Kodi mukuvutika kumeza? Kodi ndi 'Achalasia'? Tiyeni tikambirane za izi!

Kodi munayamba mwamvapo ngati chakudya kapena chakumwa chanu chatsekeredwa mummero mwanu? Kapena munamvapo kupweteka pachifuwa ndi chakudya chikubwerera m'khosi mwanu? Izi zitha kukhala zokhumudwitsa kwambiri pamoyo wanu watsiku ndi tsiku. Lero tikambirana za vuto lomwe lingayambitse zizindikiro zofanana, koma si lofala kwambiri. Limenelo ndi vuto lotchedwa `Achalasia` (lomwe limatchedwanso `Cardiospasm`).

Kodi 'Achalasia' ndi chiyani? Tiyeni timvetse mosavuta!

Mwachidule, `Achalasia` ndi vuto losowa kwambiri lomwe m'mero ​​wathu, chubu chomwe chimanyamula chakudya kuchokera pakamwa pathu kupita m'mimba, sichigwira ntchito bwino. Kodi mukudziwa kuti m'mero ​​wathu si chubu chabe? Ndi chubu chopangidwa ndi minofu. Tikameza chinthu, minofu imeneyi imakokana (ngati mafunde) ndikukankhira chakudya pansi. Timachitcha kuti `(Peristalsis)`.

Tsopano tangoganizani kuti pansi penipeni pa mmero, pomwe chakudya chimalowa m'mimba, pali mphete ya minofu yomwe imawoneka ngati chipata. Izi zimatchedwa ``Lower Esophageal Sphincter`` kapena ``LES``. Kawirikawiri, chakudya chikayandikira ``LES`` iyi, chimatseguka (chimamasuka) ndikulola chakudyacho kuti chilowe m'mimba. Kenako chimatsekanso, ndikuletsa zomwe zili m'mimba kuti zisabwererenso m'mimba.

Komabe, kwa munthu amene ali ndi `Achalasia`, njirayi imasokonekera.

1. Kuyenda kofanana ndi peristalsis m'mimba sikukuchitika bwino, kapena ndi kofooka kwambiri.

2. Chitseko chotchedwa `LES` sichimatsegulidwa bwino chakudya chikafika. Chatsekedwa.

Ndiye chimachitika ndi chiyani? Zinthu zomwe mumadya ndi kumwa zimakakamira mummero wanu, osapita m'mimba mwanu. Izi zimapangitsa kuti zikhale zovuta kumeza, kupweteka pachifuwa, komanso chakudya chibwererenso pakhosi panu. Pakapita nthawi, thupi limatha kuchepetsa thupi ndikukhala ndi vuto la zakudya chifukwa silipeza chakudya chokwanira.

`Achalasia` si matenda ofala kwambiri. M'dziko ngati America, imakhudza munthu m'modzi pa anthu 100,000. Nthawi zambiri imakhudza okalamba, azaka zapakati pa 25 ndi 60. Komabe, nthawi zina ana aang'ono amathanso kukhala ndi vutoli.

Kodi zizindikiro za `Achalasia` ndi ziti? Kodi zimapezeka bwanji?

Zizindikiro za 'Achalasia' sizimaonekera mwadzidzidzi. Nthawi zambiri, zimakula pang'onopang'ono. Simungazindikire kusiyana kwa miyezi kapena zaka. Zizindikiro zazikulu zomwe zingawonekere ndi izi:

• Kuvuta kumeza (Dysphagia): Ichi ndiye chizindikiro chachikulu. Zingakhale zovuta kumeza chakudya cholimba kaye, kenako zakumwa.
• Kusanza: Izi sizili ngati kusanza, koma chakudya chosagayidwa chimabwerera m'khosi. Izi zitha kuchitika makamaka usiku munthu akugona.
• Kupweteka pachifuwa: Kupweteka pachifuwa mwadzidzidzi, nthawi zina koopsa, kungakhale koopsa kwambiri moti kungaganizidwe ngati matenda a mtima.
• Kuvuta kupita kuchimbudzi.
• Kutentha pamtima: Koma izi zitha kukhala zosiyana ndi kutupa kwa gastritis wamba.
• Kuvutika maganizo.
• Kuchepetsa thupi mosadziwika: Kuchepetsa thupi kumachitika pakapita nthawi chifukwa chakudya sichimayamwa bwino ndi thupi.

Kumbukirani kuti zizindikirozi zimakula pakapita nthawi, choncho ndikofunikira kufunafuna upangiri wa dokotala ngati muwona kusintha pang'ono.

Kodi n’chiyani chimayambitsa `Achalasia`?

Ndipotu, akatswiri sakudziwabe chomwe chimayambitsa achalasia. Komabe, pali lingaliro limodzi lalikulu. Ndilo, ndi matenda omwe amayambitsa chitetezo chamthupi, kutanthauza kuti chitetezo chathu chamthupi chimaukira maselo a thupi lathu. Malinga ndi lingaliro ili, chinthu chonga ichi chimachitika:

1. Chitetezo chathu cha mthupi chimayambitsidwa ndi chinthu chonga kachilombo.

2. Komabe, mwangozi, chitetezo chamthupi ichi chimayamba kuukira maselo amitsempha omwe amalamulira ntchito ya minofu m'khosi mwathu.

3. Maselo a mitsempha awa akuwonongedwa pang'onopang'ono.

4. Kenako kuyenda (peristalsis) komwe kumakankhira chakudya pansi pa mmero ndi kutsegula kwa LES sikumachitika bwino.

Iyi ndi lingaliro lomwe likuvomerezedwa pakadali pano, koma kafukufuku wowonjezereka ukuchitika.

Kodi mavuto omwe angakhalepo chifukwa cha `Achalasia` ndi ati?

Ndi achalasia, chakudya chimamatirira mu mmero, zomwe zingayambitse kubwerera mmwamba pakhosi ndipo nthawi zina kulowa mu mkodzo. Ngati izi zitachitika, zingayambitse mavuto osiyanasiyana. Mwachitsanzo:

• Chibayo cha mpweya: Matenda a chibayo omwe amayamba chifukwa cha chakudya chomwe chimalowa m'mapapo.
• Bronchiectasis: Kuwonongeka kwa njira zopumira m'mapapo.
• Matenda a m'mapapo.
• Kuwonjezeka kwa chiopsezo cha khansa ya m'mero: Kuwonjezeka kwa chiopsezochi kumawonjezeka chifukwa cha chakudya chomwe chimakakamira m'mero ​​kwa nthawi yayitali komanso kutupa.
• Kusowa zakudya m'thupi: Izi zimachitika chifukwa cha kusowa kwa chakudya m'thupi.

Ndicho chifukwa chake ndikofunikira kuzindikira ndi kuchiza Achalasia mwachangu.

Kodi madokotala amazindikira bwanji `Achalasia`?

Ngati muli ndi zizindikiro zomwe zatchulidwa pamwambapa, mukapita kwa dokotala, adzakufunsani za zizindikiro zanu, nthawi yomwe zakhalapo, ndi zina zotero. Kenako adzakuyesani thupi. Mayeso atatu akuluakulu amagwiritsidwa ntchito kutsimikizira kupezeka kwa achalasia:

1. Esophagram (Barium Swallow): Mu mayesowa, mumapatsidwa madzi otchedwa barium kuti mumwe. Kenako amatengedwa X-ray kuti awone momwe chakudya chimayendera m'mimba. Ngati muli ndi achalasia, m'mimba mwanu mwatupa ndipo LES simatseguka bwino.

2. Mayeso a Esophageal Manometry:Mu izi, chubu chopyapyala chimalowetsedwa kudzera m'mphuno kupita ku m'mero ​​ndi momwe minofu ya m'mero ​​imagwirira ntchito komanso kupanikizika kwa 'LES' kumayezedwa. Mu 'Achalasia', kupanikizika kwa 'LES' kumakhala kwakukulu, ndipo zitha kupezeka kuti palibe kuyenda kwa m'mero ​​(peristalsis). Iyi ndiye njira yabwino kwambiri yodziwira 'Achalasia'.

3. Choyezera chapamwamba: Chitoliro chopyapyala komanso chosinthasintha chokhala ndi kamera chimayikidwa kudzera pakamwa kupita ku m'mero ​​ndi m'mimba kuti chiyang'ane mkati. Izi zingathandizenso kuwona mavuto ena m'mero ​​(monga khansa). Nthawi zina biopsy, yomwe ndi kachidutswa kakang'ono ka minofu, ingatengedwe kuti iunikidwe.

Kodi mankhwala a 'Achalasia' ndi ati?

Cholinga chachikulu cha chithandizo cha achalasia ndikumasula minofu ya LES pansi pa mmero, zomwe zimathandiza kuti chakudya chilowe m'mimba. Mankhwalawa sangachiritse achalasia kwathunthu , koma amatha kuwongolera zizindikiro ndikupangitsa moyo kukhala wosavuta. Dokotala wanu adzaganizira zizindikiro zanu, zaka zanu, ndi zomwe mumakonda kuti adziwe njira yabwino kwambiri yothandizira.

Chithandizo chosachitidwa opaleshoni

• Kutambasula kwa mabaluni: Mu izi, baluni yapadera imadutsa mu m'mero, mofanana ndi endoscopy, kupita kudera lomwe LES ili, ndipo baluniyo imadzazidwa. Kenako, mphete yolimba ya minofu imatambasuka ndikupumula pang'ono. Izi zimapangitsa kuti chakudya chidutse. Izi zimachitika pansi pa anesthesia yopepuka. Chithandizochi chingafunike kubwerezedwa kangapo.
• Mankhwala: Pali mankhwala ena omwe angathandize kuchepetsa ululu wa LES.
• Jakisoni wa Botox® (botulinum toxin): Botox imabayidwa mu LES kudzera mu endoscopy. Izi zimafooketsa minofu kwakanthawi ndikuyipumula. Komabe, zotsatira zake zimakhala kwa miyezi ingapo yokha ndipo ziyenera kubwerezedwa.
• Mapiritsi monga `Nifedipine` (`Procardia XL®`, `Adalat CC®`) kapena `Isosorbide` (`Imdur®`, `Monoket®`). Izi ziyenera kumwedwa musanadye chakudya ndikupumula `LES`. Komabe, izi sizigwira ntchito kwa aliyense ndipo zitha kukhala ndi zotsatirapo zoyipa.

Chithandizo cha opaleshoni

Pali njira zingapo zochitira opaleshoni zomwe zingagwiritsidwe ntchito kuti muchepetse LES. Izi nthawi zambiri zimachitika popanda kudula kwakukulu, kudzera mu kudula pang'ono (`Laparoscopic` / `Minimally invasive`).

• Kuchotsa mimba myotomy ya Laparoscopic Heller: Iyi ndi opaleshoni yofala kwambiri. Mu opaleshoni iyi, chipangizo, chofanana ndi endoscope, chimayikidwa kudzera m'mabala ang'onoang'ono m'mimba ndipo ulusi wa minofu ya LES umadulidwa (myotomy imatanthauza kudula minofu). Izi zimamasula LES. Nthawi zambiri, njira yotchedwa fundoplication imachitidwanso, yomwe imaphatikizapo kukulunga gawo lapamwamba la mimba mozungulira m'mero ​​kuti muchepetse reflux ya asidi m'mimba mummero (GERD).
• Kuchotsa myotomy ya pakamwa (POEM): Iyi ndi njira yatsopano. Pachifukwa ichi, endoscope imayikidwa kudzera pakamwa, imapita pansi pa khoma la m'mero, ndikudula minofu ya LES. Izi sizimafuna kudula kwakunja.

Kawirikawiri, ngati zizindikiro zake zili zoopsa kwambiri ndipo mankhwala ena sanagwire ntchito, dokotala wanu angakulangizeni opaleshoni kuti muchotse m'mero ​​wonse (kuchotsedwa kwa m'mero).

Mavuto a chithandizo

Opaleshoni ya Laparoscopic Heller myotomy ndi POEM ndi yopambana kwambiri. Komabe, mavuto ena amatha kuchitika:

• Kuwonekeranso kwa zizindikiro za 'Achalasia'.
• GERD (Gastroesophageal reflux disease) (makamaka ngati fundoplication siichitika pambuyo pa Heller myotomy).
• Kawirikawiri, m'mero ​​umabowoka panthawi ya opaleshoni.

Kodi mungayembekezere chiyani ngati muli ndi `Achalasia`?

Zizindikiro za achalasia nthawi zina zimatha kubwereranso ngakhale mutalandira chithandizo. Chifukwa chake, kuyang'aniridwa kwa nthawi yayitali kwachipatala ('kutsatira') ndikofunikira kwambiri. Dokotala wanu adzakuyang'anirani nthawi zonse:

• Mayeso amachitika kuti atsimikizire kuti chakudya ndi zakumwa zikudutsa bwino m'mimba kudzera m'mero.
• Yang'anani zizindikiro za GERD.
• Yang'anani zizindikiro zoyambirira za khansa ya m'mero ​​(chiopsezochi chimakhala chokwera pang'ono ndi achalasia).

Ngati sichikuthandizidwa, achalasia ingayambitse kusowa zakudya m'thupi ndipo ikhoza kupha munthu. Komabe, ndi chithandizo choyenera, munthu wopanda achalasia akhoza kukhala ndi moyo wabwinobwino.

Kodi ndimadzisamalira bwanji?

Mukakhala ndi vuto lotchedwa 'Achalasia', pali zinthu zingapo zomwe mungachite kuti muthandize kuchepetsa chakudya ndi chakumwa kudzera m'm'mero ​​mosavuta komanso kuthana ndi zizindikiro zake:

• Dulani chakudya m'zidutswa zazing'ono ndipo chitafuneni bwino.
• Imwani madzi ambiri mukudya. Izi zinyowetsa chakudya ndikuchithandiza kuti chizigwa mosavuta.
• Idyani mutakhala molunjika. Izi zithandiza mphamvu yokoka kusuntha chakudya pansi.
• Pewani kudya zakudya zolimba maola atatu kapena anayi musanagone. Izi zipatsa m'mimba mwanu nthawi yoti mugaye chakudyacho musanagone.
• Ikani pilo yowonjezera pansi pa mutu wanu mukamagona. Kukweza mutu wanu kungathandize kuchepetsa mwayi woti chakudya chochokera ku mmero chilowe m'mapapo.

Ndi zakudya ziti zomwe muyenera kupewa ngati muli ndi `Achalasia`?

Popeza achalasia imapangitsa kuti chakudya chizivuta kudutsa m'mero, zakudya zina zimatha kukulitsa zizindikiro zake. Samalani kwambiri ndi zakudya monga izi:

• Zakudya zomwe zingatseke m'mero: Mwachitsanzo, maapulo osadulidwa, mphesa, ndiwo zamasamba zosaphika, nyama zokhala ndi ulusi kapena zouma.
• Zakudya zomwe zimatha kukhuthala ndikuwunjikana m'mero: Mwachitsanzo, buledi (makamaka buledi woyera), mpunga woyera, mbatata, tchipisi, ndi pasitala.
• Zakudya zomwe zingakwiyitse pakhosi: Mwachitsanzo, zakudya zokometsera, zakumwa zoledzeretsa, ndi zakumwa zoledzeretsa.

Zakudya zimenezi sizikhudza aliyense mofanana. Muyenera kudzipezera nokha zakudya zomwe zimakuvutani.

Kodi ndiyenera kupita kwa dokotala liti?

Ngati muwona kusintha kulikonse kwatsopano m'thupi lanu, makamaka zizindikiro zatsopano za Achalasia, monga kuvutika kumeza , pitani kwa dokotala nthawi yomweyo.

Achalasia ndi matenda osowa kwambiri omwe zizindikiro zimakula pang'onopang'ono pakapita nthawi. Zizindikiro zimatha kuyambira kutentha pamtima mpaka kuvutika kumeza. Chifukwa chake simungaganize nthawi yomweyo kuti zizindikiro zonsezi zikugwirizana ndi matenda amodzi.

Komabe, ndikofunikira kulankhula ndi dokotala za zizindikiro zilizonse zomwe zikupitirira, ngakhale zitakhala kuti sizikugwirizana. Pali njira zingapo zochizira achalasia. Dokotala wanu akhoza kukufotokozerani chithandizo chilichonse ndikukuthandizani kusankha chomwe chili chabwino kwa inu. Musadandaule, ngati mutapezeka ndi matendawa ndi kulandira chithandizo msanga, mutha kuthana ndi vutoli bwino.

Chidule (Uthenga Wopita Nawo Kunyumba)

`Achalasia` ndi matenda omwe minofu yomwe ili m'munsi mwa mmero sigwira ntchito bwino, zomwe zimalepheretsa chakudya kulowa m'mimba. Zizindikiro zake ndi monga kuvutika kumeza, kupweteka pachifuwa, ndi chakudya kulowa pakhosi. Pali mayeso apadera odziwira izi. Mankhwalawa akuphatikizapo kukulitsa minofu, mankhwala, ndi opaleshoni. Ngakhale kuti palibe mankhwala okwanira, zizindikiro zimatha kulamulidwa bwino ndipo mutha kukhala moyo wabwinobwino. Ngati muli ndi zizindikirozi, musazengereze kufunafuna upangiri wa dokotala. Thanzi lanu lili m'manja mwanu!

Achalasia , Kusakhazikika kwa mtima, Kuvuta kumeza, Kutsekeka kwa m'mimba, LES, Dysphagia, Esophageal Manometry