Esophagitis

Esophagitis bụ ọnọdụ nke nkpuchi nke esophagus na-aza aza, na-agbanye ọkụ, ma ọ bụ na-eme ihe. Akpịrị akpịrị bụ ọkpọkọ nke na-esi n’ọnụ gị banye n’afọ. A na-akpọkwa ya nri ọkpọkọ.

Esophagitis na-ebutekarị site na mmiri afọ nke na-alaghachi n'ime paịpụ nri. Mmiri ahụ nwere acid, nke na-akpasu anụ ahụ iwe. A na-akpọ nsogbu a gastroesophageal reflux (GERD). Ọrịa autoimmune a na-akpọ eosinophilic esophagitis na-emekwa ka ọnọdụ a.

Ihe ndị a na - abawanye n'ihe egwu gị maka ọnọdụ a:

• Mmanya na-aba n'anya
• Sịga na-ese anwụrụ
• Gerywa ahụ ma ọ bụ radieshon n'obi (dịka ọmụmaatụ, ọgwụgwọ maka ọrịa cancer akpa ume)
• Akingụ ọgwụ ụfọdụ dị ka alendronate, doxycycline, ibandronate, risedronate, tetracycline, potassium tablets, na vitamin C, n’a drinkingụghị mmiri buru ibu
• Akpịrị
• Gha ụgha mgbe ị risịrị nri buru ibu
• Ibu

Ndị mmadụ nwedịrị ike ịna-alụso ọrịa ọgụ nwere ike ibute ọrịa. Ọrịa nwere ike ibute ọzịza nke ọkpọkọ nri. Ofufe Ọrịa nwere ike ịbụ n'ihi na:

• Ero ma ọ bụ yist (ọtụtụ mgbe Candida)
• Nje virus, dị ka herpes ma ọ bụ cytomegalovirus

Ọrịa ahụ ma ọ bụ mgbakasị ahụ nwere ike ibute ọkpọkọ nri. Akpịrị mgbu a na-akpọ ọnya nwere ike ịmalite.

Mgbaàmà nwere ike ịgụnye:

• .Kwara
• Nsogbu ilo
• Na-egbu mgbu
• Nrekasi obi (acid reflux)
• Arsda ụda
• Akpịrị mgbu

Dọkịta nwere ike ịme ule ndị a:

• Manometry nke a na-edozi
• Esophagogastroduodenoscopy (EGD), na-ewepu otu mpempe akwụkwọ site na ọkpọkọ nri maka nyocha (biopsy)
• Usoro Gi elu (barium ilo x-ray)

Ọgwụgwọ dabere n’ihe kpatara ya. Usoro ọgwụgwọ ndị a na-ahụkarị bụ:

• Ọgwụ ndị na-ebelata acid afọ ma ọ bụrụ na ọrịa reflux
• Ọgwụ nje iji gwọọ ọrịa
• Ọgwụ na nri gbanwere iji gwọọ eosinophilic esophagitis
• Ọgwụ iji kpuchie mkpuchi nke ọkpọkọ nri iji mesoo mmebi metụtara ọgwụ

Kwesịrị ị takingụ ọgwụ na-emebi eriri nke akpịrị. Were mmiri ọgwụ gị rie ọtụtụ mmiri. Zere ịgha ụgha ozugbo ị takingụ ọgwụ ahụ.

Ọtụtụ oge, nsogbu ndị na-ebute ọzịza na mbufụt nke ọkpọkọ nri, na-azaghachi ọgwụgwọ.

Ọ bụrụ na agwọghị ya, ọnọdụ a nwere ike ibute nnukwu nkasi obi. Artụ (nhịahụ) nke ọkpọkọ nri nwere ike ịmalite. Nke a nwere ike ịkpata nsogbu ilo.

Ọnọdụ a na-akpọ Barrett esophagus (BE) nwere ike ịmalite mgbe afọ GERD gasịrị. Obere oge, BE nwere ike ibute ọrịa kansa nke ọkpọkọ nri.

Kpọọ onye nlekọta ahụike gị ma ọ bụrụ na ịnwee:

• Ugboro mgbaàmà nke esophagitis
• Nsogbu ilo

Mbufụt - esophagus; Erosive esophagitis; Ọrịa ọnya afọ; Eosinophilic esophagitis

• Anti-reflux ịwa ahụ - ihapu

• Esophagus na mmebe afọ
• Esophagus

Falk GW, Katzka DA. Ọrịa nke akpịrị. Na: Goldman L, Schafer AI, eds. Ọgwụ Goldman-Cecil. Nke 26th. Philadelphia, PA: Elsevier; 2020: isi 129.

Graman PS. Esophagitis. Na: Bennett JE, Dolin R, Blaser MJ, eds. Mandell, Douglas, na Bennett Prinkpụrụ na Omume nke Ọrịa Na-efe Ọrịa. Agba nke 9. Philadelphia, PA: Elsevier; 2020: isi nke 97.

Richter JE, Vaezi MF. Ọrịa reflux nke Gastroesophageal. Na: Feldman M, Friedman LS, Brandt LJ, eds. Ọrịa Cancer Sleisenger na Ọrịa Cancer nke Fordtran. Nke 11. Philadelphia, PA: Elsevier; 2021: Isi 46.