I-esophagitis iyigama elisetshenziselwa ukukhombisa ukuvuvukala, ukuvuvukala, noma ukucasula kwalesi sigameko. I-esophagus iyavutha (ivimba, icasuliwe futhi ibomvu).
Izimbangela Nezici Zengozi
Izici eziningana zingabangela ingozi eyengeziwe yokwenza isifo sokuphefumula:
- Okuqukethwe kwe- reflux kwesisu : Okuqukethwe kwe- refluxed esiswini ngaphakathi kwesisusa kuyimbangela evamile kakhulu yesifo se-esophagitis. Isifo se-reflux ye-gastroesophageal (GERD) yisimo esivame kakhulu esibonisa i-reflux. Ezinye izimbangela ze-reflux zihlanganisa ukukhulelwa , ukukhuluphala, ukubhema , utshwala , iziphuzo ze-caffeinated, nokudla okunamafutha noma okubabayo.
- Ukuhlanza ngokweqile: I-asidi equkethe ukuhlanza ingamcasula isifo, futhi ukuhlanza ngokweqile kungaholela ekuvukeni.
- Amaphilisi anamathele: Uma iphilisi inamathele kulesisindo, ingabangela ukushisa kwendwangu yokugqoka. Lokhu kuvame ukukwenzeka uma amanzi anele noma amanye amachiza asetshenziselwa ukugeza iphilisi. Kodwa-ke, kungase kwenzeke lapho i-esophagus igxiliwe ngokuchotshozwa noma ukuvinjelwa, noma i-oophagus ayihambisani kahle, njenge-disorder disorder.
- Izifo: Lokhu kuhlanganisa ukutheleleka okubangelwa amagciwane (njenge-herpes ne-cytomegalovirus), isikhunta (njenge-Candida infections) namagciwane. Lezi zifo zikhula kaningi kubantu abanamasosha omzimba abuthakathaka, okubangelwa yi-HIV.
- Ukulimala kwamakhemikhali: Uma amakhemikhali aqinile ephuzwayo, njengokuhlanza abahlanza, ukulimala ku-esophagus kungaba nzima kakhulu. Kungase futhi kube yingozi yokuphila.
- Ukulimala kwe-radiation: Ukwelashwa kwezidakamizwa esifubeni sensimbi entanyeni njengengxenye yokwelashwa komdlavuza kungabangela isophagitis.
Izimpawu
Lezi izimpawu ezivame kakhulu ezibonwayo:
- Kunzima lapho ugwinya
- Ubuhlungu uma ugwinya
- Ukuzwa njengento ethile inamathele emqaleni
- Ukuvutha kwenzwa endaweni
- I-reflux ye-Acid (i-heartburn)
- Ukuphuza, kubonwe njengegazi ekuhlanzeni noma ezindaweni (ukuguqula amnyama noma ukuhlala)
Ukuxilongwa
Udokotela wakho uzokwenza ukuhlola okuphelele ngokomzimba, kanye nokuhamba nomlando wakho wezokwelapha, ngaphambi kokuqhubeka nokuhlolwa kokuhlola.
Lezi zivivinyo zifaka:
- I-Endoscopy , enikeza udokotela umbono oqondile we-esophagus
- I-Barium X-ray , okuyi-X-ray ethathwe ngokubambisana nedayi ekhethekile egwinya
- Ukuphikisana kwezicubu ezivuthayo
- Amasiko we-esophagus
Ukwelapha
Ukwelashwa kwe-esophagitis kuncike ekubambeni. Ukwelashwa kungafaka:
- Imithi yokwehlisa i-acid uma isifo se-reflux se-gastroesophageal yisisusa, njenge- proton pump inhibitors (i-PPIs) noma i-H2 blockers
- Ama-antibiotics uma ukutheleleka kuyimbangela
- Imithi ye-steroid yokuvuvukala
- Imithi yobuhlungu
Ngenkathi ulashwa, udokotela wakho uzophinde akhulume nawe ngezinye izinyathelo ongazithatha ukuze unciphise ukuhlukumezeka kwesifo se-esophagitis.
Okufanele ukugweme:
- Ukudla okumnandi
- Ukudla okunomsoco kanye neziphuzo, njengama-citrus juices nama-juice, nemikhiqizo esekelwe kumatamatisi.
- Ukudla okunzima okungabangela ubuhlungu ekuguleni uma kugwinya, njengamantongomane nemifino eluhlaza
- Ugwayi
Ongakwenza:
- Yidla ukudla okuncane ezinhlanu noma eziyisithupha phakathi nosuku esikhundleni sezinkulu ezintathu.
- Yidla ukudla okulula, okufana nama-puddings, ama-apulaauce, isobho, kanye ne-custards.
- Thatha okuncane ukudla nokuhlafuna kahle ngaphambi kokuzama ukugwinya.
- Phuza iziphuzo ngokusebenzisa utshani.
- Ukuphakamisa ikhanda lombhede 8 kuya ku-10 amasentimitha noma ukulala emcongeni wedanga ukuze usize ukugcina okuqukethwe kwesisu ngesikhathi sokulala ngesikhathi sokulala.
Isibikezelo
Kungakhathaliseki ukuthi i-esophagitis ibangelwa isifo se-reflux noma isifo, bobabili bavame ukusabela kahle empilweni yokwelapha. Nokho, uma imbangela i-reflux ye-asidi, ukwelashwa kungase kube yesikhathi eside.
Izinkinga
Kumele ubize udokotela wakho uma kwenzeka okulandelayo:
- Uma izimpawu zakho zingashiyi ukwelashwa kokuqala. Ukwehliswa kwesifo, okungabangela ukuqina kwesifo, kungabangela ukuqhubeka nokugwinya ubunzima, okungadinga ukwelashwa okwengeziwe.
- Uma ungakwazi ukudla noma ukuphuza ngenxa yobuhlungu. Ukwehla kwamanzi okuphefumula kungenzeka uma ungakwazi ukuphuza amanzi.
- Ukuhlukumezeka kwesifuba, ukuphefumula, noma umkhuhlane. Lokhu kungasho ukuthi umgodi uthuthukile, futhi kufanele ushayele udokotela wakho ngokushesha. Umgodi ungavumela amabhaktheriya avela endleleni yakho yokugaya ukungena esifubeni sakho futhi abangele ukutheleleka okungathí sina, okungaba yingozi yokuphila.
> Imithombo:
> Reflux ye-Acid (GER ne-GERD) kubantu abadala. I-National Institute of Diabetes kanye ne-Digestive and Kidney Diseases. https://www.niddk.nih.gov/health-information/digestive-diseases/acid-reflux-ger-gerd-adults.
> Esophagitis. I-Mayo Clinic. https://www.mayoclinic.org/diseases-conditions/esophagitis/symptoms-causes/syc-20361224.