Tohu me te maimoatanga o te gastritis Reflux biliary

pathologies o te pūnaha kūnatu noa i roto i te taupori. mate noa e pā ana ki Reflux. He aha e ratou āhuatanga?

esophagitis Reflux

Ko te mate, ko te he mumura ma'i o te pū kai, meinga nei e whakapā tamau ki reira tirotiro puku waikawa. Te māuiuitanga e pā ana ki te kore o te sphincter esophageal raro, e te tikanga tiaki i te pū kai i te kătahi o te wai pekitīlia.

Whakapeka gastritis Reflux biliary

āhuatanga tēnei puka e te whanaketanga o te mumura whakapeka i roto i te membrane mucous rite ki te hua o te rongo ki te ate i roto i te hanganga o te bolus kai. He maha ngā rerekē motuhake o te gastritis whakapeka:

1. Esogastritis faaiteraa matua he hyperemia iti, me te pupuhi o te taiepa puku. thickens reira ka hipoki ki te apa o te hūpē matotoru. Ko te membrane mucous kua he pakaruhanga toto petechial iti me te horo whenua.
2. gastritis Fibrinous, ai hanga e he taiepa infiltrated rohe necrosis epithelial exudate purulent fibrinopurulent. Ko te putanga o tenei āhuatanga - pūtōtepe kiriata angiangi i runga i te mata o te wāhi pānga o te mucosa. āhuatanga gastritis ausia looseness o te kiriata, a ka he te reira tauta mumura hohonu ki epithelium.
3. Necrotizing gastritis, ai roto i te tua ki te atu pā paparanga mucosa epithelial. I raro i necrosis matau mate pūtau i raro i te mana o ngā āhuatanga pukuriri.
4. gastritis purulent - te puka tino nui o te mumura. kia whai wāhi te tukanga papa katoa o te puku, i notemea he riri ki te perforation. Ko te putanga o tenei whakatinanatanga - te aroaro o te exudate, engari ano hoki leukocytes mucosal kookuhutanga kaha.

Ma'i gastritis Reflux biliary

āhuatanga tēnei momo e te huinga o ari inflammatory me degenerative. Te wā ate tomokanga me whākōkī pancreatic ki te kopu arata'i ki te whanaketanga o te mumura ma'i. Hoki, kia waiho tenei ahua te putanga o te gastritis whakapeka. Ko te mutunga o te alkalinity i roto i te mucosa nui haere moni o histamine, e hanga edematous reira me erythematous.

pathogenesis

I waenganui i te kopu, tona antrum me te duodenum he sphincter, i huaina "kaitiaki". Ko te mahi o tenei uaua whakahaua Nuku chyme (bolus) i te kopu ki te whēkau mō nakunaku atu, me te absorption muri o ngā matūkai. Tauwhatinga o te sphincter taea arahi ki te mea e whakawhanake Reflux biliary, gastritis, maimoatanga o e titau te huinga o taero me kai. Ki tenei hua mate i roto i te whakatuwheratanga mea mate o te sphincter, ai te puranga o te kai ki ai hono ate whakaputaina e te ate hoki ki te puku. Composition ate he pānga tuukino i runga i te āhua o tona mucosa. Oku i ai e tai, waikawa me e tuku whākōkī ki āhuatanga fakaaoao.

etiology

Ko te take o te gastritis Reflux biliary e pā ana ki te arā o te sphincter - te kaitiaki. Ki tenei taea meinga tetahi wawaotanga hāparapara e pā te motility o te wahi gastrointestinal. Ano i roto i te āhuatanga etiologic taea te tāutuhia mate pērā i kakā, cholecystitis ma'i me te duodenitis. Ko ngoikore o te uaua o te sphincter me whakapiki ake i te pēhanga i roto i te paru maha te take o te gastritis, me tenei e taea arahi ki te maha o pathologies o te wahi gastrointestinal. Ko te wāhi nui o te predisposing āhuatanga. Hei tauira, heke he ahotea tamau te āhuatanga tiaki mucosal, a whakakeke reira ngoikore nanamu mahi. Ko te taua pā ki kore-steroidal taero anti-inflammatory e whakanui i te mōrearea o te gastritis e rave rahi taime. pā ēnei taero prostaglandin kōtuitanga, a mahi ratou he mahi nui - ki te whakaongaonga i te hanganga o te hūpē i ngā pūtau oko, e faarahi te āhuatanga arai o te mucosa. taero Anti-inflammatory tautāwhi i te cyclooxygenase paru, a reira te whakaiti i te nui o prostaglandin, a konei te nui o te hūpē.

Na roto i te hanganga o te Reflux esophagitis hua ascites, hua i roto i nui haere te pēhanga i roto i te constriction puku poka pyloroduodenal. kia hanga āhuatanga atu kai rawakore, kakahu kikī, rongoā, ahotea me te paowa. kia puta tenei āhuatanga i roto i hapūtanga, ka kore te reira e pā ana ki māuiuitanga.

Biliary gastritis Reflux me Reflux esophagitis: Tohu

Ko te tohu matua o te Reflux esophagitis he tokopā me eructation waikawa, i te nuinga o puta i muri i ngā kai, me ka tītaha atu. Oti tenei ko te hūhi i roto i te rohe epigastric.

whare hauora taonga io rerekē gastritis Reflux biliary. Tohu o tenei mate ngā mamae, me te tahi atu disorders. E mea pinepine māharahara tūroro mana'o o te tini me te bloating, rite pai rite te pakeke o te epigastric. Mamae te tikanga puta puku kau, a kia kia rerekē ratou kaha - i whakapeka kino ki maru. E mea pinepine i reira te ruaki.

tātaringa

kawea tātaritanga o gastritis Reflux biliary te i muri i te whakahaere i te rangahau motuhake, me te anamnesis. e kore e ranea ētahi amuamu, ratou te āwhina anake amo te whanaketanga o te mate. Tuatahi o te katoa, whakahaua te manawanui e ki te tuku o feces, te wahi kitea tohunga toto tipua. Ano he pau ko ki te whakahaere EGD e tauturu ki ngā aromatawai i te āhua o te membrane mucous, ki te kitea aronga mate. Te whakanui ake i te pēhanga i roto i te duodenum taea te whakaritea e te manometry.

Reflux esophagitis pāngia pai io tikanga radiographic te whakamahi i te kaihoko rerekē. Tēnei aratuka taea ki a koe te aroturuki i te wa o te whakaitinga o nga tirotiro puku ki te pū kai. Kei te tūtohutia hoki te reira ki te kawe i roto i endoscopy, e ka aromatawai i te huru o te mucosa me ki te tango i rauemi koiora mō te ako atu.

maimoatanga

rapu Biliary gastritis Reflux me Reflux esophagitis maimoatanga tonu. Te reira e tauturu te whakapai ake huru o te manawanui, me te karo i pōauautanga taea. Ki runga ki te rapunga o esophagitis kia whakarere peu kino, me te mahi kaha i roto i te rohe puku.

hāngai Drug therapy te i runga i te whakarite o waikawa e whakaiti i te mana pukuriri o te wai pekitīlia i runga i te mucosa esophageal. I roto ia ratou Ko te "Almagel", "Maalox" tono auau. kāpui ratou nga taiepa o te puku, me te kawatanga raro.

I tua atu, e tūtohu ana ki te whakamahi i taero e whakaiti secretion o wai pekitīlia ( "omeprazole"). Ka taea e Prokinetics whakapai ake i te āhua o te sphincter, i te mea te tiaki o te makanga o te waikawa. "Motilium" taea wehewehe i roto i taua raau taero, me "Motilak". Ki te kore maimoatanga momo, kia kia hiahiatia pokanga, kawea nei i roto i ki te awhina o taputapu endoscopic.

Kia pehea te ko te maimoatanga o taua mate rite gastritis Reflux biliary? E te tühonohono te tohu, me te maimoatanga o tenei mate. rapu tūroro pharmacological matatini me mehua tarukino-kore, e ka whakapai ake i te huru, te maka o te mau faaiteraa haumanu. Tuatahi o te katoa ko reira e tika ana ki te haerenga i te ora - hoatu ake peu kino, tika kai tōtika. Kei te nuinga o roto i taka rongoa whakaritea blockers histamine receptor e whakaiti te secretion. Gastroprotectives kore mahi i waho - tere ratou ake te whakaora o nga pāpaka membrane mucous. I tua atu, he mea e tika ana here waikawa ate, e hanga te whakamahi i te waikawa ursodeoxycholic. Tiaki ki runga i chyme i roto i te kopu ki te āwhina i taero pērā i "Domperidone" me "metoclopramide".

ārai

Ārai i te hanganga o te gastritis Reflux biliary me esophagitis te āwhina tōtika tika, me te tātaritanga wā o ngā tukanga pathological. E tūtohutia ana ki te ārai i haerea whakamātautau endoscopic auau, e e tauturu i ki te tāutu i mate i te wā wawe. ka whakanui i tenei te whai huatanga o te maimoatanga momo ki te karo pokanga me te takanga o pōauautanga nui.

I tua atu, kia whakapai ake te reira i te āhuatanga arai o te mucosa. E tūtohutia ana kia hoatu ki runga peu kino (ranei whakaiti ratou ki te iti), ngana ki te kai ngā kai hauora, me te karo i ngā āhuatanga taumaha.

Hoki predisposing take ko te whakamahi auau o nonsteroidal taero anti-inflammatory e whakaiti hūpē production i roto i te kopu, hua riro whakaraerae mucosa. Ko te wāhi nui takaro e te ārai me te maimoatanga wawe o mate te rere.

Ko te raruraru o te takanga o biliary gastritis Reflux me esophagitis he hāngai, rite kore ai i enei tikanga kē anake te huru o te manawanui, engari meinga ano hoki pōauautanga. tātaritanga wā taea maimoatanga ki te timata i runga i te wā.