Une dambudzikowo here nekumedza chikafu? Pamwe hauzive nezvenyaya iyi inonzi "esophageal web"! Ngatikurukurei nezvazvo!

Wakambonzwa here sekuti chimwe chinhu chakabatwa pahuro pako paunodya kana kunwa chimwe chinhu, kana kuti chinonetsa kumedza? Dzimwe nguva hatinyatsochitarisiri, asi kana chikaramba chiripo, chinhu chinofanira kuongororwa. Chimwe chikonzero chekuomerwa nekumedza kwakadaro chingave chirwere chatichataura nezvacho chinonzi "Esophageal Web". Usazvidya moyo, izvi hazvina njodzi, asi zvakakosha kuziva nezvazvo.

Chii chinonzi dandemutande iri repagurokuro?

Zvichitaurwa zviri nyore, gurokuro rako, chubhu inopinda nechikafu mudumbu patinomedza, rine kamutanda katete kanoumbwa mukati mechikamu chepamusoro charo chinonzi ``Esophageal Web.'' Kutaura chokwadi, kamukanda katete kakaita sedandemutande redandemutande.

Vanhu vazhinji vane rudzi urwu rweganda, asi havatombozvizivi. Nekuti kazhinji haruna zviratidzo . Zvisinei, mune dzimwe nguva dzakakomba, ganda iri rinogona kuvhara chikamu chegurokuro rako kana kuti zvachose. Ndipo pazvinova zvakaoma kumedza .

Vanhu vazhinji vane membrane imwe chete yakadaro. Zvisinei, zvinokwanisika kuva neanopfuura rimwe. Kunyangwe mushure mekurapwa, pane mukana mushoma wekuti chirwere ichi chidzokezve, asi hazviwanzoitiki.

Dambudziko iri, rinonzi ``Esophageal Web,'' rinowanzoonekwa muvanhu vane anemia yakanyanya, isingarapwe yekushomeka kwesimbi. Rinogonawo kuitika muvanhu vane chirwere chinonzi ``Plummer-Vinson syndrome.'' Chirwere ichi chine zviratidzo zvikuru zvitatu: anemia yekushomeka kwesimbi, kuoma kumedza (zvinonziwo ``dysphagia,'' vanachiremba vanodaro), uye dandemutande, kana kuti membrane.

Dambudziko iri rakajairika zvakadii?

Zvakaoma kutaura kuti vangani chaizvo vane chirwere ichi. Nekuti, sezvambotaurwa, kazhinji hapana zviratidzo. Vanachiremba vanowanzoona izvi kana vakaongororwa nechimwe chikonzero.

Zvisinei, zvakaonekwa kuti pakati pe5% ne15% yevanhu vanoenda kuna chiremba nekuda kwekuoma kwekumedza (dysphagia) vane "(Esophageal Web)" iyi.

Ndeupi musiyano uripo pakati pedandemutande regurokuro neringi regurokuro?

Chimwe chirwere chakafanana neichi `(Esophageal Web)` ndi `(Esophageal Ring)`. Ungave wakambonzwawo nezve `(Schatzki rings)`. Zvese izvi zvinokonzera gumbo rako kuti ritete uye zviomere kumedza. Asi musiyano mukuru pakati pezviviri izvi ndepazvinoumbwa.

• (Esophageal Web): Izvi zvinoumbwa muchikamu chepamusoro chegurokuro.
• (Mhete yeEsophageal): Izvi zvinoumbwa muchikamu chezasi chegurokuro.

Zvese dandemutande nerin'i mhando dzezvipingamupinyi zvegurokuro. Vamwe vanhu vanozvarwa vaine dandemutande nerin'i. Zvisinei, zvinowanzokura muhupenyu nekuda kwezvimwe zvirwere. Kazhinji, hazvisi dambudziko. Zvisinei, kana uchinzwa kurwadziwa pakumedza, kurapwa kunogona kubatsira.

Zviratidzo zvacho ndezvipi?

Sezvambotaurwa, vanhu vazhinji vane dandemutande regurokuro havana zviratidzo . Kana usina zviratidzo, pamwe haudi kurapwa.

Asi kana zviratidzo zvikaitika, chiratidzo chikuru ndechekuomerwa nekumedza chikafu nezvinwiwa . Dzimwe nguva chikafu chinogona kunamira pahuro. Kana izvi zvikaitika, unogona kunzwa kurwadziwa kana kunzwa chimwe chinhu chakanamira pahuro pako. Fungidzira, paunenge wava kuda kudya ndiro inonaka yemupunga, kamwe kamwe unonzwa sekunge chikafu chanamira pahuro pako, uye kunyangwe mvura yekunwa haizoperi. Izvozvo zvinogona kuva chiitiko chakadaro.

Kana uine membrane iyi inobatanidzwa ne "Plummer-Vinson syndrome," unogona zvakare kuona zviratidzo zvakaita sekurwadziwa kwerurimi uye kutsemuka pamakona emuromo wako .

Ndezvipi zvikonzero zveizvi?

Nyanzvi hadzisati dzaziva kuti chii chinokonzera matumbu emudumbu. Kana wakazvarwa uine chirwere ichi, chinogona kunge chiri nekuda kwekuchinja kwemaitiro emudumbu wako panguva yehupenyu hwemwana ari mudumbu. Kana ukakura pazera rekukura, zvinogona kunge zviri mhedzisiro yeimwe chirwere.

Ndiani ari panjodzi huru? (Zvinhu Zvinokonzera Njodzi muEsophageal Web Risk)

Dambudziko iri rinonzi "Esophageal Web" rinonyanya kuonekwa muvanhu vane zvirwere zvinotevera:

• Zvirwere zve autoimmune zve thyroid gland (semuenzaniso `(Hashimoto's thyroiditis)`, `(chirwere cheGraves)`)
• Zvirwere zvinoputika paganda (semuenzaniso pemphigus)
• Chirwere cheCeliac (ichi chirwere chinokonzerwa nekusawirirana kweprotein gluten)
• Kudzoka kweacid kwenguva refu, inova chirwere chinoitika kana gastritis yanyanya (GERD - Gastroesophageal Reflux Disease)
• Chirwere chegraft vs. chirwere chehost (izvi zvinowanzoonekwa mushure mekuisirwa nhengo)
• Kushaya iron mumuviri
• Psoriasis
• Arthritis ine rheumatoid

Havasi vese vane zvirwere izvi vanozowana matumbu emudumbu, asi njodzi yacho yakakwira zvishoma.

Unozviziva sei izvi?

Vanachiremba vanoshandisa bvunzo idzi kuongorora dandemutande regurokuro:

• Esophagram (kana kuti Barium Swallow Test): Iyi iX-ray test. Unopiwa mushonga unonzi barium kuti unwe, uye vhidhiyo inotorwa X-ray paunenge uchimedza. Izvi zvinoita kuti chiremba aone kana paine gumbo remudumbu kana kumwe kutetepa mugumbo rako.
• Endoscopy Yepamusoro:Muizvi, chiremba anoisa chubhu yakatetepa, inochinjika (endoscope) kuburikidza nemuromo wako uye anoongorora mukati megurokuro rako. Chubhu iyi ine kamera kumagumo, saka chiremba anogona kuona zvakajeka kana paine "gurokurokuro"

Inorapwa sei?

Kazhinji, dandemutande rinogona kunyangarika kana chirwere chiri kukonzera dandemutande racho chikarapwa . Vanachiremba vanoshandisa musanganiswa wemishonga, kurapwa muhofisi, uye kuvhiyiwa. Chirongwa chekurapa chakagadzirirwa zvaunoda.

Mishonga

Semuenzaniso, kana uine anemia yekushomeka kwesimbi mumuviri, ungangoda kupihwa mapiritsi esimbi kana mishonga ine iron . Kana uine GERD (acid reflux), ungangoda kupihwa mishonga yakaita seH2 blockers kana proton pump inhibitors (PPIs).

Kurapa uku kunogona kuchinja chimiro chegurokuro rako uye kuderedza zviratidzo.

Kurapwa pakiriniki

Kana mushonga wega usingashande, chiremba wako anogona kukurudzira nzira inonzi esophageal dilation . Izvi zvinoitwa panguva yekuongorora endoscopy yepamusoro. Chiremba anoshandisa bharumu rekuvhiya kana nzira dzakasiyana dzekuwedzera kuvhiya kuti atambanudze chikamu chakamanikana chegurokuro. Izvi zvinobvisa membrane, izvo zvinogona kukonzera kuoma kumedza.

Kuvhiya

Vanhu vazhinji vane matumbu egurokuro havadi kuvhiyiwa . Zvisinei, kana uine matumbu egurokuro akakomba, nzira inonzi electrocauterization inogona kushandiswa kubvisa nyama yakakanganiswa. Izvi zvinosanganisira kushandisa kupisa kucheka dandemutande.

Chii chichaitika mushure mekurapwa? (Outlook)

Nekurapwa, chirwere ichi chinogona kushivirira zvakanaka . Kune vanhu vazhinji, zviratidzo zvinopera mushure mekukura kwegurokuro. Zvisinei, sezvambotaurwa, mune zviitiko zvakakomba, vamwe vanhu vanogona kuwana chirwere ichi zvakare, uye vangada kurapwa zvakare. Zvisinei, izvi hazviwanzoitiki .

Izvi zvinogona kudzivirirwa kuti zvisaitike here?

Hapana nzira yakananga yekudzivirira kukura kwemasero emudumbu. Zvisinei, kugadzirisa zvirwere zvine chekuita neizvi, zvakaita sekushaya iron neacid reflux (GERD), zvinogona kubatsira kuderedza njodzi yekubatwa nazvo.

Unofanira kuona chiremba rini?

Kana uine zviratidzo zvinoita kuti zvikuomere kumedza, udza chiremba wako. Vanogona kuona chikonzero chacho vokurudzira kurapwa kwakakodzera kwauri. Usazviregeredza nekuti idambudziko diki, nekuti zviri nyore kurapa kana rikaonekwa nekukurumidza.

Mibvunzo ipi yaungabvunza chiremba?

Kana ukaonekwa uine dandemutande repagurokuro, ungangoda kubvunza chiremba wako mibvunzo yakaita seiyi:

• Ndinoda kurapwa here?
• Munokurudzira rudzii rwekurapwa?
• Ndine zvimwe zvirwere zvine chekuita ne `(Esophageal Web)` here?
• Ndichafanira kuramba ndichitora mishonga here?
• Ndingaitei kuti ndideredze zviratidzo zvangu?

Yeukai kuti kumedza hakufaniri kuva kunorwadza kana kuoma. Kana zvakadaro, zvinogona kuva chiratidzo chekuti pane chakaipa.

Zvinhu zvakakosha zvekurangarira (Mharidzo Yekuenda Kumba)

Kumedza chikafu hakufanirwe kurwadza kana kusagadzikana. Kana uchinzwa saizvozvo, inguva yekuongorora chimwe chinhu. Chirwere ichi chinonzi esophageal web hachiwanzo kuva nengozi . Zvisinei, kana uine zviratidzo, zvakanaka kutaura nachiremba. Iye anogona kuona chikonzero chacho uye kukupa hurongwa hwakakodzera hwekurapa. Saka, chengetedza muviri wako, nekuti hutano ndicho chinhu chakakosha!

` Matanda emudumbu, kuoma kumedza, esophagitis, Plummer-Vinson syndrome, kushomeka kwesimbi, endoscopy, kudzidza kwebarium