Zenker ta diverticulum yadda bayyananna, magani, tiyata

Zenker ta diverticulum ne mai matukar rare irin Pathology na narkewa kamar fili. A rabo daga irin cututtuka asusu domin 3-5% na duk lokuta. Azahiri da jakar-protrusion Pathology bayyana mucosa daga cikin esophagus da makogwaro iya samun daban-daban da kuma siffar size. Lahani narkewa kamar fili ya auku farko a ta raya bango, sa'an nan ya zo da gefen. Pharyngoesophageal diverticulum ne duka nakasar da kuma samu cuta, da cin gaban wani inji wanda sau da yawa pulsionny, kamar yadda akwai mãsu rauni a jiki saboda ta ƙara matsa lamba a cikin lumen.

Features da cutar

Zenker ta diverticulum tasowa sannu a hankali sosai. Its girma za a iya bambanta, kai a wasu lokuta da darajar da jariri ta kai. Diverticulum ciwon wuyansa, kuma jiki, ya rufe tare da mucous epithelium. A ta ruwa rami na iya zama da girma na wanda yake iya cimma 1.5 lita.

An located bayan samuwar na esophagus da hagu da shi, zuwa babba mediastinum. Sosai da wuya ci gaba intramural nau'i na Pathology, a lokacin da shigar azzakari cikin farji diverticulum auku a cikin sarari tsakanin ganuwar da esophagus tsokoki.

Kai ya fi girma masu girma dabam, wannan ilimin fara matsa a kan hukumomin, wanda suke kusa da nan. Diverticula ba Fused kuma ba sa kumburi a cikin kewaye kyallen takarda muddin ba zai ci gaba peridivertikulit.

Babban Sanadin cutar

A al'ada hanya na hadiya auku rage a cikin pharynx tsoka zaruruwa cricopharyngeal tsokoki fara shakata, da kuma bakin esophagus saukar. A hali na take hakkin tsoka aiki auku diverticulum.

Manyan dalilan samuwar pathologies ne:

• kwayoyin predisposition.
• esophageal mucosal rauni.
• nakasar tsoka cututtuka na nama.
• sclerosis da calcification na guringuntsi.
• take hakkin fetal ci gaba;
• tsoka nama lahani.
• kashin baya rauni.
• kumburi cututtuka na esophagus da makogwaro.

Clinical bayyananen cuta

Ta yaya irin wannan diverticulum? Yana dogara a kan ta size. kananan lahani (2 cm) bai bayyana kanta da kuma bazata gano lokacin da X-ray ko fluoroscopic jarrabawa.

Idan akwai Zenker diverticula, da bayyanar cututtuka da wannan cuta ana raba bisa ga matakan da cutar.

Features na mataki na farko

Domin mataki na farko halayyar nonspecific bayyanar cututtuka. Wadannan sun hada da: scratchy makogwaro, profuse salivation, ko mataimakin versa, rashin ruwa da na baka mucosa. Marasa lafiya bi m smells (Rotting, tuhlosti, hydrogen sulfide). Yana iya zama mai rare tari ko wahala hadiya. A lokacin da abinci akwai wata karuwa da sautin, tare da tashin hankali na wuyansa tsokoki, da haifar da haƙuri ji kamar wai koro zuwa makogwaro dunƙule. Bayan wani lokaci, da mãsu haƙuri tasowa a hanyarsa ta rayuwa, a cikin abin da ya ba lura da wani m tari da kuma burp bayan cin abinci da kuma yin amfani da su kurkura maƙogwaro da magani.

Features na biyu da na uku mataki

Ta yaya wani diverticulum a cikin mataki na biyu? Wannan zamani ne halin da stagnation na gamsai, abinci, iska jari, amma overall kiwon lafiya da aka ba sosai. A jarrabawa, likita ya bayyana jeri na bangaren na wuyansa saboda da daya mai gefe protrusion. Ga tabawa shi ne m on palpation vuya, da kuma a lokacin da abinci sake ƙara a size. A lokacin tapping a tsakiyar wata thickening ruwa bayan cin akwai wani alama na lapping, kuma a gefe latsa lura tsãwa.

A cikin uku mataki da cutar alama decompensation. Farko na bayyanar cututtuka zama mafi pronounced, overall kiwon lafiya da yake mafi sharri, da mãsu haƙuri fara hanzari rasa nauyi.

Kullum kumburi tsari da ke faruwa a cikin kogo diverticulum, take kaiwa zuwa daban-daban rikitarwa: ciwon huhu, asphyxia, abscesses, stasis venous jini, esophageal perforation ganuwar, mediastinitis da zargin malignancies.

bincikowa da

Babban Hanyar gane asali Zenker ta diverticulum, - X-ray gudanar a daban-daban jirage. Shirye na musamman stained da rami samuwar, saboda haka cewa yana yiwuwa domin sanin ba kawai ainihin wurin, amma kuma ta size, siffar, wuyansa tsawon, bends tare ta tsawon, Jihar m gabobin da kuma ilimin Halittar Jiki Tsarin. Idan baka diverticulum barium slurry fara tsaya, shi ya nuna ci gaban da diverticulitis.

Jiyya cutar da ra'ayin mazan jiya

Idan kamu da Zenker ta diverticulum, magani ne duka ra'ayin mazan jiya da kuma m dabara. Amma idan aiki iya a farko idan Pathology ci gaba taimako. By ra'ayin mazan jiya far an koma ga kawai a lokuta inda akwai tsanani contraindications wa tiyata. A wannan yanayin, da mãsu haƙuri dole bi zuwa m abinci gwamnatin, taushi da rage cin abinci, na sosai daukan taban abinci. A haƙuri ne da za'ayi bayan ingestion magudanun diverticulum, don wannan dalili dole ne ya kasance a wani wuri. Bugu da kari, irin wannan samuwar aka kwashe lavage, kuma da mãsu haƙuri dole ne ma dauki kayan lambu, ko paraffin man lubrication na da ganuwar.

m magani

Mafi sau da yawa da taimako a cikin irin wannan cuta a matsayin Zenker ta diverticulum, tiyata Holding wanda aka nuna a na biyu da kuma na uku, saukarwa da cutar, tare da rikitarwa. 48 hours kafin tiyata, da haƙuri da aka wajabta wani ruwa rage cin abinci, da kuma sosai wanke tare da wani ilimi ta hanyar esophagoscope ko catheter.

Lokacin da Zenker ta diverticulum view na aiki zai zama divertikulektomiya-mataki, wadda ta ƙunshi a cire wannan masana'anta jakar ta hanyar da tsaguwa samuwar. Kafin tiyata da haƙuri da aka gudanar a lokacin farin ciki bincike a cikin esophagus, haka gudanarwa da aiki. Ware daga cikin kewaye kyallen takarda diverticulum rarraba a tushe da aka sewn ko knotted m dinki. Share pathological samuwar amfani stapler, wanda aka yi amfani da su karkashi.

Sa'an nan da bincike ne da za'ayi a kan inputted ekstramukoznuyu esophagomyotomy tsawon da dama santimita. Idan diverticula na kananan size, isa daya kawai cricopharyngeal myotomy, bayan da suka kasance ana mike, kuma tare da mucous membrane na narkewa kamar fili sun dauki wani lebur bango.

Kwanan nan wasu dakunan shan magani fara gudanar da wani mai aiki endoscopic hanya, watau. E. Ba yin incision a wuyansa. Its ainihi shi ne da yanke ta hanyar da na kowa bango tsakanin esophagus da diverticulum, da kuma yin amfani da wani endoscopic stapler aka kwashe myotomy. Bayan irin wannan aiki, da mãsu haƙuri recovers sauri da kuma rage yawan rikitarwa.

A postoperative lokaci bayan kau na diverticulum Zenker

Features na wannan zamani ne cewa haƙuri 48 hours, kada ku ci. Wasu likitoci bar for 3-4 kwanaki bincike don ciyar da haƙuri wani ruwa, abinci. Bayan cire shi don 5-6 days riga ba Semi-ruwa abinci, a hankali fadada rage cin abinci.

Idan ba ka yi wa cutar, da hangen nesa ne musamman talakawa. Daban-daban da rikitarwa kai ga mutuwa a 23-33% na lokuta.

ƙarshe

Saboda haka, Zenker ta diverticulum - a insidious cuta. Ba tare da nuna kanta a farkon sosai na ta ci gaba, bayan wani lokaci shi muhimmanci impairs kiwon lafiya a jihar. Bi da shi ya zama m, watau. A. A high yiwuwar mutuwa daga da dama rikitarwa.