Reflux gastroesophageal bụ ihe mgbaàmà nke na-akọwa mmeghari nke ọdịnaya afọ na ntụgharị ihu (n'ime esophagus). N'ọnọdụ ụfọdụ, nke a nwere ike ịbụ ihe na-emekarị, na ndị ọzọ, ọ nwere ike ịkpasu ọrịa dị njọ.
Ihe kpatara reflux gastroesophageal
Ntuba ọdịnaya site na afọ, na-eme na ihe ndị dịpụrụ adịpụ ozugbo a rụsịrị nri, nke na-eme ka onye ahụ ghara ịda mbà ma ghara ịkpata nsogbu ndị ọzọ, a na-ewere ya dịka ọdịiche nke usoro. Ọ bụrụ na nke a na-eme mgbe mgbe, gụnyere n'abalị, na-esonyere ya na mgbaàmà doro anya, ọ bụ ajụjụ nke ntụgharị nke na-eduga ná mmepe nke ọrịa reflux gastroesophageal.
N'iburu n'uche ihe kpatara ọrịa refstụtị nke gastroesophage, ọ dị mkpa ịghọta usoro nke ịkwanye ihe dị na ntụziaka na-ezighi ezi. Otu ihe dị mkpa iji gbochie ihe a na-eme ka sphincter dị ala nke obere - ọkpụkpụ fọrọ nke nta ka ọ bụrụ na ọ na-anọ mgbe ọ bụla na-emechi emechi ma na-emeghe n'ọnọdụ abụọ - mgbe nri nri na-agagharị n'afọ na mgbe mbupu ikuku.
Enwere ike ịchọta ntụrụndụ dị ala nke sphincter dị ala nke esophagus na nsogbu abụọ ya na ụda olu. Ihe ndị dị otú ahụ na-ewekarị nke ikpeazụ:
- oriri nke mmanya ọṅụṅụ caffeinated;
- eji nri na ihe ọṅụṅụ na-ekpo ọkụ;
- ewere ọgwụ ụfọdụ (antispasmodics, analgesics, nitrates, wdg);
- ise anwụrụ;
- aṅụ mmanya na-aba n'anya;
- mmega ahụ;
- mgbanwe dị na mgbọrọgwụ homonụ.
Tụkwasị na nke ahụ, nkwekọrịta maka nkedo a na-atụgharị mgbe ụfọdụ na-eme ka nrụgide intra-abdominal dịkwuo, na-ahụ na oke ahụ dị arọ, ascites, constipation, flatulence. A na-akpasu nrụgide na-esi ike site n'iji ihe ọṅụṅụ na-ekpo ọkụ, ihe oriri e ghere eghe, ihe osere. Ọzọkwa, ọnọdụ maka reflux dị na hernia nke esophagus nke diaphragm, ọnyá afọ peptic, ụkwara ume ọkụ.
Na reflux na-agwọ ọrịa gastroesophage, ọ dị mkpa ọ bụghị naanị na a ga-etinye ya ozugbo, kamakwa ike nke esophagus ka a tọhapụ ya site na mkpali na-abata. Dị ka ọ dị, ọ bụrụ na ọdịdị acid dị na acidic na-ada, mweghachi nke pH ma laghachi azụ site na ịba ụba peristalsis nke esophagus na nti nzuzo na-eme ngwa ngwa (a na-akpọ ikike a ikpochapụ esophage).
Ihe mgbaàmà reflux nke Gastroesophageal
Na foto na-ahụkarị, ihe ịrịba ama ndị na-esonụ nke reflux gastroesophageal dị oké mkpa:
- nrekasi obi ;
- nhazi;
- mmetụta nke ngwakọta na ọnya;
- obi erughị ala mgbe ị na-eri nri;
- nkwụsịtụ ;
- vomiting;
- nhazi;
- Ogbugbu retrosternal yiri agha nke angina.
N'ọtụtụ ọnọdụ, karịsịa ma ọ bụ "refluxes" dị elu, a na-ahụ ọtụtụ ihe ndị a na-akpọ mmụba-oesophageal symptoms:
- ụkwara;
- mkpụmkpụ nke ume;
- mbufụt nke mucous larynx, nasopharynx, bronchi;
- njupụta nke olu;
- caries, mbufụt nke goms .
Ngosipụta nke ọrịa na-etowanye na abalị, mgbe ha risịrị nri, mgbe ha na-arụ ọrụ ike. N'ihe enwere ihe mgbaàmà ọrịa ọrịa reflux gastroesophageal nwere ike ime na otu ụdị abụọ:
- ya na mgbanwo na-emetụ n'ahụ na mgbarịta ahụ, na-egosipụta site na endoscopic (na esophagitis);
- na-enweghị mmetụ nke esophagus, nke e ji n'aka endoscope (na-enweghị esophagitis).
Reflux gastroesophageal n'enweghị esophagitis
N'ọnọdụ a, a na-akpọ ọrịa reflux gastroesophageal na-abụghị nke erosive. Na nke a, a na-echebe mucosa esophageal site na ịbanye n'ime ahụ nke ọdịnaya ahụ, nke na-abụghị nke ya, ya bụ. njedebe bụ nkịtị. Tụkwasị na nke ahụ, microcirculation nkịtị na arịa na capillaries lymphatic na-ekere òkè n'ịhụ na mmeghachi nke epithelium. Akwụsịghị ngosipụta nke reflux na ngosipụta abụghị ugboro ugboro, mana nke a nwere ike ịbụ nkwụsị mbụ nke usoro nchịkwa.
Reflux gastroesophage na esophagitis
Ọ bụrụ na reflux gastroesophageal ejikọtara na ugboro ugboro nke ingestion nke ọdịnaya afọ, ihe ize ndụ nke mgbanwe nchịkwa na mucosa nke tract esophagus na-abawanye. Na-enye aka na nke a na ikewanye nke reflux metụtara ọrịa ndị ọzọ (dịka ọmụmaatụ, na-amụba acidity, ọnụnọ nke mmiri mmiri bile). Ihe omimi ahụ, n'ụzọ doro anya, nwere ihe ngosi nke igiri afọ. N'okwu a, mgbe ụfọdụ na ụkwara reflux gastroesophageal - akọrọ, na-emekarị n'ụbọchị, na-arịwanye elu na ngbanwe na ọnọdụ nke ahụ.
Reflux gastroesophageal - ogo
Ihe ngwọta nke refrige gastroesophageal bụ nke na-eme ka usoro nchebe esophageal na mmebi ike nke ihe ndị na-emebi emebi. Dabere n'ụdị mmebi, a na-ahazi ụdị ọgwụgwọ. Nke a bụ otu n'ime nhazi ndị eji:
- 0 ogo - enweghị ngosipụta ahụike:
- Echere m - ọnụnọ nke onye ọ bụla na-ebute ihe na-eme ka ọkpụkpụ hyperemic ghara ịdị, na-etinye ihe karịrị pasent 10 nke esophagus distal;
- Nkeji abuo - enwere ebe mkpochapu, nke bu ihe ruru 50% nke elu nke ngalaba mkpofu;
- Akara III - ọtụtụ ọnya afọ ọnyá, na-anọ n'akụkụ akụkụ ahụ niile;
- Nrịgo nke anọ - mmepe nke nsogbu: ọnya ọnya, nkwụsị nke esophagus, Barrett's esophagus, wdg.
Reflux gastroesophageal - nyocha
Ihe nchoputa nke mbu bu ihe kpatara mkpesa na anamnesis. Iji chọpụta ọdịdị nke reflux gastroesophage, nyocha nke anya dị oke mkpa. Ntughari nke esophagogastroduodenoscopy na-enye ihe osise zuru oke nke ọnya ahụ na isoro ụkọ. Ọ bụrụ na ọ dị mkpa, a na-arụ biopsy. Tụkwasị na nke a, a pụrụ ịchọ ụzọ ndị a:
- Ihe nchọpụta X-ray na barium;
- nyocha kwa ụbọchị nke pH nke esophagus;
- esophagotho-kymography;
- ogo;
- scintigraphy.
Kedu ka e si emeso reflux gastroesophage?
Nchọpụta ọgwụ na-agwọ ọrịa na-agwọ ọrịa na-agwọ ọrịa na-agwọ ọrịa gastro-esophageal kwesịrị inwe mgbagwoju anya, ya na ọrụ kachasị mkpa nke ọgwụ ọgwụ. Ọ dị mkpa ịgbaso nri na ndụmọdụ ndị na-esonụ:
- okpukpu ahu;
- igbochi ibuli ibu ibu (ihe kariri 10 n'arọ);
- Izere mkpọda na nsogbu nke pịa;
- ịjụ igbochi uwe;
- ụra n'elu oke ohiri isi;
- ịjụ àgwà ọjọọ.
Ngosipụta refrụfụ gastroesophage - ọgwụgwọ, ọgwụ
Iji zere nsogbu nke reflux gastroesophage na ọgwụgwọ esophagitis aghaghị inwe ọgwụgwọ. Dabere na oke ọgwụ, a na-enye ndị ọrụ a ọgwụ ọjọọ:
- antacids - (Fosfalugel, Maaloks);
- alginates (Gaviscon);
- prokinetics (Motilum);
- proton mgbapụta inhibitors (Omez, Lansoptol);
- ndị na-egbochi histamine H2-receptor (Ranisan, Famotidine).
A na-ewere ụfọdụ n'ime ọgwụ ndị a mgbe ụfọdụ maka enyemaka nke mgbaàmà, ndị ọzọ na-achọ usoro ọgwụgwọ ruo mgbe iwepụ ihe mgbaàmà. Site na reflux n'enweghị esophagitis, ọ bụ nanị iji antacids na alginates egosipụta. N'ọnọdụ ndị siri ike, ị nwere ike ịchọrọ enyemaka (dịka ọmụmaatụ, Nissen ntinye akwụkwọ).
Reflux gastroesophageal - ọgwụgwọ na ọgwụgwọ ndị mmadụ
N'ọnọdụ nke mgbagha, mgbe reflux gastroesophageal enweghị ihe ngosi, a na-ekwe ka iji usoro na-abụghị omenala maka ebumnuche igbochi. Ndị ọrịa a na-achọpụta na reflux gastroesophageal, ọgwụgwọ ndị mmadụ na-enye, karịsịa, iji ndị na-eme ihe phytotherapeutic maka envelops na ihe mgbochi mkpesa. Nke a bụ otu n'ime ntụziaka.
Herbal infusion
Efrata:
- Mkpụrụ flax - 1 tebụl. ùkwù;
- akwukwo nke nne na nne na nna - 1 okpokoro. ùkwù;
- ikikere akwukwo - 1 okpokoro. ùkwù;
- mmiri - 200 ml.
Nkwadebe na ojiji:
- Kwadebe nchịkọta ahụ.
- Wunye 2 teaspoons nke ngwakọta na esi mmiri ma wụsa na mmiri saa maka otu ụzọ n'ụzọ anọ nke otu awa.
- Cool, igbapu.
- Were tupu nri na tablespoon 5 ugboro n'ụbọchị.
Reflux gastroesophageal - nri
Nri nri nri na reflux gastroesophage na esophagitis ma na - enweghị akụkụ nke ọgwụgwọ ahụ. Na-atụ aro obere nri ugboro 5-6 n'ụbọchị, mgbe a na-ahapụ efere naanị ọkụ, ọ bụghị nkọ, ọ bụghị ike. I nweghi ike, na-esi na tebụl bilie, na-eburu otu ebe ma rie tupu ị lakpuo ụra. Wepu:
- chocolate;
- kọfị, tii siri ike;
- tomato;
- mkpụrụ osisi citrus;
- abụba.