Iimpawu kunye nonyango biliary reflux gastritis

ezimbi kwinkqubo yokwetyisa eqhelekileyo phakathi kwabantu. Izifo Common ezinxulumene ne reflux. Ziintoni iimpawu zabo?

Reflux esophagitis

Esi sifo umtshiso okondeleyo kuvuleke iminxunya, nto leyo ibangwa bahlale kuyo imixholo isisu asidi. Le ngezifo ezinxulumene ukungaphumeleli sphincter esezantsi esophageal, leyo ngokuqhelekileyo sikhusela kuvuleke iminxunya evela kwii-ijusi esiswini.

Acute biliary reflux gastritis

Le fomu luphawulwa kuphuhliso ukudumba ludlule kwi inwebu uxakaxa ngenxa yokuba sesichengeni inyongo kuhlanganiselo le bolus ukutya. Eziliqela ezahlukeneyo eyodwa gastritis ludlule:

1. kubonakaliswa Esogastritis ephambili hyperemia kancinane kwaye ukudumba eludongeni isisu. It sikhula kunye legqunyiwe ngomaleko yencindi zamafu. Le inwebu yangaphakathi uba hemorrhages ezincinane petechial ukhukuliseko.
2. gastritis Fibrinous, apho kukho udonga kuyilwa iindawo necrosis epithelial ngokunyebelezela fibrinopurulent ubovu exudate. Okubonakalisa le nto - fibrin ubhityile umboniso phezu komhlaba kwimimandla achaphazelekileyo kule isifo. gastritis phezulu luphawulwa looseness ifilimu, nangemini yento ukudumba enzulu ihlanganiswa epithelium.
3. Necrotizing gastritis, apho ukongezelela kwezinye kuchaphazela imaleko isifo epithelial. Phantsi necrosis ukuqonda ukufa kweeseli phantsi kwempembelelo zinto ndlongondlongo.
4. Ubovu gastritis - ifomu ngokuqatha komtshiso oko. Le nkqubo zibandakanya zonke iimaleko esiswini, oluvelisa isoyikiso ukuya perforation. Okubonakalisa le ngobuwena - ubukho exudate, kodwa nokungena kakhulu leukocytes mucosal.

Chronic biliary reflux gastritis

Olu hlobo iphawulwa indibanisela iziganeko ukudumba kunye sisiba mandundu. Rhoqo enyongweni ukungena kunye nee-enzayim pancreatic kungena esiswini kukhokelela kuphuhliso ukudumba ezigulo ezondeleyo. Kwakhona, le fomu kusenokuba ngesiphumo gastritis ahlekise. Ngenxa ayinayo kwi isifo landa imali histamine, nto leyo eyenza kube edematous kunye erythematous.

Pathogenesis

Phakathi esiswini, antrum yakhe duodenum has a sphincter, leyo kuthiwa "Umlindi". Umsebenzi wale izihlunu ngqo Yisa chyme (bolus) ukusuka esiswini ukuya emathunjini ukwenzela ukwetyisa olunye kunye nokufunxwa koko kwezondlo. Uphazamiseko sphincter kungakhokelela ekubeni oko kwakuza ukuphuhlisa reflux biliary, gastritis, unyango leyo ifuna indibanisela iziyobisi kunye yokutya. Ukuze oku iziphumo sifo ekuvuleni mbilini i sphincter, apho ngentlama ukutya apho ajoyine inyongo eveliswe sisibindi emva esiswini. Ukwakhiwa bile kuba nempembelelo embi ngobume isifo yayo. Iqulethe neetyuwa, asidi kunye nee-enzayim bathunyelwa imiba ndlongo.

umyalezo weimeyile

Ubangelwa biliary reflux gastritis ezinxulumene kunye ukungasebenzi le sphincter --sango. Ukuze oku kungabangela naluphi na ungenelelo ngotyando ochaphazela motility le phecana zesisu. Kwakhona phakathi imiba etiologic ziyakwazi ukuchongeka izifo ezifana hepatitis, cholecystitis okungapheliyo kunye duodenitis. Ubuthakathaka izihlunu sphincter nokwandisa uxinzelelo emathunjini ntonje unobangela gastritis, yaye oku kungakhokelela ekubeni ezininzi ezimbi kweli phecana zesisu. Indima ebalulekileyo predisposing zinto. Umzekelo, kukho uxinzelelo rhoqo lifinyele iipropati mucosal zokuzikhusela, yaye uyabachasa etyabulayo amanyathelo ngokuncipha. Kukwasebenza kwanjalo kuyo non-steroidal amachiza-ukudumba ukuba kwandisa umngcipheko izihlandlo eziliqela gastritis. La machiza kuchaphazela prostaglandin yokuqaphela, yaye sokwenza umsebenzi obalulekileyo - ukukhuthaza ukuyilwa yencindi ngokuthi iiseli engenamqheba, nto leyo eyandisa iimpawu umqobo we isifo. amachiza Anti-ukudumba zinqanda cyclooxygenase enzyme, yaye ngaloo ndlela kunciphisa isixa prostaglandin, yaye ngenxa yoko isixa yencindi yomlomo.

Ngu ekumisweni reflux esophagitis onesiphumo ascites, kubangele uxinzelelo Yandisa constriction esiswini umngxuma pyloroduodenal. izinto ezongezelelweyo ukuze ukungatyi ukutya, impahla tight, amayeza, uxinezeleko kunye nokutshaya. Lo mkhwa ezingenzeka ngethuba lokukhulelwa, ngoko ke akukho inxulunyaniswa ngezifo.

gastritis reflux Biliary kunye reflux esophagitis: Iimpawu

Iimpawu eziphambili reflux esophagitis ezi heartburn kunye eructation acid, ngokuqhelekileyo kwenzeka emva kokutya, kwaye xa ibheke phambili. Zisebenzisane oku kabi kummandla epigastric.

iklinikhi uhlaza iyahluka biliary reflux gastritis. Iimpawu zesi sifo ziquka intlungu kunye nezinye izifo. Kudla izigulane uxhalabe imvakalelo ukuzala kunye ukuqunjelwa, kwakunye ubuzaza epigastric. Iintlungu ngesiqhelo esiswini engenanto, kunye namandla inokuba nomahluko - oyingozi kakhulu ezibuhlungu. Kudla kukho ngohlangothi.

ekuxilongweni

Uxilongo lwe biliary reflux gastritis yenziwa emva ekuqhubeni uphando olukhethekileyo kunye anamnesis. Ezinye izikhalazo azanele, zinceda kuphela athathe uphuhliso sifo. Kuqala kwinto zonke, isigulane mayibhekiswe lokuhanjiswa endleni, apho iingcali ukubona igazi nemimoya. Kwakhona kuyimfuneko kukuba ukuqhuba EGD oko kuyanceda ukuze kuhlolwe abangaboniyo imeko inwebu yangaphakathi, ukuze ukubona nakujoliso olutsha zizifo. Ukwandisa uxinzelelo kwi duodenum nga kumiselwa manometry.

Reflux esophagitis bene advantageously indlela radiographic usebenzisa arhente umahluko. Le ndlela ivumela ukuba ukulandelela ixesha ekubunjweni imixholo isisu emphinjeni. Kukwacetyiswa kwakhona ukuba baphumeze endoscopy, nto leyo iza kuhlola imeko isifo kwaye ukuba izinto eziphilayo ukuqhuba izifundo.

unyango

Biliary reflux gastritis kunye reflux esophagitis zifuna unyango ngoko nangoko. Oku kuya kunceda ekuphuculeni imeko yomguli size siphephe iingxaki kunokwenzeka. Xa efumanise esophagitis kufuneka ayeke imikhuba emibi, ngokunjalo umthambo kakhulu kule ndawo esiswini.

Unyango ngamachiza isekelwe phezu ukuqeshwa asidi zokunciphisa impembelelo ngxwaba ijusi esiswini kwi isifo esophageal. Phakathi kwazo kwakukho "Almagel", "Maalox" isicelo rate. Bona lisibekele iindonga esiswini kunye asidi ephantsi.

Ukongeza, kucetyiswa ukuba usebenzise iziyobisi zokunciphisa secretion yejusi esiswini ( "omeprazole"). Prokinetics bakwazi ukuphucula umoya okanye ubunzulu sphincter, yona ekukhuseleni ukulahlwa acid. "Motilium" uyakwazi ukwahlula phakathi kwemithi enjalo yaye "Motilak". Ukuba unyango elondoloza uyasilela, utyando ukuze kufuneka, oluqhutywa ngoncedo izixhobo endoscopic.

Njani na unyango lwezifo ezifana biliary reflux gastritis? Iimpawu kunye nonyango kwesi sifo kuhlangene. Izigulane zifuna kwemithi ezimbaxa kunye namanyathelo non-kweziyobisi, nto leyo eya kuphucula imeko, kukuphelisa wabonakala zonyango. Okokuqala kuyimfuneko ukubuyisela ubomi - ukuyeka imikhwa emibi, isondlo esifanelekileyo. Phakathi amalungiselelo amayeza baye bathunyelwa blocker histamine receptor leyo ukunciphisa secretion. Gastroprotectives ukwenza ngaphandle - ke ukukhawulezisa ukuphiliswa ezitshangubeni inwebu yangaphakathi. Ngaphezu koko, kuyimfuneko esibophelelayo asidi inyongo, ukuze wenze besebenzisa ursodeoxycholic acid. Khusela nxamnye phezu chyme esiswini ukunceda iziyobisi ezifana 'Domperidone "yaye" metoclopramide ".

ukuvimbela

Ukuthintela ukuyilwa biliary reflux gastritis kwaye esophagitis ukunceda isondlo esifanelekileyo kunye isifo ngexesha lweenkqubo zophendlo lwezifo. Kuyanconywa ukuba ukuthintela ihambo iimviwo rhoqo endoscopic, nto leyo eya kunceda ukuchonga sifo kusekwangoko. Oku kuya kwandisa ukusebenza unyango endala ukunqanda kutyando kukuvela ezinobuzaza kakhulu.

Ngaphezulu, kufuneka ukuphucula iimpawu umqobo we isifo. Kuyanconywa ukuba imikhuba emibi (okanye anciphise ukuba ubuncinane), zama ukutya ukutya okunempilo kwaye uphephe iimeko uxinezeleko.

Kwakhona into predisposing kukusetyenziswa rhoqo lwamachiza nonsteroidal anti-ukudumba leyo ukunciphisa imveliso yencindi esiswini, nto leyo isifo kuba sengozini. Indima ebalulekileyo eyadlalwa yokuthintela kunye nonyango kwangoko lwezifo ezihamba.

Ingxaki lubandakanywe nezenzo gastritis reflux biliary kunye esophagitis sifanelekile, njengoko ezi meko akufuneki kuphela mandundu imeko yomguli, kodwa kubangele iingxaki. isigulo kwangethuba kuvumela unyango ukuqala kwexesha.