Apo Both Esophageal Sphincters Usashanda Kushanda Zvakarurama
Kune miviri yemasphincter iri munharaunda: The lower esophageal sphincter (LES) uye the upper esophageal sphincter (UES). Apo iyo yepasi esophageal sphincter isiri kushanda zvakanaka, pane kubuda kwemuviri weAidhiya mukati meopopu. Kana izvi zvichiitika kaviri kana kupfuura pavhiki, zvinogona kuva chiratidzo chegastroesophageal reflux chirwere kana GERD .
Asi chii chinoitika apo iyo yakakwirira yephincter isingashandi zvakanaka? Sezvo nechezasi esophageal sphincter, kana iyo yakakwirira esophageal sphincter isingashandisi zvakanaka, asidi iyo yakadzoka ichienda mukati memoyo inobvumirwa kupinda muhuro nezwi rebhokisi. Apo izvi zvinoitika, inonzi laryngopharyngeal reflux, kana LPR.
Unogona here kuona LPR pasina kuora mwoyo kana zvimwe zviratidzo zveGERD ? Ehe! Vanhu vazhinji vane LPR havana zviratidzo zvekushaya mwoyo . Sei? Kuti refluxed acid inokonzera kuora mwoyo, inofanirwa kugara muhutano kwenguva yakakwana kukonzera kutsamwa. Uyewo, sophagus haina kufanana nehasha kana huro. Saka, kana asiriya inokurumidza kukurumidza kuburikidza nehuputi asi madziva ari muhuro, zviratidzo zvekushaya moyo hazvingaitiki asi zviratidzo zveLPR zvichaitika.
Zviratidzo zveLaryngopharyngeal Reflux nde:
- Ramba ruchidzorera
- Kupera kwehuro nehasha
- Kuora mwoyo kusingaperi
- Hoarseness
- Kuwedzeredza phlegm muhuro
- Dysphagia ( kunetseka kumedza )
- Nguva dzose kunzwa kwechinhu chiri mumutsipa
- Kudya zvokudya kunodzoka zvakare
- Post nasal drainage
- Inzwi risina simba
- Inzwi rekukandira
- Kuvharidzirwa kwendima yekufema
- Spasm ye larynx (izwi bhokisi)
- Wheezing
- Kushungurudza
Kuongororwa kweLPR
Chiremba wako anogona kuita chimwe chezviedzo zvinotevera kuti aone kana iwe une LPR:
- Laryngoscopy: Iyi nzira inoshandiswa kuona kuchinja mumutsipa uye inzwi rebhokisi.
- 24-hour pH test: Iyi nzira inoshandiswa kuona kana yakawanda mudumbu asidi inofamba ichienda kumusoro. PH sensors maviri anoshandiswa. Imwe inowanikwa pazasi yeeophagus uye imwe kumusoro. Izvi zvichaita kuti chiremba aone kana asidi iyo inopinda pasi pechiputi ichi inopinda kumusoro kweeophagus.
- Upper GI Endoscopy : Izvi zvinowanzoitika kana murwere achinyunyuta nezvekuoma kumedza. Izvo zvinoitwa kuona kana pane zvikwanganiso kana kukura kusinganzwisisiki mukati, uye kuratidzira chero upi zvahwo husina kuwanikwa hunowanikwa. Uyu muedzo ucharatidza zvakare kana kune kutyora kweeophagus inokonzerwa ne refluxed acid.
Kurapa
Mishonga yeLPR inowanzofanana neyoyo GERD. Iko kune zvirongwa zvina zveRPR
- Lifestyle changes. Kune huwandu hwehupenyu hwekuchinja unogona kuita izvo zvinogona kuderedza, uye dzimwe nguva kudzivirira, asidi reflux kuti irege kuitika.
- Zvokudya zvinoshandurwa. Pane zvimwe zvokudya zvinowanzokonzera kuora mwoyo nekudya zvinofanira kudziviswa. Tsvaga kuti ndezvipi zvokudya zvakanaka uye chii chakaipa kudya.
- Mishonga yekuderedza mudumbu weAIDS kana kukurudzira hupenyu hwemazuva ose. Izvi zvinogona kusanganisira Proton Pump Inhibitors , Histamine Receptor Antagonists , uye kupfuura-the-remedes remedies.
- Kuvhiya kunodzivisa reflux. Kuvhiya kunomisa chisungo pakati pemudumbu uye sophagus. Kuvhiyiwa kunowanzoitwa kunonzi Nissen fundoplication. Iyo inomesa chisungo pakati pemudumbu uye sopu nekuputira chikamu chepamusoro chemukati chakakomberedza mhiri pakati pemudumbu uye sopopusi uye kuisunungura panzvimbo.
Sources:
> Priston J, Thoen R, Medeiros T, Assunção A, Campagnolo A. Laryngopharyngeal Reflux: Kuongororwa, Kurapa, uye Kuongorora Kwenguva. International Archives of Otorhinolaryngology . 2013; 18 (02): 184-191. doi: 10.1055 / s-0033-1352504.