Kodi mumavutikanso kumeza chakudya? Kodi mukumva ngati chinachake chakumangika pakhosi panu? Tiyeni tikambirane za Zenker's Diverticulum!

Nthawi zina mungamve kusamasuka pang'ono mukameza chakudya, eti? Kapena mungamve ngati chinachake chakumangika pakhosi panu. Izi zitha kukhala zovuta pa moyo wathu watsiku ndi tsiku. Mwina chifukwa cha izi ndi chinthu chomwe simukuchiganizira. Lero tikambirana za vuto lotere, lomwe ndi Zenker's Diverticulum.

Kodi Zenker's Diverticulum ndi chiyani?

Mwachidule, Senck's diverticulum ndi thumba laling'ono lomwe limapangidwa pamwamba pa mmero wanu, kapena m'mero ​​(lomwe limadziwikanso kuti chitoliro cha chakudya). Taganizirani izi, pali minofu pamwamba pa mmero wanu, yomwe madokotala amaitcha kuti minofu ya cricopharyngeus . Imagwira ntchito ngati chitseko. Tikameza, minofu iyi imamasuka ndikulola chakudya kudutsa mummero. Koma ngati minofu iyi sigwira ntchito bwino, ndiko kuti, ngati siimapuma bwino tikameza, kupanikizika kwambiri kumakungika mkati mwa mmero wanu. Taganizirani izi, monga mukakanikiza chitoliro cha madzi ndikuchigwira pamalo amodzi, kuthamanga kwa madzi kumawonjezeka.

Pakapita nthawi, kupanikizika kumeneku kumapangitsa kuti thumba kapena diverticulum zipangidwe, komwe minofu imatuluka kudzera pamalo ofooka pakhoma la pakhosi. Thumba ili lingayambitse mavuto monga kuvutika kumeza, chakudya kubwerera mmwamba pakhosi, komanso mpweya woipa. Nthawi zambiri, chithandizocho chimaphatikizapo opaleshoni yochotsa kapena kukonza thumbalo. Komanso, kusintha momwe mumadyera ndi kumwa kungathandize kuchepetsa zina mwa zizindikirozi.

Kodi zizindikiro za Zenker's Diverticulum ndi ziti?

Zizindikiro zimatha kusiyana malinga ndi kukula kwa thumba ili (diverticulum) ndi komwe lili. Ngati thumbalo ndi laling'ono, simungakhale ndi zizindikiro zilizonse. Komabe, mavuto amayamba thumbalo likakula mokwanira kuti lisathe kumeza. Onani ngati muli ndi zizindikiro izi:

• Kuopsa kwa chibayo cha aspiration: Nthawi zina, chakudya chomwe mumameza kapena ntchofu pakhosi panu zimatha kulowa mwangozi mu trachea yanu (mpweya) ndikuyambitsa matenda m'mapapu anu. Izi zitha kukhala zoopsa pang'ono, chifukwa matenda am'mapapo si nthabwala.
• Mpweya woipa (`Halitosis`): Chakudya chimalowa m'thumba limenelo pakhosi, ndipo chimayamba kuwonongeka pamenepo. Pamenepo ndi pamene fungo loipa limatuluka mkamwa. Ichi ndi chinthu chomwe chimayambitsa manyazi ngakhale m'gulu la anthu.
• Chakudya kapena mamina akubwerera m'khosi mwanu: Chakudya chomwe mwameza chingabwerere m'khosi mwanu. Izi zimachitika pamene thumba ladzaza ndi chakudya. Zili ngati chinthu chodumpha kuchokera m'thumba lodzaza. Nthawi zina izi zingachitike usiku mukugona.
• Kuvuta kumeza (`Dysphagia`): Ichi ndiye chizindikiro chachikulu komanso chofala kwambiri . Pamene thumbalo likukulirakulira, limachepetsa njira yolowera pakhosi, zomwe zimapangitsa kuti zikhale zovuta kumeza chakudya. Poyamba, zingakhale zovuta kumeza chakudya cholimba chokha, koma pambuyo pake zingakhale zovuta kumeza zakumwa.
• Kumva ngati chinachake chatsekeredwa pakhosi (`Globus sensation`):Mungamve ngati pali chinachake chomwe chakumangika pakhosi panu, ngati mpira. Kumva kumeneku kungachitikenso pamene simukudya. Kumva kumeneku kumachitika pamene thumba likukulirakulira ndikukankhira minofu ya cricopharyngeus, kapena gawo lapamwamba la mmero.
• Kusanza mawu (Dysphonia): Kusintha kwa mawu, kusanza mawu, kungachitike. Izi zili choncho chifukwa thumba limakula ndikukankhira pa mitsempha yomwe imalamulira mawu athu, mitsempha yobwerezabwereza ya pharyngeal .
• Kuchepetsa thupi mwangozi: Mutha kuchepetsa thupi mosazindikira chifukwa simungathe kumeza chakudya bwino, zomwe zingayambitse kusowa zakudya m'thupi.

Kodi n’chiyani chimayambitsa matenda a Zenker's Diverticulum?

Kwenikweni, diverticulum ya Zenker iyi imapangidwa chifukwa minofu ya cricopharyngeal yomwe ndatchula kale siimamasuka mokwanira. Kawirikawiri, minofu iyi nthawi zonse iyenera kumangika ndikutseka gawo lapamwamba la mmero. Imamasuka pokhapokha tikameza chakudya ndikulola chakudya kutsika. Koma ngati minofu iyi siimamasuka tikameza chakudya, gawo lapamwamba la mmero silimatseguka bwino.

Nthawi yomweyo, minofu ina yamphamvu pakhosi pathu imakankhira chakudya pansi kupita ku minofu yolimba ya cricopharyngeal. Zonsezi zimapangitsa kuti pakhosi pakhale kupanikizika kwakukulu.

Pankhani ya Senkers' diverticulum, kupanikizika kumeneku kumapangitsa kuti thumba la minofu likankhidwe kuchokera pamalo ofooka pakhoma la pakhosi, ndikupanga thumba. Thumba ili ndi lomwe limalepheretsa chakudya kudutsa kuchokera pakhosi kupita ku m'mero.

Akatswiri sakudziwabe chifukwa chake minofu ya cricopharyngeal iyi imalimba ikayenera kupumula. Kaya chifukwa chake ndi chiyani, zotsatira zake ndi kupangika kwa thumba losasangalatsa ili.

Ndani ali pachiwopsezo chachikulu chotenga matendawa?

Ngakhale kuti vutoli lingayambire aliyense, anthu ena ali pachiwopsezo chachikulu chotenga matendawa.

• Zaka: Izi zimachitika kwambiri mwa anthu azaka zapakati pa 70 ndi 90. Izi zikutanthauza kuti zimachitika kwambiri mukamakula. Komabe, sizimapezeka kawirikawiri mwa anthu azaka zapakati pa nthawiyo.
• Jenda: Kafukufuku akusonyeza kuti amuna ndi omwe ali ndi mwayi waukulu wopeza vutoli kuposa akazi.
• Kulephera kuyenda bwino kwa m'mero: Ngati muli ndi matenda ena omwe amachititsa kuti m'mero ​​mwanu musagwire bwino ntchito, kutanthauza kuti, ngati muli ndi vuto la kuyenda bwino, chiopsezo chanu chotenga matendawa chimawonjezeka.

Kodi ndi mavuto ati omwe angakhalepo chifukwa cha Zenker's Diverticulum?

Ngati vutoli silinachiritsidwe bwino, mavuto ena angachitike, choncho ndikofunikira kudziwa izi.

• Chibayo cha kupuma:Izi ndi zovuta pang'ono. Ngati chakudya chomwe chimatuluka m'thumba la pakhosi chipita m'mapapo mwangozi, chingayambitse matenda a bakiteriya ndikuyambitsa chibayo. Ngati mumatsokomola pafupipafupi kapena mukuvutika kupuma, muyenera kuganiziranso izi.
• Kusadya bwino: Pamene chakudya sichilowa bwino m'thupi lanu chifukwa cha thumba limenelo, thupi lanu silingapeze michere yomwe limafunikira, zomwe zimapangitsa kuti mukhale ndi vuto la kusowa zakudya m'thupi. Izi zingakupangitseni kufooka, kuchepetsa thupi, komanso kumva kutopa nthawi zonse.

Kodi madokotala amazindikira bwanji izi?

Ngati muli ndi zizindikiro zovutikira kumeza, choyamba muyenera kuonana ndi dokotala. Dokotalayo adzakufunsani za zizindikiro zanu ndikukuyesani. Angafunsenso ngati muli ndi mavuto ena okhudzana ndi kugwira ntchito kwa m'mero ​​(esophageal dysmotility). Kenako mwina mudzatumizidwa kwa katswiri wa m'derali, gastroenterologist. Iye adzachita mayeso ofunikira kuti adziwe chomwe chikuyambitsa vuto lanu.

Nazi mayeso ena omwe angatheke:

• Mayeso a Esophageal manometry: Izi zimayesa momwe mmero wanu ukugwirira ntchito, ngati minofu ikuchepa bwino, komanso ngati minofu ya cricopharyngeal ikupumula bwino.
• Esophagram (kumeza kwa barium): Mu mayeso awa, mumamwa madzi otchedwa barium ndipo X-ray imatengedwa kuti muwone zomwe zimachitika mkati mwa mmero mwanu mukameza chakudya. Ngati pali thumba, limatha kuwoneka bwino.
• Kujambula kwapamwamba kwa endoscopy: Izi zimaphatikizapo kulowetsa chubu chaching'ono chokhala ndi kamera kudzera pakamwa ndikuyang'ana pansi pa m'mero. Izi zimathandiza kuti mkati mwa m'mero ​​muwonekere mwachindunji, komwe kuli thumba, ndi kukula kwake.

Kodi mankhwala a Zenker's Diverticulum amachiritsidwa bwanji?

Nthawi zambiri, chithandizo chabwino kwambiri ndi opaleshoni yochotsa kapena kukonza thumba. Izi zidzakuthandizani kumeza mosavuta kachiwiri. Komabe, si aliyense amene amafunika opaleshoni. Madokotala angakulimbikitseni opaleshoni ngati thumbalo likuyambitsa mavuto aakulu, monga kusowa zakudya m'thupi kapena chibayo.

Pali mitundu ingapo ya opaleshoni yomwe ingachitike pa izi:

• Opaleshoni yotseguka: Pa opaleshoni yamtunduwu, kudula pang'ono pakhosi kumapangidwa. Dokotala amapita mwachindunji ku thumba ndikulichotsa kapena kukonza minofu.
• Opaleshoni ya Endoscopic: Izi zimaphatikizapo kulowetsa zida zazing'ono kudzera pakamwa kuti apange kapena kuchotsa thumba. Palibe mabala omwe amapangidwa kunja. Izi zimachepetsa nthawi yochira ndipo sizisiya zipsera.
• ZPOEM (`Peral endoscopic myotomy'):Iyi ndi njira yochizira matenda a endoscopic. Kunena zoona, `ZPOEM` imayimira `Zenker's Peroral Endoscopic Myotomy`. Mu izi, minofu ya cricopharyngeal imatambasulidwa pang'ono ndikupumula. Kenako, chakudya chimatsika mosavuta.

Dokotala wanu wa gastroenterologist adzakambirana nanu njira yochitira opaleshoni yomwe ili yoyenera kwa inu.

Kodi zimatenga nthawi yayitali bwanji kuti munthu achire pambuyo pa opaleshoni?

Nthawi yochira mukatha opaleshoni imasiyana malinga ndi mtundu wa opaleshoni yomwe mudachita. Mutha kuchira mwachangu mukatha opaleshoni ya endoscopic kapena opaleshoni ya ZPOEM kuposa mukatha opaleshoni yotseguka. Dokotala wanu adzakufotokozerani izi mwatsatanetsatane. Komabe, nthawi zambiri mungayembekezere zotsatirazi:

• Mudzayenera kukhala m'chipatala kwa tsiku limodzi kapena awiri, mwina masiku angapo.
• Pambuyo pa opaleshoni, muyenera kudya zakumwa kapena zakudya zofewa, zophwanyika bwino kwa masiku awiri mpaka milungu iwiri.
• Ngati mwachitidwa opaleshoni yotseguka, mungapatsidwe chakudya kudzera mu chubu chodyetsera kwakanthawi mpaka bala litachira.

Kodi mavuto angabwere chifukwa cha opaleshoni?

Monga momwe zimakhalira ndi opaleshoni iliyonse, mavuto ang'onoang'ono amatha kuchitika ndi opaleshoniyi. Pali mavuto ambiri omwe amachitika ndi opaleshoni yotseguka komanso opaleshoni ya endoscopic:

• Kutuluka magazi
• Bowo kapena kung'ambika kwa m'mero ​​(kuphulika kwa m'mero)
• Matenda m'khosi kapena pachifuwa (mediastinitis)
• Kuvulala kwa milomo, mano, lilime, kapena nkhama panthawi ya opaleshoni ya endoscopic
• Mawu amamveka ngati mitsempha yolamulira zingwe zolumikizira mawu yawonongeka panthawi ya opaleshoni yotseguka

Koma izi sizichitika kawirikawiri ndipo nthawi zambiri zimapezeka. Madokotala adzakudziwitsaninso za izi.

Kodi ndiyenera kupita kwa dokotala liti?

Ngati mukupitirizabe kuvutika kumeza, ndi bwino kupita kwa dokotala popanda kunyalanyaza. Komanso, ngati mwachitidwa opaleshoni ya Zenker's diverticulum, imbani dokotala wanu wa m'mimba nthawi yomweyo ngati mukupeza zizindikiro zilizonse za matenda, monga malungo kapena mafinya .

Chofunika ndichakuti ngakhale vutoli lingathe kuchiritsidwa ndi chithandizo, nthawi zina thumbalo limatha kubwereranso. Chifukwa chake, funsani dokotala wanu zizindikiro zomwe mungafune kuziona zomwe zikusonyeza kuti thumba latsopano lapangidwa pakhosi panu.

Kodi ndingachite chiyani kuti ndipeze mpumulo?

Mukakhala ndi Zenker's diverticulum, zimakhala zovuta kumeza. Zingamveke ngati chakudya chakhala pakhosi panu. Yesani zinthu zosavuta izi, zomwe zingathandize kukankhira chakudyacho pansi kudzera m'thumba:

• Idyani chakudya chanu pang'onopang'ono, osati chachikulu.
• Tafunani chakudya chonse bwino musanameze. Izi zithandiza kuti chakudyacho chisweke bwino komanso kuti chikhale chosavuta kumeza.
• Imwani madzi pang'ono kapena awiri pakati pa chakudya. Izi zimathandiza kuti chakudya chizigwa.
• Ndibwino kuchepetsa kuchuluka kwa mtedza, mbewu, ndi zakudya zokhala ndi makanda monga maapulo ndi tomato, chifukwa zimatha kukodwa m'thumba. Komanso, zakudya zouma kwambiri zimatha kukodwa.

Tangoganizani, nthawi zina timamva kusangalala kwambiri kapena kukhala achisoni ndipo pakhosi pathu pamakhala ngati patsekeka. Mofananamo, matenda monga Zenker's diverticulum angapangitse kuti ngakhale kungomeza chakudya kukhale kovuta kwambiri.

Ichi ndi thumba lomwe limapangika pakhosi. Limapangika pamene chakudya sichingadutse kuchokera pakhosi kupita ku m'mero. Vutoli limatha kutha mpaka thumbalo litakula mokwanira kuti lisathe kumeza chakudya. Koma silichira lokha. Mwamwayi, pali mankhwala abwino a izi.

Pomaliza, zinthu zoti muzikumbukira

Chabwino, tiyeni tikukumbutseni zinthu zingapo zomwe takambirana zomwe tikuganiza kuti ndizofunikira kwa inu:

• Zenker's diverticulum ndi kathumba kakang'ono kamene kamakula pamwamba pa mmero, pamwamba pa mmero.
• Chizindikiro chachikulu ndi kuvutika kumeza (dysphagia) . Zizindikiro zina zingaphatikizepo mpweya woipa (halitosis), chakudya chikumangika pakhosi, komanso kumva ngati chinachake chikumangika pakhosi.
• Ngati muli ndi zizindikiro izi, pitani kwa dokotala . Musanyalanyaze.
• Pali njira zochizira matenda otere, ndipo kusintha zakudya kungathandizenso kuchepetsa zizindikiro.
• Ngakhale mutalandira chithandizo, vutoli nthawi zina lingabwerenso , choncho dziwani zimenezo.

Ndikukhulupirira kuti izi zikuthandizani. Ngati muli ndi nkhawa iliyonse, musazengereze kulankhula ndi dokotala wanu. Kumbukirani, kuzindikira matenda msanga ndi chithandizo ndiye zabwino kwambiri!

Zenker 's Diverticulum, thumba la pakhosi, kuvutika kumeza, dysphagia, matenda a pakhosi, larynx, minofu ya cricopharyngeal