Kodi n'kovuta kumeza? Kodi kukumatirira pakhosi? Izi zitha kukhala Achalasia!

Mukadya, kodi mumamva ngati madzi omwe mumamwa sakutsika pakhosi panu? Zimakhala ngati chinachake chatsekeredwa pakhosi panu... Mwina chakudya chikubwerera mmwamba pakhosi panu. Izi sizinthu zonse, zitha kukhala chizindikiro cha matenda otchedwa Achalasia . Ngakhale anthu ambiri amaganiza kuti izi ndi zachilendo, ndikofunikira kwambiri kudziwa izi. Tiyeni tikambirane lero.

Mwachidule, kodi Achalasia ndi chiyani?

Taganizirani izi, tikamadya, chakudya chiyenera kuchoka pakamwa pathu kupita m'mimba, sichoncho? Ulendowu umachitika kudzera mu chubu chotchedwa esophagus. Kuti izi zichitike bwino, zinthu ziwiri ziyenera kuchitika.

1. M'mero ​​muyenera kufinya ndikukankhira chakudya pansi, monga momwe mungaphikire chubu cha mankhwala otsukira mano.

2. Valavu yaying'ono (yophimba minofu) kumapeto kwa mmero, komwe chakudya chimalowa m'mimba, iyenera kutsegulidwa.

Tsopano, ngati muli ndi achalasia, njira zonsezi sizigwira ntchito bwino. Mphuno singathe kukankhira chakudya pansi, ndipo valavuyo siitseguka bwino. Ndiye chimachitika ndi chiyani? Chakudya chimakakamira m'munsi mwa mphuno. Zimakhala ngati ngalande yotsekeka mu sinki. Pamapeto pake, chakudya chokakamirachi chimayamba kubwerera mmwamba pakhosi.

Uwu ndi matenda osowa kwambiri. Umakhudza pafupifupi munthu mmodzi pa anthu miliyoni. Koma subwera mwadzidzidzi, umakula pang'onopang'ono pakapita zaka. Anthu ena amakhala zaka zambiri osakumana ndi zizindikiro. Ngakhale kuti sungachiritsidwe kwathunthu, ndi chithandizo choyenera , mutha kukhala moyo wabwinobwino.

Kodi ndi zifukwa ziti za Achalasia?

Choyambitsa chenicheni cha izi sichinapezekebe, koma pali zinthu zingapo zomwe madokotala amaganiza kuti zingakhale zomwe zimayambitsa.

• Zifukwa za majini: Izi zikutanthauza kuti zimatha kutengera cholowa.
• Mavuto a chitetezo chamthupi: Apa ndi pamene chitetezo chamthupi, chomwe chimateteza thupi lathu, chimaukira maselo athu amitsempha.
• Matenda a kachilombo: Matenda ena a kachilombo amaonedwa kuti amawononga mitsempha ya m'mero.
• Kuwonongeka kwa mitsempha: Kuwonongeka pang'onopang'ono kwa mitsempha yomwe imayang'anira minofu ya m'mero.

Matendawa amatha kukhudza aliyense. Amakhudza amuna ndi akazi mofanana. Koma amapezeka kwambiri mwa anthu azaka zapakati pa 25 ndi 60. Amathanso kukhudza ana. Amaonekanso mwa anthu omwe ali ndi matenda a Down syndrome.

Kodi pali mitundu ya Achalasia?

Inde, Achalasia imagawidwa m'magulu atatu akuluakulu. Kutengera mtundu womwe muli nawo, zizindikiro ndi chithandizo zimatha kusiyana.

Kodi zizindikiro zazikulu za izi ndi ziti?

Chizindikiro chachikulu komanso chodziwika bwino cha achalasia ndi kuvutika kumeza zakumwa ndi zinthu zolimba . Chakudya chimatha kutsekeka pakhosi, zomwe zimapangitsa kuti m'mero ​​mutukuke kapena kukulirakulira.

Kuphatikiza apo, zinthu izi zitha kuwonekanso:

• Kupweteka pachifuwa mukatha kudya.
• Chakudya chikubwerera m'khosi.
• Kutentha pamtima ndi kusadya bwino.
• Kuchepetsa thupi popanda chifukwa.
• Chifuwa usiku.
• Kusanza.
• Chakudya kapena zakumwa zomwe zimalowa m'mapapo zingayambitse chibayo.
• Kutsamwitsa.
• Kuvutika kutuluka chimbudzi kapena kutsekeka.

Kodi mwapeza bwanji izi, Dokotala?

Popeza zizindikiro za achalasia zimafanana kwambiri ndi matenda ena am'mimba, monga GERD (Gastroesophageal Reflux Disease), dokotala wanu angayambe kuchiza matendawa. Komabe, ngati izi sizikusintha, mayesowa angachitike kuti aone ngati ali ndi achalasia.

• Manometry: Iyi ndi njira yabwino kwambiri yotsimikizira vutoli. Apa, chubu chopyapyala chimayikidwa kudzera mu mphuno yanu kupita m'mimba mwanu ndipo dokotalayo amayesa mphamvu ya minofu ya m'mero ​​wanu ndi ntchito ya valavu yomwe ili pansi mukameza madzi.
• Upper Endoscopy: Chubu chokhala ndi kamera, yotchedwa endoscope, chimayikidwa kudzera pakamwa panu ndipo mkati mwa mmero ndi m'mimba mumafufuzidwa. Chimagwiritsidwa ntchito pofufuza ngati pali zolakwika ndi kuchepa, ndipo biopsy ingatengedwe ngati pakufunika kutero.
• Kumeza kwa Barium: Izi zimatchedwanso Esophagogram. Apa, mumapatsidwa madzi apadera otchedwa barium kuti mumwe ndipo X-ray imatengedwa. Madzi awa amapangitsa kuti m'mero ​​muwoneke bwino pa X-ray. Izi zimapangitsa kuti zikhale zosavuta kuwona ngati pali kutsekeka kulikonse.
• Kuyesa pH: Izi zimayesa acidity m'mero ​​mwanu. Izi zingakuthandizeni kudziwa ngati muli ndi matenda ena, monga GERD.

Kodi mankhwala ake ndi otani?

Cholinga chachikulu cha chithandizo ndikumasula ndi kukulitsa minofu yolimba m'munsi mwa mmero, zomwe zimathandiza kuti chakudya ndi zakumwa zizidutsa mosavuta m'mimba. Dokotala wanu adzasankha chithandizo chabwino kwambiri kwa inu kutengera zaka zanu, zizindikiro zanu, ndi matenda ena.

Opaleshoni

Chithandizo chothandiza kwambiri cha achalasia ndi opaleshoni. Anthu ambiri amachira kwa nthawi yayitali atatha opaleshoni.

• Heller Myotomy: Iyi ndi opaleshoni yofala kwambiri. Nthawi zambiri imachitika pogwiritsa ntchito laparoscopically, zomwe zikutanthauza kuti imachitika kudzera m'mabala ang'onoang'ono m'mimba komanso pogwiritsa ntchito kamera. Apa, dokotala amadula ndikumasula minofu yolimba pansi pa mmero.
• Kuchotsa mano m'kamwa (POEM): Iyi ndi njira yatsopano yochitira opaleshoni. Palibe kudula mano kunja. Endoscope imayikidwa kudzera pakamwa, kudula pang'ono kumapangidwa mkati mwa m'mero, ndipo minofu yolimba imadulidwa.

Ma opaleshoni onsewa apambana, koma anthu ena amatha kukhala ndi acid reflux pambuyo pake.

Mankhwala osagwiritsa ntchito opaleshoni

Si aliyense amene amafunika opaleshoni. Njira zimenezi zingathandize, koma si njira yokhazikika monga opaleshoni. Mungafunike kuchita izi kangapo.

• Jakisoni wa Botox: Pa nthawi ya endoscopy, jakisoni wa Botox (botulinum toxin) umaperekedwa ku minofu yolimba. Izi zimamasula minofu kwakanthawi.
• Kutambasuka kwa Pneumatic:Pogwiritsa ntchito endoscope, baluni imatumizidwa kudera lopapatiza la m'mero, ndipo poidzaza, minofu imatambasulidwa ndikukulitsidwa.
• Mankhwala: Mankhwala monga nitrates ndi calcium channel blockers angathandize kumasula minofu yolimba. Komabe, izi zingayambitse zotsatirapo zoyipa, choncho ziyenera kugwiritsidwa ntchito kokha monga momwe dokotala wanu wanenera.

Zinthu izi zingathandize mukakhala ndi Achalasia

Palibe zakudya zenizeni za vutoli. Koma mudzamvetsa zakudya zomwe zimadya mosavuta komanso zomwe zimakhala zovuta. Ndibwinonso kulemba za izi m'buku. Ndikofunikira kwambiri kusamala momwe mumadyera komanso nthawi yomwe mumadya.

• Tafuna chakudya bwino ndipo chidyeni m'zidutswa tating'onoting'ono .
• Idyani mutakhala molunjika . Izi zithandiza kuti chakudya chizigwa mosavuta pogwiritsa ntchito mphamvu yokoka.
• Musadye chakudya cholimba nthawi yogona isanafike .
• Zakudya ndi zakumwa zotentha kwambiri kapena zozizira kwambiri zingayambitse kupweteka kwa minofu mwa anthu ena.
• Imwani madzi pang'ono mukudya.
• Anthu ena amanena kuti kumwa zakumwa zokhala ndi carbonated kumathandiza kuchepetsa kudya.

Ngati vuto lanu ndi lalikulu, kungakhale bwino kusintha kudya zakudya zamadzimadzi kwa kanthawi. Koma ngati mutatero, lankhulani ndi dokotala wanu kuti mutsimikizire kuti mukupeza zakudya zomwe mukufunikira. Ngati mukuchepetsa thupi kwambiri, dziwitsani dokotala wanunso, chifukwa izi zitha kukhala chizindikiro cha kusowa zakudya m'thupi.