Cutar Gastrichageal Revlux Cutar (Ged) cuta ce ta gama gari a cikin Sashen Nestition. Bayananta da hadaddun a hankali suna da mummunar tasiri kan ingancin rayuwar marasa lafiya. Kuma na kullum kumburi daga cikin esophagus na haifar da haifar da haifar da cutar kansa. Yadda za a yi bincike daidai da daidaita magani shine fifikon aikin asibiti.
Gurasar asibiti na 02 na 02
Gered za a iya raba shi da rashin daidaituwa (Nur), sake fasalin esophagitis (sake) da borretta esophopy.
Nerd: Barrett Etophagus da share esophageal muncosa sun lalace a cikin ma'anar Gerd amma Endoscopy ya lalace.
Re: Endoscopy na iya ganin mucosa na ciki na ciki wanda aka haɗa da esophagus ɗin da ke sama. Mucous membrane ya lalace ba da gangan ba.
Kasance: Gastrica-esophageal squamous ɓangare na esophagus na haɗin esophagus a ƙarshen ƙarshen an maye gurbinsu da cylinscopy.
Gurasar asibiti na 02 na 02
Baya ga ƙona zuciya da revlux, alamu kamar ciwon kirji, ciwon ciki mai zafi, tari, huhu na mu'ujiza na iya faruwa.
Ya kamata a lura cewa marasa lafiya da tsofaffi masu karancin gerd suna da ƙarancin abin da ya faru da tsinkaye. Abin da ya faru da alamun bayyanar cututtuka a cikin bututun mai amfani yana da girma. Bayyanar cututtuka ba irin tsari bane, ko ma asymptomatic. Tsananin tsananin bayyanar cututtuka ba layi daya da tsananin cutar da cutar. Guiyu masana'anta ya kasance mai lebur, kuma lokacin da yake likita, an ci gaba da shi a Guangli.
03 Ged na ganewar asali
Adadi. Abubuwan cututtukan Gred na hankula da Takaddar Attotical na yau da kullun suna fama da cututtukan gungume na narkewar abinci mai narkewa daga tushen binciken bincike na Ged na Gerd
Gwajin gwaji na wakili na acid
Don masu rashin daidaito masu lalata (waɗanda ke yawanci suna amfani da PPI), daidaitaccen sashi zai ƙarshe na makonni 2 (waɗanda ke da alamu a waje da buɗaɗɗen suna buƙatar data gabata. Idan bayyanar cututtuka gaba daya sun sami nutsuwa ko bayyanar cututtuka mai sauki kawai.
2) Endoscopic
-Re -Los -Los obies ya kasu kashi biyu (duba adadi a ƙasa):
Class a: 1 ko fiye da Esophageal Mucosal lalacewa, tsawon lalacewa ≤5 mm;
Daraja b: 1 ko fiye da esophageal muncosal lalacewa, tsawon lalacewa> 5 mm, mucous membrane lalacewa kuma babu kara;
Class c: akalla adadin esophageal mucosa ya lalace, kuma cutar mucous ta lalace tare da juna.
Class D: Yana nufin lalacewar mucosa da hadewar juna, kuma kewayon fouson dama kashi 75% na esophagus.
-Ba biofta ta biopsy: An bada shawara cewa akwai mahara da gajeren tazara, kuma an samo biopsy ta 1cm tazara a kusa da murhun. Girman kewayon yana da alaƙa da haɗarin cutar kansa, kuma haɗarin ciwon daji yana ƙaruwa da haɓaka kewayon 3cm.
3) Matsakaicin ma'aunin kuɗi
Marasa lafiya tare da GeD sau da yawa bayyana a matsayin m Esophageal iko: Matsakaicin 70% ko Peristalsis Ratio na 70% ko Peristalsis shine ≥50%.
Kulawa da Kulawa
Matsayi ne na gano cutar Cedd. Matsakaicin zinare ne na ganewar asali, gami da saka idanu na esophagus ƙi idan aka kulla saka idanu na esopnh ƙimar kulawa. Yawan adadin ph <4 (AET)> 4% a cikin 24h, ana la'akari da cewa akwai reflux na acid na ruwa.
04 Gard magani
Hoto na jiyya na jiyya
Source: Associungiyar Likita ta Sin
Matakan kariya:
-Plo da p-Cab sune farkon zabi na farko da kuma kiyaye marasa lafiya da garrana. A farkon lura da ppi shine makonni 8 kuma p-cabo magani ne ≥4 makonni.
-For marasa lafiya tare da ƙwarewa da dare (lokacin ɗaukar PPI, da PH <4 lokaci-lokaci> 1h a cikin daren karawa), ko sauya zuwa P-Kafa da tsawo. Rabin -Life ppi magani.
-Ka iya amfani da kwayoyi masu aiki da magunguna masu aiki don aikace-aikacen-gajeren aikace-aikacen don rage alamun rashin jin daɗi kamar ƙona rashin jin daɗin rashin jin daɗin rashin ci da zuciya da kuma gyara.
- Alamun magani na gaba: Daidai ne Geneal, magani na acidic ba shi da inganci, ko rashin yarda da magunguna, kuma ba zai iya jure.
- Mai nuna alama ta likita: Akwai alamun yaudara na hali, maganin ppi ba shi da inganci; entoscopy ya sami esophageal hernia, zama, sake, Los Angeles maki ko sama; a sama; X-ciye jarrabawar da aka gano cewa akwai esophageal rami ramin.
Lokacin Post: Mar-21-2024