Gastroesophageal reflux yog ib yam kab mob uas ua rau lub zog ntawm lub plab nyob rau hauv cov lus qhia hauv kev coj ua (rau hauv txoj hlab pas). Qee qhov xwm txheej no tuaj yeem yog ib qho xwm txheej, rau lwm tus neeg tuaj yeem ua rau muaj mob loj heev.
Gastroesophageal reflux ua rau
Cov khoom ntuav ntawm lub plab, tshwm sim nyob rau hauv cov xwm txheej raug ncua tam sim tom qab noj mov, uas tsis ua rau tsis xis nyob rau tus neeg thiab tsis ua rau lwm yam mob, yog suav tias yog ib qho txawv ntawm cov qauv. Yog tias qhov no tshwm sim ntau zaus, nrog rau thaum hmo ntuj, yog muaj cov tsos mob tshwm sim, nws yog ib qho lus nug ntawm kev hloov ua rau txoj kev loj hlob ntawm tus kab mob gastroesophageal reflux.
Xav txog qhov ua rau rov ua kom gastroesophageal reflux, nws yog ib qho tseem ceeb kom nkag siab txog cov cuab yeej ntawm kev ua tus txheem ntawm qhov tsis ncaj ncees lawm. Lub luag haujlwm tseem ceeb hauv kev tiv thaiv ntawm qhov tshwm sim no yog ua los ntawm qhov ncauj qis nqig ntawm qhov ncauj - cov leeg yuav luag nyob hauv ib lub xeev kaw thiab qhib ob zaug - thaum cov khoom noj tawm mus rau lub plab thiab thaum tawm cov pa tawm.
Tshaj kev qoj siab ntawm qis qis taub ntawm cov hlab pas nqus tau ua rau ob leeg nws cov kev ua haujlwm hauv lub cev thiab nrog ib tug qis ntawm cov leeg mob. Lub tom kawg yog feem ntau provoked los ntawm xws li yam tseem ceeb:
- noj cov dej caffeinated;
- siv cov tais diav thiab dej qab zib;
- noj cov tshuaj (antispasmodics, analgesics, nitrates, thiab lwm yam);
- haus luam yeeb;
- haus cawv;
- kev ua si lub cev;
- kev hloov hauv hormonal keeb kwm.
Tsis tas li ntawd, qhov tseem ceeb ntawm kev rov qab casting yog qee zaum muaj zog ntawm lub hauv siab, pom nrog ntau lub cev qhov hnyav, ascites, constipation, flatulence. Intragastric siab yog provoked los ntawm kev siv cov dej qab zib, zaub mov kib, ntsim muv ntsim. Tsis tas li ntawd, cov kev mob rau cov dej cawv rov qab tuaj yeem muaj nrog hernia ntawm txoj hlab pas ntawm cov diaphragm, peptic ulcer, bronchial asthma.
Cov kab mob gastroesophageal reflux, nws tseem ceeb heev uas tsis yog ncaj qha mus pov tseg, tab sis kuj muaj peev xwm ntawm txoj hlab ntws los ntawm kev mob nkeeg tawm. Feem ntau, yog tias acidic gastric cov khoom ntog, qhov kho ntawm pH thiab rov qab rov qab rau lub plab los ntawm ua rau tus mob peristalsis ntawm txoj hlab pas thiab cov kua qaub ncaug sai sai (qhov peev xwm no yog hu ua kev tswj kav esophageal).
Cov tsos mob ntawm tus kab mob Gastroesophageal reflux
Hauv ib daim duab raug mob tshwm sim, cov nram qab no tshwm sim los ntawm kev rov pub haus gastroesophageal tseem ceeb heev:
- heartburn ;
- eructation;
- qhov nqaij ntuag ntawm lub caj pas;
- tsis xis nyob thaum nqos zaub mov;
- tsam plab ;
- ntuav;
- xeev siab;
- retrosternal mob resembling tus kab mob ntawm angina.
Feem ntau, tshwj xeeb tshaj yog muaj cov "siab" rov qab tshwm sim, muaj ntau cov tsos mob uas muaj npe-oesophageal tau pom zoo:
- hnoos;
- txog kev ua tsis taus pa;
- o ntawm cov mucous larynx, nasopharynx, bronchi;
- txhaws suab;
- duav, o ntawm cov pos hniav .
Cov kab mob kis tau thaum tsaus ntuj, tom qab noj mov, thaum lub cev muaj zog. Thaum muaj cov tsos mob tshwm sim los ntawm tus cwj pwm (gastroesophageal reflux reflux) tuaj yeem tshwm sim hauv ib hom ntawv ob:
- nrog rau kev hloov ntawm cov kab mob hauv esophageal, tau qhia los ntawm txoj kev siv txoj hnyuv (nrog rau kev mob leeg);
- tsis muaj mob ntawm txoj hlab pas, uas yog tsim los ntawm kev siv tshuaj endoscope (tsis muaj cov mob es nqus).
Gastroesophageal reflux tsis muaj tus mob es nqos tau
Qhov no, kab mob gastroesophageal reflux yog hu ua non-erosive. Hauv qhov no, txoj hlab ntwg yog tiv thaiv los ntawm kev nkag mus rau hauv lub cev ntawm cov khoom, uas tsis yog yam ntxwv ntawm nws, i.e. clearance yog qhov qub. Tsis tas li ntawd, ib txwm muaj microcirculation nyob rau hauv cov hlab ntsha thiab cov hlab ntsha ntawm lub lymphatic plays lub luag haujlwm ntawm txoj kev txav ntawm kev tsim rov qab ntawm cov epithelium. Lub sijhawm uas rov qab tuaj yeem rov qab tuaj yeem tsis rov qab ntau dua, tab sis qhov no yuav yog lub sijhawm dhau los ntawm txoj kev erosive.
Gastroesophageal reflux nrog cov hlab ntshav
Yog hais tias gastroesophageal reflux yog txuam nrog ntau zaus ntawm kev hnyav ntawm cov hnoos qeev, qhov kev pheej hmoo ntawm kev hloov ntawm cov kab mob hauv cov qaub ncaug ntawm cov hlab pas nqus tuaj. Muab kev txhawb zog rau qhov no thiab nce siab heev ntawm kev rov qab tiv thaiv nrog lwm cov kab mob (piv txwv li, nrog acid acidity, muaj cov pob zeb acids). Cov duab saib mob, pib, muaj tshwm sim hauv plab. Hauv qhov no, feem ntau tuaj yeem nrog cov hnoos qeev rov qab hnoos hnoos qeev - feem ntau tshwm sim thaum nruab hnub, nce nrog kev hloov hauv txoj hauj lwm hauv lub cev.
Gastroesophageal reflux - degree
Tus kab mob gastroesophageal reflux yog ib qho txiaj ntsig ntawm kev qaug zog ntawm cov kev tiv thaiv esophageal thiab cov kev ua rau kev ua kom puas ntsoog. Nyob ntawm seb qhov kev puas tsuaj, cov kab mob pathological yog tso rau hauv degrees. Ntawm no yog ib qho ntawm cov ntawv qhia siv:
- 0 degree - tsis muaj cov kev ntsuam xyuas:
- Kuv kawm ntawv - qhov muaj cov foci ntawm qhov tawm tsam ntawm cov keeb kwm ntawm cov kev mob hyperemic, tsis muaj ntau tshaj 10% ntawm qhov ncauj esophagus;
- II degree - muaj kev sib tshuam ntawm cov kev tuaj yeem, uas yog tus account txog li 50% ntawm qhov chaw seem ntawm qhov distal;
- III degree - ntau qhov txhab muaj qhov txhab, nteg cov nplaim ntawm sab nrauv tag nrho;
- IV degree - kev loj hlob ntawm cov teeb meem: nqus ulcers, txhuam ntawm txoj hlab pas, Barrett's esophagus, thiab lwm yam.
Gastroesophageal reflux - kuaj mob
Qhov kev kuaj mob ua ntej yog feem ntau ua raws li cov lus tsis txaus siab thiab anamnesis. Txhawm rau txiav txim siab rau daim ntawv rov tuaj ntawm gastroesophageal reflux, qhov muag pom tau yog qhov tseem ceeb heev. Kev tsom kwm ntawm txoj kev noj qab haus huv ntawm tus mob kheesxawscopicoscopy muab cov duab thaij duab thiab qhov txawv txav. Yog tias tsim nyog, yuav tsum kuaj ib ce. Tsis tas li ntawd, cov hauv qab no yuav tsum muaj:
- Xoo hluav taws xob xoo nrog barium;
- niaj hnub saib xyuas cov pH ntawm txoj hlab pas;
- txoj hlab ntshav qab zib;
- bimetry;
- scintigraphy.
Yuav kho tus mob gastroesophageal reflux li cas?
Kev kuaj kev mob nkeeg ntawm cov kev kho plab zis hauv plab yuav tsum muaj qhov nyuaj, nrog rau lub luag haujlwm ua ntej los ntawm kev kho tshuaj. Nws yog ib qho tseem ceeb kom ua raws li kev noj haus thiab cov lus qhia nram qab no:
- poob lub cev hnyav;
- txwv ntawm kev tshem ntawm cov khoom thauj (tsis pub tshaj 10 kg);
- Tsis txhob cuam tshuam txoj kev nqhis thiab nro ntawm qhov xovxwm;
- tsis kam txwv cov khaub ncaws;
- pw tsaug zog ntawm lub siab hauv ncoo;
- tsis lees paub txog kev ua phem.
Gastroesophageal reflux - kho, tshuaj
Txhawm rau zam kom txhob mob nyhav los ntawm kev kho tus mob es nqos tau cov mob nkeeg yuav tsum tau muaj kev kho mob. Nyob ntawm seb qhov kev mob ntsws loj npaum li cas, cov tshuaj siv rau cov pawg no:
- antacids - (Fosfalugel, Maaloks);
- alginates (Gaviscon);
- prokinetics (Motilium);
- Cov tshuaj tiv thaiv proton (Oam, Lansoptol);
- blockers H2 receptor histamine (Ranisan, Famotidine).
Qee cov tshuaj noj no tau qee sij hawm rau cov kev mob tshwm sim, lwm tus yuav tsum tau mus kho kom txog thaum tshem tawm cov tsos mob. Nrog rau qhov tsis muaj tus mob es tsis mob leeg, tsuas yog siv cov tshuaj antacids thiab alginates xwb. Cov mob hnyav, tej zaum yuav muaj kev phais mob (piv txwv, Nissen fundoplication).
Gastroesophageal reflux - kho nrog pej xeem tshuaj
Nyob rau theem ntawm kev so, thaum gastroesophageal reflux tsis pom muaj qhov tshwm sim, nws yog cai siv cov cuab yeej tsis yog kev cai rau cov hom phiaj tiv thaiv. Cov neeg mob uas tau kuaj pom tias gastroesophageal reflux, kev kho neeg pej xeem, feem ntau, kev siv cov tshuaj phytotherapeutic rau daim nplaum thiab ua tshuaj tiv thaiv. Ntawm no yog ib qho ntawm cov zaub mov txawv.
Tshuaj Herbal Infusion
Cov khoom xyaw:
- Flax noob - 1 rooj. diav;
- nplooj ntoos ntawm niam-thiab-stepmother - 1 lub rooj. diav;
- licorice paus - 1 lub rooj. diav;
- dej - 200 ml.
Kev npaj thiab siv:
- Npaj cov khoom.
- Ncuav 2 teaspoons ntawm sib tov nrog boiling dej thiab ncuav on ib tug dej da dej rau ib tug peb lub hlis twg ntawm ib teev.
- Txias, ntws.
- Noj ua ntej noj mov ntawm ib tug tablespoon 5 zaug ib hnub twg.
Gastroesophageal reflux - noj zaub mov
Maj mam noj zaub mov nrog gastroesophageal reflux nrog txoj hlab ntshav thiab tsis muaj - ib qho tseem ceeb ntawm txoj kev kho mob. Cov zaub mov kom tsawg 5-6 zaug hauv ib hnub, thaum lub tais diav tsuas pub tau sov, tsis ntse, tsis ruaj khov. Koj tuaj yeem tsis tau, sawv ntawm lub rooj, tam sim ntawd noj ib txoj hauj lwm tav toj thiab noj ua ntej yuav mus pw. Tsis suav:
- chocolate;
- kas fes, muaj zog tshuaj yej;
- txiv lws suav;
- citrus txiv hmab txiv ntoo;
- Sibhawm.