Kodi munamvapo ululu wachilendo kapena kupsinjika pakhosi panu mukamadya kapena kumwa china chake? Kapena kutentha kwambiri komwe kumachokera pakati pa chifuwa chanu? Nthawi zambiri, sitimaganiza kuti izi ndi zinthu wamba. Koma izi zitha kukhala matenda omwe amadziwika kuti Esophagitis. Ngakhale dzinalo lingamveke lachilendo, ili ndi vuto lomwe anthu ambiri mdziko lathu ali nalo. Chifukwa chake lero, tiyeni tikambirane za izi mosavuta, mwanjira yomwe mungamvetse.
Kodi Esophagitis ndi chiyani?
Mwachidule, Esophagitis ndi kutupa kwa chitoliro chathu cha chakudya (m'mimba). Tsopano mwina mukudabwa kuti chitoliro cha chakudya ichi ndi chiyani. Ndiko kuti, chitoliro chomwe chimanyamula chakudya kuchokera pakhosi kupita m'mimba tikameza. Zili ngati chitoliro cha madzi. Timachitcha Esophagitis pamene nembanemba yofewa mkati mwa chitolirochi imatupa, kufiira, komanso kupweteka pazifukwa zina. Tangoganizirani ngati mutadula khungu lanu, lingakhale lofiira, kutupa, komanso kupweteka, eti? Ndicho chimene chimachitikanso mkati mwa chitoliro cha chakudya.
Chifukwa chachikulu cha kutupa kumeneku ndi kubwerera kwa asidi m'mimba kupita ku mmero. Kuphatikiza apo, mankhwala ena, matenda opatsirana, ndi ziwengo zimatha kuyambitsanso.
Kodi zizindikiro za munthu amene ali ndi esophagitis ndi ziti?
Zizindikiro zimenezi zimatha kusiyana pang'ono malinga ndi munthu, komanso zimatha kusiyana malinga ndi kuopsa kwa vutoli.
| Zizindikiro zomwe zimawoneka kawirikawiri | Zizindikiro zina zomwe zingatheke |
|---|---|
| Kupweteka pakhosi: Kumva ngati pakhosi panu pakhala pakupanikizidwa. | Kubwerera m'mbuyo kwa asidi. |
| Kutentha pamtima: Kutentha komwe kumachokera pakati pa chifuwa. | Kubwezeretsa chakudya (regurgitation) pambuyo pa kudya. |
| Kuvuta kumeza (Dysphagia): Kupweteka kapena kumva ngati ukukanthidwa ukameza chakudya kapena chakumwa. | Kumva ngati chakudya chakhazikika pakhosi. |
| Kupweteka pachifuwa: Kupweteka kumeneku kungawonjezereke, makamaka mukamadya. | Kusasangalala m'mimba komanso kusadya bwino chakudya. |
| Ana aang'ono sangafune kudya. | |
| Kusanza ndi kusanza. | |
| Kusanza magazi. | |
| Zilonda pakamwa. |
Tiyeni tiphunzire za mitundu ikuluikulu ya esophagitis.
Vutoli likhoza kugawidwa m'magulu akuluakulu angapo kutengera chomwe chayambitsa. Tiyeni tiwone zomwe zili.
1. Reflux Esophagitis yomwe imayamba chifukwa cha asidi m'mimba
Uwu ndi mtundu wofala kwambiri . Mimba mwathu muli asidi wamphamvu kwambiri womwe umathandiza kugaya chakudya. Nthawi zambiri, mphete ya minofu (sphincter) pakati pa mimba ndi m'mero imaletsa asidi uyu kutuluka m'mimba. Umakhala ngati chitseko. Koma chitsekochi chikapanda kutsekedwa bwino, asidi m'mimba amatuluka n'kugunda m'mero. M'mero simungathe kupirira asidi wamphamvu uyu. Chifukwa chake, ngati izi zipitirira, m'mero umavulala ndi kutupa. Timatchanso GERD (Gastroesophageal Reflux Disease) . Matendawa amathanso kuchitika mwa anthu omwe amasanza pafupipafupi.
2. Kutupa kwa m'mimba komwe kumachitika chifukwa cha mankhwala
Nthawi zina izi zimatchedwa "Pill Esophagitis." Mankhwala ena omwe timamwa, makamaka ngati sitimwa madzi okwanira, amatha kulowa mu mkodzo ndikuyamba kusungunuka. Mankhwala omwe ali m'mapiritsi amatha kuwononga ndikuvulaza mkati mwa mkodzo.
Chofunika: Dokotala akakuuzani kuti mumwe mapiritsi, "Imwani ndi kapu ya madzi" ndi kupewa zinthu ngati izi.
Zinthu monga mankhwala ochepetsa ululu (NSAIDs), maantibayotiki ena, ndi mankhwala olimbitsa mafupa (Bisphosphonates) zingayambitse izi.
3. Matenda opatsirana a m'mimba omwe amayamba chifukwa cha matenda
Izi nthawi zambiri zimakhala zosowa kwambiri kwa munthu wathanzi. Komabe, anthu omwe ali ndi chitetezo chamthupi chofooka amakhala ndi mwayi waukulu wopeza matenda ngati awa. Mwachitsanzo:
- Anthu omwe ali ndi kachilombo ka HIV/AIDS
- Anthu omwe ali ndi matenda a shuga
- Anthu omwe akulandira chithandizo cha khansa (Chemotherapy)
- Anthu omwe akumwa mankhwala oletsa chitetezo chamthupi atapatsidwa ziwalo zina
Anthuwa amatha kudwala matenda a bowa (monga Candida albicans) ndi matenda a mavairasi (monga herpes) m'mero.
4. Eosinophilic Esophagitis yomwe imayamba chifukwa cha ziwengo
Imeneyi ndi vuto lovuta pang'ono. Chomwe chimachitika apa ndi chakuti chitetezo cha mthupi chimayamba kugwira ntchito mopitirira muyeso, ndipo maselo ambiri oyera otchedwa eosinophils amasonkhana mummero. Maselo amenewa akamasonkhana, kutupa kosatha kumachitika pamenepo. Izi nthawi zambiri zimawoneka kwambiri mwa anthu omwe ali ndi ziwengo ku zakudya zosiyanasiyana kapena zinthu zina m'deralo.
5. Chifukwa cha matenda ena odziteteza ku matenda a autoimmune
Nthawi zina, esophagitis imathanso kuchitika chifukwa cha matenda odziteteza okha, pomwe chitetezo chamthupi chimaukira maselo ake. Mwachitsanzo, vutoli limapezeka kwambiri mwa anthu omwe ali ndi matenda monga Inflammatory Bowel Disease (IBD).
6. Chifukwa cha chithandizo cha radiation
Mukalandira chithandizo cha radiation cha khansa m'malo monga pachifuwa ndi pakhosi, zotsatira za radiation zimatha kuyambitsa kutupa kwa m'mero. Izi nthawi zambiri zimakhala zakanthawi kochepa, koma kwa anthu ena zimatha kukhala kwa nthawi yayitali.
Kodi Esophagitis ingakhale yoopsa?
Inde. Ngati simunalandire chithandizo choyenera, izi zingayambitse mavuto aakulu. Choncho, ngati muli ndi zizindikiro izi, ndi bwino kusanyalanyaza.
- Zilonda: Ngati kutupa kukupitirira, zilonda, zotchedwa zilonda, zimatha kupangika mkati mwa chitoliro cha chakudya. Izi zimatha kutuluka magazi. Nthawi zambiri, zilondazi zimatha kulowa mkati mwa chitoliro cha chakudya (kubowoka kwa m'mimba). Ngati izi zitachitika, matendawa amatha kufalikira mpaka pachifuwa kapena m'magazi ndipo akhoza kukhala pachiwopsezo cha moyo.
- Kutsekeka kwa m'mero: Minofu ya zipsera imapangika mkati mwa m'mero chifukwa cha kutupa kwa nthawi yayitali. Zipsera zimenezi zimachepa pang'onopang'ono m'mero. Izi zimapangitsa kuti zikhale zovuta kwambiri kumeza chakudya. Izi zingayambitse kutaya madzi m'thupi, kuchepa thupi, komanso kusowa zakudya m'thupi.
- Mphuno ya Barrett: Iyi ndi vuto loopsa kwambiri. Chifukwa chopitiriza kukhudzana ndi asidi, maselo omwe ali m'munsi mwa mphuno amayamba kusintha. Izi zikutanthauza kuti maselo amayamba kufanana ndi maselo omwe ali m'matumbo. Imeneyi ndi vuto lomwe lisanachitike khansa.Izi zikutanthauza kuti anthu omwe ali ndi vutoli ali pachiwopsezo chachikulu chotenga khansa ya m'mero mtsogolo.
Kodi dokotala amapeza bwanji izi?
Mukapita kukaonana ndi dokotala, amayamba wakufunsani za zizindikiro zanu. Nthawi zambiri, mutha kudziwa ngati muli ndi vuto la esophagitis kuchokera mwatsatanetsatane womwe mwapereka.
- Kawirikawiri, dokotala amayamba walemba mankhwala omwe amachepetsa asidi m'mimba ndikuwona ngati amachepetsa zizindikiro. Ngati zizindikirozo zachepa, zitha kutsimikiziridwa kuti ndi reflux esophagitis.
- Ngati zizindikiro sizikuchepa ndi mankhwala, kuyezetsa kwina kumafunika. Kuyezetsa kwakukulu kwa izi ndi Upper Endoscopy . Apa, chubu chopyapyala, chosinthasintha chokhala ndi kamera chimayikidwa kudzera pakamwa ndikuwunika mmero, m'mimba, ndi gawo loyamba la matumbo ang'onoang'ono. Izi zimathandiza kuti mkati mwake muwone bwino, monga kutupa ndi zilonda. Ngati pakufunika, chidutswa cha minofu chingatengedwe kuti chiyesedwe (`(Biopsy)`).
- Nthawi zina mayeso a pH a m'mero, omwe amayesa kuchuluka kwa asidi m'mero, angalimbikitsidwenso.
Chithandizo ndi kusintha kwa moyo
Chithandizo chimadalira chomwe chimayambitsa matenda a m'mero ndipo nthawi zambiri chimakhala ndi kuphatikiza mankhwala ndi kusintha kwa moyo.
| Njira zochizira | Kufotokozera |
|---|---|
| Mankhwala | |
| Mankhwala ochepetsa asidi | Mankhwala monga mankhwala oletsa asidi, H2 blockers, ndi proton-pump inhibitors (PPIs) amachepetsa kupanga asidi m'mimba. Izi ndizofunikira kwambiri pa reflux esophagitis. |
| Mankhwala oletsa kutupa | Pa matenda monga eosinophilic esophagitis, mtundu wa steroid womeza ukhoza kuperekedwa. Izi zimawongolera mwachindunji kutupa kwa m'mero. |
| Mankhwala oletsa matenda | Mankhwala oletsa bowa amaperekedwa pa matenda a bowa ndi ma virus. |
| Kusintha kwa Moyo | |
| Kusintha kwa zakudya | Chepetsani kudya zakudya zomwe zimawonjezera asidi, monga mafuta, tsabola, zakudya zokometsera, chokoleti, khofi, ndi timbewu ta ... |
| Momwe mungamwere mankhwalawo | Ngati mwameza mapiritsi, muwameze onse ndi kapu ya madzi. Musagone pansi kwa mphindi zosachepera 30 mutamwa mankhwalawo. |
| Zizolowezi za usiku | Idyani chakudya chamadzulo chochepa. Idyani chakudya chamadzulo osachepera maola atatu musanagone. Izi zimapatsa chakudya nthawi yoti chigayidwe. Sungani mutu wanu mmwamba pang'ono mukamagona. |
| Zizolowezi zina | Ngati mukusuta fodya, siyani nthawi yomweyo. Siyaninso kumwa mowa. Zonsezi ndi zovulaza kwambiri pa m'mero. |
Zimatenga nthawi yayitali bwanji kuti munthu achire?
Izi zimadalira chifukwa chake komanso momwe mumayankhira chithandizo. Mukayamba chithandizo choyenera, njira yochiritsira imayamba mwachangu. Zingatenge milungu 3-6 kuti muchiritse kwathunthu. Komabe, ngati vutoli ndi losatha, monga GERD, muyenera kumwa mankhwala ndikusintha moyo wanu kwa nthawi yayitali.
Chofunika kwambiri ndikutsatira malangizo a dokotala wanu molondola. Ndikofunikira kwambiri kumwa mankhwalawo panthawi yoyenera komanso mu mlingo woyenera.
Uthenga Wopita Nawo Kunyumba
- Esophagitis ndi kutupa kapena kutupa kwa chubu chomwe timameza chakudya (m'mero).
- Kupweteka pachifuwa, kuvutika kumeza, ndi kupweteka pakhosi ndi zizindikiro zazikulu.
- Choyambitsa chachikulu ndi matenda a gastroesophageal reflux (GERD), koma amathanso kuyambitsidwa ndi mankhwala ena, matenda opatsirana, ndi ziwengo.
- Ngati sichinalandire chithandizo choyenera, mavuto aakulu angachitike, monga zilonda zam'mimba, kuchepa kwa m'mero, ndi m'mero wa Barrett, vuto lomwe lingayambitse khansa.
- Ngati muli ndi zizindikiro ngati izi, musanyalanyaze ndipo pitani kwa dokotala kuti akupatseni malangizo.

💬 Comments (0)
No comments yet. Be the first to share your thoughts here.
Add Your Comment