Kazhinji, panguva yekudya, bile yakagadzirwa nemasero eropa anopinda mu duodenum kubatsira rubatsiro. Asi dzimwe nguva zvinoitika kuti bile kubva mumutsipa inokandirwa mudumbu cavity, uye chirwere chakadai mumishonga chinonzi duodenogastric reflux.
Mune zvimwe zviitiko izvi zvinogona kuva nekuda kwezvirwere zvekugadzirisa chirwere (chronic duodenitis, cholecystitis, kushaya simba kwekuvharidzira kwepiramiki, chinonzi diaphragmatic hernia, nezvimwewo), kune vamwe iyo yakasiyana nehutachiona. Dzimwe nguva izvi zvinowanzoitika munhamba yakawanda yevanhu vane utano, asi kana isingazviratidzi, chirwere chacho hachiverengi uye hachidi kurapwa. Tichawana kuti chii chiri zviratidzo uye kurapwa kwehutano hwehutachiwana hwebe mukati mudumbu.
Zviratidzo zvekuvhara yeva mukati mudumbu
Chirwere chemakiriniki chechiitiko ichi chinosanganisira zviratidzo zvakadai:
- kushungurudza mushure mekudya (kupisa pedyo nesophagus);
- kubhururuka kwemweya nemuchero we acidic;
- kunzwa shungu mumuromo;
- bloating, raspiree mudumbu shure kwekudya;
- rezi kana kurwadziwa kwepasmodic muhara epigastric;
- kushungurudzika, kurutsa nekusanganiswa kwebi;
- kuvapo mumutauro wejecha.
Kurapa kwe ejection ye bile mudumbu
Inofanira kunzwisiswa kuti ichi chiitiko chinokanganisa zvinokonzerwa nemamiriro ekudya mucosa, iyo, inotungamirira kumatambudziko. Nokudaro, nekunyunyuta kwezviratidzo, iwe unofanira kutanga uchingosangana nemumwe nyanzvi uyo, mushure mekuita chirwere ichi, achasarudza nzira yekurapa. Nzira yekurapa ejection yeva mudumbu inofanira kunge yakavakirwa pazvinokonzera reflux, i.e. Kutanga, zvose zvinokurudzira zvinofanira kubviswa (zvose zvinoshandiswa uye zvinogadzirisa zvinogona kushandiswa pane izvi).
Mukuwedzera, zvakakosha kuderedza kuipa kwebhati pamadziro emudumbu, iyo inowanzopiwa chirongwa chechirwere nemishonga inotevera yemishonga:
- Selective prokinetics (Motilium, Cisapride, nezvimwewo) mishonga inokurudzira kushandiswa kwekutanga kwezvakabva mumudumbu uye kusimbisa inzwi re sphincters.
- Proton pump inhibitors (Esomeprazole, Rabeprazole, etc.) kana kuti antacids (Maalox, Almagel, nezvimwewo) vashandi vanoderedza asidi mudumbu.
- Ursodeoxycholic acid - chinhu chinoshandura bile acid mudumbu mumhando yakasvibiswa nemvura, nezvimwewo.
Zvakakosha kutevera kudya kwakanaka uye kudya.
Kurapa kwe ejection ye bile mumudumbu nemishonga yevanhu
Migumisiro yakanaka inoratidza nzira yekuwedzerwa kwebibi kubva mudumbu, iyo inosanganisira kushandiswa kwemvura yakagadzirwa nemvura yakatangwa 50 mg 3-4 mara nenguva pazuva kwemaminitsi makumi maviri vasati vadya.