Zenker's Diverticulum Yog Dab Tsi thiab Nws Kho Li Cas?

Zoo Siab

• Cov tshooj
• Cov tsos mob zoo li cas?
• Dab tsi ua rau qhov no?
• Nws kuaj tau li cas?
• 'Tos thiab saib' mus kom ze
• Kev phais mob
• Cov txheej txheem endoscopic
• Qhib phais
• Dab tsi yog cov nyom?
• Outlook

Zenker's diverticulum yog dab tsi?

Diverticulum yog cov lus kho mob uas hais txog qhov tsis meej, cov hnab ntim zoo li lub tsev. Diverticula tuaj yeem tsim nyob rau hauv yuav luag txhua thaj chaw ntawm cov hnyuv.

Thaum hnab ntawv tsim ntawm qhov chaw ntawm lub pharynx thiab txoj hlab pas, nws hu ua Zenker's diverticulum. Pharynx nyob tom qab koj lub caj pas, tom qab koj lub qhov ntswg thiab qhov ncauj.

Zenker's diverticulum feem ntau tshwm sim hauv lub qau. Nov yog qhov qis tshaj hauv qab ntawm pharynx, qhov twg nws koom nrog lub raj (txoj hlab nqos dej) uas ua rau lub plab. Zenker's diverticulum feem ntau tshwm sim hauv thaj chaw hu ua Killian's daim duab peb sab.

Zenker's diverticulum yog qhov tsawg, cuam tshuam ntawm cov pej xeem. Nws feem ntau tshwm sim hauv nruab nrab-hnub nyoog thiab cov laus dua, tshwj xeeb tshaj yog cov neeg hauv lawv 70s thiab 80s. Zenker's diverticulum yog qhov tsawg kawg ntawm cov neeg muaj 40 xyoo. Nws cuam tshuam rau tus txiv neej ntau dua li tus poj niam.

Nws tseem raug xa mus ua pharyngoesophageal diverticulum, hypopharyngeal diverticulum, lossis lub hnab pharyngeal.

Cov tshooj

Nws muaj ntau lub tshuab sib txawv rau kev faib tawm Zenker's diverticulum:

Cov tsos mob zoo li cas?

Nyuaj nqos nyuaj, tseem hu ua dysphagia, yog cov tsos mob feem ntau ntawm Zenker's diverticulum. Nws tshwm nyob rau hauv kwv yees li 80 mus rau 90 feem pua ​​ntawm cov neeg nrog Zenker's diverticulum.

Lwm yam cim thiab cov tsos mob ntawm Zenker's diverticulum suav nrog:

• rov tsim dua khoom noj los yog noj tshuaj
• ua pa tsw phem (hawb pob)
• txhaws suab
• pheej hnoos
• nqos kua los yog teeb meem ntawm cov khoom noj "hauv cov yeeb nkab tsis ncaj ncees" (dee)
• kev hnov ​​mob ib qho hauv koj lub qa

Yog tias tsis kho, cov tsos mob ntawm Zenker's diverticulum tuaj yeem ua rau lub sijhawm tsis zoo.

Dab tsi ua rau qhov no?

Kev nqos yog ib qho txheej txheem uas yuav tsum muaj kev sib koom ua ke ntawm cov leeg hauv lub qhov ncauj, pharynx, thiab txoj hlab nqos mov. Thaum koj nqos, cov leeg sib npaug uas hu ua cov hlab pas sab saud qhib kom cov khoom noj zom kom kis tau. Tom qab koj nqos, sab qaum txoj hlab pas ua pa kaw kom tiv thaiv tau cov pa nkag mus rau txoj hlab nqos mov.

Qhov tsim ntawm Zenker's diverticulum yog muaj feem xyuam rau cov leeg txoj hlab nqos mov kawg. Thaum lub sab sauv txoj hlab nqos dej tsis qhib tag nrho, nws tso lub zog ntawm thaj chaw pharynx. Qhov siab dhau heev maj mam thawb cov ntaub so ntswg sab nraud, ua rau nws tsim daim diverticulum.

Gastroesophageal reflux tus kab mob (GERD) thiab kev hloov pauv ntawm lub hnub nyoog hauv cov nqaij mos thiab cov leeg nqaij kuj tseem xav ua lub luag haujlwm hauv txoj kev ua no.

Nws kuaj tau li cas?

Tham nrog koj tus kws kho mob yog tias koj lossis ib tus neeg koj saib xyuas tab tom pom muaj cov tsos mob ntawm Zenker's diverticulum.

Zenker's diverticulum tau kuaj pom uas siv ntsuas hu ua barium nqos. Ib nqos barium yog xoo hluav taws xob tshwj xeeb uas nthuav sab hauv koj lub qhov ncauj, pharynx, thiab txoj hlab nqos mov. Ib qhov barium nqos fluoroscopy tso cai rau koj tus kws kho mob kom pom tias koj nqos li cas.

Qee zaum, lwm yam mob nrog rau Zenker's diverticulum. Koj tus kws kho mob yuav hais kom muab kev soj ntsuam ntxiv txhawm rau kuaj los yog txiav txim tawm lwm yam mob. Kev mob siab rau sab saud yog txheej txheem uas cuam tshuam los ntawm kev siv nyias, lub koob yees duab ua haujlwm tau saib cov caj pas thiab txoj hlab pas. Esophageal manometry yog ib qho kev ntsuas uas ntsuas lub siab nyob hauv txoj hlab pas.

'Tos thiab saib' mus kom ze

Cov mob me ntawm Zenker's diverticulum tej zaum tsis tas yuav tsum tau kho tam sim ntawd. Ua raws li koj cov tsos mob thiab qhov loj ntawm cov diverticulum, koj tus kws kho mob yuav hais qhia kom "tos thiab saib".

Hloov pauv koj txoj kev noj zaub mov qee zaum tuaj yeem pab kho cov tsos mob. Sim noj pluas mov me me hauv qhov zaum ib, zom kom ntxaws, thiab haus thaum uas tom.

Kev phais mob

Cov me los mus rau mob hnyav ntawm Zenker's diverticulum feem ntau yuav tsum muaj kev phais mob. Muaj qee txoj kev phais mob. Koj tus kws kho mob tuaj yeem pab koj nkag siab qhov kev xaiv uas zoo tshaj plaws rau koj.

Cov txheej txheem endoscopic

Thaum mob qog nqaij hlav, kws phais mob ntxig daim nyias nyias, uas zoo li lub raj hu ua endoscope rau hauv koj lub qhov ncauj. Lub endoscope yog nruab nrog lub teeb thiab yees. Nws tuaj yeem siv los ua kev txiav txim siab hauv phab ntsa uas cais cov diverticulum los ntawm ob sab phlu ntawm txoj hlab pas.

Cov qauv siv rau Zenker's diverticulum tuaj yeem ua kom nruj lossis hloov tau. Txoj hlab pas txhav txhav siv lub ntsej muag tsis muaj qhov pom kev thiab xav kom siv tshuaj loog. Cov leeg txhaws txhav yuav tsum muaj qhov caj dab txuas ntxiv.

Vim tias muaj kev pheej hmoo ntawm cov teeb meem, cov txheej txheem no tsis pom zoo rau cov neeg uas muaj:

• tus me diverticulum
• lub siab lub cev nyhav
• nyuaj ncua lawv lub caj dab

Kev siv cov zaws hluav taws tuaj yeem siv lub tog raj uas rub tau thiab ua tau yam uas tsis muaj kev ua kom loog. Nws yog qhov tsawg tshaj txoj kev phais mob muaj rau kev kho Zenker's diverticulum. Feem ntau nws yog tus txheej txheem sab nrauv uas coj los txo qis ntawm cov teeb meem.

Txawm hais tias kev ntsuas qhov tseeb yooj yim tuaj yeem txo cov tsos mob ntawm Zenker's diverticulum, qhov kev pheej hmoo rov qab tuaj yeem yog qhov siab. Ntau cov txheej txheem endoscopy saj zawg zog tej zaum yuav siv los daws cov tsos mob tshwm sim.

Qhib phais

Thaum qhov kev mob endoscopy tsis tuaj yeem lossis lub diverticulum loj, qhib kev phais yog qhov kev xaiv tom ntej. Kev phais mob rau Zenker's diverticulum ua tiav los ntawm kev siv tshuaj loog.

Tus kws phais yuav ua ib qho phais me me hauv koj lub caj dab txhawm rau ua tus mob diverticulectomy. Qhov no suav nrog cais tawm cov diverticulum los ntawm koj txoj hlab pas ntsa. Hauv lwm qhov xwm txheej, tus kws phais tau ua tus diverticulopexy lossis kev hloov pauv sab nraud. Cov txheej txheem no koom nrog kev hloov pauv ntawm txoj haujlwm diverticulum thiab xaws nws hauv qhov chaw.

Qhib kev phais muaj qhov ua tiav siab, nrog cov tsos mob tsis zoo li yuav rov tshwm hauv lub sijhawm ntev. Txawm li cas los xij, nws yuav tsum tau nyob hauv tsev kho mob ntawm ob peb hnub thiab qee zaum, rov qab los rau hauv tsev kho mob kom tshem tawm cov quav. Tej zaum koj yuav tsum tau siv txoj yas pub mis rau ib lim piam lossis ntau dua ua raws cov txheej txheem. Koj tus kws kho mob yuav qhia cov kev noj haus tshwj xeeb thaum koj kho.

Dab tsi yog cov nyom?

Yog tias tsis kho, Zenker's diverticulum tuaj yeem nce qhov loj me, ua rau koj cov tsos mob hnyav dua. Sij hawm dhau mus, cov tsos mob hnyav xws li teeb meem nyuaj nqos thiab kev zwm cia yuav ua rau nws nyob tsis muaj mob. Tej zaum koj yuav muaj kev noj haus tsis txaus.

Kev ntshaw yog qhov tsos mob ntawm Zenker's diverticulum. Nws tshwm sim thaum koj nqus cov khoom noj lossis lwm yam khoom rau hauv lub ntsws es tsis txhob nqos mus rau txoj hlab pas. Lwm yam mob ntawm cov tshuaj aspiration yog mob ntsws, tus kab mob uas tshwm sim thaum khoom noj, qaub ncaug, lossis lwm yam teeb meem nkag rau hauv koj lub ntsws.

Lwm qhov tsis tshua muaj teeb meem ntawm Zenker's diverticulum suav nrog:

• esophageal ob leeg (zawm)
• hemorrhage (los ntshav)
• suab raj tuag tes tuag taw
• squamous cell carcinoma
• lub fistulas

Kwv yees li ntawm 10 txog 30 feem pua ​​ntawm cov neeg uas tau raug phais qhib rau Zenker's diverticulum ntsib kev nyuaj. Cov teeb meem tshwm sim muaj xws li:

• mob ntsws o
• mediastinitis
• cov leeg puas hlwb (tuag tes tuag taw)
• hemorrhage (los ntshav)
• fistula tsim
• kis tau tus mob
• stenosis

Tham nrog koj tus kws kho mob txog cov kev pheej hmoo ntawm kev phais qhib rau Zenker's diverticulum.

Outlook

Zenker's diverticulum yog qhov tsis tshua muaj tshwm sim uas feem ntau cuam tshuam rau cov laus. Nws tshwm sim thaum lub hnab ntim cov ntaub so ntswg uas lub pharynx ntsib txoj hlab pas.

Cov ntaub ntawv me ntawm Zenker's diverticulum tej zaum yuav tsis tas muaj kev kho mob. Kev kho mob rau cov mob me rau qhov loj ntawm Zenker's diverticulum feem ntau yuav raug phais.

Qhov pom lub sij hawm ntev rau Zenker's diverticulum yog qhov zoo. Nrog rau kev kho mob, neeg feem coob tau muaj kev txhim kho cov tsos mob.