Gastroesophageal reflex lefu, 'me meriana leha e le efe bakeng sa lesokolla thonya litsebi

Lesokolla - lefu le hore ke tloaelehileng ho ba bangata ba rōna. Ikatisetsa bongaka, eo hape a bitsoang lesokolla - gastroesophageal reflex lefu seo se etsahala ka tlōlo ea mosebetsi esophageal. Linaheng haholo ntshetswa pele, United States, Europe Bophirimela, lesokolla tletleba ka bang 50% ea baahi. Ka hona, ka ho fetisisa ipotsa feta ho phekola lesokolla? Ho ea ka phuputso e entsoeng Russia lesokolla eu tšoenyang ka 17-45% ea baahi.

ngotsoeng likhatisong ho fetisisa mehleng ea kajeno e bontša hore sesosa se ka sehloohong sa lesokolla bo ntse bo thatafala ka metso ea litaba tse ka hare ea mala. Hape, ho na le ke bopaki ba hore go tlaleletsa ka gastric lero HCl e timetsang phello e esophageal mucosa bonahatse proteolytic le enzyme lipolytic (pepsin, lipase), acid bile le enzyme pancreatic. Ka tlōlo ea phunyang esophageal, dikahare tsa mala ka lebaka la ho retrograde (morao) tshisinyo ka metso ea. Tshebetso ena e tsamaea le sensations sa thabiseng. Ho na le ba bang ba lijo le lino tse tsosang lesokolla (mafura, lijo tse halikiloeng, peppermint, kofi, chokolete, joala le lino-mapholi). Hape bakela lesokolla ba bang lintlha - thata liaparo, ho ikoetlisa, ho ima, ho tsuba, ho imeloa kelellong. Khafetsa lesokolla le hlaha ka ho sebelisa aspirini, hypnotics, antispasmodics, antihistamines, sedatives. basali ba - ha ba sebelisa pilisi dithibela.

Lesokolla matšoao a bonahatsoa ka mosa le ho ea cha mpa e ka holimo, boikutlo ba ena e ntlafatsoa ke matsoapo a 'mele. Haeba lesokolla bontša matšoao a eketsehileng - mokhathala, fokotseha takatso ea lijo, ho nyekoa ke pelo, ho hlatsa le mali, bohloko ka morao 'me sefubeng, ho fufuleloa lokela hang-hang ikopanya litsebi li. Phehellang matšoao a lesokolla 'na a bontša esophagitis (ho ruruha ha metso e), kapa onkoobrazovaniya ka mpeng le metso. Ho ke ke ho hlokahala hore re hlokomele hore esita le masea a ka lemoha boikutlo ba lesokolla. Sena ke ka ntlha ya go ha e le hantle hore masea (likhoeli tse 6-12) ka mora ho fepa e ka regurgitate. Bakeng sa bana ba nang le bothata ba ho lesokolla ka amanang le asma e, ho ruruha ea 'metso le matšoafong.

Tse ngata gastroesophageal lefu reflex e nkoa e le e mong oa mafu a ea acid e amanang ka liketso hydrochloric acid e ka ka sehloohong pathogenetic Ntlha e le letšoao ka sehloohong - lesokolla le esophagitis. Ho se sebetse ea sphincter ka tlaase ea lijo ka ba le ka semelo sa scleroderma, ho ima, hammoho le ho tsuba, ho sebelisa ea meriana e fokotsang mesifa boreleli molumo (Theophylline, blockers).

Meriana bakeng sa lesokolla. Lingaka li fokotsa tšebeliso ea mafura, lijo tse halikiloeng, chokolete, kofi, tee le matla, joala, litholoana dilamunu, konofolo, eiee, joalo-joalo Phekolo o ikemiseditse ho Setšoantšo sa lesokolla. Bakeng sa morero ona, le mamello e hlokahalang ho nka antacids (MegaPack, Mylanta, Maalox, Fosfalyugel, Topalkan, Gaviscone) mochine oa ketso eo o ikemiseditse ho fokotsa acidity ka mpeng. Ke lokela ho bolela hore lithethefatsi tsena li ka ba tšoauoa ka lebelo, empa ka nako ya bohato e nyenyane (ka moea oa lihora tse). Ka morero oa ho litsebi thibelo nkhothaletsa timetsang lijo hangata, likarolo tse ling e nyenyane, ka hloko ho hlafuna e (ho fihlela ho ka makhetlo a 30-40). Ka mor'a ho ja lijo tsa lokela ho nka boemo ba tshekaletseng ea 'mele, ha ho ikoetlisa.

Meriana bakeng sa lesokolla: mekhoa e tloaetsoeng kalafo. Katleho ea phekolo e itšetlehile eseng feela ka ea thontsweng regimens kalafo, empa hape ka liphetoho tse ba mokuli ea bophelo. Lingaka li nkhothaletsa phetoho ea boemo 'mele nakong ea robala (bakeng sa morero ona hlooho qetellong ea bethe lokela ho tsosoa ke 15 cm,); ho qoba ho tsuba le ho noa; Ba bang bakuli ba lokela ho khaotsa ho noa meriana (sedatives, ea kelello, anticholinergics, k'halsiamo le kanaleng blockers, lithethefatsi, progesterone); felisa khatello ea kelello, e leng se qholotsa ho eketseha ha khatello ea intra-ka mpeng.

Meriana bakeng sa lesokolla: meriana. Ho kokobetsa ho le hydrochloric acid e laolwa antacid lithethefatsi hore ebe o kenya tshebetsong le enzyme proteolytic, adsorb bile acid e le lysophosphatidylcholine, alkalization o etsoa ke mala. Aluminium ions, e leng ka lokisetsa bontša ketso cytoprotective. Ka moriana ea kajeno, batho ba na le boloetse ba lefu gastroesophageal reflex laela meriana bakeng sa lesokolla ka prokinetic ka, cytoprotectors, blockers tsa histamine H2-receptor ba khahlanong le lōna (ranitidine, famotidine, nizatidine, roxatidine). Tsa morao tjena ka mafolofolo ho thibela secretion ea pepsin, empa hape fokotsa secretion ea acid e hydrochloric ka mpeng.

Batho ba bang ba qeta kalafo ya lesokolla lapeng le ho sebelisa ha moriana tsa setso: litlama (oregano, St. ea Johanne ho hlaha setoto, Thyme, go bananas) le tsa ditholwana tsa meroho (litapole, k'habeche, likomkomere), joalo-joalo