Kodi pakhosi kapena pachifuwa panu pakumva kuwawa? Kodi n'kovuta kumeza? Tiyeni tiphunzire za izi (Esophagitis)!

Kodi nthawi zina mumamva kupweteka pakhosi, kutentha pachifuwa mukameza chakudya? Kapena mumamva ngati chakudya chatsekeredwa pakhosi panu? Musangonyalanyaza zinthu izi. Chifukwa izi zitha kukhala zizindikiro za matenda otchedwa Esophagitis, omwe tikambirana lero. Chifukwa chake, tiyeni tikambirane za izi mwatsatanetsatane, ngati kuti tikulankhula ndi mnzanu.

Kodi Esophagitis ndi chiyani? Mwachidule...

Esophagitis ndi kutupa kapena kutupa kwa chigawo cha m'mero, chubu chomwe chimanyamula chakudya kuchokera pakhosi kupita m'mimba. Taganizirani izi ngati bala pakhungu lanu lomwe limayambitsa kufiira, kutupa, ndi ululu. Ndicho chimene chimachitika mkati mwa m'mero. Mungamve kupweteka pakhosi, kutentha, kapena kutentha.

Kodi mukudziwa chifukwa chake kutupa kumeneku kumachitika? Thupi lathu lili ndi dongosolo lotchedwa chitetezo chamthupi . Ndilo lomwe limatiteteza ku matenda ndi majeremusi. Chifukwa chake, pakakhala matenda, ziwengo, kapena m'mero ​​wawonongeka mwanjira ina, chitetezo chamthupi ichi chimayamba kugwira ntchito ndipo chimayesetsa kuchichiritsa. Pamenepo ndi pomwe kutupa ndi kutupa kumeneku kumachitika. Nthawi zina, asidi m'mimba amatha kulowa pakhosi, ndipo mankhwala ena omwe timamwa amatha kuwononga m'mero ​​uwu (Esophagitis).

Kodi vutoli (Esophagitis) ndi lofala bwanji?

Ndipotu, chifukwa chachikulu cha (Esophagitis) ndi acid reflux , yomwe ndi matenda omwe timamva nthawi zambiri otchedwa `(GERD - Gastroesophageal Reflux Disease)`. Ili ndi vuto lomwe anthu ambiri ali nalo. Komabe, mitundu ina ya (Esophagitis) ndi yosowa kwambiri. Mwachitsanzo, matenda a m'mero ​​nthawi zambiri amapezeka mwa anthu omwe ali ndi chitetezo chamthupi chofooka.

Kodi ndi zizindikiro ziti zomwe tingayembekezere ngati tili ndi esophagitis?

Ngati muli ndi esophagitis, zotsatirazi zingachitike:

• Pakhosi panga pamakhala kupweteka , ngati ndikakhala ndi chimfine.
• Kutentha pamtima - Ichi ndi vuto lalikulu lomwe anthu ambiri amanena.
• N'zovuta kumeza chakudya - ngati kuti pakhosi pako patsekeka.
• Kupweteka pachifuwa - Nthawi zina izi zingasokonezedwe ndi kupweteka kwa mtima, choncho ndikofunikira kudziwa bwino.

Ululu uwu ukhoza kukhala wovuta pang'ono, nthawi zina wosapweteka kwambiri. Ukhozanso kukhala wokhazikika, kapena ukhoza kubwera ndi kutha.

Kutengera chifukwa ndi kuopsa kwa vutoli, mutha kuwonanso zizindikiro monga :

• Kubwerera m'mbuyo kwa asidi .
• Kubwezeretsa chakudya .
• Kumva ngati chakudya chatsekeredwa pakhosi .
• Kusadya bwino .
• Ana aang'ono angakhale ndi vuto lodya .
• Kusanza ndi kusanza .
• Nthawi zina pangakhale magazi pamodzi ndi kusanza .
• Zilonda za pakamwa zingachitikenso.

Chofunika: Ngati muli ndi chimodzi mwa zizindikiro izi, makamaka vuto la kumeza kapena kupweteka pachifuwa, ndi bwino kufunafuna upangiri wa dokotala.

Kodi ndi zifukwa ziti zomwe zimayambitsa esophagitis?

Monga tanenera kale, minofu ya m'mero ​​yanu imatha kutupa pamene chitetezo cha mthupi lanu chikulimbana ndi matenda, pamene muli ndi vuto la ziwengo, kapena pamene chinachake choopsa chikugwera m'mero ​​yanu.

Zifukwa zazikulu za esophagitis ndi izi:

• Kubwerera m'mbuyo kwa asidi .
• Mankhwala ena omwe timamwa.
• Matenda a bakiteriya .
• Matenda a ziwengo .
• Chithandizo cha radiation cha zinthu monga khansa.
• Matenda a autoimmune .

Pali mitundu yosiyanasiyana ya esophagitis kutengera chifukwa chake.

Kodi mitundu yosiyanasiyana ya esophagitis ndi iti?

Tiyeni tsopano tiwone mitundu ina ikuluikulu ya esophagitis.

1. Reflux esophagitis (yomwe imayamba chifukwa cha acid reflux)

Uwu ndi mtundu wofala kwambiri . Zimachitika motere: Asidi ndi madzi otuluka m'mimba mwanu amakwera m'chitoliro chanu cha chakudya. Izi zimawononga chingwe chofewa cha chitoliro chanu cha chakudya (mucosa) ndipo zimayambitsa kutupa. Izi zitha kuchitika ngati muli ndi acid reflux pafupipafupi kapena kusanza pafupipafupi.

Izi zitha kukhala chifukwa cha:

• `(GERD - Matenda a reflux a m'mimba)`
• `(Kubwerera m'mimba)` - Izi zikutanthauza kuti ndulu imatuluka m'mimba kupita mu chitoliro cha chakudya.
• Matenda okhudzana ndi kudya monga `(Bulimia nervosa)`.

2. Kutupa kwa m'mimba komwe kumabwera chifukwa cha mankhwala

Nthawi zina izi zimatchedwa "pill esophagitis." Mankhwala ena omwe amagwiritsidwa ntchito kwambiri, ngati atengedwa popanda madzi, amatha kukhazikika mummero, komwe amasungunuka ndikuwononga mkati mwa mmero.

Pali mitundu ingapo ya mankhwala omwe angathandize motere:

• Mankhwala ochepetsa ululu, mwachitsanzo, mankhwala oletsa kutupa omwe si a steroidal (NSAIDs).
• `(Acetaminophen)` (paracetamol).
• Mitundu ina ya `(Maantibayotiki)`.
• Mapiritsi a `(Potassium chloride)`.
• Ma bisphosphonates ndi mtundu wa mankhwala omwe amagwiritsidwa ntchito pochiza matenda a mafupa.
• Mankhwala a chemotherapy.

Kumbukirani: Ichi ndichifukwa chake ndikofunikira kumwa kapu imodzi ya madzi mukamamwa mapiritsi anu.

3. Yoyambitsidwa ndi matenda (Infectious esophagitis)

Matenda a m'mero ​​nthawi zambiri amakhala osowa. Komabe, ngati chitetezo cha mthupi lanu chafooka,, zomwe zikutanthauza kuti ngati thupi silingathe kukana matenda, mwayi woti matenda amtunduwu achitike ndi waukulu. Nthawi zambiri, matendawa amafalikira m'mimba kuchokera kwina.

Matenda ofala kwambiri ndi mafangasi , kutsatiridwa ndi matenda a mavairasi .

Matenda angapo angayambitse esophagitis:

• Bowa `(Candida albicans)` (izi ndi zomwe nthawi zambiri zimayambitsa `(matenda a yisiti)`).
• `(Cytomegalovirus - CMV)`.
• Kachilombo ka herpes simplex ka pakamwa 1 (HSV-1).
• `(Kachilombo ka papilloma ka munthu mkamwa - HPV)`.

Pali zifukwa zingapo zomwe chitetezo cha mthupi chingafookere:

• `(HIV/AIDS)` mkhalidwe.
• Kulephera kwa majini ena m'thupi (Matenda oyamba a immunodeficiency - PIDD)
• Mankhwala oletsa chitetezo chamthupi (monga mankhwala operekedwa kwa anthu omwe adaikidwa ziwalo zina).
• Matenda a shuga.
• Mitundu ina ya khansa, mwachitsanzo `(Leukemia)`, `(Lymphoma)`.
• Chemotherapy ndi mankhwala a khansa.

4. (Eosinophilic esophagitis)

Izi ndi zosiyana pang'ono. Zimayambitsidwa ndi chitetezo chamthupi chomwe chimagwira ntchito mopitirira muyeso . Tili ndi mtundu wa maselo oyera a m'magazi otchedwa ``Eosinophils'' m'thupi mwathu. Tikakhala ndi vuto la ziwengo kapena matenda, maselo a ``Eosinophils'' amenewa amasonkhana mochulukirapo m'mero ​​ndipo amapitiriza kutupa pamenepo, ngakhale chiwopsezocho chitapita. Imeneyi ndi vuto losowa , ndipo limapezeka kwambiri mwa anthu omwe ali ndi ziwengo zambiri .

5. Matenda a autoimmune esophagitis

Kuwonjezera pa eosinophilic esophagitis, matenda ena odziteteza ku matenda a autoimmune angayambitsenso esophagitis ngati zotsatira zoyipa. Zitsanzo:

• `(Graft vs matenda a mwini)` (vuto lomwe lingachitike mutaika chiwalo).
• Matenda a m'mimba otupa (IBD) (matenda otupa m'mimba).
• `(Matenda a Behçet)`.

6. Chifukwa cha chithandizo cha radiation (Radiation esophagitis)

Ngati mulandira chithandizo cha radiation chomwe chimayang'ana pa mmero, pachifuwa, kapena pakhosi, chingayambitse kutupa kwa mkati mwa mmero (radiation mucositis). Izi nthawi zambiri zimakhala zochitika kwakanthawi . Komabe, nthawi zina, anthu ena amatha kukhala ndi vuto la nthawi yayitali (esophagitis) chifukwa cha chithandizo cha radiation.

Kodi Esophagitis ndi matenda oopsa? Nanga chimachitika n'chiyani ngati sanyalanyazidwa?

Esophagitis ndi matenda omwe angathe kuchiritsidwa ndikuchiritsidwa. Komabe, ngati Esophagitis yoopsa sichiritsidwa, mavuto aakulu angabuke. Tiyeni tiwone zomwe zili.

• Zilonda m'mimba:Izi ndi mabala otseguka mkati mwa chitoliro cha chakudya. Izi zingayambitse ululu ndi kutuluka magazi. Nthawi zambiri, bala losachira limatha kupitirira kukula ndikuyambitsa dzenje mu chitoliro cha chakudya (kubowoka kwa m'mimba). Ngati izi zitachitika, majeremusi ochokera mu chitoliro cha chakudya amatha kulowa m'chifuwa kapena m'magazi, zomwe zimayambitsa matenda oopsa (septicemia).
• Kutsekeka kwa m'mero: Pamene minofu ya m'mero ​​yatupa kwa nthawi yayitali, zipsera zimatha kuchitika. Zipsera zimenezi zimatha kufinya m'mero, zomwe zimapangitsa kuti zikhale zovuta kumeza chakudya. Ngati izi zitakula kwambiri, zingayambitse kutaya madzi m'thupi, kuchepa thupi, komanso kusowa zakudya m'thupi.
• Kusakhazikika kwa matumbo: Uku ndi kusintha kwa maselo a m'mero. Kusintha kwamtunduwu kukachitika m'mero, kumatchedwanso "Barrett's esophagus". Kuti agwirizane ndi kutupa komwe kukuchitika, minofu yomwe ili mkati mwa mmero imasintha kuti ifanane ndi minofu yomwe ili mkati mwa matumbo. Kusinthaku kungakhalenso chiyambi cha khansa ya m'mero.

Choncho, ngati muli ndi zizindikiro za (Esophagitis), musanyalanyaze. Ndikofunikira kwambiri kuonana ndi dokotala mwamsanga ndikupeza chithandizo choyenera.

Kodi madokotala amazindikira bwanji esophagitis?

Kawirikawiri, dokotala angaganize kuti muli ndi vuto la esophagitis kutengera zizindikiro zanu. Dokotala wanu angakupatseni mankhwala ena oletsa asidi kuti aone ngati akuthandiza. Ngati athandiza, mungadziwike kuti muli ndi vuto la reflux esophagitis.

Ngati sizikugwira ntchito, mayeso ena angafunike. Mungafunike kuchitidwa opaleshoni ya upper endoscopy, yomwe imagwiritsa ntchito kamera kuti ione mkati mwa mmero mwanu. Kapena mungafunike kuyeza pH ya mmero, yomwe imayesa kuchuluka kwa asidi m'mmero mwanu.

Kodi Esophagitis imatha kuchiritsidwa kwathunthu?

Inde, zingatheke. Kuti muchiritse (Esophagitis), muyenera kusiya zinthu zomwe zikukwiyitsa mmero wanu, zomwe zimapangitsa kuti udzitukumule, ndikuupatsa nthawi yoti uchire mwachibadwa. Kutengera ndi chomwe chikuyambitsa, mungafunike kusintha zina ndi zina pa moyo wanu kapena kugwiritsa ntchito mankhwala. Mankhwala angathandize kuteteza mmero wanu ndikuthandiza kuti uchire mwachangu.

Kodi mankhwala a esophagitis ndi ati?

Chithandizo nthawi zambiri chimakhala ndi mankhwala ndi kusintha moyo.

Mitundu ya mankhwala:

• Mankhwala ochepetsa asidi: Mankhwala monga `(Antacids)`, `(H2 blockers)` (monga Famotidine), ndi `(Proton-pump inhibitors - PPIs)` (monga Omeprazole, Esomeprazole) angathandize kuchepetsa acid reflux. Ena mwa awa akhoza kugulidwa ku pharmacy `(OTC - Over-the-counter)`, pomwe ena amafunika kuti dokotala amupatse mankhwala.
• Mankhwala oletsa kutupa:Kwa anthu omwe ali ndi eosinophilic esophagitis, madokotala nthawi zina amalimbikitsa kumwa mankhwala amadzimadzi otchedwa steroid. Madzi amenewa amaphimba mkati mwa mmero ndipo amachepetsa kutupa. Alinso ndi zotsatirapo zochepa poyerekeza ndi kumwa mapiritsi.
• Mankhwala oletsa bowa a matenda a bowa: Pa matenda a bowa monga (Candida).
• Mankhwala oletsa mavairasi: Ochiza matenda opatsirana monga herpes.
• Ma antibodies a monoclonal: Awa ndi mapuloteni opangidwa mwaluso. Amagwira ntchito ndi chitetezo chathu chamthupi kuti athandize kuletsa kutupa. Dupilumab ndi imodzi mwa mankhwala otere. Yavomerezedwa ndi US Food and Drug Administration (FDA) kuti ichite chithandizo cha eosinophilic esophagitis.

Kusintha kwa moyo:

• Kusintha kwa zakudya: Dziwani ndi kupewa zakudya zomwe zimayambitsa acid reflux kapena ziwengo (monga zakudya zokometsera, zakudya zamafuta, chokoleti, khofi, zipatso za citrus).
• Zoyenera Kuganizira pa Mankhwala: Ngati mukumwa mankhwala omwe angayambitse matenda a m'mimba, lankhulani ndi dokotala wanu za kusintha mankhwala ena kapena kumwa madzi. Ngati mukumwa mapiritsi, onetsetsani kuti mwamwa ndi galasi lalikulu la madzi ndipo musagone pansi mutamwa.
• Zizolowezi za usiku: Kuti muchepetse acid reflux, idyani zochepa usiku. Makamaka, malizitsani chakudya chanu chamadzulo osachepera maola atatu musanagone. Izi zikupatsani nthawi yoti chakudya chanu chigayidwe musanagone.
• Makhalidwe abwino pa thanzi: Ngati mukusuta, siyani. Pewani kumwa mowa. Izi zidzakuthandizani kwambiri kuteteza mmero wanu.

Kodi Esophagitis idzatha yokha?

Ngati muli ndi chitsimikizo kuti chomwe chimayambitsa esophagitis yanu chatha, chingathetsedwe chokha pakatha milungu ingapo. Komabe, ndi bwino kuonana ndi dokotala kuti akupatseni chithandizo choyenera. Dokotala wanu akhoza kudziwa chomwe chimayambitsa esophagitis yanu ndikukupatsani malangizo a njira yabwino kwambiri yothandizira matenda amenewo.

Kodi esophagitis imatha nthawi yayitali bwanji?

Zimatengera momwe vutoli lingathetsedwere mosavuta. Nthawi zina, mungafunike kuyesa mankhwala osiyanasiyana mpaka mutapeza chithandizo choyenera. Mukayamba kulandira chithandizo, nthawi zambiri kuchira kumayamba mwachangu. Komabe, zingatenge milungu itatu mpaka isanu ndi umodzi kuti muchiritse kwathunthu. Ngati chifukwa chake ndi matenda a nthawi yayitali (monga GERD, matenda odziteteza), mungafunike kupitiriza kumwa mankhwala kuti muchepetse vutoli.

Ngati muli ndi esophagitis, mumadzisamalira bwanji mpaka itachira?

Mu nthawi yochira, samalani ndi zinthu izi:

• Pewani zinthu zomwe zimakwiyitsa kugaya chakudya, monga zakudya zokometsera ndi zowawasa, mowa, ndi kusuta.
• Mpaka chitoliro cha chakudya chitachira, pewani kuchikanikiza kwambiri.Yesani kudya zakudya zofewa (monga phala, supu, ndiwo zamasamba zophikidwa bwino).
• Mukadya, dulani m'zidutswa tating'onoting'ono, tafunani bwino, kenako mumeze.
• Imwani madzi ambiri. Kapena, imwani tiyi wa zitsamba zomwe zimathandiza kugaya chakudya, monga tiyi wa mizu ya marshmallow ndi tiyi wa elm wotsetsereka. Izi zingathandizenso kusunga madzi m'thupi.

Kodi muyenera kupita kwa dokotala liti pankhani ya esophagitis?

Ngati muli ndi zizindikiro za esophagitis, koma chomwe chimayambitsa sichinapezeke, kapena ngati chithandizo chomwe mukupeza sichikuthandiza, muyenera kuwonana ndi dokotala. Nthawi zina esophagitis imatha kukhala ndi zifukwa zingapo. Chilichonse mwa izi chingafunike kuchiritsidwa.

Kodi matenda a Esophagitis ndi GERD ndi ofanana?

Funso limene anthu ambiri amafunsa ndi ili. GERD ndiye chifukwa chofala kwambiri cha esophagitis. Komabe, si chifukwa chokhacho . Komanso, si aliyense amene ali ndi GERD amene amadwala esophagitis. Kuti m'mero ​​mutukuke, uyenera kukhala nthawi zonse uli ndi asidi kwa nthawi yayitali.

Mphuno yanu imatuluka pakhosi panu kupita m'mimba mwanu, kudzera pachifuwa. Nthawi zambiri, ngati siikupweteka, sitiganizira kwambiri za izi, eti? Koma ikatero, simungazindikire nthawi yomweyo kuti ndi ululu pakhosi panu. Ingamveke ngati ululu pachifuwa panu, kapena ingamve ngati kupweteka pakhosi. Chifukwa chake, m'nkhaniyi, mupeza mwayi wophunzira zomwe zingawononge mphuno yanu ndi momwe mungapewere.

Anthu ambiri amadwala matenda a esophagitis chifukwa cha acid reflux. Osachepera 20% ya anthu ali ndi vutoli. Komabe, kugwiritsa ntchito mopitirira muyeso mankhwala ochepetsa ululu monga NSAIDs ndi chifukwa china chofala. Matenda a autoimmune ndi matenda okhudzana ndi chitetezo chamthupi chofooka sapezeka kawirikawiri. Nthawi zina, izi zitha kukhala kuphatikiza kwa zifukwa izi. Ngati mukuganiza kuti muli ndi matenda a esophagitis, pitani kwa dokotala kuti akakupezeni.

Zinthu zofunika kwambiri kuzikumbukira mwachidule

Chabwino, nazi zinthu zomwe muyenera kukumbukira kuchokera pa zomwe takambirana:

• Esophagitis ndi kutupa kapena kutupa kwa mkati mwa chitoliro chanu cha chakudya (esophagus).
• Kawirikawiri, izi zimachitika chifukwa cha matenda otchedwa gastroesophageal reflux disease (GERD).
• Komanso, zinthu monga mankhwala ena, matenda opatsirana ndi mabakiteriya, ziwengo, ndi chithandizo cha radiation zingayambitse izi.
• Ngati mukuvutika kumeza, kutentha pamtima, kapena kupweteka pachifuwa, musangonyalanyaza. Pitani kwa dokotala.
• Esophagitis ndi matenda ochiritsika omwe angafunike mankhwala komanso kusintha moyo.

Kotero, ndikukhulupirira kuti izi zakhala zothandiza kwa inu. Khalani ndi thanzi labwino!

'Kutupa kwa m'mimba, kupweteka kwa m'mimba, kupweteka pakhosi, kutupa pachifuwa, GERD, kuvutika kumeza, kubwereranso m'mimba, kutentha pamtima