Benign Esophageal Stricture

Zvemukati

• Chii chinokonzera benign esophageal solidure?
• Zviratidzo zvebenign esophageal solidure
• Zvinogona kuitika zvebenign esophageal solidure
• Kuongorora benign esophageal solidure
• Barium kumedza bvunzo
• Kumusoro GI endoscopy
• Esophageal pH kuongorora
• Kurapa benign esophageal solidure
• Esophageal kuwedzera
• Esophageal stent kuiswa
• Kudya & mararamiro
• Mishonga
• Kuvhiya
• Marefu-marefu maonero kune vanhu vane benign esophageal solidure
• Kudzivirira benign esophageal solidure

Isu tinosanganisira zvigadzirwa zvatinofunga zvinobatsira kuvaverengi vedu. Kana iwe ukatenga kuburikidza nehukama pane ino peji, isu tinogona kuwana diki komisheni. Heano maitiro edu.

Chii chinonzi benign esophageal solidure?

Benign esophageal solidure inotsanangura kudzikisira kana kuomesa kwesophagus. Iyo esophagus ndiyo chubhu inounza chikafu nezvinwiwa kubva mumuromo mako kuenda padumbu rako. "Benign" zvinoreva kuti haisi cancer.

Benign esophageal solidure inowanzoitika kana mudumbu asidhi uye zvimwe zvinotsamwisa zvichikuvadza iro lining yesophagus nekufamba kwenguva. Izvi zvinotungamira mukuzvimba (esophagitis) uye zvinyama zvitsvuku, izvo zvinoita kuti hosha yacho itetane.

Kunyangwe benign esophageal solidure isiri chiratidzo checancer, mamiriro acho anogona kukonzera matambudziko akati wandei. Kuyerera kweropa kungaita kuti zviome kumedza. Izvi zvinowedzera njodzi yekudzipwa. Izvo zvinogona zvakare kutungamira mukuzadzikiswa kwakazara kwesopu. Izvi zvinokwanisa kudzivirira chikafu nemvura zvinosvika mudumbu.

Chii chinokonzera benign esophageal solidure?

Kuomesa kweBenign esophageal kunogona kuitika kana mafomu emavara ari mudumbu. Izvi zvinowanzo kuve mhedzisiro yekukuvara kune iyo esophagus. Chikonzero chakanyanya kukanganisika chirwere chegastroesophageal Reflux chirwere (GERD), inozivikanwawo seacid reflux.

GERD inoitika kana iyo yepasi esophageal sphincter (LES) isingavhare kana kusimbisa mushe. Iyo LES ndiyo mhasuru iri pakati peyuyu uye mudumbu. Inowanzo vhura kwenguva pfupi kana iwe uchimedza. Dumbu asidhi inogona kuyerera ichidzokera mudenga kana ikasavhara zvachose. Izvi zvinogadzira kupisa mukati mechipfuva chepasi chinozivikanwa nekurwadziwa kwepfungwa.

Kugara uchionekwa zvinokuvadza mudumbu asidhi kunogona kukonzera vanga zvinyoro kuumba. Pakupedzisira, esophagus ichatetepa.

Zvimwe zvikonzero zvebenign esophageal solidure zvinosanganisira:

• radiation kurapwa kuchifuva kana mutsipa
• kumedza netsaona kwechinhu chine acidic kana chinokanganisa (semabhatiri kana vanochenesa dzimba)
• kuwedzera kushandiswa kweasogastric tube (yakakosha chubhu inotakura chikafu nemushonga mudumbu nemumhino)
• esophageal kukuvara kunokonzerwa ne endoscope (yakatetepa, inochinjika chubhu inoshandiswa kutarisa mukati memuviri mhango kana nhengo)
• kurapwa kwesophageal varices (yakawedzera mitsipa musophagus inogona kuputika uye kukonzera kubuda ropa kwakanyanya)

Zviratidzo zvebenign esophageal solidure

Zviratidzo zvebenign esophageal solidure zvinosanganisira:

• kumedza kwakaoma kana kunorwadza
• kusatarisirwa kuonda
• kumisikidza chikafu kana zvinwiwa
• kunzwa kwechinhu chakanamirwa muchipfuva mushure mekudya
• kazhinji burping kana hiccups
• chirungurira

Zvinogona kuitika zvebenign esophageal solidure

Kudya kwakakora uye kwakasimba kunogona kugara mukati medu kana ichiderera. Izvi zvinogona kukonzera kudzipwa kana kunetseka kufema.

Zvinetso kumedza zvinogona kukutadzisa kuwana chikafu chakakwana uye mvura. Izvi zvinogona kutungamira mukushaya mvura uye kushaya zvinovaka muviri.

Kune zvakare mukana wekuwana pulmonary aspiration, iyo inoitika kana marutsi, chikafu, kana zvinwiwa zvichipinda mumapapu ako. Izvi zvinogona kukonzera kushushikana nemabayo, hutachiona hunokonzerwa nehutachiona hunokura padyo nechikafu, marutsi kana mvura mupapu.

Dzidza zvimwe: Aspiration pneumonia: Zviratidzo, zvinokonzera, uye kurapwa »

Kuongorora benign esophageal solidure

Chiremba wako anogona kushandisa anotevera bvunzo kuti aone mamiriro acho:

Barium kumedza bvunzo

Bharamu yekumedza bvunzo inosanganisira akateedzana eX-rays yegurokuro. Aya maX-ray anotorwa mushure mekunwa chinwiwa chakasarudzika chine element barium. Barium haina chepfu kana ine njodzi. Izvi zvinosiyanisa zvinhu zvakapfekedza kwenguva pfupi iyo lining yeguropu yako. Izvi zvinobvumira chiremba wako kuti aone huro hwako zvakajeka.

Kumusoro GI endoscopy

Muchikamu chepamusoro chemudumbu (chepamusoro GI) endoscopy, chiremba wako anoisa endoscope kuburikidza nemuromo wako uye mune yako esophagus. Iyo endoscope itetepa, inoshanduka chubhu ine yakasungirirwa kamera. Iyo inobvumira chiremba wako kuti aongorore yako esophagus uye yekumusoro intestinal turakiti.

Dzidza zvimwe: Endoscopy »

Chiremba wako anogona kushandisa forceps (tongs) uye zviyero zvakanamatira kune endoscope kubvisa zvinyama kubva mudumbu. Vanozoongorora iyi sampu yetissue kuti vawane chiri kukonzera chikonzero chako chebenign esophageal solidure.

Esophageal pH kuongorora

Uyu muyedzo unoyera huwandu hwemudumbu acid iyo inopinda mudumbu rako. Chiremba wako anoisa chubhu kuburikidza nemuromo wako mudumbu rako. Iyo chubhu inowanzo kusiiwa mune yako esophagus kwemaawa makumi maviri nemana.

Kurapa benign esophageal solidure

Kurapa kwebenign esophageal solidure inosiyana zvichienderana nekuomarara uye chikonzero chiri kukonzera.

Esophageal kuwedzera

Esophageal dilation, kana kutambanudza, ndiyo sarudzo inosarudzika kazhinji. Esophageal dilation inogona kukonzeresa kusagadzikana, saka unenge uri pasi peyakajairika kana yepakati sedation panguva yekuita.

Chiremba wako anozoisa endoscope kuburikidza nemuromo wako mukati medu esophagus, mudumbu, uye mudumbu ura. Kana vachinge vaona iyo nzvimbo yakasimbiswa, ivo vanoisa dilator mune yegurokuro. Iyo dilator irefu, yakatetepa chubhu ine bharumu kumucheto. Kamwe bharumu parinokwira, rinowedzera nzvimbo yakatetepa mudumbu.

Chiremba wako angangoda kudzokorora iyi nzira mune ramangwana kudzivirira yako esophagus kubva kudzikira zvakare.

Esophageal stent kuiswa

Kuiswa kwesophageal stents kunogona kupa zororo kubva kune esophageal kuomarara. Iyo stent itepu chubhu yakagadzirwa nepurasitiki, inowedzerwa simbi, kana inochinjika mesh zvinhu. Esophageal stents inogona kubatsira kuchengetedza yakavharika esophagus yakavhurika kuti iwe ugone kumedza chikafu uye zvinwiwa.

Iwe unenge uri pasi peyakajairika kana ine mwero sedation yemaitiro. Chiremba wako anoshandisa endoscope kutungamira iyo stent munzvimbo.

Kudya & mararamiro

Kuita kumwe kugadziridzwa kune kwako kudya uye mararamiro kunogona kunyatso gadzirisa GERD, inova iyo honzeri yekukonzeresa benign esophageal solidure. Shanduko idzi dzinogona kusanganisira:

• kusimudzira mutsamiro wako kudzivirira mudumbu acid kubva mukuyerera ichidzokera kumusoro kwako
• kuonda
• kudya chikafu chidiki
• kusadya kwemaawa matatu usati warara
• kurega kusvuta
• kudzivisa doro

Iwe unofanirwa zvakare kudzivirira chikafu chinokonzera acid Reflux, senge:

• zvikafu zvinonaka
• chikafu chine mafuta
• zvinwiwa zvine kabhoni
• chokoreti
• kofi uye zvigadzirwa zvine caffeine
• madomasi-based chikafu
• zvigadzirwa zvemucitrus

Mishonga

Mishonga inogona zvakare kuve chikamu chakakosha chehurongwa hwako hwekurapa.

Boka reasidhi-rinovharira mishonga, inozivikanwa seproton pump inhibitors (PPIs), ndiyo mishonga inoshanda kwazvo yekugadzirisa mhedzisiro yeGERD. Iyi mishonga inoshanda nekuvhara iyo proton pombi, yakasarudzika mhando yeprotein, iyo inobatsira kudzikisa huwandu hweacid mudumbu.

Chiremba wako anogona kupa mishonga iyi yekuzorora kwenguva pfupi kuti ubvumire kupora kwako. Ivo vanogona zvakare kuvakurudzira kwavo kwenguva refu kurapwa kuti vadzivirire kudzokazve.

Iyo PPIs inoshandiswa kudzora GERD inosanganisira:

• omeprazole
• Lansoprazole (Prevacid)
• pantoprazole (Protonix)
• esomeprazole (Nexium)

Mimwe mishonga inogona zvakare kushanda pakurapa GERD uye kudzikisira njodzi yako yekuomarara. Vari:

• maantacids: ipa zororo-renguva pfupi nekuregedza acids mudumbu
• sucralfate (Carafate): inopa chipingamupinyi icho chinoisa isophagus uye mudumbu kuvadzivirira kubva kune acidic mudumbu majusi.
• antihistamines, senge famotidine (Pepcid AC): inoderedza kuchengetedzwa kweacid

Tenga maantacids pamhepo kuAmazon.

Kuvhiya

Chiremba wako anogona kukurudzira kuvhiyiwa kana mushonga uye esophageal dilation zvisingaite. Nzira yekuvhiya inogona kugadzirisa yako LES uye kubatsira kudzivirira GERD zviratidzo.

Marefu-marefu maonero kune vanhu vane benign esophageal solidure

Kurapa kunogona kugadzirisa benign esophageal kuomarara uye kubatsira kubvisa zviratidzo zvinosangana. Zvisinei, mamiriro acho anogona kuitika zvakare. Pakati pevanhu vanoenda kune esophageal dilation, vangangoita makumi matatu muzana vanoda kumwe kuwedzera mukati megore rimwe.

Iwe ungangoda kutora mishonga mukati mehupenyu hwako hwese kudzora GERD uye kudzikisa njodzi yako yekukudziridza imwe esophageal solidure.

Kudzivirira benign esophageal solidure

Iwe unogona kubatsira kudzivirira benign esophageal solidure nekudzivirira zvinhu zvinogona kukuvadza yako esophagus. Dzivirira vana vako nekuchengeta zvinhu zvese zvinokanganisa imba vasipo.

Kugadzirisa zviratidzo zveGERD kunogona zvakare kudzikisira njodzi yako kune esophageal kuomarara. Tevedza rairo dzachiremba wako maererano nesarudzo yekudya uye yemararamiro ayo anogona kudzikisira kuchengetedza kweasidhi mune yako esophagus. Izvo zvakakoshawo kuve nechokwadi chekuti iwe unotora mishonga yese sekurairwa kudzora zviratidzo zveGERD.