globus disease
Introduction
Introduction to globus Gloushystericus is subjectively unclear or clumpy, causing discomfort such as fullness, compression or obstruction at the level of the cartilage at the base of the pharynx. This motor function abnormality is also called a ring. Pharyngeal dyskinesia, the motherland medicine called "Mei nuclear gas." Half of the general population can have this feeling intermittently, but it is more common in menopausal women. The patient has more mental factors in the onset and has a forced concept on his personality. basic knowledge Sickness ratio: 0.05% Susceptible population: more common in menopausal women Mode of infection: non-infectious Complications: chronic pharyngitis tonsillitis sinusitis tongue cancer laryngeal cancer dysphagia
Cause
Cause of globus
The causes include pharyngeal dyskinesia, neuromuscular disease and local damage, and the pathogenesis may be related to dysfunction of the pharyngeal muscle or upper esophageal sphincter, such as pharyngeal high pressure, low pressure or relaxation abnormalities.
The results showed that the scores of somatization, obsessive-compulsiveness, interpersonal sensitivity, depression, anxiety, hostility, terror, paranoia, psychosis and additional symptom factors were higher in the experimental group with sputum sputum than in the domestic norm. Sexual differences indicate that there are many serious emotional disorders in the Ryukyu patients. This aspect is related to more psychosocial stress. At the same time, due to the lack of correct understanding of the disease, the patients often suffer from bad mood and nervousness. The symptoms of throat discomfort caused by fatigue or physical weakness are regarded as organic lesions, and repeated medical treatments are performed for various examinations. Moreover, this medical seeking behavior itself strengthens the patient's "patient" role, and adds a mentality based on the original symptoms. Sexual or iatrogenic misrepresentation, causing tension, fear, pessimism, etc., makes the symptoms worse, resulting in a vicious circle.
Prevention
Ryukyu prevention
Patients with pharyngeal paraesthesia should not be overly panic, go to the hospital for examination to rule out cancer, and always keep their mood cheerful.
Studies have shown that psychological factors play a leading role, providing strong evidence for the psychological treatment of patients with sputum disease, in the treatment of sputum disease, we must pay attention to the mental factors of the disease, when the simple biological treatment effect is poor or invalid, Timely supplemented with psychological support treatment, for patients with suspected cancer, should be patient and meticulous explanation, and give strong hints to guide patients to correct understanding of the disease until the elimination of doubts, only in the perspective of biological, psychological, and social medical pathogenesis On the other hand, a comprehensive treatment method can be adopted to obtain better results.
Complication
Lygus complication Complications chronic pharyngitis tonsillitis sinusitis tongue cancer laryngeal cancer dysphagia
There may be chronic pharyngitis, pharyngitis, tonsillitis, sinusitis, esophagitis, esophageal diverticulum, also esophageal cancer, tonsil cancer, tongue cancer, laryngeal cancer, etc., mainly in women with hypogonadism and hypothyroidism, etc. Kind is a mental factor, and some people are subjected to strong mental stimulation, such as fear, horror, anxiety, sadness, etc., causing the dysfunction of the autonomic hypothalamus to cause autonomic dysfunction, resulting in edema of the throat, paraesthesia, sometimes Due to dysfunction, the muscles of the esophagus are paralyzed, the peristaltic dysfunction of the esophagus, and difficulty in swallowing or swallowing after eating.
Symptom
Symptoms of symmetry common symptoms swallowing pain, foreign body sensation, dysphagia
The clinical manifestations are mainly special forms of difficulty in swallowing. They often do swallowing exercises to solve the symptoms except for pharyngeal foreign body sensation.
Examine
ball disease check
Esophagoscopy and direct laryngoscopy can not detect any organic lesions or foreign bodies in the pharyngeal esophagus. The most commonly used diagnostic methods are X-ray motion photography and esophageal manometry.
Diagnosis
Diagnosis of symmetry
diagnosis
All of the following conditions must be included:
1. Painless mass or foreign body sensation of continuous or intermittent throat.
2. Feel between two meals.
3. No difficulty swallowing or swallowing.
4. There is no evidence of this symptom due to reflux of gastroesophageal acid.
5. There is no esophageal dyskinesia based on histopathology.
* Symptoms appear before diagnosis for at least 6 months, and the above criteria are met in the past 3 months.
Differential diagnosis
It should be differentiated from chronic pharyngitis, pharyngitis, tonsillitis, sinusitis, esophagitis, esophageal diverticulum, esophageal cancer, tonsillitis, tongue cancer, laryngeal cancer and other diseases.
