Ukuqunjelwa sisisu

I-Esophagitis yimeko apho ulusu lwe-esophagus luya kudumba, ludume, okanye lucaphukise. I-esophagus yityhubhu ekhokelela emlonyeni wakho ukuya esiswini. Ikwabizwa ngokuba ngumbhobho wokutya.

I-Esophagitis ihlala ibangelwa sisisu esibi esibuyela kumbhobho wokutya. Ulwelo lune asidi, ecaphukisa inyama. Le ngxaki ibizwa ngokuba yi-gastroesophageal reflux (GERD). Ukuphazamiseka komzimba okubizwa ngokuba yi-eosinophilic esophagitis kukwabangela le meko.

Oku kulandelayo kwandisa umngcipheko wale meko:

• Ukusetyenziswa kotywala
• Ukutshaya icuba
• Utyando okanye imitha esifuba (umzekelo, unyango lomhlaza wemiphunga)
• Ukuthatha amayeza athile afana ne-alendronate, doxycycline, ibandronate, risedronate, tetracycline, iipilisi zepotassium, kunye nevithamin C, ngaphandle kokusela amanzi amaninzi
• Ukuhlanza
• Ndangqengqa emva kokutya isidlo esikhulu
• Ukutyeba kakhulu

Abantu abanamajoni omzimba abuthathaka banokuba nosulelo. Usulelo lungakhokelela ekudumbeni kombhobho wokutya. Usulelo lunokubangelwa:

• Ifungi okanye igwele (amaxesha amaninzi iCandida)
• Iintsholongwane, ezinje ngeherpes okanye icytomegalovirus

Usulelo okanye ukucaphuka kunokubangela ukuba umbhobho wokutya uvuthe. Izilonda ezibizwa ngokuba zizilonda zingenzeka.

Iimpawu zingabandakanya:

• Khohlela
• Kunzima ukugwinya
• Ukuginya okubuhlungu
• Isibilini (i-acid reflux)
• Ukurhabaxa
• Umqala obuhkungu

Ugqirha unokwenza olu vavanyo lulandelayo:

• I-manometry yokuqunjelwa
• I-Esophagogastroduodenoscopy (i-EGD), isusa isiqwenga seethambo kumbhobho wokutya woviwo (i-biopsy)
• Uthotho oluphezulu lwe-GI (i-barium swallow x-ray)

Unyango luxhomekeke kwisizathu. Unyango oluqhelekileyo lukhetho:

• Amayeza anciphisa i-asidi esiswini kwimeko yesifo se-reflux
• Amayeza okubulala iintsholongwane ukunyanga usulelo
• Amayeza kunye notshintsho ekutyeni ukunyanga i-eosinophilic esophagitis
• Amayeza okugquma umaleko wombhobho wokutya ukunyanga umonakalo onxulumene neepilisi

Kuya kufuneka uyeke ukuthatha amayeza onakalisa ulwelwesi lomqala. Thatha iipilisi zakho ngamanzi amaninzi. Kuphephe ukulala phantsi kwangoko emva kokusela ipilisi.

Uninzi lwexesha, ukuphazamiseka okubangela ukudumba kunye nokudumba kombhobho wokutya, phendula kunyango.

Ukuba ayinyangwa, le meko inokubangela ukungonwabi okukhulu. Ukuqhekeka (ukungqinisisa) kombhobho wokutya kunokukhula. Oku kunokubangela iingxaki zokuginya.

Imeko ebizwa ngokuba yiBarrett esophagus (BE) inokukhula emva kweminyaka ye-GERD. Rhoqo, i-BE inokukhokelela kumhlaza wombhobho wokutya.

Shayela umboneleli wakho wezempilo ukuba unayo:

• Rhoqo iimpawu ze-esophagitis
• Kunzima ukugwinya

Ukudumba - umqala; Isifo esophagitis; Izilonda esophagitis; I-esoshagophilic esophagitis

• Utyando lwe-anti-reflux-ukukhutshwa

• I-Esophagus kunye ne-anatomy yesisu
• Umqala

IFalk GW, Katzka DA. Izifo zomqala. Ku: IGoldman L, iSchafer AI, ii-eds. Amayeza eGoldman-Cecil. Ngomhla wama-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 129.

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.

URichter JE, uVaezi MF. Isifo se-reflux sesifo se-Gastroesophageal. Ku: UFeldman M, uFriedman LS, uBrandt LJ, ii-eds. Sleisenger kunye neFordtran's Gastrointestinal and Liver Disease. Ngomhla we-11. IPhiladelphia, PA: Elsevier; 2021: isahluko 46.