I-Diverticulum ye-esophagus isifo apho udonga lwe-esophagus luhamba khona ngendlela yesigxoba okanye i-tube blind. Ngenxa yoko, umsebenzi wokugwinya okanye ukuhambisa ukutya nge-oopopus unokungaphumeleli. Esi sifo sichaphazela bobabini abasetyhini kunye namadoda, ikakhulu emva kweminyaka engama-40.
Ukwahlula kwe-diverticula ye-esophageal
- Ngokwemvelaphi, i-diverticula ihlukaniswe ngo:
- kuzalwa;
- fu maneka.
- I-diverticulum yokutshatyalaliswa yongxongxube - yenziwa ngenxa ye-prototype ye-mucosa phantsi kwefuthe lokunyanzeliswa kwe-intra-esophageal ephumayo ngexesha lokunciphisa isisu;
- i-divertical tratical - ibangelwa inkqubo yokuvuvukala kwiimfucu ezikufutshane kunye nokwakhiwa kwezikrakra, ukulula zonke iindonga zodonga lwe-esophagushela kwiziko elichaphazelekayo.
- i-diverticulum yinyani - yenziwe ngokukhutshwa kwazo zonke iziqendu ze-esophagus (mucosa, submucosa, membranes muscle);
- i-diverticulum yamanga (pseudodiverticulum) - yenziwa kuphela yi-mucosa yesigxina.
- esophageal;
- epibronchial;
- epiphrenic.
Izizathu ze-diverticulum ye-esophageal
Isizathu sokuthi i-diverticula yokuzalwa yintlungu i-inferiority ye-membrane ye-muscular kunye nezicubu ezixhamlayo ze-esophagus. I-diverticula efunyenweyo yenziwe ngezizathu ezibini ezibalulekileyo:
- ngenxa yenkqubo yokuvuvukala (i-mediastenitis, isifo sofuba se-intrathoracic lymph nodes, ukukhutshwa okungapheli kwesisu esiswini, isifo sengqondo esiswini ngenxa yokusebenza, imiphumo yokutshiswa kwamakhemikhali, kunye nokunye);
- ngenxa yokusebenza kakubi kwemoto okanye ubunqongophala besikhokelo soxhumo lwangxowankulu, oludibene nokuguga komzimba.
Iimpawu ze-esophageal diverticulum:
- ukuvumba okumnandi okuvela emlonyeni ;
- ubunzima bokugwinya nokudlula ukutya;
- ukuhlaziywa (ngamanye amaxesha ukutya okudliwayo iintsuku ezimbalwa ezedlule);
- intlungu kwisiza sokuhlala kwendawo;
- uvakalelo lwe-coma, umzimba wasemzini emqaleni;
- isicefe
- Ukutshutshiswa emqaleni;
- ukukhwehlela owomileyo (kakhulu ebusuku);
- ukuphosa.
I-diverticulum ye-pharyngeal esophageal (i-diverticulum yeZenker) ibonakala kwintanyeni kunye nentloko igxininiswe ngasemva, inokubethwa (ithambile).
Ukuxilongwa kwe-diverticulum ye-esophageal
Indlela ephezulu yokuxilonga ukuqinisekisa ukuxilongwa yi-X-ray isifundo kunye ne-barium. Ngokuqhelekanga, i-endoscopy ye-esophagus isetyenziswe ngenxa yengozi yomonakalo kwiindonga zayo.
Indlela yokuphatha i-diverticulum ye-esophagus?
Unyango olusisigxina lwe-diverticulum ye-esophageal luyenzeka kwimeko encinci kunye nokungabikho kweengxaki.
Injongo ebalulekileyo kwinkqubo yokonyango kukugcinwa kokutya okubandakanya ukusetyenziswa ngokuchanekileyo ukutya okulula. Emva kokutya, umele uphuze amanzi amancinci okanye itiye engenakuthandwa ukuba "uhluthe" i-diverticulum.
Uphando lwe-diverticulum ye-esophageal luboniswe kwimeko:
- ukuphuhliswa kweengxaki (ukuphuma kwegazi, i-esophagus stenosis, ukubonakala kwe-fistula, ukuguqulwa, ukungena, njl);
- i-diverticula yobukhulu obukhulu;
- Ukulibazisa ixesha elide kwi-diverticulum kungakhathaliseki ubukhulu bayo.
Ingundoqo yonyango lotyando lugqithiso olupheleleyo lwe-diverticulum. Ngoku kutshanje, ekutyunjweni kwezinto ezixutywayo, iindlela zanamhlanje zokukhutshwa kwazo ngoncedo lwezindlela ze-videotorakoscopic ziyaqhubeka zanda.