Uxinzelelo lweBenign Esophageal

Umxholo

• Yintoni ebangela ukuba umntu abe ne-esignge?
• Iimpawu zoxinzelelo lokuqina kokuqaqanjelwa ngumzimba
• Ubunzima obunokubakho kuxinzelelo lwe-benign esophageal
• Ukuchonga ubungqongqo be-esophageal
• Uvavanyo lokuginya lweBarium
• I-endoscopy ephezulu ye-GI
• Ukubeka esweni i-pH yokujonga esophageal
• Ukunyanga ukungqinisisa okungapheliyo kokuqina
• Ukunyuka kwe-Esophageal
• Ukubekwa kwindawo ephezulu
• Ukutya kunye nendlela yokuphila
• Amayeza
• Ugqirha
• Umbono wexesha elide kubantu abane-benign esophageal stricture
• Ukuthintela ukungqinisisa kokuqina kokuqaqamba kwemiphunga

Sibandakanya iimveliso esicinga ukuba ziluncedo kubafundi bethu. Ukuba uthenga amakhonkco kweli phepha, sinokufumana ikhomishini encinci. Nantsi inkqubo yethu.

Yintoni i-benign esophageal stricture?

Ukuqiniswa kweBenign esophageal kuchaza ukunciphisa okanye ukuqinisa isopha. I-esophagus yityhubhu ezisa ukutya kunye nolwelo emlonyeni wakho kwisisu sakho. "I-Benign" ithetha ukuba ayinomdlavuza.

Ukuqiniswa kwe-Benign esophageal kwenzeka rhoqo xa isisu esiswini kunye nezinye izinto ezicaphukisayo zonakalisa ulungelelwaniso lwe-esophagus ngokuhamba kwexesha. Oku kukhokelela ekuvukeleni (i-esophagitis) kunye nezicubu ezibomvu, ezibangela ukuba i-esophagus inciphise.

Nangona i-benign esophageal stricture is not a sign of cancer, imeko inokubangela iingxaki ezininzi. Ukunciphisa umqala kunokwenza kube nzima ukuginya. Oku kwandisa umngcipheko wokukrwitshwa. Inokukhokelela nasekuthinteleni ngokupheleleyo umqala. Oku kunokuthintela ukutya kunye nolwelo ekufikeleleni esiswini.

Yintoni ebangela ukuba umntu abe ne-esignge?

Ukuqiniswa kwe-Benign esophageal kungenzeka xa iifom ezinobumba ezinobunzima kwi-esophagus. Oku kuhlala kungumphumo womonakalo kwi-esophagus. Unobangela oqhelekileyo womonakalo sisifo se-reflux se-gastroesophageal (GERD), ekwabizwa ngokuba yi-acid reflux.

I-GERD yenzeka xa i-sphincter esezantsi esophageal (LES) ingavali okanye iqinise ngokufanelekileyo. I-LES sisihlunu esiphakathi kwesisu kunye nesisu. Ihlala ivula ixesha elifutshane xa uginya. Isisu esiswini sinokuhamba sibuyele emqolo xa singavali ngokupheleleyo. Oku kudala ukuvutha kwesifuba esisezantsi esaziwa ngokuba sisitshisa.

Ukuvezwa rhoqo kwesisu esiyingozi kunokubangela ukuba izicwili ezibomvu zibekho. Ekugqibeleni, i-esophagus iya kuncipha.

Abanye oonobangela bokuqina kokuqina kokuqina kokubandakanya kubandakanya:

• unyango lwemitha esifubeni okanye entanyeni
• ukuginya ngengozi into eneasidi okanye eyonakalisayo (njengeebhetri okanye izicoci zendlu)
• ukusetyenziswa okwandisiweyo kwetyhubhu ye-nasogastric (ityhubhu ekhethekileyo ehambisa ukutya kunye namayeza kwisisu ngeempumlo)
• Umonakalo we-esophageal obangelwa yi-endoscope (ityhubhu ecekeceke, eguqukayo esetyenziselwa ukujonga ngaphakathi kumzimba womzimba okanye kwilungu)
• Unyango lwe-varopha esophageal varices (eyandisiweyo imithambo kwisopha esinokuphuka kwaye sibangele ukopha kakhulu)

Iimpawu zoxinzelelo lokuqina kokuqaqanjelwa ngumzimba

Iimpawu eziqhelekileyo zoxinzelelo oluqinileyo lwe-esophageal zibandakanya:

• ukugwinya okunzima okanye okubuhlungu
• ukwehla kobunzima obungalindelekanga
• ukuphinda kwenziwe ukutya okanye ulwelo
• imvakalelo yento exineneyo esifubeni emva kokuba utyile
• Ukugqabhuka rhoqo okanye iihiccups
• isilungulela

Ubunzima obunokubakho kuxinzelelo lwe-benign esophageal

Ukutya okuxineneyo nokuqinileyo kunokuhlala kwindawo yomqala xa uncipha. Oku kunokubangela ukukrwitshwa okanye ukuphefumla nzima.

Iingxaki zokuginya zinokuthintela ekufumaneni ukutya okwaneleyo kunye nolwelo. Oku kunokukhokelela ekuphelelweni ngamanzi emzimbeni nasekungondlekini.

Kukwakho nomngcipheko wokufumana ulangazelelo lwemiphunga, olwenzeka xa ukugabha, ukutya, okanye ulwelo lungena kwimiphunga yakho. Oku kungakhokelela kwi-aspiration pneumonia, usulelo olubangelwa ziibhaktheriya ezikhula malunga nokutya, ukugabha okanye ulwelo emphungeni.

Funda nzulu: Ukuphefumla inyumoniya: Iimpawu, oonobangela, kunye nonyango »

Ukuchonga ubungqongqo be-esophageal

Ugqirha wakho unokusebenzisa ezi mvavanyo zilandelayo ukufumanisa imeko:

Uvavanyo lokuginya lweBarium

Uvavanyo lokuginya lwe-barium lubandakanya uthotho lwee-X-ray ze-esophagus. Ezi X-reyi zithathwa emva kokuba usele into engamanzi ene-barium. I-Barium ayinetyhefu okanye ayingozi. Ezi zinto zitenxileyo zibambisa okwethutyana ulusu lwakho. Oku kuvumela ugqirha wakho ukuba abone umqala wakho ngokucacileyo.

I-endoscopy ephezulu ye-GI

Kwi-endoscopy ephezulu yesisu (i-GI ephezulu), ugqirha wakho uya kubeka i-endoscope ngomlomo wakho nakwindawo yakho yokubamba. I-endoscope yityhubhu encinci, eguqukayo enekhamera eqhotyoshelweyo. Ivumela ugqirha wakho ukuba ahlolisise i-esophagus kunye ne-upper intestinal tract.

Funda nzulu: Endoscopy »

Ugqirha wakho angasebenzisa i-forceps (tongs) kunye nezikere eziqhotyoshelwe kwi-endoscope ukususa izicwili kwindawo yomqala. Baya kuthi emva koko bahlalutye le sampuli yeethishu ukuze bafumane oyena nobangela wokuqina kwe-benign esophageal.

Ukubeka esweni i-pH yokujonga esophageal

Olu vavanyo lilinganisa isixa sesisu esiswini esingena kumngxunya wakho. Ugqirha wakho uya kufaka ityhubhu ngomlomo wakho kwi-esophagus yakho. Ityhubhu ihlala ishiyeka kwindawo yakho encinci ubuncinci iiyure ezingama-24.

Ukunyanga ukungqinisisa okungapheliyo kokuqina

Unyango lwe-benign esophageal stricture luyahluka ngokuxhomekeka kubukhali kunye nonobangela.

Ukunyuka kwe-Esophageal

I-Esophageal dilation, okanye ukuzolula, yeyona ndlela ikhethwayo kwiimeko ezininzi. Ukuxutywa kwe-Esophageal kunokubangela ukuphazamiseka okuthile, ngoko uya kuba phantsi kwe-sedation jikelele okanye ngokulinganayo ngexesha lenkqubo.

Ugqirha wakho uya kufaka i-endoscope ngomlomo wakho kwisisu sakho, isisu kunye namathumbu amancinci. Nje ukuba babone indawo eqinileyo, baya kubeka i-dilator kwindawo yomqala. I-dilator yityhubhu ende, ebhityileyo enebhaluni kwincam. Nje ukuba ibhaluni inyuke, iya kuyandisa indawo emxinwa esophagus.

Ugqirha wakho unokufuna ukuphinda le nkqubo kwixa elizayo ukunqanda isophagus yakho ekunciphiseni kwakhona.

Ukubekwa kwindawo ephezulu

Ukufakwa kwama-esophageal stents kunokubonelela ngesiqabu kwisiseko sokuqina. I-stent yityhubhu encinci eyenziwe ngeplastikhi, isinyithi esandekayo, okanye izinto eziguqukayo. I-Esophageal stents inokunceda ukugcina indawo evaliweyo ivulekile ukuze uginye ukutya kunye nolwelo.

Uya kuba phantsi kwesiqhelo ngokubanzi okanye ulungelelwaniso lwenkqubo. Ugqirha wakho uya kusebenzisa i-endoscope ukukhokela i-stent endaweni.

Ukutya kunye nendlela yokuphila

Ukwenza uhlengahlengiso oluthile kwindlela otya ngayo nakwindlela ophila ngayo unokulawula ngokufanelekileyo i-GERD, esona sizathu siphambili sokuqina kokuqina kokuqina. Olu tshintsho lunokubandakanya:

• ukuphakamisa umqamelo wakho ukukhusela i-asidi esiswini ekubalekeni ubuyele phezulu kwi-esophagus yakho
• ukunciphisa umzimba
• ukutya ukutya okuncinci
• ukungatyi iiyure ezintathu ngaphambi kokulala
• ukuyeka ukutshaya
• ukuphepha utywala

Kuya kufuneka uphephe nokutya okubangela i-acid reflux, enje:

• ukutya okuneziqholo
• ukutya okunamafutha
• iziyobisi
• itshokholethi
• ikofu kunye neemveliso zecaffeine
• ukutya okusekwe kwitumato
• iimveliso zesitrasi

Amayeza

Amayeza angaba yinxalenye ebalulekileyo yesicwangciso sakho sonyango.

Iqela leziyobisi ezivimba i-asidi, ezaziwa ngokuba yiproton pump inhibitors (ii-PPIs), zezona zonyango zisebenzayo zokulawula iziphumo ze-GERD. La machiza asebenza ngokuthintela impompo yeproton, uhlobo olukhethekileyo lweprotein, enceda ukunciphisa inani leasidi esiswini.

Ugqirha wakho unokumisela la mayeza ukuba aphelise ixesha elifutshane ukuvumela ukuba unyangeke ngokungqongqo. Banokubacebisa ukuba banyangwe ixesha elide ukuthintela ukuphindaphinda.

Ii-PPIs ezisetyenziselwa ukulawula i-GERD zibandakanya:

• omeprazole
• I-lansoprazole (Prevacid)
• I-pantoprazole (iProtonix)
• esomeprazole (Nexium)

Amanye amayeza anokusebenza ngokunyanga i-GERD kunye nokunciphisa umngcipheko wokuqiniswa kwesophageal. Bazi:

• ii-antacids: bonelela ngoncedo lwexesha elifutshane ngokunciphisa iiasidi esiswini
• sucralfate (Carafate): ibonelela ngesithintelo esigcina umqala kunye nesisu ukubakhusela kwiijusi zesisu esineasidi
• i-antihistamines, efana ne-famotidine (i-Pepcid AC): yehlisa ukukhutshwa kwe-asidi

Thenga ii-antacids kwi-Intanethi kwiAmazon.

Ugqirha

Ugqirha wakho unokucebisa utyando ukuba amayeza kunye ne-esophageal dilation azisebenzi. Inkqubo yokuhlinzwa inokulungisa i-LES yakho kwaye incede ukuthintela iimpawu ze-GERD.

Umbono wexesha elide kubantu abane-benign esophageal stricture

Unyango lunokulungisa ukuqiniswa kwesifo esibuhlungu kunye nokunceda ukukhulula iimpawu ezinxulumene noko. Nangona kunjalo, imeko inokwenzeka kwakhona. Phakathi kwabantu abafumana ukuxutywa kwe-esophageal, malunga neepesenti ezingama-30 bafuna enye i-dilation kunyaka omnye.

Kuya kufuneka uthathe amayeza ngalo lonke ixesha lokuphila kwakho ukulawula i-GERD kunye nokunciphisa umngcipheko wokukhula kolunye uqiniseko lokuqina.

Ukuthintela ukungqinisisa kokuqina kokuqaqamba kwemiphunga

Unokukunceda ukuthintela ukuqina kobungqongqo ngokuphepha izinto ezinokonakalisa umqala wakho. Khusela abantwana bakho ngokugcina zonke izinto ezonakalisayo zekhaya zingafikeleli kubo.

Ukulawula iimpawu ze-GERD kunokuwunciphisa kakhulu umngcipheko wokuqiniswa kwesophageal. Landela imiyalelo kagqirha wakho ngokubhekisele kukhetho lokutya kunye nendlela ophila ngayo enokunciphisa ukhuphelo lweasidi kwi-esophagus yakho. Kukwabalulekile ukuba uqiniseke ukuba uthatha onke amayeza njengoko kumiselwe ukulawula iimpawu ze-GERD.