ʻO nā mea āpau āu e ʻike ai e pili ana iā Esophageal Diverticula

Anter

• He aha nā hōʻailona?
• He aha ke kumu?
• Aia kekahi kumu pilikia?
• Pehea ka ʻike?
• Pehea ka mālama ʻana?
• Lapaʻau nonsurgical
• Lapaʻau ʻoki kino
• Aia kekahi pilikia?
• He aha ke kuanaʻike?

He aha ka divertikulum esophageal?

ʻO kahi diverticulum esophageal kahi ʻeke protruding i ka uhi o ka esophagus. Hana ia i kahi nāwaliwali o ka esophagus. Hiki i ka ʻeke i kēlā me kēia wahi mai 1 a 4 ʻīniha ka lōʻihi.

ʻEkolu ʻano o ka diverticula esophageal (plural of diverticulum), e pili ana i kahi o lākou e noho nei:

• ʻO dikerikulum o Zenker. Hoʻomohala kēia ʻano kokoke i ka piko o ka esophagus.
• ʻVertlelo hoʻohiwahiwa Midthoracic. Kū kēia ʻano ma ka ʻaoʻao waena o ka esophagus.
• ʻVertlelo hoʻohiwahiwa Epiphrenic. Aia kēia ʻano i ka ʻaoʻao haʻahaʻa o ka esophagus.

E heluhelu e aʻo hou e pili ana i kēia ʻano.

He aha nā hōʻailona?

ʻAʻole pilikia pinepine nā diverticula esophageal. Ke hana lākou, hele mālie nā ʻōuli i ka ulu ʻana o ka ʻeke.

ʻO nā ʻōuli maʻamau o ka divertikulum esophageal pū kekahi:

• paʻakikī i ka ale ʻana
• manaʻo e like me ka ʻai i hopu ʻia i ka ʻāʻī
• regurgitating meaʻai ke kūlou ʻana, moe ʻana i lalo, a i ʻole ke kū ʻana i luna
• ʻeha ke ale ʻana
• ʻūhā mau
• hanu maikaʻi ʻole
• ʻeha ka umauma
• ʻeha ʻāʻī
• Kaumaha emi
• hoʻololi leo
• ʻO kā Boyce hōʻailona, ​​kahi leo kaniʻuhū ke hele ka ea ma waena o ka diverticulum

He aha ke kumu?

ʻAʻole maopopo ka poʻe loea e pili ana i nā kumu kikoʻī o ka esvertagal diverticula. Hānau ʻia kekahi poʻe me ia, ʻoiai hoʻomohala ʻia e kekahi ma hope i ke ola.

I ka poʻe mākua, pili pinepine ia me ka hoʻonui ʻana o kaomi ma waena o ka esophagus. Hoʻomaopopo kēia kaomi i ka uhi ʻana i kahi wahi nāwaliwali. ʻO nā kumu kūpono o kēia hoʻonui hoʻonui ʻia e:

• hana pono ʻole o nā sphincters ma nā wēlau o ka esophagus
• pehu mai waho o ka esophagus
• ʻai ʻole e neʻe pono ana ma o ka esophagus
• hana ʻino ʻole o ka mīkini ale

Hiki iā ia ke lilo i mea paʻakikī o ke kaʻina hana ma kahi o ka ʻāʻī, a i ʻole nā ​​kūlana e hoʻopili i ka collagen, e like me Ehler-Danlos syndrome.

Aia kekahi kumu pilikia?

ʻOiai hiki ke hana ʻia kahi divertikulum esophageal i kēlā me kēia makahiki, he mea maʻamau ia i nā poʻe i nā makahiki 70 a 80. Eia hou, ʻo ka poʻe me nā maʻi ale e hoʻomohala iā ia.

Pehea ka ʻike?

Nui a hewahewa nā ʻano hana a kāu kauka e hiki ai ke hoʻohana e ʻike pono i kahi divertikulum esophageal, me:

• E ale ʻo Barium. E noi ʻia ʻoe e ale i kahi hopena i loaʻa ka barium, e hōʻike ʻia ma kahi X-ray a i ʻole CT scan. ʻAe kēia i kāu kauka e nānā i ka neʻe o ka wai ma o kāu esophagus.
• Hoʻopau Gastrointestinal. No kēia kaʻina hana, hoʻokomo kāu kauka i kahi paipu lahilahi a maʻalahi me kahi kāmela i ka hopena ma o kou waha a iho i kou puʻu i mea e ʻike ai i kou esophagus.
• Manometry ʻo Esophageal. Ana kēia ʻenehana i ka manawa a me ka ikaika o nā kuʻikahi o kāu esophagus.
• 24-hola hōʻike pH. Ana kēia hōʻike i ka pH i kāu esophagus ma kahi o 24 mau hola e nānā ai i nā hōʻailona o ka ʻōpū o ka ʻōpū a i ʻole ka bile i kāu esophagus.

Pehea ka mālama ʻana?

Nui a hewahewa nā koho no ka divertikulum esophageal, kaukaʻi ʻia i ka nui a me ke koʻikoʻi.

Lapaʻau nonsurgical

Hiki ke mālama ʻia i ka diverticula ʻoluʻolu liʻiliʻi ma o nā loli nohona, e like me:

• e nau pono i kāu meaʻai
• ʻai ana i ka papa ʻai bland
• inu nui i ka wai ma hope o kou ʻai ʻana e kōkua ai i ka digestion.

Hiki i nā antacids over-the-counter ke kōkua pū me nā ʻōuli akahai.

Lapaʻau ʻoki kino

ʻO nā hihia ʻoi aku ka nui i koi ʻia i ke ʻoki e wehe i ka ʻeke a hoʻoponopono i nā mea nāwaliwali i ka esophagus.

Nā kaʻina hana e hana i kēia me:

• Myotomy Cricopharyngeal. Hoʻopili kēia i ka ʻoki liʻiliʻi ʻana i ka sphincter o luna o ka esophagus e hoʻonui ia mea, no laila hiki ke maʻalahi ka ʻai ma o kou esophagus.
• ʻO Diverticulopexy me ka myotomy cricopharyngeal. Hoʻopili kēia i ka wehe ʻana i kahi diverticulum nui aʻe ma ka hoʻohuli ʻana i lalo i lalo a hoʻopaʻa iā ia i ka paia o ka esophagus.
• ʻO Diverticulectomy a me ka myotomy cricopharyngeal. Hoʻopili kēia i ka wehe ʻana i ka diverticulum ʻoiai e hana ana i kahi myotomy cricopharyngeal. Hoʻohui ʻia ia e hoʻohana pinepine ai e mālama iā Zenker's diverticula.
• ʻVertlelo hoʻohiwahiwa endoscopic. He hana hoʻouka iki iki kēia e hoʻokaʻawale i kaʻiʻo ma waena o ka diverticulum a me ka esophagus, e ʻae ana i ka ʻai e hemo mai ka divertikulum.

Aia kekahi pilikia?

I ka hala ʻana o ka manawa, hiki i kahi divertikulum esophageal ke alakaʻi i kekahi mau pilikia olakino.

• Pneumonia hāhā. Inā he esvertage divertikulum ke kumu o ka regurgitation, hiki iā ia ke alakaʻi i ka pneumonia aspiration ʻO kēia kahi maʻi lolo i hoʻokumu ʻia e ka hanu ʻana i nā mea, e like me ka meaʻai a me ka lawai, e hele maʻa mau i kou esophagus.
• Pāpale. Hiki i kahi ālai kokoke i ka diverticulum ke paʻakikī, inā ʻaʻole hiki ʻole, ke ale. Hiki i kēia ke hoʻonā i ka ʻeke a naha a kahe.
• Ka maʻi kanesa puʻukū. I nā hihia kakaikahi loa, hiki i ka huhū mau o ka ʻeke ke alakaʻi i ka carcinoma squamous cell.

He aha ke kuanaʻike?

ʻO kahi diverticulum esophageal kahi ʻano laha ʻole e hoʻopili i nā ʻelemākule. ʻOiai ʻaʻohe o kekahi poʻe i hōʻailona, ​​ʻike ka poʻe ʻē aʻe i kahi o nā pilikia, e like me ka paʻakikī o ka ale ʻana a me ka regurgitation. ʻO ka hapa nui o nā hihia e pane maikaʻi i nā loli nohona, ʻoki kino, a i ʻole ka hui ʻana o nā mea ʻelua.