Nzira yekugadzirwa kwemazuva ose inowanzoenderana nehutano hwesophagus. Uyezve, kusakanganiswa chero kupi zvako mukushanda kwayo kunotungamirira kune chinetso chebasa rezvikamu zviri pedo zvemuviri, thoracic cavity uye mediastinum. Inonyanya kuipa munyaya iyi stenosis yechipupuriro, iyo inoratidzirwa nehutachiona hwechiedza chacho, ichidzivirira kutenderera kwezvokudya mudumbu.
Zvinokonzera esophageal stenosis
Zvinokonzerwa nekugadzirwa kwechirwere chiri mubvunzo:
- embryonic malformations eopopasi;
- reflux esophagitis ;
- peptic cicatrizing ulcers;
- hernia wekutsvaga kwesophageal yechipfupa;
- chronic gastritis;
- toxicosis panguva yekuzvimba;
- dumbu ulcer;
- kupararira chirwere;
- mechanical, chemical, thermal damage to the esophagus;
- collagenoses;
- kenza;
- mycoses;
- benign tumors;
- kuwedzera lymph nodes, neoplasms mu mediastinum;
- aortic aneurysm;
- zvinowanikwa zviri nyore pedyo nemidziyo.
Zviratidzo zveStenosis yeeophagus
Congenital stenosis inoonekwa kubva mumazuva okutanga ehupenyu, inoratidzwa nekuparadzaniswa kwakanyanya kwemate, kuburitswa kwemukaka usina kushandiswa, kubudiswa kwemucheka wakashata kubva mumhino.
Mhando inowanikwa yehutachiona inokura zvishoma nezvishoma:
- Muchikamu chekutanga, pane dzimwe nguva matambudziko mukuedza kudya kwakasimba.
- Dysphagia yechipfuva chechipiri inoratidzirwa nekwanisi kutora chete midzi-yezvokudya zvemvura.
- Nekufambira mberi kweDysphagia, munhu muhurumende anongonwa mvura (chetatu 3) kana asingagoni kumedza zvachose (gorosi 4).
Uyezve, varwere vanogunun'una nezvekurwadziwa kwepfupa, laryngospasm, kukwaya, kukwezva kurwisa.
Kubudirira kurapwa kweesophageal stenosis
Utachiona hunoenderana nehuwandu hwe dysphagia uye kuoma kwezviratidzo. Inosanganisira mabasa anotevera:
- kudya (mvura, semi-liquid zvokudya);
- kutora zvigadziriswa zvekugadzirisa uye zvinopisa ;
- ibhoti dilatation;
- bougienage.
Pamberi pezviwande zvitsvuku zvitsuwa pamatanho 3-4 e stenosis inokurudzirwa:
- endoscopic dissection;
- endoprosthetics;
- kugadziriswa kwechikamu chakaoma;
- esophagoplasty;
- gastrostomy.