Ukuqalisa
I-Achalasia of Cardia (AC) iyi-Ukuphazamiseka kwe-Distripy Esophageal Motility Disorder.Ngenxa yokuphumula okungekuhle kwe-esophageal sphincter (les) kanye nokuntuleka kwe-esophageal peristalsis, imiphumela yokugcina yokudladysphagia nokusabela. Izimpawu zomtholampilo ezinjengophahla, izinhlungu zesifuba kanye nokunciphisa umzimba.Ukwanda kucishe kube ngu-32.58 / 100,000.
Le khasiukwelaphaye-achalasia ikakhulukazi ifaka ukwelashwa okungaphuzi, ukwelashwa kwe-dilation kanye nokwelashwa kokuhlinzwa.
I-01MEMIC WREEMENT
Indlela yokwelashwa kwezidakamizwa ukunciphisa umfutho we-les esikhathini esifushane.Abukho ubufakazi obusobala bokuthi izidakamizwa zingaqhubeka futhi zithuthukise ngempumelelo izimpawu ze-AC.Izidakamizwa ezisetshenziswa kaningi njengamanje zifaka ama-nitrate, ama-calcium Channel blockers, kanye nodokotela we-β-receptor.
(1)Ama-nitrate, njenge-nitroglycerin, ama-amyl nitrate, ne-sosorbide dianitrate
(2)Ama-Calcium Channel blockers, njenge-nifedipine, i-Verapamil, ne-Dilliazem
(3)Ama-agonists we-β-receptor, njengeCabuterol
01Nendoscopic Botulinum Injection (BTI)
I-endoscopic botulinum injection (BTL) ingasetshenziselwa ukwelapha i-AC,Kepha inganikela kuphela imiphumela yesikhashana futhi ingasetshenziswa ezigulini ezikhulile ngezingozi eziphakeme zokuhlinzwa kanye ne-anesthesia.
1) izinkomba:iziguli eziphakathi nendawo ezindala kanye neziguli ezindala (> iminyaka engama-40); labo abangakwazi ukubekezelela i-endoscopic balloon dilation (PD) noma ukwelashwa okuhlile; lezo ezinokulashwa okuningi kwe-PD noma imiphumela yokuhlinzwa empofu; Labo abanenkinga ye-esophageal ngesikhathi sokulashwa kwe-PD kulabo abanobungozi obukhulu, futhi bangasetshenziswa ngokuhlanganiswa ne-PD; Ingasetshenziswa njengenguquko yokuhlinzwa noma ukwelashwa kwe-PD.
(2) Contraindication:Akunconyelwe ukwelashwa komugqa wokuqala we-AC ezigulini ezisencane (≤40 aneminyaka yobudala).
I-03Endoscopic balloon dilation (PD)
I-Balloon Dilatatation inemiphumela ethile kwi-AC, kepha idinga ukwelashwa okuningi futhi ithwala ubungozi bezinkinga ezinkulu.
(1) Izinkomba:Iziguli ze-AC ngaphandle kokungabekezeleleki kwenhliziyo, ukungasebenzi kwe-cooagition, njll; amadoda angaphezu kweminyaka engama-50 nabesifazane bengaphezu kweminyaka engama-35; iziguli ezihlinzwe ukuhlinzwa. Ingasetshenziswa njengendlela yokuqala yokwelashwa yokukhetha.
(2) Contraindication:Ukungasebenzi kanzima kwe-Cardiopulmonary, ukuncipha kwe-cooculation kanye nengozi enkulu yokuqothuka kwe-esophageal.
04Properal Endoscopic Myotomy (Inkondlo)
Eminyakeni yamuva nje, ngokuqaliswa okukhulu okulinganiselwe kwe-Endoscopic Myotomy (inkondlo), inani lempumelelo yokwelashwa kwe-AC lenyuke kakhulu.Inkondlo Ukwelashwa kwe-AC ihambelana kakhulu nomqondo "wokuhlinzwa okuncane okuhlaselayo", okungukuthi, izilonda kuphela ezisuswa / zisuswe ngesikhathi sokwelashwa, futhi izitho azisuswa.Ubuqotho kanye nokusebenza kwesakhiwo se-anatomical kuyagcinwa, futhi ikhwalithi yempilo yesiguli ngokuyisisekelo ayithinteki. Ukuvela kwenkondlo kwenze ukuphathwa kwe-AC kuhlase kakhulu.
Umdwebo: Izinyathelo zokuhlinzwa zenkonzo
Ukusebenza kwenkondlo kwaphakathi nendawo kanye neyesikhathi eside ekwelapheni i-AC kuyahambisana nalokho kwe-Laparoscopic heller myotomy (LHM)lungasetshenziswa njengenketho yokwelashwa komugqa wokuqala.Ezinye iziguli zingakha izimpawu ze-gastrosophageal reflux ngemuva kokuhlinzwa kwenkondlo
(1) izinkomba eziphelele:I-AC ngaphandle kokunamathela okunamandla okunamandla, ukuphazamiseka okusebenzayo okusebenzayo kanye ne-diverticulululum enkulu.
(2) izinkomba zokuhlobana:Faka i-esophageal spasm, i-nutcracker esophagus nezinye izifo ze-esophageal motility, iziguli ezinenkondlo ehlulekile noma ukuhlinzwa kwamaHeller, ne-AC ngezithako ezithile ze-subsecions.
(3) Contraindication:Iziguli ezine-dysfunction enzima yokuhlangana, isifo esinamandla senhliziyo, isimo esijwayelekile, njll. Ongakwazi ukubekezelela ukuhlinzwa.
I-05Laparoscopic heller myotomy (LHM)
I-LHM inempumelelo enhle yesikhathi eside ekwelapheni i-AC, futhi ibilokhu ithathelwe indawo yinkondlo ezindaweni lapho izimo zivuma khona.
06Surgical Esophagectomy
Uma i-AC ihlanganiswe ne-esophageal scar stenosis ephansi, ama-tumors, njll.
We, Jiangxi Zhuoruihui Medical Incument Co, Ltd, umenzi waseChina ochwepheshe kokudla kwe-endoscopic, njengeI-Biopsy Forceps, hemoclip, I-PolyP Snare, inaliti ye-sclerotherapy, fafaza i-catheter, ama-cytolology amabhulashi, Umhlahlandlela, I-Stone Retrieval Basket, I-Catheter ye-Nasal Buily Catheternjll. Kusetshenziswe kabanziEMR, Ivi,I-ERCPP. Imikhiqizo yethu iqinisekisiwe, futhi izitshalo zethu ziqinisekisiwe ze-ISO. Izimpahla zethu zithunyelwe eYurophu, eNyakatho Melika, eMpumalanga Ephakathi nendawo nengxenye ye-Asia, futhi zithola amakhasimende wokuqashelwa nokudumisa!
Isikhathi sePosi: Jul-09-2024