I-reflux ye-Gastroesophageal iyimpawu eziyinkimbinkimbi ezibonisa ukuhamba kwesisu esisisigxina (kwisigxina). Kwezinye iimeko le nto ingaba yinto eqhelekileyo, kwabanye inokubangela ukuba i-pathologies enzulu ibangele.
I-reflux ye-Gastroesophageal ibangela
Ukuphonsa iziqulatho ezisuka esiswini, ezivela kwiimeko ezizimeleyo emva kokutya, ezingabangela ukuba umntu angamkhathazi kwaye angabangeli ezinye izifo, kubonwa njengento ekhoyo. Ukuba oku kwenzeka rhoqo, kubandakanywa nobusuku, kuhambelana nempawu ezicacileyo, ngumbuzo wokuphambukiswa okukhokelela ekuphuhlisweni kwesifo se-reflux yesifo se-gastroesophageal.
Ukuqwalasela izizathu zokuhlaziya i-gastroesophageal reflux, kuyimfuneko ukuqonda indlela yokwenza iziqulatho kwisalathiso esingalunganga. Inxaxheba ebalulekileyo ekuthintela le nzekayo idlaliswa yi-sphincter engezantsi-i-muscle ihlala ihlala kwindawo evulekile kwaye ivule kwiimeko ezimbini - xa i-coma yokutya ihamba kwisisu kwaye xa umoya ovuthayo uphuma.
Ukuphumla ngokukhawuleza kwe-sphincter esezantsi ye-oopopus kunokudibaniswa kunye neengxaki zayo zokusebenza kunye nokuncipha kwetoni ye-muscle. Ixesha elidlulileyo livame ukucaphukisa izinto ezinjalo:
- ukusetyenziswa kweziphuzo zekhoffeinated;
- ukusetyenziswa kweziitya ezitshisayo neziphuzo;
- ukuthatha amayeza athile (antispasmodics, analgesics, nitrates, njl);
- ukutshaya;
- usela utywala;
- umsebenzi owenzela umzimba;
- utshintsho kwimvelaphi ye-hormonal.
Ukongezelela, i-precondition for reverse casting ngezinye izihlandlo yandisa ingcinezelo ye-intra-esiswini, ibone ngokunyameka komzimba, i-ascites, ukuzithemba, ukuzithemba. Uxinzelelo lwe-intrastastric lushukunyiswa kukusetyenziswa kweziphuzo ze-carbonate, ukutya okuthosiweyo, iziqholo ezivumba. Kwakhona, iimeko ze reflux ziyafumaneka kunye ne-hernia yesigxina se-diaphragm, i-peptic ulcer, i-asthma ye-bronchial.
Kwi-reflux ye-gastroesophageal pathological disability, kubalulekile ukuba kungabikho nje kuphela ukukhutshwa ngokuthe ngqo, kodwa kwakhona ukukwazi ukukhutshwa kwe-oopopus ukukhululwa kwi-stimulus engenayo. Ngokuqhelekileyo, ukuba i-acidic content content is down, ukubuyiswa kwe-pH kwaye ubuyele kwisisu ngokunyusa i-peristalsis yesigxina kunye nokugcinwa kwesikhala senzeke ngokukhawuleza (le khono libizwa ngokuba yi-esophageal imvume).
Izimpawu ze-reflux ze-Gastroesophageal
Kulo mzobo oqhelekileyo wekliniki, ezi zilandelayo zibonakaliso ze-reflux ye-gastroesophageal zibalulekile:
- ukuguquka ;
- ukuqhuma;
- uvakalelo lwesinqe emqaleni;
- ukungathandeki xa ugwinya ukutya;
- ukucima ;
- ukuhlanza;
- isicefe
- Intlungu ephindaphindiweyo efana nokuhlaselwa kwe-angina.
Kwiimeko ezininzi, ngokukodwa "ukuphakama" kweminye impawu, kuthiwa:
- ukukhwehlela;
- ukuphefumula okufutshane;
- ukuvuvukala kwe-larynx, i-nasopharynx, i-bronchi;
- ukuvakala kwezwi;
- i-caries, ukuvuvukala kweentlobo .
Ukubonakaliswa kwamathambo kuqinisa ebusuku, emva kokutya, ngexesha lokuzikhandla. Ekubeni kubonakala iimpawu zesifo se-gastroesophageal reflux isifo sinokuvela kwenye yeendlela ezimbini:
- kunye noshintsho oluvuthayo kwiindonga eziqhekezayo, ezibonakaliswe yindlela endoscopic (kunye ne-esophagitis);
- ngaphandle kokuvuvukala kwe-esophagus, esungulwa nge-endoscope (ngaphandle kwe-esophagitis).
I-reflux ye-Gastroesophageal ngaphandle kwe-esophagitis
Kule meko, isifo se-reflux se-gastroesophageal sibizwa ngokuba yi-non-rotative. Kule meko, i-mucosa ye-esophageal ikhuselekile ukusuka ekungeneni kumzimba wezinto eziqulethwe, ezingenalo uphawu, imvume iqhelekileyo. Ukongeza, i-microcirculation evamile kwiinqanawa kunye ne-lymphatic capillaries inendima ekuqinisekiseni ukuvuselelwa kwe-epithelium. Iziqephu ze-reflux kunye neembonakalo aziphindaphindiwe ngokuphindaphindiweyo, kodwa oku kungaba yinqanaba elidlulileyo lenkqubo.
I-reflux ye-Gastroesophageal ene-esophagitis
Ukuba i-reflux ye-gastroesophageal idibaniswa neqondo eliphezulu lokungeniswa kokuqukethwe kwesisu, umngcipheko weenguqulelo zentsholongwane kwi-mucosa yecandelo le-esophagus landa. Igalelo kulokhu kunye nokunyuka kobuhlungu be-reflux ezihambelana nezinye izifo (umzekelo, ukwanda kwe-asidi, ubukho be-bile acids). Umfanekiso weklinikhi, ngokuyisiseko, uqukethe ukubonakaliswa kwesisu. Kule meko, ngokuphindaphindiweyo ihamba ne-reflux ye-reflux yokukhwehlela - eyomile, idla ngokuphindaphindiweyo emini, ikhula kunye neenguqu kwisimo somzimba.
I-degluesophageal reflux - degree
I-reflux ye-gastroesophageal pathological is a result of the weakening of the eophogeal systems of defense and the aggression of the factors. Ngokuxhomekeke kumlinganiselo wonakalo, ukukhubazeka kubaluleka kwidireyidi. Nantsi enye yezohlengahlengiso ezisetyenziswayo:
- 0 degree - akukho zibonakaliso zekliniki:
- I-degree - ubukho be-foci ngayinye ngokusuka kwimvelaphi yezicubu ze-hypermic, ezingabikho ngaphezu kwe-10% ye-distal esophagus;
- I-II degree - kukho iindawo ezidibeneyo zokukhukhula, okuyi-akhawunti engama-50% ebusweni becandelo le-distal;
- I-III degree - izilonda ezininzi zezilonda zesilonda, ezihlala kwindawo yommandla we-distal ngokupheleleyo;
- IV degree - uphuhliso lweengxaki: izilonda ezinzulu, ukunciphisa isisu, isifo seBarrett, njl njl.
I-reflux ye-Gastroesophageal - ukuxilongwa
Ukuxilongwa kwangaphambili kudlalwa ngesiseko sezikhalazo kunye ne-anamnesis. Ukuchonga uhlobo lwe-reflux ye-gastroesophageal, ukuxilongwa ngokubonakalayo kubaluleke kakhulu. Ukuqhuba i-esophagogroroododososcopy inikeza umfanekiso omkhulu wesilonda kunye nokuhamba okungaqhelekanga. Ukuba kuyimfuneko, i-biopsy yenziwa. Ukongezelela, ezi ndlela zilandelayo zifuneka:
- Ukuxilongwa kwe-X-ray nge-barium;
- Ukubeka iliso kwimihla ngemihla ye-pH yesipopu;
- esophagotho-kymography;
- bimetry;
- ukukhawuleza.
I-reflux ye-gastroesophageal iphathwa njani?
Ukunyangwa kwengxaki ye-gastro-esophageal reflux yonyango kufuneka ibe neyinkimbinkimbi, kunye nenxaxheba ephambili edlalwa yonyango lonyango. Kubalulekile ukulandela ukutya kunye neengcebiso ezilandelayo:
- ukunyuka komzimba;
- umda wokuphakanyiswa kweempahla (ezingekho ngaphezu kwe-10 kg);
- Ukuphepha ukukhupha kunye nokuxhatshazwa kwenkcazelo;
- wenqabe ukuvala izambatho;
- ulala ephakamileyo;
- ukugatya imikhwa emibi.
I-reflux ye-Gastroesophageal - unyango, iziyobisi
Ukuze ugweme iingxaki ze-reflux ye-gastroesophageal ne-esophagitis unyango kufuneka ibe neyeza unyango. Ngokuxhomekeka kubukhulu be-pathology, iziyobisi zinikezelwa ngala maqela:
- i- antacid (- Fosfalugel, Maaloks);
- ii-alginate (Gaviscon);
- prokinetics (i-Motilium);
- proton pump inhibitors (i-Omez, iLansoptol);
- abavimba be-H2-receptor histamine (iRanisan, i-Famotidine).
Ezinye zala mayeza athatyathwa ngezinye izihlandlo zokuphucula izibonakaliso, abanye bafuna inkqubo yokonyango de kube lula ukupheliswa kweempawu. Ngo-reflux ngaphandle kwe-esophagitis, kuphela ukusetyenziswa kwe-antacids kunye ne-alginates kuboniswa. Kwiimeko ezinzima, ukungenelela kwongcango kunokufuneka (umzekelo, iNissen fundoplication).
I-reflux ye-Gastroesophageal - unyango kunye nezilwanyana zomntu
Kwinqanaba lokuxolelwa, xa i-reflux ye-gastroesophageal ingenayo imbonakalo, ivumelekile ukusebenzisa iindlela ezingezona zendalo zokuthintela. Izigulane ezinokuthi zifumene i-reflux ye-gastroesophageal, izibonelelo zonyango zengqesho, ngokukodwa, ukusetyenziswa kwee-agent ze-phytotherapeutic ukwenzela ukuba kuthathwe isenzo esikhuselekileyo nesichasayo. Nantsi enye yeendlela zokupheka.
Ukunyuswa kwamagciwane
Izithako:
- Imbewu ye-Flax - itafile e-1. isipuni;
- iqela lomama nonina-itafile e-1. isipuni;
- iingcambu zelayisensi - itafile e-1. isipuni;
- amanzi - 200 ml.
Ukulungiselela nokusetyenziswa:
- Lungiselela ukuqokelela.
- Thela 2 iispuni zomxube ngamanzi abilayo kwaye uthele kwindawo yokuhlambela ngamanzi kwikota yeyure.
- Phezulu, cima.
- Thatha ngaphambi kokutya kwi-tablespoon izikhathi 5 ngosuku.
I-reflux ye-Gastroesophageal - yokutya
Ukutya okunyamekayo kunye ne-reflux ye-gastroesophageal ne-esophagitis kwaye ngaphandle-inxalenye enyanzelekileyo yonyango. Kunconywa ukutya okuncinci ama-5-6 ngamaxesha, ngelixa izitya zivunyelwe kuphela zifudumala, zingabi zibukhali, zingabi zizinzile. Awukwazi, ukuma ukusuka etafileni, ngokukhawuleza uthathe isikhundla esingenanto kwaye udle ngaphambi kokulala. Hlangani:
- tshokoleta;
- ikhofi, itiye eqinile;
- utamatisi;
- izithelo ze citrus;
- amafutha.