Intangiriro
Achalasia ya Cardia (AC) ni aIndwara y'ibanze ya Esophageal.Kubera ihungabana ribi rya sphincter yo hepfo ya esophageal (les) no kubura pesophagels, kugumana ibiryo, ibisubizo byibiribwa bivamodysphagia na reaction. Ibimenyetso by'amavuriro nko kuva amaraso, ububabare bwo mu gatuza no kugabanya ibiro.Ubwinshi ni hafi 32.58 / 100.000.
Thekwivuzaya Achalasia ahanini ikubiyemo ubuvuzi butitonda, kuvura ubutayu no kwivuza.
Gutwara ibintu 0
Uburyo bwo kuvura ibiyobyabwenge ni ukugabanya umuvuduko wa Les mugihe gito.Nta gimenyetso kigaragara kivuga ko ibiyobyabwenge bidashobora gukomeza kunoza ibimenyetso bya AC.Kugeza ubu bikunze gukoreshwa ibiyobyabwenge harimo nitraters, abatsinze Calcium, na β-kwakira abamamaza abamoyi.
(1)Nitrate, nka Nitroglycerin, Amyl Nitrate, na Issorbide irasa
(2)Umuyoboro wa Calcium, nka Nifdipine, Verapamine, na Diltiazem
(3)--RECENTOR AMENEST, nka cabuterol
02endoscopic Botululinum toxin inshinge (bti)
Endoscopic Botululin toxin intero (BTL) irashobora gukoreshwa mugufata ac,Ariko irashobora gutanga ingaruka zigihe gito kandi irashobora gukoreshwa mubarwayi bageze mu zabukuru bafite ingaruka nyinshi zo kubagwa na anesthesia.
1) ibimenyetso:Abarwayi bo mu buyobozi n'abasaza (> imyaka 40); Abadashobora kwihanganira indwara ya balloncopique ya endoscopic (PD) cyangwa kubaga; Abafite uburyo bwinshi bwa PD cyangwa ibisubizo bitoroshye byo kubaga; Abafite aho bahagarara mu gihe cya PD kuba bafite ibyago byinshi, birashobora kandi gukoreshwa hamwe na PD; Irashobora gukoreshwa nkinzibacyuho yo kubaga cyangwa kwivuza kwa PD.
(2) Kumenyekanisha:Ntabwo bisabwa kuvura umurongo wambere wac mubarwayi bato (imyaka 50).
03endoscopic ballon yagutse (pd)
Dilatation ya Ballon ifite ingaruka zimwe na zimwe kuri ac, ariko isaba kuvura byinshi kandi itwara ibyago byibibazo bikomeye.
(1) ibimenyetso:AC Abarwayi badafite Umutima Ubudahangarwa, Gukora Coagulation, nibindi .; Abagabo bafite imyaka irenga 50 nabagore barengeje imyaka 35; abarwayi bananiwe kubaga. Irashobora gukoreshwa nkuburyo bwambere bwo kuvura.
(2) Kumenyekanisha:Umukambizi ukomeye adahagije, coagulation idahwitse hamwe nibyago byo gukora cyane.
04Proraral Endoscopic Myotomy (Igisigo)
Mu myaka yashize, hamwe no gushyira mu bikorwa rinini rya peroscopic myotomy (igisigo), intsinzi yo kuvura ivuriro ya ac yiyongereye cyane.Umuvugo wo kuvura AC uhuye cyane nigitekerezo cya "super kidateye kubagwa", ni ukuvuga, ibikomere bikurwaho / byakuweho mugihe cyo kuvura, kandi ingingo ntizikurwaho.Ubunyangamugayo n'imikorere yimiterere ya anatomique irakomeza, kandi imibereho yumurwayi yabarwayi ntabwo yagize ingaruka. Kugaragara kw'ibisigo byatumye ac super iteye ubwoba.
Igishushanyo: Umusigo Kubaga Intambwe
Imirongo hagati kandi ndende yigisigo mu kuvura ac ihuye nubwa Laparoscopic Heller Myotomy (LHM)irashobora gukoreshwa nkuburyo bwo kuvura.Bamwe mu barwayi barashobora guteza imbere ibimenyetso byo guhagarika gastroophageal nyuma yo kubaga ibisigo
(1) ibimenyetso byuzuye:AC idafite achesion ikabije, umukino wa gastric ugenda udasanzwe hamwe na darticulum nini.
(2) ibimenyetso bifitanye isano:Diffuse ya Esophagel, ibinyomoro byanyuma nibindi byimiterere yimiterere ya esophage, abarwayi bafite igisigo cyananiranye cyangwa umugomu wabo, kandi ac hamwe no kumeneka kwa Esofageal.
(3) Kumenyekanisha:Abarwayi bafite intege nke zo gutwara, indwara zikaze z'umutima, indwara rusange, nibindi badashobora kwihanganira kubaga.
05Laparoscopic Heller Myotomy (LHM)
LHM ifite imikorere myiza yigihe kirekire mukuvura ac, kandi yasimbuwe ahanini nigisigo ahantu heza.
06suurgical esophagectomy
Niba ac ihujwe na Scar Scar Scar Scar Sconosis, ibibyimba, nibindi, ibyanyuma byanyuma byabayeho.
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Igihe cya nyuma: Jul-09-2024