Iyini isifo se-esophagitis? Izimpawu zesifo, ukuxilongwa.

Esinye sezifo ezivame kakhulu zesimiso sokugaya umzimba ukuvuvukala kwesisu - isophagitis. Izimpawu zalesi sifo zijwayele abaningi. Lokhu kubuhlungu lapho udla, ukushaya inhliziyo, i-dysphagia. Ngokwemvelo yokugeleza, ama-acute, ama-subacute nezinhlobo ezingapheliyo ze-esophagitis azihlukanisiwe.

Izimbangela ze-esophagitis
Uhlobo olunzima lwe-esophagitis luvela emiphumeleni evuthayo yezici ezinonya, njengokudla okushisayo noma okubandayo kakhulu, izidakamizwa, amakhemikhali (ama-acids, i-iodine, ama-alkali, njll). Ukuhlukunyezwa kwekhanda elimangalisa kungavela ngenxa yezifo ezithathelwanayo (imfiva ebomvu, i-diphtheria, izifo ze-septic). Izinhlobo ze-subacute nezifo ezingapheli zaleso sifo zikhula ngenxa yokuchayeka kwesikhathi esigcwele kokudla okunamandla, iziphuzo ezidakayo, izici ezilimazayo ekukhiqizeni. Uma kutholakala ukuthi "Isifo esithathelwanayo," izimpawu zalesi sifo zingahlanganiswa nezinye izifo ezithinta izifo zesimiso sokugaya, njenge-gastritis, i-gastroduodenitis. Ngokwehlukana, kune-stasis esophagitis eyenzekayo lapho kutholakala ukudla nokuhlupheka ekuhambeni kwayo ngenxa ye- diverticula ye-esophagus. Kodwa imbangela evame kakhulu yesimo esingapheli sesifo sigcina isifo se-peptic esophagitis, izimpawu ezitholakala lapho okuqukethwe okune-acidiki kungena khona.

I-Pathophysiology ye-esophagitis
Ubukhulu benkambiso buhlukaniswe yi-catarrhal (isifo sokuphefumula okungenasisekelo ), isifo esibuhlungu, isifo senhliziyo, isifo se-pseudomembranous necrotic esophagitis. Futhi futhi kukhona i-phlegmon nokwakheka kwe-abscess ye-esophagus. Izinkinga zenqubo yokuvuvukala yesikhathi eside yilezi zinhlanhla (ukunciphisa) kwesisindo kanye nokunciphisa kwayo.

Ukwehla kwesifo esibi kakhulu, izimpawu zesifo
Ukubonakaliswa kwalesi sifo kuncike ekuhloleni kwe-esophagitis, imbangela yayo kanye nokwanda kwenqubo yokuvuvukala. Ngokuvamile kuba ubuhlungu ngemuva kwesifuba lapho bedla ukudla, kungase kube nokuphulwa kokugwinya, umuzwa wokudabuka. Njengoba i-esophagitis enesisindo esibi futhi esesibindi, ukuhlanza kwenzeka nge-mix mix of blood. Ifomu elingapheli lesi sifo libhekene nokushisa, ukushisa nokudabuka ngemuva kwe-sternum. I-reflux-esophagitis ibangela ukushisa nokugaya kwesisu, ikakhulukazi uma i-torso iphikisiwe.
Kakhulu kunzima, ngokudakwa ngokweqile, izifo ezinzima zenzeka nge-diphtheria, i-abscess kanye ne-phlegmon yesifo.
Izinkinga

Izinkinga zikhula ngokuyinhloko nge-phlegmon ne-abscess. Kungase kube nokuphuma kwegazi noma ukuguqulwa kwodonga lwama-esophageal. Izinqubo zokuvutha ezingapheli isikhathi eside zingaholela ekuguleni kwesisu nokunciphisa isisu.
Ukuxilongwa kwe-esophagitis

Ukuxilongwa kwenziwa ngesisekelo sezikhalazo zesiguli. Indlela enkulu yokuxilongwa nge-diagnostic i-endoscopic ukuhlolwa kwe-esophagoscopy. Lena yindlela ekhomba uhlobo lwenqubo yokuvuvukala nokusabalalisa kwayo. Uma kuthathwa i-biopsy ye-mucosa. Indlela ye-Radiographic usebenzisa i-barium ikuvumela ukuba uhlulele ubuciko be-esophagus, ukuba khona kwe-diverticula.

Ukwelapha
Ukudla okunempilo kubalulekile kulesi sifo. Ukudla nge-esophagitis kuhlanganisa ukusetshenziswa kokudla okunekhono nokugcizelela ukudla ezinxenyeni ezincane, kuhlolwe kahle. Kusukela emalungiselelweni omuthi aqoke amalungiselelo okuthumba nge-anesthetics (diamagel), amalungiselelo e-bismuth.
Lapho i-peptic isophagitis yenziwa ukwelashwa okulindelekile okuhloswe ukuvimbela ukuphonsa ukudla endaweni. Vimbela umsebenzi okhuthele osebenzayo ohlangene nomshini wokucindezela esiswini, amathafa. Imithi ifana nokwelashwa kwe-acute esophagitis. Uma ukuphonswa kokudla esiswini kuhlotshaniswa ne-hernia kanye nokwelashwa okunamandla akusebenzi, ukwelashwa okuhlinzekwa kuboniswa, inhloso yokukhipha i-hernia nokubuyisela i-cardia.