Chiyambi
ACHAJASIA WAMPERIA (AC) ndichoyambirira cha esophageal motic.Chifukwa cha kupumula koyenera kwa malo otsika a esophagel (Les) ndi kusowa kwa esophageal pericalsis, chakudya chosungira chakudya chimabweretsadysphagia ndi zochita. Zizindikiro zamankhwala monga magazi, kupweteka pachifuwa ndi kuwonda.Falcolondence ili pafupifupi 32.58 / 100,000.
Akuchizawa ACALIA makamaka imaphatikizapo kulandira chithandizo chochitira opaleshoni, kusowa kwa chithandizo chamankhwala komanso mankhwala opaleshoni.
Feteleza wa 01
Makina a mankhwalawa ndi kuchepetsa kukakamizidwa kwa les m'nthawi yochepa.Palibe umboni wowonekera kuti mankhwala osokoneza bongo amatha kukonza bwino zomwe ma ac.Pakadali pano mankhwala ambiri amagwiritsidwa ntchito ngati nitrate, calcium channel, ndi agonists olandila.
(1)Nitrate, monga nitroglycerin, amyl nitrate, ndi isosorbide dinatirate
(2)Calcium channel, monga nifedipine, verapamil, ndi diltiazem
(3)Oweruza a β-recepptor, monga Cabterol
02endoscopic Botulinum Toxin jakisoni (BTi)
Endoscopic Botulinum Toxin jakisoni (BTL) ikhoza kugwiritsidwa ntchito pochiza AC,Koma zimangopereka zotsatira zazifupi ndipo zitha kugwiritsidwa ntchito mwa okalamba omwe ali ndi vuto lalikulu la opaleshoni ndi mankhwala opaleshoni.
1) Zizindikiro:odwala azaka zapakati komanso okalamba (> wazaka 40); Iwo omwe sangathe kulekerera endoscope didilake (pd) kapena opaleshoni; iwo omwe ali ndi chithandizo chamankhwala ambiri pa PD kapena zotsatira zoyipa zoperekera opaleshoni; Omwe ali ndi vuto la Esophogeal, nthawi yamankhwala omwe ali ndi chiopsezo chachikulu, amatha kugwiritsidwanso ntchito kuphatikiza ndi PD; Itha kugwiritsidwa ntchito ngati kusintha kwa opaleshoni kapena chithandizo cha PD.
(2) Contraindications:Sitikulimbikitsidwa kuti mulandire ma AC mwa achinyamata (≤40 zaka).
03endoscopic Balloon Dielation (PD)
Ma balloon dilatation ali ndi zotsatira zina pa AC, koma pamafunika chithandizo chachikulu ndikunyamula chiopsezo cha zovuta zazikulu.
(1) Zizindikiro:Odwala a ac popanda didioopmormonalmonarymormomonommonommonormonarymormontemomononermonary mogwirizana, kusaka kwa coagulation, etc.; Amuna opitilira zaka 50 ndi akazi oposa zaka 35; Odwala omwe alephera opaleshoni. Itha kugwiritsidwa ntchito ngati njira yoyamba yothandizira mankhwala.
(2) Contraindications:Khadi lamphamvu kwambiri, kusamvana kwa coagulation ndi chiopsezo chachikulu cha kukoka kwa esophageal.
04perol Endoscopic myotomy (ndakatulo)
M'zaka zaposachedwa, kukhazikika kwakukulu kwa perolal endoscopic myotomy.PoMem mankhwala a AC ndiwogwirizana kwambiri ndi lingaliro la "Super Supprests pang'ono"Kukhulupirika ndi magwiridwe antchito a anatomical kumasungidwa, ndipo wodwalayo atakhala kuti ali ndi moyo wosakhudzidwa. Kutuluka kwa ndakatulo ya ndakatulo kwapangitsa kuti ACS ACOR ACOZERO POPANDA.
Chithunzi: Dongosolo la Power Laling
Kuthekera pakati pa ndakatulo zochizira ma AC ndizogwirizana ndi laparroscopic Heromy (LHM)itha kugwiritsidwa ntchito ngati njira yoyamba yothandizira.Odwala ena amatha kudwala gastrooshegeal Reflux pambuyo pochita opaleshoni ya ndakatulo
(1) Kusonyeza:AC popanda Hutherucal, ntchentche yothira matenda osata ndi kusiyanasiyana.
(2) Zisonyezeka:Diffese esophageal spasm, nutcracker josombagus ndi matenda ena omwe ali ndi ndakatulo yolephera kapena opaleshoni ya Arler
(3) Contraindication:Odwala omwe ali ndi vuto lalikulu kwambiri, matenda oopsa a mtima, osauka onse, ndi zina zambiri omwe sangathe kulekerera opaleshoni.
05laparoscopic Heromy (LHM)
LHM ali ndi nthawi yayitali yothandiza pakuchiritsa ma ac, ndipo yakhala yosinthidwa ndi ndakatulo m'malo omwe mikhalidwe.
06surgical esophagerty
Ngati ma ac amaphatikizidwa ndi otsika esophageal matenda stenthosis, zotupa, etc., opaleshoni ya Opaleshoni ingaganizidwe.
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Post Nthawi: Jul-09-2024