GERD: Iimpawu, semiotics, zohlelo kunye nonyango

Le ungayiqondiyo GERD (isifo reflux gastroesophageal) amayeza kuthetha ngezifo ezithile ezinxulumene kunye reflux yemixholo isisu waya distal iindawo (ngaphantsi) loMthetho kuvuleke iminxunya ngenxa insufficiency le kwentliziyo sphincter, nto leyo a omzimba esempilweni izithuba ezibuhlazarha ngokupheleleyo inika ukwahlulwa izidumbu ezimbini. Kulo mzekelo, uxilongo ukuze kuboniswa kuzo zonke iimeko eyahlulayo lwezidumbu, non-isicaphucaphu nokugabha, kwakunye iintshukumo anastaltic.

GERD: Iimpawu, semiotics, zohlelo kunye nonyango

isifo reflux Gastroesophageal zisenokuvela nanini na ubudala kwaye luphawulwa frequency yayo. Ngenxa yoko, isifo abadala nama-50% kungakhathaliseki ngesondo. Kwi-10 ekhulwini avavanywa yi EGD iphawulwe utshintsho morphological kwi isifo organ (enyanisweni kuyo kwifom ilunga). GERD kubantwana kuyabonakala ngokwentelekiso rhoqo, ngakumbi kwiintsana, ngenxa ekungaphumelelini cardia.

Le Pathogenesis of GERD

Uphuhliso GERD Pathogenetic umzobo ibanjiwe usebenzisa pH-test kwi kuvuleke iminxunya emathunjini. Icandelo acid Esophageal yomntu nempilo iiyunithi-6, ebonisa ukuba okusingqongileyo asidi kancinci. Xa inani pH GERD uvikivwa ku-4, apho malunga kabini ibhola-umxholo kwandisa ndlongondlongo iidonga omzimba. Esiswini, ixabiso pH eqhelekileyo kwinqanaba 1.5-2, kodwa umonakalo lungenzeki, ekubeni yangaphakathi ukhuselwe yencindi eziveliswa iiseli Parietal.

imixholo nodlame esiswini emphinjeni iphoswe ukuba yintlama kwentliziyo ayanelanga ukuba amalungu iyantlukwano eendaba. Le meko ibizwa esophageal ubuthathaka sphincter kwaye wabonakaliswa kwimeko yokwanda kuthanjiswa izigigaba, umz, kunye yokufakwa rhoqo ziingceba ezinkulu ukutya okuqinileyo. Kananjalo into predisposing, nto leyo eya kubangela intlungu ngendlela yenkqubo 3 hgodichnogo-phindo iya kukhokelela GERD, nguye lo mkhwa ye- kulala emva kokutya. Enyanisweni, iziqulatho isisu ngokupheleleyo kwindawo nkqo umzimba lingenako ukusebenza Cardio. Noko ke, oku xa kwenzeka indawo lisalele kunye namathuba epheleleyo.

Ngexesha ngokuhlelwa GERD ibangela Buze hernial luquka hiatal ukuba ebonelela motility bhetele indlela kuvuleke iminxunya kwaye akaxhasi ucinezelo engaphandle buso kuloo orifice intliziyo.

GERD Iimpawu

Ezona mpawu ziphambili uphawu ngezifo ezi nezikhalazo zezigulane nokuvutha iintlungu esifubeni ukuba kwenzeka ngokukhawuleza emva kwesidlo. Xa ukutshintsha indawo emzimbeni (elele phantsi kwindawo tyaba, enibe kwi osecaleni okanye moya ngokungqalileyo) Kwakhona waziva , yakhawuleza elivuthayo esifubeni. regurgitation Nomonde ochaphazelekayo, igwinya kakuhle, iintlungu ezinxulumene ne ukubetha ngenxa yomonakalo ilungu isifo. Yokuginya ukutya okuqinileyo kwaphulwa nkqu mastication ngamandla, kanti ulwelo udlula ngokukhululekileyo, kodwa ebangela ubuhlungu ngenxa lobushushu (ubushushu okanye ebandayo) isivuseleli lweendawo ezonakeleyo. In GERD Iimpawu ziyafana angina, kodwa umahluko hayi umthwalo ngokwasemzimbeni kunye isidlo.

Unyango for GERD: pharmacotherapy kunye nokuthobela yokudla

Phantsi kolawulo lwe ukuthotyelwa ukutya isigulane kufuneka baqonde ukusetyenziswa ukutya ngokufuthi ngakumbi yaye iinxalenye balawule encinane. Kufuneka acunyuzwe okanye ukuhlafunwa ngokupheleleyo. kwithempritsha yayo kufuneka ungabi ngaphezu kweqondo lama-40. Pharmacotherapy kuthatha inhibitors pump Proton, prokinetics, kunye histamine H2 blocker receptor ngokulandelelana owabelwe scheme gqirha. Ukuba unyango iimpawu GERD bemkile, uthomalaliso waqhubeka ngeedosi ulondolozo usebenzisa iindidi wokuqala nowesithathu vulavuriweke iziyobisi.