I-Esophagitis iyigama elisetyenziselwa ukubonisa naluphi na ukuvuvukala, ukuvuvukala, okanye ukucaphukisa isifo. I-esophagus iyavutha (ivuvukile, icatshulwa kwaye ibomvu).
Izizathu kunye neengozi
Imiba emininzi inokubangela ingozi yokwanda kwe-esophagitis:
- I-reflux ye-contents of stomach: I- content refluxed isisu kwi-esopha yimbangela eqhelekileyo ye-esophagitis. Isifo se-reflux ye-Gastroesophageal (GERD) yimeko eqhelekileyo ibonisa ukuhlaziya. Ezinye izinto ezibangela ukukhulelwa ziquka ukukhulelwa , ukukhuluphala, ukutshaya , utswala , utywala, kunye nokutya okunesonka.
- Ukuhlanza ngokweqile: I-asidi equlethwe emhlanjeni inokucaphukisa isisu, kwaye ukuhlanza ngokweqile kungaholela ekuvukeleni.
- Iipilisi ziyanamathela: Ukuba ipilisi inamathela kwi-esophagus, inokubangela ukutshisa i-lophageal lining. Oku kuya kwenzeka xa kungekho amanzi aneleyo okanye omnye umbane usetyenziselwa ukuhlamba i pilisi. Nangona kunjalo, kunokuthi kwenzeke xa i-esophagus igxininiswe ngokutshabalalisa okanye ukugqithisa, okanye i-oopopus ayiyikhontrakthi ngokufanelekileyo, njengengxaki ye-motility.
- Izifo: Ezi zibandakanya izifo ezibangelwa ziintsholongwane (ezifana ne-herpes kunye ne-cytomegalovirus), i-fungi (njenge-Candida infections) kunye ne-bacteria. Ezi zintsholongwane zikhula ngokubanzi kubantu abanesistim se-immune, ezinokubangwa yi-HIV.
- Ukulimala kwiikhemikhali: Ukuba iikhemikhali ezinamandla ziyatshiswa, ezifana nokucoca i-drainers, ukulimala kwi-oopopus kunokuba nzima kakhulu. Kwakhona kungasongela ubomi.
- Ukulimala komlilo: Ukunyanga kwamayeza emfubeni wentamo yentamo njengenxalenye yonyango lomhlaza kungabangela i-esophagitis.
Iimpawu
Ezi ziimpawu eziqhelekileyo ezibonwayo:
- Ubunzima xa ugwinya
- Ubuhlungu xa ugwinya
- Uvakalelwa njengento ehlangene emqaleni
- Ukuvutha komsindo kwindawo
- I-acid reflux (i-heartburn)
- Ukuhlambalaza, kubonwa njengegazi ekuhlanjeni okanye kwizihlalo (ukuguqula umnyama kumbe ukulinda)
Ukuxilongwa
Ugqirha wakho uya kwenza uvavanyo olusisigxina, kunye nokuhamba kwimbali yakho yezokwelapha, ngaphambi kokuba uqhube kwi-test diagnostic.
Ezi mvavanyo ziquka:
- I-Endoscopy , eyenza ugqirha ibone ngqo ngophawu
- I-Barium X-rays , ezi-X-rays ezithathwe ngokubambisana nedayi ekhethekileyo egonywe
- I-Biopsy yezicubu ezivuthayo
- I nkcubeko yesigxina
Unyango
Ukunyangwa kwe-esophagitis kuxhomekeke kwisizathu. Unyango luquka:
- Amachiza okunciphisa i-asidi ukuba isifo se-reflux se-gastroesophageal sizathu, njengeproton pump inhibitors (PPIs) okanye i-H2 blockers
- Amayeza anokuthi isifo sisisifo
- Iyeza ye-Steroid yokuvuvukala
- Amachiza enhlungu
Ngelixa unyango lugqirha, ugqirha uya kuxoxa nawe ngamanye amanyathelo ongayenza ukuze unciphise ukungathandeki kwe-esophagitis.
Yintoni omele uyiphephe:
- Ukutya okunesonka
- Ukutya okuxutywayo kunye neziyobisi, ezifana nezandi zeeritri neejusi kunye neemveliso zetamatato.
- Ukutya okunzima okunokubangela intlungu kwisisu xa ugwinya, njengamantambo kunye nemifuno eluhlaza
- Ugwayi
Yintoni ongayenza:
- Yidla ukutya okufutshane ezintlanu okanye ezintandathu ngexesha lomhla esikhundleni sezinto ezintathu ezinkulu.
- Yidla ukutya okunothileyo, ezifana neepuddings, applesauce, isobho, kunye ne-custards.
- Thatha iincinci zokutya kwaye uhlafune kakuhle phambi kokuzama ukugwinya.
- Phuza iziphuzo nge-straw.
- Ukuphakamisa intloko yesibhedlele 8 ukuya kwi-intshi ezili-10 okanye ukulala emcongeni wedanga ukuze uncede ugcine isisu esiswini ngaphandle kokulala.
Prognosis
Ingaba i-esophagitis ibangelwa sisifo se-reflux okanye isifo, bobabini bavame ukuphendula kakuhle kunyango. Nangona kunjalo, ukuba imbangela ye-acid reflux, unyango lunokuthi lube lide elide.
Iingxaki
Kufuneka ubize ugqirha wakho ukuba kukho na oku kulandelayo:
- Ukuba iimpawu zakho azihambeli unyango lokuqala. Ukuqhekeka kwe-esophagus, engakhokelela kwisigxina se-esophagus, kunokubangela ukuqhubeka nokugwinya iingxaki, ezinokufuna unyango olongezelelweyo.
- Ukuba awukwazi ukutya okanye ukusela ngenxa yentlungu. Ubungcipheko obunobungozi bokuphila kwamanzi buyakwenzeka ukuba awukwazi ukusela amanzi.
- Ukuxakeka kabuhlungu kwesifuba, ukuphefumula, okanye umkhuhlane. Oku kunokuthetha ukuba umngcipheko usuqulunqwe kwisigxina, kwaye kufuneka ubize ugqirha wakho ngokukhawuleza. Ingxowa inokuvumela ukuba iibhaktheriya zivela kwindlela yakho yokugaya ukungena kwisibindi sakho kwaye kubangele usulelo olusisiseko, olunokubangela ukongela ubomi.
> Imithombo:
> I-Reflux ye-Acid (GER kunye neGERD) kwi-Adults. Isizwe seSizwe soSifo sikashukela kunye neeNtsholongwane zeNtsholongwane. https://www.niddk.nih.gov/health-information/digestive-diseases/acid-reflux-ger--dults-adults.
> I-Esophagitis. Clinical Mayo. https://www.mayoclinic.org/diseases-conditions/esophagitis/symptoms-causes/syc-20361224.