Esophageal leiomyoma: Bayyanar cututtuka da kuma Jiyya

Sau da yawa mutane suna da wani rashin jin daɗi a cikin esophagus. Dunƙule za a iya ji a lokacin da hadiya, rashin jin daɗi, tashin zuciya, ciki zafi, ƙwannafi, belching. Wadannan alamu sun nuna Pathology na gastrointestinal fili. Abin da zai iya kasance? Alal misali, leiomyoma.

Yãfẽwa ƙari, wanda ya bayyana a kan ganuwar da esophagus, da ake kira da wannan sunan. Irin wannan matsala za a iya kafa a matsayin naúrar na nodes kuma daga mahara. By kanta, wannan naúrar kama wani kodadde ruwan hoda outgrowth kuma iya girma har zuwa 5 cm.

To, abin da yake a leiomyoma na esophagus da kuma yadda za a magance wannan aibi, mu yi la'akari da kasa.

Yãfẽwa marurai tasowa a cikin esophagus

Da farko, yana da daraja jaddada cewa leiomyoma auku a rare lokuta. Kamar yadda mai mulkin, shi ne wani kashi up to 5% na dukkan ƙari lahani, kuma mafi yiwuwa ga shi mutumin.

Esophageal leiomyoma (ICD-10 yana nufin wannan cuta D13.0 code) - a benign ƙari, wanda aka generated daga tsoka ko gaba zaruruwa, aika abinci da ciki. Irin wannan matsala yana da kananan madauwari siffar, amma shi iya fadada da kuma haifar da kewaye kansu wani iyaka yawan musamman raka'a wanda tsarè da babban aiki na esophagus.

Abin da zai iya sa wannan lahani?

Akwai wasu dalilai da za su iya fararwa bayyanar leiomyomas, wato:

• m marurai a kusa da dangi;

• rauni na rigakafi da tsarin.

• shan taba da kuma barasa amfani.

• m rage cin abinci.

Wadannan dalilai za su iya shafar gaskiyar cewa jikin mutum akwai wata gazawar, wadda take kaiwa zuwa wani iyaka da uncontrolled cell division.

Alamun cewa nuna bayyanar leiomyomas

Leiomyoma na esophagus ne kusan ko da yaushe auku ba tare da wani bayyanar cututtuka sigina. Bugu da ƙari, wannan ƙari na dogon lokaci a general da kanta ba fitowa, tun da girma ne jinkirin. Yana da wannan dalili da cewa wannan aibi cututtuka ma ci gaba sannu a hankali.

Amma duk da haka akwai ta zo a lokacin da mai cuta fara ɓullo da kansu ta hanyar da wadannan cututtuka:

• A farko da babban alama - wahala hadiya abinci.

• bayyanar da rashin jin daɗi a baya da breastbone, amma wannan alama bayyana idan ƙari kai hudu santimita.

• da m faru na ƙwannafi da belching.

• karfi salivation.

• tashin zuciya da kuma retching.

• palpitation da arrhythmia.

• bushe tari, a cikin abin da akwai wani marmarin zuwa tari makale com.

• asarar ci.

Pain da ya auku a lokacin da hadiya ko nan da nan bayan cin abinci, mafi sau da yawa gani a kirji da kuma bada baya zuwa yankin. Wani lokaci mutum ya iya ta da, da kuma wani maras ban sha'awa zafi a cikin xiphoid. Amma game da tsanani da zafi, su ne kai tsaye dogara a kan yadda yawa da ƙari ya girma.

Idan esophageal leiomyoma ne in mun gwada kananan, shi za sigina a halin yanzu a cikin nau'i na spasm, wanda ya bayyana a cikin esophagus. Kuma shi yana iya zama wani lokaci gaban kasashen waje jiki abin mamaki baya da breastbone.

Ya kamata a lura cewa rashin lafiya mutum da wannan cuta overall ba ya canzawa, tun duk na sama cututtuka kara hankali.

Shi ne ma daraja dabam jaddada cewa wani mutum zai fuskanci zuciya matsaloli, a cikin akwati inda esophagus leiomyoma ƙaruwa a size. Wannan ya faru ga dalilin cewa mafi zama da ƙari, da more shi presses a kan mutum gabobin.

ƙarin fasali

Kuma a lokacin da wannan zai faru, wani mutum yana ƙarin cututtuka, kamar:

• tari, a cikin abin da babu wani yiwuwar da tsoma baki tare da wani tari.

• m shortness na numfashi;

• hoarseness.

• cyanosis, kuma arrhythmia.

Wannan ya faru a lokacin da ƙari da aka sarrafa a yankin na bifurcation na trachea. Saboda haka, idan mutum yana da akalla kamar wata siffofin aka bayyana a sama, ziyarar kamata ba za a jinkirta zuwa wani gastroenterologist. Yana da muhimmanci a fahimci cewa untimely tunani akai iya tsokana leiomyoma degeneration cikin wani m ƙari. Lokacin da yin wani biopsy na esophagus leiomyoma? A wannan - a.

Yadda za a gane asali da wannan cuta?

Leiomyoma gano yin amfani da dama iri dabaru, wato:

• da za su gudanar da wani cikakken dubawa.

• via instrumental safiyo.

• a kan tushen da gunaguni na haƙuri.

Idan ka manta a cire ƙari, da damar kauce wa yiwu rikitarwa ne mai girma. Haka kuma, dace qaddamarwa na magani zai taimaka kara da mutum lifespan.

Ainihin ganewar asali aka yi amfani da X-haskoki da wani endoscope, da barin gwani shi ne zai yiwu a daidai ƙayyade inda wani ƙari, da kuma karba dole magani. Ta yaya bayyana hotunan an samu? Leiomyoma esophagus da endoscopy a tsare.

Domin ganewa na kananan ƙari nodules amfani endoscopy dukan narkewa kamar hanya. A wannan yanayin, idan mutum ya fara dame da ãyõyin cuta, ya kamata nan da nan tuntubar likita wanda zai gudanar da cikakken bincike na duk gunaguni da kuma aika zuwa binciken.

Yawanci, irin wannan ake zargin rashin lafiya gastroenterologist iya riga a kan tushen da haƙuri gunaguni. Amma domin tabbatar da zargin wajibi ne don instrumental jarrabawa.

Lokacin amfani da irin wannan bincike hanya, kamar X-ray, a cikin ãyõyin da cutar suna bayyana cikin sharuddan cika da esophagus ga zance inda wani ƙari. A lokaci guda, idan amfani da bayyana radiography, sa'an nan hoton ne a fili gani da inuwa daga cikin siffofin maruran.

Kamar yadda aka bayyana a sama, leiomyoma na iya faruwa a matsayin daya jam'i na neoplasm ko siffofin maruran. Domin a daidai tabbatar da ganewar asali, yi amfani da hanyar na esophagoscopy. Tare da wannan hanya shi ne mai yiwuwa a iya ganin marurai a zurfafe, kazalika da yi nazarinsu, da sauran yanayin mucosa da su dauki kayan karatu biopsy. Yana histological sakamakon da ya tabbatar da ko wani ƙari ne benign. Shin da shi wajibi ne don share leiomyoma na esophagus?

A wasu lokuta, tiyata da aka nada?

Rabu da mu da leiomyoma mai yiwuwa ne kawai tare da taimakon tiyata. Amma idan ka yi la'akari da jinkirin girma, sa'an nan m kau da aka ba koma ga a cikin akwati inda wannan ƙari ne kananan.

M baki da ake sa kawai a lokacin da ya sha musantawa leiomyoma na esophagus. Operation ne zai yiwu a kuma waɗannan lokuta, idan haƙuri ba contraindications ga wannan hanya.

M baki ba za'ayi:

• idan ƙari kasa da 5 cm.

• idan malignancy ne cire.

• mutane ba su rasa nauyi.

Idan mutum yana da wani ƙari da kananan size, likita kawai gani na yau da kullum nunawa amfani endoscopy da X-ray. Wadannan iri safiyo taimaka wa amsa da gudanar da tiyata.

Hanyar aiki

Saboda haka, mutum samu leiomyoma na esophagus. Jiyya yawanci kunshi a tiyata. Amma idan wannan ƙari girma.

Don yin wannan, yi amfani da wani laparoscopic m tare da thoracotomy. Amma wannan dabara aka yi kamar haka: wani likita, a manyan tiyata, sa wani incision daga cikin kirji, kuma ya aikata aiki. Wannan hanya ne quite traumatic da bukatar ƙarin lokaci domin rage post-dau lokaci.

A cikin 'yan shekaru, likitoci sun a halin yanzu soma wani sabon hanya da cewa taimaka wajen rabu da ƙari ba tare da yankan da kirji. Jigon wannan magudi shi ne cewa likita kawai sa hudu punctures a ciki ko a cikin sternum da husks leiomyoma ta hanyar wadannan pinholes. Kuma mafi muhimmanci - shi ne wata dama ba zai shafi mucous membranes.

Wannan tiyata da aka yi a karkashin gani iko, wanda aka yi da esophagoscopy. A babbar da wannan dabara ne cewa yana yiwuwa gaba daya ya kawar da irin wannan rikitarwa kamar yadda stenosis.

Lokacin da ya gama da tiyata, da mutum yake hudu kananan incisions a diamita na game da biyar millimeters. Amma ga tsinkaya, to, suna a duk m, kuma a wannan lokacin babu dakwai, komowan cutar aka lura, a cikin dogon lokaci.

esophageal leiomyoma: reviews

Reviews bayar da shawarar cewa leiomyoma - a benign ƙari, wanda ya auku sosai da wuya a cikin mutane. Its bayyanar cututtuka sigina mai sauri da kuma bayyana sosai a hankali. A lura da wannan aibi ne kawai zai yiwu tare da taimakon wani m hanya. A general, da hangen nesa quite m saboda da jinkirin cin gaban.

ƙarshe

Taƙaita dukan sama, mun so mutane duka abu daya: bari neoplasms, benign kuma ko da tare da jinkirin ci gaba, kada su dame. To, idan akwai ko da daya daga cikin sama da bayyanar cututtuka kamata nan da nan ziyarci wani gastroenterologist ko likita. Yana da muhimmanci a fahimci cewa kiwon lafiya ne kawai a hannun mutum da kansa.