Mastery n'otu edemede: ọgwụgwọ nke Achasia

Ndubata
Achalasia nke Cardia (AC) bu aMmekọ ihe na-adịghị mma.N'ihi ezumike nke na-adịghị mma nke ala na-adịghị mma nke alaDysphagia na mmeghachi omume. Ọrịa ọgwụ dịka ọbara ọgbụgba, ihe mgbu na oke ibu.Ihe dị ka 32.58 / 100,000.
Oseihe nwokemmesiikenke Achadia tumadi gụnyere ọgwụgwọ na-adịghị mma, ọgwụgwọ didition na ọgwụgwọ.

01Dumcal
Usoro ọgwụgwọ nke ọgwụgwọ bụ iwelata nrụgide na obere oge.Enweghị ihe akaebe doro anya na ọgwụ ndị na-eme ọgwụ nwere ike ime ka ihe mgbaàmà nke AC na-eme ka ihe mgbaàmà nke AC na-eme ka ihe mgbaàmà nke AC.Ugbu a ọgwụ a na-ejikarị ọgwụ ọnụ gụnyere nitrates, calcium Channels, na Β-reconist.
(1)Nitrates, dị ka nitroglycerin, amy nitrate, na Isosorbiid Unisia
(2)Concluevers ọwa, dịka mefdipine, verapamil, na Diltiliazem
(3)β-reteptor, dika Caburuul

0,2endoscopic Botulinum toxin (BTI)
Enwere ike iji injentun toxin na-egbu egbu (BTL) nwere ike iji ac,Ma enwere ike inye obere oge mmetụta ma enwere ike iji ya mee ihe ọghọm dị ukwuu nke ịwa ahụ na anesthesia.

1) Ngosipụta:ndị ọrịa na ndị agadi na ndị okenye ((afọ 40); ndị na-enweghị ike ịnagide ihe ngosi Endoon Balloon (PD) ma ọ bụ ọgwụgwọ ahụ; ndị nwere ọtụtụ ọgwụgwọ PD ma ọ bụ nsonaazụ ịwa ahụ na-adịghị mma; Ndị nwere nsogbu na-eme n'oge PD maka ndị nwere nnukwu ihe ize ndụ, enwere ike iji ya na PD; Enwere ike iji ya dị ka ntụgharị nke ịwa ahụ ma ọ bụ PD ọgwụgwọ.
(2) contraindications:A naghị atụ aro ya maka ọgwụgwọ mbụ nke AC na ndị ọrịa na-eto eto (≤40 afọ).

03onuscopic Balloon didition (PD)
Balloon dintation nwere mmetụta ụfọdụ na AC, mana ọ chọrọ ọtụtụ ọgwụgwọ ma na-ebute ihe ize ndụ nke nnukwu nsogbu.
(1) Ngosipụta:Ndị ọrịa ac na-enweghị ụkọchukwu, Dysfution Dysfuunction, wdg.; Menmụ nwoke karịrị afọ 50 na ụmụ nwanyị karịrị afọ iri atọ na ise; Ndị ọrịa nwere ịwa ahụ. Enwere ike iji ya dị ka usoro ọgwụgwọ mbụ nhọrọ.
(2) contraindications:Inwe oke anya Cardiopenooopulmoopery zuru oke, dogurururururururururururururururururuyo na ihe ize ndụ nke esphageal perforation.

04Portal Endoscopic (uri)
N'afọ ndị na-adịbeghị anya, na mmejuputa nnukwu mmejuputa nke Peroral endotomy (uri), ọnụ ọgụgụ ga-aga nke ọma ọnụego ọgwụgwọ nke am abaala nke ukwuu.Ọgwụ poem na-agbanwe agbanwe na echiche nke "Super na-ahụkarị ịwa ahụ", ya bụ, ọ bụ naanị ọnya na-ewepụ ya / wepụrụ ya n'oge ọgwụgwọ, anaghị ewepụ ya n'oge ọgwụgwọ.A na-edozi iguzosi ike n'ezi ihe na arụmọrụ nke usoro anadimical, a na-emetụtakwa ogo onye ọrịa nke onye ọrịa nke ndụ. Ihe ngosi nke uri a mewo ka ọgwụgwọ nke ac Super Mimaries.