Inqubo yokugaya okuvamile ixhomeke kakhulu esimweni sesimo. Ngaphezu kwalokho, noma yikuphi ukungalungi ekusetshenzisweni kwayo kuholela ekubhekaneni nomsebenzi wezitho eziseduze zesisu esiswini, se-thoracic kanye ne-mediastinum. Okuyingozi kakhulu kuleli cala ukuqina kwesifo, okuyinto yokunciphisa umzimba we-lumen, ukuvimbela ukudlula kwesidumbu.
Izimbangela ze-stenosis esophageal
Izinto ezibangela ukuthuthukiswa kwesifo esibuzwayo:
- ama-embryonic malformations of the esophagus;
- reflux esophagitis ;
- izilonda ze-peptic cicatrizing;
- i-hernia yokuvulwa kwe-esophageal ye-diaphragm;
- i-gastritis engapheliyo;
- i-toxicosis ngesikhathi sokukhulelwa;
- isisu sesilonda;
- isifo sokuphefumula;
- amakhemikhali, amakhemikhali, umonakalo oshisayo kulesisindo;
- ama-collagenoses;
- umdlavuza;
- i-mycoses;
- izicubu ezinobungozi;
- ama-lymph nodes ekhulisiwe, ama-neoplasms ku-mediastinum;
- aneorysm aortic;
- izitsha ezingaseduze eziseduze.
Izimpawu zesimo se-stenosis
I-stenosis ye-congenital iyabonakala kusukela ezinsukwini zokuqala zokuphila, ibonakala ngokuhlukaniswa okukhulu kwamathe, ukubuyiswa kabusha kobisi olungagciniwe, ukukhishwa kwe-mucus e-viscous kusuka ekhaleni.
Uhlobo olutholakalayo lwe-pathology luya kancane kancane:
- Esigabeni sokuqala, ngezinye izikhathi kunzima ukugwinya ukudla okuqinile.
- I-Dysphagia yezinga lesibili libhekene nekhono lokuthatha kuphela ukudla okuphakathi kwamakhemikhali.
- Ngokuqhubeka kwe-dysphagia, umuntu osesimweni uneziselo kuphela (isigaba 3) noma akakwazi ukugwinya nhlobo (ibanga lesi-4).
Ukwengeza, iziguli zikhononda ngezihlungu zesifuba, i-laryngospasm, ukukhahlela, ukuhlaselwa ukukhwehlela.
Ukwelashwa okuphumelelayo kwe-stenosis esophageal
Ukwelapha kuxhomeke ekungenikeni kwe-dysphagia kanye nobukhulu bezimpawu. Iqukethe imisebenzi elandelayo:
- ukudla (liquid, semi-liquid) ukudla;
- ukuthatha amalungiselelo okugcoba nokuphikisa ;
- i-balloon dilatation;
- i-bougienage.
Ngaphambi kokuba uhlaka lwezinhlayiya ezincane eziqhathaniswa nezigaba 3-4 ze-stenosis kunconywa ukuthi:
- dissection endoscopic;
- i-endoprosthetics;
- ukuthengiswa kwesigaba esincane;
- esophagoplasty;
- i-gastrostomy.