Zenker ka diverticulum pehea maopopo, lapaʻau,ʻoki kino

Zenker ka diverticulum mea he loa ke nānāʻano o pathology o ka digestive'āpana. Ke kaʻana like 'ana o ia mau maʻi hoike no 3-5% o na hihia a pau. Externally ke eke kala-protrusion pathology hoike aku mucosa o ka esophagus a me ka puʻu, e i kaʻokoʻa shape a me ka nui. Kina digestive'āpana ia lŘlŘ initially ma kona hope pā, a laila, hele mai a hiki i kaʻaoʻao. Pharyngoesophageal diverticulum o nā congenital, a loaa mai, i ka hooulu ana o kekahiʻano papa hana i pinepine pulsionny, me he mea he kona poʻo i loko o ke kino ma muli o ka mahuahua puʻe i loko o kona lumen.

Hiʻona o ka maʻi

Zenker ka diverticulum? Acaeoey oo loa lohi. Kona Ana Hiki ke e lauwili, ae hiki aku ana ma kekahi hihia o ka waiwai o ke poo o ke keiki ka. Diverticulum me ka'ā'ī, a kino, uhi me ka mucous epithelium. Ma kona wai a lua e ia i ka buke o ka i mea hiki ke hoʻokō '1.5 nā lika.

Ua Ua Aia ma hope o ke kahua o ka esophagus, a ma ka hema o ka mea, i ka luna mediastinum. Loa kākaʻikahi hoʻomōhala kūloko 'ano o ka pathology, ka wā anal diverticulum ia lŘlŘ i loko o ka makahiki ma waena o nā paia o ka esophagus nāʻiʻo.

Hiki i nui nui like 'ole, i kēia hoʻonaʻauao hoʻomaka e kulia puʻe ma ka mana, i ka poe kokoke. Diverticula ka mea,ʻaʻole fused a me ka mai ole i li nui i loko o ka a puni nā'aʻaʻa like loa me e ole hoʻomōhala peridivertikulit.

I ka papa kuhikuhiE kumu o ka maʻi

Ma ka maʻamau papa o ka moni 'ia ia lŘlŘ ka ho'ēmiʻana i loko o ka pharynx Muscle olona, cricopharyngeal nāʻiʻo hoʻomaka e hoʻonānea, a me ka waha o ka esophagus hoikeia. I Ina o ka 'aʻe' ana o Muscle hope ia lŘlŘ diverticulum.

Ke kumu nui no ke kahua o pathologies i:

• aaiaoe predisposition;
• esophageal mucosal eha;
• congenital maʻi o ka Muscle'aʻaʻa;
• sclerosis a me calcification o cartilage;
• 'aʻe' ana o fetal? acaeoey;
• Muscle'aʻaʻa mā;
• spinal eha;
• hoʻoʻino maʻi o ka esophagus a me ka puʻu.

Lapaʻau hoikeana o ka maʻi

Pehea e holo ai ia i ka diverticulum? Ua hilinaʻi nui ma luna o kona nui. uuku mā (2 knm) 'aʻole e hoike ia ia iho, a accidentally loaa ka wā X-Ray a fluoroscopic ninaninau.

Inā ua Zenker diverticula, e puʻunaueʻia ka symptoms o keia mai e like me ke kuʻina o ka maʻi.

Hiʻona o ke kahua mua

No ka mea mua ke kahua ano nonspecific symptoms. Mau nā: scratchy puu, profuse salivation, a Hope versa, dryness o ku una i ka mucosa. E hoomanawanui i alualu kaʻawaʻawa loa, ai honi oe (awi aku, tuhlosti, hydrogen sulfide). Ua hiki ia i ke nānā cough a pilikia moni 'ia. Iloko o kaʻai, he mea ka mahuahua o ka leo, pu e hoʻopilikia ana i ka ai nāʻiʻo, e kauoha ana i ka hoʻomanawanui Kahalaopuna like allegedly kipaku i ka puu popopalaoa a. Ma hope o kekahi manawa, i ka hoʻomanawanui e hoʻomōhala ana i ke ala o ke ola, i ka i mea, aole ia i nana ole i ka paakiki cough a burp ma hope o kaʻaiʻana a me ka noho hoʻohana i ka gargle.

Hiʻona o ka lua a me ke kolu o ke kahua

Pehea e holo ai i ka diverticulum i loko o ka lua o ke kahua? Kēia manawa ua wehewehe aku ma ka stagnation o mucus, ka ai, ea hoʻomāhuahua, akā, nohona ma ola ua i hihia hoʻi. Ma hookolokolo, ke kauka hōʻike i ka asymmetry o ka'ā'ī aie i ka kekahi-kapakahi protrusion. I ka hoʻopā ia mea pahee ma palpation nalo koke ana, a me ka manawa o ka palaoa hou mahuahua ma ka nui. Ma 'enehana hou i ka piko o ka hanaʻia naʻe loli ma hope o kaʻaiʻana ma laila kekahi symptom o ka poe i palu, a me kekahiʻaoʻao ua e kaulana kalaka.

Ma ke kolu o ke kahua o ka maʻi ia decompensation. Hookahi o symptoms e oi haʻi, nohona ma ola mea nui loa, i ka hoʻomanawanui hoʻomaka e hikiwawe loa mi kino.

Maʻi hoʻoʻino kaʻina hana 'ia i loko o ka lua diverticulum, hiki aku ai i na complications: pneumonia, asphyxia, abscesses, stasis venous koko, esophageal perforation pā, mediastinitis a me ka muli o malignancies.

lapaʻau '

I ka papa kuhikuhiE papa hana e diagnose Zenker ka diverticulum, - X-Ray mālama 'ia i loko o kekahi Kekoa. Special hoomakaukau i kohuia me ka lua ho okumu, no laila, i ka mea o hiki ke hooholo ole wale ka kiko'ī wahi, akā, i kona nui, kinona,'ā'ī lōʻihi, Halala ma kona lōʻihi, i ka moku'āina o pili nā loko, a anatomical hale. Inā ka moʻolelo diverticulum barium slurry hoʻomaka e hoʻokaʻulua aku, ia Hōʻike ka hooulu ana o ka diverticulitis.

Iapaau ana o ka maʻi ma ka makeʻe kulana

Inā diagnosed me Zenker ka diverticulum, lapaʻau o nā makeʻe kulana, aʻoki lāʻau lapaʻau 'ana i kūpono. Akā, inā i ka hana e hiki ma ka hihia mua pathology pilikia kōkua. Ma ka makeʻe kulana Inc ua io i wale i ka manawa ma ka mea, he nui contraindications eʻoki kino. Ma keia hihia, e hoopili aku i ka hoʻomanawanui i ka ikaika ai? Eia, palupaluʻai, lawe ia'ku, a mama o ka ai. Ke hoomanawanui ua lawe mai ma hope, inu nōkahea diverticulum, no keia mea mea pono ia i loko o ka kekahi kūlana. Eia hou kekahi, ua ho okumu ua lawe lavage, a me ka hoʻomanawanui pono i lawe nō hoʻi 'ole paraffin aila no ka lubrication o kona pā.

ʻoki lāʻau lapaʻau lapaʻau

Ka hapanui pinepine kōkua maikaʻi i loko o ka maʻi i Zenker ka diverticulum,ʻoki kino ana i ua hōʻike ma nā kahua o ka hoʻonaʻauao lua a me ke kolu o ka maʻi, pu ma complications. 48 hola mamua eʻoki kino, i ka hoʻomanawanui ua hoakaka ia ke kinowaiʻai, a me ka holoi leʻa me ka hoʻonaʻauao ma esophagoscope paha catheter.

A lohe o Zenker ka diverticulum nānaina o ka hana, e e divertikulektomiya-ke kahua, a he i ka wehe i kēia loleʻeke ma ka slit ho okumu. Ma mua o kaʻoki kino i ka hoʻomanawanui ua lawelawe i kaʻimi mānoanoa i loko o ka esophagus, ae maikaʻi ana ka hana. Kaʻawale mai ka a puni nā'aʻaʻa diverticulum intersect i ka waihona ipu, a i; akeke nui ai kēlā mau hīpuʻu ana suture. Holoiʻia pathological ho okumu hoʻohana stapler, i ua noi ai i kona kumu.

A laila, i kaʻimi ua lawe mai ma luna o ka inputted ekstramukoznuyu esophagomyotomy lōʻihi o kekahi mau kenimika. Inā ka diverticula o liʻiliʻi nui, lawa wale kekahi cricopharyngeal myotomy, ma hope a ka mea i straightened, a me ka pu a me ka mucousʻili lahilahi o ka digestive'āpana hoʻohui pū i ka palahalaha pā pōhaku.

Nei, hoomaka ae la kekahi mau nā keʻena lāʻau lapaʻau, e lawe mai i ka hana endoscopic ano, oa. E. Not ana i ka incision ma ka'ā'ī. Kona Mānoa, he wahi ia o ka oki ma ka pono pā ma waena o ka esophagus a me ka diverticulum, a me ka hoʻohana 'ana i ka endoscopic stapler ua lawe myotomy. Ma hope o ia i ka hana, i ka hoʻomanawanui ua ho'ōla mai kēlā wikiwiki a emi iho i ka helu ana o complications.

Ke postoperative wā ma hope ana o ka diverticulum Zenker

Hiʻona o kēia wā o ia i ka hoʻomanawanui 48 hola, mai eʻai. Kekahi surgeons waiho no 3-4 lāʻimi, e hanai i ka hoʻomanawanui i ke kinowai meaʻai. Ma hope o ka wehe 'ia no ka 5-6 lā haawi kāinoa mua kalaka nui-wai a ka ai, ke kiʻekiʻe o hoʻonui i kaʻai.

Inā 'oe e i hana i ka maʻi, i ka prognosis ka'āina ilihune. Ke Kula Kaiapuni 'complications alakai i ka make i loko o 23-33% o ka hihia.

ka hopena

Penei, Zenker ka diverticulum - he loa insidious maʻi. Me ka hoike ana ia ia iho i ka loa hoʻomaka o kona? Acaeoey, ma hope o ka manawa ia me ka nui loa impairs ola moku'āina. Hana ia e ia OAXA, oa. A. A kiʻekiʻe pahiki o ka make, mai kaʻano o complications.