Isifo se-reflex se-gastroesophageal, futhi yimiphi imithi yokwehla kwesimo ukubeka ochwepheshe

Ukuguquka kwesifo yisifo esijwayele iningi lethu. Ekusebenzeni kwezokwelapha, ukushaya isisu kubizwa nangokuthi - isifo se-reflex se-gastroesophageal, esenzeka lapho ukusebenza kwesiguli. Emazweni athuthukile ase-USA, abantu abangaba ngu-50% bakhononda ngokukhwabanisa kweWestern Europe. Ngakho-ke, iningi labantu liyazibuza: liyini ukusetshenziswa ukuphatha ukushaya kwenhliziyo? Ngokwenhlolovo eRussia, umuzwa wokuphuza ukukhathazeka usuke ukhathazeka cishe ngo-17-45% wabantu.

Izincwadi eziningi zanamuhla zibonisa ukuthi imbangela eyinhloko yokweqa isifo sokungenisa kwesisu esiswini. Kukhona nedatha ukuthi ngaphezu kwe-HCl yejuji yesisu, umphumela wokulimaza emgqonyeni we-mucosa ubonakala ngama-enzyme e-proteolytic ne-lipolytic (i-pepsin, lipases), i-bile acids nama-enzyme e-pancreatic. Lapho umsebenzi we-valve esophageal ephukile, okuqukethwe kwesisu ngokusebenzisa i-retrograde (ukubuyela emuva) ukunyakaza faka i-esophagus. Le nqubo ihambisana nezinzwa ezingathandeki. Kukhona ukudla nokuphuza okuvusa ukuqubuka kwamanzi (oily, ukudla okuthosiwe, i-mint, ikhofi, ushokoledi, iziphuzo ezidakayo nezidakamizwa). Futhi, ezinye izici zingabangela ukugqoka okuqinile, ukuvivinya umzimba, ukukhulelwa, ukubhema, ukucindezeleka. Ngokuvamile umuzwa wokuguquka kwenhliziyo kwenzeka ngokusetshenziswa kwe-aspirin, amaphilisi okulala, ama-spasmolytic, ama-antihistamine, ama-sedative. Kwabesifazane, uma usebenzisa amaphilisi okukhulelwa.

Izibonakaliso zokugubha izinhlungu zibonakalisa ngesimo senzwa esivuthayo engxenyeni engenhla yesigxobo esiswini, lo mzwa uqiniswa uma i-torso iphikisiwe. Uma ukushaya kwenhliziyo kuveza izimpawu ezengeziwe - umuzwa wokukhathala, ukwehla kwesifiso sokudla, ukuhlanza, ukuhlanza ngegazi, ubuhlungu besifuba nesifuba, ukujuluka okukhulu, kufanele uthintane nochwepheshe ngokushesha. Izimpawu eziqhubekayo zokugubha izinhlungu zingase zibonise i-esophagitis (ukuvuvukala kwesifo), noma i-oncogenes esiswini nasesiswini. Kumele kuqashelwe ukuthi ngisho nezinsana zingase zizwe umuzwa wokuphefumula. Lokhu kubangelwa ukuthi izinsana (ezinyangeni eziyi-6-12) emva kokudla zingadala kabusha. Kulezo zingane ezinenkinga enjalo, ukuqubuka kwenhliziyo kungahambisana ne-asthma, ukuvuvukala kwe-larynx namaphaphu.

Izifo eziningi ze-gastroesophageal reflex zibhekwa njengesinye sezifo ezixhomeke ku-asidi, ngoba i-hydrochloric acid iyisici esiyinhloko se-pathogenetic futhi isibonakaliso esiyinhloko - ukuqubuka komzimba, kanye nesifo se-esophagitis. Ukungasebenzi kwe-sphincter yokudla okuphansi kungakhula ngokumelene ne-scleroderma, ukukhulelwa, futhi nokubhema, usebenzisa imithi eyanciphisa ithoni yemisipha ebushelelezi (Teofilin, adrenoblockers).

Imithi yokuphuza. Odokotela banciphisa ukusetshenziswa kwamafutha, ukudla okuthosiwe, ushokoledi, ikhofi, itiye eliqinile, utshwala, ama-citrus, u-garlic, anyanisi, njll. Ukwelapha kuhloswe ukuvimba ukushaya inhliziyo. Ngenxa yalokhu, isiguli siyadingeka ukuba sithathe amalungiselelo anonya (iMegapak, i-Milanta, i-Maalox, i-Fosfalugel, i-Topalcan, i-Gaviscon) okusebenza ngayo okuhloswe ukunciphisa ama-asidi esiswini. Kumele kuqashelwe ukuthi lezi zidakamizwa zibhekene nesivinini, kodwa isikhathi sesenzo sincane (mayelana nomoya wewashi). Ukuze kuvikelwe, ochwepheshe batusa ukudla ukudla ngokuvamile, ngezingxenye ezincane, ukuhlafuna kahle (kuze kube izikhathi ezingu-30-40). Emva kokudla, ungathathi isikhundla esinqunyiwe somzimba, ungasebenzisi.

Imithi yokwephuza ukuphuza : ukwelashwa okuzimele. Ukuphumelela kokwelashwa akuxhomekile nje kuphela ekutheni ukwelashwa kunqunywe, kepha futhi ekuguquleni kokuphila kwesiguli. Odokotela batusa ukushintsha isimo somzimba ngesikhathi sokulala (lokhu, ukuphela kwekhanda lombhede kufanele kukhuliswe ngu-15 cm); Gwema ukubhema nokuphuza utshwala; Ezinye iziguli kudingeka ziyeke ukuphuza imithi (izidakamizwa, izithuthukisi, ama-anticholinergics, abaphikisi be-calcium, izidakamizwa, i-progesterone); Ukuqeda umthwalo obangela ukwanda kwengcindezi yangaphakathi kwesisu.

Imithi yokuphuza ukuphuza: imithi. Ukunciphisa i-hydrochloric acid, amalungiselelo okuphikisana namagciwane anqunywe, asebenze ama-enzyme e-proteolytic, adonsa i- bile acids kanye ne-lysophosphatidylcholine, futhi asebenze ngokukhipha isisu. Ion i-aluminium etholakala emalungiselelweni inomphumela we-cytoprotective. Emithini yesimanje, abantu abatholakala benesifo se-gastroesophageal reflex imithi enqunywe ukukhwabanisa ngesimo seprokinetics, i-cytoprotectors, i-histamine H2-receptor blockers (i-Ranitidine, i-Famotidine, i-Nizatidine, i-Roxatidine). Lezi zindawo zivimba ukuvimba kwe-pepsin, futhi kuncishise ukuvimba kwe-hydrochloric acid esiswini.

Abanye abantu baphatha ukukhwabanisa ekhaya besebenzisa imithi yabantu: amakhambi (oregano, i -wort yaseSt. John, i-cumin, i-plantain) kanye namajusi yemifino (amazambane, iklabishi, ikhukhamba), njll.