Cov tsos mob thiab kev kho mob reflux esophagitis

Cov tsos mob thiab kev kho mob reflux esophagitis
Cov tsos mob thiab kev kho mob reflux esophagitis

Video: Cov tsos mob thiab kev kho mob reflux esophagitis

Video: Cov tsos mob thiab kev kho mob reflux esophagitis
Video: Mob nrob qaum/ Mob duav yog vim li cas? 2024, Hlis ntuj nqeg
Anonim

Qhov tshwm sim ntawm reflux esophagitis yog, tsis sib haum xeeb rau kev ntseeg, tsis yog ib qho pathology txhua. Tau kawg, yog tias ib tug neeg tsis muaj lwm yam teeb meem nrog rau lub plab zom mov. Tab sis tus mob no tuaj yeem ua rau tsis yooj yim heev.

Ua rau esophagitis

reflux esophagitis
reflux esophagitis

Gastroesophageal reflux ua rau cov zaub mov rov qab los ntawm lub plab rov qab mus rau hauv txoj hlab pas. Qhov no yog qhov ua rau cov tsos mob xws li kub siab thiab hnov zoo li ib pob hauv qab ntawm lub mis. Nws feem ntau tshwm sim nws tus kheej tom qab noj ntau dhau, ua haujlwm ntau dhau tom qab noj mov, lossis noj cov zaub mov rog. Yeej, nws yog lub xeev physiological. Lub siab nyob rau hauv lub plab tas li siab dua nyob rau hauv lub hauv siab kab noj hniav. Thaum cov zaub mov nkag mus rau hauv lub plab, lub siab nce ntxiv. Qhov qis sphincter nyob rau hauv txoj hlab pas tiv thaiv backflow ntawm plab cov ntsiab lus. Tab sis yog tias koj khoov, nqa qhov hnyav, lossis pw tom qab noj mov, tus sphincter yuav plam nws "suav" thiab cia rau hauv qee cov kua lossis zaub mov. Cov ntu no tuaj yeem rov ua dua 2-5 zaug hauv ib hnub thiab tsis ua rau ntuav, mob, lossis puas tsuaj rau cov hlab pas.

Koj tuaj yeem tham txog kab mob yog tias muaj cov txiaj ntsig zoo sib xws tshwm sim ntau zaus thiab tsis hais txog qhov ntim thiab cov yam ntxwv ntawm cov zaub mov, lub cev txoj haujlwm thiab lwm yam. Tus mob no yuav ua rau tus neeg mob tsis xis nyob.

Kev txhim kho ntawm pathological reflux esophagitis tuaj yeem tshwm sim los ntawm kev ua haujlwm tsis zoo ntawm sphincter nws tus kheej, ncua kev khiav tawm ntawm lub plab, lossis txo qis hauv kev tsim cov enzymes thiab hydrochloric acid. Kuj

reflux esophagitis kev kho mob nrog pej xeem tshuaj
reflux esophagitis kev kho mob nrog pej xeem tshuaj

Teeb meem tuaj yeem tshwm sim los ntawm kev ntxhov siab thiab kev noj zaub mov tsis txaus. Kev pheej hmoo yog cov neeg haus luam yeeb, cov poj niam cev xeeb tub thiab cov neeg rog rog.

Cov tsos mob Esophagitis

thawj lub cim yog qhov kub hnyiab tom qab lub sternum, uas tshwm sim tom qab haus luam yeeb, tsaug zog lossis noj mov. Qhov kev xav tau hais tau zoo heev, tab sis dhau los tom qab noj khoom txom ncauj, hloov txoj haujlwm, lossis siv cov tshuaj tiv thaiv kab mob.

Yog tias kub hnyiab tshwm, qhov no qhia txog kev loj hlob ntawm pathology. Cov tsos mob yuav tshwm sim los yog tsis tu ncua thiab sib txawv ntawm qhov hnyav. Kev kub hnyiab tuaj yeem tshwm sim los ntawm kev hnov mob me ntsis ntawm qhov sov sov lossis qhov tsis haum rau qhov kub hnyiab nrog kev khaus khaus hauv thaj tsam ntawm caj npab, lub plawv lossis lub xub pwg hniav. Kuj tseem muaj qhov mob tom qab sternum lossis hauv thaj tsam epigastric.

Tus kab mob no feem ntau tshwm sim los ntawm belching tom qab noj zaub mov txias lossis kub, haus dej qab zib, lossis tawm dag zog.

Diagnosis ref

Cov tsos mob ntawm esophagitis
Cov tsos mob ntawm esophagitis

Yyuks-esophagitis yog ua nrog kev pab ntawm EFGS. Kev kuaj X-ray, pH-metry txhua hnub thiab kev ntsuam xyuas ntawm lub plab zom mov kuj tseem ua tau.

Kev kho mob reflux esophagitis nrog pej xeem cov tshuaj thiab tshuaj

Yog tias cov tsos mob tseem ceeb yog kub siab, feem ntau yog tshuaj antacids ("Almagel", "Renny", thiab lwm yam),prokinetics ("Motilak", "Cerukal"), proton twj tso kua mis inhibitors ("Omeprazole", "Rabeprazole"). Cov txheej txheem niaj hnub yuav tsum tau kos kom raug, kev tawm dag zog lub cev kom meej meej. Noj zaub mov kuj yuav tsum tau. Yog tias qhov kev kho mob zoo li no tsis muaj txiaj ntsig thiab muaj teeb meem tshwm sim, siv txoj kev ua haujlwm.

Pathological manifestations ntawm reflux esophagitis feem ntau tsis tuaj yeem tshem tawm 100%, tab sis tshuaj thiab ua raws li tus kws kho mob cov lus pom zoo pab kom ua tiav kev tshem tawm mus tas li.

Tseem muaj kev kho mob pej xeem. Peeled qos yaj ywm yuav tsum tau grated on ib tug nplua grater. Tom qab qhwv qhov loj hauv gauze, nyem tawm cov kua txiv thiab haus 100 ml ntawm lub plab khoob.

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