Hypercontractile Peristalsis
Jackhammer esophagus, ko hypercontractile peristalsis, wani ɓangare ne na rashin motsa jiki wanda ke tattare da spasms wanda ya ƙunshi duka ko mafi yawan tsokoki na esophagus. Harshen spasms suna da tsanani sosai kuma yana da dadewa na dogon lokaci, suna sanya sunan cutar, jackhammer esophagus, cikakken bayanin yadda mutumin da ke fama da cuta zai ji.
Dalilin
Dalilin da ya haifar da esophagus na jackhammer ba a fahimta ba amma yanayin zai iya haifar da rashin ciwo a cikin hanyoyi masu jijiyoyin da ke kula da esophagus ko karuwa cikin adadin acetylcholine. Wasu likitoci na kiwon lafiya sun gaskata cewa GERD ne jagorar jaopin jackhammer ya jawo.
Yanayin ya zama mafi yawa a tsakanin mutanen da ke fama da cututtukan ƙwayar cuta da kuma halin da ake ciki a wani lokaci ana samun nasarar magance su tare da magungunan antidodiclic. Wannan ba yana nufin cewa rashin lafiya na zuciya yana haifar da jackhammer esophagus ko kuma mutumin da ke jackhammer esophagus yana da rashin lafiya, amma kawai akwai alaƙa tsakanin yanayin biyu. Jackhammer esophagus kuma yafi kowa a cikin:
- Caucasians fiye da sauran kabilanci
- mafi kusantar rinjayar mata fiye da maza
- mafi kusantar su shafi tsofaffi fiye da yara.
Babu ainihin abin da ke faruwa na jackhammer esophagus, yawancin lokuta ba za a iya ganowa ba saboda bayyanar cututtuka suna da sauƙi kuma yanayin sau da yawa ana nuna su a matsayin haɓakar acid ko wani yanayin da ke haifar da alamun bayyanar.
Cutar cututtuka
Kwayoyin cuta na jackhammer esophagus suna fuskantar mummunan hali kuma suna shuwaga da wasu cututtukan da suka hada da GERD, eosinophilic esophagitis , da kuma kalalasia . Baya ga cututtuka na asibiti, wasu alamun cututtuka sun haɗa da:
- zafi ciwo
- jin kamar akwai dunƙule a cikin makogwaro
- wahala a haɗiye
- regurgitation
- ƙwannafi
Cikin kirji wanda ake dangantawa da jazzhamot esophagus zai iya zama mai tsanani kuma ya sa ku ji kamar dai kuna da ciwon zuciya. Yana iya haskaka baya. Kuna iya lura cewa bayyanar cututtuka sun fi muni idan ka ci ko kuma mafi tsanani bayan cin wasu abinci.
Sanin asali
Yin gwagwarmayar jawaran jackhammer zai iya zama da wuya kuma kamar yadda aka ambata a baya an nuna cewa yanayin ne sau da yawa kamar wani rashin lafiya wanda ke haifar da alamun bayyanar. Dandanku zai yi la'akari da tarihin lafiyar ku, ya ruwaito alamun bayyanar, kuma yana iya yin gwajin jiki. Duk da haka, biyu gwaje-gwaje musamman ana buƙatar don gano zancen jackhammer esophagus, watau barium yana haɗiye ko yanayin jinsi . Matsalar zane-zane, gwajin da ya dace da rikice-rikicen jingina, an dauke shi gwaji mafi kyau ga gwajin gwagwarmayar jagorarmic esophagus. Wasu gwaje-gwaje za a iya amfani dasu don yin watsi da yanayin da ba a fyaucewa amma sakamakon wadannan gwaje-gwaje ba zasu nuna jigon jackhammer esophagus ba.
Jiyya
Gudanar da Abinci
Sarrafa maye gurbi na acid zai iya taimakawa wajen rage jin zafi da aka hade da jacin jackhammer esophagus. Duk da yake babu wani abincin da ake amfani da shi a halin yanzu yana iya taimaka wa:
- Ka guji cin abinci da dare
- Ku guje wa abincin da ke haifar da ƙwannafi, (irin su abubuwan da ake amfani da su)
- Ci gaba da jaridar abinci don gano abincin da zai iya kara yawan bayyanar cututtuka
Magunguna
Ana iya gudanar da alamar cututtuka na jackhammer esophagus a wasu lokuta ta amfani da magunguna. Magunguna da zasu iya amfani da sun hada da:
- Tidyclic antidepressants (kamar imipramine) suna daya daga cikin magungunan da suka fi dacewa amfani da su.
- Proton pump inhibitors (kamar Dexilant ko Nexium) wanda rage yawan acid a cikin ciki da kuma esophagus
- Calcium tashar blockers (kamar Verapamil)
- Masu tsohuwar muscle masu laushi (kamar Viagra)
- Nitrates (kamar nitroglycerin ko isosorbide mononitrate) wasu lokuta yana taimakawa wajen rage jinjin kirji
- Botulinum toxin injected by endoscopy a cikin ƙananan sphincter spindle na ci nasara a rage dan lokaci bayyanar cututtuka
Sauran hanyoyin
Tsarin gwiwoyi na asibiti yana taimakawa sau da yawa idan wahala ta haddasa ko jin cewa akwai wani abu da aka makale a cikin kututture shine matsala. Anyi wannan tare da endoscope a ƙarƙashin ƙaddamarwa, yawanci a matsayin hanya ɗaya.
Ga waɗannan lokuta inda wasu jiyya basu yi nasara ba wajen kula da bayyanar cututtuka ta hanyar mikiya za a iya amfani da ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwararrun ƙirar mai suna Per Oral Endoscopic Myotomy (POEM), in ba haka ba za a iya amfani da ka'idar myotomy (hanyar ƙwayar ƙwayar ƙwayar cututtuka). Yayin da za'a iya aiwatar da kwanciyar hankali na ƙarshe amma an adana wa wadanda ke da alamun bayyanar cututtukan da suka ƙone sauran jiyya.
Sources:
Medscape. Spasm. An shiga: Maris 24, 2014 daga http://emedicine.medscape.com/article/174975-overview#a0199
Labarin Labarai. Sabuwar hanyar da ba ta da maƙasanci don bi da akidar jackhammer esophagus. An shiga: Maris 24, 2014 daga http://www.news-medical.net/news/20140304/New-minimally-invasive-procedure-to-treat-jackhammer-esophagus.aspx