Kutarisa Esophagus Kuchengetedza Matambudziko Okugadzirisa
Esophageal dilation ndiyo mushonga unobatsira kutambanudza, kana kuwedzera, zvisingawanzo zvishoma zvinowanikwa munzvimbo. Izvi zvakadanirwa zvinonzi zvipfeko uye zvinogona kuitika kubva kune zvakasiyana-siyana zvinetso zveutano. Chiremba wako angangokutumira kune imwe otolaryngologist (munzeve, mhuno nehuro) kana gastroenterologist (mudumbu uye chirwere chezvirwere) kuitira kuti izvi zviitwe.
Vachazoshandisa maitiro matatu akasiyana-siyana kuita sophageal dilation:
- Weighted candle - a push type dilator iyo inogona kunge yakazara mercury (Maloney) kana kuti tungsten-filled (Hurst)
- Dhani-inotungamirirwa-foni inotanga kuiswa pakutanga uye ipapo polyvinyl dilator (Savary-Gilliard kanaAmerica) inowanikwa pamusoro pechungetedza
- Baloon dilator - inoshandiswa kusvika kune imwe nzvimbo yegadziriswa, pasi pekupedzisira (kushandisa video endoscope) kana kuti fluoroscopy (uchishandisa x-ray), uye zvino inopisa ibhaluni
Sei Esophageal Dilation Inoitwa?
Nokufamba kwenguva, zvinetso zvakasiyana-siyana zvehutano zvinogona kukonzera kugadziriswa kuumba mukati mehutano zvichikonzera kuderera kwemashoko. Izvi zvinogona kuita kuti zvive zvakaoma kumedza uye iwe unogona kunge uine manzwiro ezvokudya akabatanidzwa muchipfuva chako. Iyi manzwiro ndechokuti kudya kune nguva yakaoma inofamba mberi kudarika. Muzviitiko zvakawanda, izvi zvinogadziriswa ndezvikonzero zvekuunganidza kwehutrous kana collagen kuunganidza.
Heino urongwa hwezvinetso zvinogona kubatsirwa nekushandisa kushandiswa kwemasimba:
- Achalasia
- Caustic (chemicals) kukuvara
- Eosinophilic esophagitis
- Esophageal cancer
- GERD - yakawanda
- Jackhammer esophagus
- Pamberi pekuvhiyiwa kwesophageal
- Radiation therapy
- Schatzki's ring
- Sclerotherapy for esophageal varices
Esophageal dilation haisi mushonga wezvimwe zvezvinetso zviri pamusoro uye zviratidzo zvingadzoka zvakare.
Zvisinei, kuve nekugadziriswa kwemaitiro kunogona kuva nzira inobatsira pakurambidza zviratidzo zvinobatanidza nekuedza matambudziko.
Ngozi Dzinosangana NeEsophageal Dilation
Iwe unofanirwa kunge uine esophageal dilation yakaitwa nemudzidzisi wekudzidziswa. Kunyange zvazvo kunyanya kushandiswa kwekodha kunowanzochengeteka, kune zvimwe njodzi dzaunofanira kuziva. Kunyangwe zviitiko zvinotyisa zvinotyisa, kuwedzerwa kwemashoko mune zvekuchengetedzwa kune zvakachengetedzeka kuita muchipatara chiri kunze uye hakudi kuitirwa muchipatara.
Kuzadza uye kuda kunogona kuitika nechose chinenge chiripo chinosanganisira gwagwa kana kuti sopu. Chiremba wako achacherechedza nokuda kwezvinetso izvi panguva yose. Iwe unofanirwa kutsvaga kurapwa kana ukacherechedza chimwe chezvinhu zvinotevera mushure mekutsvaga kwemasimba:
- kunetseka kufema
- fever
- chipfuva chepfu
- ropa kana dema kufamba
Dambudziko rinonyanya kukuvadza ndiro dambudziko rekuvhiringidzika, kana kuti gomba muhuputi. Izvi zvinogona kuitika inenge nguva dzose katatu kubva pa1 kusvika ku1 000 kubva kuhuwandu. Kana kukanganiswa kuchiitika, chirwere chinogona kudiwa nokukurumidza. Ngozi yako yakakwirira kune izvi zvinetso kana chidimbu chako chakabatana neradio inorapwa. Ngozi yako yakanyanya zvakare kana iwe uine chiremba asina kuita chirwere ichi kakawanda, saka zvinonzi iwe une kuwedzera kwekutsvaga kwakagadzirwa ne otolaryngologist kana gastroenterologist.
Zvaunotarisira Nechinonzi Esophageal Dilation
Usati uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchitsvaga (hauna zvokudya kana mvura) kwemaawa matanhatu. Iwe unofanirwa kutevera chiremba wako chirevo chekutanga chirevo pamusoro pezvaidiwa nguva yekutsanya. Kazhinji izvi zvinenge zviri kukurumidza kutanga pakati pousiku zvisati zvaitika.
Kana iwe uri pane chero mishonga inopisa ropa rako (aspirin, warfarin, etc ...) unofanira kuzivisa chiremba wako. Iwe unogona kunge usingadi kubviswa pamishonga, zvisinei kana chiremba wako angashandura muroti wako kana kutora matanho akawanda. Usingarevi chiremba wako pamusoro pemishonga iyi inogona kuwedzera kungozi yako yekuita ropa rinokonzera.
Iwe unogonawo kutarirwa ma antibiotics musati maitiro kana iwe une nhoroondo yemamwe matenda epfungwa. Kana ukatora mishonga inorwisa mabhakitiriya nebasa remazino, unofanirwa kuve nechokwadi chekukurukura ma antibiotics nachiremba wako.
Panguva yekufamba, chiremba wako angashandisa sedation kuitira kuti akubatsire kuporesa uye usakanganwa maitiro. Kana iyi nzira inoshandiswa, iwe unoda mumwe munhu kuti akutakure kumba kwako, sezvo mishonga inowanzoshandiswa mumutambo uyu inosanganisira: fentanyl, anoziva, kana propofol. Mishonga iyi yose inoda kuti iwe usafambisa kwemaawa 24. Zvichida, chiremba wako angashandisa anesthetic spray kuti avhare pamutsipa wako kuti aite maitiro ako. Kana iyi nzira inoshandiswa, iwe uchave wakamuka zvakakwana nokuda kwekuita uye unogona kukwanisa kutyaira. Vanhu vakawanda zvakadaro vanosarudza kushandisa sedation, nokuti kufunga kwehurefu refu kuiswa mumutsipa wako pasi kusvika mudumbu rako kunogona kutyisa, kunyanya kana iwe unowanzoita claustrophobia.
Mushure mekuita, iwe uchapiwa mirayiridzo paunogona kudya uye kunwa. Kunwa kuchaitwa kusvikira chero upi zvake huripo hunozoguma. Izvi ndezvokuti iwe usine mvura inopinda mumapapu ako panzvimbo yemudumbu mako, sezvo inesimba inhibisa zvinowanzoita kumedza mabasa. Iwe unogona kunge uinewo gonda rinorwadza pamutsipa kwemazuva mashomanana mushure mekuita.
Ndichange Ndichinyanya Kuda Zvakawanda Kupfuura Kurasikirwa Kwakawanda Here?
Zvinowanzoita zviratidzo pakupedzisira kudzoka mushure mekutsvaga kwesophageal. Zvinotora nguva yakareba sei kuti zviratidzo zvekudzoka zvive zvakasiyana uye zvichienderana nezvimwe zvinhu zvinosanganisira kusuruvara uye chinokonzerwa nekugadzirisa. Muzviitiko zvizhinji, kutarisira zvokudya , kushandiswa kweproton pump inhibitors (PPIs), uye dzimwe mishonga dzokurapa inogona kubatsira kunonoka kana zvisingaregi kudiwa kwekusangana kushayikwa kwemazuva ano. Kushanda pamwe nekutevera urongwa hwako hwehutano hwakarongwa kunogona kubatsira kuchengetedza zviratidzo pasi pesimba kwenguva yakareba. Esophageal dilation ndiyo mushonga uye kwete mushonga, zvisinei kuti kuregererwa kwechiratidzo kuchaita kuti nzira iyi ive yakakosha zvikuru kuvandudza mararamiro ako ehupenyu.
Sources:
American Society for Gastrointestinal Endoscopy. (nd). Kunyatsonzwisisa Kurasikirwa Kwepfungwa. Yakasvika musi waJanuary 31, 2016 kubva http://www.asge.org/patients/patients.aspx?id=392
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Kochman, ML (2007). Kuderedza dambudziko rekushayikwa kwemasimba. Gastrointest Endosc Clinic N Am. 17 (1): 47-58, vi.
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