Duodeno-reflux gastral - timayesetsa zifukwa ndipo timasankha chithandizo

Duodeno-chapamimba reflux ndi matenda opatsirana omwe amapezeka mu 15% mwa anthu omwe ali ndi thanzi labwino. Nthawi zina zimapezeka palokha, koma nthawi zambiri zimayendayenda ndipo zimayambitsa matenda a gastritis aakulu, zilonda zam'mimba kapena m'mimba, matenda a reflux a gastroesophageal.

Kodi kutentha kwa thupi kumatanthauza chiyani?

Ndili ndi matendawa, zomwe zili mu duodenum zimaponyedwa m'mimba. Kudzipatula kwa khansa yapakhungu ya refodx imapezeka mu 30 peresenti ya milandu yonse. Kwa odwala ena, matendawa amayamba kutuluka-amapezeka mwadzidzidzi pamene akugona kapena chifukwa chochita mwamphamvu. Pa nthawi yomweyo, palibe zizindikilo zooneka, ndipo boma silikhala ndi zotsatira zoyipa pa dongosolo lakumagazi. Choncho, pazochitika zoterozo, DGR monga matenda sichikuwoneka.

Duodeno-chapamimba reflux - zimayambitsa

Matenda amapezeka pamene pali kuphwanya kwa duodenal patency. Chotsatira chake, kukakamizidwa mkati mwa duodenum kumawonjezeka, ndipo kutseka kwa mlonda wa pachipata kumakhala kofooka. Pamene pyloric sphincter sitingathe kugwira ntchito zake zoyambirira, chakudya chomwe chadutsa pa siteji yotsatira ya kuperekera kwa zakudya kumabwereranso mmimba.

Monga momwe nthawi zina matenda a gastritis, a duodenal-chapamimba reflux amachititsa zifukwa izi:

• kusuta;
• chofufumitsa ;
• dysbiosis ;
• zotupa pamapangidwe kapena bile;
• kutenga mankhwala omwe amachepetsanso kamvekedwe kake kosalala;
• helminthic invasions;
• chitukuko chosadziwika cha duodenum;
• Matenda osakanikirana a matumbo ndi matumbo aang'ono;
• kusowa kwa gastrin ya hormone;
• mimba.

Chinthu choyambitsa matendawa chimakhala ndi zifukwa zingapo zazikulu zoopsa. Nthawi zambiri, kukula kwa vuto kumabweretsa:

• kudya kwambiri mafuta ndi zakudya zokometsera;
• chakudya chosakwanira (youma);
• zizoloŵezi zosadya;
• kulandira kwautali kwambiri mankhwala osagwiritsidwa ntchito poletsa kutupa kapena antispasmodics;
• kunenepa kwambiri;
• shuga;
• kupweteka ;
• kusakwanira kwapasitiki.

Duodeno-chapamwamba reflux - digiri

Monga momwe ziliri ndi matenda ena aliwonse, DGR ili ndi madigiri osiyana siyana. Malinga ndi momwe matendawa akuyendera kwa nthawi yayitali, mawonetseredwe a zizindikiro zosiyanasiyana amasintha. Mlingo wa duodenal-chapamimba reflux umatsimikiziridwa ndi chiwerengero cha bile acid zomwe zili m'madera osiyanasiyana m'mimba. Ndipo posachedwa matendawa amapezeka, ndizowonjezereka kupirira.

DGR ya digiri imodzi

Dongosolo lophweka kwambiri ndilo loyamba. Duodeno-reflux gastral ya digrii yoyamba imaikidwa pamene kuchuluka kwake kwa bile kumapezeka mu diploriyamu yothandizira pafupi ndi sphincter. Zizindikiro mu gawo loyamba sizingatheke kuwonetseredwa konse. Ndipo ngati zizindikiro zikuuka, odwala ambiri samamvetsera, poona kuti kusokonezeka kwawonekera chifukwa cha kudya kwambiri kapena kudya "pothamanga" ndipo posachedwa kudutsa.

DGD 2 madigiri

Ambiri amadziwa za matenda awo, pamene matendawa amapita ku gawo lachiwiri. Duodeno-reflux yapakati ya 2 digiri imapezeka mwa odwala omwe amakhala m'kati mwa m'mimba - m'mimba kapena m'munsi. Panthawiyi, zizindikiro zimakhala zomveka bwino ndikudzikumbutsa nthawi zonse, zomwe zimachititsa wodwalayo kuti apite kwa katswiri.

DGR digiri ya 3

Ichi ndi mtundu wovuta kwambiri komanso wosasamalidwa wa matendawa. Chomwe chimatchulidwa kuti duodenal-chapamimba reflux chimatsimikiziridwa pamene zinthu za duodenum zimafika pansi pa mimba ndi m'munsi otchedwa sophgeal sphincter. Gawo lachitatu likuwonetsedwa ndi mawonetseredwe a zizindikiro zonse zazikulu. Komanso, zonsezi zimatchulidwa mwamphamvu ndipo zosokoneza zimapereka kuchuluka kwa ndalama.

Duodeno-chapamimba reflux - zizindikiro

Zizindikiro za GDR zimakhala zofanana mofanana ndi zizindikiro za matenda ena a m'magazi. Izi zimafotokozedwa ndi chiyanjano chawo. Dziwani kuti reflux yachitsulo yokhudzana ndi zizindikiro zotsatirazi:

• kupweteka kwa mtima , komwe kawirikawiri kumachitika pambuyo kudya;
• kunyozetsa komanso zotheka kusanza ndi bile;
• Kugwedeza ndi mpweya kapena kukoma;
• kupweteka ndi kumverera kwa kupweteka kwa mimba;
• kupweteka kapena kupweteka m'mimba;
• kukoma mtima kosatha m'kamwa;
• maonekedwe a chikasu chokasu pa lilime.

Kawirikawiri kawiri kawiri katsitsi kamene kamakhala ndi ubweya. Kukhumudwa kosasangalatsa, monga lamulo, kumayikidwa pamwamba pa mimba. Kupweteka kumakhala kobwerezabwereza ndipo nthawi zambiri kumalekerera. Koma odwala ena amadandaula chifukwa cha ululu waukulu komanso ululu m'mimba mwa mimba, yomwe imawonekera mwamsanga pambuyo pa kudya, yomwe imatulutsidwa kwa maola angapo.

Kodi mungachiritse bwanji duodenal gastral reflux?

Kuti athetse msanga, mankhwala ayenera kukhala ovuta ndipo ayenera kuyamba pamene zizindikiro zoyamba zikuwonekera. Musanayambe matenda a reflux a duodenal, ikani akatswiri kuti mudziwe chomwe chimayambitsa vutoli. Mosasamala chifukwa chake DGR inkawoneka, wodwala akulimbikitsidwa kuti aganizirenso njira ya moyo: osati kumwa mowa ndi ndudu, kukana mankhwala osokoneza bongo, caffeine, Aspirin. Pamene reflux ndikofunika kwambiri kuchepetsa kulemera kwanu ndi kusunga zakudya.

Duodeno-reflux pamtundu - mankhwala ndi mankhwala

Ntchito yaikulu ya mankhwala osokoneza bongo kwa DGR ndi kubwezeretsa ntchito zomwe zimachitika m'mimba mwa m'mimba komanso kuyang'anira ntchito yomwe imatuluka m'magulu. Momwe mungachitire mankhwala a duodenal chapamtima reflux, ayenera kudziwa katswiri. Kawirikawiri madokotala amaika:

1. Prokinetics - Cerucalum kapena Domperidone, - yomwe imapangitsa kuti chakudya chimayambitsidwanso mofulumira, kumangika kwake ndi kupititsa patsogolo pamatope a m'mimba.
2. Kuti muteteze chapamimba mucosa kuchokera ku zotsatira zowopsya za zomwe zili mu duodenum, gwiritsani ntchito Omese, Nexium.
3. Kupirira kupweteka kwa mtima kumathandiza njira monga Almagel, Fosfalugel, Gaviskon.
4. Limbikitsani kuwononga kwa magawo apamwamba a m'magulu pogwiritsa ntchito agonist a serotonin receptors - mosapride citrate.
5. Mankhwala ogwiritsira ntchito UDCX (ursodeoxycholic acid), omwe amachititsa kuti m'mimba muli m'mimba mwa duodenum yomwe imataya m'mimba ndi madzi osungunula komanso osasinthasintha (pakuchita izi kumayambitsa kuthetsa kupweteka, kusanza, ndi kupweteka).

Duodeno-reflux chapakati - mankhwala ndi mankhwala owerengeka

Matendawa amachiritsidwa ndi njira zina. Komabe, akatswiri ambiri amalimbikitsa kuti aziwagwiritsa ntchito ngati mbali imodzi ya mankhwala ovuta. Pozindikira kuti mankhwalawa amachititsa kuti thupi liziyenda bwino, zizindikiro zamtundu ziyenera kusankhidwa ndi madokotala ndipo atangodziwa zomwe zimayambitsa matendawa. Apo ayi, mkhalidwe wa wodwalayo ukhoza kuwonjezereka.

Kodi kuchiza Duodeno-chapamimba reflux ndi zitsamba?

Zosakaniza:

• yarrow;
• Wort John's wort;
• chamomile.

Kukonzekera ndi ntchito:

1. Sakanizani muzitsulo imodzi muzitsulo zilizonse. Mukhoza kutenga "diso ndi diso", momveka bwino mu Chinsinsi sichiyenera kutsatira.
2. Zitsamba zimatsanulidwa ndi madzi otentha ndikuumirira kwa mphindi 10-15.
3. Tiyi imalimbikitsa kumwa tsiku lililonse m'mawa ndi madzulo.

Chithandizo cha duodenal chapamimba reflux ndi mbewu ya fulakesi

Zosakaniza:

• mbewu za fulakesi - 1 tbsp. l;;
• madzi 100 ml.

Kukonzekera ndi ntchito:

1. Mbewu imatsanulidwa m'madzi ozizira.
2. Chosakaniza chiyenera kuikidwa mpaka mbeu iyamba kuphulika. Panthawi imeneyi, ntchentche yothandiza imayamba kuwonekera.
3. Zotsatirazi zimakhala zoledzera m'mimba yopanda kanthu kwa chikho ½ - ½.

Ayr ndi wamatsenga motsutsana ndi reflux ya duodeno-gastral

Zosakaniza:

• muzu aira - 50 g;
• luso - 50 g;
• Muzu wa Angelo ndi 25 g;
• madzi - 1 galasi.

Kukonzekera ndi ntchito:

1. Tengani supuni imodzi ya tiyi yowuma.
2. Madzi wiritsani ndi kutsanulira udzu.
3. Mankhwalawa amafunika kuswedwa kwa mphindi pafupifupi 20. Pambuyo pake, akhoza kusankhidwa ndi kumwa.
4. Kuti chisakanizo chikhale chokoma kwambiri, uchi akhoza kuwonjezeredwa.
5. Muyenera kumwa mankhwala katatu patsiku pa ora mutatha kudya.

Kudya ndi refodx ya duodeno-masewera - menyu

Pafupifupi matenda onse a m'mimba amachiritsidwa ndi zakudya zoyenera. Ndipo DGR sichimodzimodzi. Pamene matenda a reflux amadziwika, amafunika kudya zakudya zofunikira. Chakudya chimene mukudya chiyenera kuwonongedwa bwino. Tikulimbikitsidwa pang'ono, koma 5 mpaka 6 pa tsiku. Odwala amaloledwa kudya zakudya zotere:

• masamba soups, borsch, supu popanda kuwotcha;
• nsomba yophika, yophika kapena yophika;
• nyama zonenepa, nkhuku;
• soseji;
• mazira (osaposa mmodzi patsiku);
• masamba ophika, owiritsa ndi otsekera (makamaka beets ndi kaloti, amadyera);
• chipatso chosakhala ndi acidic;
• compotes;
• kupanikizana;
• chodzola;
• wokondedwa;
• rye kapena mkate wouma pang'ono;
• zakudya zopanda kanthu.

Mndandanda wa zinthu zoletsedwa mwadongosolo zikuphatikizapo:

• mkate watsopano woyera;
• chithumwa;
• kuphika;
• mtanda wokazinga;
• mafuta a nyama, chiwama;
• bowa;
• zokometsera zokometsera;
• nyemba zirizonse;
• chokoleti;
• mikate ndi mafuta kapena zonona;
• ayisikilimu.