Constant chirungurira uye regurgitation: zvinokonzera, kurapwa

Vanhu vazhinji vanotambura nezvirwere zvepamu, cherechedza zviratidzo zvakadai sekurwadza uye kubata. Zvikonzero zvekurapa chirwere chinotarisana chinokurukurwa munyaya ino. Kunyange zvakadaro, vakawanda vanoramba vachikahadzika kana kuora mwoyo uye kukanganisa kunopindirana.

Sei vachionekwa?

Chiito chiratidzo chekudzingwa kwegezi kubva mudumbu uye mumatumbo kuburikidza nemuromo. Kushungurudza - kukanda zviri mukati mechipinda mumusango nekutsamwiswa kwemukati uye kuonekwa kwekunzwa kusatsva kwekunzwa shure kwe sternum kana mudumbu.

Nezvirwere zvakawanda zvepamuviri, kuora mwoyo uye kukanganisa kunogona kuitika. Zvinokonzera kutarisa kwavo zvinogona kunge zvakabatana nezvokudya, zvikanganiso zvekudya kana kusagadzikana kwemudumbu, duku mudumbu kana gallbladder. Kudya uye kuora mwoyo hakugoni kuonekwa nguva dzose sezviratidzo zvekuzvimirira. Muzviitiko zvakawanda mumatambudziko aya vanoperekedza zvirwere zvakasiyana-siyana mudumbu.

Kudya mushure mekudya - aerophagia

Ichi chiratidzo chinogona kunge chichizvipa iwe kana kuti chakamanikidzika. Mhepo, sekutonga, inowira mukati megomba uye inokonzera kubata. Izvi kazhinji hazviunounzi kunetseka uye hazvitungamiri pakubvisa.

Zvikonzero zvekumedza mhepo:

• Zvokudya zvakatsanya kana kunwa;
• Kunopisa nemuromo;
• Nasal kusanganiswa;
• Hyperventilation inobatanidza nokuzvidya mwoyo;
• Nguva dzose kutsvaga gum;
• Zvisina kukodzera zvakagadzirirwa mazino.

Zvimwiwa zvinokonzerwa, zvakadai soda uye doro, zvinogona kukonzera gesi kuunganidza mukati uye mudumbu. Zvimwe zvinotapisa zvinokonzera kuumbwa kwekhabhoni dioxyde sechinhu chinokonzerwa neutralizing gastric acid uye zvinokonzera mamiriro ezvinhu anokonzera kupisa kwemwoyo uye kubata. Zvikonzero zvekurapa zviratidzo izvi zvinoenderana nezvinoitwa nemurwere. Kuchinja kwehurumende yezvokudya kunowanzoita basa rekudya gumbo.

Hernia wekuvhenekera kwekuvhara kweropa

Hernia wekuvhara kwekuvhara kwechidimbu ndeyekuputika kwechikamu chemukati kusvika mudumbu re thoracic nekuda kwekuderedza kana kuparara kwechidimbu. Kuita uye kukanganiswa kwepamu kunokonzera kuwanda kwezviratidzo zvepachiviri.

Zvimwe zvinokonzera hernia zvekuvhenekera kwesophageal yemhizha hazvizivikanwi, asi kune zvimwe zvinokanganisa:

• Kuneta;
• Kuberekwa;
• Kusvuta;
• Zvidzidzo zvepanyama nezviremba;
• Kurwara kusingaperi kwekufema, izvo zvinoratidzira kurwisana kunogara;
• Kutsvakurudza nzira dzinobata chidimbu;
• Congenital malformations kana zvirema.

Hernia wekuvhara kwekuvhara kwechirafu haigone kushanda kwenguva yakareba. Zviratidzo zvakanyanya zvinosanganisira kurwadziwa mu epigastrium kana kumashure kwemafupa, kusagadzikana mushure mokudya, manzwiro ekudya kudya mushure mekudya zviduku, dyspepsia, kunwavira kwakasviba mumuromo, kugara kwechinguva uye kubata. Zvinokonzera uye kurapwa zvakanyatsodzidzwa, saka, zvirwere zvakasiyana-siyana zvakagadzirwa.

Apo mutsara wechipupuriro chechirafu chinogona kuputika, kumwe kusuruvara kunowanikwa muruboshwe rwepamusoro ye quadrant yemudumbu munharaunda yedumbu uye diaphragm.

Diagnostics

Sezvo mutemo, bedzi fluoroscopy inokwana kuziva mutsva. Kuti uzive uye utaure nhengo dzemuviri dzinoshandiswa mumasikati, shandisa zvinhu zvakagadzirwa nehudhiologically zvakadai saBarum.

Zvokudya uye mishonga

Saka, funga kuonekwa kwezviratidzo zvisingafadzi zvakadai sekumhanya kwemoyo uye kukanganisa, zvinokonzera. Nzira dzose dzokurapa, uye nzira yaro inosanganisira kusarudzwa kwemiti yakasagadzirisa mucous. Zvokudya zvakakanyiwa, zvokudya zvakasviba uye zvinonaka, kofi uye yakasimba tiyi inogona kuwedzera mamiriro ezvinhu anorwadza.

Zvinokurudzirwa kuvhara kudya kwezvokudya zvinogona kuwedzera zviratidzo zvakadai sekuora mwoyo uye kubata. Nzira dzekurapa muzvinyorwa zvisingatenderwi kupindira kwokuvhiya.

Helicobacter pylori chirwere

Ndezvipi zvimwe zvinogona kukonzerwa nekugara kwemoyo nekubwinya? Zvinokonzera (uye kurapa) zvakanyatsodzidza muHelicobacter pylori. Iyi utachiona inobata mudumbu, zvichiita kuti kuwedzerwa kugadzirwa kwegastric acid uye kuonda kwemasvingo emudumbu. Izvi zvinokonzera murwere kuti atange zviratidzo zvakadai sekurwadziwa uye kubata. Zvinokonzera, kurapwa kweHH pylori hutachiona hunoenderana nehuwandu hworudo nehuyu bhakitiriya, iyo inobata ammonia uye inobudisa carbon dioxide. Muzvirwere zvisingaperi, kusvibiswa kukuru neHypylori mabhakitiriya kunogona kubatsira pakuumbwa kwemuwandu we carbon dioxide mudumbu. Utachiona hunowanzokonzera kuonekwa kwezvironda zvepaste.

Kuongororwa uye kurapwa

Nyaya yegastric mucosa imwe yenzira dzakanakisisa dzekuona hutachiona hwaH H. pylori, iyo inofanira kuitwa muchipatara kana muchipatara.

Zvokudya uye mishonga yeHelicobacter pylori hutachiona hunosanganisira mishonga yakawanda. Ongororo dzakawanda dzakaratidza kuti gorosi inoshanda chaizvo mukurapa hutachiona hweH. Pylori kana inoshandiswa pamwe chete ne "omeprazole."

Antibiotic therapy

Izvo zvinodiwa kurapa zvirwere nemishonga inorwisa mabhakitiriya pamwe chete neproton pump inhibitors, yakadai se "omeprazole." Proton pump inhibitors inobatsira mukurapa, kuchinja uye kunonyaradza gastric mucosa, apo antibiotics inouraya mabhakitiriya uye kudzivirira huwandu hwekuwedzera kwehutachiona huwandu. Izvi zvinotungamirira mukubviswa kwechikonzero ichocho chekutanga sekurwadziwa uye kushanduka. Uye migumisiro munyaya yekurapa kwenguva yakakodzera haizoonekwi nenzira yepptic ulcer.

Therapy inowanzoita kuti awanezve, asi proton pump inhibitor inofanira kushandiswa kwenguva yakareba. Mikana yekudzoka kwehutachiona yakakwirira, saka kurapwa kunofanira kuva pasi pekutonga nguva dzose.

Kushandiswa kwemishonga inorwisa mabhakitiriya kunogona kuwedzera kukuvadza kwegastric mucosa, uye zvinodzidzoka zvidzidzo zvinogona kudiwa. Kushandiswa kwenguva refu kwemishonga inorwisa mabhakitiriya kunogona kukanganisa basa remukumbo, uye chirongwa chinonzi probiotic chinodiwa chinoda kurapwa kwakaoma.

Gastroparesis

Gastroparesis chirwere chepamuviri, izvo zvinodzivirira kana kunonoka kufamba kwemukati mukati memukati. Izvozvo zvinokonzera zvinogona kukanganisa kusachengetwa kwemasumbu emudumbu.

Zvinokonzera gastroparesis:

• Chirwere cheshuga (rudzi I kana II);
• Anorexia nervosa;
• Kukuvadza kumutsipa kana musuru nekuda kwekuvhiyiwa kana zvimwe zvinetso;
• Thyroid gland zvirwere;
• Pancreatitis;
• Scleroderma;
• Mamiriro mushure mehutachiona hwehutachiona.

Zviratidzo zve gastroparesis:

• Kunzwa kuzara kwemudumbu nokukurumidza kana mushure mekudya kuduku;
• Nausea, kurutsa;
• Kusagadziriswa kurasikirwa nekurema;
• Kushungurudza uye kukanganisa.

Zvinokonzera kuonekwa uye nzira dzekurapa ne gastroparesis zvinobvumira kutsvaga zvakakodzera kuongororwa. Nzira yekupedzisira ndiyo inonyanya kuwanikwa uye isina kukuvadza. Iyo inobvumira kutsanangura kuvepo kwehutano hwakanaka uye matumire ekenza.

Kudya

Yakakurudzirwa mvura uye semi-liquid ndiro. Zviyero zvakawanda zvemafuta muzvokudya hazviratidzi, nokuti zvinoda kuwedzera kwakanyanya mumatumbo mumusana uye kubudiswa kwemazana emakemikari neechiropa uye pancreas. Doro haina kukurudzirwa gastroparesis, sezvo inogona kuderedza kubudiswa kwemudumbu.

Kurapa kwegastric paresis

Kurapa kwegastroparesis kwakaoma uye kunobatanidza kudya, drug therapy uye nzira yekuvhiya.

Kushungurudza uye kukanganisa: nzira dzokurapa, zvinoenderana nechikonzero chakakonzera zviratidzo izvi.

• Kusagadzikana kune zvimwe zvokudya zvinogona kubuda kubva kune zvinetso zvekugadzirisa chirwere kana kusakundikana kwemukaka kunyorera.
• Kusagadzikana kwechikase kunokonzerwa nekusavapo kwekudya kwemaestro enzyme lactase.
• Kusagadzikana kwehutano kune fructose kwakafanana neavoctose kusagadzikana mune kuti kune urombo husina hanya hwemakemikari.
• Malabsorption ye fructose uye sorbitol inogona kukonzera kuderera kwekuswa kwei-carbohydrates nemukumbo, zvichiita kuti mabhakitiriya emukuchi adye. Kushandiswa kwe lactose, fructose uye sorbitol nema bhakitiriya emukita kunotungamirira pakuunganidza magasi.

Zviratidzo zvekusagamuchirwa kwezvokudya uye kunyorera kunosuruvara, kubvongodza, mazamu emimba, chirwere, kuora mwoyo uye kubata. Zvikonzero zvekurapa zvinotarisa kana iyo enzyme isinganzwisisiki. Semuenzaniso, kushaya fructose kunogona kukonzera zviratidzo zvakakomba kana kudya kwacho kusingateverwi. Kunyanyisa kushandiswa kwefructose uye / kana sorbitol kunogona kutungamirira mukurutsira, jaundice, kuneta, kuwedzerwa chiropa uye kukanganisa.

Kurapa kwekusagadzikana kwezvokudya

Nekudya kwake kunokosha. Nerosise kusagadzikana, kudya kwezvigadzirwa zvemiti kunofanira kubviswa. Kuvhiringidzika kune fructose kunodawo kuchinja mune zvekudya.

Bhakitiriya kukura mumuviri muduku

Muchirwere ichi, nhamba yezvirwere zvepachigoni mumatumbo maduku anowedzera, izvo zvinoita kuti gasi inounganwe mumatumbu, zvichienderana, kubata, kubvisa, kurwisa, uye dzimwe nguva kuora mwoyo. Muchiitiko ichi, kune urombo hwekudya.

Zvinokonzera:

• Chirwere cheshuga (rudzi I kana II);
• Anorexia nervosa;
• Kukuvadza kumutsipa kana musuru nekuda kwekuvhiyiwa kana zvimwe zvinetso;
• Thyroid gland zvirwere;
• Pancreatitis;
• Scleroderma;
• Kuvhiringidza kwepamuviri;
• Diverticula.

Nokuti kuongororwa kunotora sampu yemvura inobva mumucheche muduku, iyo icharatidza kuwanda kwekusvibiswa nemaabhakitiriya.

Kurapa. Mishonga inorwisa mabhakitiriya inowanzobudirira pakurapa chirwere ichi. Zvimwe zvakasiyana-siyana zvekudya zvinogona kupiwa kuti zvikwanise kubhadhara kukanganisa mune zvinovaka muviri.

Dyskinesia ye bile ducts

Bhiri inofanirwa kupera kwemafuta kana zvokudya zvichipinda mumukumbo. Bile-excreting reflux ndiyo inokonzera kubuda kwebheka kubva mumukati muduku kusvika mukati mudumbu uye nheyo.

Zvinokonzera kuparara kwe bile:

• Matombo mu gallbladder;
• Cholecystitis (kuvhiringidza kweguruvladder);
• Cholecystectomy;
• Cancer ye gallbladder;
• Hepatitis;
• Cirrhosis;
• Chimwe chirwere chechiropa;

Zvinokonzera bile bile reflux gastritis:

• Kusagadzikana kwemuchengeti wegedhi - iyovhavha inoparadzanisa utumbo muduku kubva mudumbu;
• Peptic ulcers;
• Cholecystectomy.

Zviratidzo zvehutachiona hwehutachiona: kurwadziwa kwepamusoro kwepamusoro quadrant yemudumbu, kushungurudza, kusvetuka kwe bile, kubvisa, kuora muviri, anorexia, kuora mwoyo uye kubata.

Zvinokonzera, kurapwa panguva yekuzvitakura

Zviratidzo zvinoratidzwa munyaya yacho zvinowanzowanikwa mune vakadzi vane pamuviri vane utano hwakanaka. Izvo zvinokonzerwa nekugadziriswa kwemajini nekukura kwechibereko uye kukurumidza kutsamwa kwegastric mucosa mu toxicosis. Kurapa kunosanganisira kudya zvishomanana zvekudya uye kushandisa madhiragi "Rennie", "Gastal", "Maalox." Pasina kurapwa mushure mokuberekwa, kuora mwoyo uye kukanganisa kunopera zvakananga.

Dumbu rinogumbura

Manzwiro ekudarika, kurwadziwa kana kupisa mudumbu rekumusoro hakufadzi. Zviratidzo ndezvenguva pfupi uye hazvisi zvakasiyana mukusingaperi. Izvi ndezvi:

• Mucheche kurwadziwa;
• Kuchema;
• Kurohwa;
• Nausea;
• Kusvuta mumuromo;
• Unofadza kunzwa mukati mudumbu;
• Kuvharwa kana kubuda;
• Kuderedza kana kusava nenzara.

Chirwere chinokanganisa chinokonzera zvikonzero zvakawanda, kusanganisira zvirwere, mishonga, kuputsa kwekudya uye mararamiro.

Miedzo yekutsvaga kwemuviri inosanganisira kuongororwa kweropa, ultrasound yemakumbo emimba, endoscopy, colonoscopy, CT uye MRI yechipfuva chemuviri, kuongorora kwechigaro uye gastric juice. Izvo chete mushure mezvo zvinokwanisika kutanga, chii uye chiratidzo che "kuora mwoyo shure kwekudya" zvinokonzera. Uye kurapwa nemishonga yevanhu kunopawo maitiro akanaka.

Kurapa nemishonga yevanhu

Kutanga kwehutano mune chirwere chemuviri chirwere ndechekuti:

• Kuchinja nzira yehupenyu, kudya neawa mune zvikamu zviduku;
• Slow chewing food;
• Kuramba doro, fodya nekofi;
• Kugadziriswa kwezvinhu zvisingadiwi kubva pakudya;
• Kuteerera nehurumende.

Mishonga yekurapa maharageti inosanganisira antiacids uye acid blockers. Kurapa kwechirwere chemuviri kunotarisa kubvisa chinokonzera chinokonzera. Kutaura kwekurwadziwa kwepamuviri kazhinji kunobatsira kana kunokonzerwa nemararamiro ezvinhu. Mafungiro ekunyadzisa kunokonzerwa nechirwere kana kuti hutano hwakasiyana zvichienderana nekugadzirisa kwechiitiko ichi.

Ndezvipi zvirwere kana mamiriro ezvinhu zvinokonzera kusununguka?

Zvirwere kana mamiriro ezvinhu anogona kukonzera kusununguka zvinosanganisira:

• Zvironda (mudumbu kana duodenum);
• GERD (gastroesophageal reflux chirwere) ;
• Esophagitis;
• Hernia wechipupuriro chechirafu;
• Matombo mu gallbladder;
• The last trimester of pregnancy;
• Pancreatitis;
• Gastritis;
• Food poisoning;
• Inosuruvarisa chirwere chemuviri;
• Gastroparesis;
• Kuvhiringidzika kune enzyme;
• Chirwere chepfungwa: angina, kuora mwoyo;
• Thyroid gland zvirwere;
• Kuora mwoyo;
• Chirwere chemudumbu.

Ipi mishonga inokonzera kuora mwoyo kana kubata

• Aspirin nevamwe vazhinji vanouraya zvinorwadza, zvakadai sevasina-steroidal anti-inflammatory drugs (NSAIDs);
• "Prednisolone", "Methylprednisolone", "Medrol";
• Estrogen uye chirongwa chekudzivirira pamuviri;
• Antibiotics, somuenzaniso, "Erythromycin" uye "Tetracycline"
• Zvinodhaka zvekurapa utachiona hwetroroid;
• Zvinodhaka zvinoderedza kuwedzera kweropa;
• Statins;
• Vamwe painkillers.

Zvose izvi zvinodhaka zvinogona, kana zvikasashandiswa zvisina kunaka, zvinokonzera zviratidzo zvakadaro zvepamuviri uye maronda kusagadzikana sekurwadziwa kwepfungwa uye kukanganisa (zvinokonzera).

Kurapa nemishonga yevanhu

Mamwe mazano achabatsira kubvisa kuora mwoyo uye kukanganisa.

1.Zvika kune hutano hwakanaka.

Kunyange zvazvo kuora mwoyo kunogona kuitika kuna ani zvake, GERD inowanzoonekwa kune vanhu vakuru vane uwandu hwepamusoro kana kuwandisa. Muzviitiko izvi, kushungurudzika kwemuviri kunowedzera. Somugumisiro, iwe uri pangozi yakawanda yekukanda jisi yegastric mukati memoyo.

2. Zivai zvigadzirwa zvisingagoni kudyiwa.

Hazvina mhosva kuti iwe unorema zvakadini, pane zvimwe zvokudya zvinogona kuwedzera ngozi yezviratidzo zvisingafadzi. Edza kusashandisa:

• Tomato sauce nemimwe michina yakabva tomate;
• Zvokudya zvakashata (somuenzaniso, zvokudya zvinokurumidza zvinogadzirwa);
• Fried;
• Citrus juices;
• Soda;
• Caffeine;
• Chocolate;
• Garlic;
• Anyanisi;
• Mint;
• Doro.

Kukanganisa kana kazhinji kudzivisa ivo, unogona kudzora mamiriro ako. Iwe unogonawo kuchengetedza diary yezvokudya kuti uone kudya kunonetsa.

3. Idya zvishoma, asi kwenguva refu.

Kana kunyatsocheka zvokudya kunokonzera kudzvinyirira kuderera kumudumbu, izvo zvinogona kudzivirira mhirizhonga yedumbu asidi. Muchiitiko ichi, unogona kuderedza kuora mwoyo, kudya zvishoma.

Zvakakoshawo kuti usapinda shure mushure mekudya. Izvi zvinogona kukonzera kushungurudza uye kukanganisa. Hazvikurudzirwi kuenda kunorara mushure mekudya. Kana izvi zvisingagoni kudzivirirwa, zvino mushure mokunge makarara, edza kusimudza musoro wako wakakwirira kuti usapinda usiku.

4. Idya zvinhu zvinobatsira.

Kutanga, zvavakabvumirana zvekudya vakaderera pane mafuta uye mukuru Mishonga mafuta belka.Sokraschenie anogona zvakare kuderedza yenyu zviratidzo, apo kuwana mapuroteni zvakakwana uye faibha ichapa anodiwa vhoriyamu uye kudzivirira nokudyisa.

Tapedza kudya, unogona kutsenga chingamu pasina chemindi - zvichaita kuwedzera uwandu mate mumuromo uye kubvumira uzvirasire asidhi kubva yegurokuro.

5.Broste kusvuta.

In isiri kushanda rezasi esophageal sphincter, riri basa mukudzivirira kuraswa gastric acid, zviri zvakanaka chimiro uye kushanda zvakanaka.

Pusa kusvuta kunogona kukonzera matambudziko kana uri kunetseka zviratidzo chirungurira uye burping.

6. Drink mishonga infusions.

Zvinotevera miti inoshandiswa kubvisa zvisingafadzi zviratidzo:

• chamomil;
• licorice;
• marshmallows;
• tsvedza elm.

Uye kushandiswa senzira tincture uye tii fomu.

7.Izbegayte zvipfeko zvakasimba.

Kupfeka zvakare zvakasimba zvakasimba dumbu anogona kuwedzera chirungurira. Izvi zvinokosha kunyanya kuna omarara anosungira.

8. Edza kuzorora unyanzvi.

Yoga unonyatsokodzera kurapwa uye yokutandara. muviri wayo kuchaguma mwero muviri uye mweya. Kunyange kana usiri munhu ari kuita yoga, unogona kuedza kunyaradza pakufungisisa uye kufema zvakadzama kwemaminitsi mashoma kakawanda zuva kunetseka.