Esophagitis

Esophagitis mamiriro mune iyo lining yeiyo esophagus inozvimba, kupisa, kana kutsamwiswa. Iyo esophagus ndiyo chubhu inotungamira kubva pamuromo wako kuenda mudumbu. Iyo inonzi zvakare pombi yechikafu.

Esophagitis inowanzo kukonzerwa nedumbu mvura inoyerera ichidzokera mupombi yezvikafu. Mvura yacho ine acid, zvinova zvinogumbura nyama. Dambudziko iri rinonzi gastroesophageal reflux (GERD). An autoimmune disorder inonzi eosinophilic esophagitis inokonzeresa mamiriro aya.

Izvi zvinotevera zvinowedzera njodzi yako kune ino mamiriro:

• Doro shandisa
• Kusvuta fodya
• Kuvhiya kana radiation kune chipfuva (semuenzaniso, kurapwa kwekenza yemapapu)
• Kutora mimwe mishonga yakadai sealendronate, doxycycline, ibandronate, risedronate, tetracycline, mapiritsi e potassium, uye vhitamini C, pasina kunwa mvura yakawanda
• Kusvipa
• Kuvata pasi mushure mekudya kudya kukuru
• Kufutisa

Vanhu vane immune system isina simba vanogona kuita hutachiona. Zvirwere zvinogona kutungamira mukuzvimba kwepombi yekudya. Utachiona hunogona kunge hwakakonzerwa ne:

• Fungi kana mbiriso (kazhinji Candida)
• Mavirusi, akadai sehepe kana cytomegalovirus

Utachiona kana kutsamwiswa zvinogona kukonzera kuti pombi yechikafu ive nemoto. Maronda anonzi maronda anogona kuumbika.

Zviratidzo zvinogona kusanganisira:

• Kukosora
• Zvakaoma kumedza
• Kumedza kunorwadza
• Kushungurudza (acid reflux)
• Kuchema
• Huro inorwadza

Chiremba anogona kuita bvunzo dzinotevera:

• Esophageal manometry
• Esophagogastroduodenoscopy (EGD), kubvisa chidimbu chetishu kubva mupombi yezvikafu yekuongorora (biopsy)
• Kumusoro GI akateedzana (barium kumedza x-ray)

Kurapa kunoenderana nechikonzero. Kazhinji kurapa sarudzo ndeiyi:

• Mishonga inoderedza mudumbu acid kana paine chirwere che reflux
• Mishonga inorwisa mabhakitiriya kurapa hutachiona
• Mishonga uye chikafu chinoshanduka kurapa eosinophilic esophagitis
• Mishonga yekupfekedza mucheka wepombi yechikafu kurapa kukuvara kune hukama nemapiritsi

Iwe unofanirwa kurega kutora mishonga inokuvadza lining yegurokuro. Tora mapiritsi ako nemvura yakawanda. Dzivisa kurara pasi pakarepo mushure mekutora piritsi.

Kazhinji yenguva, kukanganisika kunokonzera kuzvimba uye kuzvimba kwepombi pombi, kupindura kurapwa.

Kana ikasarapwa, mamiriro aya anogona kukonzera kusagadzikana kwakanyanya. Kupenga (kuomesa) kwepombi yezvikafu kunogona kukura. Izvi zvinogona kukonzera kumedza matambudziko.

Mamiriro anonzi Barrett esophagus (BE) anogona kukura mushure memakore eGERD. Kazhinji, BE inogona kutungamira kugomarara repombi yezvikafu.

Fonera wako mupi wezvehutano kana iwe uine:

• Kazhinji zviratidzo zveesophagitis
• Zvakaoma kumedza

Kuzvimba - yegurokuro; Kupora esophagitis; Urikanwi esophagitis; Eosinophilic esophagitis

• Anti-Reflux kuvhiya - kubuda

• Esophagus uye mudumbu anatomy
• Esophagus

Falk GW, Katzka DA. Zvirwere zvegurokuro. Mune: Goldman L, Schafer AI, eds. Goldman-Cecil Mushonga. 26th ed. Philadelphia, PA: Elsevier; 2020: chap 129.

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.

Richter JE, Vaezi MF. Gastroesophageal Reflux chirwere. Muna: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger uye Fordtran's Gastrointestinal uye Chirwere Chiropa. 11th ed. Philadelphia, PA: Elsevier; 2021: chitsauko 46.