I esophagus-ah hian pouch te tak te i nei em? (Esophageal Diverticulum) tih hi a awm em?

Chaw i ei hian a chang chuan i rilruah thil a inkhung ang maiin i inhria em? A nih loh leh i kâ aṭanga rimchhia lo chhuak mai mai i nei em? Hengte hi esophageal diverticulum an tih natna chhinchhiahna a ni thei a, chu chu vawiin hian kan sawi dawn a ni. Ngaihtuah buai suh, chutiang chuan a awm lo. Mahse, tlem tal hriat a tha. A awlsam zawngin, i hriatthiam theih dan tur angin sawi ila.

He chaw kawng chhunga pouch te tak te (Esophageal Diverticulum) hi eng nge ni?

Okay, a hmasa berin hei (Esophageal Diverticulum) hi eng nge a nih kan en ang. I hria em, kan ka atanga ei tur kan pum thlenga hruai chhuaktu tube kan nei a, chu chu esophagus kan ti a ni. Tui pipe ang mai a ni a, mahse muscle atanga siam a ni. He ei tur pipe chhungah hian a chang chuan bang chhunga hmun chak lo tak tak atang hian a chhuak a, pouch te tak te, emaw pocket te tak te ang chi thil a siam thin. Chuvang chuan hetiang hian kan ko thin. Car tire a upa a, hmun khatah tlem a bulge chhuak ang maiin han ngaihtuah teh. Hei hi chutiang chu a ni.

Heng bag te te hi chi hnih a awm a.

• ‘True’ pouch: Hei hian esophagus wall , muscular layer pawh tiamin, a layer zawng zawng a rawn chhuak vek tihna a ni.
• ‘False’ pouch: Hei hi bang layer thenkhat, mucosa leh a hnuaia layer (submucosa) te chauh a rawn chhuah lai a ni. Puan thread tlemte chauh lak chhuah ang mai a ni.

Doctor-te chuan heng cyst te hi chaw kawng chhunga an awmna hmun a zirin an hre thei a ni. Hmun hrang hranga cyst awm chhan hi a inang lo thei.

Esophageal diverticulum chi hrang hrangte chu engte nge ni?

A chi hrang hrang hmuh theih ber berte chu eng nge ni tih i lo en ang u.

Zenker-a diverticulum a ni

Hei hi a tam ber chi a ni . Esophagus chung berah a lo piang a, chutah chuan ril leh hmui a inhmu a ni. A tam zawkah chuan hengte hi ‘false’ pouche an ni. A chhan ber chu ei tur ei harsa a nih chuan , rilru ruhte a thawk tha lo a nih chuan chaw kawng chhunga pressure a sang a, hmun chak lo tak hmangin a chhuah tir thin. Tui pipe pakhat chu hmun khatah a inkhar tih han mitthla teh, tui a lo luh thuai chuan, chu pipe chu a inkhar hma chuan a lo hring chhuak ta a ni.

Killian-Jamieson-a te chuan an inhmukhawm a

Hei hi a tlem deuh a ni. Kan kawr chhunga ruhro (spine) nena inmil taka kal, cervical esophagus-ah a awm thin. ‘False’ pouch pakhat, te tak te anga ngaih a ni fo. Chu hmuna tissue-a pianpui chak lohna avanga lo awm nia ngaih a ni.

Midesophageal Diverticulum chu a awm a

Hengte hi ‘dik tak’ pouch an ni. Kan rilru chhungril lam atanga kal chhuak esophagus part-ah an siam a ni. (thoracic diverticula) an ti bawk a, chu chu rilru chhungah an lo awm tihna a ni. A chang chuan (traction diverticula) an ti bawk.A chhan chu pawn lam chakna engemaw takin chaw kawng (traction) bang a rawn chhuah chuan an lo piang thin a ni. Entirnan, rilru chhunga lymph node te chu a hring thei a, chaw kawng chu a nghet thei a, chutah chuan a hring a reh chuan chaw kawng bang chu a inhnukdawk thei a ni.

Epiphrenic Diverticulum natna (Epiphrenic Diverticulum) a ni

Hei hi chaw kawng tawp lamah a thleng a, chu chu chaw chu pum chhunga a luh hma lawk (distal esophagus) a ni. Hengte hi ‘false’ pouche an ni fo thin. Hetah pawh hian a chhan chu pressure a ni. Entirnan, chaw kawng hnuai lam a inkhar a nih chuan chaw ei hian pum chhunga a kal tum hian pressure a siam avangin pouch chu a lo piang thei a ni.

Hetiang dinhmun hi engtiang chiahin nge a awm?

Esophageal diverticula hi a takah chuan a tlem hle . Mipui 1% vel chauh an nghawng nia ngaih a ni. Kum 50 chunglam ah an tam ber , a bik takin kum 70 hnu lamah an tam ber a, hmeichhia aiin mipaah ​​pawh an tam deuh hlek bawk.

Esophageal diverticulum natna lan chhuah dan chu engte nge ni?

A tam zawkah chuan heng diverticula te hian symptoms an nei lo . I nei tih pawh i hre lo mai thei. Mahse, Zenker’s diverticulum an tih chi khat hian natna lan chhuahna a thlen tam zawk. Heng symptoms te hi i neih chuan:

• Khuh ang maiin a awm a, a rilruah a tickle bawk.
• Chaw ei lai hian rilruah thil a inkhung ang maia hriatna.
• Chaw ei tur chu rilruah a tlakbuak ang maia hriatna.
• Chaw chu hmalam i ben emaw, i mut emaw hian i rilruah (regurgitation) a rawn chho leh thin .
• Chhan awm lovin rimchhia .
• Wheezing hi chhan awm lova thawk chhuah hian whistling sound a ni .

Mi thenkhat chuan heng symptoms hi an nei lo va, chhan dang avanga test an tih laiin accident-a hmuhchhuah chauh an ni.

Eng thilin nge esophageal diverticulum hi a thlen?

A chhan ber chi hnih a awm a. Pakhat chu pulsion cause a ni a, pakhat chu traction cause a ni.

Pulsion pouches: Esophageal pouches tam zawk hi he category-ah hian an tel a. 'Pulsion' tih awmzia chu "pushes" tihna a ni. Chumi awmzia chu chaw kawng chhungah hian internal pressure a awm chhunzawm zel tihna a ni. Hei hi chaw kan ei hian a thleng fo thin. Esophagus-a damdawi lam thil thenkhat, ei tur ei harsa tak takte hian he pressure pangngai lo hi a thlen thei a ni. Entir nan:

• (Achalasia) (esophagus hnuai lam ruhte tih hahdam lohna) .
• Esophageal spasms a awm thin
• Chaw ei kawng (Esophageal strictures) a awm
• Eosinophilic chaw kawng natna (esophagitis) a ni

Traction bags te chu:Hengte hi chaw kawng bang pawn lam thil pakhatin a rawn chhuah a, a rawn chhuah chuan a lo awm thin. Hei hian ‘true’ pouches a siam a, chu chu esophagus wall thickness zawng zawng, chhung lam hawia hruai chhuah a ni. Hengte hi rilru lai takah hmuh tur a awm tam ber. Chest cavity-a infection (mediastinitis) a awm chuan a hring thei a, chu chu esophagus-ah a innghat thei a, chutah chuan esophagus chu a swelling tlahniam chuan a hip thei bawk. Chutiang hri kai entir nan:

• Tuberculosis natna a ni
• Histoplasmosis , chu chu fungal natna a ni

Heng chhan pahnih hi kan dam chhunga lo thanglian thar a ni. A tlem berah chuan nau piang laiin anal sac thenkhat a awm thei. A nih loh leh, anal canal tissue-a pianpui chak lohna chuan a hnuah sac a lo piang awlsam phah thei bawk. Mahse a tam zawkah chuan he sac hi damdawi lam thil dang a lo awm hmasak loh chuan a lo awm lo.

He esophageal diverticulum hian eng harsatna nge a thlen theih?

He pouch hi hun kal zelah a lian chhoh zel chuan ei tur chu a chhungah a tlakbuak nasa hle . Hei hi i rilruah hnim hring ang maiin a lang thei a, a nih loh leh natna hrik a kai thei a, a na thei bawk . Chaw hrui hring hian rimchhia a thlen thei a, i hmuiah pawh a thlum tha lo thei bawk. A kai chuan thisen a chhuak thei a, a hring thei bawk. A nasat chuan i kawr pawn lam atanga hriat theih tur hnah ang maiin a awm thei.

Thil dang pakhat chu ei tur chu rei vak lo a awm thei a, chutah chuan position i thlak chuan (entir nan, i ben over) chuan i rilruah a rawn chho leh thei a ni. Hei hian khuh a thlen thei a, thawk a hah a, kawr a na thei bawk. Zanah i mut laiin hetiang hi a thleng a nih chuan ei tur chi hrang hrangte chu i hriat lohvin lung chhungah a lut thei (silent aspiration) . Chutiang a nih chuan lungah natna (aspiration pneumonia) a thlen thei a ni. Hei hi Zenker’s diverticulum vei te zingah a tam ber.

Hei hi cancer a ni em? Cancer a ni thei ang em?

Esophageal diverticulum vei zinga za zela tlemte (0.05% vel) chuan chaw kawng squamous cell carcinoma of the esophagus an vei tih hmuhchhuah a ni. Mahse, hei hi thil thleng mai mai nge diverticulum atanga chronic irritation hian cancer a thlen tih erawh a la chiang lo. Mahse, he risk hi a hniam hle .

Engtin nge esophageal diverticulum i neih leh neih loh i hriat theih ang?

Medical test hmanga chaw kawng chhung lam en chuan he sac hi a hmu thei a ni. A tam zawkah chuan symptomatic an nih loh avangin exam laiin chhan dang vangin accident-in an hmuchhuak thin. I esophagus nena inzawm symptom i neih chuan i doctor chuan radiology emaw endoscopy emaw tih test a ti ang. Radiology hian pawn lam atanga thlalak a lak laiin endoscopy hmangin camera hmangin chhung lam a en thung.

Eng ang test nge tih a nih ang?

Test theih thenkhat chu hetiang hi a ni:

• Esophagram / Barium ei leh in enfiahna:

Hei hi X-ray chi khat a ni. I ei laiin i chaw kawng (esophagus) video (fluoroscopy) lak a ni. Hei hian in tur barium an tih chalky liquid an pe che a ni. I esophagus chhung lam a coat thin. Tichuan, i ei laiin X-ray lak a ni. Hei hian i chaw kawng (esophagus) pianzia te, ei tur kal dan te, leh bawm awm thei te chu chiang takin a hmu thei a ni.

• Upper Endoscopy / EGD Test hmanga enfiah a nih chuan:

Hetah hian tube sei tak, camera te tak te , endoscope an tih chu ka chhungah dahin, chaw kawng kaltlangin pum chhungah an kal a. Hemi chhung hian sedated i ni dawn a, chuvang chuan engmah hrehawmna i nei lovang. Camera atanga thlalak te chu computer screen ah en theih a ni. Pouch a awm chuan direct-a hmuh theih a ni.

• Esophageal Manometry hmanga thil tih dan: 1.1.

Chaw ei harsatna hi pharyngeal pouches thlentu lian ber a nih avangin i medical team pawhin he test hi an rawt thei bawk. Hei hian i ei laiin i rilru chhunga ruh (muscles) te chu engtiang chiahin nge a inzawm tih a teh a ni. Heng tehnate hi tube-a sensor hmanga tih a ni a, chu chu i hnar kaltlangin i rilru chhungah dah a ni.

Esophageal diverticulum hi eng enkawlna nge ni?

Scrotal sac tam zawk hi chu enkawl a ngai lo . Symptom emaw complication emaw an thlen loh chuan anmahni chauhin an awmtir thei a ni. Mahse, sac hian symptoms emaw complication emaw a thlen a nih chuan khar emaw, lakchhuah emaw a ngai mai thei. Doctor ten tih dan chi hrang hrang an nei a. I scrotal sac thlentu underlying condition pawh i enkawl a ngai mai thei bawk.

Engtin nge esophageal diverticulum hi enkawl a nih?

Doctor chuan operation hmangin emaw endoscopy hmangin emaw a ti thei a ni. Pouche chi hrang hrang tan chuan hmanraw hrang hrang hi a tha ber mai thei. I doctor chuan i hriselna zawng zawng a zirin eng method nge i tana tha ber tih a rel ang. Entirnan, minimally invasive procedure i duh chuan endoscopy hi a tha hle mai thei. I doctor chuan hmanraw tinte hlauhawmna leh hlawkna te a sawipui ang che.

Surgery hmanga siamthat a ni

Surgeon chuan pouch chu a cut chhuak vek thei (diverticulectomy) emaw, a hrual chhuak a, i esophagus wall-ah a sew leh thei bawk (diverticulopexy) . Surgery ah hian myotomy an tih pawh a tel thei bawk . Myotomy hi i chaw kawng (esophagus) chhunga ruh pakhat (muscle) titawp a, a tight tihziaawmna tur a ni. Hei hi i pouch siam chhan ei harsatnaah tanpui nan a tul mai thei.

Endoscopic Diverticulotomy hmanga tih a ni

Surgery ai chuan endoscope chu ka kaltlangin esophagus-ah dahin, chuta tang chuan surgery tih hi a ni. Hei hi Dohlman procedure an ti a.Hei hian pouch leh esophagus wall dang inkar septum chu a tikehsawm a ni. Hei hi laser, electrocautery emaw stapler emaw hmangin tih theih a ni. Heng hmanrua te hian hliam chu a tikehsawm thei a, a seal thei bawk.

He operation hnu hian eng chen nge a dam leh theih?

Damdawi inah ni khat vel i awm a ngai dawn a ni. Tichuan kar engemaw zat chu in lamah chawlh hahdam a ngai dawn a ni. I beng chu kar engemaw zat chhung chu a na thei a, a hring thei bawk. Hei hian chaw ei a ti harsa thei hle. Pain relief hi a tha thei a, mahse a tul lo mai thei. I doctor chuan engtin nge leh engtikah nge liquid foods atanga tan tur tih a hrilh ang che, zawi zawiin soft foods ah i kal ang a, chutah chuan regular foods ah i kal leh ang.

He dinhmun chungchangah hian i thusawi hnuhnung ber chu eng nge ni?

Mi tam zawk chuan esophageal diverticulum an nei a , harsatna a thlen lo . Mahse a awm a nih chuan siamthat theih dan kawng engemaw zat a awm. Heng surgery te hlawhtlinna hi 90% aia tam a ni . Mahse, thisen chhuah, natna hrik, chaw kawng chhiat ang chi harsatna a awm theihna 10% a awm. I medical team chuan enkawlna chi hrang hrang hlauhawmna leh hlawkna te chu mimal takin an sawiho ang che.

I ei harsa thei tur condition i neih chuan i esophagus wall-ah hetiang pouch hi i nei thei a ni. He pouch hi i ei laiin pressure danglam tak a awm avangin i esophagus-a hmun chak lo takah a lo awm thei a ni. A tibuai ngai lo mai thei che. Mahse i esophagus nena inzawm symptom thar i neih chuan doctor pan rawh. Chutiang chuan pouch nge thil dang tih chiang takin an hre thei a, a tul angin enkawlna an pe thei che a ni.

Thil pawimawh hriat reng tur (Take-Home Message) .

• Esophageal diverticulum chu pocket te tak te, chaw kawng bang chhunga lo awm a ni.
• Hengte hi a tlem hle a, a tam zawkah chuan symptoms a lang lo.
• Symptoms a awm tak tak chuan ei harsat te, ei tur chu rilruah a tlakbuak te, leh thawk hahna te a ni thei.
• A tam zâwk chuan hengte hi enkawl a ngai lo .
• Mahse, symptoms a nasat emaw, complication a awm emaw chuan surgery emaw endoscopic procedure emaw hmangin hlawhtling taka enkawl theih a ni.
• Chaw ei harsat emaw, symptom thar i neih emaw chuan doctor lam pan a pawimawh . Ngaihtuah buai suh, Doctor te chu tanpui turin an awm reng a ni.

He thu hi i tan a tangkai ngei ka beisei. Hrisel takin awm rawh!

` Esophagus, esophageal, diverticulum, ei harsa, ril na, reflux, endoscopy