Wakambonzwa here sekuti chimwe chinhu chinonamira pahuro kana pachipfuva chako paunodya, uchinwa mvura shoma, kana kutomedza piritsi? Unonzwa sekuti haugone kumedza chikafu zviri nyore sezvawaiita kare here? Pamwe uri kurega kudya chikafu chakadai sechikafu chakakora nenyama usingazive. Kana uchinzwa seizviwo, usazvitore sezvinowanzoitika. Nhasi tichataura nezvechirwere chinogona kunge chiri kukonzera izvi. Uku kutetepa kwegurokuro, kunonzi Esophageal Stricture mune zvokurapa.
Chii chinonzi Esophageal Stricture?
Zvakanaka, ngatinzwisise izvi zviri nyore. Unoziva, tine chikamu chakaita sechubhu chinotakura chikafu kubva mumuromo medu kuenda mudumbu (dumbu). Tinochidana ichi kuti guvhu . Chakafanana nepombi yemvura. 'Stricture' zvinoreva chero chubhu, nzira, kana pombi mumuviri wedu inova yakamanikana kana kuvharika. Saka, Esophageal Stricture inguva iyo chubhu iyoyo inova yakamanikana zvisina kujairika nekuda kwechimwe chikonzero.
Fungidzira kuti ivhu nengura zvinoungana mukati mepombi yemvura, zvichideredza zvishoma nezvishoma pombi. Izvi ndizvo zvinoitikawo pagurokuro redu. Kana zvikaita sezvishoma, zvinoderedza nzvimbo yekuti chikafu nechinwiwa zvipfuure nyore nyore. Ndosaka tichiomerwa nekumedza.
Kuvharika uku kunogona kuitika mukati megurokuro kana kubva kunze. Rutivi rwakatetepa rwegurokuro (runonzi `mucosa`) runogona kuzvimba kana kuva nemavanga uye kukora. Kana izvi zvikaitika, rutivi harutambanuke patinomedza. Dzimwe nguva, chimwe chinhu chakaita sebundu mune imwe nhengo yakatenderedza gurokuro chinogona kukonzera gurokuro kuvharika nenzira iyi, kunyangwe paine kumanikidzwa kubva kunze. Kazhinji, izvi zvinoitika zvishoma nezvishoma, nekufamba kwenguva.
Mamiriro ezvinhu aya akakomba here?
Zvino ungangove uchishamisika kana ichi chiri chinhu chine njodzi. Kutaura zvazviri, sevanachiremba, hatitore chirwere ichi sechisina basa. Nekuti chinokanganisa zvakananga kugona kwako kumedza chikafu, uye kana chikasarapwa, chinogona kutowedzera kuipa nekufamba kwenguva.
Chinhu chakanakisa ndechekuti kazhinji, chirwere ichi chinogona kurapwa zvachose nekubatsirwa kuri nyore, kudiki kwechiremba. Zvisinei, muchikamu chidiki kwazvo, ndiko kuti, kashoma, chikonzero chekuvharika uku chingave kenza. Idambudziko rakakomba. Ndosaka tichiti kana uchinetseka nekumedza, usazviregeredza uye ona chiremba wako nekukurumidza.
Ndezvipi zviratidzo zveizvi? Unonzwa sei?
Chiratidzo chekutanga uye chinonyanya kuzivikanwa ndechekuomerwa nekumedza.Unogona kugadzirisa izvi nekudya zvidimbu zvidiki zvechikafu pakutanga, wozvitsenga zvakanaka, wozvimedza. Ungave uchidzivisawo chikafu chine spice, chakakora (semuenzaniso, mupunga wakakangwa, nyama). Asi sezvo pahuro pako pari kuramba richivharika, zvinhu izvi hazvichabatsiri. Unganzwa sekuti pane bundu pahuro pako, kana kuti tsandanyama dzepahuro pako hadzisi kushanda zvakanaka.
Fungidzira, chimedu chehuku chawaimbofarira kudya, chave kuita kuti pahuro pako pave nekuoma. Saka warega kudya huku. Unofunga kuti imhaka ye "gastritis." Asi chikonzero chaicho chingave chimwe chinhu.
Kuwedzera kune chiratidzo ichi chikuru, zvimwe zviratidzo zvakawanda zvinogona kuoneka.
| Chiratidzo | Zvakatsanangurwa zviri nyore |
|---|---|
| Kurwadziwa kwechipfuva kusiri kwemwoyo | Chipfuva changu chiri kurwadza, asi hazvisi nekuda kwedambudziko remwoyo. Zviri nekuda kwedambudziko riri mugurokuro rangu. |
| Kukosora kana kudzipwa kana uchimedza chikafu | Unogona kungoerekana wakosora kana kudzipwa paunenge uchimedza chikafu. Izvi zvinogona kunge zvichikonzerwa nekuti chikafu hachisi kudzikira zvakanaka. |
| Kudzokera kumwedzi | Chikafu chamedzwa chinodzokera muhuro. Hazvina kufanana nekurutsa, zvinongonzwa sekunge chiri kubuda. |
| Kuderedza uremu kusingatarisirwi | Nekuti unodya zvishoma, huremu hwemuviri wako hunotanga kudzikira usingatombozvizivi. |
Ndezvipi zvikonzero zvikuru zveizvi?
Pane zvikonzero zvakawanda zvinoita kuti gumbo riite diki. Ngatizvikamuranise muzvikamu zvitatu zvikuru.
1. Kurwara kweEsophagitis Kusingaperi
Ichi ndicho chikonzero chinowanzoitika . Chinoitika kana rusvingo rwemukati megurokuro ruchizvimba kwenguva yakareba. Sekunge ronda riri paganda redu rinosiya vanga parinopora, saizvozvowo, kana gurokuro rikaramba richikuvara, mavanga (anozivikanwawo se fibrosis) anoumbwa. Mavanga aya haatambe senyama yakajairika, anokora. Ndokusaka gurokuro richitetepa.
Chikonzero chikuru cheizvi i chronic acid reflux . Vazhinji vedu tinoidaidza kuti "gastritis." Zvichitaurwa zviri nyore, ndipo apo acid iri mudumbu inobuda yopinda mugurokuro. Kana izvi zvikaitika kakawanda, acid inopisa uye inokuvadza jira rakatetepa regurokuro. Nekufamba kwenguva, kukuvara uku kunova mavanga uye kunovhara gurokuro. Ichi ndicho chikonzero chezviitiko zvinopfuura 75% .
Mukuwedzera, kune zvimwe zvikonzero zvakawanda:
- Piritsi reEsophagitis: Mimwe mishonga inoderedza marwadzo, kunyanya NSAIDs (mishonga isingarwisi kuzvimba) uye acetaminophen (paracetamol), inogona kugara mugurokuro yokuvadza jira kana ikatorwa nguva dzose, kunyanya kana ikamedzwa nemvura shoma.
- Kutapukira kweEsophagitis: Muvanhu vane masoja emuviri asina simba (vakadai sevarwere veHIV nevarwere vegomarara), mamwe mavhairasi (HPV, HSV-1) uye fungi (Candida albicans) anogona kukonzera kuzvimba kwegurokuro.
- Eosinophilic Esophagitis: Ichi chirwere chisingawanzoitiki chinokonzerwa nedambudziko remasoja emuviri. Muviri unowanzo sangana nezvimwe zvinhu zvinokonzera allergy, zvichikonzera kuzvimba kwenguva refu kwegurokuro. Izvi zvinogona kutanga muhudiki.
2. Kukuvara kana Kukuvara pagurokuro
Mavanga uye kuvharika zvinogonawo kuitika nekuda kwekukuvara kwemukati megurokuro. Izvi zvinogonawo kuitika semhedzisiro yetsaona kana kurapwa.
- Kumedza Zvine Uturu: Kunwa mvura inonaka yakaita seasidhi, kungave nekukanganisa kana nechinangwa chekuzviuraya, kunogona kukonzera kutsva kwakanyanya uye mavanga pagurokuro.
- Kukuvara nekupisa: Kumedza chinhu chinopisa zvikuru (semuenzaniso, tii inopisa, porridge inopisa) kamwe kamwe kunogona kupisa gurokuro.
- Kurapa kenza:Paunenge uchirapwa nemwaranzi yekenza mumutsipa kana pachipfuva, kuzvimba kwegurokuro (mucositis) uye kuvharika kwetsinga (RIES) zvinogona kuitika semhedzisiro.
- Mishonga: Kunyange zvazvo gumbo regurokuro rakakurisa, kubaya ma steroid munzvimbo yakavharika kunogona kuderedza kuzvimba uye kudzivirira kudzokazve.
- Endoscopic Strituroplasty: Muizvi, chinhu chakafanana nebanga chinopfuudzwa nepa endoscope, iyo inocheka mavanga ari kukonzera kuvharika munzvimbo dzakasiyana-siyana, zvichiita kuti nzvimbo yacho ikure.
- Kusvipa: Chubhu diki, yakaita semesh ('stent') inoiswa munzvimbo yakavharika kuti irambe yakavhurika. Izvi zvakafanana nestent yetsinga yakavharika.
- Kuvhiyiwa: Izvi hazviwanzoitiki. Kana paine kenza uye kuvharika kwakanyanya kusingapindure kune dzimwe nzira dzekurapa, kuvhiyiwa kwekubvisa chikamu chakakuvara chegurokuro (`Esophagectomy`) kungadikanwa.
- Kana uchinzwa kuoma kumedza chikafu.
- Kana uchigara uchirwadziwa nechirungurira kana kunzwa acid ichikwira muhuro.
- Kana ukaderedza uremu pasina chikonzero chakajeka.
- Kana chimedu chekudya chikanamatira zvachose pahuro.
- Kana usingakwanise kumedza chikafu chakasimba zvachose.
- Kana chikafu chikapinda mu trachea kana chamedzwa zvokonzera kutadza kufema.
- Kana uchinzwa kurwadziwa kwakanyanya pachipfuva.
- Kuoma kumedza hakusi chinhu chakajairika . Ichi chiratidzo. Saka usazviregeredza.
- Chikonzero chikuru chekurwadziwa kwemoyo idambudziko remudumbu rinogara kwenguva refu kana kuti acid reflux . Kana uchirwadziwa nekurwadza kwemoyo nguva nenguva, tsvaga kurapwa.
- Kuongororwa nekukurumidza uye kurapwa kwechirwere ichi kunogona kuita kuti munhu apore zvakanaka. Saka kana uine zviratidzo, usatya kuona chiremba.
- Kuvharika kwakawanda kunogona kurapwa nenzira iri nyore inonzi dilation.
- Kana ukanzwa kudzipwa kamwe kamwe kana kurwadziwa kwakanyanya pachipfuva, enda kuEmergency Department (ETU) nekukasika.
Zvakakosha zvikuru: Kana mumwe munhu akanwa chinhu chine chepfu chakadaro, fonera National Poisons Information Centre kuColombo National Hospital nekukasika. Zvakare, endesa murwere kuchipatara Emergency Treatment Unit (ETU) nekukurumidza.
3. Gomarara
Izvi zvingaita sekunge zvinotyisa, asi zvakakosha kuziva. Gomarara remudumbu rinogonawo kukonzera rudzi urwu rwekudzipwa. Zvisinei, kusiyana nezvimwe zvikonzero, zviratidzo zvekudzipwa nekuda kwegomarara zvinoonekwa nekukurumidza . Kana munhu anga achidya zvakanaka kwemavhiki mashoma achiomerwa nekumedza, zvakakosha kunyanya kunetseka. Kune mhando dzakasiyana dzegomarara remudumbu (Adenocarcinoma, Squamous cell carcinoma).
Kuongororwa kwechirwere kunoitwa sei?
Kana uine zviratidzo izvi, chiremba wako angangokutumira kuna chiremba wezvekudya. Iye achanyatsoteerera zviratidzo zvako uye achakurudzira kuongororwa kwakawanda kuti asimbise chirwere chako.
| Bvunzo | Chii chiri kuitika? |
|---|---|
| Kuedzwa kweBarium Swallow | Iyi i X-ray test. Unopiwa mvura chena yakaita sechaki inonzi barium kuti unwe. Paunoimedza, vhidhiyo ye X-ray inotorwa kuti uone kuti mvura yacho inofamba sei pasi pegurokuro rako. Izvi zvinogona kuona kana paine kuvharika kana kutetepa kwese. |
| Bvunzo reEndoscopy Yepamusoro / EGD | Iyi ndiyo nzira inonyanya kushandiswa uye yakanyatsojeka yekuongorora chirwere ichi. Unopiwa mushonga wekunyaradza, uye chubhu yakatetepa, inochinjika ('endoscope') ine kamera diki inoiswa nemuromo wako kuti iongorore gumbo rako, dumbu, uye chikamu chekutanga cheura hwako hudiki. Izvi zvinoita kuti chiremba aone mukati megumbo rako pachiratidziro. Nzvimbo yakavharika, chikonzero chayo, uye rudzi rwekuzvimba zvinogona kuonekwa. Kana zvichidikanwa, chidimbu chidiki chenyama kubva panzvimbo inofungirwa chinogona kutorwa choendeswa kurabhoritari kuti chiongororwe ('biopsy'). |
Inorapwa sei?
Chinangwa chikuru chekurapa izvi ndechekuwedzera gumbo rakavharika zvakare kuitira kuti ugone kumedza chikafu pasina dambudziko.
Kurapa kukuru: Kukura kweEsophageal
Uku ndiko kurapwa kunonyanya kushandiswa. Zvichitaurwa zviri nyore, kunosanganisira kuwedzera zvishoma nezvishoma kuvharika kweropa. Kufanana ne endoscopy, chinhu chakakosha (senge scope kana cylinder) chinoiswa mugurokuro kuti kuvharika kwacho kuwedzere zvishoma nezvishoma. Izvi hazviitwe zvese panguva imwe chete, asi kakawanda pasvondo. Sezvo kuvharika kwacho kuchikura zvishoma nezvishoma, kuoma kwako kumedza kuchaderera zvishoma nezvishoma. Kurapa uku kunoshanda zvikuru pakuvhara kuri nyore.
Mamwe marapirwo
Kune mamwe mavharidziro akaomarara, kana mune dzimwe nguva asingapindure pakurapwa kwekuwedzera, dzimwe nzira dzekurapa dzingada kushandiswa.
Unofanira kuona chiremba rini?
Zvakakosha kuziva zviratidzo izvi, nekuti kana zvikangoonekwa nekukurumidza, zvinova nyore kurapa.
| Nguva yekutsvaga mazano ekurapa | |
|---|---|
| Zvinhu zvinowanzoitika paunofanira kuona chiremba: | |
| Enda kuEmergency Treatment Unit (ETU) yechipatara nekukasika! | |
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