Hunguriga faafa

Cudurka Esophagitis waa eray guud oo loogu talagalay barar kasta, xanaaq, ama barar hunguriga. Kani waa tuubbada qaada cuntada iyo cabitaannada afka ilaa caloosha.

Cudurka hunguriga ee faafa waa dhif. Badanaa waxay ku dhacdaa dadka nidaamyadooda difaaca ay daciif yihiin. Dadka leh nidaam difaac xoog leh badanaa ma yeeshaan cudurka.

Sababaha guud ee habka difaaca jirka oo daciifa waxaa kamid ah:

• HIV / AIDS
• Dawaynta kimikalka
• Sonkorowga
• Leukemia ama lymphoma
• Daawooyinka xakameynaya habka difaaca jirka, sida kuwa la bixiyo kadib xubin jirka ama dhuuxa lafta
• Xaaladaha kale ee cabudhinaya ama wiiqaya nidaamkaaga difaaca

Noolaha (jeermiska) keena hunguriga hunguriga waxaa kamid ah fangaska, khamiirka, iyo fiiruska. Noolaha guud waxaa ka mid ah:

• Candida albicans iyo noocyada kale ee Candida
• Cytomegalovirus (CMV)
• Fayraska 'Herpes simplex virus' (HSV)
• Human papillomavirus (HPV)
• Bakteeriyada qaaxada (Qaaxada Mycobacterium)

Calaamadaha hunguriga hunguriga waxaa kamid ah:

• Dhibaato liqitaan iyo liqitaan xanuun leh
• Qandho iyo dhaxan
• Caabuqa khamiirka ee carrabka iyo dahaadhka afka (cabeebka afka)
• Nabaro afka ama dhabarka cunaha (oo leh herpes ama CMV)

Bixiyaha daryeelka caafimaadka ayaa ku weydiin doona calaamadahaaga wuxuuna baari doonaa afkaaga iyo cunaha. Tijaabooyinka waxaa ka mid noqon kara:

• Dhiigga iyo kaadida ayaa laga baaraa CMV
• Dhaqanka unugyada hunguriga hunguriga ama CMV
• Dhaqanka suufka afka ama cunaha ee candida

Waxaa laga yaabaa inaad u baahato in lagaa qaado baaritaanka endoskobiga sare. Tani waa tijaabo lagu baarayo dahaarka hunguriga.

Inta badan dadka qaba hunguriga hunguriga, daawooyinka ayaa xakameyn kara infekshanka. Kuwaas waxaa ka mid ah:

• Daawooyinka ka hortagga fayraska sida acyclovir, famciclovir, ama valacyclovir ayaa daweyn kara infekshinka herpes.
• Daawooyinka lidka ku ah fangaska sida fluconazole (oo afka laga qaato), caspofungin (oo lagu mudo irbad), ama amphotericin (oo lagu siiyo cirbadeyn) ayaa daweyn kara infekshanka candida.
• Daawooyinka ka hortaga fayraska ee lagu bixiyo xididka (xididka la siinayo), sida ganciclovir ama foscarnet ayaa daweyn kara infekshanka CMV. Xaaladaha qaarkood, daawo la yiraahdo valganciclovir, oo afka laga qaato, ayaa loo isticmaali karaa infekshanka CMV.

Dadka qaarkood ayaa sidoo kale u baahan kara dawada xanuunka.

Weydii adeeg bixiyahaaga talooyinka cuntada gaarka ah. Tusaale ahaan, waxaa jiri kara cuntooyin aad u baahan tahay inaad iska ilaaliso cunista maadaama hungurigaagu uu bogsanayo.

Dad badan oo loo daweeyo dhacdo ka mid ah hunguriga faafa ayaa u baahan daawooyin kale oo muddo dheer soconaya si loo xakameeyo fayraska ama fungus, loogana hortago infekshinku ku soo laabto.

Cudurka Esophagitis sida caadiga ah waxaa lagu daaweyn karaa si wax ku ool ah oo badanaa ku bogsiiya 3 ilaa 5 maalmood. Dadka habka difaaca jirkoodu daciifka yahay waxay qaadan karaan waqti dheer si ay u ladnaadaan.

Dhibaatooyinka caafimaad ee ka dhalan kara hunguriga faafa waxaa ka mid ah:

• Daloollo hungurigaaga (dalool)
• Cudur ku qaadashada bogagga kale
• Infekshan soo noqnoqda

Wac adeeg bixiyahaaga haddii aad qabtid xaalad kasta oo sababi karta yareynta jawaab celinta difaaca jirka oo aad yeelato calaamadaha hunguriga faafa.

Haddii habka difaaca jirka uu daciifo, iskuday inaad iska ilaaliso inaad la xiriirto dadka qaba infekshinka mid ka mid ah noolaha aan kor ku soo sheegnay.

Caabuq - hunguriga; Infekshinka hunguriga

• Hunguriga hunguriga
• Nidaamka caloosha ee sare
• Cudurka hunguriga ee loo yaqaan 'CMV esophagitis'
• Cudurka hunguriga ee 'Candidal esophagitis'

Graman PS. Cudurka hunguriga. Gudaha: Bennett JE, Dolin R, Blaser MJ, eds. Mandell, Douglas, iyo Bennett Mabaadi'da iyo Ku Dhaqanka Cudurada faafa. 9aad. Philadelphia, PA: Elsevier; 2020: cutubka 97.

Katzka DA. Cudurrada hunguriga ku dhaca ee ay sababaan daawooyinka, naxdinta, iyo infekshannada. Gudaha: Feldman M, Friedman LS, Brandt LJ, eds. Cudurka caloosha iyo beerka ee Sleisenger iyo Fordtran. 10aad ed. Philadelphia, PA: Elsevier Saunders; 2016: cutubka 46.