Duodeno-esiswini reflux

Duodeno-esiswini reflux yimeko apho imixholo ndilahliwe le duodenum kungena esiswini. Uxilongo le meko kwiziphumo imisebenzi yophando (EGDS pH-metry) xa kungekho ukwenza izinto zonyango ayithethi nto. Oku kungenxa yokuba duodeno-esiswini reflux angenzeka zombini kubantu okunempilo non-esempilweni. Kuba eziphilayo okunempilo oku kubonakaliswa kukhonjwe indlela ekhethekileyo encomekayo, nto leyo awusebenzi ukuya Pathogenesis kwezifo amalungu yokwetyisa, yaye, ngokuchaseneyo, inika uxhathiso ezi zifo. Umzekelo, oku kwenzeka xa siseko ukwanda iasidi esiswini. Xa oku uphoseke esiswini kwealkali ukuhlanganisa umxholo kuphakamisa le iasidi. Ukongeza, oku kwenzeka kwimeko siseko lisibekele iasidi esiswini. Ngoko duodeno-esiswini reflux substitutive ikhuthaza inkqubo yokucola ukutya: akukho ukwetyisa usebenzisa enzyme inyongo ukusuka injeke leyo zifunxe yi ijusi esiswini esiswini.

Ngoko ke, urhulumente okwangoku yinkqubo zembuyekezo. Pathology karhulumente ixhomekeka isikakhulu yempembelelo kwealkali umxholo isifo duodenal esiswini. Kwezinye iimeko oku impembelelo lineziphumo ezincinane. Kulo mzekelo, kukho utshintsho ezincinane kwisisele histologic mlinganiswa. Ukongeza, njengoko umthetho, akukho ukubonakalalisa naziphi na iimpawu, nkqu kwiimeko reflux elide-ekhoyo. Kwezinye iimeko, imeko ukulahlwa ibhekisa Pathogenesis jikelele lophuhliso yezifo. Oku ngenxa yempembelelo ebalulekileyo isiqulatho isifo obrak esiswini. Kwiimeko ezinjalo, duodeno-esiswini reflux kubangela uphuhliso mucosal yoma, okanye, kwezinye iimeko, metaplasia. Kulo mzekelo, isilonda Peptic Inokwenzeka, umhlaza esiswini, gastritis esinganyangekiyo, njalo-njalo. Isimo ukulahlwa yabonakala pancreatitis kunye nefomu ezingapheliyo cholecystitis, cholelithiasis.

Xa elektrogastroduodenoskopii rhoqo (EGD) unikwe sisifo random kuhlola nomonde. Injongo yalo msebenzi phando esweni ukusebenza isifo esiswini kwekhontenti kwealkali le duodenum. Oku kunegalelo nokuthintela ekuqaleni lweenkqubo zophendlo lwezifo.

Unyango.

Duodeno-esiswini reflux, ukubonwa ngengozi (kwi elektrogastroduodenoskopii kunye pH meters), kunye ingeniso ngaphandle iimpawu zomlomo wakhe, hayi ukusetyenziswa ekujongwe naluphi na unyango. Oku kungenxa eziluncedo yenkqubo zembuyekezo. Ukuba isifo lu dityanisiwe iimpawu ze gastritis reflux ngamandla uboniso eliphezulu yokuwela inimba nesisu emva kwemizuzu engamashumi amane emva kokutya, imvakalelo incasa ekrakra emlonyeni kwaye ngamanye amaxesha regurgitation abayabelwe unyango ngamachiza. Ekuqeshweni unyango ithatha ingqalelo ubukho iinkqubo atrophic kwi isifo antral esiswini. Ezi data phendla elektrogastroduodenoskopii. Therapy, kulo mzekelo ngqo bayeke yome. Ngokufanayo, ukuba sesichengeni ulime iziyobisi ezifana metoclopramide, motilium, cisapride kunye nabanye.

Ukongeza, kubonisiweyo ukuba lokufunyaniswa duodeno-esiswini reflux yokudla. Ngaphandle ukusuka ukutya okunamafutha, ukunciphisa okhonza single. Kwiimeko ezininzi, kucetyiswa ukuba aquke ezityiwa buckwheat. It alunasiphumo kwi isifo esiswini kucaphukisa abophe inyongo. Ukongeza, sasabela kukho indlela ekhethekileyo. Izigulane bayacetyiswa ukuba aye kulala ngoko nangoko emva kokutya.