hlab pas;

- kauj ruam II rau cov raug khov kho expansion ntawm esophageal kom thiab amplification ntawm nws cov phab ntsa;

- nyob rau theem III tshwm stenosis cardia thiab txoj hlab nqos mov los ntawm cov khov kho expansion ntawm nws kom meej thiab cov laus;

- nyob rau thaum kawg ntawm theem IV esophageal department tau txais irreversible txhab; Nws pib thiab esophagitis periezofagit.

Cov qib kuv thiab II ntawd kub ntev li txog ib tug ob peb lub hlis, III theem txog kaum - kaum tsib xyoos, thiab IV-th ntev xyoo lawm.

achalasia cardia kuj ntawm thawj thiab.

Cov ua rau tus kab mob

Muaj ntau ntau hypotheses txog cov ua ntawm tus kab mob, txawm li cas los, nyob rau hauv cov kev kho mob hauv zej zog mus rau ib tug ntau denominator thiab tsis tau tuaj. yog speculative yog vim li cas:

- tsis muaj ntawm cov vitamins B;

- kev hloov nyob rau hauv thiab kev puas tsuaj ntawm cov parasympathetic tshee system;

- o ntawm lub lymphatic system, lub ntsws thiab mediastinum;

- cancer ntawm lub plab, kab mob ntawm Chagas.

Achalasia - Cov tsos mob:

- dysphagia, los yog muaj teeb meem nqos;

- regurgitation los yog lub zog ntawm cov zaub mov masses nyob rau hauv kev coj rov qab. Qhov no cov tsos mob yog nrog los ntawm ntuav;

- mob nyob rau hauv lub hauv siab. Nyob rau hauv theem kuv thiab II ntawm kev mob txuam nrog chua, thiab III - IV nrog esophagitis;

- tsis muaj zog, poob phaus, tsis muaj peev xwm mus ua hauj lwm.

Yuav ua li cas yog nws thiaj paub hais tias?

Kab Mob thiaj paub hais tias los ntawm X kev tshawb fawb esophagogastroscopy zaj thiab barium.

Achalasia - kev kho mob

Lub ntsiab lub hom phiaj ntawm kev kho mob yog los txhim kho lub patency ntawm cov zaub mov nyob rau hauv cov hlab pas thiab tshem tawm tus kab mob cov tsos mob puag. Qhov no yog accomplished los ntawm kev phais hom kev kawm los yog los ntawm cov tshuaj.

Cardia insufficiency kev kho mob yuav cov nram qab no:

- lub teeb noj cov zaub mov №1 los yog # 1a;

- phua noj mov, uas implies qhov yuav tsum tau noj txog tsib - rau lub sij hawm ib hnub twg, tsuas yog ib yam nkaus thiab txias los yog kub dhau heev lawm cov zaub mov;

- cais tawm ntawm cawv thiab luam yeeb;

- txoj kev siv cov tshuaj: "nitroglycerin" "Isosorbide dinitrate" "Nifedipine", "Novocaine," "atropine sulfate," "antispasmodics" "Kab mob Botulinum taug" (txhaj), thiab lwm tus neeg.

Kev kho mob nrog cov tshuaj yog tsis zoo heev, raws li ib ntus xwb blocks cov tsos mob ntawm tus kab mob. Ntau zoo yog phais kev cuam tshuam. Yeej, nws yog siv nyob rau hauv thaum uas tig mus nrog yeeb tshuaj kho mob. Nws yuav siv ntau tshaj ntawm cov nram qab no phais hom kev kawm:

- pneumatic cardiodiosis (expansion cardia siv expanders). Cov nyhuv ntawm cov qauv no yog siab - txog li 80%;

- Txoj kev vneslizistoy cardiotomy los ntawm Geller (longitudinal nqaij phais plhaub);

- dilatation zais pa (tshwj xeeb kis qis esophageal sphincter fibers).

Ntawm cov hoob kawm, tus kws kho mob appoints kev kho mob xwb. Thiab nws yog nyob rau hauv lub complexity thiab hom ntawm tus kab mob.