Reflux kolwelwesi kanye nokwelashwa kwayo

Reflux kolwelwesi - inqubo sokugembula esakheka ngenxa aphonse okuqukethwe duodenum, equkethe Bile, phakathi komgodi isisu. Lolu hlobo kolwelwesi lingaphansi ezivamile kunabo bonke abanye izinhlobo okungamahlalakhona, kodwa ephelezelwa izimpawu ezinamandla kakhudlwana.

Bile ngokuvamile akufanele awela esiswini. Uma lokhu kwenzeka, kuba isikhathi eside abasebenza mucosa esiswini, kungabangela ukulimala eholela ukuvuvukala - kolwelwesi ezingamahlalakhona. Reverse ukusakaza okuqukethwe kungenzeka ngenxa yobuthakathaka pylorus (ikakhulukazi imisipha ekwakhekeni, esihlinzeka ukugeleza kancane kancane okuqukethwe isisu emathunjini). Ngaphezu kwalokho, kungenzeka Reflux kolwelwesi kubangelwa duodenitis esingamahlalakhona noma anda kwengcindezi 12 tiperstnoj emathunjini. Ezimweni eziningi, le ndlela kolwelwesi kwenzeka ngemva kokusebenza esiswini, futhi ngemva nokunwetshiwe ukusetshenziswa kwezidakamizwa nonsteroidal eqeda ukuvuvukala.

Reflux kolwelwesi libhekene izimpawu eziyinhloko:

- umuzwa wobukhulu noma ukugcwala esiswini ngemva kokudla,

- ukunambitheka ezingemnandi emlonyeni,

- ebhodla ebabayo

- ukucanuzelelwa inhliziyo.

Ngenxa yalesi sifo libhekene uhudo, nese ukuqunjelwa kanye ukuvuvukala. Qaphela ukuthi biliary Reflux kolwelwesi ngokuvamile akuyona ephelezelwa ubuhlungu. Uma kuphakama ubuhlungu, khona-ke ngokuvamile buthuntu futhi bezwe izinhlungu, ukugebenga esebenzisa isihluku ngemva kokudla. Izinguquko kule isifo ukuphazamisa nokwenziwa nezakhi ukudla, elibangela okuvela kuyo kungenzeka abalulekile kwesisindo, ukuntuleka kwegazi emzimbeni, isikhumba ukoma futhi ubuthakathaka jikelele.

Sitholakele ezingamahlalakhona Reflux kolwelwesi alikwazi kuphela ngesisekelo izimpawu. Kuyadingeka ukuba aqhube ahlolwe kahle emzimbeni:

- jikelele kanye nokuhlolwa kwegazi kwamakhemikhali,

- fibrogastroduodenoscopy (EGD)

- ultrasound komgodi ongaphakathi kwamathumbu.

Ungahle udinge biopsy we mucosa esiswini, noma-X-ray of the isisu duodenum. Ukuhlolwa Okugcwele ngeke miss omunye zokugula we komgodi ongaphakathi kwamathumbu.

Reflux kolwelwesi Ukwelashwa kufanele kwenziwe ngokucophelela, futhi ziqondiswe ukuzinza of ukusebenza emathunjini, kanye nokubuyiselwa evamile esibophezelayo Bile acid. Njengoba Bile acid umonakalo mucosa esiswini kuphela khona hydrochloric acid, isiguli singasetshenziswa eyabelwe proton futha inhibitor (mithi ukunciphisa uketshezi of hydrochloric acid). Ukuvimbela nokujikijela ukubuya (Reflux) zingene esiswini, esimisiwe prokinetics (bona kujwayeleke motility). Yokwelapha lesi sifo uyasetshenziswa ursodeoxycholic acid ngoba neutralization of Bile acid. Amalungiselelo equkethe lactulose, laba kanjani nesandla ukuzinza of microflora emathunjini.

Ukudla ngesikhathi Reflux kolwelwesi unendawo ebalulekile ekwelapheni. Izimiso eziyisisekelo amandla kule isifo libhekisela ukudla wamaqhuzu futhi njalo izinto eziningi ezincane. Kufanele babe yingxenye imikhiqizo yokudla, kwalimala ulwelwesi lwamafinyila we isisu, kanye noju, ushukela, ujamu, izitsha ashisayo noma abandayo kakhulu, ezihlukahlukene wokudla okunoshukela. Anikwazi ukuphuza enqubeni ukudla (imizuzu 20 kuphela). Ngaphezu kwalokho, udinga ayenqaba ephelele inhlanzi, inyama kanye nemifino isobho, okunamafutha inyama kanye nenhlanzi, ayi, ukhukhamba futhi marinades, ukudla okusemathinini, ayi, esinkwa esinsundu, namabhanisi, neprotertye izithelo nemifino, uphuzo oludakayo kanye ushokoledi.

Kuyadingeka ukuba ukhombe ukuphulukiswa kolwelwesi izifo ezihlobene Reflux-kuyinto ekwelapheni ipheshana wokugaya ukudla kanye nezinye izitho.