I-Esophagitis - iyini? I-esophagitis: izimpawu kanye nokwelapha

Kungakhathaliseki ukuthi i-etiology, izazi zichaza ukuvuvukala kwesigameko ngegama elivamile elithi "esophagitis". Isimo salesi sifo sibonisa ukuthini? Yiziphi izimpawu ezingabonisa ukugula? Indlela yokubhekana nayo? Konke lokhu sizoxoxa ngakho kulesi sihloko.

Izinhlobo zesifo somzimba

Zonke izimo zokuvuvukala kwesiguli semithi zihlelwe ngendlela ehlelekile, ezisiza, zigcizelele isikhathi sesifo, ubunzima bayo nendawo yenqubo yokwelashwa, ukuze kutholakale ukuhlonza okuqondile. Ngakho-ke, kuye ngokuthi uhlobo lwesifo siyini, i-esophagitis ihlukaniswe yaba nzima futhi engapheli. Isilinganiso sokuqina kwesifo yi-catarrhal (okungukuthi, ngokuyisisekelo) futhi eguquguqukayo (kulokhu, isiguli sinemigqa ejulile ye-membrane yamangqamuzana) isophagitis. Kuye indawo yendawo evulekile e-mucosa esophageal, ukugula kuphelele (uma yonke isifo sithintekile), ukuxilonga (ukuvuvukala kwesigaba esiphezulu) nokuhlukanisa i-reflux esophagitis (i-pathology ephansi).

Ifomu, i-subacute nesimo esingapheli sesifo

Okuvamile kakhulu uhlobo oluyingozi lwe-esophagitis. Ukuvuvukala kungaba kokubili okungenasisekelo futhi okujulile, kodwa ngaso sonke isikhathi kuhluke ngokungazelelwe nokushesha kokuthuthukiswa kwemibonakaliso. Ukuvuvukala okufana nalokhu kubangelwa ukushiswa kwebhande elimangalisa elibangelwa ukungenisa kokushisa, ukuphuza noma amakhemikhali okushisa, izifo ezithathelwanayo ezidluliselwayo (isibonelo, i-diphtheria), ukulimala komzimba wangaphandle noma ukulimala kwemisebe. I-oophagitis enamandla iyadlula, njengomthetho, ngaphandle kwemiphumela emibi noma izinkinga zesiguli.

Ukuvuvukala isikhathi eside kwezindonga ze-esophagus kunefomu le-subacute noma elingavamile. Owokuqala angathuthuka ngokusetshenziswa okuhleliwe kokudla okwesibhakabhaka, utshwala obuqinile noma ukunikezela kwakhe okunye nokunye okunjalo. Isifo esingelapheki sivame ukubangelwa yi-reflux (okungukuthi, ukuhamba okuphambene kokudla okuvela esiswini kuya endaweni). Ngokuvamile, lesi sifo sihambisana nomuntu iminyaka eminingi, kancane kancane siholela ekushintsheni okujulile emsebenzini kanye nesakhiwo sendawo.

I-reflux esophagitis engapheli

Lokhu kungukushisa okubangelwa ngenxa ye-ejection ephindaphindiwe noma ukuvuza okubangelwa isisindo sejuji esiswini noma okuqukethwe kwamathumbu. I-epoptic isophagitis ibangelwa isihlobo, futhi ngezinye izikhathi ngokuphelele, ukungalingani kwamandla okuvimbela i-sphincter yenhliziyo ehlukanisa isisu nesisu. Ingxenye ebaluleke kakhulu ekuthuthukiseni lesi sifo esingapheliyo ikhula njalo ingcindezi ye-intragastric nokuhamba kahle kokuhamba kwamathambo. Ngokuvamile, lesi sifo sihlanganiswa ne-hernia yesimiso sokudla esihlokweni sokudla, i-ulcerative noma i-cholelithiasis ne-pancreatitis.

I-Esophagitis: ukwehluleka kwe-cardia

Ngingathanda ukuhlala ngombono we-"cardia deficiency". Ingxenye engenhla yesisu ibizwa ngokuthi i-cardia. Lapha kutholakala i-sphincter, evala igebe phakathi kwesisu nesisu. Ngokusebenza ngendlela evamile, ulahlekelwa ukugaya ukudla ngendlela eyodwa kuphela, ukuvalela ngokwethembeka ukubuyela kuye. Ayikho i-valve ekhethekile evimbela ukunyakaza endaweni. Ngokwemvelo, indlela yokuvimbela umsebenzi we-cardia isekelwa yizakhiwo ezilandelayo:

• I-esophageal sphincter;
• Igamento elise-diaphragm-esophageal;
• "I-rosette e-mucous" (amafolda e-mucosa we-esophagus, ewela esilweni sesisu, edlala indima yesiguli esengeziwe);
• Isimo esivamile sokwemvelo ngokuphathelene nomdwebo;
• Imisipha emangcwabeni engxenyeni engenhla yesisu.

Uma noma iyiphi yalezi zakhiwo isebenza kabi, khona-ke ukungakwazi ukusebenza kwenhliziyo kwenzeka. Futhi lokhu kungenye yezinto ezibucayi ekuthuthukiseni i-esophagitis. Ngenxa yokuthi ukucindezeleka esiswini kuvame ukuphakama kunesikhumba esifubeni, buthakathaka noma kukhubazekile ngesizathu esithile, i-sphincter ivumela okuqukethwe ukuthi kubuyele futhi kushise umkhiqizo ongenakuvikeleka we-mucosa. Ukuphindaphinda okuphindaphindiwe kwalenqubo kubangela ushintsho olunzulu lwezinkinga kule ngxenye yomuthi wamathumbu.

Izimbangela ze-ulcerative esophagitis

Uma ukukhishwa kokuqukethwe kwe-acidic kube okungapheli, lesi sifo singangena ngokujulile singene emgqonyeni we-esophagus, futhi izifo noma izilonda zithuthuka ngokuhamba kwesikhathi. Kodwa-ke, izimbangela ze-ulcerative isophagitis akukona nje ukukhishwa kwamanzi, kodwa nokuhlinzeka ngokuhlinzwa, i- hernia yokuvulwa kwe-diaphragmatic , izilonda ze-duodenum nesisu, izifo ezithathelwanayo, ukushiswa kwamakhemikhali, ukudla okudliwayo ngokweqile nokulimala okubangelwa ukungena kwe-probe noma inqubo ye-ray Ukwelapha.

Lesi sifo sinamadijithi ambalwa, sibonisa:

• I-degree yokuqala ibonakala ngokubonakala kwemibono ehlukene engahlanganisani komunye nomunye engxenyeni engezansi yendawo.
• I-Erosive-ulcerative esophagitis yesilinganiso sesi-2 iboniswa ukubonakala kokuhlanganiswa kwezinkinga, ezingabamba yonke i-mucosa.
• I-degree yesithathu ihambisana nezilonda ezilonda ulcerative ezingxenyeni ezingezansi ezingezansi;
• I-degree yesine yisimo sesilonda esingapheli nesifo (ukugxilwa kwesibindi).

Izimbangela nemiphumela ye-candida esophagitis

Lesi sifo senziwa hhayi nje ngenxa yezifo ezisebenzayo emsebenzini womuthi wesisu. Kungabangelwa ukutheleleka okungena ngaphakathi, noma ngisho namabhaktheriya "angokwemvelo", okwathi ngesizathu esithile, aqala ukukhula ngesihluku. Uma i-causative agent yenqubo yokuvuvukala e-candida, i-candida isophagitis iyatholakala. I-thrush efanayo, kodwa itholakala ezindongeni ze-esophagus. I-Candida fungi ihloma kalula izicubu zomuntu futhi uma i-microflora yegciwane lokugaya iphazamiseka, ukuthuthukiswa okusheshayo kuqala. Utshwala, i-hormonal (kubandakanya ukukhulelwa) izidakamizwa noma izidakamizwa zokulwa nezidakamizwa zingabangela ushintsho kwi-microflora futhi, ngokufanayo, ukuthuthukiswa kokutheleleka kwefungal.

I-Candida isophagitis, njengomthetho, akuyona impilo esongelayo, kodwa ibangela izinkinga eziningi. Ngenxa yokuvuvukala kwefungula, ukukhwabanisa futhi, ngenxa yalokho, ukunciphisa isisu kungase kuthuthuke. Futhi lesi simo sandisa kakhulu ingozi yokubunjwa kwe-axial hernia ekuvuleni okungaqondakali kwe-diaphragm. I-Candidiasis ingabangela ukwakhiwa kwezilonda, ukuphuma kwangaphakathi nokugcoba kwesigaba esicacisiwe segciwane lesisu.

Yingozi kangakanani isifo se-esophagitis?

Ngifuna ukugcizelela: Ngaphandle komunye umuntu kufanele ahlukumeze isifo somzimba (ukuthi lesi yisifo esibi kakhulu, wena, esithemba, sesikuqonde kakade). Awukwazi "ukukhuthazela" noma ukungena ngokuthola ezinye izinkulumo. Isimo esichazweyo sibhekwa emithini isifo esiningi kunazo zonke, esiholela ezinkingeni ezinkulu, njengokuthi, ukunciphisa (stenosis, stricture). Kamuva, lokhu kubangela ukugula kwesiguli ukugwinya futhi, ngokufanele, kudinga ukusebenza kabusha. Enye inkinga yokuhlinzwa, i-perforation (i-perforation) yodonga lwe-esophagus, idinga ukuhlinzwa. Izibalo zithi amaphesenti ayishumi eziguli ezine-esophagitis zihlakulela okuthiwa yi- Barrett's esophagus, ebonakala ukuwohloka kwamaseli we-mucosa yayo kuma cell ephawulekayo emanzini emathumbu. Isimo esifanayo kwezokwelapha kubhekwa njengesiqine.

Indlela yokunquma ukuba khona kwe-esophagitis

Zonke izinhlobo zezifo ezichazwe ngenhla zinezibonakaliso ezivamile okufanele zenze isiguli sigule isisu. Izimpawu nokwelashwa kwalesi sifo, sibheka ngezansi. Ukwelapha kufanele kwenziwe kuphela ngaphansi kokuqondiswa kwe-gastroenterologist.

• Njengomthetho, into yokuqala ukuthi iziguli zilalele ukuhlunguphaza noma ukuhlunguphaza esifubeni, okuvela emva kokudla noma esiswini esingenalutho. Ngokuvamile ziqiniswa ngokugxila phambili, ziphakamisa isisindo, ebusuku (endaweni esesimweni esinqunyiwe). Ezimweni ezimbi, ukuqubuka kwenhliziyo kuhlala unomphela.
• Umoya othukuthelayo uba njalo, kunomunwe omnandi emlonyeni ("iqanda elibolile") kanye nokuthanda okuvamile ukufutheka. Ngezikhathi ezithile, kukhona ukubuyiswa kokudla okuncane.
• Ukumboza okumhlophe kukhishwa ngolimi.
• Esesiswini, kunezingcindezi, futhi kukhona ubuhlungu esiswini esingaphansi.
• Ngokuvamile ngemva kokudla, isicanucanu nokuhlanza kwenzeka (ukuhlanza kungavela emanzini).
• Ubuhlungu be-Disturbs uma ugwinya.
• Nge-reflux evamile, ukukhwehlela, ukuvutha, i-angina ne-bronchitis ithuthuka ngenxa yokungenisa kokuqukethwe kwamathumbu emgodini wokuphefumula, okubangela ukushisa.

Zonke lezi zimpawu zingaba zimbi nakakhulu, isibonelo, emva kwekhofi, ugwayi ugwayi, ushisayo, unzima noma unobumnandi. Kukhona izikhalazo eziningi zokwanda kwezifo ezibhekene nezimo ezicindezelayo. Kusobala ukuthi isethi sezimpawu ezigulini ezahlukene zingahluka. Kuxhomeke ebukhulu bezinkinga kule ndawo, nasezindaweni zendawo yokuvuvukala, nasezifweni ezihambisanayo.

Indlela yokwahlukanisa izifo ezivela kwezinye izifo

Ukucabangela ukuthi izimpawu zesifo esichazwe nazo zingabonwa nezinye izifo zezingaphakathi zangaphandle ezingahlotshaniswa ne-esophagitis futhi zidinga ukwelashwa okuhluke ngokuphelele, kubalulekile ukucacisa ezinye ze-nuances.

• Ubuhlungu besifo sofuba asizwanga esiswini, kodwa ngokushesha ngemuva kwesifuba, esifubeni.
• Ngokuvamile ukuphuza ukuphuza yisifo esibalulekile sesifo esichazwe. Uma, kanye nokushisa esifubeni, unobuthakathaka obunzima, ugozi kanye nokuphefumula, ngakho-ke kulungile kakhulu ukucabanga ukuthi ayikho isifo esophagitis.
• Uma ukushisa esifubeni kubonakala ekuzikhandla ngokomzimba, lokhu kungase kube uphawu lwe-angina.

Ngabe iziphi izimo okudingekayo ku-gastroenterologist

Sithemba ukuthi i-esophagitis, izimpawu kanye nokwelashwa okuxoxwa ngakho kulesi sihloko, ngeke kube nemiphumela emibi kuwe. Ukwenza lokhu, udinga ukubona udokotela ngesikhathi! Ungalibali ukuvakashela ochwepheshe uma ukushaya isisu sekuye kwaba nomlingiswa ohlala njalo futhi kungenamandla okuqeda imithi; Ukuhlaselwa kwakhe akuzona njalo kuqondakala; Unzima ukugwinya; Izwi lakho liguqukile, futhi isisindo sinciphile kakhulu; Emasimini okuhlanza kwavela igazi; Ukushisa kwaphakama ku-38 ° C noma ngaphezulu; Une-hiccup ende; Izihlalo zaqala uketshezi futhi zaphenduka abamnyama.

Iziphi izifo ezingase zihambisane nokuvuvukala kwesifo

Ngendlela, kufanele sikhulume, sikhulume nge-esophagitis, ukuthi lesi sifo sivame ukuvela ezigulini esivele sinesimo esithile sezinkinga zesisu. Njengomthetho, sikhuluma ngezifo ezishukumisa ukwanda okukhulu kwejusi esiswini noma okuhambisana nokubunjwa ngokweqile. Kuyafana nokuhlukunyezwa kwe-motility ye-gastroduodenal (isisu ne-duodenum), ukuncipha ukukhipha kwayo. Konke lokhu kunomthelela ekusenikeni kwesisu futhi, ngenxa yalokho, kubangelwa i-reflux.

Ezifweni ezikhuthaza ukuthuthukiswa kwesifo sofuba, ungafaka i-gastroduodenitis, i-peptic ulcer yesisu noma i-duodenum, i-hernia yokuvulwa kwe-diaphragmal okuyi-oophageal, i-cholecystitis nezinye izifo. Ngandlela-thile, abesifazane abakhulelwe abanokukhulelwa kokubeletha kwesikhathi esifanayo nabo banengozi enkulu yokuthuthukisa i-reflux esophagitis. Lokhu kungenxa yokunyuka kwengcindezi ye-intra-kwesisu kwabesifazane.

Okufanele ukwenze uma une-esophagitis

Sekukhulunywe ngenhla ukuthi isifo se-esophagitis ngokuvamile siyisifo esiyinkimbinkimbi esizibonakalisa ngokumelene nesimo sezinye izinkinga zesigubhu sezinsi. Ngakho-ke, uma unesifo esihlangene se-gastritis-esophagitis, khona-ke ukwelashwa kufanele kube okuphelele. Ukulungiswa kukhethwe ngokuhambisana nesibangela se-gastritis kanye nezinga le-asidi elihlobene nalesi sifo. Ukwelashwa kuhlanganisa nemithi elula ukuphuza inhliziyo, ukuqiniswa kwamakhono emoto wesifo nesisu, kanye nezinto ezishesha ukuphulukiswa kwe-mucosa. Iseluleko esifanayo sithinta ukwelashwa kwe-gastroduodenitis-esophagitis. Kubalulekile ekwelapheni lezi zifo ngokuhambisana nenombolo yokudla 1, okubandakanya ukudla okunomsoco okuncane. Kuvinjelwe ngokuphelele ekudleni ngokweqile, futhi isidlo sokugcina kufanele senziwe kungakapheli amahora amabili ngaphambi kokulala.

I-esophagitis ihlolwe kanjani?

I-esophagitis, izimpawu kanye nokwelashwa esikufaka kuso esihlokweni, ngokuvamile asikho ubunzima ekuxilongweni. Ngemuva kokuthi udokotela alalele izikhalazo zakho futhi afunde umlando wezokwelapha, kufanele enze olunye ucwaningo. Lezi zihlanganisa i-endoscopy ye-esophagus, ezobonisa ukuguqulwa ku-mucosa, no-X-rays nge-agent ehlukile (i-barium). Ngenkathi yokugcina, isithombe sithathwa, lapho kukhona khona ukungafani okubonakalayo ngokucacile kulesi sigameko: ukukhukhumeza kwayo kanye nokuba khona kwenqwaba ye-mucus. Futhi ngokuthuthukiswa kwezilonda, ukugeleza kwezinto ezihlukile phakathi kwe-crater yayo kubonakala.

Indlela yokwelapha i-oesophagitis enamandla

Umsebenzi oyinhloko ukuqeda izimbangela zesifo, futhi esikhathini esizayo isiguli kumele silandele ukudla okuqinile. Lokhu kubhekisela ekusetshenzisweni kokudla okumanzi okupholile, okumelwe kube nokushisa kwamakamelo. Kusukela ekudleni, konke ukudla okucasula i-mucosa ye-esophagus, kuhlanganise nalabo abene-fiber enkulu, nabo bayabandakanywa, kanye nokudla okuthosiwe, amanzi aphethwe yi-carbonate no-alcohol. Ukubhema kulabo ababhekene nalesi sifo kuyingozi! Iziguli ezixilongwa ngokuthi "i-esophagitis" izidakamizwa ezithinta ithoni ye-sphincter yokuziqhenya ziqokwa isivumelwano sangaphambili nodokotela olaphayo. Kungaba izidakamizwa noma izithuthukisi, i-prostaglandins njalonjalo. Kuyinto efiselekayo ukuba iziguli zilale embhedeni ngekhanda eliphakeme, hhayi ukugqoka izingubo eziqinile, zama ukulala emva kokudla futhi kaningi ukuguqa.

Ukwelashwa kwesifo esingenasifo esiphezulu

Uma kungekho stenosis, i-perforation, ukuphuma kwegazi nokunye okunjalo, ukubikezela ukwelashwa kwesimo esingapheli sesifo kulungile. Njengomthetho, thatha izidakamizwa ezivimba ukukhiqizwa kwe-asidi, i-antifungal noma i-anti-anti-antibiotics, ama-antibiotics. Abaqokwe kanye nabaphefumulayo. Ukuze unciphise inqubo yokuvuvukala, i-corticosteroids inconywa. Njengoba kunzima ukugwinya isiguli kunikezwa ukudla okunomsoco. Ezimweni lapho lesi sifo singenxa yokutholakala kwe-hernia yokuvulwa kwe-esophageal ku-diaphragm, kwenziwa umsebenzi. Ukungenelela okuhlinzekwayo okuhlinzekwayo kuhloswe futhi ngekwehluleka kokwelapha okungahle kwenzeke, ukutholakala kwezinkinga ngendlela yokugaya noma ukugcizelela futhi ekuthuthukiseni ukukhubazeka okunjalo okuyingozi njengoba isifo sikaBarrett. Imithi yokwelashwa ayikho embi ukuhlanganisa nabantu abapheka ukusiza ukuthi kunciphise isimo sesiguli.

Ukwelashwa ngamakhambi omuntu

Ukwelashwa kwemithi ye-esophagitis, njengomthetho, zokupheka okuhloswe ekuqedeni ukuvuvukala, ukunciphisa ukubonakaliswa okubuhlungu nokuqeda ukushaya kwenhliziyo. Ngakho-ke, ukubuyisela i-mucosa yamaphilisi okuphakamisa izincomo batusa ukuthatha i-decoction ye-oregano, amaqabunga ama-walnut ne-oak bark. Zixutshwe ngokulingana okulingana futhi zichotshozwe ngenkuthalo. I-dessert eyodwa ye-dessert iyinhlanganisela kufanele ifakwe ngamanzi abilayo futhi ibanjwe ngamaminithi ayishumi nanhlanu ekugezeni kwamanzi. Thatha le mhluzi efudumele, izipuni ezimbili ngaphambi kokudla noma ngokushesha emva kwayo.

Ukuze ususe ukuvuvukala okubangelwa ukuvuvukala, ukuthatha ingxube oregano, Alder, willow noMaria da. Basuke kuxutshwe amanani alinganayo kanye emhlabathini. Njengasekugumbuqelweni iresiphi odlule ingxube, igeziwe ngamanzi ashisayo, avunyelwe ukuma okugeza amanzi wenyuselwa kasikhombisa ngosuku.

Excellent aqede ukuvuvukala Aloe. Isetshenziselwa ngokuxubanisa uju noma ngaphandle nje Ukuqedwa le ukuhlanzwa ishidi ucezu. Futhi nakuba akusiyo simnandi kakhulu, kodwa thuluzi kuzosiza kakhulu ngempumelelo.

Kusukela ngobuhlungu esiswini ukulondoloza impande marsh sedge. Omunye isipuni impande ochotshoziwe uthele ingilazi yamanzi abilayo aphole. Ubunzima, uthathe enye ingxenye ingilazi efudumele for isigamu sehora ngaphambi kokudla. Futhi khumbula, ukuthi emini kudingeka ukuphuza okungenani ezimbili izibuko lokhu ukumnika.

Ekugcineni, ezimbalwa amathiphu

Ngaphezu embodiments ezichazwe ngenhla ukwelashwa zokudambisa isimo kungenziwa Kunconywa ukuba bagcine ezinye iziqondiso ngaphezulu:

• ukudla kufanele kube soft, hhayi abukhali futhi esidi;
• Ungafaki kusukela ekudleni ayo, kufakwe endaweni yawo izithelo iziphuzo equkethe Vitamin C;
• ukuluma off ukudla izingcezu ezincane bese ukuhlafuna ngokucophelela;
• kanzima ukugwinya Nyakazisa ikhanda lakhe, bese ukudla kuyokwenzeka ngemuva emphinjeni, okwenza kube lula ukuba igwinye;
• isiphuzo ketshezi ngokusebenzisa straw.

Kusukela sihloko, oyifundile mayelana isifo efana esophagitis, ukuthi kuyini, yiziphi izimbangela, izimpawu kanye amakhambi lesi sifo. Khumbula: ukuphathwa kudinga isiyalo. Ngaphezu kokuthola ebekiwe Uchwepheshe izidakamizwa imithi yendabuko, isiguli kumele balandele yokudla anqunyiwe ukuyeka ukubhema nokuphuza. Njengoba nje ukugula kuvimbela ukuba baphile ngokugcwele, ashona. Inhlanhla futhi nempilo enhle!