Thil i ei emaw, i in emaw hian i rilruah natna mak tak mai emaw, tightness emaw i nei ngai em? A nih loh leh i rilru lai tak atanga lo chhuak kang na tak tak? A tam zawkah chuan hengte hi thil pangngai ang maiin kan ngai lo. Mahse hei hi damdawi lama Esophagitis tia hriat natna a ni thei. A hming hi mak tak angin lang mah se, hei hi kan rama mi tam takin harsatna an neih chu a ni. Chuvangin vawiinah hian he thu hi awlsam takin, i hriatthiam theih dan tur angin i sawi dawn nia.
Esophagitis hi eng nge ni?
A awlsam zawngin Esophagitis hi kan ei tur pipe (gullet) inflammation a ni. Tunah chuan he food pipe hi eng nge ni tih i ngaihtuah mai thei. Chu chu kan ei huna kawr atanga kan pum thlenga chaw phurtu tube tihna a ni. Tui pipe ang mai a ni. He tube chhunga membrane nalh tak takte hi eng emaw chhan vanga a hring, a sen leh a na a nih chuan Esophagitis kan ti thin. I vunah hian hliam i neih chuan a sen ang a, a hring ang a, a na ang tih han ngaihtuah teh, a dik em? Chu chu food pipe chhungah pawh a thleng thin.
Hetiang inflammation thlentu ber chu stomach acid backflow in esophagus a ni. Chu bâkah, damdawi ṭhenkhat, infection, leh allergy te pawhin a thlen thei bawk.
Esophagitis vei mi pakhatin eng symptoms nge a neih?
Heng symptoms te hi mi hrang hrangah a inang lo deuh thei a, natna nasat dan azirin a nasat dan pawh a inang lo thei bawk.
| A lan chhuah dan tlangpui | Symptom dang awm thei te |
|---|---|
| Hloro na: I rilru a buai ang maia hriatna. | Acid a rawn chhuak leh thin. |
| Heartburn: Kan rilru chhungril atanga kang chhuak a ni. | Chaw ei zawh hnua chaw ei chhuah (regurgitation) (regurgitation). |
| Chaw ei harsa (Dysphagia): Chaw ei emaw in tur emaw ei laiin natna emaw, rilru hahna emaw. | Chaw ei tur chu rilruah a tlakbuak ang maia hriat. |
| Chest pain: He natna hi a pung thei a, a bik takin ei lai hian. | Pum natna leh chaw ei loh. |
| Naupang tê tête chuan ei an duh lo mai thei. | |
| Nausea leh luak chhuak. | |
| Thisen chhuak. | |
| Kawngkhar natna. |
Esophagitis chi hrang hrang i zir chiang ang u.
He natna hi a chhan a zirin chi hrang hrangah then theih a ni. Eng nge an nih i en ang u.
1. Reflux Esophagitis hi pum acid vanga lo awm
Hei hi a tam ber chi a ni . Kan pum hian acid chak tak a pai a, chu chuan ei tur a hmin thei a ni. A tlangpuiin chaw kawng leh chaw kawng inkar ah muscle ring (sphincter) a awm chuan he acid hi a lo chhuak thei lo. Kawngkhar ang mai a ni. Mahse he kawngkhar hi a khar tha loh chuan pum chhunga acid awm chu a rawn chhuak a, chaw kawng chu a rawn deng ta a ni. He acid chak tak hi esophagus hian a tuar thei lo. Chuvangin, hetiang hian a kal zel chuan chaw kawng chu a hliam a, a inflamed bawk. Hei hi GERD (Gastroesophageal Reflux Disease) kan ti bawk. Hetiang dinhmun hi luak chhuak fo thinteah pawh a awm thei bawk.
2. Damdawi avanga damdawi induced Esophagitis
Hei hi "Pill Esophagitis" an ti \hin. Damdawi kan ei \henkhat, a bik takin tui kan in tam loh chuan chaw kawng (esophagus)-ah a tang a, a hmin tan thei a ni. Chumi hnuah chuan pill chhunga chemical awmte hian chaw kawng chhunga lining a tichhia thei a, a ti hliam thei bawk.
Pawimawh: Doctor-in pill ei tur a tih che chuan, "Tui glass khat nen ei rawh" tih hi hetiang thil hi ven nan a ni.
Thil natna tidamtu (NSAIDs), antibiotics thenkhat, leh ruh tichaktu damdawi (Bisphosphonates) te hian hetiang hi a thlen thei a ni.
3. Infectious Esophagitis natna hrik kai avanga lo awm
Hei hi mi hrisel takah chuan a tlem hle tlangpui. Amaherawhchu, taksa chak lohna nei te hian hetiang natna hi an vei tam zawk a ni. Entir nan:
- HIV/AIDS vei te
- Zunthlum vei te
- Cancer enkawl mekte (Chemotherapy) .
- Organ transplant hnua immunosuppressive damdawi ei thinte
Heng mite hian chaw kawng chhungah fungal infection (e.g., Candida albicans) leh virus infection (e.g., herpes) an nei thei a ni.
4. Eosinophilic Esophagitis hi allergy vang a ni
Hei hi a buaithlak deuh a ni. Heta thil thleng hi taksa hriselna (immune system) a thawk nasa lutuk a, thisen var (white blood cells) eosinophils an tih tam tak chu chaw kawng chhungah a awm khawm a ni. Heng cell te hi an pungkhawm chuan chutah chuan chronic inflammation a awm thin. Hei hi ei leh in chi hrang hrang emaw, boruak chhunga thil chi hrang hrang emaw allergy nei te zingah hmuh tur a tam zawk.
5. Autoimmune natna dang vangin
A châng chuan chaw kawng (esophagitis) hi autoimmune diseases vang pawh a ni thei a, chutah chuan taksa ngeiin a taksain a cell a bei a ni. Entirnan, he natna hi Inflammatory Bowel Disease (IBD) ang chi natna nei te zingah a awm tam zawk.
6. Radiation therapy vangin
Chest leh throat ang chi hmuna cancer awmte tan radiation therapy an neih hian, chu radiation-in a nghawng chuan chaw kawng a ti na thei a ni. Hei hi a tlangpuiin hun rei lote atan a ni a, mahse mi thenkhatah chuan hun rei tak a ni thei.
Esophagitis hi a na thei ang em?
Awle. Enkawl that loh chuan hei hian harsatna lian tham a thlen thei a ni. Chuvangin, heng symptoms te hi i neih chuan ngaihthah loh a tha ber.
- Ulcers: Inflammation a awm chhunzawm zel chuan food pipe chhungah hian hliam, ulcers an tih chu a lo awm thei a ni. Chungte chu thisen a chhuak thei a ni. A tlem hle a, heng ulcer te hi thuk takin a kal thei a, ei tur pipe-ah khur (gastrointestinal perforation) a siam thei. Chutiang a lo awm chuan a natna chu rilruah emaw, thisenah emaw a darh thei a, nunna atana hlauhawm tak a ni thei bawk.
- Esophageal stricture: Hun rei tak chhunga inflammation vangin esophagus chhungah Scar tissue a lo awm thin. He scarring hian zawi zawiin chaw kawng chu a ti tawi a. Hei hian chaw ei a ti harsa hle. Hei hian tui tlakchhamna a thlen thei a, taksa rihna a tlahniam thei a, ei leh in lama harsatna a thlen thei bawk.
- Barrett-a chaw kawng: Hei hi harsatna hlauhawm ber a ni. Acid a inhnim chhunzawm zel avangin chaw kawng hnuai lam cell te chu an inthlak tan thin. Chu chu, cell te chu intestine chhunga cell te nen an inang tan tihna a ni. Hei hi cancer hmaa awm thin a ni.Hei hian he natna vei te hi nakin lawkah esophageal cancer vei theihna chance a sang zawk tihna a ni.
Engtin nge doctor hian hei hi a hmuh theih?
Doctor i pan hunah i symptoms te a zawt hmasa ang che. Vawi tam tak chu, i thil chipchiar tak tak atang hian esophagitis i vei em tih i chhut thei.
- Vawi tam tak chu doctor chuan pum chhunga acid tihziaawmna damdawi a pe hmasa ang a, chu chuan natna lan chhuahna a tihziaawm em tih a en ang. A natna lan chhuah dan a tlahniam chuan reflux esophagitis a ni tih finfiah theih a ni.
- Damdawi hmanga symptoms a that loh chuan test belh a ngai a ni. Hei hi test ber chu Upper Endoscopy a ni . Hetah hian camera nei tube te tak te, flexible tak chu ka chhungah dahin, chaw kawng, pum leh small intestine hmun hmasa ber chu an enfiah thin. Hei hian a chhung lam chiang taka en theihna a siam a, chu chu inflammation leh ulcers te hi a ni. A tul chuan tissue piece pakhat test nan lak theih a ni (`(Biopsy)`).
- A chang chuan esophageal pH test, esophagus-a acid awm zat tehna pawh a tha thei bawk.
Enkawlna leh nunphung inthlak danglamna
Enkawlna hi esophagitis thlentuah a innghat a, a tlangpuiin damdawi leh nunphung thlak danglam a ngai thin.
| Enkawl dan tur | Hrilhfiahna |
|---|---|
| Damdawi chi hrang hrang | |
| Acid tihziaawmna damdawi | Damdawi anticids, H2 blockers, leh proton-pump inhibitors (PPIs) te hian pum chhunga acid siam chhuah a ti tlem a ni. Hengte hi reflux esophagitis tan chuan a pawimawh hle. |
| Anti-inflammatory damdawi hman tur a ni | Eosinophilic esophagitis ang chi natna tan chuan steroid ei chi khat pek theih a ni. Hei hian chaw kawng chhunga inflammation awm chu direct-in a control a ni. |
| Anti-infectives a ni | Fungal infection tan antifungals pek thin a ni a, Viral infection tan antivirals pek thin a ni. |
| Nunphung inthlak danglamna | |
| Ei leh in lama inthlak danglamna | Acided foods oil, chili, spicy foods, chocolate, coffee, mint, etc. ei tlem la, i rilru hahdamna tur ei tur hriatchhuah la, pumpelh rawh. |
| Damdawi ei dan tur | Tablet i ei chuan tui glass khat nen a pumin ei rawh. Damdawi ei hnuah minute 30 tal mut suh. |
| Zan lama thil tih dan | Zanriah tlemte ei rawh. Zanriah mut hma darkar 3 tal ei thin ang che. Hei hian chaw chu a hmin theih nan hun a pe a ni. Mut lai hian i lu chu tlem han chawi sang la. |
| Thil tih dan dang | Meizial i zuk chuan chawlhsan nghal rawh. Tin, zu in pawh bansan rawh. Heng pahnih hian chaw kawng (esophagus) tan a tichhe hle a ni. |
Eng chen nge tihdam a ngaih?
Hei hi a chhan leh enkawlna i dawn danah a innghat a ni. Enkawlna dik tak i tan hnuah chuan damna chu a intan thuai ang. A dam kim theih nan kar 3-6 vel a ngai thei. Mahse, GERD ang bawka natna hi a rei tawh a nih chuan damdawi ei a ngai ang a, hun rei tak chhung nunphung thlak danglam a ngai bawk ang.
A pawimawh ber chu i doctor thupek dik taka zawm hi a ni. Damdawi hi a hun takah leh a dose dik takah ei a pawimawh hle.
Take-Home Thuchah a ni
- Esophagitis chu ei tur kan ei chhuahna tube (the esophagus) a hring emaw, a hring emaw a ni.
- Chhung na, ei harsa, leh kawr na te hi a lan chhuah dan ber a ni.
- A chhan tam ber chu gastroesophageal reflux disease (GERD) a ni a, mahse damdawi thenkhat, natna hrik leh allergy vang te pawh a awm thei bawk.
- Enkawl that loh chuan harsatna lian tak tak a awm thei a, chu chu ulcer, chaw kawng a zim, leh Barrett’s esophagus, cancer hmaa awm thin te hi a ni.
- Hetiang symptoms i neih chuan ngaihthah suh la, i doctor hnenah thurawn dil ngei ang che.
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