GERD: Symptoms, semiotics, Mea Maluna a me ka lapaʻau

Ka inoa pōkole GERD (gastroesophageal reflux maʻi) ma ka lapaau hoʻohuʻu ilepili pathology pili me ka reflux o ka'ōpū Contents i loko o ka (malalo) māhele distal o ka esophagus ma muli o ka insufficiency o ka cardiac sphincter, i loko o ke ola i ke meaola loa puha hakahaka hoʻolako i ke kaawale ana o na kino elua. Ma keia hihia, ai kaʻike, i ke hōʻike i loko o nā hihia o pathological ninini, ole-nausea a me ka luaʻi, e like me anastaltic ka neʻe 'ana.

GERD: Symptoms, semiotics, Mea Maluna a me ka lapaʻau

Gastroesophageal reflux maʻi ke'ākoʻakoʻa i kekahi makahiki, a ua wehewehe aku ma kona alapine (frequency). Pela, i kanaka makua maʻi o ka hola 50% irrespective o ka wahine. Ma ka 10 pakeneka anamanaʻo e EGD ia morphological loli i loko o ka hui, mucosa (ma ka mea ia erosive ano). GERD i keiki ua kekahi ike kŘpa a pinepine, o ka oi aku i na kamalii uuku, ma muli o ka hoʻokō 'ole' ana o ka cardia.

Ke pathogenesis o GERD

Pathogenetic GERD ulu kiʻikuhi ua 'akomi i hoʻohana' pH-oʻu ho'āʻo ma ka esophagus a me ka'ōpū. Esophagealʻakika ke keʻena o ke ola i ke kanaka, he 6 huahelu, e hoike ana i ka ikiʻakika kaiapuni. I ka GERD pH waiwai ua kuu iho la i ka 4, a mea o ka hola palua ka nou ana-maʻiʻo maoli ka aggressiveness no ka hui, kēia pā. Ma ka houpo, maʻamau pH waiwai io i ka pae ana o 1.5-2, akā, poho 'aʻole i ana, mahope mai o ka mucous hoomaluia ma mucus hua mai la ma ka parietal keena.

ʻano pākīkē gastric Contents i loko o ka esophagus ua kiola ina ka cardiacʻiʻo pepa mea lawa ia i differentiation Media nā loko. Kēia moku'āina ua kapaia esophageal sphincter nawaliwali, a ua hoikeia mai ma ka hihia o ka hoʻoulu hoʻomaha o Episode, e laʻa me, me ka pinepine, inu o ka apana nui o paa ai. He hoi he predisposing ololi, a e inevitably ka hopena i loko o ke kahua hoʻonohonohoʻana 3-hgodichnogo repetition, e alakaʻi iā GERD, o ka maʻa o ka ai, e moe ma hope o kaʻaiʻana. I mea, kahi o ka piha opu i loko o ka verticalʻoihana o ke kino mea,ʻaʻole hiki ke hana ma cardio. Naʻe, i ka wa a keia ia lŘlŘ ka supine kulana me ka loa pahiki.

Ma Mea Maluna GERD ke kumu hernial protrusion ka loaʻa o ka hiatal e hoʻolako loa motility o ka esophagus, a ia 'Aʻole i kākoʻo ka helehelena mawaho mīkini'opihia ma ka cardiac orifice.

GERD Symptoms

I ka papa kuhikuhiE ano hiʻona o pathology i na hoopii o nā mea maʻi ma luna o ke ahi umauma eha e ia lŘlŘ aneane koke ma hope o kaʻai. Ka wā hoʻololi i ke kino kulana (moe ana ia ma luna o ka papamoe luna, i kaʻaui i loko o ke kīloi paʻewa ole frontal pelane) ua no hoi i manao ai i ke ahi ka waiʻona ma loko o ka pahu. Ahonui hopohopo regurgitation, hoʻopōʻino moni 'ia, ka eha hou pili i ka lāʻau ikiʻai wale no i ka pōʻino hui, mucosa. Moni 'ia paaʻai wāwahiʻia a me ka ikaika mastication, akā, i ka wai a hele lakou hoao ana, akā, ke kumu discomfort ma muli o ke ana wela (ka wela a me ke anu) stimulus o ka poino wahi. I GERD symptoms i like i ka angina, akā, i ka likeʻole mea i ka physical haawe ana, a me ka palaoa.

Iapaau ana no GERD: pharmacotherapy a me kaʻaeʻana me kaʻai

Ma lalo o ka? Eia o kaʻaeʻana a me ka ai i ka hoʻomanawanui e ike i ke ano o ka ai oi pinepine ia, a me ka poe liilii, laʻau heluna'āpana. Ua pono e paopao a mama loa. Kona wela e ole e oi aku mamua o 40 degere. Pharmacotherapy ua lawe proton EII ni nā mea kūpale, prokinetics, a me ka histamine h2 mea loaʻa blockers niioaaonoaaiii ia kauka noaia. Inā ka iapaau ana o GERD symptoms hala, i ka Inc ua hoomau ma ka mālama 'ana i nā māhele hoʻohana i ka mua a me ka kolu o ka hua papa o ka ai'.