Reflux Duodeno-esiswini

Duodeno-esiswini Reflux yisimo lapho okuqukethwe Ukuyekwa kwezindlela the duodenum zingene esiswini. Ukuxilongwa kulesi simo imiphumela imisebenzi yocwaningo (EGDS pH-metry) ngokungabi bikho ukubonakaliswa emitholampilo akusho lutho. Lokhu kungenxa yokuthi duodeno-esiswini Reflux kungavuka kokubili abantu abayimiqemane futhi okungezona enempilo. Ukuze umzimba uphilile lokhu kubonakaliswa kuyoboniswa nguMbusi kukhonjwe indlela eyingqayizivele oluhambelana, okuyinto akusebenzi le pathogenesis izifo ezihambisana ngokweqile, izitho zokugaya, futhi ngokuphambene, inikeza ukumelana nalezi zifo. Ngokwesibonelo, lokhu kwenzeka lapho zomthethosisekelo ukwanda asidi esiswini. Uma lokhu uphonswa esiswini ukuhlanganisa alikhali okuqukethwe kuphakamisa le-asidi. Ngaphezu kwalokho, lokhu kungenzeka uma ngokomthethosisekelo ukwehlisa asidi esiswini. Ngakho duodeno-esiswini Reflux substitutive ikhuthaza inqubo wokugaya ukudla: kukhona ukugaya usebenzisa enzyme Bile kusukela amanyikwe ukuthi kugaywe juice esiswini esiswini.

Ngakho, isimo samanje kuyinqubo compensatory. isimo Pathology luncike ithonya alikhali okuqukethwe duodenal mucosa esiswini. Kwezinye izimo lokhu ithonya has nomthelela othize. Kulokhu, kukhona ushintsho oluncane kuseli histologic uhlamvu. Ngaphezu kwalokho, njengoba umthetho, akukho ukubonakaliswa nezimpawu, ngisho ezimeni Reflux eside ekhona. Kwezinye izimo, isimo thusi libhekisela pathogenesis jikelele ekuthuthukisweni sokugembula. Lokhu kungenxa nomthelela kwi esiswini mucosa ane-alikhali okuqukethwe. Ezimweni ezinjalo, duodeno-esiswini Reflux icuphe ukuthuthukiswa mucosal yoma, noma kwezinye izimo, metaplasia. Kulokhu, isilonda peptic kungenzeka, umdlavuza esiswini kolwelwesi okungamahlalakhona, nokunye. Isimo asakazwe yabonakala pancreatitis kanye cholecystitis ifomu okungamahlalakhona, cholelithiasis.

Ngezinye elektrogastroduodenoskopii njalo (EGD) inikezwa okungahleliwe nesineke ekuhlonzweni kwezifo. Injongo yalo msebenzi ucwaningo uwukunakekela nomthelela le mucosa esiswini okuqukethwe alikhali we duodenum. Lokhu kunomthelela zokuvimbela ekuseni izinqubo sokugembula.

Ukwelashwa.

Duodeno-esiswini Reflux, Kutsho ithuba (at elektrogastroduodenoskopii futhi pH amamitha), futhi ukuqhutshwa ngaphandle izimpawu liphinyiselwe, hhayi ukusetshenziswa okuhlosiwe noma iyiphi indlela yokwelapha. Lokhu kungenxa iwusizo inqubo compensatory. Uma lesi sifo lihlotshaniswa izimpawu of kolwelwesi Reflux nge okusezingeni ngamandla isibonisi yokuwela izinhlungu esiswini emva kwemizuzu engamashumi amane emva kokudla, umuzwa ukunambitheka ababayo emlonyeni futhi ngezinye izikhathi regurgitation babelwe ukwelashwa. Ekumisweni ukwelashwa uyakucabangela khona izinqubo atrophic ku mucosa antral isisu. Lezi idatha bambulwa elektrogastroduodenoskopii. Ukwelashwa, kulesi simo sibhekiswe ekuqedeni yoma. Ngokufanayo, ukuchayeka ifa izidakamizwa ezifana metoclopramide, motilium, cisapride nabanye.

Ngaphezu kwalokho, kuboniswa ngenxa sitholakele duodeno-esiswini Reflux Ukudla. Ungafaki kusukela ekudleni okunamafutha, wehlise bakhonze olulodwa. Ezimweni eziningi kungcono ukukufaka ekudleni nokunye okufana nokolweni. It akunamthelela mucosa esiswini kuyacasula futhi sibopha Bile. Ngaphezu kwalokho, inikezwa mode ekhethekile. Iziguli belulekwa ukuba ulale ngokushesha ngemuva kokudla.