Qhov Tseem Ceeb - GERD vs Acid Reflux
Acid reflux thiab GERD (Gastro esophageal reflux disease) yog ob yam mob. Acid reflux yog lub backflow ntawm gastric acids rau hauv txoj hlab pas. Thaum tus mob no nce mus rau theem siab dua qhov uas muaj qhov tseem ceeb ntawm gastric acid reflux mus rau hauv txoj hlab pas, tus mob no tau pom tias yog GERD. Qhov sib txawv tseem ceeb ntawm GERD thiab cov kua qaub reflux yog tias GERD raug suav hais tias yog kab mob pathological thaum cov kua qaub reflux tsis yog.
Acid Reflux yog dab tsi?
Gastric acids tuaj yeem rov qab mus rau hauv cov hlab pas qis vim muaj ntau yam laj thawj. Qhov no tuaj yeem tshwm sim rau txhua tus neeg thiab tsis suav tias yog kab mob pathological.
GERD yog dab tsi?
Gastro esophageal reflux disease (GERD) yog vim qhov reflux ntawm gastric ntsiab lus mus rau hauv cov hlab pas. Txawm hais tias reflux ntawm acidic gastric cov ntsiab lus yog ib qho tshwm sim uas tshwm sim nyob rau hauv yuav luag txhua leej txhua tus, qhov tsis muaj zog ntawm gastro esophageal sphincter tsub kom tus nqi ntawm gastric reflux mus rau ib tug tseem ceeb theem uas thaum kawg ua rau GERD.
GERD tau raug lees paub tias yog kab mob ntsig txog kev ua neej uas feem ntau pom ntawm cov tib neeg uas tau txais kev ua neej nyob "Western type" life style.
Risk Factors
- noj zaub mov muaj roj ntau thiab tsis muaj fiber ntau
- kev ua neej nyob qis qis
- Kev rog
- Smoking
Rov ua rau cov kua qaub hauv plab ua rau lub plab hnyuv thiab cov hlwb puas raug hloov los ntawm kev tsim dua tshiab. Qhov no ua rau muaj kev pheej hmoo ntawm esophageal adenocarcinomas.
Symptoms
- Cov tsos mob - mob plawv, regurgitation
- Cov tsos mob tsis zoo - mob plab, mob hauv siab, hnoos ntev, hoarseness, hawb pob, post nasal drip
Nyob rau qee lub sijhawm, nws tuaj yeem muaj asymptomatic GERD qhov twg tus neeg mob tsis muaj cov tsos mob txawm hais tias muaj kev puas tsuaj rau cov hlab ntsha ntawm cov hlab ntsha.
Daim duab 01: GERD
Diagnosis
Qhov reflux ntawm cov kua qaub rau hauv cov hlab pas yog ntsuas qhov tseeb los ntawm kev tso pH sojntsuam ntawm qhov kawg ntawm txoj hlab pas. Cov kev ntsuas raug coj mus rau lub sijhawm 24 teev. Kev ua haujlwm ntawm qhov qis esophageal sphincter yog ntsuas los ntawm manometry. Nyob rau hauv cov ntaub ntawv ntawm qhov kev nthuav qhia atypical, nws yog ib qho tsim nyog yuav tsum tsis suav nrog lwm yam ua tau xws li kab mob plawv ischemic.
Reflux cuam tshuam txog kev hloov pauv hauv Squamous Epithelium
Lub squamous epithelium ntawm txoj hlab pas yog o vim qhov tshwm sim ntawm kev rov ua rau lub plab zom mov. Basal cell hyperplasia thiab intraepithelial eosinophils yog cov yam ntxwv ntawm microscopic. Kev mob hnyav tuaj yeem ua rau erosions thiab ulcerations.
Kev nyuaj siab
Short Term
Esophagitis - qhov txhab sib txawv nyob ntawm qhov mob. Lub xub ntiag ntawm ulcerations thiab yaig tuaj yeem tshwm sim raws li melena lossis hematemesis. Kev kho mob ntawm rwj los ntawm fibrosis tuaj yeem tsim kev nruj nyob ib puag ncig esophageal sphincter txwv nws cov contractility.
Long term
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mob plawv glandular metaplasia
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Cov kab mob plab hnyuv metaplasia (Barrett esophagus)
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YGlandular dysplasia
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Adenocarcinoma
Kev kuaj ntshav yog qhov tseem ceeb los kuaj xyuas Barrett's esophagus. Lub xub ntiag ntawm Barrett's esophagus ua rau muaj kev pheej hmoo ntawm adenocarcinomas exponentially.
Endoscopic tshwm sim ntawm GERD
- Feem ntau, cov mucosa mob tshwm sim erythematous thiab edematous. Nrog rau qhov mob hnyav, nws kuj tseem tuaj yeem ua rau erosions thiab ulcers. Kho qhov txhab tuaj yeem tsim kev nruj.
- Thaum glandular metaplasia tshwm sim, squamous epithelium tshwm liab liab thiab cuam tshuam columnar epithelium zoo li velvety.
Dab tsi zoo sib xws ntawm GERD thiab Acid Reflux?
Reflux ntawm gastric acids mus rau hauv cov hlab pas yog lub hauv paus yog vim li cas rau GERD thiab kua qaub reflux.
Qhov txawv ntawm GERD thiab Acid Reflux yog dab tsi?
GERD vs Acid Reflux |
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| Ntau regurgitation ntawm gastric acids rau hauv cov hlab pas qis dua ib qho tseem ceeb degree tau txheeb xyuas raws li GERD. | Acid reflux yog regurgitation ntawm gastric acid. Nws yog lub backflow ntawm gastric acids rau hauv txoj hlab pas. |
| Pathological mob | |
| Qhov no suav hais tias yog kab mob pathological. | Qhov no tsis suav tias yog kab mob. |
Summary – GERD vs Acid Reflux
Acid reflux tau dhau los ua ib qho mob hnyav heev niaj hnub no. Tsis ua raws li txoj kev npaj ua haujlwm txhua hnub, kev ua neej nyob tsis muaj dab tsi nrog rau cov khoom noj ceev uas tib neeg tau siv ntau tau ua rau muaj qhov tshwm sim ntau ntxiv. Thaum tus mob no nce mus rau theem siab dua qhov uas muaj qhov tseem ceeb ntawm gastric acid reflux mus rau hauv txoj hlab pas, tus mob no tau pom tias yog GERD. Qhov no yog qhov txawv ntawm GERD thiab acid reflux.
Download PDF Version of GERD vs Acid Reflux
Koj tuaj yeem rub tawm PDF version ntawm kab lus no thiab siv nws rau offline hom phiaj raws li daim ntawv ceeb toom. Thov download PDF version ntawm no Qhov txawv Ntawm GERD thiab Acid Reflux.
