Txoj hlab nqos mov, narrowing ntawm cov hlab pas: Ua, Cov tsos mob thiab kev kho mob

Stenosis, los yog narrowing ntawm cov hlab pas, - ib tug txo nyob rau hauv nws txoj kab uas hla. Nws yuav ua tau ib tug txawv etymology. Stenosis, nws tseem hu ua rhuav txhua ntawm cov hlab pas, muab faib mus rau hauv ob peb pawg, uas nyob ntawm seb qhov ua rau ntawm tus kab mob. Tus kab mob no muaj peev xwm tsim raws li ib tug tshwm sim ntawm kev raug mob ntawm tus mob huam. Lwm pathology yuav pw txoj hlab nqos mov qog (benign los yog phem). Ua txoj kev loj hlob ntawm tus kab mob tau phais kev cuam tshuam, tom qab uas lub nti nyob twj ywm. Ob tus neeg no thiab cov me nyuam yuav raug kev txom nyem cov hlab pas. narrowing ntawm cov hlab pas feem ntau ua rau txhaum txoj cai ntawm lub nqos nuj nqi (dysphagia).

Yuav ua li cas yog lub narrowing ntawm cov hlab pas

Yuav kom to taub li cas yog ib tug pathology, koj yuav tsum tau xav txog lub anatomical qauv. Yuav ua li cas yog lub cev txoj hlab nqos mov? narrowing ntawm cov hlab pas muaj yog ib txwm ib tug pathology? Wb soj ntsuam.

Cov hlab pas yog ib feem ntawm lub digestive system. Nws ua nyob rau hauv tib neeg lub cev muaj nuj nqi nce qib ntawm cov zaub mov ntawm lub qhov ncauj mus rau lub plab cheeb tsam. Cov noj qab nyob zoo txoj hlab nqos mov no kuj tas narrowing, uas tsis cuam tshuam nrog cov qib ntawm cov zaub mov.

Anatomical txwv 3 cais:

• pharyngeal;
• diaphragmatic;
• bronchial.

Nyob rau hauv tas li ntawd, muaj sia narrowing ntawm cov hlab pas. Lawv tshwm sim los ntawm lub suab nrov ntawm cov nqaij cov ntaub so ntswg. Thaum relaxing cov kev txwv ploj.

lawv nyob:

• nyob rau hauv esophageal thiab pais plab hlws ris tsam;
• ntawm cov kev tshuam ntawm lub aorta thiab txoj hlab nqos mov.

Pathology - yog ntau narrowing uas khaum cov zaj uas lub khoom noj khoom haus masses.

Cov ua rau tus kab mob

Stenosis yog ntawm ob hom:

• acquisitions;
• congenital.

Nyob rau hauv 90% ntawm txhua tus neeg mob yog hais tias mob kis tau pathology ntawm txawv etymology.

Qhov chaw congenital kab mob

Cov neeg mob raug kev txom nyem los ntawm kev yug me nyuam txoj hlab nqos mov. narrowing ntawm cov hlab pas yog kuaj mob, feem ntau yog nyob rau hauv thaum ntxov thaum yau. Congenital stenosis tshwm sim nyob rau hauv lub sij hawm ntawm kev loj hlob ntawm lub fetus kom txog rau thaum yug tus me nyuam.

Lub ntsiab ua rau ntawm no pathology yog:

1. Raug teeb meem tshuaj nyob rau hauv cov expectant niam. Tsev neeg tshuaj, petrol, dyes ntog mus rau hauv tus poj niam lub cev, kev cuam tshuam rau txoj kev loj hlob ntawm lub fetus thiab ua txawv txav.
2. X-ray irradiation. Raug tawg kuj ua rau mutational variations nyob rau hauv lub cev. Qhov no yog vim li cas cev xeeb tub cov poj niam yog categorically counter X-ray kuaj.
3. Rau cov hloov kuj ua tau ntau yam kab mob. Qhov no kab mob (e.g., rubella), cov kab mob thiab protozoa.

Ua ntawm nrhiav cov kab mob

Pathology muaj peev xwm tsim nyob rau hauv thaum yau thiab nyob rau hauv adulthood txaus. Nrhiav stenosis tej zaum yuav vim ob peb yog vim li cas. Nws yog tau manifest nws tus kheej nyob rau hauv lub feem ntau tsis tseem ceeb txaus pathologies rau cov hlab pas.

narrowing ntawm cov hlab pas nquag tshwm sim raws li ib tug tshwm sim ntawm ulcers. Tom qab, cov yaig pib zarubtsovyvatsya. Tej qhov chaw uas nti yog tsim, ho zuj zus txo, raws li ib tug tshwm sim ntawm cov khoom noj khoom haus tsis tau tsiv mus dawb do. Xws li ib tug txheej txheem yuav underlie cov pathology. Nyob rau hauv cov ntaub ntawv no, kev tshawb nrhiav cicatricial narrowing ntawm cov hlab pas.

Ulcers tej zaum yuav raug los ntawm cov nram qab no yam:

• Axial hiatal hernia ;
• mob gastritis thiab pais plab rwj;
• toxemia thaum lub sij hawm cev xeeb tub, uas yog nrog los ntawm cov gag reflex;
• Gastroesophageal reflux kab mob ;
• cirrhosis ntawm lub esophageal phab ntsa tom qab phais;
• ua txhaum ntawm lub mucosa.

Stenosis yuav ua rau o ntawm cov hlab pas tshwm sim los ntawm lub allergic ntawm kab mob. Pathology muaj peev xwm tsim nyob rau hauv lub keeb kwm yav dhau ntawm syphilis, kub taub hau, tuberculosis thiab diphtheria.

Cov kev raug mob, xws li tshuaj los yog thermal kub ntawm cov hlab pas, cov phab ntsa ntawm puas cov cuab yeej los yog lwm yam khoom uas tej zaum yuav kuj yuav ua kom muaj tus kab mob no. Kev ua txhaum yuav tshwm sim txawm hais tias tsis probing ntawm tus mob huam. esophageal hlawv yuav tsum tau txaus thiab raws sij hawm kev kho mob. Txwv tsis pub, nws yuav ua tau kom ib tug narrowing.

Ntau tsawg yuav yam influencing narrowing ntawm cov hlab pas, yog:

• kis las tus taw;
• tawg txoj kev kho;
• collagen;
• Sclerotherapy ntawm varicose veins.

Cov kev txwv tej zaum yuav dictated los ntawm cov tsos ntawm cov qog. Tu siab, esophageal mob cancer - yog ib qho pathology. Txawm li cas los, nws yog ib yam nyuaj heev los kho.

Pathology kuj tshwm sim rau cov yog vim li cas ntawm kev raug mob thiab cov kab mob uas tsis muaj feem xyuam rau cov hlab pas. Nws aortic aneurysm, ua qog, mediastinal qog, tsis ncaj ncees lawm qhov chaw ntawm cov hlab ntsha.

cov neeg kawm ntawv txoj kev loj hlob ntawm

Muaj plaub theem ntawm kev tsim tus kab mob no:

1. Tus thawj degree ntawm stenosis. Yooj yim kho, muab pab sab laj nrog ib tug gastroenterologist. Rau ntawm no theem, lub lub cheeb ntawm cov hlab pas yog txo mus rau 9 hli. Khoom noj khoom haus masses dhau, tab sis muaj teeb meem.
2. Ob txhais degree - txoj hlab nqos mov narrows rau 6 hli.
3. Qhov thib peb degree ntawm narrowing ntawm cov hlab pas tshwm sim rau 3 hli.
4. Qhov thib plaub degree - cov narrowing ntawm cov hlab pas mus rau 1 hli ua ib qho tseem ceeb mob. Rau ntawm no theem ntawm tus kab mob noj zaub mov yog tsis nqis los ntawm lub cev thiab stagnates nyob rau hauv cov hnyuv, nws thiaj li noog cov quav ntawm uas toxins raug tsim, rau tib neeg lub cev. Txawm hais tias nqos qaub ncaug neeg zawm rau tu-sauv, breathlessness thiab hnoos tawm tsam.

Cov yam ntxwv cov tsos mob

Ib tug kos npe rau ntawm qhov tshwm sim ntawm stenosis yog feem ntau ib tug ua txhaum ntawm lub nqos txheej txheem.

Lwm yam indirect tej yam tshwm sim uas qhia qhov narrowing ntawm cov hlab pas:

1. Regurgitation me nyuam mos nestvorozhennogo mis nyuj. Yog hais tias cov mis nyuj tsis curdle, li ntawd, nws yuav tsis tau txais mus rau hauv lub plab. Congenital narrowing ntawm cov hlab pas yuav tshwm sim twb thaum lub sij hawm zoo pub cov uas muaj particulates. Nyob rau hauv cov ntaub ntawv no, tus me nyuam tsis kam noj mov, burp feem ntau, nws muaj ib tug gag reflex.
2. Nyob rau hauv cov laus muaj mob hauv siab uas tshwm sim vim txoj kev nyuaj siab ntawm cov hlab pas nqaij thaum sim mus nias zaub mov los ntawm lub constriction, nyob rau hauv lub plab.
3. Ntev salivation (hypersalivation) - ib ras txog rau loj ntawm cov zaub mov uas noog nyob rau hauv cov hlab pas, tsis tau muaj peev xwm mus dhau rau lub plab.
4. Xeev siab thiab ntuav.
5. Rho tawm ntawm ib tug loj ntim ntawm hnoos qeev los ntawm lub qhov ntswg.
6. Cov cia li yuav txo tau nyob rau hauv hnyav tshwm sim los ntawm cov ntxaug nyob rau hauv kev zom, tsis muaj peev xwm kis tau khoom noj khoom haus los ntawm cov hlab pas thiab ntaus nws nyob rau hauv lub plab. Yog hais tias tus mob no muaj beriberi. cachexia (emaciation ntawm lub cev) tej zaum yuav tsim mob hnyav.

Stenosis yuav nyuab los ntawm mob ntsws dej. Feem ntau, nyob rau hauv no mob nyob rau hauv tej hlab cua txhob tau me me ntawm cov khoom noj. Raws li ib tug tshwm sim, tus kab mob no tej zaum yuav tsim kev mob loj o ntawm cov hlab pas, thiab txawm ua rau nws mus rupture los ntshav. Tej teeb meem yuav tsum tau ceev kho mob kev pab.

txoj kev mob

ob txoj kev yuav siv los tsim kom muaj lub narrowing ntawm cov hlab pas:

1. Endoscopy. Txoj kev tshawb no poob lawm narrowing txoj kab uas hla. Yog hais tias esophageal stricture tsim (cirrhosis), ces qhov no daim ntawv ntsuam xyuas heev tuav. Nws tso cai rau koj mus visually xyuas lub mucosa. Nyob rau hauv tas li ntawd, ib tug me yog ua li cas.
2. X-ray. Ua nrog kev koom tes ntawm barium. Tshwm sim sau tsis xws luag, ib co kua nplaum rau lub contrasting lub cev.

invalid zaub mov

Thaum twg theem ntawm stenosis, nco ntsoov lo rau ib tug noj. Koj yuav tsum noj ib lub fractional, me me feem thiab feem ntau. Los ntawm kev noj haus kom cais tag nrho cov khoom noj uas yuav ua rau muaj teeb meem nyob rau hauv nqos thiab yog li ua txhawm chim.

Tsis txhob noj zaub mov kub, nws yuav tsum tau sov so. Lub taub hau ntawm cov tais diav - cov kua, semi-kua los yog mos. Nyob rau hauv cov ntaub ntawv no, lub cev yuav tsum tau txais tag nrho cov tsim nyog noj haus vitamins thiab minerals.

kab mob kev kho mob

Yuav ua li cas kho mob uas tau pom zoo rau cov neeg mob uas tshuaj mob narrowing ntawm cov hlab pas? Kho pathologies - qhov yuav ncua ntxiv ntawm cov puas cheeb tsam.

Nws yog ib qho tseem ceeb tsis txhob hnov qab cov khoom noj. Kom txog thaum lub rov qab, koj yuav tau noj xwb kua thiab semi-kua zaub mov.

Yog hais tias muaj yog ib tug peptic stricture ntawm cov hlab pas, tus neeg mob qhia tau hais tias antacid thiab losis tswvyim dabtsi nrog.

Txawm li cas los, conservative kev kho tsis tshua ua rau yus mus ua kom tiav rov qab. Feem ntau cov feem ntau nws yog kws kho rau ib tug neeg mob kev npaj rau kev phais.

Bougienage (artificial extension los ntawm txoj kev tshwj xeeb pab kiag li lawm) siv nyob rau hauv cov kev tshwm sim hais tias nrhiav tau ib benign qog ntawm cov hlab pas. Thaum lub sij hawm kev kho mob qhov luaj li cas ntawm bougie dhau maj hloov mus rau ib tug loj ib tug.

Nyob rau hauv cov kev tshwm sim ntawm teeb meem superimposed gastrostomy los muab cov neeg mob cov khoom noj kom tau.

Esophagoplasty - ib tug plob tsis so tswj hloov cheeb tsam los yog lub plab rau hauv cov hlab pas.

Nyob rau hauv loj heev zaum, thaum lub cev yog heev sab sab, los yog xyaum ua ib tus lag luam yog tsis tau, yog ua gastrostomy. Nyob rau hauv cov ntaub ntawv no, lub cev yog tau yuav tsum tau noj enterally.

tiv thaiv kab mob

Cov nyhuv ntawm kev kho mob nyob rau hauv lub narrowing ntawm cov hlab pas ntawm tshuaj modalities. Resection ntawm esophageal stenting thiab pom tau hais tias qhov zoo tshaj plaws txoj kev kho mob ntawm tus kab mob no.

Tom qab bougienage thiab endoscopy tej zaum yuav muaj rov.

Kev tiv thaiv ntawm stenosis yuav pab kev kho mob thaum thawj cov tsos mob ntawm tus kab mob.

Nws yog ib qho tseem ceeb rau nrog cov kab mob uas yuav ua rau narrowing ntawm cov hlab pas. Ua tib zoo tsis txhob raug tus kab mob rau cov hlab pas ntawm tshuaj thiab lwm yam teeb meem tshuaj. Tiv thaiv kom txhob hlab pas ntawm raug ntaus los ntawm txawv teb chaws cov khoom.