Reflux gastritis and ngonyango

Reflux gastritis - inkqubo zophendlo lwezifo ukuvela ngenxa ukuphosa imixholo duodenum, oluqulathe inyongo, waya em- esiswini. Olu hlobo gastritis lingaphantsi eqhelekileyo ngaphezu kwazo zonke ezinye iintlobo ezinganyangekiyo, kodwa sikhatshwe iimpawu kakhulu ngakumbi.

Bile le ngokuqhelekileyo akufuneki iwele esiswini. Ukuba oku kwenzeka, oko kukuthi, ixesha elide ukusebenza isifo esiswini, kunokubangela umonakalo ekhokelela komtshiso - gastritis ezigulo ezondeleyo. Reverse bephosa isiqulatho kunokwenzeka ngenxa yokuswela amandla pylorus (ingakumbi ukuyilwa kwezihlunu, ebonelela eyayinethombo chu imixholo isisu ukuya emathunjini). Ngaphezu koko, reflux gastritis ukuze kunokubangelwa duodenitis esinganyangekiyo okanye ukwanda koxinzelelo 12 tiperstnoj emathunjini. Kwiimeko ezininzi, olu hlobo gastritis kwenzeka emva imisebenzi esiswini; kananjalo emveni elide ukusetyenziswa kweziyobisi nonsteroidal anti-ukudumba.

Reflux gastritis luphawulwa iimpawu eziphambili:

- imvakalelo ubunzinyana okanye nenzaliseko esiswini emva kokudla,

- i incasa krakra emlonyeni,

- Kunjani ubukrakra,

- isicaphucaphu.

Kuba esi sifo luphawulwa sorhudo, kutshintshwe ne ukuqhina kunye ukuqunjelwa. Qaphela ukuba reflux gastritis biliary ngokuqhelekileyo into ezingahambi ziintlungu. Ukuba kuvela iintlungu, ngoko ke idla buthuntu yaye ndiyaqaqanjelwa, okuphinde nangoko emva kwesidlo. Utshintsho kule sifo ziphazamise nokwenziwa kwezondlo ukutya, nto leyo ebangela ukwenzeka kunokwenzeka ezibalulekileyo ukwehla kobunzima, ianemia, isikhumba ukoma kunye ubuthathaka jikelele.

Lokufunyaniswa ezingapheliyo reflux gastritis ayikwazi kubekwa kuphela ngokusekelwe iimpawu. Kuyimfuneko ukuba ukuqhuba uviwo olunzulu:

- jikelele kunye iimvavanyo zegazi ezinto eziphilayo,

- fibrogastroduodenoscopy (EGD)

- ultrasound kwisisu.

Nawe kufuneka biopsy le isifo esiswini, okanye X-ray esiswini kunye duodenum. ukuhlolwa Full ngeke miss omnye ngezifo le kwisisu.

Reflux gastritis Unyango kufuneka wenziwe ngokubanzi, kwaye kufuneka mayibhekiswe kuqheleke ukusebenza isisu, kwakunye ngokubuyiselwa eziqhelekileyo asidi inyongo ayikokubambana ngendlela. Ekubeni asidi yenyongo zibangela umonakalo isifo esiswini kuphela xa kukho zehydrochloric acid, isigulana linokukwenziwa kwi impompo Proton inhibitors (la machiza ukunciphisa secretion of zehydrochloric acid). Ukuthintela ibhola nokubuya (reflux) kungena esiswini, wamisela prokinetics (ukuba yinto eqhelekayo motility). Uthomalaliso kwesi sifo kwakhona isicelo ursodeoxycholic acid ngenxa neutralization le asidi inyongo. Amalungiselelo eziqulathe lactulose, igalelo kuqheleke microflora emathunjini.

Ukudla reflux gastritis unendima ebalulekileyo unyango. Imigaqo esisiseko igunya kwesi sifo libhekisela ukutya iqhezu kunye rhoqo hi mpimo lowutsongo. Ukuba ngaphandle iimveliso ukutya, kwalimala i inwebu kwiinwebu esiswini, kwakunye ubusi, iswekile, jam, izitya kushushu kakhulu okanye kubanda, iintlobo ipapa ezineswekile. Aninako ukusela kwi inkqubo ukutya (imizuzu engama-20 kuphela). Ukongeza, kufuneka uyalahlwa epheleleyo intlanzi, inyama kunye nemifuno isuphu, inyama okunamafutha kunye nentlanzi, ayi, pickles kunye marinades, okunkonkxiweyo ukutya, ayi, isonka omnyama, The, neprotertye iziqhamo kunye nemifuno, iziselo ezinxilisayo itshokolethi.

Kuyimfuneko ukuba abonise impiliso kwezifo ezinxulumene-reflux gastritis na unyango lwe wokugaya kunye namanye amaziko.