Zvese zvaunoda Kuti Uzive Nezve Esophageal Diverticula

Zvemukati

• Ndezvipi zviratidzo?
• Chii chinokonzera?
• Pane here zvinenjodzi?
• Inoonekwa sei?
• Zvinorapwa sei?
• Kurapa kwekusavhiya
• Kuvhiya kurapwa
• Pane here zvinetswa?
• Ndeapi maonero?

Chii chinonzi esophageal diverticulum?

Esophageal diverticulum ibhegi rinobudikira mumucheto wegurokuro. Iyo inoumba munzvimbo isina kusimba yegurokuro. Homwe inogona kuve chero kubva 1 kusvika 4 inches pakureba.

Kune matatu marudzi esophageal diverticula (huwandu hwe diverticulum), zvichibva nekwavanowanikwa:

• Diverticulum yaZenker. Rudzi urwu runokura padyo nepamusoro peiyo esophagus.
• Midthoracic diverticulum. Mhando iyi inoitika pakati chepakati peziso.
• Epiphrenic diverticulum. Rudzi urwu runowanikwa muchikamu chezasi chegurokuro.

Verenga pamusoro kuti udzidze zvakawanda nezve iyi mamiriro.

Ndezvipi zviratidzo?

Esophageal diverticula haigare ichikonzera matambudziko. Kana dzikadaro, zviratidzo zvinowanzouya zvishoma nezvishoma homwe ichikura.

Zviratidzo zvakajairika zveesophageal diverticulum zvinosanganisira:

• kunetseka kumedza
• kunzwa kunge chikafu chakabatwa pahuro
• kugadzirisa chikafu kana uchikotama, wakarara pasi, kana wakamira
• kurwadziwa kana kumedza
• chisingaperi chikosoro
• mweya wetsvina
• kurwadziwa pachipfuva
• kurwadziwa kwemutsipa
• kuonda
• inzwi rinoshanduka
• Chiratidzo chaBoyce, chinova ruzha rwekuvhunduka kana mweya uchipfuura nemu diverticulum

Chii chinokonzera?

Nyanzvi hadzina chokwadi nezve izvo chaizvo zvikonzero zveesophageal diverticula. Vamwe vanhu vanozvarwa vaine icho, nepo vamwe vachikura nacho mushure mehupenyu.

Muvanhu vakuru, zvinowanzobatanidzwa nekuwedzera kwekumanikidza mukati medu. Iko kumanikidza kunoita kuti lining ibude munzvimbo isina kusimba. Zvimwe zvikonzero zvekuwedzera kwekumanikidza zvinosanganisira:

• kusashanda kwemainji pane ese magumo esophagus
• kuzvimba kubva kunze kwesophagus
• chikafu chisinga fambe zvakanaka kuburikidza negurokuro
• kusashanda zvakanaka kwekumedza mashandiro

Iyo inogona zvakare kuve kusangana kweiyo yekuvhiya nzira padhuze nemutsipa, kana mamiriro anokanganisa collagen, senge Ehler-Danlos syndrome.

Pane here zvinenjodzi?

Kunyange zvazvo esophageal diverticulum inogona kuitika chero ipi zvayo makore, inowanzoonekwa kune vanhu vane makore makumi manomwe nemakumi masere. Uye zvakare, vanhu vane matambudziko ekumedza vane mukana wekukudziridza.

Inoonekwa sei?

Pane nzira dzinoverengeka dzinogona kushandiswa nachiremba wako kuti aongorore esophageal diverticulum, inosanganisira:

• Barium kumedza. Iwe uchabvunzwa kumedza mhinduro ine barium, iyo inoratidzira pane X-ray kana CT scan. Izvi zvinobvumira chiremba wako kuti aone kufamba kwemvura kuburikidza nesophagus yako.
• Kugadzira gastrointestinal endoscopy. Kune iyi maitiro, chiremba wako anoisa chubhu, inoshanduka chubhu ine kamera kumagumo kuburikidza nemuromo wako uye pasi nehuro yako kuti uone yako esophagus.
• Esophageal manometry. Unyanzvi uhu hunopimisa nguva uye simba rekupokana kwesopu yako.
• 24-awa pH bvunzo. Uyu muedzo unoyera pH mune yako esophagus pamusoro pemaawa makumi maviri nemana nguva yekutarisa zviratidzo zvemudumbu acid kana bile mune yako esophagus.

Zvinorapwa sei?

Pane nzira dzakasiyana dzekurapa kune esophageal diverticulum, zvichienderana nehukuru hwayo uye kuomarara.

Kurapa kwekusavhiya

Hunyoro esophageal diverticula inogona kutarisirwa kuburikidza nekuchinja kwehupenyu, senge:

• kunyatso kutsenga chikafu chako
• kudya chikafu chisina kunaka
• kunwa mvura yakawanda mushure mekunge wadya kubatsira kugaya.

Over-the-counter antacids inogona zvakare kubatsira nezvinyoro zviratidzo.

Kuvhiya kurapwa

Mamwe makesi akaomarara angangoda kuvhiyiwa kubvisa homwe uye kugadzirisa zvinyama zvisina kusimba mudumbu.

Maitiro ekuvhiya ekuita izvi anosanganisira:

• Cricopharyngeal myotomy. Izvi zvinosanganisira kugadzira zvidimbu zvidiki mune yekumusoro sphincter yesophagus kuti iwedzere, saka chikafu chinogona kupfuura zviri nyore kuburikidza nesophagus yako.
• Diverticulopexy necricopharyngeal myotomy. Izvi zvinosanganisira kubvisa diverticulum hombe nekuitenderedza uye kuibatanidza kumadziro egurokuro.
• Diverticulectomy uye cricopharyngeal myotomy. Izvi zvinosanganisira kubvisa diverticulum paunenge uchiita cricopharyngeal myotomy. Iko kusanganisa kunowanzo shandiswa kurapa diversicula yaZenker.
• Endoscopic diverticulotomy. Iyi ndiyo nzira isinganetsi inoparadzanisa iyo nyama pakati peiyo diverticulum uye esophagus, ichibvumira chikafu kubuda kubva kune diverticulum.

Pane here zvinetswa?

Nekufamba kwenguva, esophageal diverticulum inogona kutungamira kune mamwe matambudziko ehutano.

• Kufema mabayo. Kana esophageal diverticulum inokonzeresa kudzokazve, inogona kutungamira mukushuvira pneumonia. Ichi chirwere chemapapu chinokonzerwa nekufemera zvinhu, senge chikafu uye mate, ayo anowanzo famba achidzika pasi pezita rako.
• Kurambidzwa. Chipingaidzo padyo ne diverticulum chinogona kuita kuti zviome, kana zvisingaite, kumedza. Izvi zvinogona zvakare kukonzera homwe kutsemuka uye kubuda ropa.
• Squamous sero carcinoma. Muzviitiko zvisingawanzoitika, kuramba uchitsamwa kwehomwe kunogona kutungamira kune squamous cell carcinoma.

Ndeapi maonero?

Esophageal diverticulum inowanzo kuve isingawanzoitika mamiriro ayo anowanzo bata vakuru vanhu vakuru. Nepo vamwe vanhu vasina kana zviratidzo, vamwe vanoona dzakasiyana nyaya, kusanganisira kunetsekana kumedza uye kudzokazve. Mazhinji kesi anopindura zvakanaka kune shanduko yemararamiro, kuvhiyiwa, kana mubatanidzwa wezvose.