Gastroesophageal dzepanguva chirwere, uye chero mishonga kuti chirungurira kugadza nyanzvi

Chirungurira - chirwere inozivikanwa vakawanda vedu. In okurapa, anonziwo chirungurira - gastroesophageal dzepanguva chirwere kuti unowanikwa kutyora esophageal ushande. In zvikuru dzakabudirira, United States, Western Europe, chirungurira anonyunyuta vanenge 50% vemo. Saka, vakawanda vazvibvunze pane kurapa chirungurira? Maererano ongororo kuRussia chirungurira chichikusvota vanenge 17-45% vemo.

mabhuku Most ano inoratidza kuti huru kukonzera chirungurira iri kupinda yegurokuro mudumbu mukati. Uyewo, pane uchapupu hwokuti kuwedzera gastric muto HCl, rinoparadza zvainoita esophageal mucosa zviratidzwa proteolytic uye lipolytic makemikari (pepsin, lipase), bile acids uye pancreatic makemikari. In kutyora esophageal vharuvhu, zviri mudumbu nokuda retrograde (shure) inofamba mu yegurokuro. Izvi achabatsirwa zvisingafadzi nezvekufadza. Kune zvimwe zvokudya uye zvinwiwa kuti pave nekukurukurirana chirungurira (mafuta zvakakangwa zvokudya, peppermint, kofi, chocolate, chidhakwa uye zvinwiwa). Anokonzerawo chirungurira zvimwe zvinoita - zvakasimba zvipfeko, kurovedza muviri, pamuviri, kusvuta, mupfungwa. Kazhinji chirungurira kunoitika pakushandisa aspirin, hypnotics, antispasmodics, antihistamines, sedatives. Vakadzi - kana kushandisa pamuviri piritsi.

Chirungurira zviratidzo pachena somunhu mhando yokunotsva yokumusoro mudumbu, manzwiro ichi dzinowedzerwa egomo muviri. Kana chirungurira kunoratidza mamwe zviratidzo - kuneta, ungaderedza kudya, kuda kurutsa, kurutsa neropa, marwadzo kumashure uye muchipfuva, vangadikitira hwobva kutaura nyanzvi. Persistent zviratidzo chirungurira zvingaratidza esophagitis (kuzvimba yegurokuro), kana onkoobrazovaniya mudumbu uye yegurokuro. Zvakakodzera kuona kuti kunyange vana vanogona kuona kunzwa chirungurira. Izvi imhaka yokuti vacheche (6-12 months) pashure dzichifura anogona regurgitate. Nokuti vana vaya vane chinetso chirungurira anogona chokuita asima, kuzvimba huro uye nemapapu.

gastroesophageal chirwere dzakawanda dzepanguva runoonekwa somumwe asidhi-chokuita nezvirwere sezvo hydrochloric asidhi mabasa sezvo huru pathogenetic chinhu uye chiratidzo huru - chirungurira uye esophagitis. Dysfunction repasi sphincter zvokudya anogona kuva pamusoro pakanyorwa scleroderma, pamuviri, uyewo fodya, kushandisa Pharmaceuticals kuti kuderedza kumeso tsandanyama matauriro (Theophylline, blockers).

Mishonga kuti chirungurira. Doctors kutirambidza kushandisa mafuta zvakakangwa zvokudya, chocolate, kofi, simba tii, doro, Citrus zvibereko, gariki, hanyanisi, etc. Zvipatara nechinangwa ruyamuro kuti chirungurira. Nokuti chinangwa ichi, murwere anofanirwa kutora antacids (MegaPack, Mylanta, Maalox, Fosfalyugel, Topalkan, Gaviscone) mashandiro chiito nechinangwa achidzikisa acidity mudumbu. Ndikati kuti zvinodhaka izvi vanoonekwa ne akurumidze, asi nguva chiito iri diki (pamusoro mweya maawa). Tiine chinangwa nyanzvi dziviriro dzinokurudzira unoparadza zvokudya kazhinji, zvikamu zviduku, vachinyatsoongorora kutsenga nayo (kusvika 30-40 times). Mushure kudya harifaniri kutora chinjikira nzvimbo muviri, kwete kushandisa.

Mishonga nokuti chirungurira: kuchinja kurapwa. Kubudirira kurapwa hakubvi chete pamusoro akasarudzwa kurapwa regimens, asiwo murwere mararamiro kuchinja. Doctors vanokurudzira kuchinja muviri nzvimbo pakurara (nokuti chinangwa ichi musoro kuguma mubhedha anofanira akarerwa 15 cm); varegedze kusvuta uye kunwa; Vamwe varwere vanofanira kurega kutora mishonga (sedatives, mapiritsi, anticholinergics, karusiyamu gwara blockers, zvinodhaka, progesterone); kubvisa kushungurudzika, zvinomutsa kuwedzera intra-abdominal kumanikidzwa.

Mishonga nokuti chirungurira: mishonga. Kuti neutralize ari hydrochloric asidhi raitongwa antacid mishonga Activate ari proteolytic makemikari, adsorb bile asidhi uye lysophosphatidylcholine, alkalization rinoitwa mudumbu. Aluminum ions, vari kugadzirira kuratidza cytoprotective chiito. In mushonga ano, vanhu nechirwere gastroesophageal dzepanguva chirwere varayire mishonga kuti chirungurira somunhu prokinetic, cytoprotectors, blockers ose histamine H2-Kanotokonya mhandu (ranitidine, famotidine, nizatidine, roxatidine). Recent nokushingaira adzikatidza secretion pamusoro pepsin, asi kuderedza secretion kuti hydrochloric asidhi mudumbu.

: Vamwe vanhu vanopedza Mabatirwo chirungurira kumba nokushandiswa mushonga tsika miriwo (oregano, St. vaJohani mhanga, thyme, plantain) uye facial nemiriwo (nembatatisi, makabheji, wemagaka), etc.