Ingaba umphimbo okanye isifuba sakho sibuhlungu? Ngaba kunzima ukuginya? Masifunde ngale nto (i-Esophagitis)!

Ngaba ngamanye amaxesha uziva umphimbo obuhlungu, ukutshisa esifubeni xa uginya ukutya? Okanye uziva ngathi ukutya kunamathele emqaleni wakho? Musa ukuzityeshela ezi zinto. Kuba ezi zinokuba ziimpawu zesifo esibizwa ngokuba yi-Esophagitis, esiza kuthetha ngaso namhlanje. Ngoko ke, masithethe ngale nto ngokweenkcukacha, ngokungathi sithetha nomhlobo.

Yintoni i-Esophagitis? Ngamafutshane...

I-Esophagitis kukudumba okanye ukudumba kolwelo lomqala, umbhobho othwala ukutya ukusuka emqaleni ukuya esiswini. Cinga ngako njengokusikeka eluswini lwakho okubangela ukuba bomvu, ukudumba, kunye nentlungu. Yiloo nto eyenzekayo ngaphakathi komqala wakho. Usenokuziva umphimbo obuhlungu, ukutshisa, okanye ukutshisa.

Uyazi ukuba kutheni oku kudumba kwenzeka? Umzimba wethu unenkqubo ebizwa ngokuba yinkqubo yokuzikhusela komzimba . Yiyo esikhusela kwizifo nakwiintsholongwane. Ngoko ke, xa kukho usulelo, i-allergy, okanye xa umqala wonakele ngandlela thile, le nkqubo yokuzikhusela komzimba iyasebenza kwaye izama ukuyiphilisa. Kulapho ke oku kudumba nokudumba kwenzeka khona. Ngamanye amaxesha, i-asidi yesisu evela esiswini inokungena emqaleni, kwaye amanye amayeza esiwasebenzisayo anokonakalisa le mqala (Esophagitis).

Ixhaphake kangakanani le meko (i-Esophagitis)?

Enyanisweni, eyona nto ibangela (i-Esophagitis) yi -acid reflux , imeko esihlala siyiva ngayo ebizwa ngokuba yi-`(GERD - Gastroesophageal Reflux Disease)`. Le yingxaki abantu abaninzi abanayo. Nangona kunjalo, ezinye iintlobo ze-(Esophagitis) aziqhelekanga. Umzekelo, usulelo lwe-esophagus ludla ngokubonakala kuphela kubantu abaneenkqubo zomzimba ezibuthathaka.

Ziziphi iimpawu esinokuzilindela ukuba sine-esophagitis?

Ukuba une-esophagitis, unokufumana ezi zinto zilandelayo:

• Umphimbo wam ubuhlungu , njengaxa ndinesifo somkhuhlane.
• Isitshiso sentliziyo - Le yeyona nto ibuhlungu kakhulu abantu abaninzi abayixelayo.
• Kunzima ukuginya ukutya - ngokungathi umqala wakho uvalekile.
• Intlungu yesifuba - Ngamanye amaxesha oku kungabhidaniswa nentlungu yokuhlaselwa yintliziyo, ngoko ke kubalulekile ukwazi ngokuqinisekileyo.

Le ntlungu inokuba qatha kancinci, ngamanye amaxesha ingabi qatha kangako. Inokuba yinto eqhubekayo, okanye inokuthi ifike idlule.

Ngokuxhomekeke kwisizathu kunye nobunzima bemeko, unokufumana iimpawu ezifana nezi :

• I-asidi ebuyela umva .
• Ukuhlaziya ukutya .
• Ukuziva ngathi ukutya kunamathele emqaleni .
• Ukungagaywa kakuhle kwesisu .
• Abantwana abancinci banokuba nobunzima bokutya .
• Isicaphucaphu nokuhlanza .
• Ngamanye amaxesha kunokubakho igazi elihambisana nokuhlanza .
• Kunokubakho nezilonda emlonyeni .

Kubalulekile: Ukuba unenye okanye ngaphezulu kwezi mpawu, ingakumbi ubunzima bokuginya okanye iintlungu zesifuba, kungcono ukufuna ingcebiso kagqirha.

Zithini izizathu ze-esophagitis?

Njengoko besikhe sathetha ngayo ngaphambili, izicubu ezikwi-esophagus yakho zinokudumba xa inkqubo yakho yokuzikhusela yomzimba ilwa nosulelo, xa une-allergy, okanye xa kukho into enobungozi ehlasela i-esophagus yakho.

Izizathu eziphambili ze-esophagitis zezi:

• I-asidi ebuyela umva .
• Amanye amayeza esiwasebenzisayo.
• Usulelo lweentsholongwane .
• Ii-aleji .
• Unyango lwemitha kwizinto ezinje ngomhlaza.
• Izifo ezizikhusela ngokwazo emzimbeni .

Kukho iintlobo ezahlukeneyo ze-esophagitis kuxhomekeke kwisizathu.

Ziziphi iintlobo ezahlukeneyo ze-esophagitis?

Ngoku makhe sijonge ezinye zezona ntlobo ziphambili ze-esophagitis.

1. I-Reflux esophagitis (ebangelwa yi-acid reflux)

Olu lolona hlobo luxhaphakileyo . Kwenzeka ngolu hlobo: I-asidi kunye neejusi zokugaya ukutya ezivela esiswini sakho zinyuka ziye kumbhobho wakho wokutya. Oku konakalisa ulwelo oluthambileyo lombhobho wakho wokutya (mucosa) kwaye kubangele ukudumba. Oku kunokwenzeka ukuba une-acid reflux rhoqo okanye ukuhlanza rhoqo.

Oku kusenokuba kungenxa yezi zinto zilandelayo:

• `(GERD - Isifo se-gastroesophageal reflux)`
• `(Ukubuyela kwe-bile reflux)` - Oku kuthetha ukuba i-bile iphuma esiswini iye kumbhobho wokutya.
• Iingxaki zokutya ezifana ne-`(Bulimia nervosa)`.

2. Umlomo obangelwa ngamayeza

Oku ngamanye amaxesha kubizwa ngokuba yi- "pill esophagitis." Amanye amayeza asetyenziswa rhoqo, ukuba athathwa ngaphandle kwamanzi, anokunamathela kwi-esophagus, apho anyibilika aze onakalise ulwelo lwe-esophagus.

Kukho iintlobo ezahlukeneyo zamayeza ezinokuba nefuthe elinjalo:

• Iipilisi zokunciphisa iintlungu, umzekelo, iziyobisi ezichasene nokuvuvukala ezingezizo ii-steroidal (NSAIDs).
• `(I-Acetaminophen)` (i-paracetamol).
• Ezinye iintlobo ze-`(Antibiotics)`.
• Iipilisi ze-`(Potassium chloride)`.
• IiBisphosphonates luhlobo lonyango olusetyenziselwa ukunyanga izifo zamathambo.
• Amayeza e-chemotherapy.

Khumbula: Yingakho kubalulekile ukusela iglasi yamanzi xa usela iipilisi.

3. Ibangelwa lusulelo (i-Infectious esophagitis)

Iintsholongwane zomqala zihlala zinqabile. Nangona kunjalo, ukuba inkqubo yakho yomzimba yokuzikhusela ibuthathaka,, oko kuthetha ukuba ukuba ukumelana komzimba nezifo kuphantsi, amathuba okuba olu hlobo losulelo luvele aphezulu. Uninzi lwexesha, olu sulelo lusasazeka luye kwindlela yokugaya ukutya luvela kwenye indawo.

Ezona zixhaphakileyo zizifo zefungus , zilandelwe zizifo ezibangelwa ziintsholongwane .

Iintsholongwane ezininzi zinokubangela i-esophagitis:

• I-fungus `(Candida albicans)` (yile nto idla ngokubangela `(usulelo lwegwele)`).
• `(I-Cytomegalovirus - CMV)`.
• Intsholongwane ye-herpes simplex yomlomo 1 (HSV-1).
• `(I-papillomavirus yomlomo - HPV)`.

Kukho izizathu ezahlukeneyo zokuba inkqubo yomzimba yokuzikhusela ibuthathaka:

• imeko `(ye-HIV/AIDS)`.
• Ezinye iingxaki zofuzo zokuzikhusela komzimba (Iingxaki eziphambili zokungasebenzi kakuhle kwamasosha omzimba - i-PIDD)
• Izinto ezithintela amasosha omzimba (umz., amayeza anikwa abantu abaye bafakelwa amalungu omzimba).
• Isifo seswekile.
• Ezinye iintlobo zomhlaza, umz. `(I-Leukemia)`, `(I-Lymphoma)`.
• I-Chemotherapy lunyango lomhlaza.

4. (Isifo somqala esinganyangekiyo)

Oku kwahlukile kancinci. Kubangelwa yinkqubo yomzimba yokuzikhusela esebenza kakhulu . Sinohlobo lweeseli ezimhlophe zegazi ezibizwa ngokuba yi-"Eosinophils" emizimbeni yethu. Xa sine-allergy okanye usulelo, ezi seli ze-"Eosinophils" ziqokelelana kakhulu kwi-esophagus kwaye ziqhubeke zibangela ukudumba apho, nokuba sele isoyikiso sidlulile. Esi sisifo esingaqhelekanga , kwaye sinokwenzeka kakhulu kubantu abane-allergies ezininzi .

5. I-Autoimmune esophagitis

Ukongeza kwi-eosinophilic esophagitis, ezinye izifo ezichaphazela amasosha omzimba nazo zinokubangela i-esophagitis njengemiphumo emibi. Imizekelo:

• `(Isifo se-graft vs isifo somntu osiphetheyo)` (imeko enokwenzeka emva kokufakelwa amalungu omzimba).
• Isifo samathumbu esibangelwa kukudumba (IBD) (imeko yokudumba kwendlela yokugaya ukutya).
• `(Isifo sikaBehçet)`.

6. Ngenxa yonyango lwemitha (i-radiation esophagitis)

Ukuba ufumana unyango lwemitha olujoliswe kwi-esophagus yakho, esifubeni, okanye emqaleni, lunokubangela ukudumba kolwelo lwe-esophagus yakho (radiation mucositis). Oku kudla ngokuba yimpendulo yexeshana . Nangona kunjalo, kwiimeko ezingaqhelekanga, abanye abantu banokuba nesifo sexesha elide (esophagitis) ngenxa yonyango lwemitha.

Ingaba isifo se-Esophagitis sisifo esibi kakhulu? Kuza kwenzeka ntoni ukuba asijongwa?

I-Esophagitis yimeko enokunyangeka kwaye inyangeke. Nangona kunjalo, ukuba i-Esophagitis enzima ayinyangwa, iingxaki ezinkulu zinokubakho. Makhe sibone ukuba zeziphi ezo.

• Izilonda kwi-esophagus:La ngamanxeba avulekileyo ngaphakathi kumbhobho wokutya. Oku kunokubangela iintlungu nokopha. Amaxesha amaninzi, inxeba elingapholiyo linokukhula lize libangele umngxuma kumbhobho wokutya (ukugqobhoka kwamathumbu). Ukuba oku kuyenzeka, iintsholongwane ezivela kumbhobho wokutya zinokungena esifubeni okanye egazini, nto leyo ebangela usulelo oluyingozi (i-septicemia).
• Ukuqiniswa komlomo: Xa izicubu ezikwi-esophagus zidumbile ixesha elide, kukho amanxeba. Ezi zicubu zinokunciphisa umphimbo, zenze kube nzima ukuginya ukutya. Ukuba oku kuba nzima, kunokukhokelela ekuphelelweni ngamanzi emzimbeni, ukwehla kobunzima, kunye nokungondleki kakuhle.
• I-Metaplasia yamathumbu: Olu lutshintsho kwiiseli ze-esophagus. Xa olu hlobo lotshintsho lusenzeka kwi-esophagus, lubizwa ngokuba yi-"Barrett's esophagus". Ukuze ivumelane nokuvuvukala okuqhubekayo, izicubu ezikwi-esophagus ziyatshintsha zifane nezicubu ezikwi-esophagus. Olu tshintsho lunokuba sisiseko somhlaza we-esophagus.

Ngoko ke, ukuba uneempawu ze-(Esophagitis), musa ukuzityeshela. Kubaluleke kakhulu ukubona ugqirha ngokukhawuleza kwaye ufumane unyango olufanelekileyo.

Oogqirha bafumanisa njani isifo se-esophagitis?

Rhoqo, ugqirha unokukrokrela ukuba une-esophagitis ngokusekelwe kwiimpawu zakho. Ugqirha wakho unokukunika amayeza okuthintela i-asidi ukuze abone ukuba ayanceda na. Ukuba ayanceda, usenokufunyaniswa ukuba une-reflux esophagitis.

Ukuba oko akusebenzi, kunokufuneka uvavanyo olongezelelekileyo. Kunokufuneka wenze i-endoscopy ephezulu, esebenzisa ikhamera ukujonga ngaphakathi komphimbo wakho. Okanye unokufuneka uvavanyo lwe-pH yomphimbo, olulinganisa ubungakanani be-asidi kumphimbo wakho.

Ngaba isifo se-Esophagitis singanyangeka ngokupheleleyo?

Ewe, ngokuqinisekileyo inokwenzeka. Ukuze uphilise (i-Esophagitis), kufuneka uyeke izinto ezicaphukisayo umphimbo wakho, oko kukuthi, ezibangela ukuba udumbe, kwaye uwunike ixesha lokuphola ngokwendalo. Ngokuxhomekeke kwisizathu, unokufuna ukwenza utshintsho oluthile kwindlela ophila ngayo okanye usebenzise amayeza. Amayeza anokunceda ukukhusela umphimbo wakho kwaye ancede uphole ngokukhawuleza.

Ziziphi iindlela zonyango lwe-Esophagitis?

Unyango ludla ngokubandakanya amayeza kunye notshintsho kwindlela yokuphila.

Iintlobo zamayeza:

• Amayeza okunciphisa i-asidi: Amayeza anjenge-`(Antacids)`, `(H2 blockers)` (umz. iFamotidine), kunye ne-`(Proton-pump inhibitors - PPIs)` (umz. i-Omeprazole, i-Esomeprazole) anokunceda ukulawula i-acid reflux. Ezinye zezi zinokuthengwa kwikhemesti `(OTC - Over-the-counter)`, ngelixa ezinye zifuna uxwebhu oluvela kugqirha.
• Amayeza okulwa nokuvuvukala:Kubantu abane-eosinophilic esophagitis, oogqirha ngamanye amaxesha bacebisa ukuba bathathe iyeza le-steroid elilulwelo. Eli litha ligquma ingaphakathi lomqala kwaye linciphisa ukudumba. Likwanazo neziphumo ebezingalindelekanga ezimbalwa kunezo zithathwa kwiipilisi.
• Amayeza okulwa nefungus kwizifo zefungus: Kwizifo zefungus ezifana neCandida.
• Amayeza okulwa neentsholongwane kwiintsholongwane: Kwiintsholongwane ezifana ne-herpes.
• Ii-antibodies ze-Monoclonal: Ezi ziiproteni ezenziwe ngokwenziwa. Zisebenza kunye nenkqubo yethu yomzimba yokuzikhusela ukunceda ekupheliseni ukudumba. I-Dupilumab yenye yeziyobisi ezinjalo. Ivunyiwe yi-US Food and Drug Administration (FDA) ukunyanga i-eosinophilic esophagitis.

Utshintsho kwindlela yokuphila:

• Utshintsho kwindlela yokutya: Chonga kwaye uphephe ukutya okubangela i-acid reflux okanye i-allergies (umz. ukutya okuneziqholo, ukutya okunamafutha, itshokholethi, ikofu, iziqhamo ze-citrus).
• Izinto Omele Uziqwalasele Ngamayeza: Ukuba usebenzisa amayeza anokubangela i-esophagitis, thetha nogqirha wakho malunga nokutshintshela kwelinye iyeza okanye ukuthatha uhlobo lolwelo. Ukuba uthatha ipilisi, qiniseka ukuba uyithatha neglasi enkulu yamanzi kwaye ungalali phantsi emva kokuyithatha.
• Imikhwa yasebusuku: Ukuze unciphise i-acid reflux, yitya kancinci ebusuku. Ngokukodwa, gqiba isidlo sakho sangokuhlwa ubuncinane iiyure ezintathu ngaphambi kokulala. Oku kuya kunika ukutya kwakho ixesha lokugaya ukutya ngaphambi kokuba ulale.
• Imikhwa emihle yempilo: Ukuba uyatshaya, yeka. Kuphephe utywala. Oku kuya kunceda kakhulu ekukhuseleni umphimbo wakho.

Ngaba i-Esophagitis iya kuba bhetele ngokwayo?

Ukuba uqinisekile ukuba unobangela we-esophagitis yakho uyekile, isenokuphela ngokwayo kwiiveki ezimbalwa. Nangona kunjalo, kububulumko ukubona ugqirha ukuze ufumane ukuxilongwa ngokuchanekileyo. Ugqirha wakho unokufumanisa unobangela we-esophagitis yakho aze akunike iingcebiso ngeyona ndlela ilungileyo yonyango kuloo meko ithile.

Ihlala ixesha elingakanani i-esophagitis?

Kuxhomekeke ekubeni kulula kangakanani ukulawula unobangela. Kwezinye iimeko eziqhubekayo, kunokufuneka uzame amayeza ahlukeneyo ude ufumane unyango olufanelekileyo. Wakuba uqalile unyango, ukuchacha kudla ngokuqala ngokukhawuleza. Nangona kunjalo, kungathatha iiveki ezintathu ukuya kwezintandathu ukuchacha ngokupheleleyo. Ukuba unobangela yimeko yexesha elide (umz., i-GERD, isifo sokuzikhusela komzimba), kunokufuneka uqhubeke nokusela amayeza okulawula.

Xa une-esophagitis, uzinyamekela njani ide iphole?

Ngexesha lokuchacha, lumka kwezi zinto zilandelayo:

• Ziphephe izinto ezicaphukisa indlela yakho yokugaya ukutya, njengokutya okuneziqholo nokumuncu, utywala, nokutshaya.
• De umbhobho wokutya uphole, kuphephe ukuwucinezela kakhulu.Zama ukutya ukutya okuthambileyo (umz. ipapa, isuphu, imifuno ephekiweyo kakuhle).
• Xa usitya, yiqhekeze ibe ziingceba ezincinci, uyihlafune kakuhle, uze uyiginye.
• Sela amanzi amaninzi. Okanye, sela iti zemifuno ezilungileyo ekugayweni kokutya, ezifana neti yeengcambu ze-marshmallow kunye neti ye-slippery elm. Ezi zinokunceda ukugcina amanqanaba omswakama emzimbeni.

Ufanele uye nini kugqirha malunga ne-esophagitis?

Ukuba uneempawu ze-esophagitis, kodwa unobangela awukafunyanwa, okanye ukuba unyango lwakho lwangoku aluncedi, ngokuqinisekileyo kuya kufuneka ubone ugqirha. Ngamanye amaxesha i-esophagitis inokuba nezizathu ezingaphezu kwesinye. Nganye kwezi inokufuna unyango.

Ngaba (i-Esophagitis) kunye ne-(GERD) ziyafana?

Lo ngumbuzo abantu abaninzi abawubuzayo. I-GERD yeyona nto ixhaphakileyo ebangela i-esophagitis. Nangona kunjalo, ayisiyo yodwa imbangela . Kwakhona, ayinguye wonke umntu one-GERD ofumana i-esophagitis. Ukuze i-esophagus ivuvuke, kufuneka ihlale ichaphazeleka yi-asidi ixesha elide.

Umphimbo wakho uphuma emqaleni uye esiswini, udlule esifubeni. Ngokwesiqhelo, ukuba awubuhlungu, asicingi kakhulu ngayo, akunjalo? Kodwa xa ubuhlungu, usenokungaqondi kwangoko ukuba yintlungu emphinjeni wakho. Usenokuvakalelwa njengentlungu esifubeni sakho, okanye uzive ngathi umphimbo obuhlungu. Ngoko ke, kweli nqaku, uza kufumana ithuba lokufunda ngezinto ezinokonakalisa umphimbo wakho kunye nendlela yokuziphepha.

Abantu abaninzi banesifo se-esophagitis ngenxa ye-acid reflux. Ubuncinane i-20% yabantu inale ngxaki. Nangona kunjalo, ukusetyenziswa kakhulu kwemithi yokunciphisa iintlungu ethengiswa ngaphandle kwemvume kagqirha njenge-NSAIDs yenye yezizathu eziqhelekileyo. Izifo ezihlasela umzimba ngokwawo kunye nosulelo oluhambelana nenkqubo yomzimba yokuzikhusela ebuthathaka azixhaphakanga kangako. Ngamanye amaxesha, inokuba yindibaniselwano yezi zizathu. Ukuba ucinga ukuba une-esophagitis, bona ugqirha kwaye ufumane ukuxilongwa.

Izinto ezibalulekileyo ekufuneka uzikhumbule ngokufutshane

Kulungile, nazi izinto ekufuneka uzikhumbule koko sithethe ngako:

• I-Esophagitis kukudumba okanye ukudumba kwangaphakathi kombhobho wakho wokutya (umqala).
• Oku kubangelwa kakhulu yimeko ebizwa ngokuba yi-gastroesophageal reflux disease (GERD).
• Kwakhona, izinto ezifana namayeza athile, usulelo lweebhaktheriya, i-allergies, kunye nonyango lwemitha zinokubangela oku.
• Ukuba unengxaki yokuginya, isitshiso sentliziyo, okanye intlungu esifubeni sakho, musa ukuyityeshela nje. Bona ugqirha.
• I-Esophagitis yimeko enokunyangwa enokufuna amayeza kunye notshintsho oluthile kwindlela yokuphila.

Ngoko ke, ndiyathemba ukuba olu lwazi lube luncedo kuwe. Hlala usempilweni!

"isifo sokuwa, isifo sokuwa, umphimbo obuhlungu, ukudumba kwesifuba, i-GERD, ubunzima bokuginya, isifo sokuwa, isitshiso sentliziyo