Hypercontractile Peristalsis
Mphaka wa Jackhammer, kapena hypercontractile peristalsis, ndi matenda osokoneza bongo omwe amachititsa kuti thupi lonse likhale lopweteka kwambiri. Ma spasms ndi amphamvu ndipo amatha kukhalapo nthawi yaitali, kutchula dzina la matenda, jackhammer esophagus, kufotokozera mokwanira momwe munthu yemwe ali ndi matenda angamvere.
Zimayambitsa
Zomwe zimayambitsa jackhammer epopus sizimveka bwino koma vutoli lingayambidwe chifukwa cha zovuta zomwe zimayendetsa chiwindi kapena kuwonjezeka kwa acetylcholine. Akatswiri ena azaumoyo amakhulupirira kuti jackhammer isophagus imayambitsidwa ndi GERD .
Matendawa amawoneka ngati ofala pakati pa anthu omwe ali ndi matenda a maganizo ndipo nthawi zina amatha kuchiritsidwa ndi tricyclic antidepressants. Izi sizikutanthauza kuti matenda opatsirana pogonana amachititsa kuti jackhammer isophagus kapena kuti munthu amene ali ndi matenda a jackhammer ali ndi matenda a maganizo, komabe kuti zikuoneka kuti pali mgwirizano pakati pa zikhalidwe ziwirizi. Mphunzi wa Jackhammer umakhalanso wofala mu:
- Anthu a ku Caucasus kuposa anthu a mitundu ina
- Zomwe zimakhudza amayi kusiyana ndi amuna
- zambiri zokhudza akuluakulu kuposa ana.
Zochitika zenizeni za jackhammer esophagus sadziwika, ambiri amapezeka kuti sadziwa chifukwa zizindikiro zili zochepa ndipo nthawi zambiri matendawa amakhala ngati reflux acid kapena vuto lina lomwe limayambitsa zizindikiro zomwezo.
Zizindikiro
Zisonyezero za jackhammer imakhala yovuta kwambiri ndipo zimayambanso ndi mavuto ena ambiri a mimba monga GERD, eosinophilic esophagitis , ndi achalasia . Kuwonjezera pa zozizwitsa zazing'onoting'ono, zizindikiro zina zingaphatikizepo izi:
- kupweteka pachifuwa
- kumverera ngati pali mtanda mu mmero mwanu
- zovuta kumeza
- kubwezeretsedwa
- kupweteketsa mtima
Kupweteka kwa chifuwa nthawi zambiri kumagwirizanitsidwa ndi jackhammer oophagus kungakhale koopsa ndipo kumakupangitsani kumva ngati kuti mukudwala matenda a mtima. Ikhoza kuwonekera kumbuyo kwanu. Mutha kuwona kuti zizindikiro zimakula kwambiri mukadya kapena mukudya kwambiri.
Kudziwa
Kuzindikira kasamaliro ka jackhammer kungakhale kovuta ndipo monga tafotokozera kale kuti vutoli nthawi zambiri silingadziŵike ngati matenda ena omwe amachititsa zizindikiro zofanana. Dokotala wanu adzawona mbiri yanu yaumoyo, zizindikiro zake, ndipo mwinamwake amayambitsa kuunika kwa thupi. Komabe, mayesero awiri makamaka amafunika kuti adziwe matenda a jackhammer, chimbudzi cha barium kapena manophyme othetsera mphamvu . Manopherinasi ochepa kwambiri, mayesero omwe amachititsa kuti maselo osakanikirana apitirire, amachitidwa kuti ndi mayesero abwino kwambiri owona kuti jackhammer isophagus. Mayesero ena angagwiritsidwe ntchito kuti athetse zinthu zomwe zikugwirizanitsa koma zotsatira za mayesero amenewa sizidzatanthauzanso kuti jackhammer isophagus.
Kuchiza
Kudyetsa Zakudya
Kulamulira acid reflux kungathandize kuchepetsa ululu wopangidwa ndi jackhammer. Ngakhale kuti palibe chakudya chapadera chomwe chikulimbikitsidwa panopa chingakhale chothandiza:
- Pewani kudya usiku
- Khalani kutali ndi zakudya zomwe zimayambitsa kupsa mtima, (monga zakumwa za carbonate)
- Sungani magazini ya chakudya kuti muzindikire zakudya zomwe zingawononge zizindikiro zanu
Mankhwala
Zizindikiro za jackhammer epopus nthawi zina zimatha kugwiritsidwa ntchito pogwiritsa ntchito mankhwala. Mankhwala omwe angakhale othandiza ndi awa:
- Matricyclic anti-depressants (monga imipramine) ndi imodzi mwa mankhwala opambana kwambiri omwe amagwiritsidwa ntchito.
- Proton pump inhibitors (monga Dexilant kapena Nexium) yomwe imachepetsa kuchuluka kwa asidi m'mimba ndi m'mimba
- Amalonda a calcium (monga Verapamil)
- Zosakanikirana ndi minofu (monga Viagra)
- Nitrates (monga nitroglycerin kapena isosorbide mononitrate) nthawi zina zimathandiza kuchepetsa kupweteka kwa chifuwa
- Mphuno ya botulinum yomwe inayambika poyambira kumapeto kwa ziwalo zapopugeal sphincter yathandiza kuchepetsa kuchepa kwa kanthawi kochepa.
Njira Zina
Nthawi zina kuchepetsa kuthamanga kumakhala kopindulitsa ngati kuvutika kukumeza kapena kumverera nthawi zonse kuti pali chinachake chikugwedezeka pammero ndi vuto. Izi zimachitika ndi endoscope pansi pa sedation, kawirikawiri monga tsiku lomwelo.
Pazochitika zina zothandizira kuti zisawonongeke, njira yothandizira opaleshoni yochepetsetsa yotchedwa Per Oral Endoscopic Myotomy (POEM) ikhoza kugwiritsidwa ntchito, mwinamwake ma myotomy omwe angagwiritsidwe ntchito angagwiritsidwe ntchito. Monga njira yotsiriza esophagectomy ikhoza kuchitidwa koma ikusungidwa kwa iwo omwe ali ndi zizindikiro zoopsa omwe atopa zina zochiritsira zotheka.
Zotsatira:
Kusaka. Kuthamanga kwa Esophageal. Zapezeka: March 24, 2014 kuchokera ku http://emedicine.medscape.com/article/174975-overview#a0199
News Medical. Njira yatsopano yowonongeka yopangira jackhammer. Kupezeka: March 24, 2014 kuchokera ku http://www.news-medical.net/news/20140304/New-minimally-invasive-procedure-to-treat-jackhammer-esophagus.aspx