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Выделяют нарушения перистальтики грудного отдела пищевода и пищеводных сфинктеров [4](https://www.kp.ru/doctor/bolezni/pishhevod-cheloveka/)[5](https://www.KrasotaiMedicina.ru/diseases/zabolevanija_gastroenterologia/esophageal-dyskinesia). Нарушения бывают гипермоторные (тонус повышен и наблюдаются спазмы) и гипомоторные (тонус пищевода снижен) [4](https://www.kp.ru/doctor/bolezni/pishhevod-cheloveka/).\n\n\n\n## Причины\nДискинезии пищевода могут быть **первичными** и **вторичными** [2](https://ru.wikipedia.org/wiki/%D0%94%D0%B8%D1%81%D0%BA%D0%B8%D0%BD%D0%B5%D0%B7%D0%B8%D1%8F_%D0%BF%D0%B8%D1%89%D0%B5%D0%B2%D0%BE%D0%B4%D0%B0)[8](https://navigator.mosgorzdrav.ru/article/diskinezii-pishchevoda-u-detey/?sphrase_id=2058108): \n* **Первичные** — психоэмоциональные стрессовые ситуации, невротические состояния, наследственные аномалии нервно-мышечного аппарата пищевода, возрастные изменения [2](https://ru.wikipedia.org/wiki/%D0%94%D0%B8%D1%81%D0%BA%D0%B8%D0%BD%D0%B5%D0%B7%D0%B8%D1%8F_%D0%BF%D0%B8%D1%89%D0%B5%D0%B2%D0%BE%D0%B4%D0%B0). \n* **Вторичные** — могут быть проявлением других заболеваний, в частности болезней пищевода (дивертикулов, эзофагитов, грыжи пищеводного отверстия диафрагмы, новообразований) или заболеваний других органов и систем (сахарного диабета, системной склеродермии, мышечных дистрофий, язвенной болезни, хронического холецистита, тяжёлых поражений центральной и периферической нервной системы) [2](https://ru.wikipedia.org/wiki/%D0%94%D0%B8%D1%81%D0%BA%D0%B8%D0%BD%D0%B5%D0%B7%D0%B8%D1%8F_%D0%BF%D0%B8%D1%89%D0%B5%D0%B2%D0%BE%D0%B4%D0%B0).\n\n## Симптомы\nВ зависимости от вида дискинезии в клинической картине отмечаются [5](https://www.KrasotaiMedicina.ru/diseases/zabolevanija_gastroenterologia/esophageal-dyskinesia): \n* **Для гипермоторной дискинезии** — непостоянная дисфагия (затруднение глотания), боли за грудиной, ощущение «комка» в горле [2](https://ru.wikipedia.org/wiki/%D0%94%D0%B8%D1%81%D0%BA%D0%B8%D0%BD%D0%B5%D0%B7%D0%B8%D1%8F_%D0%BF%D0%B8%D1%89%D0%B5%D0%B2%D0%BE%D0%B4%D0%B0)[5](https://www.KrasotaiMedicina.ru/diseases/zabolevanija_gastroenterologia/esophageal-dyskinesia)[8](https://navigator.mosgorzdrav.ru/article/diskinezii-pishchevoda-u-detey/?sphrase_id=2058108). Симптомы усиливаются от приёма слишком горячей или холодной пищи, а также при психоэмоциональном стрессе [8](https://navigator.mosgorzdrav.ru/article/diskinezii-pishchevoda-u-detey/?sphrase_id=2058108). \n* **При гипомоторной дискинезии** — дисфагия, чувство тяжести в эпигастральной области после еды, срыгивание пищевым комком [3](https://medcentr-Endomedlab.ru/gastroehnterologiya/diskineziya-pishchevoda.html)[8](https://navigator.mosgorzdrav.ru/article/diskinezii-pishchevoda-u-detey/?sphrase_id=2058108).\n\n## Диагностика\nДля диагностики дискинезии пищевода используют: \n* **Рентгенологическое исследование пищевода с контрастом** — позволяет изучить форму органа, положение, тонус мышечной стенки и перистальтику [1](https://semeynaya.ru/directions/terapiya/diskineziya-pischevoda/)[2](https://ru.wikipedia.org/wiki/%D0%94%D0%B8%D1%81%D0%BA%D0%B8%D0%BD%D0%B5%D0%B7%D0%B8%D1%8F_%D0%BF%D0%B8%D1%89%D0%B5%D0%B2%D0%BE%D0%B4%D0%B0). \n* **Эзофагоманометрию** — метод исследования двигательной функции пищевода [8](https://navigator.mosgorzdrav.ru/article/diskinezii-pishchevoda-u-detey/?sphrase_id=2058108)[10](https://diseases.medelement.com/disease/%D0%B4%D0%B8%D1%84%D1%84%D1%83%D0%B7%D0%BD%D1%8B%D0%B9-%D1%81%D0%BF%D0%B0%D0%B7%D0%BC-%D0%BF%D0%B8%D1%89%D0%B5%D0%B2%D0%BE%D0%B4%D0%B0-%D1%8D%D0%B7%D0%BE%D1%84%D0%B0%D0%B3%D0%BE%D1%81%D0%BF%D0%B0%D0%B7%D0%BC-%D0%B4%D0%B8%D1%81%D0%BA%D0%B8%D0%BD%D0%B5%D0%B7%D0%B8%D1%8F-%D0%BF%D0%B8%D1%89%D0%B5%D0%B2%D0%BE%D0%B4%D0%B0-k22-4/4593). \n* **Эндоскопический метод** — позволяет изучить целостность слизистой оболочки, её цвет, подвижность, складчатость, а также функцию пищевода — изменение его стенок в зависимости от дыхания и сокращений сердца [2](https://ru.wikipedia.org/wiki/%D0%94%D0%B8%D1%81%D0%BA%D0%B8%D0%BD%D0%B5%D0%B7%D0%B8%D1%8F_%D0%BF%D0%B8%D1%89%D0%B5%D0%B2%D0%BE%D0%B4%D0%B0).\n\n## Лечение\nЛечение дискинезии пищевода зависит от причин заболевания и тяжести симптомов [1](https://semeynaya.ru/directions/terapiya/diskineziya-pischevoda/). В некоторых случаях терапия может включать: \n* **Изменение режима питания** — регулярный дробный приём пищи (4–6 раз в сутки) с исключением слишком холодных или горячих блюд, алкоголя, кислых и газированных напитков, грубой клетчатки [11](https://moluch.ru/archive/327/73603). \n* **Назначение лекарственных средств** — они снимают пищеводный спазм (симптоматическая терапия) [11](https://moluch.ru/archive/327/73603). \n* **Хирургическое вмешательство** — применяется при отсутствии эффективности медикаментозного лечения и тяжёлых формах заболевания [3](https://medcentr-Endomedlab.ru/gastroehnterologiya/diskineziya-pishchevoda.html). \n\nПри подозрении на дискинезию пищевода необходимо обратиться к гастроэнтерологу [5](https://www.KrasotaiMedicina.ru/diseases/zabolevanija_gastroenterologia/esophageal-dyskinesia).","linksData":[{"sourceId":1,"url":"https://semeynaya.ru/directions/terapiya/diskineziya-pischevoda/","shownUrl":"https://semeynaya.ru/directions/terapiya/diskineziya-pischevoda/","title":"Дискинезия пищевода","shortUrl":"semeynaya.ru","isTranslated":false,"description":"","greenUrl":"semeynaya.ru"},{"sourceId":2,"url":"https://ru.wikipedia.org/wiki/%D0%94%D0%B8%D1%81%D0%BA%D0%B8%D0%BD%D0%B5%D0%B7%D0%B8%D1%8F_%D0%BF%D0%B8%D1%89%D0%B5%D0%B2%D0%BE%D0%B4%D0%B0","shownUrl":"https://ru.wikipedia.org/wiki/%D0%94%D0%B8%D1%81%D0%BA%D0%B8%D0%BD%D0%B5%D0%B7%D0%B8%D1%8F_%D0%BF%D0%B8%D1%89%D0%B5%D0%B2%D0%BE%D0%B4%D0%B0","title":"Дискинезия пищевода — Википедия","shortUrl":"ru.wikipedia.org","isTranslated":false,"description":"","greenUrl":"ru.wikipedia.org"},{"sourceId":3,"url":"https://medcentr-Endomedlab.ru/gastroehnterologiya/diskineziya-pishchevoda.html","shownUrl":"https://medcentr-Endomedlab.ru/gastroehnterologiya/diskineziya-pishchevoda.html","title":"Диагностика дискинезии пищевода | Справочник врача гастроэнтеролога Клиники ЭндоМедЛаб г. 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