ʻElepela lele maʻi

ʻO ka esophagitis kahi huaʻōlelo maʻamau no nā mumū, nāukiuki, a me nā ʻōhū o ka esophagus. ʻO kēia paipu e lawe i ka meaʻai a me nā wai mai ka waha a ka ʻōpū.

ʻAʻohe laha ka maʻi ʻeha. Kū pinepine ia i ka poʻe nāwaliwali nā ʻōnaehana pale. ʻO ka poʻe i loaʻa nā ʻōnaehana pale pale ikaika ʻaʻole hoʻomohala maʻamau i ka maʻi.

ʻO nā kumu maʻamau o kahi ʻōnaehana pale nāwaliwali nā:

• HIV / AIDS
• ʻO Chemotherapy
• Diabetes
• Leukemia a i ʻole lymphoma
• Nā lāʻau lapaʻau e kaomi i ka ʻōnaehana pale, e like me nā mea i hāʻawi ʻia ma hope o ka hoʻoneʻe ʻana o ka meaola a iwi paha
• Nā kūlana ʻē aʻe e kaohi a hoʻonāwaliwali paha i kāu ʻōnaehana pale

ʻO nā meaola (g germ) e hoʻokumu i ka esophagitis me nā fungi, ka hū, a me nā virus. ʻO nā meaola maʻamau e:

• ʻO Candida albicans a me nā ʻano Candida ʻē aʻe
• Cytomegalovirus (CMV)
• ʻO ka maʻi herpes simplex (HSV)
• Papillomavirus kanaka (HPV)
• ʻO ka maʻi koʻohune Tuberculosis (Mycobacterium tuberculosis)

Nā ʻōuli o ka esophagitis:

• Pilikia i ka ale ʻana a me ka ale ʻana i ka ʻeha
• Fiva a me nā anuanu
• ʻO ka maʻi hū o ka alelo a me ka uhi o ka waha (oral thrush)
• Nā ʻeha ma ka waha a i hope paha o ka ʻāʻī (me ka herpes a i ʻole CMV)

E nīnau ka mea mālama ola e pili ana i kāu mau hōʻailona a nānā i kou waha a me kou puʻu. E komo pū paha nā hoʻāʻo:

• Nā ho'āʻo koko a me ka mimi no CMV
• ʻO ka moʻomeheu o nā pūnaewele mai ka esophagus no ka herpes a i ʻole CMV
• ʻO ka waha a i ʻole ka ʻāʻī swab moʻomeheu no candida

Pono paha ʻoe e loaʻa kahi hōʻike endoscopy luna. He hōʻike kēia e nānā ai i ka uhi o ka esophagus.

I ka hapanui o nā poʻe me ka esophagitis, hiki i nā lāʻau ke kāohi i ka maʻi. Pākuʻi ʻia kēia mau mea:

• Hiki i nā lāʻau anttiviral e like me acyclovir, famciclovir, a i ʻole valacyclovir ke mālama i kahi maʻi herpes.
• ʻO nā lāʻau lapaʻau anttifungal e like me fluconazole (lawe ʻia e ka waha), caspofungin (hāʻawi ʻia e ka pahu ʻana), a i ʻole amphotericin (hāʻawi ʻia e ke kuʻi) hiki ke mālama i ka maʻi candida.
• Hāʻawi ʻia nā lāʻau Antiviral ma o kahi aa (intravenously), e like me ganciclovir a i ʻole foscarnet hiki ke mālama i ka maʻi CMV. I kekahi mau hihia, hiki ke hoʻohana ʻia kahi lāʻau i kapa ʻia ʻo valganciclovir, i lawe ʻia e ka waha, no ka maʻi CMV.

Pono paha kekahi poʻe i ka lāʻau ʻeha.

E noi i kāu mea e hāʻawi aku ana i nā ʻōlelo papaʻai kūikawā. ʻO kahi laʻana, aia paha he mau meaʻai e pono ai ʻoe e hōʻalo i ka ʻai ʻana ke hoʻōla kāu esophagitis.

Pono nā poʻe he nui e mālama ʻia no kahi ʻāpana o ka esophagitis infectious i nā lāʻau ʻē aʻe lōʻihi e kāohi ai i ka maʻi a i ʻole fungus, a pale i ka maʻi mai ka hoʻi ʻana mai.

Hiki ke mālama maikaʻi ʻia ʻo Esophagitis a hoʻōla maʻamau i 3 a 5 mau lā. ʻOi aku ka lōʻihi o ka maikaʻi o ka poʻe me ka ʻōnaehana pale nawaliwali.

ʻO nā pilikia olakino i hopena ʻia mai ka maʻi maʻi maʻi maʻi e komo pū me:

• Nā puka i kou esophagus (perforations)
• ʻO ka maʻi maʻi ma nā pūnaewele ʻē aʻe
• Maʻi maʻi hou

Kāhea i kāu mea hāʻawi inā loaʻa iā ʻoe i kekahi ʻano e hiki ai ke hōʻemi i ka pane pale a hoʻomohala ʻoe i nā ʻōuli o ka esophagitis infectious.

Inā loaʻa iā ʻoe kahi ʻōnaehana pale nāwaliwali, e hoʻāʻo e pale i ka launa ʻana me nā poʻe i loaʻa i ka maʻi me nā meaola i haʻi ʻia aʻe nei.

Maʻi ʻaʻai - esophagus; Maʻi ʻaʻai Esophageal

• Herpetic esophagitis
• ʻŌnaehana gastrointestinal luna
• CMV esophagitis
• ʻO ka esophagitis Candidal

Graman PS. ʻEsopagitis. I: Bennett JE, Dolin R, Blaser MJ, hua pā. ʻO Mandell, Douglas, a me Bennett's Principle a me ka hoʻomaʻamaʻa ʻana i nā maʻi kūpilikiʻi. 9th ed. Piladelapia, PA: Elsevier; 2020: chap 97.

Katzka DA. Nā maʻi esophageal i hoʻokumu ʻia e nā lāʻau, trauma, a me ka maʻi. 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 46.