ʻElepagitis

ʻO ka esophagitis kahi kūlana e pehu ai ka pale o ka esophagus, hoʻā ʻia, a hoʻonāukiuki paha. ʻO ka esophagus ka paipu e alakaʻi i kou waha a i ka ʻōpū. Kapa ʻia ia ʻo ka paipu ʻai.

Hoʻokumu pinepine ʻia ʻo Esophagitis e ka ʻōpū o ka ʻōpū e kahe hou i loko o ka paipu meaʻai. Loaʻa ka wai i ka acid, kahi e hoʻonāukiuki ai i ke kino. Kapa ʻia kēia pilikia ʻo gastroesophageal reflux (GERD). ʻO kahi maʻi autoimmune i kapa ʻia ʻo eosinophilic esophagitis ke kumu o kēia ʻano.

ʻO ka mea aʻe e hoʻonui i kou makaʻu no kēia ʻano:

• Hoʻohana rama
• Puhi paka
• ʻOki kino a radiation paha i ka umauma (ʻo kahi laʻana, mālama ʻana no ka maʻi ʻaʻai māmā)
• Lawe i kekahi mau lāʻau e like me alendronate, doxycycline, ibandronate, risedronate, tetracycline, potassium tablets, a me ka wikamina C, me ka inu ʻole i ka wai
• ʻO ka luaʻi
• E moe ana i lalo ma hope o ka ʻai ʻana i kahi pāʻina nui
• Ka momona

ʻO ka poʻe i loaʻa kahi ʻōnaehana nāwaliwali e hoʻomohala i nā maʻi. Hiki i nā maʻi ke alakaʻi i ka pehu ʻana o ka paipu meaʻai. Maʻi paha ka maʻi maʻi:

• Fungi a hū paha (ʻo ka manawa pinepine ʻo Candida)
• Nā Virus, e like me herpes a i ʻole cytomegalovirus

ʻO ka maʻi a i ʻole ka huhū paha e hoʻonāukiuki i ka paipu meaʻai. ʻO nā ʻeha i kapa ʻia he ulcer.

Pākuʻi ʻia paha nā ʻōuli:

• Cough
• Pilikia i ka ale ʻana
• Ale ʻeha
• Heartburn (acid reflux)
• Hoarseness
• Eha ka 'ā'ī

Hana paha ke kauka i kēia mau hoʻokolohua:

• Manometry ʻo ʻEsophageal
• ʻO Esophagogastroduodenoscopy (EGD), ke lawe nei i kahi ʻāpana o ka paipu no ka hoʻokolokolo ʻana (biopsy)
• ʻO ka moʻo GI kiʻekiʻe (barium ale ʻo x-ray)

Pili ka mālama ʻana i ke kumu. Nā koho lapaʻau maʻamau:

• ʻO nā lāʻau e hoʻoliʻiliʻi i ka waikawa ʻōpū i ka hihia o ka maʻi reflux
• Nā Antibiotics e mālama i nā maʻi
• Hoʻololi nā lāʻau a me nā papaʻai e mālama ai i ka esophagitis eosinophilic
• Lapaʻau e hoʻopili i ka uhi o ka paipu meaʻai e mālama ai i ka poino e pili ana i nā pila

Pono ʻoe e hōʻoki i ka lawe ʻana i nā lāʻau e hōʻino ai i ka uhi ʻana o ka esophagus. E lawe i kāu pila i ka nui o ka wai. Hōʻalo i ka moe ʻana koke ma hope o ka lawe ʻana i ka lāʻau.

ʻO ka hapa nui o nā manawa, nā maʻi e kumu i ka pehu a me ka hoʻā o ka paipu meaʻai, pane i ka lāʻau.

Inā ʻaʻole mālama ʻia, hiki i kēia ʻano ke hoʻopilikia loa. Scarring (ka paʻakikī) o ka paipu meaʻai hiki ke hoʻomohala. Hiki i kēia ke hoʻonā i nā pilikia ale.

ʻO kahi kūlana i kapa ʻia ʻo Barrett esophagus (BE) hiki ke ulu ma hope o nā makahiki o GERD. Kākaʻikahi, hiki i BE ke alakaʻi i ka maʻi ʻaʻai o ka paipu meaʻai.

Kāhea i kāu kahu mālama ola inā loaʻa iā ʻoe:

• ʻO nā ʻōuli pinepine o ka esophagitis
• Pilikia i ka ale ʻana

Hoʻonā - esophagus; ʻO ka esophagitis erosive; Ulcerative esophagitis; Eosinophilic esophagitis

• ʻOki kino Anti-reflux - hoʻokuʻu

• Anatomi ʻo Esophagus a me ka ʻōpū
• ʻEsopago

ʻO Falk GW, Katzka DA. Nā maʻi o ka esophagus. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 129.

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.

Richter JE, Vaezi MF. 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. 11th hua. Piladelapia, PA: Elsevier; 2021: chap 46.