Pamene Onse Omwe Asophageal Sphincters Sagwira Ntchito Moyenera
Pali mitsempha iŵiri yokhala ndi sphate yomwe imapezeka m'mimbayi: The lowerophygeal sphincter (LES) ndi chapamwamba esophageal sphincter (UES). Pamene kuchepa kwapopupalpal sphincter sikugwira ntchito bwino, pali kupweteka kwa m'mimba mwa asidi m'mimba. Ngati izi zimachitika kawiri kapena kasanu pa sabata, zikhoza kukhala chizindikiro cha matenda a reflux a gastroesophageal kapena GERD .
Koma chimachitika ndi chiyani pamene sophgeal sphincter sagwira ntchito molondola? Mofanana ndi mankhwala otsika otchedwa sophageal sphincter, ngati sophageal sphincter sagwira ntchito bwino, asidi omwe amabwerera kumbuyo amaloledwa kummero ndi bokosi la mawu. Izi zikachitika, amatchedwa laryngopharyngeal reflux, kapena LPR.
Kodi mungapeze LPR popanda kupweteka kwa mtima kapena zizindikiro zina za GERD ? Inde! Anthu ambiri omwe ali ndi LPR alibe zizindikiro za kupweteka kwa mtima . Chifukwa chiyani? Kuti refluxed asidi ayambitsa kupsa mtima, iyenera kukhala nthawi yayitali yokwanira kuti iwononge. Komanso, chiwindi sichimamvetsa kukhumudwa monga mmero. Choncho, ngati asidi amatha msanga kupyolera m'mimba koma m'madzi a mmphepete, zizindikiro za kupweteka kwa thupi sizidzachitika koma zizindikiro za LPR zidzakhala.
Zizindikiro za Laryngopharyngeal Reflux ndi:
- Kupitirira khosi kumatula
- Kupsinjika kwa khosi kovuta
- Chifuwa chachikulu
- Kusokonezeka
- Kuthamanga kwambiri phlegm mmero
- Dysphagia ( zovuta kumeza )
- Kumverera kwanthawizonse kwa chinachake kummero
- Kudya chakudya kumabwereranso
- Mtsinje wamphongo wamphongo
- Mawu ofooka
- Mawu osokoneza
- Kutseka kwa ndime yopuma
- Kupaka kwa larynx (mawu a bokosi)
- Kupuma
- Kuthamangitsani
Kuzindikira kwa LPR
Dokotala wanu akhoza kuchita chimodzi mwa mayesero otsatirawa kuti adziwe ngati muli ndi LPR:
- Laryngoscopy: Njirayi imagwiritsidwa ntchito kuona kusintha kwa khosi ndi mawu.
- Maola 24 a pH kuyesa: Njirayi imagwiritsidwa ntchito kuti aone ngati mimba yambiri ikupita m'mwamba kapena pamtima. Maselo awiri a pH amagwiritsidwa ntchito. Chimodzi chimakhala pansi pamimba ndi pamwamba. Izi zidzamulola dokotala kuona ngati asidi omwe alowa pansi pa chigwacho amapita kumtunda.
- Pamwamba GI Endoscopy : Njirayi nthawi zambiri imachitika ngati wodwala akudandaula kuti akuvutika kumeza. Zathetsedwa kuti muwone ngati pali zipsera kapena kukula kosawerengeka komweko, komanso kuti zikhale zosavuta kuzipeza. Mayesowa adzasonyezanso ngati pali kutupa kulikonse kwa chiwopsezo chomwe chimayambitsidwa ndi asidi a refluxed.
Chithandizo
Kuchiza kwa LPR kumakhala kofanana ndi kwa GERD. Pali mankhwala anayi a LPR
- Kusintha kwa moyo. Pali kusintha kosiyanasiyana kwa moyo wanu komwe mungathe kuchepetsa, ndipo nthawi zina kupewa, asidi reflux kuti asachitike.
- Zakudya zosinthidwa. Pali zakudya zina zomwe sizimayambitsa kupweteka kwa mtima ndi zakudya zomwe ziyenera kupeŵedwa. Pezani zakudya zabwino ndi zakudya zoipa.
- Mankhwala othandizira kuchepetsa mimba ya asidi kapena kulimbikitsa zachibadwa motility. Izi zingaphatikizepo Proton Pump Inhibitors , Histamine Receptor Antagonists , ndi njira zothandizila.
- Opaleshoni kupewa reflux. Kuchita opaleshoni kuti uzimitse mgwirizano pakati pa m'mimba ndi m'mimba. Kuchita opaleshoni kawirikawiri kumatchedwa kuti Nissen fundoplication. Amamangiriza mgwirizano pakati pa mimba ndi m'mimba mwa kukulunga pamwamba pa mimba pozungulira mpikisano pakati pa mimba ndi mimba ndikushona.
Zotsatira:
> Priston J, Thoen R, Medeiros T, Assunção A, Campagnolo A. Laryngopharyngeal Reflux: Kuzindikira, Kuchiza, ndi Kufufuza Kwatsopano. Zolemba Zakale za Otorhinolaryngology . 2013; 18 (02): 184-191. lembani: 10.1055 / s-0033-1352504.