Ukuqothuka kwesisu

I-Esophagitis yisimo lapho ulwelwesi lwe-esophagus luvuvukala, luvuvukala, noma lucasuke. I-esophagus yishubhu eliholela lisuka emlonyeni wakho liye esiswini. Ibizwa nangokuthi ipayipi lokudla.

I-Esophagitis ivame ukubangelwa uketshezi lwesisu olubuyela emuva kupayipi lokudla. Uketshezi luqukethe i-asidi, ecasula izicubu. Le nkinga ibizwa nge-gastroesophageal reflux (GERD). I-autoimmune disorder ebizwa nge-eosinophilic esophagitis nayo ibangela lesi simo.

Lokhu okulandelayo kwandisa ubungozi bakho kulesi simo:

• Ukusetshenziswa kotshwala
• Ukubhema ugwayi
• Ukuhlinzwa noma imisebe esifubeni (ngokwesibonelo, ukwelashwa komdlavuza wamaphaphu)
• Ukuthatha imithi ethile efana ne-alendronate, i-doxycycline, i-ibandronate, i-risedronate, i-tetracycline, amaphilisi e-potassium, ne-vitamin C, ngaphandle kokuphuza amanzi amaningi
• Ukuhlanza
• Ukulala phansi ngemuva kokudla isidlo esikhulu
• Ukukhuluphala ngokweqile

Abantu abanamasosha omzimba abuthakathaka bangathola izifo. Ukutheleleka kungaholela ekuvukeni kwepayipi lokudla. Ukutheleleka kungahle kube ngenxa ye:

• Isikhunta noma imvubelo (imvamisa iCandida)
• Amagciwane, njenge-herpes noma i-cytomegalovirus

Ukutheleleka noma ukucasuka kungadala ukuthi ipayipi lokudla livuthe. Kungakha izilonda ezibizwa ngokuthi izilonda.

Izimpawu zingafaka:

• Khwehlela
• Kunzima ukugwinya
• Ukugwinya okubuhlungu
• Isilungulela (i-acid reflux)
• Ukungahambi kahle
• Umphimbo obuhlungu

Udokotela angenza izivivinyo ezilandelayo:

• I-Esophageal manometry
• I-Esophagogastroduodenoscopy (EGD), isusa ucezu lwethishu epayipini lokudla ukuze lihlolwe (i-biopsy)
• Uchungechunge oluphezulu lwe-GI (i-barium swallow x-ray)

Ukwelashwa kuya ngesizathu. Izinketho zokwelashwa ezivamile yilezi:

• Imithi eyehlisa i-asidi esiswini uma kwenzeka isifo se-reflux
• Ama-antibiotic ukwelapha izifo
• Imithi nokushintsha kokudla kwelapha i-eosinophilic esophagitis
• Imithi yokumboza ulwelwesi lwepayipi lokudla ukwelapha umonakalo ohlobene namaphilisi

Kufanele uyeke ukuthatha imishanguzo elimaza ulwelwesi lwe-esophagus. Thatha amaphilisi akho ngamanzi amaningi. Gwema ukulala phansi ngokushesha ngemuva kokuphuza iphilisi.

Isikhathi esiningi, ukuphazamiseka okubanga ukuvuvukala nokuvuvukala kwepayipi lokudla, kuphendula ekwelashweni.

Uma ungelashwa, lesi simo singadala ukungakhululeki okukhulu. Ukuqubuka (ukuqina) kwepayipi lokudla kungahle kuvele. Lokhu kungadala izinkinga zokugwinya.

Isimo esibizwa ngeBarrett esophagus (BE) singakhula ngemuva kweminyaka ye-GERD. Imvamisa, i-BE ingaholela kumdlavuza wepayipi lokudla.

Shayela umhlinzeki wakho wezokunakekelwa kwezempilo uma une:

• Izimpawu ezivamile ze-esophagitis
• Kunzima ukugwinya

Ukuvuvukala - isisu; Ukuqina kwesisu; I-ulcerative esophagitis; I-eosinophilic esophagitis

• Ukuhlinzwa kwe-anti-reflux - ukukhishwa

• I-Esophagus ne-anatomy yesisu
• Isisu

I-Falk GW, i-Katzka DA. Izifo zomphimbo. Ku: IGoldman L, iSchafer AI, ama-eds. Imithi yeGoldman-Cecil. Umhla ka-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 129.

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.

URichter JE, uVaezi MF. Isifo se-reflux se-gastroesophageal. Ku: Feldman M, Friedman LS, Brandt LJ, ama-eds. Sleisenger kanye neFordtran's Gastrointestinal and Liver Disease. Umhla ka-11. IPhiladelphia, PA: Elsevier; 2021: isahluko 46.