Wake wazizwa ubuhlungu obungavamile noma ukuqina emphinjeni wakho uma udla noma uphuza okuthile? Noma umuzwa ovuthayo osuka phakathi kwesifuba sakho? Esikhathini esiningi, asicabangi ngalokhu njengezinto ezivamile. Kodwa lokhu kungaba yisimo esaziwa ngokwezokwelapha ngokuthi i-Esophagitis. Nakuba igama lingase lizwakale lingavamile, lena yinkinga abantu abaningi ezweni lethu abanayo. Ngakho-ke namuhla, ake sixoxe ngalokhu kalula, ngendlela ongayiqonda.
Kuyini i-Esophagitis?
Kalula nje, i-Esophagitis ukuvuvukala kombhobho wethu wokudla (i-gullet). Manje ungase uzibuze ukuthi iyini le mbhobho yokudla. Okusho ukuthi, ipayipi elithwala ukudla kusuka emphinjeni liye esiswini lapho sigwinya. Kufana nepayipi lamanzi. Siyibiza ngokuthi i-Esophagitis lapho ulwelwesi oluthambile ngaphakathi kwale mbhobho luvuvukala, lube bomvu, futhi lube buhlungu ngesizathu esithile. Cabanga ukuthi ukube ubunenxeba esikhumbeni sakho, ngabe libomvu, livuvuke, futhi libe buhlungu, akunjalo? Yilokho okwenzekayo ngaphakathi kombhobho wokudla.
Imbangela eyinhloko yalokhu kuvuvukala ukugeleza kwe-asidi yesisu e-esophagus. Ngaphezu kwalokho, imithi ethile, izifo, kanye nokungezwani komzimba nakho kungadala lokhu.
Ziyini izimpawu zomuntu one-esophagitis?
Lezi zimpawu zingase zihluke kancane kumuntu nomuntu, futhi zingase zihluke nangobukhulu kuye ngokuthi isimo sibucayi kangakanani.
| Izimpawu ezivame ukubonakala | Ezinye izimpawu ezingaba khona |
|---|---|
| Umphimbo obuhlungu: Umuzwa ofana nomphimbo wakho unciphile. | Ukuvuvukala kwe-asidi. |
| Isishiso senhliziyo: Umuzwa oshisayo ovela enkabeni yesifuba. | Ukuphinda ukudla kube kusha (regurgitation) ngemva kokudla. |
| Ubunzima bokugwinya (i-Dysphagia): Ubuhlungu noma umuzwa wokuminyana lapho ugwinya ukudla noma isiphuzo. | Ukuzwa sengathi ukudla kunamathele emphinjeni. |
| Ubuhlungu besifuba: Lobuhlungu bungakhula, ikakhulukazi uma udla. | Ukungakhululeki esiswini kanye nokungagayeki kahle kokudla. |
| Izingane ezincane zingase zingafuni ukudla. | |
| Isicanucanu nokuhlanza. | |
| Ukuhlanza igazi. | |
| Izilonda zomlomo. |
Ake sifunde ngezinhlobo eziyinhloko ze-esophagitis.
Lesi simo singahlukaniswa ngezinhlobo eziningana eziyinhloko kuye ngembangela. Ake sibone ukuthi ziyini.
1. I-Reflux Esophagitis ebangelwa yi-asidi yesisu
Lolu uhlobo oluvame kakhulu . Isisu sethu siqukethe i-asidi enamandla kakhulu esiza ekugayeni ukudla. Ngokuvamile, indandatho yemisipha (i-sphincter) phakathi kwesisu ne-esophagus ivimba le-asidi ukuthi ingakhuphuki. Kufana nomnyango. Kodwa uma lo mnyango ungavali kahle, i-asidi esiswini iyakhuphuka ishaye i-esophagus. I-esophagus ayikwazi ukumelana nale-asidi enamandla. Ngakho-ke, uma lokhu kuqhubeka, i-esophagus iyalimala futhi ivuvuke. Siphinde sikubize ngokuthi i-GERD (Gastroesophageal Reflux Disease) . Lesi simo singavela nakubantu abahlanza njalo.
2. I-Esophagitis ebangelwa yimithi ebangelwa imithi
Lokhu ngezinye izikhathi kubizwa ngokuthi "i-Pill Esophagitis." Eminye yemithi esiyithathayo, ikakhulukazi uma singaphuzi amanzi anele, ingabhajwa emhubheni bese iqala ukuncibilika. Amakhemikhali asemaphilisini angalimaza futhi alimaze ulwelwesi lomhubhe.
Okubalulekile: Uma udokotela ekutshela ukuthi uphuze iphilisi, ukuthi "liphuze nengilazi yamanzi" kusho ukuvimbela izinto ezinjengalezi.
Izinto ezifana nemithi yokunciphisa ubuhlungu (ama-NSAID), amanye ama-antibiotic, kanye nemithi yokuqinisa amathambo (ama-Bisphosphonates) zingabangela lokhu.
3. I-Esophagitis Ethelelanayo ebangelwa ukutheleleka
Lokhu kuvame ukwenzeka kaningi kumuntu ophilile. Kodwa-ke, abantu abanamasosha omzimba abuthakathaka banamathuba amaningi okuthola izifo ezinjengalezi. Isibonelo:
- Abantu abaphila ne-HIV/AIDS
- Abantu abanesifo sikashukela
- Abantu abathola ukwelashwa komdlavuza (i-Chemotherapy)
- Abantu abathatha imithi yokucindezela amasosha omzimba ngemva kokufakelwa izitho zomzimba
Laba bantu bangaba nezifo ezibangelwa yisikhunta (isib. i-Candida albicans) kanye nezifo ezibangelwa yigciwane (isib. i-herpes) emqaleni.
4. I-Eosinophilic Esophagitis ebangelwa ukungezwani komzimba
Lesi yisimo esiyinkimbinkimbi kancane. Okwenzekayo lapha ukuthi amasosha omzimba asebenza ngokweqile, futhi inani elikhulu lamaseli amhlophe egazi abizwa ngokuthi ama-eosinophil aqoqana emhubheni. Lapho la maseli eqoqana, ukuvuvukala okungapheli kwenzeka lapho. Lokhu kuvame ukubonakala kakhulu kubantu abane-allergies ekudleni okuhlukahlukene noma ezintweni ezisendaweni ezungezile.
5. Ngenxa yezinye izifo ezibangelwa ukuzivikela komzimba
Ngezinye izikhathi, i-esophagitis ingabangelwa nezifo ezizimele, lapho amasosha omzimba ehlasela khona amangqamuzana awo. Isibonelo, lesi simo sivame ukwenzeka kubantu abanezifo ezifana ne-Inflammatory Bowel Disease (IBD).
6. Ngenxa yokwelashwa ngemisebe
Uma welashwa ngemisebe yomdlavuza ezindaweni ezifana nesifuba nomphimbo, imiphumela yemisebe ingabangela ukuvuvukala komphimbo. Lokhu kuvame ukuba okwesikhashana, kodwa kwabanye abantu kungaba isikhathi eside.
Ingabe i-Esophagitis ingaba yingozi?
Yebo. Uma kungelashwa kahle, lokhu kungaholela ezinkingeni ezinkulu. Ngakho-ke, uma unalezi zimpawu, kungcono ungazinaki.
- Izilonda: Uma ukuvuvukala kuqhubeka, izilonda, ezibizwa ngokuthi izilonda, zingakheka ngaphakathi kwepayipi lokudla. Lezi zingopha igazi. Akuvamile kakhulu, lezi zilonda zingangena zijule futhi zibangele imbobo epayipini lokudla (ukubhoboka kwesisu). Uma lokhu kwenzeka, ukutheleleka kungasakazekela esifubeni noma egazini futhi kungaba yingozi empilweni.
- Ukuqina komphimbo: Izicubu zezibazi zakheka ngaphakathi komphimbo ngenxa yokuvuvukala kwesikhathi eside. Lokhu kuzibazi kunciphisa kancane kancane umphimbo. Lokhu kwenza kube nzima kakhulu ukugwinya ukudla. Lokhu kungaholela ekuphelelweni amanzi emzimbeni, ukwehla kwesisindo kanye nokungondleki kahle.
- Umphimbo kaBarrett: Lena yinkinga eyingozi kakhulu. Ngenxa yokuqhubeka nokuchayeka ku-asidi, amangqamuzana engxenyeni engezansi yomphimbo aqala ukushintsha. Okusho ukuthi, amangqamuzana aqala ukufana namangqamuzana asemathunjini. Lesi yisimo sangaphambi komdlavuza.Lokhu kusho ukuthi abantu abanalesi simo basengozini enkulu yokuba nomdlavuza womphimbo esikhathini esizayo.
Udokotela ukuthola kanjani lokhu?
Uma uya kudokotela, uzoqala ngokukubuza ngezimpawu zakho. Ngokuvamile, ungaqagela ukuthi une-esophagitis yini ngokwemininingwane oyinikezayo.
- Ngokuvamile, udokotela uzoqala ngokunikeza umuthi onciphisa i-asidi yesisu bese ebona ukuthi lokho kuyanciphisa yini izimpawu. Uma izimpawu zincipha, kungaqinisekiswa ukuthi kuyi-reflux esophagitis.
- Uma izimpawu zingathuthuki ngemithi, kudingeka ukuhlolwa okwengeziwe. Ukuhlolwa okuyinhloko kwalokhu yi- Upper Endoscopy . Lapha, kufakwa ipayipi elincane, eliguquguqukayo elinekhamera ngomlomo bese kuhlolwa umphimbo, isisu, kanye nengxenye yokuqala yamathumbu amancane. Lokhu kuvumela ukubukeka okucacile ngaphakathi, njengokuvuvukala nezilonda. Uma kudingeka, kungathathwa ingcezu yezicubu ukuze ihlolwe (`(Biopsy)`).
- Ngezinye izikhathi ukuhlolwa kwe-pH yomphimbo, okulinganisa inani le-asidi kumphimbo, kunganconywa futhi.
Ukwelashwa kanye nezinguquko zendlela yokuphila
Ukwelashwa kuncike embangela ye-esophagitis futhi ngokuvamile kuhilela inhlanganisela yemithi kanye nezinguquko zendlela yokuphila.
| Izindlela zokwelapha | Incazelo |
|---|---|
| Imithi | |
| Imithi yokwehlisa i-asidi | Imithi efana nama-antacid, ama-H2 blockers, kanye nama-proton-pump inhibitors (PPIs) inciphisa ukukhiqizwa kwe-asidi esiswini. Lokhu kubalulekile kwi-reflux esophagitis. |
| Imithi yokulwa nokuvuvukala | Ezimweni ezifana ne-eosinophilic esophagitis, uhlobo oluthile lwe-steroid olugwinyiwe lunganikezwa. Lokhu kulawula ngqo ukuvuvukala emhubheni. |
| Imithi yokulwa nokutheleleka | Ama-antifungal anikezwa ukutheleleka nge-fungus kanye nama-antiviral ukutheleleka nge-virus. |
| Izinguquko Zendlela Yokuphila | |
| Izinguquko ekudleni | Nciphisa ukudla okune-asidi njengamafutha, i-chili, ukudla okunezinongo, ushokoledi, ikhofi, i-mint, njll. Thola futhi ugweme ukudla okukwenza uzizwe ungakhululekile. |
| Indlela yokuphuza umuthi | Uma ugwinya amaphilisi, gwinya aphelele ngengilazi yamanzi. Ungalali phansi okungenani imizuzu engama-30 ngemva kokuthatha umuthi. |
| Imikhuba yasebusuku | Yidla isidlo sakusihlwa esincane. Yidla isidlo sakusihlwa okungenani amahora amathathu ngaphambi kokulala. Lokhu kunikeza ukudla isikhathi sokugaya. Gcina ikhanda lakho liphakeme kancane ngenkathi ulele. |
| Eminye imikhuba | Uma ubhema, yeka ngokushesha. Yeka nokuphuza utshwala. Zombili lezi zinto ziyingozi kakhulu emhubheni. |
Kuthatha isikhathi esingakanani ukuphulukiswa?
Lokhu kuncike embangela kanye nendlela osabela ngayo ekwelashweni. Uma usuqalile ukwelashwa okufanele, inqubo yokuphulukiswa izoqala ngokushesha. Kungathatha cishe amasonto ama-3-6 ukuphulukiswa ngokuphelele. Kodwa-ke, uma lesi simo singesingapheli, njenge-GERD, kuzodingeka uphuze imithi futhi wenze izinguquko zendlela yokuphila isikhathi eside.
Into ebaluleke kakhulu ukulandela imiyalelo kadokotela wakho ngqo. Kubaluleke kakhulu ukuphuza umuthi ngesikhathi esifanele nangesilinganiso esifanele.
Umlayezo Wokuya Nawe Ekhaya
- I-Esophagitis ukuvuvukala noma ukuvuvukala kwepayipi esigwinya ngalo ukudla (umhubhe).
- Ubuhlungu besifuba, ubunzima bokugwinya, kanye nomphimbo obuhlungu yizimpawu eziyinhloko.
- Imbangela evame kakhulu yisifo se-gastroesophageal reflux (GERD), kodwa futhi singabangelwa yimithi ethile, izifo, kanye nokungezwani komzimba.
- Uma kungelashwa kahle, kungavela izinkinga ezinkulu, njengezilonda, ukuncishiswa komphimbo, kanye nomphimbo kaBarrett, isimo esingaphambi komdlavuza.
- Uma unezimpawu ezinjengalezi, ungazinaki futhi nakanjani bonana nodokotela wakho ukuze akunike iseluleko.
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