I-Duodeno-reflux esiswini yisifo se-gastroenterological esitholakala ku-15% wabantu abaphilile ngokuphelele. Ngezinye izikhathi kwenzeka ngokwayo, kodwa ngokuvamile kuvame futhi iqhubekele ngokumelene nesizinda se-gastritis esingavamile, izilonda ze-duodenal noma isisu, isifo se-reflux se-gastroesophageal.
Yini i-reflux ye-duodenal yesigcawu eshoyo?
Ngalolu cwaningo, okuqukethwe kwe-duodenum kuphonswa esibhedlela esiswini. Ukuzihlolisisa kwe-refodx ye-duodenal esiswini kuvele ku-30% kuphela wezo zonke izimo. Kwezinye iziguli, lesi sifo sibheka ukuqhuma-kwenzeka ngokuzumayo ngesikhathi sokulala noma ngenxa yokuzivocavoca ngokweqile ngokomzimba. Ngesikhathi esifanayo, azikho izimpawu ezibonakalayo, futhi umbuso awunawo umphumela omubi ohlelweni lokugaya ukudla. Ngakho-ke, ezimweni ezinjalo, i-DGR njengesifo ayithathwa.
I-Duodeno-reflux esiswini - izimbangela
Izifo zenzeka uma kukhona ukwephulwa kwe-patriotic duodenal. Ngenxa yalokho, ukucindezela ngaphakathi kwe-duodenum kwanda, futhi umsebenzi wokuvala wesango uyabuthakathaka. Uma i-sphincter ye-pyloric ingakwazi ukwenza imisebenzi yayo eyisisekelo, ukudla okuye kwadlula esigabeni esilandelayo somjikelezo wokugaya umzimba kubuyiselwa esiswini.
Njengamanye ama-gastritis, i-duodenal-reflux esiswini idala izizathu ezinjalo:
- ukubhema;
- i-hernia ye-diaphragm ;
- i-dysbiosis ;
- izinqubo zokuvuvukala ku-pancreas noma nge-bile duct;
- ukuthatha imithi ehlisa ithoni ye-musculature ebushelelezi ye-esophagus;
- helminthic invasions;
- ukuthuthukiswa okungavamile kwe-duodenum;
- ama-syndromes angama-congenital wokujikeleza okungaphelele kwamathumbu namathumbu amancane;
- ukuntuleka kwe-hormone gastrin;
- ukukhulelwa.
Isimo se-reflux se-duodenal-esiswini sinemikhakha eminingana eyingozi. Ezimweni eziningi, ukuthuthukiswa kwenkinga kuholela ku:
- Ukusetshenziswa ngokweqile kwamanoni nokudla okubabayo;
- ukudla okungalingani (okomile);
- imikhuba yokudla engavamile;
- ukwamukelwa isikhathi eside kakhulu kwezidakamizwa ezingekho-steroidal eziphikisayo noma ama-antispasmodics;
- ukukhuluphala;
- isifo sikashukela mellitus;
- i-pancreatitis ;
- ukungakwazi ukusebenza kwe-pancreatic.
I-Duodeno-gastric reflux - degree
Njengalokhu kunoma yisiphi esinye isifo, i-DGR inezigaba ezahlukene zokuthuthukiswa. Kuncike ekutheni lesi sifo siqhubeka isikhathi eside kangakanani, ukubonakaliswa kwezimpawu ezihlukahlukene kushintshana. I-degree ye-reflux ye-duodenal-esiswini inqunywa inani le-bile acids elisezingxenyeni ezahlukene zesisu. Futhi ngokushesha lapho lesi sifo sibonakala, kuyoba lula ukubhekana nayo.
I-DGR ye-degree elingu-1
I-degree "elula" kakhulu iyona yokuqala. I-Duodeno-reflux yomgogodla yezinga eli-1 isethwe lapho inani elincane le-bile litholakala emnyangweni we-pyloric gastric eduze kwesiphincter. Izimpawu esiteji sokuqala kungenzeka zingabonakali nhlobo. Futhi uma kuvela izibonakaliso, iziguli eziningi azizinaki, ngokucabangela ukuthi ukungazi kahle kubonakala ngenxa yokudla ngokweqile noma ukudla "ekugijimeni" futhi maduzane kudlule.
I-DGD 2 degrees
Abaningi bafunda ngokuxilongwa kwabo, lapho nje lesi sifo siya esigabeni sesibili. I-Duodeno-reflux yegastra yezinga lesibili itholakala kulawo gciwane okubhekwa nalo ibhili kutholakala ezingxenyeni eziphezulu zesisu - ku-antrum noma esisekelweni. Kulesi sigaba, izimpawu zicacile futhi zihlale zizikhumbuza ngokwazo, ezenza isiguli siphendule ochwepheshe.
DGR degree 3rd
Lona uhlobo oluyinkimbinkimbi kakhulu nolunakiwe lwesifo. I-reflux ebizwa nge-duodenal-gastric isinqunywe uma okuqukethwe kwe-duodenum kufinyelela phansi kwesisu kanye nesiphincter esingaphansi kwe-sphincter. Isigaba sesithathu sibonakala ngokubonakaliswa kwazo zonke izimpawu ezisemqoka. Ngaphezu kwalokho, konke kubizwa ngokucacile futhi kungakhululekile ukuletha inani eliphakeme.
I-Duodeno-reflux esiswini - izimpawu
Izimpawu ze-GDR zifana nangezici eziningi ekuboniseni ezinye izifo zendlela yokugaya. Lokhu kuchazwa ubuhlobo babo. Qaphela i-reflux engavamile ye-duodenal-gastric ngezimpawu ezilandelayo:
- ukuphuza , okuvame ukuvela ngemva kokudla;
- i-nausea kanye nezinyathelo ezilandelayo zokuhlanza nge-bile;
- ukubopha emoyeni noma ukunambitheka okumuncu;
- ukuvuvukala kanye nomzwelo wokuqhuma kwesisu;
- ukusika noma ubuhlungu besisu;
- ukunambitheka okubabayo njalo emlonyeni;
- ukubonakala kwezingubo eziphuzi olimini.
Ngokuvamile i-reflux ye-duodenal-gastric ibonakala ngobuhlungu. Izinzwa ezingathandeki, njengombuso, zigxilwe phezulu kwesisu. Ubuhlungu buyaphinda futhi bubekezeleleke kakhulu. Kodwa ezinye iziguli zikhononda ngezinhlungu ezibukhali kakhulu ezibuhlungu emgodini wesisu, okubonakala ngokushesha ngemva kokudla, okukhishwa amahora ambalwa.
Indlela yokwelapha i-reflux ye-duodenal yesigcawu?
Ukuze utholakale ngokushesha, ukwelashwa kufanele kube okuyinkimbinkimbi futhi kufanele kuqale lapho izibonakaliso zokuqala zivela. Ngaphambi kokwelapha isifo se-reflux se-duodenal-gastric, khetha abachwepheshe ukucacisa imbangela yenkinga. Kungakhathaliseki ukuthi kungani i-DGR ivele, isiguli sinconywa ukuthi sicabange ngendlela yokuphila: hhayi ukuhlukunyezwa utshwala nogwayi, ukwenqaba imithi ye-cholagogic, i-caffeine, i-Aspirin. Uma reflux kubaluleke kakhulu ukulawula isisindo sakho futhi ugcine ukudla.
I-Duodeno-reflux yegastra - ukwelashwa ngezidakamizwa
Umsebenzi oyinhloko wokwelapha izidakamizwa ze-DGR ukubuyisela imisebenzi evamile yepheshana lomzimba kanye nokuqapha umsebenzi we-motor-evacuation izingxenye ezithintekile zesistimu yokugaya ukudla. Indlela yokuphatha i-reflux ye-duodenal esiswini, kufanele inqume ochwepheshe. Ngokuvamile, odokotela bakhetha:
- I- Prokinetics - i- Cerucalum noma i-Domperidone, eyenza ukugaya ukudla okusheshayo, ukufaniswa kwayo nokuthuthuka emathangeni amathumbu amancane.
- Ukuze uvikele i-mucosa yesisu esisuka kumphumela ocasulayo wokuqukethwe we-duodenum, sebenzisa i-Omese, Nexium.
- Ukubhekana nesifo senhliziyo kusiza izindlela ezifana ne-Almagel, Fosfalugel, Gaviskon.
- Qinisekisa i-peristalsis yezingxenye ezingenhla zegciwane lokugaya usebenzisa ama-agonists we-serotonin receptors - i-citrate yama-mosapride.
- Imithi ephumelelayo i-UDCX (ursodeoxycholic acid), eyenza isisu esiswini se-duodenum siphonswe esiswini sinomswakama wamanzi futhi sinobudlova (ngokwenza lokhu kuholela ekuqedeni ukuhlanza okubabayo, ukuhlanza nokuhlushwa).
I-Duodeno-reflux yegastra - ukwelashwa ngamakhambi abantu
Lesi sifo siphathwa ngezindlela ezihlukile. Kodwa-ke, izazi eziningi zincoma ukuthi zizisebenzisela kuphela njengengxenye yokwelapha okuyinkimbinkimbi. Uma kutholakala ukuthi i-reflux ye-duodenal ye-duodenal isiswini somzimba, imidwebo yabantu kufanele ikhethwe odokotela futhi ngemuva kokuthola izimbangela zokuqala kwesifo. Uma kungenjalo, isimo sesiguli singaba sibi kakhulu.
Indlela yokwelapha i-Duodeno-reflux esiswini ngamagciwane?
Izithako:
- i-yarrow;
- Wort St. John's wort;
- chamomile.
Ukulungiselela nokusebenzisa:
- Hlanganisa izithako ezithambile zanoma yikuphi ukulingana. Ungathatha "ngeso", isilinganiso esicacile kule recipe akudingeki ukuthobela.
- Amagciwane athululelwa ngamanzi abilayo futhi afune imizuzu engu-10-15.
- Itiye eholayo iphakanyiswa ukuphuza nsuku zonke ekuseni nakusihlwa.
Ukwelashwa kwe-reflux ye-duodenal yesisu esiswini sembewu ye-flax
Izithako:
- imbewu yefilakisi - 1 tbsp. l.;
- amanzi 100 ml.
Ukulungiselela nokusebenzisa:
- Imbewu ithululelwa emanzini apholile.
- Ingxube kufanele ifakwe kuze kube yilapho imbewu iqala ukuvuvukala. Kulesi sigaba, i-mucus ewusizo iqala ukuvela kubo.
- Uketshezi oluphuthumayo kufanele kudakwe esiswini esingenalutho ngo-¼ - ½ indebe.
U-Ayr no-sage ngokumelene ne-reflux ye-duodeno-gastral
Izithako:
- impande aira - 50 g;
- sage - 50 g;
- impande ye-angellica ingu-25 g;
- amanzi - ingilazi eyodwa.
Ukulungiselela nokusebenzisa:
- Thatha isipuni esisodwa senyoni ngayinye eyomile.
- Amanzi abilayo futhi uthele utshani.
- Umuthi udinga ukuphuza imizuzu engaba ngu-20. Emva kwalokho, ungahlungwa futhi udakwe.
- Ukwenza ingxube ibe mnandi ngokwengeziwe, uju unganezelwa kuso.
- Udinga ukuphuza umuthi kathathu ngosuku ngosuku emva kokudla.
Ukudla nge-reflux ye-duodeno-gastral - imenyu
Cishe zonke izifo zepheshana zamathumbu ziphathwa ngokudla okunempilo. Futhi i-DGR ayinjalo. Uma kudingeka isifo se-reflux se-duodenal-esiswini, ukudla okuqinile kuyadingeka. Ukudla okudlayo kudinga ukuchotshozwa ngokuphelele. Kunconywa kancane, kodwa izikhathi ezingu-5 - 6 ngosuku. Iziguli zivunyelwe ukudla imikhiqizo enjalo:
- isobho semifino, i-borsch, isobho ngaphandle kokugcoba;
- inhlanzi ebilisiwe, igobile noma ibhaka;
- inyama enamafutha aphansi, izinkukhu;
- isoseji yokudla;
- amaqanda (angaphezu kweyodwa ngosuku);
- imifino ebilisiwe, ebilisiwe kanye neyetshe (ikakhulukazi beet kanye izaqathe, imifino);
- izithelo ezingekho-acidic;
- i-compotes;
- jam;
- i-jelly;
- uju;
- rye noma isinkwa esomisiwe kancane;
- izidlo ezingenakwenzeka.
Uhlu lwemikhiqizo enqatshelwe ngokuyinhloko luhlanganisa:
- isinkwa esimhlophe esimhlophe;
- isikhwama sokuphanga;
- ukupheka;
- inhlama ethosiwe;
- amafutha wesilwane, umsonda;
- amakhowe;
- izinkinobho ezinemibala;
- noma yikuphi ubhontshisi;
- ushokoledi;
- amaqebelengwane nebhotela noma ama-cream creams;
- i-ayisikhilimu.