Kuchita chimbudzi chodziwika bwino kumadalira kwambiri chikhalidwe. Komanso, zopanda pake zilizonse zomwe zimagwira ntchito zimabweretsa zovuta za ntchito za ziwalo zozungulira za m'mimba, thoracic ndi mediastinum. Zowopsa kwambiri pakadali pano matenda a stenosis, omwe amachititsa kuti thupi likhale lopanda mphamvu, kuteteza chakudyacho m'mimba.
Zimayambitsa matenda osokoneza bongo
Zomwe zimapangitsa kuti matendawa athandizidwe:
- ma embryonic malformations a asophagus;
- reflux esophagitis ;
- zilonda zakutchire;
- chiphuphu cha kutsegula kwa mimba;
- matenda osakaniza;
- toxicosis pa nthawi ya mimba;
- mimba;
- matenda opatsirana;
- mawotchi, mankhwala, kutentha kwapopopotopu;
- collagenoses;
- khansara;
- chithunzi;
- zotupa zabwino;
- ma lymph nodes opangidwa, maopopu mu mediastinum;
- aortic aneurysm;
- ziwiya zapafupi zomwe zili pafupi.
Zizindikiro za stenosis ya mimba
Congenital stenosis imaonekera kuyambira masiku oyambirira a moyo, imasonyezedwa ndi kugawidwa kwakukulu kwa makapu, kubwezeretsanso mkaka wosasakanizidwa, kutuluka kwa ntchentche ya mphuno kuchokera kumphuno.
Mtundu wodwala wodwalayo umayamba pang'onopang'ono:
- Pa gawo loyamba, nthawi zina zimakhala zovuta pakumeza chakudya cholimba.
- Dysphagia wa 2 degrees ali ndi mphamvu yokha madzi ochepa okha.
- Pakupita patsogolo kwa dysphagia, munthu m'madera ali ndi zakumwa zokha (siteji 3) kapena sangathe kumeza konse (kalasi 4).
Kuwonjezera apo, odwala amadandaula chifukwa cha kupweteka pachifuwa, laryngospasm, choking, kukhwima.
Kuchepetsa chithandizo cha matenda osokoneza bongo
Mankhwalawa amadalira kukula kwa dysphagia ndi kuopsa kwake kwa zizindikiro. Zili ndi ntchito zotsatirazi:
- zakudya (madzi, madzi osakaniza);
- kutenga malingaliro okhwima ndi antacid ;
- balonon kutsitsa;
- maluwa.
Pamaso pa zida zowonongeka pamasitepe 3-4 a stenosis tikulimbikitsidwa:
- chotsutsana;
- endoprosthetics;
- resection wa gawo losakanizidwa;
- esophagoplasty;
- gastrostomy.