Reflux duodenal. Izimpawu kanye Ukwelashwa

Reflux duodenal - ngumkhuba iyiphi ingxenye okuqukethwe duodenum ziphonswe esiswini. Njengomthetho, Reflux duodenal esihambisana isifo ezinjalo pheshana emathunjini njengoba gastroesophageal Reflux isifo, kolwelwesi ezingalapheki, isilonda duodenal nasesiswini.

Reflux duodenal. imiphumela kungenzeka

I Amapayipi ka pancreas zitholakala duodenum, ngenxa yalesi sizathu, iqukethe inqwaba Bile imfihlo futhi juice pancreatic. Lapho idatha ketshezi befakwa esiswini, mucosa yayo ayikwazi iwukudambisa enzyme, Bile futhi pancreatic, kuba abavusa futhi kukhona kungenzeka sina ezishile mucosa esiswini. Lokhu kungaholela isifo njengoba Reflux kolwelwesi (elinye igama - the kolwelwesi zamakhemikhali, uhlobo C).

Reflux duodenal. izimpawu

Izimpawu ezihlobene duodenal Reflux kungukuthi njalo zimakwe. Ngezinye izikhathi lesi simanga singenzeka asymptomatic ngokuphelele futhi silibonisa phakathi ucwaningo elektrogastroduodenoskopicheskogo.

Reflux Duodenogastric ngokuvamile uhambisana izimpawu ezifana eructation, ukunambitheka ababayo noma nomlomo owomile, ukungabi esesuthi, isicanucanu, ubuthakathaka kanye ngemva kokudla.

Reflux duodenal. ukwelashwa

Ukuze sithole indlela yokwelashwa, udinga ukuthola yokuqala, imbangela ivela khona kweqiniso, ibhekane uchungechunge izivivinyo ukuthola khona peptic isilonda, kolwelwesi, duodenitis. Reflux Ukwelashwa ngokuvamile iqala ukwelapha izifo oholele kulo. Ngokuvamile, esimweni nokuqedwa eyisisekelo isifo ubalekela futhi Reflux duodenal.

Noma kunjalo, kukhona amacala lapho ikhambi yenkinga ukubangela izinkinga eziphawulekayo, ikakhulukazi uma imbangela ukubukeka Reflux kuyinto ukuhlinzwa ukuze pheshana emathunjini,

Kulokhu, lo dokotela Kufanele umise ejenti, ukululaza umthelela Bile esiswini ulwelwesi lwamafinyila, kanye nemithi anomthelela bethulula yashesha we emphinjeni nasesiswini, ngcono ithoni sphincter ngomphimbo. Ukuze wenze lokhu, akunikeze imithi, prokinetics ezifana metoclopramide, domperidone, kwi okuqhubekayo isikhathi esifushane, ngokuvamile kuze kube amasonto 3. Omunye izici ezingezinhle ukwelashwa okunjalo - kungenzeka izimpawu resumption Reflux emva imithi zokuqaleka.

Ukwelashwa Reflux kufanele futhi zihlanganisa ukusetshenziswa inhibitor kwe-futha proton, ikakhulukazi ngoba izifo izimpawu lizinga lelitfutfukile asidi. Leli qembu izidakamizwa kusiza iwukudambisa isenzo nolaka hydrochloric acid phezu mucosa esiswini. Kufanele makudle isizukulwane yakamuva izidakamizwa, ezifana pantoprazole. Sinenkosi ezimbalwa kakhulu imithi emizimbeni yabo futhi ngisho evunyiwe ukusetshenziselwa izinhlelo kwabesifazane abakhulelwe.

Elinye iqembu ejenti elisetshenziswa Reflux duodenogastric kukhona antacids. Babopha Bile amakhemikhali, kodwa hhayi ezithinta ezingeni hydrochloric acid. Futhi ngaphandle antacids ukuvikela mucosa esiswini, kanjalo ngcono nomphumela oqabulayo. Lezi imithi ayatholakala ngesimo ukumiswa noma si.

Kuze kube manje, ukwelashwa kwabantu abayizigidi ezingama Reflux izidakamizwa avame ukusetshenziswa ursodeoxycholic acid. Ngosizo lwabo acid Bile seningene ifomu lapho ifakwa emanzini. Lokhu kunciphisa umphumela ongemuhle Bile ku nolwelwesi lwamafinyila. Ngokuvamile, izidakamizwa ezinqunyiwe kabili ngosuku.

Ngokuvamile, ukwelapha Reflux duodenal adinga esiqhubeka okungenani izinyanga ezimbili. umphumela Qedela ukwelashwa kuphela azuzwe nge ngokwanele eside reception amalungiselelo.