Diverticulum o Zenker pehea kitea, maimoatanga, pokanga

diverticulum o Zenker ko te momo rawa onge o māuiuitanga o te wahi kūnatu. Ko te wahi o taua mate pūkete hoki 3-5% o te wā katoa. Waho whakakitea te māuiuitanga putea-protrusion mucosa o te pū kai, me te korokoro kia whai i te āhua rerekē, me te rahi. puta koha wahi kūnatu tuatahi i tona taiepa muri, a ka haere mai ki te taha. diverticulum Pharyngoesophageal Ko e rua congenital ka riro mate, te whanaketanga o te huarahi e maha pulsionny, rite reira he he wahi ngoikore i roto i te tinana e tika ana ki nui haere te pēhanga i roto i tona lumen.

Āhuatanga o te mate

whakawhanake diverticulum o Zenker rawa āta. Ka taea te rerekē ona āhuatanga, pa tonu i roto i ētahi wā i te uara o te matenga o te hou. Diverticulum he kaki me te tinana, hipoki ki te epithelium mucous. I roto i tona kōhao wai kia te rōrahi o te mea nehenehe o te whakatutuki 1.5 rita.

Kei muri i te hanganga o te pū kai, me te ki te maui o reira, ki te mediastinum runga. Tino uaua whakawhanake puka intramural o māuiuitanga, ina puta kătahi diverticulum i roto i te wāhi i waenganui i nga taiepa o te uaua pū kai.

Pa tonu te rahi nui, ka tīmata i tēnei mātauranga ki te faaitoito pēhanga ki runga ki nga mana, e te hunga tata. e kore e Diverticula tauta a kahore e meinga mumura i roto i te kopa e karapoti ana rite te roa rite kore e whakawhanake peridivertikulit.

Ko te take matua o te mate

I roto i te akoranga noa o te horomia puta whakaiti i roto i te pharynx kaka uaua cricopharyngeal uaua timata ki te akaanga, a whakakitea te mangai o te pū kai. I roto i te take o te ofatiraa o te mahi uaua puta diverticulum.

Ko te take matua mō te hanganga o pathologies he:

• predisposition ira;
• whara mucosal esophageal;
• mate congenital o uaua kiko;
• sclerosis me calcification o ngohe;
• takahi o te whanaketanga fetal;
• hē uaua kiko;
• whara tuaiwi;
• mate inflammatory o te pū kai, me te korokoro.

faaiteraa haumanu o mate

Nahea te diverticulum taua? Tei te reira i runga i tona rahi. hē iti (2 cm) e kore e whakaatu ake, me te tūpono kitea ka X-ray whakamātautau fluoroscopic ranei.

Ki te reira ko Zenker diverticula, kua wehea nga tohu o tenei mate rite ki nga wāhanga o te mate.

Āhuatanga o te atamira tuatahi

Hoki te wā tuatahi āhuatanga tohu nonspecific. Ko ētahi o ēnei: korokoro scratchy, salivation auau, ranei hurihia, maroke o te mucosa-waha. whai tūroro kakara kino (pirau, tuhlosti, hauwai sulfide). kia waiho te reira i te mare fifi ranei horomia onge. I roto i te kai i reira ko te hua o te reo, haere tahi i te mānukanuka o te uaua kaki, meinga mana'o te manawanui rite te whakapae peia ki te puranga korokoro. I muri i te tahi mau wa, whakawhanake te manawanui he ara o te ora, i roto i nei e kore ai ia e kite i te mare tamau, me te Burp i muri i te kai, me te hoko whakamahia ki whakararā.

Āhuatanga o te atamira tuarua, me te tuatoru

Nahea te diverticulum i roto i te wā tuarua? āhuatanga tēnei wā e te stagnation o hūpē, kai, rangi whakaeminga, engari e kore e te hauora whānui waimaero. I te whakamātautau, heheu te tākuta te karawhiti o te kaki e tika ana ki te protrusion-iu kotahi. Ki te pa, ko te ngohengohe i runga ngaro palpation reira, a i roto i te kai nui haere ano i roto i te rahi. I roto i mirimiri i te pokapū o te inu thickening i muri i te kai i reira he tohu o te mitimiti, me te taha te pēhi tuhia haruru.

I te toru o nga wā o te mate tohua decompensation. Tīmatanga o tohu hei he nui kino atu korerotia, hauora whānui, ka tīmata te manawanui ki te ngaro tere taimaha.

tukanga inflammatory ma'i puta i roto i te diverticulum kōhao, arata'i ki ngā pōauautanga: kakā, asphyxia, abscesses, stasis venous toto, taiepa perforation esophageal, mediastinitis me te putanga o malignancies.

tātaringa

Ko te tikanga matua ki te tātari diverticulum o Zenker, - X-ray whakahaeretia i roto i te rererangi rerekē. taka Special poke ki kōhao hanganga, kia he reira taea ki te whakatau e kore anake te wāhi tangohia, engari ano hoki tona rahi, āhua, te roa kaki, whakaiti haere tona roa, te āhua o whekau pātata me ngā hanganga kikokiko. Ki te tīmata te slurry diverticulum konu-waha ki te noho, tohu te reira i te whanaketanga o te diverticulitis.

Maimoatanga o te mate e momo

Ki te pāngia ki te diverticulum o Zenker, maimoatanga ko e rua tikanga momo, me te hāparapara. Otiia ki te mea te mahi e taea i roto i te take tuatahi māuiuitanga tonu te tauturu. Na roto i te therapy momo te haere ki anake i roto i te wā i reira i reira he contraindications nui ki te pokanga. I roto i tenei take, me piri te manawanui ki te tikanga kai tino, kai ngohengohe, ngangau tino o te kai. kawea te manawanui i roto i muri ingestion waikeri diverticulum, mo tenei whakaaro me te mea i roto i te tetahi tūranga. I tua atu, kawea taua hanganga te lavage, a me tango hoki te manawanui huawhenua ranei hinu parawini mō te whakahinuhinu o ona taiepa.

maimoatanga hāparapara

Nuinga o ngā wā āwhina i roto i taua mate rite diverticulum o Zenker, pokanga pupuri whakaaturia nei i te rua me te toru o nga wāhanga o te mate, haere tahi e te pōauautanga. 48 haora i mua ki te pokanga, whakaritea te manawanui ko te kai wai, a ata horoi ki te mātauranga i roto i esophagoscope pū tōngāmimi ranei.

A, no te e hei tirohanga diverticulum o Zenker o te mahi divertikulektomiya-atamira, e ngā i roto i te tango i tenei putea papanga i roto i te hanganga wāwāhi. I mua i te pokanga faaterehia te manawanui ko te uiuia matotoru ki te pū kai, ko te kupu te whakahaere i te mahi. Taratahi i te kopa diverticulum karapoti whakawhiti i te turanga, me te e tuia hoko suture tonu ranei. Mukua hanganga pathological te whakamahi i whakatēpara, tono nei ki tona turanga.

Katahi ka kawea te uiuia i roto i runga i te roa esophagomyotomy ekstramukoznuyu inputted o te maha henimita. Ki te Kei roto i te diverticula rahi iti o, nui anake kotahi cricopharyngeal myotomy, i muri nei e tika ratou, a tahi me te membrane mucous o te wahi kūnatu te taiepa, papa rawa.

Aita i maoro a'e anga etahi haumanu ki te kawe i te mahi endoscopic tikanga, arā. E. kore hanga te kokoti i runga i te kaki. Ko tōna ngako Ko e kawea te tarai i roto i te taiepa noa i waenganui i te pū kai, me te diverticulum, me te whakamahi i te tēpara pepa endoscopic te myotomy. I muri i te mahi taua, ora te manawanui tere me te whakaiti i te maha o pōauautanga.

Ko te wā postoperative i muri i tango o te diverticulum Zenker

Āhuatanga o tenei wā ko e te manawanui 48 haora, e kore e kai. Ētahi tākuta waiho hoki 3-4 ra uiuia ki te whangai i te manawanui he kai wai. I muri i te tango i te reira no te 5-6 ra hoatu kē kai āhua-wai, āta whakawhänui i te kai.

Ki te kore koe e hamani i te mate, ko tino rawakore te waitohunga. Various pōauautanga arahi ki te mate i roto i 23-33% o te wā.

mutunga

Ko te kupu, diverticulum o Zenker - he mate rawa haavare. Te kore e whakaatu ana ano i te timatanga rawa o tona whanaketanga, i muri i te i te reira tino impairs āhua hauora. Hamani kia waiho i whakahauanga, ie. A. He tūponotanga tiketike o te mate i te momo o pōauautanga.