I-Achalasia yesifo yisifo esibonakaliswe ukungonakali kwemisebenzi yezinzwa ezinesibopho sokuvula i-sphincter engezansi njengoba kutholakala ukudla. Ngenxa yokwehla komsebenzi we-motor, ukugwinya okugwinya kugxuma, okuholela ekuzizweni kokucindezela. Odokotela abazange basungulwe izizathu ezithile zalesi sifo. Kodwa-ke, into ebalulekile ukukhona kwezinkinga ezinkulu zezinzwa.
I-Achalasia yezimpawu zesifo
Yazi i-achalasia ingaba ngezizathu ezilandelayo.
- I-Dysphagia, okuyinto kwezinye iziguli ezibonakalisa ukuthi lesi sifo siqhubeka, kuyilapho ezinye zivele ngokuzumayo. I-Dysphagia iyakhula ngokudla okusheshayo kokudla, ngokufaka ukungcola okungahlosiwe nokusetshenziswa kokudla okumile. Ezimweni eziningi, kubonakala ukuthi i-dysphagia ephawulekayo, lapho isiguli singcono khona sithatha ukudla okunzima kunoketshezi.
- Ukuphindaphinda (ukuphindaphinda) kuvamile ku-achalasia ye-esophagus. Isizathu salokho okwenzekayo ukucindezeleka okubukhali kwesifo lapho kugcwele ukudla. Ngenxa yalokhu, iziguli zivame ukubhekana nokuhlushwa nokuhlaselwa ukukhwehlela ebusuku.
- Kwesinye isibonakaliso se-chalasia ne-achalasia ye-esophagus ubuhlungu besifuba nokushaya kwenhliziyo . Okuqukethwe okuqoqiwe kubangela umuzwa wokucindezela, okunikeza ngemuva nangentamo. Ngokuvamile ukuba khona kwenhliziyo kuhlotshaniswa ne-reflux. Kodwa-ke, nge-achalasia, ukuqubuka kwenhliziyo kungaba khona ngokushesha ngemva kokudla, futhi ukuthatha imithi ayinayo imiphumela.
Ukuxilongwa kwesifo
Ukuqashelwa kwe-achalasia ye-esophagus kwenzeka nge-radiologically. Esikhathini esilandelayo sesi sifo, esibhekene nesifo esandisiwe, ukuhlolwa kwenza kube lula ukubona ukwanda komthunzi omaphakathi ikakhulukazi ohlangothini olungakwesokudla, ukuba khona kwe-bubble kanye ne-bubble emoyeni.
Ukusetshenziswa kwe-X-ray ukuhlola kusiza ukukhomba izici ezihlukahlukene zezici ze-achalasia nokusungulwa kwesigaba sesifo. Ukucacisa ukuxilongwa kungase kube izimpawu ezilandelayo:
- Ukwandiswa kwesithunzi se-esophagus, esibhekwa kuyo yonke indawo;
- ukunyamalala noma ukunciphisa okukhulu kwevolumu ye-bubble yesisu esiswini
- Ingxenye yesisu iyancipha, yakha umsila;
- ukwephulwa komsebenzi wesithuthuthu;
- ukutholakala kwezinsalela zokudla, amanzi;
- Ukuvulwa kwe-cardia kwenzeka ngemva kokulibaziseka isikhathi eside.
I-Achalasia ye-esophagus - yokwelapha
Ukwelashwa kwe-achalasia kuhilela izindlela eziningana:
- Ukulwa nemithi, engaphilisi ngokuphelele lesi sifo. Ngokuyinhloko, ukwamukelwa kwabo kusiza ukubhekana nokubonakaliswa kwemitholampilo yesifo. Isiguli sithatha izidakamizwa, amavithamini, zihambisana nokudla.
- Kanye nokuthatha imithi, isiguli esinesifo se-ahalasia singase sisebenzise ukwelashwa ngamakhambi abantu. Ukuze kulungiswe i-sphincter engezansi, kutuswa ukuba uphuze izitho zomuthi we-magnolia, i-eleutherococcus, i- ginseng . Ukuvimbela ukuthuthukiswa kwezinqubo zokuvuvukala, sebenzisa
ukumnika i-oregano, izimpande ze-althea, imbewu ye-quince. - Ukusebenzisa i-dilator ye-pneumatic ikuvumela ukwandisa i-cardia. Ibhaluni elitholwe esiswini ligcwele umoya futhi landa ngesayizi. Ngakho-ke, i-lumen ye-esophagus iyaba mkhulu. Cishe ngamaphesenti angamashumi ayisishiyagalolunye amacala le nqubo ivumela ukuba kube lula isimo sesiguli futhi sikwazi ukusikhulula ngokugula.
- I-cardiomyotomy emaceleni amabili eyenziwa lapho ukusetshenziswa kwe-dilator enganikezi imiphumela emihle. Le nqubo iqukethe ukuchotshozwa, okwenziwe engxenyeni yokuhlukanisa. Le ndlela inomphumela omuhle ku-achalasia we-esophagus cardia kanye nokuphathwa kwayo. Ukubuyiswa kubonakala ngamacala angu-90%.