Gerd: Zviratidzo, semiotics, kupatsanura uye kurapwa

The Acronym Gerd (gastroesophageal reflux chirwere) mukurapa zvinoreva chaiyo zvokurwara chokuita reflux mudumbu zviri munzvimbo distal (dzapasi) zvikamu yegurokuro nokuda insufficiency ari cardiac sphincter, izvo mune muviri utano zvachose pamhango dzezvimwe inopa kuparadzana mitumbi miviri. Panyaya iyi, nechirwere huratidzwe dzose panyaya pathological Kudzingwa, asiri kuda kurutsa uye kurutsa, uyewo anastaltic kufamba.

Gerd: Zviratidzo, semiotics, kupatsanura uye kurapwa

Gastroesophageal reflux chirwere chinogona kuitika chero zera uye kunoratidzwa kwayo kwenguva. Saka, muna chirwere mukuru ndiye anenge 50% pasinei pabonde. At 10 muzana vakabvunzurudzwa ne EGD akacherekedza morphological zvachinja nhengo mucosa (chaizvoizvo nayo erosive fomu). Gerd muvana kunoonekawo tichishandisa kazhinji, kunyanya mu vacheche, nokuda kukundikana Cardia.

The pathogenesis pamusoro Gerd

Pathogenetic Gerd budiriro dhayagiramu iri dzakaonekwa uchishandisa ph-Muedzo yegurokuro uye mudumbu. Esophageal iine acid chezvinonhuwira hwakanaka munhu 6 zviyero, zvichiratidza kuti zvishoma acidic kwezvakatipoteredza. Kana Gerd ph ukoshi iri akatura kuna 4, iyo inenge kaviri uzvirasire-kugutsikana kunowedzera sehasha kuti nhego masvingo. Mudumbu, zvakajairika ph ukoshi ari pamwero 1.5-2, asi kukuvadza hakuitiki, sezvo mucous kudzivirirwa madzihwa zvinoberekwa parietal masero.

Aggressive gastric zviri mukati yegurokuro huchikandwa kana cardiac pulp iri kushomeka kupa Kusiyanisa zvenhau nhengo. mamiriro iyi inonzi esophageal sphincter simba uye kunoratidzwa munyaya kuwedzera kutandara pamusoro Zvikamu, semuenzaniso, pamwe kakawanda ingestion makuru zvidimbu zvokudya zvikukutu. Ichokwadi zvakare predisposing chinhu, izvo zvichaita nokusamira mune hurongwa 3-hgodichnogo kudzokororwa kuchaita kuti Gerd, ndiyo tsika akaisa kundorara pashure kudya. Kutaura zvazviri, zviri zvizere dumbu ari wehunyambiri nzvimbo muviri hausi kukwanisa kushanda cardio. Zvisinei, kana ichi chinoitika kune supine nzvimbo pamwe Mhedziso mukana.

Panguva kupatsanura Gerd kunokonzera hernial protrusion rinosanganisira hiatal kuti rinopa rakawedzera motility pakati yegurokuro uye haritsigiri haasaruri yokunze compression panguva cardiac orifice.

Gerd Zviratidzo

The chikuru mamirire zviri zvokurwara ndiyo zvichemo dzevarwere pamusoro rinopfuta marwadzo bhokisi kuti kunoitika anenge pakarepo mushure kudya. Kana kuchinja muviri nzvimbo (akarara pasi chinjikira penyika, tichingoti ari lateral kana frontal ndege) riri ndanyadziswa vira manzwiro ari pachipfuva. regurgitation Patient hanya, havachanyatsogoni kumedza, marwadzo chokuita kupomba nokuda kukuvara nhego mucosa. Pakuparadza zvokudya zvikukutu kuputswa kunyange paaifanira mastication, nepo mvura uchipfuura pachena, asi chinoita kusagadzikana nokuda tembiricha (kupisa kana kutonhora) anotikurudzira kuti wakaremara nzvimbo. In Gerd zviratidzo akafanana angina, asi musiyano haisi mumuviri mutoro uye kudya.

Kurapa Gerd: pharmacotherapy uye zvaidiwa zvokudya

Muutongi pokuita nezvokudya murwere vanofanira kunzwisisa kushandisa chikafu kakawanda uye mune diki chipimo chemushonga migove. Inofanira akapwanyika kana rikamunya muchindwi kwazvo. tembiricha yayo haifaniri kuva madhigirii anopfuura 40. Pharmacotherapy unotora hwepurotoni pombi FIs, prokinetics, uye histamine H2 Kanotokonya blockers azvaitwa basa chiremba zano. Kana pakurapa Gerd zviratidzo aenda, mishonga iri mberi pakuita mishonga vachishandisa wokutanga uye wechitatu makirasi rataurwa zvinodhaka.