I-Achalasia yesifo sisifo esibonakaliswe ukungonakali kwemisebenzi yeentsimbi ezithintekayo zokuvula i-sphincter engaphantsi njengoko ukutya kuthethwa. Ngenxa yokuncipha komsebenzi wemoto yesigxina, ukutya okugxinyiweyo kukuphazamisa, okukhokelela ekuvezeni ukucima. Oogqirha abazange bamise izizathu ezithile zezi zifo. Nangona kunjalo, into ebalulekileyo kukuba kubakho iingxaki ezinzulu zeengxaki.
Achalasia yeempawu zeempawu
Ukuqaphela i-achalasia ingaba kwezi zizathu zilandelayo.
- I-Dysphagia, apho kwezinye izigulane zibonakalisa ukuba isifo sifana, kanti ezinye zivele ngokukhawuleza. I-Dysphagia ikhula ngokutya okukhawuleza kokutya, ngokungeniswa kweengxube ezingekho kakuhle kunye nokusetyenziswa kokutya okumeleyo. Kwiimeko ezininzi, i-dysphagia iyaphazamiseka, apho isigulane esingcono sithatha ukutya okunzima kunokuba itywala.
- Ukuphindaphinda (ukuphindaphinda) kuqhelekileyo kwi-achalasia yesigxina. Isizathu saso senzeke ngokukrakra okugqithisileyo kwe-esopha xa kugcwele ukutya. Ngenxa yoko, izigulane zihlala zihlanjelwa ukuxhatshazwa nokuhlaselwa ukukhwehlela ebusuku.
- Kwesinye isibonakaliso se-chalasia kunye ne-achalasia ye-esophagus intlungu yesifuba nokuguquka . Okubhaliweyo okubangela ukuvakalelwa, okunika emva nasentanyeni. Ngokuqhelekileyo ubukho beentlungu zidibanisa ne-reflux. Nangona kunjalo, nge-achalasia, ukutshaya kwentlungu kungenzeke ngokukhawuleza emva kokutya, kwaye ukuthatha imishanguzo akunakho iziphumo.
Ukuxilongwa kwesi sifo
Ukuqatshelwa kwe-achalasia ye-eopopus kwenzeka nge-radiologically. Kwiimigangatho esezantsi kwesifo, ebonakalayo ngegalelo elibanzi, uviwo lubangela ukuba kunyuke ukwanda kobunzima bomthunzi womlambo ikakhulukazi kwicala lokunene, ubukho bombhobho wamanzi kunye nomoya.
Ukusetyenziswa kweemvavanyo ze-X-ray kusiza ukuchonga iintlobo ezahlukeneyo zobume be-achalasia kunye nokusekwa kwesigaba sesifo. Ukucacisa ukuxilongwa kungabikho kwezi zimpawu ezilandelayo:
- ukwandiswa kwesithunzi se-esophagus, ebonakalayo kwinqanaba layo;
- ukunyamalala okanye ukunciphisa kakhulu umthamo we-bubble bubble esiswini
- Inxalenye yesisu iyancipha, yenza i-funnel;
- ukuphulwa komsebenzi wemoto yesigxina;
- ubukho kwiindawo ezikhoyo zokutya, amanzi;
- Ukuvulwa kwe-cardia kwenzeka emva kwexesha elide.
Achalasia yonyango
Unyango lwe-achalasia luquka iindlela ezininzi:
- Ukulwa nemichiza, engayiphilisi ngokupheleleyo le sifo. Ngokwenene, ukuwamkela kwabo kunceda ukujamelana nezibonakaliso zeklinikhi zesifo. Isigulana sithatha i-sedatives, iivithamini, ihambelana nokutya.
- Kanye kunye nokuthatha imishanguzo, isigulane esinama-ahalasia esophagus sinokuthabatha unyango ngamayeza omntu. Ukulungelelanisa i-sphincter esezantsi, kucetyiswa ukuba uphuze izithambiso ze-magnolia, i-eleutherococcus, i- ginseng . Ukuthintela ukuphuhliswa kweenkqubo ezivuthayo, sebenzisa
ukunyuka kwe-oregano, i-althea ingcambu, imbewu ye-quince. - Ukusebenzisa i-dilator ye-pneumatic ikuvumela ukuba wandise i-cardia. Ibhaluni evezwe esiswini igcwele umoya kwaye iyakhula ngokukhulu. Ngaloo ndlela, i-lumen ye-esophagus iyaba ngakumbi. Phantse kwiipesenti ezisibhozo zamatyala le nkqubo ivumela ukuba kube lula imeko yesigulane kunye nokuyikhupha.
- I-cardiomyotomy emibini yecala yenziwa xa isicelo se dilator singaniki iziphumo ezilungileyo. Le nkqubo inokubandakanywa, okukwenziwa kwinqanaba le-distal. Le ndlela inefuthe elihle kwi-achalasia ye-esophagus cardia kunye nonyango lwayo. Ukubuyisela kubonwa ngamaphesenti angama-90 ekhulwini.