Esophagitis ndi chiyani? Zizindikiro, Matendawa.

Mmodzi wa matenda ambiri a dongosolo m'mimba ndi kutupa kholingo - esophagitis. Zizindikiro za matenda bwino kwa anthu ambiri. Ndi ululu pamene kulandira chakudya, kutentha, dysphagia. Ndi chikhalidwe cha otaya ndi anachira pachimake, subacute ndi mitundu aakulu a esophagitis.

Zimayambitsa esophagitis
The pachimake mawonekedwe oesophagitis kumachitika chifukwa kanthu kopweteka zinthu aukali monga otentha kapena ozizira kwambiri chakudya, mankhwala, wothandizila mankhwala (asidi, ayodini, soda ndi ena.). kuwonongeka mucosal angachotsedwe ku matenda opatsirana (fever, diphtheria, matenda septic). Subacute ndi mitundu aakulu matenda kukhala chifukwa kukhudzana yaitali kuti roughage zonse, mowa, zinthu zoipa pa kupanga. Pamene matenda a "esophagitis aakulu," Zizindikiro za matenda mwina pamodzi ndi matenda ena concomitant ziwalo m'mimba monga gastritis, gastroduodenitis. Payokha olekanitsidwa patsogolo esophagitis zikuchitika pa stagnation chakudya ndi mavuto chifukwa cha ndime zake diverticula kum'mero. Koma chifukwa ambiri a mitundu aakulu matenda akhala zilonda esophagitis, yomwe zizindikiro kukhala pokhudzana ndi nkhani acidic mu kholingo.

Pathophysiology wa esophagitis
Popereka ndondomeko ndi catarrhal wolemekezeka (padziko esophagitis), erosive, hemorrhagic, necrotic ndi pseudomembranous esophagitis. Ndipo nthawizina cellulitis ndi abscess mapangidwe kholingo. Vuto la kuleza alipo kutupa ndi stricture (kuchepetsa) ya kum'mero ndi kuchepetsa ake.

Pachimake esophagitis, zizindikiro za matenda
Kuwonekera kwa matenda zimadalira maonekedwe a esophagitis, zimayambitsa matendawo ndi kuchuluka kwa yotupa ndondomeko. Kawirikawiri ndi ululu pachifuwa pamene kulandira chakudya, angakhale kuphwanya kumeza kumverera kwa rawness. Ndi erosive ndi hemorrhagic esophagitis akusanza magazi. Mawonekedwe a matenda aakulu amakhala ndi kutentha, yoyaka ndi rawness mu sternum lapansi. Reflux esophagitis amachititsa moto ndi belching zili chapamimba, makamaka pamene kupinda torso.
Kwambiri, ndi kuledzera kwambiri, mitundu choopsa cha matenda zimachitika diphtheria, abscess ndi cellulitis la kholingo.
zosokonezeka

Zovuta anayamba makamaka cellulitis ndi abscess. Zomwe zingachititse magazi kapena perforation a linga kum'mero. Yaitali aakulu kutupa kungachititse kuti stenosis ndi kufupikitsa kholingo.
matenda a esophagitis

Matendawa zachokera lililonse madandaulo mtima. Chachikulu matenda njira matenda ndi endoscopic mosamala kum'mero (esophagoscopy). Ndi njira kumene kumatsimikizira chikhalidwe cha ndondomeko yotupa ndi kuchuluka kwake. Pamene zolimba biopsy mucosa. X-ray njira ntchito barium apereka umboni wa esophageal patency pamaso pa diverticula.

chithandizo
Mu matenda, n'kofunika zakudya zoyenerera. Kudya esophagitis zikuphatikizapo kugwiritsa ntchito chakudya thermally ndi umakaniko odekha chakudya chochepa mosamala fodya ameneyu amatafunidwa. Chifukwa cha mankhwala kutumikiridwa mankhwala cathartic ndi dzanzi (almagel) kukonzekera bismuth.
Zilonda esophagitis chithandizo ndiwofatsa ikuchitika umalimbana kuteteza chakudya akuponya mu kholingo. Lesa lolemera ntchito ya thupi kugwirizana ndi maganizo otsetsereka m'mimba. Mankhwala ndi amodzi zochizira esophagitis pachimake. Ngati kutaya chakudya mmimba amagwirizana ndi chophukacho ndi chithandizo ndiwofatsa alibe tingati chithandizo opaleshoni, cholinga ndiko kuchotsa chophukacho ndi chapamimba cardia kuchira.