Kukho iintlobo ezine zokuphinda kabini: i-cystic, i-diverticular, i-tubular kunye ne-sectoral-intramural. Ipropati eqhelekileyo yazo zonke iindawo ezixhamlileyo kukuthintana kwabo ngokusondeleyo kunye nokungabikho kokunxibelelana nayo.
Izidumbu zeCystic zihluke ngobukhulu, inqanaba lomgangatho we-mediastinum kunye nobukho be-mucosa eludongeni lwangaphakathi. Ifomu ayilwanga-isetyhula, ububanzi buhluka ukusuka kwi-5 ukuya kwi-10 cm.
Ukukhula kwezidumbu ze-cystic kwi-right cavity cavity kwenzeka rhoqo ngama-2.5 ngokuphindaphindiweyo kunokuba kusekhohlo. Ukunxibelelana phakathi kwesigxina sokuphindaphinda kunye nokukhanyiswa kwe-esophagus okanye i-bronchus kunqabile kwaye kubonakala kwinkqubo yokukhula ngokuphindaphindiweyo njengengxaki ye-malformation. I-membrane yamangqangi ebeka ngaphakathi kwendawo yangaphakathi yokuphindaphinda ifana nesakhiwo kwisithambiso sesisu (45.4%) okanye i-oopopus (35.7%).
Izimpawu zonyango
Imiboniso eyintloko yekliniki sele ibonisiwe kwimizuzu yokuqala yokuphila komntwana. Zibangelwa ikakhulu ngokuphulwa komsebenzi, ukunyanzeliswa kwe-trachea kunye ne-esophagus. Phantse isiqingatha sabantwana baneempawu ezinxulumene neenkqubo ezenzeka kwi-cyst ngokwayo, umzekelo, ukuhanjiswa kwe-capsule kubangela ukuvalelwa kwintlungu, ukuhlanganiswa kweziqulatho kunye nokuxutywa ngumlenze walo okhulayo kubangela ukubonakala komkhuhlane. Kwezinye iimeko, kuphuma igazi. Ngamanye amaxesha, i-cystic kabini ye-esophagus igeleza ngokungapheliyo kwaye ifunyanwe ngengozi ngophando lwe-X-ray lweprophylactic.
Nangona ukunamathela ngokusondeleyo kwee-cysts eludongeni lwe-esophagus, ukubonakaliswa kweklinikhi yoxinzelelo lwe-trachea kunye ne-bronchi kubonakala kwangaphambili, mhlawumbi ixhunyaniswe nokufuduka okukhulu kwe-esophagus. Iimpawu zokunyanzeliswa zikhwehlela, ukuvakalelwa kukuphefumula. Kwixesha elizayo, phucula izifo zokuphefumula, ezichazwe ngendlela yesigidi, isithintelo esincinci sephepha lokuphefumula. Ekugqibeleni, ekugqibeleni, kukhokelela ekuphuhliseni i-pneumonia ephazamisayo okanye engapheliyo, i-atelectasis ne-bronchiectasis.
Iimpawu zexesha elizayo zoxinzelelo lwe-esophagus zibonakaliswe kwi-vytesrygivaniya, ukuhlanza kunye ne-dysphagia. Ezi zimpawu zendalo engunaphakade, ngelixa ngexesha elifanayo ukuphazamiseka kokuphefumula kwenzeka njengokubamba. Ukuphindaphinda nokuhlanza emva kokugwinya. Kwi-vomit ne-regurgitated mass iqukethe ukutya okungatshintshiyo.
Ukuhlambuluka kungabangela inkathazo ye-cystic-breaking-break of cyst kwi-esophagus okanye iphepheni yokuphefumula. Kule meko, ukuxutywa kwegazi kufumaneka kwi-sputum okanye kwi-gruel yokutya. Xa i-cysts yokuphuma kwegazi ifihliwe (ubugqi).
Iimpembelelo zeCystic zidibaniswe kunye neziphene zentuthuko yezinye izitho, ngokukodwa ngeempazamo ekuphuhliseni ama-vertebrae kunye nezimbambo.
Ekubeni kungekho zibonakaliso zeempawu zeklinikhi zokuphindaphinda kabini kwe-esophagus, indlela ye-X-ray isetyenziselwa ukuyixilonga. Ngo kunceda ngale ndlela, ukuphindwa kabini kwe-cystic ye-esophagus kubonisa iintlobo ezijikelezileyo kwi-mediastinum yangemva, ngokuqhelekileyo kudibaniswa nokuguquka komntwana we-vertebrae kunye nezimbambo. Nangona kunjalo, ukubunjwa okujikeleziweyo kufuneka kuhlukaniswe kwiimvumba ezingekho-neurogenic, i-bronchogenic kunye ne-dermoid cysts, kunye nama-abscesses. Ukuhlolwa kokungafani kwe-X, kunye neyokudlulileyo, akuvumeli ukuba kusetyenziswe ukuxilongwa ngokuchanekileyo kwe-cystic kabini yesigxina, ekubeni iimpawu zokunyanzeliswa nokufuduka kweso sifo zifaka ubungqina kwi-volumetric education, kodwa kungekhona uhlobo lwalo.
Ukwaziswa ngokwaneleyo kukuhlolwa kwe-endoscopic ye-esophagus nesihlahla somhlaza.
I-cyst ye-Puncture ibonakala yindlela enobungozi, kuba, ngaphandle kokutshintsha nantoni na malunga nokusetyenziswa kwezonyango, kubangela ingozi yokuthelela i-mediastinum tanni.
Unyango
Indlela yonyango yokwenziwa kwe-cystic kabini ye-esophag isebenza (ukususwa kwe-cyst). Iziphumo zonyango lotyando ziyanelisayo.
Ngokubhekiselele kwezinye iindidi zesifo sokuphindaphinda kabini, zizinto ezinqabile kakhulu kwaye zingabalulekanga.
Ukhule uphilile!