Esophagus diverticulum

Diverticulum yeeophagus chirwere umo rusvingo rwemasopu runobuda muchimiro che sac kana chipfufu chemaputi. Somugumisiro, basa rekumedza kana kutamisa kudya kuburikidza nehuputi rinogona kunge risina kunaka. Chirwere ichi chinokanganisa vose vakadzi nevarume, kunyanya mushure memakore makumi mana.

Chikamu chesophageal diverticula

1. Kubvira, diverticula yakakamurwa kuva:

• congenital;
• akawana.

• diversionary diverticary yeeophagus - inoumbwa semugumisiro wekuratidzira kwemucosa pasi pesimba rekuwedzera kwema-intra-esophageal inomira panguva yekuderedzwa kwemashoko;
• tractional diverticulum - inokonzerwa nekuvhiringidza kwezvinhu zviri pedyo nemasikisi uye kuumbwa kwezvinonhuwira, kutambanudza zvikamu zvose zvemasvingo eopopotera kune nhengo yakakanganiswa.

• echokwadi diverticulum - inoumbwa nekudzivirirwa kwezvikamu zvose zveeophagus (mucosa, submucosa, musero membranes);
• nhema diverticulum (pseudodiverticulum) - inoumbwa chete ne mucosa yepopu.

• pharyngeal-esophageal;
• epibronchial;
• epiphrenic.

Zvinokonzera esophageal diverticulum

Chinokonzera kuberekwa kwemainterula ndekwekuderera kwemuviri wechipfuva uye hutachiona hwehuputi. Kuwana nzira dzakasiyana-siyana kunoumbwa nekuda kwezvikonzero zviviri:

• semugumisiro wezvokuvhiringidza (mediastenitis, chirwere chetachiona chema intlathoracic lymph nodes, chisingakoshi chekudzivirira mukati momuviri mukati memoyo, kushungurudzika kwepamu inokonzerwa nebasa racho, migumisiro yemakemikari anopisa sophagus, nezvimwewo);
• nekuda kwekushaya simba motokari basa kana utera hwehutachiona hunogadzirisa rusvingo rwemasimba, hunobatanidza nekukwegura kwemuviri.

Zviratidzo zve esophageal diverticulum:

• chinhu chisingafadzi mafuta akaiswa mumuromo ;
• kuoma pakuedza nekupedza kudya;
• regurgitation (dzimwe nguva nechingwa chaidyiwa mazuva mashoma apfuura);
• kurwadziwa panzvimbo yekunzvimbo yekudzivirira;
• manzwiro e-coma, muviri wekunze uri pamutsipa;
• nausea;
• Kutambudzwa mumutsipa;
• kuora kuoma (kunyanya usiku);
• drooling.

I-pharyngeal esophageal diverticulum (Zenker's diverticulum) inogona kuonekwa pamutsipa uye musoro wakakomberedzwa kumashure, unofungidzirwa (soft touch).

Kuongororwa kweesophageal diverticulum

Nzira yakakosha yekuongororwa yekusimbisa kuongororwa ndeyekuongorora kwe-X-ray nekapu yeBarum. Zvishoma nezvishoma, endoscopy yeeophagus inoshandiswa nekuda kwengozi yekukuvadza pamadziro ayo.

Nzira yekurapa sei diverticulum yeeophagus?

Kuchengetedza kurapwa kweesophageal diverticulum kunoitwa munyaya yechinguva chiduku uye pasina kusangana kwematambudziko. Conservative therapy inotarisirwa kudzivirira kudya kunonoka mu diverticulum nekudzivirira kukura kwezvinokonzera zvirwere.

Chinonyanya kukosha mukurapa ndiko kuchengetwa kwekudya kunosanganisira kushandiswa zvakanyatsopwanyika, zvokudya zvishoma. Mushure mokudya, iwe unofanirwa kunwa mvura shoma kana tee isina kunyorera kuti "shandisa" "diverticulum".

Kuvhiya kwe esophageal diverticulum kunoratidzwa mumamiriro ezvinhu akadaro:

• kukura kwezvinetso (kubuda ropa, esophagus stenosis, kutaridzika kwefistula, kupera, kupindira, nezvimwewo);
• diverticula wekukura kukuru;
• Zvokudya kwenguva refu zvinonoka mu diverticulum pasinei nekukura kwayo.

Chinokosha chekurapwa kwekuvhiya ndiko kubviswa zvachose kweve diverticulum. Munguva ichangopfuura, mukuvhiyiwa kwemashoko, nzira dzemazuva ano dzekubviswa kwavo nekubatsirwa kwemavhidhiyo evhidhiyo dziri kuramba dzichipararira.