Zviratidzo uye vabatwe biliary reflux gastritis

pathologies of zvomudumbu ino zvakafanana pakati yevagari. Common zvirwere chokuita reflux. Chii maitiro avo?

Reflux esophagitis

Hosha iri chirwere kuzvimba yegurokuro, izvo zviri kukonzerwa kugara kuonana nayo acidic dumbu mukati. The zvokurwara chokuita kukundikana rezasi esophageal sphincter, izvo kazhinji anodzivirira yegurokuro kubva kupinda ari gastric muto.

Chenjera biliary reflux gastritis

chimiro ichi kunoratidzwa kukura rikwanise kuzvimba ari mucous Kamudzira somugumisiro yokuwana bile ari Kuronga chikafu bolus. Several vakasiyana dzakasiyana pamusoro rikwanise gastritis:

1. Kuratidzwa Esogastritis chikuru pane zvishomanana hyperemia uye kuzvimba mudumbu rusvingo. It richikora akafukidza paiva gobvu madzihwa. The mucous Kamudzira ane diki petechial hemorrhages uye Kuparara.
2. Fibrinous gastritis, sezvamakaropafadzwa rusvingo kuumbwa epithelial necrosis munyika dzine infiltrated fibrinopurulent purulent exudate. The kuratidzwa Fani iyi - fibrin dzakaonda firimu pamusoro pemvura vawirwa nenjodzi yacho mucosa. Zvachero gastritis inozivikanwa looseness firimu, uye kana zviri yakadzika kuzvimba fused pamwe epithelium.
3. Necrotizing gastritis, sezvamakaropafadzwa kuwedzera kune mamwe chinobata epithelial mucosa akaturikidzana. Under necrosis kunzwisisa masero rufu pasi pokudzora hasha zvinhu.
4. Purulent gastritis - wakakura zvikuru muchimiro kuzvimba. The muitiro Zvingasanganisira akaturikidzana ose mudumbu, izvo zvinokonzera kutyisidzira perforation. The kuratidzwa musimboti ichi - pamberi exudate, asiwo zvikuru infiltration mucosal leukocytes.

Chirwere biliary reflux gastritis

Izvi mhando kunoratidzwa mubatanidzwa anogumbura uye chinopedza mananara. Kugara pangapindwapo bile uye pancreatic makemikari mudumbu zvinotungamirira chitange chisingaperi kuzvimba. Uyewo, chimiro ichi chingava migumisiro rikwanise gastritis. Somugumisiro alkalinity ari mucosa vakawedzera uwandu histamine, izvo zvinoita edematous uye erythematous.

pathogenesis

Between mudumbu, ake antrum uye duodenum ane sphincter, yainzi "wegedhi". Basa iri tsandanyama rinotungamirirwa Famba chyme (bolus) kubva dumbu kupinda ura mamwe kugaya kwaizotevera Absorção de Água nezvinovaka muviri. Kuvhiringidza of sphincter kungaita kuti chii rwaizovapo biliary reflux, gastritis, kurapwa izvo zvinoda mubatanidzwa zvinodhaka uye kudya. To ichi chirwere kunoguma kukurumidza hwomukova sphincter, apo bundu zvokudya izvo anobatana bile zvinoberekwa chiropa shure mudumbu. Zvinoumba bile ane tigume mamiriro ayo mucosa. Rine munyu, acids uye makemikari dzinotaurwawo yaiparadza zvinhu.

etiology

Zvinokonzera biliary reflux gastritis kusonganirana atadze kushanda zvakanaka pamusoro sphincter - wegedhi. To izvi zvinogona kukonzera chero kuvhiya kupindira kunokanganisa motility ari nemudumbu. Pakati etiologic zvinhu vangazivikanwa zvirwere zvakadai chiropa, chisingaperi cholecystitis uye duodenitis. Kuneta tsandanyama zviri sphincter uye awedzere nevamwe muura kazhinji mhaka gastritis, uye izvi zvingaita kuti vanoverengeka pathologies zviri nemudumbu. Nezvebasa rinokosha predisposing zvinokonzera. Somuenzaniso, kugara mupfungwa ipfupi mucosal unodzivirira zvivako, uye anodzivisa simba chiito irritants. Izvi zvinoshandawo vasiri steroidal Anti-anogumbura zvinodhaka zvinowedzera mukana gastritis kakawanda. zvinodhaka izvi sei prostaglandin usage, uye yavanobata rinokosha nerevane - kuti vabatsire paumbwe madzihwa nemasero, iyo inowedzera chipingamupinyi ehupfumi ari mucosa wakanwa. Anti-anogumbura zvinodhaka tunodzivisa enzayemu cyclooxygenase, uye pakudaro kunoderedza uwandu prostaglandin, saka uwandu madzihwa.

By nezvekugadzirwa reflux esophagitis zvichizoita ascites, zvichiguma yakawedzera kuomesa ari abdominal constriction pyloroduodenal buri. Zvimwe zvingakonzera kuti murombo zvokudya, zvakasimba zvipfeko, mishonga, mupfungwa uye kusvuta. Fani iyi kunogona kuitika panguva pamuviri, zvino haina chokuita zvokurwara.

Biliary reflux gastritis uye reflux esophagitis: Zviratidzo

The chikuru zviratidzo reflux esophagitis vari chirungurira iine acid eructation, izvo kazhinji kuitika mushure zvokudya, uye kana tilted mberi. Kureva izvi kusagadzikana mune epigastric nharaunda.

Dzakapfuma kiriniki kwakasiyana biliary reflux gastritis. Zviratidzo chirwere ichi zvinosanganisira marwadzo uye zvimwe zvirwere. Kazhinji varwere ainetseka kunzwa zvizere uye bloating, uyewo kwokuomerwa epigastric. Marwadzo Kazhinji kuzviratidza chiro dumbu, uye zvikuru avo kungava zvakasiyana - kubva zvikuru chenjera kuti dzava. Kazhinji kune kurutsa.

Diagnostics

Chirwere pamusoro biliary reflux gastritis rinoitwa mushure kuita tsvakurudzo chaiyo uye anamnesis. Vamwe kunyunyuta hadzikwani, vanobatsira chete zvokufungidzira pakukura chirwere. Chokutanga, murwere inoendeswa chokuendesa mutsvina yadzo, apo nyanzvi kuzviona zvemashiripiti ropa. Uyewo kunofanira ndiko kuita EGD hunobatsira nemaziso kuongorora mamiriro mucous Kamudzira, kuziva chirwere foci. Kuwedzera kumanikidzwa ari duodenum inogona chirevo manometry.

Reflux esophagitis chirwere advantageously nzira radiographic kushandisa kusiyana pomutumwa. Nzira iyi inobvumira kuti chamber nguva kukanda mudumbu zviri mukati yegurokuro. Zvinonzi Dzakamukurudzirawo kuita endoscopy, izvo zvichaita kuongorora mamiriro mucosa uye kutora zvinhu zvipenyu mamwe kudzidza.

mabatiro

Biliary reflux gastritis uye reflux esophagitis inoda kurapwa pakarepo. Izvi zvichakubatsira kuvandudza murwere mamiriro uye tidzivise matambudziko. Pamusoro kuziva miedzo esophagitis vanofanira kusiya tsika dzakaipa, uyewo zvikuru muviri ari abdominal munharaunda.

Drug kurapa inobva kugadzwa antacids kuti kuderedza hasha zvaiitwa gastric muto pamusoro esophageal mucosa. Pakati pavo vane "Almagel", "Maalox" hwaishanda zvazvingava. Ivo envelop masvingo mudumbu uye kuderedza acidity.

Uyezve, Zvinokurudzirwa kushandisa zvinodhaka kuti kuderedza secretion pamusoro gastric muto ( "omeprazole"). Prokinetics vanogona kuvandudza mataurire sphincter, rinova kudzivirira kuraswa acid. "Motilium" kusiyanisa pakati zvinodhaka zvakadaro uye "Motilak". Kana kuchinja mabatiro zvinopera, kuvhiya kungadiwa, iro rinoitwa uchibatsirwa endoscopic michina.

Sei kurapwa kwezvirwere zvakadai biliary reflux gastritis? Zviratidzo uye kurapwa chirwere ichi zvakabatana chaizvo. Varwere zvinoda kunzwisisa pharmacological neasiri zvinodhaka matanho, izvo zvichaita kuvandudza mamiriro, kubvisa pamusoro zvekuchipatara kuratidzwa. Chekutanga zvose zvakafanira normalize upenyu - nokurega tsika dzakaipa, kudya zvinovaka muviri. Pakati gadziriro somushonga anowanzoshandurwa basa histamine Kanotokonya blockers izvo kuderedza secretion. Gastroprotectives kuita pasina - Ivo rikurumidze nokuporesa mucous Kamudzira maronda. Uyezve, zvinokosha kunyorerana bile acids, kuti kushandisa ursodeoxycholic acid. Dzivirirai pakatarisana chyme mudumbu kubatsira mishonga yakadai se "Domperidone" uye "metoclopramide".

dziviriro

Kudzivisa paumbwe biliary reflux gastritis uye esophagitis kubatsira kudya zvinovaka muviri uye nenguva chirwere pamusoro pathological kwendangariro. Zvinokurudzirwa kuti kudzivirira mufambiro dzose endoscopic bvunzo, izvo zvichakubatsira kuziva chirwere yekare kare yemagwaro. Izvi zvichaita tiwedzere kuchinja mabatiro kunzvenga kuvhiyiwa uye panowanikwa chakakomba yematambudziko.

Uyezve, tinofanira kuvandudza chipingamupinyi ehupfumi ari mucosa. Zvinokurudzirwa kuti kurega tsika dzakaipa (kana kuderedza navo kushoma), edza kudya zvokudya utano uye kudzivisa anoshungurudza ezvinhu.

Uyewo predisposing chinokonzera ndiko kakawanda kushandiswa nonsteroidal Anti-anogumbura zvinodhaka izvo kuderedza madzihwa kurimwa mudumbu, zvichiguma mucosa kunova nyore. The rinokosha reDare kudzivirirwa uye mangwanani vabatwe concomitant zvirwere.

The dambudziko panowanikwa biliary reflux gastritis uye esophagitis rinoshanda, sezvo izvi zvinhu varege chete achiipa mamiriro murwere, asi anokonzerawo matambudziko. Panguva Chaiyo chirwere anobvumira kurapwa kutanga nenguva.