Menene Zenker's Diverticulum kuma Yaya ake Kula da shi?

Wadatacce

• Matakai
• Menene alamun?
• Me ke kawo haka?
• Yaya ake gane shi?
• 'Jira ka gani' kusanci
• M jiyya
• Tsarin endoscopic
• Bude tiyata
• Menene rikitarwa?
• Outlook

Menene bambancin Zenker?

Diverticulum kalma ce ta likita wacce ke nufin rashin tsari, mai kama da jaka. Diverticula na iya zama kusan a kusan dukkanin sassan yankuna masu narkewa.

Lokacin da 'yar jaka ta samar a mahaɗar pharynx da esophagus, ana kiranta diverticulum na Zenker. Farin ciki yana a bayan makogwaronka, a bayan ramin hanci da bakinka.

Zenker's diverticulum yawanci yana bayyana a cikin hypopharynx. Wannan shine mafi ƙarancin ɓangaren pharynx, inda yake haɗuwa da bututun (esophagus) wanda ke kaiwa zuwa ciki. Zenker's diverticulum yawanci yana bayyana a yankin da aka sani da triangle na Killian.

Banbancin Zenker ba safai ba ne, yana tasiri tsakanin yawan jama'a. Yana da alaƙar faruwa a cikin manya da manya, musamman ma mutanen da shekarunsu suka wuce 70 zuwa 80. Banbancin Zenker ba safai ake samu ba tsakanin mutane ƙasa da shekaru 40. Yana shafar maza sau da yawa fiye da mata.

Har ila yau, ana kiransa da diverticulum na pharyngoesophageal, hypopharyngeal diverticulum, ko pharyngeal pouch.

Matakai

Akwai hanyoyi daban-daban don rarraba Zenver's diverticulum:

Menene alamun?

Matsalar haɗiye, wanda aka fi sani da dysphagia, ita ce mafi yawan alamun bayyanar Zenver ta diverticulum. Ya bayyana a cikin kimanin kashi 80 zuwa 90 na mutane tare da bambancin Zenker.

Sauran alamomi da alamun cutar Zenker ta bambanta sun haɗa da:

• sake sarrafa abinci ko maganin baka
• warin baki (halitosis)
• murya mai zafi
• ci gaba da tari
• shan ruwa ko abincin abinci “kasan bututun da ba daidai ba” (buri)
• jin wani dunƙule a cikin maƙogwaronka

Idan ba a kula da shi ba, alamun cututtukan diverticulum na Zenker na iya tsanantawa a kan lokaci.

Me ke kawo haka?

Swallowing wani hadadden tsari ne wanda ke buƙatar daidaitaccen tsokoki a cikin bakin, pharynx, da esophagus. Lokacin da kake haɗiyewa, tsoka mai madauwari da ake kira ƙwanƙwan ƙwanƙwori na sama ya buɗe don bawa abincin da ake tauna ya wuce. Bayan ka hadiye, toshewar hanji na sama ya rufe don hana shakar iska daga shiga esophagus.

Samuwar Zenker's diverticulum yana da alaƙa da rashin aikin ƙwaƙwalwar hanji na sama. Lokacin da bututun hanji na sama bai bude duka hanya ba, sai ya sanya matsin lamba a wani yanki na bangon pharynx. Wannan matsin lamba da yawa ya rinjayi tsoka a hankali, ya haifar da shi ya zama diverticulum.

Har ila yau, cututtukan reflux na Gastroesophageal (GERD) da canje-canje masu alaƙa da shekaru a cikin kayan ƙirar da ƙarar tsoka suma ana tsammanin zasu taka rawa a wannan aikin.

Yaya ake gane shi?

Yi magana da likitanka idan kai ko wani da kake kulawa yana fuskantar alamun bayyanar diverticulum na Zenker.

Zenker’s diverticulum an gano shi ta amfani da gwajin da ake kira barium haɗiye. A haɗiye barium shine X-ray na musamman wanda ke haskakawa cikin bakinka, pharynx, da esophagus. Barium na haɗiye fluoroscopy yana ba likitanka damar ganin yadda kuke haɗiye a motsi.

Wani lokaci, wasu yanayi suna nan tare da Zenker's diverticulum. Likitanku na iya ba da shawarar ƙarin gwaje-gwaje don gano ko kawar da wasu yanayi. Tsarin endoscopy na sama wata hanya ce wacce ta haɗa da amfani da sirara, ɗauke da kyamara don duban maƙogwaro da majina. Tsarin halittar mutum gwaji ne wanda yake auna matsin lamba a cikin esophagus.

'Jira ka gani' kusanci

Matsaloli masu sauƙi na bambancin bambancin Zenker bazai buƙatar magani nan da nan ba. Dogaro da alamun cututtukanku da girman hanyar rarrabewa, likitanku na iya ba da shawarar hanyar “jira ku gani”.

Canza dabi'un cin abincinku na iya taimakawa wani lokacin inganta alamun. Gwada cin ƙananan abinci a cikin zama ɗaya, taunawa sosai, da sha tsakanin cizon.

M jiyya

Matsakaici zuwa mawuyacin yanayi na bambancin bambancin yanayin Zenker yawanci yana buƙatar tiyata. Akwai wasu zaɓuɓɓukan tiyata. Likitanku zai iya taimaka muku fahimtar wane zaɓi ne mafi kyau a gare ku.

Tsarin endoscopic

Yayin da ake yin endoscopy, wani likita mai fiɗa ya saka wani bakin ciki, mai kama da bututu wanda ake kira endoscope a cikin bakinku. Equippedarshen na'urar sanye take da haske da kyamara. Ana iya amfani dashi don yin ƙwanƙwasa a bangon da ya raba diverticulum daga rufin esophagus.

Endoscopies don bambancin Zenker na iya zama m ko sassauƙa. Osarancin endoscopy mara ƙarfi yana amfani da ƙarancin endoscope wanda ba zai iya ɗauka ba kuma yana buƙatar maganin rigakafi na gaba ɗaya. Endarancin endoscopies yana buƙatar ƙara ƙwanƙwasa wuyansa.

Saboda haɗarin rikitarwa, ba a ba da shawarar wannan hanyar ga mutanen da ke da:

• karamin karatun hanya
• babban ma'aunin jiki
• wahala kara wuyan su

Kyakyawan endoscopy yana amfani da endoscope mai lanƙwasa kuma ana iya yin shi ba tare da maganin sa rigakafin cutar ba. Wannan shine zaɓi mafi ƙarancin tiyata wanda yake akwai don magance diverticulum na Zenker. Yawancin lokaci hanya ce ta haƙuri wanda ke ɗaukar ƙananan haɗarin rikitarwa.

Kodayake sassauƙan endoscopies na iya sauƙaƙa alamun bayyanar Zenver's diverticulum, ƙimar dawowa na iya zama babba. Proceduresila za a iya amfani da hanyoyin sassauƙan hanyoyin endoscopy masu yawa don magance alamun bayyanar cututtuka.

Bude tiyata

Lokacin da maganin endoscopy ba zai yiwu ba ko kuma diverticulum yana da girma, buɗe tiyata shine zaɓi na gaba. Yin aikin tiyata don Zenker's diverticulum ana yin sa ne a cikin maganin rigakafi na gaba ɗaya.

Dikita zai yi karamin yanka a cikin wuyanka don yin wani abu daban. Wannan ya haɗa da raba hanyar rarrabewa daga bangon jijiyarka. A wasu yanayin kuma, likitan ya yi jujjuyawar juji ko juyawa. Waɗannan hanyoyin sun haɗa da canza matsayin diverticulum da ɗinka shi a wurin.

Budewar tiyata yana da babban rabo mai nasara, tare da alamun bayyanar da ba za su sake bayyana ba a cikin dogon lokaci. Koyaya, yana buƙatar zaman asibiti na kwanaki da yawa kuma wani lokacin, komawa asibiti don cire ɗinki. Kuna iya buƙatar amfani da bututun ciyarwa tsawon sati ɗaya ko fiye da bin hanyar. Likitanku na iya ba da shawarar bin abinci na musamman yayin da kuka warke.

Menene rikitarwa?

Idan ba a kula da shi ba, Zenker's diverticulum na iya ƙaruwa cikin girma, yana sa alamunku su daɗa ta'azzara. Bayan lokaci, alamun bayyanar cututtuka irin su wahalar haɗiye da sake farfadowa na iya sa ya zama da wuya a kasance cikin ƙoshin lafiya. Kuna iya fuskantar rashin abinci mai gina jiki.

Muradin wata alama ce ta Zenker's diverticulum. Yana faruwa ne lokacin da kake shaƙar abinci ko wani abu a cikin huhu maimakon haɗiye shi a cikin makogwaro. Matsalolin buri sun hada da ciwon huhu na huhu, kamuwa da cuta da ke faruwa yayin da abinci, yau, ko wasu al'amura suka makale a cikin huhu.

Sauran rikice-rikicen rikice-rikice na Zenker sun haɗa da:

• toshewar hanji (shake)
• zubar jini (zub da jini)
• gurguntar murya
• ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar cuta
• ciwon yoyon fitsari

Kimanin kashi 10 zuwa 30 na mutanen da ke shan tiyata a buɗe don maɓallin bambancin Zenker na fuskantar matsaloli. Matsalolin da ka iya faruwa sun hada da:

• namoniya
• matsakaici
• lalacewar jijiya (palsy)
• zubar jini (zub da jini)
• samuwar yoyon fitsari
• kamuwa da cuta
• stenosis

Yi magana da likitanka game da haɗarin buɗe tiyata don bambancin Zenker.

Outlook

Zenker's diverticulum yanayi ne mai mahimmanci wanda yawanci yakan shafi tsofaffi. Yana faruwa ne lokacin da wata jakar nama ta bayyana inda pharynx ya hadu da esophagus.

Formsananan siffofin Zenver's diverticulum na iya buƙatar magani. Jiyya don matsakaici zuwa mawuyacin hali na Zenker's diverticulum yawanci ya haɗa da tiyata.

Hasashen dogon lokaci don bambancin Zenker yana da kyau. Tare da magani, yawancin mutane suna fuskantar ci gaba a cikin bayyanar cututtuka.