Jigon motsa jiki shine bututu mai laushi wanda yake motsa abinci daga baya na makogwaro (pharynx) zuwa ciki. Tsarin gwiwar da aka tsinkaye shine asophagus wanda ya rushe ko ya tsage kuma yanzu yana da rami a cikinta. Wannan yana haifar da cin abinci da wani lokacin har ma da ruwa mai narkewa a cikin kirji, kuma zai iya haifar da mummunar cuta. Tsarin gwiwar da aka samu a cikin maza na iya zama mafi yawan mutum a cikin maza kuma a lokuta yakan faru ne bayan cin abinci.
Har ila yau, mutane da yawa sun kasance masu fama da mummunar cutar ta esophagus ciki har da GERD ko hernia . Abubuwan da suke tattare da haɗin gwiwar sune sun hada da:
- Hanyoyi kamar su endoscopy (EGD) - musamman a lokacin da aka rushe matsalolin esophagus ko jigilar kwayoyin halitta, yayin da ake yaduwa a lokacin sclerotherapy, ko jigon jini. Sauran hanyoyin da suka hada da sakawa na tube tube, tube na kyogastric ko tube na Blakemore (rare). Mutanen da suka tsufa fiye da shekaru 65 suna cikin haɗari mai yawa.
- Cincin magunguna masu haɗari irin su tsabtacewa ko batir batu.
- Cincin abu na waje (kwayoyi da tsabar kudi sune marasa laifi).
- Raunin da suka faru kamar bindigar ko raunin raunuka - har zuwa kashi 10 na lokuta.
- Abun ciwo na Boerhaave - yanayin da ya faru da gaske wanda ɓangaren esophagus ya ɓace sau da yawa a sakamakon sakamakon mummunar tashin hankali ko kuma tayarwa. Yawancin mutane a cikin shekaru 40 zuwa 60. Lissafi don kimanin kashi 15 cikin dari na lokuta.
- Yanayin yanayi wanda ke haifar da bangon gado.
- A tara tiyata ciki har da tiyata cardiothoracic ko fundoplication (rare).
- ciwace-ciwace
Hanyar da aka yi amfani da ita ta zama babbar hanyar haifar da jigilar katako ta jiki amma tun lokacin da aka gabatar da kayan aikin miki mafi sauki, haɗarin ya ragu.
Alamomi da alamun bayyanar cututtuka ta haɗari sun hada da:
- Difficile haɗiye .
- Ana shawowa ko kuma dawowa da ciwo mai tsanani.
- Dama mai wuya.
- Difficulty magana.
- Abun ciwo, tsofaffi mai zafi, babba ko ƙananan ciwo. Raunin rashin lafiyar na iya ƙarawa yayin kwance ƙasa.
- Rawan numfashi da raunin zuciya.
- zazzabi
- Bloody vomit (rare).
- Subcutaneous emphysema (gas ko iska a karkashin fata) musamman ma a wuyansa da kirji.
Kana buƙatar likita a gaggawa idan ka yi tsammanin cewa zaka iya samun esophagus perforated.
Tsinkayar esophagus ba daidai ba ne amma zai iya zama mai tsanani, har ma da m. Tsarin magani na gaggawa yana samar da mafi kyawun sakamakon amma rashin alheri, yawancin lokuta ana jinkirta kulawa saboda rashin kuskure. Kwayar tsinkayyar da ake ciki a yau da kullum yana rikicewa tare da wasu yanayi irin su ciwon zuciya, perptrated peptic ulcers ko m pancreatitis.
Rarraba na yatsun kwayar halitta zai iya haɗa da ciwon huhu, mediastinitis, sepsis, empyema, da kuma ciwo mai tsanani na nakasar numfashi (ARDS) . Halin yakan buƙaci tiyata da maganin rigakafi. Tsinkaya mai tsabta a cikin ɓangaren sama na asophagus zai iya warkewa ba tare da tiyata ba, amma ana umarce marasa lafiya kada su ci ko sha kuma suna iya buƙatar abinci mai gina jiki daga IV ko kuma IV har sai asibiti ya warke.
A wasu lokuta, za'a iya amfani da hanyar endoscopic don sanya stents ko shirye-shiryen bidiyo a wannan halin.
> Source:
> Ƙarin Madauki. Tsunin jigilar hanzari.
> Medscape. Magani na Boerhaave.
> Medscape. Ruptures da tsummoki a cikin gaggawa.
> Cibiyar Kimiyya ta Jami'ar Maryland. Tsunin jigilar hanzari.