Isifo se-gastroesophageal reflex, kwaye yiyiphi imishanguzo yokutshatyalaliswa kwentlungu eqoka iingcali

Ukuguquka kwesifo yisifo esiqhelekileyo kuninzi lwethu. Kwindlela yokwelapha, ukuguquka kwentlungu kubizwa nangokuthi-isifo se-gastroesophageal reflex, esenzeka xa kusebenza ukusebenza kwe-oopopus. Kwamazwe aphuhliswe kakhulu ase-USA, malunga nama-50% abantu abakhonkcola ukutshiza iYurophu yaseNtshona. Ngenxa yoko, abaninzi abantu bayazibuza: yiyiphi imveliso yokuphatha isisu? Ngokwenzululwazi yaseRashiya, ukuvakalelwa kweengxaki ezixhalabisayo malunga ne-17-45% yabemi.

Uninzi lweempapasho zanamhlanje lubonisa ukuba imbangela enkulu yokubamba ukunyuka kwengqondo yinkqubo yokutya kwesisu esiswini. Kukho nedatha yokuba ngaphezu kweHCl yejusi yesisu, umphumo owonakalisayo kwi-mucosa yesisu ibonakaliswe ngama-enzyme (propsolytic and lipolytic enzyme) (i-pepsin, lipases), i-bile acids kunye ne-enzyme ye-pancreatic. Xa umsebenzi we-valve esophageal iphukile, iziqulatho zesisu ngokubuyiswa kwe-retrograde (ukubuyela phambili) ukunyakaza ungene kwi-esophagus. Le nkqubo ihambelana nokuvakalelwa okungathandekiyo. Kukho ukutya kunye neziphuzo ezivusa ukutshaya (i-oily, ukutya okuthosiweyo, iintint, ikhofi, ishokoledi, iziphuzo zotywala kunye ne-carbonated drinks). Kwakhona, ezinye izinto zingabangela iingubo ezinxibekileyo zokugcoba, ukuzisebenzisa, ukukhulelwa, ukutshaya, ukuxinezeleka. Ngokuqhelekileyo uvakalelo lwenkohlakalo luvela ngokusetyenziswa kwe-aspirin, iipilisi zokulala, i-spasmolytic, i-antihistamines, i-sedatives. Kubasetyhini, xa usebenzisa iipilisi zokukhusela.

Iimpawu zokubhukuda zibonakaliswe ngolu hlobo lwesifo esivuthayo kwindawo ephezulu yesigxina esiswini, le ntliziyo igxininiswa xa i-torso ifakwe. Ukuba ukutshabalalisa kubonakalisa iimpawu ezongezelelweyo - ukuvakalelwa, ukunciphisa ukutya, isisu, ukuhlanza ngegazi, ubuhlungu besifuba nesifuba, ukunyuka kwesifuba, kufuneka udibanise nangoko uchwepheshe. Imiqondiso engapheliyo yokubhukuda ingabonisa i-esophagitis (ukuvuvukala kwesisu), okanye i-oncogenes kwisisu kunye ne-esophagus. Kufuneka kuqatshelwe ukuba ngisho neentsana zinokuziva zivakalelwa. Oku kubangelwa ukuba iintsana (ukuya kwiinyanga ezi-6-12) emva kokutya kunokuhlaziya. Kuloo bantwana abaneengxaki ezinjalo, ukuguquka kwentlungu kunokuhamba kunye ne-asthma, ukuvuvukala kwe-larynx kunye nemiphunga.

Izifo ezininzi ze-gastroesophageal reflex zibhekwa njengesinye sezifo ezixhomekeke kwi-asidi, kuba i-hydrochloric acid iyona nto iyona nto ibonisa ukuba i-pathogenetic eyona nto kwaye uphawu oluphambili - ukuqubuka kwegazi, kunye ne-esophagitis. Ukungasebenzi kwe-sphincter yokutya esezantsi kunokuhlakulela ngokumelene ne-scleroderma, ukukhulelwa, kunye nokutshaya, ukusebenzisa iyeza-mveliso ezinciphisa i-tone ye-muscle elula (Teofilin, adrenoblockers).

Amachiza okutshiza. Oogqirha banciphisa ukusetyenziswa kwamanqatha, ukutya okuthosiweyo, ushokoleta, ikhofi, itiye eqinile, utywala, i-citrus, i-garlic, i-anyanisi, njl njl. Ulwaphulo lujoliswe ekunqumeni intlungu. Ngenxa yoko, isigulane siyadingeka ukuba sithathe amalungiselelo anqamlekileyo (Megapak, Milanta, Maalox, Fosfalugel, Topalcan, Gaviscon) indlela yokusebenza isicwangciso sokunciphisa ubunqunu kwisisu. Kufuneka kuqatshelwe ukuba ezi zi yobisi zijongwa ngokukhawuleza, kodwa ubude bezenzo buncinane (malunga nomoya wewashi). Ukuthintela, iingcali zincoma ukutya ukutya rhoqo, kwiincinci ezincinci, ukuyihlafuna kakuhle (ukuya kumaxesha angama-30-40). Emva kokutya, musa ukuthatha isikhundla esinqamlekileyo somzimba, ungasebenzisi.

Amachiza okuguquka: unyango olulondolozayo. Ukusebenza konyango kuncinci akuxhomekeke kuphela kwimimiselo yonyango echanekileyo, kodwa nakwindlela yokuguqula impilo. Oogqirha batusa ukuba batshintshe isikhundla somzimba ngexesha lokulala (ngenxa yoko, umgca wekhanda lombhede kufuneka ukhuliswe ngo-15 cm); Yeka ukutshaya nokusela utywala; Ezinye izigulana kufuneka ziyeke ukuthabatha amayeza (i-sedatives, i-tranquilizers, anticholinergics, iintsholongwane ze-calcium, iziyobisi, i-progesterone); Ukuphelisa umthwalo obangela ukwanda kweengcinezelo ze-intra-esiswini.

Amachiza okuguquka: amayeza. Ukunciphisa i-hydrochloric acid, amalungiselelo aphikisayo, asebenzayo, asebenze i-proteolytic enzymes, i-adsorb bile acids kunye ne-lysophosphatidylcholine, kwaye iphumelelise isisu. Ion i-aluminium ions efunyenwe kumalungiselelo aneempembelelo ze-cytoprotective. Kwimichiza yanamhlanje, abantu abaxilongwa ngokuba nesifo se-gastroesophageal reflex bachongwa ngamachiza okugubungela ngesimo seprokinetics, i-cytoprotectors, i-histamine H2-receptor blockers (i-Ranitidine, i-Famotidine, i-Nizatidine, i-Roxatidine). Olu hlobo lokugqibela luvimbela ngokukhawuleza ukugcinwa kwe-pepsins, kunye nokunciphisa ukugcinwa kwe-hydrochloric acid esiswini.

Abanye abantu baphatha ukukhwabanisa ekhaya basebenzisa amayeza omntu: amayeza (i-oregano, i -wort yaseYt . John, i-cumin, i-plantain) kunye neejusi zemifuno (amazambane, iklabishi, ikhukhamba), njl njl.