Ukuqunjelwa sisisu

Umxholo

• Iindidi ze-esophagitis
• I-esoshagophilic esophagitis
• Reflux esophagitis
• Iziyobisi ezibangelwa zii-esophagitis
• Esophagitis esosulelayo
• Iimpawu ze-esophagitis
• Imiba yomngcipheko we-esophagitis
• Ubunzima bexesha elide kwezempilo
• Ichongwa njani i-esophagitis?
• Unyango lwe-esophagitis
• Ithini imbono yexesha elide?

Yintoni i-esophagitis?

I-Esophagitis nakuphi na ukudumba okanye ukucaphuka komqala. I-esophagus yityhubhu ethumela ukutya emlonyeni wakho kwisisu sakho. Izizathu eziqhelekileyo zibandakanya i-acid reflux, iziphumo ebezingalindelekanga zamayeza athile, kunye nosulelo lwebacteria okanye lwentsholongwane. I-Reflux kuxa isisu sinomxholo kunye neeacidi zibuyela umva kwi-esophagus.

Esi sifo sinokubangela iimpawu ezahlukeneyo ezibandakanya:

• ingxaki yokuginya
• umqala obuhkungu
• isilungulela

Ukungafunyanwa kwe-esophagitis kunokukhokelela kwizilonda, ukutyhafa, kunye nokunciphisa ngokukhawuleza kwe-esophagus, enokuthi ibe yongxamiseko lwezonyango.

Unyango lwakho kunye nendlela ojonga ngayo ixhomekeke kwisizathu semeko yakho. Uninzi lwabantu abasempilweni bayaphucuka kwisithuba seeveki ezimbini ukuya kwezine ngonyango olufanelekileyo. Ukubuyisela kwimeko yesiqhelo kungathatha ixesha elide kubantu abanamajoni omzimba abuthathaka okanye usulelo.

Iindidi ze-esophagitis

I-esoshagophilic esophagitis

I-eosinophilic esophagitis ibangelwa zii-eosinophil ezininzi kwi-esophagus. Oku kwenzeke xa umzimba wakho uhambelana ne-allergen. Kubantwana, oku kunokwenza ukutya kube nzima. Ngokutsho kweSibhedlele saBantwana saseBoston, umntwana omnye kwabali-10 000 unale ndlela yokuqaqanjelwa sisisu. Iziphumo eziqhelekileyo zibandakanya:

• ubisi
• isoya
• amaqanda
• ingqolowa
• amandongomane
• amantongomthi omthi
• iqokobhe

Ukungenisa i-allergen, njenge-pollen, nayo inokuba negalelo kule fomu ye-esophagitis.

Reflux esophagitis

I-Reflux esophagitis ihlala ibangelwa yimeko eyaziwa ngokuba sisifo se-reflux sesifo se-gastroesophageal (GERD). I-GERD yenzeka xa iziqulatho zesisu njengeeasidi, zihlala zibuyele umva kwi-esophagus. Oku kubangela ukudumba okungapheliyo kunye nokucaphuka komqala.

Iziyobisi ezibangelwa zii-esophagitis

Isophagitis ebangelwa ziziyobisi inokwenzeka xa uthatha amayeza athile ngaphandle kwamanzi awaneleyo. Oku kubangela ukuba amayeza ahlale ixesha elide kwi-esophagus. La mayeza aquka:

• iintlungu ziyadambisa
• iyeza lokubulala iintsholongwane
• potassium chloride
• i-bisphosphonates (iziyobisi ezithintela ukulahleka kwethambo)

Esophagitis esosulelayo

Isifo esophagitis esosulelayo sinqabile kwaye sinokubangelwa ziibhaktheriya, iintsholongwane, ukungunda, okanye iiparasites. Unobungozi obandayo kolu hlobo lwe-esophagitis ukuba unesifo esibuthathaka ngenxa yesifo okanye amayeza. Olu hlobo luqhelekile kubantu abane-HIV okanye i-AIDS, umhlaza, kunye neswekile.

Iimpawu ze-esophagitis

Iimpawu ze-esophagitis zibandakanya:

• ubunzima bokugwinya (dysphagia)
• intlungu xa uginya (odynophagia)
• umqala obuhkungu
• ilizwi elirhawuzelelayo
• isilungulela
• i-asidi ye-asidi
• Intlungu yesifuba (ngakumbi ngokutya)
• isicaphucaphu
• ukugabha
• iintlungu zesisu se-epigastric
• ukunciphisa ukutya
• ukukhohlela

Abantwana abancinci kakhulu banokuba nobunzima bokutya. Nxibelelana nogqirha wakho ukuba wena okanye amava omntwana wakho kunye nezi mpawu zilandelayo kwaye:

• ukuphefumla kancinci okanye iintlungu zesifuba, ngakumbi ukuba azenzeki ngelixa usitya
• Iimpawu ziyaqhubeka ngaphezulu kweentsuku ezimbalwa
• Iimpawu zinzima ngokwaneleyo ukuba zingaphazamisa amandla akho okutya ngokufanelekileyo
• intloko ebuhlungu, iintlungu zemisipha, okanye umkhuhlane

Funa unyango kwangoko ukuba:

• Unentlungu esifubeni ehlala ngaphezu kwemizuzu embalwa, ngakumbi ukuba unembali yeengxaki zentliziyo, uxinzelelo lwegazi oluphakamileyo, okanye isifo seswekile.
• Ucinga ukuba unokutya okunamathele kwi-esophagus yakho.
• Awunakho ukusebenzisa kwaneesips ezincinci zamanzi.

Imiba yomngcipheko we-esophagitis

Imiba yomngcipheko wokuphuhlisa i-esophagitis ibandakanya:

• amajoni omzimba abuthathaka ngenxa ye-HIV okanye i-AIDS, isifo seswekile, i-leukemia, okanye i-lymphoma
• i-hernia yokuzalwa (xa isisu sityhala ngokuvula kwisithambiso esiphakathi kwesisu nesisu)
• ichemotherapy
• Unyango lwesifuba
• utyando kwindawo yesifuba
• amayeza okuthintela ukungamkelwa komzimba
• Amachiza omzimba wokunyanga asetyenziselwa ukunyanga izifo ezenzekelayo
• I-aspirin kunye neyeza ezichasayo
• ukugabha okungapheliyo
• ukutyeba kakhulu
• ukusetyenziswa kotywala kunye necuba
• Imbali yosapho yokwaliwa okanye yokuqaqanjelwa sisisu

Ithuba lakho lokuphuhlisa usulelo lwe-esophagus liphantsi ukuba une-immune system esempilweni.

Ubunzima bexesha elide kwezempilo

Ukungafunyanwa kwe-esophagitis kungakhokelela kwiingxaki ezinzulu zempilo ezinxulumene nomsebenzi kunye nolwakhiwo lwe-esophagus. Iingxaki zibandakanya:

• Umqala weBarrett, umonakalo kumngxunya we-esophagus yakho, onokuthi ukhokelele kutshintsho olusebenzayo kwizihlunu
• ukuqina, okanye ukunciphisa, umqala onokuthi ukhokelele kuthintelo kunye neengxaki zokuginya
• imingxunya okanye izilonda kwi-esophagus (i-esophageal perforation)

Ichongwa njani i-esophagitis?

Yenza idinga lokubonana nogqirha wakho ukuba uneempawu zesisu. Zilungiselele ukubonelela ngembali yezonyango epheleleyo, kubandakanya naziphi na ezinye iimeko ezichongiweyo. Dwelisa onke amayeza owafumanayo amayeza owawathethayo.

Ugqirha wakho uya kwenza uvavanyo lomzimba. Banoku-odola kuvavanyo lokuqonda isifo kubandakanya:

• i-endoscopy ene-biopsies
• i-barium X-ray, ekwabizwa ngokuba luchungechunge oluphezulu lwe-GI
• ukuvavanywa kokungavumi komzimba, okunokubandakanya uvavanyo lolusu. Ukupheliswa kokutya kunokuxoxwa emva kwe-endoscopy yokuqonda isifo.

Unyango lwe-esophagitis

Unyango luxhomekeke kwisizathu seempawu zakho. Amayeza anokubandakanya:

• amayeza antiviral
• amayeza nokubola
• Izichasi
• iintlungu ziyadambisa
• i-steroids yomlomo
• Iiproton pump inhibitors (la mayeza athintela ukuveliswa kwesisu esiswini)

Ukuba i-aleji yokutya ibangela imeko yakho, kuya kufuneka uchonge ukutya okushukumayo kwaye ukubasuse ekutyeni kwakho. Izidlo ezi-6 eziphezulu zokutya zibandakanya:

• ubisi
• isoya
• amaqanda
• ingqolowa
• amandongomane
• amantongomthi omthi
• iqokobhe

Unokuzinciphisa iimpawu zakho ngokuphepha ukutya okunezipayisi, ukutya okuneasidi kunye neziselo, kunye nokutya okuluhlaza okanye okunzima. Thatha ukuluma okuncinci kwaye ukuhlafune kakuhle ukutya kwakho. Buza ugqirha wakho ngezikhokelo zokutya. Kufuneka uphephe icuba kunye notywala.

Inkqubo yokunciphisa i-esophagus inokuba yimfuneko ukuba i-esophagus iba yincinci kwaye ibangele ukutya.

Ukuba iimpawu zakho zibangelwa lunyango, kungafuneka usele amanzi amaninzi, uthathe ingxelo yolwelo lwamayeza, okanye uzame amayeza ahlukileyo. Kwaye kuya kufuneka uyeke ukulala phantsi imizuzu engama-30 emva kokuba uthathe amayeza kwifom yeepilisi.

Ithini imbono yexesha elide?

I-esophagitis engapheliyo inokubangela ukunciphisa i-esophagus okanye umonakalo wezicubu ngaphandle konyango. Amathuba akho okuba nomhlaza wokuqaqanjelwa ngumoya aphezulu ukuba iiseli ezibambe ingqumbo yakho zitshintshile ngenxa yokuvezwa kweasidi engapheliyo.

Unokuwunciphisa umngcipheko wexesha elizayo lokuqunjelwa kwesophagitis ngokuphepha izinto ezichongiweyo.

Imbonakalo yakho ixhomekeke kwisizathu nakwimpilo yakho iyonke. Uninzi lwabantu luphucula ngonyango. Abantu abasempilweni bahlala bechacha kwisithuba seentsuku ezintathu ukuya kwezintlanu, nangaphandle konyango. Ukuchacha kungathatha ixesha elide ukuba amajoni omzimba abuthathaka.