Esophagitis

I-Esophagitis iwukuvuvukala nokuvutha, okubizwa ngokuthi ukutheleleka, kwezicubu ezimboza umgudu wokudla. Umgudu wokudla uyimpumputhe yezinsimbi ethwala ukudla neziphuzo emlonyeni siye esiswini.

I-Esophagitis (uh-sof-uh-JIE-tis) ingabangela ukubamba okubuhlungu, okunzima. Ingabangela nobuhlungu esifubeni. Izinto ezahlukene zingabangela i-esophagitis. Ezinye izimbangela ezivamile zihlanganisa ama-asidi esiswini aphuma emuva emgudwini wokudla, ukutheleleka, imithi ethathwa ngomlomo kanye nezifo zokuxinana.

Ukuphathwa kwe-esophagitis kuncike embangelweni yayo oqondile nokulimala okukhulu kwezicubu ezimboza umgudu wokudla. Ngaphandle kokwelashwa, i-esophagitis ingalimaza le lining. Umgudu wokudla ungaqala ukuba nezinselele ekuhambiseni ukudla noketshezi emlonyeni siye esiswini. I-Esophagitis ingabangela nezinye izinkinga zempilo ezinkulu. Lokhu kuhlanganisa ukwenziwa kwamabala noma ukuncipha komgudu wokudla, ukulahlekelwa isisindo esingaphilile, nokuphuza amanzi okwanele.

Izimpawu ezivamile ze-esophagitis zifaka: Ubunzima bokuginya. Ubuhlungu bokuginya. Ukudla okugwinyiweyo okuhlala esibindini, okwaziwa nangokuthi ukubambeka kokudla. Ubuhlungu obuvuthayo esifubeni obubizwa ngokuthi ukushisa kwenhliziyo. Kuvamile ukuzwa lobuhlungu ngemuva kwesifuba ngenkathi kudliwa. Ama-asidi esisu aphansi esibindini, okuthiwa ukubuyela emuva kwama-asidi. Izingane ezincane nezinye izingane ezine-esophagitis zincintisa kakhulu ukucacisa ukungakhululeki kwazo noma ubuhlungu. Izimpawu zazo zingafaka: Izinkinga zokondla, njengokukhathazeka kalula, ukuqina komhlane nokungaqondi ukudla. Ukwehluleka ukuchuma. Ubuhlungu esifubeni noma esiswini kubantwana abadala. Izimpawu eziningi ze-esophagitis zingabangelwa izimo ezimbalwa ezahlukene ezihlasela isimiso sokuhlanza. Bheka ochwepheshe bakho bezempilo uma izimpawu: Zihlala izinsuku ezimbalwa. Azilulami ngemuva kokusebenzisa imithi ebizwa ngokuthi ama-antacids atholakala ngaphandle kwesikripthi. Zimbi kakhulu kangangokuthi kukwenza kube nzima ukudla noma kukubangele ukulahlekelwa isisindo. Kwenzeka kanye nezimpawu ze-influenza njengokukhathazeka, ukushisa komzimba nobuhlungu bemisipha. Thola ukunakekelwa okuphaphandwe uma: Unebuhlungu esifubeni obuhlala ngaphezu kwemizuzu embalwa. Ucabanga ukuthi ukudla kukubambe esibindini. Unembali yesifo senhliziyo futhi uzwa ubuhlungu esifubeni. Uzwa ubuhlungu emlonyeni noma ehlombe uma udle. Une-shortness yomoya noma ubuhlungu esifubeni obuvela ngokushesha ngemuva kokudla. Uhlanza kakhulu, uhlala uhlanza ngamandla noma unezinkinga zokuphefumula ngemuva kokuhlamba. Uqaphela ukuthi ukukhahlela kwakho kuyeluhlaza okwesibhakabhaka noma okuluhlaza, kubukeka njengezicucu zekofi, noma kunegazi kukho.

Iningi lezimpawu zesophagitis lingabangelwa yizimo ezimbalwa ezahlukene ezihlasela uhlelo lokugaya ukudla. Bheka udokotela wakho uma izimpawu:

• Ziphela izinsuku ezimbalwa.
• Azilungisi ngemithi ebizwa ngokuthi yi-antacids etholakala ngaphandle kwesikripthi.
• Zimbi kakhulu kangangokuthi kukwenza kube nzima ukudla noma kukubangele ukulahlekelwa isisindo.
• Zenzeka kanye nezimpawu ze-influenza njengokukhathazeka, ukuqabuka nobuhlungu bemisipha. Thoba ukunakekelwa okuphaphandayo uma:
• Unobuhlungu esifubeni obuhlala isikhathi esingaphezu kwemizuzu embalwa.
• Ucabanga ukuthi ukudla kunamathele esophophages yakho.
• Unembali yesifo senhliziyo futhi uzizwa ubuhlungu esifubeni.
• Uzwa ubuhlungu emlonyeni noma ehlombe uma udle.
• Uqaphele ukuqina komoya noma ubuhlungu esifubeni obuqala ngokushesha ngemva kokudla.
• Uhlanza kakhulu, uhlanza ngamandla noma unezinkinga zokuphefumula ngemva kokuhlamba.
• Uqaphela ukuthi ukugabha kwakho kuyeluhlaza okwesibhakabhaka noma okuluhlaza, kubukeka njengezicucu zekofi, noma kunegazi kukho.

Abasebenzi bezempilo bavame ukubiza i-esophagitis ngesimo esiyibangela. Ngezinye izikhathi, i-esophagitis ingaba nomunye imbangela. Ezinye zezinhlobo ezivame kakhulu zihlanganisa okulandelayo:

I-valve ebizwa ngokuthi yi-lower esophageal sphincter ivame ukugcina i-acid yesisu ingangeni esiphundu. Kodwa ngezinye izikhathi le valve ayivaleki kahle. Noma ivuleka lapho ingafanele. Kwabanye abantu, ingxenye engaphezulu yesisu iphuma ngomsuka omkhulu ohlukanisa isisu nesifuba. Lokhu kuwaziwa njenge-hiatal hernia. Kungabangela futhi i-acid yesisu ibuye emuva esiphundu.

Isifo se-gastroesophageal reflux (GERD) yisimo lapho leli bheka emuva le-acid liyinkinga evame kakhulu noma eqhubekayo. I-GERD ingabangela ukukhula okuqhubekayo nokonakala kwezicubu esiphundu.

I-Esophagitis iwukukhula nokucasuka, okuthiwa ukutheleleka, kwezicubu ezimboza isiphundu. Umphako omde, onobuningi, ophethwe ikhamera, ebizwa ngokuthi yi-endoscope, ungasetshenziswa ukubona ngaphakathi kwesipundu. Lesi sithombe se-endoscopic se-eosinophilic esophagitis sibonisa ama-rings acasukile ezicubu ezingajwayelekile ezivela ekuthelelekeni okuqhubekayo. Lezi ziyaziwa ngokuthi ama-rings esiphundu.

Ama-Eosinophils (e-o-SIN-o-fils) yi-white blood cells edlala indima ebalulekile ezimpendulweni zokuziphatha. I-Eosinophilic esophagitis ingenzeka uma lezi zicubu ezimhlophe ziqongelela esiphundu. Lokhu cishe kwenzeka ngenxa yesigaba esibangela ukungezwani, ukubuyela emuva kwe-acid noma kokubili.

Ukudla okuthile kungase kubangele lolu hlobo lwe-esophagitis, kuhlanganise:

• Ubisi.
• Amaqanda.
• I-Wheat.
• I-Soy.
• Ama-Peanuts.
• Ukudla okulwandle.

Ukuhlolwa okuvamile kokungezwani ngokuvamile akunakukwazi ukuthola lezi zinto zokudla njengezibangela.

Abantu abane-eosinophilic esophagitis bangaba nokungezwani okungabangelwa ukudla. Ngokwesibonelo, ngezinye izikhathi izinto ezingabangela ukungezwani emoyeni, njenge-pollen, zingaba yimbangela. Esinye isibonakaliso esivamile se-eosinophilic esophagitis ukudla kunamathela esiphundu ngemuva kokumunca. Lokhu kubizwa ngokuthi ukungena kokudla. Esinye isibonakaliso esivamile ukungakwazi ukumunca, okuthiwa yi-dysphagia.

I-Lymphocytic esophagitis (LE) ayilona isimo esivamile sesiphundu. Ngo-LE, inani eliphezulu kunokuvamile le-white blood cells ebizwa ngama-lymphocytes liqongelela ekugqokeni kwesipundu. I-LE ingahlobana ne-eosinophilic esophagitis noma ne-GERD.

Lokhu kubizwa ngokuthi i-drug-induced esophagitis, lolu hlobo luyenzeka lapho imithi ethile ethathwa ngomlomo ibangela ukonakala kwezicubu esiphundu. Ukonakala kwenzeka uma imithi ihlala ixhumana nokugqoka kwesipundu isikhathi eside kakhulu. Ngokwesibonelo, ungase umunce iphilisi ngamanzi ambalwa noma angenalutho. Uma wenza kanjalo, iphilisi ngokwayo noma i-residue evela ephilisi ingase ihlale esiphundu. Imithi ehlanganiswe ne-esophagitis ihlanganisa:

• Imithi yokunciphisa ubuhlungu efana ne-aspirin, i-ibuprofen (Advil, Motrin IB, nabanye) ne-naproxen sodium (Aleve).
• Ama-antibiotics afana ne-tetracycline ne-doxycycline.
• Imithi ebizwa ngokuthi yi-potassium chloride esetshenziswa ukwelapha amazinga aphansi e-mineral potassium.
• Imithi ebizwa ngokuthi yi-bisphosphonates ewelapha izimo zethambo njenge-osteoporosis. Le mithi ihlanganisa i-alendronate (Binosto, Fosamax).
• Ukwelashwa kwezimo zenhliziyo ebizwa ngokuthi yi-quinidine.

Ukutheleleka ezicubeni zesipundu kungabangela i-esophagitis. Ukutheleleka kungaba ngenxa yebhaktheriya, ama-viruses noma ama-funguses. I-Infectious esophagitis iyindaba encane. Kwenzeka kakhulu kubantu abanezinhlelo zokulwa nezifo ezibuthakathaka, njengabantu abane-HIV / AIDS noma umdlavuza.

I-fungus evame ukutholakala emlonyeni ebizwa ngokuthi yi-Candida albicans iyimbangela evamile ye-infectious esophagitis. Lolu hlobo lokutheleleka lwe-fungal ngokuvamile luhlanganiswe ne-immune system ebuthakathaka, isifo sikashukela, umdlavuza, noma ukusetshenziswa kwemithi ye-steroid noma i-antibiotic.

Izimbangela zengozi ye-esophagitis ziyahlukahluka kuye ngokuthi yini ebangela leli cala.

Faktha ephakamisa ingozi yesifo se-gastroesophageal reflux (GERD) nayo iyizimbangela ze-reflux esophagitis. Lezi zimbangela zengozi zihlanganisa okulandelayo:

• Ukudla ngaphambi nje kokulala.
• Ukudla ukudla okukhulu kakhulu nokunemafutha amaningi.
• Ukubhema.
• Ukuzuza isisindo esengeziwe, kufaka phakathi ukukhulelwa.

Ukudla okungenza izimpawu ze-GERD noma i-reflux esophagitis zibe zimbi nakakhulu kuhlanganisa:

• I-Caffeine.
• U-Alkohols.
• Ukudla okunemafutha.
• I-Chocolate.
• I-Peppermint.

Izimbangela zengozi zaleli esophagitis ehlobene nokwaleka kungaba:

• Umlando wokuqabuka okuthile okwalukayo. Lokhu kuhlanganisa i-asthma, i-atopic dermatitis ne-allergic rhinitis, eyaziwa nangokuthi yi-hay fever.
• Umlando womndeni we-eosinophilic esophagitis.

Izimbangela zengozi zaleli hlobo le-esophagitis zivame ukuxhumene nezinkinga ezivikela ukudlula ngokushesha nangokuphelele kwepiluli esiswini. Lezi zinto zihlanganisa:

• Ukugwinya ipiluli ngamanzi ambalwa noma angenamandla.
• Ukuthatha imithi ulele phansi.
• Ukuthatha imithi ngaphambi nje kokulala. Le mbangela yengozi cishe iyimbangela ngenxa yokuthi kukhiqizwa umalume omncane futhi ukugwinya okuncane kwenzeka ngesikhathi sokulala.
• Ukuba mdala. Lokhu kungaba yimbangela ngenxa yenguquko ehlobene nobudala yemisipha ye-esophagus noma ezindlalweni ezenza umalume omncane.
• Ukuthatha amaphiluli amakhulu noma anemithetho engaqondakali.

Izimbangela zengozi ze-esophagitis yokutheleleka zivame ukuxhumene nemithi efana ne-steroids noma ama-antibiotics. Abantu abane-diabetes nabo banengozi enkulu ye-esophagitis ebangelwa ukutheleleka kwe-candida fungus ikakhulukazi.

Uma kungenjalo ukwelashwa, i-esophagitis ingabangela ukushintsha kwesakhiwo se-esophagus. Izinkinga ezingase zenzeke zihlanganisa:

• Ukwenziwa amabala noma ukuncipha kwe-esophagus, okwaziwa ngokuthi i-stricture.
• Ukuklebhuleka kokugqoka kwe-esophagus. Lokhu kungase kube ngenxa yokuhlehlisa noma ngenxa yobuchwepheshe bezempilo obungena izixhobo zezokwelapha ngaphakathi kwe-esophagus ebuhlungu ngesikhathi se-endoscopy. I-endoscopy iyindlela ochwepheshe bezempilo abahlola ngayo uhlelo lokugaya ukudla.
• Isimo esibizwa ngokuthi yi-Barrett esophagus lapho amaseli agqoka i-esophagus elimazeke khona ngenxa yokubuyela emuva kwesidumbu. Lokhu kukhuphula ingozi yomdlavuza oqala e-esophagus, okuthiwa futhi i-esophageal cancer.

Ukubuka ngaphakathi komzimba Khulisa isithombe Vala Ukubuka ngaphakathi komzimba Ukubuka ngaphakathi komzimba Phakathi nokubuka ngaphakathi komzimba oluphezulu, ochwepheshe bezempilo ufake ithyube elithambile, elikhulu, elihlanganiswe nokukhanya nekhamera phansi komlomo futhi angene esibindini. Ikhamera encane inikeza umbono wesibindini, isisu, nokuqala kwesibindini esincane, okuthiwa yi-duodenum. Ukuxilongwa kuhilela izinyathelo ochwepheshe bakho bezempilo abazithatha ukuthola ukuthi uba ne-esophagitis. Ochwepheshe bakho bezempilo abakhulu noma ochwepheshe bakucela ngezimpawu zakho futhi bakunikeze ukuhlolwa komzimba. Ungase futhi udinga uvivinyo olulodwa noma ngaphezulu. Lezi zihloko zingafaka okulandelayo: Ukubuka ngaphakathi komzimba Ukubuka ngaphakathi komzimba kuyivivinyo esisetshenziswa ukuhlola uhlelo lokugaya. Ochwepheshe bezempilo baqondisa ithyube elide, elithambile elihlanganiswe nekamele encane phansi komlomo futhi angene esibindini. Leli thuluzi libizwa ngokuthi yi-endoscope. Ochwepheshe bakho bezempilo bangasebenzisa i-endoscope ukuze babone ukuthi isibindi sibonakala lihlukile kunokujwayelekile. Izibonelo ezincane zethusi zingathunywaniwa ukuze zivivinywe. Lokhu kubizwa ngokuthi yi-biopsy. Isibindi singabonakala lihlukile kuye ngesizathu sokuvuvukala, njengokuthi imithi-ebangelwe noma i-reflux esophagitis. Ngaphambi kwaleli vi vinyo, uthola imithi ekusisiza ukuthi uphumule. I-capsule yesibindini Leli vi vinyo lingenziwa ehhovisi lochwepheshe bezempilo. Kuhilela ukugwinya ikhaphsuli ehlotshaniswe nesinye. Ikhaphsuli iyanyamalala esiswini futhi ikhiphe isiponji. Ochwepheshe bezempilo badonsa isiponji emlonyeni ngentambo. Njengoba isiponji sidonswa, sithatha izicubu zesibindini. Lokhu kungasiza ochwepheshe bakho bezempilo ukuthi bafunde ukuthi isibindi sakho sivuvukile kangakanani ngaphandle kokwenza ukubuka ngaphakathi komzimba. I-X-ray ye-Barium Leli vi vinyo lihilela ukuphuza isisombululo noma ukuthatha iphilisi eliqukethe i-compound ebizwa nge-barium. I-barium ihlanganisa ukugqoka kwesibindini nesisu ukuze kubonakale ezithombeni ezithathwe. Izithombe zingasiza ochwepheshe bezempilo ukuthola ukuncipha kwesibindini nezinye izinguquko esakhiweni. Izithombe zingasiza futhi ukubona i-hiatal hernia, iziphundu noma ezinye izimo ezingase zibangele izimpawu. Izivivinyo zelebhu Izibonelo ezincane zethusi ezikhishwe ngesikhathi sokuhlolwa kwe-endoscopic zithunyelwa elabhorethri ukuze zivivinywe. Kuye ngesizathu esoliswayo sesimo, izivivinyo zingasetshenziswa ukuze: Kuxilongwe ukutheleleka okubangelwa ibhaktheriya, i-virus noma ifungal. Thola ukuthi amaseli amhlophe egazi ahlobene ne-allergy okuthiwa yi-eosinophils akhiwe esibindini. Bheka amaseli angajwayelekile. Amaseli anjalo angaba yizinkomba zomdlavuza wesibindini noma izinguquko ezikhuphula ingozi yomdlavuza. Ukunakekelwa eMayo Clinic Iqembu lethu lochwepheshe beMayo Clinic elinakekelayo lingakusiza ngezinkinga zakho zempilo ezihlobene ne-esophagitis Qala Lapha Ulwazi Olwengeziwe Ukunakekelwa kwe-esophagitis eMayo Clinic Izivivinyo zesikhumba se-allergy Ukubuka ngaphakathi komzimba oluphezulu

Ukwelapha i-esophagitis kuhloswe ukunciphisa izimpawu, ukuphatha izinkinga kanye nokuphatha izimbangela zesimo. Izindlela zokwelapha zihluka kuye ngokubangela kwe-esophagitis. Ukwelapha i-esophagitis yokubuyela emuva kungafaka:

• Imithi etholakala ngaphandle kwesikripthi. Lokhu kufaka phakathi ama-antacids (Maalox, Mylanta, nabanye); imithi ebizwa ngokuthi yi-H-2-receptor blockers ephansi isithombo sesisu, njengecimetidine (Tagamet HB); kanye nemithi ebizwa ngokuthi yi-proton pump inhibitors evinya isithombo sesisu futhi iphulukise i-esophagus, njengelansoprazole (Prevacid 24 HR) ne-omeprazole (Prilosec OTC), phakathi kwabanye.
• Imithi yesikripthi. Lokhu kufaka phakathi i-H-2-receptor blockers enamandla kakhulu ne-proton pump inhibitors.
• Ukuhlinzwa. Uhlobo lokuhlinzwa oluthi fundoplication lungathuthukisa isimo se-esophagus uma ezinye izindlela zokwelapha zingasebenzi. Udokotela uqengqele ingxenye yesisu ngaphezulu kwevalvu ehlukanisa i-esophagus nesisu. Le valvu ibizwa ngokuthi yi-lower esophageal sphincter. Lolu hlobo lokuhlinzwa lungaqinisa i-sphincter futhi livimbele i-acid ekubuyeleni emuva ku-esophagus. Ukuphatha i-eosinophilic esophagitis kuhilela ukugwema i-allergen ebangela izimpawu. Ukwelapha futhi kuhilela ukunciphisa ukusabela kwe-allergic ngemithi. Imithi ingafaka:
• I-proton pump inhibitors. Uchwepheshe wakho wezokunakekelwa kwezempilo cishe uzokuqala ukubhalisela i-proton pump inhibitor. Ungathatha enye njenge-esomeprazole (Nexium), i-lansoprazole (Prevacid), i-omeprazole (Prilosec) noma i-pantoprazole (Protonix).
• Ama-steroids. Amanye ama-study abonisa ukuthi ama-steroids aginjwa angasebenza esicini sobuso be-esophagus ukwelapha i-eosinophilic esophagitis. I-steroid ethile ebizwa nge-budesonide (Eohilia) iza ngesimo esilukhuni. Enye i-steroid ebizwa nge-fluticasone iphuzwa emlonyeni bese iginjwa. Uchwepheshe wakho wezokunakekelwa kwezempilo angakutshela ukuthi ungayigwinya kanjani isisombululo se-steroid ukuze libeke i-esophagus yakho. Ukugwinya isisombululo se-steroid kungenzeka kakhulu ukubangela imiphumela emibi eqinile uma kuqhathaniswa nokuthatha amaphilisi e-steroid ngomlomo.
• Ukudla okususwayo nokudla okungokwemvelo. Ukusebenzisana ne-allergen yokudla kungenzeka ukuthi yimbangela ye-eosinophilic esophagitis. Ngakho kungasiza ukuyeka ukudla ukudla okubonakala kubangela i-allergy. Izivivinyo ze-allergy ezijwayelekile azikwazi ukukutshela ngokuqinisekile ukuthi u-allergic yini ekudleni okuthile. Ngenxa yaleso sizathu, uchwepheshe wakho wezokunakekelwa kwezempilo angakuncoma ukuthi ususe ama-allergen wokudla ajwayelekile ekudleni kwakho. Khona-ke ungangeza kancane kancane ukudla ekudleni kwakho bese uqaphela lapho izimpawu zibuyela. Lokhu kubizwa ngokuthi ukudla okususwayo. Kudingeka kwenziwe ngokuqondiswa uchwepheshe wakho wezokunakekelwa kwezempilo. Indlela eqinile kakhulu ukususa konke ukudla ekudleni kwakho isikhathi esithile. Uchwepheshe wakho wezokunakekelwa kwezempilo uthatha indawo yokudla ngefomula esekelwe ku-amino acid. Ngokuhamba kwesikhathi, ubuyela kancane kancane ekudleni. Lokhu kubizwa ngokuthi ukudla okungokwemvelo. Kufanele futhi kwenziwe ngaphansi kokubuka kuka-chwepheshe wezokunakekelwa kwezempilo.
• Ama-monoclonal antibodies. Lolu hlobo lwemithi lusebenza ukuvimba ukusebenza kwamapuroteni athile emzimbeni abangela ukuvuvukala. I-monoclonal antibody ebizwa nge-dupilumab (Dupixent) ingaba yindlela yokwelapha abantu abangaphezu kweminyaka eyi-12 abanesi-eosinophilic esophagitis. I-Dupilumab inikezwa njengokujova masonto onke noma njalo ngemva kwamasonto amabili kuye ngokuthi ubunzima bakho. Ama-steroids. Amanye ama-study abonisa ukuthi ama-steroids aginjwa angasebenza esicini sobuso be-esophagus ukwelapha i-eosinophilic esophagitis. I-steroid ethile ebizwa nge-budesonide (Eohilia) iza ngesimo esilukhuni. Enye i-steroid ebizwa nge-fluticasone iphuzwa emlonyeni bese iginjwa. Uchwepheshe wakho wezokunakekelwa kwezempilo angakutshela ukuthi ungayigwinya kanjani isisombululo se-steroid ukuze libeke i-esophagus yakho. Ukugwinya isisombululo se-steroid kungenzeka kakhulu ukubangela imiphumela emibi eqinile uma kuqhathaniswa nokuthatha amaphilisi e-steroid ngomlomo. Ukudla okususwayo nokudla okungokwemvelo. Ukusebenzisana ne-allergen yokudla kungenzeka ukuthi yimbangela ye-eosinophilic esophagitis. Ngakho kungasiza ukuyeka ukudla ukudla okubonakala kubangela i-allergy. Izivivinyo ze-allergy ezijwayelekile azikwazi ukukutshela ngokuqinisekile ukuthi u-allergic yini ekudleni okuthile. Ngenxa yaleso sizathu, uchwepheshe wakho wezokunakekelwa kwezempilo angakuncoma ukuthi ususe ama-allergen wokudla ajwayelekile ekudleni kwakho. Khona-ke ungangeza kancane kancane ukudla ekudleni kwakho bese uqaphela lapho izimpawu zibuyela. Lokhu kubizwa ngokuthi ukudla okususwayo. Kudingeka kwenziwe ngokuqondiswa uchwepheshe wakho wezokunakekelwa kwezempilo. Indlela eqinile kakhulu ukususa konke ukudla ekudleni kwakho isikhathi esithile. Uchwepheshe wakho wezokunakekelwa kwezempilo uthatha indawo yokudla ngefomula esekelwe ku-amino acid. Ngokuhamba kwesikhathi, ubuyela kancane kancane ekudleni. Lokhu kubizwa ngokuthi ukudla okungokwemvelo. Kufanele futhi kwenziwe ngaphansi kokubuka kuka-chwepheshe wezokunakekelwa kwezempilo. Ukuphatha i-esophagitis ebangelwa imithi kuhilela ukungasebenzisi imithi enenkinga uma kungenzeka. Futhi kuhilela ukunciphisa ingozi yalesi simo ngezindlela ezifanele zokuthatha amaphilisi. Uchwepheshe wakho wezokunakekelwa kwezempilo angakuncoma:
• Ukuthatha imithi ehlukile engathí ibe yimbangela ye-esophagitis ebangelwa imithi.
• Ukuthatha inguqulo elukhuni yemithi uma kungenzeka.
• Ukuhlala phansi noma ukuqina okungenani imizuzu engama-30 ngemva kokuthatha iphilisi.
• Ukuphuza iglasi egcwele yamanzi ngephilisi. Kodwa le ndlela ayilungile kuwo wonke umuntu. Ngokwesibonelo, abanye abantu badinga ukuphuza amanzi ambalwa ngenxa yesimo esinye, njengokugula kwesibindi. Uchwepheshe wakho wezokunakekelwa kwezempilo angabhalisela imithi yokwelapha ukutheleleka okubangela i-esophagitis yokutheleleka. Imithi ingasiza ekuhlanzeni ukutheleleka okuvela kuma-virus, ama-bacteria noma ama-fungi. Udokotela obizwa ngokuthi yi-gastroenterologist ophatha izimo zokugaya ukudla angasebenzisa amathuluzi ezokwelapha ukwandisa i-esophagus. Lolu hlobo lokwelapha lubizwa ngokuthi yi-esophageal dilation. Luvamise ukusetshenziswa kuphela uma i-esophagus ihlala incintisana kakhulu noma uma ukudla kunamathele ku-esophagus. Phakathi ne-esophageal dilation, uchwepheshe wakho wezokunakekelwa kwezempilo uqondisa izikhwephu ezincane ezincintisana nge-esophagus. Izinguqulo zalezi zinto zingase zibe nezinto ezilandelayo:
• Umgomo oqengqelekayo oqala ngenqaku eliqengqelekayo elibanzi kancane kancane.
• Ibhaluni engandiswa ngemva kokubekwa ku-esophagus.