Esophagitis

Esophagitis chirwere chekuzvimba nekutsamwa, kunonzi kuzvimba, kwezvinyama zvinopfugama esophagus. Esophagus chubhu yemhasuru inotakura chikafu nezvinwiwa kubva mumuromo kuenda mudumbu.

Esophagitis (uh-sof-uh-JIE-tis) inogona kukonzera kurwadziwa, kuomesa kwakaoma. Inogona zvakare kutungamira kurwadziwa pabvudzi. Zvinhu zvakasiyana-siyana zvinogona kukonzera esophagitis. Zvimwe zvikonzero zvakajairika zvinosanganisira asidhi yemudumbu ichidzokera mu esophagus, hutachiona, mishonga inotorwa nemuromo uye mararia.

Kurapwa kwe esophagitis kunoenderana nechinokonzera chayo uye kuti tishu inopfugama esophagus yakakuvadzwa zvakadii. Pasina kurapwa, esophagitis inogona kukuvadza iyi lining. Esophagus inogona kutanga kuva nematambudziko ekufambisa chikafu nemvura kubva mumuromo kuenda mudumbu. Esophagitis inogona zvakare kutungamira kune dzimwe nyaya dzakakomba dzehutano. Idzi dzinosanganisira kuita mavara kana kuomarara kwe esophagus, kurasikirwa nehuremu husina hutano, uye kuoma kwemuviri.

Zviratidzo zvakajairika zveesophagitis zvinosanganisira: Kunetseka kukapfura. Kurwadziwa pakuparira. Chikafu chakapfurwa chichikwira mu esophagus, chinozivikanwawo sekuvhara kwechikafu. Kurwadziwa kunopfuta muchipfuva kunonzi heartburn. Zvakajairika kunzwa kurwadziwa uku kumashure kwechifuva panguva yekudya. Asidhi yemudumbu inodzoka mu esophagus, inonziwo acid reflux. Vacheche nevamwe vana vane esophagitis vakakura zvakakwana kuti vatsanangure kusagadzikana kwavo kana kurwadziwa. Zviratidzo zvavo zvinogona kusanganisira: Matambudziko ekudyisa, akadai sekutsamwa nyore nyore, kukotama kwemashure uye kusada kudya. Kusakurira. Kurwadziwa muchipfuva kana mudumbu muvana vakura. Zviratidzo zvakawanda zveesophagitis zvinogona kukonzerwa nemamiriro ezvinhu akasiyana anokanganisa sisitimu yekugaya. Ona chiremba wako kana zviratidzo: Zvichienderera kwemazuva mashoma. Zvisina kunaka mushure mekushandisa mishonga inonzi antacids inowanikwa pasina chinyorwa. Zvakaipa zvakakwana zvekuti zvinokunetsa kudya kana kukonzera kurasikirwa nehuremu. Zvichiitika pamwe chete nezviratidzo zvechirwere chepfuwo senge kurwadziwa kwemusoro, fivha uye kurwadziwa kwemhasuru. Tora rubatsiro rwekukurumidza kana iwe: Uine kurwadziwa muchipfuva kunogara kweminiti inopfuura mashoma. Uchifunga kuti une chikafu chakavharirwa mu esophagus. Uine nhoroondo yerwere rwemoyo uye unonzwa kurwadziwa muchipfuva. Unonzwa kurwadziwa mumuromo kana muhuro paunodya. Uine kushomeka kwemhepo kana kurwadziwa muchipfuva kunoitika nekukurumidza mushure mekudya. Uchisveta zvakawanda, kazhinji une kurutsa kwakasimba kana une dambudziko rekufema mushure mekurutsa. Ukaona kuti kurutsa kwako kweruvara rweyero kana girini, kuri kutaridzika sekofi yakasviba, kana kune ropa mariri.

Zviratidzo zvizhinji zveesophagitis zvinogona kukonzerwa nemamiriro ezvinhu akasiyana-siyana anokanganisa sisitimu yekugaya. Ona nyanzvi yehutano hwako kana zviratidzo zvichinge zviripo zvakadai se:

• Zvichienderera kwemazuva anopfuura mashoma.
• Zvisina kunaka kunyangwe mushure mekushandisa mishonga inonzi antacids inowanikwa pasina chinyorwa.
• Zvakaipa zvokuti zvinokutadzisa kudya kana kukonzera kurasikirwa nehuremu.
• Zvichiitika pamwe chete nezviratidzo zvechirwere chepfuura senge kurwadziwa kwemusoro, kupisa, uye kurwadziwa kwemhasuru. Wana rubatsiro rwekukurumidza kana iwe uchinge uine:
• Kurwadziwa pabvudzi rako kunogara kwenguva inopfuura maminetsi mashoma.
• Uchifunga kuti une chikafu chakamira mu esophagus yako.
• Uine nhoroondo yerwere retsitsi uye unonzwa kurwadziwa pabvudzi.
• Unonzwa kurwadziwa mumuromo kana muhuro paunodya.
• Uine kushomeka kwekufema kana kurwadziwa pabvudzi kunouya nekukurumidza mushure mekudya.
• Uchisveta zvakanyanya, kazhinji uine kurutsa kwakasimba kana une dambudziko rekufema mushure mekurutsa.
• Ukaona kuti kurutsa kwako kwakawanda kwakawanda, kwakaita sezvimedu zve kofi, kana kuti kune ropa mariri.

Vanachiremba vanowanzonamatira esophagitis nechirwere chinoiita. Dzimwe nguva, esophagitis inogona kuva nechinhu chinopfuura chimwe. Zvimwe zvezvakajairika zvinosanganisira zvinotevera:

Valve inonzi lower esophageal sphincter kazhinji inochengeta asidhi yemudumbu ichibuda mu esophagus. Asi dzimwe nguva iyi valve haivhari zvakanaka. Kana kuvhura kana isina kufanira. Kune vamwe vanhu, chikamu chekumusoro chemudumbu chinoputika kuburikidza nekumusoro kukuru kunoparadzanisa mudumbu nechipfuva. Izvi zvinozivikanwa se hiatal hernia. Inogona zvakare kuita kuti asidhi yemudumbu ibude mu esophagus.

Gastroesophageal reflux disease (GERD) chirwere umo iyi backflow yeasidhi iri dambudziko rinowanzoitika kana rinoramba richiitika. GERD inogona kukonzera kuzvimba kwenguva refu nekukuvadzwa kwemamiriro emu esophagus.

Esophagitis kuzvimba nekutsamwa, kunonzi kuzvimba, kwezvinyama zvinoputira esophagus. Chubhu refu, inogona kubatwa, ine kamera, inonzi endoscope, inogona kushandiswa kuona mukati me esophagus. Mufananidzo uyu we endoscopic we eosinophilic esophagitis unoratidza zvidzitiro zvakatsamwa zve tishu isina kujairika inobva pakuvhiringidzika kwenguva refu. Izvi zvinozivikanwa se esophageal rings.

Eosinophils (e-o-SIN-o-fils) masero machena eropa anokosha mukuita kwema allergies. Eosinophilic esophagitis inogona kuitika kana akawanda emasero machena eropa akaunganidzwa mu esophagus. Izvi zvinonyanya kuitika semhinduro kune chinhu chinoita allergy, acid reflux kana zvose zviri zviviri.

Zvimwe zvekudya zvinogona kutanga rudzi urwu rwe esophagitis, kusanganisira:

• Mukaka.
• Mazai.
• Gorosi.
• Soy.
• Nzungu.
• Seafood.

Kuongororwa kwema allergies kazhinji hakugoni kuona aya mazai se ari kutanga.

Vanhu vane eosinophilic esophagitis vanogona kuva nema allergies mamwe asingakonzerwi nezvekudya. Semuenzaniso, dzimwe nguva allergens mumhepo, senge pollen, inogona kuva chikonzero. Chiratidzo chimwe chezvinhu zve eosinophilic esophagitis ndechekudya kunonamira mu esophagus mushure mekumira. Izvi zvinonzi food impaction. Chimwe chiratidzo chakajairika ndechekuoma kumira, kunonziwo dysphagia.

Lymphocytic esophagitis (LE) haisi mamiriro akajairika e esophagus. Ne LE, nhamba yakakwira kupfuura yakajairika yemasero machena eropa anonzi lymphocytes anounganidzwa mukati me esophagus. LE inogona kuva yakabatana ne eosinophilic esophagitis kana ku GERD.

Inonziwo drug-induced esophagitis, rudzi urwu runoitika kana mishonga inotorwa nemiromo ichiita kukuvara kwe tishu mu esophagus. Kukuvadzwa kunoitika kana mishonga ichiramba ichibata mukati me esophagus kwenguva yakareba. Semuenzaniso, unogona kumira piritsi neshoma kana pasina mvura. Kana ukaita izvozvo, piritsi pachayo kana zvasara kubva piritsi zvinogona kuramba zviri mu esophagus. Mishonga yakabatana ne esophagitis inosanganisira:

• Mishonga inorwisa marwadzo senge aspirin, ibuprofen (Advil, Motrin IB, vamwe) uye naproxen sodium (Aleve).
• Antibiotics senge tetracycline uye doxycycline.
• Mishonga inonzi potassium chloride inoshandiswa kurapa mazinga ari pasi pemineral potassium.
• Mishonga inonzi bisphosphonates inorwisa mamiriro emapfupa senge osteoporosis. Aya mishonga inosanganisira alendronate (Binosto, Fosamax).
• Kurapa kwemamiriro emwoyo kunonzi quinidine.

Kuvira mu tishu re esophagus kunogona kukonzera esophagitis. Kuvira kunogona kuva nekuda kwemabhakitiriya, mavhairasi kana fungi. Infectious esophagitis yakawanda zvishoma. Inonyanya kuitika kune vanhu vane masisitimu ekuzvidzivirira asina simba, senge vanhu vane HIV / AIDS kana kenza.

Fungus inowanzoonekwa mumuromo inonzi Candida albicans ndiyo inowanzoita infectious esophagitis. Rudzi urwu rwe fungal infection kazhinji runobatanidzwa nemasisitimu ekuzvidzivirira asina simba, chirwere cheshuga, kenza, kana kushandiswa kwemishonga ye steroid kana antibiotic.

Zvinokonzera ngozi dzeesophagitis zvinosiyana zvichienderana nezvinokonzera mamiriro acho. Zvinhu zvinosimudzira ngozi yegastroesophageal reflux disease (GERD) zvakare ndezve reflux esophagitis. Aya ndiwo mamwe ezvinokonzera ngozi anosanganisira zvinotevera:

• Kudya usati warara.
• Kudya zvokudya zvakakura kwazvo uye zvine mafuta.
• Kuputa.
• Kuwedzera uremu, kusanganisira kubva pakuita nhumbu.

Zvokudya zvinogona kuita kuti zviratidzo zveGERD kana reflux esophagitis zviome zvinosanganisira:

• Caffeine.
• Doro.
• Zvokudya zvine mafuta.
• Chokoreti.
• Peppermint.

Zvinokonzera ngozi yeiyi allergy-related esophagitis zvinogona kusanganisira:

• Nhoroondo yemamwe allergic reactions. Izvi zvinosanganisira asthma, atopic dermatitis uye allergic rhinitis, inozivikanwawo sehay fever.
• Nhoroondo yemhuri ye eosinophilic esophagitis.

Zvinokonzera ngozi dzerudzi urwu rweesophagitis kazhinji zvinobatanidzwa nezvinetso zvinodzivisa kupfuura nekukurumidza uye zvizere kwechirapa mudumbu. Aya ndiwo mamwe ezvinhu anosanganisira:

• Kunwa mushonga nemvura shoma kana kusina.
• Kutora mishonga uri kurara.
• Kutora mishonga usati warara. Iyi ngozi inogona kunge iri chikamu chekushomeka kwesaliva inogadzirwa uye kushomeka kwekumera kunoitwa panguva yekurara.
• Kuwedzera mumakore. Izvi zvinogona kunge zviri chikonzero chekuchinja kwemakore kumhasuru dzeesophagus kana kuti kumaglands anogadzira saliva shoma.
• Kutora mapiritsi makuru kana ane chimiro chisina kujairika.

Zvinokonzera ngozi dzeesophagitis inokonzerwa nehutachiona kazhinji zvinobatanidzwa nemishonga senge steroids kana antibiotics. Vanhu vane chirwere cheshuga vanewo ngozi yakakwira yeesophagitis inokonzerwa nehutachiona hwemukaka we candida.

Pasina kurapwa, esophagitis inogona kukonzera kuchinja munzvimbo ye esophagus. Zvinetso zvinogona kusanganisira:

• Kuita mavara kana kuomarara kwe esophagus, kunozivikanwa se stricture.
• Kuchema kwe lining ye esophagus. Izvi zvinogona kukonzerwa nekurutsa kana kuti vanachiremba vakapfuudza zvinhu zvekurapa kuburikidza ne esophagus yakatsvuka panguva ye endoscopy. Endoscopy inzira yavanachiremba yekutarisa sisitimu yekudya.
• Dambudziko rinonzi Barrett esophagus umo masero anovhara esophagus anokuvadzwa nekudzoka kweacid. Izvi zvinosimudzira njodzi yekenza inotanga mu esophagus, inonziwo esophageal cancer.

Endoscopy Enlarge image Close Endoscopy Endoscopy Panguva ye upper endoscopy, nyanzvi yehutano inopinza pombi nhete, inochinjika ine mwenje nekamera pasi pehuro uye kupinda mu esophagus. Kamera diki inopa maonero e esophagus, dumbu uye kutanga kwemudumbu mudiki, unonzi duodenum. Kuongororwa kunosanganisira matanho ayo nyanzvi yako yehutano inotora kuti ione kana uine esophagitis. Nyanzvi yako huru yehutano kana nyanzvi inokubvunza nezvezviratidzo zvako uye inokupa ongororo yemuviri. Unogonawo kuda imwe kana akawanda ebvunzo. Idzi bvunzo dzinogona kusanganisira zvinotevera: Endoscopy Endoscopy ibvunzo rinoshandiswa kuongorora hurongwa hwekudya. Nyanzvi yehutano inotungamira pombi refu, nhete ine kamera diki pasi pehuro uye kupinda mu esophagus. Chishandiso ichi chinonzi endoscope. Nyanzvi yako yehutano inogona kushandisa endoscope kuona kana esophagus ichitaridzika zvakasiyana pane zvakajairwa. Masampuli madiki ematishu anogona kutorwa kuti aongororwe. Izvi zvinonzi biopsy. Esophagus inogona kutaridzika zvakasiyana zvichienderana nechikonzero chekuzvimba, senge mushonga unokonzeresa kana reflux esophagitis. Usati waita bvunzo iyi, unowana mushonga unobatsira kuti udzikame. Esophageal capsule Iyi bvunzo inogona kuitwa muhofisi yenyanzvi yehutano. Inosanganisira kumedza capsule yakasungirirwa netambo. Capsule inonyungudika mudumbu uye inoburitsa sponge. Nyanzvi yehutano inodhonza sponge kubva mumuromo netambo. Sezvo sponge ichidhonzwa, inotora sampuli dzematishu e esophagus. Izvi zvinogona kubatsira nyanzvi yako yehutano kuona kuti esophagus yako yakatsvuka sei pasina kuita endoscopy. Barium X-ray Iyi bvunzo inosanganisira kunwa mushonga kana kutora piritsi rine chinhu chinonzi barium. Barium inovhara mukati me esophagus nedumbu kuti zvionekwe pamifananidzo yakatorwa. Mifananidzo inogona kubatsira nyanzvi dzehutano kuwana kudzikira kwe esophagus uye dzimwe shanduko muchimiro. Mifananidzo inogonawo kubatsira kuona hiatal hernia, mamota kana mamwe mamiriro anogona kunge achikonzera zviratidzo. Laboratory tests Masampuli madiki ematishu akabviswa panguva ye endoscopic exam anotumirwa kurabhoritari kuti aongororwe. Zvichienderana nechikonzero chinofungidzirwa chechirwere, bvunzo dzinogona kushandiswa ku: Ongorora hutachiona hwakakonzerwa nebhakitiriya, hutachiona kana fungus. Ziva kana masero machena ane chekuita neallergy anonzi eosinophils akaungana mu esophagus. Tarisa masero asina kujairika. Masero akadaro anogona kunge ari zviratidzo zvegomarara re esophagus kana shanduko dzinowedzera njodzi yegomarara. Kuchengetwa paMayo Clinic Chikwata chedu chinotarisira cheMayo Clinic nyanzvi chinogona kukubatsira nezvehutano hwako hune chekuita ne esophagitis Tanga Pano Rumwe Ruzivo Kuchengetwa kwe esophagitis paMayo Clinic Allergy skin tests Upper endoscopy

Kurapa esophagitis kunangwa kuderedza zviratidzo, kutonga matambudziko uye kurapa zvinokonzera mamiriro acho. Nzira dzekurapa dzinosiyana zvichienderana nezvinokonzera esophagitis. Kurapa reflux esophagitis kunogona kusanganisira: - Mishonga inowanikwa pasina chinyorwa. Izvi zvinosanganisira antacids (Maalox, Mylanta, nezvimwewo); mishonga inonzi H-2-receptor blockers inoderedza acid yemudumbu, senge cimetidine (Tagamet HB); uye mishonga inonzi proton pump inhibitors inodzivirira acid yemudumbu uye inoporesa esophagus, senge lansoprazole (Prevacid 24 HR) uye omeprazole (Prilosec OTC), pakati pevamwe. - Mishonga inyorwa. Izvi zvinosanganisira H-2-receptor blockers nesimba renyorwa uye proton pump inhibitors. - Kuopereta. Rudzi rwekuopereta runonzi fundoplication runogona kuvandudza mamiriro e-esophagus kana kurapwa kwakasiyana kusashanda. Chiremba anokotama chikamu chemudumbu pamusoro pevavha inoparadzanisa esophagus nemuviri. Iyi vhavha inonzi lower esophageal sphincter. Kuopereta uku kunogona kusimbisa sphincter uye kudzivirira acid kubva pakudzoka mu-esophagus. Kurapa eosinophilic esophagitis kunosanganisira kuramba kure ne allergen inokonzera zviratidzo. Kurapa kunosanganisirawo kudzikisira kuita kwe-allergic nemishonga. Mishonga inogona kusanganisira: - Proton pump inhibitors. Munyanzvi wehutano hwako angangoda kutanga kunyorera proton pump inhibitor. Ungatora imwe senge esomeprazole (Nexium), lansoprazole (Prevacid), omeprazole (Prilosec) kana pantoprazole (Protonix). - Steroids. Zvidzidzo zvimwe zvinoratidza kuti steroids dzakamezwa dzinogona kushanda pamusoro penyama ye-esophagus kurapa eosinophilic esophagitis. Steroid imwe inonzi budesonide (Eohilia) inouya mune fomu yemvura. Steroid imwe inonzi fluticasone inoraswa mumuromo wozomezwa. Munyanzvi wehutano hwako anogona kukuudza maitiro ekumwa mvura ye-steroid kuitira kuti ipfukire esophagus yako. Kumwa mvura ye-steroid hakuna mukana wekukonzera matambudziko makuru kana ichienzaniswa nekutora mapiritsi e-steroid nemuromo. - Kudya kwakabviswa uye kwakakosha. Kuita kwe-allergen yechikafu ndiko kunokonzera eosinophilic esophagitis. Saka zvinogona kubatsira kurega kudya chikafu chinoita kunge chinokonzera allergy. Kuongororwa kwe-allergy kwakajairwa hakungakuudzi nechokwadi kana uri allergic kune chikafu chimwe. Nechikonzero ichocho, nyanzvi yehutano hwako inogona kukurudzira kuti ubvise zvinokonzera allergy zvakajairwa kubva pakudya kwako. Wobva waisa zvishoma nezvishoma zvekudya mune zvekudya zvako uye ona kana zviratidzo zvichidzoka. Izvi zvinozivikanwa se-elimination diet. Zvinoda kuitwa nekurudziro kubva kune nyanzvi yehutano hwako. Nzira yakanyanya kuoma ndeyekubvisa chikafu chose kubva pakudya kwako kwechinguva. Nyanzvi yehutano hwako inotsiva chikafu ne-amino acid-based formula. Panguva yakareba, unodzokera zvishoma nezvishoma pakudya chikafu. Izvi zvinonzi elemental diet. Zvinofanirawo kuitwa pasi pekutarisirwa kwenyanzvi yehutano hwako. - Monoclonal antibodies. Rudzi urwu rwemushonga unoshanda kudzivirira kuita kwema-protein akati muviri anokonzera kuzvimba. Monoclonal antibody inonzi dupilumab (Dupixent) inogona kuva sarudzo yekurapa vanhu vane makore 12 nekupfuura vane eosinophilic esophagitis. Dupilumab inopiwa seinjection vhiki rega rega kana mavhiki maviri ega ega zvichienderana nehuremu hwako. Steroids. Zvidzidzo zvimwe zvinoratidza kuti steroids dzakamezwa dzinogona kushanda pamusoro penyama ye-esophagus kurapa eosinophilic esophagitis. Steroid imwe inonzi budesonide (Eohilia) inouya mune fomu yemvura. Steroid imwe inonzi fluticasone inoraswa mumuromo wozomezwa. Munyanzvi wehutano hwako anogona kukuudza maitiro ekumwa mvura ye-steroid kuitira kuti ipfukire esophagus yako. Kumwa mvura ye-steroid hakuna mukana wekukonzera matambudziko makuru kana ichienzaniswa nekutora mapiritsi e-steroid nemuromo. Kudya kwakabviswa uye kwakakosha. Kuita kwe-allergen yechikafu ndiko kunokonzera eosinophilic esophagitis. Saka zvinogona kubatsira kurega kudya chikafu chinoita kunge chinokonzera allergy. Kuongororwa kwe-allergy kwakajairwa hakungakuudzi nechokwadi kana uri allergic kune chikafu chimwe. Nechikonzero ichocho, nyanzvi yehutano hwako inogona kukurudzira kuti ubvise zvinokonzera allergy zvakajairwa kubva pakudya kwako. Wobva waisa zvishoma nezvishoma zvekudya mune zvekudya zvako uye ona kana zviratidzo zvichidzoka. Izvi zvinozivikanwa se-elimination diet. Zvinoda kuitwa nekurudziro kubva kune nyanzvi yehutano hwako. Nzira yakanyanya kuoma ndeyekubvisa chikafu chose kubva pakudya kwako kwechinguva. Nyanzvi yehutano hwako inotsiva chikafu ne-amino acid-based formula. Panguva yakareba, unodzokera zvishoma nezvishoma pakudya chikafu. Izvi zvinonzi elemental diet. Zvinofanirawo kuitwa pasi pekutarisirwa kwenyanzvi yehutano hwako. Kurapa mushonga-wakakonzerwa esophagitis kunosanganisira kusashandisa mushonga une dambudziko kana zvichibvira. Kunosanganisirawo kuderedza njodzi yemiriro iyi ne tsika dzakanaka dzekutora mapiritsi. Nyanzvi yehutano hwako inogona kukurudzira: - Kutora mushonga wakasiyana usingakonzere mushonga-wakakonzerwa esophagitis. - Kutora shanduro yemvura yemushonga kana zvichibvira. - Kugara kana kumira kwemaminitsi anenge 30 mushure mekutora piritsi. - Kunwa girazi rose remvura nepiritsi. Asi sarudzo iyi haina kukodzera munhu wese. Semuenzaniso, vamwe vanhu vanoda kunwa mvura shoma nekuda kweimwe mamiriro, senge chirwere cheitsvo. Nyanzvi yehutano hwako inogona kunyorera mushonga wekurapa hutachiona hunokonzera infectious esophagitis. Mishonga inogona kubatsira kubvisa hutachiona kubva kuvirusi, mabhakitiriya kana fungi. Chiremba anonzi gastroenterologist anotarisira mamiriro ezvokudya anogona kushandisa zvigadzirwa zvechiremba kuwedzera esophagus. Kurapa uku kunonzi esophageal dilation. Kunowanzo shandiswa chete kana esophagus yava yakamanikana kana chikafu chakaomerwa mu-esophagus. Panguva ye-esophageal dilation, nyanzvi yehutano hwako inotungamira mabhuru akamanikana mu-esophagus. Shanduro dzezvishandiso izvi zvinogona kuva nezvinotevera: - Tip yakakomberedzwa inotanga nechepamusoro chakatenderera chinowedzera zvishoma nezvishoma. - Balloon inogona kuwedzerwa mushure mekunge yaiswa mu-esophagus. link rekubvisa mu email.