Achalasia cardia

Akhalasia (inoshandurwa kubva muchiGiriki zvinoreva musingazorodza musikana) cardia (sphincter ichiparadzanisa nheyo kubva mukati memukatikati yemudumbu) chirwere umo kukwanisa kwephincter yakaderera yepopopu kunofungidzirwa zvinyararire apo zvokudya zvinopinda mazviri. Somugumisiro, iyo tonus yechipupuriro inodzvinyirirwa, pane kunonoka mukufamba kwezvokudya.

Zvinokonzera achalasia ye cardia

Zvimwe zvikonzero zvakakonzerwa nekugadzirwa kwemoyo wekushaya achalasia hazvina kuongororwa zvakadzama nhasi, asi zvinonyanya kuitika zviitiko zvaro ndezvi:

• kuchinja kunokonzera muhutano hwehutano hunokonzerwa nesophagus;
• mupfungwa mupfungwa.

Zviratidzo zveAchalasia yeCardia

1. Dysphagia kuputsa kwekumedza. Chiratidzo chekutanga uye chinoramba chiripo muchirwere ichi. Dambudziko rinopera mashoma mashure mushure mekudya, uye kusuruvara kusingafadzi kunoitika kwete mumutsipa, asi munzvimbo yebhokisi. Mune vamwe varwere chiratidzo ichi chinogona kutanga chinopisa uye chinomuka chete nekukurumidza kudya kwekudya, asi pakupedzisira kunogara nokusingaperi.
2. Kudzorerazve kunopesana kwezvinhu zviri mukati mudumbu uye nheyo. Inogona kuonekwa zvose nenzira yekudzoka, uye nenzira yokurutsira, uye inomuka zvakananga panguva yekudya kwekudya, pakarepo mushure mayo, kana mukati memaminitsi maviri mushure mekudya.
3. Marwadzo ari muAchalasia yeCardia inoonekwa pane isina chinhu mudumbu kana panguva yekudya. Marwadzo anowanikwa munzvimbo yebhokisi, asi anokwanisa kupiwa musana, mutsipa, pakati pemakumbo emafudzi.
4. Kunhuhwirira kwakashata kubva pamuromo , kushungurudzika, kukanganisa kwakaora, kunokonzerwa nokuparara kwezvokudya zvisingaverengeki muhara.
5. Kurasikirwa nekurema , kunokonzerwa nekudziviswa kwekudya kwekudya, kudzivisa kusagadzikana.

Nehosha iyi, zviratidzo zvinonoka zvakakwana, asi zviri kuramba zvichifambira mberi.

Achalasia cardia - classification

Zvichienderana nehuwandu hwekukura kwehutano, cardia alchasia yakakamurwa kuva zvikamu zvina:

1. Achalasia cardia yediresi yekutanga. Pane kutyora kusingagumi kwemafuro ezvokudya kuburikidza neshoko. Izwi rekuti iro pacharo harina kukwidziridzwa.
2. Achalasia yeCardia yechipiri chechipiri. Spasm ye sphincter uye, maererano nekudaro, kuputsa kwechikamu chekudya, kusingaperi. Kuwedzerwa kweeophagus kunoonekwa.
3. Achalasia yeCardia ye 3rd degree. Mukuwedzera kune pfungwa dzisingagadziriswi dzisinganzwisisiki, kukanganisika kwemaatomiki kunomuka: kuchinja kwechigadziro uye nekuda kwechimwe chidimbu chemuviri wechiputi, kuchichiwedzera kwete kana kaviri pane nzvimbo ye stenosis.
4. Achalasia cardia 4 degrees. Zvinoratidzika pachena kuti chirwere chechirwere chechirwere chemahara, kukura kwezvipembenene zvinokonzera mucosa, kuonekwa kwezvironda pamadziro ehutu.

Mushonga we achalasia we cardia

Kurapa kwechirwere kunoderedzwa kudzosera mararamiro akaenzana ehupenyu:

1. Medicamentous. Iine unobatsira huno uye inosanganisira kutora mishonga inobvisa spasm yezvinotapira zvinokonzera (nitrate boka), antispasmodics, calcium antagonists. Munguva ichangopfuura, botulinum inxin yakashandiswa kurapa mwoyo achalasia.
2. Cardiodilation. Chigadzirwa chemajini chinokonzerwa necardia kuburikidza nekugadzirwa kwekupedzisira kwebhoti rinokosha, iro rinokonzerwa nemhepo.
3. Kupindira kwokupindira. Iko kune marudzi anopfuura makumi maviri emabasa ekubvisa mwoyo wema achalasia. Chirwere chekuvhiya chinoratidzwa nachiremba zvichienderana nehutano hwakanaka hwechirwere mune mumwe murwere.
4. Kurapa kwe achalasia ye cardia nemishonga yevanhu. Icho chaicho chaicho chekubatsira. Kuwedzera inzwi re sphincter, zvinokurudzirwa kutora tincture ye althea, ginseng , eleutherococcus extract. Sekuzvidzivirira-kupisa zvinodhaka kushandiswa kwemishonga yekugadzikana kwezvigunwe zveeslder nembeu ye quince.