Gerd: Bayyanar cututtuka, semiotics, rarrabuwa da kuma magani

A acronym Gerd (gastroesophageal reflux cuta) a magani yakan haifar da takamaiman Pathology hade da reflux na ciki abinda ke ciki a cikin distal (m) sassa na esophagus saboda insufficiency na cardiac sphincter, wanda a da lafiya kwayoyin gaba daya m sarari na samar da rabuwa da biyu jikinsu. A wannan yanayin, da ganewar asali iya nuna a duk lokuta na pathological simintin, wadanda ba tashin zuciya da kuma amai, kazalika da anastaltic ƙungiyoyi.

Gerd: Bayyanar cututtuka, semiotics, rarrabuwa da kuma magani

Gastroesophageal reflux cuta na iya faruwa a kowane zamani da kuma ne halin da mita. Saboda haka, a adult cuta ne kamar 50% ba tare da la'akari da jima'i. A kashi 10 surveyed da EGD alama morphological canje-canje a cikin sashin jiki mucosa (a gaskiya shi erosive form). Gerd a yara kuma gani gwada da sau da yawa, musamman a jarirai, saboda gazawar da cardia.

A pathogenesis na Gerd

Pathogenetic Gerd ci gaba zane da aka gano yin amfani da PH-gwajin a cikin esophagus da ciki. Esophageal acid bangaren lafiya mutum ne 6 raka'a, na nuna cewa dan kadan acidic muhalli. Lokacin da Gerd PH darajar da aka saukar zuwa 4, wanda shi ne kamar sau biyu, da jefa ciki qara mutunci ga sashin jiki katangu. A ciki, al'ada PH darajar a matakin 1.5-2, amma lalacewa ba ya faruwa, tun da mucous kare da gamsai samar da parietal Kwayoyin.

M ciki abinda ke ciki a cikin esophagus aka jefa idan cardiac ɓangaren litattafan almara ne kasa don samar da bambantawa kafofin watsa labarai gabobin. Wannan jiha ake kira esophageal sphincter wani rauni da aka bayyana a cikin hali na kara shakatawa na aukuwa, msl, tare da m ingestion na manyan guda na abinci mai tauri. Shi ne kuma predisposing factor, wanda zai babu makawa haifar cikin tsanaki 3-hgodichnogo maimaitawa zai kai ga Gerd, shi ne al'ada na sa barci bayan cin abinci. A gaskiya ma, cikin abinda ke ciki na cika ciki a tsaye matsayi na jiki ba zai iya aiki a kan cardio. Duk da haka, a lokacin da wannan ya auku da supine matsayi da cikakken yiwuwa.

A lokacin rarrabuwa Gerd sa hernial protrusion hada da wani hiatal cewa samar da karin motility na esophagus da shi ba ya goyon bayan m m matsawa a cardiac orifice.

Gerd Alamun

Babban halayyar fasali na Pathology ne gunaguni na marasa lafiya a kan kona ciwon kirji da cewa yakan faru kusan nan da nan bayan da abinci. Lokacin da canza jiki matsayi (kwance a kan wani kwance surface, suna karkata a kaikaice ko frontal jirgin sama) aka kuma ji wata kona abin mamaki a cikin kirji. Haƙuri damu regurgitation, illa hadiya, zafi hade tare da bugun jini saboda lalacewar Gabar mucosa. Hadiya m abinci karya ko da ƙwazo mastication, alhãli kuwa da ruwa wuce da yardar kaina, amma Yanã rashin jin daɗi saboda zafin jiki (zafi ko sanyi) mai kara kuzari na lalace yankunan. A Gerd cututtuka masu kama da angina, amma bambanci ba jiki kaya da abinci.

Magani ga Gerd: pharmacotherapy da kuma yarda da rage cin abinci

A karkashin tsarin mulki na yarda da abinci da haƙuri kamata gane da yin amfani da abinci akai akai da kuma a cikin kananan sashi rabo. Ba dole ne a niƙa, ko chewed sosai. Its zazzabi kada ta kasance fiye da 40 digiri. Pharmacotherapy yana shan proton famfo hanawa, prokinetics, kuma histamine H2 tsoka mai amsa sigina blockers bi da bi sanya likita makirci. Idan lura da Gerd cututtuka tafi, far an ci gaba a gyara allurai amfani da farko da kuma na uku aforementioned azuzuwan da kwayoyi.