Gastroesophageal reflux inoratidzika zviratidzo zvinoratidzira kufamba kwemuviri mukati mune zvakatarisana (mukati memoyo). Mune zvimwe zviitiko izvi zvinogona kuva chiitiko chinowanzoitika, mune zvimwe zvinogona kukuvadza zvakanyanya pathologies.
Gastroesophageal reflux inokonzera
Kukanda zvinhu zviri mukati kubva mudumbu, zvichiitika mumatambudziko akasiyana-siyana mushure mekudya, izvo zvisingaiti kukanganisa kumunhu uye hazvina kukonzera zvimwe zvinetso, zvinoonekwa sechimiro chechimiro. Kana izvi zvichiitika kakawanda, kusanganisira usiku, zvinowirirana nezviratidzo zvakajeka, iyo mubvunzo wekutsauka kunotungamirira kukurudzirwa kwegastroesophageal reflux chirwere.
Kufunga nezvezvinokonzera gastroesophageal reflux, zvakakosha kunzwisisa nzira yekukanda zviri mukati nenzira isiri iyo. Chinhu chinokosha mukudzivirira kwechiitiko ichi chinotambidzwa nechezasi esophageal sphincter - mushuga inenge nguva dzose inogara muhupfumi uye ichizarura muzviitiko zviviri-apo zvokudya zvinowedzera kumudumbu uye kana mweya wakamedza uchibuda.
Kuzorora kwepakati pephincter yakaderera kweeophagus kunogona kushamwaridzana nezvose zvinetso zvayo zvekushanda uye nekuderera kwemazwi emushu. Izvozvo zvinowanzokonzerwa nezvinhu zvakadaro:
- kushandiswa kwekoffeinated drink;
- kushandiswa kwezviyo zvinopisa uye zvinwiwa;
- kutora mamwe mishonga (antispasmodics, analgesics, nitrates, etc.);
- kusvuta;
- kunwa doro;
- basa rakasimba remuviri;
- shanduko inonzi hormonal background.
Mukuwedzera, chirevo chekudzoka kwemashure pane dzimwe nguva kuwedzerwa mukati-mumimba kudzvinyirira, kunocherechedza nokuwedzerwa muviri zvakanyanya, ascites, kuvimbiswa, flatulence. Kushandiswa kwepfungwa kunotsamwisa nekushandiswa kweka carbonated zvinwiwa, zvokudya zvakabikwa, zvinonhuwira zvinonhuwira. Uyewo, mamiriro ezvinhu ekudzoka anowanikwa nehutachiona hwehutachiona hwechirwere, peptic ulcer, chechirwere chechirwere.
Muchirwere chegastroesophageal reflux, zvinokosha kwete kungoita zvakananga chete, asiwo kukwanisa kweropa kunosunungurwa kubva kune chinouya chinokurudzira. Kazhinji, kana acidic gastric contents inowira, kudzorerwa kwepH uye kudzokera kumudumbu nekuwedzera kumira kweeophagus uye kuvhara kwechivimbiso kunowanzokurumidza (iyo inyanzvi inonzi kusununguka kwekugadzirisa).
Gastroesophageal reflux zviratidzo
Mune chimiro chinowanikwa mumakiriniki, zviratidzo zvinotevera zvegastroesophageal reflux zvakakosha:
- kuchema ;
- eructation;
- manzwiro echepa mumutsipa;
- asinganzwisisi kana achimedza zvokudya;
- bloating ;
- kurutsa;
- nausea;
- kushungurudzika kunorwadza kwakafanana nekurwisa kwema angina.
Muzviitiko zvakawanda, zvikurukuru ne "high", mafungiro ezvimwe anonzi extra-oesophageal zviratidzo anoti:
- chifuva;
- kupfupika kwemhepo;
- kuvhuvhuta kwemukoni wekasi, nasopharynx, bronchi;
- hoarseness of voice;
- caries, kuvhiringidzika kwemasamu .
Zviratidzo zvinoratidzira zvinowedzera usiku, mushure mokudya, panguva yekushanda. Muhupo hwezviratidzo zviratidzo gastroesophageal reflux chirwere chinogona kuitika mune imwe yemhando mbiri:
- nechinoputika kuchinja mumasvingo ekudzivirira, akaratidzwa nemagariro endoscopic (neesophagitis);
- pasina kuputika kwemasimba, ayo akasimbiswa nenzira ye endoscope (pasina esophagitis).
Gastroesophageal reflux pasina esophagitis
Muchiitiko ichi, chirwere chegastroesophageal reflux chinonzi chisingaiti. Muchiitiko ichi, esophageal mucosa inodzivirirwa kubva pakunopinda mumuviri wezviri mukati, izvo zvisingaratidzi, izvo. kubvumirana kunowanzoitika. Mukuwedzera, chirwere chinowanzoitwa mumidziyo uye lymphatic capillaries chinobatsira mukugadzirisa kwezve epithelium. Zvikamu zve reflux nezviratidzo hazvidzokwi kakawanda, asi izvi zvingangodaro gadziriro yekare yekugadzirisa.
Gastroesophageal reflux ne esophagitis
Kana gastroesophageal reflux inosanganiswa nehuwandu hwemajairo ekudyiwa kwezvokudya zvepamuviri, dambudziko rekuchinja kwechirwere mumukosa wehutano hunowedzera. Inobatsira kune izvi uye kuwedzerwa kushungurudzika kwekuratidza kufanana kune dzimwe zvirwere (somuenzaniso, nekuwedzera acidity, kuvapo kwe bile acid). Chirwere chemakiriniki, chaizvoizvo, chine zviratidzo zvemimba. Munyaya iyi, kazhinji inofambisa gastroesophageal reflux kukohwa - yakaoma, kazhinji inowanikwa masikati, ichiwedzera nekuchinja muchinzvimbo chemuviri.
Gastroesophageal reflux - degree
Phological gastroesophageal reflux inokonzerwa nekuderera kwezvirongwa zvekuzvidzivirira uye kusagadzikana kwezvinhu zvinokuvadza. Zvichienderana nehuwandu hwekuparara, hutachiona hunoshandiswa kuva digiri. Heano chimwe chezvinhu zvinoshandiswa:
- 0 degree - hapana kliniki zviratidzo:
- I degree - kuvapo kwehupi hwekudzika kwehupfumi hunopesana nehutachiona hwehutachiona hwehutachiona, husingabatsiri 10% kubva kune imwe nzvimbo yakasiyana-siyana;
- Chikoro chechipiri - kune nzvimbo dzisina kunaka dzekukura, iyo inofanirwa kusvika kusvika 50% yepamusoro kwechikamu chese distal;
- III degree - multiple ulcerative lesions, achigara pamativi eparal chikamu zvachose;
- IV degree - kukura kwezvinetso: hutonda zvakadzika, kuderedza dutu, sarott yaBarrett, nezvimwewo.
Gastroesophageal reflux - kuongororwa
Kutanga kuongororwa kunowanzoitwa pamusana pekunyunyuta uye anamnesis. Kuti uone maitiro e gastroesophageal reflux, kuona kuonekwa kunokosha zvikuru. Kuitisa esophagogastroduodenoscopy kunopa mufananidzo wakareba wechiremera uye pamwe chete nezvisina kukodzera. Kana zvichidikanwa, biopsy inoitwa. Mukuwedzera, zvinotevera zvinogona kudiwa:
- X-ray kuongororwa neabrium;
- zuva nezuva kutarisa kwepH yenharaunda;
- esophagotho-kymography;
- bhimetry;
- scintigraphy.
Ko gastroesophageal reflux inobatwa sei?
Kuongorora chirwere chegastro-esophageal reflux chirwere chinofanira kunge chakaoma, pamwe nechinzvimbo chekutanga chinotorwa nemishonga inodhaka. Zvakakosha kutevera kudya uye zvinotevera zvinokurudzira:
- kuyerwa kwemuviri;
- chiremera chekusimudza mitambo (kwete kupfuura 10 kg);
- Kudzivisa kutsetseka uye kukanganiswa kwemashoko;
- kuramba kurambidza zvipfeko;
- kurara pamusana mukuru;
- kuramba maitiro akaipa.
Gastroesophageal reflux - kurapwa, zvinodhaka
Kuti urege kunetseka gastroesophageal reflux neesophagitis kurapwa inofanira kunge ine chiremba. Zvichienderana nekuoma kwehutachiona, zvinodhaka zvinopiwa kune mapoka aya:
- zvinokanganisa - (Fosfalugel, Maaloks);
- vatorwa (Gaviscon);
- prokinetics (Motilium);
- proton pump inhibitors (Omez, Lansoptol);
- blockers yeH2-receptor histamine (Ranisan, Famotidine).
Mimwe yemishonga iyi inotorwa nguva nenguva kuti ibatsirwe zviratidzo, dzimwe dzinoda kurapwa kusvikira kusagadziriswa kubviswa kwezviratidzo. Ne reflux pasina esophagitis, chete kushandiswa kwean antacids uye alginates kunoratidzwa. Mumatambudziko akaoma, kupindira kwekuvhiya kunogona kudiwa (somuenzaniso, Nissen fundoplication).
Gastroesophageal reflux - kurapwa nemishonga yevanhu
Muchikamu chekuregererwa, apo gastroesophageal reflux haina kumbozivisa zviratidzo, zvinotenderwa kushandisa nzira dzisiri dzetsika dzekudzivirira. Varwere vanoonekwa kuti vane gastroesophageal reflux, maitiro evanhu vanorapwa, kunyanya, kushandiswa kwe phytotherapeutic agents nokuda kwekufukidzira nekurwisa-kupisa simba. Heano chimwe chezvipfeko.
Herb infusion
Zvisungo:
- Mbeu yefrikisi - 1 tafura. spoon;
- mashizha emadzimai naamai-vatatu-tafura. spoon;
- licorice midzi - 1 tafura. spoon;
- mvura - 200 ml.
Kugadzirira nekushandiswa:
- Gadzirirai kukohwa.
- Dururirai mashupuni 2 emuvhenganiswa nemvura inopisa uye mudururire pamvura yekushambidza kwechitanhatu kweawa.
- Kuchena, kunyura.
- Tora usati wadya pahupuni kanomwe pazuva.
Gastroesophageal reflux - kudya
Kudya kwakanyanyisa ne gastroesophageal reflux ne esophagitis uye pasina - chikamu chinogamuchirwa chekurapa. Yakakurudzira kudya kuduku ka 5-6 kakawanda pazuva, iyo ndiro yakabvumirwa chete inodziya, kwete yakakosha, kwete yakasimba. Iwe haugoni, simira kubva patafura, pakarepo tora nzvimbo yakakosha uye udye usati waenda kunorara. Usabvisa:
- chocolate;
- kofi, simba yakasimba;
- tomato;
- citrus fruit;
- mafuta.