He mea kei roto i tō korokoro ina horomia e koe? Tērā pea he diverticulum esophageal!

Kei te rongo koe kei te mau tetahi mea i roto i tō korokoro, kei te pupuhi rānei i roto i tō korokoro ina horomi koe? I ētahi wā, i muri i tētahi wā, inā koa ka piko koe, ka huri rānei, ka rongo koe kei te hoki mai te kai i kainga e koe ki roto i tō korokoro? Ko te take pea o tēnei he putea iti e puta ana i roto i tō korokoro, te ngongo e horomi ai tātou i te kai. I roto i ngā kupu hauora, ka kiia tēnei he Esophageal Diverticulum . Kaua e mataku ina rongo koe i tēnei ingoa, me kōrero noa iho tātou.

He aha te tikanga o tēnei kupu whakarāpopototanga o te Esophagus?

Whakaarohia tō korokoro, te ngongo uaua e kawe ana i te kai mai i tō waha ki tō puku, he rite ki te potae o te motuka. I ētahi wā, ki te mea he ngoikore te potae, ka puta he mirumiru iti mai i taua ngoikore nā te pēhanga hau i roto, tika? Koinei te āhua o tēnei.

Mena he ngoikore te arai o te huware o tō tātou korokoro, ka puta he pēhanga iti, he kōhao rānei, i waho o taua ngoikore nā te pēhanga e puta ana i te wā e horomia ai e tātou te kai. Koinei te mea e kiia nei e tātou he Esophageal Diverticulum . Ka mau pea ētahi o ngā kai me ngā wai e horomia ana e koe ki roto i tēnei pēke.

He aha ngā momo matua o tēnei āhuatanga?

Ka wehea e ngā tākuta ēnei putea (diverticula) kia maha ngā momo i runga i te āhua o te hanganga me te wāhi e noho ana. Me titiro tātou ki ngā momo matua.

Tuatahi, e rua ngā momo o ēnei: ​​"pono" me "hē".

• Te Puku Tūturu: I tēnei wā, ka hangaia te putea mā te pupuhi ki waho mai i ngā paparanga katoa o te pakitara o te korokoro, tae atu ki ngā uaua.
• Te Puku Hē: I roto i tēnei, he torutoru noa iho ngā paparanga o roto o te pakitara e pupū ake ana ki waho.

Nā, kia titiro tātou me pēhea te whakarōpūtanga o ēnei i runga i tō rātou taunga i roto i te korokoro.

He āhuatanga tino noa tēnei?

Kāo, he tino onge tēnei mate . Tata ki te 1% o te taupori ka pāngia. He mea noa tēnei i roto i te hunga neke atu i te 50 tau te pakeke, inā koa i muri i te 70 tau te pakeke. He paku noa ake hoki i roto i ngā tāne i ngā wāhine.

Kei a koe anō ēnei tohu?

He tokomaha ngā tāngata e pāngia ana e tēnei diverticulum engari kāore he tohu e pāngia ana e rātou. Tērā pea kāore koe e mōhio kei a koe tonu tēnei mate mō te toenga o tō oranga. Engari ki te pāngia koe e tēnei mate, he Zenker diverticulum pea. Tirohia mēnā kei te pāngia koe e ēnei tohu:

• He rite ki te ngau i te korokoro, koia te take e maremare ai koe .
• Te āhua nei he kōpuku kei roto i tō korokoro ina horomia te kai.
• Te āhua nei kua mau te kai i roto i te korokoro .
• Ko te ruakitanga te hokinga o te kai ki roto i te korokoro ina piko koe, ina whakatītaha rānei.
• Te manawa kino, kāore he take motuhake.
• I ētahi wā ka puta te tangi wheezing mai i te uma.

He aha i puta ai tēnei mea? He aha ngā take?

E rua ngā momo take matua mō ēnei. Ko tētahi ko te pēhanga ā-roto (Pulsion), ko tētahi ko te kume o waho (Traction).

1. Na te pehanga (Pulsion Diverticula)

Ka puta te nuinga o ngā diverticula esophageal i tēnei ara. Koinei te wā e pēhia tonutia ana te wāhi kotahi i roto i te esophagus. I te nuinga o te wā, ka puta tēnei pēhanga ina horomia e tātou. Ka taea hoki te puta o tēnei pēhanga rerekē i ētahi atu āhuatanga hauora e uaua ai te horomia.

Ko ētahi o aua āhuatanga ko:

• Ākarasia: Te kore e taea te whakangāwari i ngā uaua o te pito o raro o te korokoro.
• Ngā pupuhi o te korokoro: Ngā whakahekenga koretake o ngā uaua i roto i te korokoro.
• Ngā uauatanga o te korokoro: He whaiti, he whakawhāiti rānei o te korokoro.
• Eosinophilic esophagitis: Te mumura o te korokoro nā te mate pāwera.

2. Nā te kume (Traction Diverticula)

Koinei te wā e panaia ai te pakitara ki waho e tetahi mea i waho o te korokoro. Ka puta he diverticula "tūturu", arā, ka panaia te matotoru katoa o te pakitara ki roto. He maha ngā wā ka puta ēnei i waenganui o te korokoro. Ka puta tēnei i te pupuhi o te kiko o roto o te uma, ka piri ki te korokoro, kātahi ka kumea ki waho.

Ko ngā mate ka pupuhi ai te kiko o te uma ko:

• Te mate kohi
• Histoplasmosis (he mate harore)

He aha ngā raruraru ka pā mai i tēnei?

I roto i te wā, ka taea e tēnei putea (diverticulum) te tipu haere me te nui haere. Ka piki ake te mōrearea o te kai ki roto. Ina pēnei te piri o te kai, tera pea ka rite koe ki te pupuhi i roto i tō korokoro. Waihoki, ka taea e te kai piri te whakararu i te mate, te mamae, me te pupuhi .

Ka pā te haunga kino ki te manawa me te reka o te waha i te kai e piri ana. I ngā wā tino kino, ka rite ki te pupuhi i te kaki.

Ko tētahi atu mea, ka taea e te kai piri te hoki ake ki roto i te korokoro ina huri tō tūnga, hei tauira ina piko koe. Ka taea e tēnei te maremare me te poto o te manawa. Ko te mea tino morearea, ki te puta tēnei i te pō i a koe e moe ana , ka taea e ngā matūriki kai te uru ki roto i ō pukahukahu me te kore koe e mōhio. I roto i te rongoā, ka kiia tēnei ko te manawa puku . Ka taea e tēnei te pā mai he mate ki roto i ngā pukahukahu, e kiia nei ko te Pneumonia Momi .

He mate pukupuku tēnei? He mōrearea kei reira?

Tērā pea kua tae mai tēnei pātai ki a koe anō hoki. Ehara tēnei mate i te mate pukupuku. Engari he tino onge , arā, i roto i te hunga whai diverticulumHe iti noa iho te ōrau, tata ki te 0.05%, kua kitea hei whakawhanake i te mate pukupuku pūtau-pūtau i roto i tēnei putea. Kāore anō kia mārama mēnā ko te riri mau tonu mai i te pupuri kai roa i roto i tēnei putea te take. Engari kia mahara, he tino iti tēnei mōrearea .

Me pēhea e mōhio ai koe ki tēnei āhuatanga?

I te nuinga o te wā, ka kitea tēnei mā te tūponotanga. Ka kitea noa tēnei putea ina tirohia tō korokoro mō tētahi atu mate. Heoi, ki te pāngia koe e ngā tohu, ka whakahau tō tākuta i tētahi whakamātautau hei tirotiro i tō korokoro. E rua ngā tikanga matua mō tēnei. Ko ēnei ko te hihi-X me te endoscopy.

Anei ētahi momo whakamātautau ka taea e koe te mahi:

• Te Esophagram (Whakamātautau Horomia Barium): He rite tēnei ki te hihi-X. Ka hoatu he wai kōwhai e kiia nei ko te barium hei inu māu. Ina horomia tēnei, ka kitea mārama te roto o te esophagus. Kātahi, i a koe e horomia ana, ka tangohia he hihi-X ataata (fluoroscopy). Mā tēnei ka whakaatu mēnā he pēke kei roto.

• Te Endoscopy o Runga (Whakamātautau EGD): Ko te whakauru i tētahi ngongo iti kei roto i te kāmera mā roto i tō waha hei tirotiro i tō korokoro me tō puku. Ka hoatu he rongoā whakamoe ki a koe kia kore ai koe e pāngia e te mamae i tēnei mahi. Ka taea te tiro i ngā whakaahua mai i te kāmera i runga i te mata rorohiko, kia taea ai e te tākuta te kite tika i te wāhi me te rahi o te diverticulum.

• Whakamātautau Manometria Esophageal: Ka taea te mahi i tēnei whakamātautau mēnā kei te whakaaro koe kei te uaua te horomi i te diverticulum. Ka tirohia e tēnei whakamātautau te kaha o ō uaua me te pai o tā rātou mahi.

He aha ngā maimoatanga mō tēnei?

Ko te rongo pai, ko te nuinga o ngā diverticula esophageal kāore e hiahiatia he maimoatanga . Mena kāore he tohu, he raruraru rānei, ka taea e koe te waiho noa.

Heoi, ki te mea kei te whakararuraru ō tohu i tō oranga o ia rā, ki te puta rānei he raruraru, me tango, me kati rānei te pēke. He maha ngā huarahi hei mahi i tēnei. Me rongoā anō hoki e koe te mate taketake i puta ai.

Ngā tikanga maimoatanga

• Te Whakatika Pokanga: Ka taea e te taote pokanga te tapahi me te tango katoa i te putea (diverticulectomy). Mēnā rānei, ka taea e rātou te tuitui anō ki roto i te pakitara o te korokoro (diverticulopexy). I ētahi wā, mēnā ko te uaua te take, ka taea te mahi i tētahi tikanga e kiia nei ko te myotomy (te tapahi me te wetewete i te uaua) i te wā kotahi o tēnei pokanga.

• Te maimoatanga mā te endoscope (Endoscopic Diverticulotomy):He tikanga māmā ake tēnei i te pokanga. Ka whakaurua he endoscope mā te waha, ā, ka tapahia te septum i waenganui i te putea me te pakitara o te esophagus. Ka mahia tēnei mā te whakamahi i te laser, te electrocautery, te taputapu stapler rānei. Ka tapahia, ka hiritia hoki e ēnei taputapu te patunga i te wā kotahi.

Ka matapakihia e tō tākuta te tikanga maimoatanga e tino tika ana mō tō āhua.

Kia pēhea te roa o te wā e ora ai i muri i te maimoatanga?

I muri i te maimoatanga, me noho koe ki te hōhipera mō te kotahi rā pea. Kātahi ka hoki koe ki te kāinga ki te okioki mō ētahi wiki. I ngā rā tuatahi, ka mamae pea tō korokoro, ka pupuhi hoki. Ka uaua pea te horomi.

Ka hoatu e tō tākuta he rongoā whakamamae ki a koe. Ka hoatu hoki e ia he tohutohu mō te tīmata ki ngā kai wai, me te neke haere ki ngā kai ngawari, kātahi ki ngā kai noa. He mea tino nui te whai i ēnei tohutohu mō te tere o te ora.

Nō reira, ki te mea kei a koe ēnei tohu, kaua e wehi ki te toro atu ki te tākuta me te tiki tohutohu. Māna e whakahaere ngā whakamātautau e tika ana māu, e whakamārama mārama ana mēnā kei a koe tēnei mate, ā, ki te mea kei a koe, me aha koe i muri mai.