Paunomedza chikafu, wakambozvibvunza here kuti chinoenda sei mudumbu mako? Kana kuti dzimwe nguva unonzwa kupisa muchipfuva chako mushure mekudya chikafu chine spice, wobva wafunga kuti, "Maiwe, chii ichi?"? Tose takambosangana nezviitiko izvi. Nhasi tichataura nezvechikamu chakakosha chemuviri wedu chinobatanidzwa mune zvese izvi. Ndiyo gumbo, kana kuti sekudanwa kwazvinoitwa muchiRungu, `(Esophagus)`.
Zvichitaurwa zviri nyore, chii chinonzi gumbo?
Gurokuro, kutaura chokwadi, ndiro pombi yedu yechikafu. Kureva kuti, ichubhu ine tsandanyama inotakura chikafu nemvura kubva pahuro kuenda mudumbu. Inhengo inokosha kwazvo yegadziriro yedu yekugaya chikafu. Patinomedza chikafu, hachipindi zvakananga mudumbu. Gurokuro ndiro bhiriji rinochiendesa mudumbu nenzira yakarongeka uye yakachengeteka.
Fungidzira uchimedza mupunga wakaguta. Kutanga, unobva mumuromo mako uchienda pahuro. Ipapo, tsandanyama diki, inonzi epiglottis, inovhara. Unoziva here chikonzero? Ndechekudzivirira chikafu chako kuti chisaende nenzira isiriyo, mupaipi yemhepo (trachea). Kunewo chikamu chidiki chehuro yako chinonzi uvula chinodzivisa zvaunonwa kupinda mumhino dzako. Zvese izvi zvinoitika iwe usingatombozvizivi. Hazvishamisi here?
Gurokuro rinoshanda sei? Inzira inoshamisa kwazvo!
Iyi inzira inoshamisa zvikuru. Pamusoro nepazasi pegurokuro, pane mhete mbiri dzetsandanyama dzinoshanda semasuo maviri. Tinodzidaidza kuti "sphincters".
1. Upper Esophageal Sphincter: Apa ndipo panotangira gumbo. Paunomedza chikafu, vharuvhu iyi inowana chiratidzo chekuti, "Hechino chikafu chasvika." Panguva iyoyo, inovhurika. Kana chikafu chapinda, chinovhara zvakare. Dzimwe nguva, chinovharika zvakasimba.
2. Kuyerera kwechiropa: Kana chikafu chapinda mugurokuro, hachingodonhedzi pasi chete. Tsandanyama dziri mumadziro egurokuro dzinoita semafungu, dzichisundira chikafu pasi. Izvi ndizvo zvatinodaidza kuti ``peristalsis.'' Maitiro aya anofambisa chikafu mudumbu kungave wakamira kana kuti wakarara pasi.
3. Lower Esophageal Sphincter (LES): Kana chikafu chadzika chose, pane imwe nzvimbo isati yapinda mudumbu. Ndiyo nzvimbo yepasi. Kufanana neyepamusoro, iyi inovhurikawo kana chikafu chapinda uye inorega chikafu chichipinda mudumbu. Zvadaro chinovhara zvakasimba zvakare.
Zvakakosha kuti gedhi rezasi iri rivharwe zvakanaka. Nekuti gedhi iri rinodzivirira acid yemudumbu uye muto wekugaya kuti usadzoke, kureva kuti, mugurokuro. Chikonzero chikuru chedambudziko re "gastritis" kana "heartburn" iro vanhu vazhinji vane ndechekuti gedhi rezasi iri harishande zvakanaka.
Esophagus ne trachea - ngatizivei musiyano chaiwo pakati pezviviri izvi
Vanhu vazhinji vanovhiringidza zvinhu zviviri izvi. Gurokuro negurokuro ichubhu mbiri dziri pedyo nepedyo mumutsipa, asi dzine mabasa akasiyana zvachose.
| Hunhu | Gurokuro | Trachea |
|---|---|---|
| Sisitimu | Chikamu chegadziriro yekugaya chikafu | Chikamu chemuviri wekufema |
| Basa guru | Kutakura chikafu nechinwiwa kubva pahuro kuenda mudumbu | Kupinza nekubvisa mweya mumapapu |
| Nzvimbo | Iri seri kwetrachea uye pamberi pemusana | Iri pamberi pegurokuro |
Ndezvipi zvirwere nemamiriro ezvinhu anowanzo kanganisa gumbo?
Chikafu chedu chinogonawo kukonzera zvirwere zvakasiyana-siyana. Ungave wakambonzwa nezvezvimwe zvacho.
Kuzvimba kwechipfuva uye mamiriro eGERD
Iri ndiro dambudziko rinowanzoitika. Chinobuda mudumbu (lower esophageal sphincter) chandambotaura hachivharike zvakanaka, zvichiita kuti acid yemudumbu idzokere mudumbu, izvo zvatinodaidza kuti ``Acid Reflux''. Izvi ndizvo zvinokonzera chirungurira.
Kana chirwere ichi che "Acid Reflux" chikaramba chichiitika uye chichiitika kakawanda, tinochidaidza kuti Gastroesophageal Reflux Disease (GERD) . Ichi chirwere chakakomba. Pamusoro pechirungurira, zviratidzo zvakaita sekunaka kwemukanwa, kukosora, kurwadziwa pachipfuva, kurira, uye kuoma kumedza zvinogonawo kuitika. Kana GERD ikasarapwa zvakanaka, inogona kukonzera kukuvara kukuru kwegurokuro nekufamba kwenguva.
Zvimwe zvirwere
Kuwedzera kune GERD, mamwe matambudziko akawanda anogona kuitika.
| Dambudziko rehutano | Zvichitaurwa zviri nyore... |
|---|---|
| Achalasia | Ichi chirwere chisingawanzoitiki. Chinoitika pano ndechekuti lower esophageal sphincter (LES) haivhurike panguva yainofanira kuvhurwa. Saka chikafu hachigone kupinda mudumbu. |
| Diverticulum yeEsophageal | Kabhegi kadiki kanobuda panzvimbo isina kusimba pamadziro egurokuro. Kana kabhegi aka kakakura, chikafu chinogona kunamira zvoita kuti zvisakwanise kumedza. |
| Mavhairasi emudumbu | Kuzvimba kwetsinga dzeropa mugurokuro. Kana idzi dzikaputika dzobuda ropa, dzinogona kuisa upenyu panjodzi. |
| Kuvhiyiwa kwegurokuro | Kuzvimba kwemukati megurokuro. Izvi zvinogona kukonzerwa neacid reflux, hutachiona, kana mimwe mishonga. |
| Kubuda Kwedumbu kwaBarrett | GERD yenguva refu inokonzera shanduko mumasero epazasi pegurokuro, izvo zvinowedzera njodzi yekubatwa nekenza yegurokuro. |
Kashoma, kenza yegurokuro inogona kuitika. Kune mhando mbiri huru: adenocarcinoma uye squamous cell carcinoma.
Unoziva sei kana uine matambudziko aya? Ndezvipi zviratidzo?
Kana uine dambudziko negurokuro rako, unogona kusangana nezviratidzo zvakasiyana-siyana. Kana uine chimwe kana zvakawanda zveizvi, zvakakosha kuteerera.
- Chirungurira:Zvinonzwa sekunge moto uri pakati pechipfuva, kuseri kwemapfupa.
- Kuoma kumedza (Dysphagia): Kunzwa kudzipwa kana kurwadziwa kana uchimedza chikafu.
- Kudzokera kudumbu: Kudzoka kwechikafu chisina kumedzwa mumuromo.
- Kurwadziwa pachipfuva: Kunzwa kubatwa kana kurwadziwa muchipfuva, kunyangwe zvisingaite sekurwadziwa kwemoyo.
- Kukosora kunoramba kuripo: Kukosora kunowedzera kuipa, kunyanya husiku.
- Kunzwa kurira kana kurwadziwa pahuro.
- Mweya wakaipa (Halitosis).
- Kuonda pasina chikonzero.
- Kurutsa kana kurutsa ropa.
Kana uine chimwe chezviratidzo izvi, kunyanya kuoma kumedza, kuvharirwa kwechikafu, kurutsa ropa, kana kudzikira uremu zvakanyanya, shanyira chiremba wako nekukasika . Izvi zvinogona kuva zviratidzo zvechimwe chinhu chakakomba kupfuura chirwere chegastritis.
Chiremba anoongorora sei zvirwere izvi?
Paunoenda kunoona chiremba, achakubvunza nezvezviratidzo zvako uye, kana zvichidikanwa, achakukurudzira kuti uedze dzimwe bvunzo. Usazvidya mwoyo, idzi ndidzo dzichakubatsira kuona kuti chii chaizvo chiri kunetsa.
- Endoscopy Yepamusoro: Izvi zvinosanganisira kuisa chubhu yakatetepa, inochinjika ine kamera ichipinda nemuromo kuti iongorore gurokuro, dumbu, uye chikamu chekutanga cheura hudiki. Izvi zvinoita kuti utarise mukati mayo zvakajeka kana paine kukuvara, kuzvimba, kana shanduko.
- Biopsy: Panguva ye endoscopy, kanyama kadiki kanotorwa kubva panzvimbo inofungirwa kuti kanoonekwa uye kanotumirwa kurabhoritari kuti kaongororwe. Izvi zvinogona kubatsira kuona kana paine masero ekenza aripo.
- Kumedza Barium: Mubvunzo uyu , unopihwa mvura yakaita sechoko kuti unwe. Zvadaro, mifananidzo yakati wandei yeX-ray inotorwa. Mvura yebarium inobvumira X-ray kuratidza zvakajeka chimiro chegurokuro uye kuti chikafu chinofamba sei nepariri.
- Kuongororwa kwepH yemudumbu: Chubhu yakatetepa kwazvo inopinzwa nemumhino mugurokuro yosiyiwa panzvimbo yayo kwemaawa angangoita makumi maviri nemana kuti ione kuti acid yemudumbu inobuda kangani uye kwenguva yakareba sei. Izvi zvinobatsira kuona nemazvo kuoma kweGERD.
Inorapwa sei?
Nzira dzekurapa dzinoenderana nechirwere chaunacho. Dzimwe nguva, kudya kwaunoda uye mararamiro ako zvinogona kuchinja zvakanyanya. Vamwe vanhu vanoda mishonga, vamwe vachitoda kuvhiyiwa.
Mhando dzemishonga
- Mishonga inorwisa maasidhi: Idzi dzinoderedza acid iri mudumbu kwenguva pfupi. Dzinoshandiswa kurapa chirungurira nekukurumidza.
- H-2 Receptor Blockers:Izvi zvinoderedza kugadzirwa kweasidhi yemudumbu.
- Proton Pump Inhibitors (PPIs): Izvi zvinoshanda zvakanyanya pakudzivirira kugadzirwa kweasidhi kupfuura H-2 blockers, uye zvinobatsirawo kurapa kukuvara kwegurokuro kunokonzerwa neasidhi.
- Mimwe mishonga: Mishonga yakaita seBaclofen inoderedza kuvhurika kwe sphincter yepazasi yesophageal (LES) kusingatarisirwi.
Maitiro akakosha uye kuvhiyiwa
- Kukura kweEsophageal: Kana gumbo remudumbu rakatetepa (stricture) nekuda kwekuzvimba kwenguva refu, mudziyo wakaita sebharumu unoshandiswa kuwedzera nzvimbo yakatetepa.
- Kuvhiyiwa kweLaparoscopic Antireflux: Izvi zvinosanganisira kutora chikamu chepamusoro chedumbu wochiputira pachikamu chezasi chegurokuro, wogadzira vharuvhu itsva. Izvi zvinosimbisa chikamu chepazasi chegurokuro (LES) uye zvinomisa acid kuti isabude.
- Kuisirwa kwemudziyo weLINX: Mudziyo une magnetic-linge unoisirwa wakatenderedza gumbo rezasi. Izvi zvinodzivirira acid kuti isabude, asi zvinoita kuti chikafu chipfuure nyore nyore.
- Kubviswa kweEsophagectomy: Muzviitiko zvakakomba, zvakaita sekenza, gumbo rinogona kubviswa nekuvhiyiwa.
Mharidzo Yekuenda Nayo Kumba
- Gurokuro chikamu chakakosha kwazvo chegadziriro yedu yekugaya chikafu. Kushanda kwayo nemazvo kwakakosha kuti tive nehupenyu hwakanaka.
- Usaregeredza zviratidzo zvakaita sekurwadziwa kwechirungurira, kunzwa kuvava mumuromo, kana kuoma kumedza sezvakajairika. Izvi zvinogona kuva zviratidzo zvekutanga zvechirwere.
- Kunyangwe zvinhu zviri nyore zvakaita sekuderedza kudya zvine mafuta, kofi, uye chokoreti, uye kusarara pasi kwemaawa maviri kusvika matatu mushure mekudya husiku zvinogona kukupa zororo guru.
- Kana uine zvinokunetsa nezvezviratidzo zvako, usatya kutaura nachiremba wako . Zvakakosha kuti uongororwe chirwere chako uye upihwe mishonga chaiyo pane kuzvirapa wega.
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