How kubata esophageal spasm?

Esophageal spasm chinorehwa ne chirwere dzinoratidzwa episodic kutyora zvakananga intestinal motility, uyewo mutinhimira hwomukova vanonzi nechepazasi chikafu sphincter. Maererano nenyanzvi, chirwere ichi kubva zvose zvinowanikwa gastric zvirwere uye bowel iri dererei. In hwakanaka munhu ari zvomudumbu muitiro kunoitika pasina kunonoka, saka, zvokudya hakuna kunetsa romukati pose miviri. Munyaya ino tichataura pamusoro chii ari spasm pakati yegurokuro, zviratidzo uye kurapwa chirwere ichi.

Sei pane chirwere ichi

Sezvo kudya kunopfuurira kuburikidza zvomukati rikauya vakaronga rutapudzo yavo. Dysmotility zvinozoita kunotungamirira richifadza zvikuru nemigumisiro, kureva chirwere yakadai esophageal spasm. Zvikonzero iyi, anogona kuva akasiyana zvikuru. Ichi mupfungwa dzose, uye kurudziro pfungwa uye havaratidzi rikamunya muchindwi chikafu.

The kupatsanura wokurera

Panguva iyoyo, nyanzvi conditionally kusiyanisa nezvemarudzi maviri chirwere ichi.

• Diffuse esophageal spasm chinhu uncoordinated marwadzo muviri. Muchiitiko chino, sezvinoita mutemo, pane dysphagia.
• Segmental esophageal spasm - zvinoderedza mumuviri mumwe mugove waro chete kunyanya amplitude. Panyaya iyi, zvokudya chapfuura, asi munhu ndiye nguva dzose kurwadziwa. Kazhinji, vakabva anovandudza deformation pakati yegurokuro.

Zviratidzo uye anoenderana mananara

Kakawanda, varwere chokunyunyuta pamusoro kurwadziwa uye kusagadzikana mune sternum, iyo inogona kupiwa shaya pamapfudzi. Zvinokosha kucherechedza kuti zvisingafadzi nezvekufadza inomuka vaviri panguva kutsenga zvokudya zvakananga, uye vanhuwo yakamedza mate. Maererano nenyanzvi, kurwadziwa mune zvimwe zviitiko yakakura apo mwoyo zvakaitika, uyewo kufara. Panoperera kurwisa varwere kazhinji regurgitate shoma madzihwa.

Treatment uye nyanzvi zano

Sezvo vanachiremba anokwanisa, esophageal spasm kwakaoma chaizvo kurapa. Kazhinji, ushandiswe nitroglycerin, dzimwe anticholinergics (semuenzaniso, Metacin) uye calcium yakawanda mugero blockers (Nifeipin). Cherechedza kuti zvinodhaka zvose izvi chete kuderedza zviratidzo. Kuwedzera muviri inowanzoshandiswa imwe nzira umo mitengo yacho chibharuma mukati yegurokuro. Kana vose pamusoro nzira hadzibatsiri, zvakakodzera kushandisa kuvhiya kuvhiyiwa. Munguva oparesheni, chiremba unocheka kuburikidza tsandanyama paiva chose rose kureba muviri. Muchiitiko chino, vapore kunotora inoverengeka.

mhedziso

Mukugumisa, zvinofanira kucherechedzwa kuti marapiro nzira anosarudza chete ane ruzivo nyanzvi. Very kashoma kuti kushandisa kuzobatsira pakuvhiya.