protocoale terapeutice in otorinolaringologie si chirurgia capului
protocoale terapeutice in otorinolaringologie si chirurgia capului
protocoale terapeutice in otorinolaringologie si chirurgia capului
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Terapie:<br />
-corectare anemie<br />
-dilatatii progre<strong>si</strong>ve pr<strong>in</strong> bujiaj<br />
Tulburari de motilitate ale esofagului<br />
a.hipermotilitate<br />
-spasm crico-far<strong>in</strong>geal<br />
-spam esofagian difuz<br />
-dilatatia esofagului <strong>in</strong>ferior<br />
-miotomie (<strong>in</strong> cazuri severe)<br />
-nut-cracker esofagian<br />
b.hipomotilitate<br />
-acalazia(cardiospasmul)<br />
-dilatarea sf<strong>in</strong>cterului <strong>in</strong>ferior<br />
-esofagomiotomie<br />
-reflux gastro-esofagian<br />
-tratament conservator<br />
a.regim igieno-dietetic(evitarea fumatului, consumului de alcool, cofe<strong>in</strong>ei,<br />
ltima masa cu 3 ore <strong>in</strong>a<strong>in</strong>te de somn etc)<br />
b.antiacide<br />
c.medicamente care cresc tonusul sf<strong>in</strong>cterului <strong>in</strong>ferior<br />
d.blocanti de receptori de H2<br />
-tratament chirurgical( <strong>in</strong> cazul unor complicatii ale refluxului)<br />
-fundoplicatura Nissen<br />
-sclerodermia<br />
TUMORILE ESOFAGULUI<br />
Benigne<br />
Leiomiom<br />
Terapie: enucleerea tumori pr<strong>in</strong> toracotomie<br />
Polip mucos<br />
Lipom<br />
Fibrom<br />
Terapie: excizia chirurgicala pr<strong>in</strong> esofagotomie<br />
Maligne<br />
Carc<strong>in</strong>om scuamo-celular<br />
Adenocarc<strong>in</strong>om<br />
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