Kuphipha kwa Esophageal

Matenda otupa m'mimba ndi minyewa yachilendo m'mimba, chubu chomwe chimanyamula chakudya kuchokera mkamwa kupita m'mimba. Izi zimasunthira chakudya m'mimba.

Zomwe zimayambitsa kuphipha kwam'mero ​​sizidziwika. Zakudya zotentha kwambiri kapena zozizira kwambiri zimatha kuyambitsa chisokonezo mwa anthu ena.

Zizindikiro zimaphatikizapo:

• Mavuto kumeza kapena kupweteka ndikumeza
• Kupweteka pachifuwa kapena kumtunda

Kungakhale kovuta kunena kuphipha kuchokera ku angina pectoris, chizindikiro cha matenda amtima. Ululu ukhoza kufalikira kukhosi, nsagwada, mikono, kapena kumbuyo

Mayeso omwe mungafunike kuyang'ana vutoli ndi awa:

• Esophagogastroduodenoscopy (EGD)
• Matenda otupa magazi
• Esophagogram (barium kumeza x-ray)

Nitroglycerin yoperekedwa pansi pa lilime (malembedwe amawu) itha kuthandiziranso mwadzidzidzi kuphipha kwa kholingo. Kutalika kwa nitroglycerin ndi calcium blockers amagwiritsidwanso ntchito pamavuto.

Milandu yayitali (yayitali) nthawi zina imathandizidwa ndi mankhwala ochepetsa nkhawa monga trazodone kapena nortriptyline kuti muchepetse zizindikilo.

Nthawi zambiri, milandu yayikulu imafunikira kukulitsa (kufalikira) kwa kholingo kapena opaleshoni kuti muchepetse zizindikilo.

Kuphipha kwa kholingo kumatha kubwera ndikudutsa (kwapakatikati) kapena kumakhala kwanthawi yayitali (kwanthawi yayitali). Mankhwala angathandize kuthetsa zizindikiro.

Vutoli silingayankhe mankhwala.

Itanani woyang'anira zaumoyo wanu ngati muli ndi zizindikilo zotupa m'mimba zomwe sizimatha. Zizindikirozo zitha kukhala chifukwa cha mavuto amtima. Wothandizira anu akhoza kuthandizira kusankha ngati mukufuna kuyesedwa kwa mtima.

Pewani zakudya zotentha kwambiri kapena zozizira kwambiri mukakhala ndi misempha.

Kufalikira kuphipha kwam'mero; Kuphipha kwa kummero; Kuphipha kwapadera; Matenda a Nutcracker

• Dongosolo m'mimba
• Kutupa kwa pakhosi
• Minyewa

Falk GW, Katzka DA. Matenda am'mimba. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. Wolemba 25. Philadelphia, PA: Elsevier Saunders; 2016: chap 138.

Pandolfino JE, Kahrilas PJ. Matenda a Esophageal neuromuscular and motility. Mu: Feldman M, Friedman LS, Brandt LJ, olemba. Sleisenger ndi Matenda a Mimba ndi a Fordtran Amatenda a Chiwindi. 10th ed. Philadelphia, PA: Elsevier Saunders; 2016: chap 43.