Ukuqhuma kwesisu: kuyini, ukwelashwa nokuhlukaniswa kweLos Angeles

-Delile

• Izimpawu eziyinhloko
• Ungakuqinisekisa kanjani ukuxilongwa
• Ukwahlukaniswa kweLos Angeles
• Izimbangela ze-esophagitis erosive
• Yelashwa kanjani
• Yelashwa kanjani kwabesifazane abakhulelwe
• Okunye ukunakekelwa okudingekayo

I-esophagitis ekhukhumezayo yisimo lapho kwakheka khona izilonda ngenxa yokugula okungamahlalakhona kwesisu, okuholela ekubonakaleni kwezimpawu ezithile ezinjengobuhlungu lapho udla futhi uphuza uketshezi nokuba khona kwegazi emhlanzweni noma endleni.

Ukwelashwa kwalesi simo kuvame ukwenziwa ngudokotela wesisu ongancoma ukusetshenziswa kwemithi ukugwema ukweqisa futhi kuvimbele ukukhiqizwa kwejusi lesisu, ngoba ezimweni ezibucayi kakhulu kungahle kuboniswe ukuhlinzwa. Ngaphezu kwalokho, kuyadingeka futhi ukulandela isazi sokudla okunempilo, ukukhombisa ukuthi iziphi izinguquko okufanele zenziwe emikhubeni yokudla.

Izimpawu eziyinhloko

Izimpawu ze-esophagitis erosive zincike ezingeni lezilonda ku-esophagus, kepha imvamisa zifaka:

• Ukuhlanza okungenzeka kuqukethe igazi noma cha;
• Ubuhlungu lapho udla noma udla iziphuzo;
• Igazi esitulweni;
• Umphimbo obuhlungu;
• Ukungahambi kahle;
• Ubuhlungu besifuba;
• Ukukhwehlela okungapheli.

Ngaphezu kwalokho, lapho i-esophagitis erossa ingelashwa, kungenzeka futhi ukuthi i-iron deficiency anemia iyakhula futhi inyuse ubungozi besimila ku-esophagus. Ngakho-ke, kubalulekile ukuthi kuboniswane nodokotela wezifo zesisu ngokushesha nje lapho kuvela izimpawu zokuqala nezimpawu zokuqunjelwa kwesisu, ngoba ngale ndlela kungenzeka ukuthi aqale ukwelashwa khona manjalo. Bona imininingwane eminingi yokuthi ungabona kanjani i-esophagitis.

Ungakuqinisekisa kanjani ukuxilongwa

Ukuxilongwa kwe-esophagitis erosive kuqalwa yi-gastroenterologist ngokuhlola izimpawu eziveziwe, kanye nezici ezithuthukisa noma ezenza kube kubi ukushuba kwezimpawu.

Kodwa-ke, ukuqinisekisa ukuxilongwa, nokuthola ubunzima besimo, kunconywa i-endoscopy, evumela ukuthi ubukhulu bezilonda bubonwe nokuthi i-esophagitis erosive ihlukaniswe ngokomthetho olandelwayo waseLos Angeles.

Ukwahlukaniswa kweLos Angeles

Ukwahlukaniswa kweLos Angeles kuhlose ukwehlukanisa izilonda kusuka ku-esophagitis erosive ngokuya ngamandla, ukuze kuthathwe isinqumo sokwelashwa okufanele kakhulu ukwelapha lesi sifo.

Lapho izilonda ze-esophagitis ezikhukhulayo zingu-C noma u-D futhi ziphindaphindeka, kuba nengozi eyengeziwe yomdlavuza we-esophagus, ngakho-ke kungadingeka ukuthi ukwelashwa kokuhlinzwa kuboniswe kuqala, ngaphambi kokunconywa kokusetshenziswa kwemithi.

Izimbangela ze-esophagitis erosive

I-esophagitis erosive ezimeni eziningi ingumphumela we-esophagitis engalashwa, edala ukuthi izilonda ziqhubeke zivele futhi ziholele ekwakhekeni kwezimpawu.

Ngaphezu kwalokho, esinye isimo esithanda ukuthuthukiswa kwesisu yi-reflux ye-gastroesophageal, ngoba okuqukethwe okune-asidi esiswini kufinyelela esophagus futhi kukhuthaza ukucasuka kwe-mucosal, kuvumela ukuvela kwezilonda.

I-esophagitis ekhukhumezayo nayo ingenzeka kaningi kubantu ababhemayo noma ngenxa yokudla ukudla okunezimboni nokunamafutha.

Funda kabanzi ngezimbangela ze-esophagitis kuvidiyo elandelayo:

Yelashwa kanjani

Ukwelashwa kwe-esophagitis erosive kuncike ekutheni kubangelwa yini, kepha kuvame ukwenziwa ngokuhambisana nodokotela wezokudla ozokhombisa ukumiswa kokusetshenziswa kogwayi, uma kukhona, ukunciphisa ukusetshenziswa kokudla okunezimboni nokunamafutha, ngaphezu kokwehla kwesisindo ezimweni zabantu abakhuluphele ngokweqile noma abakhuluphele.

Kungasadingeka ukusebenzisa amakhambi afana nalawa:

• I-Proton pump inhibitors (ama-PPIs), njenge-omeprazole, i-esomeprazole noma i-lansoprazole: okuvimbela ukukhiqizwa kwejusi lesisu ngesisu, ngaleyo ndlela kubavimbele ukuthi bafinyelele emcingeni;
• I-Histamine inhibitors, njenge-ranitidine, i-famotidine, i-cimetidine ne-nizatidine: zisetshenziswa lapho ama-PPIs engakhiphi umphumela olindelekile futhi esiza ukunciphisa inani le-asidi esiswini;
• Ama-Prokinetics, njenge-domperidone ne-metoclopramide: isetshenziselwa ukusheshisa ukukhishwa kwesisu.

Uma umuntu esebenzisa amakhambi we-anticholinergic, njenge-Artane noma i-Akineton, kanye nama-blocker e-calcium channel, njenge-Anlodipino ne-Verapamil, i-gastroenterologist ingadlulisa izincomo ezithile zokuthi imishanguzo enqunyiwe ingasetshenziswa kanjani.

Ukusetshenziswa kokuhlinzwa kwe-esophagitis erosive kukhonjiswa kuphela uma izilonda zingathuthuki noma lapho izimpawu ziphikelela futhi zonke izindlela zokwelashwa zangaphambilini sezisetshenzisiwe. Lokhu kuhlinzwa kuhlanganisa nokwakha kabusha i-valve encane exhumanisa isisu nomphimbo, ngaleyo ndlela kuvimbele ijusi esiswini ukuthi ingabuyi ngale ndlela futhi idale ukulimala okusha.

Yelashwa kanjani kwabesifazane abakhulelwe

Endabeni yabesifazane abakhulelwe, ngaphezu kokuqapha nge-nutritionist nokunakekelwa kwansuku zonke, kunconywa ukusebenzisa kuphela i-histamine inhibitors, njenge-ranitidine, i-cimetidine, i-nizatidine ne-famotidine, njengoba kuphephe kakhulu ukuyisebenzisa kulesi sigaba, ngaphezu kwe ukungamuncwa ubisi ngesikhathi sokukhiqizwa kwalo.

Okunye ukunakekelwa okudingekayo

Ngaphezu kokwelashwa okubonisiwe, kusadingeka ukulandela imihlahlandlela yansuku zonke ukuze ube nempilo engcono futhi uvikele ukungaphatheki kahle kwezimpawu:

• Phakamisa cishe u-15 cm uye ku-30 ​​cm ukusuka ekhanda lombhede;
• Nciphisa ukudliwa kwezithelo ezisawolintshi, iziphuzo eziqukethe i-caffeine, utshwala noma i-carbonated, nokudla okufana ne-mint, i-eucalyptus, i-mint, utamatisi, ushokoledi;
• Gwema ukulala phansi amahora amabili ngemuva kokudla kokugcina.

Lezi zixwayiso ziyafana nalezo ezisetshenziswa abantu abane-reflux, ngoba zisiza ukuvimbela i-asidi esiswini ukuthi ingakhuphuki iye emcinweni. Bona amanye amathiphu wokuthi ungayiphatha kanjani i-reflux, engasetshenziswa futhi ukuvimbela i-esophagitis.

Kule vidiyo elandelayo, isazi sokudla okunempilo uTatiane Zanin, ukhombisa ukuthi ungaliphakamisa kanjani ikhanda lombhede, ngaphezu kokunikeza amathiphu amahle wokuqeda ukungakhululeki kwe-reflux, okuyimbangela ye-esophagitis erossa: