Gastroesophageal reflux maʻi

Gastroesophageal reflux maʻi (GERD) ua manaoia kekahi o ka loa, he pono ole, a palena papaha loa esophageal pathology. Ka maʻi mālama, e hoʻolilo i ka ulu helu ana o kanaka. Gastroesophageal reflux mea hiki ke kahaha nui o ka emi i ka pono o ke kanaka ola, e hoonaukiuki ma ka liʻiliʻi loa kona Holomua loa ai pilikia complications, me Ka maʻi 'aʻai o ka esophagus.

I kulike ai me ka 'inikua' ikepili helu keia pathology ua 'akomi i loko o 20% o ke kanaka.

Gastroesophageal reflux mea ku pono i ka 'aʻe' ana i ka papa panina o esophageal sphincter, Aia ma ka lalo, e like me ka loihi o-kau waiū a hiki i ka mucosa o ka esophagus o ka'ōpū Contents. Ma nā hua'ōlelo, ke nana e hoole ia lŘlŘ unimpeded anal.

Ka maʻamau kaʻakika o ka'ōpū loli aʻe ma waena o 1.5-2.0, a me ka esophagus - 6.0-7.0. Gastroesophageal reflux hoʻololi ai na nā hoailona ma ka haahaa esophagealʻakikaʻaoʻao aie i kaʻakika gastric Contents penetrating i loko o ia. Hooloihi ae i hui 'ana o ka Media mau hoʻomohala hoʻoʻino kaʻina. I ka haku mele 'ana nā kaʻakika gastric wai a me ka digestive nā'ūhū me ka nui loa he hoʻonui i ka hooulu ana o ka li nui.

Poho i ke triggered a me kahi o ka duodenum (bicarbonates, nā'ūhū, bile nāʻakika). Ma ke kaʻina hana o ka hoolei ana i loko o ka'ōpū ua pinepine ia, a anal i loko o ka esophagus, ma o na la poino e mucosa, a, me ia i kaʻilihune, ka ka ho'ēmiʻana o kaʻakika i loko o laila.

Gastroesophageal reflux mea maʻamau physiological hoike ana i loko o ka hihia o kekahi mau ana hoʻohālike.

-? Acaeoey kuhikuhi ia lŘlŘ ma hope o kaʻai;

- memo uuku alapine (frequency) a me ka lōʻihi like 'ole o ka lā;

- i 'akomi i discomfort;

- he hōʻemi iki alapine (frequency) i ka po.

State ua manao like'āno'ē i loko o ka hihia o ka:

- pinepine ai hoʻolōʻihiʻia Episode;

- ina malama elua i loko o ke ao, a ma ka po;

- pu ma ka li nui.

I ka maʻi i ka helu o ke ano hoikeana. O nā heartburn,ʻeha ka wā moni 'ia, kaʻeha ma kaʻaoʻao hema o ka pahu, ma ke kua o ka breastbone, kuha ana mai, i ka make ana o ka niho enamel, hoarseness, koʻikoʻi me ka puʻu.

Ua haawiia ia i loko o ka thoracic lua puʻe mea haʻahaʻa ma mua i loko o ka'ōpū, reflux e hōʻike mau. Naʻe, i ka uku o kona hanana - he rarity, ka hoʻopiʻi i obturator hana o ka cardia. Nō kāu, ka mea, o ka muli o ke ola i ke kanaka ua hoailono aku la no ka pōkole manawa (emi o elima minuke). Ma keia manao, e like me ka noho ana o ka pathology uaʻaʻole noʻonoʻo pono.

Gastroesophageal reflux maʻi. lapaʻau

Pākōlea ana kuhikuhi nona ma hoemi i ka oolea o ke kaʻina hana, hoemi kahiʻino wale i o ka opu nona iho, e like me mālama i ka naʻau o ka esophagus.

Lapaau nā ka OAXA mana o ke kino ke kaupaonaʻana, uiki cessation, waiʻonaʻai ana, momoma ai, kope, kokoleka. Mai kaʻai a me ka hoʻopauʻakikaʻai.

Nui noonoo ua uku i kaʻai. Poe akamai i Paipai 'ai hou pinepine ia, a me ka poe liilii,'āpana.

I ka wa e kaawale aku o ka pākōlea hopena o ke kauka i hoakaka ia antacids. Mau hoomakaukau pihaʻi me makanekiuma paʻakai, Aluminum a me ka kalipuna. Mau waiwai, ua hiki o neutralizing i ka hana o hydrochloricʻakika.

? Aeiiaiaiaaia, e haawi aku ana kāu mau koho a hiki i antacids i loko o ka palapala o gels. Ke lumen o ka opu a me ka esophagus ka wā lawelawe liʻiliʻi droplets i hana, ma laila 'ō o ka hopena. Waena o na ai 'e hoailona oukou "Almagell" "Maalox" "Fosfalyugel". Kēia mau mea hoʻohui pū paʻakai o ka makanekiuma a me ka Aluminum i loko o kekahi mau ka lākiō. Ole wale Aluminum paakai.