He aha ke kumu o ka ʻeha a me ka mea e hana ai

Anter

• 1. ʻO ka maʻi reflux Gastroesophageal
• 2. ʻO Esophagitis
• 3. ʻOhe spasm
• 4. Ka maʻi ʻaʻai Esophageal
• 5. Achalasia
• 6. Nā Diverticle
• 7. Nā liona i loko o ka esophagus

Aia kekahi mau maʻi i hiki ke hōʻeha a hoʻopili i ke ʻano o ka esophagus, kahi mea i loaʻa ka hana nui o ka lawe ʻana i nā meaʻai a me nā wai ma waena o ka waha a me ka ʻōpū, a ʻo kekahi o nā mea nui pū kekahi me ka reflux gastroesophageal, esophagitis, tumo, spasms, nā maʻi, nā ʻeha, no ka laʻana.

ʻO nā ʻōuli nui i hoʻokumu ʻia e kēia mau maʻi he ʻeha o ka umauma, ʻehaʻeha puʻuwai, reflux, paʻakikī i ka ale ʻana a i ʻole ke ʻano o ka bolus ma ka ʻāʻī. ʻO ka manawa pinepine, ʻeha ka ʻeha a huikau me ka puʻuwai, akemāmā a i ʻole nā ​​maʻi maʻa, no laila he mea pono ia i ka loiloi loiloi e hana i nā hoʻokolohua e like me ka endoscopy digestive, manometry, ultrasound a i ʻole radiography me ka ʻokoʻa o ka ʻāina, kahi e ʻike ai nā loli i ka ʻĀina. hana ʻōnaehana a kāpae i nā kumu ʻē aʻe. E hoʻomaopopo hou aʻe e pili ana i nā kumu ʻē aʻe o ka ʻeha o ka umauma.

1. ʻO ka maʻi reflux Gastroesophageal

ʻO ka maʻi reflux Gastroesophageal, i ʻike ʻia ʻo GERD, i kumu ʻia e ka reflux o ka ʻōpū i loko o ka esophagus, ʻaʻole pono ia e hana ʻia, no ka mea ʻaʻole mākaukau ka meaola o kēia mea i loaʻa ka acidity nui.

Nā hōʻailona nui: ke kuni nei nā ʻōuli nui o ka reflux gastroesophageal i ka umauma, ʻāʻī, ʻono ʻawaʻawa i ka waha, ka ʻū ʻana i ka pō, ka laryngitis hou, a ma nā hihia ʻoi loa, loaʻa paha ka ʻeha ma ka umauma, ʻeha e ale (odynophagia) a paʻakikī i ka ale ʻana (disphagia)).

Pehea e mālama ai: ʻo ka hoʻohana ʻana i nā lāʻau e hoʻoliʻiliʻi i ka acidity o ka wai gastric e pono ai, e like me Omeprazole, Pantoprazole, Esomeprazole a i ʻole Ranitidine, no ka laʻana, a he mea pono nō hoʻi e hoʻololi i nā ʻano maʻamau, e like me ka hōʻalo ʻana i nā meaʻai e kōkua ai i ka reflux, e like me ka palai nā meaʻai, nā momona, ka mint, ka pepa, nā kope, nā teas, nā ʻōmato, nā meaʻai waikawa, me ka pale ʻana i ka ʻai nui ʻana, moe pono ma hope o ka ʻai ʻana a komo i nā lole paʻa.

Inā mālama maikaʻi ʻole ʻia ka reflux gastroesophageal, ʻo kekahi o nā pilikia kūpono he esophagitis, ʻo Barrett's esophagus, hoʻoliʻiliʻi o ka esophagus a ʻo ke kanesa hoʻi. E ʻike i ka mea hou aʻe a pehea e ʻike ai i ka reflux gastroesophageal.

2. ʻO Esophagitis

ʻO ka esophagitis ka pehu o ka esophagus, kahi pilikia e hoʻopili i kekahi poʻe me ka maʻi reflux gastroesophageal.Hoʻonui kēia ʻōpala i ka makaʻu o ke kumu o ka esophagus a Barrett, i kū aʻe i ka wā e hoʻololi ʻia ai nā hunaola i kapa ʻia ʻo metaplasia, i mea e kū pinepine ai i ka acidity, a ʻo ia ka mea i hoʻonui i ka hopena o ka maʻi ʻaʻai esophageal.

ʻO nā kumu ʻē aʻe o ka esophagitis e komo pū me nā maʻi hū, ka luaʻi pinepine, hoʻohana ʻana i nā lāʻau e like me aspirin, anti-inflammatories a me nā antibiotic, e like me Clindamycin, hiatus hernia a i ʻole ʻaʻai ʻana i nā mea caustic a acidic paha, no ka laʻana.

Nā hōʻailona nui: ʻeha o ka umauma a ʻā paha, ʻeha a paʻakikī paha i ka ale ʻana, ʻono ʻawaʻawa i ka waha, batukū, laryngitis pinepine.

Pehea e mālama ai: inā ma muli o ka reflux, hana pū ʻia ka mālama ʻana o ka esophagitis me ka pāpā ʻana o ka acidity ʻōpū, me nā lāʻau e like me Pantoprazole, Omeprazole a me Ranitidine, no ka laʻana, me ka hoʻohui i nā loli i nā ʻano ʻai. Inā hopena ʻia e nā maʻi, hōʻike ʻia nā lāʻau e like me antibiotics, antifungals a i ʻole antivirals a hiki i ka hoʻōla ʻana o ka ʻeha. I ke kumu o ka hoʻonāukiuki i hoʻokumu ʻia e nā lāʻau, nā mea a i ʻole ka radiation, pono paha ia e hoʻonui i ka esophagus, inā ua hoʻopili ʻia kāna hana.

E ʻike i nā kikoʻī e pili ana i nā ʻano esophagitis a pehea e mālama ai.

E ʻike i nā kikoʻī e pili ana i ka hopena o ka esophagitis e ka nānā ʻana i kēia wikiō:

3. ʻOhe spasm

ʻAʻole ʻike ʻia me ke ʻano he aha ke kumu o ka reflux esophageal, eia nō naʻe he mau kumu i hiki ke hoʻoulu i kahi hana uncoordinated o kēia meaola, e hōʻeha ana i nā hana ʻeha a ʻino hoʻi o ka esophagus, e like me nā meaʻai wela a anuanu hoʻi.

No ka hōʻoia ʻana i kēia maʻi, hiki i ke kauka ke kauoha i nā hoʻokolohua e like me ka manometry, kahi e ʻike ai i ke kaomi o ka esophagus, me ka radiography me ka hoʻohālikelike a me ka endoscopy.

Nā hōʻailona nui: ʻo ka hapa nui, ka paʻakikī i ka ale ʻana a me ka ʻeha o ka umauma, hiki ke hana ʻia i ka wā hiamoe, e ʻino ma hope o ka ʻai ʻana, a e hele pū me ke ahi, reflux a me ka paʻakikī i ka ale ʻana. I kekahi mau hihia, hiki i ka ʻeha ke koʻikoʻi loa i hiki iā ia ke simulate i kahi infarction myocardial koʻikoʻi.

Pehea e mālama ai: hiki ke hōʻoluʻolu i ka ʻeha me nā antacids a, e kaohi i nā spasms, hiki i ke kauka ke hōʻike i nā lāʻau e like me nitrates, hydralazine, calcium channel blocker, botulinum toxin a me nā kūpikipiki, no ka laʻana.

4. Ka maʻi ʻaʻai Esophageal

He kakaikahi ka tumo esophageal, a ma ka hapanui o nā hihia, pili ia i ke ola o ka maʻi reflux a me ka esophagus a Barrett, eia nō naʻe, ʻo nā mea ʻē aʻe e pili ana i ka puhipaka, ka inu ʻona ʻana, ka ʻeha caustic, ka maʻi ʻo HPV, ka momona a me ka reflux esophageal.

Nā hōʻailona nui: ʻo ka hōʻailona nui ka paʻakikī e ale i ka meaʻai, kahi e ʻino ai, e hoʻomaka ana me nā meaʻai paʻa a hiki i nā wai. ʻO nā ʻōuli ʻē aʻe a me nā ʻōuli e hōʻike ʻia he pohō kaupaona, hoarseness, ʻeha i ka wā e ale ana a me ka anemia, i hiki ai ke luhi ke kanaka.

Pehea e mālama ai: hōʻike ʻia ke kauka e ke kauka e like me ke ʻano a me ke koʻikoʻi o ka leona a me ka hana maʻamau me ka ʻoki ʻana e hemo i ka tumo, a he chemotherapy a i ʻole radiotherapy.

E aʻo hou e pili ana pehea e ʻike ai a mālama ai i ka maʻi ʻaʻai esophageal.

5. Achalasia

ʻO Achalasia kahi maʻi i hoʻokumu ʻia e ka ʻeha a i ʻole ka nalo ʻana o nā neurons ke kuleana no ka ʻoni ʻana i nā mākala o ka esophagus. I kēia ala, nalowale ka esophagus i kona hiki ke hoʻomaha i ka ale ʻana a hana i nā peristalsis, ʻo ia nā nalu o ka neʻe ʻana o ka digestive tract i hana ʻia e lawe i ka meaʻai i ke ala kūpono, a hiki i ka ʻōpū a me nā ʻōpū. No laila, i loko o ka achalasia kahi ulu liʻiliʻi o ka esophageal a me ka deformity, hiki ke hōʻino ke hala ka manawa.

Nā hōʻailona nui: ʻo nā hōʻailona nui ka paʻakikī i ka ale ʻana, reflux, ʻeha o ka umauma a me ka pohō kaumaha.

Pehea e mālama ai: ʻoiai ʻaʻohe mea e ola ai, hiki i ke kauka ke koi aku i nā hana e hōʻemi i ke kaomi i ka esophagus a me nā ʻōuli, e like me nitrates a i ʻole hydralazine. ʻO nā hoʻoulu ʻana o ka esophageal a i ʻole nā ​​ʻoki myotomy kahi koho ʻē aʻe e kōkua ai i ka haʻalele ʻana i ka esophagus i nā hihia ʻoi loa. I ka hihia hope, pono paha ka hemo ʻana o ka esophagus.

Hoʻokumu ʻia ʻo Achalasia e nā kumu autoimmune, akā naʻe, hiki i ka maʻi o Chagas ke hōʻeha i nā aʻa a hoʻonāukiuki i nā maʻi me kēia maʻi. No ka hōʻoia ʻana i ka achalasia, hiki i ke kauka ke koi aku i nā hoʻokolohua e like me ka manometry esophageal, e ʻike ai i nā loli i ke kaomi, ma kahi o ka endoscopy a me ka radiography me ka ʻokoʻa o ka esophagus.

6. Nā Diverticle

Hoʻololi ʻo Diverticula i ke ʻano o ka esophagus i maʻa mau i ka liʻiliʻi, akā hiki ke ulu a lilo i hiki ke mālama i ka lawai a me ka meaʻai.

Nā hōʻailona nui: ke nui lākou, hiki i ka diverticula ke hana i ka paʻakikī i ka ale ʻana, ka hanu maikaʻi ʻole a me ka ʻiʻini o ka meaʻai i loko o nā māmā.

Pehea e mālama ai: hōʻike ʻia ke ʻoki e wehe i ka diverticula nui loa a i ʻole ke kumu o nā hōʻailona.

Ma waho aʻe o ka diverticula, nā loli ʻē aʻe i ka hanana o ka esophagus e kū aʻe i ke apo a me nā membrane ma ke kino, a me nā polyps a i ʻole nā ​​tumors benign, i hiki ke paʻakikī i ka ale ʻana i ka meaʻai, a hiki ke loaʻa i nā kumu a me nā kumu hoʻohuhu.

7. Nā liona i loko o ka esophagus

ʻO kahi kumu nui o ka ʻeha i loko o ka esophagus, ʻoiai he kakaikahi, ka hoʻokumu ʻana o nā ʻeha a i ʻole ka perforation, i kū ma muli o ke kū ʻana o ka luaʻi ikaika, a i nā kaʻina hana e like me ka endoscopy a i ʻole ke kau ʻana o nā paipu nasogastric, trauma i nā ulia a i ʻole ma muli o hoʻowahāwahā ʻia e esophagitis a i ʻole ka maʻi ʻaʻai.

Nā hōʻailona nui: aia ka ʻehaʻeha loa i loko o ka umauma, kahi e ʻino ai ke hanu a ʻū paha, a e hemo paha ke koko i ka luaʻi. Aia paha he mumū o ka mediastinum, kahi kahi e loaʻa ai nā mea nui ʻē aʻe e like me ka puʻuwai a me nā māmā, kahi weliweli a hiki ke hoʻoweliweli i ke ola o kekahi kanaka.

Pehea e mālama ai: pono ka makemake o nā huna huna me kahi paipu, hoʻohana i nā lāʻau ʻaloʻalo a hōʻalo i ka ʻai ʻana a hiki i ka hoʻōla ʻana o nā leona. Ke nui a ʻeha ʻole paha ka ʻeha, hōʻike ʻia ke ʻoki no ka hoʻoponopono ʻana.

Ma waho aʻe o ka hoʻokumu ʻia ʻana o nā leona, aia paha ka hopena o ka meaʻai a i ʻole kekahi kino haole i hiki ke waiho ʻia i loko o ka esophagus a hana i ka ʻeha ikaika a me ka hiki ʻole ke hoʻopau i nā huna i hana ʻia. I kekahi mau hihia, pono paha e hemo i ke kumu e endoscopy.