A pathogenesis na Gerd, magani da kuma m matakan

Gastroesophageal-reflux cuta (Gerd) ne na kowa pathological yanayin, musamman tsakanin manya. Yana da matukar nuni da cewa kimanin 10% na dukan marasa lafiya da suka routinely ko ga wani alamomi bincike gudanar da wani binciken na esophagus, ciki, da kuma 12 duodenal miki, wahala daga Gerd da esophagitis erosive yanayi.

Pathogenetic substantiation da cutar

Aiwatar da factor da wannan cuta ne m matsakaici na ciki ruwan 'ya'yan itace, yayin da predisposes jefa a cikin annashuwa esophageal rami cardiac sphincter. Game da karshen, dole ne a ce wannan halin da ake ciki shi ne saboda hiatal hernia , ko saboda m abinci gwamnatin, a shafe rare m abinci tare da azumi bai cika daukan taban abinci, musamman kafin lokacin kwanta barci.

Gerd: pharmacological magani

Kamar yadda da mafi cututtuka na narkewa kamar fili, domin lura da Gerd ne hadaddun da ya shafi yin amfani da dama azuzuwan da kwayoyi. Daga gare su, histamine blockers da antacids. Na farko da kungiyar hada da sashi mafi tasiri wajen ragewan da proton maida hankali a ciki ruwan 'ya'yan itace, ta haka ne rage ta acidity, kuma saboda haka da kuma mutunci. Wannan magani omeprazole, pantoprazole, lansoprazole, esomeprazole. A gaskiya ma, cikin muhimman hakkokin bambance-bambance da suke yi ba, amma an yi imani da cewa idan mutum shi ne damuwa game da sabon abu na esophagitis kuma esophageal ulcerations, mafi kyau amfani da karshen biyu kwayoyi. A wannan yanayin, esomeprazole yi ne "zinariya misali" tsakanin antacids na zuwa aji na proton famfo hanawa. Abin lura shi ne cewa ko da mafi m wakilin aji - omeprazole - a lokacin da samun wani kashi na 40 MG da yake iya kimanin 4 days gaba daya "kashe" da secretory tubules a ƙarin Kwayoyin na ciki.

Na biyu kungiyar ne blockers na histamine H2 rabe. Danniya na aiki ya hana histamine lamba tare da shi, da kuma, sabili da haka, a kunna saki na enzymes da kuma acid gland na ciki bango. A wannan yanayin na da manya-manyan iri-iri na kwayoyi likita zaɓa hanya mafi ganiya hade tare da m illa ga wata musamman haƙuri.

Gerd: magani dangantaka da gwamnatin

Domin da Pathology na Gerd magani hada da ba wai kawai da muka ambata a sama pharmacological jamiái, amma kuma wani canji a salon. Daga cikin su akwai irin wannan m matakan matsayin m rage cin abinci, jigon wanda yake a cikin m fractional samun kananan rabo abinci tare da m daukan taban. Yana da unacceptable don amfani da kayayyakin, ko jita-jita traumatized ko adversely shafi esophagus, saboda zafi abinci ya kamata a cire, tsawon lokacin da magani (iyakar 2 months). Yana yiwuwa a ci a dumi ci abinci, ba m da yaji. Har ila yau, ya kamata dena 'ya'yan itatuwa da kuma juices, kamar yadda suka yi a kai tsaye traumatic sakamako saboda Organic acid.

Yana da muhimmanci ga rage cin abinci - shi ne isasshen sauran bayan da abinci. Mutane da yawa da suke da Gerd cutar kawai fara} hanzari succumbing ake kira takamaiman tsauri mataki na abinci, a cikin abin da yanayin jiki yakan by 1 digiri, drowsiness bayyana. A sakamakon haka, marasa lafiya suna kawai suya gado. Duk da haka, wani mutum bayan da wani abinci ya kamata game da 1.5 - 2 chasa a karkata zuwa ga gaskiya, ko a zaune wuri, Ina nufin wani wuri inda ciki bango an ba miƙa damar da abinda ke ciki zai iya jefa cikin esophagus.