Kulephera kwa Benign Esophageal

Zamkati

• Nchiyani chimayambitsa kusakhazikika kwa khosi?
• Zizindikiro za matenda oopsa a m'mimba
• Zovuta zomwe zingachitike chifukwa chokhala ndi vuto la kupweteka kwam'mimba
• Kuzindikira kukhwimitsa kwamitsempha
• Kuyesa kumeza kwa Barium
• Pamapeto pake GI endoscopy
• Kuwunika kwa pH ya Esophageal
• Kuchiza matenda oopsa a esophageal
• Kutulutsa magazi
• Kukhazikika kwa Esophageal stent
• Zakudya & moyo
• Mankhwala
• Opaleshoni
• Kuwona kwakanthawi kwa anthu omwe ali ndi vuto la kukhwimitsa matenda
• Kuteteza ku benign esophageal

Timaphatikizapo zinthu zomwe timaganiza kuti ndizothandiza kwa owerenga athu. Ngati mutagula maulalo omwe ali patsamba lino, titha kupeza ndalama zochepa. Nayi njira yathu.

Kodi benign esophageal stricture ndi chiyani?

Kukhazikika kwa Benign esophageal kumafotokoza kuchepa kapena kukhwimitsa kwam'mero. M'mero ​​ndi chubu chomwe chimabweretsa chakudya ndi zakumwa kuchokera pakamwa panu kupita kumimba kwanu. "Benign" amatanthauza kuti si khansa.

Matenda a Benign esophageal nthawi zambiri amapezeka pamene asidi m'mimba ndi zinthu zina zoyipitsa zimawononga mkombero pakapita nthawi. Izi zimabweretsa kutupa (esophagitis) ndi minofu yofiyira, yomwe imapangitsa kuti kholalo lichepetse.

Ngakhale kukhwimitsa matenda opatsirana pogonana sichizindikiro cha khansa, vutoli limatha kuyambitsa mavuto angapo. Kupindika kwa kumero kumapangitsa kukhala kovuta kumeza. Izi zimawonjezera chiopsezo chotsamwa. Zikhozanso kuchititsa kutsekeka kwathunthu kwa kholingo. Izi zitha kuteteza chakudya ndi madzi kuti asafike m'mimba.

Nchiyani chimayambitsa kusakhazikika kwa khosi?

Kuteteza kwa Benign esophageal kumatha kuchitika ngati zilonda zam'miyendo zimakhalira. Izi nthawi zambiri zimakhala zotsatira za kuwonongeka kwa kholingo. Zomwe zimayambitsa kuwonongeka ndi matenda a reflux a gastroesophageal (GERD), omwe amadziwikanso kuti asidi Reflux.

GERD imachitika pamene m'munsi esophageal sphincter (LES) satseka kapena kumangitsa bwino. LES ndi minofu pakati pa mimba ndi m'mimba. Nthawi zambiri imatsegulira kwakanthawi kochepa mukameza. Asidi wam'mimba amatha kubwerera m'mimbamo pomwe samatseka kwathunthu. Izi zimapangitsa kutentha m'chifuwa cham'munsi chotchedwa kutentha pa chifuwa.

Kuwonetsedwa pafupipafupi ndi asidi wowopsa m'mimba kumatha kupangitsa kuti zilonda zophulika zipangidwe. Pamapeto pake, mimbayo imachepa.

Zina mwazomwe zimayambitsa kukhazikika kwam'mimba ndi izi:

• mankhwala a radiation pachifuwa kapena m'khosi
• kumeza mwangozi chinthu chodetsa kapena chowononga (monga mabatire kapena zoyeretsera m'nyumba)
• kugwiritsa ntchito chubu cha nasogastric (chubu chapadera chomwe chimanyamula chakudya ndi mankhwala kumimba kudzera pamphuno)
• kuwonongeka kwam'mimba komwe kumayambitsidwa ndi endoscope (chubu chowonda, chosinthika chomwe chimayang'ana mkati mwa thupi kapena chiwalo)
• chithandizo cha ma esophageal varices (mitsempha yotukuka m'mimba yomwe imatha kuphulika ndikupangitsa magazi kutuluka kwambiri)

Zizindikiro za matenda oopsa a m'mimba

Zizindikiro zodziwika bwino za kukhwimitsa matenda kwa m'mimba ndi monga:

• kumeza kovuta kapena kowawa
• kutaya mwadzidzidzi
• Kubwezeretsanso chakudya kapena zakumwa
• kutengeka kwa china chake chokhazikika pachifuwa mukatha kudya
• kubowola pafupipafupi kapena ma hiccups
• kutentha pa chifuwa

Zovuta zomwe zingachitike chifukwa chokhala ndi vuto la kupweteka kwam'mimba

Zakudya zowuma komanso zolimba zimatha kukhala m'mimba zikayamba kuchepa. Izi zitha kupangitsa kutsamwa kapena kupuma movutikira.

Mavuto kumeza akhoza kukulepheretsani kupeza chakudya chokwanira ndi madzi. Izi zingayambitse kuchepa kwa madzi m'thupi ndi kusowa kwa zakudya m'thupi.

Palinso chiopsezo chotenga chikhumbo cha m'mapapo, chomwe chimachitika masanzi, chakudya, kapena madzi akalowa m'mapapu anu. Izi zitha kubweretsa chifuwa chotupa chibayo, matenda omwe amayamba chifukwa cha bakiteriya omwe amakula mozungulira chakudya, masanzi kapena madzi am'mapapo.

Dziwani zambiri: Kutupa chibayo: Zizindikiro, zoyambitsa, ndi chithandizo »

Kuzindikira kukhwimitsa kwamitsempha

Dokotala wanu atha kugwiritsa ntchito mayeso awa kuti mupeze vutoli:

Kuyesa kumeza kwa Barium

Kuyesedwa kwa barium kumaphatikizapo ma X-ray angapo am'mero. Ma X-ray awa amatengedwa mukamamwa madzi apadera okhala ndi element barium. Barium siowopsa kapena owopsa. Izi zimasiyanitsa kwakanthawi kansalu kakhosi kanu. Izi zimathandiza dokotala kuti awone pakhosi lanu bwino.

Pamapeto pake GI endoscopy

M'mimba chapamwamba (chapamwamba cha GI) endoscopy, dokotala wanu adzaika endoscope kudzera pakamwa panu ndi m'mimba mwanu. Endoscope ndi chubu chowonda, chosinthika chokhala ndi kamera yolumikizidwa. Amalola dokotala wanu kuti adziwe m'mimba mwanu komanso m'mimba mwanu.

Dziwani zambiri: Endoscopy »

Dokotala wanu amatha kugwiritsa ntchito zingwe (malaya) ndi lumo lolumikizidwa ku endoscope kuti achotse minofu m'mimba. Kenako awunikanso minofu iyi kuti apeze chomwe chikuyambitsa matenda anu am'mimba.

Kuwunika kwa pH ya Esophageal

Mayesowa amayesa kuchuluka kwa asidi m'mimba omwe amalowa m'mimba mwanu. Dokotala wanu amalowetsa chubu pakamwa panu m'mimba mwanu. Chubu chimasiyidwa m'mimba mwanu kwa maola 24.

Kuchiza matenda oopsa a esophageal

Chithandizo cha benign esophageal solidure chimasiyana kutengera kukula kwake ndi komwe kumayambitsa.

Kutulutsa magazi

Esophageal dilation, kapena kutambasula, ndiye njira yosankhika nthawi zambiri. Kuchepetsa mitsempha ya m'mimba kumatha kubweretsa mavuto ena, chifukwa chake mudzakhala pansi kapena pang'ono pompano.

Dokotala wanu amaika endoscope kudzera pakamwa panu m'mimba mwanu, m'mimba, ndi m'matumbo ang'onoang'ono. Akawona malo olimbikira, adzaika dilator mummero. Wopukutira ndi chubu chachitali, chowonda chokhala ndi buluni kumapeto kwake. Baluni ikadzuka, idzafutukula malo ocheperako.

Dokotala wanu angafunikire kubwereza njirayi mtsogolo kuti matenda anu asamachepetsenso.

Kukhazikika kwa Esophageal stent

Kuyika kwa mitsempha yam'mimba kumatha kukupatsani mpumulo pakukhazikika kwam'mero. Stent ndi chubu chopyapyala chopangidwa ndi pulasitiki, chitsulo chofutukuka, kapena choluka chosinthika. Matenda opopa magazi amatha kuthandizira kutsegula pamtsempha kuti muthe kumeza chakudya ndi zakumwa.

Mudzakhala pansi kapena modekha mochita izi. Dokotala wanu adzagwiritsa ntchito endoscope kuti atsogolere stent m'malo mwake.

Zakudya & moyo

Kusintha zina ndi zina pa zakudya ndi moyo wanu kumatha kuyendetsa bwino GERD, chomwe ndi chifukwa chachikulu chokhwima. Kusintha kumeneku kungaphatikizepo:

• kukweza pilo wanu kuti muchepetse asidi wam'mimba kuti asabwererenso m'mimba mwanu
• kuonda
• kudya zakudya zochepa
• osadya kwa maola atatu asanagone
• kusiya kusuta
• kupewa mowa

Muyeneranso kupewa zakudya zomwe zimayambitsa asidi Reflux, monga:

• zakudya zokometsera
• zakudya zamafuta
• Zakumwa za carbonate
• chokoleti
• khofi ndi mankhwala a khofi
• zakudya zopangidwa ndi phwetekere
• mankhwala zipatso

Mankhwala

Mankhwala amathanso kukhala gawo lofunikira pamakonzedwe anu azithandizo.

Gulu la mankhwala oletsa acid, omwe amadziwika kuti proton pump inhibitors (PPIs), ndiwo mankhwala othandiza kwambiri pakuthana ndi zotsatira za GERD. Mankhwalawa amachita potseka pulotoni, mtundu winawake wa mapuloteni, womwe umathandiza kuchepetsa kuchuluka kwa asidi m'mimba.

Dokotala wanu akhoza kukupatsani mankhwalawa kuti apumule kwakanthawi kuti mulole kuti kuchira kwanu kuchiritse. Akhozanso kuwalangiza kuti adzawathandize kwa nthawi yayitali kuti asadzayambirenso.

Ma PPI omwe amagwiritsidwa ntchito kuwongolera GERD ndi awa:

• omeprazole
• lansoprazole (Prevacid)
• pantoprazole (Protonix)
• esomeprazole (Wowonjezera)

Mankhwala ena atha kukhala othandiza pochiza GERD ndikuchepetsa chiopsezo chanu chokhazikika. Ali:

• Maantacid: perekani chithandizo kwakanthawi kochepa pochepetsa zidulo m'mimba
• sucralfate (Carafate): imapereka chotchinga chomwe chimayika kholingo ndi m'mimba kuti ziwateteze ku timadziti ta m'mimba tambiri
• antihistamines, monga famotidine (Pepcid AC): amachepetsa kutsekemera kwa asidi

Gulani ma antacids pa intaneti ku Amazon.

Opaleshoni

Dokotala wanu angakulimbikitseni kuchitidwa opaleshoni ngati mankhwala ndi kutsekula m'mimba sikugwira ntchito. Kuchita opaleshoni kumatha kukonzanso LES ndikuthandizira kupewa zizindikiritso za GERD.

Kuwona kwakanthawi kwa anthu omwe ali ndi vuto la kukhwimitsa matenda

Chithandizo chitha kuthana ndi vuto la kukhazikika kwa m'mimba ndikuthandizira kuthana ndi matendawa. Komabe, vutoli limatha kuonekanso. Mwa anthu omwe amadwala matenda otsekula m'mimba, pafupifupi 30% amafunika kuwonjezeredwa kwina chaka chimodzi.

Mungafunike kumwa mankhwala nthawi yonse ya moyo wanu kuti muwongolere GERD ndikuchepetsa chiopsezo chanu chokhala ndi vuto lina lam'mero.

Kuteteza ku benign esophageal

Mutha kuthandizira kupewa kukhwimitsa matenda mwa kupewa zinthu zomwe zingawononge khosi lanu. Tetezani ana anu powasungira zinthu zonse zowononga zapakhomo kuti asawapeze.

Kusamalira zizindikiro za GERD kumathandizanso kuchepetsa chiopsezo chanu chokhala ndi matenda okhudzana ndi kupha magazi. Tsatirani malangizo a adotolo anu pankhani yazakudya ndi zosankha zomwe zingachepetse kusunga kwa asidi mummero mwanu. Ndikofunikanso kuwonetsetsa kuti mukumwa mankhwala onse monga mwalamulidwa kuti muchepetse zisonyezo za GERD.