Umbhali: Joan Hall
Umhla Wokudalwa: 27 Eyomdumba 2021
Hlaziya Umhla: 23 Eyenkanga 2024
Anonim
⓶ Diffuse Esophageal Spasm: USMLE Step 2CK/3, COMLEX Level 2/3 High Yield Review Series
Ividiyo: ⓶ Diffuse Esophageal Spasm: USMLE Step 2CK/3, COMLEX Level 2/3 High Yield Review Series

I-Esophageal spasms kukuphambana okungaqhelekanga kwezihlunu kwi-esophagus, ityhubhu ehambisa ukutya ukusuka emlonyeni ukuya esiswini. Ezi spasms azihambisi ukutya ngokufanelekileyo esiswini.

Isizathu se-spasm esophageal spasm asaziwa. Ukutya okushushu kakhulu okanye okubanda kakhulu kunokubangela i-spasms kwabanye abantu.

Iimpawu zingabandakanya:

  • Iingxaki zokuginya okanye iintlungu ngokuginya
  • Intlungu esifubeni okanye esiswini esingaphezulu

Kunokuba nzima ukuxelela ispasm esivela kwi-angina pectoris, uphawu lwesifo sentliziyo. Intlungu ingasasazeka entanyeni, emhlathini, kwiingalo, okanye ngasemva

Iimvavanyo onokufuna ukujonga imeko zibandakanya:

  • I-Esophagogastroduodenoscopy (i-EGD)
  • I-manometry yokuqunjelwa
  • I-esophagogram (i-barium swallow x-ray)

I-Nitroglycerin enikezwe phantsi kolwimi (ulwimi oluncinci) inokunceda ngesiqendu se-spasm esophageal ngesiquphe. I-nitroglycerin ende kunye ne-calcium channel blockers zisetyenziselwa ingxaki.

Iimeko zexesha elide (ezingapheliyo) ngamanye amaxesha ziphathwa ngeedosi ezisezantsi ezinjenge-trazodone okanye i-nortriptyline ukunciphisa iimpawu.


Rhoqo, iimeko ezinzima zinokufuna ukwanda (ukwandiswa) komqala okanye uqhaqho ukulawula iimpawu.

I-spasm ye-esophageal spasm inokuza ihambe (ngexeshana) okanye ihlale ixesha elide (engapheliyo). Amayeza anokunceda ekunciphiseni iimpawu.

Le meko ayinakuphendula kunyango.

Fowunela umboneleli wakho wokhathalelo lwempilo ukuba uneempawu ze-esophageal spasm ezingahambiyo. Iimpawu zinokubangelwa ziingxaki zentliziyo. Umboneleli wakho unokukunceda uthathe isigqibo sokuba ufuna iimvavanyo zentliziyo.

Kunqande ukutya okushushu kakhulu okanye okubandayo kakhulu xa ufumana ii-esophageal spasms.

Usasaza i-spasm esophageal spasm; Ispasm somqala; I-spasm ye-esophageal spasm; I-Nutcracker esophagus

  • Inkqubo yokwetyisa
  • Umqala womzimba
  • Umqala

IFalk GW, Katzka DA. Izifo zomqala. Ku: IGoldman L, iSchafer AI, ii-eds. Amayeza eGoldman-Cecil. Umhla wama-25. IPhiladelphia, PA: Elsevier Saunders; I-2016: isahluko 138.


IPandolfino JE, iKahrilas PJ. Umsebenzi we-Esophageal neuromuscular kunye nokuphazamiseka kwemotility. Ku: UFeldman M, uFriedman LS, uBrandt LJ, ii-eds. Sleisenger kunye neFordtran's Gastrointestinal and Liver Disease. Ngomhla we-10. IPhiladelphia, PA: Elsevier Saunders; I-2016: isahluko 43.

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