Isilungulela Ukuhlala njalo regurgitation: izimbangela, ukwelashwa

Abantu abaningi abaphethwe izifo ze-isisu, kwaphawuleka e izimpawu ezifana isilungulela regurgitation. Izimbangela, ukwelapha lesi sifo ecashile kuthiwa okuxoxwe ngazo kulesi sihloko. Noma kunjalo, amaningi bayangabaza ukuthi isilungulela nokubhamuka zihlobene kakhulu.

Kungani ngiba?

Nokubhamuka kuwuphawu ukuxoshwa igesi kusukela esiswini namathumbu ngomlomo. Isilungulela - a nokujikijela lokuqukethwe esiswini emphinjeni mucosa acasuke futhi ukubukeka i ezingemnandi esivuthayo ukuzwa esifubeni noma isisu endaweni.

In izifo eziningi emathunjini kungenzeka isilungulela nokubhamuka. Izizathu nokuhlanzeka kwangaphandle nokuziphatha kwabo kungenzeka ukuthi umataniswe ngokudla, amaphutha ukudla noma iziyaluyalu esiswini, amathumbu amancane noma gallbladder. Nokubhamuka futhi isilungulela zingase zingapheli njalo okwatholakala izimpawu ehlukile. Ezimweni eziningi, basuke ephelezelwa ezihlukahlukene eziyinkimbinkimbi izifo ze-isisu.

Nokubhamuka emva kokudla - aerophagia

Lokhu uphawu kungaba ezimele noma ophoqelelwe. Air ngokuvamile engena emphinjeni kanye imbangela nokubhamuka. Lokhu ngokuvamile engalethi kabi aliholeli ukuvuvukala.

Izimbangela ukugwinya umoya:

• engayitholi okusheshayo ukudla noma isiphuzo;
• umlomo ukuphefumula;
• ukuminyana acinene;
• hyperventilation ezihlobene nokukhathazeka;
• Avamile ushingamu;
• ukugula esinamathelayo amazinyo.

iziphuzo carbonated ezifana soda ubhiya, kungabangela ukunqwabelana igesi esiswini emphinjeni. Ezinye antacids abangele ukwakheka kwe-carbon dioxide njengoba ovela eceleni ka neutralization of esiswini acid enze isimo obuhambisana isilungulela eructation. Izimbangela, ukwelapha izimpawu zincike imiphi imikhiqizo kwamukelwa yisiguli. Ukushintsha ukudla umbuso normalizes umsebenzi emathunjini.

hernia Hiatal

hernia Hiatal - a protrusion isisu phakathi komgodi esifubeni ngenxa kuyadamba noma ukudabuka diaphragm. I protrusion nokuncipha isisu kubangela eziningi izimpawu emathunjini.

Izimbangela esiqondile hernia hiatal ayaziwa, kodwa kukhona eziningi inhlamvu izici:

• ukukhuluphala;
• ukhulelwe;
• ukubhema;
• umsebenzi ezinesisindo;
• iziyaluyalu ezingamahlalakhona zokuphefumula abonisa uhlale ukhwehlela;
• izinqubo kuhlinzwa ezithinta diaphragm;
• kombungu esizalweni noma ukukhubazeka.

hernia Hiatal kungase kungabi isikhathi eside ngokwami. izimpawu olunamandla zihlanganisa ubuhlungu ukungakhululeki epigastric noma esifubeni ngemuva kokudla, umuzwa emva kokudla ukudla amancane, ukuqunjelwa, okumuncu ukunambitheka emlonyeni, isilungulela njalo futhi nokubhamuka. Izimbangela kanye nokwelashwa kucwaningwe kahle, ngakho baye basungula izindlela ezihlukene zokwelashwa.

Lapho hernia hiatal kunqunywa palpation ezinye soreness ngakwesokungxele quadrant engenhla esiswini zingene esiswini bese diaphragm.

ukuhlola

Kuyinto ngokuvamile okwanele kuphela fluoroscopy ukuhlonza umbhunu. Ukuze ukwehlukanisa ukucacisa emizimbeni ayevumela ngoba imisebe wasebenzisa izinto ngaphakathi radiologically asebenzayo ezifana barium yombala.

Ukudla Imithi

Ngakho, sicabanga ukubonakala izimpawu ezingemnandi ezifana isilungulela regurgitation, imbangela. Futhi izindlela zokwelashwa, futhi indlela yayo zihlanganisa ukuqokwa imikhiqizo ukuthi musa obungamcasula ulwelwesi lwamafinyila. iziphuzo carbonated, ukudla esidi okubabayo, ikhofi, itiye eqinile kungase kuphakamise isimo isifo.

Kunconywa ukuba ayeke ukuthatha ukudla ezingaba babhebhethekise izimpawu ezifana isilungulela regurgitation. Izindlela ukwelashwa ezimweni eziphambili kangakanani kokungenela kuhlinzwa.

helicobacter pylori ukutheleleka

Yini enye kungadalwa isilungulela njalo futhi burping? Izimbangela (zokwelapha) ziye wafunda kahle Helicobacter pylori. Lokhu ukutheleleka kuthinta esiswini, okubangela kumiswa lelitfutfukile esiswini acid ulceration odongeni esiswini. Lokhu kubangela izimpawu isiguli ezifana isilungulela regurgitation. Izizathu ukwelashwa H.pylori ukutheleleka kuxhomeke ngezinga elithile KWAMAGUNDANE we igciwane agaya i-ammonia ne ukukhishwa-carbon dioxide. Ngo izifo ezingamahlalakhona H.pylori ukungcoliswa enkulu ngemagciwane kungaba nomthelela ekwakhekeni amanani abalulekile-carbon dioxide esiswini. Ukutheleleka ngokuvamile vyzyvaett ukubukeka izilonda peptic.

Ukuxilongwa kanye nokwelashwa

A biopsy we mucosa esiswini ingenye yezindlela eziphumelela kakhulu nxa uzingela H.pylori emagciwaneni, kufanele kwenziwe emtholampilo noma esibhedlela.

Ukudla isivikelo H. pylori ukutheleleka zihlanganisa sebuningini izidakamizwa. izifundo eziningi luye lwabonisa ukuthi garlic kuyinto ngempela ngempumelelo ekwelapheni H.pylori ukutheleleka, uma ispolzovvat ke ngokuhlanganyela "Omeprazole".

ukwelashwa ngemithi elwa namagciwane

Kuyinto efiselekayo ukuze yelaphe izifo ezibangelwa ngemithi elwa namagciwane lihambisana proton futha inhibitor ezifana "omeprazole". Proton futha inhibitor ezingakusiza ekwelapheni, futhi wenza ukuba ngizole esiswini, kuyilapho le antibiotic ukubulala amagciwane futhi avimbele ukwanda okwengeziwe labantu nezilwanyana ezincane. Lokhu kuholela nokuqedwa original ezifana isilungulela regurgitation, imbangela. Futhi imiphumela uma ukwelashwa esifike ngesikhathi engabonakali ngesimo isilonda esiswini.

Ukwelashwa ngokuvamile kuphumela ukululama ephelele, kodwa i-proton futha inhibitor kumele kusetshenziswe isikhathi eside. Amathuba okuphathwa yiyo Ukuphinda ukutheleleka ziphezulu, ngakho ukwelashwa kufanele kube ngaphansi ebhekiwe.

Nokusetshenziswa kwamaphilisi kungase babhebhethekise ukuvuvukala ulwelwesi esiswini, futhi kungadinga okuphindaphindiwe course. kwesikhathi eside ngokwanele kwemithi elwa namagciwane kungathikameza umsebenzi emathunjini, kanye probiotic kwesokudla kuyadingeka ukuze bayothola ukwelashwa eziyinkimbinkimbi.

gastroparesis

Gastroparesis - a ukukhubazeka kwemisipha esiswini, okuyinto kuvimbela noma kubambezela ukukhuthazwa lokuqukethwe esiswini phakathi emathunjini amancane. Isici Causative kungathinta innervation kwemisipha esiswini.

Izimbangela gastroparesis:

• isifo sikashukela (Uhlobo mina noma II);
• sokuzincisha ukudla;
• umsipha noma ukulimala kwenzwa ngenxa ukuhlinzwa noma ezinye ukuhlukumezeka;
• abanale nkinga;
• pancreatitis;
• scleroderma;
• isimo ngemuva igciwane lohlobo.

Izimpawu gastroparesis:

• umuzwa ukugcwala emva ukudla okusheshayo nofana ngobuncani;
• ukucanuzela kwenhliziyo, ukuhlanza,
• ongahlosile kwesisindo;
• isilungulela nokubhamuka.

Izizathu nezindlela ukwelashwa lapho gastroparesis eyonquma uphethwe yini. Indlela endoscopic - kulula kakhulu ukufinyelela kuwo futhi enobungane. It ikuvumela ukuba kutholakale khona izimila ingozi futhi anomdlavuza.

ukudla

liquid ezinconyiwe-semi ketshezi ukudla. Izinto eziningi amafutha ekudleni ayiboniswa, ngenxa yokuthi adinga nokwanda okuphawulekayo motility emathunjini bese amanani andayo alabo enzyme pancreas. Utshwala akunconyelwe gastroparesis, njengoba kungaba kancane esiswini bethulula.

ukwelashwa gastroparesis

ukwelashwa gastroparesis - ukudla eyinkimbinkimbi futhi ihlanganisa, ukwelashwa kanye amasu kuhlinzwa.

Isilungulela regurgitation: izindlela zokwelapha zincike ezizathwini okuye kwaholela lezi zimpawu.

• Ukungabekezelelani nokudla okuthile kungase kubangelwe iziyaluyalu wokugaya ukudla noma malabsorption emathunjini.
• zokungezwani ne-lactose kwenzeka ngenxa yokuntuleka kwe-wokugaya ukudla enzyme lactase.
• Ukubambezeleka fructose ukungabekezelelani iyafana lactose ukungabekezelelani wukuthi kukhona ukuntuleka lezinceku enzyme.
• Malabsorption fructose kanye sorbitol kungehlisa ukumuncwa carbohydrate amathumbu, ukuvumela amagciwane emathunjini yisikhonyane. Flow-lactose, fructose namagciwane sorbitol emathunjini kuholela ekuqongeleleni amagesi.

Izimpawu zokudla nokungabekezelelani ukuncela kukhona isicanucanu, ukuqunjelwa, amajaqamba lesisu, uhudo, isilungulela nokubhamuka. Izimbangela, ukwelashwa incike ukungabekezeleli enzyme samanje. Ngokwesibonelo, ukuntuleka fructose kungabangela izimpawu ezinamandla kakhudlwana uma lungenayo unamathele ukudla. ukusetshenziswa ngokweqile fructose kanye / noma sorbitol kungaholela ukuhlanza, jaundice, ukukhathala, isibindi lakhulisiwe kanye nokugoqana komzimba.

Ukwelashelwa ukudla ukungabekezelelani

Ukudla lapho kubalulekile. Uma-lactose ukungabekezelelani edonsa imikhiqizo yobisi kufanele inqanyulwe. Fructose ukungabekezelelani futhi zidinga ushintsho ekudleni.

overgrowth Amagcikwane emathunjini amancane

Kulesi ukugula kwandisa nezilwanyana ezincane pathogenic emathunjini amancane, okuholela ekuqongeleleni igesi esiswini, ngokulandelana, ukubhodla, ukuvuvukala, uhudo, ngezinye izikhathi ukuze isilungulela. Kulokhu, kukhona kwamaphutha yokudla okunempilo.

izizathu:

• isifo sikashukela (Uhlobo mina noma II);
• sokuzincisha ukudla;
• umsipha noma ukulimala kwenzwa ngenxa ukuhlinzwa noma ezinye ukuhlukumezeka;
• abanale nkinga;
• pancreatitis;
• scleroderma;
• wamathumbu isimiso;
• diverticula.

Ukuze sitholakele isampula uketshezi ethathwe emathunjini amancane, elibonisa degree ukungcoliswa ngemagciwane.

Ukwelashwa. Imithi elwa namagciwane ngokuvamile ngempumelelo ekwelapheni lesi sifo. izithasiselo ehlukahlukene ukudla ezingahle zinqunywe ukuze sivale lapho sisilela kwamaphutha ekudleni.

Dyskinesia ipheshana biliary

Bile kuyadingeka ukuze kokudla esiswini kwamafutha uma uthola ukudla emathunjini. Bile Reflux - ukugeleza reverse Bile kusukela emathunjini amancane kuya isisu emphinjeni.

Izizathu yokujama tsi of Bile:

• amatshe atholakala enyongweni;
• cholecystitis (gallbladder ukuvuvukala);
• cholecystectomy;
• Umdlavuza wamaphaphu gallbladder;
• ukusha kwesibindi kohlobo;
• isifo sokusha;
• nezinye isifo sesibindi;

Izimbangela enyongo Reflux kolwelwesi:

• ukungasebenzi pyloric - valve ohlukanisa esiswini kusukela emathunjini amancane;
• izilonda peptic;
• cholecystectomy.

Izimpawu biliary ipheshana isifo: ubuhlungu ngakwesokudla quadrant engenhla esiswini, ukucanuzela kwenhliziyo, ukuhlanza Bile, ukuvuvukala, ukuncipha emzibeni, sokuzincisha ukudla, isilungulela nokubhamuka.

Izimbangela, ukwelashwa ngesikhathi sokukhulelwa

Wamboza izimpawu Article ngokuvamile kwenzeka kwabesifazane enempilo abakhulelwe. Basuke kubangelwa kokucindezelwa mechanical kwesibeletho ezikhulayo kanye ukuluma njalo mucosa esiswini ngesikhathi toxicosis. Ukwelashwa siqukethe ukusetshenziswa ukudla izingxenyana ezincane, futhi ukusetshenziswa kwezidakamizwa "Rennie", "Gastal" "Maalox". Ngaphandle kokwelashwa, kwangemva kokubeletha isilungulela nokubhamuka besekusithekeni.

ukuqunjelwa

Kubonakaliswa umuzwa ongamuhle ekugcwaleni, ubuhlungu noma ukuncinza esiswini engenhla. Izimpawu zingezesikhashana futhi musa ihluke inkambo ezingamahlalakhona. Ziyakwazi:

• Ubuhlungu obukhulu besisu,
• isilungulela;
• nokubhamuka;
• isicanucanu;
• ukunambitheka emlonyeni;
• kabi esiswini;
• ukuqunjelwa noma isifo sohudo;
• zincishiswe noma angafuni kudla.

Ukuqunjelwa kunezimbangela eziningi, kuhlanganise izimo zezokwelapha, imithi, ukwephulwa yokudla kanye nendlela yokuphila.

Ukuhlolwa ukuxilonga esiswini tifaka ekhatsi tivivinyo igazi, ultrasound besisu, Endoscopy, colonoscopy, CT nama-MRI esiswini, juice fecal kanye esiswini. Kungaleso sikhathi kuphela lapho ungakwazi ukunquma ukuthi nezimpawu "isilungulela emva kokudla" izizathu. Futhi ekwelapheni amakhambi abantu futhi kunikeza nomphumela omuhle.

Ukwelashwa nokuvikelwa amakhambi abantu

Ukuqala inqubo yokwelapha ngokwamaqiniso esimweni ukuqunjelwa yilezi:

• izinguquko endleleni abaphila, ukudla on iwashi izingxenyana ezincane;
• kancane ukudla ukuhlafuna;
• zokuchithwa utshwala, ugwayi kanye ikhofi;
• baxoshwe Ukudla ukudla okungenamsoco;
• Ukubambelela.

Imithi yokwelapha ukuqunjelwa zihlanganisa antacids futhi acid blocker. ukwelashwa ukuqunjelwa igxile imbangela ecashile. Isibikezelo ukuqunjelwa, ngokuvamile kuhle, uma ezazibangelwa indlela izinto. Amathemba ukuqunjelwa, obubangelwa ukugula noma isimo sezokwelapha iyahlukahluka kuye ngokuthi isinqumo isimo.

Yini izifo noma izimo kubangele yisisu?

Lesi sifo noma izimo ukuthi ingadala yisisu, zihlanganisa:

• isilonda (esiswini noma isilonda duodenal);
• Gerd (gastroesophageal Reflux isifo) ;
• esophagitis;
• hernia ngomphimbo diaphragm;
• amatshe atholakala enyongweni;
• senyanga okugcina enkathi yokukhulelwa;
• pancreatitis;
• kolwelwesi;
• ukudla okunobuthi;
• engaphathekile wamathumbu syndrome;
• gastroparesis;
• ukungabekezelelani enzyme;
• isifo senhliziyo: pectoris angina, isifo senhliziyo,
• abanale nkinga;
• nokucindezeleka;
• umdlavuza isisu.

Yini imithi abangela isilungulela noma nokubhamuka

• aspirin nezinye analgesics eziningi, ezifana izidakamizwa nonsteroidal eqeda ukuvuvukala (ama-NSAID);
• "Prednisolone", "Methylprednisolone," "Medrol";
• estrogen nebuciko nokukhandela imbeleko;
• antibiotic, isibonelo, "Erythromycin" futhi "tetracycline"
• izidakamizwa ekwelapheni umdlavuza yegilo;
• imithi ukuthi sinciphise umfutho wegazi;
• statin;
• ezinye amaphilisi ezinhlungu.

Zonke lezi izidakamizwa kungabangela uma engafanele wasebenzisa izimpawu ezinjalo esiswini kanye wamathumbu ukungasebenzi kwekhono njengoba isilungulela regurgitation (imbangela).

Ukwelashwa nokuvikelwa amakhambi abantu

Ezinye izincomo ngeke usizo ukuqeda isilungulela burping.

1.Stremites ukuze isisindo esinempilo.

Nakuba isilungulela kungenzeka kunoma ubani, Gerd kuvamile kakhulu abadala abakhuluphele noma abakhuluphele. Kulezi zimo, it kwandisa ingcindezi esiswini. Ngenxa yalokho, wena basengozini lelitfutfukile Ukuxoshwa juice esiswini emphinjeni.

2.Znayte imiphi imikhiqizo ingasetshenziswa yini.

Kungakhathaliseki ukuthi kuningi kangakanani uzindla, kukhona ezinye izinhlobo zokudla ezinambitheka kungandisa ingozi izimpawu ezingezinhle. Zama ukusebenzisa:

• utamatisi sauce kanye neminye imikhiqizo utamatisi ezisekelwe;
• ukudla okunamafutha (like ukudla okusheshayo);
• okugazingiwe;
• ezisawolintshi ayo;
• soda;
• caffeine;
• ushokoledi;
• nesweli;
• anyanisi;
• Mint;
• utshwala.

Linganisa noma ukugwema kubo, ungakwazi ukudambisa isimo. Ungase futhi sigcine idayari yokudla ukuhlonza ukudla inkinga.

3.Eshte amancane, kodwa isikhathi eside.

Nge ukuhlafuna obuphelele kudala ingcindezi zokukhekheleza on esiswini, okuyinto kungavimbela backflow ka esiswini acid. Kulokhu, ungehlisa isilungulela ngokudla kancane jikelele.

Kubalulekile futhi ukugwema ukulala ngemuva kokudla. Futhi kungakwenza isilungulela nokubhamuka. It is hhayi Kunconywa ukuba alale ngemva kokudla. Uma lokhu kungenakwenzeka ukunqamula ke ngemva kokuya sokulala, zama ukuvimba aphakamise ikhanda lakhe njengasekuqaleni ephakeme ukuze ugweme isilungulela ebusuku.

imikhiqizo 4.Eshte ezisiza.

Okokuqala, ukudla Kunconywa siphansi in fat and amaningi wezokudla belka.Sokraschenie ungaqhubeka banciphise izimpawu eziwumphumela wokugula yakho, ngenkathi iya amaprotheni ngokwanele futhi fibre sizonikeza ivolumu ezidingekayo futhi kuvimbele ukudla.

Ngemva kokudla, ungakwazi ungahlafuni ngaphandle Mint - ke kuzokhuphula inani amathe emlonyeni futhi singavumeli nokujikijela acid esuka emphinjeni.

ukubhema 5.Broste.

Ngo-non umsebenzi ephansi sphincter ngomphimbo, okuyinto unomthwalo ekuvimbeleni ukulahlwa esiswini acid, ke isesimeni esihle futhi usebenza kahle.

yokuhogela intuthu kagwayi ingadala izinkinga uma unenkinga yokukhangwa abantu izimpawu isilungulela burping.

6. Phuza infusions ngezindleko zemithi engamakhambi.

I amakhambi alandelayo asetshenziselwa ukuqeda izimpawu ezingemnandi:

• chamomile;
• licorice;
• marshmallow;
• Elm oshelelayo.

Futhi lisetshenziswa njengendlela tincture netiye.

7.Izbegayte izingubo ezihambisanayo.

Ukugqoka Friend too esiswini Friend kungandisa isilungulela. Lokhu kubalulekile ikakhulukazi uma izintambo eqinile.

8. Zama amasu aziphumulele.

Yoga awunankinga yokwenze ukwelashwa futhi aziphumulele. umsebenzi wayo kuzoholela ngesilinganiso umzimba nomphefumulo. Ngisho noma ungeyena yogi, ungazama wedwa ukuzindla ukudonsa umoya imizuzu embalwa izikhathi eziningana ngosuku ukuba sinciphise ukucindezeleka.