Inja ene-reflux: izimpawu, izimbangela kanye nokwelashwa

Umlobi: Laura McKinney
Usuku Lokudalwa: 7 Epreli 2021
Ukuvuselela Usuku: 24 Ujuni 2024
Anonim
Inja ene-reflux: izimpawu, izimbangela kanye nokwelashwa - Izifufuzo Ezifuywayo
Inja ene-reflux: izimpawu, izimbangela kanye nokwelashwa - Izifufuzo Ezifuywayo

-Delile

Kufanele ukuthi uzizwe a ukunambitheka okumuncu noma okumunyu ngaphansi komphimbo noma ukuzwa okuvuthayo eduze kwesifuba. Futhi kungenzeka ukuthi iphinde yaphinde yavuseleleka. Nezinja nazo zidlula ezimeni ezifanayo.

I-Reflux noma i-reflux ye-gastroesophageal yenzeka lapho i-sphincter yangaphandle yesophageal ivumela ukubuya kokuqukethwe kwezitho zezitho ze-distal kakhulu: isisu nengxenye yokuqala yamathumbu amancane (duodenum). Ngakho-ke, hhayi kuphela i-gastric acid engabuya, kodwa futhi nezinye izinto kubangele ukulimala nokulimala okwengeziwe ulwelwesi lwe-esophagus. Kuyinqubo engangakhululeki futhi ebuhlungu ngisho nasezinjeni zethu, ezisengozini yokuthola i-aspiration pneumonia.


Qhubeka ufunde le ndatshana yePeritoAnimal ukuqonda kangcono ukuthi kwenzekani kufayela le- inja ene-reflux: izimpawu, izimbangela kanye nokwelashwa.

Yini i-reflux ezinjeni

I-Reflux ezinjeni iqukethe ukubuya kokugeleza kusuka esiswini noma emathunjini amancane kuya emcingeni (i-gastric acid, i-pepsin, i-trypsin, i-bicarbonate kanye ne-bile salts), edala ukucasuka nokulimaza ulwelwesi lwe-esophagus futhi ingadala i-esophagitis (ukuvuvukala komphimbo) kakhulu, ibangele nobuhlungu obukhulu. I-esophagitis emnene yenzeka lapho kubuya kuphela i-gastric acid, futhi ukuqina kwesisu okukhulu kwenzeka lapho zonke izingxenye zibuya.

I-reflux ye-Gastroesophageal yenzeka lapho i-cardia, i-sphincter yesisu exhumanisa i-esophagus nesisu futhi ivimbela okuqukethwe ukubuya, ivumela ukudlulela emuva kokuqukethwe kwesisu emgodini, kubangele le reflux. Kwesinye isikhathi ingafinyelela emlonyeni futhi lokhu yilapho sivame ukuqaphela okwethu inja ye-reflux.


I-Reflux emidlwane esanda kuzalwa

Imidlwane isengozini enkulu ye-reflux ngoba i-sphincter yakho ayikakhuli ngokuphelele ngakho-ke kungenzeka ukuthi ivumele okuqukethwe kubuye.

Yini ebangela i-reflux ezinjeni

Izimbangela ezingasiholela ekubeni nenja ene-reflux yilezi:

  • ukuhlanza okungapheli ngenxa yokudlula njalo kokuqukethwe kokudla nge-gastric acid nemikhiqizo yokugaya, okonakalisa i-esophagus futhi engabangela ukubuya kokuqukethwe, okuthinta i-sphincter.
  • UHiatus hernia, okwenzeka lapho ingxenye yesisu ingena emgodini wesifuba nge-diaphragm. Lesi simo senza kube lula okuqukethwe yisisu ukuthi kubuyele emqolo ngenxa yokungasebenzi kahle kwesphincter.
  • I-Anesthesia eyenziwe nge-caudal esophageal sphincter pressure pressure. Kwenzeka ikakhulukazi lapho inja imi endaweni ephakeme (ngomlomo phezulu), uma isikhathi sokuzila ngaphambi kokuhlinzwa singahlonishwa futhi ngenxa yemiphumela yomuthi wokubulala izinzwa.
  • isisunoma ukuvuvukala kolwelwesi lokuqopha. Imvamisa kuhambisana ne-reflux, ngoba ukuvuvukala kwenza kube nzima ukuthi i-sphincter isebenze kahle, ivumela okuqukethwe ukuthi kubuye. Into eyodwa iheha enye.
  • Isisunoma ukuvuvukala nokucasuka kodonga lwesisu. Lolu shintsho lufinyelela ku-sphincter, oluvumela okuqukethwe kwalo ukuba kubuyele emungeni.
  • Ukukhuluphala: kubhekwa njengengozi engcupheni yenja ene-reflux, ikakhulukazi ngenxa yengcindezi yamafutha ezithweni nangenxa yokuthi amanoni ngokwawo aguqula ukusebenza kwe-sphincter. Kwenzeka okufanayo lapho inja iphakelwa ukudla okunamafutha amaningi.

Izimpawu ze-Reflux ezinjeni

I-reflux ye-Gastroesophageal ezinjeni, njengoba sekushiwo, ingaholela ekucingeni i-esophagitis, ngokubona izimpawu ezilandelayo zomtholampilo kulezi zilwane:


  • Ukuhlanza noma ukuphinda wenze kabusha.
  • amathe amaningi.
  • ukukhotha njalo.
  • ubuhlungu ngokugwinya (odynophagia).
  • Ukwandiswa kwekhanda nentamo lapho igwinya.
  • ukungafuni ukudla.
  • Ukwehla kwesisindo.
  • Ukucindezeleka.
  • Ukunganaki.
  • Imfiva ezimweni ze-esophagitis enamandla.

Kwezinye izikhathi, lokhu okuqukethwe kokugwinya kungangena emaphashini futhi kubangele i-aspiration pneumonia. Kulezi zimo, inja izoba nokukhwehlela nokuphefumula (imisindo yamaphaphu).

Ungaqinisekisa kanjani ukuthi sinenja ene-reflux?

Ukuxilongwa kwenja ene-reflux kuvame ukukhonjwa ngokusola. Ngakho-ke, i- ukuxilongwa umehluko ye-reflux kufanele ifake:

  • UHiatus hernia.
  • Ukuqina kwe-Esophageal.
  • Ukuqothuka kwesisu.

Ama-radiographs ungasizi ekuxilongweni, ngoba ngokuvamile azibonisi noma yiziphi izinguquko ku-esophagus. I-endoscopy yenja iyindlela engcono kakhulu yokuhlola isimo se-esophagus nobukhulu be-esophagitis.

Inqubo evumela ukuxilongwa okucacile kokuphumula kwe-sphincter, kepha ukuthi iningi lemidlwane ayikubekezeleli, ukulinganisa okuqhubekayo kwengcindezi ye-caudal esophageal sphincter ne-pH ye-intraluminal usuku lonke.

Yini okufanele uyenze lapho inja ine-reflux? - Ukwelashwa

Ukudla okunamafutha aphezulu kukhuthaza ukuphumula kwe-caudal esophageal sphincter futhi kubambezele ukukhipha isisu, yingakho ukudla amafutha nsuku zonke kufanele kwehliswe emidlwane ene-reflux ukuyigwema.

Ngakolunye uhlangothi, i- ukwelashwa ngenja ene-reflux, ifaka:

  • I-Sucralfate ukuvikela i-mucosa esophageal elimele kanye nokukhuthaza ukuphulukiswa kwayo.
  • Izivimbeli zemfihlo yesisu (cimetidine, ranitidine, famotidine) ukunciphisa inani le-reflux.
  • IProton Pump Inhibitor (omeprazole) ukunciphisa ngokuphumelelayo uketshezi kanye ne-reflux.
  • Ama-Prokinetics (metoclopramide).

Uma inja isikhiqize i-esophagitis enzima futhi ingafuni ukudla, kufanele kubekwe ithubhu le-gastrostomy ukuze linikeze umsoco wabazali ngaphandle kokuya ngasesimweni esilimele nokugcina isilwane sondlekile futhi sinamanzi.

Izixazululo Zasekhaya Zenja Nge-Reflux

Kubalulekile ukukugcizelela lokho Awekho amakhambi asekhaya enja ene-reflux ngaphezu kokudla okufanele, ngakho-ke uma le nkinga ivela, inja kufanele iyiswe kudokotela wezilwane ukuze aqale ukwelashwa nokuvimbela ukulimala komphimbo ukuba kungabi kubi kakhulu. Siyagcizelela ukuthi okuwukuphela kwendlela yokunciphisa i-reflux ezinjeni ukulandela izeluleko zochwepheshe ngemuva kokuthola imbangela yako.

Isibikezelo se-reflux ezinjeni

Uma kulandelwa ukwelashwa futhi izimbangela zayo zixazululwe, ukubikezelwa kwe-reflux ye-gastroesophageal ezinjeni kuvame ukuhle.

Ungayivimbela kanjani i-reflux ezinjeni?

Kungenzeka ugweme ukuba nenja ene-reflux, inqobo nje uma isilwane silandela ukudla okufanele, ukuzivocavoca futhi sinakho imikhuba yokuphila enempilo ngokujwayelekile. Njengoba sibonile, ukukhuluphala kungezinye zezimbangela zako, ngakho-ke kubaluleke kakhulu ukugcina inja isisindo sayo esifanele. Vele, kuzobaluleka futhi ukuya kudokotela wezilwane uyohlolwa njalo futhi uqiniseke ukuthi impilo yakho isesimeni esihle.

Futhi ngikhuluma ngokudla okunomsoco, inja kufanele idle kangaki ngosuku? Ungaphuthelwa yividiyo engezansi ukuthola impendulo:

Lo mbhalo wenzelwe imininingwane kuphela, kwaPeritoAnimal.com.br asikwazi ukunquma ukwelashwa kwezilwane noma ukwenza noma yiluphi uhlobo lokuxilongwa. Siphakamisa ukuthi uthathe isilwane sakho uye kudokotela wezilwane uma kungenzeka ukuthi unanoma yiluphi uhlobo lwesimo noma ukungaphatheki kahle.

Uma ufuna ukufunda izindatshana eziningi ezifana ne- Inja ene-reflux: izimpawu, izimbangela kanye nokwelashwa, sincoma ukuthi ufake isigaba sethu sezinkinga zamathumbu.