Gerd: Izimpawu, semiotics, ngezigaba kanye nokwelashwa

Isifushaniso esithi Gerd (gastroesophageal Reflux isifo) kwezokwelapha kusho zokugula ethize ephathelene ne Reflux lokuqukethwe esiswini phakathi distal (engezansi) izingxenye emphinjeni ngenxa esingamahlalakhona we inhliziyo sphincter, okuyinto umzimba uphilile izikhala eziyize ngokuphelele inikeza ukwehlukana izindikimba ezimbili. Kulokhu, uphethwe kungenzeka embukisweni zonke izimo ekubunjweni sokugembula, okungezona isicanucanu nokuhlanza, kanye nokunyakaza anastaltic.

Gerd: Izimpawu, semiotics, ngezigaba kanye nokwelashwa

Gastroesophageal Reflux isifo singenzeka ngasiphi yobudala futhi esibonakala ngokuqina imvamisa yayo. Ngakho, ngo-isifo omdala yisilinganiso esingu-50% ngaphandle kokubheka ubulili. Ngezinye angu-10 okwaxoxwa nabo nge EGD imakwe izinguquko morphological ku mucosa isitho (eqinisweni ke ifomu erosive). Gerd ezinganeni bubonakala kuqhathaniswa ngokuvamile, ikakhulukazi izinsana, ngenxa yokwehluleka cardia.

I pathogenesis ka Gerd

Pathogenetic ukuthuthukiswa Gerd umdwebo itholwa usebenzisa pH-isivivinyo emphinjeni nasesiswini. Ngomphimbo acid ingxenye Umuntu ophilile udinga amayunithi 6, okubonisa ukuthi indawo ene-asidi kancane. Lapho Gerd pH value is sehliselwe 4, okuyinto cishe kabili nokujikijela-okuqukethwe kwandisa ulaka ngoba isitho izindonga. Esikhathini esiswini, evamile pH value ezingeni ka 1.5-2, kodwa umonakalo ingekho, kusukela lwamafinyila ivikelwe isikhwehlela ezivezwa parietal amaseli.

Bukhali okuqukethwe esiswini emphinjeni ziphonswe uma uginindela inhliziyo kuyinto obanele ukuba kunikezwe kwamangqamuzana abezindaba izitho. Lesi simo sibizwa ngokuthi ngomphimbo sphincter ngobuthakathaka kubonakala esimweni okwandisa ukuphumula iziqephu, isib, nge kokungenisa kaningi izingcezu ezinkulu ukudla okuqinileyo. Libuye libe isici ungalokothi uphuze, okuyinto nakanjani kuholela ekutheni ehlelekile 3-hgodichnogo ukuphindaphinda kuzoholela Gerd, kuyinto umkhuba wokushaya baba embhedeni emva kokudla. Eqinisweni, okuqukethwe usuthi esimweni mpo yomzimba akakwazi ukusebenza cardio. Nokho, lapho lokhu kwenzeka isikhundla lisalele nge ematfuba ngokuphelele.

Phakathi ngezigaba Gerd kubangela protrusion hernial kufaka hiatal ukuthi inikeza motility lelitfutfukile emphinjeni futhi ayisekeli ngokwengxenye kokucindezelwa zangaphandle phansi orifice inhliziyo.

Gerd Izimpawu

The main izici isici zokugula kukhona izikhalazo zeziguli luvutha ubuhlungu besifuba okwenzeka cishe ngokushesha nje ngemva kokudla. Lapho kushintshwa isimo umzimba (elele phansi endaweni evundlile, sithambekele ku lateral noma indiza frontal) nalo wazizwa umuzwa esivuthayo esifubeni. Sibekezele regurgitation ukhathazekile, ukugwinya kahle, izinhlungu ezihambisana ishayela ngenxa umonakalo isitho mucosa. Ukugwinya ukudla okuqinile ngobugebengu ngisho ne mastication eyingqabavu, kuyilapho ketshezi sihamba ngokukhululekile, kodwa ebangela ukungakhululeki ngenxa lokushisa (ukushisa noma amakhaza) umfutho ezindaweni ezilimele. Ngo Gerd izimpawu zifana angina, kodwa umehluko umthwalo ngokomzimba nesidlo cha.

Ukwelashelwa Gerd: pharmacotherapy nokulandela Ukudla

Ngaphansi kombuso ukuhambisana ukudla isiguli kufanele uqonde ukusetshenziswa ukudla kaningi futhi encane izingxenye umthamo. Kufanele afahlazekile noma ezokuhlafunwa kahle. lokushisa layo akufanele bube ngaphezu kuka-40 degrees. Pharmacotherapy kuthatha proton futha inhibitor, prokinetics, futhi histamine H2 yokwamukela blocker ngokulandelana babelwe udokotela isikimu. Uma ukwelapha Gerd izimpawu gone, therapy iyaqhubeka yesondlo ngemithamo usebenzisa amakilasi wokuqala nowesithathu ezilandisiwe izidakamizwa.