Isisu esophagitis: yintoni, unyango kunye nokuhlelwa kweLos Angeles

Umxholo

• Iimpawu eziphambili
• Indlela yokuqinisekisa ukuxilongwa
• Ukwahlulahlula eLos Angeles
• Iimbangela ze-esophagitis erosive
• Unyango lwenziwa njani
• Unyango lwenziwa njani kwabasetyhini abakhulelweyo
• Olunye unonophelo oluyimfuneko

I-esophagitis erosive yimeko apho izilonda zesisu zenziwa khona ngenxa yesisu esinganyangekiyo esiswini, esikhokelela ekubonakaleni kweempawu ezithile ezinje ngeentlungu xa usitya kunye nokusela ulwelo kunye nobukho begazi emhlanzweni okanye kwilindle.

Unyango lwale meko luhlala lusenziwa ngugqirha wesisu onokuthi acebise ukusetyenziswa kwamayeza ukunqanda ukugqithisa kwaye kuthintele ukuveliswa kwencindi yesisu, kuba kwiimeko ezinobuzaza ngakumbi kunokuboniswa. Ukongeza, kuyafuneka ukuba ulandele isondlo, ukubonisa ukuba loluphi utshintsho ekufuneka lwenziwe kwimikhwa yokutya.

Iimpawu eziphambili

Iimpawu ze-esophagitis erosive zixhomekeke kwinqanaba lezilonda kwi-esophagus, kodwa zihlala zibandakanya:

• Ukugabha okunokuqulatha igazi okanye akunjalo;
• Iintlungu xa usitya okanye usela ulwelo;
• Igazi esitulweni;
• Umqala obuhkungu;
• Ukudakumba;
• Iintlungu zesifuba;
• Isikhohlela esinganyangekiyo.

Ukongeza, xa i-esophagitis erosive inganyangwa, kunokwenzeka ukuba i-anemia yentswelo ye-anemia ikhula kwaye inyuse umngcipheko we-tumor kwi-esophagus. Ke, kubalulekile ukuba ugqirha wezilonda abonisane kwangoko xa kuvela iimpawu zokuqala zesisu, kuba ngale ndlela kunokwenzeka ukuba uqale unyango kwangoko. Bona ezinye iinkcukacha malunga nendlela yokuchonga i-esophagitis.

Indlela yokuqinisekisa ukuxilongwa

Ukuchongwa kwe-esophagitis erosive kuqalwa ngugastracenterologist kuvavanyo lweempawu ezibonisiweyo, kunye nezinto eziphucula okanye ezenza mandundu ubukhulu beempawu.

Nangona kunjalo, ukuqinisekisa ukuxilongwa, kunye nokuchonga ubungqongqo bale meko, kuyacetyiswa i-endoscopy, evumela ubungakanani bezilonda ukuba zijongwe kunye ne-esophagitis erosive ukuba yahlulwe ngokomgaqo weLos Angeles.

Ukwahlulahlula eLos Angeles

Udidi lweLos Angeles lujolise ekwahlukaniseni izilonda kwi-eosive esophagitis ngokobukrakra, ukuze olona nyango lufanelekileyo lokunyanga isilonda kugqitywe.

Xa izilonda ze-esophagitis ezikumgangatho weC okanye D ziphindaphindeka, kukho umngcipheko owandayo womhlaza womqala, kunganyanzeleka ukuba unyango lonyango luboniswe kuqala, ngaphambi kokuba kusetyenziswe amayeza.

Iimbangela ze-esophagitis erosive

I-esophagitis erosive kwimeko ezininzi isisiphumo se-esophagitis enganyangekiyo, ebangela ukuba izilonda ziqhubeke ukubonakala kwaye zikhokelela kuphuhliso lweempawu.

Ukongeza, enye imeko ethanda ukukhula kwe-esophagitis yi-gastroesophageal reflux, kuba umxholo we-asidi esiswini ufikelela kumqala kwaye ukhuthaza ukucaphuka kwe-mucosal, ukuthanda ukubonakala kwezilonda.

I-esophagitis ekhulayo inokubakho rhoqo kubantu abatshayayo okanye ngenxa yokutya ukutya okuneemveliso kunye namafutha.

Funda ngakumbi malunga noonobangela be-esophagitis kule vidiyo ilandelayo:

Unyango lwenziwa njani

Unyango lwe-esophagitis erosive luxhomekeke kwinto ebangelwe koko, kodwa ihlala yenziwa kunye nengcali yesondlo eya kuthi ibonise ukumiswa kokusetyenziswa kwecuba, ukuba likho, ukunciphisa ukusetyenziswa kokutya okunamafutha kunye nokutya okunamafutha, ukongeza ekunciphiseni ubunzima kwiimeko zokutyeba kakhulu okanye abantu abatyebe kakhulu.

Kusenokuba yimfuneko ukusebenzisa amayeza afana nala:

• Iiproton pump inhibitors (ii-PPIs), ezinje nge-omeprazole, i-esomeprazole okanye i-lansoprazole: ethintela ukuveliswa kwencindi yesisu sisisu, ngaloo ndlela ibathintele ukuba bangafiki kumqala;
• Imbali inhibitors, ezifana ne-ranitidine, i-famotidine, i-cimetidine kunye ne-nizatidine: zisetyenziswa xa ii-PPIs zingazivelisi iziphumo ezilindelekileyo kwaye zikwanceda ukunciphisa inani le-asidi esiswini;
• Iprokinetics, njenge-domperidone kunye ne-metoclopramide: isetyenziselwa ukukhawulezisa ukukhutshwa kwesisu.

Ukuba umntu usebenzisa amayeza anticholinergic, anje ngeArtane okanye iAkineton, kunye neebhloko zekhalsiyam, ezinje ngeAnlodipino kunye neVerapamil, ugqirha wesisu unokuhambisa iingcebiso ezithile ngendlela yokusebenzisa amayeza amiselweyo.

Ukusetyenziswa kotyando lwe-esophagitis erosive kuboniswa kuphela ukuba izilonda aziphuculanga okanye xa iimpawu ziqhubeka kwaye zonke iindlela zonyango esele zisetyenzisiwe sele zisetyenzisiwe. Olu tyando luquka ukwakhiwa kwakhona kwesivalo esincinci esidibanisa isisu nomqala, oko ke kuthintela incindi yesisu ekubuyeni ngale ndlela kwaye ibangele ukonzakala okutsha.

Unyango lwenziwa njani kwabasetyhini abakhulelweyo

Kwimeko yabasetyhini abakhulelweyo, ukongeza ekubekeni esweni isondlo kunye nokunakekelwa kwemihla ngemihla, kuyacetyiswa ukuba kusetyenziswe kuphela ii-histamine inhibitors, ezinjenge-ranitidine, i-cimetidine, i-nizatidine kunye ne-famotidine, njengoko zikhuselekile ukuzisebenzisa kweli nqanaba, ukongeza ayifunxwanga lubisi ngexesha lokuveliswa kwayo.

Olunye unonophelo oluyimfuneko

Ukongeza kunyango olubonakalisiweyo, kusafuneka ulandele izikhokelo zemihla ngemihla zokuba ube nobomi obungcono kunye nokuphepha ukungakhululeki kweempawu:

• Phakamisa malunga ne-15 cm ukuya kwi-30 cm ukusuka entlokweni yebhedi;
• Nciphisa ukutyiwa kweziqhamo zesitrasi, iziselo ezine-caffeine, utywala okanye i-carbonated, kunye nokutya okunjenge-mint, i-eucalyptus, i-mint, i-tomato, i-chocolate;
• Gwema ukulala phantsi iiyure ezimbini emva kwesidlo sokugqibela.

Ezi zilumkiso ziyafana nezo zisetyenziswa ngabantu abane-reflux, njengoko bencedisa ukukhusela i-asidi esiswini ukuba inganyuki iye emqaleni. Bona ezinye iingcebiso malunga nendlela yokunyanga i-Reflux, enokusetyenziselwa ukuthintela i-esophagitis.

Kule vidiyo ilandelayo, ugqirha wezondlo uTatiane Zanin, ubonisa indlela yokuphakamisa intloko yebhedi, ukongeza ekunikezeleni ngeengcebiso ezinkulu zokuphelisa ukungonwabi kwe-Reflux, engunobangela we-esophagitis: