Kusvika Pakuziva Iyo Pyloric Sphincter

Zvemukati

• Chii chinonzi pyloric sphincter?
• Iri kupi?
• Chii chiri basa rayo?
• Ndeapi mamiriro anoisanganisira?
• Bile Reflux
• Pyloric stenosis
• Gastroparesis
• Chinokosha

Chii chinonzi pyloric sphincter?

Dumbu rine chinhu chinonzi pylorus, icho chinobatanidza dumbu ne duodenum. Iyo duodenum chikamu chekutanga chemuviri mudumbu. Pamwe chete, iyo pylorus uye duodenum inoita basa rakakosha mukubatsira kufambisa chikafu kuburikidza neyakagaya system.

Iyo pyloric sphincter ibhendi remhasuru rakatsetseka iro rinodzora kufamba kwechikafu chakagayiwa uye majusi kubva pylorus kupinda mu duodenum.

Iri kupi?

Iyo pyloric sphincter inowanikwa apo iyo pylorus inosangana ne duodenum.

Wongorora unofambidzana 3-D dhayagiramu pazasi kuti udzidze zvakawanda nezve iyo pyloric sphincter.

Chii chiri basa rayo?

Iyo pyloric sphincter inoshanda senge rudzi rwegedhi pakati pemudumbu uye mudumbu ura. Iyo inobvumira zvirimo zvemudumbu kuti zvipfuure mukati medumbu diki. Iyo zvakare inodzivirira zvishoma zvakagayiwa chikafu uye majeti ekugaya kuti asapinda zvakare mudumbu.

Nhengo dzezasi dzemudumbu dzinobatika mumasaisai (anonzi peristalsis) ayo anobatsira kuputsa chikafu nekuchisanganisa nemuto wekugaya. Musanganiswa wezvikafu nemuto wekugaya unonzi chyme. Simba rezvipingamupinyi izvi rinowedzera mumativi ezasi emudumbu. Nedutu roga roga, iyo pyloric sphincter inovhura uye inobvumira zvishoma chyme kuti ipfuure mu duodenum.

Sezvo duodenum ichizadza, inoisa kumanikidza kune pyloric sphincter, ichikonzera kuti ivhare. Iyo duodenum inozoshandisa peristalsis kutamisa chyme kuburikidza neese akazara ura. Kamwe iyo duodenum isisina chinhu, kumanikidza kune iyo pyloric sphincter inoenda, ichibvumira kuti ivhure zvakare.

Ndeapi mamiriro anoisanganisira?

Bile Reflux

Bile reflux inoitika kana bile ichidzokera mudumbu kana sophagus. Bira chinhu chinogaya chikafu chakagadzirwa muchiropa icho chinowanzo kuwanikwa mune ura hudiki. Kana iyo pyloric sphincter isingashande mushe, bile inogona kuita nzira yayo kukwira nzira yekugaya.

Zviratidzo zve bile reflux zvakanyanya kufanana neaya easidhi Reflux uye anosanganisira:

• kurwadziwa kwepamusoro mudumbu
• chirungurira
• kusvotwa
• marutsi girini kana yero
• kukosora
• kusanzwisisika kuonda

Mazhinji kesi e bile reflux anopindura zvakanaka kumishonga, senge proton pump inhibitors, uye kuvhiya kunoshandiswa kurapa acid Reflux uye GERD.

Pyloric stenosis

Pyloric stenosis mamiriro evana vacheche anovharira chikafu kupinda mudumbu. Icho chiitiko chisingawanzo chinowanzo kumhanya mumhuri. Vanenge gumi neshanu muzana evacheche vane pyloric stenosis vane nhoroondo yemhuri yepyloric stenosis.

Pyloric stenosis inosanganisira kuwedzera kwepylorus, iyo inodzivirira chyme kubva kupfuura nepyloric sphincter.

Zviratidzo zvepyloric stenosis zvinosanganisira:

• kurutsa zvine simba mushure mekudya
• nzara mushure mekurutsa
• kupera mvura mumuviri
• zvituru zvidiki kana kupatira
• kuonda kana matambudziko kuwana uremu
• kupunzika kana kuputika mudumbu mushure mekudya
• kugumbuka

Pyloric stenosis inoda kuvhiyiwa kuti igadzire mugero mutsva unobvumidza chyme kuti ipfuure ichienda mudumbu.

Gastroparesis

Gastroparesis inodzivirira dumbu kubva kubuda zvakanaka. Mune vanhu vane mamiriro aya, masaisai-akaita senge anofambisa chyme kuburikidza negadziriro yekugaya haana simba.

Zviratidzo zvegastroparesis zvinosanganisira:

• kusvotwa
• kurutsa, kunyanya kwechikafu chisina kugayiwa mushure mekudya
• kurwadziwa mumimba kana kuzvimba
• asidhi Reflux
• kunzwa kwekuzara mushure mekudya zvishoma
• kuchinja kweshuga muropa
• kusadya zvakanaka
• kuonda

Mukuwedzera, mimwe mishonga, yakadai seopioid pain relievers, inogona kuita kuti zviratidzo zviwedzere.

Pane nzira dzakasiyana dzekurapa gastroparesis, zvichienderana nekuomarara:

• shanduko yekudya, senge kudya chikafu chidiki diki pazuva kana kudya zvinyoro nyoro
• kudzora huwandu hweropa reropa, kungave nemushonga kana shanduko yemararamiro
• kufudza chubhu kana zvinovaka mutsinga kuti uone kuti muviri unowana macalorie akakwana uye zvinovaka muviri

Chinokosha

Iyo pyloric sphincter iringi yetsono yemhasuru inobatanidza dumbu uye ura hudiki. Iyo inovhura uye inovhara kudzora kupfuura kwechikafu chakagayikwa zvishoma uye majusi emudumbu kubva kupylorus kuenda kune duodenum. Dzimwe nguva, iyo pyloric sphincter haina kusimba kana haishande mushe, zvichitungamira kumatambudziko ekugaya, kusanganisira bile reflux uye gastroparesis.