Isophagitis esithathelwanayo

I-Esophagitis yigama elijwayelekile lanoma yikuphi ukuvuvukala, ukucasuka, noma ukuvuvukala komphimbo. Lesi yishubhu esithwala ukudla neziphuzo kusuka emlonyeni kuya esiswini.

Isophagitis esithathelwanayo ayivamile. Ngokuvamile kwenzeka kubantu amasosha omzimba abuthakathaka. Abantu abanamasosha omzimba aqinile ngokuvamile abahlakuleli ukutheleleka.

Izimbangela ezivamile zokuzivikela komzimba zibuthakathaka zifaka:

• I-HIV / AIDS
• Ukwelashwa ngamakhemikhali
• Isifo sikashukela
• I-leukemia noma i-lymphoma
• Imithi ecindezela amasosha omzimba, njengaleyo enikezwa ngemuva kokufakelwa isitho noma umnkantsha wethambo
• Ezinye izimo ezicindezela noma ezenza buthaka amasosha akho omzimba

Izinto eziphilayo (amagciwane) ezibangela i-esophagitis zifaka isikhunta, imvubelo, kanye namagciwane. Izinto eziphilayo ezijwayelekile zifaka:

• AmaCandida albicans nezinye izinhlobo zeCandida
• I-Cytomegalovirus (CMV)
• Igciwane le-Herpes simplex (HSV)
• I-human papillomavirus (HPV)
• Amagciwane esifo sofuba (Isifo sofuba iMycobacterium)

Izimpawu ze-esophagitis zifaka:

• Kunzima ukugwinya nokugwinya okubuhlungu
• Umkhuhlane namakhaza
• Ukutheleleka kwemvubelo yolimi kanye nolwelwesi lomlomo (i-oral thrush)
• Izilonda emlonyeni noma emuva komphimbo (ezine-herpes noma i-CMV)

Umhlinzeki wezokunakekelwa kwempilo uzobuza ngezimpawu zakho bese ehlola umlomo nomphimbo wakho. Ukuhlolwa kungafaka:

• Ukuhlolwa kwegazi nomchamo kwe-CMV
• Isiko lamaseli asuka emphinjeni we-herpes noma i-CMV
• Isiko lomlomo noma lomphimbo we-candida

Ungadinga ukuthi ube nokuhlolwa okuphezulu kwe-endoscopy. Lesi isivivinyo sokuhlola ulwelwesi lwe-esophagus.

Kubantu abaningi abane-esophagitis, imithi ingalawula ukutheleleka. Lokhu kufaka phakathi:

• Imithi elwa namagciwane efana ne-acyclovir, i-famciclovir, noma i-valacyclovir ingaphatha ukutheleleka kwe-herpes.
• Imithi elwa nokubola efana ne-fluconazole (ethathwe ngomlomo), i-caspofungin (enikezwa ngomjovo), noma i-amphotericin (enikezwa ngomjovo) ingalapha ukutheleleka kwe-candida.
• Imithi elwa namagciwane enikezwa ngomthambo (ngemithambo), njenge-ganciclovir noma i-foscarnet ingalapha ukutheleleka nge-CMV. Kwezinye izimo, umuthi obizwa nge-valganciclovir, othathwa ngomlomo, ungasetshenziselwa ukutheleleka nge-CMV.

Abanye abantu bangadinga futhi umuthi wezinhlungu.

Buza umhlinzeki wakho ngezincomo ezikhethekile zokudla. Isibonelo, kungahle kube nokudla okudingayo ukuze ugweme ukukudla njengoba i-esophagitis yakho iphola.

Abantu abaningi abelashelwa isiqephu se-esophagitis esithathelwanayo badinga eminye, imithi yesikhathi eside ukucindezela igciwane noma ukhunta, nokuvikela ukuthi ukutheleleka kungabuyi.

I-Esophagitis imvame ukwelashwa ngempumelelo futhi imvamisa iphilisa ezinsukwini ezi-3 kuye kwezi-5. Abantu abanamasosha omzimba abuthakathaka bangathatha isikhathi eside ukuthi babe ngcono.

Izinkinga zempilo ezingabangelwa i-esophagitis esithathelwanayo zifaka:

• Izimbobo ku-esophagus (perforations) yakho
• Ukutheleleka kwamanye amasayithi
• Ukutheleleka okuphindaphindiwe

Shayela umhlinzeki wakho uma unanoma isiphi isimo esingahle sinciphise ukuphendula komzimba futhi uthuthukise izimpawu zesifo esophagitis esithathelanayo.

Uma unesimiso somzimba sokuzivikela somzimba esibuthakathaka, zama ukugwema ukuxhumana nabantu abanesifo nganoma yisiphi sezinto ezibalulwe ngenhla.

Ukutheleleka - isisu; Ukutheleleka kwe-Esophageal

• I-Herpetic esophagitis
• Isistimu ephezulu yamathumbu
• I-CMV esophagitis
• I-Candidal esophagitis

I-Graman PS. Ukuqothuka kwesisu. Ku: Bennett JE, Dolin R, Blaser MJ, ama-eds. Mandell, Douglas, kanye neBennett's Principles and Practice of Infectious Diseases. Umhlaka 9. IPhiladelphia, PA: Elsevier; 2020: isahluko 97.

I-Katzka DA. Ukuphazamiseka kwe-Esophageal okubangelwa yimithi, ukuhlukumezeka, kanye nokutheleleka. 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 46.