Zvinokonzera, Zviratidzo, uye Kurapa kweGERD Complication
Chirwere chemasimba chinokonzera kupfurikidza kuderera kwechiedza, izvo zvinogona kutungamirira kukumedza matambudziko , uye vanachiremba vanozvifungisisa munenge 10 muzana yevarwere vavo vane GERD (gastroesophageal reflux chirwere).
Ko Esophageal Strictures Inokura Sei?
Chimwe chinokonzera esophageal strictures chirwere che gastroesophageal reflux , kana GERD, chirwere umo yakawandisa asidi inodonhedzwa kubva mudumbu kusvikira kune dope.
Izvi zvinokonzera kuvhiringidza muchitsime chepasi chesophagus. Kuparara kuchaitika kana mushure mekukuvadza nekukuvara nekupora, zvakare-kukuvadza nekudzosa zvakare, uye pakupedzisira, kuora kunotungamirira kumucheto weputi.
Kunze kweGERD, kune zvimwe zvinokonzera kusangana kwepaygeal kufanana se:
- Kushandiswa kwenguva refu kwehupfumi huripo (izvi zvinowedzera mashizha asiri muhutachi)
- Kusanganisa kwezvinhu zvinopisa (semuenzaniso, vekuchenesa mhuri)
- Viral kana mabhakitiriya zvirwere zvinokonzera kusuruvara uye zvinozoita
- Kukuvadzwa kunokonzerwa nemaposcopi
- Usati wambovhiyiwa pamusoro pesimba (somuenzaniso, nokuda kwekenza yekusaphageal)
- Mishonga inoputirwa nehuputi
- Eosinophilic esophagitis
- Piritsi-induced esophagitis
- Kanzira (iyi inonzi inonyanya kuoma)
Ndezvipi zviratidzo zveEngophageal Strictures?
- Kuoma kunomedza, kunonzi dysphagia (inotanga nemavhutu uye ozopfuurira kunwa mvura)
- Kusagadzikana nekugwinya
- Manzwiro ekuti zvokudya zvinonamatira munzvimbo yechipfuva kana pachifuva
- Kudzokorora kwezvokudya
- Kuonda
Kana uroyi hwekugadzikana kwako huri kubva kuGERD , unogonawo kuora mwoyo, kurwadziwa kwepamuviri kana cheputi, kufema kwakaipisisa, kupisa kunzwa mumutsipa wako kana mumuromo, kukwezva, chironda, kana kuchinja inzwi rako.
Nzira yeEsophageal Stricture Inozivikanwa sei?
Kana chiremba wako ane shungu pamusoro pekukwanisa kuve nekugadzirisa zvishoma, miedzo miviri inowanzorayirwa:
- A barium swallow-patient achangodya chinhu chinonzi barium uye x-rays inotorwa sekuti barium inotsika pasi. Kana kugadzirisa kuripo, bhayoum ichafamba zvishoma kana kuti inogona kubatirika.
- An endoscopy kuongorora- iyo inotorwa ne gastroenterologist. Iko kunosanganisira kuisa tube yakamanikana ine chiedza uye kamera pairi mumuromo, pasi pasi, uye mudumbu. Iyo inobvumira chiremba kufungidzira mukati mechiratidzo chako kuti uone kana pane kuderedza kana zvimwe zvisiri izvo.
Nzira yeEsophageal Stricture yakatorwa sei?
Chirwere chikuru chekugadziriswa kwemasimba ndechekuita nzira inonzi dilation. Mune nzira iyi, sopu inotambanudzirwa nekushandiswa kweikudzikisa kazhinji kana bhaluni yakazadzwa nemhepo, iyo inopfurikidza ne endoscope. Pane uwandu hwakanyanya hwehutano hwakaoma hunobatanidza kuvhara, uye hunosanganisira kubuda ropa uye kuputika (apo gomba rinowanikwa mumugumo).
Kunyange zvazvo kurapwa uku kunobata huwandu hwakawanda hwezvigadziriswa, kudzokorora kudarika kunogona kuve kwakakosha kudzivirira kusagadzikana pakudzoka. Kutaura zvazviri, kugadziriswa kunowanzoitika munenge makumi mapfumbamwe kubva muzana yevanhu mushure mekuwedzera mukati megore rokutanga, maererano neshoko iri mune Current Treatment Options muGastroenterology .
Proton pump inhibitors, yakadai sePolosec (omeprazole), (Nexium) lansoprazole kana (AcipHex) rabeprazole, inogonawo kuchengeta zvigadziriswa kubva pakudzoka. Izvi zvinowanzonyorerwa mushure mekuita, kana munhu asati atora imwe. Mashoko akanaka ndeokuti kana mushure mekurapa, munhu anokwanisa kazhinji kudzokera kumigadziro yenguva dzose uye kudya, kunyange zvazvo vangava nehutano zvakare mune ramangwana, saka unofanira kutarisa kuti zvinetso zvekare zvinomedza.
Kurapa kushandiswa kwehutachiona hunokonzerwa nehutano husingawanzodiwi. Izvo zvinoitwa kana kugadzikana kusingagoni kuderedzwa zvakakwana kubvumira kudya kwakasimba kudarika.
Kutaura zvazviri, kutora mvura yakakwana uye kudya kunovaka muviri chinhu chakakomba chinokonzera kusagadzikana. Imwe mhirizhonga yakakomba ndiyo ngozi yakawedzerwa yezvokudya zvekare, mvura inoshandiswa, kana kuti marutsi kupinda mumapapu uye zvichikonzera kukanganisa kana chido chepneumonia.
Kuvhiya kunoitwawo kana kudzokorora kudzokorora hakuiti kuchengetedza uku kwekudzoka. Dzimwe nguva dzimwe nzira dzinofungidzirwa kana zvipfeko zvinoramba zvichidzoka, kusanganisira kuwedzera kupera kwechirwere nemasikirini e steroid kana stent kuiswa.
> Sources:
> America Society yeMastastine Endoscopy. Kunyatsonzwisisa Kurasikirwa Kwepfungwa.
> Fass R. (May 2016). Kuratidza dysphagia kune vanhu vakuru. Mu: UpToDate, Feldman M (Ed), UpToDate, Waltham, MA.
> van Boeckel PGA. Siersema PD. Kuratidzira kusagadziriswa kwezvakagadziriswa: Chii chaunofanira kuita kana kuputika kuchikundikana. Curr Treat Treat Options Gastroenterol . 2015; 13 (1): 47-58.