Iimbangela, iziganeko kunye nokuPhathwa kwale GERD Inkcazo
Ukuxinwa kwe-esophageal kukunciphisa ngokuthe ngcembe kwe-esophagus, engakhokelela ekugungeni ubunzima , kwaye oogqirha baxilonga malunga neepesenti ezili-10 zezigulane zabo ezine-GERD (igastroesophageal reflux disease).
Ukunyuka kwama-Esophageal Strictures?
Esinye sezimbangela zokugonywa kwe-esophageal isifo se-reflux ye-gastroesophageal , okanye i-GERD, imeko apho i- asidi engapheliyo igxininiswa ukusuka esiswini ukuya kwindawo.
Oku kubangela ukuvuvukala kwicandelo elincinane le-oopopus. Ukutshatyalaliswa kuya kubangelwa emva kokulimala okuphindaphindiweyo nokuphulukisa, ukulimaza kwakhona nokuphinda uphilise, kwaye ekugqibeleni, ukukhwabanisa kukukhokelela ekunciphiseni kwe-esophagus.
Ngaphandle kweGERD, kukho ezinye izimbangela zokunciphisa izitshalo ezifana noku:
- Ukusetyenziswa ixesha elide lombhobho we- nasogastric (oku kwandisa amazinga ase-asidi kwi-esophagus)
- Ukungena kwezinto ezinobungozi (umzekelo, abahlazi bekhaya)
- Iintsholongwane ezinobomi okanye iintsholongwane ezibangelwa i-esophagitis kwaye emva kokunyanzelisa
- Ukulimala okubangelwa zii-endoscopes
- Ngaphambi kokuhlinzwa ngophawu (umzekelo, umhlaza wesisu)
- Ukuxutywa kwemitha ye-oopopus
- Eosinophilic esophagitis
- I-epopititis eyenziwa yipilisi
- I-Cancer (oku kuthiwa yinto enobungozi obubi)
Ziziphi iiMpawu zoLungiso lwe-Esophageal?
- Ubunzima bokugwinya, ebizwa ngokuthi i-dysphagia (ingaqala ngokuqina kwaye iqhubekele kwi-liquids)
- Ukukhathazeka ngokugwinya
- Uvakalelwa kukuba ukutya kubanjwe kwindawo yesifuba okanye kwindawo yesifuba
- Ukuphindaphinda kokutya
- Ukuhla ukusinda
Ukuba uvavanyo lwakho lwe-esophageal luvela kwi- GERD , unakho ukuvala, isisu okanye intlungu yesifuba, ukuphefumula okubi, ukuvutha komsindo emqaleni wakho okanye emlonyeni, ukukhwehlela, umqala wakho, okanye utshintsho kwizwi lakho.
I-Esophageal Stricture Diagnosed How?
Ukuba ugqirha wakho ukhathazekile malunga nobunzima bokungalingani, kukho uvavanyo olubini:
- I-barium ingumgulane-isigxina iya kugwinya into ebizwa ngokuthi i-barium kunye ne-x-ray ithathwa njengokuba i-barium ihamba phantsi. Ukuba kukho isantya, i-barium iya kuhamba ngokukhawuleza okanye iyakunamathela.
- Ukuhlolwa kwe- endoscopy -yinkqubo eyenziwa ngumgastroenterologist. Kuquka ukubeka ityhubhu encinci enokukhanya kunye nekhamera kuyo emlonyeni, phantsi kwe-esophagus, nasesisu. Ivumela ugqirha ukuba acacise ngaphakathi ngaphakathi kwendawo yokujonga ukuba ngaba kukho naluphi na uhlobo oluncinane.
Ulwahlulo lwe-Esophageal Ulwaphi na?
Unyango oluphambili lokunyanzelwa kwe-esophageal luyinkqubo ebizwa ngokuthi i-dilation. Kule nkqubo, i-esophagus isetyenziswe ngokusetyenziswa kwe-dilator ezininzi okanye ibhaluni ezaliswe ngomoya, edluliselwa kwi-endoscope. Kukho izinga eliphantsi kakhulu leengxaki ezinzulu ezinxulumene nokuhluthwa kwe-esophageal , kwaye zibandakanya ukuphuma kwegazi kunye nokugqithiswa (xa umgodi wenziwa kwindawo).
Nangona le nyango ithatha ininzi yesithintelo, ukuxilwa ngokuphindaphindiweyo kunokufuneka ukuba kuthintele ukulungiswa kokubuya. Enyanisweni, i-stricture ephindaphindayo iyenzeka malunga neepesenti ezingama-30 zabantu emva kokuphucula kunyaka wokuqala, ngokubhekiselele kwinqaku kwi- Current Options Options kwi-Gastroenterology .
Iproton pump inhibitors, njenge-Prilosec (omeprazole), (Nexium) i-lansoprazole okanye (AcipHex) rabeprazole, inokuthi igcine imiqathango yokubuya. Ezi zivame ukumiselwa emva kwenkqubo, ukuba umntu akayithathi enye. Iindaba ezilungileyo kukuba emva kokunyanga, umntu unako ngokuphindaphindiweyo ukubuyela kwiindlela eziqhelekileyo kunye nezidlo, nangona ziyakwazi ukuphuhlisa izixhobo kwakhona kwixesha elizayo, ngoko ke kufuneka uqaphele iingxaki eziphindaphindiweyo.
Unyango oluphandwayo lwe-esophageal stricture alufaneki luyimfuneko. Kuyenziwa ukuba isithintelo asikwazi ukuhluthwa ngokwaneleyo ukuvumela ukutya okuqinileyo ukuba kudlule.
Enyanisweni, ukungena kwamanzi okwaneleyo kunye nesondlo kuyinkxalabo enzulu yokwenza izinto ezinzima. Enye inkxalabo enzulu yengozi yokwanda kokutya, ukukhupha, okanye ukuhlanza okungena emiphakeni kwaye kubangele ukuphazamiseka okanye ukuphefumlelwa kwepneumonia.
Uphando luyenziwa kwakhona xa ukuxilwa ngokuphindaphindiweyo kungagcinanga le miqobo yokubuya. Ngamanye amaxesha ezinye iinkqubo ziqwalaselwa xa izigulana ziqhubeka zihlala ziquka, kuqukwa unyango lokuphucula kunye ne-steroid injections okanye ukufakwa kwesigxina.
> Imithombo:
> Umbutho waseMerika wezoNgcono zeMastoscopy. Ukuqonda ukuxilwa kwe-Esophageal.
> Fass R. (Meyi 2016). Ukwahlula kwe-dysphagia kubantu abadala. Ku: U-UpToDate, uFeldman M (Ed), UpToDate, Waltham, MA.
> van Boeckel PGA. Siersema PD. Iimpawu zokuxhatshazwa kweempawu zengxowankulu: Yintoni enokuyenza xa ukuphuphuma kuphelelwa. I-Curr Yophatha Iindlela zeGastroenterol . 2015; 13 (1): 47-58.