Inotapukira esophagitis

Esophagitis izwi rakajairika kune chero kuzvimba, kutsamwa, kana kuzvimba kwesophagus. Iyi ndiyo chubhu inotakura chikafu nezvinwiwa kubva mumuromo kuenda mudumbu.

Infectious esophagitis isingawanzoitika. Inowanzoitika kune vanhu vane immune system yavo isina kusimba. Vanhu vane immune system yakasimba havawanzo kukura hutachiona.

Zvinowanzoitika zvezvirwere zvisina kusimba zvinosanganisira:

• HIV / AIDS
• Chemotherapy
• Chirwere cheshuga
• Leukemia kana lymphoma
• Mishonga inodzvinyirira immune system, yakadai seinopihwa mushure memuviri kana pfupa rekutsvaira
• Mimwe mamiriro ezvinhu anodzvinyirira kana kushayisa simba immune system yako

Zvirongwa (hutachiona) hunokonzera esophagitis zvinosanganisira fungi, mbiriso, uye hutachiona. Zvakajairika zvisikwa zvinosanganisira:

• Candida albicans uye mamwe marudzi eCandida
• Cytomegalovirus (CMV)
• Herpes simplex hutachiona (HSV)
• Papillomavirus yevanhu (HPV)
• Tuberculosis bacteria (Mycobacterium tibhii)

Zviratidzo zveesophagitis zvinosanganisira:

• Zvakaoma kumedza uye kunorwadza kumedza
• Fivha uye kutonhora
• Mbiriso hutachiona hwerurimi uye kumisikidza kwemuromo (wemuromo thrush)
• Maronda mumuromo kana kumashure kwehuro (ine herpes kana CMV)

Anopa hutano anozobvunza nezve ako zviratidzo uye oongorora muromo wako nehuro. Miedzo inogona kusanganisira:

• Ropa uye weti miedzo yeCMV
• Tsika yemasero kubva mudumbu reherpes kana CMV
• Muromo kana huro swab tsika yecandida

Iwe ungangoda kuve neepamusoro endoscopy bvunzo. Uku ndiko kuyedza kuongorora kumucheto kwegurokuro.

Muvanhu vazhinji vane esophagitis, mishonga inogona kudzora hutachiona. Izvi zvinosanganisira:

• Mishonga yeAntiviral yakadai seacyclovir, famciclovir, kana valacyclovir inogona kubata chirwere chehepe.
• Antifungal mishonga yakadai se fluconazole (yakatorwa nemuromo), caspofungin (yakapihwa nejekiseni), kana amphotericin (yakapihwa nejekiseni) inogona kurapa hutachiona hwecandida.
• Mishonga yeAntiviral inopihwa kuburikidza nemutsinga (mukati), senge ganciclovir kana foscarnet inogona kurapa hutachiona hweCMV. Mune zvimwe zviitiko, mushonga unonzi valganciclovir, uyo unotorwa nemuromo, unogona kushandiswa kuhutachiona hweCMV.

Vamwe vanhu vangangodawo mushonga wemarwadzo.

Kumbira mupiki wako kune akakosha ekudya mazano. Semuenzaniso, panogona kunge paine chikafu chaunofanirwa kudzivirira kudya sezvo esophagitis yako ichipora.

Vanhu vazhinji vanorapwa kwechikamu chehutachiona esophagitis vanoda mimwe, mishonga yenguva refu yekudzvinyirira hutachiona kana fungus, uye kudzivirira hutachiona kuti husadzoke.

Esophagitis inowanzo kurapwa zvakanaka uye kazhinji inoporesa mumazuva matatu kusvika mashanu. Vanhu vane immune system isina kusimba vanogona kutora nguva yakareba kuti vave nani.

Matambudziko ehutano anogona kukonzerwa nehutachiona esophagitis anosanganisira:

• Makomba mune yako yeguroku (zvinokanganisa)
• Utachiona kune mamwe masayiti
• Kudzokorora hutachiona

Fonera mupiki wako kana iwe uine chero mamiriro anogona kukonzera kudzikisira immune mhinduro uye iwe unovandudza zviratidzo zvehutachiona esophagitis.

Kana uine immune system isina kusimba, edza kusaonana nevanhu vane hutachiona nechero chipi zvacho chezvinhu zvataurwa pamusoro apa.

Kutapukirwa - yegurokuro; Esophageal chirwere

• Herpetic esophagitis
• Kumusoro mudumbu system
• CMV esophagitis
• Candidal esophagitis

Graman PS. Esophagitis. Mune: Bennett JE, Dolin R, Blaser MJ, eds. Mandell, Douglas, uye Bennett's Maitiro uye Maitiro Ezvirwere zvinotapukira. 9th ed. Philadelphia, PA: Elsevier; 2020: chits. 97.

Katzka DA. Esophageal kusagadzikana kunokonzerwa nemishonga, kushungurudzika, uye hutachiona. Muna: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger uye Fordtran's Gastrointestinal uye Chirwere Chiropa. 10th ed. Philadelphia, PA: Elsevier Saunders; 2016: chits.