Ukuqothuka kwesisu

-Delile

• Izinhlobo ze-esophagitis
• I-eosinophilic esophagitis
• I-Reflux esophagitis
• I-esophagitis ebangelwa izidakamizwa
• Isophagitis esithathelwanayo
• Izimpawu ze-esophagitis
• Izici zobungozi be-esophagitis
• Izinkinga ezikhona zesikhathi eside zezempilo
• Kutholakala kanjani i-esophagitis?
• Ukwelashwa kwe-esophagitis
• Uyini umbono wesikhathi eside?

Kuyini i-esophagitis?

I-Esophagitis yinoma yikuphi ukuvuvukala noma ukucasulwa komphimbo. I-esophagus yishubhu elithumela ukudla kusuka emlonyeni wakho kuya esiswini sakho. Izimbangela ezijwayelekile zifaka i-acid reflux, imiphumela emibi yemithi ethile, kanye nokutheleleka ngamagciwane noma igciwane. I-Reflux yilapho okuqukethwe esiswini kanye nama-acid abuyela emuva ku-esophagus.

Lesi sifo singadala izimpawu ezahlukahlukene ezibandakanya:

• inkinga yokugwinya
• Umphimbo obuhlungu
• isilungulela

I-esophagitis engalashwa ingaholela ezilondeni, ekunqobeni, nasekunciphiseni okukhulu kwesisu, okungaba yisimo esiphuthumayo sezokwelapha.

Izinketho zakho zokwelashwa nokubuka kwakho kuncike embangela yesimo sakho. Abantu abaningi abanempilo bayathuthuka kungakapheli amasonto amabili kuya kwamane belashwa ngendlela efanele. Ukubuyiselwa kungathatha isikhathi eside kubantu abanamasosha omzimba abuthakathaka noma ukutheleleka.

Izinhlobo ze-esophagitis

I-eosinophilic esophagitis

I-eosinophilic esophagitis ibangelwa ama-eosinophil amaningi kakhulu emqaleni. Lokhu kwenzeke lapho umzimba wakho uhambelana ne-allergen. Ezinganeni, lokhu kungenza ukudla kube nzima. Ngokusho kweSibhedlela Sezingane saseBoston, ingane eyodwa kwezingu-10 000 inale ndlela yokuqunjelwa esophagitis. Izimbangela ezivamile zifaka:

• ubisi
• isoya
• amaqanda
• ukolweni
• amakinati
• amantongomane ezihlahla
• izimbaza

Ama-allergen ahogelwayo, njenge-pollen, nawo angaba nesandla kuleli fomu le-esophagitis.

I-Reflux esophagitis

I-Reflux esophagitis imvamisa ngenxa yesimo esaziwa njengesifo se-reflux se-gastroesophageal (GERD). I-GERD yenzeka lapho okuqukethwe yisisu okufana ne-acids, kuvame ukubuyela emuva ku-esophagus. Lokhu kubangela ukuvuvukala okungapheli nokucasuka komphimbo.

I-esophagitis ebangelwa izidakamizwa

I-esophagitis ebangelwa izidakamizwa ingenzeka uma uthatha imishanguzo ethile ngaphandle kwamanzi anele. Lokhu kubangela ukuthi imishanguzo ihlale isikhathi eside emqaleni. Le mithi ihlanganisa:

• ukudambisa izinhlungu
• ama-antibiotic
• i-potassium chloride
• ama-bisphosphonates (izidakamizwa ezivimbela ukulahleka kwethambo)

Isophagitis esithathelwanayo

I-esophagitis ethathelwanayo ayivamile futhi ingabangelwa amagciwane, amagciwane, isikhunta noma ama-parasites. Usengozini eyengeziwe yalolu hlobo lwe-esophagitis uma unesifo somzimba esibuthakathaka ngenxa yesifo noma imishanguzo. Lolu hlobo luvamile kubantu abane-HIV noma i-AIDS, umdlavuza, nesifo sikashukela.

Izimpawu ze-esophagitis

Izimpawu ze-esophagitis zifaka:

• ubunzima bokugwinya (i-dysphagia)
• ubuhlungu lapho ugwinya (odynophagia)
• Umphimbo obuhlungu
• izwi elihoshozelayo
• isilungulela
• i-asidi ye-asidi
• Ubuhlungu besifuba (okubi kakhulu ngokudla)
• isicanucanu
• ukuhlanza
• ubuhlungu besisu i-epigastric
• ukuncipha kokudla
• ukukhwehlela

Izingane ezincane kakhulu zingaba nenkinga yokondla. Xhumana nodokotela wakho uma wena noma isipiliyoni sengane yakho kanye nezimpawu ezilandelayo futhi:

• ukuphefumula noma ubuhlungu besifuba, ikakhulukazi uma kungenzeki ngenkathi udla
• izimpawu ziyaqhubeka isikhathi esingaphezu kwezinsuku ezimbalwa
• izimpawu zinzima ngokwanele ukuthi zingaphazamisa amandla akho okudla ngendlela efanele
• ikhanda, ubuhlungu bemisipha, noma umkhuhlane

Funa usizo lwezokwelapha ngokushesha uma:

• Unobuhlungu besifuba obuhlala ngaphezu kwemizuzu embalwa, ikakhulukazi uma unomlando wezinkinga zenhliziyo, umfutho wegazi ophakeme, noma isifo sikashukela.
• Ucabanga ukuthi ungaba nokudla okunamathele emqaleni wakho.
• Awukwazi ukusebenzisa ngisho nama-sips amancane amanzi.

Izici zobungozi be-esophagitis

Izici zobungozi zokuthuthukisa i-esophagitis zifaka:

• amasosha omzimba abuthakathaka ngenxa ye-HIV noma i-AIDS, isifo sikashukela, i-leukemia, noma i-lymphoma
• i-hernia yokuzalwa (lapho isisu sidlulela ekuvulekeni kwesithonga esiphakathi kwesisu nesisu)
• ukwelashwa ngamakhemikhali
• ukwelashwa ngemisebe kwesifuba
• ukuhlinzwa endaweni yesifuba
• imithi yokuvikela ukwenqatshwa kokufakelwa komzimba
• imishanguzo yokuvikela umzimba esetshenziselwa ukwelapha izifo ezizimele
• i-aspirin nemithi elwa nokuvuvukala
• ukuhlanza okungapheli
• ukukhuluphala ngokweqile
• ukusetshenziswa kotshwala nogwayi
• umlando womndeni wokungezwani komzimba noma i-esophagitis

Ithuba lakho lokuthola ukutheleleka komphimbo liphansi uma unesistimu yomzimba yokuzivikela.

Izinkinga ezikhona zesikhathi eside zezempilo

I-esophagitis engalashwa ingaholela ezinkingeni ezinkulu zempilo ezihlobene nomsebenzi nokwakheka komphimbo. Izinkinga zifaka:

• Isomiso sikaBarrett, ukulimala kolwelwesi lwe-esophagus yakho, okungaholela ekuguqulweni kwangaphambili kwezicubu
• ukuqina, noma ukunciphisa, komphimbo okungaholela ekuvinjelweni nasezinkinga zokugwinya
• izimbobo noma izilonda ku-esophagus (i-esophageal perforation)

Kutholakala kanjani i-esophagitis?

Yenza i-aphoyintimenti yokubona udokotela wakho uma unezimpawu ze-esophagitis. Zilungiselele ukuhlinzeka ngomlando ogcwele wezokwelapha, kufaka phakathi noma yiziphi ezinye izimo ezitholakele. Bhala yonke imishanguzo kadokotela oyisebenzisayo.

Udokotela wakho kungenzeka ahlole ngokomzimba. Bangaphinde ba-oda izivivinyo zokuxilonga kufaka phakathi:

• i-endoscopy ene-biopsies
• i-barium X-ray, ebizwa nangokuthi uchungechunge oluphezulu lwe-GI
• ukuhlolwa kokungezwani komzimba, okungafaka ukuhlolwa kwesikhumba. Ukuqedwa kokudla kungaxoxwa ngemuva kwe-endoscopy yokuxilonga.

Ukwelashwa kwe-esophagitis

Ukwelashwa kuya ngesizathu sezimpawu zakho. Imithi ingafaka:

• imishanguzo yokulwa namagciwane
• imishanguzo yokubulala amagciwane
• ama-antiacids
• ukudambisa izinhlungu
• i-steroids yomlomo
• iproton pump inhibitors (le mithi ivimba ukukhiqizwa kwe-asidi esiswini)

Uma ukungezwani kokudla kubangela isimo sakho, kufanele ukhombe ukudla okuqala bese ukukususe ekudleni kwakho. Izithako zokudla eziyisithupha eziphezulu zifaka:

• ubisi
• isoya
• amaqanda
• ukolweni
• amakinati
• amantongomane ezihlahla
• izimbaza

Unganciphisa futhi izimpawu zakho ngokugwema ukudla okubabayo, ukudla neziphuzo ezine-asidi, nokudla okuluhlaza noma okunzima. Thatha ukuluma okuncane bese ukuhlafuna kahle ukudla kwakho. Buza nodokotela wakho imihlahlandlela yokudla. Kufanele ugweme ugwayi notshwala.

Inqubo yokunciphisa i-esophagus ingadingeka uma i-esophagus iba yincane kakhulu futhi ibangele ukudla.

Uma izimpawu zakho zingenxa yemithi, ungadinga ukuphuza amanzi amaningi, uthathe uhlobo oluthile lomuthi, noma zama umuthi ohlukile. Futhi kungadingeka ukuthi uyeke ukulala phansi imizuzu engama-30 ngemuva kokuthatha umuthi kwifomu lephilisi.

Uyini umbono wesikhathi eside?

I-esophagitis engapheli ingadala ukuncipha komphimbo noma ukulimala kwezicubu ngaphandle kokwelashwa. Amathuba akho okuba nomdlavuza we-esophageal aphezulu uma amangqamuzana agqoke umphimbo wakho eguqukile ngenxa yokuvezwa okungapheli kwe-asidi.

Unganciphisa ubungozi bakho bokuqubuka kwesifo sangasese ngokuzayo ngokugwema izimbangela.

Umbono wakho uncike embangela nasempilweni yakho yonke. Iningi labantu liyathuthuka ngokwelashwa. Abantu abaphilile bavame ukululama kungakapheli izinsuku ezintathu kuya kwezinhlanu, noma bengalutholanga usizo. Ukululama kungathatha isikhathi eside uma unamasosha omzimba abuthakathaka.