Jigon motsi ne mai tsalle, kwayar murya wanda ke dauke da abinci kuma yana fitar da kututture zuwa cikin ciki. Tsarin bishiya yana gudana ta tsakiyar tsakiyar kirji, wani yanki da aka sani da matsakaici . Mene ne tsari da aiki, kuma wane yanayi na likita zai iya rinjayar esophagus?
Tsarin
Jirgin ya fara farawa a cikin makogwaro (pharynx) kuma yana tafiya cikin ciki, yana wucewa ta hanyar dabarar ta hanyar hanya.
Tsawon yawanci kusan 25 cm (9 zuwa 10 inci) a cikin manya. Yana wucewa a bayan trachea (windpipe) da kuma gaban gaban kashin baya.
Akwai 2 sphincters (wuraren da za a bude da kuma rufe) a cikin esophagus.
- Hannun jigilar kwakwalwa ta sama (UES) yana ƙarƙashin son rai da kuma kula da kai tsaye. Yana aiki ne don hana abinci da kuma sanya ruwa daga shigar da iska (trachea,) a cikin wasu kalmomi, yana hana abinci daga "tafiya cikin hanya mara kyau" (aspirating.) IUS za a iya buɗewa kuma a rufe shi da hankali, kamar yadda yake a lokacin fashewa, hadiyewa, da kumbura .
- Ƙananan sphincter ƙarancin (LES) ba a ƙarƙashin kulawa da hankali ba kuma yana aiki don hana ciwon ciki mai ciki daga tafiya cikin esophagus. Barasa, da magunguna daban-daban, na iya haifar da hutu daga cikin ayyukan da aka kai ga reflux.
Yanayi
Gisophagus yayi hidima don ciyar da abincin da kuma taya daga bakin zuwa ciki. An cika wannan ta hanyar rikitarwa na lokaci (peristalsis) maimakon nauyi.
Tare da ciyawa, wadannan haɓaka suna juya baya, suna barin abun ciki ciki don a mayar da shi zuwa bakin don tofawa.
Yanayin lafiya
Akwai yanayin kiwon lafiya da yawa wanda zai iya faruwa a cikin esophagus. Wasu daga cikinsu sun haɗa da:
- Gluguwa ta hanyar gastroesophageal (GERD)
- Ƙunƙashin ƙunƙashin ƙwayar zuciya - ƙwannafi yana magana ne game da hasken wutar da mutane da yawa suka fuskanta a cikin kirji da kuma ƙananan ciki bayan an ci abinci. Kwancin ƙwannafi na kwanan baya ba wani abu ba ne da za a ɗauka a hankali, saboda lalacewar esophagus abu ne mai hadari ga irin wannan ciwon daji na asibiti.
- Tsuntsiya (ƙonewa daga cikin esophagus) - Tsarin sifa zai iya zama mummunan sakamakon sakamakon rudin acid daga ciki, daga cututtuka, ko daga lalacewa na biyu zuwa radiationrapy da aka ba da kirji.
- Barrett's esophagus - Barrett's esophagus wani sauye-sauye ne na "ƙaddara" a cikin abin da ke jikin jikin da ke rufe jikin, wanda yawancin GERD ke daɗewa. Idan kuna da ciwon GERD na yau da kullum tare da bayyanar cututtukan ƙwayar ƙwayar ƙwayar zuciya, likitanku na iya bayar da shawara ga gwaji don kimantawa ga esophagus Barrett. Idan an lura da canje-canje, za a iya yin la'akari da magani don rage haɗarin ciwon ciwon daji na asibiti a nan gaba.
- Ciwon daji na asibiti - Labaran cutar kanjamau yana da ciwon daji tare da raguwar rayuwa. Akwai manyan nau'i biyu na wannan ciwon daji. Ɗaya daga cikin nau'in, ciwon sankarar mahaifa, wanda ake zaton yana da alaka da tarihin shan taba da shan shan taba. Wani nau'in, adenocarcinoma na katako ne sau da yawa a cikin mutanen da ke fama da ƙwannafi.
- Mallory-Weiss da hawaye - Waɗannan su ne hawaye da hawaye na esophagus wanda lokuta yakan faru tare da mummunan zubar da ciki.
- Kwayoyin jigilar jini - Waɗannan su ne ainihin "varicose veins" wanda ya shafi nau'in kwakwalwa na esophagus wanda ya zama mafi yawanci tare da cirrhosis na hanta.
- Achalasia - Achalasia wani yanayin ne wanda ƙananan esophagus baya shakatawa, yana hana abinci daga shiga cikin ciki.
> Sources:
> Cibiyar Ciwon Ƙwayar Yammacin Amirka. Menene Ciwon daji na Esophagus? Updated 06/14/17. http://www.cancer.org/cancer/esophaguscancer/detailedguide/esophagus-cancer-what-is-cancer-of-the-esophagus
> Makarantar Magunguna ta {asar Amirka. MedlinePlus. Maganin yarinya. Updated 12/06/17. https://medlineplus.gov/esophagusdisorders.html