GERD: Zizindikiro, semiotics, gulu ndi mankhwala

The acronym GERD (gastroesophageal Reflux matenda) mu mankhwala zikutanthauza kudwala yeniyeni kugwirizana ndi Reflux ya nkhani m'mimba mu wapotalikira (m'munsi) mbali ya kum'mero chifukwa insufficiency wa mtima sphincter, imene wathanzi chamoyo malo dzenje kwathunthu amapereka kulekana kwa matupi awiri. Pankhaniyi, matenda akhoza anasonyeza milandu onse kuponyera pathological, si kunyansidwa ndi kusanza, komanso kayendedwe anastaltic.

GERD: Zizindikiro, semiotics, gulu ndi mankhwala

Gastroesophageal matenda Reflux angayambe pa m'badwo uliwonse ndi amakhala ndi pafupipafupi ake. Choncho, matenda wamkulu pafupifupi 50% osayang'ana kugonana. Pa 10 peresenti kafukufuku ndi EGD amalembedwa kusintha morphological mu mucosa limba (kwenikweni erosive mawonekedwe). GERD ana kumaonekanso ndi zambiri, makamaka ana, chifukwa kulephera kwa cardia lapansi.

The pathogenesis wa GERD

Pathogenetic GERD chitukuko chithunzi ndi wapezeka ntchito pH-mayeso ya kum'mero ndi m'mimba. Esophageal asidi chigawo cha munthu wathanzi ndi 6 mayunitsi, kusonyeza kuti chilengedwe pang'ono acidic. Pamene GERD kufunika pH ndi adatchithisira 4, yomwe ndi pafupifupi kawiri kuponya-zili kumawonjezera ndewu malinga limba. Mmimba, wabwinobwino pH phindu pa mlingo wa 1.5-2, koma kuwonongeka zimachokeradi, kuyambira mucous atetezedwe ntchofu imatulutsidwa ndi maselo parietal.

Modzikhulupirira muzituluka nkhani mu kholingo oponyedwa ngati zamkati mtima ndi wokwanira ziwalo zosiyanasiyana TV. boma wotchedwa esophageal sphincter kufooka ndipo anawonetseredwa mu nkhani za kuwonjezeka zosangalatsa za nkhani, mwachitsanzo, ndi ingestion pafupipafupi zidutswa lalikulu la chakudya chotafuna. Ndi zifukwa zinanso zomwe n'kogwiritsa zotsatira mu mwadongosolo 3-hgodichnogo kubwerezabwereza kuyambitsa GERD, ndi chizolowezi gone pabedi mutadya. Ndipotu nkhani za m'mimba zonse mu malo ofukula za thupi sangathe ntchito pa cardio. Komabe, pamene izi zimachitika malo supine ndi Mwina mtheradi.

Pa gulu GERD amachititsa hernial protrusion chikuphatikizapo hiatal kuti lili bwino motility wa kholingo ndipo siligwirizana tsankho akunja psinjika pa orifice mtima.

GERD Zizindikiro

Waukulu khalidwe mbali ya kudwala ndi kulira kwa odwala pa moto pachifuwa ululu amenewa amapezeka pafupifupi nthawi yomweyo pambuyo chakudya. Pamene kusintha thupi malo (chigonere pa pamwamba yopingasa, ndi mtima wabwino lateral kapena ndege mazunzo) ndi analinso woyaka kumverera mu chifuwa. Wodwala nkhawa regurgitation, mkhutu kumeza ululu kugwirizana ndi zimachitika chifukwa kuwonongeka limba mucosa. Pomeza zakudya olimba wosweka ngakhale ndi mastication wolimba, pamene madzi chitadutsa momasuka, koma amachititsa kusapeza chifukwa kutentha (kutentha kapena kuzizira) nzothandiza m'madera kuonongeka. Mu GERD zizindikiro ofanana angina, koma kusiyana si katundu thupi ndi chakudya.

Chithandizo cha GERD: pharmacotherapy ndi kugwilizana ndi zakudya

Mu ulamuliro wa kumvera ndi chakudya wodwala ayenera kumvetsa ntchito chakudya kawirikawiri ndi chakudya chochepa mlingo. Izo ziyenera wosweka kapena fodya ameneyu amatafunidwa bwinobwino. kutentha kwake sayenera madigiri oposa 40. Pharmacotherapy ukuchitika zoletsa purotoni mpope, prokinetics, ndi histamine H2 cholandilira blockers motero anatumizidwa dokotala chiwembu. Ngati mankhwala zizindikiro GERD wapita, chithandizocho ikupitirira Mlingo yokonza ntchito loyamba ndi wachitatu makalasi zatchulidwazi mankhwala.