Ukuguquka komzimba: unyango kunye nezizathu

Ukuguquka komzimba yimeko apho umbane ophuma kwisisu ungena kwi-esophagus (reflux). Olu lukhuni lunokubangela ukuvuvukala nokulimala kwi-mucosa ye-esophageal, nangona kungekho zibonakaliso ezibonakalayo zokuvuvukala kwizigulane ezininzi. Ngokuqhelekileyo iqukethe ii-acids kunye ne-pepsin, eziveliswa esiswini, kwaye zinokuba ne-bile, ephuma kuyo ukusuka kwi-duodenum. I-Acid ikholelwa ukuba iyona nto inobungozi. I-bile kunye ne-pepsin inokulimaza i-esophagus, kodwa indima yabo ekubangela ukuvuvukala kunye nomonakalo ayibonakali kakhulu njengendima ye-asidi.

Kutheni ukutshaya?

Kukho izinto ezimbalwa ezahlukileyo ezibangelwa ukuguquka: ukuqala kwi- hernia yokuvulwa kwe-esophageal ye-diaphragm kwaye iphele ngokuveliswa kwemilinganiselo engaqhelekanga ye-asidi ngesisu. Makhe sihlale kwizizathu eziqhelekileyo.

1. Iingxaki kwi-sphincter esezantsi.
Ukuphazamiseka kuyahluka, kodwa konke kuncitshiswe amandla okwenza i-sphincter ukuba ivumelwano kunye nokukhusela ukuphuma kwe-fluid esiswini.
2. I- Hernia yokuvulwa kwe- esophageal ye-diaphragm.
Ngenxa yobuninzi bayo, inxalenye encinci yesisu, eqhotyoshelweyo kwi-esophagus, iqhutywe kwi-diaphragm. Ngaloo ndlela, umqobo wokunciphisa uyanciphisa, kwaye utywala esiswini sisenokungena kalula kwi-esophagus.
3. Iifomfayile zesigxina. Ukuthintela ukutshatyalaliswa kwenkunzi, indima enkulu idlalwe ngokugwinya, okubangela ukuba amagagasi ashiywe yintambo yesisu, unciphise i-lumen yesigxina sangaphakathi. Ezi zifinyezo zibizwa ngokuba yi-peristalsis. Baxhamla ukutya kunye nemathambo kwisisu. Nangona kunjalo, kwiingxaki ze-peristalsis, i-asidi engena kwi-esophagus ayibuyanga kwisisu. Ingqwalasela ngokukodwa ihlawulwa kwinto yokuba ukutshaya kunciphisa kakhulu ukunciphisa isifo. Esi siphumo sigcina ubuncinane ubuncinane kwiiyure ezingama-6 emva kokutya kwegagarethi yokugqibela.

4. Imithi. Amanye amayeza angabangela okanye aphuculise intlungu. Ezi zi-anticholinergics, iziyobisi ezingamachiza omzimba, i- bronchodilators, i- sedative ne-tricyclic antidepressants.
5. Ukukhulelwa. Ukuguquka komlilo kungabangela ingxaki enkulu ngexesha lokukhulelwa. Umntwana okhulayo ukwandisa uxinzelelo kwisisu esiswini, kubangele ukutshatyalaliswa kwentsholongwane kwisisu.

Ukuguquka kwenkunkuma - unyango kunye nokutya

Ukuba ungowesinye sezigidi zabantu abaphethwe yintsholongwane engapheliyo, kufuneka ukuba ukhethe indlela efanelekileyo yokwenza unyango. Ingaba yinguqu yokuphila, unyango okanye utyando.

Indlela yokuphila

Oogqirha bacebisa abo batyhulayo, unyango ukuqala ngokutshintsha kwindlela yokuphila. Kungenxa yokuba malunga ne-94% yezigulane zinokudibanisa ukuhlaselwa kwakhe kunye nemveliso ethile. Kubalulekile ukuba wonke umntu uphulaphule umzimba wakhe, ingakumbi ukuba unentlungu. Ukutya, njengomthetho, kunceda kwiimeko ezininzi.

Unyango ngamayeza

- Abaphikisayo be-histamine receptors asetyenziswa ukunyanga iimeko xa isisu senza i-hydrochloric acid ephezulu ("i-Famotidine", "iRanisan", "i-Kwamatel" izidakamizwa ziyakunqanda imveliso yayo, ngoko kutshabalalisa kwenyuka).

- Unyango kunye ne-antacids, ezonakalisa i-asidi kwisisu xa uqhagamshelana. Izidakamizwa ezithandwa kakhulu "nguRennie", "Fosfalugel", "iTopalcan", "Maalox", "Almagel", njl.

- Iproton pump inhibitors (i-PPIs) liqela leemithi ezisemthethweni eziphazamisa ukukhutshwa kwe-asidi esiswini nasemathumbu. Oogqirha bamisela i-PPI kubantu abaneentlungu, izilonda zesisu okanye amathumbu, kunye nokuveliswa kwe-acid acid ("Omez", "Omeprazole", "Pariet").

- Iimpawu ezikhuthazayo zisetyenziselwa kwizigulane ezinokugqithisa isantya. Baye (amalungiselelo "Reglan", "Domstal", "Metoclopramide", "Gastrosil") likhawuleza ukugonya, okuthintela ukugcinwa kwe-acid kwisisu, ngenxa yoko-kunciphisa okanye kuphelelwa yintliziyo.

Unyango ngongenelelo olunyango

- I-Fundoplication yindlela echanekileyo yokunyangwa ngophulozo, apho isisu sesigqityiweyo sisisigxina kwaye senza ikhefu ekhethekileyo.