Esophageal diverticulum

esophageal diverticulum - ib tug heev tus kab mob uas tshwm sim feem ntau nyob rau hauv cov neeg laus, tab sis yuav tshwm sim nyob rau hauv cov neeg uas raug kev txom nyem los ntawm ntau yam kab mob ntawm lub digestive system (plab rwj thiab (los yog) duodenal rwj, cholecystitis). Nws official lub npe - tus protrusion ntawm lub esophageal phab ntsa. Tej su communicates nrog lub esophageal lumen thiab muaj peev xwm tsim nyob rau hauv tej feem ntawd. Txawm li cas los, feem ntau diverticulum bifurcation, pharyngoesophageal thiab epifrenalny.

Feem coob ntawm cov diverticula ib. Ntau tsawg yuav ntes ntau pawg ntawm galaxies.

Diverticulum tshwm sim feem ntau nyob rau hauv cov txiv neej laus dua 50 xyoo. Nws yog ntseeg hais tias nws yog tshwm sim los ntawm kev laus thiab thinning ntawm cov ntaub so ntswg.

ua rau

Esophageal diverticulum innate xwm yog yuav luag tsis muaj thiab yog feem ntau txuam nrog congenital npag tsis muaj zog ntawm lub esophageal phab ntsa seem.

esophageal diverticulum mas yuav kis tau tus cwj pwm yuav tsim nyob rau hauv lub qab no:

- inflammatory dab, uas yog yuav tshwm sim nyob rau hauv cov hlab pas (esophageal spasm, achalasia) thaum nws nkag mus rau hauv hnyuv acidic ib puag ncig, o ntawm cov qog ntshav hauv (gistoplamoz);

- yog hais tias muaj yog ib tug phais xwm ntawm qhov kev raug mob, ua txhaum lub meej mom ntawm cov nqaij daim nyias nyias. Lawv kuj pab mus rau lub tsos ntawm ib tug diverticulum;

- nyob rau hauv tas li ntawd, diverticulum tej zaum yuav ib tug rau txim ntawm ib tug malfunction ntawm cov hlab pas, qhov tshwm sim ntawm spastic lus thiab constrictions plhaub;

- tej zaum cov hlab pas phab ntsa yog spliced rau ib sab hauv nruab nrog cev. Feem ntau nws yog cov qog ntshav ntawm lub mediastinum, raug mob. Nyob rau hauv rooj plaub no tus esophageal phab ntsa yog ncav us txog nyob rau hauv cov kev taw qhia ntawm lub cev, thiab cov tsis muaj zog txaus lub phab ntsa ntawm lub protrusion tshwm sim;

- hlav.

Heev feem ntau cov mob no yog cai ib txhij, uas tsub kom kev pheej hmoo ntawm diverticulitis.

Cov tsos mob ntawm esophageal diverticulum

Yuav kom txiav txim raws nraim thaum nws tshwm sim sacciform tsim rau ntawm phab ntsa ntawm cov hlab pas yog yuav luag tsis yooj yim sua. Rau ob peb lub xyoo, tus neeg mob yuav tsuas pom me ntsis tej yam tshwm sim: mob caj pas, ntev li salivation, hnoos tom qab noj mov (sau diverticulum yog muab siab, ua rau tej teeb meem), cov kev xav ntawm dryness nyob rau hauv lub caj pas, feem ntau hnoos tau tsis ntev los no noj zaub mov.

esophageal diverticulum tshwm raws li ib tug loj, sib npaug kawm ntawv. Nkhaus smooth nqos nws txav upwards. Yog hais tias lub diverticula tshwm sim inflammatory dab, uas tej zaum yuav xav tias ib txhia tsis xis, tab sis yog hais tias tus protrusion yog laus nyob rau hauv lub thoracic txoj hlab nqos mov cheeb tsam, nws yog ua tau rau kev nyuaj nqos. Diverticulum nyob rau hauv cov ntaub ntawv no muaj ib tug uas tsis muaj tawm thiab muaj sis tsis ncaj nkhaus. Ntes xws diverticulum tau tsuas yog nyob rau hauv lub sab txoj hauj lwm thaum lub sij hawm nqos. Nyob rau hauv lub qis txoj hlab nqos mov diverticulum yuav palpated. Txawm li cas los, qhov no yog tau tsuas yog thaum nws yog tus sau, los yog tej zaum yuav tau twb pib ntws o. Nyob rau hauv lub soj ntsuam qhov chaw yog nqa roentgen nyob rau hauv ntau yam lub cev txoj haujlwm rau cov zoo tshaj plaws saib ntawm lub cheeb tsam cov.

Esophageal diverticulum: kev kho mob

Feem ntau, nyob rau hauv feem ntau diverticulum tsis muaj kev mob nyob rau hauv tus neeg mob thiab kho diverticulitis extends sufficiently zoo. Txawm li cas los, yog hais tias muaj yog ib tug inflammatory txheej txheem uas yog ua excision protrusion. Tom qab, cov phab ntsa los ntawm cov hlab pas yog rov qab los. Ib tug me me diverticulum yuav cias "screwed" mus rau hauv cov hlab pas, thiab cov phab ntsa txhawb nqaws thiab lub zos fabrics.

Rau cov kev kho mob muaj feem xyuam rau tus neeg mob lub hnub nyoog. Nyob rau hauv tus neeg mob qhov twg, nyob rau hauv tas li ntawd mus rau lub tus kab mob, muaj lwm yam, loj dua, thiab tus neeg mob lub hnub nyoog tsis pub mus nqa tawm lub lag luam, taw los ntawm kev saib xyuas.