Esophagitis - ndichiyani? Esophagitis: Zizindikiro ndi Chithandizo

Kaya etiology wa esophageal akatswiri kutupa kutumikira generic akuti "esophagitis." ndi chikhalidwe pathological wotani? Kodi zizindikiro zingasonyeze pamaso pa matenda? Kodi kuthana nacho? Zonsezi ayankhidwa m'nkhaniyi.

mitundu ya esophagitis

Nthawi zonse kutupa mankhwala esophageal systematized, kumathandiza poganizira nthawi ya matenda, ukulu wake ndi malo ndondomeko pathological, ndi matenda zolondola. Choncho, malingana ndi chimene chikhalidwe cha matenda, esophagitis lagawidwa pachimake ndi aakulu. Kusalekerera catarrhal matenda anali yekhayekha (i.e., pamwamba) ndi erosive (Pankhaniyi wodwala anakhudzidwa zigawo tanthauzo la mucosa) esophagitis. Malinga ndi malo m'dera chofuna mu mucosa esophageal ndi chiwonongeko matenda (ngati anakantha kum'mero lonse), proximal (chapamwamba chofuna Division) ndi wapotalikira Reflux esophagitis (kudwala mu mmero m'munsi).

Pachimake, subacute ndi mawonekedwe aakulu a matenda

The yofala kwambiri ndi pachimake esophagitis. Kutupa nthawi yomweyo kungakhale kungotengeka ndi ozama, koma nthawi yodziwika ndi kufulumira ndi liwiro la mawonetseredwe. inflammations amenewa kukhala chifukwa amayaka mucosa chifukwa cha kudya chakudya chotentha, kumwa kapena mankhwala anasamutsa matenda (mwachitsanzo, diphtheria), thupi yachilendo choipa kapena kuvulala cheza. Pachimake esophagitis amatenga malo opanda mavuto aakulu kapena mavuto wodwalayo.

Yaitali khoma esophageal ndi chofuna subacute kapena mtundu aakulu. Choyamba ndi kukhala ntchito mwadongosolo chopambanitsa chakudya zokometsera, mowa wamphamvu kapena surrogate ake, ndi zina zotero. matenda nthawi zambiri chifukwa cha Reflux (ie, n'zosiyana kayendedwe ka chakudya kuchokera mmimba mwa kholingo). Kawirikawiri matenda limodzi ndi munthu zaka, Mwapang'onopang'ono kuti kusintha kwambiri pa ntchito ndi dongosolo la kholingo.

Matenda Reflux esophagitis

Moto umenewo unyeketsa, lomwe likutuluka chifukwa cha umuna mobwerezabwereza loyenda mu mmero kapena chapamimba kapena matumbo nkhani. Zilonda esophagitis chifukwa cha wachibale, ndipo nthawizina mtheradi mwayi kulephera obturator mtima sphincter umene umawalekanitsa kum'mero ndi m'mimba. Ndithu mbali yofunika kwambiri mu kukula kwa matenda aakulu umachita likuwonjezekabe intragastric kuthamanga ndi kusokonezeka kwa sayenda pa mundawo m'mimba. Nthawi zambiri kudwala izi pamodzi ndi chophukacho kudya mabowo mu zakulera, m'mimba, kapena gallstones ndi kapamba.

Esophagitis: ndi kulephera kwa cardia

Tikufuna kuganizira mfundo "insufficiency wa cardia lapansi." Mbali chapamwamba m'mimba amatchedwa cardia. Pali sphincter, kutseka danga pakati pa kum'mero ndi m'mimba. Ntchito bwinobwino, izo skips ndi bolus yekha mu njira imodzi, potseka izo mwabata pochitika kumbuyo. Pankhaniyi, ndi valavu wapadera kuti midadada kayendedwe ka kholingo kulibe. Anatomically limagwirira obturator cardia ntchito imayendetsedwa ndi nyumba zotsatirazi:

• esophageal sphincter;
• phrenic-oesophageal mitsempha;
• "Mucosal Rosette" (esophageal mucosa makutu omwe kumira mu lumen m'mimba, kusewera udindo valavu zina);
• wabwinobwino esophageal malo poyerekezera chifundamtima;
• minofu zozungulira a kumtunda kwa m'mimba.

Ngati aliyense wa nyumba izi zilibe ntchito bwino, ndiye pali kulephereka kwa cardia lapansi. Ndipo ndi - mmodzi wa mbali yaikulu chitukuko cha esophagitis. Chifukwa chakuti vuto la m'mimba zambiri nthawi zonse kuposa mu M'mimbamo thoracic, lotayirira olumala chifukwa ena zifukwa sphincter amalola zili kupita mmbuyo ndi kuwotcha mosadziteteza esophageal mucosa. A kubwerezabwereza mobwerezabwereza ndondomeko oterowo amachititsa zotupa kwambiri thirakiti m'mimba.

Zimayambitsa anam'peza esophagitis

Ngati mpweya asidi anakhala aakulu, matenda amatha kulowa kwambiri mu mucosa esophageal, ndipo m'kupita aumbike erosions kapena zilonda. Komabe, zimayambitsa anam'peza esophagitis - si mpweya kokha, komanso opaleshoni, chophukacho diaphragmatic mabowo, mmatumbo chilonda ndi matenda chapamimba, zilonda zamoto, kudya kwambiri chakudya zokometsera, ndiponso kuwonongeka chifukwa mayikidwe a kafukufuku, kapena mu ndondomeko cheza mankhwala.

Matendawa ali ndi madigiri angapo, amakhala kuti:

• Mlingo woyamba kukuonetsedwa yatsoka osiyana popanda merging ndi erosions wina ndi mnzake kum'mero m'munsi.
• Erosive esophagitis anam'peza madigiri 2 chimaoneka ndi maonekedwe a erosions confluent, zomwe zilibe analanda mucosa lonse.
• Mbali yachitatu limodzi ndi zilonda wachitatu m'munsi mwa kum'mero;
• Mlingo wachinayi - chikhalidwe cha zilonda aakulu stenosis (kuchepetsa wa lumen wa kholingo).

Zimayambitsa ndi zotsatira za candida esophagitis

Matendawa amapezeka osati chifukwa cha matenda zinchito pa mundawo m'mimba. Iwo akhoza chifukwa cha matenda kuti atagonjetsa kuchokera kunja, kapena ngakhale "nzika" mabakiteriya kuyamba mu chifukwa ena zifukwa kwafalikira. Ngati wothandizila causative za ndondomeko yotupa mu mmero ndi candida, ama candida esophagitis. Ichi ndi yisiti chomwecho, koma ili pa khoma la kholingo. Bowa, candida mizu mosavuta kwambiri ndi kuphwanya m'mimba microflora thirakiti kuyamba kukula mofulumira mu zimakhala anthu. Mowa, mahomoni (kuphatikizapo zakulera) mankhwala kapena mankhwala zingachititse kusintha microflora ndi moyenera, chitukuko cha matenda a mafangasi.

Candida esophagitis zambiri osati moyo pachiswe, koma apatsa m'mavuto. Chifukwa cha mafangasi kutupa ndi amamuyambitsa timabala angathe monga chotsatira cha ichi, ndi kufupikitsa kholingo. Nkhani yofanana kumawonjezera kwambiri chiopsezo ofananira chophukacho hiatal. Vulvovaginal kutupa zingachititse zilonda, magazi mkati ndi perforation mbali anafotokoza pa mundawo m'mimba.

Koopsa ndi Esophagitis?

Ndikufuna kutsindika kuti Mulimonsemo sangathe saganizira esophagitis (omwe ndi matenda, inu mwachiyembekezo kale anazindikira). Iwo sangakhoze "kupirira" kapena kulepheretsa phwando ena mankhwala. Boma anafotokoza amaganiza mu mankhwala zothinanitsa esophageal kudwala, imbaenda mavuto aakulu, ngati, mwachitsanzo, ake kuchepetsa (stenosis, stricture). Kenako, izo zimayambitsa vuto mtima Pomeza ndi moyenera, opaleshoni reconstructive. Komanso akufunikira opaleshoni ndi moyo pachiswe wina Vuto - perforation (perforation) pa khoma kum'mero. Ziwerengero kutsimikizira kuti chakhumi milandu esophagitis akufotokozera otchedwa kum'mero Barrett a, amene amakhala ndi alibe ya maselo maselo ake mucous nembanemba, khalidwe la mucosa matumbo. okhumudwa mu mankhwala imatengedwa precancerous.

Kodi kudziwa pamaso pa esophagitis

Mitundu yonse ya matenda pamwamba Mbali wamba kuti apange odwala akuganiza esophagitis. Zizindikiro ndi mankhwala a matenda ayankhidwa pansipa. Therapy ayenera kuperekedwa yekha kuyang'aniridwa ndi gastroenterologist a.

• Kawirikawiri, chinthu choyamba inu kulabadira odwala - izo kutentha kapena kupweteka m'chifuwa zimene zimachitika pambuyo chakudya kapena chopanda kanthu m'mimba. Childs, iwo nakweza pamene kupinda patsogolo, kukweza, usiku (kugona malo). Zikavuta wa kutentha zimatenga okhazikika.
• Amafulumizitsa burping mpweya limapezeka halitosis ( "mazira owola") ndi kuwawa pafupifupi nthawi zonse. Nthawi pali regurgitation wa pang'ono chakudya.
• Iwo anapanga ❖ kuyanika yochitidwa pa lilime.
• Mmimba anzawo ndi kuchisonyeza palinso ululu pamimba chapamwamba.
• Amayambira mutadya kunyansidwa ndi retching (milozo magazi angaoneke masanzi).
• Nkhawa ululu pamene Pomeza.
• Ndi Reflux kawirikawiri amaoneka chifuwa, hoarseness, zilonda zapakhosi ndi matenda amakonzedwa chifukwa inhalation ya nkhani matumbo, zomwe zimabweretsa amayaka.

Onse zizindikiro zimenezi akhoza kuvutika, mwachitsanzo, pambuyo kumwa khofi, kusuta ndudu, wotentha, zovuta kapena chakudya zokometsera. madandaulo kawirikawiri za zochitika kuchuluka kwa matenda pa mavuto. Iwo ankadziwa kuti akhale mbali odwala osiyana zingasiyane. Izi zimadalira kukula kwa matenda a kholingo, ndi kutanthauzira za ndondomeko yotupa ndi matenda okhudzana.

Monga siyanitsa ndi matenda ena esophagitis

Podziwa kuti zizindikiro za matenda anafotokoza, zingaoneke mu zinazake ena pathological cha ziwalo zomwe sizikugwirizana ndi esophagitis ndipo amafuna mankhwala osiyana kwambiri, m'pofunika kuti anthu amvetse mfundo zina.

• Ululu ndi anamvera pamene esophagitis si mmimba, ndi kamodzi mu chifuwa, pachifuwa.
• Childs, kutentha - ndi mbali yaikulu ya matenda anafotokoza. Koma ngati ndi woyaka kumverera mu chifuwa inu amaoneka wofooka kwambiri, chizungulire, ndi kupuma movutikira, izo ndi zoona kuganiza kuti palibe esophagitis.
• Ngati kumverera moto pachifuwa amachokera zolimbitsa thupi, ndiye kungakhale chizindikiro cha angina.

Nthawi zina, pamtima gastroenterologist kwenikweni

Tikukhulupirira kuti esophagitis, zizindikiro ndi chithandizocho m'nkhani ino, sadzachititsa inu mavuto aakulu. Kuti tichite zimenezi, muyenera nthawi kuwona dotolo! Osachikoka ndi ulendo katswiri, ngati kutentha watenga chikhalidwe okhazikika, ndi mphamvu pang'ono kuthetsa mankhwala; kuukira iye satero nthawi explainable; muli ndi vuto Pomeza; mawu anu, zasintha kulemera yafupika kwambiri; Magazi anaonekera mu masanzi; kutentha anakonzeka 38 ° C ndi pamwamba; zikukuvutitsani yaitali hiccups kulongolola; chopondapo kukhala madzi ndapeza mtundu wakuda.

Kodi matenda akhoza limodzi ndi kutukusira kwa kholingo

Zodabwitsa ndizakuti, ayenera otchulidwa, kuyankhula esophagitis kuti matenda nthawi zambiri amapezeka mu odwala amene kale mavuto ena ndi kapepala kakuti m'mimba. Kawirikawiri, ndi za matenda zolimbikitsa kuchuluka ndewu ya madzi chapamimba kapena ake limodzi ndi mapangidwe kwambiri. N'chimodzimodzinso ndi munda wa gastroduodenal dysmotility (muzituluka ndi mmatumbo), liwiro Ndikudzikhuthula ake. Zonsezi zimathandiza kutambasula m'mimba, ndipo, chifukwa cha zimenezi, amachititsa Reflux.

Ndi matenda zimathandiza kuti chitukuko cha esophagitis monga gastro, chapamimba chilonda kapena mmatumbo chilonda, chophukacho diaphragmatic esophageal kutsegula, cholecystitis ndi matenda ena. Mwa njira, mu amayi apakati mu magawo mochedwa chitukuko yoopsa komanso ali pa chiopsezo Reflux esophagitis. Ichi ndi chifukwa kuwonjezeka kuthamanga kwapakati pa-m'mimba mwa amayi.

Kodi kuchita ngati inu sochetannyj esophagitis

Tanena kale kuti esophagitis zambiri matenda zovuta limapezeka pa maziko a mavuto ena pa mundawo m'mimba. Choncho, ngati inu sochetannyj matenda "gastritis esophagitis", ndiye mankhwala ayenera kukhala zovuta. Kukonzekera amasankhidwa motsata chifukwa cha gastritis ndi acidity msinkhu, matenda concomitant. Mankhwalawa mulinso mankhwala, relieves kutentha, motility ofunika ya kum'mero ndi m'mimba, komanso zinthu kulimbikitsa mucosal machiritso mathamangitsidwe. Nsonga imeneyi imagwiranso ntchito kwa mankhwala a matenda "gastro esophagitis." M'pofunikanso mankhwalawa matenda amenewa kwa zakudya №1, imene imakhudza wofatsa kugawanika chakudya. Mu kudya izi koletsedwa, koma chakudya otsiriza ayenera kutenga malo palibe pasanafike maola awiri pamaso yogona.

Kodi matenda a esophagitis

Esophagitis, zizindikiro ndi chithandizo chimene taphunzira m'nkhani ino amakhala sikovuta oterewa. Pamene dotolo zidzamva dandaulo lanu ndipo tione mbiri ya matenda, ayenera kufufuza. Zikuphatikizapo ndi endoscopy la kholingo, zomwe zikuonetsa kusintha mucosa, ndipo ndi X-ray ntchito kusiyana wothandizila (barium). Pa ndondomeko otsiriza ndi chithunzi chimene kuyan'anila kuoneka bwino bwino mu kholingo: kutupa ake ndi kukhalapo kwa yambiri ntchofu. Ndi chitukuko cha chilonda looneka mosiyana sing'anga osefukira Chigwa ake.

Kodi kuchitira esophagitis mu mawonekedwe pachimake

Ntchito yaikulu - kuchotsa zimene zimayambitsa matenda komanso m'tsogolo wodwala ayenera kutsatira zakudya kwambiri. Tikuyankhula zokhudza ntchito zofewa, zakudya pureed, amene ayenera kukhala firiji. Amachotsedwa zakudya mankhwala onse mtima esophageal mucosa, kuphatikizapo munali wambirimbiri CHIKWANGWANI, komanso zakudya yokazinga, madzi enaake ndi mowa. Kusuta kwa matenda kuvutika kwa oipa! Odwala ndi matenda a "Esophagitis" mankhwala bwanji kamvekedwe wa sphincter esophageal, woikidwa ndi pangano titani dokotala. Zimakhala mankhwala kapena kuti asamakhale ndi nkhawa, prostaglandins, ndi zina zotero. Odwala zofunika kugona pa headboard mkulu, samavala zovala zothina, yesetsani kugona atatha kudya ndi zokayikitsa unakhota.

Chithandizo cha esophagitis aakulu

Popeza stenosis, perforation, magazi kapena ngati madokotala ananena zawo chithandizo chabwino cha mawonekedwe aakulu a matenda. Kawirikawiri kutenga mankhwala kuti ndigwire yopanga asidi, antifungal kapena mavairasi oyambitsa mankhwala, mankhwala. Amaikidwa kukhala othetsa ululu ndi mankhwala. Kuchepetsa kutupa ndi corticosteroids analimbikitsa. Ngati mavuto Pomeza odwala anakumana zakudya mtsempha. Pa nthawi imene matendawa amayamba ndi kukhalapo kwa hiatus chophukacho mu chifundamtima, opaleshoni ikuchitika. Opaleshoni alowererepo ndi wolungamitsidwa ngati zinalephereka chithandizo ndiwofatsa, pamaso pa mavuto monga stricture kapena magazi ndi chitukuko cha kudwala loipalo monga "kum'mero Barrett a". mankhwala ndiwofatsa kuphatikiza bwino ndi maphikidwe mwambo kuti akathandize alili.

Chithandizo cha mankhwala wowerengeka

chithandizo anthu a esophagitis - ndi, monga ulamuliro, maphikidwe, cholinga kuthetsa kutupa, kuchepetsa zizindikiro chowawa ndi kuthetsa kutentha. Choncho, kwa kubwezeretsa kwa mucosa wa ochiritsa kum'mero analimbikitsa kutenga decoction wa oregano, masamba mtedza ndi thundu. Iwo ali osokonezeka mulingo ofanana ndi mosamala wosweka. osakaniza wina dessertspoonful kuthira madzi otentha ndi kugwira kwa mphindi khumi ndi zisanu mu madzi osamba. Tengani msuzi lachikondi supuni awiri musanadye kapena nthawi yomweyo pambuyo.

Kuchotsa kutupa chifukwa ndondomeko yotupa, kutenga osakaniza oregano, alder, msondodzi ndi Maria da. Iwo ali osokonezeka ndalama ofanana ndi nthaka. Monga Chinsinsi wakale osakaniza kusamba mu madzi otentha, analola kuti ayime mu madzi osamba ndi anatengedwa kupita kasanu patsiku.

Kwambiri relieves kutupa ndi aloe. Izo ntchito ndi moti zinkamveka ndi uchi kapena popanda chabe Kutha woyeretsedwa pepala chidutswa. Ndipo ngakhale sali chokoma, koma chida chingatithandize bwino kwambiri.

Kuyambira kupweteka kwa m'mimba kupulumutsa muzu wa chithaphwi sedge. Mmodzi supuni wosweka muzu kutsanulira kapu ya madzi otentha ndi kulola kuti kuziziritsa. Kupsyinjika, kutenga theka lina galasi ofunda kwa theka la ola pamaso chakudya. Ndipo kumbukirani, kuti masana muyenera kumwa makapu osachepera awiri a kulowetsedwa izi.

nsonga potsiriza, pang'ono

Kuwonjezera embodiments tafotokozazi mankhwala kuthetsa chikhalidwe akhoza akulimbikitsidwa kusunga malamulo ena more:

• zakudya ayenera kukhala ofewa, osati lakuthwa ndi acidic;
• Musakhale pa zakudya timadziti, m'malo iwo ndi zakumwa zipatso zokhala ndi vitamini C;
• kuluma kuchokera chakudya mu tiziduswa tating'ono ting'ono ndi kutafuna mosamala;
• movutikira kumeza tilts mutu wake, ndiye chakudya zidzachitike pa nsana wa pakhosi, zimveke kumeza;
• madzi akumwa mwa udzu ndi.

Kuchokera m'nkhani, mwaphunzira zokhudza matenda monga esophagitis, chimene icho chiri, kodi zimayambitsa, zizindikiro ndi mankhwala a matenda. Kumbukirani: chithandizo amafuna malangizo. Kuwonjezera kulandira mankhwala zotchulidwa katswiri ndi mankhwala, wodwala ayenera kudya zakudya Kwalamulidwa ndi kusuta fodya ndi kumwa. Monga matenda kumathandiza kuti mukhale ndi moyo wonse, mubwerere. Zabwino zonse ndi thanzi labwino!