Hypercontractile Peristalsis
I-Jackhammer esophagus, okanye i-hypercontractile peristalsis, isifo sengqondo somzimba esophageal esichazwa yi-spasms esophageal equka yonke into okanye ubuninzi bemisipha ye-oopopus. I-spasms inamandla kwaye ihlala ihlala ixesha elide, yenza igama le-disorder, i-jackhammer esophagus, inkcazelo eyaneleyo yendlela umntu onokukhubazeka angavakalelwa ngayo.
Izizathu
Izizathu ezisisiseko ze-jackhammer esophagus aziqondakali kakuhle kodwa imeko ingabangelwa yizinto ezingaqhelekanga kwimigudu yentsholongwane elawula isopopus okanye ukwanda kwexabiso le-acetylcholine. Abanye abaqeqeshi bezempilo bakholelwa ukuba i-jackhammer isophagus ibangelwa yiGERD .
Le meko ibonakala ixhaphake kubantu abathile banezifo zengqondo kunye nemeko ngamanye amaxesha baphathwa ngempumelelo nge-tricyclic antidepressants. Oku akuthethi ukuba ukugula ngengqondo kubangela i-jackhammer esophagus okanye ukuba umntu one-jackhammer esophagus naye unesifo sokugula ngengqondo, kuphela ukuba kubonakala kukho ubudlelwane phakathi kwezi zimbini. I-Jackhammer isophagus iqheleke kakhulu kwi:
- ICaucasian kunezozinye iintlanga
- kunokwenzeka ukuba kuthintela abafazi kunamadoda
- kunokwenzeka ukuba banokuchaphazela abantu abadala kunabantwana.
Iimeko eziqhelekileyo ze-jackhammer esophagus aziwa, amaninzi amaninzi ayengabonakali ngenxa yokuba iimpawu zincinci kwaye imeko ihlala ingacatshulwa njenge-reflux ye-acid okanye enye imeko eyenza iimpawu ezifanayo.
Iimpawu
Iimpawu zohlobo lwe-jackhammer kwi-intanethi kwaye zihamba kunye nezinye izifo eziphazamisayo ze-GERD, i- eosinophilic esophagitis kunye ne- achalasia . Ngaphandle kwamagqabhoko esophageal, ezinye iimpawu zingabandakanya:
- iintlungu zesifuba
- uvakalelwa ngathi kukho inqwaba emqaleni wakho
- ubunzima bokugwinya
- ukubuyiswa kwakhona
- ukuguquka
Intlungu yesifuba esivame ukuhlanganiswa ne-jackhammer isophagus inokuba nzima kwaye ibangela ukuba uzive ngathi unesifo senhliziyo. Ingadluliselwa kumqolo wakho. Uyakubona ukuba iimpawu ziba zibi nakakhulu xa udla okanye zinzima kakhulu emva kokutya ukutya ezithile.
Ukuxilongwa
Ukuchonga i-jackhammer isophagus kunzima kwaye njengoko kuchazwe ngasentla imeko ihlala ingacatshulwa njengesifo esinye esibangela iimpawu ezifanayo. Ugqirha wakho uya kuqwalasela imbali yakho yempilo, iimpawu ezichazwe, kwaye mhlawumbi uqhuba uvavanyo lomzimba. Nangona kunjalo, imvavanyo emibini ngokuqhelekileyo ifunekayo ukuze ihlolwe i-jackhammer esophagus, i- barium ingumgumbe okanye i-manometry yesigxina . I-manometry ye-Esophageal, uvavanyo olwenza amanyathelo okutshatyalaliswa kweempawu, kuthethwa njengona vavanyo oluhle kakhulu lokufumanisa i-jackhammer esophagus. Ezinye iimvavanyo zingasetyenziselwa ukulawula izimo ezigqithisiweyo kodwa iziphumo zale mvavanyo aziyi kubonisa okokugqibela i-jackhammer esophagus.
Unyango
Ulawulo lokutya
Ukulawula i-acid reflux kunokunceda ekunciphiseni intlungu ehambelana ne-jackhammer esophagus. Nangona akukho kutya okukhethiweyo okwangoku kunokuba luncedo uku:
- Gwema ukutya emva kobusuku
- Hlala kude nokutya okuvakalayo kukubangela ukutshabalalisa, (ezifana nokusela i-carbonate)
- Gcina iphepha lokutya ukuchonga ukutya okunokubangela ukonakalisa iimpawu zakho
Mayeza
Iimpawu ze-jackhammer esophagus ngamanye amaxesha zilawulwa ngokusebenzisa iyeza. Amachiza anokunceda afaka:
- I-tricyclic antidepressants (njenge imipramine) enye yemithi ephumeleleyo kakhulu esetyenziswayo.
- Iproton pump inhibitors ( njengeDeililant okanye iNexium) eyanciphisa inani le-asidi esiswini nasesipopus
- I-blockers ye-calcium (njenge-Verapamil)
- Izidumbu ezixhambileyo (njenge-Viagra)
- Iitrotrate (njenge nitroglycerin okanye i-isosorbide mononitrate) ngamanye amaxesha uncedo ekunciphiseni ubuhlungu besifuba
- I-toxin ye-Botulin injected by endoscopy kwi-sphincter esezantsi iphumelele ukuphucula okwethutyana iimpawu
Ezinye iinkqubo
Ngamanye amaxesha ukunyuka kwama- esophageal kunceda xa kunzima ukugwinya okanye ukuziva ukuba kukho into ekhonjiweyo emqaleni. Oku kwenziwa nge- endoscope phantsi kwe-sedation, ngokuqhelekileyo njengenkqubo efanayo ngosuku.
Kwiimeko apho ezinye zonyango ezingaphumelelanga ekulawuleni iimpawu zenkqubo yokucoca inqubo yokucwangcisa ingaphantsi kokubizayo i-Per Oral Endoscopic Myotomy (i-POEM) ingasetyenziselwa, ngaphandle koko i-myotomy (standard procedure) yokunquma isisindo somzimba) ingasetyenziswa. Njengoko ukugqibela kwe-esophagectomy ingenziwa kodwa igcinwe kulabo abaneempawu ezinzima eziye zatshatyalaliswa nezinye iindlela zokunyanga.
Imithombo:
Medscape. Spasm Esophageal. Kufumaneka: Matshi 24, 2014 ukusuka kwi-http://emedicine.medscape.com/article/174975-overview#a0199
Iindaba zezoNyango. Inkqubo entsha ye-minimal-invasive yokunyanga i-jackhammer esophagus. Kufumaneka: Matshi 24, 2014 ukusuka http://www.news-medical.net/news/20140304/New-minimally-invasive-procedure-to-treat-jackhammer-esophagus.aspx