Gastroesophageal reflex matenda, ndi mankhwala aliwonse kutentha anaika akatswiri

Kutentha - matenda kuti ndi bwino kuti ambiri a ife. Mu yochizira matenda, amatchedwanso kutentha - gastroesophageal reflex matenda amene amapezeka kuphwanya ntchito esophageal. M'mayiko kwambiri anakamba, United States, Ulaya, kutentha amadandaula za 50% ya anthu. Choncho, ambiri amadzifunsa kuposa kuchiza kutentha? Malinga ndi kafukufuku wina ku Russia kutentha kazivutitsa za 17-45% ya anthu.

mabuku ambiri masiku ano limasonyeza kuti chifukwa chachikulu cha kutentha ndi kulowa kum'mero wa nkhani m'mimba. Komanso, pali umboni kuti Kuwonjezera wa chapamimba madzi HCl, zowononga amasintha esophageal mucosa chionetsero proteolytic ndi michere lipolytic (pepsin, lipase), zidulo ya ndulu ndi michere pancreatic. Kuphwanya vavu esophageal, zili m'mimba chifukwa retrograde (m'mbuyo) zoyenda mu kholingo. Zimenezi limodzi ndi zomverera zosasangalatsa. Pali zakudya ndi zakumwa zimene zimachititsa kutentha (mafuta, zakudya yokazinga, peppermint, khofi, chocolate, mowa ndi zakumwa zoziziritsa kukhosi). Zimachititsanso kutentha zinthu ziti - zolimba zovala thupi, mimba, kusuta, nkhawa. Pafupipafupi kutentha akupezeka ntchito aspirin hypnotics, MANKHWALA OLETSA VUTOLI, mankhwala, mankhwala. akazi - pamene ntchito mapiritsi kulera.

Kutentha zizindikiro kudzaonekera pamene mtundu wa moto pamimba chapamwamba, kumverera uku kumatheka chifukwa cha otsetsereka a thupi. Ngati kutentha pa chifuwa kuwonetsera zizindikiro zina - kutopa, kuchepa kudya, nseru, kusanza ndi magazi, kupweteka kwa msana ndi chifuwa, thukuta ayenera yomweyo funsani akatswiri. Lekeza zizindikiro za kutentha zingasonyeze esophagitis (kutupa kwa kholingo), kapena onkoobrazovaniya m'mimba ndi kum'mero. M'pofunika kuona kuti ngakhale ana akhoza kuona kumva kutentha. Ichi ndi chifukwa chakuti makanda (miyezi 6-12) pambuyo kudya mwina regurgitate. Ana amene ali ndi vuto la kutentha akhoza kugwirizana ndi mphumu, kutupa pakhosi ndi mapapo.

Ambiri gastroesophageal matenda reflex imatengedwa ngati amodzi mwa matenda asidi zokhudzana monga machitidwe hydrochloric asidi monga waukulu pathogenetic Chinthu ndi chizindikiro chachikulu - kutentha ndi esophagitis. Kukanika kwa sphincter m'munsi chakudya angathe pa maziko a matendawa, mimba, komanso kusuta fodya, kugwiritsa ntchito asatayike kuti kuchepetsa minofu yosalala kamvekedwe (theophylline, blockers).

Mankhwala kwa kutentha. Madokotala kuchepetsa kugwiritsa ntchito mafuta, zakudya yokazinga, chocolate, khofi, tiyi wamphamvu, mowa, zipatso, adyo, anyezi, etc. Therapy umalimbana mpumulo wa kutentha. Chifukwa chaichi, wodwalayo ali wofunikila kutenga Mankhwalawa ayenera kumwedwa (MegaPack, Mylanta, Maalox, Fosfalyugel, Topalkan, Gaviscone) limagwirira cha zochita zomwe cholinga chake ndicho kuchepetsa acidity m'mimba. Ine ndiyenera kunena kuti mankhwala yodziwika ndi liwiro, koma nthawi ya kanthu ndi yaing'ono (za mzimu wa maola). Ndi cholinga Akatswiri kupewa amalangiza wonyeketsa zakudya zambiri, chakudya chochepa mosamala kutafuna izo (mpaka nthawi 30-40). Pambuyo chakudya sayenera kutenga malo yopingasa za thupi, osati masewera olimbitsa thupi.

Mankhwala kwa kutentha: ndiwofatsa chithandizo. Mphamvu ya chithandizo kumatengera osati pa anasankha regimens chithandizo, komanso kusintha wodwalayo m'moyo. Madokotala amalangiza Kusintha kwa malo thupi akagona (Mwaichi mutu kumapeto kwa bedi ayenera adzaukitsidwa ndi 15 cm); kupewa kusuta fodya ndi kumwa; Odwala ena ayenera kusiya kumwa mankhwala (mitsempha, asamakhale ndi nkhawa, anticholinergics, kashiamu njira blockers, mankhwala, progesterone); kuthetsa nkhawa, kumaputa kuwonjezeka kuthamanga kwapakati pa-m'mimba.

Mankhwala kwa kutentha: mankhwala. Kuti n'chongoletsa ndi hydrochloric asidi kutumikiridwa mankhwala ochotsa asidi wa mankhwala kuti yambitsa ndi michere proteolytic, adsorb ya ndulu asidi ndi lysophosphatidylcholine, alkalization imagwiridwa m'mimba. Zotayidwa ayoni omwe kukonzekera kuonetsa kanthu cytoprotective. Mu mankhwala amakono, anthu ndi matenda gastroesophageal reflex mankhwala kwa kutentha monga prokinetic ndi, cytoprotectors, blockers wa histamine H2-cholandilira muzikangana (ranitidine, famotidine, nizatidine, roxatidine). Recent mwachangu ndigwire katulutsidwe wa pepsin, komanso kuchepetsa katulutsidwe wa acid amathiridwa mmimba.

Anthu ena amawononga chithandizo cha kutentha kunyumba ndi kugwiritsa ntchito mankhwala: zitsamba (oregano, St. John wa liziwawa, thyme, plantain) ndi timadziti wa masamba (mbatata, kabichi, nkhaka), etc.