Ko te pathogenesis o Gerd, maimoatanga me āraihia

mate Gastroesophageal-Reflux (Gerd) ko te huru pathological noa, rawa i roto i ngā pakeke. Ko reira tino tohu o te meka e āhua 10% o te tūroro katoa e angamaheni mo tetahi tohu uiuia ranei whakahaere he ako o te pū kai, puku, me te 12 whewhe duodenal, mamae i Gerd ki esophagitis erosive āhua.

substantiation Pathogenetic o te mate

Te whakatinana i te take o tenei mate ko te reo pukuriri o te wai pekitīlia, i ki predisposes maka i roto i tona kōhao esophageal sphincter cardiac māhorahora. No runga i te whakamutunga, me mea te reira e tenei āhuatanga he tika ki te whaturama hiatal , e tika ana ranei ki te tikanga kai noatia, e pā ana i te onge kai nui ki nohopuku ngangau oti o kai, rawa toki mohe.

Gerd: maimoatanga pharmacological

Ka rite ki ki te nuinga o te wahi kūnatu mate, he matatini hoki te maimoatanga o Gerd me whai wāhi te whakamahi o te maha akomanga o taero. I roto ia ratou, blockers histamine me patu waikawa. Ko te rōpū tuatahi ngā te inenga tikanga whai hua te nuinga o tukupu te kukū iraoho i roto i te wai pekitīlia, ko te kupu whakaiti tona kawatanga, a reira me te fakaaoao. Tenei rongoā omeprazole, pantoprazole, lansoprazole, esomeprazole. I roto i te meka, kahore i ratou i te rerekētanga taketake, engari kua whakapono reira e, ki te ko te āwangawanga e pā ana ki te āhuatanga o te esophagitis me ulcerations esophageal, te whakamahi pai o te raau taero muri e rua he tangata. I roto i tenei take, mahi esomeprazole ko te "paerewa koura" i roto i patu waikawa no ki te piha o inhibitors iraoho papu. Taa'eraa Ko te meka e ara te māngai tino matua o te piha haapiiraa - omeprazole - ka te fariiraa i te horopeta o 40 mg Ko te ahei o āhua 4 ra tino "tahuri atu" te tubules secretory i roto i ngā pūtau atu o te puku.

Ko te rōpū tuarua he blockers o receptors H2 histamine. Pehanga o ratou mahi ārai histamine whakapā ki a ia, a, na reira, taea tuku o whākōkī me repe waikawa o te taiepa puku. I roto i tenei take o te momo rawa nui o taero tākuta kōwhiria e te huinga tino tino arotau ki iti pānga taha mo te manawanui ngā.

Gerd: maimoatanga e pā ana ki te tikanga

Hoki te māuiuitanga o Gerd maimoatanga ngā te āpiha kore anake i runga ake-whakahuatia pharmacological, engari ano hoki he huringa i roto i te āhua noho. I roto ia ratou e taua āraihia rite te aratau kouma o te mana, te ngako o e takoto i roto i te auau hautanga te fariiraa i wahi iti o te kai ki te ngangau tupato. he Kāore ki te whakamahi i te hua rihi traumatized ranei ranei pēhia ngā te pū kai reira, no te mea kia kia nekehia atu kai wera mo te roanga o te maimoatanga (2 marama mōrahi). Ko taea ki te kai i te kai mahana, e kore tote, me te raukikini. Hoki, kia pehi i hua me he inu, kia rite ki to ratou he pānga e tika ana ki ngā waikawa organic hāngai ngaukino.

Ko faufaa hoki te kai reira - he rawaka okiokinga i muri i ngā kai. Kei te timata noa tokomaha te iwi e whai mate Gerd ki te whakawhanake tere tō na-ka karanga mahi hihiri motuhake o te kai, i roto i nei te pāmahana tinana e whakatika i te 1 tohu, puta momoe. Ka rite ki te hua, e tūroro tāpae noa moenga. Heoi, he tangata i muri i te kai kia e pā ana ki 1.5 - 2 chasa i roto i te tūranga tika e noho ana ranei, he tūranga i.e. te wahi e kore e totoro te taiepa puku tukua taea te tirotiro maka ki te pū kai.