Ndechipi Chine Chekuita Nesophagitis Ndine?

7 Mhando Dzose dzeEsophagitis

Kutapukisa kwekuputika kwesimba rako rinogona kukonzerwa nezvikonzero zvinotapukira kana zvisiri zvepabonde. Nhengo yako inonzi muscular tube inobata kutakura zvokudya kubva pamutsipa wako kusvika mudumbu rako. Nemhaka yokuti iri munzvimbo yako yepamusoro, chirwere chinonzi esophagitis chinowanzofunga sechinhu chinokonzera moyo uye chinowanzobatanidzwa nekurwadziwa kana ichimedza. Kusuruvara kwehutachiona kunowanikwa apo sopu yako inotanga kuonda kana kurasa.

Iyo minomwe mikuru mikuru yeesophagitis inosanganisira:

1. asidi reflux
2. utachiona
3. chinokonzera kukanganisa
4. mishonga-induced
5. eosinophilic
6. chemotherapy uye therapy rayation
7. systemic zvirwere

Kunyange zvazvo aya marudzi manomwe eesophagitis anokonzera zvinokonzera kukanganisa, kune zvimwe zvakawanda zvinokonzera zvikonzero zvinokonzerwa neesophagitis.

Zviratidzo zveEsophagitis

Zvakawanda zvezviratidzo zvine chokuita neesophagitis zvinogonawo kuwanikwa pane zvimwe zvinetso uye zvinosanganisira:

• kushungurudza-kunogona kufanana nekurwadziwa kwepfupa muhutano hwechironi
• kurwadziwa nekumedza (odynophagia)
• kuoma kunomedza (dysphagia)
• kushungurudzika uye / kana kurutsa
• marwadzo emudumbu
• kukosora
• anorexia uye kuora kurasikirwa

Kubva pane zviratidzo zvako uye nhoroondo yezvechiremba, iwe unogona kunge unoda imwe kana maviri nzira dzakasiyana sezvo ropa rinodhonza harizobatsiri kusiyanisa chii chinokonzera zviratidzo zvako. Zvichienderana nekutarisa kwako, chiremba wako angatanga ne- barium swallow yekudzidza , iyo inozivikanwawo sekutsvaga.

Nokuda kwekugadzirira chirongwa cheBabum, iwe uchaenda kune radhiology, apo chiremba achazotora x-ray yemuviri wako paunenge uchinge uriinamu nezvimwe zvokudya. Iyo bhenum yakapfeka sopu yako, iyo inozoita seyera pa x-ray. Izvi zvinobvumira chiremba wako kuti aone kana iwe uine zvipingamupinyi kana kuti kuderedza mukati mako.

Iko bhaum swallow yekudzidza inobatsira kubatsira kuziva kana chiremba wako achida kufunga nezvekenza sechikonzero chinokonzera zviratidzo zvako. Kana kenza iri kuongororwa, CT scan inogonawo kurongerwa sekuwedzera kubata.

Imwe nzira, iyo dzimwe nguva inouya mushure mekugadzirira chirongwa cheBabum, inonzi endoscopy , iyo inoshandiswa kufungidzira iwe nehuro yako ine fiber optic scope. An endoscopy, inozivikanwawo seesophagogroroodenoscopy (EGD), inoitwa senzira yekurapa, zvichireva kuti haufaniri kupinda muchipatara usiku hwose. Iwe unogona, kunyange zvakadaro, iwe unopiwa ruzivo rwekutengesa, saka unoda kuti mumwe munhu akutakure iwe kumba mushure mekuita. Munguva yekupedzisira, gastroenterologist ichacherechedza nheyo yako, mudumbu, uye kumusoro kwemukati. Vachatarisa zviratidzo zvekuvhiringidza kana kuonda uye kutarisa kuziva kuti chii chinokonzera zviratidzo zvako. Nyuchi dzinowanzotorwa kutarisa chero zvikonzero zvinotapukira zvezviratidzo zvako.

Reflux Esophagitis

Evhaphagitis inowanzokonzerwa ne gastroesophageal reflux disease (GERD) . Vanhu vazhinji vachaona zvimwe zvinenge zvichinyanya kuitika mukati memvura. Zvisinei, iwe uchava nehuwandu huwandu hwekuita sophagitis kana uchingowanzosangana nechirwere chemudumbu, pepsin (enzyme mudumbu), uye bile, sezvo zvinogona kukonzera kutuka uye kuonda mukati memoyo yako.

Kana iwe uine chirwere chekutsvaga semugumisiro wehosha ye reflux, unofanirwa kurapwa neproton pump inhibitor (PPI), sa Prilosec kana Dexilant , kwemavhiki mana kusvika masere. Mushure memavhiki mana, chiremba wako achaongororazve zviratidzo zvako. Kana mushure mokunge uine nyaya dzinowanzoitika neesophagitis yakabatana neGERD kana kuti ine bhuti yaBarrett, iwe unogona kunge uchida chirongwa chePPI chinoramba chiripo.

Utachiona hweHIV

Kutapukirwa kunogona kuitika semugumisiro wehutachiona. Kana iwe uine simba rekudzivirirwa mumuviri, iwe unenge wava kunyanya kuve nehutachiona hunokonzera esophagitis. Izvi zvinowanzowanikwa kune vanhu vakawana immunodeficiency syndromed (AIDS), chimiro chekuisa muviri, kana kune vanhu vane chemotherapi yekurapa kenza.

Kunyange iwe uri pahuwandu hwehutachiona hunokonzerwa nehutachiona kana uine utachiona husina simba hwehutachiwana, iwe unogona kuve nehutachiona hwehutachiona hunokwanisa kudzivirira zvirwere zvemuviri. Utachiona hunowanzokonzera kusangana kwemasimba hunosanganisira:

• candida (mbiriso) -kunonyanya kukonzera
• herpes simplex virus (HSV)
• cytomegalovirus (CMV)
• apthous ulceration-inonziwo idiopathic (asingazivi) ulceration

Kuvhiringidzika kubva kune hutachiona kazhinji hakwanise kusiyaniswa nezviratidzo kana kuburikidza nekuratidzwa kwezvironda panguva yekupedzisira. Zvironda zvinowanikwa munguva yekupedzisira inowanzova chena kuva yero muvara. Candida inowanzowanika kunge yakagadzika-se, asi HSV kana CMV inowanzova nemakumbo. Kuti uwane hutachiona huri kukonzera esophagitis, chiremba wako achatora "brushings" kana kuti biopsies yeropa rako.

Kana iwe ukaonekwa kuti une chirwere che candida, iwe uchagadzirirwa mishonga inorwisa-fungal kuti uite chirwere chako. Kana iwe uine hutachiona hwehutachiona, hwakafanana neHSV kana CMV, ipapo chiremba wako achakupa iwe untiviral. Prednisone ndiyo mushonga wekusarudza kana iwe uchitarirwa neApthous esophagitis. Kurapa nemishonga yemuromo kunowanzopedza pakati pe14 ne21.

Caustic Esophagitis

Caustic esophagitis inowanikwa apo iwe unodya chikemikari chinopisa sopu yako. Zvishandiso zvinoshandiswa zvinosanganisira lye, kana zvimwe zvinokonzerwa nemakemikari, kana kunwa kunogona kukonzera kushungurudzwa, zvipembenene, kana kuputika (masango kana misodzi) yeropa rako. Muvana izvi kazhinji zvinokonzerwa nekufungidzirwa kwechirwere chinokonzera . Kana iwe uchifungidzira kuti mwana wako akapinza chemikisi mumba, unogona kugara uchishevedza Chepfu Control pa (800) 222-1222. Kana mwana wako ari kunetseka kufema foni 911 pakarepo.

Zvinokuvadza kunzvimbo yako zvichave zvakaenzana nekuwanda kwenguva nguva yako yepopu yakave yakaratidzwa kune makemikari. kana kungosangana zvishomanana kuitika, unogona kungova nehasha chete. Kuwedzera kuwedzera kunowedzera njodzi yako yekuumbwa kwezvironda kana kuipa kwakanyanya. Kazhinji, iwe uchada kuva ne-endoscopy kuti uongorore kukanganisa kwemasimba ako mukati maawa makumi maviri nemaviri.

Kana iwe usina zviratidzo zvinotambudza mushure mekunge uchinge wakagadzirisa zvinhu zvinokonzera, unogona kungotarirwa kwemaawa mashomanana. Zvisinei, kana iwe uine zviratidzo zvekuvhiringidzika kwepfungwa, iwe uchada kubvumirwa kupinda kuchipatara chekutungamira.

Mishonga-Inobatsira Esophagitis

Kutapukisa kunokonzerwa nemishonga ishoma. Iyo inongowanikwa chete munenge inenge yevamwe vanhu 100 000. Mishonga-induced esophagitis inogona kuitika nekubatana zvakananga, zvakafanana ne caustic esophagitis, kana nekuita zvipingamupinyi zvidziviriro mumudumbu uye kuvhara. Mishonga ine pH low (acidic) uye inogona kukonzera mishonga-induced esophagitis inosanganisira:

• antibiotics-tetracycline, doxycycline, uye clindmycin
• zvidimbu-ascorbic acid (vitamini C) uye ferrous sulfate (iron)

Aspirin uye nonsteroidal anti-inflamatory drugs (NSAIDs), kufanana neIbuprofen, inogona kuvhiringidza kudzivirira kwechigadziro chemuviri uye mudumbu. Izvi zvinogona kuwedzera mungozi yako yekukura kweeophagitis. Kurapa kwemarudzi ose emishonga-induced esophagitis inosanganisira kumira mishonga. Kana iwe usingakwanisi kumira mishonga, ipapo chiremba wako achaedza kuronga shanduro yemvura yemishonga.

Mune mishonga yemishonga-induced esophagitis ichagadzirisa nokukurumidza pasina chero yemazuva emigumisiro kana kukanganisa kunomira mangwanani. Kazhinji iwe uchaona kuvandudzwa kwemazuva mana.

Eosinophilic Esophagitis

Eosinophilic esophagitis (EoE), inogadzirisa zvirwere. Kazhinji sopu yako haina chero eosinophils, iyo ichena masero eropa ayo ari chikamu chemuviri wako wechirwere chemuviri. Kana EoE ichifungidzirwa nachiremba wako, endoscopy ichaitwa ne gastroenterologist. Munguva yekupedzisira, biopsies inotorwa kutarisa eosinophils. Kana eosinophils inowanikwa, iwe uchatumirwa kune anoristorist kuti uwedzere kuedza kuongorora. Kuti zviratidzo zvingagadziriswe iwe unoda kubvisa kusvibiswa kwezvokudya izvo zvinokonzera kugadzirisa zvinogadzirisa mukati mako. Izvi zvinogona kuitwa ne:

• prick skin test -method kuti uedze zvirwere zvakasiyana siyana paganda rako
• kuongorora ropa
• zvokudya patch test-nzira apo zvokudya zvinowanikwa mudiki kamuri yeruminium (Finn chamber) uye yakasara pakusangana kwemaawa 48

Mune zvimwe zviitiko, unogona kukwanisa kuziva zvinokonzera kudya kuti usapinda kubva kuongororwa pamusoro apa. Zvisinei izvi zvingave zvisingaiti nguva dzose kuti zvive zvokudya zvose zvaunofanira kuzvidzivirira. Muchiitiko ichi, chiremba wako anogona kukurudzira kudya kwekudya kwekudya , izvo zvinobvisa zvokudya zvakajairika kubva pane kudya kwako. Kana imwe nguva zviratidzo zvinogadzirisa, iwe unogona kutanga kutarisa zvakare kushandiswa kwezvokudya muzvokudya zvako kusvikira iwe uchingowedzera; izvo zvino zvinoratidza chikafu chaunofanira kudzivisa.

Esophagitis Related to Chemotherapy & Radiation Therapy

Kutapukirwa kunogona kuitika semagumisiro emakemikrasi kana remishonga yeradio yekurapa kenza. Mwedzi inoverengeka inogona kudiwa kuti kuporesa, kana kuripo, kunogona kuitika. Kurapa kworudzi urwu rwewesophagitis kuchaitwa kuburikidza kushandisa viscous lidocaine kupedza simba rako uye kutsvaira, iyo inopikisa kubatsira kubata chero zvironda. Kana chemotherapy kana kuti remishonga inonzi radiation inokonzera kusagadzikana kwekusingaperi, kana kuderedza demo rako, iwe unogona kudii kupera periodic endoscopies kuti uwedzere nheyo yako .

Kushungurudzika Kunoenderana Neutachiona hweSystem

Kunyange zvazvo chiremba wako ari kuongorora nhoroondo yako nokuda kwezvikonzero zvehutachiona hwako, ivo vachakurukura kana mune chero zvirwere zvinoshandiswa pakugadzira sophagitis. Kune marudzi mazhinji ezvirwere zvinogona kuwedzera mungozi yako yekuve nesophagitis uye umwe neumwe ane nzira yakasiyana yekurapa. Kunyange zvazvo corticosteroids, yakafanana nePrednisone, inowanzoshandiswa kurapwa, unofanira kugara uchikurukura nzira yakanakisisa yokurapa nachiremba wako. Zvirwere zvakasiyana-siyana zvinogona kukonzera sophagitis zvinosanganisira:

• scleroderma
• chirwere chinoputika chirwere
• Behçet chirwere
• Sjögren's syndrome

> Sources:

> Nzira yekutarisa dysphagia mune vanhu vakuru. UpToDate website. http://www.uptodate.com. Yakapedzwa musi waOctober 26, 2017.

> Caustic esophageal kukuvara muvana. UpToDate website. http://www.uptodate.com. Yakarongwa musi waMarch 1, 2017.

> Eosinophilic Esophagitis (EoE). American Academy of Allergy, Asthma, uye Immunology website. http://www.aaaai.org/conditions-and-treatments/related-conditions/eosinophilic-esophagitis.

> Esophagitis. Medscape webusaiti yepaiti. https://emedicine.medscape.com/article/174223-overview. Yakapedzwa musi waApril 27, 2017.

> Graman, PS. (2015). Mandell, Douglas, uye Bennett's Principles and Practice of Infectious Diseases, Updated Edition, 99, 1248-1252.e2

> Mishonga-induced esophagitis. UpToDate website. http://www.uptodate.com. Yakapedzwa musi waNovember 8, 2016.