Shigowa da
Achalasia na Cardia (AC) Ana farko esophageal rashin damuwa cuta.Saboda mummunan shakatawa na ƙananan esophageal sphincteal sphincter sphincter sphincter (les) da kuma rashin daidaituwa na esophageal peristalsis, riƙe mai riƙe abinci abinci a cikidayphagia da amsawa. Alamar Clinical kamar zub da jini, ciwon kirji da asarar nauyi.Yourwara kamar 32.5 / 100,000.
DaluraDaga achalasia ya hada da rashin jin zafi, rashin jin daɗin datti da maganin tiyata.
01memmedical
Hanyar magani na magani ita ce rage matsin lamba na Les a cikin ɗan gajeren lokaci.Babu wata hujja tabbacin cewa magunguna na iya ci gaba da inganta bayyanar cututtukan AC.A halin yanzu magungunan da aka yi amfani da su a halin yanzu sun haɗa da nitrates, masu rajistar alli ta hanyar, da kuma agonists β-mai karɓa.
(1)Nitrates, kamar nitroglycerin, Amyl nitrate, da kuma maganin ajiya na Isosorbide
(2)Allon Channel, kamar nifetipine, verapamil, da diliyazem
(3)β-recetor agonists, kamar cabuterol
02EDoscopic Botulinum Toxin allura (BTI)
Ana iya amfani da allurar ƙwallon ƙafa mai ma'ana zuwa don magance cutar AC,Amma yana iya samar da tasirin tasirin-gajeren lokaci kuma ana iya amfani dashi a tsofaffi masu haƙuri da tsofaffin tiyata da maganin sa barci.
1) Alamu:Tsakiyar Tsakiya da tsofaffi (> 4 shekara); Wadanda ba za su iya haƙuri da banda bandaoscopic balloon girlon (PD) ko maganin tiyata; wadanda ke da jiyya na PD ko sakamakon magani mara kyau; Wadanda ke da esophageal suna aiwatarwa a lokacin PD jiyya ga waɗanda suke tare da babban hadari, ana iya amfani dashi a hade tare da PD; Ana iya amfani dashi azaman canji don tiyata ko magani na PD.
(2) Contraindications:Ba'a ba da shawarar don jiyya na farko ba a cikin matasa masu haƙuri (≤40 shekara).
03nedoscopic Ballon Balloon (PD)
Balloon Dilatation yana da wasu tasirin akan AC, amma yana buƙatar jiyya da yawa kuma suna ɗaukar haɗarin mahimman rikice-rikice.
(1) Alagewa:Marasa lafiya marasa lafiya ba tare da karfin zuciya ba, dyscultion dysfunction, da sauransu.; maza sama da shekara 50 da mata sama da shekara 35; marasa lafiya waɗanda suka gaza tiyata. Ana iya amfani dashi azaman hanyar zaɓin na farko.
(2) Contraindications:Mai tsananin Cardiopulmonary Mai Girma, COGAGAR COAGATSTATS DA Hadarin hadarin Esophageal Perophageal.
04peroral enotomy myotomy (waka)
A cikin 'yan shekarun nan, tare da babban-sikelin aiwatar da myotoscopic myotoscic myotoscic myotomy myotomy myotomy myotomy myotomy myotomy myotoscy myotoscomy myotomy myotomy myotoscomy myotoscomy myotoscy myostomy myotomy myotomy myotomy myottom (waka), raunin nasara na maganin AC ya karu sosai.Mai nuna so na AC ya yi daidai da manufar "Super minimally tiyata tiyata", wato kawai lesions ne a cire shi lokacin aiwatar da jiyya, kuma ba a cire gabanin ba.Halin mutunci da ayyukan anatical tsarin yana kiyaye, kuma ingancin rayuwar mai haƙuri ba zai shafa ba. Fitowar waka ta hanyar waka ta yi magani na AC Super minimally consive.
Hoto: Matakan tiyata na tiyata
Matsakaicin tsakiyar-lokaci na waka na waka a cikin lura da AC ya yi daidai da na Helller Myotomy (LHM)ana iya amfani dashi azaman zabin jeri na farko.Wasu marasa lafiya na iya haɓaka bayyanar cututtukan gastroesophage na gastroesophage bayan tiyata
(1) Cikakken misalin:AC ba tare da tsananin m subhecosal, mai aiki aiki ba cuta da tashin hankali.
(2) Alamar dangi:Rarrabe esophageal spasm, ƙwayar ƙwayar ƙwayar ƙwayar cuta, marasa lafiya tare da waka ko tiyata, da attel tare da wasu Apphageal m baƙon esophageal.
(3) Contraindications:Marasa lafiya tare da tsananin coagulation dysfunction, cutar cardiopulmonary, mara kyau yanayin, da sauransu wanda ba zai iya jurewa da tiyata ba.
05Laparoscopic Heller Myotomy (LHM)
LHM yana da kyakkyawar inganci na dogon lokaci wajen magance cutar AC, kuma an maye gurbinsu ta hanyar waƙa a wuraren da yanayin halaye.
06sural esophange
Idan AC ya hade tare da ƙananan esophageal scar stenosis, ciwace-ciwacen daji, da sauransu, ana iya la'akari da esophgectomy.
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Lokaci: Jul-09-2024