I-Nutcracker Esophagus

-Delile

• Ziyini izimpawu?
• Kubangelwa yini?
• Kutholakala kanjani?
• Ilashwa kanjani?
• Ukuphila nomphimbo we-nutcracker

Kuyini i-nutcracker esophagus?

I-Nutcracker esophagus ibhekisela ekubeni ne-spasms eqinile yesifo sakho. Kuyaziwa nangokuthi i-jackhammer esophagus noma i-hypercontractile esophagus. Kungeqembu lezimo ezihlobene nokunyakaza okungajwayelekile nokusebenza kwe-esophagus, okwaziwa njengokuphazamiseka kwemotility.

Uma ugwinya, izinkontileka zakho zomphimbo, ezisiza ukuhambisa ukudla esiswini sakho. Uma une-nutcracker esophagus, lezi zingqinamba zinamandla kakhulu, zibangela ubuhlungu besifuba nobuhlungu lapho ugwinya.

Kusondelene kakhulu nokusakazeka kokuqaqamba komqala. Umehluko omkhulu phakathi kwalezi zimo zombili ukuthi i-nutcracker esophagus imvamisa ayikubangeli ukuthi uphinde uvuselele ukudla noma uketshezi, futhi uvame ukwengeza imiphimbo yokuqunjelwa.

Ziyini izimpawu?

Isibonakaliso esiyinhloko se-nutcracker esophagus ukugwinya okubuhlungu. Ungaba nezinye izimpawu futhi, kufaka phakathi:

• ubuhlungu besifuba obungazelelwe futhi obukhulu obungahlala imizuzu eminingana noma buvele noma bucishe amahora
• inkinga yokugwinya
• isilungulela
• ukukhwehlela okomile
• ukuzwa sengathi kunento ebhajwe emphinjeni wakho

Kubangelwa yini?

I-Nutcracker esophagus yisimo esingajwayelekile. Imbangela ngqo yokuqunjelwa kwe-nutcracker isophagus ayaziwa. Kodwa-ke, kubonakala ngathi kuhlobene nenkinga nomsebenzi wemisipha nobukhulu besimila. Kwabanye abantu, ama-spasms abonakala sengathi ayenzeka kuphela uma bedla ukudla okubandayo noma okushisayo. Kuvamile ukuthi abantu abane-nutcracker esophagus babe nesifo se-reflux se-gastroesophageal.

Odokotela bathole izinto ezimbalwa ezingakhuphula ubungozi bakho bokuthola umqala we-nutcracker. Lokhu kufaka phakathi:

• ukuba ngaphezu kweminyaka engama-50 ubudala
• ukuba ngowesifazane
• ukuphathwa yisilungulela
• ukuba nesifo se-reflux se-gastroesophageal (GERD)

Kutholakala kanjani?

Udokotela wakho uzoqala ngokukunikeza ukuhlolwa komzimba ukukhipha noma yiziphi izimo ezingaphansi. Bangase bakubuze nokuthi ubona kangaki ama-spasms nokuthi abonakala ehlobene nokudla okuthile. Kungaba wusizo ukugcina idayari yokudla nokubhala lapho uzwa izimpawu phakathi nesonto noma ezimbili eziholela ekuqokweni kwakho.

Ngokuya ngemiphumela yokuhlolwa kwakho, udokotela wakho angaphakamisa ukuhlolwa kokuxilongwa, okufana nalokhu:

• ukugwinya kwe-barium, okubandakanya ukugwinya uhlobo lwedayi oluzobonakala kwi-X-ray
• i-esophageal manometry, elinganisa ingcindezi yemisipha yomphimbo nanoma yikuphi ukuphazamiseka
• endoscopic ultrasound, enganikeza imininingwane eningiliziwe mayelana nemisipha kanye nolwelwesi lwe-esophagus
• i-endoscopy, okubandakanya ukusebenzisa ikhamera encane ukubuka ingaphakathi lomzimba wakho
• ukuqapha kwe-pH ye-esophageal, ehlola noma yiziphi izimpawu ze-acid reflux ngokulinganisa i-pH esophagus yakho

Ilashwa kanjani?

Izimo eziningi ze-nutcracker esophagus zingelashwa ngenhlanganisela yemithi namakhambi asekhaya. Ezimweni ezingavamile, ungadinga ukwelashwa okwengeziwe.

Imithi engasiza ekwelapheni i-nutcracker esophagus ifaka:

• abavimba isiteshi se-calcium
• iproton pump inhibitors
• ama-nitrate, afana ne-nitroglycerin engezansi (i-Nitrostat)
• i-hyoscyamine (Levsin)
• izidakamizwa ze-anticholinergic

Izindlela zokwelapha zasekhaya ezilandelayo zingasiza ekuthomalaliseni i-esophagus yakho:

• ukuphuza amanzi afudumele
• ukwenza izivivinyo zokuphefumula nezindlela zokuziphatha zokuphumula
• ukugwema ukudla neziphuzo ezibangela izimpawu zakho

Uma imithi namakhambi ekhaya kunganikeli usizo, udokotela wakho angaphakamisa ukwelashwa okwengeziwe, okufana nalokhu:

• umjovo we-botulinum toxin (Botox) ukuze uphumule imisipha esemqaleni
• ukuhlinzekwa ukusika omunye wemisipha esiswini sakho ukunciphisa izingqinamba
• inqubo ye-POEM (i-peroral endoscopic myotomy), esebenzisa i-endoscope kunokuhlinzwa kwendabuko ukunciphisa ingxenye yemisipha ngaphakathi komphimbo

Ukuphila nomphimbo we-nutcracker

Ngenkathi i-nutcracker esophagus ingaba buhlungu kakhulu, ungakwazi ukuyilawula ngemithi namasu okuphumuza imisipha esophagus yakho. Kwezinye izimo, ungahle udinge ukugwema ukudla okuthile. Zama ukulandela noma imaphi amaphethini owabona ngezimpawu zakho. Lokhu kuzosiza udokotela wakho aqhamuke nohlelo lokwelashwa olusebenza kahle kakhulu kuwe.