Matenda opatsirana opatsirana

Esophagitis ndi mawu oti kutupa, kukwiya, kapena kutupa kulikonse. Iyi ndiye chubu chomwe chimanyamula chakudya ndi zakumwa kuchokera mkamwa kupita m'mimba.

Matenda opatsirana opatsirana amapezeka kawirikawiri. Nthawi zambiri zimachitika mwa anthu omwe chitetezo chamthupi chawo chimafooka. Anthu omwe ali ndi chitetezo champhamvu chamthupi nthawi zambiri samakhala ndi matendawa.

Zomwe zimayambitsa kufooka kwa chitetezo chamthupi ndi izi:

• HIV / Edzi
• Chemotherapy
• Matenda a shuga
• Khansa ya m'magazi kapena lymphoma
• Mankhwala omwe amapondereza chitetezo cha mthupi, monga omwe amaperekedwa pambuyo pakuika ziwalo kapena mafupa
• Zina zomwe zimapondereza kapena kufooketsa chitetezo chamthupi

Tizilombo (tizilombo toyambitsa matenda) tomwe timayambitsa matendawa timaphatikizana ndi bowa, yisiti, ndi ma virus. Zamoyo zodziwika ndizo:

• Candida albicans ndi mitundu ina ya Candida
• Cytomegalovirus (CMV)
• Matenda a Herpes simplex (HSV)
• Vuto la papillomavirus (HPV)
• Mabakiteriya a chifuwa chachikuluMycobacterium chifuwa chachikulu)

Zizindikiro za esophagitis ndi monga:

• Kuvuta kumeza ndi kumeza kowawa
• Malungo ndi kuzizira
• Matenda a yisiti pakamwa komanso pakamwa (pakamwa)
• Zilonda mkamwa kapena kumbuyo kwa mmero (ndi herpes kapena CMV)

Wopereka chithandizo chamankhwala amafunsa zamatenda anu ndikufufuza pakamwa panu ndi m'mero. Mayeso atha kuphatikiza:

• Kuyesa magazi ndi mkodzo kwa CMV
• Chikhalidwe cha maselo ochokera kumimba kwa herpes kapena CMV
• Chikhalidwe cha pakamwa kapena pakhosi cha candida

Mungafunike kukhala ndi mayeso apamwamba a endoscopy. Uku ndiyeso yoyesa kulumikizana kwa pakhosi.

Kwa anthu ambiri omwe ali ndi matendawa, mankhwala amatha kuchepetsa matendawa. Izi zikuphatikiza:

• Mankhwala ochepetsa mphamvu ya kachilombo ka HIV monga acyclovir, famciclovir, kapena valacyclovir amatha kuchiza matenda a herpes.
• Mankhwala a antifungal monga fluconazole (otengedwa pakamwa), caspofungin (operekedwa ndi jakisoni), kapena amphotericin (operekedwa ndi jakisoni) amatha kuchiza matenda a candida.
• Mankhwala a ma virus omwe amaperekedwa kudzera mumitsempha (kudzera m'mitsempha), monga ganciclovir kapena foscarnet amatha kuchiza matenda a CMV. Nthawi zina, mankhwala otchedwa valganciclovir, omwe amatengedwa pakamwa, amatha kugwiritsidwa ntchito pa matenda a CMV.

Anthu ena angafunikirenso mankhwala opweteka.

Funsani omwe akukuthandizani kuti akupatseni malangizo apadera pa zakudya. Mwachitsanzo, pakhoza kukhala zakudya zomwe muyenera kupewa kuti musamadye matenda am'mimba.

Anthu ambiri omwe amalandira chithandizo cha matenda opatsirana amafunikira mankhwala ena, a nthawi yayitali kuti athetse vutoli kapena fungus, komanso kupewa kuti matendawa asabwererenso.

Esophagitis imatha kuchiritsidwa bwino ndipo nthawi zambiri imachiritsa masiku atatu kapena asanu. Anthu omwe ali ndi chitetezo chamthupi chofooka amatha kutenga nthawi kuti akhale bwino.

Mavuto azaumoyo omwe angayambike chifukwa cha matenda opatsirana ndi awa:

• Mabowo m'mimba mwanu (zopaka)
• Matenda pamasamba ena
• Matenda obwereza

Itanani omwe akukuthandizani ngati muli ndi vuto lililonse lomwe lingayambitse kuchepa kwa chitetezo cha mthupi ndipo mumayamba kukhala ndi matenda opatsirana otsegula m'mimba.

Ngati muli ndi chitetezo chamthupi chofooka, yesetsani kupewa kulumikizana ndi anthu omwe ali ndi kachilombo ndi chilichonse chomwe chatchulidwa pamwambapa.

Matenda - kum'mero; Matenda a Esophageal

• Herpetic esophagitis
• M'mimba dongosolo
• CMV matenda
• Candidal esophagitis

Graman PS. Kutsegula m'mimba. Mu: Bennett JE, Dolin R, Blaser MJ, olemba., Eds. Mandell, Douglas, ndi Bennett's Principles and Practice of Infectious Diseases. 9th ed. Philadelphia, PA: Elsevier; 2020: chap 97.

Katzka DA. Matenda a Esophageal omwe amayamba chifukwa cha mankhwala, zoopsa, komanso matenda. 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 46.