Esophagus diverticulum

I-Diverticulum yesifo - isifo esivamile esivela kakhulu kubantu abadala, kodwa singakhula kulabo ababhekene nezifo ezihlukahlukene zesimiso sokugaya (i-peptic ulcer ne-duodenal ulcer, i-cholecystitis). Igama layo elisemthethweni yi-protrusion ye-esophagus. Le-bulging ixhumana ne-esopha futhi ingathuthuka kunoma iyiphi ingxenye yayo. Kodwa-ke, i-diverticulum ejwayelekile kakhulu i-bifurcation, i-pharyngeal-esophageal ne-epiphrenic.

Iningi le-diverticula lingashadile. Akuncane kakhulu ukutholakala kwamacembu amaningi.

I-Diverticul itholakala ngokuyinhloko kumadoda angaphezu kweminyaka engu-50 ubudala. Kunombono wokuthi uvela ngenxa yokuguga nokwehlisa izicubu.

Izimbangela

I-Diverticulum ye-esophagus ye-innate uhlamvu ejwayelekile futhi ngokuvamile ihlotshaniswa nobuthakathaka obunamahlombe obudala obunzima bokungenwa kwezingxenye zasodongeni.

I-Diverticulum yocwaningo lomlingiswa othole ingathuthuka ezimweni ezilandelayo:

- Ezinkambisweni zokuvuvukala, okungenzeka zenzeke ku-esophagus (esophagospasm, achalasia cardia), uma ingena emgodini we-gastro-acid, ukuvuvukala kwama-lymph nodes (i-histoplasmosis);

- uma kukhona ukulimala kwemvelo yokuhlinzwa ephule ubuqotho begobolondo lemisipha. Zibuye zenze isandla ekubukeni kwe-protrusion;

- Ngaphezu kwalokho, i-diverticulum ingaba umphumela wokuphazanyiswa kokusebenza okujwayelekile kwesigameko, ukutholakala kwezinto eziphambene nezinselelo ze-membrane;

- ngezinye izikhathi udonga lwalesi sifo luhlangana nezinombolo eziningana ezitholakala. Ngokujwayelekile yi- lymph nodes ye- mediastinum, eye yahlushwa. Kulesi simo, udonga lwe-esophageal luhamba ngokuya kulolu lungu, futhi ukuvuthwa kuvela odongeni olubuthakathaka;

- Izicubu.

Ngokuvamile, lezi zimo zigcinwa ngesikhathi esisodwa, okwandisa ingozi yokubukeka kwe-diverticula.

Izimpawu ze-diverticulum esophageal

Kuyinto engenakwenzeka ukucacisa ukuthi lesi simiso samasaka senzeke kanjani edongeni lwe-oop. Eminyakeni eminingana, isiguli singabona izimpawu ezincane kuphela: umphimbo obuhlungu, ukuphuza ngokweqile, ukukhwehlela ngemva kokudla (i-diverticulum egcwele igxilile, ibangela izinkinga ezifanayo), umuzwa owomile emphinjeni, ngokuvamile ukuvezwa kokudla okudliwa ngokushesha.

I-diverticulum ye-esophagus ibukeka njengokwakheka okukhulu, okwakhiwe. Lezi zintambo zibushelelezi, uma zigwinya, zihamba phezulu. Uma izinqubo zokuvuvukala zenzeka ku-diverticulum, khona-ke ukungahambi kahle kungase kuzwakale, futhi uma ukuqhuma kutholakala endaweni ye-thoracic ye-oophagus, kungenzeka ukugwinya. I-diverticulum kuleli cala ine-displacement ephansi futhi inezingxabano ezingalingani. Ukuthola ukuthi i-diverticulum enjalo ingabe isesikhundleni esiphambili lapho igwinya. I-Diverticulum etholakala engxenyeni engezansi ye-esophagus ingafakwa. Kodwa-ke, lokhu kungenzeka kuphela uma kugcwaliswa, noma uma izinqubo zokuvuvukala seziqalile kakade ukuba zenzeke kuyo. Ezimweni zomtholampilo, i-X-ray ithathwa ezindaweni ezihlukene zomzimba ukuze kuhlolwe kahle indawo ethintekile.

Esophagus diverticulum: ukwelashwa

Njengomthetho, ezimweni eziningi i-diverticulum ayibangeli izinkinga ezikhethekile esigulini futhi ukwelashwa kwe-diverticulitis kudlula kahle. Kodwa-ke, uma inqubo yokuvuvukala ibonakala, khona-ke kukhishwa. Ngokulandelayo, udonga lwendawo lubuyiselwa. I-diverticulum encane ingahle ivele "igxume" emgodini, futhi udonga luqiniswa ngama-sutures nama-tissue wendawo.

Isikhathi sesiguli sithinta ukwelashwa. Ezimweni lapho, ngaphezu kwalesi sifo, kunezinye, ezinzima kakhulu, kanti iminyaka yesiguli ayivumeli ukuthi umsebenzi uqhutshwe, ukuqondiswa unomphela kuqokwe.