Txoj hlab pas spasm

Txoj hlab pas ua rau mob plab mus rau txoj hlab pas, txoj hlab uas ntim zaub mov ntawm lub qhov ncauj mus rau lub plab. Cov pob no tsis txav ua zaub mov zoo rau lub plab.

Cov ua kom mob esophageal spasm tsis paub. Cov zaub mov kub lossis txias heev yuav ua rau tus neeg mob huam tuaj.

Cov tsos mob tuaj yeem suav nrog:

• Teeb meem kev nqos lossis mob nrog kev nqos
• Mob hauv siab hauv siab lossis sab plab

Nws tuaj yeem nyuaj qhia ib qho spasm los ntawm angina pectoris, qhov tshwm sim ntawm kab mob plawv. Qhov mob yuav kis mus rau caj dab, puab tsaig, caj npab, lossis nraub qaum

Kev kuaj mob koj yuav tsum tau saib rau tus mob muaj xws li:

• Esophagogastroduodenoscopy (EGD)
• Esophageal manometry
• Txoj hlab pas (barium nqos xoo hluav taws xob)

Nitroglycerin muab nyob rau hauv tus nplaig (sublingual) yuav pab tau sai ntawm txoj hlab pas spasm. Ntev ntev nitroglycerin thiab calcium channel blockers tseem siv rau qhov teeb meem no.

Ntev ntev (mob ntev) qee zaum kho nrog cov tshuaj tiv thaiv kab mob qis xws li trazodone lossis nortriptyline kom txo cov tsos mob.

Tsis tshua muaj, qee qhov xwm txheej hnyav yuav xav tau kev nqus dej (ntxiv) ntawm txoj hlab pas lossis phais kom tswj tau cov tsos mob.

Txoj hlab caj pas spasm tuaj yeem mus thiab mus (sib cuam tshuam) lossis kav mus ntev (ntev). Cov tshuaj tuaj yeem pab txo cov tsos mob.

Tus mob yuav tsis teb rau kev kho mob.

Hu rau koj tus kws kho mob yog tias koj muaj cov tsos mob ntawm txoj hlab pas spasm uas tsis ploj mus. Cov tsos mob tej zaum yuav yog vim muaj teeb meem plawv. Koj tus kws khomob tuaj yeem pab txiav txim siab yog tias koj xav kuaj lub plawv.

Zam tej zaub mov kub lossis txias heev yog tias koj tau mob plab txaij.

Diffuse esophageal spasm; Spasm ntawm txoj hlab pas; Distal esophageal spasm; Nutcracker txoj hlab pas

• Lub plab zom mov
• Caj dab anatomy
• Txoj hlab pas

Falk GW, Katzka DA. Kab mob ntawm txoj hlab pas. Hauv: Goldman L, Schafer AI, eds. Goldman-Cecil TshuajCov. 25th ed. Philadelphia, PA: Elsevier Saunders; 2016: cha 138.

Pandolfino JE, Kahrilas PJ. Esophageal neuromuscular muaj nuj nqi thiab lub cev muaj kev ntshawv siab. Hauv: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger thiab Fordtran's Gastrointestinal thiab Kab Mob SiabCov. 10 tus ed. Philadelphia, PA: Elsevier Saunders; 2016: chaaj 43.