Gastroesophageal reflux chirwere

Gastroesophageal reflux chirwere (Gerd) anonzi imwe pfungwa yakajairika uye zvinogona kwazvo esophageal zvokurwara. The chirwere ruchigona kukunda kukura nhamba yevanhu. Gastroesophageal reflux anokwanisa kuderedza mararamiro hwevanhu zvikuru, kutsamwisa yematambudziko zvikuru ngozi kanenge kwayo kunoita, kusanganisira kenza yegurokuro.

Maererano wezvokurapa nhamba zvokurwara iyi dzakaonekwa muna 20% yevanhu.

Gastroesophageal reflux imhaka kutyora yokupedzisira mashandiro esophageal sphincter, riri nechepasi, uyewo nguva refu pakunzwisisa mucosa pakati yegurokuro mudumbu mukati. Nemamwe mashoko, neizvi kunoitika unimpeded kupinda.

The zvinoitika acidity mudumbu kunosiyana-siyana pakati 1.5-2.0, uye yegurokuro - 6.0-7.0. Gastroesophageal reflux vachambokanganwa kuti zviratidzo yezasi esophageal acidity divi nokuda acidic gastric mukati rakapinza mariri. Refu kuonana zvenhau maviri yakatanga kushoma. Murwiyo kunosanganisira acidic gastric muto uye zvomudumbu makemikari yekudyidzana kubatsira kukura chokutsva.

Damage anogona kukonzerwa uye zviri duodenum (bicarbonates, makemikari, bile acids). In muitiro ichikandamo mudumbu zvinowanzooneka segwapa uye kupinda mumba yegurokuro, zvichiita kukuvara mucosa uye, sezvo zvakaita kuti kuderera kwemitambo acidity mairi.

Gastroesophageal reflux romuzvarirwo vasiri kuratidzwa zvakadyiwa zvimwe zvinodiwa:

- kukura kunonyanya kunoitika pashure zvokudya;

- anoti maitikiro diki uye nguva imwe zuva;

- kwete dzakaonekwa kusagadzikana;

- zvishomanana kakawanda usiku.

State anoonekwa sezvo kanganisika munyaya:

- kakawanda kana mazhinji Zvikamu;

- kana vakachengeta vaviri masikati uye usiku;

- achiperekedzwa kuzvimba.

The chirwere ane vanoverengeka noruzhinji kuratidzwa. Izvi zvinosanganisira chirungurira, marwadzo kana pakuparadza, kurwadziwa kurutivi muchipfuva rworuboshwe, seri breastbone, mate kumusoro, kuparadzwa zino enamel, hoarseness, kuramba vangakosora.

Apa kuti thoracal mhango kufurirwa dererei pane mudumbu, reflux vanofanira kuonekwa nguva dzose. Zvisinei, mwero parinowanika - husiri nyore kuwana, nokuda obturator kushanda Cardia. Kazhinji, ndicho chidzoke ane utano munhu segwapa kwenguva pfupi nguva (maminitsi asingasviki mashanu). Panyaya iyi, vagumirwe zvokurwara hakunganzi.

Gastroesophageal reflux chirwere. mabatiro

Kuchirapa matanho anonyanya zvainanga kuderedza kwokuomerwa acho, kuderedza kukuvadza zviri mudumbu vanokwanisa, uyewo okudzivirira lining pakati yegurokuro.

Treatment kunosanganisira fanira kudzora uremu muviri, kusvuta kumbomira, doro yaunodya, mafuta zvokudya, kofi, chocolate. Kubva zvokudya uye kubvisa acidic zvokudya.

Zvizhinji pfungwa inobhadharwa zvokudya. Nyanzvi dzinorumbidza kudya kakawanda uye zvikamu zviduku.

In pasina mishonga mugumisiro chiremba anogona mishonga antacids. Mugadzire izvi ane magnesium munyu, aruminiyamu uye calcium yakawanda. Izvi zvinhu vanokwanisa neutralizing kuitwa hydrochloric acid.

Zvinokurudzirwa kupa kupfuura antacids ari muchimiro gels. The lumen mudumbu uye yegurokuro kana raitongwa mumate duku dziri kuumbwa, nokudaro kuwedzera kushanda. Pakati zvakafanana zvinodhaka dzinoti "Almagell" "Maalox" "Fosfalyugel". nzira idzi vanoumba munyu pamusoro magnesium uye aruminiyamu mu ratios siyana kana chete aruminiyamu munyu.