Esophagitis - ntoni na? Esophagitis: Iimpawu and Treatment

Enoba umyalezo leengcali ukudumba esophageal kumiselwa eli ligama "esophagitis." Yintoni imeko zophendlo lwezifo ezifana? Ziziphi iimpawu asenokubonisa phambi sifo? Indlela ukujongana nayo? Konke oku kuya kuxutyushwa kweli nqaku.

iintlobo esophagitis

Onke amatyala amayeza ukudumba esophageal systematized, enceda, ugxininise ixesha sifo, namandla aso kunye nendawo inkqubo lwezidumbu, ukuxilongwa. Ngoko ke, kuxhomekeke kuhlobo sifo, esophagitis yahlulahlulwe acute kunye ezigulo ezondeleyo. isifo catarrhal ubungqongo eyedwa (ngamanye amazwi, umphezulu) kunye ilunga (kulo mzekelo isigulana abachaphazelekayo ungqameko ezinzulu isifo) esophagitis. Kuxhomekeka indawo kwindawo asha kwi isifo esophageal izifo iyonke (ukuba wambetha yonke kuvuleke iminxunya), proximal (phezulu Division asha) kunye esophagitis distal reflux (ngezifo kwi kuvuleke iminxunya asezantsi).

Acute, subacute kunye nefomu ezingapheliyo sifo

Ifomu iqhelekileyo esophagitis oyingozi. Ukudumba ngexesha elifanayo isenokuba ikhe yaye zinzulu, kodwa wayesoloko ebonakala ngayo ngokukhawuleza kunye swiftness ukwenza izinto. inflammations obunjalo ngenxa ukutsha isifo ezibangelwa ukutya ukutya eshushu, asele okanye amachiza zidluliselwe izifo ezosulelayo (umz, ukubola komqala), ukwenzakala liqumrhu langaphandle okanye ukwenzakala radiation. Acute esophagitis idla lwenzeka ngaphandle nemiphumela emibi okanye neengxaki umguli.

Imihla iyoluka udonga esophageal yi subacute asha okanye ifomu engapheliyo. Olokuqala ukuphuhlisa ukusetyenziswa eyondeleleneyo ngokugqithiseleyo ukutya okuneziqholo, utywala kakhulu okanye ngokwesivumelwano sayo, nezinto ezinjengezo. Isifo esingapheliyo amaninzi kubangelwa reflux (oko kukuthi, intshukumo reverse ukutya ukusuka esiswini emphinjeni). Ngokuqhelekileyo oku sifo sikhatshwa ngumntu kule minyaka, ngokuthe ngcembe ekhokelela iinguqulelo ezininzinzi kweli emsebenzini kunye nolwakhiwo emphinjeni.

Chronic reflux esophagitis

Utshisa, leyo kuvela ngenxa ukukhutshwa rhoqo angena kuvuleke iminxunya okanye imixholo esiswini okanye emathunjini. esophagitis Peptic esibangelwa isalamane, kwaye maxa wambi ngokupheleleyo amathuba ukusilela obturator sphincter kwentliziyo ohlukanisa kuvuleke iminxunya emathunjini. Lidla indima ebalulekileyo kuphuhliso kwesi sifo esingapheliyo kudlala elinyusayo-kongeza uxinzelelo intragastric kunye ukuphazamiseka nokushukumisa phecana zesisu. Amaxesha amaninzi le ngezifo kudityaniswe i mingxuma Ithemba ukutya kwi uvalo, isisu, okanye enyongweni, kunye pancreatitis.

Esophagitis: i ukuhluleka of cardia

Singathanda ukuba baqwalasele umba "insufficiency le cardia." Inxalenye aphezulu esiswini kuthiwa cardia. Kukho sphincter, ukuvala isithuba phakathi kuvuleke iminxunya kunye nesisu. Xa umsebenzi oqhelekileyo, oko imigqomo lo bolus kuphela kwicala elinye, itshixa oko ukholosile kudlula umva. Kulo mzekelo, isivingco okhethekileyo oluthintela intshukumo kuvuleke iminxunya ayikho. Anatomically indlela obturator cardia setyenziso luyaxhaswa le mibutho ilandelayo:

• sphincter esophageal;
• lungu phrenic-nowomqala;
• "Mucosal nerozi" (nezibaya isifo esophageal leyo watshona kungena mithambo esiswini, edlala indima kwivelufa olongezelelweyo);
• indawo esophageal eqhelekileyo ngokunxulumene uvalo;
• izihlunu setyhula inxalenye engentla esiswini.

Ukuba nayiphi na kwezi ziseko ayisebenzi kakuhle, ngoko kukho ukusilela le cardia. Kwaye - enye imiba ezinkulu kuphuhliso esophagitis. Ngenxa yokuba xi esiswini ngesiqhelo soloko ngaphezulu em- thoracic, evakalala okanye gqitha ngenxa yokuba ezinye izizathu ukuba sphincter ivumela umxholo ukuya emva uze uyitshise isifo ngokungakhuselekanga esophageal. A uphindaphindo okuphindwayo yenkqubo efana ebangela izibhaxu kwisiqwenga zesisu.

Izinto ezibangela esophagitis okwenziwa sisilonda sikabhobhosi

Ukuba ukukhutshwa acid yaba ezingapheliyo, isifo kusichukumisa nzulu isifo esophageal, yaye ekugqibeleni kwasekwa erosions okanye izilonda. Noko ke, ezibangela esophagitis sisilonda - nje kuphela ezikhutshwayo, kodwa utyando, Ithemba diaphragmatic zinemingxuma, isilonda duodenal kunye nosulelo esiswini, ukutsha, ubhaliso ngokugqithisileyo ukutya okuneziqholo, kunye umonakalo ngenxa ngokufakelwa kweli uphenyo, okanye inkqubo radiation therapy.

Isifo elithile eziliqela, nezibonakalisa ngayo:

• Le isidanga sokuqala kuboniswa isahlakalo eyahlukileyo ngaphandle ukuhlanganisa ulwazi kunye nezinye erosions kwi kuvuleke iminxunya asezantsi.
• Ilunga esophagitis wenze degrees-2 kubonakaliswa ukubonakala erosions confluent, leyo ayithethi umfanekiso yonke isifo.
• Inqanaba lesithathu sikhatshwa nezilonda wesithathu esezantsi emphinjeni;
• The degree sesine - isimo izilonda ezingapheliyo kunye stenosis (ukuvala le mithambo le kuvuleke iminxunya).

Oonobangela kunye neziphumo Candida esophagitis

Isifo kwenzeka kuphela ngenxa yokuba ukuphazamiseka olusebenzayo phecana zesisu. Oku kunokubangelwa nezifo angena evela ngaphandle, okanye nkqu bacterium "lweenkobe 'ukuba ziqale ngenxa ezithile yezizathu ukukhula ngokukhawuleza. Ukuba arhente causative zenkqubo yokukrala kwi kuvuleke iminxunya i Candida, ukufumanisa Candida esophagitis. Le igwele efanayo, kodwa ukwakweli eludongeni emphinjeni. Nomngundo, Candida bendelisele iingcambu ngokulula kakhulu kwaye waphula umthetho microflora wokugaya ziqala ukukhula ngokukhawuleza kwi izihlunu. Utywala, amadlala (kubandakanywa ulawulo lokuzalwa) iziyobisi okanye antibiotics kunokubangela utshintsho microflora yaye, ngokunjalo, ukuphuhliswa zizifo ezinzwaneni.

Candida esophagitis kunqabile ukuba ezisongela ubomi, kodwa inika engxakini. Ngenxa ukudumba imingxunya loloyiko angase ngenxa yoku, kukho kokunciphisa emphinjeni. Imeko efanayo kwandisa kakhulu umngcipheko yezihlunu Ithemba hiatal. ukudumba Vulvovaginal kungabangela izilonda, ukopha ngaphakathi perforation ye iinxalenye ezichazwe le phecana zesisu.

Indlela eyingozi Esophagitis?

Ndingathanda ukugxininisa ukuba nayiphi na imeko ayikwazi phantsi esophagitis (esi sifo kakhulu, wena ngethemba sele waqonda). Alinako "ukunyamezela" okanye cwaka nangokwamkela ezinye amayeza. Urhulumente echazwe Kuthathwa amayeza le ngezifo echumayo esophageal, nto leyo ekhokelela iingxaki ezinkulu, ezifana, umz, yayo exineneyo (stenosis, stricture). Kamva, ibangela ubunzima nomonde yokuginya, ngokufanelekileyo, zifuna Ukuhlinza. Kwakhona umele atyandwe yenye ingxaki ezisongela ubomi - perforation (perforation) eludongeni umphimbo. Amanani kuqinisekisa ukuba ishumi ekhulwini amatyala esophagitis phambili-kuthiwa kuvuleke iminxunya Barrett kaThixo, nto leyo luphawulwa angakwazi kwiiseli zaso inwebu yangaphakathi, uphawu lwe isifo emathunjini. Loo ngurhulumente iyeza uthathwa precancerous.

Indlela ukufumanisa ebusweni esophagitis

Zonke iintlobo ezi zifo zingentla ezineefitsha eziqhelekileyo benza lo esophagitis umrhanelwa abagulayo. Iimpawu kunye nonyango kwesi sifo kuya kuxoxwa ngezantsi. Therapy kufuneka kuphela phantsi kweliso gastroenterologist.

• Ngokuqhelekileyo, into yokuqala uhlawula ingqalelo kwizigulane - it heartburn okanye iintlungu esifubeni ukuba kwenzeka emva kwesidlo okanye ungatyanga. Ngokuqhelekileyo, ukuba ziyanyuswa xa ayeguqa phambili, ephakamisa, ebusuku (ngokulala isikhundla). Kwiimeko kakhulu of heartburn kuthatha ngokusisigxina.
• Ophilisayo burping umoya kubonakala ungqinisiso ( "amaqanda abolileyo") kunye ubukrakra phantse rhoqo. Ngamaxesha athile kukho regurgitation ye imali encinane ukutya.
• Kuye kwasekwa a ukutyabeka ezimhlophe elwimini.
• Esiswini, xi ziviwa kukho kwakhona iintlungu esiswini eliphezulu.
• Akholisa ukubakho emva kokudla nesicefucefu yaye ubuqhophololo (wachuba iindawo yegazi zingavela emhlanzweni).
• Ndibuhlungu malunga neentlungu xa ukuginya.
• Nge reflux rhoqo kuvela ukukhohlela, hoarseness, umphimbo nokukrala ziqulunqwe ngenxa inhalation kwiziqulatho isisu, nto leyo ebangela nokutsha.

Zonke ezi mpawu, kungaba kubi kakhulu, umzekelo, emva ikomityi yekofu, watshaya icuba, ishushu, kunzima okanye ukutya okubabayo. izikhalazo rhoqo malunga yokwanda izehlo zesi sifo kwiimeko uxinezeleko. Kuyabonakala ukuba iseti kuyo iifitsha zibe izigulane ezahlukeneyo ungahluka. Oku kuxhomekeke ebukhulwini ukuphazamiseka kweli kuvuleke iminxunya, kwaye lethu kwenkqubo kwiintetho ezikralayo, kunye nezifo ezinxulumene.

Njengoko zingahlukaniswa kwezinye izifo esophagitis

Thathela ingqalelo ukuba iimpawu yokugula ochazwe, ibonakala kwezinye iimeko ezithile zophendlo lwezifo ngamalungu zangaphakathi ukuba akukho ezinxulumene esophagitis kwaye ifuna iintlobo zonyango ezahlukeneyo kakhulu, kuyimfuneko ukucacisa ezinye iinkcukacha.

• Iintlungu xa esophagitis ayikho esiswini, kwaye kanye esifubeni, esifubeni.
• Ngokuqhelekileyo, heartburn - yeyona nkalo iphambili izifo ezichazwe. Ukuba, ke, kukho imvakalelo elivuthayo esifubeni nibonakala ubuthathaka kakhulu, isiyezi, kwakunye nokubamba-bamba umphefumlo, kuyinyaniso ukucinga ukuba akukho esophagitis.
• Ukuba nokushisa esifubeni uvela umsebenzi ngokwasemzimbeni, ngoko oku kube luphawu angina.

Kwezinye iimeko, isibheno gastroenterologist ngokuyimfuneko

Sinethemba lokuba esophagitis, iimpawu kunye nonyango kuxoxwa kweli nqaku, akayi kubangela ukuba nemiphumela emibi kakhulu. Ukuze wenze oku, kufuneka ixesha ukuze ubone ugqirha! Musa ukutsala kunye utyelelo oyingcali, ukuba heartburn uthabathe ezisisigxina, kunye nokukwazi encinane ukuphelisa iziyobisi; ukuhlaselwa kwakhe ukwenza njalo explainable; une ubunzima ukuginya; ilizwi lakho itshintshile, kwaye ubunzima yehliswe kakhulu; Igazi uvele linganihlanzi; iqondo lobushushu Wavuka ku-38 ° C nangaphezulu; Ukuba unengxaki hiccups elide ekhathazayo; isitulo ube lulwelo, ndizuze umbala omnyama.

Ziziphi izifo sikhatshwe ukudumba kuvuleke iminxunya

Phela, oko kufuneka zikhankanyiwe, ethetha esophagitis ukuba isifo eyenzeka izigulane abasele iingxaki ezithile kunye iphecana zesisu. Ngokuqhelekileyo, akukho malunga izifo inkanuko ubuvila, ukwanda yejusi esiswini okanye ekhatshwa ukubunjwa ngokugqithiseleyo. Kukwasebenza kwanjalo kuyo endle dysmotility gastroduodenal (esiswini kunye duodenal), sehlise yokulahla yayo. Konke oku kuyanceda olule esiswini, kwaye, ngenxa yoko, esibangela reflux.

Lwezifo, igalelo kuphuhliso esophagitis ziquka gastro, isilonda esiswini okanye isilonda duodenal, Ithemba diaphragmatic lokuvula esophageal, cholecystitis kunye nezinye izifo. Ngendlela, xa abasetyhini abakhulelweyo kwi zigaba kade Palsy nabo basengozini ephezulu reflux esophagitis. Oku kubangelwa kukwanda uxinzelelo intra-esiswini kwabasetyhini.

Kufuneka wenze ntoni xa sochetannyj esophagitis

Sele wakhankanya ukuba esophagitis kusoloko isifo entsonkothileyo evela imvelaphi ezinye iingxaki phecana zesisu. Ngoko ke, ukuba sochetannyj diagnosis "gastritis esophagitis", ngoko ke unyango kufuneka ezintsonkothileyo. Amalungiselelo zikhethiwe ngokungqinelana unobangela kwinqanaba gastritis kunye iasidi, izifo ezihamba. Unyango kwakhona ziquka iziyobisi, nokuphelisa heartburn, motility uzinzo kuvuleke iminxunya emathunjini, ngokunjalo izinto ezikhuthaza mucosal lunikezelo impiliso. Iingcebiso efanayo isicelo unyango lwe uxilongo "esophagitis gastro." Kwakhona kubalulekile kakhulu unyango ezi zifo ukuba yokudla №1, ebandakanya izidlo uphuphu nokuthantamisa. Kule ubuyisa kuyathintelwa, kodwa isidlo yokugqibela kufuneka uthathe indawo zingadlulanga iiyure ezimbini phambi kokuba lokulala.

Njani na isifo esophagitis

Esophagitis, iimpawu kunye nonyango esayenzayo thina kweli kweli nqaku basoloko akukho nzima ukubona. Emva kokuba ugqirha baya kuphulaphula isikhalazo sakho kwaye iza kuhlola imbali yesifo, kufuneka benze uphando. Ezi ziquka i endoscopy le kuvuleke iminxunya, nto leyo ebonisa utshintsho isifo, kunye X-ray usebenzisa arhente umahluko (barium). Ngexesha inkqubo yokugqibela ngumfanekiso apho ukunyhashwa ngokucacileyo ebonakalayo kuvuleke iminxunya: ukudumba yayo kunye nobukho izixa ezikhulu yencindi yomlomo. Yaye kuphuhliso kwethumba ebonakalayo umahluko medium elibaleka e Crater yayo.

Indlela yokuphatha esophagitis ngohlobo yayiyazi

Umsebenzi ophambili - ukususa ezibangela izifo, kwaye kwixesha elizayo isigulane kufuneka balandele ukutya engqongqo. Sithetha malunga nokusetyenziswa soft, kutya pureed, oko ke kumele kwiqondo lobushushu igumbi. Ngaphandle yokudla zonke iimveliso ukubacaphukisa isifo esophageal, kuquka equlethe isixa esikhulu ifayibha, kwakunye ukutya eqhotsiweyo, amanzi nezihlwahlwazayo kunye notywala. Ukutshaya ngokuhlupheka sifo kule eyingozi! Izigulane unesifo iziyobisi "Esophagitis" ezichaphazela umoya okanye ubunzulu sphincter esophageal, abaqeshwe ngesivumelwano kwangaphambili kunye nogqirha wakho. Kusenokuba nadlamkisayo okanye okudambisa, prostaglandins, njalo-njalo. Izigulane ezinqwenelekayo ukulala phezu headboard phezulu, musa anxibe iingubo tight, zama ukuba aye kulala emva kokutya kunye akanakufane begoba.

Unyango lwe esophagitis ezingapheliyo

Xa engekho stenosis, perforation, ukopha okanye ALS unyango olufana kakuhle le fomu ezingapheliyo zesi sifo. Ngokuqhelekileyo uthathe iziyobisi ukuvimba imveliso iziyobisi acid, nokubola okanye antiviral, antibiotics. Amiselweyo ntlungu kunye namayeza. Ukunciphisa ukudumba ziyacetyiswa corticosteroids. Ukuba unengxaki yokuginya izigulane owayefumene isondlo efakwa. Kwiimeko apho sifo sibangwa bubukho hiatus Ithemba kwi uvalo, lo msebenzi wenziwa. ukungenelela kuhlinzwa kuyinto akagwetyelwanga ukuba unyango ongaphumelelanga 'endala, ubukho iingxaki ezifana stricture okanye ukopha kunye nophuhliso ngezifo ezifana eziyingozi njenge "kuvuleke iminxunya Barrett kaThixo". unyango Conservative ezihambisana kahle iiresiphi emveli ukuba kuncedwe kucuthwe imeko yesigulane.

Unyango amayeza intsomi

unyango Abantu ngayo esophagitis - kukuthi, njengokuba umthetho, iiresiphi, eyenzelwe bawubuyise komtshiso oko, ekunciphiseni iimpawu ebuhlungu ukuphelisa heartburn. Ngoko ke, ukuze kubuyiselwe le isifo ye abaphilisi kuvuleke iminxunya yaleza ukuthatha decoction of oregano, amagqabi Anut oki. Bona ezixutywe zobukhulu ngokulinganayo batyumke ngenyameko. Enye umxube dessertspoonful ukuba ugalele amanzi abilayo ubambe imizuzu elishumi elinesihlanu emanzini emanzini. Thatha le umhluzi ngokufudumeleyo amacephe amabini phambi kokuba izidlo okanye ngoko nangoko emva kokuba.

Ukuze ususe ukuvuvukala okubangelwa inkqubo yokuvutha, thatha umxube we-oregano, alder kunye ne-ivan da maria. Zixutywe kwixabiso elilinganayo kwaye lichithwe. Kanye nje kwidiskhi yangaphambili, i-spoonful of mix, ezele ngamanzi ashushu, igcinwa kwindawo yokuhlambela amanzi kwaye ithathwa amaxesha asixhenxe ngosuku.

Ukutshatyalaliswa ngokugqithisileyo ukuvutha kunye ne-aloe. Kugqitywa ngokuxubana kunye okanye ngaphandle kobusi, ngokukhawuleza ucoce iqela lephepha elicocekileyo. Kwaye nangona akuyi kuba mnandi kakhulu, kodwa esi sixhobo siya kunceda kakhulu.

Ukusuka intlungu esiswini kuya kusindisa ingcambu yomlambo ayr. Elinye ithisipuni leengcambu ezichotshoziweyo lithunyelwa ngeglasi yamanzi abilayo kwaye ivumelekile ukupholisa. Ukunyamezela, thabatha ukufudumala kwisiqingatha seglasi ngehafu yesure ngaphambi kokutya. Yaye khumbula ukuba ngemini ofuna ukuyiphuza okungenani ezimbini iiglasi ze-infusion.

Ezinye iingcebiso ekupheleni

Ukongeza kwizinto ezichazwe ngasentla, ukucima imeko, unokuncoma ukuba ulandele eminye imigaqo:

• Ukutya kufuneka kube lula, kungekhona okwesonka kwaye kungabi mnandi;
• Ijusi ukusuka ekudleni, ukufaka endaweni yazo iziqhamo zokusela iziqhamo eziqukethe i-vitamin C;
• Bite ukutya kwiincinci ezincinci kwaye uzihlakulele;
• Ngokubunzima ukugwinya, ukuphosa intloko yakho emva koko, ukutya kuya kudlula edongeni lomva lomqala, okwenza kube lula ukugwinya;
• Phuza i-liquide ngokusebenzisa i-straw.

Kususela kwinqaku oye wafunda ngesifo esifana nesifo se-esophagitis, yintoni na, zeziphi izizathu, iimpawu kunye nendlela zokuphelisa isifo. Khumbula: unyango lufuna ukuqeqeshwa. Ukongeza kokuthatha amayeza anikezelweyo kunye neyeza zonyango, isiguli kufuneka silandele ukutya okumiselweyo kunye nokuyeka ukutshaya notywala. Kule ndlela kuphela ukugula okukuvimbela ukuba uphile ngokugcwele kuya kuphelisa. Inhlanhla kunye nempilo enhle!