Ahalasia Cardia is a disease in which the lower part of the esophagus is narrowed, as a result of which food cannot normally pass in the stomach. This leads to the emergence of a mass of unpleasant sensations and can lead to severe complications. Read more about the disease in the article.
Content
Cardia's Ahalasia is a chronic disease of the esophagus, characterized by a violation of the lower sphincter (muscle rings) of the esophagus at the entrance to the stomach during swallowing. As a result, the passage of food in the stomach is difficult.
The reasons for the occurrence of the Cardi Ahalasia are not fully established. Some researchers believe that in the occurrence of illness, nutritional disorders play a major role, especially insufficient admission to the group's vitamins in.
Manifestations of Ahalasia Cardia
Ahalasia Cardia occurs in patients of any age and develops gradually. The patient is worried about joining the newly eaten food without signs of her digestion. Pain appear. Pain sensations can be the first sign of the disease. The character of their most diverse: from spilled pain in the chest to exactly indicated by the sick place. Pains can be given in the shoulder, neck, shovel, ear and t.D. Painful feelings appear after meals, but quite often pain may not depend on food intake. Over time the pain decreases. The patient may complain about the feeling of late food intake in the stomach. Some patients accurately indicate the place of food delay on the front surface of the chest.
Often patients apply various ways to facilitate food penetration in the stomach: drink a large amount of fluid, tip or deflect the torso, keep on the neck or sternum. Ugings first appears immediately after eating, then gradually, due to the expansion of the lower esophageal department, the increasing amount of food is accumulated there. This food is tightened later. But in this case, the large amount of food is repelled. Such a condition is sometimes called esophageal vomit. Unlike the usual vomiting, the dilated foods are checked food without signs of its digestion in the stomach.
Food tightening can lead to her throw part of the food lump in bronchi and further into the lungs. Pneumonia arise. Sometimes the patient has complaints of stubborn and. Often Ahalasia Cardia is accompanied by constipation.
Stages of development of the disease
initial stage
The narrowing of the lower esophageal sphincter (cardia) and the expansion of the esophagus itself above the cardia. Difficulties in swallowing food occur periodically.
Stable stage
In this case, there is a permanent (stable) Cardia spasm. Esophageal over Cardia is slightly expanded. The patient's complaints become permanent.
Stage of scarmets
In the third stage there are scars in the fabric of the lower sphincter of the esophagus. The sphincter loses its elasticity and cannot be completely disclosed. The esophagus over the sphincter is sharply expanding.
Stage of complications
Kardy's narrowing expressed sharply. Esophagus over this zone expanded significantly. There is inflammation of the wall of the esophagus (esophagitis), ulcers on the wall. Inflammatory phenomena can spread to surrounding fabrics.
Diagnosis of Cardia Ahalasia is carried out using X-ray research methods. With the help of a contrast study (Passage barium) - noted the delay in the contrast agent in the esophagus, the expansion of the esophagus. With the help of esophagogastroscopy, inspection of the esophagus walls and exclude esophagus cancer and other diseases.
Endoscopic balloon dilatation (expansion) of the lower opening of the esophagus is used for the treatment of Cardia Ahalasia. At the same time, an endoscope with a special cylinder is introduced into the lumen of the lower sphincter of the esophagus, which is then inflated and the cardia expands. In most cases, this method is effective, but in some cases the procedure has to repeat. If this method does not help, spend a surgical operation.
