Zizindikiro ndi mankhwala a biliary Reflux gastritis

pathologies a dongosolo m'mimba wamba mwa anthu. matenda Common kugwirizana ndi Reflux. ndi makhalidwe otani?

Reflux esophagitis

Matendawa ndi kutukusira kwa kholingo, amene amayamba ndi kukhudzana zonse ndi kuti zili acidic m'mimba aakulu. The kudwala kugwirizana ndi kulephera kwa esophageal sphincter m'munsi bwinobwino amateteza kum'mero ku malowedwe a madzi muzituluka.

Pachimake biliary Reflux gastritis

fomu iyi amakhala ndi chitukuko cha kutupa pachimake mu Kakhungu mucous chifukwa cha kukhudzana ya ndulu mu zikuchokera kwa bolus chakudya. mitundu angapo osiyana a gastritis pachimake:

1. mawonetseredwe Esogastritis chachikulu ndi pang'ono hyperemia ndi kutupa kwa mpanda m'mimba. Izo thickens ndipo ataphimbidwa ndi wosanjikiza wa ntchofu wandiweyani. Nembanemba mucous ali wamng'ono kukha magazi petechial komanso kukokoloka kwa nthaka.
2. Fibrinous gastritis, mmene khoma anapanga zaminyewa necrosis mabacteria walowerera fibrinopurulent purulent exudate. Chiwonetsero cha zodabwitsazi - Ulimbo woonda filimu padziko m'madera okhudzidwa wa mucosa lapansi. Zachiphamaso gastritis yodziwika looseness filimuyo, ndipo pamene kwakuya kutupa zinaphatikizidwa ndi epithelium.
3. Necrotizing gastritis, mmene kuwonjezera pa zina zimakhudza zigawo zaminyewa mucosa. Pansi necrosis kumvetsa selo imfa mchikakamizo cha zinthu zachiwawa.
4. Purulent gastritis - ovuta kwambiri maonekedwe a kutupa. Dongosololi kungabweretse zigawo zonse za m'mimba, amene n'loopsa kuti perforation lapansi. Chiwonetsero cha chimake ichi - pamaso pa exudate, komanso kwambiri kusalola mucosal leukocytes.

Matenda biliary Reflux gastritis

Mtundu amakhala ndi osakaniza zochitika yotupa ndi osachiritsika. Zonse polowera ya ndulu ndi michere pancreatic mu m'mimba kumayambitsa chitukuko cha kutupa aakulu. Komanso, mtundu uwu ukhoza kukhala zotsatira za gastritis pachimake. Chifukwa cha alkalinity mu mucosa chinawonjezeka tochepa histamine, zomwe zimachititsa kuti edematous ndi erythematous.

pathogenesis

Pakati m'mimba, antrum wake ndi duodenum ali sphincter, imene inkatchedwa "mlonda". Ntchito imeneyi minofu imatsogoleredwa Sunthani chyme (bolus) mmimba mu intestine chimbudzi zina ndi wotsatira mayamwidwe zakudya. Kusokonezeka kwa sphincter ungathe kuti kodi kukhala biliary Reflux, gastritis, chithandizo chimene chimafuna osakaniza mankhwala ndi zakudya. Kuti izi zotsatira matenda mwadzidzidzi kutsegula sphincter, imene idzachotse mtanda wa chakudya umene akulowa ya ndulu opangidwa ndi chiwindi kumbuyo mu m'mimba. Zikuchokera ya ndulu ali ingafooketse boma la mucosa ake. Lili salt, zidulo ndi michere amatchedwa zinthu mokwiya.

etiology

Zimayambitsa biliary Reflux gastritis kugwirizana ndi wonongeka wa sphincter wa - mlonda. Kuti izi zingachititse alowererepo aliyense opaleshoni zokhudza motility pa mundawo m'mimba. Palinso zinthu etiologic tingaone matenda monga a chiwindi, cholecystitis aakulu duodenitis. Kufooka kwa minofu ya sphincter ndi kuonjezera kuthamanga mu matumbo zambiri chifukwa cha gastritis, ndipo zimenezi zingapangitse angapo pathologies pa mundawo m'mimba. Udindo wa zinanso ziti. Mwachitsanzo, nkhawa zonse yafupika katundu mucosal zoteteza, ndipo chimatsutsana irritants kanthu kufooka. N'chimodzimodzinso sanali steroidal mankhwala odana ndi yotupa kuti azitaya gastritis kangapo. Mankhwalawa bwanji prostaglandin kaphatikizidwe, ndipo iwo amagwira ntchito yofunika - yotithandiza mapangidwe ntchofu ndi maselo muyeso, amene kumawonjezera chotchinga zimatha mucosa lapansi. mankhwala Anti-yotupa ziletsa enzyme cyclooxygenase, ndipo potero kuchepetsa kuchuluka kwa prostaglandin, choncho kuchuluka kwa ntchofu.

Ndi mapangidwe Reflux esophagitis chifukwa ascites, chifukwa mu kuthamanga mu m'mimba constriction pyloroduodenal dzenje. zinthu zina akhoza kupanga zakudya osauka, zolimba zovala, mankhwala, kupanikizika ndi kusuta. zodabwitsazi kumachitika woyembekezera, ndiye sichingabweretse kudwala.

Biliary Reflux gastritis ndi Reflux esophagitis: Zizindikiro

Zizindikiro zazikulu za Reflux esophagitis ndi kutentha pa chifuwa ndi asidi eructation, zomwe kawirikawiri zimachitika mukatha kudya, ndi pamene linapendekeka patsogolo. Complementing ichi ndi kusapeza m'dera epigastric.

chipatala olemera okha losiyana biliary Reflux gastritis. Zizindikiro za matenda monga zowawa ndi matenda ena. Nthawi zambiri odwala nkhawa kumverera kwa chidzalo ndi bloating, komanso zovuta epigastric. Ululu zimakhala kanthu m'mimba, ndi mphamvu zawo angakhale osiyana - kuchokera pachimake kwambiri kwa kupweteka. Nthawi zambiri pali akusanza.

diagnostics

Matenda a biliary Reflux gastritis ikuchitika pambuyo pogwira kafukufuku wapadera ndi anamnesis. Ena amadandaula si zokwanira, iwo kuthandiza okha amaganiza chitukuko cha matenda. Choyamba, mtima wa walangizidwa yobereka ndowe, komwe akatswiri kudziwa magazi zamatsenga. Komanso tiyenera ndi kuchita EGD chimene chimapangitsa zowoneka kuwunika boma la nembanemba mucous, kuti azindikire matenda foci. Kuwonjezeka kuthamanga mu duodenum akhoza anatsimikiza mtima manometry.

Reflux esophagitis matenda advantageously radiographic njira ntchito kusiyana wothandizira. Njira imeneyi zimathandiza inu younikira nthawi ya kuponyera zili m'mimba mwa kholingo. Izo analimbikitsanso kuchita endoscopy, umene kuwunika chikhalidwe cha mucosa ndi kutenga zinthu zamoyo liwunikidwenso.

chithandizo

Biliary Reflux gastritis ndi Reflux esophagitis amafuna mankhwala mwamsanga. Izi zingathandize bwino alili komanso kupewa mavuto zotheka. Pa kudziwika esophagitis ayenera kusiya makhalidwe oipa, komanso zolimbitsa thupi kwambiri m'dera m'mimba.

mankhwala zachokera poika Mankhwalawa ayenera kumwedwa kuti kuchepetsa chikoka aukali madzi chapamimba pa mucosa esophageal. Ena mwa iwo ndi "Almagel", "Maalox" ntchito mlingo. Iwo uzikuta makoma a m'mimba ndi acidity m'munsi.

Komanso, tikulimbikitsidwa kugwiritsa ntchito mankhwala kuchepetsa katulutsidwe wa madzi chapamimba ( "omeprazole"). Prokinetics kusintha kamvekedwe ka sphincter, ndilo kutetezeredwa kuponyera acid. "Motilium" amatha kusiyanitsa pakati mankhwala ndi "Motilak". Ngati mankhwala ndiwofatsa sichitha, opaleshoni ukafunidwe, yomwe ikuchitika mothandizidwa ndi zida endoscopic.

Kodi mankhwala a matenda monga biliary Reflux gastritis? Zizindikiro ndi mankhwala a matenda ndi inextricably zogwirizana. Odwala amafunika zovuta pharmacological ndi miyeso si mankhwala, umene kusintha chikhalidwe, tichotse mawonetseredwe matenda. Choyamba m'pofunika matenda moyo - kuleka zizolowezi zoipa, kudya zakudya zopatsa nthanzi. Mwa kukonzekera mankhwala zambiri anatumizidwa histamine cholandilira blockers amene kuchepetsa katulutsidwe a. Gastroprotectives kuchita popanda - iwo kufulumizitsa machiritso a zotupa mucous nembanemba. Komanso, m'pofunika kumangako ya ndulu zidulo, kuti apange ntchito asidi ursodeoxycholic. Adziteteze pa chyme mmimba kuthandiza mankhwala monga "Domperidone" ndi "metoclopramide".

kupewa

Kuteteza mapangidwe biliary Reflux gastritis ndi esophagitis kuthandiza kudya zakudya zopatsa nthanzi ndi matenda yake njira pathological. Ndi bwino kupewa khalidwe zonse mayeso endoscopic, zimene zingakuthandizeni kudziwa matenda pa siteji oyambirira. Izi kuonjezera mphamvu ya mankhwala ndiwofatsa kupewa opaleshoni pakutchulidwa matendawo kwambiri.

Komanso, ayenera kusintha chotchinga zimatha mucosa lapansi. Ndi bwino kusiya zizolowezi zoipa (kapena kuchepetsa iwo yochepa), yesani kudya zakudya athanzi ndi kupewa mavuto.

Komanso zinanso chinthu ndi ntchito pafupipafupi mankhwala nonsteroidal odana ndi yotupa amene kuchepetsa kupanga ntchofu mmimba, chifukwa mucosa amakhala pachiopsezo. Zofunika ntchito za kupewa ndi kuchiza oyambirira a matenda concomitant.

Vuto la pakutchulidwa a biliary Reflux gastritis ndi esophagitis ndi zogwirizana, monga zikhalidwe akhoza osati kumawonjezera mmene wodwalayo, koma kuyambitsa mavuto. matenda panthawi yake amalola chithandizo kuyamba pa nthawi.