Lokacin da Sopincters guda biyu basuyi aiki daidai ba
Akwai ƙwayoyin tsinkayyi guda biyu da ke cikin esophagus: Labaran ƙwayar ƙafa ta jiki (LES) da kuma sphincter spascter babba (UES). Lokacin da sphincter ƙananan kwakwalwa ba ya aiki yadda ya kamata, akwai kwakwalwa na ciki mai ciki zuwa cikin esophagus. Idan wannan ya faru sau biyu ko fiye sau ɗaya a mako, zai iya zama alamar cutar cututtuka na gastroesophageal ko GERD .
Amma menene ya faru a yayin da sphincter na sama mafi girma ba ya aiki daidai ko dai? Kamar yadda yanayin da ke ciki ya nuna, idan ɓangaren kwakwalwa ta sama ba ya aiki yadda ya kamata, acid din da ya dawo ya shiga cikin jinsin ya yarda a cikin bakin ka da akwatin murya. Lokacin da wannan ya faru, an kira shi ragowar laryngopharyngeal, ko LPR.
Za a iya samun LPR ba tare da wata ƙwannafi ba ko sauran bayyanar GERD ? Haka ne! Mutane da yawa tare da LPR basu da alamun cututtuka na ƙwannafi . Me ya sa? Domin hawan gwanin refluxed zai haifar da ƙwannafi, dole ne a zauna a cikin esophagus tsawon lokacin da zai haifar da fushi. Har ila yau, bazaman kwayar halitta ba kamar yadda yake da damuwa da fushi kamar yadda kuturu yake. Sabili da haka, idan acid yana wucewa ta sauri ta hanyar esophagus amma tafki a cikin makogwaro, ƙwayar cututtukan zuciya ba zai faru ba sai bayyanar LPR zai.
Kwayoyin cututtuka na Laryngopharyngeal Reflux sune:
- Ci gaba ta makogwaro
- Gwagwagwagwaro fushi
- Tari tari
- Girma
- Sugar hanzari da kuturu
- Dysphagia ( wahala ta haɗiye )
- Sanin hankali na wani abu a cikin kuturu
- Ciyar da abinci yana dawowa
- Post m malalewa
- Muryar murya
- Kira murya
- Tsuntsauran motsin numfashi
- Spasm na larynx (murya murya)
- Wheezing
- Ƙwannafi
Sanin asali na LPR
Kwararka na iya yin ɗayan gwaje-gwaje masu zuwa don sanin idan kana da LPR:
- Laryngoscopy: Ana amfani da wannan hanya don ganin canje-canje a cikin kuturu da akwatin murya.
- Gwajin awa na awa 24: Ana yin amfani da wannan hanya don ganin idan yawancin ciki na ciki yana motsawa zuwa cikin hawan kogi. Ana amfani da na'urori biyu na pH . Ɗaya yana samuwa a ƙasa na esophagus kuma daya a saman. Wannan zai bari likita ya gani idan acid da ke shiga kasan bisophagus ya motsa zuwa saman esophagus.
- Babbar GI Endoscopy : Wannan aikin yana kusan kullum ne idan mai hakuri yana cikin damuwa a cikin haɗuwa. An yi don ganin idan akwai wani ɓarna ko ciwo mai mahimmanci a cikin esophagus, kuma zuwa biopsy duk wani mummunan samu. Wannan jarabawar zai nuna idan akwai wani kumburi na esophagus da kwayar refluxed ta haifar.
Jiyya
Jiyya ga LPR ya zama daidai da wancan ga GERD. Akwai magani guda hudu na LPR
- Canje-canje na gida. Akwai canje-canje da yawa da za ku iya yi wanda zai iya rage, kuma wani lokacin hana, reflux acid daga faruwa.
- Ciniki gyare-gyare. Akwai wasu abincin da ba sa haifar da ƙwannafi da abinci wanda ya kamata a kauce masa. Gano abin da ke da abinci mai kyau da kuma abincin abinci mara kyau.
- Magunguna don rage yawan iska mai ciki ko don inganta motility ta al'ada. Wadannan zasu iya hada da masu amfani da Proton Pump , Histamine Receptor Antagonists , da kuma magungunan over-the-counter .
- Tiyata don hana reflux. Yin aiki don ƙarfafa jigilar tsakanin ciki da esophagus. Ana tilasta tiyata mafi yawan aikin da ake kira Nithen fundoplication. Yana ƙarfafa jituwa a tsakanin ciki da kuma esophagus ta hanyar kunsa saman ɓangaren ciki a kusa da jigon tsakanin cikin ciki da kuma esophagus da kuma tsage shi a wuri.
Sources:
> Priston J, Thoen R, Medeiros T, Assunção A, Campagnolo A. Laryngopharyngeal Reflux: Bincike, Jiyya, da Binciken Bincike. Tarihin Duniya na Otorhinolaryngology . 2013; 18 (02): 184-191. Doi: 10.1055 / s-0033-1352504.