Esophagitis los yog mob plab hnyuv hauv dev tuaj yeem tshwm sim los ntawm ntau yam, xws li hiatal hernias, reflux, parasites, tshuaj, tshuaj loog nyob rau hauv dorsal decubitus, ntuav ntev los yog txawv teb chaws lub cev. Cov kab mob esophagitis no yuav hnyav dua lossis tsawg dua nyob ntawm qhov kev puas tsuaj uas cov tshuaj ua rau hauv txoj hlab pas thiab cov ntsiab lus ntawm cov reflux, yog tias nws tsuas yog gastric acid los yog nws kuj muaj lwm yam tshuaj lom xws li pepsin, trypsin lossis bile acids. Esophagitis tuaj yeem ua rau tus dev ntxhov siab heev thiab ua rau nws muaj kev pheej hmoo ntawm kev mob ntsws ntsws, tshwm sim hnoos thiab ntsws.
Cia nyeem tsab xov xwm no rau ntawm peb lub xaib txog esophagitis hauv dev, nws cov tsos mob thiab kev kho mob, thiab koj yuav kawm paub ntxiv txog tus mob no uas tuaj yeem tsim txom peb cov dev.
esophagitis hauv dev yog dab tsi?
Oesophagitis yog tus mob mob los yog mob ntev ntawm cov mucosa ntawm txoj hlab pas Qee zaum kuj tuaj yeem cuam tshuam rau submucosal thiab cov leeg nqaij ntawm txoj hlab pas.. Cov kab mob esophageal no tshwm sim thaum qhov kev tiv thaiv ntawm txoj hlab pas hloov pauv, uas ua rau cov txheej txheem inflammatory nrog erosions lossis ulcerations. Cov kev tiv thaiv uas cov mucosal txheej ntawm txoj hlab pas muaj xws li:
- Mus gel.
- Surface bicarbonate ions.
- Stratified squamous epithelium with intercellular tight junctions.
Feem ntau nws tshwm sim vim kev puas tsuaj los yog raug mob los ntawm kev noj tshuaj, lub cev txawv teb chaws, los yog nce reflux tawm ntawm lub plab mus rau hauv txoj hlab pas.
Causes of esophagitis in dogs
Ua rau mob esophagitis hauv dev muaj xws li:
- Cov txheej txheem tshuaj loog nyob rau hauv dorsal decubitus (vim cov ntsiab lus gastric ntau ntxiv).
- Hiatal hernias (ua tau ua rau gastroesophageal reflux).
- Drugs: tetracyclines, NSAIDs, ciprofloxacin, clindamycin.
- Vomiting Ncua sij hawm ntev (chronic).
- Eosinophilic esophagitis ntawm dev.
- Necrosisvim lub cev txawv teb chaws siab.
- Parasitosis los ntawm Spirocerca lupi, ua rau granulomatous esophagitis hauv dev, tsim granulomas ntawm phab ntsa ntawm txoj hlab pas uas loj hlob raws li cov kab mob loj hlob hauv, nias rau ntawm lub trachea thiab cov hlab ntsha aortic thiab tuaj yeem cuam tshuam rau txoj hlab pas.
Cov dev yug los los yog menyuam dev nrog lub cev xeeb tub hiatal hernia tej zaum yuav muaj kev pheej hmoo ntawm plab reflux esophagitis.
Symptoms of esophagitis in dogs
Cov tsos mob tshwm sim uas tus dev nthuav tawm yuav txawv raws li hom kev raug mob, qhov mob hnyav thiab kev koom tes lossis tsis yog lwm cov txheej txheem ntawm txoj hlab pas. Thaum tus mob esophagitis me me tuaj yeem tshwm sim nrog regurgitation ntawm cov hnoos qeev thiab phlegm, mob hnyav esophagitis tuaj yeem mob heev uas cov neeg mob tsis kam nqos lawv cov qaub ncaug lossis dej.
Feem ntau, cov tsos mob hauv qab no ntawm esophagitis tuaj yeem pom hauv dev:
- Odynophagia (mob thaum nqos).
- hnoos thiab hawb pob (ntsws ntsws) yog muaj mob ntsws ntsws.
- Ua npaws.
Thaum mob esophagitis me, dev yuav tsis pom cov tsos mob tshwm sim.
Diagnosis of canine esophagitis
ZOV ZAUB NCAWS, Kev kuaj ntshav ntau, ntxiv rau cov ntshav dawb nrog tshwj xeeb nce neutrophils), txawm li cas los xij, qhov seem ntawm cov ntshav suav thiab biochemical tsis zoo yuav tsum yog qhov qub.
Ntawm cov duab xoo hluav taws xob hauv txoj hlab pas feem ntau zoo li qub. Yog tias muaj aspiration pneumonia nws tuaj yeem pom nyob rau hauv qhov chaw ntawm lub ntsws. Yog tias peb ntxiv qhov sib piv ntawm barium, qhov tsis xwm yeem ntawm txoj hlab pas tuaj yeem pom, nrog rau segmental nqaim, esophageal dilatation lossis hypomotility.
- Nkauj lub cev nyob rau hauv txoj hlab pas.
- Esophageal stricture.
- Hiatal hernia.
- Megaesophagus.
- Esophageal diverticulum.
- Vascular nplhaib abnormality.
endoscopy and biopsy yog cov hau kev zoo tshaj plaws rau kev kuaj mob vim hais tias lawv tso cai saib ncaj qha ntawm lub mucosa thiab nws cov kev puas tsuaj, cov teeb meem cuam tshuam thiab histopathology ntawm lub cev:
- Endoscopy yog txoj kev kuaj mob ntawm kev xaiv hauv cov mob hnyav ntawm esophagitis. Nyob rau hauv cov ntaub ntawv no, lub mucosa yuav nce xim (hyperemic) thiab edematous, nrog ulcers thiab los ntshav.
- Biopsy yuav tsim nyog rau cov mob me me uas tsuas pom cov kev hloov pauv tuaj yeem pom nrog kev tshuaj ntsuam xyuas.
Tshuaj kho mob esophagitis hauv dev
Cov ncej ntawm kev kho mob ntawm cov kab mob no yog txhawm rau txo cov acidity ntawm lub plab, reflux ntawm nws cov ntsiab lus thiab tiv thaiv cov hlab ntsha puas. Ua li no, kev kho mob esophagitis hauv dev yuav lossis tsis suav nrog kev mus pw hauv tsev kho mob:
- Dog nrog mob esophagitis tuaj yeem tswj tau hauv tsev, tsis tas yuav nkag.
- Yog tus esophagitis hnyav dua, yog lawv tsis noj, lub cev qhuav dej los yog muaj aspiration pneumonia lawv yuav tau mus pw hauv tsev kho mob.
Thaum mob hnyav tshaj plaws, yuav muab kev kho mob hauv qab no:
- parenteral khoom noj los ntawm txoj hlab gastrostomy kom tsis txhob muaj txoj hlab pas thiab tshem tawm dej thiab zaub mov rau qhov ncauj.
- Inhibitors of gastric secretion xws li ranitidine, cimetidine los yog famotidine kom txo tau gastroesophageal reflux. Txawm li cas los xij, omeprazole ua ib lub twj tso kua mis proton yog qhov zoo tshaj plaws los txo cov plab acidity.
- metoclopramide nkoos lub plab khoob, txo qhov ntim ntawm plab hnyuv uas tuaj yeem nce mus rau txoj hlab pas. Nws muaj qhov zoo uas nws tuaj yeem muab tso rau hauv cov hlab ntsha.
- The sucralfate nyob rau hauv daim ntawv ntawm qhov ncauj ncua kev kawm ntawv yog qhov zoo tshaj plaws kev kho mob rau canine esophagitis, lawv yog tshwj xeeb tshaj yog cov ntsiav tshuaj txij li thaum cov kua adheres mus rau qhov puas tsuaj ntawm txoj hlab pas thiab yuav ua nws txoj haujlwm zoo dua. Tsis tas li ntawd, nws muab qee qhov tshuaj loog yog tias muaj qhov tsis xis nyob.
- Lidocaine hais lus rau cov dev mob hnyav heev lawv yuav tsis nqos lawv cov qaub ncaug.
- Broad-spectrum Tshuaj tua kab mob yuav tsum tau tseg rau cov mob hnyav tshaj plaws ntawm txoj hlab pas txhawm rau tiv thaiv kab mob thiab kis kab mob los yog hauv cov dev aspiration pneumonia.
Kev mob esophagitis hauv dev
Cov tsos mob rau cov dev uas muaj mob esophagitis me feem ntau yog qhov zoo. Txawm li cas los xij, nyob rau hauv cov ntaub ntawv ntawm ulcerative esophagitis, qhov prognosis yog kev tiv thaiv ntau dua. Esophagitis tej zaum yuav nyuaj los ntawm kev nruj ntawm txoj hlab pas, thiab dev yuav ua rau muaj kev loj hlob regurgitation, malnutrition, thiab poob phaus. Tag nrho cov laj thawj no, nws tseem ceeb heev rau mus ntsib kws kho tsiaj thaum pom cov tsos mob thawj zaug thiab tsis txhob noj tus tsiaj rau tus kheej vim nws tuaj yeem ua rau lub chaw kho mob hnyav dua. duab.
