Ingabe umphimbo wakho noma isifuba sakho sibuhlungu? Ingabe kunzima ukugwinya? Ake sifunde ngalokhu (i-Esophagitis)!

Ingabe ngezinye izikhathi uzizwa umphimbo obuhlungu, umuzwa oshisayo esifubeni sakho uma ugwinya ukudla? Noma uzizwa sengathi ukudla kunamathele emphinjeni wakho? Ungamane ungazinaki lezi zinto. Ngoba lezi zingaba izimpawu zesimo esibizwa ngokuthi i-Esophagitis, esizokhuluma ngaso namuhla. Ngakho-ke, ake sixoxe ngalokhu ngokuningiliziwe, njengokungathi sikhuluma nomngane.

Kuyini i-Esophagitis? Kalula nje...

I-Esophagitis ukuvuvukala noma ukuvuvukala kolwelwesi lwe-esophagus, ipayipi elithwala ukudla kusuka emphinjeni wakho liye esiswini sakho. Cabanga ngakho njengokusikeka esikhumbeni sakho okubangela ukubomvu, ukuvuvukala, nobuhlungu. Yilokho okwenzeka ngaphakathi kwe-esophagus yakho. Ungase uzwe umphimbo obuhlungu, umuzwa wokushisa, noma umuzwa wokushisa.

Uyazi ukuthi kungani lokhu kuvuvukala kwenzeka? Umzimba wethu unesistimu ebizwa ngokuthi isimiso sokuzivikela komzimba . Yisona esisivikela ezifweni namagciwane. Ngakho-ke, uma kukhona ukutheleleka, ukungezwani komzimba, noma lapho umphimbo wonakele ngandlela thile, lesi simiso sokuzivikela komzimba siyavuselelwa futhi sizame ukusiphulukisa. Yilapho lokhu kuvuvukala nokuvuvukala kwenzeka khona. Ngezinye izikhathi, i-asidi yesisu evela esiswini ingangena emphinjeni, futhi eminye imithi esiyithathayo ingalimaza lomphimbo (i-Esophagitis).

Sivame kangakanani lesi simo (i-Esophagitis)?

Eqinisweni, imbangela eyinhloko (i-Esophagitis) yi -acid reflux , okuyisimo esivame ukuzwa ngaso esibizwa ngokuthi `(GERD - Gastroesophageal Reflux Disease)`. Lena inkinga abantu abaningi abanayo. Kodwa-ke, ezinye izinhlobo (ze-Esophagitis) azivamile. Isibonelo, ukutheleleka komphimbo kuvame ukubonakala kuphela kubantu abanezivikeli mzimba ezibuthakathaka.

Yiziphi izimpawu esingazilindela uma sine-esophagitis?

Uma une-esophagitis, ungase ubhekane nalezi zinkinga ezilandelayo:

• Umphimbo wami ubuhlungu , njengalapho nginomkhuhlane.
• Isilungulela - Lokhu ukungakhululeki okukhulu abantu abaningi abakubikayo.
• Kunzima ukugwinya ukudla - njengokungathi umphimbo wakho uvalekile.
• Ubuhlungu besifuba - Ngezinye izikhathi lokhu kungaphambaniswa nobuhlungu bokuhlaselwa yinhliziyo, ngakho-ke kubalulekile ukwazi ngokuqinisekile.

Lobuhlungu bungaba bukhulu kancane, ngezinye izikhathi bungabi bukhulu kangako. Bungaba njalo, noma bungafika budlule.

Kuye ngembangela kanye nobunzima besimo, ungase ube nezimpawu ezifana nalezi :

• I-reflux ye-asidi .
• Ukubuyisela ukudla esimeni esijwayelekile.
• Ukuzwa sengathi ukudla kunamathele emphinjeni .
• Ukungagayeki kahle kokudla .
• Izingane ezincane zingase zibe nobunzima bokudla .
• Isicanucanu nokuhlanza .
• Ngezinye izikhathi kungase kube negazi elihambisana nokuhlanza .
• Kungase kube nezilonda emlonyeni .

Okubalulekile: Uma unesinye noma ngaphezulu salezi zimpawu, ikakhulukazi ubunzima bokugwinya noma ubuhlungu besifuba, kungcono ukufuna iseluleko sikadokotela.

Ziyini izimbangela ze-esophagitis?

Njengoba sikhulume ngakho kancane ngaphambili, izicubu ezikumphimbo wakho zingavuvukala lapho amasosha omzimba wakho elwa nokutheleleka, lapho une-allergy, noma lapho into eyingozi ihlasela umphimbo wakho.

Izimbangela eziyinhloko ze-esophagitis yilezi:

• Ukubuyela kwe-asidi .
• Eminye yemithi esiyiphuzayo.
• Ukutheleleka ngamagciwane .
• Ukungezwani komzimba .
• Ukwelashwa ngemisebe ezintweni ezinjengomdlavuza.
• Izifo ezizenzakalelayo .

Kunezinhlobo ezahlukene ze-esophagitis kuye ngokuthi imbangela iyini.

Yiziphi izinhlobo ezahlukene ze-esophagitis?

Manje ake sibheke ezinye zezinhlobo eziyinhloko ze-esophagitis.

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

Lolu uhlobo oluvame kakhulu . Kwenzeka kanje: I-asidi kanye nojusi wokugaya ukudla okuvela esiswini sakho kukhuphukela epayipini lakho lokudla. Lokhu konakalisa ulwelwesi olubucayi lwepayipi lakho lokudla (mucosa) futhi kubangele ukuvuvukala. Lokhu kungenzeka uma une-acid reflux evame kakhulu noma ukuhlanza njalo.

Lokhu kungase kube ngenxa yalokhu:

• `(GERD - Isifo se-reflux se-gastroesophageal)`
• `(Ukubuyela kwe-bile)` - Lokhu kusho ukuthi i-bile igeleza isuka esiswini iye epayipini lokudla.
• Izinkinga zokudla ezifana ne-`(Bulimia nervosa)`.

2. I-esophagitis ebangelwa yimithi

Lokhu ngezinye izikhathi kubizwa ngokuthi "i-pill esophagitis." Eminye imithi esetshenziswa kakhulu, uma ithathwa ngaphandle kwamanzi, ingabhajwa emhubheni, lapho incibilika khona futhi yonakalise ulwelwesi lomhubhe.

Kunezinhlobo eziningana zemithi ezingaba nalomphumela:

• Iziqeda-zinhlungu, isibonelo, izidakamizwa ezingezona eze-steroidal ezilwa nokuvuvukala (ama-NSAID).
• `(Acetaminophen)` (i-paracetamol).
• Ezinye izinhlobo `(Ama-antibiotic)`.
• Amaphilisi e-`(Potassium chloride)`.
• Ama-bisphosphonates uhlobo lomuthi osetshenziselwa ukwelapha izifo zamathambo.
• Imithi yokwelapha ngamakhemikhali.

Khumbula: Yingakho kubalulekile ukuphuza ingilazi yamanzi uma uthatha amaphilisi akho.

3. Kubangelwa ukutheleleka (i-Infectious esophagitis)

Ukutheleleka komphimbo ngokuvamile akuvamile. Kodwa-ke, uma amasosha omzimba wakho ebuthakathaka,, okusho ukuthi uma ukumelana komzimba nezifo kuphansi, amathuba okuba lezi zinhlobo zokutheleleka avele aphezulu. Esikhathini esiningi, lezi zifo zisakazekela emgudwini wokugaya ukudla zivela kwenye indawo.

Okuvame kakhulu ukutheleleka ngefungus , kulandelwe ukutheleleka ngegciwane .

Izifo eziningana zingabangela i-esophagitis:

• Isikhunta `(Candida albicans)` (yilokhu okuvame ukubangela `(ukutheleleka kwemvubelo)`).
• `(I-Cytomegalovirus - CMV)`.
• Igciwane le-herpes simplex lomlomo 1 (HSV-1).
• `(I-papillomavirus yomlomo yomuntu - i-HPV)`.

Kunezizathu eziningana ezenza ukuthi amasosha omzimba abe buthaka:

• isimo `(se-HIV/AIDS)`.
• Ezinye izinkinga zofuzo zokuzivikela komzimba (Izinkinga eziyinhloko zokuntuleka kwamasosha omzimba - i-PIDD)
• Ama-immunosuppressants (isib., imithi enikezwa abantu abake bafakelwa izitho zomzimba).
• Isifo sikashukela.
• Ezinye izinhlobo zomdlavuza, isib. `(I-Leukemia)`, `(I-Lymphoma)`.
• Ukwelashwa ngamakhemikhali kuyindlela yokwelapha umdlavuza.

4. (Isifo sofuba esingamahlalakhona)

Lokhu kuhlukile kancane. Kubangelwa uhlelo lokuzivikela olusebenza ngokweqile . Sinohlobo lweseli elimhlophe legazi elibizwa ngokuthi "ama-Eosinophils" emizimbeni yethu. Uma sine-allergy noma ukutheleleka, la maseli "ama-Eosinophils" aqoqana ngokweqile emhubheni futhi aqhubeke nokubanga ukuvuvukala lapho, ngisho nangemva kokuba usongo seludlulile. Lesi yisimo esingavamile , futhi kungenzeka kakhulu ukuthi senzeke kubantu abane-allergies eminingi .

5. I-Autoimmune esophagitis

Ngaphezu kwe-eosinophilic esophagitis, ezinye izifo ezizimele nazo zingabangela i-esophagitis njengomphumela ongemuhle. Izibonelo:

• `(Isifo se-graft vs isifo somsingathi)` (isimo esingase senzeke ngemva kokufakelwa isitho).
• Isifo samathumbu esivuvukalayo (IBD) (isimo sokuvuvukala kwendlela yokugaya ukudla).
• `(Isifo sikaBehçet)`.

6. Ngenxa yokwelashwa ngemisebe (i-radiation esophagitis)

Uma uthola ukwelashwa ngemisebe okuqondiswe ku-esophagus yakho, esifubeni, noma emphinjeni, kungabangela ukuvuvukala kolwelwesi lwe-esophagus yakho (radiation mucositis). Lokhu kuvame ukuba ukusabela kwesikhashana . Kodwa-ke, ezimweni ezingavamile, abanye abantu bangaba nesimo sesikhathi eside (esophagitis) ngenxa yokwelashwa ngemisebe.

Ingabe i-Esophagitis iyisimo esibi kakhulu? Kwenzekani uma inganakwa?

I-Esophagitis yisimo esingelashwa futhi selapheke. Kodwa-ke, uma i-Esophagitis enzima ingelashwa, kungaba nezinkinga ezinkulu . Ake sibone ukuthi ziyini lezo.

• Izilonda emqaleni:Lezi yizilonda ezivulekile ngaphakathi kwepayipi lokudla. Lokhu kungabangela ubuhlungu nokopha. Akuvamile ukuthi isilonda esingapholi singaqhubeka sikhula futhi sibangele imbobo epayipini lokudla (ukubhoboka kwesisu). Uma lokhu kwenzeka, amagciwane avela epayipini lokudla angangena esifubeni noma egazini, okubangela ukutheleleka okuyingozi (i-septicemia).
• Ukuqiniswa komphimbo: Uma izicubu ezikumphimbo zivuvukele isikhathi eside, kungaba nezibazi. Lezi zicubu zinganciphisa umphimbo, kwenze kube nzima ukugwinya ukudla. Uma lokhu kuba kubi kakhulu, kungaholela ekuphelelweni amanzi emzimbeni, ukwehla kwesisindo kanye nokungondleki kahle.
• I-metaplasia yamathumbu: Lokhu kungushintsho kumaseli e-esophagus. Uma lolu hlobo loshintsho lwenzeka e-esophagus, lubizwa nangokuthi "i-Barrett's esophagus". Ukuze ivumelane nokuvuvukala okuqhubekayo, izicubu ezimboze i-esophagus ziyashintsha zifane nezicubu ezimboze amathumbu. Lolu shintsho lungaba futhi yimbangela yomdlavuza we-esophagus.

Ngakho-ke, uma unezimpawu ze-(Esophagitis), ungazinaki. Kubaluleke kakhulu ukubona udokotela ngokushesha okukhulu bese uthola ukwelashwa okufanele.

Odokotela bakuthola kanjani isifo se-esophagitis?

Ngokuvamile, udokotela angase asole ukuthi une-esophagitis ngokusekelwe ezimpawini zakho. Udokotela wakho angase akunike imithi ethile yokuvimbela i-asidi ukuze abone ukuthi iyasiza yini. Uma ikusiza, ungase utholakale une-reflux esophagitis.

Uma lokho kungasebenzi, kungase kudingeke ukuhlolwa okwengeziwe. Kungase kudingeke ukuthi wenze i-endoscopy ephezulu, esebenzisa ikhamera ukubheka ngaphakathi komphimbo wakho. Noma kungase kudingeke ukuthi uhlole i-pH yomphimbo, elinganisa inani le-asidi kumphimbo wakho.

Ingabe i-Esophagitis ingelapheka ngokuphelele?

Yebo, kungakwenza ngempela. Ukuze welapheke (i-Esophagitis), udinga ukuyeka izinto ezicasula umphimbo wakho, okungukuthi, okubangela ukuba uvuvuke, bese uwunika isikhathi sokululama ngokwemvelo. Kuye ngembangela, kungadingeka wenze izinguquko ezithile endleleni yakho yokuphila noma usebenzise imithi. Imithi ingasiza ekuvikeleni umphimbo wakho futhi ikusize ululame ngokushesha.

Yiziphi izindlela zokwelapha i-Esophagitis?

Ukwelashwa kuvame ukuhilela imithi kanye nokushintsha indlela yokuphila.

Izinhlobo zemithi:

• Imithi yokwehlisa i-asidi: Imithi efana ne-`(Antacids)`, `(H2 blockers)` (isb. i-Famotidine), kanye ne-`(Proton-pump inhibitors - PPIs)` (isb. i-Omeprazole, i-Esomeprazole) ingasiza ekulawuleni i-acid reflux. Ezinye zalezi zingathengwa ekhemisi `(OTC - Over-the-counter)`, kanti ezinye zidinga udokotela oqokiwe.
• Imithi yokulwa nokuvuvukala:Kubantu abane-eosinophilic esophagitis, odokotela ngezinye izikhathi batusa ukuthatha umuthi we-steroid owuketshezi. Lo ketshezi lumboza ingaphakathi lomphimbo futhi lunciphise ukuvuvukala. Luphinde lube nemiphumela emibi embalwa kunokuthatha amaphilisi.
• Imithi yokulwa nesikhunta yokutheleleka kwesikhunta: Yezifo zesikhunta ezifana ne-(Candida).
• Imithi yokulwa namagciwane yokutheleleka ngamagciwane: Yezifo ezibangelwa amagciwane njenge-herpes.
• Ama-antibodies e-Monoclonal: Lawa ngamaprotheni enziwe ngokwenziwa. Asebenza nesistimu yethu yomzimba ukusiza ekuvimbeleni ukuvuvukala. I-Dupilumab ingenye yemithi enjalo. Ivunyiwe yi-US Food and Drug Administration (FDA) ukwelapha i-eosinophilic esophagitis.

Izinguquko zendlela yokuphila:

• Izinguquko ekudleni: Thola futhi ugweme ukudla okubangela i-acid reflux noma ukungezwani komzimba (isib. ukudla okunongwe kakhulu, ukudla okunamafutha, ushokoledi, ikhofi, izithelo ze-citrus).
• Izinto Okufanele Uzicabangele Ngemithi: Uma uthatha imithi engabangela i-esophagitis, khuluma nodokotela wakho mayelana nokushintshela komunye umuthi noma ukuthatha uhlobo oluwuketshezi. Uma uthatha iphilisi, qiniseka ukuthi ulithatha nengilazi enkulu yamanzi futhi ungalali phansi ngemva kokulithatha.
• Imikhuba yasebusuku: Ukuze unciphise i-acid reflux, yidla kancane ebusuku. Ikakhulukazi, qeda isidlo sakho sakusihlwa okungenani amahora amathathu ngaphambi kokulala. Lokhu kuzokunika ukudla kwakho isikhathi sokugaya ngaphambi kokuba ulale.
• Imikhuba emihle yezempilo: Uma ubhema, yeka. Gwema utshwala. Lokhu kuzosiza kakhulu ekuvikeleni umphimbo wakho.

Ingabe i-Esophagitis izolulama ngokwayo?

Uma uqiniseka ukuthi imbangela ye-esophagitis yakho isiphelile, ingase ixazululeke ngokwayo emavikini ambalwa. Kodwa-ke, kuwukuhlakanipha ukubona udokotela ukuze uthole ukuxilongwa okufanele. Udokotela wakho anganquma imbangela eqondile ye-esophagitis yakho futhi akunikeze iseluleko sendlela engcono kakhulu yokwelapha leso simo esithile.

I-esophagitis ingahlala isikhathi esingakanani?

Kuye ngokuthi imbangela ingalawulwa kalula kangakanani. Kwezinye izimo eziqhubekayo, kungadingeka uzame imithi ehlukene uze uthole ukwelashwa okufanele. Uma usuqalile ukwelashwa, ukululama kuvame ukuqala ngokushesha. Kodwa-ke, kungathatha amasonto amathathu kuya kwayisithupha ukululama ngokuphelele. Uma imbangela kuyisimo sesikhathi eside (isib. i-GERD, isifo sokuzivikela komzimba), kungadingeka uqhubeke nokuthatha imithi yokuyilawula.

Uma une-esophagitis, uzinakekela kanjani kuze kube yilapho iphola?

Ngesikhathi sokululama, qaphela lezi zinto ezilandelayo:

• Gwema izinto ezicasula umgudu wakho wokugaya ukudla, njengokudla okubabayo nokumuncu, utshwala, nokubhema.
• Kuze kube yilapho ipayipi lokudla selipholile, gwema ukulicindezela kakhulu.Zama ukudla ukudla okuthambile (isib. iphalishi, isobho, imifino ephekiwe kahle).
• Uma udla, yihlukanise ibe yizicucu ezincane, uyihlafune kahle, bese uyigwinya.
• Phuza amanzi amaningi. Noma, phuza amatiye ezitshalo alungele ukugaya ukudla, njengetiye lezimpande ze-marshmallow kanye netiye le-slippery elm. Lokhu kungasiza futhi ekugcineni amazinga omswakama emzimbeni.

Kufanele ubonane nini nodokotela mayelana ne-esophagitis?

Uma unezimpawu ze-esophagitis, kodwa imbangela ingakatholakali, noma uma ukwelashwa kwakho kwamanje kungasizi, kufanele nakanjani ubone udokotela. Ngezinye izikhathi i-esophagitis ingaba nezimbangela ezingaphezu kweyodwa. Ngayinye yalezi zingadinga ukwelashwa.

Ingabe (i-Esophagitis) kanye (i-GERD) ziyinto efanayo?

Lona umbuzo abantu abaningi abawubuzayo. I-GERD iyimbangela evame kakhulu ye-esophagitis. Kodwa-ke, akuyona yodwa imbangela . Futhi, akuwona wonke umuntu one-GERD othola i-esophagitis. Ukuze umphimbo uvuvuke, udinga ukuhlala ubhekene ne-asidi isikhathi eside.

Umphimbo wakho ugeleza usuka emphinjeni uye esiswini sakho, udlule esifubeni sakho. Ngokuvamile, uma ungabangeli ubuhlungu, asicabangi kakhulu ngakho, akunjalo? Kodwa uma kwenzeka, ungase ungaqapheli ngokushesha ukuthi ubuhlungu emmphinjeni wakho. Kungase kuzwakale njengobuhlungu esifubeni sakho, noma kungase kuzwakale njengomphimbo obuhlungu. Ngakho-ke, kulesi sihloko, uzofunda ukuthi yini engalimaza ummphimbo wakho nokuthi ungayigwema kanjani.

Abantu abaningi bahlushwa yi-esophagitis ngenxa ye-acid reflux. Okungenani u-20% wabantu banale nkinga. Kodwa-ke, ukusebenzisa ngokweqile imithi yokwelapha ubuhlungu ethengiswa ngaphandle kwemithi kadokotela njenge-NSAID kungenye imbangela evamile. Izifo ezihlasela umzimba kanye nokutheleleka okuhambisana nesimiso somzimba esibuthakathaka akuvamile. Ngezinye izikhathi, kungaba yinhlanganisela yalezi zimbangela. Uma ucabanga ukuthi une-esophagitis, bona udokotela bese uthola ukuxilongwa.

Izinto ezibaluleke kakhulu okufanele uzikhumbule ngamafuphi

Kulungile, nansi izinto okudingeka uzikhumbule kulokho esikhulume ngakho:

• I-Esophagitis ukuvuvukala noma ukuvuvukala kwengaphakathi lombhobho wakho wokudla (umphimbo).
• Ngokuvamile, lokhu kubangelwa yisimo esibizwa ngokuthi isifo se-gastroesophageal reflux (GERD).
• Futhi, izinto ezifana nemithi ethile, izifo ezibangelwa amagciwane, ukungezwani komzimba, kanye nokwelashwa ngemisebe kungabangela lokhu.
• Uma unenkinga yokugwinya, isilungulela, noma ubuhlungu esifubeni sakho, ungamane nje ungakunaki. Bona udokotela.
• I-Esophagitis yisimo esingelapheka esingadinga imithi kanye nokushintsha indlela yokuphila.

Ngakho-ke, ngithemba ukuthi lolu lwazi lube wusizo kuwe. Hlala uphilile!

'isifo sofuba, isifo sofuba, umphimbo obuhlungu, ukuvuvukala kwesifuba, i-GERD, ubunzima bokugwinya, i-reflux, isilungulela