Izifo ze-reflux-esophagitis, izimpawu kanye nokwelapha, imithi ifundwa kahle, ngoba le nkinga ikhathaza iziguli eziningi. Lesi sifo siyisilonda se-mucosa esopha. Ikhula ngokumelene nesizinda sokukhishwa okungazelelwe noma okuhlelekile esihlokweni sezinto zesisu noma emathunjini.
I-reflux esophagitis - iyini?
Lesi esinye sezifo ezivame kakhulu. Kukhona isifo se-reflux-esophagitis, izimpawu kanye nokwelashwa okungafani ngazo ezimweni ezehlukene, uma kukhona ukuxhumana okuqondile kwe-mucosa yesifo kanye nokuqukethwe kwamathumbu noma isisu. Lesi sifo siholela ekwandeni okunamandla kwe-acidity. Ngenxa yalokho, i-mucosa ye-esophagus ithintekile futhi izimpawu ezisemqoka zivela. Njengomthetho, i-reflux isophagitis ibonakala ngezibonakaliso ezinjenge-heartburn, soreness nezinye izinkinga zesistimu yokugaya ukudla.
I-Catarrhal reflux-esophagitis - iyini?
Ifomu lesifiso lesi sifo litholakala ezimweni eziningi. I-Catarrhal reflux-esophagitis - iyini? Lesi sifo sibonakala ngendlela efanayo nezinye izinhlobo zayo, kodwa ngaphezu kwalokho, i-mucosa ye-esophagus ivuvukala. Endabeni ye-reflux-esophagitis, izimpawu kanye nokwelapha kuyahlukahluka ngokuya ngezinga layo lokuthuthukiswa. Kodwa ezimweni eziningi, kanye nesici se-edema, i-hyperemia nayo ihlolwe. Zonke izimpawu zenkinga zibonakaliswa ngenxa yomsebenzi okwanele we-sphincter yenhliziyo emkhakheni wokulimala nomonakalo.
I-reflux esophagitis eyingozi - iyini?
Olunye uhlobo olujwayelekile lwesifo. I-reflux-esophagitis ehle kakhulu - yimuphi uhlobo lwesifo, icacile kusuka egameni layo. Kubonakala ngesisindo esijulile se-mucosa - siphefumula, sithukuthele, sigcwele izinkinga ezincane, ama-microabscesses, ama-cysts. Esikhathini sokuqala kwesilonda singashadile. Kodwa uma lesi sifo singelashwa, indawo ye-lesion ye-mucosa ikhula, futhi ngokuhamba kwesikhathi iqala isilonda sesisu.
I-refalx esophagitis ye-distal - iyini?
Inkinga iqala lapho izici ezicasulayo zenziwa kulesi sigameko. Ukuze uqonde reflux distal, ukuthi yini, ungakwazi ucabange ukuthi udonga uhla endaweni lapho isando sishaya njalo. Ngokufanayo, i-mucosa ye-esophagus yalimala engxenyeni engezansi (uma yonke indawo isithintekile, i-RE iyatholakala) endaweni yokungena kokudla okunonya.
I-reflux-esophagitis ye-biliary - iyini?
Ukukhubazeka kubangelwa ukuvuvukala emzimbeni. I-reflux-esophagitis ye-biliyali isethelwe lapho ukucasuka kuqala ngenxa yokuchazwa kokuqukethwe kwe-bile ducts ku-mucosa esophageal. I-bile iqukethe i-acids enobudlova. Ziholela ekulimaleni, ukuvuvukala nezinye izinguquko ezonakalisayo.
I-Reflux-esophagitis - degree
Izinga lapho izimpawu ze-reflux-esophagitis zibonakalisa ngokucacile, futhi ukwelashwa okusetshenziselwa ukuqeda, kuxhomeke ekutheni izinga lokuthuthukiswa kwalesi sifo kuncike. Isigaba samazwe ngamazwe sithatha ukwahlukana ngezigaba ezinjalo:
- I-reflux-esophagitis 1 degree ikhonjwa uma ububanzi be-mucosa ethintekile engadluli kumamitha angu-4-5. Ukushona kwalesi sikhulu kungabalwa, kodwa akufanele bahlangane.
- Ngezinga lesibili lesi sifo, izindawo eziningana zezinkinga ezinamaphesenti angaba ngu-5 mm zitholakala ku-mucosa esophageal. Ama-ulcers angabumbana, kodwa ungahlali kuwo wonke umhlaba.
- Uma i-mucosa ye-esophageal ibhujiswa ngaphansi kuka-¾, isifo sathuthuka sesigaba sesithathu.
- Njengoba i-reflux-esophagitis isine yesine, umonakalo uthatha amaphesenti angu-75 noma ngaphezulu kwendawo yonke. Kwezinye izimo isilonda esingapheli singatholakala ngisho nangesikhathi sokuhlolwa.
I-Reflux-esophagitis - izimbangela
Ngaphambi kokuba uqale ukuxilonga i-reflux esophagitis, izimpawu kanye nokwelashwa okungafani ngazo ezimweni ezahlukene, kubalulekile ukuqonda ukuthi kungani inkinga ivela. Isizathu esiyinhloko ukuphazanyiswa kwesiphincter esingaphansi kwe-esophageal. Ngenxa yokuthi ithoni yakhe isinciphisa kakhulu, uhlale evulekile - kancane noma ngokuphelele. Ngenxa yalokho, okuqukethwe kwesisu kungasifinyelela kalula i-esophagus.
Njengomthetho, i-reflux esophagitis engavamile noma engapheli iqala ngokumelene nesizinda se:
- ukukhululeka okwesabekayo;
- uketshezi lwamakhemikhali;
- ukucindezela okwandayo ku-peritoneum;
- i-hernia yokuvulwa kwe-esophageal ye-diaphragm;
- i-gastritis ;
- ukukhuluphala;
- ukunciphisa ukuhlukunyezwa;
- ukungondleki;
- izilonda zesisu nezilonda ze-duodenal;
- ukubhema;
- ukuphathwa kabi kotshwala;
- ukukhulelwa;
- ukusetshenziswa ngokweqile kwekhofi, ushokoledi, izinongo.
I-Reflux-esophagitis - izimpawu
Kubalulekile ukwazi, ngoba ekuqaleni i-reflux-esophagitis, izimpawu zayo, zizoqunywa, futhi ukwelashwa kuzoqala, kuphakama amathuba okuba nomphumela omuhle wezokwelapha. Zonke izibonakaliso zesifo zingahle zihlukaniswe ngokomzimba zibe yi-extra-esophageal and esophageal. Lokhu kuhlanganisa:
- ukuphuza njalo, okuyinto eyenzeka, njengomthetho, emva kokudla okuseduze;
- ukugcoba nge-ukunambitheka okumuncu okungavamile, okuvame ukushiya umuzwa "we-coma emqaleni";
- ubuhlungu emkhakheni wesifazane;
- isisindo esiswini;
- ukuvula;
- ukuphonsa izinsalela zokudla ezingekho emthethweni emlonyeni.
Ezimpawu ezengeziwe ze-reflux esophagitis kufanele ukhokhe ngokukhethekile. Ezinye zazo zingase zibonakale zingahambisani neze nezifo zomuthi wamathumbu, kodwa zikhomba ku-RE:
- Iziguli eziningi ezine-inflammation of the esophagus zikhononda ngokubukeka kwemizwa engathandeki, njengokukhwa, ukuvutha, umkhuhlane. Ezimweni eziningi, izimpawu ezinjalo zenzeka ezifweni ze-pharynx. Uma i-reflux, ingavela ngenxa yokukhipha ukudla okungagciniwe ngokuphelele, hhayi kuphela ku-oophagus, kodwa futhi iphakeme emqaleni.
- Isikhumba nge reflux-esophagitis - into engalindelekile, kodwa evamile. Abanye bayamamukela ngephutha lesi sibonakaliso sokubonakaliswa kwe-bronchitis. Ukudideka nokuhlaselwa kokuhlushwa ebusuku. Kodwa uma "i-asthma" noma "i-bronchitis" ihambisana nezibonakaliso zezifo ze-GIT, kufanelekile ukuvela ku-gastroenterologist.
- Izinhlungu zenhliziyo nazo ziwuphawu lokuvuvukala kwe-mucosa esophageal. Ngenxa yalokhu, ochwepheshe batusa ukuthi uma ukuzwa okungahambi kahle kwenzeka enhliziyweni bahlola ngokugcwele umzimba.
- Izimpawu ezingenzeka kungenzeka zihlanganisa i- caries kanye nokubhujiswa kwezinyosi zamazinyo, okwenzeka ngokungahambisani nesikhathi eside sokuvezwa kwamazinyo e-hydrochloric acid.
I-reflux-esophagitis - ukwelashwa
Ukwelashwa okuphumelelayo kakhulu kubhekwa ukuthi kuqaliswe ekuqaleni kwezinyathelo noma ngesikhathi sokukhukhumeza. Njengoba ukwelashwa kwe-reflux esophagitis akunakwenzeka ngokuphelele, kuyinto efiselekayo ukuthatha izinyathelo ngokushesha ngemuva kokuvela kwezimpawu zokuqala - ukumisa ukuthuthukiswa kwesifo, kuze kube yilapho kubangele ukulimala okukhulu kulesisifo. Ngemva kokuthola ukuxolelwa okuqinile, iziguli eziningi zikholelwa ukuthi ukugula sekuphelile futhi ukuyeka ukunamathela ezincomo. Ungenzi lokhu, ngoba ukugula kungabuyela futhi ucabange ngendlela yokwelapha i-reflux esophagitis, kuzodingeka futhi.
I-Reflux-esophagitis - ukwelashwa, izidakamizwa
Kunemigomo eminingi yokwelashwa, futhi ukuqala ukwelashwa kwe-reflux esophagitis, ephumelela kakhulu kubo inqunywa ochwepheshe. Ukuzikhethela kwenziwa ngamasu:
- Ungaphathwa ngomuthi owodwa, kodwa lolu hlelo alucabangi izinga lokuguqulwa kwezicubu futhi ezimweni eziningi kubhekwa ukuthi liphumelela kakhulu.
- Ukwelapha ukwelashwa kuyanda kakhulu. Isimiso salo esiyinhloko ukuhlinzeka ngemiphumela yamandla ehlukene yezidakamizwa ngezigaba ezahlukene zokuvuvukala. Ukwelashwa kuhilela ukudla kanye nezidakamizwa . Uma inhlanganisela eyodwa yezidakamizwa engasebenzi, udokotela uzama enye.
- Ukwelapha iziguli ezine-reflux ezinzima, ezisetshenzisiwe eziqinile, ezithathelwa yi- prokinetics ebuthakathaka, lapho izimpawu zisekela.
Iningi labachwepheshe libhekisela emithini enjalo:
- I-Pantoprazole;
- I-Roxatidine;
- Rabeprazole;
- I-Famotidine;
- Esomeprazole;
- I-Gastal;
- I-Maalox;
- Rennie;
- I-Phosphalugel;
- Ranitidine;
- I-Almagel;
- I-Gaviscon.
Ukwelashwa kwe-reflux-esophagitis ngamakhambi abantu
Kunezindlela zokulwa nale nkinga ngemithi ehlukile. Kodwa ukwelashwa kwe-reflux-esophagitis namayeza omuntu kuthatha kuphela ukungabi khona kwezinkinga. Ngaphambi kokusebenzisa lokhu noma iresiphi, kungcono ukubonisana nochwepheshe. Imithi engenabungozi, kodwa ephumelelayo yilezi zitshalo:
- intaba yentaba;
- i-dandelion;
- i-mint;
- i-plantain;
- i-blackberry;
- dill.
Ukwelashwa kwe-flax reflux
Izithako:
- imbewu yefilakisi - 2 tbsp. l.;
- izimbali ze-chemist's daisy - 2 tbsp. l.;
- I-Leonurus - 1 tbsp. l.;
- izimpande zelayisensi - 1 tbsp. l.;
- ilamula lemon - 1 tbsp. l.;
- amanzi - 0.2 amalitha.
Ukulungiselela nokusebenzisa:
- Bilisa amanzi.
- Hlanganisa zonke izithako endishini eyodwa bese uthele amanzi abilayo.
- Emahoreni ambalwa, lapho iqoqo lifakiwe, lishintshe.
- Thatha izikhathi ezine ngosuku for 1/3 indebe ukunciphisa acidity nokukhulula ukuvuvukala.
Yidla nge-reflux esophagitis
Ukudla okunempilo ezifweni zendlela yokugaya ukudla kubaluleke kakhulu. Kuzosiza ukulungisa isimo esimweni se-RE. Amathiphu ambalwa azosheshisa ukuxolelwa futhi axwayise ukuphindaphinda:
- Ngaphambi kokudla, uphuze ingilazi yamanzi namanje.
- Ukudla kuyadingeka i-fractional. Izingxenye zithatha ezincane. Yidla izikhathi ezingu-6 ngosuku.
- Kuyinto efiselekayo ukulahla utshwala ngokuphelele. Kodwa uma lokhu kungenakwenzeka, okungenani zama ukungawusebenzisi esiswini esingenalutho.
- Emva kokudla, awukwazi ukulala phansi. Kungcono ukuhlala noma ukuhamba ukuhamba.
- Ungadli ebusuku.
Kusukela kumenyu nge reflux-esophagitis kubalulekile ukukhipha:
- amafutha;
- ukubhema;
- okumnandi;
- inhlabathi;
- i-soda;
- ikhofi.
Faka ukudla okufanayo ku-reflux esophagitis kufanele:
- ubhanana;
- iphalenda;
- i-kefir;
- i-cottage shizi;
- ama-peaches;
- amapheya;
- compote (kusuka emahlathini rose noma izithelo omisiwe);
- ama-yogurts.
I-reflux-esophagitis - ukwelashwa okuhlinzekwayo
Lolu hlobo lwezokwelapha luvunyelwe futhi. Kodwa nge-reflux-esophagitis, ukuhlinzekwa kunqunywe kuphela ezimweni lapho izindlela ezizimele zihlulekile, futhi ukugula kuqhubeka nokuthuthukisa. Izinkomba zokuhlinzwa zisabhekwa njengenkambo eyinkimbinkimbi yesifo - ngokuphuma kwegazi, izilonda, i-epithelial dysplasia - nokuba khona kwe-hernia yokuvulwa kwe-diaphragm.