Duodenal reflux. Cov tsos mob thiab kev kho mob

Duodenal reflux - yog ib tug tshwm sim nyob rau hauv uas yog ib feem ntawm tus txheem ntawm lub duodenum yog muab pov rau hauv lub plab. Raws li ib tug txoj cai, duodenal reflux nrog xws tus kab mob ntawm tus mob huam raws li Gastroesophageal reflux kab mob, mob gastritis, duodenal rwj thiab lub plab.

Duodenal reflux. tau txim

Lub ducts ntawm daim siab thiab txiav nyob rau hauv lub duodenum, rau qhov no yog vim li cas, nws muaj ib tug loj tus naj npawb ntawm daim card cov kua tsib thiab pancreatic kua txiv. Thaum cov kua cov ntaub ntawv yog ces muab pov tseg rau hauv lub plab, nws mucosa yog tsis tau neutralize lub enzymes, cov kua tsib thiab pancreatic, yuav kub lug thiab muaj ib tug tau ntawm ib tug loj heev hlawv pais plab mucosa. Qhov no yuav ua tau nyob rau hauv ib tug kab mob raws li reflux gastritis (lwm lub npe - cov tshuaj gastritis, hom C).

Duodenal reflux. cov tsos mob

Cov tsos mob mob duodenal reflux yog tsis ib txwm kom meej meej cim. Tej zaum qhov no tshwm sim muaj peev xwm tshwm sim kiag li asymptomatic thiab qhia nws thaum lub sij hawm elektrogastroduodenoskopicheskogo kev tshawb fawb.

Duodenogastric reflux feem ntau nrog cov tsos mob xws li cov eructation, ab saj los yog qhov ncauj qhuav, tsis muaj qab los noj mov, xeev siab, tsis muaj zog thiab tom qab noj mov.

Duodenal reflux. kev kho mob

Yuav kom txiav txim rau txoj kev ntawm kev kho mob, koj yuav tsum nrhiav tus thawj, qhov tseeb ua ntawm nws tshwm sim, yauv ib tug series ntawm xeem los xyuas txog cov muaj ib tug peptic rwj, gastritis, duodenitis. Reflux kho mob feem ntau yog pib nrog cov kev kho mob ntawm cov kab mob tshwm sim los nws. Feem ntau, nyob rau hauv cov ntaub ntawv ntawm tshem tawm ntawm lwm cov kab mob disappears thiab duodenal reflux.

Cuaj kaum, muaj mob thaum cov tshuaj ntawm qhov teeb meem ua rau cov teeb meem loj teeb meem, tshwj xeeb tshaj yog yog hais tias tus hauv paus ua kom cov tsos ntawm reflux yog phais rau tus mob huam,

Nyob rau hauv cov ntaub ntawv no, tus kws kho mob yuav tsum tau xaiv cov neeg ua hauj, neutralizing tej yam uas cov kua tsib nyob rau hauv lub plab thiab lub txheej membrane, raws li zoo raws li cov tshuaj uas ua rau kom ceev muab nchuav ntawm cov hlab pas thiab lub plab, ua kom lub suab nrov ntawm esophageal sphincter. Ua li no, muab tshuaj, prokinetics xws li metoclopramide, domperidone, nyob rau ib tug tas mus luv luv lub sij hawm ntawm lub sij hawm, feem ntau yog mus txog 3 lub lis piam. Ib tug ntawm cov kev tsis zoo ntawm xws li ib tug kev kho mob - tau resumption reflux mob tom qab ntsoos ntsoos tshuaj.

Cov kev kho mob ntawm reflux yuav tsum muaj xws li cov kev siv ntawm inhibitors ntawm lub proton twj tso kua mis, tshwj xeeb yog rau cov kab mob uas yog yus los ntawm ib tug nce qib ntawm acidity. Qhov no pab pawg neeg ntawm cov tshuaj yuav pab tau neutralize lub txhoj puab heev kev txiav txim ntawm hydrochloric acid nyob rau hauv pais plab mucosa. Yuav tsum muab kev xaiv li cas mus rau qhov tseeb tiam ntawm cov tshuaj, xws li pantoprazole. Lawv muaj ob peb heev tshwm sim thiab yog txawm pom zoo rau kev siv los ntawm cev xeeb tub cov poj niam.

Lwm pab pawg neeg ntawm cov neeg ua hauj siv nyob rau hauv duodenogastric reflux yog antacids. Lawv khi cov kua tsib sib, tab sis tsis muaj kev cuam tshuam rau cov theem ntawm hydrochloric acid. Thiab dua li antacids los tiv thaiv lub pais plab mucosa, li no mus pab tau txoj lub kho nyhuv. Cov medicaments yog muaj nyob rau hauv daim ntawv ntawm cov ntawv los yog kua.

Rau hnub tim, cov kev kho mob ntawm reflux tshuaj no feem ntau siv ursodeoxycholic acid. Nrog lawv pab lub kua tsib acids dhau mus rau hauv cov dej-soluble daim ntawv. Qhov no thiaj li tsis zoo zoo ntawm cov kua tsib rau txheej week. Feem ntau, cov tshuaj yog tshuaj ib hnub ob zaug.

Nyob rau hauv kev, rau cov kev kho mob ntawm duodenal reflux yuav tsum tau ib lub chav kawm ntev tsawg kawg yog ob lub hlis. Sau kom tiav cov nyhuv ntawm kev kho mob yuav tsuas yuav tiav nrog ib tug txaus ntev txais tos kev npaj.