Cluwar gastroesophageal wani abu ne mai bayyanar da ke nuna motsi na ciki cikin kishiyar shugabanci (cikin esophagus). A wasu lokuta wannan zai iya zama wani abu na al'ada, a wasu kuma zai iya haifar da cututtuka.
Gudun hanzari na maganin matsalar gastroesophageal
Jigilar abubuwan da ke ciki daga ciki, da ke faruwa a cikin lokuta marasa lafiya bayan da cin abinci, wanda baya haifar da rashin tausayi ga mutum kuma baya haifar da wasu cututtuka, an dauke shi da bambanci na al'ada. Idan wannan ya faru sau da yawa, ciki har da dare, yana tare da bayyanar cututtukan bayyanar, yana da tambaya game da ɓatawa da ke haifar da ci gaba da cututtukan gastroesophageal dislux.
Idan akai la'akari da abubuwan da ke haifar da reflux na gastroesophageal, dole ne mu fahimci hanyar yin gyare-gyare cikin hanyar da ba daidai ba. Babban muhimmiyar rawa wajen kare wannan abu shi ne abin da ke tattare da ƙananan kwakwalwa ta jiki - wani tsoka kusan kusan yana zama a cikin wani wuri da aka rufe kuma yana buɗewa a lokuta guda biyu - lokacin da abincin ya motsa cikin ciki da kuma lokacin da iska ta kwashe.
Hanya na bazuwa na kwaskwarima na ɓangaren esophagus za a iya hadewa tare da nakasa ta aiki kuma tare da ragewa a cikin sautin tsoka. Hakan ya faru da irin wadannan abubuwa:
- amfani da abincin caffeinated;
- yin amfani da abinci mai zafi da abin sha;
- shan wasu magunguna (antispasmodics, analgesics, nitrates, da sauransu);
- shan taba;
- shan barasa;
- m jiki aiki;
- wani canji a cikin asalin hormonal.
Bugu da ƙari, ƙayyadadden gyaran gyare-gyare a wasu lokuta yakan karu matsa lamba mai ciki, wanda aka lura da nauyin jiki mai nauyi, ascites, maƙarƙashiya, flatulence. Ƙin lamba mai fushi yana amfani dashi da yin amfani da abincin shayarwa, abinci mai laushi, kayan yaji. Har ila yau, yanayi na reflux yana samuwa tare da hernia na esophagus na diaphragm, miki miki, bronchial fuka.
A cikin maganin ilimin gastroesophageal, yana da muhimmanci ba kawai a jefa simintin gyare-gyare ba, amma har ma da ikon da za'a samu daga esophagus za a yantu daga maida motsi. Yawanci, idan abubuwan da ke ciki sunadarai, haɓakawa da pH da komawa cikin ciki ta hanyar bunkasa kwayoyin halitta daga cikin esophagus da kyakyawawan sauye-sauye yakan faru da sauri (wannan karfin ana kiransa kwance gado).
Gastroesophageal reflux bayyanar cututtuka
A cikin hoto na asibitoci, alamun alaƙa na gastroesophageal reflux suna da muhimmanci:
- ƙwannafi ;
- tsarawa;
- jin dadi na kututture a cikin makogwaro;
- rashin jin daɗi lokacin da suke haɗiye abinci;
- Tsarewa ;
- vomiting;
- Nausea;
- ciwon gwiwar da ake ciki kamar kamuwa da angina.
A yawancin lokuta, musamman tare da "high" refluxes, da dama da ake kira karin-oesophageal bayyanar cututtuka an lura:
- tari;
- rashin ƙarfi na numfashi;
- kumburi na larynx mucous, nasopharynx, bronchi;
- muryar murya;
- caries, kumburi da gumis .
Bayyanan ilimin halitta suna ƙaruwa da dare, bayan cin abinci, yayin aikin jiki. A gaban halayyar bayyanar cututtuka gastroesophageal cuta zai iya faruwa a daya daga cikin siffofin biyu:
- tare da canji marar kullun a cikin ganuwar sassan, wanda aka bayyana ta hanyar endoscopic (tare da haɗin kai);
- ba tare da kumburi na esophagus ba, wanda aka kafa ta hanyar endoscope (ba tare da haɗin kai ba).
Gudun gadowa ba tare da isoshin gado ba
A wannan yanayin, ana kiran cutar cututtukan gastroesophageal da ba'awa ba. A wannan yanayin, ana kare mucosa a jikin mutum daga shigarwa cikin jikin abubuwan ciki, wanda ba shine halayyarta ba, watau. ƙuntataccen abu ne na al'ada. Bugu da ƙari, ƙwayoyin microcirculation na al'ada a cikin tasoshin da capillaries lymphatic suna taka muhimmiyar rawa wajen tabbatar da farfadowa da epithelium. Ba a maimaita sau da yawa ba tare da bayyanawa ba tare da bayyanawa ba, amma wannan yana iya kasancewa mataki na baya na tsari mai ɓarna.
Gluwar gado da gado tare da esophagitis
Idan haɗin gwanin gastroesophageal yana haɗuwa da ƙananan matakan cike da abun ciki na ciki, hadarin cututtuka na canzawa a cikin mucosa na ɓangaren ɓangaren ƙwayar cuta yana ƙaruwa. Taimaka wa wannan kuma ƙara yawan rikici da hade da wasu cututtuka (alal misali, tare da ƙara yawan acidity, kasancewar bile acid). Hoton magunguna, da mahimmanci, ya ƙunshi bayyanar gastrointestinal. A wannan yanayin, sau da yawa yakan biyo bayan tarihin gastroesophageal - rashin ƙarfi, sau da yawa yakan faru a lokacin rana, tare da canje-canje a matsayin jiki.
Gulfroopophageal reflux - digiri
Harkokin gastroesophageal na cututtuka yana haifar da raunana hanyoyin kare kare dangi da kuma mummunan abubuwan da suka lalata. Dangane da tasirin lalacewa, an rarraba pathology zuwa digiri. A nan yana daya daga cikin fasalin da ake amfani dasu:
- Digiri 0 - babu bayyanar asibiti:
- Na yi digiri - kasancewar mutum yana da yunkuri na rushewa a kan ƙarshen kayan hyperemic, yana zaune fiye da kashi 10 cikin dari na asalhagus;
- Darasi na biyu - akwai wuraren haɗari na rushewa, wanda asusu har zuwa kashi 50 cikin dari na sashin distal;
- Darasi na uku - ƙwararrun ciwon magungunan, wanda ke zaune a fili na ɓangaren distal gaba ɗaya;
- Darasi na IV - ƙaddamar da rikitarwa: ciwo mai zurfi, ƙuntatawa na esophagus, Bargatt's esophagus, da dai sauransu.
Gwanin gado na gastroesophageal - ganewar asali
An samo asali na farko akan asali da kuma motsi. Don sanin ƙwayar gastroesophageal reflux, ganewa na gani yana da muhimmancin gaske. Harsashin esophagogastroduodenoscopy ya ba da cikakken hoto na launi da kuma haɗuwa da hauka. Idan ya cancanta, an yi biopsy. Bugu da ƙari, ana iya buƙatar hanyoyin da ake biyowa:
- X-ray diagnostics tare da barium;
- saka idanu kullum game da pH na esophagus;
- esophagotho-kymography;
- dabara;
- scintigraphy.
Yaya aka bi da gurbin gastroesophageal?
Magungunan cututtuka na nakasassu na maganin ƙwayar cuta ta jiki zai kasance da hadaddun, tare da fifiko mafi girman aikin da magani ya yi. Yana da muhimmanci mu bi abinci da shawarwari masu zuwa:
- rage jiki nauyi;
- ƙuntatawa daga ɗaga kayan hawan (ba fiye da 10 kg) ba;
- Guje wa tarkon da tashin hankali na manema labaru;
- ƙin dakatar da tufafi;
- barci akan babban matashin kai;
- kin amincewa da mummunan halaye.
Gudun gadowa - maganin, magunguna
Don kaucewa rikitarwa gajerun gastroesophageal tare da kulawa da yarinya dole ne samun magani. Dangane da tsananin irin abubuwan da ake amfani da ita, an ba da kwayoyi ga waɗannan rukuni:
- Antacids - (Fosfalugel, Maaloks);
- alginates (Gaviscon);
- prokinetics (Motalla);
- proton famfo masu hana (Omez, Lansoptol);
- masu satar lamarin H2-receptor histamine (Ranisan, Famotidine).
Wasu daga cikin wadannan magunguna suna daukar su lokaci-lokaci domin taimako daga bayyanar cututtuka, wasu suna buƙatar magani har sai an kawar da bayyanar cututtuka. Tare da reflux ba tare da esophagitis ba, kawai ana amfani da antacids da alginates. A lokuta masu tsanani, za a iya buƙatar yin amfani da ƙwaƙwalwar hannu (misali, Nissen fundoplication).
Rashin gyaran gubar da jini - magani tare da magunguna
A mataki na gafara, lokacin da reflux na gastroesophageal ba shi da alamar nunawa, an halatta yin amfani da hanyoyi marasa gargajiya don dalilai na hana. Marasa lafiya waɗanda aka gano tare da maganin gastroesophageal, magani na jama'a, musamman, yin amfani da magungunan phytotherapeutic don magancewa da maganin mai ƙin kumburi. Ga ɗaya daga cikin girke-girke.
Ganye jiko
Sinadaran:
- Nau'in Flax - 1 tebur. cokali;
- leaf na uwar-da-uwar rana - 1 tebur. cokali;
- licorice tushen - 1 tebur. cokali;
- ruwa - 200 ml.
Shiri da amfani:
- Shirya tarin.
- Zuba 2 teaspoons na cakuda da ruwan zãfi da kuma zuba a kan wani ruwa mai wanka a cikin kwata na sa'a.
- Cool, lambatu.
- Ɗauki kafin cin abinci a kan tablespoon sau 5 a rana.
Gudun daji na gastroesophageal - cin abinci
Abinci mai yalwa tare da gastroesophageal reflux tare da esophagitis kuma ba tare da - wani m ɓangare na jiyya. Tayi shawarar kananan abinci sau 5-6 a rana, yayin da aka yi jita-jita ne kawai dumi, ba mai kaifi ba, ba m. Ba za ku iya ba, tsaye daga teburin, nan da nan ku ɗauki matsayi na kwance kuma ku ci kafin ku barci. Baya:
- cakulan;
- kofi, shayi mai karfi;
- tumatir;
- 'ya'yan itatuwa citrus;
- fats.