Chirungurira Treatment uye zvinokonzera

Chirungurira - chimiro umo mvura kubva dumbu mukati yegurokuro (reflux). Izvi mvura kunogona kukonzera kuzvimba uye kuvadza lining pakati yegurokuro kunyange zvinooneka zviratidzo kuzvimba pavarwere vakawanda haagoni kuonekwa. Kazhinji ine zvinovava uye pepsin kuti anobudiswa mudumbu, uye anogona dzinewo bile kuti anopinda naro kubva duodenum. The asidhi Zvinodavirwa kuti - kupfuura zvinokuvadza zvinoriumba. Bile uye pepsin zvinogonawo kukuvadza yegurokuro, asi basa ravo kukonzera kuzvimba uye kukuvara hakusi sezvo pachena sezvo basa acid.

Nei chirungurira?

Pane zvikuru zvakawanda zvakasiyana zvinoita kuti anokonzera chirungurira: kubva hiatal heniya kuti kugadzirwa zvisinganzwisisiki guru mishonga ine zvinovava mudumbu. Ngatikurukurei rakajairika zvinokonzera.

1. kutyorwa kwekodzero repasi esophageal sphincter.
Kutyorwa angava akasiyana, asi akazoita mano sphincter kuti kubata uye kudzivirira neizvi chokubuda mvura kubva mudumbu.
2. heniya ane esophageal aperture.
Kana diki chikamu mudumbu, iyo wanamatira yegurokuro, iri kusundwa kusvika diaphragm. Nokudaro, akaderedza inotadzisa kushanda uye mvura kubva mudumbu nyore kupinda yegurokuro.
3. Abbreviations yegurokuro. In kudzivisa chirungurira anoita basa guru kumedza, izvo chinoita chindori marwadzo mafungu yegurokuro tsandanyama, kuderedza lumen waro womukati mhango. sunga izvi zvinonzi peristalsis. Vanosundira kudya uye mate mudumbu. Zvisinei, matambudziko peristalsis asidhi apo, rakava mu yegurokuro, mudumbu haasi kudzokera. Bhadharai pfungwa yokuti kusvuta yekudyidzana akazoita marwadzo ose yegurokuro. Izvi kunogara kwemaawa anenge 6 pashure rokupedzisira mudzanga.

4. Mishonga. Vamwe mishonga inogona kukonzera kana kuwedzera chirungurira. It anticholinergics, antihypertensives, bronchodilators, sedatives , uye tricyclic antidepressants.
5. Pregnancy. Chirungurira kunogona kuva dambudziko chakakomba panguva yepamuviri. Kukura mudumbu anowedzera kumanikidzwa ari abdominal mhango, iro rinoita kuti mvura reflux kubva mudumbu.

Chirungurira - kurapwa uye kudya

Kana iwe - mumwe wevaya mamiriyoni evanhu anotambura chisingaperi chirungurira, iwe, Chokwadi, zvakakodzera kuti kusarudza nzira yakakodzera kurapa nayo. Izvi zvinogona kuva mararamiro kuchinja, mishonga kana kuvhiya.

Mararamiro

Doctors chifunga vane chirungurira, kurapwa rinotanga nemararamiro kuchinja. Izvi imhaka yokuti vanenge 94% wevarwere anogona Ndairudzika zvinoenderana nemashoko zvakananga zvigadzirwa. Zvakakosha kuti mumwe munhu kuteerera muviri wako, kunyanya kana une chirungurira. Kazhinji zvokudya inobatsira kakawanda.

Drug Treatment

- mhandu kubva histamine receptors anoshandiswa kurapa ezvinhu, apo mudumbu unobereka zvakawanda hydrochloric asidhi (kugadzirira "Famotidine" "Ranisan" "Kvamatel" dzvanyirira chizvarwa chayo, kwamakadarika haazombotaurwi chirungurira).

- Treatment antacids kuti neutralize asidhi mudumbu pamusoro kubatana. Chinonyanya dzakakurumbira mishonga "Rennie", "Fosfalyugel", "Topalkan" "Maalox", "Almagel" etc.

- Purotoni pombi FIs (PPIs) vari boka mushonga zvinodhaka izvo tunodzivisa iine acid secretion mudumbu uye ura. Doctors raitongwa IPP vanhu chirungurira, gastric kana intestinal urikanwi, uyewo kunyanya kugadzirwa gastric asidhi ( "Omez" "Omeprazole" "Pariet").

- unokurudzira nevasori zvinoshandiswa varwere anononoka gastric Kuburitswa mu. Ivo (kugadzirira "Reglan" "Domstal", "Metoclopramide" "Gastrosil") mhanyisa kugaya, izvo zvinotadzisa munhu Kunonoka mudumbu acid, ive migumisiro - kunodzikira kana haarambi chirungurira.

Kurapa pamwe Kuvhiya

- Fundoplication - mureza nzira kuvhiya Mabatirwo chirungurira, sezvamakaropafadzwa gastric fundus chakamonerwa yegurokuro uye muchimiro ruoko imwe mhando.