Mankhwalawa ndi mbali ya kapangidwe kamene kamakhala pakati pa kamwa ndi m'mimba. Mankhwalawa ndi chubu, ndipo ntchito yake yaikulu ndi kunyamula chakudya ndi madzi, atatha kumeza, kuchokera pakamwa mpaka mmimba.
Esophageal Sphincters
Mitsempha yomwe ili pamwamba pamphuno kumbuyo kwa mmero ndi pansi pa mitsempha pakhomo la m'mimba imatsekedwa ndi minofu yotchedwa sphincters (yotchedwa supopugeal sphincter ndi otsika esophageal sphincter).
Ma sphincter amatseguka kuti alole chakudya ndi madzi, koma kenaka atsekerenso kuti ateteze zipangizo zilizonse zothandizira mmimba kuti zifike m'mimba komanso kuchokera pakamwa mpaka pakamwa.
Mayesero Opangidwa
Mayesero omwe angagwiritsidwe ntchito kuti apeze matenda a mimbayi ndi awa arium x-rays (kapena barium swallow), mkulu endoscopy, ndi pH kuwunika . Pakati pajekiti ya Barium, x-ray imatengedwa kuchokera pakamwa pambuyo pa njira yanamu yamezedwa. Mu chapamwamba chapamwamba kwambiri, chubu yomwe ili ndi kamera komanso kuwala kumapeto kumadutsa pakamwa ndi pamphuno. PH ya mimba imayesedwa ndi chida chapadera chomwe chimapitsidwira m'mimba.
Matenda a Crohn a Esophagus
Matendawa akhoza kuthandizidwa ndi matenda a Crohn, ngakhale kuti ndi osowa kwambiri ndipo amapezeka kuti ndi ochepera oposa 1%. Zizindikiro za matenda a Crohn m'magazi angaphatikizepo vuto lomeza kapena kumeza ndi kupweteka .
Ngati matenda a Crohn ali pachimake akudandaula, kachilomboka kakang'ono kamene kamatha kuwonetsa zilonda zam'mimba, fistula, kapena zipsinjo. Chithandizo cha matenda a Crohn m'kati mwake chingaphatikizepo mankhwala, kuchepetsa kuchepa, kusadya zakudya, ndi opaleshoni.
GERD
Chinthu chimodzi chodziwika bwino chomwe chingakhudze matendawa ndi matenda a reflux a gastroesophageal (GERD) .
Mu GERD, sphincter pakati pa mimba ndi m'mimba imafooka, zomwe zimalola kuti zakudya ndi mimba zam'mimba zilowe mmimba. Anthu ambiri amakumana ndi kupwetekedwa mtima kapena kudzipusitsa , komabe GERD imapezeka ngati reflux ikuchitika kasanu ndi kawiri pa sabata. Patapita nthawi, GERD ikhoza kumayambitsa mavuto aakulu monga zilonda kapena zilonda .
Matenda Ena
Matenda ndi zochitika za m'mimbazi ndizo:
- Achalasia
- Chombo cha Barrett
- Khansa
- Ndodo ya Esophageal (mphete ya Schatzki)
- Esophageal chilonda
- Esophageal varices
- Webusaiti ya Esophageal
- Esophagitis
- Matenda a Reflux a Gastroesophageal (GERD)
- Kuthamangitsani
- Mallory-Weiss misozi
- Matenda a Plummer-Vinson
Zotsatira:
Decker GA, Loftus EV Jr, Pasha TM, Wade WJ, Sandborn WJ. "Matenda a Crohn a m'mimba: Zochitika zachipatala ndi zotsatira." Inflamm Bowel Dis 2001 May; 7: 113-119. 02 Oct 2015.
Feagans J, Victor D, Joshi V. "Matenda a Crohn a Esophagus: Kuwongolera Mabuku." South Med J 2008 Sept; 101: 927-9 30. 02 Oct 2015.
Ohta M, Konno H, Kamiya K, et al. "Matendawo a Crohn:" lipoti la mlandu. " Opaleshoni Masiku 2000; 30: 262-267. 02 Oct 2015.