Esophageal maʻi: Symptoms a me ka iapaau ana

hana o ka esophagus paha i ike i ka a pau. E like me ia i kēia mea, ma mua kilohi, i ke kino aleia kanaka ai e neʻe aku i loko o ka'ōpū. E like me ka mea huli mai, esophageal maʻi, na symptoms o i e e kūkākūkā i loko o kēia 'atikala i loa eiiieaena, a pēlā nō, e like me ka mea hoopuni i wela ai a me ka' ikepili i ka mea a pau i ka hewa i loko o kā mākouʻai.

Interestingly, i ke kanaka, wehe aʻe ia i na hoailona o ka maʻi i kapaia o ke kino, loa pinepine wahi ia lakou i na pilikia a me ka opu, naau a spine maʻi, a me ka hoʻoikaika 'ana i ke kulana, ho'āʻo e kiʻi e ike ia lakou.

He aha ka dysphagia?

E hoʻomaka, e ka nānā i ka mea e hele pū anaʻaneʻane i na mai o ka esophagus symptoms.

I ka mua o ia mau mea - dysphagia. Kēia mea he 'aʻe' o ka moni 'ia keʻano o ka hanaʻana i i ooieoeiiaeuiuo pilikia a me ke aloha nā pilikia a hiki i ka neʻeʻana mai o ka ai ma ka esophagus.

Kēia 'aʻe' characterizes ka manao i ka ai ua apo la i ka manawa o ka moni 'ia a me ka hooholo ana o ka'ōpū. Ma ke alanui, e loaʻa ia mea ke hookoaiaʻe mai Afaq, i mea ka hoailona o ka piha iaʻi o ka esophagus, a koi pilikia lapaau.

heartburn

Kekahi symptom o ka maʻi i ka opu a me ka esophagus mea retrosternal ahi ka waiʻona ma e hohola ai i ka ai, a me kekahi manawa i loko o nā lima. IeAUPIIe, IAa IO, heartburn pu ma ka regurgitation (ejection) o gastric Contents, e like me ka manao i palapala mai ai i ka puu mehana nalu.

Heartburn mea ino ma hope o kaʻaiʻana, i ka wa a ke ahonui hilinaʻi aku, i ka papamoeʻoihana a kāohi hoʻi i hoka ai. A ua hiki ke hoemi kona pinepine 'inā wale ale tuha, e hana i kekahi mau e hō mai noʻu i ka wai, a lawe antacid (hydrochloricʻakika neutralizing hana)' o ia hoʻi.

Ka pinepine, a loa heartburn - heʻoiaʻiʻo hōʻailona o ka pilikia a me ka functioning o ka esophagus, no kekahi laʻana, bile reflux a hydrochloricʻakika, kāna hana kino ka hiki e kikoo a me kona mucosal li nui (oesophagitis).

odynophagia

Soreness hana o ka moni 'ia e ia lŘlŘ ma hope o ka breastbone, - odynophagia, ana, kena ae la ia e lesion mucosal ili o ka esophagus. It E e ike okoa mai spastic umauma eha pili me ke keku paakiki popo o ka ai. Odynophagia - he pili-kekahi symptom, a no laila, ma luna ia mea paakiki e hooholo i ke ano o ka pathology i loko o ka ho'ākāka 'ia ma ke kino i ka mea o ka eha.

No ka reflux esophagitis hoakaka ia symptom mea ole typical, akā, ka mea hiki ke 'akomi i ma ka infectious esophagitis (oi loa aku hoi, i ka wa Candida? Ueony, a me ka herpes). Inā he Nine Inch kuni i ka mea, ulcer a me ka maʻi 'aʻai eha ua pū akula nō hoʻi i loko o ka esophagus - na kumu no ka like symptoms i loko o kēia mau hihia e ma luna o kaʻili kai.

Atypical umauma eha

Atypicalʻeha mea okoa mai ka heartburn paha odynophagia. E like me ka hope, ma ke alanui, e hiki no hoi i hoʻomaka me reflux esophagitis, e like me ma ka hihia o esophageal motility kāna hana, e like me esophagospasm. Kēia symptom akaka like i meaʻai, a me ka spontaneously.

Ikaika a me ka excruciating kaʻeha i loko o ka esophagus,, ka mea i lilo ia i hoailona o ka maʻi 'aʻai a esophageal ulcers na kumu o ka a mākou e kūkākūkā hope. Incidentally, ma kekahi a me ka ua hoʻomanawanui mea hiki i he okoa ke ano, i kekahi manawa, e hoomanawanui i hiki i loaʻa ia, e hōʻike pilikia lākou mau manaʻo.

Ma kekahi mau hihia, o ka pahuʻeha i ke pili me ka atypical haunaele ma esophageal motility. Ma keia hihia, nā mea maʻi i ka mahina hou, a 'ano' kāna hana, kaumaha, panic a me psychosomatic kāna hana a me ka manao naʻau i loko.

regurgitation

Kēia symptom Ua oleloia ma ka hōʻike o ka heartburn, e like me ka mea mea he hoailona o kona hoa. Reguritatsiya IeAUPIIe, IAa IO ia lŘlŘ ole nausea a me ka diaphragm contraction, a ua ana pu ma na mea he nui o ka maʻi o ka esophagus a me ka'ōpū.

Symptoms abandonment o gastric Contents i loko o ka waha pu me pathologies e like me esophageal stricture paha diverticulum. A gastro-esophageal reflux reguritatsii hui i kekahi, a me ka nānā aku i loko o ka waha awaawa a me ka vinega ho'āʻoʻana i ka mea ku pono i ka hoʻokō 'ole' ana o ka esophageal sphincter.

Ka mea i ho'ākāka 'ia symptom pilikia popadenii gastric Contents i loko o ka naehana'ōnaehana, a hiki i ole wale i ka cough, akā, i ka hakui o. I kekahi manawa, regurgitation hiki i wehena pneumonia.

Pehea e holo ai i ka papa kuhikuhiE maʻi o esophageal achalasia

Na hoailona o esophageal maʻi alakai i kaʻeha a me ka oolea o ke sternum,ʻikeaʻana regurgitation, reflux, pilikia me ka moni 'ia, nausea, heartburn, halitosis aie i ka awi aku o kaʻai i loko o ka esophagus, e hōʻike i ka hanana o ke achalasia.

Ua maʻi ua iʻikeʻia e like me "cardiospasm" a mea he neuromuscular pathology e accompanies i ka 'aʻe' ana i ka puka o ka sphincter, Aia ma ka haʻahaʻa o ka esophagus, a ua kapaia cardiac. E like me ka hopena, i ka ai hiki ole komo i loko o ka opu, e kauoha ana i ka symptoms helu ma luna.

Nā kumu o ka maʻi i IKE OLE IA. A ma kekahi mau hihia, kona helehelena mea ana, a ma ka mea e ae - ia e hoʻomōhala ana i ke kiʻekiʻe. Ke hoomanawanui hōʻikeʻike pinepine ke hakuloli i ka achalasia, hoemi kā lākouʻai ana o ka nui nui o ka wai, gymnastic kino, etc.

Akā, me ka hou ana o ka pathology koi i ka pane nui i ka ninau o ke ana, e pono i ka esophagus. E hana i kēia, e hoʻohana i nā kiʻina hana nona wehe o ke'ākeʻakeʻa mai i ka hooholo ana o ka ai - cardiodiosis (hoʻonui dilation o ka sphincter) ole kardiomiotomiyu (ʻoki lāʻau lapaʻau incision o ka sphincter Muscle). Lāʻau lapaʻau mea i IeAUPIIe, IAa IO he kākoʻo külana.

Symptoms a me ka lapaʻau o esophageal spasm

Maʻi o ka Esophagus, na symptoms a mākou i noonoo i hoʻomōhala i loko o ka maʻamau functioning o ka sphincter. A pau keia ia lŘlŘ i loko o kēia hui, spasm, a IeAUPIIe, IAa IO mea he hopena o ka maʻi o ka digestive'ōnaehana a me ko mākou hopohopo kāna hana.

I keia mai i ka hoʻomanawanui complains o kaʻeha o ka loli iki ikaika i loko o ka manawa o ka hooholo ia ana o ka ai ma ka esophagus a me ka moni 'ia pilikia. Ma ke ala, i kekahi manawa i ka eha ia lŘlŘ ma waena o meaʻai, a laila ka mea, hiki wawe ke pioloke me symptoms o ka angina.

Ka hookolokolo ana o ka esophagus i loko o kēia maʻi ua ana mālama kona deformation ma muli o ka Muscle spasms. Mau maʻi noi aku lapaau o ka esophagus, ano laulā, makeʻe kulana, a, ma ka hou, e ia i ka hookohu o ka i hookoe mai iʻai, a me ka antispasmodic ai ', a me ka nitrofuran a me kiaha dala konohiki. Ma ka hihia o ka paakiki haunaele ahonui koi hoʻonui dilatation aʻoki kino.

He aha ka reflux esophagitis?

I ka maʻi ua i kapaia peptic esophagitis, a ua wehewehe aku ma ka hoolei ana i kahi o ka'ōpū i loko o ka esophagus. Ke kumu no keia kŰia ka ole o ka lalo sphincter. Hooloihiia hana o gastric wai a me ka bile mai heʻano pākīkē ano, a hiki aku i ka li nui, a ulceration o ka mucosa, ma a ka scarring ia lŘlŘ hou o ka esophagus.

E like me ka rula, o ka maʻi ia lŘlŘ lohi, a ua pinepine ike i loko o na kamalii uuku.

Ma keia mai ka symptoms o ka esophagus ua ana hoikea mai i loko o ka palapala o ka heartburn a me he ahi ka waiʻona ma loko o ka retrosternal wahi, a hiki i hoʻomaka ai 'ole e ano hoomainoino ma anuenue i mua, e moe ana i lalo, i ka manawa o ka uwahi ana a me ka inu ole i ka waiʻona.

Esophagitis hiki ke huikau e kahe ana ke koko (pinepine hunaia), wehena pneumonia, a me ka makaʻu no loli ma ka esophagus.

E diagnose keia pathology ezofagogasteroskopiyu hanaia a me ka X-Ray barium. A hana nona ma ke kāpaeʻana i ka papa kuhikuhiE kumu o ka esophagitis (pylorospasm, ma ka hernia hiatal piloroduodenalnyh ole stenosis). Ke hoomanawanui i hoakaka ia i kekahi ai 'e ho'ēmi i kaʻakika ( "Ranitidine" a me ka "Famotidine"), antacids a me antispasmodics. ʻai no ka maʻi o ka esophagus hookoe mai i kekahi a me fractional mana.

diaphragmatic hernia

congenital a ua loaa mā ma ka diaphragm i loko o ka pahu lua I kekahi manawa, ma ka neʻeʻana i ka abdominal nā loko - e like me ka moku'āina ua hoakaka like me ka diaphragmatic hernia. Loa pinepine ia e hoʻomōhala ana i loko o ka esophageal puka. E like me ka olelo ma luna, he symptom o keia maʻi i loko o ka lokomaikai o ka reflux esophagitis, e like me huna kahe ana ke koko a me ka anaemia ke ano.

Pehea e hana i ka esophagus ma keia hihia Wehewehe i nā hāʻina i ka pololeiʻike, hoʻohana 'X-Ray a me ka endoscopy. Nō kāu, Inc mea makeʻe kulana, nona hoemi reflux. Ma na hihia o ka hou o ka esophagus a kahe ana ke koko,ʻoki lāʻau lapaʻau 'uao.

Barret ka esophagus maʻi

A hiki i ka eha o ka puu, ma ke kua o ka sternum, kiola ka'ōpū Contents i loko o ka waha, heartburn,ʻakika ho'āʻoʻana i loko o ka waha, maʻi cough a me ka hoarseness hiki olelo o esophagus maʻi, a ua kapaia o Barret ka metaplasia.

Ke kumu, i hoʻonāukiukiʻana mai o ka ulu ana o keia maʻi i ole, ua hoʻokumu 'ia, akā, i loaʻa i ka mea i hala loa he nui complication aicieeaao no ka mea, o ka mea gastro-oesophageal reflux esophagitis (mea loaʻa). Eia hou kekahi, ia mea i kēia pathology hiki ia i ka impetus no ka hooulu ana o ka maʻi 'aʻai.

Barret ka metaplasia pu ma degeneration o ka mucosal ili o aeee - na keena naʻau o ka esophagus i UAIAaIN ma keena o ka intestinal mucosa. Incidentally, ka mea, ua manaoia he precancerous ana, ka nānā 'ana i ka mea i maʻi' aʻai o ka esophagus - he ke nānā maʻi.

Barret ka metaplasia:ʻike, a me ka hana ana o esophageal maʻi

Nā symptoms, i ka iapaau ana o ka i pono pololeiʻike, a me Barret ka metaplasia pono hookupaa iho la ia ma ka hou noiʻi like endoscopy a me ka biopsy.

No keia hoʻomanawanui ka puʻu, e hookomo kuikawa lahilahi Tube ma i ka esophagus hiki ke nānā 'ia ai, a laila, lawe ia mai o ka'aʻaʻa hāpana no mahope Ka Ikepili o na keena.

Ma ka iapaau ana o Barret ka esophagus ka pulakaumaka mea i hookuu ia ma ka iapaau ana mea loaʻa ka hoonaukiuki aku metaplasia, e like me ka Kāohiʻana o ka maʻi 'aʻai. Inc i ka ia ano like no ka iapaau ana o E kiʻi i ka (antacids a me antireflux lapaʻauʻia), akā, ua oi, pili. Inā ia mea, hui pū me kaʻai Inc, aole ia i lawe mai i ke kokua ia, e like me ka pono me ka hihia o kaʻaihue o hernia, ke ahonui, ua kapaiaʻoki lāʻau lapaʻau 'uao fundoplication (ho okumu ana o kaʻimi hoʻopunipuni kiwikā).

Cancer o ka esophagus

Maʻi o ka esophagus, na symptoms o i i kūkākūkā i loko o ka 'atikala - o ka luna' maʻi, akā, i ka loa mea pathology mea kanalua Ka maʻi 'aʻai.

Ma ka hooulu ana o cancerous hikoko pāʻani i mau manamana nui o ka maʻi li nui i loko o ka esophagus i loko o ke kino, kena ae la ma ka Nine Inch, thermal a me mechanical stimulation. A pūnuku puhi a me ka waiʻona hainā hoomahuahua i ka pilikia o ka ulu maʻi 'aʻai ka 12 manawa!

I hookuu, i ka hoʻomaka o ka maʻi mea asymptomatic, a me kēia kaʻina ke lawe mai i ka 2 makahiki. I ka wā o kaʻeho ulu i ka mea he nui ia, no ka mea, narrows ka lumen o ka esophagus, ke ahonui i na hoailona o ka pilikia a me ka hooholo ia ana o ka ai ma ke kino i kapaʻia. E hoomahuahua oe i dysphagia - he ano symptom o ka maʻi 'aʻai. A ina ma ka hoʻomaka o kona maʻi, oia akaka wale ina moni a poorly mama paa ai, a laila, ma hope o ka hoʻomanawanui hiki wale hoʻohana i nā huahana i loko o ke kinowai a kalaka nui-waiʻona.

ʻIkepili nāʻikepili accrue mea hōʻemi o ka mau ana: lethargy, lilo o ka ikaika loa ka makemake, ke kaupaonaʻana me keia poho. Maʻoi hou o ka lumen o na kuʻina i loko o ka esophagus kekahi mea akaka excessive salivation.

Ma kekahi hoʻomanawanui iki mai i ka hooulu ana o ka hikoko, a ua hele pu me ia e ola ka waiʻona ma ke ana ma ke kua a ma ke kua o ka breastbone. Nō kāu, ka mea ana i ka manawa o ka 'ai, inu, a ma hope o ka manawa nalo. Kākaʻikahi kaʻeha nō ka hoʻomauʻana.

Lapaʻau o Ka maʻi 'aʻai o ka esophagus

Lapaʻau o nā maʻi o ka esophagus, Ka maʻi 'aʻai o ka hoʻohuli ai i nā maʻi hēhē ia iʻoki kino, pāhawewe a me ka chemotherapy. Ma ka hihia mua i ka hoʻomanawanui nō hoʻi ia moʻolelo paha hapa 'ia ka weheʻana esophagus. Kēia hilinaʻi nuiʻano nui ana, he pono ole o ke kaʻina hana ma luna o. Eia kekahi, lymph aka wahi i wehe 'ia i loko o ka cii o metastasis kona helehelena. Naʻe, i kēia hana o ka iapaau ana i ke contraindicated i loko o kekahi mau hoʻomanawanui iki mai (no ka laʻana, mea'ōnaehana mānowai koko maʻi a me kāna hana o ka naehana'ōnaehana oihana).

Ka pāhawewe ke Inc - ka wale iaoia e hiki ke hoʻohana i ka hana i ka hapanui o nā mea maʻi me ka esophageal Ka maʻi 'aʻai (40% o ka hihia e hiki ke kōkua i ka hoʻopau i ka loa lapaʻau hoike ana mai o ka maʻi). Chemotherapy uaʻano nui hoʻohana no ka haʻahaʻa-papa ke ano o ka maʻi 'aʻai.

Aia mea no hoi kekahi me ka hui pu Inc ma i ka pāhawewe Inc muaʻoki kino, e emi ka nui hopena o kūloko recurrence, a ho'ēmi i kāʻeho ulu.

benign hikoko

Mawaena o ka benign hikoko i loko o ka esophagus nā epithelial a me ka 'ole-epithelial hikoko. Kēia mea he 'ano pohihihi keia maʻi, a me kā lākou mau hiʻona o ka lohi papa o ka mai, a me ka nele o ka loa symptoms.

E like me ka rula, mau hikoko hoʻomōhala, mai ka pā pohaku o ke esophagus a me kekahi manawa hāʻule i loko o ka lumen. I ka loa a pau mawaena o lakou, i leiomyoma, a me ka lua o ka wahi i cystic neoplasms.

I ka papa kuhikuhiE symptoms ma ke alo o benign hikoko ua mahuahua lohi dysphagia, a (iloko o ka ulu ana o polyps) ka waiʻona ma o ka he haole kino, i ke kumu no nausea a me ka luaʻi.

Ka hapa nui o kēia mau hikoko i loaa wale ma radiological ninaninau.

Like na mea he nui o esophageal maʻi, i ka iapaau ana o benign hikoko hoemi lākouʻoki lāʻau lapaʻau ana, i mea e pale aku hiki complications pili me kaʻeho ulu. Nō kāu, wehe 'ana i wahi me ka poho i ka esophageal mucosa, a mai ke ano prognosis.

Mallory-Weiss maʻi pale

A hiki i ka maʻi o ka esophagus a me ka opu symptoms pinepine hoike ana ia lakou iho ma ka luaʻi paha gagging ia. I kekahi manawa, i ka hoʻomanawanui i keia manawa he mea he mokuāhana ma loko o ka mucousʻili lahilahi o ka esophageal-gastric huina. Kēia pathology ma ka lapaau ua kapaʻia ka maʻi pale Mallory-Weiss.

E like me ka rula, ia mea he kīnā o loaʻeha i loko o ka pahu, a ma o ka luaʻi koko i Konakele. Oiai o ka hapanui o nā mōhai kahe ana ke koko mahana ma luna o kona iho, e like me ke ahonui e e hospitalized urgently e pale aku complications nui.

Like inoculated no ka hana maikaʻi maʻi pale hoʻohana vasoconstrictors, a me ka hoi, ina he pono, electrocoagulation.

Malformations o ka esophagus

I kekahi manawa, i ka maʻi o ka larynx a me ka esophagus pololei pili me abnormalities i loko o ka ulu ana o ka weuweu - a hiki i ka underdevelopment o kona helehelena, ka nui a me ka hewa kulana.

Nō kāu, ua pathology hoikeia mai ma ka hou o ka esophagus, i ke alo o congenital tracheal esophageal fistulae, a me kekahi manawa i loko o ka huina kaawale o ka i hoakakaia kino. Eia naʻe, no ka hooulu ana o esophageal pathology hiki e hoolilo mai a hiki i ke keiki i ka pololi, no lailaʻoki kino ua koi 'ia e kiʻi pohaku uinihepa, o ia.