Mate Reflux Gastroesophageal: tohumate, āhuatanga tātaritanga, me te maimoatanga

German rata, taote, me te pūtaiao Heinrich Quincke i roto i te 1879 whakaahuatia te tukanga whaiaroaro e puta i roto i te pūnaha kūnatu o te tangata i muri i tango kai, a ka huaina tona Reflux gastroesophageal (manene whakaiti i roto i). Kupu Taurite uaua tenei wā korerotia - Reflux gastroesophageal. Ko te kupu "Reflux" Ko Latin mō "rere hoki", ka huaina tenei wā ko kaupapa rongoa i roto i te huarahi i te ritenga whakaritea ki te ahunga whakamua noa o te tirotiro o tetahi kaupapa o te tinana tuwhera. Ki te hoatu koe taua tātaritanga, e kore te mea e tika ana ki te kia inoino, mai kore he i roto ano mate manene, a kahore e rapu utu maimoatanga. Ko ētahi wā e te kore i nga tikanga o ngā tukanga whaiaroaro, te kai, hoki i te puku ki te pū kai, ka tīmata ki te kai atu i ona pūtau epithelial, me te tangata ki te wheako tino kino. I roto i enei take, i te tātaritanga tohu Reflux gastroesophageal ki esophagitis - he mate nui nui e taea arahi ki mate pukupuku esophageal.

Ko te tikanga o te Reflux gastroesophageal

E matau ana tatou i mau haapiiraa anatomy i mongamonga i roto i te mangai, ka horomia kai ki te pū kai, i te mea he ngongo tuwhera. E whāiti Ko tōna mahi ki te tuku nohopuku o te puranga o te kai i roto i te puku, te wahi haamata te reira ki te kia digested. Ko te roa o te pū kai i roto i te nuinga o te iwi, ko te 30 cm. Ko te raro o te muka uaua o ona taiepa kia whakaritea e whakahaere te wahi takirere (sphincter). A, no te akaanga i te puranga o te kaupapa kai ratou ki te tuku ia i roto i te kopu, a ka kōpeke, te ārai i te putanga o te kai hoki ki roto ki te pū kai. Ki te te nui āraia te irava, tirotiro puku (waikawa kai me te puku) wāhanga oho hoki ki te pū kai, e ko, i reira he Reflux Gastro-esophageal. Tohu me te maimoatanga o tenei huru, tei runga i te āhua o te mahi pai i te tikanga ārai i roto i te pū kai. Hoki te nuinga o te iwi, e kore e tenei tukanga meinga tetahi sensations kino mamae ranei, na reira, e kore e rapua e maimoatanga. Heoi, etahi o te hokinga mai o te kai hoki i te puku ki te pū kai tahi i te hūhi mamae tika ranei. I roto i enei take kia kōrero te tākuta, me te maimoatanga.

Ka rite ki te mahi tikanga tiaki

He aha i roto i ētahi wā he kinokore Reflux gastrointestinal o kai, me te tahi atu kino? Ko te meka e ki te pū kai o te tangata "programmed" i te natura kia whakapā anake ki te reo kawakore, i te mea hoki kai te kokokiko, e haere mai i roto i tona mangai. Puku e tango kore noa kapia nei kai, ka tīmata te reira ki te ngaungau, hoki nei whakaputaina reira wai pekitīlia - he ranunga wai o whākōkī, hūpē, me te wāhanga matua - te waikawa pūmāota. Kia i roto i te pū kai, haamata te reira ki "ngaungau" te pūtau epithelial o ona taiepa rite pai rite whatiwhatinga o kai. Ki te mea he tangata ki te pukuriri huarahi tiaki waikawa, Reflux o kai e kore ko reira whakamataku. Enei tikanga e:

- he reo kaua tiketike o te sphincter o nga pū kai e ārai kai haere ki tua atu i te rohe gastroesophageal;

- whakawātea pai (whakawātea tere o te pū kai i te tirotiro puku o taumai);

- pūtau epithelial o te ātete pū kai ki te waikawa pūmāota;

- mana o te kawatanga pekitīlia.

Tohu o Gerd kore ko te mate,

A feruri ka taea te whakaaro te mahi noa whaiaroaro o te tangata Reflux gastrointestinal kai. Tohu o te taua tukanga mahaki i roto i te pūnaha kūnatu he rite whai:

- e kore e tangata ite tetahi hūhi (ko tetahi o te mau huru tino tenei);

- kite maka kai ki te pū kai i te kopu e tonu anake i muri i te kai;

- pumau Reflux poto-ora, me te tupu te reira o nga wa he ra he tokorua;

- i roto i puta Reflux moe o te po.

Me kï reira e te Reflux whaiaroaro o kai i te puku ki te pū kai puta i roto i te iwi o tetahi tau, tae atu ki ngā tamariki.

Prevention manene kinokore

Ahakoa i roto i te wā i reira e kore e Gastro Reflux esophageal meinga raruraru, ka taea e te tango e koe etahi kaha ohie ki te āwhina i te mahi o ratou tinana i te wahi gastrointestinal. Whakaititia te ahua o te Reflux e taua kaupae ohie:

- e kore e haere ki te moenga ki te okioki tonu i muri i te kai;

- e kore e ki te puta ki te mahi tinana, rawa e pā ana ki te pinakitanga, e papaki ana mutu kai;

- e kore e overeat;

- whakaiti kohi o kai (tiakarete, waipiro, etahi ranu motuhake), olungá te sphincter o te pū kai;

- e kore ki te tīmata kai ki kakahu kikī rawa, ki te whakakikī i te whitiki;

- whakaiti i te nui o ngā tohanga me te maha o ngā kai nui haere.

Tohu o Gerd, i te mea he māuiuitanga

whakaaro te mate te Reflux gastroesophageal ki esophagitis. Puta reira ka nga tikanga tiaki o te Rauna pū kai, me te kore e taea te tiaki i ngā pūtau kiri i te waikura o te waikawa pūmāota. I roto i tenei mate i reira e rua nga tu o tohumate.

1. Esophageal. pūrongo tūroro taua mamae:

- tokopā;

- aftertaste kawa i roto i te mangai;

- te paowa (te nuinga waikawa);

- dysphagia (kai rāoa taea);

- pouaka mamae (ahu ki te tūkino, ka piko, ka takoto tūranga, kia horapa ki nga ringa, me te kaki).

2. Nepischevodnye. kia wheako tūroro etahi katoa ranei o nga tohu e whai ake nei:

- raruraru ki niho (caries, te kohakore tohu);

- pakohu kakā;

- laryngitis;

- pharyngitis;

- maremare;

- te mamae i roto i te ngakau.

No te mea o teie mau faaiteraa o Gerd e maha hē pāngia ka tukinotia e te iwi e kore e e te tīariari i roto i to ratou mate.

take

Ka taea e Reflux gastroesophageal pathological puta mo te take e whai ake nei:

- mōmona;

- waipiro, paowa;

- whaturama hiatal;

- kai porangi;

- ngā rongoā e whakaiti te āhua o te sphincter;

- auau rawa ruaki (i ētahi wā ki te poisoning);

- Scleroderma pūnahanaha;

- ngongo nasogastric.

Reflux Gastroesophageal i roto i nga kohungahunga

I roto i nga ra tuatahi, me nga marama o te ora i roto i tata ki 80% o nga kohungahunga he ruaki i kitea ai i muri i kai. e kore te mea he mate Reflux gastroesophageal atu maha i roto i nga kohungahunga, me te puta tika ki te huru tia ore o tona pūnaha gastrointestinal. tiaki hoki Regurgitation te tamaiti i te opue, me te rangi ki ona whekau. Ko te noa ngā mātua ki te pupuri i te kongakonga poutū e pā ana ki 10 meneti i muri i te kai, ki te kore i tupu regurgitation. I runga i te raruraru atu nui ki te puku, me te pū kai itehia e taua tohu:

- tamau tamaiti e karanga ana, me te manukanuka;

- te paowa;

- ruaki (kore ki te e raruraru ki te regurgitation) i muri i te kai;

- ki te kore kai;

- hiccups;

- noa i mare;

- e kore e te tamaiti pai, me te whiwhi taimaha, he iti moe.

Na roto i te tohu e whakahau rata he ranunga kohungahunga ki thickeners me pharmaceuticals "Cisapride", "Domperidone", "Metoclopramide", "cimetidine". Ki te meinga e Reflux e abnormalities i roto i te hanganga o te wahi gastrointestinal, he taea wawaotanga hāparapara.

Reflux Gastroesophageal i roto i ngā tamariki pakeke ake i te kotahi tau

Te nuinga o ngā tamariki 12-18 marama ki ruaki i muri tino ngaro i kai. tupu Kids ake hauora, me te kore e ite i tetahi hūhi i muri i te kai. Ko etahi tamariki i reira e te tahi atu amuamu e tohu ki raruraru ki te puku pū kai ranei:

- tokopā (whakamārama tamaiti tenei tohumate rite "ahi" ranei "ahi");

- regurgitation;

- te mamae i roto i te whaturei;

- whakapairuaki;

- he ongo o tini i roto i te puku;

- regurgitation i te po i roto i te moe (tenei e taea te kite i runga i te makatea i runga i te urunga).

E mea pinepine tohu tohu Reflux gastroesophageal i roto i ngā tamariki, e kore e pā ana te reira ki te whekau kūnatu:

- mare;

- he reo whango;

- he puranga nui korokoro ranei;

- kihakiha;

- hāhā o te manawa;

- uaua i roto i horomia;

- kakā auau.

Tikanga, ka timata enei tohu ki te hamani i te matao noa, engari kore Gerd taua therapy.

tātaringa

Ki te he tohu kino mamae ranei o te mate Reflux gastroesophageal te manawanui, kia kia whakamana tātaritanga ki te whakamahi o te taiwhanga hou me ngā tikanga mauhaa. I te wā tuatahi kohikohi te tākuta-gastroenterologist hītori, tae atu ki ngā mōhiohio e pā ana ki taua mate i roto i whanaunga o te manawanui, te roanga, me te kaha o ngā tohu Reflux. Kei roto i te wāhanga tuarua i roto i te mau ana i roto i whakamātautau taiwhanga, pēnei i:

- whakamātautau toto (matüora me whānui);

- coprogram;

- urinalysis.

toru o te atamira tā taputapu rangahau tātaritanga:

- manometry Esophageal;

- EGD (esophagogastroduodenoscopy);

- he whakamātautau taunanawe;

- Radiography whakamahi pārana whakatārewatanga;

- ultrasound.

maimoatanga

Ki te pāngia ki pathological mate Reflux gastroesophageal, kawea maimoatanga i roto i roto i toru ahunga:

1. Drug-free. Kei roto te reira i te tūemi e whai ake nei:

- te ako taimaha;

- kai (mahi e kore e hua tiakarete, waipiro, fatty, raukikini, kawhe, kāriki, citrus);

- tikanga o te kaha;

- aukati i te kakahu o te kakahu kikī, whitiki kikī;

- te ara o te matenga o te moenga i te 20 cm.

2. rongoä:

inhibitor o iraoho papu (excretion iti o te waikawa pūhaumāota i roto i te kopu "Rapeprazol" "Omeprazole");

- waikawa (enei taero e haamou i te waikawa pūmāota "Fosfalyugel", "Almagel");

- prokinetics (ki te tere ake te kaupapa o te kai i te puku ki te whēkau "metoclopramide").

3. Surgery. tano te reira ki te kore e whakarato i te momo o mua e rua whakapainga kitea.

Ki te mahue kore maimoatia, waikawa pūmāota, ki te pū kai, ka taea e meinga reira pitting taiepa o perforation, toto, ka karanga pū kai a Barrett, i te mea 10 ngā wā faarahi te mōrea o te tīmata i te puku mārere.