Ngaba wakha waziva intlungu engaqhelekanga okanye ukuxinana emqaleni wakho xa usitya okanye usela into ethile? Okanye ukuziva utshisa kakhulu okusuka esifubeni sakho? Uninzi lwexesha, asicingi ukuba ezi zinto ziyinto eqhelekileyo. Kodwa le isenokuba yimeko eyaziwa ngokuba yi-Esophagitis ngokwezonyango. Nangona eli gama lisenokuvakala lingaqhelekanga, le yingxaki abantu abaninzi kwilizwe lethu abanayo. Ngoko ke namhlanje, masithethe ngale nto ngokulula, ngendlela onokuyiqonda.
Yintoni i-Esophagitis?
Ngamafutshane, i-Esophagitis kukudumba kombhobho wethu wokutya (umqala). Ngoku usenokuba uzibuza ukuba yintoni le mbhobho yokutya. Oko kukuthi, umbhobho othwala ukutya ukusuka emqaleni ukuya esiswini xa siginya. Kufana nombhobho wamanzi. Siwubiza ngokuba yi-Esophagitis xa ii-membranes ezithambileyo ngaphakathi kulo mbhobho zivuvukala, zibomvu, kwaye zibuhlungu ngesizathu esithile. Khawucinge ukuba ukuba unesilonda eluswini lwakho, siya kuba bomvu, sivuvuke, kwaye sibuhlungu, akunjalo? Yiloo nto eyenzekayo nangaphakathi kombhobho wokutya.
Eyona nto ibangela oku kudumba kukubuyela kwe-asidi yesisu kwi-esophagus. Ukongeza, amayeza athile, usulelo, kunye nee-allergies nazo zinokubangela oku.
Zithini iimpawu zomntu one-esophagitis?
Ezi mpawu zinokwahluka kancinci kumntu nomntu, kwaye zinokwahluka nangobunzulu ngokuxhomekeke kubukhali bemeko.
| Iimpawu eziqhelekileyo | Ezinye iimpawu ezinokwenzeka |
|---|---|
| Umphimbo obuhlungu: Ukuziva ngathi umqala wakho uxinekile. | Ukubuyela kwe-asidi. |
| Isitshiso sentliziyo: Imvakalelo yokutshisa evela embindini wesifuba. | Ukuphinda utye (ukuphinda utye) ukutya emva kokutya. |
| Ubunzima bokuginya (Dysphagia): Intlungu okanye ukuziva ukrwitshwa xa uginya ukutya okanye isiselo. | Ndivakalelwa ngathi ukutya kunamathele emqaleni. |
| Intlungu yesifuba: Le ntlungu inokwanda, ingakumbi xa usitya. | Ukungakhululeki esiswini kunye nokungagaywa kakuhle kwesisu. |
| Abantwana abancinci basenokungafuni ukutya. | |
| Isicaphucaphu nokuhlanza. | |
| Ukuhlanza igazi. | |
| Izilonda zomlomo. |
Makhe sifunde ngeentlobo eziphambili ze-esophagitis.
Le meko inokwahlulwa ibe ziintlobo ezininzi eziphambili ngokuxhomekeke kwisizathu. Makhe sibone ukuba zeziphi.
1. I-Reflux Esophagitis ebangelwa yi-asidi yesisu
Olu lolona hlobo luxhaphakileyo . Isisu sethu sine-asidi enamandla kakhulu enceda ekugayeni ukutya. Ngokwesiqhelo, iringi yemisipha (i-sphincter) phakathi kwesisu kunye ne-esophagus iyayithintela le acid ukuba ingaphumi. Ifana nomnyango. Kodwa xa lo mnyango ungavalwanga kakuhle, i-asidi esesiswini iyaphakama ize ibethe kwi-esophagus. I-esophagus ayinakumelana nale asidi inamandla. Ngoko ke, ukuba oku kuyaqhubeka, i-esophagus iyalimala kwaye ivuvuke. Sikwabiza oku ngokuba yi-GERD (Gastroesophageal Reflux Disease) . Le meko inokwenzeka nakubantu abahlanza rhoqo.
2. I-Esophagitis ebangelwa ngamayeza ebangelwa ngamayeza
Oku ngamanye amaxesha kubizwa ngokuba yi-"Pill Esophagitis." Amanye amayeza esiwasebenzisayo, ingakumbi ukuba asiseli manzi aneleyo, anokunamathela kwi-esophagus aze aqalise ukunyibilika. Iikhemikhali ezikwiipilisi zingonakalisa kwaye zonakalise ulwelo lwe-esophagus.
Kubalulekile: Xa ugqirha ekuxelela ukuba usele ipilisi, ukuthi "Yisele neglasi yamanzi" kukuthintela izinto ezinje.
Izinto ezifana nee-painkillers (NSAIDs), ezinye ii-antibiotics, kunye namayeza okuqinisa amathambo (iiBisphosphonates) zinokubangela oku.
3. I-Esophagitis esulelayo ebangelwa lusulelo
Oku kudla ngokungaqhelekanga kumntu ophilileyo. Nangona kunjalo, abantu abaneenkqubo zomzimba ezibuthathaka banamathuba amaninzi okufumana usulelo olufana nolu. Umzekelo:
- Abantu abaphila ne-HIV/AIDS
- Abantu abanesifo seswekile
- Abantu abafumana unyango lomhlaza (iChemotherapy)
- Abantu abasebenzisa amayeza okunciphisa umzimba emva kokufakelwa amalungu omzimba
Aba bantu banokufumana usulelo lwefungus (umz., iCandida albicans) kunye nosulelo lwentsholongwane (umz., iherpes) emqaleni.
4. I-Eosinophilic Esophagitis ebangelwa yi-allergy
Le yimeko enzima kancinci. Okwenzekayo apha kukuba inkqubo yomzimba yokuzikhusela iba namandla kakhulu, kwaye inani elikhulu leeseli ezimhlophe zegazi ezibizwa ngokuba zii-eosinophils ziqokelelana kwi-esophagus. Xa ezi seli ziqokelelana, ukudumba okungapheliyo kwenzeka apho. Oku kudla ngokubonakala ngakumbi kubantu abane-allergies kwizinto ezahlukeneyo zokutya okanye izinto ezikwindawo engqongileyo.
5. Ngenxa yezinye izifo ezibangelwa kukuzikhusela komzimba
Ngamanye amaxesha, i-esophagitis inokubangelwa zizifo ezihlasela amasosha omzimba, apho inkqubo yomzimba yokuzikhusela ihlasela iiseli zayo. Umzekelo, le meko inokwenzeka kakhulu kubantu abanezifo ezifana ne-Inflammatory Bowel Disease (IBD).
6. Ngenxa yonyango lwemitha
Xa kusenziwa unyango lwemitha yomhlaza kwiindawo ezifana nesifuba nomqala, iziphumo zemitha zinokubangela ukudumba komqala. Oku kudla ngokuba yinto yexeshana, kodwa kwabanye abantu kunokuba lixesha elide.
Ngaba isifo se-Esophagitis singaba sibi kakhulu?
Ewe. Ukuba ayinyangwanga kakuhle, oku kunokukhokelela kwiingxaki ezinkulu. Ngoko ke, ukuba unezi mpawu, kungcono ungazihoyi.
- Izilonda: Ukuba ukudumba kuyaqhubeka, izilonda, ezibizwa ngokuba zizilonda, zinokwakheka ngaphakathi kombhobho wokutya. Ezi zinokopha. Amaxesha amaninzi, ezi zilonda zinokungena nzulu zize zibangele umngxuma kumbhobho wokutya (ukugqobhoka kwesisu). Ukuba oku kuyenzeka, usulelo lunokusasazeka luye esifubeni okanye egazini kwaye lunokuba yingozi ebomini.
- Ukuqiniswa komlomo: Izicwili ezivalekileyo zenzeka ngaphakathi komlomo ngenxa yokudumba kwexesha elide. Oku kuyenza inciphe kancinci kancinci i-esophagus. Oku kwenza kube nzima kakhulu ukuginya ukutya. Oku kunokukhokelela ekuphelelweni ngamanzi emzimbeni, ukwehla kobunzima, kunye nokungondleki kakuhle.
- Umphimbo kaBarrett: Le yeyona ngxaki iyingozi kakhulu. Ngenxa yokuqhubeka nokudibana ne-asidi, iiseli ezikwinxalenye esezantsi yomphimbo ziqala ukutshintsha. Oko kukuthi, iiseli ziqala ukufana neeseli ezisemathunjini. Le yimeko yangaphambi kokuba nomhlaza.Oku kuthetha ukuba abantu abanale meko basengozini enkulu yokuba nomhlaza womqala kwixesha elizayo.
Ugqirha uyifumana njani le nto?
Xa usiya kugqirha, uza kuqala akubuze ngeempawu zakho. Ngokweenkcukacha ozinikileyo, ungaqikelela ukuba ngaba une-esophagitis.
- Rhoqo, ugqirha uqala ngokunika amayeza anciphisa i-asidi yesisu aze abone ukuba oko kuyayinciphisa na iimpawu. Ukuba iimpawu ziyancipha, kunokuqinisekiswa ukuba yi-reflux esophagitis.
- Ukuba iimpawu aziphucuki ngamayeza, kufuneka uvavanyo olongezelelweyo. Uvavanyo oluphambili loku yi -Upper Endoscopy . Apha, kufakwa ityhubhu encinci, eguquguqukayo enekhamera ngomlomo kwaye ihlolwe umphimbo, isisu, kunye nenxalenye yokuqala yamathumbu amancinci. Oku kuvumela ukujonga kakuhle ngaphakathi, njengokudumba kunye nezilonda. Ukuba kuyimfuneko, isiqwenga sethishu singathathwa ukuze sivavanywe (`(Biopsy)`).
- Ngamanye amaxesha uvavanyo lwe-pH ye-esophagus, olulinganisa ubungakanani be-asidi kwi-esophagus, lunokucetyiswa.
Unyango kunye notshintsho kwindlela yokuphila
Unyango luxhomekeke kwisizathu se-esophagitis kwaye ludla ngokubandakanya indibaniselwano yamayeza kunye notshintsho kwindlela yokuphila.
| Iindlela zonyango | Inkcazo |
|---|---|
| Amayeza | |
| Amayeza okunciphisa i-asidi | Amayeza anjenge-antacids, i-H2 blockers, kunye ne-proton-pump inhibitors (PPIs) anciphisa ukuveliswa kwe-asidi yesisu. La mayeza abalulekile kwi-reflux esophagitis. |
| Amayeza okulwa nokuvuvukala | Kwiimeko ezifana ne-eosinophilic esophagitis, uhlobo oluthile lwe-steroid eginyiweyo lunokunikwa. Oku kulawula ngokuthe ngqo ukudumba kwi-esophagus. |
| Amayeza okulwa nezifo | Amayeza okulwa nefungus anikwa abantu abasuleleka yifungus kunye namayeza okulwa nentsholongwane xa besuleleka yintsholongwane. |
| Utshintsho kwindlela yokuphila | |
| Utshintsho kwindlela yokutya | Nciphisa ukutya okwandisa i-asidi, njengeoyile, itshili, ukutya okuneziqholo, itshokholethi, ikofu, kunye nemint. Chonga ukutya okukwenza uzive ungakhululekanga kwaye ukuphephe. |
| Indlela yokusela iyeza | Ukuba uginya iipilisi, ziginye ziphelele ngeglasi yamanzi. Musa ukulala phantsi ubuncinane imizuzu engama-30 emva kokusela iyeza. |
| Imikhwa yasebusuku | Yitya isidlo sangokuhlwa esincinci. Yitya isidlo sangokuhlwa ubuncinane iiyure ezi-3 ngaphambi kokulala. Oku kunika ukutya ixesha lokugaya ukutya. Gcina intloko yakho iphakanyisiwe kancinci ngelixa ulele. |
| Eminye imikhwa | Ukuba uyatshaya, yeka ngoko nangoko. Yeka nokusela utywala. Zombini ezi zinto ziyingozi kakhulu kumqala. |
Kuthatha ixesha elingakanani ukuphiliswa?
Oku kuxhomekeke kwisizathu kunye nendlela osabela ngayo kunyango. Nje ukuba uqale unyango olufanelekileyo, inkqubo yokuphiliswa iya kuqala ngokukhawuleza. Kungathatha malunga neeveki ezi-3-6 ukuphiliswa ngokupheleleyo. Nangona kunjalo, ukuba imeko ayipheli, njenge-GERD, kuya kufuneka uthathe amayeza kwaye wenze utshintsho kwindlela ophila ngayo ixesha elide.
Eyona nto ibalulekileyo kukulandela imiyalelo kagqirha wakho ngokuchanekileyo. Kubaluleke kakhulu ukusela amayeza ngexesha elifanelekileyo nangedosi efanelekileyo.
Umyalezo Wokuya Ekhaya
- I-Esophagitis kukudumba okanye ukudumba kombhobho esiwusebenzisayo ukuginya ukutya (umqala).
- Intlungu esifubeni, ubunzima bokuginya, kunye nomphimbo obuhlungu zezona mpawu ziphambili.
- Eyona nto ixhaphakileyo sisifo se-gastroesophageal reflux (GERD), kodwa sinokubangelwa nangamayeza athile, usulelo, kunye nee-allergies.
- Ukuba ayinyangwa kakuhle, iingxaki ezinkulu zinokuvela, ezinje ngezilonda, ukuncitshiswa komqala, kunye ne-Barrett's esophagus, imeko engaphambi komhlaza.
- Ukuba uneempawu ezinje, musa ukuzityeshela kwaye ngokuqinisekileyo bonana nogqirha wakho ukuze akunike icebiso.
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