I-esophagus ibhobho ye-muscle ehamba phambili ehambisa ukutya ukusuka emqaleni emqaleni (pharynx) kwisisu. I-oophagus ephihliweyo yinto ephazambileyo okanye ephukile kwaye ngoku ine-hole. Oku kubangela ukuphazamiseka kokutya kunye ngamanye amaxesha nokutya okugaya kwisifubeni, kwaye kunokubangela ukusuleleka kwintsholongwane. I-pooped oopopus ingaba yinto eqhelekileyo kumadoda kunabasetyhini kwaye ngokuqhelekileyo iyenzeka emva kokutya ukutya.
Kwakhona abantu abaqhelekileyo abanesifo esisisigxina se-esophagus kuquka iGERD okanye i- hernia yokuzala . Iimbangela zepopu ephazamisayo ziquka:
- Iinkqubo ezifana ne-endoscopy (EGD) - ingakumbi xa kuhlanjululwa i-esophagus okanye esophageal strictures, ngexesha le-sclerotherapy, okanye i-variceal ligation. Ezinye iinkqubo kubandakanywa ukufakwa kwebhubhu endotracheal, tube tube okanye iBlakemore tube (ezingaqhelekanga). Abantu abaneminyaka engaphezu kwama-65 banomngcipheko ophezulu.
- Ukungena kweekhemikhali ezinobungozi ezifana nokucoca okanye iibhetri ze-disc.
- Ukungena kwezinto zangaphandle (iipilisi kunye neengxowa-mali ziqhelekileyo).
- Ukulimala okunjengokuqhuma okanye izigulana zokugaya - ukuya kuma-10 ekhulwini amatyala.
- I-Boerhaave syndrome - imeko engabonakaliyo apho i-esophagus iyaqhekeza ngokukhawuleza ngenxa yokuhlanza obushushu okanye ukubuyisa. Ixhaphake kakhulu kubantu abaneminyaka engama-40 ukuya kuma-60. IAkhawunti malunga neepesenti ezili-15 zamatyala.
- Izimo ezingapheliyo zokuphefumula ezibangelwa ukucuthwa kwodonga lwe-esophageal.
- Inkxalabo yokuhlinzwa okubandakanya uphando lwe-cardiothoracic okanye i-fundoplication (engabonakaliyo).
- izifunu
Iinkqubo zokuphanda ezisetyenziselwa ukuba yimbangela ebalulekileyo yokugqithiswa kwe-esophageal kodwa ukususela kokungeniswa kwezixhobo zokuphucula ezithintekayo, umngcipheko uye wehla.
Iimpawu kunye neempawu zesifo esisisigxina siquka:
- Unzima ukugwinya .
- Ukutshabalalisa okanye ukubuyisela ukulandelelana okulandelwa yintlungu ebindi.
- Ukuphefumula okunzima.
- Unzima ukuthetha.
- Intlungu yeentlungu, intlungu yesahlombe, intlungu ephezulu okanye ephantsi. Ukuphazamiseka kunokunyuka xa ulala phantsi.
- Ukuphefumla ngokukhawuleza kunye nentliziyo.
- umkhuhlane
- Ukuhlanza igazi (inqabileyo).
- I-emphysema engaphantsi (i-gas okanye umoya phantsi kwesikhumba) ngakumbi entanyeni nasesifuba.
Ufuna uncedo lwezonyango ngokukhawuleza ukuba uyakrokreka ukuba unokuba ne-perforated oophagus.
Ukugqithiswa kwe-esophagus kuyinto engavamile kodwa ingaba yinto enzulu, kwaye ibulawe. Ukunyango okukhawuleza kunika iziphumo ezilungileyo kodwa ngelanga, unyango luvame ukulibaziseka ngenxa yokungahambi kakuhle. I-perforated eyeopopus ivame ukudideka kunye nezinye iimeko ezifana nesifo senhliziyo, izilonda zamapultiki okanye i-pancreatitis.
Iingxaki zesifo esipheleleyo singabandakanya imiphunga, i-mediastinitis, i-sepsis, i-empyema, kunye ne- adult respiratory syndrome (ARDS) . Le meko idla ngokufuna ukuhlinzwa kunye namayeza. I-perforation ecacileyo kwingxenye ephezulu yesifo ingaphilisa ngaphandle kokuhlinzwa, kodwa izigulane zihlala ziyalwa ukuba zingadli okanye zisele kwaye zingadinga ukutya okunomsoco kwi-tube yokutya okanye i-IV de i-oopopus iphilisa.
Kwezinye iimeko, inqubo yokugcina i-endoscopic yokubeka i-stents okanye iziqeshana zingasetyenziswa kule meko.
> Umthombo:
> Medline Plus. Ukugqithiswa kwe-Esophageal.
> Medscape. I-Boerhaave Syndrome.
> Medscape. Ukunyuka kwama-Esophageal kunye neeNyembezi kwiMpilo yoLimo oluPhezulu.
> IYunivesithi yaseMary Medical Centre. Ukugqithiswa kwe-Esophageal.