Nutcracker esophagus shine nau'i na spasm. Yana cikin nau'i ɗaya na cuta na motilhageal kamar yadda jackhammer esophagus da kuma yaduwa spasms. A Amurka game da 1 a 100,000 mutane suna bincikar su tare da matsalar motar tawaye ta kowace shekara, duk da haka, ana ganin tsammanin abin da ya faru ya fi girma tun lokacin da aka saba nuna shi a matsayin reflux acid.
Tsibirin yaduwar cutar zai iya zama yafi kowa a cikin mutanen Caucas kuma yana faruwa sau da yawa a cikin mata fiye da maza. Tsoho ka zama mafi kusantar kai ne don samun spasms na esophageal.
Hanyoyin siffofi na kwayoyin nutcracker sun hada da matsin lamba da spasms a cikin esophagus wanda ke faruwa a hanyar hadewa. Harshen ƙwayar cuta ta jiki zai iya haifar da abincin da za a yi makala ko kuma a zauna a cikin esophagus. Tare da nutcracker esophagus, duk da haka, domin spasms har yanzu faruwa a cikin wani hade da kuma tsara hanya shi ne mafi kusantar su fuskanci zafi ciwo fiye da wahalar haɗi.
Ba'a san ainihin abinda ya sa nutcracker esophagus ba. Wasu ra'ayoyi ne cewa yanayin yana da alaƙa da haɗin ƙwayar gastroesophageal (GERD) kuma zai iya haifar da shi. Wani ka'ida shi ne cewa cutar ta jiji ne, kuma wasu sunyi imani cewa ana haifar da mummunar amsa ga abu acetylcholine.
Kwayoyin cututtuka na Nutcracker Esophagus
Nutcracker esophagus na iya haifar da haɗuwa da wasu ko duk wadannan alamun bayyanar:
- wahala ta haɗiye (dysphagia) wanda ke faruwa tare da abinci mai ƙarfi da ruwa kuma zai iya faruwa ne kawai wani lokaci
- zafi ciwo
- regurgitation abinci
- reflux
Haka kuma yana iya yiwuwa ga nutcracker esophagus ya zama mai matukar damuwa (ba sa san bayyanar cututtuka).
Wasu bincike sun nuna cewa mutane da kwayar nutcracker esophagus na iya samun jigon kwayar halitta wanda ke da karfin zuciya kuma mai tsanani.
Sakamakon cututtukan motility (jackhammer esophagus da yaduwa spasm jackhammer) sun kasance kusan guda ɗaya kamar kwayar nutcracker esophagus don haka gwaji na musamman ya kamata a yi don bambanta tsakanin wadannan cututtuka.
Binciken Nutcracker Esophagus
Wadannan gwaje-gwaje na iya taimakawa likitan ku bincikar nutopcker esophagus:
- A barium shafe shi ne gwajin da ya shafi haɗiye wani abu da ake kira barium sulfate. Barium sulfate ya nuna sama a kan hasken rana don haka yana yiwuwa a duba hanyar hanyar barium sulfate ta hanyar tsarin narkewa. Bugu da ƙari ga spasms, wanda wannan gwajin zai iya taimakawa wajen tantance matsalolin kamar wahalar haɗiye ko ƙuntatawa cikin esophagus. Kada ku yi wannan gwajin idan kun kasance masu rashin lafiyar barium sulfate amma yawancin magana, jarrabawar tana da rikodi mai kyau. Duk da haka, ana san barium sulfate don haifar da maƙarƙashiya don haka za ku iya buƙatar sha ruwa mai yawa ko amfani da kan wanka mai tsabta bayan bayan gwaji.
- CT scan zai iya nuna thickening na bango duniyar (fiye da 3mm) a cikin mutane da suke da nutcracker esophagus. Duk da haka, wannan zai iya faruwa a wasu yanayi ciki har da ciwon daji na esophagus. Idan CT ta duba nuna shimfiɗa daga bango na kasusuwan likita zai buƙaci tsara ƙarin gwaji don tabbatar da ganewar asali.
- Ƙananan duban dan tayi zai iya taimakawa wajen rarrabe tsakanin nutcracker esophagus, jackhammer esophagus, da kuma yada labaran asibiti.
- Maganin zane-zane na zane-zane shine gwaji mai kyau don bincikar spasms da kuma haddasa cutar ciwon zuciya. Jarabawar ta shafi shigar da motsi na ciki a cikin hanci, saukar da makogwaro da kuma esophagus kuma cikin ciki. Rukicin yana da matukar damuwa kuma zai iya auna ƙarfin da matsa lamba na musgunawa cikin ƙoshin lafiya yayin da kake haɗi. Wannan jarabawar zai iya haifar da rashin jin daɗi wanda aka sauƙaƙe tare da furewa wanda ya sanya ciki cikin hanci kuma wani lokacin saman saman makogwaro.
- Esophagogastroduodenoscopy (EGD) wata hanya ce wadda ba ta iya gano ainihin nutcracker esophagus ba amma yana iya zama da amfani wajen yin hukunci akan wasu cututtuka irin su lalatariyar yunwa ko GERD.
Jiyya na Nutcracker Esophagus
Kai da likitanku za su zabi suyi amfani da wasu daga cikin jiyya masu zuwa don taimakawa wajen gudanar da alamar cututtukan kwayoyin nutcracker esophagus.
Ana amfani da magungunan da yawa don magance wannan yanayin kuma sun haɗa da mahaɗin masu fashewa mai launi, nitrates, da kuma masu ƙwayar phosphodiesterase. Injections na ciwon daji na botulinum a sama da bayanan kwakwalwa na kasuwa na iya ba da izinin bayyanar cututtuka na dan lokaci ta hanyar hana sakin acetylcholine. Masu hana kwantar da hankali na Proton zai iya taimakawa wajen taimakawa bayyanar cututtuka da suka shafi reflux acid. Ɗaya daga cikin magunguna mafi mahimmanci don cututtuka na motillan motsa jiki ciki har da nutcracker esophagus ne masu amfani da antidepressants.
Gwanin balloon na esophagus wata hanya ce wadda ta kai kimanin diamita na esophagus kuma zai iya taimakawa bayyanar cututtuka na nutcracker esophagus. Anyi amfani da tsarin ne a kan wani tsari da kuma a ƙarƙashin fitarwa. Za ku sami umarni na musamman game da ba cin abinci da sha ba dan lokaci kafin lokacinku. Rashin haɗari na gilashin balloon sun hada da illa mai laushi ko rashin lafiyan haɗari ga magungunan maganin cutar shan magani wanda aka yi amfani da su ko wanda ba shi da haɗari a cikin esophagus.
A cikin matsanancin hali wanda basu amsa da kyau ga wasu maganin ba, wata hanya mai aiki da ake kira ƙarancin na iya zama mai garanti. Wannan hanya kuma ana kiranta Hettotar kogin Hartophage ne kuma ana amfani dashi da yawa don magance tumatir amma za'a iya amfani dasu don magance kwayar nutcracker asophagus. An yi amfani dashi azaman karshe saboda a wasu lokuta ya haifar da haɗin ƙwayar tsoka da alaka da kwayar nutcracker ya zama mafi muni.
Za'a iya aiwatar da tsarin laparoscopically ko a matsayin hanyar buɗewa amma hanyar laparoscopic tana hade da ƙananan hadarin kuma ya fi ƙarfin lokacin dawowa. An sanya karamin haɓaka kawai a sama da maɓallin ciki sannan kuma an yanke sassan tsoka tsoka na esophagus don taimakawa wajen hana su daga kwangila. Bugu da ƙari, raunana tsokoki a gajerun gastroesophageal yana haifar da sphincter tsakanin ciki da esophagus don zama a buɗe.
Rashin haɗari da ke tattare da yaduwar cututtuka ta kasusuwan sun hada da lalacewa ga kwayoyin kewaye da ciki, hanta, ko kuma ciki da kuma kamuwa da cuta a baya. Kamar yadda yake tare da kowace hanya mai kwakwalwa, akwai kuma hadarin rashin lafiyan ko maganin cutar. Kamar yadda aka ambata a lokacin da ake amfani da shi don maganin nutcracker esophagus akwai hadarin cewa cututtuka zai ciwo. Yayinda bayyanar cututtuka ke gudana bayan shekaru masu yawa zai yiwu yiwuwar sakamako na wannan hanya zai lalata.
Bugu da ƙari, dabarun binciken da aka gabatar a baya ya nuna cewa nutcracker esophagus yana da alama ya fi dacewa a kansa a cikin 'yan shekaru.
> Sources:
> Barium Swallow. emedicinehealth. Updated Yuni 25, 2015. https://www.emedicinehealth.com/barium_swallow/article_em.htm#what_is_a_barium_swallow
> Alamar jigilar harshe. Medline Plus. https://medlineplus.gov/ency/article/003884.htm
> Spasm. Medscape. https://emedicine.medscape.com/article/174975-overview
> Heller Myotomy don Achalasia. Jami'ar Kimiyya na Jami'ar Washington a St. Louis Cardiothoracic Tiyata. http://cardiothoracicsurgery.wustl.edu/en/Thoracic/Benign-Esophageal-Disease/Heller-Myotomy-for-Achalasia