I-Hypercontractile Peristalsis
I-Jackhammer esophagus, noma i-hypercontractile peristalsis, ingumkhuhlane we-motility we-esophageal ovezwe yizinselele ezingenasifo ezihlanganisa konke noma ubuningi bezinsizwa zesimo. I-spasms ikhulu kakhulu futhi ijwayele ukuhlala isikhathi eside, okwenza igama le-disorder, i-jackhammer esophagus, incazelo enembile yokuthi umuntu onesifo angase azizwe kanjani.
Izimbangela
Izimbangela eziyinhloko ze-jackhammer esophagus aziqondakali kahle kodwa isimo singase sibangelwe ukungajwayelekile emigwaqweni yezinzwa ezilawula isifo noma ukwanda kwenani le-acetylcholine. Abanye ochwepheshe bezempilo bakholelwa ukuthi i-jackhammer esophagus ibangelwa i- GERD .
Lesi simo sibonakala sivamile kubantu abathile abanezifo ezingokwengqondo futhi lesi simo ngesinye isikhathi siphathwa ngempumelelo nge-tricyclic anti-depressants. Lokhu akusho ukuthi ukugula ngengqondo kubangela ukuthi i-jackhammer isifo noma ukuthi umuntu one-jackhammer isifo sokugula ngengqondo, kuphela ukuthi kubonakala sengathi kukhona ukuhlangana phakathi kwezimo ezimbili. I-Jackhammer isophagus ivame kakhulu ku:
- Abantu baseCaucasia kunabanye bezinye izizwe
- okungenzeka kuthinte abesifazane kunamadoda
- okungenzeka kuthinte abantu abadala kunabantwana.
Ukukhubazeka kwangempela kwe-jackhammer esophagus akuyazi, amacala amaningi angatholakali ngoba izimpawu zinomusa futhi isimo sivame ukungabonakali njenge-reflux ye-acid noma esinye isimo esibangela izimpawu ezifanayo.
Izimpawu
Izimpawu ze-jackhammer esophagus ububanzi obunzima futhi zihambisana nezinye izifo eziningi ze-esophagus kuhlanganise i-GERD, i- eosinophilic esophagitis , ne- achalasia . Ngaphandle kokuphazamiseka kwe-esophageal, ezinye izimpawu zingabandakanya:
- ubuhlungu besifuba
- uzizwa sengathi kukhona inhlama emqaleni wakho
- ubunzima bokugwinya
- ukuvuselelwa
- ukushaya kwenhliziyo
Ubuhlungu besifuba obuvame ukuhlotshaniswa ne-jackhammer esophagus kungaba nzima futhi kubangele uzizwe sengathi unesifo senhliziyo. Kungase kukhishwe emhlane wakho. Ungaqaphela ukuthi izimpawu ziba zimbi nakakhulu uma udla noma unzima kakhulu emva kokudla ukudla okuthile.
Ukuxilongwa
Ukubona ukuhlolwa kwe-jackhammer kungaba nzima futhi njengoba kukhonjiswe ngaphambili isimo ngokuvamile kuphazamiseka njengesinye isifo esibangela izimpawu ezifanayo. Udokotela wakho uzocabangela umlando wakho wezempilo, izimpawu ezibikiwe, futhi mhlawumbe uhlole ukuhlolwa ngokomzimba. Kodwa-ke, ukuhlolwa okubili ikakhulukazi kuyadingeka ukuze kutholakale ukuthi i-jackhammer esophagus, i- barium yokugwinya noma i- manometry yokulinganisa . I-manometry yokulinganisa, ukuhlolwa okulinganisa ukuphambana kokuqapha, kuthathwa njengesivivinyo esihle kakhulu sokuthola i-jackhammer esophagus. Ezinye izivivinyo zingase zisetshenziselwe ukulawula izimo eziphambene kodwa imiphumela yalezo zivivinyo ngeke ekugcineni zibonise i-jackhammer esophagus.
Ukwelapha
Ukuphathwa Kwezokudla
Ukulawula i-reflux ye-acid kungasiza ekunciphiseni ubuhlungu obuhlobene ne-jackhammer esophagus. Yize kungekho ukudla okukhethekile okwamanje okunconywayo kungase kusize:
- Gwema ukudla ukudlala ebusuku
- Hlala kude nokudla okuvame ukubangela ukuphuza, (njengeziphuzo ze-carbonated)
- Gcina iphephabhuku lokudla ukuze uthole ukudla okungazimbiza izimpawu zakho
Imithi
Izimpawu ze-jackhammer esophagus ngezinye izikhathi zingaphathwa ngokusebenzisa imithi. Imithi engase ibe usizo ihlanganisa:
- I-Tricyclic anti-depressants (efana ne-imipramine) ingenye yemithi ephumelele kakhulu esebenzayo.
- I-Proton pump inhibitors (njenge- Dexilant noma i-Nexium) eyanciphisa inani le-asidi esiswini nasesiswini
- Ama-blockers wesiteshi se-Calcium (afana ne-Verapamil)
- Iziphumuli ze-muscle ezimnandi (njenge-Viagra)
- I-nitrate (njenge nitroglycerin noma i-isosorbide mononitrate) ngezinye izikhathi iyasiza ekunciphiseni ubuhlungu besifuba
- I-botulinum i-toxin ejojowe yi-endoscopy e-sphincter esezansi ephansi iphumelele ekunciphiseni izimpawu okwesikhashana
Ezinye Izinqubo
Ngezinye izikhathi ukuhlanza okulinganayo kuyasiza uma kunzima ukugwinya noma ukuzwa njalo ukuthi kukhona into enamathela emphinjeni kuyinkinga. Lokhu kwenziwa nge- endoscope ngaphansi kwe-sedation, ngokuvamile njengenqubo efanayo ngosuku.
Kulezo zimo lapho ezinye zokwelapha ezingaphumeleli ekulawuleni izimpawu inqubo yokuhlinza inqubo yokuhlinzeka engaphansi kokumangalela okuthiwa i-Per Oral Endoscopic Myotomy (POEM) ingahle isetshenziswe, kungenjalo i-myotomy ejwayelekile (inqubo yokuhlinza ukusika imisipha engaphelele) ingasetshenziswa. Njengendlela yokugcina esophagectomy ingenziwa kodwa igcinwe kulabo abanezimpawu ezinzima abaye bakhathala ezinye izindlela zokwelapha.
Imithombo:
I-Medscape. Spasm Esophageal. Kufinyelelwe: Mashi 24, 2014 kusuka ku-http://emedicine.medscape.com/article/174975-overview#a0199
Izindaba Zezokwelapha. Inkambiso entsha encane-invasive yokwelapha jackhammer esophagus. Kufinyelelwe: Mashi 24, 2014 kusuka http://www.news-medical.net/news/20140304/New-minimally-invasive-procedure-to-treat-jackhammer-esophagus.aspx