Ke paʻakikī nei hoʻi ʻoe i ka ale ʻana i ka meaʻai? Ke manaʻo nei ʻoe ua paʻa kekahi mea i loko o kou puʻu? E kamaʻilio kākou e pili ana i ka Zenker's Diverticulum!

I kekahi manawa, manaʻo paha ʻoe he ʻoluʻolu ʻole iki ke ale ʻoe i ka meaʻai, ʻeā? A i ʻole manaʻo paha ʻoe ua paʻa kekahi mea i loko o kou puʻu. Hiki i kēia ke lilo i mea hoʻonāukiuki i ko kākou ola o kēlā me kēia lā. Malia paha ke kumu o kēia mea āu e noʻonoʻo ʻole ai. I kēia lā e kamaʻilio mākou e pili ana i ia ʻano maʻi, ʻo ia hoʻi ʻo Zenker's Diverticulum.

He aha ka diverticulum o Zenker?

I ka ʻōlelo maʻalahi, ʻo ka diverticulum a Senck he ʻeke liʻiliʻi e hana ʻia ma ka piko o kou puʻu, a i ʻole esophagus (i ʻike ʻia hoʻi ʻo ka paipu meaʻai). E noʻonoʻo e pili ana, aia kahi ʻiʻo ma ka piko o kou puʻu, kahi a nā kauka i kapa ai ʻo ka ʻiʻo cricopharyngeus . Hana ia e like me ka puka. Ke moni mākou, hoʻomaha kēia ʻiʻo a ʻae i ka meaʻai e hele i lalo i loko o ka esophagus. Akā inā ʻaʻole hana pono kēia ʻiʻo, ʻo ia hoʻi, inā ʻaʻole ia e hoʻomaha pono i ka wā e moni ai mākou, nui ke kaomi e kūkulu ʻia i loko o kou puʻu. E noʻonoʻo e pili ana, e like me ke kaomi ʻana i kahi paipu wai a paʻa iā ia ma kahi hoʻokahi, piʻi ke kaomi wai.

I ka hala ʻana o ka manawa, hoʻokumu kēia kaomi i kahi ʻeke a i ʻole diverticulum , kahi e puka ai nā ʻiʻo ma o kahi nāwaliwali ma ka paia o ka puʻu. Hiki i kēia ʻeke ke hana i nā pilikia e like me ka paʻakikī i ka ale ʻana, ka hoʻi ʻana mai o ka meaʻai i loko o ka puʻu, a me ka hanu ʻino. ʻO ka hapa nui, pili ka lāʻau lapaʻau i ke ʻoki ʻana e wehe a hoʻoponopono paha i ka ʻeke. Eia kekahi, ʻo ka hoʻololi ʻana i ke ʻano o kāu ʻai ʻana a me ka inu ʻana e hiki ke kōkua i ka hōʻemi ʻana i kekahi o kēia mau hōʻailona.

He aha nā hōʻailona o ka Diverticulum o Zenker?

Hiki ke ʻokoʻa nā hōʻailona ma muli o ka nui o kēia ʻeke (diverticulum) a me kona wahi. Inā liʻiliʻi ka ʻeke, ʻaʻole paha ʻoe e loaʻa i kekahi mau hōʻailona. Eia nō naʻe, hoʻomaka nā pilikia ke lilo ka ʻeke i mea nui e hoʻopilikia ai i ka moni ʻana. E nānā inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona:

• Ka pilikia o ka pneumonia aspiration: I kekahi manawa, hiki i ka meaʻai āu e moni ai a i ʻole ka mucus i loko o kou puʻu ke komo hewa i loko o kou trachea (windpipe) a hoʻoulu i kahi maʻi i loko o kou mau māmā. Hiki ke lilo i mea weliweli iki kēia, no ka mea, ʻaʻole he mea hoʻohenehene nā maʻi māmā.
• Hanu ʻino (`Halitosis`): Paʻa ka meaʻai i loko o kēlā ʻeke ma ka puʻu, a hoʻomaka ia e palaho ma laila. ʻO ia ka manawa e puka mai ai kahi ʻala ʻino mai ka waha mai. He mea kēia e hilahila ai i loko o ke kaiāulu.
• ʻO ka meaʻai a i ʻole ka mucus e hoʻi mai ana i luna o kou puʻu: Hiki i ka meaʻai āu e moni ai ke hoʻi mai i luna i loko o kou puʻu. Hana ʻia kēia ke piha ka ʻeke me ka meaʻai. Ua like ia me nā mea e lele ana mai loko mai o kahi ʻeke piha. I kekahi manawa hiki ke hana ʻia kēia i ka pō i kou hiamoe ʻana.
• Paʻakikī i ka moni ʻana (`Dysphagia`): ʻO kēia ka hōʻailona nui a maʻamau . I ka ulu ʻana o ka ʻeke, hoʻohaiki ia i ke alahele ma ka puʻu, e paʻakikī ai ke moni i ka meaʻai. I ka wā mua, he mea paʻakikī paha ke moni wale i nā meaʻai paʻa, akā ma hope aku he mea paʻakikī paha ke moni i nā wai.
• Manaʻo e like me ke paʻa ʻana o kahi mea i loko o ka puʻu ('Globus sensation'):Hiki paha iā ʻoe ke manaʻo he mea i paʻa i loko o kou puʻu, e like me ka pōpō. Hiki nō hoʻi kēia manaʻo ke hiki mai i ka wā ʻaʻole ʻoe e ʻai ana. Hiki mai kēia manaʻo i ka wā e hoʻonui ʻia ai ka ʻeke a kaomi i ka ʻiʻo cricopharyngeus, a i ʻole ka ʻaoʻao o luna o ka esophagus.
• Ka Hoarseness (Dysphonia): Hiki ke loli ka leo, kahi hoarseness. ʻO kēia no ka mea ua hoʻonui ʻia ka ʻeke a kaomi i kahi aʻalolo e kaohi ana i ko mākou leo, ke aʻalolo pharyngeal recurrent .
• ʻO ka pohō kaumaha i manaʻo ʻole ʻia: Hiki iā ʻoe ke pohō kaumaha me ka ʻike ʻole ʻana no ka mea ʻaʻole hiki iā ʻoe ke ale pono i ka meaʻai, hiki ke alakaʻi i ka ʻai ʻole.

He aha ke kumu o ka Diverticulum o Zenker?

ʻOiaʻiʻo, ua hoʻokumu ʻia kēia diverticulum Zenker no ka mea ʻaʻole i hoʻomaha piha ʻia ka ʻiʻo cricopharyngeal aʻu i ʻōlelo ai ma mua. ʻO ka maʻamau, pono e hoʻopaʻa mau kēia ʻiʻo a pani i ka ʻaoʻao o luna o ko kākou esophagus. Hoʻomaha wale ia ke ale mākou i ka meaʻai a ʻae i ka meaʻai e iho i lalo. Akā inā ʻaʻole hoʻomaha kēia ʻiʻo i ka wā e ale ai mākou i ka meaʻai, ʻaʻole e wehe pono ka ʻaoʻao o luna o ka esophagus.

I ka manawa like, hoʻokuke nā ʻiʻo ikaika ʻē aʻe i loko o ko kākou puʻu i ka meaʻai i lalo i ka ʻiʻo cricopharyngeal paʻa. ʻO kēia mau mea ʻelua e hopena i ka nui o ke kaomi ma nā paia o ka puʻu.

I ke ʻano o ka diverticulum ʻo Senkers, ke kumu o kēia kaomi e hoʻokuke ʻia ai kahi ʻeke o nā ʻiʻo mai kahi nāwaliwali ma ka paia o ka puʻu, e hana ana i kahi ʻeke. ʻO kēia ʻeke ka mea e ālai ai i ke hele ʻana o ka meaʻai mai ka puʻu a i loko o ka esophagus.

ʻAʻole maopopo loa i nā loea ke kumu e ʻūlū ai kēia ʻiʻo cricopharyngeal i ka wā e pono ai ke hoʻomaha. ʻOiai ke kumu, ʻo ka hopena ka hoʻokumu ʻia ʻana o kēia ʻeke hoʻonāukiuki.

ʻO wai ka mea i ʻoi aku ka pilikia o ka loaʻa ʻana o kēia maʻi?

ʻOiai hiki ke ulu kēia maʻi i loko o kekahi kanaka, aia kekahi poʻe i kahi pilikia kiʻekiʻe iki o ka loaʻa ʻana. E nānā:

• Makahiki: ʻO ka mea maʻamau kēia i nā poʻe ma waena o 70 a me 90 mau makahiki. ʻO ke ʻano kēia, ʻoi aku ka nui o ka hiki ke hana ʻia i kou wā ʻelemakule. Eia nō naʻe, hiki ke ʻike pinepine ʻia i nā poʻe ʻōpio ma mua o kēlā.
• Kāne: Ua hōʻike ʻia nā noiʻi he ʻoi aku ka nui o ka loaʻa ʻana o kēia maʻi i nā kāne ma mua o nā wahine.
• ʻO ka dysmotility Esophageal: Inā loaʻa iā ʻoe nā kūlana ʻē aʻe e hana pono ʻole ai kāu esophagus, ʻo ia hoʻi, inā he mau pilikia motility kou, e piʻi aʻe kou pilikia o ka hoʻomohala ʻana i kēia.

He aha nā pilikia e hiki mai ana mai ka Zenker's Diverticulum?

Inā ʻaʻole mālama pono ʻia kēia maʻi, hiki ke loaʻa kekahi mau pilikia, no laila he mea nui e makaʻala i kēia.

• Ka niumonia hanu ʻana:He mea koʻikoʻi iki kēia. Inā hele hewa ka meaʻai e piʻi mai ana mai kēlā ʻeke ma ka puʻu i nā māmā, hiki iā ia ke hana i kahi maʻi bacteria a alakaʻi i ka niumonia. Inā ʻoe e ʻū pinepine ana a paʻakikī paha i ka hanu ʻana, pono ʻoe e noʻonoʻo i kēia.
• ʻAi ʻole: Ke hele pono ʻole ka meaʻai ma o kāu ʻōnaehana hoʻoheheʻe ma muli o kēlā ʻeke, ʻaʻole hiki i kou kino ke loaʻa nā meaola e pono ai, e alakaʻi ana i ka ʻai ʻole. Hiki i kēia ke hoʻonāwaliwali iā ʻoe, e emi ke kaumaha, a luhi mau i ka manawa āpau.

Pehea e ʻike ai nā kauka i kēia?

Inā loaʻa iā ʻoe nā hōʻailona o ka paʻakikī i ka moni ʻana, pono ʻoe e ʻike mua i ke kauka. E nīnau ke kauka iā ʻoe e pili ana i kāu mau hōʻailona a nānā iā ʻoe. Hiki iā ia ke nīnau inā he mau pilikia ʻē aʻe kāu me ka hana ʻana o ka esophagus (esophageal dysmotility). A laila e kuhikuhi ʻia ʻoe i kahi loea ma kēia wahi, he gastroenterologist. E hana ʻo ia i nā hoʻokolohua e pono ai e hoʻoholo i ke kumu o kou pilikia.

Eia kekahi mau hoʻokolohua hiki ke hana ʻia:

• Hoʻāʻo manometry esophageal: Hoʻāʻo kēia i ka maikaʻi o ka hana ʻana o kāu esophagus, inā paha e ʻaelike pono ana nā ʻiʻo, a inā paha e hoʻomaha pono ana ka ʻiʻo cricopharyngeal.
• ʻEsophagram (ʻai ʻana i ka barium): Ma kēia hoʻāʻo, inu ʻoe i kahi wai i kapa ʻia ʻo barium a lawe ʻia kahi X-ray e ʻike i ka mea e hana ana i loko o kou esophagus ke ale ʻoe i ka meaʻai. Inā he ʻeke, hiki ke ʻike maopopo ʻia.
• ʻO ka endoscopy luna: Pili kēia i ke komo ʻana i kahi ʻōmole liʻiliʻi i lako me ke kāmela ma o ka waha a nānā i lalo i ka esophagus. ʻAe kēia i ka ʻike pololei ʻana i loko o ka esophagus, kahi o ka ʻeke, a me kona nui.

Pehea e mālama ai i ka diverticulum o Zenker?

I ka hapanui o nā hihia, ʻo ka lāʻau lapaʻau maikaʻi loa ka hana ʻoki ʻana e wehe a hoʻoponopono paha i ka ʻeke. E ʻae kēia iā ʻoe e ale hou me ka maʻalahi. Eia naʻe, ʻaʻole pono nā kānaka a pau i ke ʻoki ʻana. Hiki i nā kauka ke ʻōlelo aku i ke ʻoki ʻana inā ke kumu nei ka ʻeke i nā pilikia koʻikoʻi, e like me ka malnutrition a i ʻole ka aspiration pneumonia.

Aia kekahi mau ʻano hana ʻoki kino e hiki ke hana no kēia:

• ʻO ke ʻoki kino hāmama: Ma kēia ʻano ʻoki kino, hana ʻia kahi ʻoki liʻiliʻi ma ka ʻāʻī. Hele pololei ke kauka i ka ʻeke a wehe iā ia a hoʻoponopono paha i ka ʻiʻo.
• ʻO ke ʻoki endoscopic: Pili kēia i ke komo ʻana i nā mea hana liʻiliʻi ma o ka waha e hana a wehe paha i ka ʻeke. ʻAʻohe ʻoki ʻia ma waho. Hoʻemi kēia i ka manawa ho'ōla a ʻaʻole e waiho i nā ʻeha.
• ZPOEM (ʻO ka myotomy endoscopic peroral):He hana endoscopic nō hoʻi kēia. I ka pololei, ʻo `ZPOEM` ke kū nei no `Zenker's Peroral Endoscopic Myotomy`. Ma kēia, ua kīkoʻo iki ʻia a hoʻomaha ʻia ka ʻiʻo cricopharyngeal. A laila, ua emi maʻalahi ka meaʻai.

E kūkākūkā kāu gastroenterologist me ʻoe i ke ʻano o ke kaʻina hana ʻoi aku ka maikaʻi nou.

ʻEhia ka lōʻihi e hoʻōla ai ma hope o ke ʻoki kino?

ʻOkoʻa ka manawa hoʻōla ma hope o ke ʻoki ʻana ma muli o ke ʻano o ke ʻoki ʻana āu i hana ai. Hiki iā ʻoe ke hoʻōla koke mai ke ʻoki endoscopic a i ʻole ke ʻoki ZPOEM ma mua o ke ʻoki hāmama. E wehewehe pono kāu kauka i kēia iā ʻoe. Eia nō naʻe, hiki iā ʻoe ke manaʻo i kēia mau mea:

• Pono ʻoe e noho i ka haukapila no hoʻokahi a ʻelua paha lā, malia paha he mau lā.
• Ma hope o ke ʻoki ʻana, pono ʻoe e ʻai i nā wai a i ʻole nā ​​​​mea palupalu i kuʻi maikaʻi ʻia no kahi o ʻelua lā a ʻelua pule.
• Inā loaʻa iā ʻoe kahi ʻoki hāmama, hiki ke hāʻawi ʻia iā ʻoe ka meaʻai ma o kahi ʻōmole hānai manawa pōkole a hiki i ka wā e ho'ōla ai ka ʻeha.

Hiki ke loaʻa nā pilikia mai ke ʻoki ʻana?

E like me nā ʻoki kino āpau, hiki ke loaʻa nā pilikia liʻiliʻi me kēia mau ʻoki kino. Aia kekahi mau pilikia maʻamau e hiki ke loaʻa me ke ʻoki kino hāmama a me ke ʻoki kino endoscopic:

• Ke kahe ʻana o ke koko
• He lua a haehae paha i loko o ka esophagus (esophageal rupture)
• ʻO kahi maʻi ma ka ʻāʻī a i ʻole ka umauma (mediastinitis)
• ʻO ka hōʻeha ʻana i nā lehelehe, nā niho, ke alelo, a i ʻole nā ​​​​ʻāʻī i ka wā o ke ʻoki endoscopic
• Ka leo haʻalulu inā ua hōʻino ʻia ke aʻalolo e kaohi ana i nā kaula leo i ka wā o ke ʻoki kino hāmama

Akā, he mea kākaʻikahi kēia a ʻike pinepine ʻia. E hoʻomaopopo pū nā kauka iā ʻoe e pili ana i kēia.

Āhea wau e ʻike ai i ke kauka?

Inā hoʻomau ʻoe i ka paʻakikī i ka moni ʻana, ʻoi aku ka maikaʻi o ke ʻike ʻana i ke kauka me ka nānā ʻole ʻana. Eia kekahi, inā ua hana ʻia ʻoe i ke ʻoki no ka diverticulum Zenker, e kāhea koke i kāu gastroenterologist inā loaʻa iā ʻoe kekahi mau hōʻailona o ka maʻi, e like me ke kuni a i ʻole ka pus .

ʻO ka mea nui, ʻoiai hiki ke ho'ōla ʻia kēia maʻi me ka lāʻau lapaʻau, i kekahi manawa hiki ke hoʻi hou mai ka ʻeke. No laila, e nīnau i kāu kauka i nā hōʻailona āu e ʻimi nei e hōʻike ana ua hana ʻia kahi ʻeke hou i loko o kou puʻu.

He aha kaʻu e hana ai e loaʻa ai ka hōʻoluʻolu?

Ke loaʻa iā ʻoe ka diverticulum Zenker, hiki ke paʻakikī ke ale. Hiki ke manaʻo ʻia ua paʻa ka meaʻai i loko o kou puʻu. E hoʻāʻo i kēia mau mea maʻalahi, e kōkua paha i ka hoʻokuke ʻana i ka meaʻai i lalo ma o ka ʻeke:

• E ʻai i kāu meaʻai i nā ʻāpana liʻiliʻi, ʻaʻole i nā ʻāpana nui.
• E nau pono i nā meaʻai a pau ma mua o ka moni ʻana. E kōkua kēia i ka wāwahi maikaʻi ʻana o ka meaʻai a e maʻalahi ai ke ale ʻana.
• E inu i hoʻokahi a ʻelua paha kīʻaha wai ma waena o nā meaʻai. Kōkua kēia i ka hoʻokuke ʻana i ka meaʻai i lalo.
• He manaʻo maikaʻi e hōʻemi i ka nui o nā nati, nā hua, a me nā meaʻai me nā ʻili e like me nā ʻāpala a me nā tōmato, no ka mea hiki iā lākou ke paʻa i loko o ka ʻeke. Eia kekahi, hiki i nā meaʻai maloʻo loa ke paʻa.

E noʻonoʻo wale, aia nā manawa a mākou e hauʻoli nui ai a kaumaha paha a me he mea lā ua ʻūmiʻi ko mākou puʻu. Pēlā nō, hiki i nā kūlana e like me ka diverticulum o Zenker ke hoʻolilo i ka hana maʻalahi o ka ale ʻana i ka ʻai i mea paʻakikī loa.

He ʻeke kēia e hana ʻia ana i loko o ka puʻu. Hana ʻia ia ke hiki ʻole i ka meaʻai ke hele mai ka puʻu a i loko o ka esophagus. Hiki ke nalo ka pilikia a hiki i ka wā e nui ai ka ʻeke a hiki ʻole ke ale i ka meaʻai. Akā, ʻaʻole ia e hoʻomaikaʻi iā ia iho. ʻO ka mea pōmaikaʻi, aia nā lāʻau lapaʻau maikaʻi no kēia.

ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai

ʻAe, e hoʻomanaʻo aku mākou iā ʻoe i kekahi mau mea a mākou i kamaʻilio ai a mākou e manaʻo nei he mea nui iā ʻoe:

• ʻO ka diverticulum Zenker he ʻeke liʻiliʻi e ulu ana ma ka ʻaoʻao o luna o kou puʻu, ma ka piko o kou esophagus.
• ʻO ka hōʻailona nui ka paʻakikī i ka moni ʻana (dysphagia) . ʻO nā hōʻailona ʻē aʻe e komo pū me ka hanu ʻino (halitosis), ka paʻa ʻana o ka meaʻai i loko o ka puʻu, a me ka manaʻo o kahi mea e paʻa ana i loko o ka puʻu.
• Inā loaʻa iā ʻoe kēia mau hōʻailona, ​​e ʻike pono i ke kauka . Mai hoʻowahāwahā iā ia.
• Aia kekahi mau lāʻau lapaʻau no kēia, a hiki i nā loli i ka meaʻai ke kōkua i ka kaohi ʻana i nā hōʻailona.
• ʻOiai me ka mālama ʻia ʻana, hiki i kēia maʻi ke hana hou i kekahi manawa , no laila e makaʻala hoʻi i kēlā.

Manaʻolana wau he kōkua kēia ʻike iā ʻoe. Inā he mau hopohopo kāu, mai kānalua e kamaʻilio me kāu kauka. E hoʻomanaʻo, ʻo ka ʻike mua a me ka mālama ʻana ka mea maikaʻi loa!

ʻO ka Diverticulum o Zenker , ka ʻeke puʻu, ka paʻakikī o ke ale ʻana, ka dysphagia, nā maʻi puʻu, ka larynx, ka ʻiʻo cricopharyngeal