Asidi Reflux ndi chiyani? Acid Reflux: Zizindikiro, Chithandizo

Masiku ano, anthu ambiri amachita chidwi ndi funso zimene ali ndi asidi Reflux. Mwatsoka, matenda akuti ndi zofala. Ndiye n'chifukwa chiyani kumeneko? Kodi zizindikiro limodzi ndi? mankhwala Kodi ogwira zilipo?

asidi Reflux ndi chiyani?

Aakulu kutentha, chifuwa ululu - madandaulo awa kuti dokotala ananena odwala ambiri. Atayesedwa ndi matenda, odwala ambiri mafunso zina zimene ali ndi asidi Reflux.

Ndi palibe chinsinsi chimene pamaso pa acid amathiridwa mmimba amalenga chilengedwe asidi kumeneko. Madzi chapamimba kholingo ndi mwamakani. Choncho, nthawi zambiri, zigawo ziwiri izi demarcated m'munsi esophageal sphincter, yomwe imapereka patsogolo unidirectional ya misa chakudya.

Nthawi zina, pali kusokonezeka kwa yachibadwa sphincter kamvekedwe. Chifukwa, n'zosiyana akhoza kutaya chakudya kuchokera m'mimba mwa kholingo. Umo ndi momwe ndipo akufotokozera chikhalidwe amadziwika mankhwala otchedwa gastroesophageal matenda Reflux kapena gastroezofagealnoreflyuksnaya.

Zimayambitsa waukulu kuyan'anila

Nthawi zambiri chifukwa cha matendawa ndi kusintha pathological za m'mimba ndi kum'mero. Komanso, yemweyo limodzi ndi zizindikiro za munthu chophukacho hiatal. Nthawi zina, chigamulocho akuponya ya nkhani muzituluka mu lumen wa kum'mero kugwirizana ndi matenda a ubongo.

Komano, n'zotheka kudziwa zinthu zina chiopsezo, pamaso amene kumachititsa kukhala asidi Reflux. Choyamba, mndandanda wa zomwe zingayambitse pazikhalanso chakudya zosafunikira. Mwachitsanzo, nthawi zambiri Reflux amagwirizana ndi kudya zonse zomwe zimabweretsa hyperextension a linga m'mimba. Moyipa amakhudza m'mimba dongosolo ntchito kwambiri mowa chakudya usiku, chizolowezi kuti agone pambuyo chakudya, komanso kumwa mankhwala monga tomato, garlic, chocolate, zipatso, anyezi, zokometsera, mafuta ndi zakudya yokazinga. Mwachibadwa, zinthu chiopsezo ali ndi kunenepa.

Kafukufuku amasonyeza kuti lero, akazi ambiri pakati ndi chidwi ndi funso zimene asidi Reflux. Inde, mwana wosabadwayo kukula amachititsa kusamutsidwa a ziwalo, zomwe nthawi zambiri kumayambitsa zosiyana waponya chakudya. Chinthu choopsya monga kusuta, kumwa mowa mwauchidakwa. Nthawi zina, Reflux akufotokozera odwala kulandira relaxants minofu nonsteroidal odana ndi yotupa mankhwala.

Acid Reflux Zizindikiro

Kumene, madzi chapamimba amachita azitengapo kwambiri pa khoma la kholingo, kuwononga iwo, imbaenda zomverera zosasangalatsa. Zizindikiro zazikulu monga Reflux anapitiriza kutentha acid kapena malingaliro mkwiyo pakamwa. odwala ambiri amadandaula kugirigisha kutentha ndi kusapeza pamodzi kholingo. Odwala zambiri anati chifundo cha kunyansidwa ndi hiccups.

Chifukwa cha mavuto mphamvu kuwonda kwambiri. Iwo akusokoneza ndondomeko ya nthaŵi Pomeza madzi ndi olimba chakudya. Nthawi zambiri odwala lipoti bloating, belching ndi zosasangalatsa. Pamaso pa melena kapena wakuda chopondapo limasonyeza magazi kuchokera mpanda wa kholingo. Chifukwa cha kutentha zonse kukhala aakulu zilonda zapakhosi. Zizindikiro za Reflux akhoza mulinso chifuwa youma ndi kupuma movutikira.

njira zamakono za matenda

Kumene, pa kuwonongeka pang'ono thanzi ayenera kuona katswiri. Only dokotala akhoza kupanga matenda "asidi Reflux." Zizindikiro ndi madandaulo a wodwalayo kudzikakamiza pa Akaganiza ndi chisokonezo, koma zina amafuna matenda olondola kudziwa mlingo wa kukula kwa matendawa, chifukwa cha chitukuko ndi kuwonongeka kwakukulu kwa mundawo m'mimba.

Makamaka, choyamba ikuchitika ndi endoscopy wa kum'mero ndi m'mimba. Phunzirolo lili mkati, muona pamaso kutupa ndi malo erosive mu mmunsi mwa kholingo. Kenako izo ikuchitika manometry, amene amalola kuti aone contractility ya mpanda wake. M'pofunikanso kudziwa acidity wa madzi muzituluka. X-ray Kupenda ntchito kusiyana sing'anga (barium kuyimitsidwa) amapereka mwayi kuti aone mkhalidwe wa pakhoma esophageal. Nthawi zina, wodwalayo zina kutumikiridwa ndi biopsy. Kufufuza koteroko kumathandiza kuti aone digiri kuwonongeka, kudziwa pamaso pa malo matenda owonongeka komanso kuwerengera chiopsezo zilonda wasinthika zimakhala.

Kodi mankhwala ntchito?

Kumene, yekha dokotala akhoza oterewa asidi Reflux. Chithandizo Pankhaniyi kusintha payekha malinga chifukwa ndi zovuta chikhalidwe wodwalayo ndi mmene kuwonongeka kwa mpanda esophageal.

Mu malo oyamba, dokotala mankhwala mankhwala n'chongoletsa zotsatira za acid amathiridwa. Makamaka, odwala kumwa mankhwala mankhwala ochotsa asidi kwa kutentha ( "Alyugastrin", "Gasterin", "Rennie" "Tams"), zomwe zimathandiza kuti matenda waukulu. Komanso, ntchito mankhwalawa histamine cholandilira muzikangana, amene angalepheretse njira Kugawilidwa kwanthaka acid amathiridwa maselo m'mimba. Makamaka, amaona kuti imathandiza "Ranitidine" mankhwala "cimetidine", "Lafutidin" ndi ena. Nthawi zina odwala amalangiza mankhwala kuti matenda ndi motility wa mundawo m'mimba, mwachitsanzo, "Motilium", "Motilak", "Reglan" ndi ena.

Kuwonjezera mankhwala ndi zakudya zoyenerera. Mwatsoka, nthawi zonse ndi thandizo la mankhwala ndi zakudya akhoza kuthetsa asidi Reflux. Chithandizo Zikavuta ikuchitika opaleshoni. Mwachitsanzo, odwala ena amasonyeza fundoplication - pulasitiki kudzudzulidwa Muzifunsa kutsegula m'mimba. Pamaso pa ntchito zakulera chophukacho ikuchitika ndi suturing ndi esophageal kutsegula.

kudya zakudya zopatsa nthanzi pa Reflux

Kumene, pa Reflux zakudya n'chofunika kwambiri imathandi- kuchotsa zizindikiro zazikulu ndi matenda dongosolo m'mimba. Choyamba, odwala amavomereza kudya zambiri koma chakudya chochepa. The chakudya otsiriza sayenera patapita maola atatu pamaso yogona.

Kuchokera zakudya ayenera kukusalani khofi, chocolate, zonunkhira, zokometsera, yokazinga ndi mafuta zakudya ndi zakudya kwambiri acidic. Pa ubwino wa apricots chapamimba, mapichesi, maungu, amene masoka mankhwala ochotsa asidi katundu. Honey wokazinga tomato ndi nthochi kuchepetsa acidity muzituluka. menyu pazikhalanso dzinthu, monga mpunga, Mapila, mapira. Ndi bwino kupereka mmalo mitundu otsika-mafuta a nyama (nkhuku, Turkey, kalulu) ndi nsomba. Zodabwitsa ndizakuti, ndi zofunika kukonzekera iwo mwamuna ndi mkazi wake, kapena mu uvuni.