Isi ịgba akwụkwọ eji gastroesophageal reflux

Ndinaya

• 1. Ihe mgbochi
• 2. Ndị na-egbochi mmepụta acid
• Ndị na-egbochi proton pump
• Ndị antagonist na-anabata ihe na Hamine Hamine
• 3. Accelerators nke gastric efu
• 4. Gastric echebe

Otu n'ime ụzọ isi gwọọ reflux nke gastroesophageal bụ iji belata acidity nke ọdịnaya afọ, ka ọ ghara imerụ esophagus. Yabụ ọ bụrụ na reflux ahụ pere mpe acid ọ ga-ere obere ma bute obere mgbaàmà.

Ọgwụ ndị enwere ike iji mee ihe bụ antacids, ndị na - egbochi mmepụta acid, ndị na - echekwa afọ na ndị na - eme ngwa ngwa.

1. Ihe mgbochi

Ihe antacids a na-ejikarị eme ka mmiri hydrochloric dị n'ime afọ bụ aluminum hydroxide, magnesium hydroxide na sodium bicarbonate. Usoro ndị a bụ ntọala nke na-emeghachi na acid, na-ebelata ikike ha na-egbu egbu ma na-ebute mmiri na nnu.

A naghị eji ọgwụ antacids eme ihe oge niile n'ihi na ha anaghị arụ ọrụ nke ọma yana n'ihi na enwere ike ị nwetaghachi ihe, ya bụ, onye ahụ na-emezi ozigbo mana enwere ike ịka njọ.

Mmetụta kachasị emetụta nke ọgwụ ndị a bụ afọ ntachi, nke sitere na nnu aluminom, ma ọ bụ afọ ọsịsa nke antacids nwere magnesium na-akpata, ebe ọ bụ na ha na-akpata osmotic na eriri afọ. Iji belata mmetụta ndị a, antacids ndị a kacha eji eme ihe bụ njikọ nke magnesium hydroxide na aluminom.

2. Ndị na-egbochi mmepụta acid

Ndị na-egbochi mmepụta nke acid bụ ọgwụgwọ ndị a na-ejikarị agwọ ọgwụgwọ reflux nke gastroesophageal, ma nwee ike igbochi mmepụta a n'ụzọ abụọ:

Ndị na-egbochi proton pump

Ndị a bụ ọgwụgwọ ndị bụ isi eji agwọ ọrịa metụtara ụba gastric acid secretion. Ndị a na-ejikarị eme ihe bụ omeprazole, pantoprazole, esomeprazole na rabeprazole, nke na-egbochi proton pump, na-egbochi mmepụta nke hydrochloric acid n'ime afọ.

Mmetụta ọjọọ ndị nwere ike ibute na iji ọgwụ ndị a bụ isi ọwụwa, afọ ọsịsa, ọkụ ọkụ, mgbu afọ, flatulence, ọgbụgbọ na afọ ntachi.

Ndị antagonist na-anabata ihe na Hamine Hamine

Ọgwụ ndị a na-egbochi acid acid nke histamine na gastrin na-ebute site na nke kachasị mee ihe bụ cimetidine, nizatidine na famotidine.

Mmetụta ndị kachasị emetụta nke iji ọgwụ ndị a eme ihe bụ afọ ọsịsa, isi ọwụwa, ụra, ike ọgwụgwụ, mgbu ahụ ike na afọ ntachi

3. Accelerators nke gastric efu

Mgbe afọ ju nke afọ, o yikarịrị ka ọ ga-abụ gastroesophageal reflux.Yabụ, iji zere nke a, enwere ike ịkpali mmegharị afọ site na ọgwụgwọ prokinetic dị ka metoclopramide, domperidone ma ọ bụ cisapride nke na-enyere aka na nsị afọ, si otú a na-ebelata oge nri na-adịgide n'ime afọ, na-egbochi reflux.

Mmetụta kachasị emetụta nke nwere ike ime na iji metoclopramide bụ ụra, mmetụta nke adịghị ike, mkpasu iwe, ọbara mgbali elu na afọ ọsịsa. Na mgbakwunye, ọ bụ ezie na ọ naghị adịkarị, nsogbu nke eriri afọ nwere ike ịpụta na iji domperidone na cisapride.

4. Gastric echebe

A na-ejikwa ndị na-echebe gastric na-agwọ reflux nke gastroesophageal, nke na-echebe esophagus, na-egbochi ọkụ mgbe ọdịnaya dị n'ime afọ gafere n'ime esophagus.

N'ozuzu, nje ahụ nwere usoro nke ọ na-emepụta imi nke na-echebe afọ afọ, na-egbochi acid ịwakpo ya, mana na ụfọdụ ọnọdụ nchịkwa na iji ọgwụ ụfọdụ eme ihe, mmepụta nke imi a nwere ike ibelata ma nye mwakpo ahụ nke mucous. Ndị na-echebe gastric nke enwere ike iji dochie imi a bụ salralfate na bismuth salts nke na-eme ka usoro nchekwa afọ dị elu ma mekwaa ihe mgbochi na afọ na akpịrị.

Mmetụta ọjọọ ndị kachasị na-akpata site na bismuth salts bụ ọchịchịrị nke oche, isi awọ, isi ọwụwa, ọgbụgbọ, afọ ọsịsa, afọ ọsịsa na nsogbu uche.

A na-anabatakarị Sucralfate nke ọma na isi ihe ọ na-akpata bụ afọ ntachi. Agbanyeghị, ọ nwekwara ike ibute ọnụ akọrọ, ọgbụgbọ, agbọ agbọ, isi ọwụwa na ọkụ n’ahụ.

Enwekwara ọgwụgwọ ụlọ nke nwere ike itinye aka na ọgwụgwọ na-aga nke ọma. Chọpụta nke kachasị eji.