I-Duodeno-gastric reflux iyisifo se-gastroenterological esifumaneka kwi-15% yabantu abasempilweni. Ngamanye amaxesha kuyenzeka ngokwakho, kodwa ngokuphindaphindiweyo kuyahamba kunye nokuhlaselwa kwimbali ye-gastritis engapheliyo, izilonda zesisu okanye isisu, isifo se-reflux se-gastroesophageal.
Yintoni i-refodx ye-duodenal yegastral ithetha ntoni?
Ngolu xilongo, iziqulatho ze duodenum ziphonswa kwisisu esiswini. Ukuzixilonga kwe-duodenal reflux esiswini kwenzeka kuphela kwi-30% yazo zonke iimeko. Kwezinye izigulane, lesi sifo senzeke ngokugqithisileyo-senzeke ngokukhawuleza ngexesha lokulala okanye ngenxa yokuzikhandla ngokwemvelo. Ngelo xesha, akukho zibonakaliso ezibonakalayo, kwaye i-state ayinayo imiphumo emibi kwinkqubo yokutya. Ngoko ke, kwiimeko ezinjalo, i-DGR njengesi sifo ayithathwa.
I-Duodeno-gastric reflux - ibangela
Izifo zenzeka xa kukho ukuphulwa kwe patodal patency. Ngenxa yoko, uxinzelelo ngaphakathi kwe-duodenum lwandisa, kwaye umsebenzi wokuvala umgcini-masango unobuthakathaka. Xa i-sphincter ye-pyloric ayikwazi ukwenza imisebenzi yayo eyintloko, ukutya okuye kwadlula kwinqanaba elilandelayo lomjikelezo wokutya kuyabuyiselwa kwisisu.
Njengamanye amaxesha i-gastritis, i-duodenal-gastric reflux ibangela izizathu ezinjalo:
- ukutshaya;
- umxube we
- dysbiosis ;
- iinkqubo ezivuthayo kwi-pancreas okanye i-bile duct;
- ukuthatha amayeza anciphisa ithoni ye-musculature evulekileyo yesisu;
- i-helminthic invasions;
- uphuhliso olungavumelekanga lwe-duodenum;
- i-syndromes yesisu esingazalanga ngokupheleleyo isisu kunye nesisu esincinci;
- ukungabikho kwe-hormone gastrin;
- khulelwa.
I-phenodenal-gastric phenomenon isinezinto ezinobungozi obukhulu. Kwiimeko ezininzi, ukuphuhliswa kwengxaki kubangela ukuba:
- ukusetyenziswa kwamanzi amaninzi kunye nokutya okunesonka;
- ukutya okunokulinganisela (omile);
- yokutya okungaqhelekanga;
- Ukufumana ixesha elide kakhulu leziyobisi ezingekho-steroidal ezichasayo okanye i-antispasmodics;
- ukunyanya;
- isifo sikashukela;
- pancreatitis ;
- ukungaqiniseki kwamandla.
I-Duodeno-igastric reflux - degree
Njengokuba kunjalo nasiphi na esinye isifo, i-DGR ineeklasi ezahlukeneyo zophuhliso. Ngokuxhomekeka kwithuba elide kwaye sisenza njani isifo, ukubonakaliswa kweempawu ezahlukeneyo kuyatshintsha. Iqondo le-duodenal-gastric reflux linqunywe inani le-bile acids equlethwe kwiindawo ezahlukileyo zesisu. Kwaye ngokukhawuleza eso sifo sifumaneka, kulula ukuba kube nzima ukujamelana nayo.
DGR ye-1 degree
Inqanaba elona "lilula" liyinto yokuqala. I-Duodeno-gastral reflux ye-degree ye-1 isetyenziswe xa inani elincinci le-bile lifumaneka kwi-pyloric yesebe yesondlo esiseduze ne-sphincter. Izibonakaliso kwisigaba sokuqala zingabonakali nhlobo. Kwaye ukuba impawu zivela, uninzi lwezigulane aziziqwalasele, zicinga ukuba ukungahambi kakuhle kubonakale ngenxa yokutya ngokutya okanye ukutya "ekuhambeni" kwaye kuya kudlula kungekudala.
DGD 2 degrees
Abaninzi bafunda ngoxilongo lwabo, nje xa isifo sifika kwisigaba sesibini. I-Duodeno-gastral reflux ye-2 degree ifunyanwe kwizo zigulane ezinobomi obufumaneka kwiindawo eziphakamileyo zesisu - kwi-antrum okanye kwisiseko. Kule nqanaba, iimpawu ziyacaca kwaye zihlale zizikhumbuza ngokwazo, ezenza isigulane siphendule kwiingcali.
DGR i-3 degree
Olu luhlobo oluyinkimbinkimbi kakhulu nolunanyanzelwanga lwesifo. I-reflux ye-duodenal-gastric reflux ichongiwe xa iziqulatho ze-duodenum zifihla ezantsi kwesisu kunye nesiphincter esezantsi. Isigaba sesithathu sibonakala ngokubonakaliswa kwazo zonke iimpawu eziphambili. Ngaphezu koko, zonke zichazwe ngokugqithiseleyo kwaye zingakhululeki zikhuphe inani eliphezulu.
I-Duodeno-igastric reflux - iimpawu
Iimpawu ze-GDR zifana neemeko ezininzi ukubonakalisa ezinye izifo zendlela yokugaya. Oku kuchazwa ngobudlelwane babo. Qaphela i-reflux ye-duodenal-gastric reflux ngeempawu ezilandelayo:
- ukuguquka , okuqhelekileyo kwenzeka emva kokutya;
- isicongconi kunye nemigqomo elandelayo yokuhlanza kunye ne-bile;
- ukubethelwa ngomoya okanye ukunambitha okunomuncu;
- ukuqhawula kunye nokuvakalelwa kwesisu;
- intlungu okanye isisu;
- umonakalo obambileyo emlonyeni;
- ukubonakala kwengubo ephuzi ngolwimi.
Ngokuphindaphindiweyo i-duodenal-gastric reflux ibonakala ngentlungu. Imvakalelo engathandekiyo, njengommiselo, igxininiswe phezulu kwesisu. Ubuhlungu buya kuphinda buyekezeke. Kodwa ezinye izigulane zikhalaza ngobuhlungu obukhulu obubuhlungu kunye nomlilo okhulayo emgodini wesisu, ebonakala ngokukhawuleza emva kokutya, ekhankanywe ngeeyure ezimbalwa.
Indlela yokuphilisa i-duodenal reflux yegastral?
Ukufumana ngokukhawuleza ngokukhawuleza, unyango kufuneka lube luyinkimbinkimbi kwaye kufuneka luqale xa iimpawu zokuqala zivela. Ngaphambi kokuba uphathe isifo se-reflux se-duodenal-gastric disease, khetha iingcali ukufumanisa isizathu sengxaki. Kungakhathaliseki ukuba kungani i-DGR ibonakala, isigulane sinconywa ukuba sicinge ngendlela yokuphila: ukungasebenzisi kakubi utywala kunye nogwayi, ukulahla kumayeza e-cholagogic, i-caffeine, i-Aspirin. Xa i-reflux ibaluleke kakhulu ukulawula ubunzima bakho kwaye ugcine ukutya.
I-Duodeno-gastral reflux - unyango kunye neziyobisi
Umsebenzi oyintloko wokonyango lweziyobisi kwi-DGR kukubuyiselwa imisebenzi eqhelekileyo yendlela yokuxhamla isisu kunye nokubeka umsebenzi wokukhutshwa kwemoto kwiindawo ezichaphazelekayo zesistim sokutya. Indlela yokuphatha i-reflux ye-duodenal gastric, kufuneka inqumle ingcali. Ngokubanzi, oogqirha bamisela:
- Iprokinetics - Cerucalum okanye i-Domperidone, -thi ifake isandla ekuhambiseni ukutya ngokukhawuleza, ukuhambelana kwayo kunye nokuqhubela phambili kwimida yamathumbu amancinci.
- Ukukhusela i-mucosa yesisu kwisiphumo esichukumisayo sezinto ze-duodenum, sebenzisa i-Omese, Nexium.
- Ukujamelana nokukhwabanisa kunceda iindlela ezifana ne-Almagel, Fosfalugel, iGaviskon.
- Qinisekisa i-peristalsis yamacandelo angaphezulu kwendlela yokugaya ukusebenzisa i-agonists ye-serotonin receptors-i-citrate de citrate.
- Amachiza asebenzayo UDCX (ursodeoxycholic acid), eyenza isisu esiswini se-duodenum siphoswe esiswini sisinxube emanzini kwaye singabi namandla (ngokwenza oku kukhokelela ekupheliseni ukuxhamla, ukuhlanza nokuhluma).
I-Duodeno-gastral reflux - unyango kunye nezilwanyana zomntu
Esi sifo sonyango ngenye indlela. Kodwa ke, ezininzi iingcali zincoma ukuba zisebenzise kuphela njengenxalenye yonyango oluyinkimbinkimbi. Ngoxilongo lwe-reflux ye-duodenal ye-gastric reflux, imirhumo yomntu kufuneka ikhethwe ngabagqirha kwaye emva kokubona izizathu zokuqala kwesi sifo. Ngaphandle koko, imeko yesigulane ingaba nzima kakhulu.
Indlela yokuphilisa i-Duodeno-gastric reflux kunye namakhambi?
Izithako:
- yarrow;
- Wort St. John's wort;
- iqhosha.
Ukulungiselela nokusetyenziswa:
- Hlanganisa kwisithako esinye sezitya kuyo nayiphi na into. Unokuthatha "ngamehlo", ubungakanani obucacileyo kule recipe akudingeki ukuba thobele.
- Iitrobhu zithelelwa ngamanzi abilayo kwaye zifuna imizuzu eyi-10-15.
- Itiye ephumayo iyanconywa ukuba iphuze imihla ngemihla kusasa nakusihlwa.
Unyango lwe-duodenal gastric reflux nge imbewu yefelk
Izithako:
- imbewu yefelk - 1 tbsp. l.;
- amanzi 100 ml.
Ukulungiselela nokusetyenziswa:
- Imbewu ichitheka ngamanzi apholileyo.
- Umxube kufuneka ungeniswe kuze kufike imbewu. Kule nqanaba, i-mucus efanelekileyo iqala ukuvela kubo.
- Umphumo okhulayo kufuneka utyiswe kwisisu esingenalutho ¼ - ½ indebe.
Ayr kunye nenqatha ngokumelene ne-refodx ye-duodeno-gastral
Izithako:
- ingcambu ye-aira - 50 g;
- inceba - 50 g;
- Ingcambu ye-angelica ingama-25 g;
- amanzi - 1 iglasi.
Ukulungiselela nokusetyenziswa:
- Thatha ithisipuni enye yomxube owomileyo.
- Amanzi abilayo kwaye uthele ingca.
- Iyeza kufuneka lidibanise malunga nemizuzu engama-20. Emva koko, iyakucinywa kwaye itywe.
- Ukwenza umxube ube mnandi, ujonge unganakongezwa kuwo.
- Kufuneka uphuze amayeza kathathu ngosuku ngelixa emva kokutya.
Ukutya kunye ne-duodeno-gastral reflux - menu
Phantse zonke izifo zesondlo sesisu ziphathwa ngokutya okufanelekileyo. Kwaye i-DGR ayikho. Xa kufuneka isifo se-reflux se-duodenal-gastric sifo, kufuneka ukutya okunzulu. Ukutya oyidlayo kufuneka kutyunyiwe ngokupheleleyo. Kunconywa kancinci, kodwa amaxesha ama-5 ukuya kuma-6 ngosuku. Izigulane zivunyelwe ukutya iimveliso ezinjalo:
- isobho semifuno, iborsch, isobho ngaphandle kokugcoba;
- intlanzi ephekiweyo, i-steamed okanye ibhaka;
- inyama e-fat-fat, inkukhu;
- sausage yokutya;
- amaqanda (angabi ngaphezu kweyodwa ngosuku);
- imifuno ebisikiweyo, ebilisiwe kunye nemifuno (ikakhulukazi iibhotile kunye neerothi, imifino);
- iziqhamo ezingekho-acidic;
- udidi;
- jam;
- jelly;
- ubusi;
- isonka okanye isonka esomisiweyo esincinane;
- iifereji ezingenakulungeleka.
Uluhlu lweemveliso ezinqatshelwe ngokwemiqathango luquka:
- isonka esimhlophe;
- i-pastry;
- kubhaka;
- inhlama ebisiweyo;
- amafutha evela kwimfuyo, isinqumelo;
- amakhowe;
- i-seasoning seasonings;
- nayiphi na ibhontshisi;
- tshokoleta;
- amaqebelengwane nebhotela okanye i-cream creams;
- ice cream.