Zizindikiro, matenda ndi mankhwala a dysphagia esophageal

chodabwitsa A limene munthu amakhala kusapeza pamene Pomeza kuchita kapena kumeza chilichonse (chakudya, madzi, malovu) amatchedwa dysphagia. Single mawonetseredwe a boma akhoza kuchenjeza munthu, ndipo ngati chodabwitsa yakula nthawi zambiri, m'pofunika dokotala ndiponso kuchiza dysphagia.

Musati kusokoneza dysphagia woona ndi psevdodisfagiyu. Achedwa mu mmero kapena kuseri kwa breastbone anamva "mtanda", ndi ndondomeko kumeza yachibadwa. Chodabwitsa dysphagia kawirikawiri zimathera kusintha chisokonezo maganizo pamodzi ndi zochita mafunde maganizo (mokweza kuseka, kulira, kulira), clouding chikugwirabe, khunyu, komanso mabele ndi mtima matenda.

Zizindikiro za dysphagia esophageal

Chithandizo tikambirana mwatsatanetsatane m'munsimu. Ndipo pamene ife kufotokoza zizindikiro za matenda.

Kulakwila Kukwezeleza mtanda chakudya kuchokera mkamwa mwa kholingo, kapena, monga ife kale amatchedwa zodabwitsazi - ndi dysphagia woona kumachitika chifukwa chiwonongeko cha malo mitsempha omwe amalamulira Pomeza ndondomeko, imbaenda ku unbalance la ndondomeko lamavutoli. Chifukwa, pamene inu muyesera akudya bolus ndi nkhani zake mu kapepala kupuma (mphuno, pakhosi, trachea) osati kholingo. Izi zimayambitsa kuphipha wa Airways, mphumu ndi amphamvu chifuwa reflex.

Matenda ya ubongo monga irritability kapena mantha matenda, angachititse zinchito dysphagia. zizindikiro zake zimachitika sporadically, odwala kusonkhana ndi phwando mtundu winawake wa chakudya (mwachitsanzo, molimba, lakuthwa, madzi ndi zina zotero). Thirakiti kupuma osazindikira chakudya, koma kumeza ndi zovuta, ndi kufalitsa kum'mero kugwirizana ndi zomverera chowawa ndi zosasangalatsa. dysphagia chithandizo ayenera kukhala zovuta.

Zimayambitsa dysphagia

The ndondomeko ya kumeza akhoza kugawidwa mu magawo atatu:

• m'kamwa (umasinthasintha) pamene munthu asaaonerera ndimweko a iwo okha;
• pharyngeal (mofulumira musanaganizire), pamene pali kusalankhula munthu mwamsanga ndimweko;
• esophageal (musanaganizire wosakwiya) ndi wosakwiya kusalankhula Kukwezeleza chakudya kudzera kholingo.

Pamene mantha dysphagia chithandizo umalimbana chilangizo ndi psyche anthu. Mchitidwe wa Pomeza ndi dysphagia esophageal si wosweka, koma patsogolo pa izo zimayambitsa kupweteka pamwamba pa mimba, kutentha, belching. Komanso, pali regurgitation, pamene zili m'mimba n'kuzisonkheza pakhosi ndi pakamwa, n'kuchititsa kukoma zosasangalatsa pakamwa. Kulimbikitsa regurgitation kumachitika mu oblique udindo wa thupi, kuphatikizapo akagona, ngati chakudya chinali maola awiri pamaso zina usiku.

Dysphagia akhoza limodzi ndi zizindikiro monga hoarseness, mkulu slyunoobrazovanie ndi suffocation. Esophageal dysphagia ndi zambiri amakwiya chakudya cholimba. Odwala amanena kuti ndi kosavuta kumeza pamene zapivaniya madzi kapena phwando pasty kapena chakudya madzi. Ngakhale pali milandu kumene chakudya madzi anachititsa dysphagia, zizindikiro ndi chithandizo ndi yofunika kwambiri.

mitundu ya matenda

Malinga ndi ndondomeko otaya danga olekanitsidwa dysphagia zotsatirazi mitundu:

• oropharyngeal (kovuta kayendedwe ka chakudya mu kholingo, kumeza wosweka gawo umasinthasintha);
• pharyngoesophageal (kobvuta ndi yoperekera chakudya kum'mero wosweka mofulumira musanaganizire ingestion gawo);
• oesophageal (gullet imavuta ndi ndime ya chakudya, wosweka, wosakwiya gawo la kumeza musanaganizire).

Dysphagia amadziwikanso lophatikizana ndi ubwamunalo linagawanika mu:

• organic (chifukwa chake ali mbali kumtunda kwa m'mimba thirakiti kudwala);
• zinchito. Anamuona pa nkhani ya matenda chapakati mantha dongosolo, malinga palibe zopinga mawotchi ndimeyi opanda chakudya.

Chithandizo cha dysphagia zinchito chimagwirizanitsa yamaganizo kapena katswiriyu ndi gastroenterologist a.

Zimayambitsa matenda pathological

Nthawi zambiri chitukuko cha dysphagia ndi chizindikiro cha matenda a kholingo. Ena mwa iwo:

• Esophagitis - kutupa kwa akalowa la kholingo.
• Gastroesophageal Reflux matenda (GERD). Mu matenda, zili m'mimba mu mumapezeka kum'mero, mtima makoma ake.
• Protrusion esophageal khoma (diverticula).
• Cicatricial kuchepetsa wa kholingo, zomwe zinachitika pambuyo kuchiritsa mankhwala amayaka chifukwa cha ingestion asidi kapena soda. Pambuyo zimakhudza zotanuka esophageal minofu m'malo mwa connective, Ayala zoipa ndipo safuna kulimbikitsa ntchito chakudya kudzera kholingo.
• zotupa zilonda za kum'mero ndi m'mimba. Monga ulamuliro, izo mofulumira kukula, kumera mwa pafupi ziwalo chotupa.
• Achalasia. Posasangalala chakudya bolus kudutsa ku mmero mu mmimba, chifukwa lagona aakulu neuromuscular matenda a kholingo.

Dysphagia ungayambenso pa maziko:

• matenda a outflow venous magazi chiwindi (oopsa zipata), varices esophageal ndi kwa chiwindi insufficiency (chiwindi imaleka kugwira ntchito chifukwa pachimake kapena aakulu chiwonongeko ndondomeko ya maselo ake);
• esophageal choipa (kuwonongeka kwa kum'mero kuchokera mkati, mwachitsanzo ngati kuwameza chinthu lakuthwa, kapena gunshot chilonda tsamba pachifuwa, etc.);
• kuchepetsa kunja kum'mero, zimene zimayamba ndi aneurysm wa msempha (kung'ambika kutambasuka), mtima zikuluzikulu, mediastinal zotupa - Dipatimenti ya chifuwa, lamanzere ndi lamanja la kuwala zochepa, kutsogolo kwa sternum, ndipo kumbuyo msana. Mmenemo ndi kum'mero, trachea, ndi mtima ndi thymus (chitetezo limba).

Amafunika chithandizo cha dysphagia pambuyo sitiroko.

Komanso, dysphagia zingachititse zotupa pathological wa oropharynx ndi:

• kutupa;
• Angioedema (aakulu awo sagwirizana anachita chitukuko cha yaikulu chikhalidwe edema wa m'phuno ndi pharynx);
• zilonda zapakhosi (zilonda zapakhosi);
• matupi yachilendo (miyala, zidutswa za chakudya, etc.);
• ziwalo minofu pharyngeal. Kumachitika kawirikawiri pambuyo ngozi cerebrovascular (sitiroko), kukhala pa maziko a atherosclerosis (clogging cerebrovascular atherosclerotic mipukutuyi). Kungakhale chifukwa zotupa ubongo, komanso khomo lachiberekero choipa msana. Zonsezi zimayambitsa esophageal dysphagia. Kuchiza ndi kupambana kwake zimadalira matenda zolondola.

njira matenda

Matenda a matenda zinthu zotsatirazi:

• Collection madandaulo ndi mbiri kuchipatala mfundo izi: nthawi chiyambire matendawa nthawi zonse linaphwanya kumeza yopweteka kwambiri ngati Pomeza, kaya pachifuwa kusapeza pakudya, amene wodwala zikugwirizana anachokera, mavuto alionse nawo pa Pomeza zakudya chokha cholimba, ndipo tsopano madzi kapena chinachake.
• Analysis mbiri ya moyo: matenda wodwalayo, ngati wotuluka anali esophageal amayaka, kutupa kwa m'mimba (gastritis), matenda a m'mimba thirakiti.
• Analysis cholowa mbiri (anaona ngati matenda mwamsanga mabanja a thirakiti m'mimba, matenda makamaka esophageal).
• Anayendera wodwala, kufufuza mosamala wa M'mimbamo m'kamwa, kumverera (palpation) kuti lymph mfundo pakhosi kupeza dysphagia syndrome. Matendawa ndi chithandizo cha matenda ayenera kukhala yake.
• General ndi amuzolengedwa magazi mayesero - kwa kudziwa mlingo wa hemoglobin (mapuloteni amanyamula mpweya), maselo ofiira, maselo oyera (kuwonjezeka kumasonyeza pamaso pa ndondomeko yotupa) komanso kulamulira impso, kapamba ndi chiwindi.
• Coprogram - tosaoneka Kupenda ndowe (mowerengera wapezeka makombo a chakudya undigested, CHIKWANGWANI yosakongola, mafuta).
• Laryngoscopy: ntchito endoscope zithunzi anayendera wochititsidwa kumbuyo kwa mmero.
• Upper endoscopy (EGD) - Kupenda ndi zida gastroscope duodenum, m'mimba ndi kum'mero, mu phunziro ili ndi mwayi chidutswa cha mucosal biopsy.
• Ultrasonography (US). Kuonanso boma ziwalo m'mimba (m'matumbo, ndulu, impso, kapepala biliary, m'mimba, kapamba) ndi kupeza zomwe zingayambitse wa dysphagia.
• X-ray Kupenda kholingo. Ndiponso limachititsa kuti azindikire matenda ena kapena zinthu zimene zingachititse kuti vuto Pomeza.
• Barium mankhwala - X-ray mosamala kum'mero ndi oyamba wothandizila Mosiyana, momveka zimaonekera pa cipangizo. Azindikire constriction kapena kutsekeka kwa mankhwala kum'mero.
• Kujambula (kulingalira maginito kumveka) a ubongo ndi ubongo electroencephalography imachitika kudziwa pathologies ya ubongo, ngati mosamala mtima ndi dysphagia anapezeka vuto lililonse mawotchi patsogolo bolus oropharynx ndi kum'mero.

Odwala matenda Pomeza kwenikweni kufunsa madokotala: otolaryngologist, katswiriyu, gastroenterologist.

mankhwala a dysphagia

mankhwala (ntchito mankhwala) ndi mankhwala a. Nthawi zambiri mankhwala zoletsa kuti achepetse acidity wa zili m'mimba ngati izi chifukwa cha dysphagia. Amafunikanso mankhwala a kutupa kwa pharynx ndi kum'mero, zomwe zinachititsa kuti kuphwanya kumeza. Kukonzekera chithandizo cha dysphagia kukhala akapitawo dokotala.

chithandizo opaleshoni

Ziyenera kukhala opaleshoni kuchotsa zotsatira kum'mero amayaka chifukwa cha chidule chake, kutupa, zotupa. Other njira kuthetsa zopinga izi zimene zimaipitsa ndondomeko kumeza kulibeko.

Ngati wodwala pa kuchira zotsatirazi sitiroko salola zochizira opaleshoni ya dysphagia kuthetseratu chifukwa (mwachitsanzo, esophageal zotupa), nthawi chochitika ikuchitika kuti atsogolere mtima bwino.

Kodi n'zotheka ndi dysphagia chithandizo cha mankhwala wowerengeka? Pa lino.

njira Traditional mankhwala

Kuthana ndi zizindikiro zosasangalatsa dysphagia ndi mankhwala azitsamba kudzakuthandizani. Pamaso pa chakudya ayenera kumwa decoction a zitsamba lomwe lili ndi zotsatira pansi anthuwo:

• Siimakupiza cones - '25
• Peppermint masamba - mu '25
• Rosemary masamba - '20
• Valerian muzu - '30
• Therere St. John wa liziwawa - 20 ga
• Ndimu mankhwala masamba - '25

Collection ayenera kusakaniza bwinobwino, 1 supuni pa madzi ndi kutsanulira 1 chikho madzi owira, kumva kwa maola awiri. Ndiye kulowetsedwa wa mavuto chofunika. Tengani kotala chikho katatu pa tsiku kwa theka la ola pamaso chakudya.

katundu Antispasmodic ali ndi belladonna tincture (ndi belladonna). Amafuna kuti atenge 5 madontho katatu pa tsiku kwa mphindi 5 asanadye.

Pali mankhwala wina ndi katundu ofanana:

• Muzu ndi pomwepo kenaka ragwort latifolia, '15
• Therere ephedra, '20
• Motherwort therere, '20

Milled mlandu madzi okwanira ozizira kwa maola anayi, ndiye usavutike pa moto kwa mphindi ziwiri, utakhazikika, osasankhidwa. supuni awiri zikuchokera chifukwa chofunika kutenga mphindi khumi chakudya.

Pamene dysphagia chithandizo dziko sikuti kuthandiza, choncho onetsetsani kukaonana ndi katswiri.

Kodi m'gulu chakudya?

dysphagia mankhwala zovuta, kotero kuti atsogolere thanzi la mphamvu ena ayenera kutsatira malamulo.

• Fractional kumwa chakudya chakudya chochepa.
• Mosamala onongani kapena kutafuna chakudya.
• Kuwonjezeka kwa voliyumu ya madzi kudyedwa.
• Kukana kwa zakudya limakhumudwitsa Kakhungu mucous ya kum'mero (lakuthwa, mchere, zokometsera, ozizira kapena otentha), kudya chakudya ozizira, khofi wabwino ndi tiyi, fizzy zakumwa ndi mowa.

Kungafune bougienage - mobwerezabwereza kutambasuka kwa kum'mero lumen buzhom, extenders wapadera. Icho ndicho chiri mankhwala a dysphagia.

Zotsatira ndi mavuto

• Lekeza kupuma kulephera nthawi zina kuima amphumphu, chifukwa cha chotupa cha kholingo, compressing ndi trachea (thupi lomwe amakhala mpweya m'mapapo).
• kutupa kwa kum'mero (esophagitis).
• Zilonda zotupa (mofulumira ndi kufalikira thupi lonse) ya kum'mero kapena gawo koyamba kwa m'mimba.
• Kukhumba chibayo, pamene kuphwanya kumeza ntchito ya nkhani za oropharynx ndi oponyedwa mwa mphuno mu mapapo ndi trachea, ndipo linanena bungwe ndi chitukuko cha chibayo, kutupa m'mapapo.
• M'mapapo abscesses (atazunguliridwa ndi zilonda zoteteza kapisozi) zimene zimachitika pamene zili m'mimba kuponyedwa mundawo kupuma ndi kulimbikitsa kutupa.
• M'mapapo mwanga fibrosis ndi kuphwanya dongosolo la kuwonongeka m'mapapo minofu chifukwa nkhani zake m'mimba (ndilo Acidic) omwe ali kumeneko pambuyo akuponya chifukwa chakhungu kumeza.
• kuwonda chifukwa ochepa zakudya ukubwera.
• Kuchepa kwa thupi madzi a mtima kapena ludzu.

Tafotokoza matenda, monga dysphagia. Matenda, zizindikiro, chithandizo, anafotokoza m'nkhani ino.