Gastric Esophageal Reflux matenda (gerd) ndi matenda wamba mu dipatimenti ya dimba. Kuchulukana kwake komanso kuwonetsera kwa matenda olimbitsa thupi kumakhudza kwambiri moyo wa odwala. Ndipo kutupa kosatha kwa esophagus kuli ndi chiopsezo choyambitsa khansa ya ESophegeal. Momwe mungadziwitsire moyenera chithandizo ndikuwongolera chithandizo chamankhwala.
Mawonetseredwe achipatala a 02 a Gerd
Gerd amatha kugawidwa kuti asakhale otsika (nerd), Reflux esophagitis (re) ndi Barreta esphageal (kukhala) malinga ndi endoscopy.
Nerd: Barrett Esophagus ndi zonunkhira za esophageal mucosa awonongeka m'matanthauzidwe a gerd koma endoscopy yawonongeka.
Re: Endoscopy imatha kuwona m'mimba-esophageal mucosa yomwe imalumikizidwa ndi esophagus kapena pamwambapa. Mucous membrane wawonongeka wamba.
KHALANI: Gawo la m'mimba-esophagus ngati esophaguum la esophagus pa endoscopy limasinthidwa ndi cylindricaum epithelium.
Mawonetseredwe achipatala a 02 a Gerd
Kuphatikiza pa mtima woyaka ndi Reflux, kupweteka ngati chifuwa, kupweteka kwam'mimba, ndi zozizwitsa zozizwitsa, chifuwa, chifuwa, mphumu ndi zizindikiro zina za ESophageal zitha kuchitika.
Tiyenera kudziwa kuti odwala omwe ali ndi odwala okalamba a GRD ali ndi mtima wotsika komanso Reflux. Zomwe zimachitika pazizindikiro zochotsa chubu ndizokwera. Zizindikiro siziri, kapenanso asymptomatic. Kukula kwa zizindikiro sikufanana ndi kuwonongeka kwa matendawa. Fakitale Guwayu anali lathyathyathya, ndipo atakhala dokotala, adapangidwa ku Guangli.
Kuzindikira kwa Gerd
Chithunzi. Zizindikiro za gedical komanso zizindikiro zapamwamba kwambiri za m'mimba zimavutika ndi matenda a Gerdiostic Flacchart: Association Association
Kuyesa kwa acid kwa acid popwirira
Chifukwa cha odwala a GRD (omwe amagwiritsidwa ntchito polemba) Ngati zizindikiro zathetsedwa kwathunthu kapena zizindikiro zingapo zodekha zimatsimikizika.
2) endoscopic
-Re -los Angeles agawidwa m'magulu (onani chithunzi pansipa):
Kalasi ya: 1 kapena kuposerapo esphageal mucosal kuwonongeka, kuwonongeka kwa ma ≤5 mm;
Gired B: 1 kapena kuposerapo esphageal mucosal kuwonongeka, kuwonongeka> 5 mm, mucous membrane kuwonongeka ndipo palibe chosokoneza;
Class C: osachepera 2 esophageal mucosa awonongeka, ndipo mucous nembanemba wawonongeka wophatikizidwa wina ndi mnzake.
Kalasi D: amatanthauza kuwonongeka kwa mucosa ndikuphatikizidwa kwa wina ndi mzake, ndipo fanizoli ndi 75% ya esophagus.
-Bonser Propplegy: Tikulimbikitsidwa kuti pali biopsy kangapo komanso kanthawi kochepa, ndipo biopsy imapezeka ndi 1cm nthawi kuzungulira chitofu. Kukula kwa mitunduwa kukugwirizana ndi chiopsezo cha khansa, ndipo chiopsezo cha khansa chikukula ndikuwonjezera mitundu ya 3cm.
3) Kukula kwakukulu kwa ESOphageal
Odwala omwe ali ndi ger nthawi zambiri amawonekera ngati mphamvu yosagwira ntchito: gawo la 70% kapena peristalsis kulephera kwa 70% kapena peristalsis ndi ≥50%.
Anti -Canring
Ndiwo muyezo woti adziwe matenda a CDD. Ndiwo muyezo wagolide wa Gerd, kuphatikizapo kuwunikira kwa mtundu wa esophagus nh ndi esophageal yang chipongwe cha esophagus chipachi ndi ESophagetal Yang Anti -Nh Maperesenti a pH <4 (acid yowonekera nthawi, Acid)> 4% mu 24h, imawerengedwa kuti pali patlugical asidi.
Chithandizo cha 04 ger
Chithunzi.
Source: Nanga Medical Medical Association
Kusamalitsa:
-Papa ndi P-Cab ndiye chisankho choyambirira chothandizira odwala ndi kukonza odwala. Chithandizo choyambirira cha chithandizo cha PPI ndi masabata 8 ndi mankhwala a P-cab ndi <bi4 milungu.
-Munthu-odwala ndi zolumbira usiku (mukamatenga PPI, PH <4h> 1h usiku wa usiku), mutha kugwiritsa ntchito ma bloctor a h2 Chithandizo cha theka -life cha PPI.
-Anti -Acid wothandizirana ndi gastroincastinastication mankhwala angagwiritsidwe ntchito kwa nthawi yayifupi kuti muchepetse msanga zizindikiro za kusamvana monga kutsuka ndi Reflux.
-Achidziwitso cha Endoscopic: Kuzindikira kwa gerr ndiomveka, chithandizo chamankhwala sichothandiza, osafuna kumwa mankhwala kwa nthawi yayitali, kapena zovuta zomwe zimachitika zimakhudzana ndi mankhwala osokoneza bongo, ndipo sangathe kulekerera.
-Sirgical opaleshoni mankhwala othandizira: Pali zizindikiro za gedical, ppi ndizosavomerezeka; Endoscopy imapeza The ESophageal Herose, khalani, RO, Los Angeles kapena pamwambapa; X -ray mayeso opezeka kuti pali Esophegeal Home of Nawo.
Post Nthawi: Mar-21-2024