Erosive esophagitis: chii icho, kurapwa uye kupatsanurwa kweLos Angeles

Zvemukati

• Zviratidzo zvikuru
• Maitiro ekusimbisa kuongororwa
• Kurongwa kweLos Angeles
• Zvinokonzera erosive esophagitis
• Kurapwa kunoitwa sei
• Marapirwo anoitwa mumadzimai akazvitakura
• Kumwe kudikanwa kwekutarisirwa

Erosive esophagitis mamiriro ezvinhu umo maronda esophageal anoumbwa nekuda kwechirwere chisingaperi chegastlux, izvo zvinotungamira mukuonekwa kwezvimwe zviratidzo sekurwadziwa pakudya nekumwa zvinwiwa uye kuvapo kweropa mumarutsi kana mutsvina.

Kurapa kweichi chiitiko kunowanzoitwa na gastroenterologist uyo anogona kukurudzira kushandiswa kwemishonga kudzivirira kuwandisa uye kunyange kudzvinyirira kugadzirwa kwe gastric muto, nekuti mune dzakakomba mamiriro ekuvhiya kunogona kuratidzwa. Uye zvakare, zvakare zvakafanira kutevedza wezvehutano, kuratidza kuti ndedzipi shanduko dzinofanirwa kuitwa mukudya tsika.

Zviratidzo zvikuru

Zviratidzo zve erosive esophagitis zvinoenderana padanho rezvironda mudumbu, asi kazhinji zvinosanganisira:

• Kurutsa kunogona kunge kune ropa kana kwete;
• Kurwadziwa kana uchidya kana kunwa zvinwiwa;
• Ropa muzvigaro;
• Huro inorwadza;
• Hoarseness;
• Kurwadziwa pachifuva;
• Chisingaperi chikosoro.

Uye zvakare, kana erosive esophagitis isingarapwe, zvinokwanisika kuti iron kushomeka anemia inokura uye inowedzera mukana wehosha mune yegurokuro. Nekudaro, zvakakosha kuti gastroenterologist ibvunzurwe pachangotanga zviratidzo nezviratidzo zveesophagitis, seiyi nzira inogoneka kutanga kurapwa ipapo ipapo. Ona zvimwe zvakawanda nezvekuti ungaziva sei esophagitis.

Maitiro ekusimbisa kuongororwa

Iko kuongororwa kwe erosive esophagitis inotangwa na gastroenterologist kuburikidza nekuongororwa kwezviratidzo zvinoratidzwa, pamwe nezvinhu zvinovandudza kana kuwedzera kukura kweiyo zviratidzo.

Zvisinei, kusimbisa kuongororwa, uye kuziva kuoma kwemamiriro acho ezvinhu, endoscopy inokurudzirwa, iyo inobvumidza saizi yezvironda kuti icherechedzwe uye erosive esophagitis kuverengerwa maererano neLos Angeles protocol.

Kurongwa kweLos Angeles

Kurongwa kweLos Angeles kunovavarira kupatsanura maronda kubva kune erosive esophagitis zvinoenderana nekuomarara, kuitira kuti kurapwa kwakakodzera kwazvo kurapa ronda kunogona kugadziriswa.

Kana erosive esophagitis maronda ari giredhi C kana D uye achidzokororazve, pane mukana wakawanda wekenza yegurokuro, saka zvinogona kuve zvakafanira kuti kurapwa kurapwa kunoratidzirwa kutanga, kushandiswa kwemishonga kusati kwakurudzirwa.

Zvinokonzera erosive esophagitis

Erosive esophagitis iri muzviitiko zvakawanda mhedzisiro yeisina kurapwa esophagitis, iyo inokonzeresa kuti maronda arambe achioneka uye zvichikonzera kukura kwezviratidzo.

Uye zvakare, imwe mamiriro anofarira kukura kwesophagitis ndeyegastroesophageal reflux, nekuti izvo zvine acidic zvemudumbu zvinosvika paguroku uye zvinokurudzira mucosal kutsamwa, zvichifarira kuoneka kwezvironda.

Erosive esophagitis inogona zvakare kuitika kazhinji muvanhu vanosvuta kana semhedzisiro yekudya zvine zvigadzirwa uye zvine mafuta.

Dzidza zvakawanda nezve zvikonzero zveesophagitis muvhidhiyo inotevera:

Kurapwa kunoitwa sei

Mushonga we erosive esophagitis zvinoenderana nezvakakonzera, asi zvinowanzoitwa pamwe nekufambiswa kweye Nutritionist uyo anoratidza kumiswa kwekushandisa fodya, kana iripo, kudzikiswa kwekushandisa kwezvakagadzirwa zvine mafuta uye zvine mafuta, mukuwedzera pakurasikirwa nehuremu. mune nyaya dzevanhu vakafutisa kana vakafutisa.

Zvinogona kunge zvichiri madikanwa kushandisa mishonga yakadai se:

• Proton pump inhibitors (PPIs), senge omeprazole, esomeprazole kana lansoprazole: iyo inodzivisa kugadzirwa kwejusi yegastric nedumbu, nekudaro ichivatadzisa kusvika pagurokuro;
• Histamine inhibitors, senge ranitidine, famotidine, cimetidine uye nizatidine: anoshandiswa kana maPPI asingabudise zvinotarisirwa uyezve kubatsira kudzikisa huwandu hweacid mudumbu;
• Prokinetics, senge domperidone uye metoclopramide: inoshandiswa kumhanyisa kubuda kwedumbu.

Kana munhu wacho achishandisa mishonga yeanticholinergic, yakadai saArtane kana Akineton, pamwe necalcium chiteshi blocker, saAnlodipino naVerapamil, gastroenterologist inogona kupfuudza zvakanangana nemashandisirwo emishonga yakatemwa.

Iko kushandiswa kwekuvhiyiwa kwe erosive esophagitis inongoratidzwa chete kana maronda asina kusimuka kana kana zviratidzo zvichiramba uye ese epamberi nzira dzokurapa dzakatoshandiswa. Kuvhiya uku kunosanganisira kugadziridza vharuvhu diki inobatanidza mudumbu kuenda kugurokuro, nekudaro kudzivirira muto wegastric kudzoka nenzira iyi nekukonzera kukuvara kutsva.

Marapirwo anoitwa mumadzimai akazvitakura

Panyaya yemadzimai akazvitakura, pamusoro pekutarisa neyekudya zvinovaka muviri nekuchengetwa kwemazuva ese, zvinokurudzirwa kushandisa chete histamine inhibitors, senge ranitidine, cimetidine, nizatidine uye famotidine, sezvo iri yakachengeteka kushandisa panguva ino, kuwedzera kune isinganyurwe nemukaka panguva yekugadzirwa kwayo.

Kumwe kudikanwa kwekutarisirwa

Pamusoro pekurapwa kwakaratidzwa, zvichiri kudikanwa kutevedzera marongero ezuva nezuva kuti uve nehupenyu hwakanaka uye udzivise kusagadzikana kwezviratidzo:

• Simudza anenge masendimita gumi nemashanu kusvika pamasendimita makumi matatu kubva pamusoro wemubhedha;
• Deredza kudyiwa kwemichero yemucitrus, zvinwiwa zvine caffeine, doro kana kabhoni, uye chikafu chakadai semindi, eucalyptus, mint, tomato, chokoreti;
• Dzivisa kurara pasi kwemaawa maviri mushure mekudya kwekupedzisira.

Izvi zvinodzivirira zvakafanana neizvo zvinoshandiswa nevanhu vane Reflux, sezvo ivo vachibatsira kudzivirira mudumbu acid kubva mukukwira kupinda mudumbu. Ona mamwe matipi ekurapa reflux, ayo anogona zvakare kushandiswa kudzivirira esophagitis.

Muvhidhiyo inotevera, nyanzvi yezvokudya Tatiane Zanin, anoratidza kusimudza musoro wemubhedha, mukuwedzera pakupa matipi akakura ekudzikisira kusagadzikana kwereflux, chinova chikonzero chekukanganisa esophagitis: