Yini ebangela ubuhlungu be-esophageal nokuthi yini okufanele uyenze

-Delile

• 1. Isifo se-reflux se-gastroesophageal
• 2. Isisu
• 3. Ukucinana kwesisu
• 4. Umdlavuza we-Esophageal
• 5. I-Achalasia
• 6. Ama-diverticles
• 7. Izilonda emqaleni

Kunezifo ezingadala ukulimala futhi zithinte ukwakheka komphimbo, isitho esinomsebenzi obalulekile wokuhambisa ukudla neziphuzo phakathi komlomo nesisu, kanti ezinye zazo eziyinhloko kubandakanya i-reflux ye-gastroesophageal, esophagitis, isimila, i-spasms, izifo, ukulimala, isibonelo.

Izimpawu ezinkulu ezibangelwa yilezi zifo ubuhlungu besifuba, isilungulela, i-reflux, ubunzima bokugwinya noma umuzwa we-bolus endaweni yomphimbo. Imvamisa, ubuhlungu bukhulu futhi budidekile nezifo zenhliziyo, amaphaphu noma imisipha, ngakho-ke kuhlale kudingekile ukuthi kube nokuhlolwa kwezokwelapha ukwenza izivivinyo ezifana ne-endoscopy yokugaya ukudla, i-manometry, i-ultrasound noma i-radiography ngokungafani nesifunda, esikhomba izinguquko ku ukwakheka kwesitho futhi kukhishwe ezinye izimbangela. Qonda kabanzi ngezinye izimbangela zobuhlungu besifuba.

1. Isifo se-reflux se-gastroesophageal

Isifo se-reflux se-Gastroesophageal, esaziwa nangokuthi yi-GERD, sibangelwa i-reflux yokuqukethwe yisisu emqulwini, okungafanele kwenzeke, njengoba izicubu zalesi sitho zingakulungele ukuthola i-asidi eyeqile.

Izimpawu eziyinhloko: izimpawu eziyinhloko ze-reflux ye-gastroesophageal iyasha esifubeni, isilungulela, ukunambitheka okumunyu emlonyeni, ukukhwehlela ebusuku, i-laryngitis ephindaphindayo, futhi ezimweni ezinzima kakhulu, kungahle kube nobuhlungu esifubeni, ubuhlungu bokugwinya (i-odynophagia) kanye ubunzima bokugwinya (i-dysphagia)).

Indlela yokwelapha: Kunconywa ukusetshenziswa kwezidakamizwa ukunciphisa i-asidi yejusi lesisu, njenge-Omeprazole, i-Pantoprazole, i-Esomeprazole noma i-Ranitidine, futhi kuyadingeka futhi ukwenza izinguquko emikhubeni, njengokugwema ukudla okwenza lula i-reflux, njengokuthosiwe ukudla, amafutha, iminti, upelepele, amakhofi, itiye, utamatisi, ukudla okune-asidi, ngaphezu kokugwema ukudla kakhulu, lala phansi ngemuva nje kokudla bese ugqoka izingubo eziqinile.

Uma i-reflux ye-gastroesophageal ingalashwa kahle, ezinye zezinkinga ezingaba khona yi-esophagitis, i-Barrett's esophagus, ukunciphisa i-esophagus ngisho nomdlavuza. Thola okuningi mayelana nokuthi kuyini nokuthi ungayibona kanjani i-reflux yesisu.

2. Isisu

I-Esophagitis ukuvuvukala komphimbo, inkinga ethinta abanye abantu abanesifo se-reflux se-gastroesophageal.Lokhu kuvuvukala kwandisa ubungozi bokubangela i-esophagus kaBarrett, ethi ivele lapho amaseli avuvukala enza ushintsho, olubizwa ngokuthi yi-metaplasia, ukumelana nokuchayeka kaningi ku-asidi, futhi okunengozi eyengeziwe yokudala umdlavuza wokucinana kwemisipha.

Ezinye izimbangela ze-esophagitis zibandakanya ukutheleleka kwemvubelo, ukuhlanza njalo, ukusetshenziswa kwezidakamizwa ezifana ne-aspirin, anti-inflammatories kanye nama-antibiotic, njengeClindamycin, i-hiatus hernia noma ukungeniswa kwezinto ezinobuthi noma i-acidic, isibonelo.

Izimpawu eziyinhloko: ubuhlungu besifuba noma ukushisa, ubuhlungu noma ubunzima bokugwinya, ukunambitheka okumunyu emlonyeni, ukukhwehlela, i-laryngitis ejwayelekile.

Indlela yokwelapha: uma kubangelwa i-reflux, ukwelashwa kwe-esophagitis nakho kwenziwa ngokuvimbela i-asidi yesisu, ngemithi efana ne-Pantoprazole, i-Omeprazole ne-Ranitidine, ngokwesibonelo, ngaphezu kwezinguquko emikhubeni yokudla. Uma kubangelwa ukutheleleka, imishanguzo efana nama-antibiotic, ama-antifungal noma ama-antivirals akhonjiswa kuze kube yilapho isilonda siphola. Uma kwenzeka ukucasuka kubangelwa izidakamizwa, izinto noma imisebe, kungahle kudingeke ukuthi kunciphise i-esophagus, uma umsebenzi wayo uphazamisekile.

Thola imininingwane eminingi ngohlobo lwe-esophagitis nokuthi ungayelapha kanjani.

Bona imininingwane eminingi yokuthi kwenzeka kanjani i-esophagitis ngokubuka ividiyo elandelayo:

3. Ukucinana kwesisu

Akwaziwa ngokuqinisekile ukuthi yini imbangela ye-Reflux esophageal, kodwa-ke kunezinto ezingadala umsebenzi ongahambisani nalesi sitho, okudala ukuphambana okubuhlungu nokungajwayelekile kwesomlomo, njengokudla okushisa kakhulu noma okubandayo.

Ukuqinisekisa lesi sifo, udokotela anga-oda izivivinyo ezifana ne-manometry, ethola ingcindezi yomphimbo, ngaphezu kwe-radiography ngokuqhathanisa ne-endoscopy.

Izimpawu eziyinhloko: ikakhulukazi, zinenkinga yokugwinya nobuhlungu esifubeni, okungenzeka ngesikhathi sokulala, kube kubi kakhulu ngemuva kokudla, futhi kuhambisane nokushisa, i-reflux nobunzima bokugwinya. Kwezinye izimo, ubuhlungu bungaba bukhulu kangangokuba bungalingisa i-infarction ye-myocardial acute.

Indlela yokwelapha: ubuhlungu bungaqedwa ngama-antacids futhi, ukulawula ama-spasms, udokotela angakhombisa imishanguzo efana ne-nitrate, i-hydralazine, i-calcium channel blocker, i-botulinum toxin kanye ne-anxiolytics, isibonelo.

4. Umdlavuza we-Esophageal

Isimila esophageal asivamile, futhi ezimweni eziningi, sihlobene nokuba khona kwesifo se-reflux kanye nesimomondiya sikaBarrett, kodwa-ke, ezinye izinto eziyingozi ukubhema, ukusetshenziswa kotshwala, ukulimala okubangelwa isifo, ukutheleleka nge-HPV, ukukhuluphala ngokweqile kanye ne-reflux esophageal.

Izimpawu eziyinhloko: uphawu oluyinhloko ubunzima bokugwinya ukudla, okwehla kancane kancane, kuqala ngokudla okuqinile futhi kungafinyelela uketshezi. Ezinye izimpawu nezimpawu ezingabonakala ukuhla kwesisindo, ukushaqeka, ubuhlungu lapho ugwinya kanye ne-anemia, okungenza umuntu azizwe ekhathele.

Indlela yokwelapha: ukwelashwa kuboniswa ngudokotela ngokusho kohlobo nobukhulu besilonda futhi imvamisa kufaka ukuhlinzwa ukukhipha isimila, ngaphezu kwe-chemotherapy noma i-radiotherapy.

Funda kabanzi mayelana nokuthi ungawuthola kanjani futhi uwuphathe kanjani umdlavuza wokuqopha.

5. I-Achalasia

I-Achalasia yisifo esidalwa ukulimala noma ukulahleka kwama-neuron abhekele ukungasebenzi kwemisipha yomphimbo. Ngale ndlela, umphimbo ulahlekelwa amandla okuphumula ngesikhathi sokugwinya nokwenza i-peristalsis, okungamagagasi okuhamba kwendlela yokugaya eyakhelwe ukuthatha ukudla ngendlela efanele, kuze kufike esiswini nasemathunjini. Ngakho-ke, e-achalasia kunokuncipha kokukhubazeka kancane kancane nokukhubazeka, okungaba kubi kakhulu njengoba isikhathi sihamba.

Izimpawu eziyinhloko: izimpawu eziyinhloko ubunzima bokugwinya, i-reflux, ubuhlungu besifuba kanye nokwehlisa isisindo.

Indlela yokwelapha: yize lingekho ikhambi, udokotela angancoma ukwelashwa ukunciphisa ingcindezi ezimpophweni nasezimpawu, njenge-nitrate noma i-hydralazine. Ukwehliswa kwe-Esophageal noma ukuhlinzwa kwe-myotomy ezinye izindlela zokusiza ukukhipha isopha ezimweni ezinzima kakhulu. Esimweni sokugcina, ukususwa komphimbo kungadingeka.

I-Achalasia ibangelwa izimbangela ezizimele zomzimba, noma kunjalo, isifo sikaChagas singadala ukulimala kwemizwa futhi sidale ukuthamba okufanayo ezigulini ezinalesi sifo. Ukuqinisekisa i-achalasia, udokotela angancoma izivivinyo ezifana ne-esophageal manometry, ukuthola ushintsho kwingcindezi, ngaphezu kwe-endoscopy kanye ne-radiography ngokuqhathanisa nomphimbo.

6. Ama-diverticles

I-Diverticula yizinguquko ezakhiweni zomphimbo ezivame ukuba zincane, kepha zingakhula futhi zikwazi ukugcina amathe nokudla.

Izimpawu eziyinhloko: lapho zikhulu, i-diverticula ingadala ubunzima ekugwinyeni, ekunukeleni umoya nasekufiseni kokudla emaphashini.

Indlela yokwelapha: ukuhlinzwa kungakhonjiswa ukususa i-diverticula enamandla kakhulu noma kubangele izimpawu.

Ngaphezu kwe-diverticula, ezinye izinguquko ezakhiweni zomphimbo ezingase ziqhamuke izindandatho nolwelwesi olukulesi sitho, kanye nama-polyps noma izicubu ezinobungozi, okungenza kube nzima ukugwinya ukudla, futhi kungaba nezimbangela zokubeletha noma ukuvuvukala.

7. Izilonda emqaleni

Isizathu esibalulekile sobuhlungu esiswini, yize kungavamile, ukwakheka kokulimala noma ukugcotshwa, okwenzeka kokubili ngenxa yokuba khona kokuhlanza okukhulu, nangesikhathi sezinqubo ezifana ne-endoscopy noma ukubekwa kwamashubhu e-nasogastric, ukuhlukumezeka ezingozini noma ngenxa ukubola okubangelwa i-esophagitis noma umdlavuza.

Izimpawu eziyinhloko: kukhona ubuhlungu obunzima obutholakala esifubeni, obuba nzima lapho uphefumula noma ukhwehlela, futhi igazi lingavuza ngesikhathi sokuhlanza. Kungaba nokuvuvukala kwe-mediastinum, indawo lapho kutholakala khona ezinye izitho ezibalulekile ezifana nenhliziyo namaphaphu, okuyingozi nokubeka impilo yomuntu engcupheni.

Indlela yokwelapha: ukufiswa kwezimfihlo nge-tube kuyadingeka, ukusetshenziswa kwama-antibiotic futhi ugweme ukudla kuze kuphole izilonda. Lapho isilonda sikhulu noma singenakutholakala, kuboniswa ukuhlinzekelwa ukulungiswa.

Ngokungeziwe ekwakhiweni kwezilonda, kungahle kube nokuchaphazeleka kokudla noma umzimba othile wangaphandle ongafakwa emqaleni futhi ubangele ubuhlungu obukhulu nokungakwazi ukuqeda uketshezi olwakhiwe. Kwezinye izimo, kungadingeka ukususa imbangela nge-endoscopy.