I ei laiin i rilruah thil a awm em? Esophageal diverticulum a ni thei!

I ei lai hian i rilruah thil a inkhung emaw, i rilruah hnawih emaw a awm niin i hria em? A châng chuan rei vak lo hnuah, a bîk takin i ben emaw, i inher emaw hian i ei tawh chu i rilruah a rawn chho leh ang tih i hria em? Hei hi a chhan chu i chaw ei kawng (esophagus)-a pouch te tak te, ei tur kan ei chhuahna tube-a lo awm a ni thei. Damdawi lam hawi chuan hei hi Esophageal Diverticulum kan ti a. He hming i hriat hian hlau suh, awlsam takin sawi ila.

A awlsam zawngin, he Esophageal Diverticulum hi eng nge ni?

I esophagus, i ka atanga i pum thlenga chaw phurtu muscular tube chu car tyre angin han ngaihtuah teh. A châng chuan tyre-a hmun chak lo a awm chuan a chhunga boruak pressure chuan chu hmun chak lo aṭang chuan bubble te tak te a rawn chhuah chhuak ṭhin a ni lawm ni? Chutiang chu he mi nen hian a ni.

Kan chaw kawng (esophagus) mucous lining-ah hmun chak lo a awm chuan, chaw kan ei huna pressure lo awm chuan chu hmun chak lo pawnah chuan pouch te tak te, a nih loh leh khur te tak te a siam thin. Chu chu Esophageal Diverticulum kan tih chu a ni. I ei tur leh tui i ei thenkhat chu he pouch chhungah hian a tang thei a ni.

Hetiang dinhmun hi eng chi hrang hrang nge ni ber?

Doctor-te chuan heng pouche (diverticula) te hi an siam dan leh an awmna hmun a zirin chi hrang hrangah an then a. A chi hrang hrang hi han thlir ila.

A hmasa berah chuan hengte hi chi hnih a awm a, chungte chu "dik" leh "dik lo" te an ni.

• Diverticulum dik tak: Hetiang a nih chuan pouch hi esophageal wall layer zawng zawng atanga pawn lam hawia bulging atanga siam a ni a, chutah chuan muscle te pawh a tel a ni.
• False Diverticulum: Hetah hian bang chhung lam layer tlemte chauh chu pawn lam hawiin an bulge thin.

Tunah chuan hengte hi esophagus-a an awmna a zirin engtin nge an classified tih i en ang.

Hei hi thil awmdan pangngai tak a ni em?

Ni lo, hei hi a takah chuan thil awm lo tak a ni . Mipui 1% velin a nghawng a ni. Kum 50 chunglam ah a tam ber a, a bik takin kum 70 hnu lamah a tam ber a, hmeichhia aiin mipaah ​​pawh a tam deuh hlek bawk.

Nang pawhin heng symptoms te hi i nei ve em?

Mi tam tak chuan he diverticulum hi nei mahse symptom engmah an nei lo. I dam chhung zawngin i nei tih pawh i hre lo mai thei. Mahse i tih chuan Zenker diverticulum a nih a rinawm ber. Heng symptoms te hi i nei em tih en rawh:

• A rilru a buai em em a, chuvang chuan i khuh thin .
• Chaw ei laiin i rilruah lump a awm ang maia hriat.
• Chaw ei tur chu rilruah a tlakbuak ang maia hriatna .
• Regurgitation chu i ben emaw, i tilt emaw a ei tur chu i rilru chhunga a rawn kir lehna a ni .
• Chhan bik nei lovin thawk rimchhia.
• A châng chuan rilru aṭangin thawm ri a chhuak ṭhin .

Engvangin nge hetiang thil hi a lo thlen? A chhan engte nge ni?

Hengte hi a thlen chhan lian ber pahnih a awm a. Pakhat chu internal pulsion a ni a, pakhat chu external traction a ni.

1. Pressure vangin (Pulsion Diverticula) .

Esophageal diverticula tam zawk hi chu hetiang hian an lo thang lian thin. Hei hi chaw kawng chhunga hmun khata pressure awm reng lai a ni. A tam zawkah chuan he pressure hi kan ei hian a thleng thin. He pressure pangngai lo hi damdawi lam thil dang avanga ei harsat vang pawh a ni thei.

Chutiang dinhmun thenkhat chu:

• Achalasia: Chaw ei kawng hnuai lam ruhte tih hahdam theih lohna.
• Esophageal spasms: Esophagus chhunga taksa peng hrang hrangte inzawmkhawmna mumal lo.
• Esophageal strictures: Esophagus a tawi emaw, a tawi emaw a ni.
• Eosinophilic esophagitis: Allergy avanga chaw kawng a na.

2. Traction (Traction Diverticula) vang a ni.

Hei hi chaw kawng pawn lama thil pakhatin bang chu pawn lam a nawr lai a ni. Hei hian diverticula "dik tak" a siam a, chu chu bang thuk zawng zawng chu chhung lam hawiin a nawr tihna a ni. Chungte chu chaw kawng (esophagus) lai takah a lo awm fo thin. Hei hi chest cavity chhung atanga tissue a lo hring chhuak a, esophagus-ah a innghat a, chu chu pawn lam hawia a chhuah vang a ni.

Hetianga rilru tissue ti hring thei infection te chu:

• Tuberculosis natna a ni
• Histoplasmosis (fungal natna hrik kai) .

Hei hian eng harsatna nge a thlen theih?

Hun kal zelah he pouch (diverticulum) hi a lian chho zauh zauh thei a ni. Hei hian a chhunga ei tur a tlakbuak theihna a tipung a ni. Hetianga chaw a tlakbuak hian i rilruah lump ang maiin i inhria mai thei. Tin, chaw hmin chuan natna hrik a thlen thei a, natna a thlen thei bawk a, a hring thei bawk .

Chaw tang chuan rimchhia a thlen thei a, ka chhungah a thlum a ti tha lo thei a, a nasat chuan kawr chhunga hnah ang maiin a awm thei bawk.

Thil dang chu, ei tur nghet tak chu i dinhmun i thlak hian i rilruah a rawn chho leh thei a, entirnan, i bawkkhup hian. Hei hian khuh leh thawk hahna a thlen thei a ni. A hlauhawm ber chu zanah i mut laiin hetiang hi a thleng a nih chuan , i hriat loh pawhin i lung chhungah ei tur chi hrang hrang a lut thei a ni. Damdawi lamah chuan hei hi silent aspiration kan ti a ni. Hei hian lungah natna a thlen thei a, chu chu Aspiration Pneumonia an ti a ni.

Hei hi cancer a ni em? Risk a awm em?

He zawhna hi nangmah pawh a lo thleng tawh mai thei. Hetiang dinhmun hi a takah chuan cancer a ni lo. Mahse a tlem hle , chu chu he diverticulum nei mite zingah hian a niZa zela tlemte, 0.05% vel chu he pouch chhungah hian squamous cell carcinoma an vei tih hmuhchhuah a ni. He pouch-a ei tur rei tak awm avanga chronic irritation hi a chhan a ni thei em tih erawh hriat a la ni lo. Mahse, he risk hi a hniam hle tih hre reng ang che .

Engtin nge he dinhmun hi i hriat theih?

A tam zawkah chuan hei hi thil thleng mai maia hmuhchhuah a ni. He pouch hi i esophagus chu condition dang a awm leh awm loh enfiah a nih chauhvin hmuhchhuah a ni. Mahse, symptom i neih chuan i doctor chuan i esophagus enfiah turin test a ti ang. Chumi atan chuan hmanraw lian pahnih a awm. Chungte chu radiology leh endoscopy te an ni.

Test chi hrang hrang i tih theih thenkhat chu hetiang hi a ni:

• Esophagram (Barium Swallow Test): Hei hi X-ray ang a ni. Chalky liquid barium an tih chu in turin an pe che a. Hei hi ei a nih chuan chaw kawng chhung lam chu chiang takin a lang thei a ni. Tichuan, i ei lai chuan video X-ray (fluoroscopy) an la a. Hei hian sac a awm leh awm loh a hriattir ang che.

• Upper Endoscopy (EGD Test): Hei hi i hmuiah camera hmanga siam tube te tak te dahin i chaw kawng leh i pum enfiah a ni. Hetiang tih lai hian harsatna i neih loh nan anesthesia pek i ni ang. Camera atanga thlalak te hi computer screen-ah en theih a ni a, doctor chuan diverticulum hi khawiah nge a lian tih leh engzat nge a lian tih chiang takin a hmu thei a ni.

• Esophageal Manometry Test: He test hi diverticulum hian ei harsatna a thlen nia i rinhlelh chuan tih theih a ni. He test hian i taksa ruhte chu engtiang chiahin nge a chak tih leh a hnathawh that dan a enfiah thin.

Hei hi eng enkawlna nge ni?

Thu lawmawm tak chu esophageal diverticula tam zawk hian enkawlna engmah an mamawh lo . Symptom emaw complication emaw i neih loh chuan i thlah mai thei.

Mahse, i natna lan chhuah danin i nitin nun a tibuai a nih chuan emaw, harsatna a awm chuan sac chu lakchhuah emaw khar emaw a ngai mai thei. Chutianga tih theih dan kawng hrang hrang a awm. Chumi chhan bulpui (underlying condition) pawh i enkawl a ngai mai thei bawk.

Enkawl dan tur

• Surgical Repair: Surgeon chuan pouch chu a cut chhuak thei a, a la chhuak vek thei (diverticulectomy). A nih loh leh, chaw kawng (esophagus) bang chhungah an sew leh thei bawk (diverticulopexy). A châng chuan, a chhan chu taksa ruh tightness a nih chuan, he surgery neih rual hian myotomy (muscle cutting and loosening) an tih hi tih theih a ni.

• Endoscope hmanga enkawlna (Endoscopic Diverticulotomy): 1.1.Hei hi surgery aiin procedure awlsam zawk a ni. Endoscope chu ka chhungah dahin, septum chu pouch leh esophageal wall inkarah an tan a. Hei hi laser, electrocautery emaw stapler device hmanga tih a ni. Heng hmanrua te hian hliam chu a rualin an tan a, an seal bawk.

I doctor chuan i dinhmun nena inmil ber enkawl dan tur a sawipui ang che.

Enkawl hnua dam leh theih nan eng chen nge a duh?

Enkawl zawhah ni khat vel damdawi inah i awm a ngai dawn a ni. Tichuan, in lama haw a, kar engemaw zat chawlh hahdam a ngai dawn a ni. Ni hmasa lamah chuan i beng a na thei a, a hring thei bawk. Hei hian a ei harsa deuh thei a ni.

I doctor chuan painkiller a pe ang che. Tin, liquid foods atanga tan dan tur te, zawi zawiin soft foods-a inthlak dan tur te, chu chu regular foods-a inthlak dan tur te pawh an pe ang che. Dam chakna atan heng thupek zawm hi a pawimawh hle.

Chuvangin heng symptoms te hi i neih chuan Doctor pan a, thurawn lak hlau suh. Amah emaw chuan i tan test tul tak tak a run ang a, he natna hi i nei em tih chiang takin a hrilhfiah ang a, a awm a nih chuan eng nge i tih leh ang tih chiang takin a hrilhfiah ang che.