Luhlobo luni lwe-Esophagitis enginayo?

by UKristin Hayes, uRN; Uphononongwa ngumgqirha oqinisekisiweyo webhodi

Iintlobo eziphambili ze-Esophagitis

U-Esophagitis ukuvuvukala kwesisu sakho esinokubangelwa zizizathu ezithathelwanayo okanye ezingenasifo. I-oophagus yakho i-muscular tube ejongene nokuthwala ukutya ukusuka emqaleni wakho ukuya esiswini sakho. Ngenxa yokuba itholakala kwisifuba sakho esiphezulu, i-esophagitis ivakalelwa ngathi iyakubetha kwaye ihlala ihambelana nentlungu xa iginya. I-esophagitis enobungozi ivela xa i-oopopus yakho iqalile isilonda okanye isusa.

Iintlobo ezisixhenxe eziphambili ze-esophagitis ziquka:

i-acid reflux
sulelo
ukungena
ukunyangwa kwamachiza
eosinophilic
i-chemotherapy kunye neyeza
izifo

Nangona ezi ntlobo ezisixhenxe ze-esophagitis ziquka izimbangela eziphambili ze-esophagitis, zikhona ezinye izizathu eziqhelekileyo eziqhelekileyo ze-esophagitis.

Iimpawu ze-Esophagitis

Uninzi lweempawu ezinxulumene ne-esophagitis zingafumaneka nakweminye ingxaki kwaye zibandakanya:

ukutshaya-kungathi kufana nesobuhlungu besifuba kwi-coronary artery disease
intlungu ngokugwinya (odynophagia)
ubunzima bokugwinya (dysphagia)
isicaphulelo kunye / okanye ukuhlanza
intlungu zesisu
ukukhwehlela
i-anorexia kunye nokulahleka kwesisindo

Ngokusekelwe kwiimpawu zakho kunye nembali yonyango, mhlawumbi kufuneka enye inkqubo okanye iinkqubo ezimbini ezahlukileyo njengoko igazi litsalathisa aliyi kunceda ukuhlukanisa oko kubangela iimpawu zakho. Ngokuxhomekeke ekuhloleni kwakho, ugqirha wakho unokuqala ngesifundo sokugwinya i- barium , eyaziwa nangokuthi u-esophagography.

Ukuze uphononongo lwe-barium ufunde, uya ku-radiology, apho ugqirha uya kuthatha i-x-rays yesigxina sakho ngelixa udla i-barium kunye nokutya. Iingubo zeBarum ziyi-oophagus, ebonisa ukuba imhlophe kwi-x ray. Oku kuya kukuvumela ugqirha wakho ukuba abone ukuba unakho ukuphazamiseka okanye ukunciphisa kwi-oophagus yakho.

I-barium ingumanyo yokufunda iyanceda ekuncedeni ukuba ugqirha wakho ufuna ukujongana nomhlaza njengokuba kungenxa yezizathu zakho. Ukuba umhlaza uqwalaselwa, i-CT scan ingalawulwa njengento yokuqhubeka.

Enye indlela, eya kuthi ngezinye izayo emva kwesifundo sokugwinya i-barium, i- endoscopy , esetyenziswe ukujonga umqala wakho ngefiber optic. I-endoscopy, eyaziwa nangokuthi i-esophagogroduodenoscopy (EGD), iyenziwa njengenkqubo yonyango, oku kuthetha ukuba akudingeki ukuba ube esibhedlele ngobusuku bonke. Noko ke, uya kuthi unikwe i-sedation eyaziwayo, ngoko kuya kufuneka ukuba umntu akuqhube ekhaya emva kwenkqubo. Ngexesha lokuphela kwe-endoscopy, i-gastroenterologist iya kujonga isisu sakho, isisu, nesisu sangasentla. Baya kujonga imiqondiso yokuvuvukala okanye isilonda kwaye bajonge ukufumanisa naziphi na izizathu zeempawu zakho. Iimpawu ze-Biopsies zidlalwa ukuba zikhangele naziphi na izifo ezithintekayo zezibonakaliso zakho.

Reflux Esophagitis

I-esophagitis ibangelwa yi- gastroesophageal reflux (GERD) . Uninzi lwabantu luya kuba nolunye uhlobo lwe-reflux yesisu. Nangona kunjalo, uya kuba neengozi yokwanda kwe-esophagitis xa uhlala uhlaselwa kwisisu esiswini, i-pepsin (i-enzyme esiswini), kunye ne-bile, njengoko kunokubangela ukuvuvukala kunye nesilonda kwisifo sakho.

Ukuba une-esophagitis ngenxa yesifo se-reflux, kufuneka uphathwe ngeproton pump inhibitor (PPI), njenge- Prilosec okanye i- Dexilant , kwiiveki ezine ukuya kwezisi-8. Emva kweentsuku ezine iiveki, ugqirha wakho uza kuhlola kwakhona iimpawu zakho. Ukuba emva kokuba unemiba ephindaphindiweyo ne-esophagitis enxulumene ne-GERD okanye ube ne-Barrett's oopopus, kuya kufuneka ufune unyango oluqhubekayo lwe-PPI.

Usulelo lwe-Epopitis

I-Esophagitis inokuthi ibe khona ngenxa yesifo. Ukuba unesistim somzimba sokukhubazeka, uya kuba nobutyebi bokufumana isifo esenza i-esophagitis. Oku kudla ngokubonakalayo kubantu abaye bafumana i-immunodeficiency syndromed (AIDS), ukufakelwa komzimba, okanye abantu abaye bafumana ikhemotherapy kunyango lomhlaza.

Nangona unobungozi obunokwanda kwe-esophagitis ezibangelwa zizifo ezithintekayo xa unesistim somzimba esibuthathaka, usenokufumana isifo somzimba esasifanelekileyo kunye nesistim e-immune esifanelekileyo. Izifo ezivame ukudala i-esophagitis ziquka:

candida (imvubelo) -yona nto ibangelwayo
i-virus ye-herpes simplex (HSV)
i-cytomegalovirus (CMV)
i-apthous ulceration-eyaziwa nangokuthi idiopathic (engaziwayo) isilonda esiswini

I-esophagitis ukusuka kwintsholongwane ayikwazi ukubonakaliswa yimpawu okanye ngokubonakaliswa kwezilonda ngexesha lokuphela kwe-endoscopy. Izilonda ezifunyenwe ngexesha lokuphela kwe-endoscopy ngokuqhelekileyo zimhlophe zibe ziluhlaza ngebala. I-Candida idla ngokufumaneka njenge-plaque-like, ngelixa i-HSV okanye i-CMV inokwenzeka ukuba ibe nezilonda. Ukuze uhlolisise kakuhle intsholongwane ebangela i-esophagitis, ugqirha wakho uya kuthatha "i-brushings" okanye i-biopsies yesifo sakho.

Ukuba ufumene ukuba unesifo se-Candida, uya ku-misela iyeza-anti-fungal ukuze uphathe i-esophagitis yakho. Ukuba ufumene ukuba unentsholongwane yentsholongwane, njengeHSV okanye i-CMV, ugqirha wakho uza kukunika i-anti-virus. I-Prednisone yonyango olukhethiweyo xa ufumanisa ukuba unesifo se-apthous esophagitis. Utyando ngamachiza omlomo luya kuhlala luhlala phakathi kweentsuku eziyi-14 neye-21.

I-Caustic Esophagitis

I-esophagitis ye-Caustic ivela xa udla imichiza etshaya isifo sakho. Iimveliso ezixubileyo eziqulethe i-lye, okanye ezinye iicube ezinamacidi, xa ingenayo ingabangela ukucaphukisa, izilonda, okanye i-perforation (imingxuma okanye iinyembezi) zesifo sakho. Kubantwana kubakho kubangelwa ngokungena ngengozi yengozi. Ukuba uyakrokrela ukuba umntwana wakho ufake ingephi kwikhaya, unokuhlala ubiza ukuLawula utyhefu (800) 222-1222. Ukuba umntwana wakho unenkathazo yokuphefumla i-call 911 ngokukhawuleza.

Ukulimaza isisu sakho kuya kufana nomlinganiselo wexesha lakho le-oophagus lichazwe kwiikhemikhali. ukuba kuthethwa ncinane nje, unokuba nefuthe. Ukunyuswa okuqhubekayo kwandisa umngcipheko wakho wokubunjwa kwezilonda okanye ukulimala okungaphezulu. Ngokuqhelekileyo, kuya kufuneka ukuba ube ne-endoscopy ukuvavanya umonakalo wesifo sakho kwisithuba seeyure ezingama-24.

Ukuba awunayo nayiphi na impawu embi emva kokugulisa isisombululo, ungakhangela kuphela iiyure ezimbalwa. Nangona kunjalo, ukuba unempawu zokulimala kwamanzi, kuya kufuneka ukuba ungeniswe esibhedlele kubaphathi.

I-Esophagitis enomdla

U-Esophagitis obangelwa yimithi ayilula. Kuphela kuphela kwi-4 kubantu abayi-100,000. I-esophagitis eyenziwa ngamachiza inokuthi ivele ngoqhagamshelwano oluchanekileyo, olufana ne-caustic esophagitis, okanye ngokuchaphazela izithintelo zokukhusela esiswini nasesigxina. Amachiza anomgangatho ophantsi we-pH (i-acidic) kwaye anokubangela ukuba i-esophagitis eyenziwa ngamachiza iquka:

ii-antibiotics-tetracycline, doxycycline, kunye ne-clindmycin
i-ascorbic acid (i-vitamin C) kunye ne-sulfate enomthi (isinyithi)

I-Aspirin kunye neziyobisi ezichasayo ezingenakuvuthayo (i-NSAID), njenge-Ibuprofen, inokuphazamisa umqobo wokukhusela isisu kunye nesisu. Oku kunokwandisa umngcipheko wokuhlakulela i-esophagitis. Unyango lwaluphi na uhlobo lwe-esophagitis olwenziwe ngamachiza luquka ukuyeka amayeza. Ukuba awukwazi ukumisa amayeza, ugqirha wakho uzakuzama ukulandelelanisa inguqu yeoli.

Ngokuqhelekileyo i-esophagitis eyenziwa ngamachiza iya kusombulula ngokukhawuleza ngaphandle kwayo nayiphi na imiphumo yesikhathi eside ukuba umonakalo uvalwe kusasa. Ngokuqhelekileyo uza kubona ukuphuculwa ngokukhawuleza iintsuku ezine.

Eosinophilic Esophagitis

I-eosinophilic esophagitis (EoE), i-response / immune response. Ngokuqhelekileyo i-oophagus yakho ayinayo i-eosinophil, ekhoyo iiseli ezimhlophe zegazi eziyingxenye yesistim sakho somzimba. Ukuba u-EoE u krokrelwa ngugqirha wakho, i-endoscopy iya kwenziwa ngumgastroenterologist. Ngexesha le-endoscopy, i-biopsies iya kuthathwa ukuze ikhangele i-eosinophil. Ukuba i-eosinophil ifunyenwe, uya kuhanjiswa kwi-allergen ukuze uphumelele ukuvavanya. Ukuze iimpawu zokulungisa isisombululo kuya kufuneka ukuba unqande ukutyhila ekudleni okubangela ukuba impendulo ibe yinto ephilileyo. Oku kungenziwa ngu:

vavanyo lwekhumba-umgca wokuvavanya izilwanyana ezahlukeneyo kwesikhumba sakho
iimvavanyo zegazi
indlela yokutya yendlela yokutya apho kufakwa ukutya kwindawo encinane ye-aluminium (Igumbi eligqityiweyo) kwaye ushiye udibaniso malunga neeyure ezingama-48

Kwezinye iimeko, unokwazi ukufumanisa ukutya okubangela ukuba uphephe ukuvavanywa ngasentla. Nangona kunjalo le nto ayinakuhlala ichonga zonke ukutya okumele uziphephe. Kule meko, ugqirha wakho unokuncoma ukutya kokunciphisa ukutya , okususa ukutya okuqhelekileyo kokutya kwakho. Emva kokuba iimpawu zisombulule, unokuqala ukulungelelanisa ukutya kwisondlo sakho kuze kube yilapho unesiqhamo; leyo ibonisa ukutya okumele uyigweme.

I-Esophagitis ehlobene neKhemotherapy & Treatment Radiation

I-esophagitis ingenzeka ngenxa ye-chemotherapy okanye unyango lwe-radiation ukunyanga umdlavuza. Iinyanga ezininzi kunokufuneka ukuba uphilise, ukuba zikhona, zikhona. Unyango lwalolu hlobo lwe-esophagitis luya kwenziwa usebenzisa i-lidocaine e-viscous ukuze unxweme kunye ne-sucralfate, okuyi-antacid ukunyanga naziphi na izilonda. Ukuba i-chemotherapy okanye unyango lwe-radiation kubangela izigulana ezingapheliyo, okanye ukunciphisa isisu sakho, unokufuna ukuba ube neeposcopy periodic to dilate your oopopus .

I-Esophagitis ehambelana neSifo soBugcisa

Nangona ugqirha wakho ehlola imbali yakho ngenxa yezizathu zesifo sakho se-esophagitis, baya kuqwalasela ukuba unayo nayiphi na izifo eziqhelekileyo ezithandwayo ekuphuhliseni i-esophagitis. Kukho iintlobo ezahlukeneyo zezifo ezinokunyusa umngcipheko wokuba nesifo se-esophagitis kwaye nganye ineendlela ezahlukeneyo zokunyanga. Ngelixa i-corticosteroids, njengePrednisone, isetyenziswa kakhulu kunyango, kufuneka uhlale uxubusha indlela engcono yokonyango kunye nodokotela wakho. Izifo ezahlukileyo ezingabangela i-esophagitis ziquka:

> Imithombo:

> Indlela yokuhlola i-dysphagia kubantu abadala. KwiWebhu yeToDate. http://www.uptodate.com. Ukuhlaziywa kwe-Oktobha 26, 2017.

> Ukulimala kwe-Caustic esophageal kubantwana. KwiWebhu yeToDate. http://www.uptodate.com. Ukuhlaziywa kweNkca 1, 2017.

> I-Eosinophilic Esophagitis (EoE). I-American Academy ye-Allergy, i-Asthma kunye ne-Immunology iwebhusayithi. http://www.aaaai.org/conditions-and-treatments/related-conditions/eosinophilic-esophagitis.

> I-Esophagitis. Website yeMedscape. https://emedicine.medscape.com/article/174223- ukujonga kwakhona. Ukuhlaziywa kwe-Aprili 27, 2017.

> IGranaman, PS. (2015). Mandell, Douglas, kunye ne-Bennett's Principles and Practice of Infectious Diseases, i-Updated Edition, 99, 1248-1252.e2

> I-esophagitis eyenziwa ngamayeza. KwiWebhu yeToDate. http://www.uptodate.com. Ukuhlaziywa ngoNovemba 8, 2016.