Symptoms a me ka lapaʻau o biliary reflux gastritis

pathologies o ka digestive'ōnaehana a pau mawaena o ka heluna kanaka. Common maʻi pili me ka reflux. He aha nō kā lākou 'ano?

Reflux esophagitis

I ka maʻi o ka maʻi li nui o ka esophagus, a ua kauoha aku ka ikaika hui 'ana me ka meaʻakika'ōpū Contents. Ke pathology pili me ka ole o ka lalo esophageal sphincter, a maʻamau i malama i ka esophagus, mai ka anal o ka gastric wai.

Huʻi biliary reflux gastritis

Kēia palapala Ua wehewehe aku ma ka hooulu ana o ka huʻi li nui i loko o kaʻili lahilahi mucous like me ka hopena o ka waiū e bile i loko o ka haku mele 'ana o ka meaʻai bolus. Kekahi mau okoa Lolina o huʻi gastritis:

1. Esogastritis ka papa kuhikuhiE hoike ana mea hōʻemi iki hyperemia a me ka haanou ana o ka'ōpū pā. Ua thickens a ua uhiʻia i ka ahu iho la ka mānoanoa mucus. Ke mucousʻili lahilahi i he uuku petechial hemorrhages a me ka'aʻaiawāʻana.
2. Fibrinous gastritis, ai kekahi pa i hanaʻia epithelial necrosis cii infiltrated fibrinopurulent purulent exudate. I ka hoike ana o keia kŰia - fibrin lahilahi Auana ma luna o ka ili o ka loli ana i wahi o ka mucosa. Superficial gastritis wehewehe aku looseness o ka ho film, a me ka wā e mea hohonu li nui fused me ka epithelium.
3. Necrotizing gastritis, kahi i hou i ka 'ē aʻe e loli ai epithelial mucosa papa. Ma lalo o necrosis maopopo aeea make ma lalo o ka aoao o keʻano pākīkē aʻe.
4. Purulent gastritis - ka loa loa ke ano o ka li nui. Ke kaʻina hana i pū nā papa o ka opu, a poses i ka hoʻoweliweli 'ana i ka perforation. I ka hoike ana o kēiaʻano - i ke alo o ka exudate, akā, i, pili infiltration mucosal leukocytes.

Maʻi biliary reflux gastritis

Kēiaʻano Ua wehewehe aku ma ka pu ana o ka hoʻoʻino a me ka degenerativeʻike manaʻo. Ka pololei, komo bile, a pancreatic nā'ūhū i loko o ka'ōpū hele aku ai a hiki i ka ulu ana o ka maʻi li nui. Nō hoʻi, i kēia palapala e ia i ka hope o ka huʻi gastritis. E like me ka hopena o'ākilikai paha i loko o ka mucosa māhuahua dala o ka histamine, aʻo ka mea edematous a me ka erythematous.

pathogenesis

Ma waena o ka opu, i kona antrum a me ka duodenum mai he sphincter, i kapaia o "poʻe kiaʻi puka". I ka hana o keia Muscle kuhikuhi E neenee chyme (bolus), mai ka'ōpū i loko o ka naʻau liʻiliʻi no hou digestion, a mahope omo o ka mahuaola. Hoʻohuikau o ka sphincter ke alakai i mea e hoʻoikaika i biliary reflux, gastritis, lapaʻau no i pono i kekahi hui malu pu ana o ka ai 'a me kaʻai. A hiki i keia maʻi i nā hualoaʻa ma ka untimely puka o ka sphincter, kahi e komo mai i ka popo o ka ai, e pili ana i bile hua mai ma ke akepaʻa hoʻi i loko o ka'ōpū. Haku mele 'ana bile i ka detrimental ia ma luna o ka moku'āina o kona mucosa. Ua loaʻa paʻakai, nāʻakika, a ua haawiia nā'ūhū e aggression kumumea.

etiology

Nā kumu o ka biliary reflux gastritis pili me ka malfunction o ka sphincter - i ka poʻe kiaʻi puka. A hiki i keia hiki i kekahiʻoki lāʻau lapaʻau 'uao e loli ai i ka motility o ka gastrointestinal'āpana. Nō hoʻi i waena o ka etiologic kumumea hiki ke hōʻike 'maʻi e like me hepatitis, maʻi cholecystitis a me ka duodenitis. Nawaliwali o na nāʻiʻo o ka sphincter a me ka hoomahuahua i ka puʻe i loko o ka naʻau liʻiliʻi He pinepine ke kumu o ka gastritis, a me keia e alakai i ka helu ana o pathologies o ka gastrointestinal'āpana. Ka nui kūlana o predisposing kumumea. No ka laʻana, ua hoemiia ka ikaika stress mucosal aiiay waiwai, a me ka mea ia kaua ke pale nawaliwali hana irritants. ʻO ia pili i ka politika-steroidal Anati-hoʻoʻino ai ' e hoomahuahua i ka pilikia o ka gastritis kekahi mau manawa. Mau ai 'lakou aloha ia prostaglandin hoʻololi kemikala, a me ka mea hana i kekahi kuleana pili i nui - e hoʻoulu i ke kahua o ka mucus ma ka poepoe lā ia keena, a maoli he ka'ākeʻakeʻa mai ka waiwai o ka mucosa. Anati-hoʻoʻino ai 'inhibit ka'ūhū cyclooxygenase, a hiki ho'ēmi i kā ke dala o ka prostaglandin, a nolaila i ka nui o ka mucus.

By ho okumu o reflux esophagitis kūpono ascites, kūpono ma mahuahua puʻe i loko o ka abdominal constriction pyloroduodenal puka. Kumu hou aʻe paha e ilihuneʻai, paa kapa, ka lapaʻauʻia, stress a me ka uwahi ana. O kŰia e hana ana i hāpai keiki, a laila ka mea, ua i pili me ka pathology.

Biliary reflux gastritis a me ka reflux esophagitis: Symptoms

I ka papa kuhikuhiE symptoms o reflux esophagitis i heartburn a me kaʻakika eructation, a IeAUPIIe, IAa IO i hoʻomaka ai ma hope oʻai, a me ka wā lń i mua. Complementing keia mea he discomfort i loko o ka epigastric māhele 'āina.

Waiwai? Aaieou kekahi biliary reflux gastritis. Symptoms o keia maʻi nāʻeha a me ka 'ē aʻe kāna hana. Pinepine e hoomanawanui i hoohihiaia aloha o ka piha a me ka bloating, e like me ka oolea o ke epigastric. Pain ana ikea kaawale opu, a me kā lākou pinepine 'i e okoa - mai loa huʻi i aching. Pinepine ka mea, ua ka luaʻi.

lapaʻau '

ʻike, o biliary reflux gastritis ua lawe mai ma hope o ka hooko ana mai kūikawā noiʻi a me ka anamnesis. Kekahi hoopii i ole lawa, e kōkua wale kuhi kūpono 'ana o ka maʻi. Mua o nā mea a pau, i ka hoʻomanawanui ua kauoha ia e haawi ana i feces, kahi poe akamai i huai ae occult koko. No hoi i ka pono o ka hoʻomaka EGD e kōkua ai i visually Loiloi i ka moku'āina o ka mucousʻili lahilahi, e huai ae mai foci. Mahuahua i ka puʻe i loko o ka duodenum hiki ke nānā 'ia e manometry.

Reflux esophagitis diagnosed advantageously radiographic iaoia ka hoʻohana 'ana i ka Akä naÿe hope. Kēia papa hana e leie aku oe e Hoʻokolo i ka manawa o ka hoike ana mai o ka'ōpū Contents i loko o ka esophagus. Ua Ua hoi pono e lawe mai endoscopy, a e Loiloi i ka ano o ka mucosa, a, e lawe liluwelo mea no hou mahele.

lapaʻau

Biliary reflux gastritis a me ka reflux esophagitis koi koke lapaau. Kēia e kōkua hoʻoikaika 'ana i ke ahonui o ka kulana, a ninau hiki complications. Ma ka loaʻaʻana o ka esophagitis E haalele inoʻano, e like me, pili me ka i loko o ka abdominal wahi.

Uluwehi O Inc ua muli ma ka hookohu ana o antacids e emi keʻano pākīkē keiki o gastric wai ma luna o ka esophageal mucosa. mea i waena o lākou i ka "Almagel", "Maalox" noi kōmi. Ka mea, o Hoamakeikekula i ka paia o ka opu, a malaloʻakika.

Eia hou, ka mea, ua? Aeiiaiaoaony e hoʻohana ai 'e hōʻemi ai secretion o gastric wai ( "omeprazole"). Prokinetics ke hoʻoikaika i ka leo o ka sphincter, i mea no ka hoomalu ana o ka hoike ana o kaʻakika. "Motilium" hiki maopopo iwaena o na ai 'a me "Motilak". Inā makeʻe kulana lapaʻau ke aloha,ʻoki kino i ke koi, a ua lawe mai me ke kōkua o endoscopic lako a pan.

Pehea o ka iapaau ana o na maʻi like biliary reflux gastritis? Symptoms a me ka lapaʻau o keia maʻi e inextricably ua hoʻopili. E hoomanawanui i noi aku eiiieaena pharmacological a me ka 'ole-lāʻau' ana, a e hoʻoikaika 'ana i keʻano, kiʻi pohaku uinihepa, o ka lapaʻau hoikeana. Mua o nā mea a pau ia mea e pono ke normalize i ke ola - e haawi ana i ka hewaʻano, kupono no kou kino. Mawaena o lāʻau lapaʻau hoomakaukau e ana ia histamine mea loaʻa blockers a emi i ka secretion. Gastroprotectives i hana ole - ka mea, oia i ka hoola ana o ka mucousʻili lahilahi lesions. A eia hoi, he mea e pono ai ka paa bile nāʻakika, i e hoʻohana 'ursodeoxycholicʻakika. Hoʻopale ai e ku e ia ma chyme i loko o ka'ōpū, e kōkua ai 'e like me "Domperidone" a me ka "metoclopramide".

Kāohi

Pale aku i ke kahua o biliary reflux gastritis a esophagitis kōkua pono kino a me ka 'eleuʻike, o pathological keʻano o ka hanaʻana. ? Aeiiaiaiaaia e pale hana regular endoscopic examinations, a e kōkua i ka hōʻike maʻi ma ka koke ke kahua. Kēia, e hoomahuahua i ka laulā o ka makeʻe kulana lapaau, e pale akuʻoki kino, a me ka hanana o loa complications.

A eia hoi, ka mea e hoʻoikaika 'ana i ka ke'ākeʻakeʻa mai ka waiwai o ka mucosa. ? Aeiiaiaiaaia e haawi i hewaʻano ( 'ole ho'ēmi ia i ka palena iki), e ho'āʻo i kaʻai olaʻai, a pale aku stressful wahi, i hiki.

No hoi predisposing ololi o ka pinepine ana o nonsteroidal Anati-hoʻoʻino ai 'i emi mucus? Iecaianoaaiiuo i loko o ka'ōpū, kūpono mucosa i kūlana. Ka nui a Mānoa hoʻokani ma ka Kāohiʻana a me ka i hana o concomitant ka maʻi.

Ka pilikia o ka hanana o biliary reflux gastritis a me ka esophagitis mea pili, e like me kēia mau rula e ole worsen wale i ke ano o ka hoomanawanui, akā, no hoi i complications. 'Eleuʻike, e leie aku lapaʻau, e hoʻomaka ma ka manawa.