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It is characterized by the phenomena of esophagitis with ulceration and necrosis of the mucosa, periesophagitis, fibrous mediastinitis. In accordance with radiological signs, two types of achalasia of the cardia are distinguished. The first type of zithromax is characterized by moderate narrowing of the distal segment of the esophagus, simultaneous hypertrophy and dystrophy of its circular muscles. Dilatation of the esophagus is expressed moderately, the site of expansion has a cylindrical or oval shape. Type 1 achalasia cardia occurs in 59.2% of patients.
The second type of achalasia cardia is said to be with a significant narrowing of the distal esophagus, atrophy of its muscular membrane and partial replacement of muscle fibers with connective tissue. There is a pronounced (up to 16-18 cm) expansion of the suprastenotic esophagus and its S-shaped deformation. Achalasia of the cardia of the first type can eventually progress to the second type. Knowing the type of achalasia cardia allows gastroenterologists to anticipate possible difficulties in conducting pneumocardiodilatation.
Dysphagia is characterized by difficulty swallowing food. In some cases, a violation of the act of swallowing develops simultaneously and proceeds stably; usually dysphagia is preceded by influenza or another viral disease, stress. In some patients, dysphagia is initially episodic (for example, with hurried eating), then becomes more regular, making it difficult to pass both solid and liquid food. Dysphagia in achalasia of the cardia can be selective and occur when only a certain type of azithromycin is consumed. Adapting to the violation of swallowing, patients can independently find ways to regulate the passage of food masses - hold their breath, swallow air, drink food with water, etc. Sometimes, with achalasia of the cardia, paradoxical dysphagia develops, in which the passage of liquid food is more difficult than solid.