He uaua anō hoki ki a koe te horomi kai? Kei te ahua kei te mau tetahi mea i roto i tō korokoro? Me kōrero tātou mō te Zenker's Diverticulum!

I ētahi wā, ka ahua pōuri koe i te horomitanga o te kai, tika? Tērā pea ka rite ki te mea kei roto i tō korokoro te mea e mau ana. He mea whakararuraru pea ēnei i roto i ō tātou oranga o ia rā. Tērā pea ko te take o tēnei he mea kāore koe e whakaaro ana. I tēnei rā ka kōrero tātou mō tēnei momo mate, arā, ko te Zenker's Diverticulum.

He aha te Diverticulum a Zenker?

He whakarāpopototanga noa iho, ko te diverticulum a Senck he putea iti e hanga ana i te tihi o tō korokoro, i te esophagus rānei (e mōhiotia ana ko te paipa kai). Whakaarohia, he uaua kei te tihi o tō korokoro, e kiia nei e ngā tākuta ko te uaua cricopharyngeus . He rite tana mahi ki te tatau. Ina horomia e tātou, ka whakangāwari tēnei uaua, ā, ka tukuna te kai kia heke ki roto i te esophagus. Engari ki te kore tēnei uaua e mahi tika, arā, ki te kore e whakangāwari tika i te wā e horomia ana e tātou, ka nui te pēhanga e hanga ana i roto i tō korokoro. Whakaarohia, pērā i te wā e pēhia ana e koe he paipa wai, ka puritia ki te wāhi kotahi, ka piki ake te pēhanga wai.

I roto i te wā, ka puta he pēhanga, he diverticulum rānei nā tēnei pēhanga, ka panaia te kiko mā roto i tētahi wāhi ngoikore i te pakitara o te korokoro. Ka taea e tēnei pēke te whakararu i te uaua ki te horomi, te hoki mai o te kai ki roto i te korokoro, me te manawa kino. I te nuinga o te wā, ko te maimoatanga he pokanga hei tango, hei whakatika rānei i te pēke. Waihoki, mā te whakarerekē i tō kai me tō inu ka āwhina i te whakaiti i ētahi o ēnei tohu.

He aha ngā tohu o te Diverticulum a Zenker?

Ka rerekē pea ngā tohu i runga i te rahi o tēnei putea (diverticulum) me tōna wāhi. Mēnā he iti te putea, kāore pea he tohu e pā mai ana ki a koe. Heoi, ka tīmata ngā raruraru ina nui haere te putea, ā, ka raru pea koe i te horomitanga. Tirohia mēnā kei a koe ētahi o ēnei tohu:

• Te mōrearea o te niumōnia manawa: I ētahi wā, ka uru pea te kai e horomia ana e koe, te hūpē rānei i roto i tō korokoro ki roto i tō trachea (pūkahukahu) ka pā he mate ki ō pukahukahu. He mea morearea pea tēnei, nā te mea ehara i te mea whakakatakata ngā mate pukahukahu.
• Manawa kino (`Halitosis`): Ka mau te kai ki roto i te pēke i roto i te korokoro, ā, ka tīmata te pirau i reira. Ko te wā tēnā e puta mai ai te haunga kino i te waha. He mea tēnei e whakama ai te hapori.
• Te kai, te hūpē rānei e hoki mai ana ki roto i tō korokoro: Ka taea e te kai e horomia ana e koe te hoki mai ki roto i tō korokoro. Ka puta tēnei ina kī te pēke i te kai. He rite ki te mea e peke mai ana i roto i tētahi pēke kī tonu. I ētahi wā ka puta tēnei i te pō i a koe e moe ana.
• Te uaua ki te horomi (`Dysphagia`): Koinei te tohu matua, te tohu tino kitea . I te tipu haere o te putea, ka whakawhāitihia te ara i roto i te korokoro, ka uaua ki te horomi kai. I te tīmatanga, he uaua pea ki te horomi kai totoka anake, engari i muri mai ka uaua pea ki te horomi wai.
• Te āhua nei kei te mau tetahi mea i roto i te korokoro ('Te ahua o te Globus'):Tērā pea ka rongo koe i te mea kei roto i tō korokoro e mau ana, pērā i te pōro. Ka puta anō hoki tēnei kare ā-roto ina kore koe e kai. Ka puta tēnei kare ā-roto ina nui te pēke, ka pēhi ki te uaua cricopharyngeus, ki te taha whakarunga rānei o te esophagus.
• Te Pāorooro (Dysphonia): Tērā pea ka puta he panoni o te reo, arā, he pāorooro. Nā te mea ka nui haere te pēke, ka pēhi i te io e whakahaere ana i tō tātou reo, arā, te io pharyngeal recurrent .
• Te whakahekenga taumaha tūpono kore: Tērā pea ka heke tō taumaha me te kore e mōhio nā te mea kāore e taea e koe te horomi tika i te kai, ka arahi pea tēnei ki te kore kai pai.

He aha te take o te Diverticulum a Zenker?

Ina hoki, ka hangaia tēnei diverticulum Zenker nā te mea kāore i tino wātea te uaua cricopharyngeal i kōrerotia e au i mua ake nei. I te nuinga o te wā, me whakakī tonu tēnei uaua, me kati hoki te wāhanga o runga o tō tātou esophagus. Ka wātea noa iho ina horomia e tātou te kai, ā, ka tukuna te kai kia heke iho. Engari ki te kore tēnei uaua e wātea ina horomia e tātou te kai, kāore te wāhanga o runga o te esophagus e tuwhera tika.

I taua wā anō, ka panaia te kai e ētahi atu uaua kaha o roto i tō tātou korokoro ki raro ki te uaua cricopharyngeal piri. Ka hua ake i ēnei e rua he pēhanga nui ki ngā pakitara o te korokoro.

Mō te mate puku o Senkers, ka panaia he putea kiko mai i tētahi wāhi ngoikore o te pakitara o te korokoro e tēnei pēhanga, ka hangaia he putea. Ko tēnei putea te mea e ārai ana i te haerenga o te kai mai i te korokoro ki te korokoro.

Kāore anō kia tino mōhiotia e ngā tohunga he aha i kikī ai tēnei uaua cricopharyngeal i te mea e tika ana kia whakangāwari. Ahakoa te take, ko te mutunga iho ko te hanganga o tēnei putea hoha.

Ko wai kei te nui ake te mōrearea ki te whakawhanake i tēnei mate?

Ahakoa ka taea e te tangata te pāngia e tēnei mate, he nui ake te tūponotanga o ētahi tāngata ki te pāngia e tēnei mate. Tirohia:

• Tau: He mea tino kitea tēnei i roto i te hunga i waenga i te 70 me te 90 tau te pakeke. Ko te tikanga he nui ake te tūponotanga ka puta i a koe e pakeke haere ana. Heoi, he onge hoki te kitea i roto i te hunga iti iho i taua tau.
• Ira Tangata: E whakaatu ana ngā rangahau he nui ake te tūponotanga o ngā tāne ki te pāngia e tēnei mate i ngā wāhine.
• Te ngoikore o te esophagus: Mena kei a koe ētahi atu āhuatanga e kore ai e mahi tika tō esophagus, arā, ki te mea he raruraru nekehanga ōu, ka piki ake tō tupono ki te whakawhanake i tēnei.

He aha ngā raruraru pea o te Zenker's Diverticulum?

Ki te kore tēnei mate e rongoatia tika, ka puta pea ētahi raruraru, nō reira he mea nui kia mōhio ki tēnei.

• Te niumōnia manawa:He ahua kino tēnei. Mēnā ka haere hē te kai e hoki mai ana i taua pēke i roto i te korokoro ki ngā pukahukahu, ka pā mai he mate kitakita, ā, ka arahi atu ki te niumōnia. Mēnā he maha ō maremare, he uaua rānei ki te manawa, me whakaaro anō hoki koe ki tēnei.
• Te kore kai tōtika: Ina kore te kai e tika te uru atu mā roto i tō pūnaha nakunaku nā taua pēke, kāore e taea e tō tinana te whiwhi i ngā matūkai e hiahiatia ana, ka hua ake te kore kai tōtika. Ka ngoikore pea koe, ka ngaro tō taumaha, ka ngenge tonu hoki.

Me pēhea te kite a ngā tākuta i tēnei?

Mena kei a koe ngā tohu o te uaua ki te horomi, me toro atu koe ki te tākuta i te tuatahi. Ka pātai atu te tākuta ki a koe mō ō tohu, ā, ka tirotirohia koe. Tērā pea ka pātai atu ia mēnā he raruraru anō ōu ki te mahi a te korokoro (esophageal dysmotility). Kātahi ka tukuna pea koe ki tētahi tohunga mō tēnei mahi, he tohunga puku. Māna e whakahaere ngā whakamātautau e tika ana hei whakatau ko tēhea te pūtake o tō raruraru.

Anei ētahi whakamātautau ka taea:

• Whakamātautau manometri korokoro: Mā tēnei ka whakamātautau i te pai o te mahi a tō korokoro, mēnā kei te tika te kōpiri o ngā uaua, me te mēnā kei te tika te whakangā o te uaua cricopharyngeal.
• Esophagram (te horomitanga o te barium): I tēnei whakamātautau, ka inu koe i tētahi wai e kīia nei ko te barium, ā, ka tangohia he hihi-X hei tirotiro i ngā mea ka puta i roto i tō esophagus ina horomi koe i te kai. Mena he pēke kei roto, ka kitea mārama.
• Te tirotiro i te pito o runga: Ko te whakaurunga o tētahi ngongo iti kei roto he kāmera mā te waha, ka titiro ki raro i te korokoro. Mā tēnei ka kitea tika te roto o te korokoro, te wāhi kei reira te pēke, me tōna rahi.

Me pēhea te rongoā i te Diverticulum a Zenker?

I te nuinga o te wā, ko te maimoatanga pai ko te pokanga hei tango, hei whakatika rānei i te pēke. Mā tēnei ka taea e koe te horomi ngāwari anō. Heoi, kāore e hiahiatia ana te pokanga mō te katoa. Ka tūtohu pea ngā tākuta i te pokanga mēnā kei te puta he raruraru nui i roto i te pēke, pērā i te kore kai pai, te niumōnia manawa rānei.

He maha ngā momo pokanga ka taea te mahi mō tēnei:

• Pokanga tuwhera: I tēnei momo pokanga, ka tapahia he iti ki te kaki. Ka haere tika te tākuta ki te pēke ka tangohia, ka whakatika rānei i te uaua.
• Pokanga endoscopic: Ko te whakaurunga o ngā taputapu iti mā roto i te waha hei hanga, hei tango rānei i te putea. Kāore he tapahi i waho. Ka whakaitihia te wā whakaora, ā, kāore he koha e waiho ana.
• ZPOEM ('Te miotomi endoscopic ā-waha'):He tikanga endoscopic anō hoki tēnei. Hei whakamārama ake, ko te tikanga o te kupu 'ZPOEM' ko 'Zenker's Peroral Endoscopic Myotomy'. I tēnei, ka totoro paku te uaua cricopharyngeal, ka whakangāwari hoki. Kātahi ka ngawari ake te heke o te kai.

Ka matapakihia e tō tākuta puku me koe te tikanga pokanga e pai ana mōu.

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

Ka rerekē te roa o te wā whakaora i muri i te pokanga i runga i te momo pokanga i mahia ki a koe. Tērā pea ka tere ake tō ora mai i te pokanga endoscopic, i te pokanga ZPOEM rānei i tō te pokanga tuwhera. Mā tō tākuta tēnei e whakamārama taipitopito atu ki a koe. Heoi, ko te tikanga ka taea e koe te tumanako ki ēnei e whai ake nei:

• Me noho koe ki te hōhipera mō te rā kotahi, e rua rānei, pea mō ētahi rā.
• I muri i te pokanga, me kai koe i ngā wai, i ngā kai ngohengohe rānei kua kuru pai mō te rua rā ki te rua wiki.
• Mena ka pokanga tuwhera koe, ka hoatu pea he kai māu mā roto i tētahi ngongo whāngai rangitahi kia ora rā anō te patunga.

Ka puta pea ngā raruraru mai i te pokanga?

Pērā i ngā pokanga katoa, ka puta pea ngā raruraru iti i roto i ēnei pokanga. He maha ngā raruraru noa ka puta i roto i te pokanga tuwhera me te pokanga endoscopic:

• Te toto
• He kōhao, he haehae rānei i roto i te korokoro (te pakaru o te korokoro)
• He mate pāwera i te kaki, i te uma rānei (mediastinitis)
• Te whara o ngā ngutu, ngā niho, te arero, ngā kapia rānei i te wā o te pokanga endoscopic
• Te pāorooro o te reo mēnā ka pakaru te io e whakahaere ana i ngā taura reo i te wā o te pokanga tuwhera

Engari he onge ēnei, ā, he maha ngā wā ka kitea. Mā ngā tākuta koe e whakamōhio atu mō tēnei.

Āhea ahau me toro atu ki te tākuta?

Ki te uaua tonu te horomi, he pai ake te toro atu ki te tākuta me te kore e warewarehia. Waihoki, ki te mea kua pokangahia koe mō te Zenker's diverticulum, waea atu ki tō tākuta puku tonu mēnā ka puta he tohu mate, pērā i te kirika, te pupuhi rānei .

Ko te mea nui, ahakoa ka taea te whakaora i tēnei mate mā te rongoā, i ētahi wā ka hoki anō te pēke. Nō reira, pātai atu ki tō tākuta he aha ngā tohu e rapuhia ana e koe e tohu ana kua puta he pēke hou i roto i tō korokoro.

He aha taku e taea ai hei whakaora i te mamae?

Ina pāngia koe e te mate diverticulum Zenker, ka uaua pea te horomi. Ka rite ki te mea kua mau te kai i roto i tō korokoro. Whakamātauria ēnei mea ngāwari, hei āwhina i te pana i te kai ki raro mā roto i te pēke:

• Kainga ō kai i roto i ngā ngau iti, kaua i ngā ngau nunui.
• Ngaungauhia kia marie ngā kai katoa i mua i te horomitanga. Mā tēnei ka pai ake te pakaru o te kai, ā, ka māmā ake hoki te horomitanga.
• Inuhia he inu wai i waenganui i ngā kai. Mā tēnei ka āwhina i te pana i te kai ki raro.
• He mea pai kia whakaitihia te nui o ngā nati, ngā purapura, me ngā kai he kiri rite ki te aporo me te tōmato, nā te mea ka piri pea ki roto i te putea. Waihoki, ka piri pea ngā kai tino maroke.

Whakaarohia, tera ētahi wā ka tino harikoa, ka tino pouri rānei tātou, ā, ka rite ō tātou korokoro ki te mea kua kikī. Waihoki, ko ngā āhuatanga pēnei i te Zenker's diverticulum ka tino uaua ki te horomi noa i te kai.

He pēke tēnei e puta mai ana i roto i te korokoro. Ka puta mai ina kore e taea e te kai te haere mai i te korokoro ki roto i te korokoro. Tērā pea ka ngaro te raruraru kia nui rawa te pēke, ā, kāore e taea te horomi kai. Engari kāore e pai ake i a ia anō. Waimarie, he pai ngā maimoatanga mō tēnei.

Hei whakamutunga, ngā mea hei maumahara

Āe, me whakamahara atu mātou ki a koe i ētahi mea kua kōrerohia e mātou, ā, ki tā mātou whakaaro he mea nui ki a koe:

• He putea iti te diverticulum a Zenker e tupu ana i te pito o runga o tō korokoro, i te tihi o tō korokoro.
• Ko te tohu matua ko te uaua ki te horomi (dysphagia) . Ko ētahi atu tohu ko te manawa kino (halitosis), te kai e piri ana ki te korokoro, me te ahua kei te piri tetahi mea ki te korokoro.
• Ki te pā mai ēnei tohu ki a koe, me toro atu ki te tākuta . Kaua e warewaretia.
• He maimoatanga pokanga kei reira mō tēnei, ā, ka taea hoki e ngā panonitanga ki te kai te āwhina i te whakahaere i ngā tohumate.
• Ahakoa kua rongoatia, ka taea tonu e tēnei mate te hoki mai anō i ētahi wā , nō reira kia tūpato hoki ki tēnā.

Ko tāku tumanako ka whai hua ēnei kōrero ki a koe. Mēnā he āwangawanga āu, kaua e mangere ki te kōrero ki tō tākuta. Kia maumahara, ko te tātaritanga me te maimoatanga wawe te mea pai rawa atu!

Te Diverticulum a Zenker , te putea korokoro, te uaua ki te horomi, te dysphagia, ngā mate korokoro, te larynx, te uaua cricopharyngeal