I pathogenesis ka Gerd, ukwelashwa kanye izinyathelo zokuvimbela

isifo Gastroesophageal-Reflux (Gerd) siyinto evame sokugembula, ikakhulukazi kubantu abadala. Kuyinto Indlela kakhulu yokuthi cishe 10% azo zonke iziguli ezigulela njalo noma ngenxa yanoma yimiphi Uphenyo izinkomba benza ucwaningo we emphinjeni, esiswini, futhi 12 isilonda duodenal, uhlushwa Gerd nge esophagitis erosive nemvelo.

substantiation Pathogenetic lesi sifo

Ukuqalisa isici ukubhebhetheka kwalesi sifo kuyinto medium nolaka of juice esiswini, kuyilapho predisposes baphonse in ekhululekile ingaphakathi ngomphimbo sphincter yayo inhliziyo. Ngokuphathelene nalokhu kwesibili, kumelwe kushiwo ukuthi lesi simo kungenxa hernia hiatal , noma ngenxa ukudla engenangqondo umbuso, uhilela ukudla ezingavamile owawuchichima okusheshayo ukuhlafuna akuphelele ukudla, ikakhulukazi ngaphambi sokulala.

Gerd: ukwelashwa kwemithi

Njengoba izifo eziningi ipheshana wokugaya ukudla, ukwelapha Gerd liyinkimbinkimbi futhi kuhilela ukusetshenziswa namakilasi amaningana izidakamizwa. Phakathi kwabo, histamine blocker futhi antacids. Isigaba sokuqala sihlanganisa umthamo izindlela eziphumelela kakhulu ukwehlisa emakamu proton ku juice esiswini, lokho kukunciphisa ngokuphawulekayo ukudleka asidi yayo, futhi ngenxa yalokho nolaka. Lo muthi omeprazole, pantoprazole, lansoprazole, esomeprazole. Eqinisweni, umehluko oyisisekelo akunjalo, kodwa kunenkolelo yokuthi uma umuntu ekhathazeka mayelana lo mkhuba esophagitis kanye ezibangelwa ukungaphenduki embhedeni ngomphimbo, kuyindlela engcono kakhulu yokusebenzisa le yokugcina imithi emibili. Kulokhu, esomeprazole ukwenza iyona "izinga legolide" phakathi antacids okuqondene ikilasi ka-proton futha inhibitor. Kuyaphawuleka ukuthi ngisho omele abaphezulu kakhulu ekilasini - omeprazole - lapho ithola umthamo 40 mg uyakwazi cishe 4 izinsuku ngokuphelele "cisha" le tubules secretory kumaseli ezengeziwe isisu.

Iqembu lesibili kukhona okuvimba ka histamine H2 receptor. Ukugodla umsebenzi wabo kuvimba histamine naye, futhi, ngakho-ke, nika amandla ukukhululwa kwe-enzyme nezindlala acid odongeni esiswini. Kulokhu ezihlukahlukene esikhulu kakhulu izidakamizwa udokotela ukhetha inhlanganisela elikhulu kakhulu ayinayo imiphumela eminingi engemihle ngoba isiguli esithile.

Gerd: ukwelashwa okuhlobene ne-umbuso

Ukuze zokugula ukwelashwa Gerd kuhlanganisa hhayi kuphela ejenti kwemithi oshiwo ngenhla, kodwa futhi ukushintsha indlela yabo yokuphila. Phakathi kwabo kukhona ezifana nezindlela zokuzivikela njengabo ukudla okunengqondo, ngokuyisisekelo okuyinto itholakala njalo wamaqhuzu ethola izingxenye ezincane ukudla nge ukuhlafuna ngokucophelela. Akuvumelekile ukusebenzisa imikhiqizo noma izitsha ohlukumezekile noma zibulale emphinjeni, ngoba ukudla okushisayo kufanele kususwe isikhathi sokwelashwa (esiphezulu izinyanga 2). Kungenzeka ukuba idle afudumele, hhayi anosawoti okubabayo. Futhi, kufanele uyeke izithelo nesiphuzo, njengoba nomphumela ngqo kuhlasimulise ngenxa acid organic.

Kubalulekile ekudleni - kuyinto ngokwanele ngemva kokudla. Abantu abaningi abanale Gerd isifo sesiqalile nje ukuthuthukisa ngokushesha singehlulwa okuthiwa isinyathelo esiqondile ashukumisayo ukudla, lapho izinga lokushisa lomzimba liyaphuma by 1 degree, ukozela livela. Ngenxa yalokho, iziguli zivele embondelene embhedeni. Nokho, umuntu emva kokudla kufanele ibe mayelana 1.5 - 2 chasa sesimweni oluqondile noma uhleli, isb abe sesikhundleni lapho udonga isisu akuyona welulela ukuvumela okuqukethwe bungadida emphinjeni.