Kutsegula m'mimba

Zamkati

• Mitundu ya esophagitis
• Eosinophilic esophagitis
• Reflux esophagitis
• Mankhwala opatsirana ndi mankhwala osokoneza bongo
• Matenda opatsirana opatsirana
• Zizindikiro za esophagitis
• Zowopsa za esophagitis
• Zovuta zanthawi yayitali zathanzi
• Kodi matenda opatsirana m'mimba amapezeka bwanji?
• Chithandizo cha esophagitis
• Kodi chiyembekezo chanthawi yayitali ndichotani?

Kodi esophagitis ndi chiyani?

Esophagitis ndikutupa kapena kukwiya kulikonse kwa kholingo. M'mero ​​ndi chubu chomwe chimatumiza chakudya kuchokera mkamwa mwanu kupita m'mimba mwanu. Zomwe zimayambitsa matendawa zimaphatikizapo asidi reflux, zoyipa zamankhwala ena, komanso matenda a bakiteriya kapena ma virus. Reflux ndipamene m'mimba muli zidulo ndikubwezeretsanso m'mimba.

Matendawa amatha kuyambitsa zizindikilo zosiyanasiyana monga:

• vuto kumeza
• chikhure
• kutentha pa chifuwa

Matenda opatsirana osachiritsidwa amatha kuyambitsa zilonda zam'mimba, mabala, komanso kuchepa kwa m'mero, komwe kumatha kukhala kwadzidzidzi kwachipatala.

Chithandizo chanu komanso malingaliro anu zimadalira zomwe zimayambitsa matenda anu. Anthu ambiri athanzi amasintha pakadutsa milungu iwiri kapena inayi atalandira chithandizo choyenera. Kuchira kumatha kutenga nthawi yayitali kwa anthu omwe ali ndi chitetezo chamthupi chofooka kapena matenda.

Mitundu ya esophagitis

Eosinophilic esophagitis

Eosinophilic esophagitis imayambitsidwa ndi ma eosinophil ochulukirapo. Izi zinachitika pamene thupi lanu limagwirizana ndi zovuta zonse. Kwa ana, izi zimatha kupangitsa kudya kukhala kovuta. Malinga ndi chipatala cha Boston Children's, mwana m'modzi mwa 10,000 ali ndi mtundu uwu wa esophagitis. Zomwe zimayambitsa zimaphatikizapo:

• mkaka
• soya
• mazira
• tirigu
• chiponde
• mtedza wamtengo
• nkhono

Ma allergen opumira, monga mungu, amathanso kuthandizira mtundu uwu wa esophagitis.

Reflux esophagitis

Reflux esophagitis nthawi zambiri imayamba chifukwa cha matenda omwe amadziwika kuti gastroesophageal Reflux matenda (GERD). GERD imachitika m'mimba mukakhala ngati zidulo, nthawi zambiri zimabwerera m'mimba. Izi zimayambitsa kutupa kosatha ndi mkwiyo.

Mankhwala opatsirana ndi mankhwala osokoneza bongo

Mankhwala opatsirana ndi mankhwala osokoneza bongo amatha kuchitika mukamamwa mankhwala ena opanda madzi okwanira. Izi zimapangitsa kuti mankhwala azikhala nthawi yayitali. Mankhwalawa ndi awa:

• amachepetsa ululu
• maantibayotiki
• potaziyamu mankhwala enaake
• bisphosphonates (mankhwala omwe amaletsa kutayika kwa mafupa)

Matenda opatsirana opatsirana

Matenda opatsirana otchedwa esophagitis ndi osowa ndipo amatha chifukwa cha mabakiteriya, mavairasi, bowa, kapena majeremusi. Muli pachiwopsezo chachikulu cha mtundu uwu wa esophagitis ngati muli ndi chitetezo chamthupi chofooka chifukwa cha matenda kapena mankhwala. Mtunduwu ndiofala kwa anthu omwe ali ndi kachilombo ka HIV kapena Edzi, khansa, ndi matenda a shuga.

Zizindikiro za esophagitis

Zizindikiro za esophagitis ndi monga:

• Kuvuta kumeza (dysphagia)
• ululu mukameza (odynophagia)
• chikhure
• mawu okweza
• kutentha pa chifuwa
• Reflux ya asidi
• kupweteka pachifuwa (koyipa ndikudya)
• nseru
• kusanza
• epigastric ululu m'mimba
• kuchepa kwa njala
• chifuwa

Ana aang'ono kwambiri amavutika kudyetsa. Lumikizanani ndi dokotala wanu ngati inu kapena mwana wanu mukukumana ndi izi komanso izi:

• kupuma movutikira kapena kupweteka pachifuwa, makamaka ngati sizimachitika mukamadya
• Zizindikiro zimapitilira kwa masiku opitilira ochepa
• Zizindikiro zake ndizokwanira kuti zisokoneze kudya kwanu moyenera
• mutu, kupweteka kwa minofu, kapena malungo

Pitani kuchipatala mwachangu ngati:

• Mukumva kupweteka pachifuwa kupitilira mphindi zochepa, makamaka ngati muli ndi vuto la mtima, kuthamanga kwa magazi, kapena matenda ashuga.
• Mukuganiza kuti mutha kukhala ndi chakudya cham'mimba.
• Simungathe kudya ngakhale tinyezi tating'ono ta madzi.

Zowopsa za esophagitis

Zowopsa zomwe zingayambitse matendawa ndi awa:

• kufooketsa chitetezo cha mthupi chifukwa cha HIV kapena Edzi, matenda ashuga, leukemia, kapena lymphoma
• nthenda yobereka (pamene m'mimba imadutsa pamitsempha pakati pamimba ndi m'mimba)
• chemotherapy
• chithandizo cha radiation pachifuwa
• opaleshoni m'chifuwa
• mankhwala opewera kukaniza ziwalo
• Mankhwala opatsirana pogonana omwe amagwiritsidwa ntchito pochiza matenda omwe amadzitchinjiriza
• aspirin ndi mankhwala oletsa kutupa
• kusanza kosatha
• kunenepa kwambiri
• kumwa mowa ndi ndudu
• mbiri ya banja ya ziwengo kapena esophagitis

Mpata wanu wokhala ndi matenda am'mimba ndi ochepa ngati muli ndi chitetezo chamthupi chokwanira.

Zovuta zanthawi yayitali zathanzi

Kusagwidwa ndi matenda opatsirana kungayambitse mavuto aakulu azaumoyo okhudzana ndi momwe ntchitoyo imagwirira ntchito. Zovuta zimaphatikizapo:

• Zilonda za Barrett, kuwonongeka kwa gawo lanu, zomwe zingayambitse kusintha kosavuta kwa minofu
• kukhwimitsa, kapena kupindika, kwa kum'mero ​​komwe kumatha kubweretsa kutsekeka komanso mavuto kumeza
• mabowo kapena zilonda zam'mimbamo (zotupa zam'mimba)

Kodi matenda opatsirana m'mimba amapezeka bwanji?

Pangani nthawi yokaonana ndi dokotala wanu ngati muli ndi matenda am'mimba. Khalani okonzeka kupereka mbiri yonse yazachipatala, kuphatikizapo matenda ena aliwonse omwe amapezeka. Lembani mankhwala onse omwe mumalandira.

Dokotala wanu akhoza kukupimani. Akhozanso kuyitanitsa mayeso opatsirana kuphatikiza:

• endoscopy yokhala ndi biopsies
• Xarium ya barium, yomwe imatchedwanso kuti GI yapamwamba
• kuyesa ziwengo, komwe kungaphatikizepo kuyesa khungu. Kuthetsa chakudya kumatha kukambidwa pambuyo pofufuza za endoscopy.

Chithandizo cha esophagitis

Chithandizo chimadalira chifukwa cha matenda anu. Mankhwala atha kuphatikizira:

• mankhwala antiviral
• mankhwala antifungal
• antacids
• amachepetsa ululu
• Steroids wamlomo
• proton pump inhibitors (mankhwalawa amaletsa kupanga asidi m'mimba)

Ngati vuto la chakudya limayambitsa matenda anu, muyenera kuzindikira zakudya zoyambira ndikuzichotsa pazakudya zanu. Zakudya 6 zabwino kwambiri ndi izi:

• mkaka
• soya
• mazira
• tirigu
• chiponde
• mtedza wamtengo
• nkhono

Muthanso kuchepetsa zizindikiro zanu popewa zakudya zonunkhira, zakudya ndi zakumwa za acidic, komanso zakudya zosaphika kapena zolimba. Tengani pang'ono pang'ono ndikutafuna chakudya chanu bwino. Ndipo funsani dokotala wanu kuti akupatseni malangizo pazakudya. Muyenera kupewa fodya ndi mowa.

Njira yothetsera kholalo itha kukhala yofunikira ngati kholalo limakhala lothinana kwambiri ndikupangitsa chakudya kugona.

Ngati zizindikiro zanu zikuchitika chifukwa cha mankhwala, mungafunike kumwa madzi ambiri, kumwa mankhwalawo, kapena kuyesa mankhwala ena. Ndipo mungafunike kupewa kugona pansi kwa mphindi 30 mutamwa mankhwala mu mawonekedwe apiritsi.

Kodi chiyembekezo chanthawi yayitali ndichotani?

Matenda opatsirana angayambitse kuchepa kapena kuwonongeka kwa minofu popanda chithandizo. Mpata wanu wokhala ndi khansa ya m'mimba ndi yayikulu ngati maselo okutumulani m'mimba mwanu asintha chifukwa cha kuwonekera kwa asidi.

Mutha kuchepetsa chiopsezo cham'mero ​​chopewera matenda am'mimba popewa zomwe zingayambitse.

Maganizo anu amatengera zomwe zimayambitsa komanso thanzi lanu. Anthu ambiri amachita bwino akamalandira chithandizo chamankhwala. Anthu athanzi nthawi zambiri amachira pasanathe masiku atatu kapena asanu, ngakhale atalandira chithandizo. Kuchira kumatha kutenga nthawi yayitali ngati muli ndi chitetezo chamthupi chofooka.