Cudurka reflex Gastroesophageal, iyo wax kasta oo daaweyntu u laab magacaabi khubaro

Laabjeex - cudur aad u caan ah si ay ugu naga mid ah. In dhaqanka caafimaad, sidoo kale loo yaqaan laab - cudurka reflex gastroesophageal dhacda xad gudub ku ah shaqada esophageal. Wadamada aadka u horumarsan, Maraykanka, Western Europe, laab cabasho ah oo ku saabsan 50% ka mid ah dadweynaha. Sidaa darteed, inta badan is weydiiyaan badan ku bogsiiyaan laab? Sida laga soo xigtay baadhitaan ee Russia laab dhibayso ku saabsan 17-45% dadka.

Inta badan publications casriga ah waxay muujinaysaa in sababta ugu weyn ee laab waa sii galay hunguriga ku jira caloosha. Sidoo kale, waxaa jira cadaymo muujinaya in dheer ee juice gastric HCL, saamayn burbur on proteolytic ku esophageal soo bandhigid xabka iyo falgalka lipolytic (pepsin, lipase), acids bile iyo falgalka ganaca. In xad gudub ku ah waalka esophageal, ka kooban yahay caloosha ay sabab u tahay retrograde (dib ugu) mooshin galay hunguriga. Nidaamkan waxaa la socda dareenka xun. Waxaa jira qaar ka mid ah cuntooyinka iyo sharaabka in ay kiciyaan laab (dufanka leh, cuntada la shiilay, peppermint, kafeega, shukulaatada, khamriga iyo sharaabka soodhaha leh). Sidoo kale waxay sababi laab yihiin arrimo qaar ka mid ah - dhagan dhar, jimicsi, uurka, sigaarka, stress. laab noqnoqda dhacdaa in isticmaalka aspirin, hypnotics, antispasmodics, xasaasiyadda, daawada dajiyaha. Haweenka The - marka la isticmaalayo kiniinka ka hortagga uurka ee.

calaamadaha laab cad sida nooc ka mid ah gubasho caloosha sare, dareen this waxaa lagu wanaajiyey dalcadaha ee jirka. Haddii laab teedu calaamado dheeraad ah - daal, hoos u xumo, lalabo, matag dhiig, xanuun dhabarka iyo xabadka, dhidid waa in isla markiiba la xiriir khubarada. Baxayn calaamadaha laab ayaa tilmaamaya laga yaabaa in esophagitis (caabuq hunguriga), ama onkoobrazovaniya ee caloosha iyo hunguriga. Waxaa lagama maarmaan ah in la ogaado in xitaa ilmaha dareemi karaan dareen of laab. Tan waxa u sabab xaqiiqada ah in carruurta yaryar (6-12 bilood) ka dib quudinta celcelin laga yaabaa. Waayo, kuwa carruurta qaba dhibaatada laab la xidhiidha laga yaabaa in neefta, barar ah cunaha iyo sambabada.

cudurka reflex badan oo gastroesophageal waxaa loo arkaa mid ka mid ah cudurada acid la xiriira sida falalka aashito, sida factor ugu weyn pathogenetic iyo calaamo maamulaha - laab iyo esophagitis. Cillad ah endetarms- hoose ee cuntada horumarin karaan ku saabsan asalka ah scleroderma, uurka, iyo sidoo kale sigaarka, isticmaalka dawooyinka in la yareeyo cabirida xaalada muruqa siman (Theophylline, blockers).

Daawooyinka laab. Dhakhaatiirta xaddido isticmaalka dufanka leh, cuntada la shiilay, shukulaatada, kafeega, shaaha xoog, khamriga, liinta, toonta, basasha, iwm Therapy waxaa loogu talagalay gargaarka ee laab. Ujeedada this, bukaanka waxaa looga baahan yahay in ay qaataan daawada laabjeexa (MegaPack, Mylanta, Maalox, Fosfalyugel, Topalkan, Gaviscone) qaab hawleed oo la golleeyahay in lagu yareeyo ashitada caloosha. waa inaan sheegaa in daawooyinkan waxaa lagu gartaa xawaaraha, laakiin mudada uu garoomada ka yar yahay (oo ku saabsan ruuxa saacadood). Iyadoo ujeedada khubaro ka hortagga ku talinaynaa cunto cunaysa inta badan, qaybo yaryar oo, si taxadar leh u qaadka (ilaa 30-40 jeer). Ka dib markii cuntada waa in aan qaato booska siman ee jirka, ma in ay gutaan.

Daawooyinka laab: daaweyn muxaafidka ah. Saamayntii daaweynta ku xiran tahay ma aha oo kaliya on the daaweyntu loo qoondeeyey, laakiin sidoo kale on isbedelka nolosha-style bukaan-socodka. Dhakhaatiirta ku talinaynaa wax isbedel ah oo booska jidhkaaga marka la seexdo, (waayo, sababtan aawadeed dhamaadka madaxa sariirta waa in la kiciyey by 15 cm); in ay ka fogaadaan sigaarka oo cabbaya, Bukaanjiifka qaar waa in ay joojiyaan qaadashada daawooyinka (daawada dajiyaha, dajiye, anticholinergics, blockers calcium channel, daroogada, progesterone); baabi'iyo stress, taas oo ku keento in la kordhiyo cadaadiska intra-caloosha.

Daawooyinka laab: daawo. Si aad uga takhalusi lahaayeen acid maamula dawooyinka ashito Hydrochloric in aad dhaqaajiso ku ensaymes proteolytic, adsorb acid bile iyo lysophosphatidylcholine, alkalization lagu sameeyaa caloosha. udhigo Aluminum, kuwaas oo ay ugu diyaar garoobayaan muujiyaan ficil cytoprotective. In daawada casriga ah, dadka cudurka qaba cudurka reflex gastroesophageal qoro daawooyinka loogu talagalay laab sida prokinetic ah, cytoprotectors, blockers histamine ku Doodeen H2-receptor (ranitidine, famotidine, nizatidine, roxatidine). Recent si firfircoon xannibi dheecaan ee pepsin, laakiin sidoo kale yareeyo dheecaan ee Aashito ee caloosha.

Dadka qaar daaweynta laab qaataan guriga iyadoo la isticmaalayo daawo-dhaqameed, iyo geedo yaryar (ugdoon, St. John ee johannesört, milix, muuska) iyo miirka khudaarta (baradho, kaabajka, qajaar), iwm