Alamun da kuma lura da biliary reflux gastritis

pathologies na narkewa kamar tsarin kowa tsakanin yawan jama'a. Common cututtuka dangantawa da reflux. Menene su halaye?

reflux esophagitis

A cuta ne na kullum kumburi da esophagus, wanda aka sa ta m lamba tare da shi acidic ciki abinda ke ciki. A Pathology hade da gazawar da ƙananan esophageal sphincter, wanda kullum kare esophagus daga shigar azzakari cikin farji na ciki ruwan 'ya'yan itace.

M biliary reflux gastritis

Wannan nau'i ne halin da ci gaban m kumburi a cikin mucous membrane a sakamakon daukan hotuna zuwa bile a cikin abun da ke ciki na abinci bolus. Da dama jinsin bambance-bambancen karatu na m gastritis:

1. Esogastritis babban bayyanuwar ne kadan hyperemia da kuma kumburi daga cikin ciki bango. Yana thickens kuma rufe da wata Layer na lokacin farin ciki gamsai. A mucous membrane yana da kananan petechial hemorrhages da yashewa.
2. Fibrinous gastritis, a cikinsa wani bango kafa epithelial necrosis zones infiltrated fibrinopurulent surkin jini exudate. Bayyanuwar wannan sabon abu - fibrin bakin ciki fim a kan surface na shafa yankunan da mucosa. Na waje gastritis halin looseness daga cikin fim, da kuma lokacin da yana da zurfin kumburi Fused da epithelium.
3. Necrotizing gastritis, a cikinta, a Bugu da kari ga sauran rinjayar epithelial mucosa yadudduka. Karkashin necrosis fahimta cell mutuwa a ƙarƙashin rinjayar m dalilai.
4. Surkin jini gastritis - mafi tsanani nau'i na kumburi. A tsari na iya unsa duk yadudduka na ciki, wanda babban mai barazana ga perforation. Bayyanuwar wannan embodiment - gaban exudate, amma kuma m infiltration mucosal leukocytes.

Kullum biliary reflux gastritis

Wannan irin halin da hade da kumburi da degenerative mamaki. Regular Mashigin bile da pancreatic enzymes a cikin ciki take kaiwa zuwa cin gaban na kullum kumburi. Har ila yau, wannan fom na iya zama sakamako ne na m gastritis. A sakamakon alkalinity a cikin mucosa ƙãra yawa na histamine, wanda ya sa ya edematous da erythematous.

pathogenesis

Tsakanin ciki, ya antrum da duodenum yana da wani sphincter, wanda aka kira "tsaron". The aiki na wannan tsoka directed Matsar chyme (bolus) daga ciki a cikin hanji domin kara narkewa da m sha na gina jiki. Rushewa daga cikin sphincter iya kai wa ga abin da zai ci gaba biliary reflux, gastritis, magani na wanda bukatar a hade da kwayoyi da kuma rage cin abinci. Don wannan cuta sakamakon a untimely bude na sphincter, inda a dunƙule na abinci ga wanda shiga bile samar da hanta da baya a cikin ciki. Abun da ke ciki bile yana da wani detrimental sakamako a kan jihar ta mucosa. Ya ƙunshi salts, acid da kuma enzymes suna kira ta'adi dalilai.

etiology

A Sanadin biliary reflux gastritis hade da wani matsalar aiki na samfur na sphincter - tsaron. Don wannan zai iya haifar da wani m baki cewa rinjayar da motility na gastrointestinal fili. Har ila yau daga cikin etiologic dalilai za a iya gano cututtuka kamar hepatitis, na kullum cholecystitis da duodenitis. Rauni daga cikin tsokoki na sphincter da kuma kara matsa lamba a cikin hanjinsu ne sau da yawa a cikin hanyar gastritis, kuma wannan zai iya kai wa ga wata yawan pathologies daga cikin gastrointestinal fili. A muhimmiyar rawa na predisposing dalilai. Alal misali, akai danniya an rage mucosal m Properties, kuma shi ya sãɓa weaker mataki irritants. Haka ya shafi wadanda ba steroidal anti-kumburi kwayoyi cewa kara hadarin gastritis sau da yawa. Wadannan kwayoyi shafi prostaglandin kira, kuma suka yi wani muhimmin aiki - a ta da samuwar gamsai da finjãlin giya Kwayoyin, wanda qara shamaki Properties daga cikin mucosa. Anti-mai kumburi kwayoyi hana enzyme cyclooxygenase, kuma, da ita rage adadin prostaglandin, ya kuma inganta adadin gamsai.

By samuwar reflux esophagitis sakamakon ascites, sakamakon kara matsa lamba a ciki constriction pyloroduodenal rami. Ƙarin dalilai na iya sa matalauta rage cin abinci, m tufafi, magani, danniya da kuma shan taba. Wannan sabon abu na iya faruwa a lokacin daukar ciki, to, shi ba a hade tare da Pathology.

Biliary reflux gastritis da reflux esophagitis: Alamun

Babban bayyanar cututtuka na reflux esophagitis ne ƙwannafi da kuma acid eructation, wanda yawanci faruwa bayan da abinci, da kuma lokacin da tilted gaba. Complementing wannan shi ne wani? Unci a cikin epigastric yankin.

Aukaka asibitin bambanta biliary reflux gastritis. Alamun wannan cuta sun hada da zafi da sauran cuta. Sau da yawa marasa lafiya damu ji na cikar kuma bloating, kazalika da tsananin epigastric. Pain yawanci bayyana komai a ciki, kuma su tsanani iya zama daban-daban - daga mai tsanani m zuwa aching. Sau da yawa akwai amai.

bincikowa da

Ganewar asali na biliary reflux gastritis ne da za'ayi bayan dauke da fitar musamman bincike da kuma anamnesis. Wasu gunaguni, ba su isa, su taimaka kawai zaton ci gaban da cutar. Da farko, da mãsu haƙuri ne directed zuwa ceto na tumbi, inda masana gane occult jini. Har ila yau, dole ne ne da za su gudanar EGD da cewa taimaka wajen gani tantance jihar da mucous membrane, don gane da waxannan cututtukan foci. Kara matsa lamba a cikin duodenum za a iya ƙaddara da manometry.

Reflux esophagitis kamu advantageously radiographic Hanyar yin amfani da bambanci wakili. Wannan hanya ba ka damar waƙa lokacin zaben 'yan wasa na ciki abinda ke ciki a cikin esophagus. Haka kuma an bada shawarar a gudanar da wani endoscopy, wadda za ta tantance yanayin mucosa kuma dauki nazarin halittu abu don kara binciken.

magani

Biliary reflux gastritis da reflux esophagitis bukatar nan da nan magani. Wannan zai taimaka inganta haƙuri da yanayin da kuma kauce wa yiwu rikitarwa. Bayan ganewa na esophagitis kamata bari miyagun halaye, kazalika da m motsa jiki a cikin ciki yankin.

Drug far dogara ne a kan nada antacids cewa rage m rinjayar na ciki da ruwan 'ya'yan itace a kan esophageal mucosa. Daga cikin su akwai "Almagel", "Maalox" amfani da kudi. Su rufe bangon daga ciki da ƙananan acidity.

Bugu da kari, shi ne shawarar yin amfani da kwayoyi da rage mugunya da na ciki da ruwan 'ya'yan itace ( "omeprazole"). Prokinetics iya inganta sautin na sphincter, wanda shi ne kariya ta Jefo acid. "Motilium" iya rarrabe tsakanin irin kwayoyi da kuma "Motilak". Idan ra'ayin mazan jiya jiyya zai kasa, tiyata iya da ake bukata, wanda yana da za'ayi tare da taimakon endoscopic kayan aiki.

Ta yaya ne lura da irin cututtuka kamar biliary reflux gastritis? Alamun da kuma lura da wannan cuta suna inextricably nasaba. Marasa lafiya bukatar hadaddun pharmacological da kuma wadanda ba miyagun ƙwayoyi matakan, wanda zai inganta yanayin, rabu da mu da na asibiti manifestations. Da farko wajibi ne a normalize da rai - ba up miyagun halaye, ta dace abinci mai gina jiki. Daga cikin magani shirye-shirye yawanci sanya histamine tsoka mai amsa sigina blockers wanda rage mugunya. Gastroprotectives yi ba tare da - da suka bugun sama da warkar da mucous membrane raunuka. Bugu da ƙari kuma, shi ne wajibi nauyin bile acid, da cewa yin amfani da ursodeoxycholic acid. Kare da kan chyme a ciki don taimaka kwayoyi kamar "Domperidone" da "metoclopramide".

rigakafin

Hana samuwar biliary reflux gastritis da esophagitis taimaka dace abinci mai gina jiki da kuma dace ganewar asali na pathological tafiyar matakai. An shawarar su hana gudanarwa na yau da kullum endoscopic Nazarin, wanda zai taimaka wajen gano cutar a wani wuri mataki. Wannan zai kara da tasiri na ra'ayin mazan jiya magani don kauce wa tiyata da kuma abin da ya faru na tsanani da rikitarwa.

Bugu da ƙari kuma, shi ya kamata a inganta da shamaki Properties daga cikin mucosa. An shawarar daina miyagun halaye (ko rage su zuwa m), kokarin ci lafiya abinci da kuma kauce wa stressful yanayi.

Har ila yau predisposing factor ne m amfani da nonsteroidal anti-kumburi kwayoyi da rage gamsai samar a ciki, sakamakon mucosa zama m. A muhimmanci irin rawa da yin rigakafi da jiyya da wuri na concomitant cututtuka.

Matsalar da ya faru na biliary reflux gastritis da esophagitis ne dacewa, kamar yadda wadannan yanayi na iya ba kawai worsen da yanayin haƙuri, amma kuma haifar da rikitarwa. Dace ganewar asali damar magani don fara a kan lokaci.