Gastroesophageal mpiaji ọrịa, na ọgwụ ọ bụla maka nrekasi obi inye ọkachamara

Nrekasi obi - a ọrịa na-bụ maara na ọtụtụ n'ime anyị. Na ọgwụ omume, na-akpọ nrekasi obi - gastroesophageal mpiaji ọrịa na-adị mebiri nke esophageal ọrụ. Na ukwuu mepụtara mba, United States, Western Europe, nrekasi obi ọdọhọde banyere 50% nke ndị bi na. Ya mere, ọtụtụ na-ajụ onwe karịa iji gwọọ nrekasi obi? Dị ka nnyocha e mere na Russia nrekasi obi ewute banyere 17-45% nke ndị bi.

Kacha n'oge a mbipụta na-egosi na isi na-akpata nrekasi obi na-na-n'ime nkọlọ nke afo ọdịnaya. Ọzọkwa, e nwere ihe gosiri na mgbakwunye na nke gastric ihe ọṅụṅụ HCl, na-ebibi utịp ke esophageal mucosa ngosi proteolytic na lipolytic enzymes (pepsin, lipase), bile asịd na pancreatic enzymes. Mebiri nke esophageal valvụ, ọdịnaya nke afo ruru ka retrograde (backward) ngagharị n'ime nkọlọ. Usoro a na-esonyere wetara sensations. E nwere ihe oriri ụfọdụ na-aba n'anya na na ịkpalite nrekasi obi (ọdụdụ, e ghere eghe ihe oriri, pepemint, kọfị, chocolate, mmanya na-adụ ọṅụṅụ). Ọzọkwa ime ka nrekasi obi ihe ụfọdụ - uko uwe, omumu, afọ ime, ise siga, nchegbu. Ugboro nrekasi obi na-adị na ojiji nke aspirin, hypnotics, antispasmodics, Antihistamines, sedatives. The inyom - mgbe na-eji ogwu Erere.

Nrekasi obi mgbaàmà pụta ìhè dị ka a ụdị-ere ọkụ nke elu afo, a mmetụta na-enwekwukwa mkpọda nke ahu. Ọ bụrụ na nrekasi obi na-egosipụta ọzọ mgbaàmà - ike ọgwụgwụ, na-ebelata agụụ, ọgbụgbọ, vomiting na ọbara, ihe mgbu na azụ na obi, sweating kwesịrị ozugbo kpọtụrụ ndị ọkachamara. Persistent mgbaàmà nke nrekasi obi nwere ike na-egosi esophagitis (mbufụt nke na nkọlọ), ma ọ bụ onkoobrazovaniya na afo na nkọlọ. Ọ dị mkpa iburu n'obi na ọbụna ụmụ ọhụrụ nwere ike chọpụta mmetụta nke nrekasi obi. Nke a bụ n'ihi na eziokwu na ụmụ ọhụrụ (6-12 ọnwa) mgbe nri nwere ike regurgitate. N'ihi na ndị na ụmụaka ndị nwere nsogbu nke nrekasi obi ike na-metụtara ndị ụkwara ume ọkụ, mbufụt nke akpịrị na akpa ume.

Ọtụtụ gastroesophageal mpiaji ọrịa a na-ewere dị ka otu n'ime acid-metụtara ọrịa dị ka hydrochloric acid omume dị ka isi pathogenetic-akpata na-isi-iriba-ama - nrekasi obi na esophagitis. Dysfunction nke ala sphincter nri pụrụ ịzụlite na ndabere nke scleroderma, afọ ime, nakwa dị ka ise siga, iji pharmaceuticals na belata ezigbo Akwara ụda (Theophylline, blockers).

Ọgwụ maka nrekasi obi. Dọkịta amachi eji nke ọdụdụ, e ghere eghe ihe oriri, chocolate, kọfị, ike tii, mmanya, citrus mkpụrụ osisi, garlic, eyịm, wdg Agwọ na-iji na enyemaka nke nrekasi obi. N'ihi nke a, ọrịa a chọrọ na- antacids (MegaPack, Mylanta, Maalox, Fosfalyugel, Topalkan, Gaviscone) usoro nke edinam nke bụ iji na mbenata acidity ke afo. M ga-asị na ndị ọgwụ ọjọọ na-ji ọsọ, ma oge nke edinam bụ obere (banyere mmụọ nke awa). Na nzube nke mgbochi ọkachamara nwere ike ikwu na-ewe nri mgbe mgbe, obere òkè, nlezianya ịta ya (ruo 30-40 ugboro). Mgbe nri ikpenyeneke kehoraizin ọnọdụ nke ahụ, ọ bụghị na-egosipụta.

Ọgwụ maka nrekasi obi: mgbanwe ọgwụgwọ. Irè nke ọgwụgwọ na-adabere ọ bụghị nanị na ẹkedọhọde ọgwụgwọ regimens, ma na ọrịa ndụ mgbanwe. Dọkịta nwere ike ikwu na a mgbanwe nke ahụ ọnọdụ n'oge na-ehi ụra (n'ihi nzube a isi njedebe nke bed ga-akpọlite n'ọnwụ nke 15 cm); -ezere ise siga, na-aṅụ; Ụfọdụ ọrịa ga kwụsị ịṅụ ọgwụ (sedatives, ọgwụ na-akụjụ, anticholinergics, calcium ọwa blockers, ọgwụ ọjọọ, progesterone); kpochapụ nchegbu, nke akpasu na-abawanye na intra-abdominal nsogbu.

Ọgwụ maka nrekasi obi: ọgwụ. Iji neutralize hydrochloric acid ndinọ antacid ọgwụ ọjọọ na rụọ ọrụ proteolytic enzymes, adsorb bile acid na lysophosphatidylcholine, alkalization a rụrụ afo. Aluminum ion, nke di na preparations igosipụta cytoprotective edinam. Na nkà mmụta ọgwụ ọgbara, ndị mmadụ chọpụtara na gastroesophageal mpiaji ọrịa idepụta ọgwụ maka nrekasi obi dị ka a prokinetic, cytoprotectors, blockers nke histamine H2-ihe nnabata-akụ ọkpọ (ranitidine, famotidine, nizatidine, roxatidine). Adịbeghị anya ifịk ifịk igbochi secretion nke pepsin, ma belata secretion nke hydrochloric acid ke afo.

Ụfọdụ ndị na-eji ọgwụgwọ nke nrekasi obi n'ụlọ na ojiji nke omenala na nkà mmụta ọgwụ: herbs (oregano, St. Jọn wort, thyme, plantain) na juices nke akwụkwọ nri (poteto, kabeeji, kukumba), wdg