Chii asidhi reflux? Acid Reflux: Zviratidzo, Treatment

Nhasi, vanhu vakawanda vanofarira mubvunzo zvinhu zvinovava reflux. Zvinosuruvarisa, chirwere ichi runoonekwa kuva zvakajairika. Saka nei ikoko? Chii zviratidzo pamwe? Chii inoshanda dzokurapa dziripo?

Chii asidhi reflux?

Zvakakomba chirungurira, chipfuva marwadzo - zvichemo izvi kuna chiremba rinoreva varwere vakawanda. Mushure ongororo uye chirwere, varwere vakawanda zvimwe mibvunzo pamusoro zvinhu zvinovava reflux.

Hazvina chakavanzika kuvapo hydrochloric asidhi mudumbu anosika iine acid kwezvakatipoteredza ikoko. The gastric muto kuna yegurokuro iri hasha. Naizvozvo, kazhinji, zvikamu izvi zviviri zviri demarcated nechepazasi esophageal sphincter, chinopa unidirectional mberi zvavo zvokudya.

Mune zvimwe zviitiko, pane nokuvhiringidzirwa dzose sphincter matauriro. Somugumisiro, zvinopesana neizvi anogona kukanda zvokudya kubva dumbu mukati yegurokuro. Ndiko sei uye anovandudza chirwere aizivikanwa mushonga unonzi gastroesophageal reflux chirwere kana gastroezofagealnoreflyuksnaya.

The kukonzera kutyorwa

Kazhinji, mhosva zvinetso zvakadaro Kumwe kuchinja kunotanga mudumbu uye yegurokuro. Uyezve, ndiro achiperekedzwa zviratidzo munhu hiatal heniya. Mune zvimwe zviitiko, harungashandurwi vachikanda pamusoro gastric zviri mukati lumen pakati yegurokuro chokuita chetsinga zvirwere.

Ukuwo, zvinokwanisika kuziva zvimwe zvinhu, kuvapo iyo kunowedzera mukana wokuti dzichiri iine acid reflux pangozi. Chokutanga, ndandanda zvichibvira zvinokonzera vanofanira ichisanganisira kunaka kudya. Somuenzaniso, kazhinji reflux Rinobatanidzwa kugara nokudyisa, izvo zvinokonzera hyperextension mudumbu rusvingo. Isakarurama kunokanganisa zvomudumbu hurongwa basa kunyanya kunwa zvokudya usiku, tsika pasi pashure zvokudya, uyewo kushandisa zvigadzirwa zvakadai madomasi, gariki, chocolate, maranjisi, hanyanisi, Spicy, mafuta uye zvakakangwa zvokudya. Sezvingatarisirwa, zvinhu pangozi uye kufutisa.

Nhamba dzinoratidza kuti nhasi, vakadzi vakawanda nepamuviri vanofarira mubvunzo zvinhu zvinovava reflux. Zvechokwadi, kuwedzera mudumbu hunokonzera misha ine nhengo dzomukati, izvo zvinowanzoita kuti wausina dzakazvikanda zvokudya. The ngozi sezvo ari kusvuta uye kudhakwa. Mune zvimwe zviitiko, reflux ikabuda varwere kugamuchira tsandanyama relaxants uye nonsteroidal Anti-anogumbura zvinodhaka.

Acid Reflux Zviratidzo

Chokwadi, gastric muto anoita chaizvo rinopikisa pamadziro yegurokuro, kukanganisa navo, zvinoita kuti zvisingafadzi nezvekufadza. Huru zviratidzo zvinosanganisira reflux akaramba chirungurira uye asidhi kana Kutsutsumwa pamuromo. Varwere vakawanda vanotsutsumwa pamusoro kutekenyedzwa nokupisa kusagadzikana pamwe yegurokuro. Varwere kazhinji vaichengeta tichibatwa svoto uye hiccups.

Nokuda simba zvinetso yokunyanyisa uremu. It kwakakanganiswa kunowanzoitika basa pakuparadza nemvura uye chikafu chikukutu. Kazhinji varwere dzinoshuma bloating, belching uye hachifadzi. Kuvapo melena kana dema chetsoka anoratidza ropa kubva pamasvingo yegurokuro. Pamusana pokuramba chirungurira kuva chirwere kwazvo huro. Zviratidzo reflux zvingasanganisirawo yakaoma chikosoro uye kupfupika mweya.

Modern nzira nechirwere

Zvechokwadi, kuchangotanga Kuipa utano anofanira kuona nyanzvi. Chete chiremba anogona kuita chirwere "iine acid reflux." Zviratidzo zvichemo murwere vane kusunda pamusoro nepfungwa chirwere chakadaro, asi mberi zvinoda kuongororwa zvakarurama kubatsira kuona ukuru kwokuomerwa maperembudzi, mhaka kukura uye dzinokuvadza kune zvomudumbu turakiti.

Zvikurukuru, kutanga kuitwa chinhu endoscopy pakati yegurokuro uye mudumbu. Munguva yokudzidza, uchaona pamberi kuzvimba uye erosive nzvimbo yepazasi chikamu yegurokuro. Naizvozvo voitakura manometry, izvo anobvumira rokuongorora contractility rusvingo rwaro. Zvinokoshawo kuziva acidity pamusoro gastric muto. X-ray Kuongorora vachishandisa musiyano svikiro (barium kuturika) inopa mukana kuongorora mamiriro ari esophageal rusvingo. Mune zvimwe zviitiko, murwere zvatowedzera chinotarisirwa munhu biopsy. Kutsvakurudza kwakadaro kunobatsira kuongorora ukuru kukuvara, kuona kuvapo chirwere zvakakuvadza nharaunda, uyewo kuverenga ngozi akaipa kusanduka munyama.

Chii dzokurapa anoshandiswa?

Chokwadi, chete chiremba anogona rokuongorora asidhi reflux. Treatment iyi nyaya iri kugadziridzwa nomumwe zvichienderana chikonzero nekuomarara murwere ezvinhu uye rwakadini kuvadza esophageal madziro.

Pakutanga, chiremba vanonyorera zvinodhaka kuti neutralize Migumisiro hydrochloric acid. Zvikurukuru, varwere mushonga antacid kuti chirungurira ( "Alyugastrin", "Gasterin", "Rennie" "Tams"), izvo kubatsira kuderedza huru zviratidzo. Mukuwedzera, anoshandiswa kurapa histamine Kanotokonya mhandu, izvo kuvhara yavaive pezvakaitwa hydrochloric iine acid nomudumbu masero. Zvikurukuru, riri kuonekwa zvikuru inobudirira "Ranitidine" zvinodhaka "cimetidine", "Lafutidin" nevamwe. Dzimwe nguva varwere vanokurudzira mishonga kuti normalize ari motility ari zvomudumbu turakiti Somuenzaniso, "Motilium", "Motilak", "Reglan" nevamwe.

Kuwedzera mishonga iri kudya zvinovaka muviri. Zvinosuruvarisa, kwete nguva dzose tichibatsirwa mishonga uye zvokudya anogona kubvisa asidhi reflux. Kunorapwa Muzviitiko zvakaipisisa rinoitwa surgically. Somuenzaniso, vamwe varwere kunoratidza fundoplication - epurasitiki kururamiswa mazano mudumbu yokutanga. In pamberi diaphragm heniya kushanda ari kuitwa suturing ari esophageal yokutanga.

Kudya zvinovaka muviri ari reflux

Chokwadi, panguva reflux Kudya kunokosha zvikuru, sezvo zvinobatsira kubvisa pfungwa zviratidzo uye normalize ari zvomudumbu hurongwa. Chokutanga, varwere dzinorumbidza kudya kakawanda asi zvikamu zviduku. Wokupedzisira kudya inofanira kuva papera pane maawa matatu asati yokurara.

Kubva zvokudya zvinofanira siya kofi, chocolate, nezvinonhuhwira, Spicy zvakakangwa uye mafuta zvokudya, uye yakawandisa acidic zvokudya. Pazuva Mugumisiro gastric apricots, mapichisi, manhanga, vane dzinongoitika antacid ehupfumi. Honey yakagochwa nemadomasi mabhanana kuderedza gastric acidity. The Muterere inofanira kusanganisira zviyo, akadai mupunga, oats, mapfunde. Zviri nani kupa kupfuura yakaderera-mafuta akasiyana nyama (huku, Turkey, tsuro) uye hove. Sezvineiwo, zviri chinodiwa kuvagadzirira vaviri, kana muchoto.