Xa zombini i-Esophageal Sphincters Musa ukusebenza ngokuchanekileyo
Kukho izihlunu ezibini ezisezantsi kwisipopu: I-sphincter esezantsi (i-LES) kunye ne-sphincter ephezulu ye-esophageal (UES). Xa i- sphincter esezantsi ingasebenzi kakuhle, kukho i-backflow yesisu esiswini kwi-esophagus. Ukuba oku kwenzeka ezimbini okanye ngaphezulu ngeveki, kungabonakalisa isifo se-reflux ye-gastroesophageal okanye iGERD .
Kodwa kwenzeka ntoni xa i-sphincter ephezulu ingasebenzi kakuhle? Njengoko i-sphincter engaphantsi, xa i- sphincter ephezulu ingasebenzi kakuhle, i-asidi eye ibuyele emlanjeni iyavunyelwa kumbhobho webhola kunye nebhokisi lezwi. Xa oku kwenzeka, kuthiwa i-laryngopharyngeal reflux, okanye i-LPR.
Ngaba unako ukufumana i-LPR ngaphandle kwenkohlakalo okanye ezinye iimpawu zeGERD ? Ewe! Abantu abaninzi abane-LPR abanalo iimpawu zokuguquka . Ngoba? Ukuze i-refluxed acid idale ukutshabalalisa, kufuneka ihlale kwisigxina ixesha elide ukwenzela ukucaphuka. Kwakhona, i-esophagus ayinakukhathalela ukucaphukisa njengentamo. Ngoko ke, ukuba i-asidi idlula ngokukhawuleza kwi-esophagus kodwa izibonda ezisemqaleni, izibonakaliso zentlungu aziyi kwenzeka kodwa iimpawu ze-LPR ziya.
Iimpawu zeLaryngopharyngeal Reflux zi:
- Ukuqhubeka kombhobho ukucima
- Ingqumbo engapheliyo
- Ukukhwehlela okungapheliyo
- Ukuthuka
- I-phlegm excessively emqaleni
- UDysphagia ( ubunzima bokugwinya )
- Ukuvakalelwa rhoqo kwento emqaleni
- Ukutya okusiweyo kubuyela emva
- Umjelo wamanzi
- Izwi elililize
- Izwi elikhohlakeleyo
- Ukuvalwa kwephephandaba lokuphefumla
- I-spasm ye-larynx (ibhokisi lezwi)
- Ukugubha
- Ukuguquka
Ukuxilongwa kwe-LPR
Ugqirha wakho angenza enye yezi zilandelayo mvavanyo ukuchonga ukuba unayo i-LPR:
- I-Laryngoscopy: Le nqubo isetyenziselwa ukubona utshintsho kwibhokisi lomhombo kunye nezwi.
- Uvavanyo lwe-pH yeeyure ezingama-24: Le nqubo isetyenziselwa ukubona ukuba isisu esiswini sininzi sishukumisela kwi-upper oropha. Iisistim ezimbini zeepH zisetyenzisiweyo. Omnye ufumaneka ngaphantsi kwe-oopopus kunye nenye phezulu. Oku kuya kukuvumela ugqirha ukuba akwazi ukubona ukuba i-asidi engena ngaphantsi kwe-esophagus iya kwi-top of the oopopus.
- I-Endscopy ephezulu ye-GI : Le nkqubo ihlala isenziwa rhoqo ukuba isiguli sigxeka ubunzima bokugwinya. Yenzelwe ukujonga ukuba kukho na izikratshi okanye ukukhula okungaqhelekanga kwi-esophagus, kunye ne- biopsy nayiphi na into engafanelekiyo. Olu vavanyo luya kubonisa ukuba kukho ukuvuvukala kwesigxu esibangelwa yi-refluxed acid.
Unyango
Unyango lwe-LPR ngokuqhelekileyo ufana neyo-GERD. Kukho iindlela ezine zonyango lwe-LPR
- Indlela yokuphila. Kukho utshintsho oluthile lwezinto zokuphila ozenzayo ezinokunciphisa, kwaye ngamanye amaxesha ukukhusela, i-asidi ye-aclux engenakwenzeka.
- Ukutya okutshintshwayo. Kukho ukutya okungekho nto kubangelwa ukutshabalalisa nokutya okumele kugwenywe. Khangela ukuba zeziphi ukutya okulungileyo kunye noko kukutya okubi.
- Amachiza okunciphisa i-acid esiswini okanye ukukhuthaza i-motility evamile. Ezi ziquka iProton Pump Inhibitors , i- Receptor Reagonor Antagonists , kunye neendlela ezingaphezulu kwe-counter-counter- remedies.
- Ukuhlinzwa ukukhusela i-reflux. Ugqirha ukuqinisa intambo phakathi kwesisu nesisu. Utyando oluqhelekileyo lwenziwe lubizwa ngokuba yi-Nissen fundoplication. Iqinisa intambo phakathi kwesisu kunye nesisu ngokufaka i-top part of the stomach ejikeleze umda phakathi kwesisu kunye nesopopus kwaye uyidonsa endaweni.
Imithombo:
> Priston J, Thoen R, Medeiros T, Assunção A, Campagnolo A. Laryngopharyngeal Reflux: Ukuxilongwa, unyango kunye noPhando olutsha. IiNcwadi zoLondolozo lweeNkcukacha zamazwe ngamazwe weOtorhinolaryngology . 2013; 18 (02): 184-191. i-doi: 10.1055 / s-0033-1352504.