Esophagitis - he aha te mea te reira? Esophagitis: Tohu me Treatment

Ahakoa o te etiology o tohunga mumura esophageal whakaritea te whānui wā "esophagitis." He aha te mea he tu'unga pathological rite? He aha tohu kia tohu i te aroaro o te mate? Me pēhea te ki te mahi ki a reira? Ka tenei katoa e aparauhia i roto i te tuhinga.

momo o te esophagitis

take katoa o te rongoa mumura esophageal systematized, e tauturu, e arotahi ana ki te roanga o te mate, tona pakeke me te wāhi o te tukanga pathological, he tātaritanga tika. Na, i runga i te aha āhua o te mate rānei, e tahuri iho esophagitis ki whakapeka, me te mau tonu. i tawhiti mate catarrhal pakeke (i.e., mata), me te erosive (i roto i tenei take pānga te manawanui papa hohonu o te mucosa) esophagitis. Tei runga i te wāhi o te rohe matia i roto i te mucosa esophageal he mate katoa (ki te patu pū kai katoa), proximal (runga Division matia) me te esophagitis Reflux distal (māuiuitanga i roto i te pū kai raro).

Whakapeka, subacute me te ahua ma'i o te mate

Ko te puka tino noa he esophagitis whakapeka. Mumura i te wa ano kia pāpaku, me te hohonu, engari āhuatanga tonu i te fakafokifā me whakaputa o mau faaiteraa. whakawhanake taua inflammations tika ki weranga mucosa meinga e te horomanga o kai wera, inu ranei whakawhiti matū mate hopuhopu (hei tauira, diphtheria), ke whara te tinana radiation whara ranei. Koi esophagitis te tikanga e wahi kahore ngaahi nunua mamafa pōauautanga ranei mo te manawanui.

Roa te taiepa esophageal he subacute matia puka ma'i ranei. Ko te tuatahi ko te ki te whakawhanake i te whakamahi pūnahanaha o rawa kai raukikini, waipiro kaha ranei tona a Maata, me te rite. Kei te tino maha te mate ma'i meinga e Reflux (arā, te kaupapa whakamuri o kai i te puku ki te pū kai). Ko te tikanga haere tahi tenei mate e te tangata i runga i te tau, āta ārahi ki huringa nui i roto i te mahi, me te hanganga o te pū kai.

esophagitis Reflux ma'i

kaitahu reira, e whakatika hoki o te tukunga toutou tonu e rerengia ana ki te pū kai tirotiro pekitīlia intestinal ranei ranei. esophagitis keté meinga e te whanaunga, a ētahi wā pūmau whai wāhitanga kore obturator sphincter cardiac e wehe te pū kai, me te puku. Tino he wāhi nui i roto i te whanaketanga o tenei mate ma'i nui te pēhanga intragastric ake-te whakanui ake me te ngangau o te nekeneke o te wahi gastrointestinal. E mea pinepine ngā tenei māuiuitanga e ki te rua whaturama kai i roto i te HWM, puku, ranei gallstones, me pancreatitis.

Esophagitis: he haua o cardia

e hiahia ana matou ki te arotahi ki runga i te ariā o "iti hoki o te cardia." huaina te wahi o runga o te kopu ko te cardia. He he he sphincter, kati te wāhi i waenganui i te pū kai, me te puku. I roto i te mahi tonu, kua peke te reira i te bolus anake i roto i te kotahi aronga, maukati humarie tika reira hoki. I roto i tenei take, he piha motuhake e poraka te kaupapa o te pū kai e kore e tīari. tautokona Anatomically tikanga cardia obturator mahi e te hanganga e whai ake nei:

• sphincter esophageal;
• nape phrenic-oesophageal;
• "Mucosal-rīpene" (taiepa mucosa esophageal e totohu ki te lumen o te puku, te tākaro i te tūranga o te piha atu);
• wāhi esophageal noa i roto i te pā ana ki te HWM;
• uaua porohita o te wahi o runga o te puku.

Ki te kore e tetahi o enei hanganga mahi tika, ka i reira ko te kore o te cardia. A ko reira - tetahi o nga āhuatanga nui mō te whanaketanga o te esophagitis. Nā ki te meka e te pēhanga i roto i te kopu tikanga tonu ki runga ake i roto i te kōhao rei, wewete hauā ranei e tika ana ki te tahi mau take te sphincter taea ihirangi ki te haere hoki a tahu mucosa esophageal wateatanga. He tāruarua toutou o te tukanga taua ai pāpaka nui i roto i te wahi gastrointestinal.

Take o te esophagitis ulcerative

Ki te ka pira o te waikawa ma'i, ka taea e te mate tomo hohonu ki te mucosa esophageal, a reira te mutunga i hanga erosions mariao ranei. Heoi, nga take o te esophagitis ulcerative - he kore tukunga anake, engari ano hoki pokanga, whaturama diaphragmatic rua, whewhe duodenal me mate pekitīlia, weranga, te horomanga nui o kai raukikini, me kino e tika ana ki te whakaurunga o te uiuia ai, i roto i te tukanga o te radiation ranei therapy.

He maha ngā nekehanga, characterizing reira te mate:

• whakaaturia te tohu tuatahi ko te takanga motuhake kahore hanumi ki ia atu erosions i roto i te pū kai raro.
• whakahuatia Erosive esophagitis ulcerative 2 nekehanga e te ahua o erosions confluent, e kore nei e hopu i te reira i te mucosa katoa.
• haere tahi ana te atamira tuatoru e tuwhenua o te tuatoru o raro o te pū kai;
• Ko te tuawha tohu - te āhua o keha ma'i me stenosis (whāiti o te lumen o te pū kai).

Pūtake me ngā huanga o Candida esophagitis

Puta ana te mate e kore anake te mea o disorders mahi o te wahi gastrointestinal. Ka taea te meinga te reira e mate i huri i te waho, ara te "whenua" huakita ranei ki te timata i roto i tika ki te tahi mau take tipu tere. Ki te ko te kaihoko fakatupu o te tukanga inflammatory i roto i te pū kai Candida, whakatau Candida esophagitis. Ko te rewena taua tenei, engari kei te kei i runga i te taiepa o te pū kai. Fungi, tangohia Candida pakiaka rawa ngāwari me roto i te ofatiraa o te microflora wahi kūnatu timata tupu tere i roto i te kopa tangata. Alcohol, hormones (tae atu mana whanau) taero paturopi ranei e taea te meinga huringa i roto i te microflora me, i runga i, te whanaketanga o mate fungal.

Candida esophagitis Ko te tikanga e kore te ora-whakawehi, engari homai te reira i te rota o te raruraru. No te mea o te mumura fungal me scarring kia whakawhanake rite te putanga o tenei, he shortening o te pū kai. He āhuatanga ōrite nui faarahi te mōrea o te hiatal whaturama axial. Ka taea e mumura Vulvovaginal meinga tuwhenua, toto ā, me te perforation o nga wahi whakaahuatia o te wahi gastrointestinal.

Kia pehea te kino ko Esophagitis?

hiahia ana ahau ki te fakamamafa'i e i roto i tetahi take e kore e taea te hoohonutanga esophagitis (i te mea he mate nui, koe te tūmanako kua mohio). E kore e taea te reira "mau" ranei nga mangai i te fariiraa o te tahi mau rongoa. riro te kāwanatanga whakaahuatia i roto i te rongoā i te māuiuitanga esophageal e nui, e tika ana ki te pōauautanga nui, pērā i, hei tauira, tona whāiti (stenosis, stricture). I muri mai, faatupu te reira i te fifi manawanui horomia a, i runga i, e rapu pokanga reconstructive. i roto i te hiahia o te pokanga hoki ko tetahi pōauautanga ora-te whakawehi - perforation (perforation) o te taiepa pū kai. Tauanga whakau e tekau ōrau o ngā take esophagitis whakawhanake pera-ka karanga pū kai o Barrett, āhuatanga nei i te tupu o nga pūtau o ona pūtau membrane mucous, āhuatanga o te mucosa intestinal. whakaaro he āhua pērā i roto i te rongoā te precancerous.

Me pēhea te ki te whakatau i te aroaro o te esophagitis

momo katoa o nga mate i runga i ngā āhuatanga noa e kia hanga i te esophagitis parenga mate. Ka kia kōrero tohu me te maimoatanga o tenei mate i raro. kia therapy kia whakahaerea anake i raro i te mātakitaki o te gastroenterologist.

• Ko te tikanga, ko te mea tuatahi utu koe whakarongo ki te tūroro - tokopā reira mamae pouaka e puta i muri i te kai ranei i runga i te puku kau ranei. Tikanga, koe'uhi ko ratou ka piko atu, ara, i te po (i roto i te teka tūnga). I roto i ngā take kino o te tokopā e pūmau.
• Whakaora burping hau puta halitosis ( "hua pirau"), me te tata tonu te kawa. Wā i reira he regurgitation o te nui iti o te kai.
• hanga e te reira i te paninga repa i runga i te arero.
• I roto i te kopu, ua te pēhanga te reira te mea ano he mamae i roto i te puku o runga.
• E mea pinepine puta i muri i te kai whakapairuaki, me te retching (kia puta koputaputa o toto i roto i te ruaki).
• Āwangawanga e pā ana ki te mamae, ka horomia.
• Ki te Reflux auau puta e whakawhanakehia mare, whango, korokoro me te Bronchitis tika ki inhalation o tirotiro intestinal, e ai weranga.

Ka taea e kē katoa o enei tohu, hei tauira, i muri i te kapu o te kawhe, he paowa hikareti, wera, pakeke kai raukikini ranei. amuamu toutou e pā ana ki te pā te whakanui ake o te mate i roto i ngā āhuatanga taumaha. Kei te matau te reira e kia rerekē te huinga o ngā āhuatanga i roto i te tūroro rerekē. tei tenei i runga i te pakeke o disorders i te pū kai, me te localization o te tukanga inflammatory me o mate e pā ana.

Ka rite ki kitea i ētahi atu mate esophagitis

Tango ki pūkete e taea te kitea nga tohu o te mate whakaahuatia, i roto i etahi atu tikanga pathological o whekau e kore e i pā ana ki te esophagitis me rapu utu maimoatanga rawa rerekē, he mea e tika ana ki te whakamārama i te tahi mau kōrero.

• ongo'i Pain te ka kore he esophagitis i te kopu, a kotahi i roto i te pouaka, uma.
• Tikanga, tokopā - ko te āhuatanga matua o te mate whakaahuatia. Ki te, Heoi, ki te sensation tahunga i roto i te pouaka puta koe ngoikore kino, whanoke, me hāhā o te manawa, ko reira pono ki te amo i taua i reira he kahore esophagitis.
• Ki te tae mai he sensation tahu i roto i te pouaka i te mahi tinana, ka ai he tohu o te angina tenei.

I roto i ētahi wā, he piira ki te gastroenterologist tika

Te ti'aturi nei tatou e esophagitis, tohu me te maimoatanga kōrero i roto i tēnei tuhinga e kore, e meinga koe nunu'a mamafa. Ki te mahi i tenei, e hiahia ana koe wa ki te kite i te tākuta! Kaua e wahia ki te haerenga ki te mātanga, ki te riro tokopā kua he āhua tūturu, me iti kaha ki te whakakore i taero; kore tonu explainable ona patua mahi; whai koe i uaua i roto i horomia; Kua puta ke to koutou reo, ka heke te taimaha te tino; puta toto i roto i te ruaki; whakatika te pāmahana ki te 38 ° C, me te runga ake; wheako koe roa he hiccups mahorahora; riro wai nohoanga, me kua riro he tae pango.

He aha mate e taea te haere tahi i te mumura o te pū kai

Ratau, kia whakahuatia ai, korero o te esophagitis e maha puta te mate i roto i te tūroro e whai kē etahi raruraru ki te wahi gastrointestinal. Ko te tikanga, ko te reira e pā ana ki ma'i whakaongaonga nui haere fakaaoao o wai pekitīlia ranei ona tahi e te hanganga nui. Ko te taua pā ki te mara o te dysmotility gastroduodenal (pekitīlia me duodenal), tērā tona ringiringi. tauturu tenei katoa ki totoro te puku, me, rite ki te hua, ai te Reflux.

Na roto i te mate, takoha ki te whanaketanga o te esophagitis ngā Gastro, whewhe pekitīlia ranei whewhe duodenal, whaturama diaphragmatic tuwhera esophageal, cholecystitis me ētahi atu mate. E te ara, i roto i nga wahine hapu i roto i te mutunga o nga wāhanga o te whanaketanga fetal e hoki i mōrearea nui o Reflux esophagitis. Ko te tika ki te hua i roto i te pēhanga kōtuitui-puku i roto i nga wahine tenei.

Aha ki te mahi, ki te sochetannyj koe esophagitis

Kua kē matou whakahuatia e he maha esophagitis he mate matatini e puta i runga i te whakamārama o te tahi atu mau fifi o te wahi gastrointestinal. Na reira, ki te sochetannyj koe tātaritanga "esophagitis gastritis", ka kia kia matatini maimoatanga. E tīpakohia Teuteu i roto i runga i te take o te gastritis me kawatanga taumata, mate te rere. Te maimoatanga hoki ngā taero, relieves tokopā, motility aueue te pū kai, me te puku, me te matū whakatairanga whakaterenga whakaora mucosal. te tono i te taua tohutohu ki te maimoatanga o te tātaritanga "esophagitis Gastro." He nui i roto i te maimoatanga o enei mate ki kai №1, e whai wāhi kai ritua ngawari hoki reira. I roto i tenei opue tino rāhuitia, engari kia tango i te kai whakamutunga wahi kahore i muri atu i te rua haora i mua i te taotoraa.

Kia pehea te ko te tātaritanga o te esophagitis

Esophagitis, tohu me te maimoatanga e hipokina tatou i roto i tenei tuhinga e te nuinga o kore uaua ki te tātari. I muri ka rongo te tākuta ki tou amuamu, a ka titiro te hītori o te mate, kia meatia e ia etahi rangahau. Ko ētahi o ēnei he endoscopy o te pū kai, e whakaatu huringa i roto i te mucosa, me he X-ray te whakamahi i te kaihoko rerekē (pārana). I roto i te tukanga whakamutunga ko te pikitia i roto i nei maumaui e mārama kitea i roto i te pū kai: tona ngawhatanga me te aroaro o nui o hūpē. A ki te whanaketanga o te whewhe reo rerekē kitea e rerengia ana i roto i tona Koinei.

Me pēhea te ki te hamani esophagitis i roto i te puka whakapeka

Ko te mahi matua - ki te tango i nga take o te mate, a i roto i te heke mai me te whai i te manawanui he kai tino. Kei te korero tatou e pā ana ki te whakamahi o ngohengohe, kai huarākau, kia e kia i te pāmahana rūma. I Hātepengia i te kai hua katoa irritating mucosa esophageal, tae atu kei roto i te nui o te muka, me te kai parai, te wai koropupū me te waipiro. E paowa hoki te mate mauiui i tenei kino! Tūroro ki te tātaritanga o "Esophagitis" raau taero e pā te āhua o te sphincter esophageal, whakaritea e te kawenata i mua ki tō tākuta. E nehenehe te reira sedatives ranei tranquilizers, prostaglandins, a na i runga i. Tūroro e minaminatia ki te moe i runga i te papahamo tiketike, e kore kakahu kakahu raru, tamata kore ki te haere ki te moenga i muri i te kai, me te iti iho pea ki te piko.

Maimoatanga o te esophagitis ma'i

I roto i te ngaro o te stenosis, perforation, toto ranei te rite waitohunga maimoatanga pai o te ahua ma'i o te mate. Ko te tikanga tango raau taero e aukati hanga o taero waikawa, antifungal huaketo ranei, paturopi. E whakaritea rite painkillers me ngā rongoā. Ki te whakaiti i mumura e corticosteroids tūtohutia. Mēnā ka raruraru horomia tūroro kiri rō-uaua kai tōtika. I roto i te wā i reira meinga te mate e te aroaro o te mānawanawa whaturama i te HWM, kawea te mahi i roto. Ko hoki wawaotanga hāparapara tika ki te maimoatanga momo kāore i, aroaro o pōauautanga pērā i stricture toto ranei me te whanaketanga o taua māuiuitanga kino rite "pū kai o Barrett". therapy tūpato pai ngā ki tohutao tuku iho e tauturu i te hiki huru o te manawanui.

Maimoatanga o rongoā iwi

maimoatanga o te iwi o te esophagitis - ko, rite ki te tikanga, tohutao, hangaia ki te atawhai i te mumura, tamarыraa i nga tohu fakamamahi, me te whakakore i tokopā. Na, mo te whakahokinga mai o te mucosa o nga tohunga pū kai tūtohu ki te tango i te decoction o orekano, rau wōnati me te oki. E konatunatua ratou i roto i ōrite ana ngā wehenga, me te āta mongamonga. Kotahi ranunga dessertspoonful ki te ringihia te wai kohua, me te mau hoki ma rima meneti i roto i te pati i te wai. Tangohia tenei hupa mahana e rua punetēpu te aroaro o te kai ranei i muri tonu i te reira.

Hei tango i te puku meinga e te tukanga inflammatory, tango i te ranunga o orekano, alder, whiro me Maria da. E konatunatua ratou i roto i rite moni me te whenua. Just rite i roto i te tunu o mua o te ranunga, horoi i roto i te wai wera, whakaaetia ki te tu i roto i te pati i te wai, ka tangohia ake ki te whitu nga wa i te ra.

Excellent relieves mumura me te aroe. Kei te whakamahia te reira na roto i te whakakotahi i te honi ranei kahore tātau noa te wahi pepa e purea. A ahakoa e kore ko reira tino reka, engari ka tino tōtika te āwhina i te taputapu.

Mai i mamae puku ki te whakaora i te pakiaka o repo wiwi. Kotahi tīpune mongamonga pakiaka ringihia he karaihe o te wai kohua, me te tukua ki te whakamatao. Riaka, te tango i tetahi atu hawhe te karaihe o mahana mo te hawhe haora i mua i te kai. Na kia mahara, e i roto i te ra e hiahia ana koe ki te inu i te iti rawa e rua mōhiti o tenei whaowhia.

Hei whakamutunga, i te torutoru tohutohu

I tua atu ki te taatou whakaahuatia ana i runga maimoatanga ki te hiki i te huru e taea te tūtohutia ki te mau i te tahi atu tikanga:

• kia ngawari, e kore koi me te waikawa te kai;
• Waiho i te kai o inu, whakakapi ratou ki inu hua kei roto huaora C;
• ngau atu kai i roto i nga wahi iti, me te āta whakahoki ake;
• ki uaua horomia tītaha tona matenga hoki, na ka tango i te kai wahi i runga i te hoki o korokoro te, kia māmā ki te horomia;
• inu wai i roto i te kakau witi.

Mai i te tuhinga, ako koe e pā ana ki te mate, ano esophagitis, he aha te mea te reira, he aha e nga take, tohu me rongoā o te mate. Kia mahara: titau te maimoatanga te ako. I tua atu ki te fariiraa i te raau taero mātanga whakaritea me rongoā tuku iho, me te whai i te manawanui te kai whakaritea, ka whakamutu kai paipa, me te inu. Just rite te mate ārai koe ki te ora tino, muri. Ngā manaakitanga me te hauora pai!