Kodi munayamba mwamvapo ngati pakhosi panu pakhala pakamwa kapena pachifuwa panu pakutentha mukameza chakudya? Ngakhale ambiri a ife timaganiza kuti izi ndi zachilendo, zitha kukhala chizindikiro cha vuto lomwe likufunika chisamaliro. Esophagitis ndi limodzi mwa matenda otere. Lero, tiyeni tikambirane za Esophagitis, chifukwa chake imachitika, komanso zomwe tiyenera kuchita.
Mwachidule, kodi esophagitis ndi chiyani?
Matenda a Esophagitis, mwachidule, ndi kutupa kapena kutupa kwa chigawo cha m'mero , chubu chomwe chimanyamula chakudya kuchokera pakhosi kupita m'mimba. Monga momwe khungu lathu limakhalira lofiira ndi kutupa tikavulala, mero imatha kuwonongeka mwanjira imeneyi pazifukwa zosiyanasiyana. Ngati vutoli silinachiritsidwe bwino, lingayambitse mavuto aakulu monga kuvutika kumeza, zilonda, ndi zipsera za m'mero.
Pali mitundu ikuluikulu yambiri ya esophagitis.
Matenda a Esophagitis angagawidwe m'mitundu ingapo kutengera chomwe chayambitsa vutoli.
| Mtundu wa esophagitis | Kufotokozera kosavuta |
|---|---|
| Reflux Esophagitis | Mtundu uwu ndi wofala kwambiri. Umachitika pamene asidi m'mimba akuyenda kupita ku m'mero. Nthawi zambiri timatcha vutoli (GERD - Gastroesophageal Reflux Disease) . Asidi am'mimba ndi amphamvu kwambiri ndipo amawononga chigawo chofewa cha m'mero. |
| Eosinophilic Esophagitis | Izi zikugwirizana ndi ziwengo. Ma eosinophils ndi mtundu wa maselo oyera a magazi. Maselo amenewa amasonkhana m'njira zopumira ndipo amayambitsa kutupa chifukwa cha ziwengo. Izi zitha kuchitika chifukwa cha zinthu monga mkaka, mazira, soya, tirigu, mtedza, ndi nsomba zam'madzi. |
| Kutsekeka kwa Mitsempha Yoyambitsidwa ndi Mankhwala | Mankhwala ena amatha kukhala m'mero kwa nthawi yayitali ngati atamezedwa popanda kumwa madzi. Mankhwala omwe ali m'meromo amatha kuwononga mmero. Zitsanzo za izi ndi monga mankhwala ochepetsa ululu (aspirin, ibuprofen), maantibayotiki ena, ndi mankhwala olimbitsa mafupa. |
| Matenda a Esophagitis | Matendawa angayambitsidwe ndi matenda opatsirana ndi mavairasi, mabakiteriya, kapena mafangasi mwa anthu omwe ali ndi chitetezo chamthupi chofooka (monga khansa, odwala HIV/AIDS). Chifukwa chofala ndi kukula kosalamulirika kwa bowa wotchedwa Candida albicans, womwe nthawi zambiri umapezeka mkamwa mwathu. |
| Kutupa kwa Mitsempha ya M'mimba | Mukalandira chithandizo cha khansa pogwiritsa ntchito radiation, ngati radiationyo ikadutsa mu mkodzo, imatha kuwononga mkodzo ndikuyambitsa vutoli. |
Kodi zizindikiro za vutoli ndi ziti?
Munthu amene ali ndi esophagitis akhoza kukhala ndi chimodzi mwa zizindikiro izi:
- Kuvuta kumeza chakudya kapena kumva kupweteka mukamameza
- kutentha pamtima
- Kubwerera m'mbuyo kwa asidi
- Kumva ngati chinachake chatsekeredwa pakhosi
- Kupweteka pachifuwa (makamaka mukatha kudya)
- Kusanza ndi kusanza
Chofunika kwambiri ndichakuti, ngati muli ndi zizindikirozi kwa masiku opitilira angapo, musanyalanyaze poganiza kuti, "Izi zitha kukhala gastritis," koma pitani kwa dokotala nthawi yomweyo .
Nanga bwanji ngati izi zitachitikira ana aang'ono?
Ana aang'ono ndi makanda angasonyeze zizindikiro zosiyana ndi akuluakulu ngati atayamba vutoli.
- Kusafuna kudya, kugwedezeka kapena kuwerama pamene wapatsidwa chakudya
- Kusanenepa kwambiri
- Ana okalamba anganene kuti akuvutika pachifuwa kapena m'mimba.
Kodi matenda a esophagitis amachiritsidwa bwanji?
Mukapita kwa dokotala, adzakufunsani za zizindikiro zanu ndikukuyesani. Kenako, angakupatseni mayeso amodzi kapena angapo kuti atsimikizire kuti mwapezeka ndi matendawa.
1. Upper Endoscopy: Izi zimaphatikizapo kuyika chubu chosinthasintha chokhala ndi kamera kakang'ono kudzera pakamwa kuti chiwone m'mero, m'mimba, ndi chiyambi cha matumbo ang'onoang'ono. Izi zimatha kuwona bwino zinthu monga kutupa ndi zilonda m'mero.
2. Biopsy: Pa nthawi ya endoscopy, timatenga minofu yochepa kwambiri kuchokera ku mmero.Kachidutswa kakang'ono kamatengedwa ndikutumizidwa kuti kakaunikidwe pogwiritsa ntchito maikulosikopu. Izi zingathandize kudziwa chomwe chimayambitsa matendawa (monga ziwengo, matenda).
3. Kumeza kwa Barium: Iyi ndi mayeso a X-ray. Mumamwa madzi otchedwa barium kenako zithunzi zingapo za X-ray zimatengedwa. Chifukwa chakuti madzi a barium amaphimba mkati mwa m'mero, kusintha kwa mawonekedwe a m'mero, monga kutsekeka, kumaonekera bwino pa X-ray.
Kodi mankhwala ake ndi otani?
Chithandizo chimadalira mtundu wa esophagitis womwe muli nawo.
- Pa Reflux Esophagitis: Dokotala wanu adzakupatsani mankhwala omwe amachepetsa kupanga asidi m'mimba (monga Omeprazole, Lansoprazole) ndi mankhwala omwe amaletsa asidi kubwerera mmwamba. Nthawi zina, opaleshoni ingachitike kuti ilimbikitse valavu pakati pa mimba ndi mmero.
- Pa Eosinophilic Esophagitis: Ndikofunikira kuzindikira ndikupewa zakudya zomwe zimayambitsa ziwengo (zakudya zochotsa). Komanso, ma steroids amaperekedwa ngati madzi oti mumeze kuti muchepetse kutupa.
- Pa Esophagitis Yoyambitsidwa ndi Mankhwala: Chithandizo chabwino kwambiri cha izi ndikuchotsa chomwe chimayambitsa vutoli. Imwani kapu yayikulu yamadzi mukumwa mankhwala anu . Komanso, khalani pansi kapena imani molunjika kwa mphindi zosachepera 30 mutatha kumwa mankhwalawo. Dokotala wanu angasankhe kusintha mankhwala anu kapena kukupatsani madzi.
- Pa matenda opatsirana a m'mimba: Mankhwala enaake amaperekedwa omwe amagwira ntchito yolimbana ndi matenda omwe amayambitsa matendawa (bowa, mavairasi, kapena mabakiteriya).
Chofunika: Musayese mankhwala azitsamba kapena njira zina popanda kufunsa dokotala wanu. Zinthu zina zingapangitse kuti vuto lanu likhale loipa kwambiri.
Kodi tingatani kuti tipewe vutoli?
Makhalidwe amenewa athandiza kwambiri kupewa esophagitis ndikuwongolera kubwereranso kwake.
- Chepetsani zakudya zokhala ndi zokometsera, mafuta, komanso asidi. Ndibwinonso kuchepetsa zinthu monga chokoleti, timbewu ta ...
- Musagone nthawi yomweyo mutatha kudya. Idyani chakudya chamadzulo maola awiri kapena atatu musanagone.
- Tafuna chakudya bwino ndipo mezeni m'zidutswa tating'onoting'ono.
- Pewani kusuta fodya ndi kumwa mowa. Izi zimawononga m'mero mwachindunji.
- Muziwongolera kulemera kwanu. Kunenepa kwambiri kungapangitse kuti m'mimba muyambe kupanikizika komanso kuti asidi akwere.
- Sungani mutu wa bedi pamalo okwera pafupifupi mainchesi 6-8. Izi zitha kuchitika poika chinthu chonga chipika cha matabwa pansi pa miyendo ya bedi. Kuyika mapilo ambiri sikungakwaniritse izi.
Nthawi yoti mupeze upangiri wachipatala nthawi yomweyo
Kuwonjezera pa zizindikiro zofala, palinso zochitika zina zomwe muyenera kufunafuna chithandizo mwamsanga.
| Funani upangiri wa dokotala. | |
|---|---|
| Ngati muli ndi zizindikiro izi, pitani kwa dokotala. | |
| |
| Ngati muli ndi zizindikiro izi, funani chithandizo nthawi yomweyo (pitani ku ETU). | |
|
Uthenga Wopita Nawo Kunyumba
- Musanyalanyaze zizindikiro monga kupweteka pachifuwa ndi kuvutika kumeza ngati "zabwinobwino." Zingakhale chizindikiro cha esophagitis.
- Popeza pali zifukwa zingapo zomwe zimayambitsa vutoli, ndikofunikira kuonana ndi dokotala kuti mudziwe bwino matendawa.
- Ndi chithandizo choyenera komanso kusintha kosavuta kwa moyo, vutoli lingathe kuthetsedwa bwino ndipo mavuto akuluakulu angathe kupewedwa.
- Nthawi zonse lankhulani ndi dokotala wanu za mankhwala omwe mukumwa komanso njira yoyenera yowamwa.
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