Ukuqiniswa kwe-Esophageal - kuyingozi

Ukuqina kweBenign esophageal ukuncipha komphimbo (ishubhu elisuka emlonyeni liye esiswini). Kubangela ubunzima bokugwinya.

UBenign usho ukuthi akubangelwa umdlavuza wesifo.

Ukuqina kwe-Esophageal kungadalwa yi:

• I-reflux ye-Gastroesophageal (GERD).
• I-eosinophilic esophagitis.
• Ukulimala okubangelwa i-endoscope.
• Ukusetshenziswa kwesikhathi eside kweshubhu le-nasogastric (NG) (ishubhu elingena ngamakhala esiswini).
• Ukugwinya izinto ezilimaza ulwelwesi lwe-esophagus. Lokhu kungabandakanya abahlanza indlu, i-lye, amabhethri e-disc, noma i-acid yebhethri.
• Ukwelashwa kwama-varices esophageal.

Izimpawu zingafaka:

• Inkinga yokugwinya
• Ubuhlungu ngokugwinya
• Ukwehla kwesisindo ngokungenhloso
• Ukuvuselelwa kokudla

Ungadinga izivivinyo ezilandelayo:

• Ukugwinya kwe-Barium ukubheka ukuncipha komphimbo
• I-Endoscopy yokufuna ukuncipha komphimbo

Ukwehlukaniswa (ukunwebeka) kwesomlomo usebenzisa isilinda esincane noma ibhaluni elifakwa nge-endoscope yiyona ndlela yokwelapha eyinhloko ye-acid reflux strictures.Ungadinga ukuthi lokhu kwelashwa kuphindwe ngemuva kwesikhathi esithile ukuvimbela ukuqina ekunciphiseni futhi.

I-Proton pump inhibitors (imithi evimba i-asidi) ingagcina ukuqina kwe-peptic kungabuyi. Ukuhlinzwa akuvamile ukudingeka.

Uma une-eosinophilic esophagitis, kungadingeka ukuthi uthathe imithi noma wenze izinguquko ekudleni kwakho ukunciphisa ukuvuvukala. Kwezinye izimo, i-dilation yenziwe.

Ukuqina kungahle kubuye ngokuzayo. Lokhu kungadinga ukuphindaphinda okuphindiwe.

Izinkinga zokugwinya zingakuvimba ekutholeni uketshezi olwanele nezakhamzimba. Ukudla okuqinile, ikakhulukazi inyama, kungabambeka ngaphezu kwesivumelwano. Uma lokhu kwenzeka, kuzodingeka i-endoscopy ukususa ukudla okufakiwe.

Kukhona nengozi enkulu yokuba nokudla, uketshezi, noma ukugabha kungene emaphashini ngokuvuselelwa. Lokhu kungadala inyumoniya yokuminyana noma yokufisa.

Shayela umhlinzeki wakho wezempilo uma unezinkinga zokugwinya ezingapheli.

Sebenzisa izinyathelo zokuphepha ukugwema ukugwinya izinto ezingalimaza i-esophagus yakho. Gcina amakhemikhali ayingozi lapho izingane zingafinyeleli khona. Bona umhlinzeki wakho uma une-GERD.

• Ukuhlinzwa kwe-anti-reflux - ukukhishwa

• Indandatho yeSchatzki - x-ray
• Izitho zohlelo lokugaya ukudla

U-El-Omar E, uMcLean MH. I-Gastroenterology. Ku: Ralston SH, ID Penman, Strachan MWJ, Hobson RP, eds. Izimiso zikaDavidson kanye Nokuzijwayeza Kwezokwelapha. Umhla ka-23. IPhiladelphia, PA: Elsevier; 2018: isahluko 21.

I-Pfau PR, iHancock SM. Izindikimba zakwamanye amazwe, ama-bezoars, kanye nokungeniswa okubangelwayo. Ku: Feldman M, Friedman LS, Brandt LJ, ama-eds. Sleisenger kanye neFordtran's Gastrointestinal and Liver Disease. Umhlaka 10. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 27.

URichter JE, uFriedenberg FK. Isifo se-reflux se-gastroesophageal.Ku: Feldman M, Friedman LS, Brandt LJ, ama-eds. Sleisenger kanye neFordtran's Gastrointestinal and Liver Disease. Umhlaka 10. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 44.