ʻO ka'ōnaehana o ka'ōlohelohe maʻamau e kau nuiʻia ma ka moku o ka esophagus. Eia kekahi,ʻo nā hana hewaʻole i ka hanaʻana e alakaʻi i ka hoʻopiliʻana i ka hana o nā'ōpoko e pili kokoke ana i loko o ka'ōpū, kahi hāmeʻa a me mediastinum. ʻO ka mea nui loa i kēia hihia stenosis o ka esophagus, heʻano hoʻopiʻiʻole o kona lumen, e pale ana i ka heleʻana o kaʻai i loko o ka'ōpū.
Nā kumu o ka hōʻailona lele
ʻO nā kumu e kū nei i ka uluʻana o ka maʻi i nīnauʻia:
- nā maʻi malupili o ka esophagus;
- reflux esophagitis ;
- ka maʻi peptic cicatrizing maʻi;
- ianiania o ka weheʻana o ka diaphragm;
- nā mea hoʻomau lōʻihi;
- i nā meaʻino i ka wā e hāpai ai;
- ka'ōpū o ka'ōpū;
- keʻano o ka esophagitis;
- ka mechanical, kemikal, ka'alehana wela i ka esophagus;
- nā collagenoses;
- ka maʻi kanikau;
- nā mycoses;
- nā pūpū kino;
- ka nui o nā lymph nodes, nā neoplasms ma ka mediastinum;
- aneurysm aortic;
- nā moku i piliʻole i nā moku kokoke.
Nā hōʻailona o ka stenosis o ka esophagus
Hiki keʻikeʻia ka pīpī kūpikoʻi mai nā lā mua o ke ola, uaʻikeʻia e ka mahele nui o ka palaʻa, ka hoʻoponoponoʻana i ka waiūʻole, ka hoʻokuʻuʻana i ke kīpona viscous mai ka ihu.
Ke ulu mālie nei kaʻano o nā maʻi patho:
- I ka wā mua, loaʻa i kekahi manawa ka pilikia ma kaʻonaʻana i ka meaʻai paʻa.
- ʻO Dysphagia ka lua o ka helu iʻikeʻia i ka hikiʻana keʻai wale i ka meaʻai kai liʻiliʻi.
- Me ka piʻiʻana o ka dysphagia,ʻo kahi kanaka ma kahi moku aia wale nō ka waiʻaila (kahi 3) aʻaʻole hiki keʻai i nā mea a pau (grade 4).
Eia kekahi, ke hoʻopiʻi nei nā poʻe maʻi i kaʻeha o ka umauma, laryngospasm, ka'ūkī, nā hōkeo.
Ka mālama kūpono i ka hōʻailona o ka esophage
ʻO ke kanāʻau ma muli o ke kaʻina o ka dysphagia a me kaʻino o nā hōʻailona. Aia nā hana i lalo:
- kaʻai (wai, nā 'aiʻo wai-kai);
- me ka hoʻomākaukauʻana i nā mea hana a me nā hana'ākau ;
- ka weheʻana o ka'ō pā;
- kūkala.
Ma ke alo o nā haleʻeleʻeleʻole ma nā kūlana 3-4 o stenosis ua'ōleloʻia:
- hopena endoscopic;
- endoprosthetics;
- kahi hoʻohālike o ka māhele liʻiliʻi;
- ka pīpikopila;
- ʻo ka gastrostomy.