Kenyelletso
Achashea ea Cardia (ac) ke aho hloka pherekano ea moposisithi ea mantlha.Ka lebaka la phomolo e mpe ea esophagaal sphincter (les) le ho hloka litšila tsa esophagal, mokhoa oa lijo o hlahisoang ke lijo kadysphagia le karabelo. Matšoao a Clinical a kang ho tsoa mali, bohloko ba sefuba le ho fokotsa boima ba 'mele.Ho atile ho ka ba 32.58 / 100,000.
ThePhekoloea achalaria haholo haholo-holo ho kenyelletsa kalafo e sa buuoeng, kalafo le kalafo ea ho phoqa.
01med ho phekolla
Mokhoa oa kalafo oa lithethefatsi ke ho fokotsa khatello ea letsosi ka nako e khuts'oane.Ha ho na bopaki bo hlakileng ba hore lithethefatsi li ka tsoela pele le ka nepo u ka ntlafatsa matšoao a ac.Hona joale lithethefatsi tse sebelisoang hajoale li kenyelletsa li-nitrate, calcium Channel slockers, le tsa rona tsa ho ba teng.
(1)Nitrate, joalo ka nitroglycence, Amyl nitrate, le manassorbide e
(2)Calcium Channel Blockers, joalo ka Nifipine, Verapamil, le Dilmiazem
(3)Baetsi ba marang-rang, joalo ka cabuterol
02Endoscopic Botulinum Toxin ente (BTI)
Endoscopic Botulinum Toxin enjene (BTL) e ka sebelisoa ho phekola ac,Empa e ka fana ka litlamorao tsa nako e khutšoane feela mme e ka sebelisoa ho bakuli ba tsofetseng ba nang le likotsi tse kholo tsa ho buoa le ho otla ha anesthesia.
1) Pontšo:Bakuli ba lilemo li mahareng le ba tsofetseng (> ba lilemo li 40); ba ke keng ba mamella lilunka tsa li-endoscopic tsa lilunka (pd) kapa kalafo ea bongaka; tse nang le kalafo tse ngata tsa PD kapa liphello tse mpe tsa ho buoa; Ba nang le litlamorao nakong ea kalafo ea PD bakeng sa ba nang le kotsi e kholo, e ka sebelisoa hammoho le PD; E ka sebelisoa e le phetoho ea kalafo e buoang kapa ea PD.
(2) Contraindication:Ha e khothalletsoe ho sebetsana le kalafo ea bobeli ea AC ho bacha (lilemo tse 1 ≤40).
03Endoscoes Balloon Dilaation (PD)
Lijo tsa balune li na le litlamorao ho ac, empa li hloka kalafo e ngata 'me e na le kotsi ea mathata a tebileng.
(1) Pontšo:Bakuli ba AC ba se nang pelo ea pelo incufogunity, Dysfunction Dysfunction, jj.; banna ba fetang lilemo tse 50 ba le lilemo li fetang 12; bakuli ba nang le ts'ebetso e sa sebetseng. E ka sebelisoa e le mokhoa oa pele oa kalafo oa pele oa khetho.
(2) Contraindication:Boholo ba pelo bo tenang, ho hloka kelello ha batho ba ho lema le kotsi e kholo ea botlolo bo phahameng ba esophage.
04peroral Endsoscopic Myotomy (thothokiso)
Lilemong tsa morao tjena, ka ts'ebetso e kholo ea Peroral Endsotromy myotomy (thothokiso ea kalafo ea bongaka ea AC e eketsehile haholo.Thoko ea ac e lumellana haholo le mohopolo oa "ho buuoa ka mokhoa o sa tloaelehang"Ho sebetsa hantle le ho sebetsa ha sebopeho sa anatom se bolokehile, 'me boleng ba bophelo ba mokuli ha bo ameha. Ho hlaha ha thothokiso ho entse kalafo ea ac e mong le e mong.
Setšoantšo sa: Lipomki tsa bongaka tsa poem
Ho sebetsa ka thata bohareng ba thothokiso ka kalafo ea ac e lumellana le ea laparoscopic heller myotomy (lhm)e ka sebelisoa e le khetho ea kalafo ea pele.Bakuli ba bang ba ka hola mano a nyelo ea nyelo ea nyelo ea nyelo ea nyelo ea nyelo ea khale ka mor'a thothokiso ea thothokiso
(1) litlolo tse phethahetseng:Ac ntle le tšebelisano e matla ea submucosAl, ho sebetsa ka gastric ho qala le ho hlapela lefu le leholo la ho tsosa le ho qhekella.
(2) Maseno a amanang:Diffuse Esophagaal Spasm, Liphoofolo tse ling tsa mopeyiger, bakuli ba sirelletsang ka thoko ea esophagsal.
(3) Contraindication:Bakuli ba nang le limela tse matla tsa ho boahola, mafu a maholo a Cardiopulmonary, boemo bo bobe ba pelo, joalo-joalo.
05lapascopic heller myotomy (lhm)
LHM e na le katleho e ntle ea nako e telele ea ho phekola AC, 'me e' nile ea nkeloa sebaka ke thothokiso libakeng tseo maemo a li lumellang.
06Suggil esophagectomy
Haeba AC e kopantsoe le stenosis e tlase ea esophagal Scar, tumors, jj.
Rona.Li-Forces tsa Biopsy, Hemoclip, Polyp Snare, sclerotherapy nale, Spray catheter, Brushes Brushes, Ruta, Baskete ea ho khutlisa lejoe, Nasol Biliary Drainage Catheteretc. e sebelisoang haholo hoEMR, Esd,Ercp. Lihlahisoa tsa rona ke Cepideridedited, 'me lijalo tsa rona ke tsa netefalitsoe. Thepa ea rona e rometsoe Europe, Amerika Leboea, Mille Amerika Bochabela bo bohareng le karolo ea Asia, 'me u fumane moreki ka kamohelo le thoriso!
Nako ea poso: Jul-09-2024