Chii chinonzi Zenker's Diverticulum uye Inoitiswa Sei?

Zvemukati

• Matanho
• Ndezvipi zviratidzo?
• Chii chinokonzera izvi?
• Inoonekwa sei?
• 'Mira uone' kusvika
• Kuvhiya kurapwa
• Endoscopic maitiro
• Vhura kuvhiya
• Ndezvipi zvinetso?
• Outlook

Chii chinonzi Zenker's diverticulum?

Diverticulum ishoko rekurapa iro rinoreva chimiro chisina kujairika, homwe-yakaita. Diverticula inogona kuumba munenge munzvimbo dzese dzekugaya.

Kana homwe inoumba panosangana pharynx uye yegurokuro, inonzi Zenker's diverticulum. Iyo pharynx inowanikwa kumashure kwehuro yako, kuseri kwemhino yako muromo uye muromo.

Zenker's diverticulum inowanzoonekwa mu hypopharynx. Ichi chikamu chepasi pechipfuva, panobatana chubhu (esophagus) inotungamira mudumbu. Zenker's diverticulum inowanzo kuoneka munzvimbo inozivikanwa seKillian's triangle.

Zenker's diverticulum isingawanzoitika, inokanganisa pakati pevagari. Iyo inowanzoitika kune vane makore ari pakati nepakati uye vakuru vakuru, kunyanya vanhu vane makore makumi manomwe nema80. Zenker's diverticulum isingawanzo pakati pevanhu vari pasi pemakumi mana. Inobata varume kazhinji kupfuura vakadzi.

Inonziwo pharyngoesophageal diverticulum, hypopharyngeal diverticulum, kana pharyngeal homwe.

Matanho

Kune akatiwandei masisitimu akasiyana ekutsanangura diversiculum yeZenker:

Ndezvipi zviratidzo?

Zvakaoma kumedza, inozivikanwawo sedysphagia, ndicho chiratidzo chinowanzoonekwa cheZenker's diverticulum. Inotaridzika inofungidzirwa makumi masere kusvika makumi mapfumbamwe muzana muzana yevanhu vane divericulum yeZenker.

Zvimwe zviratidzo uye zviratidzo zveZenker's diverticulum zvinosanganisira:

• kugadzirisa chikafu kana mushonga wemuromo
• mweya wakaipa (halitosis)
• izwi rakashoshoma
• kuramba chikosoro
• kumedza zvinwiwa kana chekudya "pasi nepombi isiri iyo" (kushuvira)
• kunzwa kwebundu muhuro mako

Kana ikasiiwa isina kurapwa, zviratidzo zveZenker's diverticulum zvinogona kuwedzera nekufamba kwenguva.

Chii chinokonzera izvi?

Kumedza inzira yakaoma kunzwisisa inoda kubatana kwemhasuru mumuromo, pharynx, uye esophagus. Paunomedza, mhasuru yakatenderera inonzi yekumusoro esophageal sphincter inovhura kubvumidza chikafu chakatsengwa kupfuura. Mushure mekunge wamedza, iyo yekumusoro esophageal sphincter inovhara kudzivirira mweya inhaled kuti usapinda mudumbu.

Kuumbwa kweZenker's diverticulum kunoenderana neepamusoro esophageal sphincter dysfunction. Kana iyo yekumusoro esophageal sphincter ikasavhura nzira yese, inoisa kumanikidza kune imwe nzvimbo yemudhuri pharynx. Uku kumanikidza kwakanyanyisa kunosundira iwo matumbu kunze, kuchikonzera kuumba diverticulum.

Gastroesophageal Reflux chirwere (GERD) uye nezera-zvine chekuita nezera mukuumbwa kwetishu uye mhasuru toni inofungidzirwawo kuti inoita basa mune ino maitiro.

Inoonekwa sei?

Taura nachiremba wako kana iwe kana mumwe munhu waunotarisira ari kuona zviratidzo zveZenker's diverticulum.

Zenker's diverticulum inoonekwa ichishandisa bvunzo inonzi barium swallow. Bharumeti inomedza ndeye X-ray yakasarudzika inosimbisa mukati memuromo wako, pharynx, uye esophagus. Iyo barium kumedza fluoroscopy inobvumira chiremba wako kuti aone kuti iwe unomedza sei mukufamba.

Dzimwe nguva, mamwe mamiriro aripo padivi peZenker's diverticulum. Chiremba wako anogona kukurudzira mamwe mabvunzo kuti aone kana kutonga kunze mamwe mamiriro. Yekumusoro endoscopy maitiro anosanganisira kushandisa mutete, kamera-yakashongedzwa chiyero kutarisa pahuro uye esophagus. Esophageal manometry bvunzo inoyera kumanikidza mukati medu.

'Mira uone' kusvika

Zviitiko zvakapfava zveZenker's diverticulum zvinogona kusada kurapwa nekukurumidza. Zvichienderana nezviratidzo zvako uye saizi yeiyo diverticulum, chiremba wako anogona kupa zano rekuti "mira uone."

Kuchinja tsika dzako dzekudya dzimwe nguva kunobatsira kugadzirisa zviratidzo. Edza kudya zvidiki zvidiki zvechikafu mune imwechete kugara, kutsenga zvakakwana, uye kunwa pakati pekurumwa.

Kuvhiya kurapwa

Moderate kune zvakakomba zviitiko zveZenker's diverticulum kazhinji inoda kuvhiyiwa. Kune mashoma mashoma ekuvhiya. Chiremba wako anogona kukubatsira kuti unzwisise kuti ndeipi sarudzo yakakunakira iwe.

Endoscopic maitiro

Munguva yeendoscopy, chiremba anovhiya anoisa chiridzwa chakaonda, chubhu-senge inonzi endoscope mumuromo mako. Iyo endoscope yakagadzirirwa mwenje uye kamera. Inogona kushandiswa kugadzira incision mumadziro iyo inopatsanura diverticulum kubva kune iyo lining yegurokuro.

Endoscopies yeZenker's diverticulum inogona kuomarara kana kushanduka. Endoscopy yakaoma inoshandisa endoscope isingagone uye inoda general anesthesia. Rigid endoscopies inoda kukosha kwemutsipa kuwedzera.

Nekuda kwenjodzi yematambudziko, maitiro aya haakurudzirwe kune vanhu vane:

• diki diverticulum
• yakakwira body mass index
• kuoma kuwedzera mutsipa wavo

Endoscopy inoshanduka inoshandisa endoskopu inokombama uye inogona kuitwa pasina anesthetic yakajairika. Ndiyo sarudzo yekuvhiya isinganetsi inowanikwa yekurapa diversiculum yeZenker. Kazhinji maitiro ekurapa anotakura njodzi yakaderera yezvinetso.

Kunyangwe endoscopies inoshanduka inogona kurerutsa zviratidzo zveZenker's diverticulum, kudzoka kwemitengo kunogona kuve kwakakwira. Multiple flexible endoscopy maitiro anogona kushandiswa kugadzirisa zviratidzo zvinodzokororwa.

Vhura kuvhiya

Kana endoscopy isingakwanisike kana iyo diverticulum yakakura, kuvhura kuvhura ndiyo inotevera sarudzo. Kuvhiya kweZenker's diverticulum kunoitwa pasi pechinhuwo zvacho.

Chiremba anovhiya anozoita chidiki chidiki mumutsipa wako kuti uite diverticulectomy. Izvi zvinosanganisira kupatsanura diverticulum kubva kune yako esophageal madziro. Mune zvimwe zviitiko, chiremba anovhiya anoita diverticulopexy kana diverticular inversion. Maitiro aya anosanganisira kushandura chinzvimbo cheiyo diverticulum uye kuisona munzvimbo.

Kuvhura kwekuvhiya kune kwakanyanya kubudirira mwero, nezviratidzo zvisingaite kuti zvioneke munguva refu. Zvisinei, zvinoda kugara muchipatara kwemazuva akati wandei uye dzimwe nguva, kudzokera kuchipatara kuti ubvise masitepisi. Iwe ungangoda kushandisa yekudyisa chubhu kwevhiki kana kupfuura uchitevera maitiro. Chiremba wako anogona kukurudzira kutevera chikafu chakakosha iwe uchipora.

Ndezvipi zvinetso?

Kana ikasiiwa isina kurapwa, diversiculum yeZenker inogona kuwedzera muhukuru, ichiita kuti zviratidzo zvako zviwedzere. Nekufamba kwenguva, zviratidzo zvakakomba senge kunetsekana kumedza uye kudzokorodza zvinogona kuita kuti zvive zvakaoma kuti ugare uine hutano. Unogona kushaiwa kudya kwakakwana.

Aspiration chiratidzo cheZenker's diverticulum. Izvo zvinoitika kana iwe uchifemera chikafu kana imwe nyaya mumapapu pane kuimedza mukati medu. Zvinetso zvekushuvira zvinosanganisira aspiration pneumonia, hutachiona hunoitika kana chikafu, mate, kana chimwe chinhu chikabatwa mumapapu ako.

Zvimwe zvinetso zvisingawanzoitika zveZenker's diverticulum zvinosanganisira:

• esophageal mhingaidzo (kudzipwa)
• kubuda ropa (kubuda ropa)
• izwi tambo kuoma mitezo
• squamous cell carcinoma
• fistula

Vanenge gumi kusvika makumi matatu muzana yevanhu vanovhiyiwa pachena kweZenker diverticulum inosangana nematambudziko. Zvinogona kuitika zvinosanganisira:

• chirwere chemabayo
• mediastinitis
• kukuvara kwetsinga (palsy)
• kubuda ropa (kubuda ropa)
• fistula kuumbwa
• hutachiona
• stenosis

Taura nachiremba wako nezve njodzi dzekuvhiya pachena kweZenker's diverticulum.

Outlook

Zenker's diverticulum chinhu chisingawanzoitika chinowanzo bata vakuru vanhu vakuru. Izvo zvinoitika kana homwe yetomu fomu apo iyo pharynx inosangana negurokuro.

Mafomu akapfava eDiverticulum eZenker anogona kusada kurapwa. Kurapa kwemaitiro akaenzana kusvika kune akaomarara eZenker's diverticulum kazhinji kunosanganisira kuvhiyiwa.

Iwo marefu-maonero eiyo Zenker's diverticulum yakanaka. Nekurapa, vanhu vazhinji vanoona kuvandudzwa kwezviratidzo.