Pū kai, whāiti o te pū kai: Take, Tohu me te rongoā

Stenosis, whāiti ranei o te pū kai, - he whakaiti i roto i tona diameter. E nehenehe te reira i te Etymology rerekē. Stenosis, kua huaina hoki a reira arai o te pū kai, kua wehea ki te maha ngā rōpū, e whakawhirinaki i runga i nga take o te mate. Ka taea e tēnei mate te whakawhanake rite ki te hua o injuries o te wahi gastrointestinal. Waiwai māuiuitanga kia takoto puku pū kai (Koló mārere ranei). Tīmata te whanaketanga o te mate e taea wawaotanga hāparapara, i muri nei noho nga tohu. Rua ngā pakeke me ngā tamariki ka taea e mamae i te pū kai. maha ai whāiti o te pū kai takahi o te mahi horomia (dysphagia).

He aha te mea te whāiti o te pū kai

Hei matau aha te mea he māuiuitanga, kia whakaaro koe te hanganga kikokiko. He aha te mea te pū kai noa? whāiti o te pū kai i reira ko nga wa katoa he māuiuitanga? Kia tūhura i te.

Ko te pū kai, ko te wahi o te pūnaha kūnatu. mahi ia i roto i te tangata whakatairanga mahi tinana o kai i te mangai ki te rohe puku. Kei te hoki tika whāiti te pū kai hauora, e kore e pokanoa ki te whakatairanga o te kai.

here kikokiko 3 wehea:

• pharyngeal;
• diaphragmatic;
• arahau.

I tua atu, i reira he whāiti whaiaroaro o te pū kai. E meinga ratou e te reo o te kiko uaua. I olungá te rāhuitanga ngaro.

E tū ratou:

• i roto i te rohe huinga esophageal me pekitīlia;
• i te pūtahitanga o te haoraora me pū kai.

Māuiuitanga - he whāiti nui e te tāwari i te wahi o tini kai.

Ko te take o te mate

Ko Stenosis o e rua nga tu:

• hao;
• congenital.

I roto i te 90% o te wā katoa e pāngia māuiuitanga riro o Etymology rerekē.

Rauemi mate congenital

mamae ēnei tūroro i pū kai whanau. Kei te pāngia whāiti o te pū kai, te tikanga i roto i te kōhungahunga. puta stenosis congenital i te wā o te whanaketanga o te kukune noa whanautanga.

Ko te take matua o tenei māuiuitanga e:

1. Mārakerake ki matū kino i runga i te whaea expectant. matū-whare, penehīni, waikano taka ki te tinana te wahine a, pā te whanaketanga o te kukune, a taea meinga ine.
2. irradiation X-ray. ai hoki Mārakerake radiation rerekētanga mutational i roto i te tinana. Tenei he aha e hua'tu counter wahine hapu whakamātautau X-ray.
3. Ki te ine taea meinga hoki he momo o te mate. Tenei wheori (hei tauira, kōpukupuku), huakita me te kararehe pūtau.

Take o mate riro

Ka taea e māuiuitanga whakawhanake i roto i te tamarikitanga, me i roto i te pakeke nui. kia tika ki te maha take stenosis riro. Ko te taea ki te faaite mai ano i roto i te pathologies tino iti e pa ana i te pū kai ia.

whāiti o te pū kai pinepine puta rite ki te hua o mariao. I muri, timata enei horo zarubtsovyvatsya. Ngā wāhanga i reira e hanga e tohu, tino kino heke, ka rite ki te hua o te kai e kore e taea te neke noa. kia à te tukanga taua te māuiuitanga. I roto i tenei take, whakatau whāiti cicatricial o te pū kai.

kia hua mariao i te āhuatanga e whai ake nei:

• axial whaturama hiatal ;
• gastritis ma'i me te whewhe pekitīlia;
• toxemia i roto i te hapū, haere tahi nei i te pūpū purua;
• mate Reflux gastroesophageal ;
• scarring o te taiepa esophageal i muri i te pokanga;
• takahi o te mucosa.

Ka taea e Stenosis meinga mumura o te pū kai meinga e te kătahi o mate. Ka taea e māuiuitanga whakawhanake i runga i te whakamārama o te pakewakewa, ngangana kirika, mate kohi me te te diphtheria.

Injuries, pērā i weranga matū waiariki ranei o te pū kai, nga taiepa o taputapu pakaru atu tūemi ranei e ai hoki hei te take o te mate. Ka taea e maumaui puta noa, ki te hē pūkenga o te wahi gastrointestinal. titau wera esophageal maimoatanga tika me te wā. Kore, ka taea e arahi i te reira ki te whāiti.

He nui iti pea ngā āhuatanga e awe te whāiti o te pū kai, he:

• waewae o te kaipara;
• radiation therapy;
• collagen;
• Sclerotherapy o uaua tīponapona.

kia kia fakahā te rāhuitanga i te ahua o te pukupuku. Kia aroha mai, mate pukupuku esophageal - ko te māuiuitanga noa. Heoi, ko reira tino uaua ki te hamani.

whakatika hoki māuiuitanga mō take o whara me mate e kore e e pā i te pū kai. Te reira i aneurysm te pūtahi o, taikiri rahi, puku mediastinal, wāhi o oko he.

te tohu o te whanaketanga

E wāhanga wha o te whakawhanake i tēnei mate:

1. Ko te tohu tuatahi o te stenosis. Ngāwari whakaorangia, ngā kōrero arä ki te gastroenterologist. I tenei wā, heke te diameter o te pū kai te ki 9 mm. papatipu kai haere, engari ki te uaua.
2. vāofi pū kai ki 6 mm - Tuarua tohu.
3. Ko te tohu tuatoru o whāiti o te pū kai puta ki te 3 mm.
4. Ko te tuawha tohu - te whāiti o te pū kai ki te 1 mm hanga mate tino. I tenei wā o te mate pau kai kore e digested e te tinana, me te stagnates i te whēkau, te mutunga kohikohi kumete i nei e hanga e tāoke, e pa ana i te tinana tangata. Ahakoa, ki te rāoa tangata huware horomia i runga i cramps, breathlessness me te maremare patua.

Ko te tohu āhuatanga

Ko te matua te tohu o te takanga o te stenosis te ofatiraa o te tukanga horomia.

Ētahi atu tohu autaki e tohu i te whāiti o te pū kai:

1. Regurgitation waiu nestvorozhennogo hou. Ki te kore e te waiu tetepe, na e kore e taea te tiki i te reira ki te kopu. Ka taea e whāiti esophageal congenital puta kē i roto i pčpi particulates kei roto. I roto i tenei take, kahore te tamaiti ki te kai, Burp maha, kua ia he pūpū purua.
2. I roto i te pakeke i reira he mamae pouaka e puta tika ana ki te ahotea o te uaua pū kai, ka ngana ki te pana kai i roto i te constriction, i runga i te puku.
3. salivation nui (hypersalivation) - he tauhohenga ki te papatipu o te kai e kohikohi i roto i te pū kai, kahore te taea ki te haere i runga i ki te puku.
4. Whakapairuaki me te ruaki.
5. Wehe o te rōrahi nui o hūpē i te ihu.
6. Te whakaiti ohorere i roto i te taimaha meinga e te ngangau i roto i nakunaku, kia ngoikore haere kai i roto i te pū kai, a patua ia i roto i te kopu. Ki te whakawhanake i tēnei huru beriberi. cachexia (emaciation o te tinana) kia whakawhanake mate nui.

Ka taea te faingataa Stenosis i te kakā. E mea pinepine, i roto i tenei huru i roto i te Airways whiwhi paraire o kai. Ka rite ki te hua, kia whakawhanake i te mate mumura nui o te pū kai, a tae noa meinga ai ki te whaturama toto. rapu peheé pōauautanga wawaotanga akiaki hauora.

tikanga o te tātaritanga

E whakamahia tikanga e rua ki te whakatū i te whāiti o te pū kai:

1. Endoscopy. Ko te ako ka whakatauria whāiti diameter. Ki te stricture esophageal i hanga (scarring), ka tenei rangahau tino mōhiohio. āhei te reira ki a koutou tirohia e ngā te mucosa. I tua atu, mahi he unuhanga te.
2. X-ray. Kua Hua ki te whai wāhitanga o te pārana. Fakahā whakakī hē, kāmataga te tinana rerekē.

kai muhu

I tetahi wāhanga o stenosis, kia mohio ki te piri ki te kai. Me koe ki te kai i te hautanga, wahi iti, me te maha. Mai i kai ki te aukati kai katoa e taea meinga uaua i roto i horomia a ko te kupu meinga whakahēmanawatanga.

Kaua e kainga te kai wera, kia waiho reira mahana. Ko te rite o te rihi - te wai, āhua-wai ngohengohe ranei. I roto i tenei take, me riro te tinana nga huaora tika katoa kai me ngā kohuke.

maimoatanga mate

He aha whakaora e tūtohutia ki te tūroro e pāngia whāiti o te pū kai? Waihanga ki pathologies - te toronga o te rohe pakaru.

He mea nui e kore e ki te wareware te kai. Tae noa te faaoraraa, e hiahia ana koe ki te kai kai wai, me te āhua-wai anake.

Ki te reira te mea he stricture keté o te pū kai, whakaatu ana te manawanui patuwaikawa me āpiha here.

Heoi, therapy momo uaua arata'i ki te whakaoti i whakaora. Nuinga o ngā wā kei te whakaritea te reira mo te faaineineraa manawanui mō te pokanga.

Bougienage (toronga tāwhaiwhai i te tikanga o ngā pūrere motuhake) whakamahia i roto i te hui i kitea he puku Koló o te pū kai. I roto i te maimoatanga te rahi o te bougie haere āta puta ke ki te tetahi nui.

I roto i te kaupapa o fifi superimposed gastrostomy ki te whakarato i tūroro kai tōtika tika taea.

Esophagoplasty - he transplantation whēkau rohe te kopu ki te pū kai ranei.

I roto i ngā take kino, ina te rawa pau te tinana, te whakahaere i te mahi ranei, e kore e taea, kua whakamana gastrostomy. I roto i tenei take, e taea ana hoki kia whangaia enterally te tinana ko.

ārai mate

Ko te pānga o te maimoatanga tei runga i te whāiti o te pū kai o modalities whakaora. Resection o stenting esophageal me e whakaaro nga tikanga pai o te maimoatanga o tenei mate.

I muri i bougienage me endoscopy kia wheako relapses.

Prevention o stenosis tā maimoatanga arä ka nga tohu tuatahi o te mate.

he mea nui ki te mahi ki mate e taea meinga whāiti o te pū kai. Āta karo te rongo ki te pū kai o ngā matū, me te tahi atu matū kino. Ārai i te pū kai i te patua e te ngā ke.