Reflux yamadzimadzi: ndi chiyani, zizindikiro, zoyambitsa ndi chithandizo

Zamkati

• Zizindikiro za bile reflux
• Zomwe zingayambitse
• Momwe mankhwalawa amachitikira

Bile reflux, yomwe imadziwikanso kuti duodenogastric reflux, imachitika bile, yomwe imatulutsidwa mu ndulu kulowa gawo loyamba la matumbo, imabwerera m'mimba kapena ngakhale pammero, kuyambitsa kutupa kwa mucosa wam'mimba.

Izi zikachitika, kusintha kwamatenda oteteza komanso kuwonjezeka kwa pH m'mimba kumatha kuchitika, zomwe zimabweretsa kuwonekera kwa zizindikilo zina monga kupweteka m'mimba, kutentha pamtima ndi kusanza kwachikaso, mwachitsanzo.

Pochepetsa zizindikiro ndikuchiza bile reflux, gastroenterologist angalimbikitse kugwiritsa ntchito mankhwala omwe amachepetsa zizindikilo ndikukonda kufalikira kwa bile, komabe m'malo ovuta kwambiri, pomwe palibe kusintha ndi kugwiritsa ntchito mankhwala, kungakhale kofunikira kuchita opaleshoni.

Zizindikiro za bile reflux

Zizindikiro za bile reflux ndizofanana kwambiri ndi za gastroesophageal reflux, chifukwa chake, kusiyanitsa zinthu ziwirizi kungakhale kovuta kwambiri. Mwambiri, zizindikiro zazikulu za bile reflux ndi izi:

• Zotupa m'mimba;
• Kutentha pamtima;
• Nseru;
• Kusanza kwa chikasu;
• Chifuwa kapena hoarseness;
• Kuwonda;
• Chiwopsezo chachikulu cha kuchuluka kwa bakiteriya.

Ngakhale zizindikirazo ndizofanana kwambiri ndi za gastroesophageal reflux, zimawerengedwa kuti ndizovuta ndipo, chifukwa chake, matendawa ayenera kupangidwa ndi gastroenterologist nthawi zonse.

Chifukwa chake, kutsimikizira bile reflux, adotolo amawunika zizindikilo zomwe zimaperekedwa ndi munthuyo, mbiri yazaumoyo ndi mayeso omwe amathandizira kuti aone ngati pali ndulu ya bile m'mimba, komanso kutulutsa kwa endoscopy ndi esophageal kungalimbikitsidwe.

Zomwe zingayambitse

Reflux yamadzimadzi imachitika pamene chotupa cha m'mimba, chomwe chimasiyanitsa kholingo ndi m'mimba, sichikugwira ntchito moyenera, zomwe zimatha kuchitika chifukwa chazovuta zakuchita opaleshoni ya m'mimba, opaleshoni ya ndulu kapena kupezeka kwa zilonda m'mimba.

Mumikhalidwe yabwinobwino, bile imapangidwa ndi chiwindi ndikusungidwa mu ndulu, imamasulidwa pakakhala ma erythrocyte ndi zinthu zowopsa kuti zichotsedwe komanso pakakhala mafuta oti awonongeke, pamenepo amapititsidwa ku duodenum ndikusakanizidwa ndi chakudya kotero kuti pali njira yowononga. Kenako, pyloric valavu imatsegula ndikulola kungodutsa chakudya.

Komabe, chifukwa cha zomwe zatchulidwa kale, valavu siyitseka bwino, yomwe imalola kuti ndulu ibwerere m'mimba ndi m'mimba, zomwe zimatulutsa bile reflux.

Momwe mankhwalawa amachitikira

Reflux yamankhwala imatha kuchiritsidwa, koma chithandizo chake chimatha kutenga nthawi yayitali ndipo, pachifukwa ichi, ndikofunikira kutsatira malangizo a gastroenterologist moyenera.

Chofala kwambiri ndikuti mankhwala omwe dokotala akuwagwiritsa ntchito amagwiritsidwa ntchito, monga ursodeoxycholic acid, chomwe ndi chinthu chomwe chimathandizira kupititsa patsogolo kufalikira kwa bile, motero kumachepetsa kuchuluka komanso kuzindikirika kwa zizindikilo. Komabe, mankhwala ena, omwe amatchedwa kuti bile acid scavenger, amathanso kuwonetsedwa, omwe amawamangirira m'matumbo, kuwaletsa kuti asatengenso.

Komabe, ngati zizindikilo sizikusintha chifukwa chogwiritsa ntchito mankhwala, gastroenterologist angakulimbikitseni kuti muchitidwe opaleshoni. Pochita opaleshoniyi, komwe kumadziwika kuti opaleshoni yopyola, dokotalayo amapanga kulumikizana kwatsopano kwa ngalande ya ndulu kupitilira m'matumbo ang'onoang'ono, kudutsa bile kuchokera m'mimba.