Cov txheej txheem ntawm kev zom cov zaub mov tsis tu ncua nyob ntawm lub xeev ntawm txoj hlab pas. Tsis tas li ntawd, txhua yam kev tsis sib haum xeeb hauv nws txoj haujlwm ua rau muaj teebmeem ntawm kev ua haujlwm ntawm cov kabmob ze ntawm kabmob plab, cov kabmob plab thiab mediastinum. Tshwj xeeb tshaj yog txaus ntshai nyob rau hauv no cov ntaub ntawv stenosis ntawm esophagus, uas yog ib tug pathological narrowing ntawm nws lumen, tiv thaiv lub tso cai ntawm cov khoom noj mus rau hauv lub plab.
Ua rau ntawm tus mob es nqos ntshav siab
Qhov tshwj xeeb yog qhov tseem ceeb rau txoj kev loj hlob ntawm tus kab mob nyob rau hauv nqe lus nug:
- embryonic malformations ntawm txoj hlab pas;
- reflux esophagitis ;
- peptic cicatrizing ulcers;
- hernia ntawm qhov esophageal qhib ntawm lub diaphragm;
- ntev gastritis;
- toxicosis thaum cev xeeb tub;
- plab ulcer;
- kis mob ncauj siab;
- mechanical, chemical, thermal puas tsuaj rau txoj hlab pas;
- collagenoses;
- mob cancer;
- mycoses;
- benign hlav;
- lymph nodes, neoplasms hauv mediastinum;
- aortic aneurysm;
- abnormally nyob ze cov hlab ntsha.
Cov tsos mob ntawm tus mob stenosis ntawm txoj hlab pas
Kev mob plab nyhav dhau los yog pom tau los ntawm thawj hnub ntawm lub neej, nws yog ib qho sib txawv ntawm kev sib cais ntawm cov qaub ncaug, kev hloov ntawm cov mis tsis muaj kua mis, qhov tso tawm kua ntsev ntawm qhov ntswg.
Tus kabmob nrhav pathology pib maj mam:
- Hauv thawj theem, muaj qee zaus teeb meem hauv nqos cov khoom noj khoom haus.
- Dysphagia ntawm qhov 2nd degree yog tsiag ntawv los ntawm kev muaj peev xwm noj tsuas yog cov khoom noj haus nkaus xwb.
- Nrog rau kev mob ntawm dysphagia, ib tus neeg hauv lub xeev tsuas haus tau kua (theem 3) lossis nqos tsis tau txhua qib (qib 4).
Tsis tas li ntawd xwb, cov neeg mob tsis txaus siab ntawm mob hauv siab, laryngospasm, txhawm chim, hnoos tawm tsam.
Kev siv txoj kev kho tus mob esophageal stenosis
Txoj kev kho nyob ntawm seb cov kab mob dysphagia thiab cov tsos mob li cas. Nws muaj cov haujlwm hauv qab no:
- kev noj haus (kua, kua zaub mov);
- noj tshuaj ntsuab thiab tshuaj tua kab mob ntsws (antacid preparations) ;
- balloon dilatation;
- bougienage.
Nyob rau hauv lub xub ntiag cov caws pliav kab mob ntawm 3-4 theem ntawm stenosis nws yog pom zoo:
- endoscopic dissection;
- endoprosthetics;
- kev txiav txim siab ntawm cov ntu ua qis;
- mob leeg;
- gastrostomy.