Izimbangela, Izimpawu, kanye Nokuphathwa Kwe-GERD Complication
Ukunciphisa ukulingana okuncane kuyisici esincane esingaholela ekugwineni ubunzima , kanti odokotela baxilonga ngamaphesenti angaba ngu-10 eziguli zabo ezine-GERD (isifo se-reflux se-gastroesophageal).
Ama-Esophageal Strictures athuthukisa kanjani?
Esinye sezimbangela zezinkinga zokuqeda izifo isifo se-reflux se-gastroesophageal , noma i-GERD, isimo lapho i- asidi eqondile ihlaziya khona kusukela esiswini kuze kube seqenjini.
Lokhu kubangela ukuvuvukala engxenyeni engezansi ye-esophagus. Ukwehlukana kuzokwenzeka ngemuva kokulimala nokuphulukiswa okuphindaphindiwe okuphindaphindiwe, ukulimala futhi ukuphulukiswa kabusha, futhi ekugcineni, ukulimala kuholela ekunciphiseni kwesimiso.
Ngaphandle kwe-GERD, kunezinye izimbangela zokunciphisa umzimba okufana noku:
- Ukusetshenziswa isikhathi eside kwe- tube nasogastric (lokhu kwandisa amazinga e-asidi endaweni)
- Ukondla izinto ezivuthayo (isibonelo, abahlanza indlu)
- Izifo ezibangelwa amagciwane noma amabhaktheriya abangela isophagitis bese kuba nesimiso
- Ukulimala okubangelwa ama-endoscopes
- Ukuhlinzwa okuphambene nesifo (ngokwesibonelo, ngomdlavuza wesisu)
- Ukuvezwa kwemisebe yesikhumba
- I-eosinophilic esophagitis
- I-epiditis eyenziwe ngephilisi
- I-Cancer (lokhu kubizwa ngokuthi yisimiso esibi)
Ziyini Izimpawu Zokuqapha Kwezingqikithi?
- Ukunzima ukugwinya, okubizwa ngokuthi i-dysphagia (ingase iqale ngamanzi amaningi bese uthuthukela ezitsheni)
- Ukukhathazeka ngokugwinya
- Ukuzwa ukuthi ukudla kuhlanganiswe endaweni yesifuba noma esifubeni
- Ukuphindaphinda kokudla
- Ukulahlekelwa kwesisindo
Uma ukuqina kwakho kokungalingani kuvela ku- GERD , ungase uzwe nokuhlukunyezwa, ubuhlungu besisu noma isifuba, ukuphefumula okubi, ukuzwa okuvuthayo emqaleni wakho noma emlonyeni, ukukhwehlela, umkhuhlane, noma ukushintsha kwezwi lakho.
Kwenzeka kanjani ukuthi isiteleka sama-Esophageal sibonakale?
Uma udokotela wakho ekhathazekile ngesimo esingaba khona sokungalingani, ngokuvamile kuvivinywa ukuhlolwa:
- I-barium-isiguli-isiguli izogwinya into ebizwa ngokuthi i-barium ne-x-ray ithathwa njengoba i-barium ihamba phansi. Uma kunesigqi, i-barium izohamba kancane noma ingabanjwa.
- Ukuhlolwa kokuphela kwe-endoscopy -yinkqubo eyenziwa yi-gastroenterologist. Lokhu kufaka ukubeka ithubhu elincanyana elinomkhanya nekhamera kulo emlonyeni, phansi phansi, nasesiswini. Ivumela udokotela ukubona ngeso lengaphakathi ngaphakathi kwe-esophagus yakho ukubona ukuthi kukhona yini okuncane noma okunye okungavamile.
Kwenzeka kanjani ukuthi isiteleka sama-Esophageal sithathwe?
Ukwelashwa okuyinhloko kokuqeda ukulinganisa kungenqubo ebizwa ngokuthi i-dilation. Kule nqubo, i-esophagus iselulwe ukusetshenziswa kwe-dilator amaningi noma ibhaluni eligcwaliswe ngomoya, elidlula i-endoscope. Kunesilinganiso esincane kakhulu sezinkinga ezinkulu ezihlobene nokuxilongwa kwe- esophageal , futhi zifaka ukuphuma kwegazi kanye ne-perforation (lapho umgodi ubonakala khona).
Nakuba le thrafikhi ithatha iningi lezintambo, ukuhlanza okuphindaphindiwe kungadingeka ukuze kuvimbele ukulungiswa kokubuya. Eqinisweni, ukuqina okuphindaphindiwe kwenzeka cishe ngamaphesenti angu-30 abantu emva kokuhlenga phakathi konyaka wokuqala, ngokusho kwendaba e- Current Treatment Options ku-Gastroenterology .
Ama-proton pump inhibitors, njenge-Prilosec (omeprazole), i-Nexium) i-lansoprazole noma i- (AcipHex) i-rabeprazole, ingaba nokugcina izimo zokubuya. Lezi zivame ukushiwo ngemuva kwenqubo, uma umuntu engakayithathi kakade. Izindaba ezinhle ukuthi ngemuva kokwelashwa, umuntu angase abuyele emigqeni evamile kanye nokudla, nakuba angase athuthukise izitebhisi futhi esikhathini esizayo, ngakho-ke kufanele uqaphele izinkinga ezivame ukugwinya.
Ukwelapha okuhlinzekwa ukuqina kokulingana akudingeki neze. Kuyenziwa uma isikhala singenakulinganiswa ngokwanele ukuvumela ukudla okuqinile ukuba kudlule.
Eqinisweni, ukungatholi uketshezi okwanele nokudla okunomsoco kuyinkimbinkimbi enkulu yezinkinga zokungalingani. Enye ingcindezi engathà sina ingozi yokukhulelwa kokudla, uketshezi noma ukuhlanza okubangelwa kabusha emaphashini futhi kubangele ukuqhuma noma ukufisa isibhamu.
Ukwelashwa kuyenziwa futhi uma ukuhlanjululwa okuphindaphindiwe kungagcini lezi zimiso zokubuya. Ngezinye izikhathi ezinye izinqubo zicatshangwa lapho izigigaba ziqhubeka ziphindaphinda, kuhlanganise nokwelapha ukuxilonga nge-injection ye-steroid noma ukubekwa kahle.
> Imithombo:
> I-American Society Ye-Endoscopy Yamathumbu. Ukuqonda ukuxilongwa kwe-Esophageal.
> Fass R. (May 2016). Sibutsetelo se-dysphagia kubantu abadala. Ku: UpToDate, uFeldman M (Ed), UpToDate, Waltham, MA.
> van Boeckel PGA. Siersema PD. Ukunciphisa ukugxila kokuziphendulela: Okumele ukwenze uma ukuhlenga kwehluleka. I-Curr Phatha Izinketho Gastroenterol . 2015; 13 (1): 47-58.