Esophagitis

Esophagitis ke boemo boo ho lona lesela la 'metso le ruruhang, le ruruhang kapa le halefisoang. 'Metso ke tube e tsoang molomong oa hao ho ea ka mpeng. E boetse e bitsoa phala ea lijo.

Esophagitis hangata e bakoa ke mokelikeli oa mpa o phallang o khutlela phapeng ea lijo. Mokelikeli ona o na le asiti, e halefisang lisele. Bothata bona bo bitsoa gastroesophageal reflux (GERD). Bothata ba ho itšireletsa mafung bo bitsoang eosinophilic esophagitis le bona bo baka boemo bona.

Lintho tse latelang li eketsa kotsi ea boemo bona:

• Tšebeliso ea joala
• Ho tsuba koae
• Ho buoa kapa mahlaseli a sefuba (mohlala, kalafo ea mofetše oa matšoafo)
• Ho noa meriana e kang alendronate, doxycycline, ibandronate, risedronate, tetracycline, matlapa a potasiamo le vithamine C, ntle le ho noa metsi a mangata
• Ho hlatsa
• Ho paqama ka mor'a ho ja lijo tse ngata
• Botenya

Batho ba nang le sesole sa 'mele se fokolang ba ka ba le tšoaetso. Ts'oaetso e ka lebisa ho ruruha ha phaephe ea lijo. Tšoaetso e ka bakoa ke:

• Fungi kapa tomoso (hangata Candida)
• Li-virus, tse kang herpes kapa cytomegalovirus

Ts'oaetso kapa ho halefa ho ka baka phala ea lijo ho ruruha. Liso tse bitsoang liso li ka hlaha.

Matšoao a ka kenyelletsa:

• Khohlela
• Ho thata ho koenya
• Ho metsa ho bohloko
• Ho chesa ha pelo (acid reflux)
• Ho thothofala
• Metso o bohloko

Ngaka e ka etsa liteko tse latelang:

• Esophageal manometry
• Esophagogastroduodenoscopy (EGD), ho tlosa sekhechana sa lisele tse tsoang pompong ea lijo bakeng sa tlhahlobo (biopsy)
• Letoto la holimo la GI (xarium ea barium)

Kalafo e ipapisitse le sesosa. Khetho e tloaelehileng ea kalafo ke:

• Meriana e fokotsang asiti ea ka mpeng haeba ho na le lefu la reflux
• Lithibela-mafu ho phekola tšoaetso
• Meriana le liphetoho lijong ho phekola eosinophilic esophagitis
• Meriana ea ho koahela lera la phala ea lijo ho alafa tšenyo e amanang le lipilisi

U lokela ho khaotsa ho noa meriana e senyang lera la 'metso. Noa lipilisi tsa hau ka metsi a mangata. Qoba ho robala fatše hang kamora ho noa pilisi.

Boholo ba nako, mathata a bakang ho ruruha le ho ruruha ha phala ea lijo, a arabela kalafo.

Haeba e sa phekoloe, boemo bona bo ka baka mathata a maholo. Ho ka 'na ha qhekella (phepelo) ea phaephe ea lijo. Sena se ka baka mathata a ho koenya.

Boemo bo bitsoang Barrett esophagus (BE) bo ka hlaha kamora lilemo tsa GERD. Hangata, BE e ka lebisa ho mofets'e oa phaephe ea lijo.

Bitsa mofani oa tlhokomelo ea bophelo haeba u na le:

• Khafetsa matšoao a esophagitis
• Ho thata ho koenya

Ho ruruha - metso; Ho senyeha ha 'mele; Ulcerative esophagitis; Eosinophilic esophagitis

• Ho buuoa ka anti-reflux - ho tsoa

• Esophagus le anatomy ea mpa
• Khopho

Falk GW, Katzka DA. Maloetse a 'metso. Ka: Goldman L, Schafer AI, li-eds. Phekolo ea Goldman-Cecil. La 26th. Philadelphia, PA: Elsevier; 2020: khaolo ea 129.

Graman PES. Esophagitis. Ka: Bennett JE, Dolin R, Blaser MJ, bahlophisi. Mandell, Douglas, le Bennett's Principles and Practice of Infectious Diseases. La 9th. Philadelphia, PA: Elsevier; 2020: khaolo ea 97.

Richter JE, Vaezi MF. Lefu la reflux la gastroesophageal. Ka: Feldman M, Friedman LS, Brandt LJ, bahlophisi. Sleisenger le Fordtran's Mpeng le Mafu a Sebete. 11th ed. Philadelphia, PA: Elsevier; 2021: khaolo ea 46.