Kune vanhu vanoda zvokudya, kudya zvokudya zvinonaka vakasununguka kunonakidza chaizvo.Asi vamwe vanhu varasikirwa nemufaro wakadaro, uye zvinotonetsa kudya zvakajairwa……
Nguva pfupi yadarika, Mr.Jiang vekuJiangxi vakauya kuShanghai Tongji Hospital kuzorapwa.Anenge makore matatu apfuura,akaona kuti pese paaidya achimhanya zvishoma, huro yaibva yadzipwa.Mamiriro ezvinhu ayazvinotonyanya kuoneka pakudya chikafu chakaoma.Gare gare,chaanodya acharutsa chaiko.
Chiratidzo ichi chakabva chawedzera kuipa gare gare.Kutozosvikira gare gare, aigona bedzi kumedza tsanga imwe yomupunga panguva, uye dzimwe nguva airwadziwa zvikuru muchipfuva chake..ZvaVaJianguremu hwakadzikawo kubva pa75 kilograms kusvika pa60 kilograms.
Kuti vagadzirise dambudziko re "kunetseka kudya", VaJiang vakatsvaga kurapwa kwese kwese.Mushure mekuongororwa kwechipatara, zvakaonekwa kutichikafu chakadyiwa naVaJiang hachina kupinda mudumbu negurokuro zvachose, asi chakavharika pagurokuro.!
Ndicho chikonzero VaJiang vakagadzira zviratidzo zvakadaireflux yezvokudya uye huro yakakangwa.Izvi zvaitazvakakonzerawo kuwedzera kuri pachena kwechubhu yesophage yaVaJiang pasi pekumanikidzwa kwechikafu.
Sei izvi zvakaitika?
Purofesa Shuchang Xu, Munyori weKomiti yeBato uye Chiremba Mukuru weDhipatimendi reGastroenterology paTongji Hospital muShanghai, akaitwa nemazvo.gastroscopy uye gastroesophageal pressure testszvaVaJiang.
Mushure mekuongorora, zvakaonekwa kutisphincter yemurwere pacardia yaisagona kusununguka zvakanaka,zvichikonzera kuti chikafu chivharwe ne "god god" kana chasvika pacardia negurokuro.Zvikafu zvakawanda "zvinorambwa" uye zvinoungana mugurokuro.At the same time,nekuda kwe esophageal dilation, esophagus haigone kufamba zvakanaka uye haigone kuendesa chikafu mudumbu.
Zita repamutemo rechirwere ichi ndereachalasia.Nyangwechiyero chechiitiko hachisi chakanyanya kukwirira, zvinounza kurwadziwa kukuru kune varwere.Chikonzero chakananga ndechokuti kudya kunova basa rakaoma zvikuru.
Vamwe varwere vanotoda kudya zvokudya kweanenge maawa matatuvasati vadya zvokudya zvavanodya zvinogona kusvika zvishoma nezvishoma mudumbu ravo;Vamwe varwere vakaitakuvimba nechikafu chemvura kuchengetedza hutano hwavo,saka varwere vane chirwere ichi vanowanzoderedza uremu, uye chikonzero chechirwere ichi hachina kujeka.
Kuti vabvumire Mr.Jiang kudya nguva dzose, nyanzvi dzezvokurapa kubva kuShanghai Tongji Hospital uye Purofesa Xu Shuchang vakashanda pamwe chete kuti vadzidze chirongwa chekurapa.
Parizvino, kune nzira dzakawanda dzekurapa achalasia, yekutanga ndeye kushandisa zvinodhaka kuzorodza sphincter tsandanyama ye cardia yemurwere, asi mhedzisiro yekurapa iyi haina kunaka;chechipiri ndechekuita cardia dilation pasi pe gastroscopy, asi nzira iyi yekurapa inogona kugadzirisa matambudziko enguva pfupi chete; chechitatu ndechekubaya chepfu ye botulinum mu cardia sphincter pasi pe endoscopy, asi nzira iyi inobatawo zviratidzo asi kwete chikonzero.
Pakupedzisira, nyanzvi dzekurapa kubva kuTongji Hospital muShanghai dzakasarudza kuitaPreoral endoscopic myotomykubatsira VaJiang kubvisa zvachose matambudziko avo.
Preoral endoscopic myotomy inonziwo "POEM".Nzira yekushanda yekuvhiyiwa iyi ndeyokutanga kuita chidimbu chiduku panzvimbo ye mucosal ye gastroesophageal wall, uye wozochera endoscope pasi pe mucosa.Kuburikidza ne "tunnel" iyi, endoscope inowana musuru wakanyanya kukora pa cardia. ,kuchekwa kunovhura chikamu ichi chetsandanyama, uye kusunungura zvachose esophageal sphincter.Izvi zvinogona kugadzirisa dambudziko re achalasia ye cardia.
Pashure peinenge awa yokuvhiyiwa, tsandanyama yaVaJiang pacardia yakavhurwa zvinobudirira.Kune rimwe divi, nekuda kwekuti kuvhiyiwa kwePOEM kunoitwa kuburikidza neendoscopy, kushungurudzika kumurwere kudiki kwazvo.VaJiang vanogona kunwa mvura mukati memaawa makumi maviri nemana uye kutangazve kudya kwemazuva ose muinenge vhiki.
Kubva kuRed Star News
Nguva yekutumira: Kubvumbi-22-2024