Minuscauses of the epopus are not clinically recognized and are found accidentally on the cover of children who died from causes. Zvinonyanya kuoma kuita shanho dzakadaro muvana vaduku.
Chikonzero chekufa kwe esophageal stenosis kuputsa kwekudzima kwemukati wemukati tube, zvichiita kuti kuwedzera kwezvikamu zvose zvehutachiona (hypertrophy muscle layer, kuonekwa kwemukati mutsara, midziyo yakagadzirwa zvisina kukodzera, nezvimwewo).
Muchidimbu, kune marudzi akawanda ekukwepesa kwepabonde: dzungu, hypertrophic, membranous (nekuda kwekusimudza kwemajoka akaiswa membranous membrane). Rudzi rwechiyero runomuka mushure mekubatanidzwa kwekavhara kana kuti gumbo rinoputika panguva yemamryonic maitiro, hypertrophic - inoumbwa nekuda kwehutachipi hwemusero wechinyorwa chechimwe chikamu chesophagus, membranous - nekuda kwekuumbwa kwemukasi membrane, iyo inoita kuti kudonheredzwa kwemarara. Rudzi rwechipiri rwegastric membrane, iyo inokonzerwa nehupamhi hwayo inopindirwa muchiedza chesophagus.
Congenital stenosis yesophagus inowanikwa kune dzimwe nzvimbo mukati kana pasi, iyo inowanzoitika kune yepamusoro yechitatu.
Zviratidzo zvechipatara
Zviratidzo zvekliniki zvinokonzerwa nehuwandu hwokuderedza sophagus, morphology yake uye makore emurairo. Zvinonyanya kuderedza muvana vaduku vanogamuchira semiti-mvura uye yezvokudya zvekudya, zviratidzo zvisingatsanangurwi zvakanaka, zvinowanzorambwa. Neshoko rakanyatsorondedzerwa stenosis, chinhu ichocho chakafanana neesophagus arthritis chinoonekwa. Nekuendeswa kwemwana kune zvokudya zvakawanda, zviratidzo zvinowedzera zvakasiyana.
Zviratidzo zvekare zvinogara zvachose dysphagia uye kudzokerazve panguva kana kuti pakarepo. Muna 33% yezviitiko zve stenosis yechipimo chevana mumwedzi mitatu yekutanga yehupenyu, kune zvirwere zvekufema mukudyisa, kurutsa nekudzoka zvakare. Mwana anodyisa anova asina kufara, anokandazve musoro wake. Muvana vakura kudarika mwedzi mitanhatu, kuipa kunoonekwa dzimwe nguva. Vomit ine zvokudya zvisingashanduki, mucus uye saliva kunze kwehuni hwe-acidic yegastric contents. Kudzorerwa nekuwedzera kwezera kunowedzera kazhinji uye kunogara kwenguva dzose, sezvo musimba unoisa simba pamusoro pekumanikidzika kunodzivirirwa, uye nenzira imwe neimwe inokonzera kuoma kwemavara ezvokudya kuburikidza nechikamu chakaoma chesophagus. Mushure mechinguva, simba remuviri rakapera, kuderedzwa kunogumira mukati, izvo zvinotungamirira pakuenderera mberi nekudzoka zvakare. Masvingo ehupamusoro pamusoro pe stenosis anorasikirwa nekusimba kwavo, iwo anodonhedzwa, achiita sarciform extension. Iyo yakawanda yep-intestinal chikamu chepopu inoratidza kudzvinyirira kunokonzerwa ne trachea, iyo inotungamirira ku dyspnea, stridor, cyanosis, kukorodzwa kurwisa. Kuramba uchiwedzera muhuwandu hwekutanga, chikafu chingava chinoshuva uye chinotungamirira pakubuda kwechidimbu chinonzi pneumonia. Mukuwedzera, zvokudya zvinowedzera zvinowira kukanganiswa kwebhakitiriya; kubva mumuromo kune chinhu chisina kufadza, chakaora.
Ikoko kunogona kunge kune zviitiko zvekudzivirira kwakanyanya kweeophagus, iyo inowanzoita semugumisiro we "kurova" chidimbu chezvokudya zvakasvibirira muchikamu che stenosed chesophagus.
Zvakatenderera uye zvakasiyana-siyana zveesophageal stenosis hazvisi pamwe nekurutsika. Zvinogadziriswa munzvimbo inowanikwa kune imwe nzvimbo inowanikwa mumazuva anotevera ekubudirira kwomwana (kwete pamakore anopfuura 6 emakore), kazhinji nedysphagia, uye zvakare nedzimwe zviratidzo zvinotaurwa pamusoro apa. Pamusoro pezviratidzo zveiyo inorondedzerwa kusagadzikana kwekugadzirwa kweeophagus, inofanira kuzivikanwa chiremba mukukura mumuviri, hypotrophy, hypokinesia (varwere vanoedza kutamira zvishoma), chirwere chemahyamu.
Kliniki diagnosis inofanira kusimbiswa nehuwandu hwemashoko kuti ione kunzvimbo ye stenosis, chimiro chekuchinja mu mucosa weeophagus. Pamberi pemubvunzurudzo wehupayipi, murwere anogezwa neshupu kuti abvise zvokudya uye zvigadziriswe zvemukasi. Zvakanakisisa kuita ruzivo rwehutachiona munzvimbo yakanyanyisa yemurwere ane kuzadzwa kwakasimba kweeophagus. Chidzidzo chacho ndechokare - kusvikira chinhu chakasiyana-siyana chinopinda mumudumbu uye sopu inodururwa. I-x-ray inoratidza zvakajeka kuderera kwemashoko.
Izvozvo zvinogadziriswa zvinokonzerwa nekuongorora. Esophagobibroscopy inoitwa nekutanga kushandiswa kwevanhu vanozorodza.
Kurapa
Kurapa nguva zhinji kunokurumidza. Ne stenoses yechirungu chechidiki, kurapwa kunotanga nemapurogiramu nemazinga elastic akaiswa mumuromo. Munguva pfupi yapfuura, vashambadziri vakakosha vave vachishandiswa. Munguva yekurapa, buzhirovaniobolnoy inofanira kuwana mvura uye semi-liquid liquid. Kana zvitatu zvekurapa zvisingaiti, ipapo kupindira kwekuvhiya kunoitwa.
Kukura!