I-Reflux yebile: yintoni, iimpawu, oonobangela kunye nonyango

Umxholo

• Iimpawu ze-bile reflux
• Izizathu ezinokubangela
• Unyango lwenziwa njani

I-Bile reflux, ekwabizwa ngokuba yi-duodenogastric reflux, yenzeka xa i-bile, ekhutshwa kwi-gallbladder iye kwinxalenye yokuqala yamathumbu, ibuyela esiswini okanye kwisisu, ibangela ukudumba kwe-gastric mucosa.

Xa oku kusenzeka, utshintsho kumaleko okhuselo e-mucus kunye nokunyuka kwe-pH esiswini kunokwenzeka, okukhokelela ekubonakaleni kweempawu ezithile ezinje ngeentlungu zesisu, ukutsha kwesifuba kunye nokugabha okuphuzi, umzekelo.

Ukuthomalalisa iimpawu kunye nokunyanga i-bile reflux, i-gastroenterologist inokucebisa ngokusetyenziswa kwamayeza okuthomalalisa iimpawu kunye nokuthanda ukusasazwa kwenyongo, nangona kunjalo, kwiimeko ezimbi kakhulu, apho kungekho phuculo kusetyenziso lweziyobisi, kunokuba yimfuneko utyando.

Iimpawu ze-bile reflux

Iimpawu ze-bile reflux ziyafana kakhulu nezo ze-gastroesophageal reflux kwaye, ke ngoko, umahluko phakathi kwezi meko zimbini kunokuba nzima ngakumbi. Ngokubanzi, iimpawu eziphambili kunye neempawu ze-bile reflux zezi:

• Iintlungu eziphezulu zesisu;
• Ukutshisa imvakalelo esifubeni;
• Isicaphucaphu;
• Ukugabha okuluhlaza;
• Ukukhohlela okanye ukudodobala;
• Ukuhla ukusinda;
• Umngcipheko ophezulu wokusasazeka kwebhakteria.

Nangona iimpawu zifana kakhulu ne-reflux ye-gastroesophageal, zithathwa njengeengxaki ezahlukileyo kwaye, ngenxa yoko, ukuxilongwa kufuneka kusoloko kwenziwa ngugastrostentologist.

Ke, ukuqinisekisa ubungqina benyongo, ugqirha uvavanya iimpawu kunye neempawu ezivezwe ngumntu, imbali yezempilo kunye novavanyo olunceda ukujonga ukuba ngaba kukho i-bile ye-bile kwi-esophagus, kunye ne-endoscopy kunye ne-esophageal impedance inokucetyiswa.

Izizathu ezinokubangela

I-Bile reflux yenzeka xa i-esophageal sphincter, eyahlula i-esophagus esiswini, ingasebenzi kakuhle, enokwenzeka ngenxa yeengxaki ezivela kuqhaqho lwesisu, utyando lwe-gallbladder okanye ubukho bezilonda esiswini.

Phantsi kweemeko eziqhelekileyo, i-bile iveliswa sisibindi kwaye igcinwe kwi-gallbladder, ikhutshwa xa kukho ii-erythrocyte kunye nezinto ezinobuthi ekufuneka zisuswe kwaye xa kukho amanqatha athotyiweyo, kwimeko leyo ithuthwa iye e-duodenum kwaye ixutywe nokutya ukuze kubekho inkqubo yokuthotywa isidima. Emva koko, ivaluva ye-pyloric ivula kwaye ivumela kuphela ukutya kokutya.

Nangona kunjalo, ngenxa yeemeko esele zikhankanyiwe, ivelufa ayivaleki kakuhle, evumela inyongo ukuba ibuyele esiswini nakwindawo yokuma komqala, ekhokelela kwi-bile reflux.

Unyango lwenziwa njani

I-Bile reflux iyanyangeka, kodwa unyango lwayo lungathatha ixesha elide kwaye, ngenxa yesi sizathu, kubaluleke kakhulu ukulandela isikhokelo se-gastroenterologist ngokufanelekileyo.

Eyona nto ixhaphakileyo kukuba amayeza aboniswe ngugqirha ayasetyenziswa, njenge-ursodeoxycholic acid, eyinto encedisa ukukhuthaza ukujikeleza kwenyongo, oko ke kunciphisa ukubakho kunye nokuqina kweempawu. Nangona kunjalo, amanye amachiza, abizwa ngokuba yi-bile acid scavengers, anokuboniswa, azibophelela emathunjini, ukuthintela ukugcwala kwawo kwakhona.

Nangona kunjalo, xa iimpawu zingaphucuki ngokusetyenziswa kwamayeza, i-gastroenterologist inokukucebisa ukuba wenze utyando. Kolu tyando, lwaziwa njengotyando lwe-bypass, ugqirha wotyando wenza unxibelelwano olutsha kumjelo wenyongo uqhubeke ngakumbi emathunjini amancinci, ugqitha inyongo esiswini.