Hernia weeophagus inowanzoita zvirwere, uye muzviitiko zvizhinji zvinogona kuramba kwenguva refu yakavanzika kana nehuwandu hwezviratidzo. Zvisinei, izvi hazvirevi kukurira kwechirwere ichi, icho, kana chisina kukodzera kurapwa, chinotyisidzira nemigumisiro yakakomba (kukura uye kubuda kubva panopa, kemukari yemajoka, kupesana kwemahara, nezvimwewo). Nokudaro, kana chirwere chikaonekwa, hachifaniri kunonoka nekurapa.
Zvinokwanisika here kuporesa mutsara weeophagus pasina chirwere?
Kusarudzwa kwemishonga yekurapa iyo inoda kushandiswa mune imwe neimwe yakasarudzika inotsanangurwa zvichienderana nemigumisiro yekuongororwa uye mamiriro ezvinhu ose omurwere. Kurapa kwekuvhipisa neyechirwere chesophagus haisi nguva dzose inorondedzerwa - mune dzimwe nguva zvinokwana kuitisa chirongwa chekuchengetedza chirwere, uye kune vamwe basa rinogona kungopesana. Basa rekupindira rinosarudzwa kana:
- hernial protrusion yakakura;
- kune ngozi yakaipisisa yokuputsa;
- yakaumbwa pedyo ne-esophagus slide hernia;
- pakanga paine kugadziridza kwekufambisa mumasuo ayo;
- dysplasia yemucosa weeophagus;
- kune zvinetso zvakadai sekubuda ropa, kudengenyeka, zvipembenene, nezvimwewo.
Uyewo, nzira dzokuvhiya dzinoratidzwa mukusavapo kwemigumisiro yakanaka yekurapwa kusina kupirisa, uye kuora kukuru mumamiriro emurwere. Mune zvimwe zviitiko, kana hutachiona hudiki, zviratidzo zvechirwere hazvirevi, kuraira nzira dzinogadzirisa dzokurapa. Mukuwedzera, kubata chirwere chemasimba pasina chirwere chinokurudzirwa munyaya dzakadai sekuzvitakura, chirwere chemwoyo chakakomba, chirwere cheshuga, nezvimwewo.
Nzira yekuporesa chirwere chesophagus pasina chirwere?
Kurapa kwehutachiona hwechirwere chisina kuvhiyiwa hakukwanise kubvisa kupora kwakadaro, asi kunobvumira kumisa kufambira mberi kwehutachiona, kudzivirira kukura kwezvinetso uye kuvandudza mamiriro ekurapa. Iyo yakaoma yehutano hwekurapa inosanganisira:
- kudya, izvo zvinobvumira kuderedza mutoro pamagadzirirwo emagetsi, kudzivisa kushungurudzwa kwemukasi membrane, kuderedza mutoro wemurwere;
- chiremera chekuita basa;
- kuramba tsika dzakaipa;
- kupfufidza maitiro ekusimbisa chidimbu;
- chinetso chinorapwa mishonga.
Mukurapa, mishonga yakadaro inogona kushandiswa:
- prokinetics ;
- antacids ;
- blockers of histamine receptors;
- proton pump inhibitors;
- anti-inflammatory drugs, etc.