Esophagitis - chii? Esophagitis: Zviratidzo neMarapirwo

Pasinei etiology pakati esophageal kuzvimba nyanzvi akaronga Generic rokuti "esophagitis." Ndechipi pathological ezvinhu akafanana? Zvii zvingaratidza kuti kuvapo chirwere? Zvokuita nayo? ichi zvose ichakurukurwa munyaya.

mhando esophagitis

All nyaya esophageal kuzvimba mushonga systematized, kuti inobatsira, kungotarira ya chirwere, ayo nekuomarara uye nzvimbo yacho pathological muitiro, kuongororwa zvakarurama. Saka, zvichienderana chii yezvakaita chirwere, esophagitis rakakamurwa chakasimba uye refu. Nekuomarara catarrhal chirwere oga (i.e., pamusoro) uye erosive (ichi kana murwere kukanganiswa zvakadzika akaturikidzana ari mucosa) esophagitis. Zvichienderana nzvimbo zvomoto nzvimbo iri esophageal mucosa iri zvachose chirwere (kana akarova yose yegurokuro), proximal (rokumusoro zvomoto Division) uye distal reflux esophagitis (zvokurwara mu yepazasi yegurokuro).

Chenjera, subacute uye chisingaperi chimiro chirwere

The inonyanya muchimiro rikwanise esophagitis. Kuzvimba panguva angava zvachero uye yakadzika, asi nguva dzose inozivikanwa nokuda kamwe kamwe uye swiftness kwokuratidzwa. inflammations kwakadaro kuva nokuda kutsva mucosa kunokonzerwa yaunodya zvokudya inopisa, kunwa kana makemikari akatamisa zvinotapuriranwa (semuenzaniso, diphtheria), dzimwe kukuvara muviri kana mwaranzi kukuvara. Chenjera esophagitis kunowanzoitwa pasina migumisiro kana matambudziko kuti murwere.

Mazhinji rusvingo esophageal riri zvomoto subacute kana chirwere chimiro. Chokutanga kutanga hurongwa kushandiswa akanyanyisa Spicy zvokudya, simba doro kana ayo kuberekerwa mwana nomumwe, uye zvakafanana. A chirwere kakawanda kunokonzerwa reflux (kureva, zvinopesana neizvi kufamba kwezvokudya kubva dumbu mukati yegurokuro). Kazhinji chirwere ichi pamwe munhu pamusoro pamakore, zvishoma nezvishoma zvichitungamirira mikuru kuchinja basa uye urongwa yegurokuro.

Chisingaperi reflux esophagitis

It anopisa, izvo unovapo nokuda anobuda nguva akadzokorora ruchiyerera kupinda yegurokuro kana gastric kana intestinal mukati. Peptic esophagitis anokonzerwa hama, uye dzimwe nguva kwakakwana kukundikana obturator mikana cardiac sphincter kuti wakapatsanura yegurokuro uye mudumbu. Zvikuru basa rinokosha kukura chirwere ichi anotamba kuramba intragastric kumanikidzwa uye kuvhiringidza vari kufamba kubva nemudumbu. Kazhinji zvokurwara ichi unobatanidzwa aine maburi heniya nokudya ari diaphragm, dumbu, kana matombo omunduru, uye pfungwa nomuviri zvemwana asati.

Esophagitis: ane kusaita zvinhu nomazvo kuti Cardia

Tinoda kutarisa pfungwa "insufficiency yacho Cardia." Yokumusoro chikamu mudumbu anonzi Cardia. Pane sphincter, nokuvhara nzvimbo pakati yegurokuro uye mudumbu. Chaiye oparesheni, izvozvo skips kuti bolus chete muna rimwe divi, akakiya nayo zvakasimba zvakaitika shure. Muchiitiko chino, pakaitwa vharafu kuti inoperera kufamba yegurokuro haako. Anatomically mashandiro obturator Cardia basa iri rinotsigirwa zvinotevera hurongwa:

• esophageal sphincter;
• phrenic-oesophageal shwashwa;
• "Mucosal rosette" (esophageal mucosa pazvirugu izvo kunyura kupinda lumen mudumbu, vachiridza basa kweimwe vharafu);
• Muzvarirwo esophageal nzvimbo chokuita diaphragm;
• tenderera tsandanyama rokumusoro chikamu mudumbu.

Kana pezvivako izvi zvikasashanda zvakanaka, saka pane kukundikana Cardia. Uye - mumwe zvikuru zvinoumba kuti kukura esophagitis. Nokuti kuti kumanikidzwa mudumbu anowanzoitwa nguva dzose kupfuura ari thoracal mhango, kusazvibata kana akaremara nokuda zvimwe zvikonzero zviri sphincter achibvumira kugutsikana kudzokera nokupisa kudzivirirwa esophageal mucosa. A kudzokororwa akadzokorora zvakadaro kwacho kunokonzera kwazvo maronda ari nemudumbu.

Zvinokonzera maronda esophagitis

Kana choutsi ose asidhi vakava chisingaperi, chirwere rinokwanisa kusvika kati esophageal mucosa, uye pakupedzisira vakaumba erosions kana maronda. Zvisinei, zvinokonzera maronda esophagitis - haisi choutsi chete, asiwo vavhiyiwa, heniya diaphragmatic mumakomba, duodenal urikanwi uye gastric zvirwere, kutsva, kunyanya kudya pakati Spicy chikafu, uye kukuvara nemhaka kupinza yacho vachiongorora, kana mune nedanho nemwaranzi mushonga.

The chirwere ane madhigirii wandei, zvinoratidza izvozvo;

• Chokutanga dhigirii kunoratidzwa yoga kuwanika pasina kubatanidzwa nomumwe nemumwe erosions panzvimbo dzapasi yegurokuro.
• Erosive esophagitis maronda 2 madhigirii kunoratidzwa chimiro erosions confluent, izvo hazvina anopamba mucosa yose.
• Wechitatu chikuva achiperekedzwa nemaronda repasi chetatu yegurokuro;
• The dhigirii chechina - kuomerera chirwere maronda uye stenosis (kuderedza pamusoro lumen pakati yegurokuro).

Zvinokonzera uye zvakaipira Candida esophagitis

The chirwere kunoitika kwete chete nokuda dzichipfekeka zvirwere zviri nemudumbu. Inogona kukonzerwa nezvirwere kuti dzakabva kunze, kana kunyange utachiona "chizvarwa" kutanga muna nokuda zvimwe zvikonzero Kuwedzera. Kana causative nomumiririri kushoma munyika yegurokuro ndiye Candida, rokuongorora Candida esophagitis. Ndiwo mbiriso chete, asi riri pamadziro yegurokuro. Notumwe, Candida midzi kwazvo nyore uye kutyora zvomudumbu turakiti microflora vanotanga Kuwedzera dzevanhu munyama. Alcohol, mahormone (kusanganisira yokuronga) zvinodhaka kana mishonga inogona kukonzera kuchinja microflora uye, naizvozvovo, pave fungal zvirwere.

Candida esophagitis Kazhinji hazvina upenyu-kutyisidzira, asi rinopa taisireva. Nokuda fungal kuzvimba uye scarring zvingamuka Somugumisiro ichi, mumwe kupfupikisa yegurokuro. Mamiriro ezvinhu kunowedzera zvikuru mikana axial heniya hiatal. Vulvovaginal kuzvimba kunogona kukonzera maronda, womukati ropa uye perforation pamusoro zvinorondedzerwa zvikamu nemudumbu.

How nengozi ndiye Esophagitis?

Ndinoda kusimbisa kuti chero zvazvingava haagoni kurerutswa esophagitis (ndiro chirwere chakakomba, iwe tinotarisira kare akaziva). Haikwanise "kutsungirira" kana munyaradze womuchato vamwe mishonga. The zvinorondedzerwa mamiriro Vanzveri mukurapa panonyanyisa esophageal zvokurwara, zvinoita kuti zviome chakakomba, chakadai, semuenzaniso, ayo aienda (stenosis, stricture). Gare gare, rinoita murwere chinetso pakuparadza uye, naizvozvovo, zvinoda reconstructive kuvhiya. Uyewo vanoda Kuvhiya ndechimwe zvinouraya kuomesa - perforation (perforation) of yegurokuro rusvingo. Statistics zvinoratidza kuti gumi muzana nyaya esophagitis hwapedyo anonzi yegurokuro Barrett kuti, iyo inozivikanwa nokuva degeneration Masero zvayo mucous Kamudzira masero, unhu intestinal mucosa. ezvinhu akadaro ari mushonga anonzi precancerous.

How kuona pamberi esophagitis

Ose ari pamusoro zvirwere dzinowanikwa zvinhu zvinofanira kuita vanorwara fungira esophagitis. Zviratidzo uye kurapwa chirwere ichi ichakurukurwa pazasi. Zvipatara anofanira kuzviita chete pasi pokudzora imwe gastroenterologist.

• Kazhinji, chaunotanga kuteerera varwere - nayo chirungurira kana bhokisi marwadzo kuti zvinoitika pashure kudya kana usina chawadya. Kazhinji, vari yakakura kana vachikotama mberi, vachisimudza, usiku (panzvimbo enhema). In kwazvo Muzviitiko chirungurira anotora zvachose.
• Unoraramisa burping mhepo rinowanika halitosis ( "mazai akaora") uye anenge kugara kuvava. Nguva nenguva pane regurgitation munhu shoma chikafu.
• It akaumba munhu whitish unhani parurimi.
• Mudumbu, kumanikidza Runonzwika panewo kurwadziwa yokumusoro mudumbu.
• Zvinowanzoitika pashure kudya svoto uye retching (mitaro ropa kuonekwe pakurutsa).
• Kunetseka marwadzo kana pakuparadza.
• With kakawanda reflux ngapaonekwe chikosoro, hoarseness, epahuro uye bronchitis dzinokudziridzwa nokuda inhalation pamusoro intestinal mukati, izvo chinoita kutsva.

All zvezviratidzo izvi zvinogona achiipa Somuenzaniso, pashure kofi, aisvuta fodya, inopisa, zvakaoma kana Spicy chikafu. Kakawanda kugunun'una pamusoro kuwedzera kuitika hosha iri zvinokangaidza. Zvinofungidzirwa kuti chine nyaya Varwere dzakasiyana dzingasiyana. Izvi zvinoenderana kwokuomerwa zvinetso zviri yegurokuro, uye localization pakati kushoma uye ukama zvirwere.

Sezvo kusiyaniswa nevamwe zvirwere esophagitis

Kufungisisa kuti zviratidzo chirwere zvinorondedzerwa, unogona kuonekwa nevamwe pathological ezvinhu zvomukati kuti dzisina chokuita esophagitis uye zvinoda kurapwa zvakasiyana chaizvo, zvinokosha kujekesa mamwe mashoko.

• Pain Runonzwika apo esophagitis hakusi mudumbu, uye kamwe ari mubhokisi, chipfuva.
• Kazhinji, chirungurira - Nde chepfungwa zvinorondedzerwa zvirwere. Kana, zvisinei, ane inopisa manzwiro ari mubhokisi iwe kuonekwa zvikuru simba, dzungu, uye kupfupika mweya, ichokwadi kufunga kuti hapana esophagitis.
• Kana kutekenyedzwa ichipfuta ari mubhokisi kunobva panyama basa, ipapo ichi chingava chiratidzo angina.

Mune zvimwe zviitiko, chikumbiro kuna gastroenterologist hazvo

Tinovimba kuti esophagitis, zviratidzo uye kurapwa iri munyaya ino, haungavhenekeri iwe zvakakomba. Kuti aite izvi, unofanira nguva kuona chiremba! Regai kudhonza kushanyira nyanzvi, kana chirungurira atora zvachose hunhu, uye shoma inokwanisa zvinodhaka; Kurwisa varo regai nguva explainable; unonetseka mu pakuparadza; inzwi rako zvachinja, uye uremu ipfupi yekudyidzana; Ropa akazviratidza mumarutsi; tembiricha akasimuka 38 ° C uye kumusoro; waunowana refu anokakavara hiccups; chetsoka kuva emura uye ndakawana munhu mutema ruvara.

Ndezvipi zvirwere zvinogona pamwe kuzvimba yegurokuro

Sezvineiwo, zvinofanira kutaurwa, achitaura esophagitis kuti hosha rinowanzoberekera Varwere vanotova zvimwe nezvinetso nemudumbu. Kazhinji, zviri pamusoro zvirwere anotokonya zvakawedzera sehasha pamusoro gastric muto kana yayo pamwe nokunyanyisa inotungamirwa. Izvi zvinoshandawo kusango gastroduodenal dysmotility (gastric uye duodenal), tava kuderera Kuburitswa mu kwayo. izvi zvose zvinobatsira kutambanudza mudumbu, uye, somugumisiro, rinoita reflux.

By zvirwere, zvikaita kuti kukura esophagitis zvinosanganisira gastro, gastric urikanwi kana duodenal urikanwi, heniya diaphragmatic esophageal richizarurwa cholecystitis nezvimwe zvirwere. Panzira, vakadzi vane pamuviri mukupera zvokukura fetus izvo yakakwirira panjodzi reflux esophagitis. Izvi imhaka kuwedzera intra-abdominal nevamwe vakadzi.

Zvokuita kana iwe sochetannyj esophagitis

Takatodzidza kutaurwa kuti esophagitis kazhinji kunzwisisa chirwere inooneka pamusoro pakanyorwa dzimwe zvinetso nemudumbu. Naizvozvo, kana imi sochetannyj chirwere "gastritis esophagitis", ipapo kurapwa kunofanira dzakaoma. Kugadzirira vanosarudzwa maererano mhaka gastritis uye acidity pamwero, concomitant chirwere. Marapirwo zvinosanganisirawo zvinodhaka, anobatsira chirungurira, motility pakudzikamisa yegurokuro uye dumbu, uyewo zvinhu kusimudzira mucosal kuporeswa kumhanyisa. The chete mazano anoshanda kuti kurapwa nechirwere "gastro esophagitis." Zvinokoshawo pakurapa zvirwere izvi kuti kudya №1, unosanganisira zvinyoronyoro paradzanisa zvokudya. In ichi zvachose wairambidza nokudyisa, asi rokupedzisira kudya zvinofanira kuitika hapana papera pane maawa maviri asati yokurara.

ndiko kuti chirwere kuti esophagitis

Esophagitis, zviratidzo uye kurapwa yatiri kufukidza munyaya ino kazhinji haana kuoma rokuongorora. Mushure chiremba achateerera kunyunyuta kwako uye tichaongorora nhoroondo chirwere, anofanira kuita tsvakurudzo. Izvi zvinosanganisira kuva endoscopy pakati yegurokuro, iyo inoratidza kuchinja mucosa, uye X-ray uchishandisa musiyano mumiririri (barium). Mumakore okupedzisira nzira iri mufananidzo umo kutyorwa anonyatsooneka kuoneka yegurokuro: kwayo kuzvimba uye kuvapo yakawanda madzihwa. Uye kukura urikanwi chinooneka musiyano svikiro kuyerera muzigomba.

How kubata esophagitis ari rikwanise muchimiro

The huru basa - kubvisa zvinokonzera chirwere, uye mune ramangwana murwere vanofanira kutevera munhu wakaoma kudya. Tiri kutaura nokushandiswa dzakapfavirira, pureed zvokudya, izvo zvinofanira kuva nzvimbo tembiricha. Kunze kubva kudya zvinhu zvose muchishungurudza esophageal mucosa, kusanganisira rine yakawanda faibha, uyewo zvakakanyiwa namafuta zvokudya, mvura carbonated uye doro. Kusvuta kutambura chirwere kubva ichi ngozi! Varwere chirwere kuti "Esophagitis" zvinodhaka kuti chokuita mataurire esophageal sphincter, akagadzwa risati chibvumirano nachiremba wako. Zvinogona kuva sedatives kana mapiritsi, prostaglandins, uye zvichingodaro. Varwere chinodiwa kuti avate yakakwirira headboard, regai vanopfeka zvakasimba nguvo, edza arege kuenda kunorara pashure kudya uye kashoma kuti vanobwembura.

Treatment echirwere esophagitis

Pasina stenosis, perforation, ropa kana zvakadai fungidziro zvakanaka pakurapa chirwere chimiro chirwere. Kazhinji kutora zvinodhaka kuti vanovhara kugadzirwa acid, antifungal kana antiviral zvinodhaka, mishonga inorwisa mabhakitiriya. Vakagadzwa sezvo inonyaradza marwadzo omusoro uye mishonga. Kuderedza kuzvimba vari inokurudzirwa corticosteroids. Kana mukawana matambudziko pakuparadza varwere akavhiyiwa intravenous kudya kunovaka. Muzviitiko apo chirwere anokonzerwa pamberi hiatus heniya ari diaphragm, kuvhiyiwa rinoitwa. Kuvhiya kupindira zvakare mhosva kana kundikana kuchinja kurapwa, kuvapo yematambudziko zvakadai stricture kana ropa uye kukura zvokurwara zvakadai ngozi se "Barrett kuti yegurokuro". Kuchinja kurapa sangana zvakanaka zvetsika Recipes kuti zvinobatsira kuderedza murwere ezvinhu.

Mabatirwo zvavo mishonga

Mabatirwo esophagitis evanhu - ndiko, as a mutemo, Recipes, zvakagadzirirwa kuderedza kuzvimba, Kuderedza zvinorwadza zviratidzo uye kubvisa chirungurira. Saka, nokuti kudzorerwa mucosa pakati yegurokuro varapi vanoti kutora decoction pakati oregano, kunosiya walnuts uye nemiouki. Ivo kusanganiswa vakaenzana zvikuru uye nokungwarira yakapwanyika. Imwe dessertspoonful muvhenganiswa kudira mvura achibika uye mubatirire kwemaminitsi gumi nemashanu ari kugeza nemvura. Tora muto ichi inodziya spoon maviri pamberi kudya kana pakarepo pashure pacho.

Kubvisa pakazvimba anokonzerwa kushoma, achitora musanganiswa oregano, alder, the willow uye Maria Da. Ivo kusanganiswa zvakaenzana mari uye pasi. Kungofanana muzvirevo yokuwana pakati musanganiswa, azvishambidze nemvura inopisa, akabvumira kumira ari kugeza nemvura uye akakwidzwa kanomwe pazuva.

Excellent Unotsigira kuzvimba uye Aloe. Rinoshandiswa ndokusanganisa uchi kana pasina kungoti Kuparadzwa ari Yakanatswa jira chimedu. Uye kunyange hazvina dzinonaka chaizvo, asi chishandiso kuchabatsira zvinobudirira zvikuru.

Kubva mudumbu kurwadza kuponesa mudzi nomumachakwi petsanga. Mumwe yetea akadzvinyirirwa mudzi yokudira girazi kufashaira mvura uye kubvumira kuti zvichitonhorera. Kugozha, tora mumwe hafu girazi inodziya kwehafu yeawa pamberi zvokudya. Uye yeuka, kuti masikati unofanira kunwa magirazi kupfuura maviri aizomupa ichi.

Mazano Pakupedzisira, vashoma

Kuwedzera embodiments pamusoro apa mishonga kuderedza mamiriro inogona kurumbidzwa kuchengeta mamwe mirayiro:

• zvokudya zvinofanira kuva munyoro, kwete inopinza uye acidic;
• Haabatanidzi kubva zvokudya facial, dzichiritsiva pavo nezvekunwa muchero ine vhitamini C;
• kuruma kure zvokudya zvidimbu zviduku uye kutsenga kunyatsoongorora;
• yakaoma kumedza tilts musoro wake shure, ipapo zvokudya kuchaitika seri huro, zvichiita kuti zvive nyore kumedza;
• mvura yokunwa kuburikidza uswa.

Kubva nyaya, iwe nezve chirwere chakafanana esophagitis, chii, chii chinokonzera, zviratidzo uye mishonga yacho chirwere. Yeuka: kurapwa kunoda chirango. Kuwedzera kugamuchira ushandiswe nyanzvi zvinodhaka uye mishonga yechivanhu, murwere vanofanira kutevera ushandiswe kudya uye kusvuta uye kudhakwa. Sezvo chirwere kunodzivisa iwe kurarama zvakazara, shure. rombo rakanaka uye utano hwakanaka!