Masty ma kahiʻatikala

Hōʻikeʻike
Achalalo o Carsia (AC) aʻO ka maʻi o nā maʻi nosophingal mua.Ma muli o ka hoʻomaha maikaʻi o ka SPH i ka SPHICTERS haʻahaʻa haʻahaʻadysphagia a me ka hopena. Nā hōʻailona lapaʻau e like me ke koko,ʻehaʻeha a me kaʻeha kaumaha.ʻO ka lanakila ma kahi o 32.58 / 100,000.
'Ōleloaoha aiʻO Kilakaʻiʻo Achalasia e pili ana i ka mālamaʻana o ka hanaʻole, Dilation Therapy a me ka mālamaʻana.

Ka hana houʻana
ʻO ka mīkini o ka lāʻau lapaʻau e hōʻemi ai i ka hōʻemi o nā Les i ka wā pōkole.ʻAʻohe meaʻike maopopoʻole e hiki i nā lāʻau lapaʻau ke hoʻomau mau a hoʻomaikaʻi maikaʻi i nā hōʻailona o AC.Hoʻohanaʻia nā lāʻau lapaʻau maʻamau i nā lāʻau lapaʻau, callim channel blogs, a me β-resptor agonists.
(1)Nitrates, e like me nitroglycerin, amyl nitsrate, a me isosorbide dinarate
(2)ʻO nā calful channel blockers, e like me nifedpicine, verapamil, a me ka dlyiazam
(3)β-redptor agonists, e like me ka cubterol

02endoscopic botulilim botulinum toxin injection (bti)
Hiki ke hoʻohanaʻiaʻo Bosulicopic Bosulicopic i loko o ka inxin toxin (btl) i mea e pono ai e mālama i ka ac,Akā hiki iā ia ke hāʻawi wale i nā hopena pōkole pōkole a hiki ke hoʻohanaʻia i nā mea maʻi o nā mea maʻi me nā pilikia kiʻekiʻe o ka hanaʻana a me ka antesthesia.

1) hōʻike:nā mea maʻi waena a me nā mea maʻi kahiko (> 40 mau makahiki); ʻO ka poʻe hikiʻole ke hoʻokaʻawale i ka hana balota balota dexoscopic (PD) a iʻole ka mālamaʻana ʻO ka poʻe me nā hana lapaʻau PD a iʻole nā ​​hopena lapaʻau maikaʻiʻole; ʻO ka poʻe me ka maʻi hoʻowahāwahāʻana o Esophageal i ka wā o ka Working Pepa no nā pilikia kiʻekiʻe, hiki e hoʻohanaʻia e hui pū me PD; Hiki ke hoʻohanaʻia e like me ke hoʻololiʻana i ka hana a iʻole ka lāʻau pd.
(2) nā hoʻohālikelike:ʻAʻole ia i noiʻia no ka mālama muaʻana o AC i nā maʻi'ōpio (≤40 makahiki).

03endoscopic balloon dilation (pd)
Aia kekahi mau hopena balloon ma AC, akā e koi i nā maʻi he nui a lawe i ka hopena o nā hoʻopiʻi koʻikoʻi.
(1) hōʻike:AC mau mea maʻi me kaʻole o crediophoury insiffencyy inciffency, coagulation dysfunction, etc .; kāne ma luna o 50 mau makahiki a me nā makahiki he 35 paha makahiki; nā mea maʻi i loaʻaʻole i ka hanaʻole. Hiki ke hoʻohanaʻia e like me keʻano koho koho mua.
(2) nā hoʻohālikelike:ʻO ka cardioculmonary cardiophoury insuiffiencey insuiffiency

04peropopsopicopicy Endoscopic Myotomy (Pitoem)
I nā makahiki i hala iho nei, me ka hoʻokō nuiʻana o nā mea nui o Peroil Exposcopic Myotomy (Pitoem)E kūlike mau ana ka mālamaʻana o ka AC i ka manaʻo o "Super Mimity i Surgery",ʻaʻoleʻia kekahi i ke kaʻina hana ponoʻana,ʻaʻole i neʻeʻia nā manu.ʻO ka pono a me ka hanaʻana o keʻano o keʻano hana i mālamaʻia, aʻo keʻano o ka mana o ka mea maʻi a ka mea maʻi maʻiʻo ke olaʻo ke olaʻaʻole i hoʻopilikiaʻia. Ua hanaʻo ka hopena o ka poʻi i ka mālamaʻana i ka mālamaʻana o ka AC Super mimamilly.