Zviratidzo, chirwere uye vabatwe esophageal dysphagia

A Chiitiko umo munhu pavanorwadziwa kusagadzikana kana pakuparadza chiito kana asingadi kumedza chinhu (zvokudya, mvura, mate) anonzi dysphagia. kuratidzwa Single ehurumende ichi vanogona kuona munhu, uye kana zvakadaro kutanga Zvakacherechedzwa kakawanda, zvakakodzera kuti chiremba uye kurapa dysphagia.

Regai kunyonganisa dysphagia wechokwadi uye psevdodisfagiyu. Zvanonoka mu yegurokuro kana seri breastbone ainzwa "bundu", uye kumedza kwacho kunowanikwa. Chiitiko pamusoro dysphagia chinowanzoguma reversible mupfungwa vachivavhiringidza, achiperekedzwa dutu mupfungwa siyana (ruzha kuseka, anobvarura, kuchema), dzisavhiringidza kuti pfungwa, nezvipusha, uyewo thyroid uye mwoyo chirwere.

Zviratidzo esophageal dysphagia

Treatment chatichakurukura zvizere pazasi. Uye apo isu tsanangura zviratidzo chirwere.

Kutyora kusimudzira bundu zvokudya kubva mumuromo yegurokuro, kana, sezvo isu kare akataura chiitiko ichi - munhu dysphagia wechokwadi kunoitika nokuda kuparadzwa etsinga nzvimbo kuti kudzora pakuparadza chichiitwa, iyo inosvitsa munhu unbalance kunzwisisa izvi. Somugumisiro, apo unoedza kumedza mashoko bolus uye zviri mariri kufema turakiti (mhino, huro, trachea) uye kwete yegurokuro. Izvi zvinokonzera rimwe spasm pakati Airways, asima uye simba chikosoro dzepanguva.

Kusagadzikana tsinga akadai kushatirwa kana huta zvinetso, zvinogona kukonzera dzichipfekeka dysphagia. Zviratidzo Its kuitika pano neapo, varwere kushamwaridzana navo negashiro zvokudya imwe mhando (semuenzaniso, nesimba, unopinza, mvura zvichingodaro). The kufema turakiti haadi kuwana chikafu, asi Kumedza kunonetsa, uye kukurudzira yegurokuro chokuita kurwadza uye hachifadzi nezvekufadza. dysphagia kurapwa kunofanira kuva dzakaoma.

The zvinokonzera dysphagia

Pfungwa kumedza chinogona kukamurwa zvikamu zvitatu:

• zvokuudzwa (zvemasanga) kana munhu anotonga munhu sveta yavo;
• pharyngeal (nokukurumidza involuntary), kana paine kusingadzoreki murume nokukurumidza sveta;
• esophageal (involuntary anononoka) pamwe anononoka kusingadzoreki kusimudzira zvokudya kuburikidza yegurokuro.

Kana huta dysphagia kurapwa nechinangwa anoruramisa munhu psyche. The kuita pakuparadza pamwe esophageal dysphagia hakusi wakaputsika, asi mberi Chinokonzera marwadzo panguva pamusoro mudumbu, chirungurira, belching. Uyewo, pane regurgitation, kana zviri mudumbu huchikandwa kupinda huro uye muromo, zvichiita risingafadzi kuravira pamuromo. Kusimbisa regurgitation kunogona kuitika munguva oblique nzvimbo muviri, kusanganisira pakurara, kana kudya kwemanheru aiva maawa asingasviki maviri asati usiku zororo.

Dysphagia inogona pamwe zviratidzo zvakadai hoarseness, mukuru slyunoobrazovanie uye kutadza kufema. Esophageal dysphagia zvinokonzerwa chinokurwadzai nyama simba. Varwere dzinoshuma kuti zviri nyore kumedza kana zapivaniya mvura kana mabiko pasty kana mvura chikafu. Kunyange paine zviitiko apo nemvura chikafu akaita dysphagia, zviratidzo uye kurapwa vari rinokosha.

marudzi chirwere

Zvichienderana muitiro aibuda nzvimbo dzoga dysphagia anotevera mhando:

• oropharyngeal (yakaoma kufamba zvokudya mumba yegurokuro, kumedza kuputswa zvemasanga kutotanga);
• pharyngoesophageal (kuoma kubudikidza wakurukura kuti yegurokuro zvokudya yakaputsika nokukurumidza involuntary ingestion danho);
• oesophageal (gullet rakaoma nokufamba zvokudya, nokuputswa, anonoke chokutambudzika involuntary kumedza).

Dysphagia zvakare dziya mu:

• Organic (ayo mhosva okumusoro zvikamu zvomudumbu turakiti zvokurwara);
• dzichipfekeka. Kuchengetwa nyaya nechepakati tsinga zvinetso, akapa kuti hapana zvemaziso vhiringidza kwemutemo zvokudya.

Mabatirwo dzichipfekeka dysphagia akabata nyanzvi yokurapa pfungwa kana chiremba wetsinga ine gastroenterologist.

Zvinokonzera pathological ezvinhu

Kazhinji kukura dysphagia ari chiratidzo zvirwere yegurokuro. Pakati pavo vane:

• Esophagitis - kuzvimba lining pakati yegurokuro.
• Gastroesophageal reflux chirwere (Gerd). In chirwere ichi, mudumbu zviri mukati yegurokuro parasikira, muchishungurudza masvingo aro.
• Protrusion esophageal rusvingo (diverticula).
• Cicatricial aienda pamusoro yegurokuro, izvo akamuka pashure kuporesa namakemikari anopisa kunokonzerwa ingestion kuti asidhi kana alkali. Mushure yakadaro kunokanganisa kwakavharwa nenyama esophageal zvinyama kuchatsiviwa connective, anotambanudza zvakaipa uye haritsigiri kushandiswa kwezvokudya kuburikidza yegurokuro.
• Nyanyisa mapundu ose yegurokuro uye mudumbu. Kazhinji, rinenge kukura nokukurumidza, inomera munzvimbo pedyo nhengo bundu.
• Achalasia. Akanetseka zvokudya bolus achipfuura kubva yegurokuro mudumbu, chikonzero iri chirwere neuromuscular chirwere yegurokuro.

Dysphagia zvinogonawo kuva pamusoro necheshure:

• zvirwere zviri venous water drainage ropa kubva chiropa (portal neBP), esophageal varices uye hepatic insufficiency (chiropa hunoguma kushanda nokuda chakasimba kana chirwere kuparadzwa muitiro masero ayo);
• esophageal kukuvara (kukuvadzwa yegurokuro kubva mukati, somuenzaniso kana kumedzwa unopinza chinhu, kana vapfurwa muchikuvadza chipande bhokisi, etc.);
• kwokunze aienda pamusoro yegurokuro, izvo zvinogona kukonzerwa ane aneurysm pakati yeropa (kutsemuka chiwedzerwa), mwoyo wakakurisa, mediastinal mapundu - Department pechipfuva, kuruboshwe uye kodzero shoma chiedza, pamberi sternum, uye seri nomuzongoza. Mariri yegurokuro, trachea, ndiye mwoyo uye thymus (zvirwere nhego).

Kazhinji inoda Mabatirwo dysphagia pashure sitiroko.

Uyewo, dysphagia anogona kukonzera pathological maronda ari oropharynx:

• bundu;
• Angioedema (zvakakomba sema maitiro kukudziri- zvikuru hunhu edema pamusoro dokeriro uye pharynx);
• tonsillitis (tonsillitis);
• mitumbi vatorwa (mabwe, zvidimbu zvokudya, etc.);
• kuoma pharyngeal netsandanyama. It kunoitika kakawanda pashure tsaona cerebrovascular (sitiroko), kukura pamusoro pakanyorwa atherosclerosis (clogging cerebrovascular atherosclerotic plaques). Zvingava mugumisiro anomera muuropi, uyewo remuromo muzongoza kukuvara. izvi zvose kunokonzera esophageal dysphagia. Treatment uye kubudirira kwayo kunoenderana kwechokwadi kuongorora chirwere.

nzira nechirwere

Chirwere chirwere zvinosanganisira zvinotevera mabasa:

• Collection kunyunyuta uye nhoroondo dzokurapa pamwe mashoko anotevera: riini kutanga zviratidzo, dzose nguva yatyorwa kumedza, inorwadza kana pakuparadza, mungava mubhokisi kusanzwa apo vachidya, izvo murwere richibatanidza mavambo dzavo, chero zvipingamupinyi mu pakuparadza zvokudya chete yakasimba, uye ikozvino mvura mvura kana zvimwewo.
• Analysis nezvenhoroondo youpenyu: chii chirwere murwere aiva, kana kwema vakanga esophageal kutsva, kuzvimba mudumbu (gastritis), zvirwere nemudumbu.
• Analysis nhaka nhoroondo (kuchengetwa kana yepakarepo mhuri zvirwere nemudumbu, kunyanya esophageal chirwere).
• Inspection murwere, chenjerera vakaongorora dzaiita zvokutaurwa mhango, kunzwa (palpation) kuti node nodes ari pamutsipa Detective dysphagia syndrome. Chirwere uye kurapwa chirwere ichi anofanira kuva yakakodzera.
• General uye nokukanganisika miedzo ropa - nokuti Pakusarudza padanho Chizenga (puroteni anotakura okisijeni), masero matsvuku eropa, masero machena eropa (Zvibereko zvavo rinoratidza kuvapo kushoma) uyewo kudzora itsvo, rwatata uye chiropa.
• Coprogram - nemaziso kuongorora mutsvina yadzo (kudzidza padzakacherechedza zvimedu undigested zvokudya, wakaipa faibha, mafuta).
• Laryngoscopy: kushandisa endoscope kutarisana rokuongorora nevamwe necheshure huro.
• Upper endoscopy (EGD) - Kuongorora by midziyo gastroscope duodenum, dumbu uye yegurokuro, muchidzidzo ichi mukana kutora chimedu mucosal biopsy.
• Ultrasonography (US). Kuongorora mamiriro abdominal nadzo (paura, gallbladder, itsvo, biliary turakiti, dumbu, rwatata) uye kuwana zvinobvira zvinokonzera dysphagia.
• X-ray pakuongorora yegurokuro. Uyewo zvinoita kuti vakwanise kuona zvimwe zvirwere kana zvinhu kungaita kuti kuome pakuparadza.
• Barium enema - X-ray pakuongorora yegurokuro pakatanga musiyano mumiriri, chainyatsoratidza mumufananidzo. Wanikidza constriction kana mhingaidzo kuti yegurokuro zvinhu.
• MRI (rinobva resonance kuri) uropi uye pfungwa electroencephalography inoitwa kuziva pathologies pakati tsinga, kana kuongorora murwere dysphagia vakanga vashaiwa zvokuimba chipinganidzo mberi bolus oropharynx uye yegurokuro.

Varwere nezvinetso pakuparadza hazvo vanofanira kubvunza vanachiremba: otolaryngologist, wetsinga, gastroenterologist.

Drug Mabatirwo dysphagia

Drug kurapa (kushandisa mishonga) iri mishonga. Kakawanda varayire FIs kuti kuderedza acidity mudumbu zviri kana ichi ndicho chinokonzera dysphagia. Vanodawo inorwisa mabhakitiriya Mabatirwo kuzvimba pharynx uye yegurokuro, izvo zvakazoita kuti kutyora kumedza. Kugadzirira kurapa dysphagia vanofanira kugadza chiremba.

kuvhiya kurapwa

Zvinofanira kuva surgically achibvisa migumisiro yegurokuro kutsva anokonzerwa ayo marwadzo, kuzvimba, anomera. Dzimwe nzira kubvisa zvipingamupinyi izvi kuti mukaputsa nedanho kumedza, havapo.

Kana murwere paanenge achipora kutevera sitiroko haabvumiri kuti kuvhiya dambudziko dysphagia kubvisa chikonzero (semuenzaniso, esophageal mapundu), nguva chiitiko rinoitwa kuti zviite murwere zvakanaka.

Zvinoita chete dysphagia Mabatirwo zvavo mishonga? On ichi akazotevera.

Traditional nzira kurapwa

Kukurira mamiriro zviratidzo dysphagia pamwe yemakwenzi mushonga kuchabatsira. Pamberi kudya vanofanira kunwa decoction zvemiriwo, iyo inoita kuti zvinhu zvidzikame:

• Hop pasikweya - '25
• Peppermint anosiya - muna '25
• Rosemary anosiya - '20
• Valerian mudzi - '30
• Miriwo St. Johani sana - 20 d
• Lemon nebharisami mashizha - '25

Collection zvinofanira kusanganiswa kwazvo, 1 spoon kuti angaisa ugodira 1 mukombe kufashaira mvura, richadzipa kwemaawa maviri. Zvadaro aizomupa kunototiomesera runodiwa. Tora kota mukombe katatu pazuva hafu yeawa pamberi kudya.

Antispasmodic pfuma ine belladonna tincture (belladonna). Vaifanira kutora 5 Madonhwe katatu pazuva kwemaminitsi 5 vasati vachidya.

Pane mumwe mushonga zvakafanana ehupfumi:

• Mudzi rhizome ragwort latifolia, '15
• The miriwo ephedra, '20
• Motherwort miriwo, '20

Milled nokuchengeta dira mvura fő inotonhora kwemaawa mana, ipapo yanyungudutswa moto kwemaminitsi maviri, dzaserera, yakasvinwa. Two spoon of zvichizoita nziyo kunodiwa maminitsi gumi vasati vadya.

Kana dysphagia National kurapwa hapasi kubatsira, saka kuva nechokwadi kuti kubvunza nyanzvi.

Chii chinobatanidzwa mu zvokudya?

dysphagia kurapwa omei, saka kuti aivabatsira mamiriro vamwe simba kunodiwa kutevedza mitemo chaiko.

• Fractional kudyiwa zvokudya nomugove diki.
• Careful Kupwanya kana kutsenga zvokudya.
• Kuwedzera vhoriyamu emura kuparadzwa.
• Kurambirwa zvokudya kutsvinyira mucous Kamudzira pakati yegurokuro (unopinza, wakawanda, Spicy, zvakare kutonhora kana kupisa), kudya zvokudya chando, kofi zvakanaka uye tii, fizzy kunwa uye doro.

Kungada bougienage - akadzokorora kuwedzera yegurokuro lumen buzhom, anokosha extenders. Ndizvo nokurapa dysphagia.

Consequences uye matambudziko

• Persistent kufema kukundikana dzimwe nguva kune mumwe standstill wakakwana, kukonzerwa bundu pakati yegurokuro, compressing ari trachea (muviri kuti achiitisa mhepo mumapapu).
• kuzvimba yegurokuro (esophagitis).
• Nyanyisa mapundu (nokukurumidza richikura uye richipararira yose muviri) of yegurokuro kana kutanga chikamu mudumbu.
• Chido nemabayo, kana ari kutyora kumedza kushanda zviri oropharynx huchikandwa kuburikidza mhino mumapapu uye trachea, uye goho riri kukura nemabayo, kuzvimba mumapapu.
• Lung abscesses (takapoteredzwa rwokudzivirira Kamudzira nemaronda) zvinoitika kana mudumbu mukati ugokandwa kufema turakiti uye kunoita kuzvimba.
• Pulmonary fibrosis kutyora sechivako kukuvara yemapapu rinenge nokuda kwayo dumbu mukati (ndiro acidic) iro Yakasvika pashure zvokukanda nokuda vasingadzoreki kumedza.
• Weight kurasikirwa nokuda vashoma kuuya muviri.
• Kurasikirwa mvura muviri murwere kana kupera mvura mumuviri.

Takurukura chirwere, akadai dysphagia. Chirwere, zviratidzo, kurapwa, zvakajeka muna ino.