Wake wazizwa sengathi umphimbo wakho ubambekile noma isifuba sakho siyasha uma ugwinya ukudla? Nakuba abaningi bethu becabanga ukuthi lokhu kuyinto evamile, kungaba uphawu lwesimo esidinga ukunakekelwa. I-Esophagitis ingenye yalezi zimo. Ngakho-ke namuhla, ake sixoxe ngokuthi iyini i-Esophagitis, kungani yenzeka, nokuthi yini okufanele siyenze ngayo.
Kalula nje, iyini i-Esophagitis?
Kalula nje, i-Esophagitis ukuvuvukala noma ukuvuvukala kolwelwesi lwe -esophagus , ipayipi elithwala ukudla kusuka emphinjeni wethu liye esiswini sethu. Njengoba nje isikhumba sethu siba bomvu futhi sivuvuke lapho silimala, i-esophagus ingonakala ngale ndlela ngezizathu ezahlukahlukene. Uma lesi simo singelashwa kahle, singaholela ezinkingeni ezinkulu njengobunzima bokugwinya, izilonda, kanye nezibazi ze-esophagus.
Kunezinhlobo eziningana eziyinhloko ze-esophagitis.
I-Esophagitis ingahlukaniswa ngezinhlobo eziningana kuye ngokuthi imbangela yalesi simo ibangelwa yini.
| Uhlobo lwe-esophagitis | Incazelo elula |
|---|---|
| I-Reflux Esophagitis | Lolu uhlobo oluvame kakhulu. Kwenzeka lapho okuqukethwe yi-asidi esiswini kugeleza ku-esophagus. Ngokuvamile lesi simo sisibiza ngokuthi (GERD - Gastroesophageal Reflux Disease) . Ama-asidi esiswini anamandla kakhulu futhi alimaza ulwelwesi oluthambile lwe-esophagus. |
| I-Eosinophilic Esophagitis | Lokhu kuhlobene nokungezwani komzimba. Ama-eosinophil awuhlobo lwamaseli amhlophe egazi. Lawa maseli aqoqana emigudwini yomoya futhi abangele ukuvuvukala ngenxa yokungezwani komzimba. Lokhu kungabangelwa izinto ezifana nobisi, amaqanda, isoya, ukolweni, amakinati kanye nokudla kwasolwandle. |
| I-Esophagitis ebangelwa yimithi | Eminye imithi ingahlala emphinjeni isikhathi eside uma igwinywa ngaphandle kokuphuza amanzi. Amakhemikhali akuleyo mithi angalimaza umphimbo. Izibonelo zalokhu zifaka phakathi izinhlungu zobuhlungu (i-aspirin, i-ibuprofen), amanye ama-antibiotic, kanye nemithi yokuqinisa amathambo. |
| I-Esophagitis Ethelelanayo | Lesi simo singabangelwa ukutheleleka ngegciwane, amagciwane, noma isikhunta kubantu abanezivikeli mzimba ezibuthakathaka (isib. umdlavuza, iziguli ezine-HIV/AIDS). Imbangela evamile ukukhula okungalawuleki kwesikhunta esibizwa ngokuthi i-Candida albicans, esivame ukutholakala emilonyeni yethu. |
| I-Esophagitis yemisebe | Uma uthola ukwelashwa ngemisebe yomdlavuza, uma imisebe idlula emphinjeni, ingalimaza umphimbo futhi ibangele lesi simo. |
Ziyini izimpawu zalesi simo?
Umuntu one-esophagitis angase abe nezimpawu ezilandelayo noma ngaphezulu:
- Ubunzima bokugwinya ukudla noma ukuzwa ubuhlungu lapho ugwinya
- Isilungulela
- I-reflux ye-asidi
- Ukuzwa sengathi kukhona okubambeke emphinjeni
- Ubuhlungu besifuba (ikakhulukazi ngemva kokudla)
- Isicanucanu nokuhlanza
Into ebaluleke kakhulu ukuthi, uma unalezi zimpawu izinsuku ezingaphezu kwezimbalwa, ungazinaki ucabanga ukuthi, "Lokhu kungase kube yisifo sohudo," bese ubona udokotela ngokushesha .
Kuthiwani uma lokhu kwenzeka ezinganeni ezincane?
Izingane ezincane nezinsana zingase zibonise izimpawu ezihlukile kunezabantu abadala uma ziba nalesi simo.
- Ukungafuni ukudla, ukukhukhumala noma ukuthambekela emuva lapho uphakelwa
- Ukungakhuli isisindo
- Izingane ezindala zingase zibike ubuhlungu besifuba noma besisu.
I-Esophagitis itholakala kanjani?
Uma uya kudokotela, uzobuza ngezimpawu zakho bese ekuxilonga. Ngemuva kwalokho, bangase bakucele ukuhlolwa okukodwa noma ngaphezulu kwalokhu ukuqinisekisa ukuxilongwa.
1. I-Upper Endoscopy: Lokhu kuhilela ukufaka ipayipi eliguquguqukayo elinekhamera encane emlonyeni ukuhlola umphimbo, isisu, kanye nokuqala kwamathumbu amancane. Lokhu kungabona ngokucacile izinto ezifana nokuvuvukala nezilonda kumphimbo.
2. I-Biopsy: Ngesikhathi se-endoscopy, kuthathwa isampula encane kakhulu yezicubu ezivela emhubheni.Kuthathwa ingxenye encane bese ithunyelwa ukuze iyohlolwa ngaphansi kwe-microscope. Lokhu kungasiza ekutholeni imbangela yesifo (isib., ukungezwani komzimba, izifo).
3. Ukugwinya kwe-Barium: Lokhu ukuhlolwa kwe-X-ray. Uphuza uketshezi olubizwa ngokuthi i-barium bese kuthathwa izithombe eziningana ze-X-ray. Ngenxa yokuthi uketshezi lwe-barium lumboza ingaphakathi le-esophagus, izinguquko esimweni se-esophagus, njengokuvinjelwa, zibonakala ngokucacile ku-X-ray.
Yiziphi izindlela zokwelapha?
Ukwelashwa kuncike ekutheni unesifo sofuba esinjani.
- Nge-Reflux Esophagitis: Udokotela wakho uzokunikeza imithi enciphisa ukukhiqizwa kwe-asidi esiswini (isib. i-Omeprazole, i-Lansoprazole) kanye nemithi evimbela i-asidi ukuthi ikhuphuke. Kwezinye izimo, ukuhlinzwa kungenziwa ukuze kuqiniswe i-valve ephakathi kwesisu nomminzo.
- Nge-Eosinophilic Esophagitis: Kubalulekile ukuhlonza nokugwema ukudla okubangela ukungezwani komzimba (ukudla kokuqeda). Futhi, ama-steroid anikezwa njengoketshezi lokugwinya ukuze kuncishiswe ukuvuvukala.
- Nge-Esophagitis Ebangelwa Yimithi: Ukwelashwa okungcono kakhulu kwalokhu ukuqeda imbangela. Phuza ingilazi enkulu yamanzi ngenkathi uthatha imithi yakho . Futhi, hlala noma ume uqonde okungenani imizuzu engama-30 ngemva kokuthatha imithi. Udokotela wakho angase anqume ukushintsha imithi yakho noma akunike uketshezi.
- Nge-Esophagitis Ethelelanayo: Kunikezwa imithi ethile esebenza ngokumelene nokutheleleka okubangela (isikhunta, igciwane, noma igciwane).
Okubalulekile: Ungazami noma yiluphi uhlobo lokwelapha ngamakhambi noma okunye ngaphandle kokubonisana nodokotela wakho. Ezinye izinto zingenza isimo sakho sibe sibi kakhulu.
Yini esingayenza ukuvimbela lesi simo?
Le mikhuba izosiza kakhulu ekuvimbeleni i-esophagitis nokulawula ukuphinda kwayo.
- Nciphisa ukudla okunongwe, okunamafutha, kanye nokune-asidi. Kungumqondo omuhle futhi ukunciphisa izinto ezifana noshokoledi, i-mint, kanye nekhofi.
- Ungalali ngokushesha ngemva kokudla. Yidla isidlo sakusihlwa amahora angu-2-3 ngaphambi kokulala.
- Hlafuna ukudla kahle bese ukugwinya kube yizicucu ezincane.
- Gwema ukubhema nokuphuza utshwala. Lokhu kulimaza ngqo umphimbo.
- Lawula isisindo sakho. Ukukhuluphala ngokweqile kungandisa ingcindezi esiswini futhi kubangele ukuthi kuvele i-asidi.
- Gcina ikhanda lombhede liphakeme cishe ngamasentimitha angu-6-8. Lokhu kungenziwa ngokubeka into efana nebhulokhi yokhuni ngaphansi kwemilenze yombhede. Ukubeka imicamelo eminingi ngeke kufeze lo mphumela.
Isikhathi sokuthola iseluleko sezokwelapha ngokushesha
Ngaphezu kwezimpawu ezivamile, kunezimo ezithile lapho kufanele ufune khona ukwelashwa ngokushesha.
| Funa iseluleko sezokwelapha. | |
|---|---|
| Uma unalezi zimpawu, bona udokotela. | |
| |
| Uma unalezi zimpawu, funa ukwelashwa ngokushesha (iya ku-ETU). | |
|
Umlayezo Wokuya Nawe Ekhaya
- Ungazinaki izimpawu ezifana nobuhlungu besifuba kanye nobunzima bokugwinya njengento "evamile." Zingaba uphawu lwe-esophagitis.
- Njengoba kunezimbangela eziningi zalesi simo, kubalulekile ukubona udokotela ukuze uthole ukuxilongwa okunembile.
- Ngokwelashwa okufanele kanye nokushintsha indlela yokuphila elula, lesi simo singalawulwa kahle futhi izinkinga ezinkulu zingavinjelwa.
- Khuluma nodokotela wakho njalo ngemithi oyiphuzayo kanye nendlela efanele yokuyiphuza.
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