Gerd: tohu, semiotics, whakarōpū me te maimoatanga

Ko te acronym Gerd (mate Reflux gastroesophageal) i roto i te rongoā titau māuiuitanga motuhake e pā ana ki te Reflux o tirotiro puku ki te distal wahi (raro) o te pū kai e tika ana ki te iti hoki o te cardiac sphincter, i roto i te rauropi hauora wāhi tino tuwhera whakarato te wehenga o nga tinana e rua. I roto i tenei take, kia faaite te tātaritanga i roto i te wā katoa o te makanga pathological, whakapairuaki-kore, me te ruaki, me te nekehanga anastaltic.

Gerd: tohu, semiotics, whakarōpū me te maimoatanga

mate Reflux Gastroesophageal taea puta i tetahi tau, me te e āhuatanga e tona auau. Ko te kupu, i roto i te mate pakeke he āhua 50% ahakoa o sex. I 10 ōrau ruritia e EGD tohua huringa morphological i roto i te mucosa okana (i roto i te meka reira puka erosive). Kei te hoki kite Gerd i roto i ngā tamariki ngā maha, rawa i roto i nga kohungahunga, e tika ana ki te kore o te cardia.

Ko te pathogenesis o Gerd

kitea Pathogenetic hoahoa whanaketanga Gerd te whakamahi i pH-test i roto i te pū kai, me te puku. wähanga waikawa Esophageal o te tangata hauora he 6 waeine, tohu e te taiao paku waikawa. A, no te tuku iho uara pH Gerd te ki 4, i te mea āhua faarahi rua te taunga-ihirangi te fakaaoao mō taiepa okana. I roto i te puku, e kore e uara noa pH i te taumata o 1.5-2, engari kino puta, mai i te mucous tiakina e te hūpē whakaputaina e te pūtau kōpako.

Pukuriri tirotiro pekitīlia ki te pū kai maka te ki he iti ki te whakarato whēkau pārōnaki pāpāho te penupenu cardiac. huaina ana tēnei āhua ko ngoikore sphincter esophageal me te whakakitea i roto i te take o te whakanui ake i whakangā o wāhanga, hei tauira, ki te ingestion auau o nga wahi nui o te kai totoka. Ko reira ano hoki te take predisposing, e ka hua te taniwha, i roto i te tāruarua 3-hgodichnogo nahanaha e arahi ki Gerd, ko te peu o te waiho ki te moenga i muri i te kai. I roto i te meka, e kore e taea ki te mahi i runga i manawa nga tirotiro o te kopu tonu i roto i te tūnga poutū o te tinana. Heoi, ka puta tenei te tūranga te maungārongo ki te tūponotanga pūmau.

I roto i te whakarōpū Gerd ai protrusion hernial ngā te hiatal e whakarato nui ake motility o te pū kai, me te kore e tautoko i te reira kōpeketanga waho te kanohi i te orifice cardiac.

tohu Gerd

Ko te āhuatanga āhuatanga matua o te māuiuitanga ko nga amuamu o tūroro i runga i tahu te mamae pouaka e puta tata tonu i muri i te kai. A, no te huri i te tūranga tinana (takoto iho i runga i te mata whakapae, he hehema i roto i te lateral ranei rererangi frontal) Kei te ite ano he sensation tahunga i roto i te pouaka. regurgitation āwangawanga manawanui, horomia waimaero, mamae e pā ana ki he pini tika ki te kino okana mucosa. Horomia kai mārō pakaru noa ki mastication kaha, te mea haere noa te wai, engari ai hūhi e tika ana ki te pāmahana (wera matao ranei) faaitoitoraa o ngā wāhi pakaru. I roto i te Gerd He rite ki te angina tohumate, engari e kore ko te kawenga tinana me te kai i te rerekētanga.

Maimoatanga mō Gerd: rongoā me te hanganga ture ki te kai

I raro i te tikanga o te tautukunga ki te kai kia matau te manawanui te whakamahi o te kai pinepine atu me i roto i wahi inenga iti. Me mongamonga reira te kokokiko, ata ranei. e kore e Ko tōna pāmahana e neke atu i te 40 nga nekehanga. Kei te tango rongoā inhibitors iraoho papu, prokinetics, me blockers receptor histamine H2 aua whakaritea kaupapa rata. Ki te haere te maimoatanga o tohu Gerd, tonu te therapy e i roto i pota tiaki te whakamahi i te akomanga i faahitihia tuatahi, me te tuatoru o taero.