Ukuqiniswa kweBenign Esophageal

-Delile

• Yini ebangela ukuqina kwe-benign esophageal?
• Izimpawu zokuqina kokuqina kokuqina
• Izinkinga ezingaba khona zokuqiniswa kokuqina kokuqina
• Ukuhlonza ukuqiniswa kokuqina kokuqina
• Ukuhlolwa kokugwinya kwe-Barium
• I-endoscopy ephezulu ye-GI
• Ukuqapha kwe-popha esophageal
• Ukwelapha ukuqina kwe-benign esophageal
• Ukwehliswa kwesisu
• Ukubekwa kwe-esophageal stent
• Ukudla nendlela yokuphila
• Imithi
• Ukuhlinzwa
• Umbono wesikhathi eside wabantu abane-solidign esigngeal solid
• Ukuvimbela ukuqina kwe-benign esophageal

Sifaka imikhiqizo esicabanga ukuthi ilusizo kubafundi bethu. Uma uthenga ngezixhumanisi ezikuleli khasi, singathola ikhomishini encane. Nansi inqubo yethu.

Kuyini ukuqina kwe-benign esophageal?

Ukuqina kweBenign esophageal kuchaza ukuncipha noma ukuqiniswa komphimbo. I-esophagus yishubhu eletha ukudla neziphuzo emlonyeni wakho ziye esiswini sakho. "UBenign" kusho ukuthi akuyona umdlavuza.

Ukuqiniswa kwe-Benign esophageal kwenzeka kakhulu lapho isisu esiswini nezinye izinto ezicasulayo zilimaza ulwelwesi lwe-esophagus ngokuhamba kwesikhathi. Lokhu kuholela ekuvukeleni (i-esophagitis) kanye nezicubu ezibomvu, okubangela ukuthi i-esophagus inciphise.

Yize ukuqina kwe-benign esophageal kungesona isibonakaliso somdlavuza, lesi simo singadala izinkinga eziningana. Ukunciphisa isisu kungenza kube nzima ukugwinya. Lokhu kwandisa ubungozi bokuklinya. Kungabuye kuholele ekuvinjelweni okuphelele kwe-esophagus. Lokhu kungavimbela ukudla namanzi ukuthi kungangeni esiswini.

Yini ebangela ukuqina kwe-benign esophageal?

Ukuqina kwe-Benign esophageal kungenzeka lapho amafomu wesibazi emfucumfucwini. Lokhu kuvame ukuba ngumphumela wokulimala komphimbo. Isizathu esivame kakhulu somonakalo yisifo se-reflux se-gastroesophageal (GERD), esaziwa nangokuthi i-acid reflux.

I-GERD yenzeka lapho i-esophageal sphincter ephansi (i-LES) ingavali noma iqinise kahle. I-LES isicubu esiphakathi kwesisu nesisu. Imvamisa ivula isikhathi esifushane lapho ugwinya. I-asidi esiswini ingagelezela ibuyele emuva emungeni lapho ingavali ngokuphelele. Lokhu kudala umuzwa ovuthayo esifubeni esingezansi esaziwa ngokuthi isilungulela.

Ukuchayeka njalo ku-asidi wesisu oyingozi kungadala izicubu ezibomvu. Ekugcineni, i-esophagus izoncipha.

Ezinye izimbangela zokuqina kwe-benign esophageal zifaka:

• ukwelashwa ngemisebe esifubeni noma entanyeni
• ukugwinya ngengozi into ene-asidi noma eyonakalisayo (njengamabhethri noma izinto zokuhlanza indlu)
• ukusetshenziswa okunwetshiwe kweshubhu le-nasogastric (ishubhu elikhethekile elithwala ukudla nemithi liyiyise esiswini ngamakhala)
• ukulimala kwe-esophageal okubangelwa i-endoscope (ishubhu elincane, eliguquguqukayo elisetshenziselwa ukubheka ngaphakathi komzimba noma isitho somzimba)
• ukwelashwa kwama-esophageal varices (imithambo ekhulisiwe esophagus engaphuka futhi ibangele ukopha kakhulu)

Izimpawu zokuqina kokuqina kokuqina

Izimpawu ezijwayelekile zokuqina kokuqina kokuqina zifaka:

• ukugwinya okunzima noma okubuhlungu
• ukuncipha kwesisindo okungahlosiwe
• ukuvuselelwa kokudla noma uketshezi
• ukuzwa kwento ebhajwe esifubeni ngemuva kokudla
• ukubhoboza njalo noma ama-hiccups
• isilungulela

Izinkinga ezingaba khona zokuqiniswa kokuqina kokuqina

Ukudla okuminyene nokuqinile kungangena ku-esophagus lapho kuncipha. Lokhu kungadala ukudinwa noma ukuphefumula kanzima.

Izinkinga zokugwinya zingakuvimbela ekutholeni ukudla okwanele noketshezi. Lokhu kungaholela ekuphelelweni amanzi emzimbeni nokungondleki kahle.

Kukhona nengozi yokuthola isifiso samaphaphu, esenzeka lapho ukuhlanza, ukudla, noma uketshezi kungena emaphashini akho. Lokhu kungaholela ekuphefumuleni i-pneumonia, ukutheleleka okubangelwa amabhaktheriya akhula ezungeze ukudla, ukuhlanza noma uketshezi emaphashini.

Funda kabanzi: Ukuphefumula i-pneumonia: Izimpawu, izimbangela, nokwelashwa »

Ukuhlonza ukuqiniswa kokuqina kokuqina

Udokotela wakho angasebenzisa izivivinyo ezilandelayo ukuthola isimo:

Ukuhlolwa kokugwinya kwe-Barium

Ukuhlolwa kokugwinya kwe-barium kufaka phakathi uchungechunge lwama-X-ray we-esophagus. La ma-X-ray athathwa ngemuva kokuphuza uketshezi olukhethekile oluqukethe i-elementi barium. I-Barium ayiyona into enobuthi noma iyingozi. Lokhu okwehlukile kugqoka okwesikhashana ulwelwesi lwe-esophagus yakho. Lokhu kuvumela udokotela wakho ukuthi abone umphimbo wakho ngokucacile.

I-endoscopy ephezulu ye-GI

Esikhathini esiphezulu se-gastrointestinal (upper GI) endoscopy, udokotela wakho uzobeka i-endoscope ngomlomo wakho nasendaweni yakho. I-endoscope iyishubhu ezacile, eguquguqukayo enekhamera enamathiselwe. Ivumela udokotela wakho ukuthi ahlole umphimbo wakho kanye nomgudu ongaphezulu wamathumbu.

Funda kabanzi: Endoscopy »

Udokotela wakho angasebenzisa i-forceps (tongs) nezikele ezinamathiselwe ku-endoscope ukususa izicubu emqaleni. Bazobe sebehlaziya lesi sampula sezicubu ukuthola imbangela eyisisekelo yokuqiniswa kwakho kokuqina kokulimala.

Ukuqapha kwe-popha esophageal

Lokhu kuhlolwa kukala inani le-asidi esiswini elingena emqaleni. Udokotela wakho uzofaka ithubhu ngomlomo wakho emlonyeni wakho. Ishubhu livame ukushiywa endaweni yakho okungenani amahora angama-24.

Ukwelapha ukuqina kwe-benign esophageal

Ukwelashwa kokuqina kwe-benign esophageal kuyahluka ngokuya ngobukhulu nembangela eyimbangela.

Ukwehliswa kwesisu

Ukwehliswa kwe-esophageal, noma ukuzelula, kuyindlela ekhethwayo ezimweni eziningi. Ukwehliswa kwe-esophageal kungadala ukungaphatheki kahle okuthile, ngakho-ke uzoba ngaphansi kokuthomalalisa okujwayelekile noma okulingene ngesikhathi senqubo.

Udokotela wakho uzofaka i-endoscope ngomlomo wakho emlonyeni wakho, esiswini, nasemathunjini amancane. Uma sebebone indawo eqinisiwe, bazobeka i-dilator ku-esophagus. I-dilator iyishubhu ende, ezacile enebhaluni ekugcineni. Lapho ibhaluni selinyukile, lizokwandisa indawo encishisiwe emqaleni.

Udokotela wakho angadinga ukuphinda le nqubo ngokuzayo ukuvimbela isophagus yakho ekunciphiseni futhi.

Ukubekwa kwe-esophageal stent

Ukufakwa kwama-stopha esophageal kunganikeza ukukhululeka ekuqiniseni kokuqina. I-stent yishubhu elincanyana elenziwe ngepulasitiki, insimbi enwebekayo, noma izinto eziguquguqukayo zemesh. Ama-esophageal stents angasiza ukugcina isophaji esivinjiwe sivulekile ukuze ukwazi ukugwinya ukudla neziphuzo.

Uzoba ngaphansi kokuthomalalisa okujwayelekile noma okumaphakathi ngenqubo. Udokotela wakho uzosebenzisa i-endoscope ukuqondisa i-stent endaweni.

Ukudla nendlela yokuphila

Ukwenza ushintsho oluthile ekudleni kwakho nasendleleni ophila ngayo kungaphatha ngempumelelo i-GERD, okuyiyona imbangela eyinhloko yokuqina kwesibindi. Lezi zinguquko zingabandakanya:

• ukuphakamisa umcamelo wakho ukuvimbela i-asidi esiswini ukuthi ingagobhozi ibuyele emungeni wakho
• ukuncipha
• ukudla ukudla okuncane
• ukungadli amahora amathathu ngaphambi kokulala
• ukuyeka ukubhema
• ukugwema utshwala

Kufanele futhi ugweme ukudla okubanga i-acid reflux, efana ne:

• ukudla okubabayo
• ukudla okunamafutha
• iziphuzo ezine-carbonated
• ushokoledi
• ikhofi nemikhiqizo ene-caffeine
• ukudla okwenziwe ngotamatisi
• imikhiqizo yamawolintshi

Imithi

Imithi futhi ingaba yingxenye ebalulekile yohlelo lwakho lokwelashwa.

Iqembu lezidakamizwa ezivimbela i-asidi, ezaziwa ngokuthi yi-proton pump inhibitors (ama-PPIs), yimithi ephumelela kakhulu yokulawula imiphumela ye-GERD. Le mithi isebenza ngokuvimba iphampu yeproton, uhlobo olukhethekile lwamaprotheni, olusiza ukunciphisa inani le-asidi esiswini.

Udokotela wakho angakunikeza le mithi ukukhululeka kwesikhashana ukuvumela ukuqina kwakho kuphole. Bangabancoma futhi ukuthi bathole ukwelashwa kwesikhathi eside ukuvimbela ukuphindeka.

Ama-PPIs asetshenziselwa ukulawula i-GERD afaka:

• omeprazole
• I-lansoprazole (Prevacid)
• i-pantoprazole (Protonix)
• i-esomeprazole (Nexium)

Eminye imishanguzo ingasebenza futhi ekwelapheni i-GERD futhi inciphise ubungozi bokuqina kwesophageal. Kunjalo:

• ama-antacids: hlinzeka usizo lwesikhashana ngokunciphisa ama-acid esiswini
• i-sucralfate (i-Carafate): inikeza umgoqo obeka umugqa nesisu ukuwavikela kumajusi esisu ane-asidi
• ama-antihistamine, njenge-famotidine (i-Pepcid AC): yehlisa uketshezi lwe-asidi

Thenga ama-antacids online e-Amazon.

Ukuhlinzwa

Udokotela wakho angancoma ukuhlinzekwa uma umuthi nokwelulwa kokuqwala kungasebenzi. Inqubo yokuhlinzwa ingalungisa i-LES yakho futhi isize ukuvimbela izimpawu ze-GERD.

Umbono wesikhathi eside wabantu abane-solidign esigngeal solid

Ukwelashwa kungalungisa ukuqina kwe-benign esophageal futhi kusize ekunciphiseni izimpawu ezihambisanayo. Noma kunjalo, isimo singaphinda sivele. Phakathi kwabantu abathola ukuxubana kokuqunjelwa kokuqalwa kwemiphetho, cishe amaphesenti angama-30 adinga okunye ukunwebeka kungakapheli unyaka.

Ungadinga ukuthatha imithi kuyo yonke impilo yakho ukulawula i-GERD futhi unciphise ubungozi bokuthuthukisa okunye ukuqina kokuqina.

Ukuvimbela ukuqina kwe-benign esophageal

Ungasiza ukuvimbela ukuqina kwe-esigngeal ngokuqina ngokugwema izinto ezingalimaza i-esophagus yakho. Vikela izingane zakho ngokugcina zonke izinto zasendlini ezonakalisayo zikude nazo.

Ukuphatha izimpawu ze-GERD nakho kunganciphisa kakhulu ingozi yakho yokuqiniswa kokuqina. Landela imiyalo kadokotela wakho maqondana nezinketho zokudla nezindlela zokuphila ezinganciphisa ukulondolozwa kwe-asidi esophagus yakho. Kubalulekile futhi ukuthi uqiniseke ukuthi uthatha yonke imithi njengoba unqunyelwe ukulawula izimpawu ze-GERD.