I-hoop is tube of muscle bushelelezi eshukumisela ukudla kusukela ngemuva komphimbo (pharynx) esiswini. I-perforated isophagus isifo esiqhekekile noma esiqhekekile futhi manje sinomgodi kuso. Lokhu kubangela ukuphuma kokudla futhi ngezinye izikhathi ngisho noketshezi lokugaya emgodini, futhi kungabangela ukutheleleka okukhulu. I-perforated eyophagus ingaba yinto evame kakhulu emadodeni kunabesifazane futhi ngokuvamile kwenzeka ngemva kokudla ukudla.
Kubuye kube nabantu abaningi abavamile abanesifo esiyisisekelo se-esophagus kuhlanganise i- GERD noma i- hernia yokuzalwa . Izimbangela zesifo se-perforated zihlanganisa:
- Izinqubo ezifana ne-endoscopy (i-EGD) - ikakhulukazi lapho kuhlanganiswa ukuxilongwa kwe-esophagus noma esophageal strictures, ngesikhathi se-sclerotherapy, noma i-variceal ligation. Ezinye izinqubo kufaka phakathi ukubekwa kwe-tube endotracheal, tube ye-nasogastric noma i-blakemore tube (engajwayelekile). Abantu abaneminyaka engaphezu kwengu-65 nabo bangengozini enkulu.
- Ukungena kwamakhemikhali anobungozi njengabahlanza noma ama-battery batteries.
- Ukungena kwento yangaphandle (amaphilisi nezinhlamvu zemali zivamile).
- Ukulimala okunjengokudubula noma ukulimala - amaphesenti angama-10 amacala.
- I-Boerhaave syndrome - isimo esingavamile kakhulu lapho i-esophagus ihlukana ngokuzenzakalelayo njengomphumela wokuhlanza okunonya noma ukubuyisa. Okuvamile kakhulu kubantu abaneminyaka engama-40-60. Ama-akhawunti ngamacala angu-15 wamacala.
- Izimo ezingapheliyo zokuqeda amandla ezenza udumo lwodonga lwangaphakathi.
- Ukuphikisana kokuhlinzwa okubandakanya ukuhlinzwa kwe-cardiothoracic noma i-fundoplication (engavamile).
- izicubu
Izinqubo zokuhlinzekwa ezisetshenziselwa ukuthi zibe yisisusa esibalulekile sokuqothulwa kwesisu kodwa kusukela kokusungulwa kwezixhobo zokuhlinzeka ezishintshashintshayo kakhulu, ingozi iyancipha.
Izibonakaliso zesifo se-perforated zihlanganisa:
- Kunzima ukugwinya .
- Ukushaya noma ukubuyisela emuva kulandelwa ubuhlungu obukhulu besifuba.
- Ukuphefumula okunzima.
- Kunzima ukukhuluma.
- Ubuhlungu bezinzwa, ubuhlungu behlombe, ubuhlungu obuphezulu noma obuphansi emuva. Ukunganakwa kungakhula lapho ulele phansi.
- Ukuphefumula okusheshayo nenhliziyo.
- umkhuhlane
- Ukuhlanza igazi (okungavamile).
- I-emphysema engaphansi (igesi noma umoya ngaphansi kwesikhumba) ikakhulukazi entanyeni nasesifuba.
Udinga ukwelashwa ngokushesha uma usola ukuthi ungaba nesifo se-perforated.
Ukuguqulwa komzimba kungavamile kodwa kungaba yingozi kakhulu, ngisho nokubulala. Ukwelashwa okusheshayo kunikeza imiphumela emihle kodwa ngeshwa, ukwelashwa kuvame ukulibaziseka ngenxa yokungazi kahle. I-perforated isophagus ivame ukudideka nezinye izimo ezifana nokuhlaselwa yinhliziyo, izilonda zamapultiki eziphambene noma ukucindezeleka okunamandla.
Izinkinga ze-perforated eyophagus zingabandakanya isibhamu, i-mediastinitis, i-sepsis, i-empyema, nomdala omdala wokuphefumula (ARDS) . Isimo ngokuvamile sidinga ukuhlinzwa nokulwa namagciwane. I-perforation emnene engxenyeni engenhla yesiguli ingaphulukisa ngaphandle kokuhlinzwa, kepha iziguli zivame ukufundiswa ukuba zingadli noma ziphuze futhi zingadinga ukudla okuvela emhubheni wokudla noma IV kuze kube yilapho isifo sigula.
Kwezinye izimo, inqubo endoscopic yokubeka ama-stents noma amavidyo angasetshenziswa kulesi simo.
> Umthombo:
> Medline Plus. Ukukhishwa kwe-Esophageal.
> I-Medscape. I-Boerhaave Syndrome.
> I-Medscape. Ukunyuka kwama-Esophageal kanye nezinyembezi ku-Emergency Medicine.
> I-University of Maryland Medical Centre. Ukukhishwa kwe-Esophageal.