Erosive esophagitis: chomwe chiri, chithandizo ndi gulu la Los Angeles

Zamkati

• Zizindikiro zazikulu
• Momwe mungatsimikizire matendawa
• Gulu la Los Angeles
• Zomwe zimayambitsa kupweteka kwa m'mimba
• Momwe mankhwalawa amachitikira
• Momwe mankhwala amathandizira amayi apakati
• Chisamaliro china chofunikira

Erosive esophagitis ndi momwe zilonda zam'mimba zimapangidwira chifukwa cham'mimba Reflux, zomwe zimabweretsa kuwonekera kwa zizindikilo zina monga kupweteka pakudya ndi kumwa madzi komanso kupezeka kwa magazi m'masanzi kapena ndowe.

Chithandizo cha vutoli nthawi zambiri chimachitidwa ndi gastroenterologist yemwe angalimbikitse kugwiritsa ntchito mankhwala kuti apewe kuchuluka komanso amalepheretsa kupanga madzi am'mimba, chifukwa nthawi zina opaleshoni imatha kuwonetsedwa. Kuphatikiza apo, ndikofunikanso kutsatira wazakudya, kuti awonetse zosintha zomwe ziyenera kupangidwa pakudya.

Zizindikiro zazikulu

Zizindikiro za kutuluka kwam'mimba zimadalira kukula kwa zilonda zam'mimba, koma nthawi zambiri zimaphatikizapo:

• Kusanza komwe kumatha kukhala ndi magazi kapena ayi;
• Ululu mukamadya kapena kumwa zakumwa;
• Magazi mu chopondapo;
• Chikhure;
• Kuwopsya;
• Kupweteka pachifuwa;
• Chifuwa chachikulu.

Kuphatikizanso apo, ngati matenda opatsirana m'mimba samachiritsidwa, ndizotheka kuti kuchepa kwa magazi m'thupi kumayamba ndikuwonjezera chiopsezo cha chotupa m'menemo. Chifukwa chake, ndikofunikira kuti gastroenterologist akafunsidwe akangoyamba kuwonetsa zizindikiritso za esophagitis, chifukwa njira iyi ndiyotheka kuyamba mankhwala nthawi yomweyo. Onani zambiri zamomwe mungadziwire esophagitis.

Momwe mungatsimikizire matendawa

Kuzindikira kwa zotupa m'mimba kumayambitsidwa ndi gastroenterologist kudzera pakuwunika kwa zomwe zawonetsedwa, komanso zinthu zomwe zimawonjezera kapena kukulitsa kukula kwa zizindikirazo.

Komabe, kuti atsimikizire kuti ali ndi matendawa, komanso kuti adziwe kuopsa kwa vutoli, akulimbikitsidwa kuti apange endoscopy, yomwe imalola kukula kwa zotupazo kuti ziwonekere komanso kuti eophagitis yotupa igawike malinga ndi protocol ya Los Angeles.

Gulu la Los Angeles

Gulu la Los Angeles likufuna kusiyanitsa ziphuphu ndi zotupa zotupa m'mimba molingana ndi kuuma kwake, kuti chithandizo choyenera kwambiri chothetsera zilondacho chitha kusankhidwa.

Zilonda zotupa m'mimba zikakhala m'kalasi C kapena D ndipo zimachitika pafupipafupi, pamakhala chiopsezo chachikulu cha khansa ya kum'mero, chifukwa chake pangafunike kuti chithandizo chamankhwala chiwonetsedwe kaye, musanagwiritse ntchito mankhwala.

Zomwe zimayambitsa kupweteka kwa m'mimba

Matenda owopsa a esophagitis nthawi zambiri amakhala chifukwa cha matenda osachiritsika a esophagitis, omwe amachititsa kuti zotupa zipitirire kuwonekera ndikupangitsa kukula kwa zizindikilo.

Kuphatikiza apo, vuto lina lomwe limalimbikitsa kukula kwa esophagitis ndi gastroesophageal Reflux, chifukwa acidic m'mimba imafika pachimake ndikulimbikitsa kukwiya kwa mucosal, kukomera kuwonekera kwa zotupa.

Matenda owopsa amatha kupezeka pafupipafupi kwa anthu omwe amasuta kapena chifukwa chodya zakudya zamafuta komanso zamafuta.

Dziwani zambiri pazomwe zimayambitsa matenda opatsirana muvidiyo yotsatirayi:

Momwe mankhwalawa amachitikira

Chithandizo cha kuphulika kwa matenda am'mimba chimadalira chomwe chidayambitsa, koma nthawi zambiri chimachitika ndikuthandizira kwa katswiri wazakudya yemwe angawonetse kuyimitsidwa kwa kugwiritsa ntchito ndudu, ngati zilipo, kuchepetsa kugwiritsa ntchito zakudya zamafuta komanso zamafuta, kuwonjezera pakuchepetsa pakakhala anthu onenepa kwambiri kapena onenepa kwambiri.

Kungakhale kofunikabe kugwiritsa ntchito mankhwala monga:

• Proton pump inhibitors (PPIs), monga omeprazole, esomeprazole kapena lansoprazole: yomwe imalepheretsa kupanga madzi am'mimba m'mimba, motero zimawalepheretsa kufika pammero;
• Zoletsa zakale, monga ranitidine, famotidine, cimetidine ndi nizatidine: amagwiritsidwa ntchito ngati ma PPI samatulutsa zomwe zikuyembekezeredwa komanso amathandizira kuchepetsa kuchuluka kwa asidi m'mimba;
• Prokinetics, monga domperidone ndi metoclopramide: amagwiritsidwa ntchito kuthamangitsa kutaya kwa m'mimba.

Ngati munthuyo agwiritsa ntchito mankhwala a anticholinergic, monga Artane kapena Akineton, komanso ma calcium channel blocker, monga Anlodipino ndi Verapamil, gastroenterologist atha kupereka malingaliro amomwe angagwiritsire ntchito mankhwala omwe apatsidwa.

Kugwiritsa ntchito opareshoni yamatenda am'mimba kumangowonetsedwa ngati zilondazo sizikusintha kapena ngati zizindikirazo zikupitilira ndipo njira zonse zamankhwala zam'mbuyomu zakhala zikugwiritsidwa ntchito kale. Kuchita opaleshoniyi kumapangitsanso kachipangizo kakang'ono kamene kamagwirizanitsa m'mimba ndi kum'mero, motero kupewa madzi am'mimba kuti asabwerere njirayi ndikupweteketsa ena.

Momwe mankhwala amathandizira amayi apakati

Pankhani ya amayi apakati, kuphatikiza pakuwunika omwe ali ndi zakudya zopatsa thanzi komanso chisamaliro cha tsiku ndi tsiku, tikulimbikitsidwa kugwiritsa ntchito histamine inhibitors okha, monga ranitidine, cimetidine, nizatidine ndi famotidine, popeza ndiotetezeka kugwiritsa ntchito panthawiyi, kuphatikiza pa osatengeka ndi mkaka popanga.

Chisamaliro china chofunikira

Kuphatikiza pa chithandizo chamankhwala chomwe chikuwonetsedwa, ndikofunikira kutsatira malangizo atsiku ndi tsiku kuti mukhale ndi moyo wabwino ndikupewa zovuta:

• Kwezani pafupifupi 15 cm mpaka 30 cm kuchokera pamutu pa bed;
• Kuchepetsa kudya zipatso za citrus, zakumwa zokhala ndi caffeine, mowa kapena kaboni, ndi zakudya monga timbewu tonunkhira, bulugamu, timbewu tonunkhira, phwetekere, chokoleti;
• Pewani kugona pansi kwa maola awiri mutatha kudya.

Zodzitchinjiriza izi ndizofanana ndi zomwe anthu amagwiritsa ntchito Reflux, chifukwa amathandizira kuteteza asidi wam'mimba kuti asakwere m'mimba. Onani maupangiri ena amomwe mungachitire ndi Reflux, yomwe itha kugwiritsidwanso ntchito kupewa matenda am'mimba.

Kanemayo, katswiri wazakudya Tatiane Zanin, akuwonetsa momwe angakweze mutu wa bedi, kuwonjezera pakupereka malangizo othandiza kuti athetse vuto la Reflux, lomwe limayambitsa matenda otupa m'mimba: