Duodeno-gastric reflux chirwere chegastroenterological chinowanikwa mune 15% yevanhu vane utano hwakakwana. Dzimwe nguva zvinowanzoitika pachayo, asi kakawanda inofambidzana uye inokurwisana nemamiriro ekusaziva gastritis, deodenal ulcers kana mudumbu, gastroesophageal reflux chirwere.
Chii chinonzi duodenal gastral reflux chinoreva?
Nezvo kuongororwa, zvinyorwa zve duodenum zvinokandirwa mudumbu nzvimbo. Kuzvinyatsoongorora kwe duodenal gastric reflux kunoitika mu 30% chete yematambudziko ose. Mune vamwe varwere, chirwere ichi chinowanzobuda-chikafu - chinoitika kamwe kamwe panguva yokurara kana nekuda kwekunyanyisa muviri. Panguva imwecheteyo, hapana zviratidzo zvinoratidzika, uye hurumende haina huipi hunoita purogiramu yekudya. Saka, mumamiriro ezvinhu akadaro, DGR sechirwere hachina kuonekwa.
Duodeno-gastric reflux - zvinokonzera
Zvirwere zvinowanikwa apo pane kuputsa kwe duodenal patency. Somugumisiro, kukamanikidzwa mukati me duodenum kuwedzera, uye basa rekuvhara gedhi rinoonekwa pachena. Apo iyo pyloric sphincter isingagoni kuita mabasa ayo ezvokudya, zvokudya izvo zvakapfuurira kumatanho anotevera ekugadzirisa chirwere zvinodzorerwa kumashure.
Sezvimwe mune zviitiko gastritis, duodenal-gastric reflux inokonzera zvikonzero zvakadaro:
- kusvuta;
- hernia of diaphragm ;
- dysbiosis ;
- kuvhuvhuta zvirongwa mu pancreas kana bile duct;
- kutora mishonga inoderedza mutinhiro wemusana unotapira weeophagus;
- helminthic invasions;
- kusagadzikana kusina kuitika kwe duodenum;
- congenital syndromes yekutenderera kusina kukwana kwemukati uye musikana muduku;
- kusava nehomoni gastrin;
- pamuviri.
Iroodenal-gastric reflux phenomenon ine zviitiko zvakakura zvinokonzera ngozi. Muzviitiko zvizhinji, kukura kwedambudziko kunotungamirira kune:
- kunyanya kushandiswa kwemafuta uye zvokudya zvinonaka;
- kusagadzikana zvokudya (wakaoma);
- kusazvidzora kudya tsika;
- nguva yakareba yakagamuchirwa kwete-steroidal anti-inflammatory drugs kana antispasmodics;
- kuneta;
- chirwere cheshuga mellitus;
- pancreatitis ;
- pancreatic insufficiency.
Duodeno-gastric reflux-degree
Sezvakangoitika kune imwe hurwere, DGR ine zvikamu zvakasiyana zvekufambira mberi. Zvichienderana nekureba kwenguva yakareba uye nekushingaira chirwere chinobudirira, zviratidzo zvezviratidzo zvakasiyana-siyana zvinoshanduka. Nhamba ye duodenal-gastric reflux inotsanangurwa nhamba ye bileic acid iri mune zvikamu zvakasiyana zvepamu. Uye nokukurumidza chirwere chacho chinowanikwa, zvinozove zviri nyore kuva nayo.
DGR ye1 degree
Dhiyabhorosi "yakajeka" ndiyo yekutanga. Duodeno-gastral reflux yedigiri yekutanga inoshandiswa apo huwandu hwehuwandu hwebi hunowanikwa mumupurisa wegermricic gondric pedyo ne sphincter. Zviratidzo mumutsara wekutanga zvingasaratidzwa zvachose. Uye kana zviratidzo zvamuka, varwere vakawanda havatarisire ivo, vachifunga kuti kusuruvara kwakaonekwa sechikonzero chekudya zvakanyanya kana kudya "pamhanya" uye nokukurumidza kupfuura.
DGD 2 degrees
Vakawanda vanodzidza nezvehutano hwavo, nguva apo chirwere chinoenda kuchikamu chechipiri. Duodeno-gastral reflux yechipiri chechipiri inowanikwa mune avo varwere vane iyo bile inowanikwa munzvimbo dzakakwirira dzemudumbu - mumutambo kana mudhesi. Panguva iyi, zviratidzo zvinowanzojeka uye nguva dzose zvinorangaridza ivo pachazvo, izvo zvinoita kuti murwere atende kune unyanzvi.
DGR 3rd degree
Ichi ndicho chimiro chakaoma uye chinoregererwa chechirwere. Izvozvo zvinonzi duodenal-gastric reflux inotsanangurwa apo zviri mukati me duodenum zvinosvika pasi pepamu uye pasi re esophageal sphincter. Chikamu chechitatu chinoratidzwa nekuratidzwa kwezvose zviratidzo zvikuru. Uyezve, zvose zvinotaurwa pachena uye kusagadzikana zvinounza chikamu chikuru.
Duodeno-gastric reflux - zviratidzo
Zviratidzo zveGDR zvakafanana nenzira dzakawanda kuratidzwa kwezvimwe zvirwere zvegumbo rekudya. Izvi zvinotsanangurwa nehukama hwavo. Zivai zvisingaperi zve duodenal-gastric reflux nezviratidzo zvinotevera:
- kuora , izvo zvinowanzoitika mushure mekudya;
- kushungurudzika uye zvinogona kuitika mushure mekurutsa ne bile;
- kubvongodza nemhepo kana kunwavira;
- kubvisa uye kunzwa kwekuputika kwemuviri;
- kucheka kana kurwadziwa mumimba;
- ramba ruchiva muromo;
- chimiro chekuputika kwechirimi pamutauro.
Kazhinji kakawanda duodenal-gastric reflux inoratidzwa nemarwadzo. Kusagutsikana kwekunzwa, sekutonga, kunongororwa kumusoro kwemuviri. Kusuruvara kunowanzodzoka uye kunowanzoregererwa. Asi vamwe varwere vanogunun'una nemhepo yakasimba uye inopisa mukati megomba remukati, iyo inowanikwa pakarepo mushure mekudya, iyo inogogurwa kunze kwemaawa mashomanana.
Nzira yekurapa duodenal gastral reflux?
Kuti uwanezve nokukurumidza, kurapwa kunofanira kuva kwakaoma uye kunofanira kutanga apo zviratidzo zvekutanga zvinowoneka. Usati wapora chirwere chechirodal-gastric reflux, sarudza nyanzvi kuti uone chinokonzera dambudziko racho. Pasinei nokuti nei DGR yakaonekwa, murwere anorayirwa kuongorora zvakare nzira yehupenyu: kwete kushandisa doro uye fodya, kuramba zvirongwa zvelagogicic, caffeine, Aspirin. Paunenge uchiratidza kuti zvakakosha kudzora uremu hwako uye kuramba uchidya.
Duodeno-gastral reflux - kurapa nemishonga
Basa guru remishonga yemishonga yeDGR ndeyekudzorera mabasa anowanzoitwa nehutachiva hwemimba uye kutarisa basa rekudzivirira-motokari yezvikamu zvakakanganiswa zvekugadzirisa chirwere. Nzira yekurapa duodenal gastric reflux, inofanira kusarudza nyanzvi. Kazhinji, vanachiremba vanosarudza:
- Prokinetics - Cerucalum kana Domperidone, - iyo inobatsira pakukurumidza kudya kwezvokudya, kufanana kwayo uye kufambira mberi pamwe nematope emukati muduku.
- Kuti uchengetedze gastric mucosa kubva pamagumisiro anotsamwisa ezviri mukati me duodenum, shandisa Omese, Nexium.
- Kukunda kurwadziwa kwepfungwa kunobatsira nzira dzakadaro saAlgel, Fosfalugel, Gaviskon.
- Simbisai peristalsis yezvikamu zvepamusoro zvegumbo rekudya kushandisa sangano re serotonin receptors - mosapride citrate.
- Mishonga inobudirira UDCX (ursodeoxycholic acid), iyo inoita kuti mudumbu zviri mukati me duodenum inokandwa mukati mudumbu zvinosvibiswa nemvura uye zvisinganyanyi kurwisana (mukuita izvi zvinotungamirira kubviswa kwekushungurudza kunorwadza, kurutsa, uye kurwadziwa kunorwadza).
Duodeno-gastral reflux - kurapwa nevanhu vese remishonga
Ichi chirwere chinoporerwa nenzira dzakasiyana. Asi zvisinei, nyanzvi dzakawanda dzinokurudzira kushandura kwavari sechikamu chekurapa kwakaoma. Nekuongororwa kwe duodenal gastric reflux, zvinyorwa zvevanhu zvinofanira kusarudzwa navanachiremba uye mushure mokunge vaona zvikonzero zvekutanga kwechirwere. Kana zvisina kudaro, mamiriro ezvinhu emuurwere anogona kungowedzera kuipa.
Nzira yekurapa Duodeno-gastric reflux nemishonga?
Zvisungo:
- yarrow;
- Wort John's wort;
- chamomile.
Kugadzirira nekushandiswa:
- Sakanidza mune imwe yezviyo zvinoshandiswa mune chero upi zvake. Iwe unogona kutora "neziso", zvakajeka zvakaenzana mumutsara uyu haufaniri kuiteerera.
- Mishonga inodururwa nemvura inopisa uye inomirira kwemaminitsi gumi nemashanu.
- Iyo inogadzirirwa ti inokurudzirwa kunwa zuva nezuva mangwanani uye manheru.
Kurapa kwe duodenal gastric reflux ne flax mbeu
Zvisungo:
- flax mbeu - 1 tbsp. l.;
- mvura 100 ml.
Kugadzirira nekushandiswa:
- Mbeu inodururwa mumvura inotonhorera.
- Iko kusanganiswa kunofanira kuiswa kusvikira mbeu inotanga kurira. Panguva ino, mutsuko unoshanda unotanga kubuda kubva kwavari.
- Mvura inokonzerwa nayo inofanira kunwa doro musina chinhu kune ¼ - ½ mukombe.
Ayr uye sage contre duodeno-gastral reflux
Zvisungo:
- root aira - 50 g;
- sage - 50 g;
- mudzi weengirozi ingu 25 g;
- mvura - 1 girazi.
Kugadzirira nekushandiswa:
- Tora teaspoon imwechete yega yega inosanganiswa.
- Mvura ushuke uye udururire uswa.
- Mushonga unofanirwa kuvhara kwemaminitsi makumi maviri. Pashure pacho, unogona kuiswa uye wakadhakwa.
- Kuita kuti musanganiswa wacho unakidze, uchi anogona kuwedzerwa kwariri.
- Iwe unoda kunwa mushonga katatu pazuva kana awa mushure mekudya.
Kudya ne duodeno-gastral reflux - menyu
Zvinenge zvirwere zvose zvemuviri wepamuviri zvinorapwa nenzira yakakodzera. Uye DGR hachisi izvozvi. Apo chirwere che-duodenal-gastric reflux chinodiwa, kudya kwakasimba kunodiwa. Zvokudya zvaunodya zvinoda kupwanyika zvakakwana. Iko kunokurudzirwa zvishoma, asi 5 - 6 kakawanda pazuva. Varwere vanobvumirwa kudya michina yakadaro:
- mishonga yemichero, borsch, soup isina kunya;
- hove yakabikwa, yakabikwa kana yakabikwa;
- nyama yakaderera-mafuta, huku;
- sausage yezvokudya;
- mazai (kwete anopfuura rimwe pazuva);
- miti yakasvibirira, yakabikwa uye yakabikwa (kunyanya bheet uye karoti, mashizha);
- kwete-acidic michero;
- compotes;
- jamu;
- jelly;
- uchi;
- rye rye kana chingwa chisina kuomeswa;
- unatable pastries.
Nhamba yezvinhu zvinorambidzwa zvakagadzirwa zvinosanganisira:
- chingwa chitsva chitsva;
- puff pastry;
- kubika;
- fried dough;
- Mafuta emhuka kubva kumhuka, mafuta;
- mushroom;
- zvinokonzera nguva;
- chero mbesa;
- chocolate;
- makeke ane bhotela kana krisamu;
- ice cream.