Achalasia wani ɓangaren motsa jiki ne na esophagus wanda ke haifar da wahalar haɗuwa da sauran matsalolin. Achalasia wani cuta ne mai wuya wanda yakan faru a lokacin da kwayoyin jijiyoyin da ke cikin sifa suka ɓacewa.
Ba a san dalilin da yasa kwayoyin jikinsu sukan fara bazuwa ba amma hasara daga cikin wadannan kwayoyin suna haifar da lalacewa daga cikin tsokoki a cikin esophagus da rashin iyawar sphincter (ES) don rufewa daidai.
Lallolin sun sabawa budewa, suna barin abinci su shiga cikin ciki daga esophagus sa'an nan kuma a sake rufe su don kiyaye abincin abinci daga dawowa da esophagus.
A 1929, lokacin da likitoci suka gano dalilin da ya sa magunguna ba su da ikon iyawa na LES don rufewa da kyau sun kira yanayin launi, wanda ke nufin rashin cinyewa.
Achalasia za a iya gaji a wasu mutane amma yawanci, yana faruwa ne a tsakanin maza da mata masu girma. An kiyasta abin da ya faru daidai da 1 a 100,000 mutane a kowace shekara. Wani kamuwa da cuta mai suna Chagas zai iya haifar da launi.
Yana da mahimmanci a san cewa an yi amfani da kalalasia a wasu lokuta idan ba a kula da shi ba a matsayin ƙwayar ƙwayar gastroesophageal ( GERD ). Samun asalin farko na maganin ƙwayar zuma yana da mahimmanci, kamar yadda ƙwayar ƙwayar cuta zata iya ƙara yawan ciwon daji na ciwon daji na esophagus .
Cutar cututtuka
Idan ka sha wahala daga kalasia zaka iya samun daya ko fiye daga cikin wadannan alamun bayyanar:
- Acid reflux ko ƙwannafi
- Regurgitation na ciki ciki
- Tsara da yawa
- Difficile haɗiye
- Choking
- Feel kamar abincin yana makale a cikin kirji
- Feeling kamar dai akwai kullun a cikin makogwaro
- Rashin asarar rashin nauyi da / ko rashin abinci mai gina jiki
Sanin asali
Dole likitanku na iya tsammanin kullun da ya dace da alamun bayyanarku da jarrabawar jiki.
Ya kamata a yi la'akari da Achalasia idan kuna da matsala ta haɗuwa da daskararru da taya kuma kuna da rudani wanda ba a warware ba duk da jinin da aka yi da prohibit pump inhibitors. Proton pump inhibitors su ne nau'i na magunguna da ake amfani da su don bi da acid reflux kuma sun hada da Prilosec , Nexium , da Dexilant .
Wadannan gwaje-gwaje masu mahimmanci sun taimaka wajen tantance wannan yanayin:
Jiyya
Wadannan shawarwari na yau da kullum game da maganin takalma sun hada da dilantattun lakabi na ƙwayar cuta ko mota mai ɗorewa tare da takaddun kudi. Wadannan hanyoyin da aka nuna su ne mafi mahimmanci jiyya (ƙarin bayani game da waɗannan hanyoyin da ke ƙasa).
Ga wadanda ba za su iya shan tiyata ba ko kuma za su zabi kada suyi, botox injections bayan magani tare da magunguna suna bada shawara.
A halin yanzu babu magani wanda zai iya mayar da aikin al'ada na al'ada (peristalsis) zuwa ga esophagus. Saboda haka, dukkanin jiyya suna nufin rage matsa lamba a cikin LES.
- Motodin ɗaɗɗaura na miki hanya ne mai banƙyama wanda aka raba magungunan muscle na LES. Ana iya yin laparoscopically wanda ya rage lokacin dawowa. Bincike sun nuna mota mai yaduwa ya kasance mai tasiri sosai a rage yawan bayyanar cututtuka na fatar jiki amma ci gaban GERD bayan wannan tsari ya faru akai-akai. Saboda wannan dalili, an bada shawarar cewa anyi aikin mota ne tare da wata hanya da ake kira jujjuya don hana GERD.
- Rashin ciwon magungunan ƙwayar cuta (PD) wani tsari ne wanda ba na da ƙwayar cuta wanda yake amfani da matsa lamba na iska don yatar da ƙwayoyin tsoka a cikin LA. Anyi hanya ta hanyar yin amfani da haske. Akwai haɗari na lalacewa cikin esophagus (ba tare da haɗuwa da tayar da esophagus ba, ko yin rami a ciki) kuma bayan hanya, dole ne ka sami jigon sashen barium don tabbatar da cewa ba'a yi tsinkar gado ba. Nazarin ya nuna cewa lokacin da aka yi kyau PD ya ba da kyauta ga kyakkyawan taimako na bayyanar cututtuka na launi. Sakamako ba na dindindin ba amma yana iya wucewa har tsawon shekaru.
- Rikici na asibiti yana kama da kamuwa da cututtuka amma a lokacin dilafuwar asibiti , likita yana dauke da LES tare da dilator. Wasu marasa lafiya zasu iya inganta GERD bayan wannan hanya.
- Botox injections an nuna don rage matsa lamba a cikin LES amma ba su da tasiri kamar PD ko tiyata. An yi maganin injections da kuma ƙaddamarwa na hanya shine cewa akwai ƙananan cututtuka, ƙananan hadarin rikitarwa, da kuma dawowa yana da sauri da rashin rikitarwa. Kwayar cututtuka da yawa ana yin amfani da shi a hankali da kuma injections da ake bukata a cikin mutane da yawa waɗanda suka za i wannan magani.
- Kwace jiki , ko cirewa na esophagus (ko ɓangare na esophagus), an adana shi ne a lokuta masu tsanani wanda wasu jiyya suka kasa.
- Ana amfani da maganin maganin maganin ƙwayar ƙwayoyin ƙwayar ƙwayar ƙwayar ƙwayar cuta. Duk da haka, ga waɗanda basu iya yin aikin tiyata kuma waɗanda suke yin maganin cututtuka sunyi amfani da magunguna marasa amfani. Magunguna da ake kira 'yan kwanto mai lakabi, waɗanda aka ba da umurni don cutar hawan jini, ana amfani dashi akai akai saboda labarinsu don shakatawa tsoka. Wannan shakatawa yana rage matsa lamba a cikin LA. Wani magungunan da ake kira sildenafil (Viagra) an nuna shi don rage matsa lamba a cikin LES. Wasu magunguna za a iya amfani dasu dangane da halin da ke cikin likitan ku.
Saboda ciwon haɗari na ci gaba da ciwon sikila, duk marasa lafiya da sukasia ya kamata su ziyarci likitancin su na yau da kullum, koda lokacin da jiyya ke da tasiri. Likitanku zai saka idanu da allon (kamar yadda ya dace) don ciwon daji na asibiti.
Sources:
Kwalejin Amirka na Gastroenterology. ACG Manufar Harkokin Gudanarwa: Bincike da Gudanarwa na Achalasia. http://d2j7fjepcxuj0a.cloudfront.net/wp-content/uploads/2013/07/ACG_Guideline_Achalasia_July_2013.pdf
Medline Plus. Achalasia. http://www.nlm.nih.gov/medlineplus/ency/article/000267.htm
Medscape. Achalasia. https://reference.medscape.com/article/169974-overview#aw2aab6b2b4aa
Na zamani. Bayanin haƙuri: Achalasia (Baya ga Basics). http://www.uptodate.com/contents/achalasia-beyond-the-basics