Isilungulela Ukwelashwa izimbangela

Isilungulela - isimo lapho uketshezi esiswini emphinjeni (Reflux). Lokhu ketshezi kungabangela ukuvuvukala ukulimala ulwelwesi emphinjeni nakuba izimpawu ezibonakala ukuvuvukala in iziguli kakhulu ayikwazi ukutholwa. It ngokuvamile iqukethe acid pepsin ukuthi ukhiqizwa esiswini, futhi ingase iqukathe Bile ongena kuwo kusukela duodenum. I acid kukholakala - ingxenye eyingozi kakhulu. Bile futhi pepsin ingase ilimaze emphinjeni, kodwa indima yabo okubangela ukuvuvukala ukulimala akusiyo sobala njengasendabeni indima acid.

Kungani isilungulela?

Kukhona impela eningi izici ezahlukene ezibangela isilungulela: kusukela hernia hiatal ekukhiqizeni amazinga okukhishwa nesibalo esikhulu yesisu acid. Ake sicabangele yezimbangela ezivame kakhulu.

1. Ukuphulwa aphansi sphincter ngomphimbo.
Ukwephula kungase zihluke, kodwa kunciphisa ikhono sphincter ungenwa futhi ukuvimbela ukugeleza reverse uketshezi esiswini.
2. Ungenzenjani i ngomphimbo beso.
Uma noma iyiphi ingxenye encane esiswini, ehambisana emphinjeni, bephushelwa up ngokusebenzisa diaphragm. Ngakho, anciphe isithiyo umphumela futhi uketshezi esiswini kalula uthole emphinjeni.
3. Izifinyezo emphinjeni. Esikhathini nokuvimbela isilungulela wenza indima enkulu ukugwinya, okuyinto kubangela amagagasi indandatho ukusikwa imisipha emphinjeni, olugcwele mafutha anciphisa isikhala esingaphakathi we umgodi zayo zangaphakathi. Lezi Kufinyeta abizwa ngokuthi peristalsis. Zenza ngihlehlise ukudla ngamathe esiswini. Nokho, lapho kuphakama izinkinga nge peristalsis acid, zibalwa e emphinjeni, esiswini is hhayi wabuya. Gxilani ngokukhethekile iqiniso lokuthi ukubhema iyehlisa ukusikwa emphinjeni. Lo mphumela kuthathe amahora okungenani 6 emva ugwayi wokugcina.

4. Imithi. Abanye imithi kungabangela noma babhebhethekisa isilungulela. It anticholinergics, antihypertensives, bronchodilators, sedatives , futhi tricyclic antidepressant.
5. Ukukhulelwa. Isilungulela kungaba inkinga engathí sina ngesikhathi sokukhulelwa. umbungu Growing kwandisa umfutho ngalo ingaphakathi lesisu, elibangela lesi Reflux uketshezi esiswini.

Isilungulela - ukwelashwa kanye Ukudla

Uma - ke ngolunye lwalezo izigidi zabantu abaphethwe isilungulela ezingalapheki, wena, yebo, ngempela ukuba ukhethe indlela elungile yokuphatha kulo. Lokhu kungaba yokuphila ushintsho, imithi noma ukuhlinzwa.

indlela yokuphila

Odokotela ukweluleka labo babe isilungulela, impatho iqala izinguquko yokuphila. Lokhu kungenxa yokuthi cishe 94% eziguli nizibophe kuyavumelana nge imikhiqizo ethile. Kubalulekile ukuthi umuntu ngamunye nokulalela umzimba wakho, ikakhulukazi uma anakho isilungulela. Ukudla ngokuvamile kusiza ezimweni eziningi.

izidakamizwa Ukwelashwa

- abamelene ka histamine receptor zisetshenziselwa ukwelapha izimo, lapho esiswini ukhiqiza hydrochloric kakhulu acid (amalungiselelo "Famotidine" "Ranisan" "Kvamatel" ukucindezela isizukulwane yayo, lapho ubalekela isilungulela).

- Ukwelashwa antacids ukuthi iwukudambisa acid esiswini uma kuthintwa. Imithi ethandwa kakhulu "Rennie", "Fosfalyugel", "Topalkan" "Maalox", "Almagel" njll

- Proton futha inhibitor (PPIs) kukhona iqembu kadokotela okuyinto zivimbela acid uketshezi esiswini amathumbu. Odokotela iqondiswa IPP abantu isilungulela, isilonda esiswini noma emathunjini, kanye ukukhiqizwa ngokweqile esiswini acid ( "Omez" "Omeprazole" "Pariet").

- ejenti inkanuko zisetshenziswa in iziguli kancane bethulula esiswini. Bona (Amalungiselelo "Reglan" "Domstal", "Metoclopramide" "Gastrosil") ukusheshisa ukugaya, okuyinto kuvimbela ukubambezeleka esiswini acid, njengoba umphumela - liyancipha noma ubalekela isilungulela.

Ukwelashwa nge ukuhlinzwa

- Fundoplication - indlela ejwayelekile yokwelashwa kuhlinzwa ka isilungulela, lapho fundus esiswini laqina emphinjeni bese bakha uhlobo emkhonweni.