Iyo nhokwe ndiyo chikamu chemuviri wekudya unoenda pakati pemuromo nemudumbu. Inophagus ibhuti, uye basa rayo guru nderekutakura zvokudya uye mvura, mushure mokunge yanyudzwa, kubva mumuromo kusvika mudumbu.
Esophageal Sphincters
Kuvhurwa kwepamusoro kwechitsiko kumucheto kwehuro uye pasi pegumbo pakasuo kumudumbu zvakabviswe nemisumbu inonzi sphincters (inonzi the upper esophageal sphincter uye yepasi esophageal sphincter).
I-sphincters yakazaruka kuitira kuti zvive zvokudya uye mvura inopfuura, asi ivhare zvakare zvakare kuti dzidzivirire chero zvigadzirwa zvisingabatsiri kubva mudumbu kusvika mune sophagus uye kubva pamagumo kusvika kumuromo.
Miedzo Yakaitwa
Miedzo inogona kushandiswa kuongororwa zvirwere zvepopu inosanganisira barium x-rays (kana kuti swallowum swallow), upper endoscopy, uye pH kutarisa . Pakati pekudya kweBabum, x-rays inotorwa mushure mokunge chirongwa cheBarum chinomedzwa. Mune chikamu chepamusoro chinoputika, tube iri nekhamera uye chiedza pamagumo inopfuudzwa nemuromo uye kupinda mumuromo. Iko pH yeiyo inotaridzika inotaridzwa nechombo chakakosha chinopfuurirwa mukati.
Crohn's Disease of the Esophagus
Iyo nhengo inogona kugadziriswa nechirwere cheCrohn, kunyange ichi chisinganzwisisiki uye inofungidzirwa kuti inowanikwa pasi pe1% yevarwere. Zviratidzo zvechirwere cheCrohn munharaunda inogona kusanganisira dambudziko rinomedza kana kumedza kunorwadza uye kuora mwoyo .
Kana chirwere cheCrohn chiri muhuputi chikafungidzirwa, chikamu chepamusoro chinogona kuratidza zvipembenene, fistulas, kana zvigadziri muhutachi. Kurapa kwechirwere cheCrohn munharaunda kunogona kusanganisira mishonga, kusanganisa kwepfungwa, kushaya zvokudya zvakanaka, nekuvhiya.
GERD
Chimwe chinonyanya kuwirirana chinogona kukanganisa chirwere chegastroesophageal reflux chirwere (GERD) .
MuGERD, s sphincter iri pakati pechipupuri uye mudumbu inowedzera simba, iyo inobvumira kudya uye kudya kwemajisi mukati mudumbu kuti udzokere shure mune demo. Vanhu vazhinji vanowanzosangana nekunetseka kwepfungwa kana kuti kusafarirwa , asi GERD inoonekwa kuti kana reflux iri kuitika kanopfuura kaviri pavhiki. Nokufamba kwenguva, GERD inogona kutungamirira kumamiriro ezvinhu akaoma zvakadai sechironda kana zvigadzirwa .
Zvimwe Zvirwere
Zvirwere uye mamiriro ehutu hunosanganisira:
- Achalasia
- Barrett's esophagus
- Cancer
- Esophageal ring (ring Schatzki's)
- Esophageal ulcer
- Esophageal varices
- Esophageal web
- Esophagitis
- Gastroesophageal Reflux Disease (GERD)
- Kushungurudza
- Mallory-Weiss misodzi
- Plummer-Vinson syndrome
Sources:
Decker GA, Loftus EV Jr, Pasha TM, Tremaine WJ, Sandborn WJ. "Chirwere cheCrohn chechigumo: zvipatara zvinowanikwa uye zvigumisiro." Inflamm Bowel Dis 2001 May; 7: 113-119. 02 Oct 2015.
Feagans J, Victor D, Joshi V. "Crohn Disease of the Esophagus: Kuongorora kweMabhuku." South South J 2008 Sept; 101: 927-9 30. 02 Oct 2015.
Ohta M, Konno H, Kamiya K, et al. "Chirwere cheCrohn chepopiyo: nhoroondo yemhosva." Kukura Nhasi 2000; 30: 262-267. 02 Oct 2015.