Qhov sib txawv tseem ceeb ntawm achalasia thiab GERD yog tias achalasia yog mob plab uas tshwm sim los ntawm esophageal aperistalis thiab tsis so ntawm lub sphincter qis, uas ua rau nws nyuaj rau nqos cov zaub mov thiab dej haus, thaum GERD yog ib qho mob plab uas tshwm sim los ntawm reflux ntawm gastric cov ntsiab lus, uas ua rau kub siab thiab plab zom mov.
Achalasia thiab GERD yog ob lub plab mob. Ob leeg mob plab no cuam tshuam los ntawm qhov qis esophageal sphincter (LES). Ntxiv mus, ob lub plab mob no kuj muaj cov tsos mob zoo sib xws. Feem ntau, achalasia cuam tshuam rau 1 ntawm 100,000 tus neeg Asmeskas, thaum GERD cuam tshuam rau 1 ntawm 5 tus neeg Asmeskas.
Achalasia yog dab tsi?
Achalasia yog ib qho mob uas tsis tshua muaj tshwm sim los ntawm txoj hlab pas aperistalis thiab tsis so ntawm lub sphincter qis. Achalasia ua rau nws nyuaj rau cov zaub mov thiab kua taug kev los ntawm cov hlab ntsha uas txuas lub qhov ncauj thiab lub plab. Nws feem ntau pib thaum cov hlab ntsha hauv txoj hlab pas puas lawm. Vim li no, txoj hlab pas ua rau tuag tes tuag taw thiab dilated lub sijhawm. Thaum kawg, txoj hlab pas poob lub peev xwm los nyem cov zaub mov mus rau hauv lub plab. Achalasia ua rau cov zaub mov khaws cia hauv txoj hlab pas. Qee zaum, cov khoom noj ferment thiab ntxuav rov qab mus rau hauv lub qhov ncauj, uas qab qab iab. Cov tsos mob ntawm achalasia muaj xws li tsis muaj peev xwm nqos tau (dysphagia), regurgitating zaub mov los yog qaub ncaug, kub siab, belching, mob hauv siab uas tuaj thiab mus, hnoos thaum hmo ntuj, mob ntsws, poob phaus, thiab ntuav.
Daim duab 01: Achalasia
Achalasia tuaj yeem kuaj tau los ntawm esophageal manometry, X-rays ntawm lub plab zom mov sab sauv (esophagram), thiab sab sauv endoscopy. Tsis tas li ntawd, muaj ob hom kev kho mob uas siv los kho achalasia: tsis yog phais thiab phais. Cov kev kho mob uas tsis yog phais muaj xws li pneumatic dilation, botox (botulinum toxin type A), thiab tshuaj (cov leeg nqaij xws li nitroglycerin lossis nifeddipine). Cov kev kho mob phais suav nrog Heller myotomy thiab peroral endoscopic myotomy (POEM).
GERD yog dab tsi?
Gastroesophageal reflux disease (GERD) yog ib yam kab mob uas tshwm sim los ntawm reflux ntawm gastric ntsiab lus, uas ua rau kub siab thiab plab zom mov. Nws tshwm sim thaum qhov qis esophageal sphincter (LES) tsis muaj zog lossis so thaum nws tsis tsim nyog. Qhov no tso cai rau lub plab cov ntsiab lus ntws rov qab mus rau hauv txoj hlab pas. Cov tsos mob ntawm GERD muaj xws li kub hnyiab hauv plab, mob hauv siab, nqos nyuaj, regurgitation ntawm cov zaub mov los yog kua qaub, hnov mob hauv caj pas, hnoos ntev, laryngitis, thiab mob ntsws asthma tshiab, thiab cuam tshuam kev pw tsaug zog.
Daim duab 02: GERD
GERD tuaj yeem kuaj tau los ntawm kev tshuaj xyuas keeb kwm kho mob, kuaj lub cev, kuaj lub cev sab saud, kuaj cov kua qaub (pH) kev sojntsuam, esophageal manometry, thiab X-ray ntawm lub plab zom mov. Tsis tas li ntawd, kev kho mob rau GERD tuaj yeem suav nrog cov tshuaj hauv khw muag khoom (antacids, H2 receptor blockers, proton twj tso kua mis inhibitors, thiab baclofen) thiab kev phais fundoplication, LINX li, thiab transoral incisionless fundoplication (TIF).
Dab tsi yog qhov zoo sib xws ntawm Achalasia thiab GERD?
- Achalasia thiab GERD yog ob lub plab mob.
- Ob leeg lub plab no cuam tshuam los ntawm lub plab sphincter (LES).
- Lawv tej zaum yuav muaj cov tsos mob zoo sib xws.
- Lawv tuaj yeem kho tau los ntawm cov tshuaj tshwj xeeb thiab kev phais.
Qhov txawv ntawm Achalasia thiab GERD yog dab tsi?
Achalasia yog ib qho mob plab uas tshwm sim los ntawm txoj hlab pas aperistalis thiab tsis so ntawm lub sphincter qis, uas ua rau nws nyuaj rau nqos cov zaub mov thiab dej haus, thaum GERD yog mob plab uas tshwm sim los ntawm reflux ntawm gastric ntsiab lus, uas ua rau mob plawv thiab mob plab. Yog li, qhov no yog qhov sib txawv tseem ceeb ntawm achalasia thiab GERD. Tsis tas li ntawd, achalasia yog tshwm sim thaum cov hlab ntsha hauv txoj hlab pas puas lawm, ua rau txoj hlab pas tuag tes tuag taw thiab dilated dhau sijhawm. Ntawm qhov tod tes, GERD tshwm sim thaum lub esophageal sphincter (LES) tsis muaj zog los yog so thaum nws tsis tsim nyog.
Cov hauv qab no qhia txog qhov sib txawv ntawm achalasia thiab GERD hauv daim ntawv teev npe rau kev sib piv ntawm ib sab.
Summary – Achalasia vs GERD
Achalasia thiab GERD yog ob lub plab mob. Achalasia yog tus cwj pwm los ntawm esophageal aperistalis thiab tsis so ntawm lub qis sphincter, uas ua rau nws nyuaj rau nqos cov zaub mov thiab dej haus, thaum GERD yog tus cwj pwm los ntawm reflux ntawm gastric ntsiab lus, uas ua rau kub siab thiab plab zom mov. Yog li, qhov no yog qhov sib txawv tseem ceeb ntawm achalasia thiab GERD.
