Esophageal mate: Tohu me te rongoā

mohiotia pea mahi o te pū kai ki te katoa. E ai ki tenei kuware, i mawhiti tuatahi, te tinana horomia nekehanga kai tangata ki te kopu. Ka rite ki tahuri reira i roto i, mate esophageal, he tino matatini, me te momo nga tohu o e 'e lāulea ki roto i tenei tuhinga, rite reira ngāwari riro matia, me te tairongo ki nga hapa katoa i roto i to tatou kai.

Te mea faahiahia, te tangata, te iteraa tohu o te mate ka karanga te tinana, tino maha pēnei ratou ki te raruraru ki te puku, te ngakau tuaiwi ranei mate, a ki te whakapai ake i te āhuatanga, ngana ki te tiki ki te mohio ratou.

He aha te mea dysphagia?

Hei timata, kia titiro a ki te e whai tata mate katoa o te tohu pū kai.

Ko te tuatahi o ratou - dysphagia. Tenei ofatiraa o horomia, e meinga e i te mau faaapiapiraa mahi matū waro ranei i te ara o te kai i roto i te pū kai raruraru.

Tenei ofatiraa faaite te mana'o e titi te kai te i te wa o te horomia ranei irava o te puku. E te ara, kua reira ki te kia kitea i Afaq, i te mea he tohu o oti arai o te pū kai, me te titau maimoatanga ohorere.

tokopā

Tētahi atu tohumate o te mate te kopu me te pū kai he retrosternal sensation tahunga e horahia ki te kaki, a ētahi wā i roto i te ringa. Ko te tikanga, tokopā tahi e regurgitation (ejection) o tirotiro pekitīlia, me te he ongo e pīrori ake ki te poipoi mahana korokoro.

kino i muri i te kai tokopā, ina ngoto te manawanui whakamua, e te tūnga whakapae tinana ruwha ranei. A taea te iti tona kaha, ki te horomia noa huware, ki te hanga i te torutoru topata ano◊ino◊ihia o te wai ranei te tango patuwaikawa (pūmāota waikawa neutralizing mahi) te tikanga.

Ko te tokopā auau, me te kino - he tohu pono o raruraru ki te mahi o te pū kai, mo te tauira, ate Reflux waikawa pūhaumāota ranei, kaha o disorders tinana ki te totoro me tona mumura mucosal (oesophagitis).

odynophagia

Tetahi raru mahi o te horomia e puta i muri i te whaturei, - odynophagia, te nuinga o meinga e lesion mucosal mata o te pū kai. kia kitea te reira i te mamae pouaka mate hukihuki e pā ana ki e aki kai puranga pakeke. Odynophagia - he tohumate kore-motuhake, a pera i runga he uaua ki te whakatau he aha te ahua o te māuiuitanga i roto i te tinana whakaahuatia ko te take o te mamae.

e kore hoki Reflux he angamaheni esophagitis tohua tohumate, engari e taea te kitea i te reira i roto i esophagitis hopuhopu (tautautefito ki he taimi momo Candida, me herpes). Ki te te kitea ano i te wera matū, whewhe, me te mamae mate pukupuku i roto i te pū kai - te take mo te tohu rite i roto i enei take e ki runga ki te mata.

mamae pouaka mohiotia

He rerekē i tokopā odynophagia ranei mamae mohiotia. Rerekē te whakamutunga, i te ara, ka taea e hoki puta te reira ki Reflux esophagitis, me te i roto i te wā o disorders motility esophageal, pērā i esophagospasm. puta tenei tohumate rite i roto i ngā kai, me te māhorahora.

mamae tonu me te rahi i roto i te pū kai, nga take o nei e aparau i tatou i muri, kia waiho ai hei tohu o te mate pukupuku keha esophageal ranei. Ratau, i tetahi me te manawanui ano kia whai reira he pūāhua rerekē, i ētahi wā tūroro ara kitea reira fifi ki te whakaahua i to ratou mau mana'o.

I roto i ētahi wā, kia whai pānga te mamae pouaka ki raruraru mohiotia i roto i motility esophageal. I roto i tenei take, kia wheako tūroro atu me whanonga disorders, korekore, aitua me disorders psychosomatic me huru manukanuka.

regurgitation

Tenei tohu i whakahuatia i roto i te whakaahuatanga o te tokopā, rite ko reira he tohu o tona hoa. te tikanga puta Reguritatsiya kahore whakapairuaki me HWM hukihuki, me te nuinga o te wā tahi e maha o nga mate o te pū kai, me te puku.

Tohu whakarerenga o tirotiro pekitīlia ki te mangai tahi pathologies pērā i stricture esophageal diverticulum ranei. He Reflux Gastro-esophageal reguritatsii hono ki tetahi me te ahua i roto i te mangai kawa kawa ranei reka e he tika ki te kore o te sphincter esophageal.

Ko te tohu whakaahuatia mōrearea tirotiro pekitīlia popadenii ki te pūnaha romahā me te kia meinga te mare e kore anake, engari rāoa ano hoki. I te tahi taime e taea regurgitation meinga wawata kakā.

Me pēhea te ki te faaite mai i te mate matua o achalasia esophageal

Tohu o esophageal mata mate ki te mamae, me te pakeke o te whaturei, ahua regurgitation, Reflux, raruraru ki horomia, whakapairuaki, tokopā, halitosis tika ki te te pirau o kai i roto i te pū kai, kia tohu te takanga o te achalasia.

Tenei mate Kei te mohiotia ano rite "cardiospasm" me ko te māuiuitanga uauaio e apee te ofatiraa o te whakatuwheratanga o te sphincter, kei roto i te wahi o raro o te pū kai, me te e huaina cardiac. Ka rite ki te hua, e kore e taea e te kai taka ki roto ki te puku, reira meinga nga tohu i tabulahia i runga ake.

He unknown nga take o te mate. A i roto i ētahi wā, he huaki tata tona ahua, a i roto i ētahi atu - whakawhanake reira āta. Ko te whakaaturanga manawanui maha faa'aano ki achalasia, whakaiti ratou horomanga o te nui o te wai, mahi gymnastic, me ētahi atu

Ko te whanaketanga atu o te māuiuitanga titau te whakautu nui ki te pātai o te pehea, ki te hamani i te pū kai. Ki te mahi i tenei, te whakamahi i te tikanga e hāngai ana i te tango i ngā tauārai ki te wahi o te kai - cardiodiosis (poihau pū o te sphincter) ranei kardiomiotomiyu (kokoti hāparapara o te uaua sphincter). Ko hoki maimoatanga Drug te tikanga he pūāhua pŭpŭ tauturu.

Tohu me te maimoatanga o te spasm esophageal

kia whakawhanake Diseases o te pū kai, e whakaaro tatou te tohu i roto i te mahi noa o te sphincter. A, no te puta tenei i roto i tenei spasm okana, i te tikanga ko te hua o mate o te pūnaha kūnatu disorders io ranei.

I tenei mate amuamu te manawanui o te mamae o rerekē kaha i roto i te wa o te wahi o te kai i roto i te pū kai, me te horomia raruraru. E te ara, i ētahi wā puta te mamae i waenganui i ngā kai, me te ka taea ngāwari te raruraru ratou ki tohumate o angina.

Ko te whakamātautau o te pū kai i roto i tenei mate ko te nuinga o kitea tona deformation tika ki mamae uaua. rapu ēnei mate maimoatanga o te pū kai, tikanga momo, me, i roto i te tua, kia waiho te whakarite o te kai e tohu i, me taero antispasmodic, me nitrofuran me āpiha whakarokiroki. I roto i te take o raruraru tamau manawanui hiahiatia poihau pītore tafa ranei.

He aha te mea Reflux esophagitis?

Kei te karanga a hoki te mate esophagitis keté, me te āhuatanga e whiua nga tirotiro o te kopu ki te pū kai. Ko te take mo te taua ari ko kore o te sphincter raro. mahi auroa wai pekitīlia me ate he natula kaitaua, me te arata'i ki mumura me te ulceration o te mucosa, i roto i nei puta te mātānawe whāiti o te pū kai.

Ka rite ki te tikanga, puta āta te mate, me te te maha kitea i roto i ngā pēpi.

I roto i tenei mate nga tohu o te pū kai te nuinga o te wā whakakitea i roto i te puka o te tokopā me te sensation tahu i roto i te rohe retrosternal, e ai puta kia te urutanga mai piko atu, e takoto ana ki raro, i te wa o te kai paipa inu waipiro ranei ranei.

Ka taea te faingataa Esophagitis e toto (maha huna), wawata kakā me te nawe huringa i roto i te pū kai.

Hei tātari i tēnei ezofagogasteroskopiyu māuiuitanga whakamana me X-ray pārana. He maimoatanga e hāngai ana te whakakore i nga take matua o te esophagitis (pylorospasm, i roto i te whaturama piloroduodenalnyh hiatal stenosis ranei). I whakaritea ano hoki te manawanui taero e whakaiti kawatanga ( "Ranitidine" me "Famotidine"), waikawa me antispasmodics. Kai mo mate o te tohu i pū kai, me te mana hautanga.

whaturama diaphragmatic

I te tahi taime i roto i hē congenital ka riro i roto i te HWM ki te kōhao pouaka neke i te whekau puku - tautuhi i te āhua pērā i te rite te whaturama diaphragmatic. Ko reira tino noa whakawhanake i roto i te kuwaha esophageal. Ka rite ki whakahuatia i runga ake, ko te tohu o tenei mate i roto i te manakohia o Reflux esophagitis, me te toto huna me te huru anemia.

Me pēhea te ki te whakaora i te pū kai i roto i tenei take solves te tātaritanga tika te whakamahi i X-ray, me te endoscopy. Tikanga, he momo therapy, e hāngai ana ki te whakaiti Reflux. I roto i te wā o te whāiti o te pū kai toto ranei, wawao hāparapara.

mate pū kai o Barrett

A, no te te mamae i roto i te korokoro o te, i muri te whaturei, maka te tirotiro puku ki te mangai, tokopā, reka waikawa i roto i te mangai, mare ma'i me te whango taea te korero o te mate pū kai, e kiia nei ko metaplasia o Barrett.

E kore kua Ko te take, e whakaoho te whanaketanga o tenei mate kua whakapumautia, engari i kitea e ko te reira te panga rawa he pōauautanga nui no o te esophagitis Reflux Gastro-oesophageal (kōrapurapu). I tua atu, ko reira e taea tenei māuiuitanga e te hiringa mo te whanaketanga o te mate pukupuku.

metaplasia o Barrett tahi e tupu o te mata mucosal o ngā pūtau - nga pūtau ngohi te o te pū kai e whakakapi i ngā pūtau o te mucosa intestinal. Ratau, kua whakaaro reira he huru precancerous, ahakoa o te meka e mate pukupuku o te pū kai - he mate onge.

a Barrett metaplasia: tātaritanga me te maimoatanga o te mate esophageal

Ko te tohu, te maimoatanga o e titau tātaritanga tika, e hiahiatia ana metaplasia o Barrett ki whakapumautia e rangahau atu te roto i te puka o te endoscopy me unuhanga.

Hoki korokoro o tenei manawanui ki te whakauru ngongo kikokore motuhake i roto i nei e taea te tirotirohia i te pū kai, a ka tango i te reira i roto i o te tauira kikokiko mo te tātari muri o te pūtau.

I roto i te maimoatanga o te pū kai a Barrett te arotahi ko te tikanga i runga i te kōrapurapu maimoatanga whakapataritari metaplasia, me te te ārai o te mate pukupuku. Therapy kua te pūāhua taua rite mo te maimoatanga o hopu (waikawa me rongoā antireflux), engari ko te nui ake kaha. Ki te he te reira, tahi ki te kai therapy kore e kawea manawa, ka rite ki te pai kia rite ki i roto i te wā o te hara o whaturama, te manawanui, i huaina wawaotanga hāparapara te fundoplication (hanganga o te piha tāwhaiwhai).

Cancer o te pū kai

Diseases o te pū kai, nga tohu o e aparauhia i roto i te tuhinga - Ko te mate matatini, engari ko kore te māuiuitanga tino nui pukupuku.

I roto i te whanaketanga o te pukupuku matepukupuku i roto i te pū kai tākaro ratou he wāhi nui o te mumura ma'i i roto i te tinana meinga e whakaongaonga matū, waiariki aunoa ranei. He tūkino paowa, me te waipiro ake i te mōrea o te whakawhanake i te mate pukupuku i te 12 nga wa!

Ko te tikanga, i te timatanga o te mate he asymptomatic, a taea tenei tukanga tango ake ki te 2 tau. A, no te tupu i te puku ki te whānuitanga taua e te mea o vāofi reira te lumen o te pū kai, he tohu o ngā raruraru ki te wahi o te kai i roto i te tinana, ko te manawanui. Whakanuia dysphagia - ko te tohumate huru o te mate pukupuku. A, ki te i te timatanga o tona mate, puta ia anake, ki te horomia kokokiko, ruarua te kai maro, ka taea i muri i te manawanui whakamahi anake te hua i roto i te puka wai āhua-wai ranei ranei.

tohu Raraunga puta ino o te huru whānui: lethargy, mate o hiahia, mate taimaha. I roto i te whāiti koi o te lumen o te wāhanga i roto i te pū kai puta hoki salivation nui.

I roto i te tahi mau tūroro haere tahi te whanaketanga o te pukupuku, me te e sensations mauiui i roto i te hoki ranei muri te whaturei. Tikanga, puta ratou i te wa o te ingestion me i muri i te ia ngaro. Varavara e haere tonu taua mamae.

Maimoatanga o te mate pukupuku o te pū kai

Maimoatanga o mate o te pū kai, mate pukupuku o te pāngia whewhe ki raro ki te pokanga, radiation, me te hahau. I roto i te take tuatahi te manawanui ko tino wāhanga ranei pū kai tangohia. Tei te nuinga tenei i runga i te āhua o noa ko te tukanga. I tua atu, kei te nekehia atu taikiri i roto i nga rohe o te metastasis ahua. Heoi, kia kia contraindicated tenei tikanga o te maimoatanga i roto i te tahi mau tūroro (hei tauira, mate Cardiovascular whakararuraru o nga mahi pūnaha romahā ranei).

therapy radiation - anake te tikanga e taea te whakamahi ki te hamani i te nuinga o te tūroro ki te mate pukupuku esophageal (40% o ngā take ka taea te whakamahi i te reira ki te whakakore i te mau faaiteraa haumanu nui o te mate). Kei te nuinga whakamahia hahau mo te puka iti-kōeke o mate pukupuku.

He he ano hoki te therapy huinga i roto i nei ki te therapy radiation i mua i pokanga whakaiti i te nui pānga o te hohokitanga rohe, me te whakaiti tupu puku.

pukupuku Koló

I roto i te puku mārire i roto i te pū kai ngā puku epithelial me kore-epithelial. Ko te mate tika onge tenei, me to ratou āhuatanga ko te akoranga puhoi o te mate, me te kore o ngā tohu nui.

Ka rite ki te tikanga, te whakawhanake i enei pukupuku i te taiepa o te pū kai, me te tahi mau taime taka ki roto ki te lumen. Ko te tino noa i roto ia ratou he leiomyoma, me te wahi tuarua he neoplasms whēwhē.

Ko te tohu matua i roto i te aroaro o te pukupuku Koló Kei te piki haere āta dysphagia, a (i roto i te whanaketanga o polyps) sensation o ia i te tinana ke, e ai whakapairuaki, me te ruaki.

E kitea te nuinga o enei pukupuku i te tupono noa i roto i te whakamātautau radiological.

Ka rite ki he tokomaha o te mate esophageal, te maimoatanga o te pukupuku Koló heke ratou tango hāparapara, i roto i te tikanga ki te karo pōauautanga taea e pā ana ki te tipu puku. Tikanga, e tango wahi i waho kino ki te mucosa esophageal me he waitohunga pai.

Mallory-Weiss syndrome

A, no te maha faaite mai te mate o te pū kai, me te puku tohumate ratou na roto i te ruaki gagging ia ranei. I te tahi taime te manawanui i tenei wa i reira ko te mea kiano i matao i roto i te membrane mucous o te huinga esophageal-pekitīlia. huaina tenei māuiuitanga i roto i te rongoā te te syndrome Mallory-Weiss.

Ka rite ki te tikanga, ko reira he faaiteraa o te mamae nui i roto i te pouaka, me i puta i te toto ruaki. Ahakoa mutu i runga i ona ake te nuinga o nga patunga toto, kia falemahaki he manawanui taua wawe ki te karo i pōauautanga nui.

Ka rite ki inoculated mō te rongoā whakamahia Syndrome vasoconstrictors, a hoki, ki te tika, electrocoagulation.

Malformations o te pū kai

I te tahi taime tika e pā ana te mate o te paeoro me te pū kai ki abnormalities i roto i te whanaketanga o te whakamutunga - ki te underdevelopment o tona āhua, te rahi ranei te tūranga he.

Tikanga, whakakitea taua māuiuitanga i whāiti o te pū kai, te aroaro o congenital tracheal fistulae esophageal, a ētahi wā i roto i te katoa ngaro o te tinana whakaahuatia. Kia aroha mai, te whanaketanga o te māuiuitanga esophageal taea mekameka noa te hou ki te hemokai, na e hiahiatia ana pokanga te ki te maka o ratou.