Achalasia: he aha ia, nā ʻōuli a me nā lāʻau

Anter

• Nā kumu o Achalasia
• Nā hōʻailona nui
• Pehea ka hōʻailona
• Hoʻomaʻo Achalasia

ʻO Achalasia kahi maʻi o ka esophagus i hōʻike ʻia e ka loaʻa ʻole o nā neʻe peristaltic e pahu i ka meaʻai i loko o ka ʻōpū a me ka hoʻopili ʻana o ka sphincter esophageal, ka mea e hoʻopilikia ai i ka ale ʻana i nā mea paʻa a me nā wai, ka hiapo o ka pō a me ka pohō kaumaha, ʻo kahi laʻana.

Hiki ke hana i kēia maʻi i kēlā me kēia makahiki, akā ʻoi aku ka maʻamau ma waena o nā makahiki o 20 a 40 a he piʻi mālie i nā makahiki. He mea nui e ʻike a mālama ʻia ka achalasia me ka wikiwiki e hiki ai ke hōʻalo i nā pilikia e like me nā hemahema o ke kino, nā pilikia hanu a me nā maʻi ʻaʻai o ka esophagus.

Nā kumu o Achalasia

Hana ʻia ʻo Achalasia ma muli o ka loli o nā aʻalolo e komo i loko o nā mākala esophageal, e hopena ai i ka hōʻemi ʻana a i ʻole ka loaʻa ʻole o nā kuʻina mākala e ʻae ai i ka hele ʻana o ka meaʻai.

ʻAʻohe o Achalasia kumu i hoʻokumu maikaʻi ʻia, akā manaʻo ʻia hiki nō ke hopena ma muli o nā maʻi autoimmune a me nā maʻi viral. Hoʻohui ʻia, nā hihia o achalasia ma muli o ka maʻi Chagas ma muli o ka ʻaukā a me nā waimaka o nā aʻalolo esophageal i hoʻokumu ʻia e ʻO Trypanosoma cruzi, ʻo ia ka agena infectious kuleana no ka maʻi Chagas.

Nā hōʻailona nui

ʻO nā ʻōuli nui o achalasia:

• Pilikia i ka ale ʻana i nā paʻa a me nā wai;
• ʻEha o ka umauma;
• Reflux Gastric;
• Mū ka pō;
• Nā maʻi maʻi Airway;
• Nā pilikia hanu.

Hoʻohui ʻia, hiki ke ʻike i ka lilo o ke kaumaha ma muli o ka hōʻemi ʻana o ka ʻai a me ka paʻakikī i ka waiho ʻana i ka esophagus.

Pehea ka hōʻailona

Hana ʻia ka diagnose o achalasia e ka gastroenterologist a i ʻole ka mea hana maʻamau ma o ke kālailai ʻana i nā ʻōuli a me ka nānā ʻana i ka esophagus ma o nā hoʻokolohua kikoʻī, e like me ka endoscopy digestive o luna, radiography me ka ʻokoʻa o ka esophagus, ʻōpū a me duodenum, a me ka manometry esophageal.

I kekahi mau hihia, pono paha e hana i kahi biopsy e nānā ai inā pili nā hōʻailona i hōʻike ʻia i ka maʻi ʻaʻai a i ʻole nā ​​maʻi ʻē aʻe. Hoʻohana ʻia nā hoʻokolohua ʻaʻole wale no ka hoʻopau ʻana i ke kuhi akā no ka wehewehe ʻana i ke koʻikoʻi o ka maʻi, a he mea nui ia na ke kauka e hoʻokumu i ka lāʻau.

Hoʻomaʻo Achalasia

Hoʻopaʻa ka lāʻau no achalasia e hoʻonui i ka esophagus e ʻae i ka meaʻai e hele pono i ka ʻōpū. No kēia, hoʻohana ʻia kekahi mau ʻenehana, e like me ka hoʻopihapiha ʻana i kahi baluna i loko o ka esophagus e hoʻonui mau ai i nā pūʻolo puʻupuʻu, a me ka hoʻohana ʻana o nitroglycerin a me nā blockers calcium ma mua o ka pāʻina ʻana, kahi mea e hōʻoluʻolu ai i ka sphincter a hoʻēmi i nā ʻōuli.

ʻO ke ʻoki i hoʻohana ʻia i kēia lapaʻau me ke ʻoki ʻana i nā olonā o ka esophagus, a ʻoiai nā hopena o ka hopena, ua hōʻike ʻia ia ke ʻano kūpono loa i ka lapaʻau ʻana no achalasia.