I-refilex yebile: kuyini, izimpawu, izimbangela nokwelashwa

-Delile

• Izimpawu ze-bile reflux
• Izimbangela ezingaba khona
• Yelashwa kanjani

I-Bile reflux, eyaziwa nangokuthi i-duodenogastric reflux, yenzeka lapho i-bile, ekhishwa enyongweni iye engxenyeni yokuqala yamathumbu, ibuyela esiswini noma ngasesiphopheni, kubangele ukuvuvukala komcubu wesisu.

Uma lokhu kwenzeka, izinguquko ezingxenyeni zokuvikela amafinyila kanye nokwanda kwe-pH esiswini kungenzeka, okuholela ekubonakaleni kwezimpawu ezithile ezinjengobuhlungu besisu, umuzwa ovuthayo esifubeni nokuhlanza okuphuzi, ngokwesibonelo.

Ukudambisa izimpawu nokwelapha i-bile reflux, i-gastroenterologist ingancoma ukusetshenziswa kwamakhambi aqeda izimpawu futhi athande ukusakazwa kwenyongo, noma kunjalo ezimweni ezinzima kakhulu, lapho kungekho khona ukuthuthuka ngokusetshenziswa kwezidakamizwa, kungadingeka ukwenza ukuhlinzwa.

Izimpawu ze-bile reflux

Izimpawu ze-bile reflux ziyefana kakhulu nalezo ze-reflux ye-gastroesophageal futhi, ngakho-ke, ukwehlukanisa phakathi kwalezi zimo ezimbili kungaba nzima kakhulu. Ngokuvamile, izimpawu nezimpawu eziyinhloko ze-bile reflux yilezi:

• Ubuhlungu besisu phezulu;
• Umuzwa ovuthayo esifubeni;
• Isicanucanu;
• Ukuhlanza okuphuzi okuluhlaza okotshani;
• Ukukhwehlela noma ukushaqeka;
• Ukwehla kwesisindo;
• Ingozi ephezulu yokwanda kwamagciwane.

Yize izimpawu zifana kakhulu nalezo ze-reflux ye-gastroesophageal, zibhekwa njengezinkinga ezihlukile futhi, ngakho-ke, ukuxilongwa kufanele kwenziwe njalo ngudokotela wezifo zesisu.

Ngakho-ke, ukuqinisekisa i-bile reflux, udokotela uhlola izimpawu nezimpawu ezethulwe ngumuntu, umlando wezempilo kanye nokuhlolwa okusiza ukubheka ukuthi ngabe kukhona yini i-bile ye-bile esophagus, kanye ne-endoscopy kanye ne-esophageal impedance.

Izimbangela ezingaba khona

I-Bile reflux yenzeka lapho i-esophageal sphincter, ehlukanisa umqala esiswini, ingasebenzi kahle, okungenzeka ngenxa yezinkinga ezivela ekuhlinzweni kwesisu, ukuhlinzwa kwe-gallbladder noma ukutholakala kwezilonda esiswini.

Ngaphansi kwezimo ezijwayelekile, i-bile ikhiqizwa yisibindi futhi igcinwe enyongweni, ikhishwe lapho kunama-erythrocyte nezinto ezinobuthi okufanele zisuswe nalapho kunamafutha okufanele wehliswe, lapho-ke kuyiswa e-duodenum futhi kuhlanganiswe nokudla ukuze kube nenqubo yokwehliswa kwesithunzi. Ngemuva kwalokho, i-pyloric valve iyavula futhi ivumela kuphela ukudlula kokudla.

Kodwa-ke, ngenxa yezimo esezishiwo, i-valve ayivaleki kahle, evumela ukuthi inyongo ibuyele esiswini nasesirhaphalazini, okuholele ekutheni kube ne-bile reflux.

Yelashwa kanjani

IBile reflux iyelapheka, kepha ukwelashwa kwayo kungathatha isikhathi eside futhi, ngenxa yalesi sizathu, kubaluleke kakhulu ukulandela izinkombandlela ze-gastroenterologist kahle.

Okuvame kakhulu ukuthi kusetshenziswa imishanguzo ekhonjiswe ngudokotela, njenge-ursodeoxycholic acid, okuyisithako esisiza ukukhuthaza ukusakazwa kwenyongo, ngaleyo ndlela kunciphise imvamisa nokuqina kwezimpawu. Kodwa-ke, eminye imishanguzo, eyaziwa njenge-bile acid scavengers, nayo ingakhonjiswa, ebabophela emathunjini, ivimbele ukuthi ingabambi futhi.

Kodwa-ke, lapho izimpawu zingathuthuki ngokusetshenziswa kwemithi, i-gastroenterologist ingakweluleka ukuthi uhlinzwe. Kulokhu kuhlinzwa, okwaziwa ngokuthi yi-bypass surgery, udokotela ohlinzayo udala ukuxhumana okusha kwepayipi le-bile eliqhubekela phansi emathunjini amancane, lidlula inyongo esiswini.