Yuav ua li cas yog Esophagitis? Cov tsos mob, kuaj.

Ib qho ntawm feem ntau cov kab mob ntawm lub digestive system yog lub o ntawm cov hlab pas - esophagitis. Cov tsos mob ntawm tus kab mob no yog me ntsis txog kom ntau. Nws yog ib tug mob thaum tau txais cov zaub mov, kub siab, dysphagia. Los ntawm qhov xwm ntawm tus khiav zoo tu qab tso mob, subacute thiab mob ntaub ntawv ntawm esophagitis.

Ua rau esophagitis
Cov mob daim ntawv oesophagitis tshwm sim vim cov khaus kev txiav txim ntawm kev txhoj puab heev yam tseem ceeb xws li kub los yog ib yam nkaus thiab cov zaub mov txias, tshuaj, tshuaj cov neeg ua hauj (acid, iodine, alkali thiab lwm tus neeg.). mucosal kev puas tsuaj tej zaum yuav ua tau los ntawm kis kab mob (scarlet fever, diphtheria, lub taub dej khawb kab mob). Subacute thiab mob ntaub ntawv ntawm tus kab mob tsim vim lub caij nyoog raug tas mus li roughage, haus dej cawv, teeb meem yam rau siv thiab ua. Thaum lub mob ntawm "mob esophagitis," cov tsos mob ntawm tus kab mob no tej zaum yuav ua ke nrog rau lwm cov concomitant cov kab mob ntawm digestive kabmob xws li gastritis, gastroduodenitis. Nyias cais teev esophagitis tshwm sim ntawm stagnation zaub mov thiab muaj teeb meem raws li ib tug tshwm sim ntawm nws cov zaj diverticula txoj hlab nqos mov. Tab sis feem ntau ua mob ntaub ntawv ntawm tus kab mob tseem peptic esophagitis, uas cov tsos mob tsim nyob rau hauv kev sib cuag nrog lub acidic txheem rau hauv cov hlab pas.

Pathophysiology ntawm esophagitis
Cov heev ntawm tus txheej txheem yog distinguished catarrhal (nto esophagitis), erosive, hemorrhagic, necrotic thiab pseudomembranous esophagitis. Thiab tej zaum cellulitis thiab rwj tsim ntawm cov hlab pas. Mob ntev-uas twb muaj lawm o yog stricture (narrowing) ntawm cov hlab pas thiab nws narrowing.

Mob esophagitis, cov tsos mob ntawm tus kab mob no
Txoj kev ua ntawm tus kab mob yog nyob ntawm seb daim ntawv ntawm esophagitis, nws ua rau thiab loj heev ntawm inflammatory txheej txheem. Feem ntau nws yog mob hauv siab thaum tau txais khoom noj khoom haus, tej zaum yuav ua tau ib tug ua txhaum ntawm nqos, cov kev xav ntawm rawness. Nrog erosive thiab hemorrhagic esophagitis yog ntuav ntshav. Cov mob hauv daim ntawv ntawm cov kab mob no yog yus muaj los ntawm kub siab, mob thiab rawness nyob rau hauv lub kaus siab. Reflux esophagitis ua hlawv thiab belching pais plab txheem, tshwj xeeb yog thaum dabtsi yog khoov lub npog tas ib ce.
Tshwj xeeb tshaj yog ib qho nyuaj, nrog mob hnyav qaug cawv, mob ntaub ntawv ntawm tus kab mob tshwm sim nyob rau hauv diphtheria, rwj thiab cellulitis ntawm cov hlab pas.
teeb meem

Teeb meem tsim mas rau cellulitis thiab rwj. Uas yuav ua rau los ntshav los yog perforation ntawm cov hlab pas phab ntsa. Long-term mob mob yuav ua rau stenosis thiab shortening ntawm cov hlab pas.
mob ntawm esophagitis

Kuaj raws li nyob rau hauv cov raug tus neeg mob tsis txaus siab. Lub hom diagnostic txoj kev mob yog endoscopic kev soj ntsuam ntawm cov hlab pas (esophagoscopy). Nws yog ib txoj kev uas txiav txim rau qhov xwm ntawm tus inflammatory txheej txheem thiab nws loj heev. Thaum nws yog npaum li cas tuav kev kuaj mucosa. X-ray txoj kev siv barium muab ib tug hais txog ntawm esophageal patency xub ntiag ntawm diverticula.

kev kho mob
Nyob rau hauv no kab mob, nws yog ib qho tseem ceeb rau khoom noj kom zoo. Noj cov zaub mov rau esophagitis muaj xws li kev siv ntawm ib tug thermally thiab mechanically maj zaub mov nyob rau hauv me me feem, ua tib zoo chewed. Vim hais tias cov tshuaj siv cathartic tshuaj nrog anesthetics (almagel) Bismuth npaj.
Peptic esophagitis conservative kev kho mob yog nqa tawm aimed ntawm kev tiv thaiv casting zaub mov mus rau hauv cov hlab pas. Txwv tsis pub hnyav lub cev ua zog txuam nrog kev nyuaj siab mob plab slopes. Ntawm cov tshuaj yog tib yam li rau cov kev kho mob ntawm mob esophagitis. Yog hais tias koj muab pov khoom noj los ntawm lub plab yog txuam nrog ib tug hernia thiab conservative kev kho mob muaj tsis ntxim, phais kho mob, lub aim ntawm uas yog kom tshem tus hernia thiab pais plab cardia rov qab.