ʻElepagitis

Anter

• Nā ʻano o ka esophagitis
• Eosinophilic esophagitis
• Reflux esophagitis
• ʻO ka esophagitis i hoʻokomo ʻia i ka lāʻau
• ʻElepela lele maʻi
• Nā ʻōuli o ka esophagitis
• Nā kumu pilikia no ka esophagitis
• ʻO nā pilikia olakino lōʻihi loa
• Pehea e ʻike ʻia ai ka esophagitis?
• Hoʻomaʻo no ka esophagitis
• He aha ka manaʻo lōʻihi?

He aha ka esophagitis?

ʻO ka esophagitis kekahi mumū a hoʻonāukiuki paha o ka esophagus. ʻO ka esophagus ka paipu e hoʻouna i ka meaʻai mai kou waha i kou ʻōpū. ʻO nā kumu maʻamau ka reflux waikawa, nā hopena o kekahi mau lāʻau, a me nā maʻi bacterial a i ʻole viral. ʻO Reflux ka manawa o ka ʻōpū a me nā waikawa e hoʻi i loko o ka esophagus.

Hiki i kēia maʻi ke kumu i nā ʻōuli like ʻole e pili pū me:

• pilikia i ka ale ʻana
• eha ka 'ā'ī
• puʻuwai puʻuwai

Hiki i ka esophagitis i hoʻomaʻamaʻa ʻole ʻia ke alakaʻi i nā ulcer, scarring, a me ka hoʻopili liʻiliʻi ʻana o ka esophagus, kahi hiki ke lilo i kahi maʻi olakino.

Pili kāu mau koho a me kāu nānā i ke kumu o kou ʻano. Hoʻonui ka hapa nui o ka poʻe olakino i loko o ʻelua a ʻehā mau pule me ka mālama pono. Lōʻihi paha ka hoʻōla hou ʻana no ka poʻe me ka ʻōnaehana pale nawaliwali a i ʻole ka maʻi.

Nā ʻano o ka esophagitis

Eosinophilic esophagitis

Hoʻokumu ʻia ʻo Eosinophilic esophagitis e ka nui o nā eosinophil i loko o ka esophagus. Ua hana kēia i ka wā i pane ʻole ai kou kino i kahi alergen. I nā keiki, hiki i kēia ke paʻakikī i ka ʻai ʻana. Wahi a ka Haukapila Kamaliʻi o Bosetona, 1 o 10,000 mau keiki i kēia ʻano esophagitis. ʻO nā mea hoʻouluulu maʻamau e:

• waiū
• soya
• huamoa
• palaoa
• pīnani
• hua kukui lāʻau
• pūpū

Hiki i nā mea i hōʻoluʻolu ʻia i loko, e like me ka pollen, ke hāʻawi pū i kēia ʻano esophagitis.

Reflux esophagitis

ʻO ka reflux esophagitis ka mea maʻa mau i kahi kūlana i ʻike ʻia ʻo gastroesophageal reflux maʻi (GERD). Hana ʻia ʻo GERD ke pili ka ʻōpū e like me nā waikawa, hoʻi pinepine i ka esophagus. ʻO kēia ke kumu o ka mumū mau a me ka huhū o ka esophagus.

ʻO ka esophagitis i hoʻokomo ʻia i ka lāʻau

Hiki i ka esophagitis i hoʻokomo ʻia i ka lāʻau ke hana ke lawe ʻoe i kekahi mau lāʻau me ka lawa ʻole o ka wai. ʻO kēia ke kumu o ka hoʻolōʻihi ʻana o nā lāʻau i loko o ka esophagus. Hoʻopili kēia mau lāʻau:

• nā mea hōʻeha ʻeha
• antibiotic
• potassium koloriside
• bisphosphonates (nā lāʻau e pale aku ai i ka nalo ʻana o ka iwi)

ʻElepela lele maʻi

Kūleʻa ka maʻi maʻi a hiki ke kumu ʻia i nā maʻi bacteria, nā mea hoʻomaʻi, fungi, a i ʻole nā ​​parasites. Hoʻonui ʻoe i ka makaʻu no kēia ʻano esophagitis inā loaʻa iā ʻoe kahi nāwaliwali nāwaliwali ma muli o ka maʻi a me nā lāʻau. ʻO kēia ʻano maʻamau ka poʻe me ka maʻi HIV a me ka maʻi ʻaʻai, maʻi ʻaʻai, a me ka maʻi kō.

Nā ʻōuli o ka esophagitis

Nā ʻōuli o ka esophagitis:

• pilikia i ka ale ʻana (disphagia)
• ʻeha ke moni ʻoe (odynophagia)
• eha ka 'ā'ī
• leo uō
• puʻuwai puʻuwai
• reflux waikawa
• ʻeha o ka umauma (ʻoi aku ka maikaʻi ma ka ʻai ʻana)
• nausea
• ka luaʻi
• ʻeha ʻōpū epigastric
• emi i ka makemake
• ʻūhā

Pilikia paha nā keiki ʻōpio i ka hānai ʻana. Kāhea aku i kāu kauka inā ʻoe a i ʻole ʻike kāu keiki a me nā hōʻailona aʻe a:

• ka pōkole o ka hanu a me ka ʻeha o ka umauma, keu hoʻi inā ʻaʻole kū ʻia i ka wā e ʻai ana
• mau nā ʻōuli ma mua o kekahi mau lā
• ua koʻikoʻi nā hōʻailona e hoʻopilikia i kou hiki ke ʻai pono
• ʻeha poʻo, ʻeha ʻeha, a kuni paha

E ʻimi koke i ka lāʻau inā:

• Loaʻa iā ʻoe ka ʻeha o ka umauma i ʻoi aku ma mua o kekahi mau minuke, keu hoʻi inā he mōʻaukala kou i nā puʻuwai, ke kiʻekiʻe o ke koko, a i ʻole ka maʻi diabetes.
• Manaʻo ʻoe he ʻai kāu e paʻa ai i kou esophagus.
• ʻAʻole hiki iā ʻoe ke hoʻopau i nā wahi wai liʻiliʻi.

Nā kumu pilikia no ka esophagitis

ʻO nā kumu pilikia no ka hoʻomohala ʻana i ka esophagitis:

• nāwaliwali o nā ʻōnaehana pale pale ma muli o ka maʻi HIV a me ka maʻi ʻaʻai, maʻi diabetes, leukemia, a i ʻole lymphoma
• hernia hiatal (ke kīpē ka ʻōpū ma o ka wehe ʻana i ka diaphragm ma waena o ka esophagus a me ka ʻōpū)
• chemotherapy
• radiation therapy o ka umauma
• ʻoki kino ma ka umauma
• nā lāʻau e pale aku ai i ka hōʻole ʻana i nā ʻōpū
• hoʻohana ʻia nā lāʻau immunosuppressive e mālama i nā maʻi autoimmune
• aspirin a me nā lāʻau anti-inflammatory
• luai mau
• momona
• ʻona a me ka paka
• kahi moʻolelo ʻohana o nā maʻi āpau a i ʻole esophagitis

Haʻahaʻa kou manawa kūpono e hoʻomohala i kahi maʻi o ka esophagus inā loaʻa kahi ʻōnaehana pale ola olakino.

ʻO nā pilikia olakino lōʻihi loa

Hiki i ka esophagitis i mālama ʻole ʻia ke alakaʻi i nā pilikia olakino koʻikoʻi e pili ana i ka hana a me ke ʻano o ka esophagus. Komo pū nā pilikia:

• ʻO Barrett esophagus, hōʻino i ka uhi o kāu esophagus, i hiki ke alakaʻi i kahi hoʻololi precancerous i ka mea kiko.
• ke koʻikoʻi, a i ʻole ka ʻikiʻī ʻana o ka esophagus i hiki ke alakaʻi i ka ālai a me nā pilikia e ale
• puka a ulcer paha i ka esophagus (esophageal perforation)

Pehea e ʻike ʻia ai ka esophagitis?

E hana i kahi manawa e ʻike ai i kāu kauka inā loaʻa ʻoe i nā ʻōuli esophagitis. E mākaukau e hoʻolako i kahi mōʻaukala olakino piha, me nā kūlana ʻike ʻē aʻe. E papa inoa i nā lāʻau āpau a me nā lāʻau i loaʻa iā ʻoe e lawe ai.

E hana paha kāu kauka i kahi hoʻokolokolo kino. E kauoha paha lākou i nā hoʻokolohua diagnostics me:

• endoscopy me biopsies
• barium X-ray, i kapa ʻia he moʻo GI luna
• hoʻāʻo ʻana i ka maʻi ʻaʻoh, e komo pū paha me nā hoʻāʻo ʻana o ka ʻili. Kūkākūkā paha ka hoʻopau ʻana i ka meaʻai ma hope o ka diagnostical endoscopy.

Hoʻomaʻo no ka esophagitis

Pili ka mālama ʻana i ke kumu o kāu hōʻailona. Pākuʻi ʻia paha nā lāʻau:

• nā lāʻau antiviral
• lāʻau lapaʻau antifungal
• ʻalalā
• nā mea hōʻeha ʻeha
• steroid ʻohe waha
• proton pump inhibitors (ʻo kēia mau lāʻau lapaʻau e pale i ka hana ʻana o ka ʻōpū o ka ʻōpū)

Inā loaʻa nā maʻi āpau i kāu maʻi, pono ʻoe e ʻike i nā meaʻai e hōʻeuʻeu a hoʻopau iā lākou mai kāu papaʻai. ʻO nā mea nui ʻo 6 meaʻai āpau āpau:

• waiū
• soya
• huamoa
• palaoa
• pīnani
• hua kukui lāʻau
• pūpū

Hiki iā ʻoe ke hōʻoluʻolu i kāu mau hōʻailona ma ka hōʻalo ʻana i nā meaʻai nīoi, nā meaʻai waikawa a me nā mea inu, a me nā meaʻai maka a paʻakikī paha. Lawe i nā nahu liʻiliʻi a me ka nau maikaʻi ʻana i kāu meaʻai. A e noi i kāu kauka no nā kuhikuhi papaʻai. Pono ʻoe e hōʻalo i ka paka a me ka waiʻona.

Pono paha kahi kaʻina e hoʻonui ai i ka esophagus inā he haiki loa ka esophagus a hoʻomoe i ka meaʻai.

Inā pili kāu mau hōʻailona i ka lāʻau, pono ʻoe e inu i ka wai hou aku, e lawe i kahi mana wai o ka lāʻau, a i ʻole e hoʻāʻo i kahi lāʻau ʻokoʻa. A pono paha ʻoe e kaohi i ka moe ʻana i 30 mau minuke ma hope o ka lawe ʻana i ka lāʻau i loko o ka palapala pill.

He aha ka manaʻo lōʻihi?

Hiki i ka esophagitis maʻi ke hōʻemi i ka esophagus a i ʻole nā ​​hōʻino kino me ka ʻole o ka lāʻau. ʻOi aku ka kiʻekiʻe o ka loaʻa ʻana o ka maʻi ʻaʻai esophageal inā ua loli nā hunaola e uhi ana i kāu esophagus ma muli o ka hōʻike ʻana o ka acid acid mau.

Hiki iā ʻoe ke hoʻohaʻahaʻa i kou makaʻi o nā wā e hiki mai ana o ka esophagitis ma ka hōʻalo ʻana i nā mea i ʻike ʻia.

Pili kāu maka i ke kumu a me kou olakino holoʻokoʻa. Hoʻonui ka hapa nui o ka poʻe me ka lāʻau. Ola hou ka poʻe olakino i loko o ʻekolu a ʻelima mau lā, ʻoiai me ka mālama ʻole. Lōʻihi paha ka hoʻōla inā loaʻa iā ʻoe kahi pūnaewele pale nāwaliwali.