Boala de reflux gastroesofagian

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REFLUXUL ESOFAGIAN

 

Boala de reflux gastro-esofagian (GERD=Gastro-Esophagial Reflux Disease) este o afectiune digestiva cronica caracterizata de relaxarea sfincterului esofagian inferior (si a muschilor aferenti), ceea ce permite o deplasare retrograda a continutului stomacului (mancare, acid stomacal si enzime digestive). Ea este o conditie foarte frecventa, in special in randul persoanelor care mananca inainte de culcare.  Cca 36-44% dintre adulti experimenteaza simptomele ei o data pe luna, cca 20% sufera frecvent (saptamanal) de simptomele ei si 7% sufera zilnic de pe urma acestei boli.

 

Simptomele sunt: arsuri la stomac – pirozis (perceput  ca o senzatie de arsura in spatele sternului), regurgitatie si   manifestari extraesofagiene: durere toracica noncardiaca, simptome pulmonare (tuse, astm, respiratie suieratoare,  pneumonie de aspiratie,  fibroza pulmonara), laringiene (raguseala, disfonie), faringiene (faringita), halitoza, sughit cronic, senzatie “nod in gat”), eroziuni dentare   – toate acestea agravandu-se dupa masa sau odata cu cresterea presiunii abdominale.

 

Factorii care declanseaza boala sunt: ciocolata (si orice aliment care contine cofeina), mancarurile prajite, alimentele picante sau grase, ceapa, usturoiul, citricele, menta, rosiile si pastele din rosii, alcoolul, fumatul, sarcina si obezitatea. Pentru a preveni declansarea bolii, este recomandat a se evita consumul de alimente cu 3 ore inainte de culcare, ridicarea capului patului, consumul de mese mici cantitativ si pierderea in greutate pentru persoanele cu exces de greutate.

 

 

Complicatiile GERD sunt urmatoarele:

  • esofagita de reflux (esofagita peptica) – cel mai frecvent
  • ulcer esofagian (poate determina hemoragie digestiva)
  • stenoze esofagiene peptice aparute datorita fibrozarii ce determina constrictia lumenului esofagian (circa 10% dintre pacientii)
  • esofag Barrett (leziune premaligna, cu risc de dezvoltare a adenocarcinomului esofagian)

 

Medicina alopata considera hernia hiatala si excesul de acid gastric drept cauza a GERD,  si ofera medicamente:

  • antiacide : neutralizeaza acidului gastric refluat cu ameliorarea rapida a simptomatologiei
  • antisecretorii : inhiba secretia acida gastrica – blocanti de H2 receptori si inhibitori de pompa de protoni

Utilizarea pe termen lung a medicatiei cu inhibitori ai pompei de protoni si antagonisti ai receptorilor de histamina H2 genereaza urmatoarele efecte adverse:

  • afecteaza absorbtia nutrientilor, generand deficite nutritionale ce pot avea consecinte severe:  magneziul este cel mai afectat, ceea ce creste riscul afectiunilor cardiovasculare (boala coronariana, hipertensiune, tulburare agregare plachetara), fracturii de sold (Corley 2010), bolii Alzheimer etc
  • reducerea acidului gastric sustine infiltrarea/ dezvoltarea microblor gen Helicobacter, Candida etc care contribuie la dezvoltarea ulcerului, aterosclerozei, bolilor autoimune etc.

 

Medicina functionala considera drept cauze ale bolii  de reflux gastroesofagian urmatoarele:

  • disfunctia nervilor (neuropatia) ce actioneaza asupra muschilor sfincterului esofagian inferior (lipsa contractare – peste 50% din cazuri),
  • infectia cu helicobacter (cca 40% din cazuri),
  • hipoclorhidria (implicata si in infectia H. – teorie Wright, 2001),
  • medicamente ce relaxeaza sfincterul:  medicamente  blocante ale canalelor de calciu (anti-hipertensive care relaxeaza peretele arterial   - si miocardul) si medicamente anti-colinergice: anti-histaminice, relaxante ale musculaturii netede (Debridat, Colospasm, Captopril, Nifedipin etc) sau dorsale, bronho-dilatatoarele, anti-depresivele ciclice, med. anti-tulburari gastro-intestinale (Ranitidina) etc

 

SUPORTUL INFO-ENERGETIC

Noi consideram ca terapia corecta a refluxului esofagian implica adresarea cauzelor existente, intarirea sfincterului esofagian si vindecarea tesutului de ulceratii.

Suportul informational cuprinde evaluarea energetica functionala ce investigheaza cauzele posibile (dezechilibru acid gastric, infectie Helicobacter pylori, neuropatie, stres emotional, alergii, probleme colescit etc- nu cauzele medicamentoase !), consecintele existente la nivelul esofagului, faringelui, plamanilor etc.

Suportul energetic  urmareste sa adreseze cauzele constatate, sa reduca inflamatia si sa cicatrizeze tesuturile, printr-o combinatie personalizata de terapii ce cuprinde:  biorezonanta, biofeedback, Rife,  imagerie ghidata etc.

 

 

REFERINTE:

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  • “Principles of treating chronic gastrointestinal tract pathology by bioresonance therapy with application of vegetative resonance test” – Bukarev A.A. (St.Petersburg, Russia)  – Proceedings of the V International Conference “Theoretical and clinical aspects of application of bioresonance and multiresonance therapy”
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