Duodeno-chapamimba reflux

Mankhwalawa amapezeka m'mimba. Kuzindikira za matendawa chifukwa cha zotsatira za ntchito zofufuzira (EGDS, pH-metry) popanda kukhala ndi mawonetseredwe a chipatala sanena chilichonse. Izi zimachitika chifukwa chakuti duodenal-chapamimba reflux ikhoza kukhala wathanzi osati anthu abwinobwino. Kuti zikhale ndi thanzi labwino, chiwonetserochi chimayesedwa ndi mtundu wotsatizana womwe suli wa tizilombo toyambitsa matenda a m'mimba, koma, amawatsutsa kuti asagwirizane ndi matendawa. Mwachitsanzo, izi zimachitika ndi kuwonjezeka kwa malamulo mu chapamimba cha acidity. Pankhani iyi, kuponyedwa m'mimba mwa zamchere kumayambitsa mgwirizano wa kuwonjezeka kwa acidity. Kuwonjezera pamenepo, zofanananso zingatheke pokhapokha ngati malamulo amachepetsa m'mimba. Mu refodx iyi ya duodeno imathandizira kuti pakhale njira yodetsa m'mimba: chimbudzi ndi chithandizo cha ma enzyme ndi bile kuchokera kuziphalala za zomwe ziyenera kudetsedwa ndi mimba ya m'mimba m'mimba.

Choncho, dziko lino ndi njira yobwezera. Matenda a chikhalidwecho amadalira makamaka za zotsatira za zamchere zamkati za duodenum pa chapamimba mucosa. Nthawi zina, zotsatirazi zimakhala ndi zotsatira zochepa. Pa nthawi yomweyi, kusintha kwake kwache kwasintha kwake kumachitika. Kuwonjezera pamenepo, monga lamulo, palibe mawonetseredwe a zizindikiro zirizonse, ngakhale pakakhala reflux yaitali. Nthawi zina, chikhalidwe cha kuponyera chimatanthawuza ku matenda a pathogenesis omwe amachititsa kuti thupi lizikula. Izi ndi chifukwa chokhudza kwambiri chapamimba mucosa cha zamchere. Zikatero, zovuta zamtundu wa reflux zimayambitsa chitukuko cha mucosal atrophy kapena, nthawi zina, metaplasia. Izi zingayambitse zilonda zam'mimba, khansara ya m'mimba, matenda opatsirana pogonana ndi zina zotero. Mkhalidwe wa kuponyedwa umatchedwanso mu chiwopsezo ndi cholecystitis ya mawonekedwe osatha, cholelithiasis.

Ngati mwadzidzidzi matenda a matendawa, wodwala amapatsidwa nthawi zonse electrogastroduodenoscopy (EGDS). Cholinga cha ntchitoyi ndi kufufuza zotsatira za mimba ya mucosa ya zamchere kuchokera ku duodenum. Izi zimapangitsa kupewa koyambirira kwa kakulidwe ka matenda.

Chithandizo.

Mankhwalawa amachititsa mwadzidzidzi (ndi electro- gastroduodenoscopy ndi pH-metry) ndipo amapita popanda zizindikiro zenizeni, sizikutanthauza kuikidwa kwa mankhwala alionse. Izi ndi chifukwa chogwiritsira ntchito ndondomekoyi. Ngati matendawa akuphatikizidwa ndi zizindikiro za reflux gastritis ndi mawonetseredwe a kupweteketsa kwambiri kupweteka mu supuni ya tiyi patatha mphindi makumi anayi mutatha kudya, kulawa kowawa pakamwa ndipo nthawi zina belch, mankhwala amauzidwa. Pogwiritsa ntchito njira yothandizira, kukhalapo kwa zinyama zomwe zimachitika m'kati mwa chigawo cha m'mimba zimaganiziridwa. Deta izi zimawululidwa ndi electro gastroduodenoscopy. Thandizo pankhaniyi ndi cholinga chochotsa atrophy. Zotsatira zofananazi zili ndi mankhwala monga metoclopramide, motilium, cisapride ndi ena.

Kuonjezera apo, zakudya zamtundu wa reflux zimayikidwa kuti zipeze. Kuchokera pa zakudya mumaphatikizapo zakudya za mafuta, kuchepetsa gawo limodzi la nthawi. Nthawi zambiri, zimalimbikitsidwa kuti mukhale ndi phala la buckwheat mu zakudya. Sichimakwiyitsa chapamimba mucosa ndipo chimamanga bile. Kuwonjezera pamenepo, njira yapadera imaperekedwa. Odwala sakulimbikitsidwa kuti agone mwamsanga mutangotha kudya.