Bile reflux: he aha ia, nā ʻōuli, nā kumu a me nā lāʻau

Anter

• Nā ʻōuli o ka bile reflux
• Nā kumu kūpono
• Pehea e hana ai i ka lāʻau

ʻO ka refilex bile, i ʻike ʻia ʻo duodenogastric reflux, ke hana ʻia i ka wā hemo, i hoʻokuʻu ʻia mai ka gallbladder i ka ʻāpana mua o ka ʻōpū, hoʻi i ka ʻōpū a i ʻole ka esophagus, e hoʻoulu ana i ka mucosa gastric.

Ke hiki kēia, hoʻololi i nā pale pale o ka mucus a me ka hoʻonui ʻana o ka ph i loko o ka ʻōpū hiki ke hana, kahi e alakaʻi ai i ke ʻano o kekahi mau ʻōuli e like me ka ʻeha o ka ʻōpū, ka wela i ka umauma a me ka luaʻi melemele, ʻo kahi laʻana.

I mea e hōʻoluʻolu ai i nā hōʻailona a mālama i ka refilex o ka bile, hiki i ka gastroenterologist ke ʻōlelo i ka hoʻohana ʻana i nā lāʻau e hōʻoluʻolu i nā ʻōuli a makemake i ka holo ʻana o ka bile, akā naʻe i nā hihia ʻoi loa, kahi i hoʻomaikaʻi ʻole ʻia me ka hoʻohana ʻana i nā lāʻau, pono paha e hana ʻoki kino.

Nā ʻōuli o ka bile reflux

ʻAno like nā ʻōuli o ka bile reflux me nā mea o ka reflux gastroesophageal a, no laila, ʻoi aku ka paʻakikī o ka hoʻokaʻawale ʻana ma waena o kēia mau hanana ʻelua. Ma ka laulaha, nā hōʻailona nui a me nā ʻōuli o ka bile reflux:

• ʻEha o ka ʻōpū o luna;
• ʻO ke ahi wela i ka umauma;
• Nualea;
• Luai ʻōmaʻomaʻo ʻōmaʻomaʻo;
• Cough a hoarseness paha;
• Kaumaha emi;
• ʻOi aku ka kiʻekiʻe o ka hoʻolaha ʻana o ka maʻi.

ʻOiai ua like loa nā ʻōuli me nā reflux o gastroesophageal, manaʻo ʻia he mau pilikia ʻokoʻa a no laila, pono e hana mau ʻia ka hōʻailona e kahi gastroenterologist.

No laila, e hōʻoia i ka reflux bile, nānā ke kauka i nā hōʻailona a me nā ʻōuli i hōʻike ʻia e ke kanaka, ka mōʻaukala olakino a me nā hoʻokolohua e kōkua ai e nānā inā aia kahi reflux o ka bile i loko o ka esophagus, a e koi ʻia paha ka endoscopy a me ka impedance esophageal.

Nā kumu kūpono

Hana ʻia ka reflux o ka bile ke hana pono ʻole ka sphincter esophageal, ka mea hoʻokaʻawale i ka esophagus mai ka ʻōpū, a hiki ke hopena ma muli o nā pilikia mai ke ʻōpū gastric, ka ʻoki o ka gallbladder a i ʻole ke kū ʻana o nā ulcer i loko o ka ʻōpū.

Ma lalo o nā kūlana maʻamau, hoʻopuka ʻia ka bile e ke akepaʻa a mālama ʻia i loko o ka gallbladder, e hoʻokuʻu ʻia ke loaʻa nā erythrocytes a me nā mea ʻona e hoʻopau ʻia a aia a momona e hoʻohaʻahaʻa ʻia, a laila lawe ʻia i ka duodenum a hui pū ʻia me ka meaʻai no laila aia ke kaʻina degradation. A laila, wehe ka pahu pyloric a ʻae wale i ka hele o ka meaʻai.

Eia nō naʻe, ma ke ʻano he hopena o nā hanana i ʻōlelo ʻia aʻe nei, ʻaʻole paʻa pono ka pā, e hiki ai i ka bile ke hoʻi i ka ʻōpū a me ka esophagus, e hopena ana i ka refilex bile.

Pehea e hana ai i ka lāʻau

Mālama ʻia ka refilex bile, akā hiki ke hoʻolōʻihi ʻia kāna mālama ʻana a, no kēia kumu, he mea nui e ukali pono i nā kuhikuhi a ka gastroenterologist.

ʻO ka mea maʻamau ka hoʻohana ʻia o nā lāʻau i hōʻike ʻia e ke kauka, e like me ka ursodeoxycholic acid, kahi mea kōkua e hāpai i ka holo o ka bile, no laila e hōʻemi ana i ke alapine a me ka ikaika o nā ʻōuli. Eia nō naʻe, hiki ke hōʻike ʻia nā lāʻau ʻē aʻe, i kapa ʻia he scavengers acid bile, nāna e hoʻopaʻa iā lākou i loko o ka ʻōpū, e pale ana i ko lākou resorption.

Eia nō naʻe, inā ʻaʻole hoʻomaikaʻi nā ʻōuli me ka hoʻohana ʻana o nā lāʻau, hiki i ka gastroenterologist ke ʻōlelo iā ʻoe e hana i kahi ʻoki. I kēia ʻoki kino, i ʻike ʻia ma ke ʻano he kīpoki bypass, hana ka surgeon i kahi pilina hou no ka kahe ʻana o ka pā i lalo o ka ʻōpū liʻiliʻi, e kāpae ana i ka iwi mai ka ʻōpū.