Matenda a kholingo

Ngakhale chosavuta (kumlingo) kapangidwe ka kholingo, izo amachita ntchito yofunika kwambiri. Ndi mbali yake yaikulu monga yobereka wa mtanda chakudya mmimba mwa mundawo m'mimba.

Akutulukira matenda a kholingo udziyenda mosavuta pa zigawo anatomical kuti amayandikira kwa iye. Pafupi thupi anakonza mbali zofunika kwambiri m'thupi la munthu, monga carotid mtsempha wamagazi, ndi msempha, ndi pleura, trachea, ndi ena. Komanso, opaleshoni kuti ukulu ndithu amavutika ndi mwayi zovuta izo. Komabe, matenda esophageal monga chironda chachikulu kapena achalasia, ndi kuchizidwa physiotherapy, zakudya kapena mankhwala. Tikumbukenso kuti lero kukopa madokotala anachita pokha pokha kufunikanso kwambiri.

The njira angakwanitse wa maphunziro ofunika kwambiri mwambo matenda esophageal akuti ndi X-ray bwino. Pankhaniyi, wodwalayo kumeza mtanda wa wothandizila Mosiyana kuti limasonyeza contours thupi ndi kutsatira peristalsis ake. X-ray Kupenda ikuchitika mu zolosera oblique wa thupi, chifukwa chakuti pamene pali mwachindunji ziyerekezo radiographic layering mthunzi wa kum'mero pa mthunzi wa mediastinum lapansi. The yopingasa malo a wodwala molondola kwambiri kuunikira mawu, diverticulosis ndi tizilombo ting'onoting'ono thupi.

Matenda a kholingo, zambiri limodzi ndi kumverera kwa chidzalo, kuthamanga kapena chidzalo cha sternum lapansi. Komanso, pali dysphagia, ululu, regurgitation ndi belching. Akulimbana ndi kukhosomola kwambiri, hiccups, kutentha kapena magazi kumachitika kamodzikamodzi.

Pamene dysphagia kovuta kumeza ndi bolus kayendedwe ka chakudya kudzera kum'mero komanso pakhosi. Chifukwa mavuto amenewa pali ululu. Kuchedwa chakudya ingayambe ndi kusokonezeka (kufooka) minofu kamvekedwe, mapangidwe cicatricial constriction germinating chotupa kapena psinjika kunja kholingo. Kutsekeledwa chakudya umasokoneza thupi khoma, kuchititsa psinjika wa pafupi ziwalo mediastinal, plexuses makungwa mitsempha.

Nthawi ya ululu kugwirizana ndi cardiospasm amphamvu, zotupa khansa, kapena chironda chachikulu cha kholingo.

Belching zingachitikenso munthu wathanzi. Ndi chifukwa ingestion mpweya pa kudya chakudya. Nthawi zambiri Pomeza yambiri mpweya ankaikira anthu akuvutika gwero lachisokonezo. muzituluka hypersecretion amachititsa belching ndi okhutira acidic.

Pamene esophageal kusanza masanzi lili fodya ameneyu amatafunidwa ankachitira kokha komanso ntchofu ndi malovu chakudya. Kusanza kumachitika pamene kupinda, kutembenukira mbali yake kapena yopingasa malo a thupi.

Pamene thupi kuponya mu conductive acidic zili chapamimba amapezeka pyrosis (Timatha yoyaka ndi kutentha).

Education esophageal-tracheal kapena esophageal-bronchial fistula chifukwa cha abscess kapena chotupa cha kholingo.

Magazi kugwirizana ndi varicose aboma kutambasuka (chiwindi matenda enaake, kuthamanga mu dongosolo zipata aboma), zilonda m'thupi conductive kapena asamathe chotupa. Chifukwa, pali mofulumira kukhala ndi kutopa.

Nthawi ya Pomeza matenda, chifukwa kupewa kuchepetsa ndi amamuyambitsa timabala pamene kutumikiridwa akufufuza mpata amayaka mankhwala kholingo. Njira imeneyi umaimira thupi kutchinga ndi probes mphira. Kuona mlingo wa kuchepetsa esophageal amapangidwa pamene X-ray. Akufufuza mpata ali contraindicated odwala mwakayakaya. Contraindications ndi necrotizing esophagitis (kutupa chaukali) komanso mavuto mu mawonekedwe a aggravation ake ndi zachilendo. Pankhaniyi, kuchotsa kafukufuku pa kuda anachoka magazi.