Indlela yokuNyanga isilungulela esingayi kuhamba

Umxholo

• Izizathu ezinokubangela ukutsha kwentliziyo
• IGERD
• Unyango lwe-GERD
• IHernatal hernia
• Unyango lwe-hernia yokubeleka
• Umqala kaBarrett
• Iimpawu
• Unyango lwe-Barrett's esophagus
• Umhlaza wesisu
• Unyango lomhlaza wokuqina
• Ukuthatha

Ukutshitshiswa kwentliziyo kubangelwa sisisu se-asidi exhasa phezulu kwi-esophagus (ityhubhu edibanisa umlomo nesisu sakho). Ikwabizwa ngokuba yi-asidi reflux, ivakalelwa njengentlungu evuthayo ihlala ingemva kwesifuba.

Ukutshitshiswa kwentliziyo ngesiqhelo ayisosizathu sokukhathazeka. Inokulawulwa ngokutshintsha kwendlela yokuphila kunye namayeza e-over-the-counter (OTC), anje ngala:

• ii-antacids, ezinje ngeTum okanye iMaalox
• I-H2 block blockers, ezinje ngePepcid okanye iTagamet
• Iiproton pump inhibitors, ezinje nge Prilosec, Nexium, okanye Prevacid

Nangona kunjalo, ukuba isitshisa siba rhoqo, asizukuhamba, okanye siyeke ukuphendula kumayeza e-OTC, inokuba luphawu lwesimo esibi kakhulu ekufuneka sijongiwe ngugqirha wakho.

Qhubeka ufunda ukuze ufunde ukuba yintoni enokubangela ukutsha kwentliziyo kunye nendlela yokuphatha le miba.

Izizathu ezinokubangela ukutsha kwentliziyo

Ukuqhubeka nokuqaqamba kwentliziyo kunokuba luphawu loku:

• isifo se-reflux sesifo se-gastroesophageal (GERD)
• hernia yokuzalwa
• Umqala kaBarrett
• umhlaza womqala

IGERD

I-GERD yenzeka xa i-acid reflux yonakalisa i-esophagus. Iimpawu zibandakanya:

• ukutsha rhoqo
• kunzima ukugwinya
• isicaphucaphu okanye ukugabha
• ianemia
• ukukhwehlela okungapheliyo
• uziva ngathi ukutya kunamathele esifubeni sakho

Unyango lwe-GERD

Ugqirha wakho uya kuqala unyango lwakho nge-OTC antacids kunye nokuba yi-OTC okanye i-H2 receptor blockers kunye neproton pump inhibitors.

Ukuba amayeza awasebenzi, ugqirha unokucebisa utyando, olufana:

• Ukusetyenziswa kwengxowa mali yeNissen
• ukongezwa kwemagnethi sphincter (LINX)
• i-transif incisionless fundoplication (TIF)

IHernatal hernia

I-hernia yokuzalwa sisiphumo sobuthathaka bemisipha ejikeleze i-esophageal sphincter evumela inxenye yesisu ukuba inyuke nge-diaphragm. Iimpawu zibandakanya:

• isisu esiqhubekayo
• ingxaki yokuginya
• ukuqhawukelwa ngumphefumlo
• ukugabha igazi

Unyango lwe-hernia yokubeleka

Ukunciphisa iimpawu zentliziyo, ugqirha unokucebisa ii-antacids, iproton pump inhibitors, okanye i-H2 receptor blockers. Ukuba iyeza alinciphisi ukubetha kwentliziyo, ugqirha wakho unokucebisa utyando, olunje:

• ukulungiswa okuvulekileyo
• ukulungiswa kwe-laparoscopic
• endoluminal fundoplication

Umqala kaBarrett

Ngomqala kaBarrett, izicwili ezinxibe umqala zithathelwa indawo sisihlunu esifana nethishu ebeka amathumbu. Ixesha lonyango ngale nto yi-metaplasia.

Iimpawu

Isisu sikaBarrett asibangeli zimpawu. I-GERD yingxaki kubantu abaninzi abane-Barrett's esophagus. Ukuqhubeka nokuqaqamba kwentliziyo luphawu lwe-GERD.

NgokweZiko leSizwe leSwekile kunye neDigestive kunye neZifo zeZintso, kukho amathuba amakhulu abantu abaneBarrett's esophagus yokuphuhlisa uhlobo olunqabileyo lomhlaza obizwa ngokuba yi-esophageal adenocarcinoma.

Unyango lwe-Barrett's esophagus

Ugqirha wakho uya kucebisa ngamandla-amayeza eproton pump inhibitors. Ezinye iingcebiso zinokubandakanya:

• i-endoscopy yokujonga rhoqo
• Unyango lwe-endoscopic ablative, njengonyango lwe-photodynamic kunye ne-radiofrequency ablation
• i-endoscopic mucosal resection
• utyando (esophagectomy)

Umhlaza wesisu

Ngokudibana nokuqaqamba kwentliziyo, iimpawu zomhlaza wokuqaqamba zibandakanya:

• ukugabha
• ukwehla kobunzima obungachazwanga
• ukukhohlela
• ukudinwa
• Ukuhluthwa rhoqo kukutya

Unyango lomhlaza wokuqina

Iingcebiso zikagqirha wakho kunyango ziya kuthathela ingqalelo izinto ezininzi, kubandakanya uhlobo kunye nenqanaba lomhlaza wakho. Izinketho zonyango zingabandakanya:

• ichemotherapy
• unyango lwemitha
• i-immunotherapy, efana ne-pembrolizumab (Keytruda)
• Unyango ekujoliswe kulo, njengonyango olujolise kwi-HER2 okanye unyango lwe-anti-angiogenesis
• utyando, olufana ne-endoscopy (ngokudibanisa okanye ukubekwa kwesitent), i-electrocoagulation, okanye i-cryotherapy

Ukuthatha

Ukuba unentlungu engayi kuhamba kwaye ayiyi kuphendula kumayeza e-OTC, jonga ugqirha wakho ukuxilongwa. Isibilini sinokuba luphawu lwemeko embi.