Ke paʻakikī nei hoʻi iā ʻoe ke ale i ka meaʻai? Malia paha ʻaʻole ʻoe i ʻike e pili ana i kēia mea i kapa ʻia ʻo "esophageal web"! E kamaʻilio kākou e pili ana i kēia!

Ua manaʻo paha ʻoe ua paʻa kekahi mea i loko o kou puʻu ke ʻai ʻoe a inu paha i kekahi mea, a i ʻole he paʻakikī ke ale? I kekahi manawa, ʻaʻole mākou e nānā nui iā ia, akā inā hoʻomau ia, he mea ia e pono e noiʻi ʻia. ʻO kekahi kumu o ia paʻakikī ke ale ʻana, ʻo ia ke ʻano a mākou e kamaʻilio ai i kapa ʻia ʻo "Esophageal Web". Mai hopohopo, ʻaʻole kēia he mea weliweli, akā he mea nui loa ia e makaʻala.

He aha kēia ʻupena esophagus?

I ka ʻōlelo maʻalahi, ʻo kou esophagus, ke ʻano o ka paipu e hele ai ka meaʻai i ka ʻōpū i ka wā e moni ai kākou, he membrane lahilahi kona e hana ʻia ana ma loko o ka ʻaoʻao luna i kapa ʻia ʻo "Esophageal Web." I mea e pololei ai, he membrane lahilahi ia e like me ka pūnaewele nananana.

He nui ka poʻe i loaʻa i kēia ʻano membrane, akā ʻaʻole lākou i ʻike. No ka mea, ʻaʻole ia e hōʻike pinepine i kekahi mau hōʻailona . Eia nō naʻe, i kekahi mau hihia koʻikoʻi, hiki i kēia membrane ke ālai hapa a piha paha i kou esophagus. ʻO ia ka manawa e lilo ai i mea paʻakikī ke ale .

Hoʻokahi wale nō membrane o ia ʻano ma ka hapa nui o nā kānaka. Eia nō naʻe, hiki ke loaʻa ma mua o hoʻokahi. ʻOiai ma hope o ka mālama ʻia ʻana, aia kahi manawa kakaikahi e hoʻi hou mai ai kēia maʻi, akā he mea kakaikahi loa ia.

ʻO kēia kūlana, i kapa ʻia ʻo "Esophageal Web," ʻike pinepine ʻia i nā poʻe me ka anemia hao koʻikoʻi a mālama ʻole ʻia. Hiki nō hoʻi ke loaʻa i nā poʻe me ke kūlana i kapa ʻia ʻo "Plummer-Vinson syndrome." ʻEkolu mau hōʻailona nui o kēia syndrome: anemia hao, paʻakikī i ka moni ʻana (i kapa ʻia hoʻi ʻo "dysphagia," i kapa ʻia e nā kauka), a me ka pūnaewele, a i ʻole ka membrane.

Pehea ka maʻamau o kēia ʻano?

He mea paʻakikī ke ʻōlelo pololei i ka nui o ka poʻe i loaʻa i kēia. No ka mea, e like me ka mea i ʻōlelo ʻia ma mua, ʻo ka hapa nui o ka manawa ʻaʻohe hōʻailona. ʻIke pinepine nā kauka i kēia `(Esophageal Web)` ke hana lākou i nā hoʻokolohua no kekahi kumu ʻē aʻe.

Eia nō naʻe, ua ʻike ʻia aia ma waena o 5% a me 15% o ka poʻe e kipa aku i ke kauka ma muli o ka paʻakikī o ke ale ʻana (dysphagia) he "(Esophageal Web)" kēia.

He aha ka ʻokoʻa ma waena o kahi pūnaewele esophageal a me ke apo esophageal?

ʻO kekahi ʻano like me kēia `(Esophageal Web)` ʻo ia ka `(Esophageal Ring)`. Ua lohe paha ʻoe i nā `(Schatzki rings)`. ʻO kēia mau mea ʻelua ke kumu o ka ololi ʻana o kou esophagus a paʻakikī ke ale. Akā, ʻo ka ʻokoʻa nui ma waena o nā mea ʻelua kahi i hana ʻia ai.

• (Pūnaewele ʻEsophageal): Hoʻokumu ʻia kēia mau mea ma ka ʻaoʻao o luna o ka esophagus.
• (Apo ʻEsophageal): Hoʻokumu ʻia kēia mau mea ma ka ʻaoʻao haʻahaʻa o ka esophagus.

ʻO ka pūnaewele a me ke apo he mau ʻano ʻoʻoleʻa esophageal. Hānau ʻia kekahi poʻe me nā pūnaewele esophageal a me nā apo. Eia nō naʻe, ulu pinepine lākou ma hope o ke ola ma muli o nā kūlana ʻē aʻe. ʻO ka hapa nui o ka manawa, ʻaʻole lākou he pilikia. Eia nō naʻe, inā loaʻa iā ʻoe ka ʻeha i ka wā e moni ai, hiki i ka lāʻau lapaʻau ke kōkua.

He aha nā hōʻailona?

E like me ka mea i ʻōlelo ʻia ma mua, ʻo ka hapa nui o ka poʻe me nā pūnaewele esophageal ʻaʻohe o lākou hōʻailona . Inā ʻaʻohe ou hōʻailona, ​​ʻaʻole paha ʻoe e pono i ka lāʻau lapaʻau.

Akā inā loaʻa nā hōʻailona, ​​ʻo ka hōʻailona nui ka paʻakikī i ka ale ʻana i ka meaʻai a me nā wai . I kekahi manawa hiki ke paʻa ka meaʻai i loko o ka puʻu. Ke hana ʻia kēia, hiki iā ʻoe ke manaʻo i ka ʻeha a i ʻole ka manaʻo o kahi mea e paʻa ana i loko o kou puʻu. E noʻonoʻo, i kou kokoke ʻana e ʻai i kahi pā laiki ʻono, ua manaʻo koke ʻoe ua paʻa kahi ʻāpana meaʻai i loko o kou puʻu, a ʻaʻole e nalowale ka inu ʻana i ka wai. Hiki i kēlā ke lilo i ʻike e like me ia.

Inā loaʻa iā ʻoe kēia membrane e pili ana me ka "Plummer-Vinson syndrome," hiki iā ʻoe ke ʻike i nā hōʻailona e like me ke alelo ʻeha a me ka nahā ʻana ma nā kihi o kou waha .

He aha nā kumu no kēia?

ʻAʻole maopopo loa i nā loea ke kumu o nā pūnaewele esophageal. Inā ua hānau ʻia ʻoe me ke ʻano, hiki ke lilo ia i mea loli i ke ʻano o ka hana ʻana o kou esophagus i ka wā o ke ola fetal. Inā loaʻa iā ʻoe ma hope o ke ola, hiki ke lilo i hopena ʻaoʻao o kekahi ʻano olakino ʻē aʻe.

ʻO wai ka mea i ʻoi aku ka pilikia? (Nā kumu pilikia o ka pūnaewele Esophageal)

ʻO kēia kūlana i kapa ʻia ʻo "Esophageal Web" ka mea i ʻike pinepine ʻia i nā poʻe me kēia mau kūlana olakino:

• Nā maʻi autoimmune o ka thyroid gland (e.g. `(Hashimoto's thyroiditis)`, `(Graves' disease)`)
• Nā maʻi ʻili pehu (e like me pemphigus)
• ʻO ka maʻi Celiac (he maʻi allergy kēia i ka protein gluten)
• ʻO ka reflux acid lōʻihi, ʻo ia ke ʻano e kū mai ana i ka wā e lilo ai ka gastritis i mea koʻikoʻi (GERD - Gastroesophageal Reflux Disease)
• ʻO ka maʻi Graft vs. host (ʻike pinepine ʻia kēia ma hope o nā hoʻoili kino)
• Anemia nele i ka hao
• ʻO ka psoriasis
• ʻO ka ʻāʻī rheumatoid

ʻAʻole nā ​​​​kānaka a pau me kēia mau kūlana e loaʻa i nā pūnaewele esophageal, akā ʻoi aku ka kiʻekiʻe o ka pilikia.

Pehea ʻoe e ʻike ai i kēia?

Hoʻohana nā kauka i kēia mau hoʻokolohua e ʻike ai i ka pūnaewele esophageal:

• ʻEsophagram (a i ʻole Barium Swallow Test): He hoʻāʻo X-ray kēia. Hāʻawi ʻia ʻoe i kahi wai i kapa ʻia ʻo barium e inu, a lawe ʻia kahi wikiō X-ray i kou moni ʻana. Hiki i ke kauka ke ʻike inā he pūnaewele esophageal a i ʻole kekahi ʻano haiki ʻē aʻe i loko o kou esophagus.
• Endoscopy Luna:Ma kēia, hoʻokomo ke kauka i kahi ʻōmole lahilahi a palupalu (endoscope) ma kou waha a nānā i loko o kou esophagus. Loaʻa i kēia ʻōmole kahi kāmela ma ka hopena, no laila hiki i ke kauka ke ʻike maopopo inā he "pūnaewele esophageal".

Pehea e mālama ʻia ai?

I ka hapanui o nā hihia, hiki ke nalowale ka pūnaewele ke mālama ʻia ke kumu o ke kumu . Hoʻohana nā kauka i ka hui pū ʻana o nā lāʻau lapaʻau, nā lāʻau lapaʻau ma ke keʻena, a me ke ʻoki kino. Hoʻopilikino ʻia kahi hoʻolālā lapaʻau i kāu mau pono.

Nā lāʻau lapaʻau

Eia kekahi laʻana, inā loaʻa iā ʻoe ka anemia nele i ka hao, pono paha e hāʻawi ʻia iā ʻoe nā pila hao a i ʻole nā ​​​​​​infusions i loaʻa ka hao . Inā loaʻa iā ʻoe ʻo GERD (acid reflux), pono paha e hāʻawi ʻia iā ʻoe nā lāʻau lapaʻau e like me nā mea pale H2 a i ʻole nā ​​​​​​mea pale proton pump (PPI).

Hiki i kēia mau lāʻau lapaʻau ke hoʻololi i ke ʻano o kou esophagus a hōʻoluʻolu i nā hōʻailona.

Nā lāʻau lapaʻau ma ke keʻena lapaʻau

Inā ʻaʻole holo pono ka lāʻau lapaʻau wale nō, hiki i kāu kauka ke ʻōlelo aku i kahi hana i kapa ʻia ʻo ka esophageal dilation . Hana ʻia kēia i ka wā o kahi endoscopy luna. Hoʻohana ke kauka i kahi balloon ʻokiʻoki a i ʻole kahi moʻo o nā dilator ʻokiʻoki e hoʻolōʻihi i ka ʻāpana haiki o ka esophagus. Wehe kēia i ka membrane, hiki ke pilikia i ka ale ʻana.

ʻoki kino

ʻAʻole pono ka hapa nui o ka poʻe me nā pūnaewele esophageal i ke ʻoki kino . Eia nō naʻe, inā loaʻa iā ʻoe kahi hihia koʻikoʻi o nā pūnaewele esophageal, hiki ke hoʻohana ʻia kahi kaʻina hana i kapa ʻia ʻo electrocauterization e wehe i nā ʻiʻo i hoʻopilikia ʻia. Pili kēia i ka hoʻohana ʻana i ka wela e ʻoki ai i ka pūnaewele.

He aha ka mea e hana ʻia ma hope o ka mālama ʻana? (Outlook)

Me ka mālama ʻana, hiki ke hoʻomanawanui maikaʻi ʻia kēia ʻano. No nā kānaka he nui, nalowale nā ​​​​hōʻailona ma hope o ka hoʻonui ʻana o ka esophageal. Eia nō naʻe, e like me ka mea i ʻōlelo ʻia ma mua, i nā hihia koʻikoʻi, hiki i kekahi poʻe ke loaʻa hou i ke ʻano, a pono paha e loaʻa hou ka mālama ʻana i ka hoʻonui ʻana. Eia nō naʻe, he mea kakaikahi loa kēia.

Hiki ke pale ʻia kēia mai ka hana ʻana?

ʻAʻohe ala pololei e pale aku ai i ka ulu ʻana o nā pūnaewele esophageal. Eia nō naʻe, ʻo ka mālama ʻana i nā kūlana pili, e like me ka anemia hemahema hao a me ka reflux acid (GERD), hiki ke kōkua i ka hōʻemi ʻana i ka pilikia o ka loaʻa ʻana o lākou.

Āhea ʻoe e ʻike ai i ke kauka?

Inā loaʻa iā ʻoe kekahi mau hōʻailona e paʻakikī ai iā ʻoe ke ale, e haʻi i kāu kauka. A laila hiki iā lākou ke hoʻoholo i ke kumu a ʻōlelo i ka lāʻau kūpono nou. Mai hoʻowahāwahā iā ia no ka mea he pilikia liʻiliʻi ia, no ka mea, ʻoi aku ka maʻalahi o ka mālama ʻana inā ʻike mua ʻia.

He aha nā nīnau e hiki iā ʻoe ke nīnau aku i ke kauka?

Inā ua ʻike ʻia ʻoe me kahi pūnaewele esophageal, makemake paha ʻoe e nīnau i kāu kauka i nā nīnau e like me:

• Pono anei au i ka lāʻau lapaʻau?
• He aha ke ʻano o ka lāʻau lapaʻau āu e paipai nei?
• Aia kekahi mau maʻi lapaʻau ʻē aʻe iaʻu e pili ana i kēia `(Esophageal Web)`?
• E hoʻomau anei au i ka lawe ʻana i ka lāʻau lapaʻau?
• He aha kaʻu e hana ai e hōʻemi i koʻu mau hōʻailona?

E hoʻomanaʻo, ʻaʻole pono ka moni ʻana he mea ʻeha a paʻakikī paha. Inā ʻeha, he hōʻailona paha ia ua hewa kekahi mea.

Nā mea nui e hoʻomanaʻo (Leka Lawe-Home)

ʻAʻole loa e ʻeha a ʻoluʻolu ʻole paha ka ale ʻana i ka meaʻai. Inā manaʻo ʻoe pēlā, ua hiki i ka manawa e nānā ai i kahi mea. ʻAʻole ia he mea weliweli kēia ʻano i kapa ʻia ʻo ka pūnaewele esophageal. Eia nō naʻe, inā ʻike ʻoe i nā hōʻailona, ​​​​ʻoi aku ka maikaʻi o ke kamaʻilio ʻana me ke kauka. Hiki iā ia ke ʻike i ke kumu kumu a hāʻawi iā ʻoe i ka hoʻolālā lapaʻau kūpono. No laila, e mālama i kou kino, no ka mea, ʻo ke olakino ka mea nui loa!

ʻUpena esophageal, paʻakikī i ka moni ʻana, esophagitis, Plummer-Vinson syndrome, nele i ka hao, endoscopy, haʻawina barium