ʻO Estragus Nutcracker

Anter

• He aha nā hōʻailona?
• He aha ke kumu?
• Pehea ia ʻike?
• Pehea e mālama ʻia ai?
• Noho me ka escragus nutcracker

He aha ka escragus nutcracker?

Nutcracker esophagus pili i ka loaʻa ʻana o nā spasms ikaika o kāu esophagus. ʻIke ʻia ʻo ia hoʻi ʻo jackhammer esophagus a i ʻole hypercontractile esophagus. Pili ia i kahi hui o nā kūlana e pili ana i ka neʻe ʻana a me ka hana o ka esophagus, i ʻike ʻia he mau motility.

Ke pau ʻoe i ka ʻai, ua ʻaelike kāu esophagus, kahi e kōkua ai e hoʻoneʻe i ka meaʻai i loko o kou ʻōpū. Inā loaʻa ʻoe i ka escragus nutcracker, ʻoi aku ka ikaika o kēia mau kuʻikahi, e hōʻeha ana i ka ʻeha o ka umauma a me ka ʻeha ke ʻoe e ale.

Pili loa ia i nā spasms esophageal diffuse. ʻO ka ʻokoʻa nui ma waena o nā kūlana ʻelua ʻo ka escragus nutcracker ʻaʻole ia e hoʻoulu hou i ka meaʻai a i ʻole nā ​​wai, a hana pinepine ʻia nā spasms esophageal.

He aha nā hōʻailona?

ʻO ka ʻōuli nui o ka escragus nutcracker ke ale nei i ka ʻeha. Loaʻa paha iā ʻoe nā ʻōuli ʻē aʻe, e like me:

• ʻehaʻeha a me ka ʻeha o ka umauma hiki ke mau no nā minuke he nui a i ʻole hana ʻia a hala nā hola
• pilikia i ka ale ʻana
• puʻuwai puʻuwai
• ʻūhū maloʻo
• ke manaʻo nei e like me ka mea i paʻa i kou puʻu

He aha ke kumu?

ʻO ka Nutcracker esophagus kahi ʻano maʻamau. ʻAʻole ʻike ʻia ke kumu kūpono o ka escragus nutcracker. Eia nō naʻe, e pili ana i kahi pilikia me ka hana o ka mākala a me ka mānoanoa o ka esophagus. No kekahi poʻe, kū wale ka spasms ke ʻai lākou i nā meaʻai anuanu a wela paha. He mea maʻamau ia no ka poʻe me ka escragus nutcracker e loaʻa pū kekahi i ka maʻi reflux gastroesophageal.

Ua ʻike nā kauka i kekahi mau mea e hoʻonui ai i kou makaʻu i ka hoʻomōhala ʻana i ka escragus nutcracker. Pākuʻi ʻia kēia mau mea:

• ʻoi aku ma mua o 50 mau makahiki
• he wahine
• loaʻa ka puʻuwai puʻuwai
• loaʻa ka maʻi reflux gastroesophageal (GERD)

Pehea ia ʻike?

E hoʻomaka kāu kauka me ka hāʻawi ʻana iā ʻoe i kahi hoʻokolohua kino e kāpae i nā ʻano kumu. E nīnau paha lākou iā ʻoe i ka manawa pinepine āu e ʻike ai i nā spasms a inā pili paha lākou i kekahi mau meaʻai. He mea kōkua paha ka mālama ʻana i kahi diary meaʻai a kahakaha ke ʻike ʻoe i nā ʻōuli ma loko o ka pule a i ʻole ʻelua e alakaʻi ana i kāu koho.

Ma muli o nā hopena o kāu hōʻike, e ʻōlelo paha kāu kauka i kahi hōʻike diagnostic, e like me:

• ʻala barium, e pili ana i ka ale ʻana i kekahi ʻano o ke kala e hōʻike ʻia ma kahi X-ray
• manometry esophageal, kahi e ana ai i ka kaomi puʻupuʻu o ka esophagus a me nā spasms
• endoscopic ultrasound, hiki ke hāʻawi i ka ʻike kikoʻī e pili ana i nā mākala a me ka uhi o ka esophagus
• endoscopy, e pili ana i ka hoʻohana ʻana i kahi pahu paʻi liʻiliʻi e nānā i ka loko o kāu esophagus
• esophageal pH monitoring, ka mea e hoʻāʻo ai no nā hōʻailona o ka reflux acid ma ke ana ʻana i ka pH i kāu esophagus

Pehea e mālama ʻia ai?

ʻO ka hapa nui o nā hihia o ka nutcracker esophagus hiki ke mālama ʻia me kahi hui o nā lāʻau a me nā lāʻau home. I nā hihia kakaikahi, pono ʻoe i kahi lāʻau hou aʻe.

Nā lāʻau i hiki ke kōkua i ka mālama ʻana i ka escragus nutcracker me:

• paukū ʻaʻa calcium
• mea pale lāʻau proton
• nitrates, e like me sublingual nitroglycerin (Nitrostat)
• hyoscyamine (Levsin)
• lāʻau lapaʻau anticholinergic

Hiki i nā mea hoʻoponopono home aʻe ke kōkua i ka hoʻomaha ʻana i kāu esophagus:

• inu wai mahana
• hana i nā hana hanu a me nā ʻano hana no ka hoʻomaha
• e hōʻalo nei i nā meaʻai a me nā mea inu e hoʻonāukiuki i kāu mau hōʻailona

Inā hāʻawi ʻole nā ​​lāʻau a me nā home remedies i kahi hoʻomaha, hiki i kāu kauka ke ʻōlelo aʻe he lāʻau hou, e like me:

• kahi botulinum toxin (Botox) injection e hoʻomaha ai i nā mākala i kou esophagus
• ʻoki e ʻoki i kekahi o nā mākala i loko o kou esophagus e hoʻonāwaliwali ai ka liʻiliʻi
• kahi hana POEM (myoral endoscopic peroral), kahi e hoʻohana ai i ka endoscope ma mua o ke kuʻuna kuʻuna e ʻoki i kahi ʻāpana o nā mākala ma loko o ka esophagus

Noho me ka escragus nutcracker

ʻOiai ʻoi aku ka ʻeha o ka nutcracker esophagus, hiki paha iā ʻoe ke hoʻokele iā ia me nā lāʻau a me nā ʻenehana no ka hoʻomaha ʻana i nā mākala i kou esophagus. I kekahi mau hihia, pono ʻoe e hōʻalo i kekahi mau meaʻai. E hoʻāʻo e nānā i nā hiʻohiʻona āu e ʻike ai me kāu mau ʻōuli. E kōkua kēia i kāu kauka e hele mai me kahi hoʻolālā lapaʻau maikaʻi loa nāu.