I-hoop isishubhu se-muscular esingamamentimitha angu-25 ubude, ixhuma i-pharynx esiswini. I-spasm ye-esophagus (cardiospasm) - isifo samanje asiyona i-etiology esungulwe kahle, lapho kukhona ukuhluleka kwe-peristalsis ye-esophagus nezwi le-sphincter elingaphansi kwe-esophageal. Ngesisindo se-esophagus, ukuphumula okucabangelayo kwemisipha ye-esophagus kuphazanyiswa ngesikhathi sokugaya ukudla. I-sphincter engezansi ye-esophagus ayivuli noma ayivule ngokwanele, futhi ukudla kukhonjiswe ku-esophagus, ngaphandle kokungena esiswini.
Izimpawu ze-spasm ye-esophagus
Isibonakaliso esivamile kunazo zonke esibonakala kuzo zonke iziguli i-dysphagia (ukwephula ukugwinya). Esikhathini sokuqala sesi sifo, i-dysphagia ibonakalisa kancane kancane. Izimbangela ze-spasm ye-esophagus kwizinzwa ziphazanyiswa. Izimpawu nazo zenzeka ngokumunwa okusheshayo nokudla okungafanelekile, ukudla ukudla okuthile okuphezulu e-fiber . Izinzwa ezingathandeki ngokuvamile zingasuswa ngokusebenzisa umoya omningi wokushisa, ukugwinya, ukwenza umzimba wokuzivocavoca. Ngokuthuthukiswa kwalesi sifo, uphawu luba njalo, futhi izinhlungu ezicindezelayo nezicindezelayo zivela ngemuva kwe-sternum. Ngokuhamba kwesikhathi, ubuhlungu bunganikezwa emuva, entanyeni, emhlathini.
Esinye isibonakaliso ukuphindaphinda - ukuguqula ukukhipha kokuqukethwe kwesigcawu. Ngokuvamile kubonakala ephusheni noma lapho isiguli sithatha isikhundla esingezansi. Ingazibonakalisa ngendlela yokuvuselelwa, futhi ngendlela yokuhlanza ukudla ngaphandle kokuhlanganiswa kwe-bile noma ijusi esiswini.
Ukwelashwa kwe-spasm ye-opop
Ukwelashwa kwalesi sifo kufaka phakathi kokubili izindlela zokuzivikela nezindlela zokuhlinzwa.
- Ukudla. Ukunciphisa izimpawu zesifo, ukudla kumele kuhlukaniswe, izikhathi ezingu-5-6 ngosuku ezinxenyeni ezincane. Ukudla kufanele kuhlolwe kahle futhi kugweme ukudla okuphezulu-fiber. Kungakapheli amahora amabili emva kokudla, akukhuthazwa ukuthatha isikhundla esingezansi. Ngaphezu kwalokho, akuyona into engathandeki ngisho nangesikhathi sokulala.
- Ukwelapha izidakamizwa. Ngesiphithiphithi se-esophagus, ukwelapha izidakamizwa akukona ngokwanele futhi kunokuba yinto ensizayo. Lokhu ukwelapha kuhlanganisa ukuthatha i-calcium receptor blockers, amalungiselelo eqembu le-nitroglycerin, ama-antispasmodics, futhi ngezinye izikhathi anesthetics yendawo. Futhi maduzane, ukwethulwa kwenaliti endoscopic ene-botulinum toxin, okunciphisa ithoni ye-sphincter engaphansi, iyenziwa.
- Ukwandiswa kokusebenza kwe-cardia. Inqubo yenziwa ngosizo lwe-dilator ekhethekile. Lena yindlela ejwayelekile kakhulu yokwelapha lesi sifo. Ngokuvamise ukusetshenziselwa amadivaysi angenawo umoya, amancane kakhulu. Ukwelapha
ukuthi i-probe ene-balloon ekhethekile ekugcineni ifakwe esiswini. Lapho ekhona endaweni ye-sphincter ephansi, ibhaluni iqhutshwa emoyeni bese isuswa, ngaleyo ndlela ibangele ukwandiswa kwengxenye efunayo yendawo. Le ndlela iphumelela kuma-80% wamacala. - Ukungenelela kokuhlinzwa. Kuyenzeka uma ukusetshenziswa kwe-dilatation engasebenzi.
- Ukwelashwa kwe-spasm ye-esophagus ngamakhambi abantu. Le ndlela, njengokunakekelwa kwezokwelapha, inomsizi osizayo futhi ihlanganisa ukuthatha izithako ze- ginseng , eleutherococcus, izimpande ze-altea, izigaxa ze-alder.