Kutsegula m'mimba

Esophagitis ndi chikhalidwe chomwe chimango cha pamimba chimayamba kutupa, kutupa, kapena kukwiya. M'mero ​​ndi chubu chomwe chimachokera pakamwa panu kupita m'mimba. Amatchedwanso chitoliro cha chakudya.

Esophagitis nthawi zambiri imayambitsidwa ndi madzimadzi am'mimba omwe amabwerera mu chitoliro cha chakudya. Madzimadzi amakhala ndi asidi, omwe amakhumudwitsa minofu. Vutoli limatchedwa gastroesophageal reflux (GERD). Vuto lodzitchinjiriza lokha lotchedwa eosinophilic esophagitis limayambitsanso vutoli.

Zotsatirazi zimawonjezera chiopsezo chanu:

• Kumwa mowa
• Kusuta ndudu
• Opaleshoni kapena cheza pachifuwa (mwachitsanzo, chithandizo cha khansa yamapapo)
• Kutenga mankhwala ena monga alendronate, doxycycline, ibandronate, risedronate, tetracycline, mapiritsi a potaziyamu, ndi vitamini C, osamwa madzi ambiri
• Kusanza
• Kugona mutadya chakudya chachikulu
• Kunenepa kwambiri

Anthu omwe ali ndi chitetezo chamthupi chofooka amatha kutenga matenda. Matenda angayambitse kutupa kwa chitoliro cha chakudya. Matendawa atha kukhala chifukwa cha:

• Bowa kapena yisiti (nthawi zambiri Candida)
• Mavairasi, monga herpes kapena cytomegalovirus

Matendawa kapena kukwiya kumatha kupangitsa kuti chitoliro cha chakudya chitenthedwe. Zilonda zotchedwa zilonda zimatha kupangika.

Zizindikiro zimaphatikizapo:

• Tsokomola
• Zovuta kumeza
• Kumeza kowawa
• Kutentha pa chifuwa (asidi reflux)
• Kuopsa
• Chikhure

Dokotala akhoza kuyesa izi:

• Matenda otupa magazi
• Esophagogastroduodenoscopy (EGD), kuchotsa chidutswa cha chitoliro mu chitoliro cha chakudya kuti chifufuze (biopsy)
• Mndandanda wapamwamba wa GI (barium swallow x-ray)

Chithandizo chimadalira chifukwa. Njira zamankhwala zodziwika bwino ndi izi:

• Mankhwala omwe amachepetsa asidi m'mimba ngati atadwala matenda a reflux
• Maantibayotiki ochiza matenda
• Mankhwala ndi zakudya zimasintha kuti zithetse eosinophilic esophagitis
• Mankhwala okutira zokutira payipi yazakudya kuti athetse kuwonongeka kokhudzana ndi mapiritsi

Muyenera kusiya kumwa mankhwala omwe amawononga mzere wam'mero. Imwani mapiritsi anu ndi madzi ambiri. Pewani kugona pansi mukangomwa mapiritsi.

Nthawi zambiri, zovuta zomwe zimayambitsa kutupa ndi kutupa kwa chitoliro cha chakudya, zimayankha chithandizo.

Ngati sanalandire chithandizo, vutoli limatha kubweretsa mavuto akulu. Kuswa (kukhwimitsa) kwa chitoliro cha chakudya kumatha kuyamba. Izi zitha kuyambitsa mavuto akumeza.

Vuto lotchedwa Barrett esophagus (BE) limatha kukhala patadutsa zaka za GERD. Nthawi zambiri, BE imatha kubweretsa khansa ya payipi yazakudya.

Imbani wothandizira zaumoyo wanu ngati muli ndi:

• Zizindikiro pafupipafupi za esophagitis
• Zovuta kumeza

Kutupa - kum'mero; Zotupa zotupa; Zilonda zam'mimba; Eosinophilic esophagitis

• Opaleshoni ya anti-reflux - kutulutsa

• Minyewa yam'mimba ndi m'mimba
• Minyewa

Falk GW, Katzka DA. Matenda am'mimba. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. 26 wa. Philadelphia, PA: Elsevier; 2020: chap 129.

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.

Richter JE, Vaezi MF. Matenda a reflux am'mimba. Mu: Feldman M, Friedman LS, Brandt LJ, olemba. Sleisenger ndi Matenda a Mimba ndi a Fordtran Amatenda a Chiwindi. 11th ed. Philadelphia, PA: Elsevier; 2021: chaputala 46.