Ungasiphatha Kanjani Isilungulela Esingeke Siphume

-Delile

• Izimbangela ezingaba khona zesilungulela esiphikelelayo
• IGERD
• Ukwelashwa kwe-GERD
• IHernatal hernia
• Ukwelashwa kwe-hernia yokubeletha
• Isisu sikaBarrett
• Izimpawu
• Ukwelashwa kwesifo sikaBarrett
• Umdlavuza we-Esophageal
• Ukwelashwa komdlavuza we-esophageal
• Ukuthatha

Isilungulela sibangelwa isisu esine-asidi esiswini (isishubhu esixhumanisa umlomo nesisu sakho). Ebizwa nangokuthi i-acid reflux, izwakala njengobuhlungu obuvuthayo uqobo ngemuva kwesifuba sesifuba.

Isilungulela esivela ngezikhathi ezithile akuyona imbangela yokukhathazeka. Ingaphathwa ngezinguquko zendlela yokuphila nemithi ye-over-the-counter (OTC), efana:

• ama-antacids, afana ne-Tums noma i-Maalox
• Ama-H2 receptor blockers, afana nePepcid noma iTagamet
• i-proton pump inhibitors, efana ne-Prilosec, Nexium, noma i-Prevacid

Kodwa-ke, uma isilungulela siba kaningi, ngeke siphume, noma siyeke ukuphendula imishanguzo ye-OTC, kungaba uphawu lwesimo esibi kakhulu okufanele silungiswe udokotela wakho.

Qhubeka ufunde ukuze ufunde ukuthi yini engadala isilungulela esiphikelelayo nokuthi ungazelapha kanjani lezi zimo.

Izimbangela ezingaba khona zesilungulela esiphikelelayo

Isilungulela esiqhubekayo kungaba uphawu loku:

• isifo se-reflux se-gastroesophageal (GERD)
• i-hernia yokuzalwa
• Isisu sikaBarrett
• umdlavuza wokuqopha

IGERD

I-GERD yenzeka lapho i-acid reflux ilimaza i-esophagus. Izimpawu zifaka:

• isilungulela esivamile
• ubunzima bokugwinya
• isicanucanu noma ukuhlanza
• i-anemia
• ukukhwehlela okungapheli
• ukuzwa sengathi ukudla kunamathele esifubeni sakho

Ukwelashwa kwe-GERD

Udokotela wakho uzoqala ukwelashwa kwakho ngama-antiacids e-OTC noma i-OTC noma i-prescription H2 receptor blockers kanye ne-proton pump inhibitors.

Uma imithi ingasebenzi, udokotela wakho angancoma ukuhlinzwa, njenge:

• ukusetshenziswa kwemali kwe-laparoscopic Nissen
• i-magnetic sphincter augmentation (LINX)
• ukuxhaswa kwemali okungenakucubungula okwenzeka okwesikhashana (TIF)

IHernatal hernia

I-hernia yokubeletha ingumphumela wezicubu zemisipha ezibuthakathaka ezizungeze i-esophageal sphincter evumela ingxenye yesisu ukuthi ikhuphuke nge-diaphragm. Izimpawu zifaka:

• isilungulela esiphikelelayo
• inkinga yokugwinya
• ukuphelelwa umoya
• ukuhlanza igazi

Ukwelashwa kwe-hernia yokubeletha

Ukuze unciphise izimpawu zesilungulela, udokotela wakho angancoma ama-antacids, ama-proton pump inhibitors, noma ama-H2 receptor blockers. Uma umuthi ungakudambisi ukushisa kwenhliziyo, udokotela wakho angaphakamisa ukuhlinzwa, okufana nalokhu:

• ukulungisa okuvulekile
• ukukhanda kwe-laparoscopic
• endoluminal fundoplication

Isisu sikaBarrett

Ngesibindi sikaBarrett, izicubu ezigqoke i-esophagus zithathelwa indawo izicubu ezifana nezicubu ezihambisa amathumbu. Igama lezokwelapha lalokhu yi-metaplasia.

Izimpawu

Isigaxa sikaBarrett asibangeli zimpawu. I-GERD iyinkinga kubantu abaningi abane-Barrett's esophagus. Isilungulela esiqhubekayo uphawu lwe-GERD.

Ngokusho kweNational Institute of Diabetes and Digestive and Kidney Diseases, maningi amathuba okuthi abantu abaneBarrett's esophagus bahlakulele uhlobo lomdlavuza olungandile olubizwa nge-esophageal adenocarcinoma.

Ukwelashwa kwesifo sikaBarrett

Udokotela wakho uzoncoma kakhulu amandla kadokotela we-proton pump inhibitors. Ezinye izincomo zingafaka:

• i-endoscopy yokubhekwa ephindaphindiwe
• izindlela zokwelapha ze-endoscopic ablative, ezinjenge-photodynamic therapy kanye ne-radiofrequency ablation
• ukuthengiswa kwe-mucos endoscopic
• ukuhlinzwa (esophagectomy)

Umdlavuza we-Esophageal

Kanye nesilungulela, izimpawu zomdlavuza we-esophageal zifaka:

• ukuhlanza
• ukuncipha kwesisindo okungaqondakali
• ukukhwehlela
• ukushaqeka
• ukuminyaniswa njalo ukudla

Ukwelashwa komdlavuza we-esophageal

Izincomo zikadokotela wakho zokwelashwa zizocabangela izinto eziningi, kufaka phakathi uhlobo nesigaba somdlavuza wakho. Izinketho zokwelashwa zingafaka:

• ukwelashwa ngamakhemikhali
• ukwelashwa ngemisebe
• i-immunotherapy, efana ne-pembrolizumab (Keytruda)
• Ukwelashwa okuqondisiwe, njengokwelashwa okubhekiswe ku-HER2 noma ukwelashwa kwe-anti-angiogenesis
• ukuhlinzwa, njenge-endoscopy (nge-dilation noma ukubekwa kwe-stent), i-electrocoagulation, noma i-cryotherapy

Ukuthatha

Uma unesilungulela esingeke siphume futhi ngeke siphendule imishanguzo ye-OTC, bheka udokotela wakho ukuthola ukuxilongwa. Isilungulela singaba uphawu lwesimo esibi.