ʻO ke koʻikoʻi Esophageal - maikaʻi

ʻO ke koʻikoʻi o ka esophageal Benign kahi mea liʻiliʻi o ka esophagus (ka paipu mai ka waha a ka ʻōpū). Hāpai ia i nā pilikia ale.

ʻO ka manaʻo Benign ʻaʻole ia e kumu ʻia e ka maʻi ʻaʻai o ka esophagus.

Hiki ke kumu ʻia ka paʻa ʻana o Esophageal e:

• ʻO reflux Gastroesophageal (GERD).
• Eosinophilic esophagitis.
• Nā ʻeha i hoʻokumu ʻia e ka endoscope.
• Hoʻohana lōʻihi o ka nasogastric (NG) paipu (paipu ma o ka ihu i loko o ka ʻōpū).
• ʻO nā mea e ale ana e hōʻeha i ka uhi o ka esophagus. Pākuʻi paha kēia i nā mea hoʻomaʻemaʻe home, ka laulima, nā pākiko disk, a me nā waikawa pākeke.
• Ka mālama ʻana i nā varises esophageal.

Pākuʻi ʻia paha nā ʻōuli:

• Pilikia i ka ale ʻana
• ʻEha me ka ale ʻana
• Ka hoʻohaʻahaʻa kaumaha ʻole
• Regurgitation o ka meaʻai

Pono ʻoe i kēia mau hoʻāʻo:

• E ale ʻo Barium i ka nānā no ka hoʻopili ʻana o ka esophagus
• Endoscopy e nānā no ka hoʻopili ʻana o ka esophagus

ʻO ka dilation (ke kau nei) o ka esophagus e hoʻohana ana i ka paukū lahilahi a i ʻole balloon i hoʻokomo ʻia ma o ka endoscope ka lapaʻau nui no nā koʻikoʻi acid reflux e pili ana i nā koʻikoʻi.

Hiki i nā mea kūpale Proton pump (nā lāʻau lapaʻau-ʻākoakoa) ke mālama i kahi kaohi peptic mai ka hoʻi ʻana. ʻAʻole makemake iki ʻia ke ʻoki.

Inā loaʻa iā ʻoe ʻo eosinophilic esophagitis, pono paha ʻoe e lawe i nā lāʻau a i ʻole e hoʻololi i kāu papaʻai e hōʻemi i ka mumū. I kekahi mau hihia, hana ʻia ka dilation.

E hoʻi paha ke koʻikoʻi i ka wā e hiki mai ana. Pono kēia i kahi dilation hou.

ʻO ka pilikia ʻana i nā pilikia e mālama iā ʻoe mai ka lawa ʻana o ka wai a me nā meaʻai. ʻO nā meaʻai paʻa, ʻo kaʻiʻo hoʻi, hiki ke paʻa ma luna o ke koʻikoʻi. Inā kū kēia, pono ka endoscopy e wehe i ka meaʻai i hoʻomoe ʻia.

Aia kekahi mea ʻoi aku ka kiʻekiʻe o ka loaʻa ʻana o ka meaʻai, ka wai, a i ʻole ka luaʻi e komo i loko o nā māmā me ka regurgitation. Hiki i kēia ke kumu i ka choking a i ʻole ka pneumonia aspiration.

Kāhea i kāu lawelawe mālama ola inā loaʻa iā ʻoe ka ale i nā pilikia i hala ʻole.

E hoʻohana i nā hana palekana e hōʻalo i ka ale ʻana i nā mea i hiki ke hōʻeha i kāu esophagus. E mālama i nā kemika weliweli mai kahi hiki ʻole i nā keiki. E ʻike i kāu mea hāʻawi inā loaʻa iā GERD.

• ʻOki kino Anti-reflux - hoʻokuʻu

• ʻO ke apo Schatzki - x-ray
• Nā ʻōnaehana ʻōnaehana Digestive

ʻO El-Omar E, McLean MH. Gastroenterology. I: Ralston SH, Penman ID, Strachan MWJ, Hobson RP, eds. Nā Kumuhana a Davidson a me ka hana o ka lāʻau. 23rd Ed. Piladelapia, PA: Elsevier; 2018: chap 21.

Pfau PR, Hancock SM. Nā kino ʻē, nā bezoar, a me nā ingestions caustic. I: Feldman M, Friedman LS, Brandt LJ, eds. ʻO Sleisenger a me Fordtran's Gastrointestinal a me ka maʻi ate. 10 o ka lā. Piladelapia, PA: Elsevier Saunders; 2016: chap 27.

Richter JE, Friedenberg FK. ʻO ka maʻi reflux Gastroesophageal.I: Feldman M, Friedman LS, Brandt LJ, eds. ʻO Sleisenger a me Fordtran's Gastrointestinal a me ka maʻi ate. 10 o ka lā. Piladelapia, PA: Elsevier Saunders; 2016: chap 44.