Gastroesophageal reflux ọrịa

Gastroesophageal reflux ọrịa (Gerd) a na-ewere otu n'ime ihe ndị kasị na nwere oké esophageal daa ọrịa. The ọrịa nēche merie eto eto ọnụ ọgụgụ nke ndị mmadụ. Gastroesophageal reflux bụ ike nke ukwuu belata àgwà nke ndụ mmadụ, iji kpasuo dịkarịa ala ya progression nnọọ ize ndụ nsogbu, gụnyere ọrịa cancer nke na nkọlọ.

Dị na ọgwụ ọnụ ọgụgụ a daa ọrịa achọpụtara na 20% nke ndị mmadụ.

Gastroesophageal reflux bụ n'ihi na a mebiri nke mmechi ọrụ nke esophageal sphincter, emi odude na ala, dị ka nke ọma dị ka ogologo oge ikpughe na mucosa nke na nkọlọ nke afo ọdịnaya. Na ndị ọzọ okwu, agbara emee unimpeded penetration.

The nkịtị acidity nke afo dịgasị n'etiti 1.5-2.0, na nkọlọ - 6.0-7.0. Gastroesophageal reflux akọwa na egosi na ala esophageal acidity n'akụkụ n'ihi na acidic gastric ọdịnaya penetrating n'ime ya. Ruo ogologo oge na kọntaktị nke abụọ media mepụtara aza. The mejupụtara agụnye acidic gastric ihe ọṅụṅụ na digestive enzymes budata-eme ka mmepe nke mbufụt.

Mebiri nwere ike triggered na ọdịnaya nke duodenum (bicarbonates, enzymes, bile asịd). Na usoro nke nēfe na afo a na-akara na penetration n'ime nkọlọ, na-eme mmebi mucosa na, dị ka a na ya pụta, na Mbelata acidity na ya.

Gastroesophageal reflux nkịtị n'ahụ ngosipụta na ikpe nke ụfọdụ ibiere:

- development isi pụtara mgbe a nri;

- ekwu obere ugboro ole na oge nke a ụbọchị;

- bụghị ahụrụ erughị ala;

- a nta ugboro n'abalị.

State na-ahuta ka ndiiche na ikpe nke:

- ugboro ugboro ma ọ ogologo ngosipụta;

- ma ọ bụrụ na hụrụ ma n'ehihie ma n'abalị;

- esonyere mbufụt.

The ọrịa nwere ọtụtụ ihe e ji mara n'obiọma. Ndị a gụnyere nrekasi obi, ihe mgbu mgbe ilo, ihe mgbu na n'aka ekpe nke obi, n'azụ breastbone, agbụpụ elu, mbibi nke nha nha Enamel, hoarseness, persistent ụkwara.

Nyere na na thoracic oghere nrụgide bụ ala karịa na afo, reflux kwesịrị egosi mgbe niile. Otú ọ dị, na ọnụego nke ya omume - a ụkọ, n'ihi obturator ọrụ nke cardia. A, ọ bụ ntoputa nke onye ahụ dị mma na-akara maka a obere oge (erughị ise nkeji). Na nke a, ndị dị otú ahụ a na steeti daa ọrịa na-adịghị na-atụle.

Gastroesophageal reflux ọrịa. ọgwụgwọ

Therapeutic jikoro isi iji na mbenata ogo nke usoro, na-ebelata emebiri ọdịnaya nke afo ike, nakwa dị ka na-echebe ndị lining nke na nkọlọ.

Ọgwụgwọ-agụnye amanyere bụ iwu nke akara nke ịdị arọ ahụ, ise siga cessation, mmanya oriri, abụba oriri, kọfị, chocolate. Site na ihe oriri na-ewepụ acidic oriri.

Ukwuu anya na-akwụ ụgwọ ihe oriri. Ọkachamara nwere ike ikwu na-eri ihe ugboro ugboro na na obere òkè.

Na enweghị nke ọgwụgwọ mmetụta nke a dọkịta nwere ike nye iwu ka antacids. Ndị a preparations nwere magnesium salts, aluminum na calcium. Ndị bekee nwere ike iche iche ihe nke hydrochloric acid.

Ọ na-atụ aro na-enye mmasị na antacids na n'ụdị gels. The lumen nke afo na nkọlọ mgbe ndinọ obere ụmụ irighiri mmiri na-guzobere, si otú ime mmetụta. N'etiti nkịtị ọgwụ ọjọọ mara "Almagell" "Maalox" "Fosfalyugel". Ndị a n'aka nkejikotara salts nke magnesium na aluminum dị iche iche oke ma ọ bụ naanị aluminum nnu.