Isifo esophagitis esosulelayo

I-Esophagitis ligama eliqhelekileyo nakuphi na ukudumba, ukucaphuka, okanye ukudumba kwe-esophagus. Lo ngumbhobho ohambisa ukutya kunye nolwelo ukusuka emlonyeni uye esiswini.

Isophagitis esosulelayo inqabile. Ngokuqhelekileyo kwenzeka kubantu abanamajoni omzimba abuthathaka. Abantu abanamajoni omzimba omeleleyo abahlali bekwenza oko.

Izizathu eziqhelekileyo zokungabi namandla komzimba zibandakanya:

• Intsholongwane kaGawulayo / uGawulayo
• Unyango ngamayeza
• Seswekile
• I-leukemia okanye i-lymphoma
• Amayeza acinezela amajoni omzimba, anjengala anikwe emva kokufakelwa komzimba okanye ithambo
• Ezinye iimeko ezicinezela okanye ezenza buthathaka amajoni akho omzimba

Izinto eziphilayo (iintsholongwane) ezibangela i-esophagitis zibandakanya ukungunda, igwele kunye neentsholongwane. Izinto eziqhelekileyo zibandakanya:

• ICandida albicans kunye nezinye iintlobo zeCandida
• ICytomegalovirus (CMV)
• Intsholongwane yeHerpes simplex (HSV)
• I-papillomavirus yabantu (HPV)
• Iintsholongwane zesifo sephepha (Isifo sephepha seMicobacterium)

Iimpawu ze-esophagitis zibandakanya:

• Kunzima ukugwinya kunye nokuginya okubuhlungu
• Umkhuhlane kunye nokubanda
• Usuleleko lwegwele lolwimi kunye nomphetho womlomo (i-oral thrush)
• Izilonda emlonyeni okanye ngasemva komqala (kunye ne-herpes okanye i-CMV)

Umboneleli wezempilo uya kubuza malunga neempawu zakho kwaye ahlole umlomo nomqala wakho. Uvavanyo lunokubandakanya:

• Uvavanyo lwegazi kunye nomchamo kwi-CMV
• Inkcubeko yeeseli ezivela kwi-esophagus ye-herpes okanye i-CMV
• Umlomo okanye umqala we-swab inkcubeko ye-candida

Kuya kufuneka ukuba ube novavanyo oluphezulu lwe-endoscopy. Olu luvavanyo lokuvavanya ulungelelwaniso lwe-esophagus.

Uninzi lwabantu abane-esophagitis, amayeza anokulawula usulelo. Oku kubandakanya:

• Amayeza antiviral anjenge-acyclovir, i-famciclovir, okanye i-valacyclovir inokunyanga usulelo lwe-herpes.
• Amayeza okubola afana ne-fluconazole (athathwe ngomlomo), i-caspofungin (enikezwe ngenaliti), okanye i-amphotericin (enikezwe ngenaliti) inokunyanga usulelo lwe-candida.
• Amayeza antiviral anikwa ngomthambo (efakwa ngaphakathi), njenge-ganciclovir okanye i-foscarnet inokunyanga usulelo lwe-CMV. Ngamanye amaxesha, iyeza elibizwa ngokuba yi-valganciclovir, elithathwa ngomlomo, linokusetyenziselwa usulelo lwe-CMV.

Abanye abantu banokufuna iyeza lentlungu.

Buza umboneleli wakho ngezindululo ezizodwa zokutya. Umzekelo, kunokubakho ukutya okudingayo ukunqanda ukutya njengoko ukuphola kwesophahagitis.

Abantu abaninzi abanyangelwe isiqephu se-esophagitis esosulelayo bafuna amanye, amayeza exesha elide ukucinezela intsholongwane okanye ukungunda, kunye nokuthintela usulelo ukuba lungabuyi.

I-Esophagitis ihlala inyangwa ngokufanelekileyo kwaye ihlala iphilisa kwiintsuku ezi-3 ukuya kwezi-5. Abantu abanamajoni omzimba abuthathaka bangathatha ixesha elide ukuba babe ngcono.

Iingxaki zempilo ezinokubangelwa sisifo esophagitis esosulelayo kubandakanya:

• Imingxunya kwi-esophagus (perforations)
• Usulelo kwezinye iisayithi
• Usulelo oluphindaphindiweyo

Fowunela umboneleli wakho ukuba unayo nayiphi na imeko enokubangela ukunciphisa ukuphendula kwamajoni omzimba kwaye ube neempawu zesifo esophagitis esosulelayo.

Ukuba amajoni omzimba abuthathaka, zama ukunqanda ukunxibelelana nabantu abanokosuleleka kuyo nayiphi na into ekhankanywe ngasentla.

Usulelo - isisu; Usulelo lwe-Esophageal

• I-Herpetic esophagitis
• Inkqubo ephezulu yesisu
• I-CMV esophagitis
• Isidudu se-Candidal esophagitis

I-Graman PS. Ukuqunjelwa sisisu. Ku: Bennett JE, Dolin R, Blaser MJ, ii-eds. Mandell, Douglas, kunye neBennett's Principles and Practice of Infectious Diseases. Umhla we-9. IPhiladelphia, PA: Elsevier; 2020: isahl. 97.

Katzka DA. Ukuphazamiseka kwesophageal okubangelwa ngamayeza, ukwenzakala, kunye nosulelo. Ku: UFeldman M, uFriedman LS, uBrandt LJ, ii-eds. Sleisenger kunye neFordtran's Gastrointestinal and Liver Disease. Ngomhla we-10. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 46.