Duodeno-gastric reflux

Duodeno-gastric reflux huri iyo zviri kusiyiwa zviri duodenum mudumbu. Chirwere kubva ezvinhu izvi migumisiro pakutsvakurudza mabasa (EGDS ph-metry) pasina kurapwa kuratidzwa hakurevi chinhu. Izvi imhaka yokuti duodeno-gastric reflux munogona zvose utano uye vasiri utano vanhu. Nokuti utano muviri kuratidzwa ichi anonzi dzakasiyana adaptive mashandiro, izvo hairevi kuti pathogenesis kwezvirwere ari zvomudumbu nadzo, uye, kusiyana, anopa kuramba zvirwere izvi. Somuenzaniso, izvi zvinoitika apo Dare kuwedzera gastric acidity. Kana chakakandirwa ichi mudumbu alkali kugutsikana kuwirirana chinokurwadzai acidity ichi. Uyezve, izvi zvingaitika kune kweBumbiro richikwidibira gastric acidity. Saka duodeno-gastric reflux substitutive kunoita zvomudumbu muitiro: ipapo kugaya kushandisa makemikari uye bile kubva rwatata kuti ozeyewa kubudikidza gastric muto mudumbu.

Saka, ino mamiriro chinhu compensatory muitiro. Zvokurwara mamiriro kunonyanya pamusoro pokudzora alkali kugutsikana duodenal gastric mucosa. Mune zvimwe zviitiko pesvedzero iyi ine usingashandi zvazvinoita. Muchiitiko chino, pane kuduku kuchinja muchitokisi histologic hunhu. Uyezve, sezvo mutemo, hapana kuratidzwa chero zviratidzo, kunyange vanenge refu-aripo reflux. Mune zvimwe zviitiko, mamiriro kuraswa zvinoreva mukuru pathogenesis pamusoro pathological kukura. Izvi imhaka chinokosha nezvainoita gastric mucosa alkaline kugutsikana. Muzviitiko zvakadaro, duodeno-gastric reflux kunokonzera kukura mucosal atrophy, kana, mune zvimwe zviitiko, metaplasia. Muchiitiko chino, peptic urikanwi kunogona kuitika, gastric kenza, chirwere gastritis, uye zvichingodaro. Status Kudzingwa akaona pfungwa nomuviri zvemwana asati uye cholecystitis chisingaperi chimiro, cholelithiasis.

Nguva elektrogastroduodenoskopii (EGD) iri hurukuro anongoitika murwere chirwere. Chinangwa ichi tsvakurudzo basa iri kuongorora zvainoita gastric mucosa pamusoro alkali zviri duodenum. Izvi zvinobatsira kuti mangwanani kudzivirira pathological kwendangariro.

Treatment.

Duodeno-gastric reflux, dzakaonekwa netsaona (pa elektrogastroduodenoskopii uye ph metres), uye unobuda pasina iziviswe zviratidzo, kwete nechinangwa kushandiswa ipi neipi yokurapa. Izvi imhaka inoshanda munhu compensatory kwacho. Kana maperembudzi chokuita zviratidzo gastritis reflux dzakakwirira zvikuru kuratidza nokupwanywa mudumbu kurwadza mushure maminitsi makumi mana pashure pokudya, kunzwa shungu kuravidza mumuromo uye dzimwe nguva regurgitation akagoverwa zvinodhaka mishonga. In kugadzwa kurapwa inorangarira kuvapo atrophic pezvakaitwa ari antral mucosa mudumbu. Data izvi pachena elektrogastroduodenoskopii. Zvipatara, muchiitiko ichi rinotungamirirwa kubvisa atrophy. Saizvozvowo kugarotamba nhaka zvinodhaka zvakadai metoclopramide, motilium, cisapride uye nevamwe.

Uyezve, inoratidzwa kuti chirwere kuti duodeno-gastric reflux zvokudya. Haabatanidzi kubva zvokudya mafuta zvokudya, kudukupiswa kuroora kushumira. Muzviitiko zvizhinji zvinokurudzirwa kuti zvinyorwe zvokudya Buckwheat. Harina sei gastric mucosa kunovhiringidza uye anosunga bile. Uyezve, basa rinokosha nzira. Varwere vari zano haana kuenda kunorara pakarepo pashure kudya.