Reflux ya gastroesophageal: ndi chiyani, zizindikiro ndi chithandizo

Zamkati

• Zizindikiro za Reflux
• Zizindikiro za Reflux mwa ana
• Momwe matendawa amapangidwira
• Kodi chithandizo cha reflux chimakhala bwanji?

Reflux ya gastroesophageal ndikubwezera kwa zomwe zili m'mimba kum'mero ​​ndikupita kukamwa, kuchititsa kupweteka kosalekeza ndi kutupa kwa khola lam'mimba, ndipo izi zimachitika minofu ndi ma sphincters omwe amayenera kuteteza asidi wam'mimba kuti asatuluke mkatimo sagwira bwino ntchito.

Kuchuluka kwa kutupa komwe kumayambitsidwa ndi khosi ndi Reflux kumadalira acidity ya zomwe zili m'mimba komanso kuchuluka kwa asidi komwe kumakhudzana ndi mucosa ya esophageal, yomwe imatha kuyambitsa matenda otchedwa esophagitis, chifukwa cholumikizira m'mimba chimakutetezani ku zovuta za zidulo zako, koma kholalo lilibe makhalidwe amenewa, limakhala ndi vuto loyaka moto, lotchedwa kutentha pa chifuwa.

Zizindikiro za Reflux sizimveka bwino, chifukwa chake, ndikofunikira kuti gastroenterologist akafunsidwe kuti awunikenso ndikuwonetsa chithandizo choyenera kwambiri, chomwe nthawi zambiri chimaphatikizapo kugwiritsa ntchito mankhwala omwe amachepetsa kupangika kwa asidi m'mimba ndikuthandizira kuthetsa zizindikiro.

Zizindikiro za Reflux

Zizindikiro za Reflux zitha kuwoneka patangopita mphindi kapena maola angapo mutatha kudya, makamaka pakuzindikira kwam'mimba ndikumva kulemera m'mimba. Zizindikiro zina za reflux ndi izi:

• Kutentha komwe kumatha kufikira pakhosi ndi pachifuwa, kuwonjezera pamimba;
• Kuphulika;
• Kutentha pa chifuwa;
• Kudzimbidwa;
• Pafupipafupi youma chifuwa mukatha kudya;
• Kubwezeretsanso chakudya
• Zovuta kumeza chakudya;
• Laryngitis;
• Matenda a mphumu obwerezabwereza kapena matenda am'mlengalenga.

Zizindikiro zimangokulirakulira thupi likawerama kuti litenge kena kake pansi, mwachitsanzo, kapena munthuyo atakhala pamalo owoloka atatha kudya, monga zimakhalira nthawi yogona. Reflux yanthawi zonse imatha kuyambitsa kutupa pakhoma la kholingo, lotchedwa esophagitis, lomwe, ngati silichiritsidwa bwino, limatha kubweretsa khansa. Onani zambiri za esophagitis.

Zizindikiro za Reflux mwa ana

Reflux ya makanda imayambitsanso zomwe zimapezeka mchakudya kuchokera m'mimba kupita mkamwa, chifukwa chake zina mwazizindikiro zomwe zimawonetsa kuti kusanza kosalekeza, kugona mopanda mpumulo, kuvutika kuyamwitsa komanso kunenepa komanso kuuma chifukwa chakutupa kwa kholingo.

Kuphatikiza apo, khandalo limatha kudwala matenda obwerezabwereza khutu chifukwa chotupa pafupipafupi kapena ngakhale chibayo chifukwa cholowa m'mapapu. Phunzirani kuzindikira zizindikilo za Reflux mwa ana.

Momwe matendawa amapangidwira

Kuzindikira kwa gastroesophageal reflux kuyenera kupangidwa ndi gastroenterologist, dokotala wa ana kapena wothandizira potengera kuwunika kwa zisonyezo zomwe munthuyo wapereka. Kuphatikiza apo, mayesero ena amalimbikitsidwa kuti atsimikizire matendawa ndikuwunika kuuma kwa Reflux.

Chifukwa chake, mametry esophageal manometry ndi pH muyeso mu 24 h atha kuwonetsedwa ndi adotolo, omwe amafotokoza zizindikilo zomwe zimasinthidwa mu acidity ya madzi am'mimba kuti adziwe kuchuluka kwa nthawi yomwe Reflux imachitika.

Kuphatikiza apo, kumapeto kwa m'mimba kungathenso kuwonetsedwa pamakoma am'mimbamo, m'mimba ndi poyambira m'matumbo ndikuzindikira zomwe zingayambitse Reflux. Pezani momwe endoscopy yachitidwira.

Kodi chithandizo cha reflux chimakhala bwanji?

Chithandizo cha Reflux chitha kuchitidwa ndi njira zosavuta, monga kudya bwino kapena kugwiritsa ntchito mankhwala monga domperidone, omwe amathamangitsa kutaya kwa m'mimba, omeprazole kapena esomeprazole, omwe amachepetsa kuchuluka kwa asidi m'mimba kapena ma antacids, omwe amachepetsa acidity yomwe ilipo kale m'mimba. Onani mankhwala omwe amagwiritsidwa ntchito kwambiri pochizira Reflux ya gastroesophageal.

Kusintha kwa zakudya mu matenda amtundu wa gastroesophageal Reflux ndikofunikira, koma ayenera kusinthidwa kuti azitha kulandira mankhwala osokoneza bongo komanso kuti azisintha. Nthawi zambiri, munthu yemwe ali ndi Reflux ayenera kuchepetsa kapena kuchepetsa kumwa zakumwa zoledzeretsa, zakudya zamafuta ambiri, monga zakudya zokazinga ndi zinthu zopangidwa ndi chokoleti, kuwonjezera pa kupewa ndudu ndi zakumwa zozizilitsa kukhosi. Kuphatikiza apo, chakudya chomaliza cha tsikulo chikuyenera kudyedwa osachepera maola 3 asanagone, kuti zopezeka m'mimba zisabwerere kukamwa.

Onani kanemayo pansipa kuti mupeze maupangiri ena odyetsa: