Mea Kākau: John Pratt
Lā O Ka Hana: 17 Pepeluali 2021
HōʻAno Hou I Ka Lā: 20 Nowemapa 2024
Anonim
ʻO ka esophagitis erosive: he aha ia, ka mālama ʻana a me ka hoʻonohonoho ʻana o Los Angeles - Ola Kino
ʻO ka esophagitis erosive: he aha ia, ka mālama ʻana a me ka hoʻonohonoho ʻana o Los Angeles - Ola Kino

Anter

ʻO ka esophagitis erosive kahi hanana i hana ʻia nā lehelehe esophageal ma muli o ka reflux gastric mau, e alakaʻi ai i ke ʻano o kekahi mau ʻōuli e like me ka ʻeha ke ʻai a inu i nā wai a me ke kū o ke koko i ka luaʻi a i ʻole nā ​​feces.

ʻO ka mālama ʻana i kēia ʻano hana mau ʻia e ka gastroenterologist i hiki ke ʻōlelo i ka hoʻohana ʻana i nā lāʻau e hōʻalo ai i ka nui a kāohi hoʻi i ka hana ʻana o ka wai gastric, no ka mea ma nā hanana ʻoi loa i hōʻike ʻia ke ʻoki. Eia hou, pono nō e hahai i ka nutristist, e hōʻike i nā loli e pono ai e hana i nā ʻano meaʻai.

Nā hōʻailona nui

ʻO nā ʻōuli o ka esophagitis erosive kaukaʻi ʻia i ka pae o nā leona i ka esophagus, akā ʻo ka maʻamau ka hoʻopili ʻana.

  • Ke inu nei paha i ke koko a i ʻole.
  • ʻEha ke ʻai a ʻai ʻana paha i nā wai;
  • Koko i loko o ka pahu;
  • Eha ka 'ā'ī;
  • Hoarseness;
  • ʻEha o ka umauma;
  • Mū kau mau.

Eia hou, ke mālama ʻole ʻia ka esophagitis erosive, hiki nō paha ke hoʻomohala i ka anemia hemahema hao a hoʻonui i ka makaʻu o kahi tumo i loko o ka esophagus. No laila, he mea nui e kūkākūkā ʻia ka gastroenterologist ke ʻike ʻia nā ʻōuli a me nā ʻōuli mua o ka esophagitis, no ka mea hiki ke hoʻomaka koke i ka mālama ʻana. E ʻike i nā kikoʻī e pili ana i ka ʻike ʻana i ka esophagitis.


Pehea e hōʻoia ai i ke kuhi

Hoʻomaka ka hōʻoia o ka esophagitis erosive e ka gastroenterologist ma o ka loiloi ʻana i nā ʻōuli i hōʻike ʻia, a me nā mea e hoʻomaikaʻi ai a i ʻole hoʻomāhuahua ai i ka ikaika o nā hōʻailona.

Eia nō naʻe, e hōʻoia i ke kuhi, a no ka hoʻoholo ʻana i ke koʻikoʻi o ke kūlana, paipai ʻia kahi endoscopy, i ʻae ʻia e nānā i ka nui o nā leona a e hoʻokaʻawale ʻia ka esophagitis erosive e like me ka loina o Los Angeles.

Hoʻonohonoho Los Angeles

Hoʻolālā ka hoʻohālikelike o Los Angeles e hoʻokaʻawale i nā leona mai ka esophagitis erosive e like me ke koʻikoʻi, i hiki ai ke hoʻoholo ʻia ka lapaʻau kūpono loa e mālama ai i ka liona.

Kēkelē o ke koʻikoʻi o ka ʻeha

Hiʻona

KA

1 aʻoi aku paha nā erosions ma mua o 5 mm.

ʻO B

1 a ʻoi paha o nā erosions ʻoi aku ma mua o 5 mm, akā ʻaʻole i hui pū me nā poʻe ʻē aʻe.


C

Nā erosion i hui pū ʻia, e pili ana ma lalo o 75% o ka meaola.

D

Nā erosion ma kahi o 75% o ke anapuni o ka esophagus.

I ka papa C a i ʻole D a hoʻi hou nā lesions esophagitis erosive, aia ka nui o ka maʻi ʻaʻai o ka esophagus, no laila pono e hōʻike mua ʻia ka lāʻau lapaʻau, ma mua o ka paipai ʻia ʻana o ka lāʻau.

Nā kumu o ka esophagitis erosive

ʻO ka esophagitis erosive i ka hapanui o nā hihia ka hopena o ka esophagitis i mālama ʻole ʻia, ka mea e hoʻomau i nā liona e hele a hopena i ka ulu ʻana o nā ʻōuli.

Hoʻohui ʻia, kahi kūlana ʻē aʻe i makemake i ka hoʻomohala ʻana o ka esophagitis ʻo reflux gastroesophageal, no ka mea, hiki i ka ʻona acidic o ka ʻōpū i ka esophagus a paipai i ka huhū mucosal, makemake i nā hiʻohiʻona o nā leona

Hiki i ka esophagitis erosive ke hana pinepine pinepine i ka poʻe puhipaka a i ʻole ka hopena o ka ʻai ʻana i nā meaʻai ʻoihana a me nā momona.


E aʻo hou aʻe e pili ana i nā kumu o ka esophagitis i kēia wikiō:

Pehea e hana ai i ka lāʻau

ʻO ka mālama ʻana no ka esophagitis erosive kaukaʻi ʻia i ka mea i kumu ʻia ia, akā hana mau ʻia ia me ka mea pono o kahi mea hānai nāna e hōʻike i ka hoʻomaha ʻana o ka hoʻohana ʻana i nā kūpaka, inā he mea, hoʻemi i ka ʻai o nā meaʻai a me nā mea momona, a me ke kaumaha. i nā hihia o ka poʻe momona a obesity paha.

Pono paha e hoʻohana i nā lāʻau e like me:

  • Nā mea hoʻopukapuka Proton (PPI), e like me ka omeprazole, esomeprazole a i ʻole lansoprazole: ka mea kaohi i ka hana ʻana o ka wai gastric e ka ʻōpū, a pēlā e pale ai iā lākou mai ka hiki ʻana i ka esophagus;
  • Nā mea kāohi Histamine, e like me ranitidine, famotidine, cimetidine a me nizatidine: hoʻohana ʻia lākou ke hana ʻole nā ​​PPI i ka hopena i manaʻo ʻia a kōkua pū kekahi e hōʻemi i ka nui o ka waikawa i loko o ka ʻōpū;
  • ʻO Prokinetics, e like me domperidone a me metoclopramide: hoʻohana ʻia e hōʻeleu i ka waiho ʻana o ka ʻōpū.

Inā hoʻohana ke kanaka i nā lāʻau anticholinergic, e like me Artane a i ʻole Akineton, a me nā blockers kahakū calcium, e like me Anlodipino a me Verapamil, hiki i ka gastroenterologist ke hāʻawi i nā ʻōlelo kūikawā e pili ana i ka hoʻohana ʻana i nā lāʻau i kuhikuhi ʻia.

Hōʻike wale ʻia ka hoʻohana ʻana o ke ʻoki no ka esophagitis erosive inā ʻaʻole hoʻomaikaʻi nā leona a i ʻole ke kūpaʻa mau nā ʻōuli a ua hoʻohana ʻia nā koho lapaʻau mua. ʻO kēia ʻoki ʻana o ke kūkulu hou ʻana i kahi kiwikā liʻiliʻi e hoʻopili i ka ʻōpū i ka esophagus, no laila e pale ana i ka wai gastric mai ka hoʻi ʻana ma o kēia ala a hana i nā hōʻeha hou.

Pehea e mālama ai i ka wahine hāpai?

I ke kumu o nā wahine hāpai, i ka hoʻohui o ka nānā ʻana me kahi nutrististist a me ka mālama ʻana i kēlā me kēia lā, makemake ʻia e hoʻohana i nā mea hoʻopōkole histamine wale nō, e like me ranitidine, cimetidine, nizatidine a me famotidine, no ka mea, ʻoi aku ka palekana o ka hoʻohana ʻana i kēia wā. ʻaʻole lawe ʻia e ka waiū i ka wā o kāna hana.

Mālama pono ʻē aʻe

Ma waho aʻe o ka lāʻau lapaʻau i hōʻike ʻia, pono nō e hāhai i nā alakaʻi o kēlā me kēia lā e loaʻa kahi ola ʻoi aku ka maikaʻi a pale i ka hōʻoluʻolu ʻole o nā ʻōuli.

  • E hoʻokiʻekiʻe ma kahi o 15 cm a 30cm mai ke poʻo o kahi moe;
  • E hoʻemi i ka lawe ʻana i nā hua citrus, nā mea inu i loaʻa ka caffeine, ka wai ʻona a i ʻole carbonated, a me nā meaʻai e like me ka mint, eucalyptus, mint, Tomato, kokoleka;
  • Hōʻalo i ka moe ʻana i lalo no ʻelua mau hola ma hope o ka ʻai hope loa.

Kūlike kēia mau palekana me nā mea i hoʻohana ʻia e ka poʻe me ka reflux, no ka mea kōkua lākou i ka pale ʻana i ka waikawa ʻōpū mai ka piʻi ʻana i ka esophagus. E ʻike i nā ʻōlelo aʻoaʻo ʻē aʻe e pili ana i ka mālama ʻana i ka reflux, kahi hiki ke hoʻohana ʻia e pale aku ai i ka esophagitis.

I ka wikiō aʻe, ʻo Tatiane Zanin ka mea hānai, hōʻike i ke ala e hoʻāla ai i ke poʻo o kahi moe, me ka hāʻawi ʻana i nā ʻōlelo aʻoaʻo maikaʻi loa e hōʻoluʻolu kūlohelohe i ka hōʻoluʻolu o reflux, ʻo ia ke kumu o ka esophagitis erosive:

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