Kwa anthu amene amakonda zakudya, kudya chakudya chokoma momasuka n’kosangalatsa kwambiri. Koma anthu ena ataya chimwemwe choterocho, ndipo zimavuta ngakhale kudya bwinobwino......
Posachedwapa, a Jiang ochokera ku Jiangxi anabwera ku chipatala cha Shanghai Tongji kuti adzalandire chithandizo chamankhwala. Pafupifupi zaka zitatu zapitazo,anapeza kuti nthawi iliyonse akamadya mofulumira, khosi lake limatsamwitsidwa. Izi zili chonchozoonekeratu kwambiri podya chakudya cholimba. Kenako,chimene adya chidzasanza.
Chizindikirochi chinakula kwambiri pambuyo pake.Mpaka mtsogolo mwake, amangotha kumeza njere imodzi ya mpunga nthawi imodzi, ndipo nthaŵi zina ankamva kupweteka kwambiri pachifuwa.. Bambo Jiangkulemera kwake kunatsikanso kuchoka pa ma kilogalamu 75 kufika pa ma kilogalamu 60.
Pofuna kuthetsa vuto la "kudya zovuta", Bambo Jiang adafunafuna chithandizo chamankhwala kulikonse. Atapimidwa kuchipatala, anapeza kutichakudya chimene Bambo Jiang anadya sichinalowe m’mimba motsatira kummero, koma chinali chotsekeka kum’mero.!
Ndicho chifukwa chake Bambo Jiang anayamba zizindikiro mongareflux chakudya ndi kutsamwitsa pakhosi. Izi zaterozinapangitsanso kukulitsa koonekeratu kwa chubu la Bambo Jiang la esophage mokakamizidwa ndi chakudya.
N’chifukwa chiyani zimenezi zinachitika?
Pulofesa Shuchang Xu, Mlembi wa Komiti ya Party ndi Dokotala Wamkulu wa Dipatimenti ya Gastroenterology ku chipatala cha Tongji ku Shanghai, anachitidwa mosamala.gastroscopy ndi gastroesophageal pressure testza Bambo Jiang.
Pambuyo pakuwunika, zidapezeka kutisphincter wodwala pa cardia sakanakhoza kumasuka bwino,kuchititsa kuti chakudya chitsekedwe ndi "mulungu wachitseko" chikafika ku cardia kupyolera mum'mero.chifukwa chakukula kwa esophageal, esophagus sangasunthe bwino ndipo sungathe kupereka chakudya m'mimba.
Dzina lovomerezeka la matendawa ndiachalasia. Ngakhalechiwopsezocho sichokwera kwambiri, chidzabweretsa ululu waukulu kwa odwala.Zomwe zimakhudzidwa kwambiri ndikuti kudya kumakhala ntchito yovuta kwambiri.
Odwala ena amafunikira ngakhale kudya chakudya kwa maola atatuchakudya chimene amadya chisanafike pang’onopang’ono m’mimba; Odwala ena aterokudalira chakudya chamadzimadzi kuti chikhale ndi thanzi labwino,kotero odwala matendawa nthawi zambiri amawonda, ndipo chifukwa cha matendawa sichidziwika bwino.
Pofuna kulola Mr.Jiang kuti azidya moyenera, akatswiri azachipatala ochokera ku chipatala cha Shanghai Tongji ndi Pulofesa Xu Shuchang anagwira ntchito limodzi kuti aphunzire ndondomeko ya chithandizo.
Pakalipano, pali njira zingapo zochizira achalasia, choyamba ndi kugwiritsa ntchito mankhwala kumasuka sphincter minofu ya cardia wodwala, koma zotsatira za mankhwalawa si zabwino; chachiwiri ndi kupanga cardia dilation pansi pa gastroscopy, koma njira yochizira iyi imatha kuthetsa mavuto akanthawi kochepa; chachitatu ndikulowetsa poizoni wa botulinum mu cardia sphincter pansi pa endoscopy, koma njira iyi imathandiziranso zizindikiro koma osati zomwe zimayambitsa.
Pomaliza, akatswiri azachipatala akuchipatala cha Tongji ku Shanghai adaganiza zochitaPreoral endoscopic myotomykuti athandize Bambo Jiang kuchotsatu mavuto ake.
Preoral endoscopic myotomy amatchedwanso "POEM".Njira yogwiritsira ntchito opaleshoniyi ndikuyamba kupanga kang'ono kakang'ono pamtunda wa mucosal wa khoma la gastroesophageal, ndiyeno ndikubowola endoscope pansi pa mucosa. ,madula amatsegula mbali iyi ya minofu, ndikutsitsimutsa kwathunthu sphincter ya esophageal.Izi zimatha kuthetsa vuto la achalasia la cardia.
Patatha pafupifupi ola limodzi atachitidwa opaleshoni, minofu ya a Jiang pa cardia inadulidwa bwinobwino.Kumbali ina, chifukwa chakuti opaleshoni ya POEM imachitidwa kudzera mu endoscopy, kupwetekedwa mtima kwa wodwalayo kumakhala kochepa kwambiri.Bambo Jiang amatha kumwa madzi mkati mwa maola 24 ndikuyambanso kudya bwino pakadutsa sabata imodzi.
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Nthawi yotumiza: Apr-22-2024