Maitiro Ekurapa Kurwara Kwechirwere Chisingazopfuure

Zvemukati

• Zvimwe zvinogona kukonzera kuramba uchirwadziwa
• GERD
• Kurapa kweGERD
• Hiatal hernia
• Kurapa kweiyo hernia hernia
• Bharrett's sophagus
• Zviratidzo
• Kurapa kweBarrett's esophagus
• Kenza yesophageal
• Kurapa kwekenza yesophageal
• Kutora

Kushushikana kwepfungwa kunokonzerwa nedumbu acid kutsigira kumusoro kune iyo esophagus (iyo chubhu inobatanidza muromo wako nedumbu rako). Iyo zvakare inonzi acid Reflux, inonzwa kunge kurwadziwa kunopisa kazhinji kungori kuseri kwebhokisi rechipfuva.

Nguva nenguva chirungurira kazhinji hachisi chikonzero chekushushikana. Inogona kutarisirwa nemararamiro ekuchinja uye nepamusoro-e-the-counter (OTC) mishonga, yakadai se:

• maantacid, akadai seTum kana Maalox
• H2 receptor blockers, senge Pepcid kana Tagamet
• proton pump inhibitors, senge Prilosec, Nexium, kana Prevacid

Zvisinei, kana kuora mwoyo kuchiwedzera kuwanda, kusingaendi, kana kumira kupindura kumishonga yeOTC, chingave chiratidzo chechimiro chakakomba chinofanira kugadziriswa nachiremba wako.

Ramba uchiverenga kuti udzidze izvo zvinogona kukonzera kuramba uchikurira uye maitiro ekurapa aya mamiriro.

Zvimwe zvinogona kukonzera kuramba uchirwadziwa

Kuramba uchirwadziwa pamoyo kunogona kuva chiratidzo che:

• gastroesophageal Reflux chirwere (GERD)
• hiatal hernia
• Bharrett's sophagus
• kenza yegurokuro

GERD

GERD inoitika apo acid Reflux inokuvadza esophagus. Zviratidzo zvinosanganisira:

• kazhinji chirungurira
• kunetseka kumedza
• kusvotwa kana kurutsa
• kupererwa neropa
• chisingaperi kuoma chikosoro
• kunzwa sekudya kwakanamatira muchipfuva chako

Kurapa kweGERD

Iwe chiremba ungangotanga kurapwa kwako neOTC antacids uye ingave OTC kana mushonga weH2 receptor blockers uye proton pump inhibitors.

Kana iyo mishonga isiri kushanda, chiremba wako anogona kukurudzira kuvhiyiwa, senge:

• laparoscopic Nissen fundoplication
• magnetic sphincter kuwedzera (LINX)
• transoral incisionless fundoplication (TIF)

Hiatal hernia

Hernia yekubereka ndiyo mhedzisiro yeasina kusimba nyama yemhasuru yakakomberedza esophageal sphincter ichibvumira chikamu chedumbu kuti chiwedzere kuburikidza nedhiramu. Zviratidzo zvinosanganisira:

• kuramba uchirwadziwa
• dambudziko kumedza
• mweya wekufema
• kurutsa ropa

Kurapa kweiyo hernia hernia

Kuti usunungure zviratidzo zvekurwadziwa nechirwere chemoyo, chiremba wako anogona kukurudzira maantacids, proton pump inhibitors, kana H2 receptor blockers. Kana mushonga wacho usiri kudzikisira chirungurira, chiremba wako anogona kukurudzira kuvhiyiwa, senge:

• kuvhura kugadzirisa
• laparoscopic kugadzirisa
• endoluminal fundoplication

Bharrett's sophagus

Nesophagus yaBarrett, munyama unosunga hosha unotsiviwa netishu yakafanana netishu inoisa ura. Izwi rekurapa reiyi metaplasia.

Zviratidzo

Bharrett's esophagus haina kukonzera zviratidzo. GERD idambudziko kune vanhu vazhinji vane Barrett's esophagus. Kuramba uchirwadziwa mumoyo chiratidzo cheGERD.

Sekureva kweNational Institute of Diabetes uye Digestive uye Kidney Zvirwere, pane mukana wakakura wevanhu vane Barrett's esophagus vachigadzira mhando isingawanzo kenza inonzi esophageal adenocarcinoma.

Kurapa kweBarrett's esophagus

Chiremba wako anonyanya kukurudzira mushonga-simba proton pombi inhibitors. Zvimwe zvinokurudzirwa zvinogona kusanganisira:

• yakadzokororwa kuongororwa endoscopy
• endoscopic ablative Therapies, senge photodynamic kurapa uye radiofrequency ablation
• endoscopic mucosal resection
• kuvhiya (esophagectomy)

Kenza yesophageal

Pamwe pamwe nekurwadziwa pamoyo, zviratidzo zvekenza esophageal zvinosanganisira:

• kurutsa
• kusanzwisisika kuonda
• kukosora
• hoarseness
• kugara uchidzipwa nechikafu

Kurapa kwekenza yesophageal

Zvinokurudzirwa nachiremba wako zvekurapwa zvinotora huwandu hwezvinhu, kusanganisira mhando uye danho rekenza yako. Sarudzo dzekurapa dzinogona kusanganisira:

• chemotherapy
• radiation kurapwa
• immunotherapy, senge pembrolizumab (Keytruda)
• yakanangwa kurapwa, senge HER2-yakanangwa kurapa kana anti-angiogenesis kurapa
• kuvhiyiwa, senge endoscopy (pamwe nekudzika kana kuisa stent), electrocoagulation, kana cryotherapy

Kutora

Kana iwe uine chirungurira icho chisingazopfuure uye chisingapindure kumishonga yeOTC, ona chiremba wako kuti aongororwe. Kushungurudza kunogona kuva chiratidzo chechimiro chakakomba.