I-Achalasia cardia

I-Akhalasia (ehunyushwe kusuka kwisiGreki isho ukuphumula komzimba) i-cardia (i-sphincter ehlukanisa isikhala esivela ngaphakathi kwesikhala esiswini) yisifo lapho ikhono le-sphincter elingaphansi le-esopha lizokhululeka ngokukhululekile lapho ukudla kungena khona. Ngenxa yalokho, i-tonus ye-esophagus iyaphazanyiswa, kukhona ukubambezeleka ekudleni kokudla.

Izimbangela ze-achalasia ye-cardia

Izizathu eziqondile zokuthuthukiswa kwe-achalasia yenhliziyo azizange zifundwe ngokuningiliziwe namuhla, kodwa izici ezenzeka kakhulu kunazo zonke zenzeka:

• Izinguquko ezishintshashintshayo ezikhungweni zezinzwa ezibhekene nesimo;
• ukucindezeleka kwengqondo.

Izimpawu ze-achalasia ye-cardia

1. I-Dysphagia ukuphulwa kokugwinya. Isibonakaliso sokuqala nesiphikelelayo kulesi sifo. Ubunzima kwenzeka emasekhondini ambalwa emva kokungenisa, futhi ukuzwa okungajabulisi kwenzeka kungekho emphinjeni, kodwa esifundeni esifubeni. Kwezinye iziguli lesi sibonakaliso singase sibe yi-episodic futhi siphume ngokudla okusheshayo kuphela, kodwa ekugcineni sihlale sigxilile.
2. Ukuphindaphindiwe ukuphonswa okuvela ngaphakathi kwesisu nesisu. Kungabonwa kokubili ngendlela yokuvuselelwa, futhi ngendlela yokuhlanza, futhi kuvele ngokuqondile ngesikhathi sokudla, ngokushesha emva kwalo, noma kungakapheli amahora amabili ngemva kokudla.
3. Ubuhlungu ku-achalasia ye-cardia buyabonakala ngesisu esingenalutho noma ngesikhathi sokudla. Ubuhlungu bukhona endaweni yesifuba, kepha lunganikwa umhlathi, intamo, phakathi kwamahlombe.
4. Iphunga elimnandi elivela emlonyeni , isicanucanu, ukuqhuma kubolile, okubangelwa ukuqhuma kokudla okungaxhunyiwe kulesi sigameko.
5. Ukulahlekelwa isisindo , okubangelwa ukuvinjelwa kokudla, ukugwema ukungakhululeki.

Ngalesi sifo, izimpawu zihamba kancane, kodwa ziyaqhubeka ziqhubeka.

I-Achalasia cardia - ngezigaba

Ngokuya ngesilinganiso sokuthuthukiswa kwe-pathology, i-cardia alchasia ihlukaniswe ngezigaba ezine:

1. I-Achalasia cardia yezinga lokuqala. Kukhona ukuphulwa okungahleliwe kokudlula kokudla ngokusebenzisa isisindo. I-esophagus ngokwayo ayikhulisiwe.
2. I-Achalasia ye-cardia yezinga lesibili. Spasm of the sphincter futhi, ngokufanele, ukwephulwa kokudla kokudla, unomphela. Ukwandiswa kwe-esophagus kubonakala.
3. I-Achalasia ye-cardia yezinga lesi-3. Ngaphandle kokungahambi kahle, ukukhubazeka kwe-anatomical kuvela: izinguquko ze-cicatricial futhi ngenxa yabo yokunciphisa ububanzi be-esophagus, okwandisa okungenani kabili phezu kwesimo se-stenosis.
4. I-Achalasia cardia 4 degrees. Ukucaciswa ngokucacile kwesilonda se-cicatricial of the esophagus, ukuthuthukiswa kwezinqubo zokuvuvukala kwe-mucosa, ukubukeka kwezilonda emadongeni aso.

Ukwelashwa kwe-achalasia ye-cardia

Ukwelashwa kwalesi sifo kuncishisiwe ukubuyisela ubuciko obuvamile besifo:

1. I-Medicamentous. Unomlingisi osizayo futhi uhlanganisa ukuthatha imithi esusa isikhala semisipha ebushelelezi (iqembu le-nitrate), ama-antispasmodics, abaphikisi be-calcium. Muva nje, i-botulinum isxin isetshenziselwe ukwelapha i-achalasia yenhliziyo.
2. I-cardiodilation. Ukwandiswa kwamakhemikhali okwenziwa ngamakhemikhali ngokusebenzisa ukwethulwa kwe-balloon ekhethekile, etholakala emoyeni.
3. Ukungenelela kokuhlinzwa. Kunezinhlobo ezingaphezu kuka-25 zokusebenza zokuqeda i-achalasia yenhliziyo. Uhlobo lokuhlinzwa lugunyazwa udokotela kuye ngokuthi ukuthuthukiswa kwesifo kwesiguli esithile.
4. Ukunakekelwa kwe-achalasia ye-cardia ngamakhambi abantu. Kuyinto nje eyisizayo. Ukwandisa ithoni ye-sphincter, kutuswa ukuba uthathe i-tincture ye-althea, i- ginseng , i-eleutherococcus ekhishwe. Njengendlela yokusebenzisa izidakamizwa ezilwa nokuvuvukala kwezidakamizwa ze-alder kanye nembewu ye-quince.