Esophagus diverticulum

Diverticulum wa mthendayi ndi matenda omwe khoma lamagulu limatuluka ngati thumba kapena kapu. Chotsatira chake, ntchito yomeza kapena kusunthira chakudya kudzera m'mimba imatha kukhala yovuta. Matendawa amakhudza amayi ndi abambo makamaka makamaka pambuyo pa zaka 40.

Chiwerengero cha esophageal diverticula

1. Poyambirira, diverticula imagawidwa mu:

• kusonkhanitsa;
• anapeza.

• pulticary diverticulum ya mitsempha - imapangidwa chifukwa cha kusungunuka kwa mucosa chifukwa cha kuwonjezeka kwakukulu kwa mthupi mwachangu pakutha kwa kuchepa kwa mimba;
• tractional diverticulum - amayamba chifukwa cha kutukusira m'magazi omwe ali pafupi ndi kupanga mapeyala, kutambasula mbali zonse za khoma la oopseza ku liwalo lomwe likukhudzidwa.

• Chowonadi diverticulum - chimapangidwa ndi kutuluka kwa zonse zigawo za mimba (mucosa, submucosa, minofu);
• zabodza diverticulum (pseudodiverticulum) - amapangidwa kokha ndi mucosa wa m'mimba.

• chotsitsa;
• chithunzi;
• epiphrenic.

Zifukwa za osophagetic diverticulum

Chifukwa cha congenital diverticula ndi kuperewera kwa mitsempha ya mitsempha ndi minofu yolumikiza. Zomwe zimapangidwira zimapangidwa pa zifukwa zikuluzikulu ziwiri:

• chifukwa cha kutupa (mediastenitis, chifuwa chachikulu cha intrathoracic lymph nodes, kuponyedwa kwa m'mimba mwakuya m'thupi, kupwetekedwa kwa mimba chifukwa cha ntchito, zotsatira za kuyaka kwa mankhwala, ndi zina zotero);
• chifukwa cholephera kugwira ntchito yamagetsi kapena kufooka kwa khoma lopangidwira, lomwe likugwirizana ndi ukalamba wa thupi.

Zizindikiro za kusokonezeka kwa diverticulum:

• chosautsa choikapo pakamwa pakamwa ;
• zovuta pakumeza ndi kudutsa chakudya;
• Kubwezeretsa (nthawi zina ndi chakudya chomwe chinadyedwa masiku angapo apitawo);
• ululu pamalo a malo okhalapo;
• kumverera kwa coma, thupi lakunja kummero;
• chisokonezo;
• Kuzunzidwa pammero;
• chifuwa chouma (makamaka usiku);
• kudumpha.

The pharyngeal esophageal diverticulum (Zenker's diverticulum) ikhoza kuwonedwa pa khosi ndi mutu wokhotakhota mmbuyo, wodwala.

Kuzindikira kwa osokonezeka diverticulum

Njira yayikulu yowonetsera matendawa ndi maphunziro a X-ray ndi sipulo ya barium. Mosavuta, malo osungirako mankhwala otchedwa endoscopy amagwiritsidwa ntchito chifukwa cha chiopsezo cha kuwonongeka kwa makoma ake.

Momwe mungachitire ndi diverticulum wa mimba?

Chithandizo chodziletsa cha esophageal diverticulum chikuchitika pokhapokha ngati pangakhale pang'onopang'ono komanso popanda vutoli. Thandizo lachidziwitso ndi cholinga choletsa kuchepetsa chakudya mu diverticulum ndikuletsa kukula kwa zotupa.

Mfundo yofunika kwambiri pa chithandizo cha mankhwala ndi kusamalira zakudya zomwe zimaphatikizapo kugwiritsidwa ntchito mosamala, chakudya chofewa. Pambuyo kudya, muyenera kumamwa madzi pang'ono kapena tiyi osasunthika kuti "muthamangitse" diverticulum.

Kuchita opaleshoni ya diverticulum yowonongeka kumawonetsedwa m'mabwalo oterowo:

• kukula kwa mavuto (kutaya mwazi, mphuno ya stopyosis, maonekedwe a fistula, perforation, penetration, etc.);
• zosiyana za kukula kwakukulu;
• chakudya chokhalitsa m'kati mwa diverticulum mosasamala za kukula kwake.

Chofunika cha mankhwala opaleshoni ndi kuchotsa kwathunthu kwa diverticulum. Posachedwapa, pa opaleshoni ya njira zosiyana siyana, njira zamakono zowatulutsira mothandizidwa ndi njira zamakono zamakono zikufalikira mochulukirapo.