I-Nutcracker Esophagus

Umxholo

• Ziintoni iimpawu?
• Ibangelwa yintoni?
• Kufunyaniswa njani?
• Inyangwa njani?
• Ukuhlala kunye ne-nutcracker esophagus

Yintoni i-nutcracker esophagus?

I-Nutcracker esophagus ibhekisela ekubeni ne-spasms eqinile ye-esophagus yakho. Kwakhona kwaziwa ngokuba yi-jackhammer esophagus okanye i-hypercontractile esophagus. Yeqela leemeko ezinxulumene nokuhamba ngokungaqhelekanga kunye nokusebenza komqala, okwaziwa njengokuphazamiseka kwemotility.

Xa uginya, izivumelwano zakho zomphefumlo, ezinceda ukuhambisa ukutya kwisisu sakho. Ukuba une-nutcracker esophagus, ezi contractions zomelele kakhulu, zibangela iintlungu esifubeni kunye nentlungu xa uginya.

Inxulumene ngokusondeleyo nokusasazeka kwe-esophageal spasms. Umahluko ophambili phakathi kwezi meko zimbini kukuba i-nutcracker esophagus ihlala ingakubangeli ukuba uphinde uphinde uphinde utye ukutya okanye ulwelo, kwaye usasaze i-esophageal spasms rhoqo.

Ziintoni iimpawu?

Uphawu oluphambili lwe-nutcracker esophagus kukugwinya. Unokuba nezinye iimpawu ngokunjalo, kubandakanya:

• ngesiquphe kunye nobuhlungu besifuba obunokuhlala kangangemizuzu eliqela okanye buvele kwaye bucime iiyure
• ingxaki yokuginya
• isilungulela
• ukukhohlela owomileyo
• uziva ngathi kukho into enamathele emqaleni wakho

Ibangelwa yintoni?

I-Nutcracker esophagus yimeko enqabileyo. Isizathu esona sizathu sine nutcracker esophagus asaziwa. Nangona kunjalo, kubonakala ngathi inxulumene nomba kunye nomsebenzi wemisipha kunye nobukhulu besisu. Abanye abantu, ii-spasms zibonakala ngathi zenzeka kuphela xa besitya ukutya okubandayo okanye okushushu. Kuqhelekile ukuba abantu abane-nutcracker esophagus banesifo se-reflux se-gastroesophageal.

Oogqirha baye bachonga izinto ezimbalwa ezinokuthi zonyuse umngcipheko wakho wokuphuhlisa i-nutcracker esophagus. Oku kubandakanya:

• ungaphezulu kweminyaka engama-50 ubudala
• ukuba ngumfazi
• ukubetha kwentliziyo
• ukuba nesifo se-reflux se-gastroesophageal (GERD)

Kufunyaniswa njani?

Ugqirha wakho uya kuqala ngokukunika uvavanyo lomzimba ukuze ulawule naziphi na iimeko ezingaphantsi. Banokukubuza ukuba uyibona kangaphi i-spasms kwaye ingaba kubonakala ngathi zihambelana nokutya okuthile. Kunokuba luncedo ukugcina idayari yokutya kunye nenqaku xa uziva iimpawu phakathi evekini okanye ezimbini ezikhokelela ekutyunjweni kwakho.

Ngokusekwe kwiziphumo zoviwo lwakho, ugqirha wakho unokucebisa uvavanyo lokuqonda isifo, olunje:

• ukugwinya kwe-barium, okubandakanya ukugwinya uhlobo lwedayi oluya kubonakala kwi-X-ray
• i-esophageal manometry, ethi ilinganise uxinzelelo lwemisipha yomqala kunye nayiphi na i-spasms
• i-endoscopic ultrasound, enokunika ulwazi oluneenkcukacha malunga nezihlunu kunye nelining ye-esophagus
• i-endoscopy, ebandakanya ukusebenzisa ikhamera encinci ukujonga ngaphakathi kwe-esophagus yakho
• Ukubeka iliso kwi-pH yokujonga esophageal, evavanya nayiphi na imiqondiso ye-acid reflux ngokulinganisa i-pH kwindawo yakho

Inyangwa njani?

Uninzi lweziganeko ze-nutcracker esophagus zinokunyangwa ngokudibanisa amayeza kunye namayeza asekhaya. Kwiimeko ezinqabileyo, unokufuna unyango olongezelelweyo.

Amachiza anokunceda ukunyanga i-nutcracker esophagus ibandakanya:

• iicalcium block blockers
• Iiproton pump inhibitors
• iitrate, ezinje nge nitroglycerin encinci (Nitrostat)
• i-hyoscyamine (iLevsin)
• iziyobisi ezichasene ne-anticholinergic

Unyango lwasekhaya olulandelayo lunokunceda ukukhulula umqala wakho:

• ukusela amanzi afudumeleyo
• ukwenza imithambo yokuphefumla kunye neendlela zokuziphatha zokuphumla
• ukunqanda ukutya kunye neziselo ezibangela iimpawu zakho

Ukuba amayeza kunye nolungiso lwasekhaya aluboneleli ngoncedo, ugqirha unokucebisa ngolunye unyango, olufana:

• inaliti ye-botulinum (Botox) yokuthomalalisa izihlunu kwi-esophagus yakho
• utyando ukusika esinye sezihlunu kwi-esophagus yakho ukuze buthathaka ukubetha
• Inkqubo ye-POEM (i-endoscopic myotomy), esebenzisa i-endoscope endaweni yotyando lwesiko ukunciphisa icandelo lesisipha ngaphakathi komqala

Ukuhlala kunye ne-nutcracker esophagus

Nangona i-nutcracker esophagus ingaba buhlungu kakhulu, unokukwazi ukuyilawula ngamachiza kunye neendlela zokuphucula izihlunu kwi-esophagus yakho. Ngamanye amaxesha, unokufuna ukunqanda ukutya okuthile. Zama ukugcina umkhondo wazo naziphi na iipateni oziqapheleyo kunye neempawu zakho. Oku kuya kunceda ugqirha wakho eze nesona sicwangciso sonyango sisebenzayo.