Boala de reflux gastroesofagian

*

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:

  • “The use of resonance-frequency diagnostics for heliobacteriosis in children’s gastroduodenitises” – Leskin G.S., Petritskaja E.N., Ursova N.I., Gotovskiy Ju.V.  (M.F. Vladimirskiy MRSRCI, Center «IMEDIS» Moscow, Russia) – Proceedings of the X International Conference “Theoretical and clinical aspects of application of bioresonance and multiresonance therapy”
  • “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”
  • “Efficiency of energyinformational diagnostic and therapy for diseases of gastro-intestinal tract” – Maslova M.G., Volodarskiy V.L., Bobrovich L.N., Druchilo T.F.  (National SRC OT & VB Ukraine, Kiev, Ukraine) – Proceedings of the VIII International Conference “Theoretical and clinical aspects of application of bioresonance and multiresonance therapy”
  • “The use of nosode free electropunctural diagnostics by R.Voll’s method in gastroenterology” – Kobilianskaia R.N., Kobilianski V.Y. (SRI for informtherapy,  Kiev, CDC “Infatep-Plus”, Kolomiya, Ukraine) – Proceedings of the VIII International Conference “Theoretical and clinical aspects of application of bioresonance and multiresonance therapy”
  • “Energyinfoarmation methods and their capabilities in formation  of individual treatment schemes for gastroenterological patients” – Swmwndyaeva M.E., Aleshina T.V., Bakulina I.F., Zhuravleva M.G., Pastukhov A.I. (Clinical hospital №83 Medbioextrem, Moscow, Russia)  – Proceedings of the XI International Conference “Theoretical and clinical aspects of application of bioresonance and multiresonance therapy”
  • “The Diaphragm Biofeedback Training In Treatment Of Gastroesophageal Reflux Disease, Efficacy And Mechanism Study” -  teza doctorat H Wu (China), 2010 - http://www.globethesis.com/?t=1114360305467858
  • “A Comparison of Factors of Symptoms Generation and Evaluation of Role of Biofeedback in Patients With Different Types of Functional Esophageal Disorders (Functional Heartburn and Functional Chest Pain”- Assaf-Harofeh Medical Center
  • “Clinical curative effect of electroacupuncture combined with zhizhukuanzhong capsules for treating gastroesophageal reflux disease”  – Chaoxian Zhang, Like Guo, Xiaofeng Guo, Xiaohe Guo, Guangyan Li (The First Affiliated Hospital of Xinxiang Medical University, China)  -  Journal of Traditional Chinese Medicine   (Impact Factor: 0.59).   09/2012; 32(3):364-71.
  • “Clinical applications of Electro-Acupuncture” – Dr. Yang – Florida College of Integrative Medicine
  • “Omeprazole decreases magnesium transport across Caco-2 monolayers” – Thongon N, et al – World J Gastroent, 17; 12:1574-83, March 28, 2011
  • “Proton-pump inhibitors and hypomagnesemic hyperparathyroidism” – Epstein M., et al – New Engl J Med, 355:18 34-36, 2006
  • “Omeprazole and refractory hypomagnesemia” – Shabajee N, et al – Brit Med J 337:80 425, 2008
  • “Severe hypomagnesemia in long-term users of proton-pump inhibitors” – Cundy T, et al – Clin Endocrinol (Oxford) 69:338-41,2008
  • “Hypo-magnesemia induced by several proton- pump inhibitors” – Broeren MA, et al – Ann Intern Med 151:755-6, 2009
  • “Baseline proton pump inhibitor use is associated with increased cardiovascular events with and without the use of clopidogrel in the CRDEO trial” -  Dunn SP. et at – Circulation 118: S8I5, abst. 2008
  • “Risk of adverse outcomes associated with concomitant use of clopidogrel and proton pump inhibitors following acute coronary syndrome” – Ho PM, et at, -  J Am Med Assoc 301:937-44, 2009
  • “Role of magnesium in the pathogenesis of hypertension” – Touyz RM  – Mol Aspects Med 24:107-36, 2003

 

 
 

 

157 thoughts on “reflux esofag.

  1. Pingback: stromectol yellow capsule

  2. Pingback: plaquenil trihydrate 200 mg

  3. Pingback: hydroxychloroquine withdrawal side effects

  4. Pingback: stromectol 375

  5. Pingback: stromectol 3 mg-white round tablets

  6. Pingback: ivermectin zinc ionophore

  7. Pingback: ivermectin tablets dosage

  8. Pingback: ivermectin pills for scabies

  9. Pingback: ivermectin prescription

  10. Pingback: online prescription ed

  11. Pingback: stromectol for sale in mexico

  12. Pingback: Anonymous

  13. Pingback: purchase stromectol

  14. Pingback: stromectol tablets for humans for sale

  15. Pingback: where to buy cialis

  16. Pingback: where can i buy viagra

  17. Pingback: stromectol 0.1

  18. Pingback: tadalafil medication

  19. Pingback: how much is cialis for daily use

  20. Pingback: cialis 36

  21. Pingback: how to get cheap sildenafil online

  22. Pingback: tadalafil brand names

  23. Pingback: cialis pills

  24. Pingback: ivermectin lice

  25. Pingback: sildenafil pills prescription

  26. Pingback: how to purchase sildenafil pills

  27. Pingback: cialis tadalafil

  28. Pingback: cialis professional

  29. Pingback: 20 mg prednisone 20mg

  30. Pingback: prednisone 20mg weight gain

  31. Pingback: cost of generic cialis in canada

  32. Pingback: covid tablet

  33. Pingback: marley generics cialis

  34. Pingback: tadalafil dosages

  35. Pingback: generic cialis over the counter

  36. Pingback: ivermectin ingredients for humans

  37. Pingback: prednisone side effects in dogs

  38. Pingback: sildenafil for pulmonary hypertension

  39. Pingback: tadalafil cialis

  40. Pingback: online gambling free bonus no deposit

  41. Pingback: cialis price walmart

  42. Pingback: ivermectin nobel prize

  43. Pingback: ivermectin prescription

  44. Pingback: casinos online usa

  45. Pingback: ivermectin mexico

  46. Pingback: buy generic cialis online from india

  47. Pingback: sildenafil prices

  48. Pingback: cialis cost 20mg

  49. Pingback: ivermectin wormer

  50. Pingback: ivermectin lotion cost

  51. Pingback: ivermectin wikipedia

  52. Pingback: dosage for ivermectin

  53. Pingback: buy ivermectin for humans uk

  54. Pingback: buy ivermectin 3mg for sale

  55. Pingback: ivermectin 6 mg

  56. Pingback: stromectol

  57. Pingback: order ivermectin 6 mg online

  58. Pingback: stromectol 12mg online

  59. Pingback: furosemide drug prices

  60. Pingback: lasix canadian pharmacy

  61. Pingback: ivermectin solubility

  62. Pingback: ivermectin pills

  63. Pingback: ivermectin where to buy for humans

  64. Pingback: buy oral ivermectin

  65. Pingback: ivermectin buy online

  66. Pingback: ivermectin 4 tablets price

  67. Pingback: luckyland

  68. Pingback: ivermectin oral

  69. Pingback: flccc ivermectin

  70. Pingback: stromectol to buy

  71. Pingback: ivermectin rx

  72. Pingback: ivermectin 4000 mcg

  73. Pingback: ivermectin for cattle

  74. Pingback: tractor supply ivermectin pills

  75. Pingback: cialis over the counter at walmart

  76. Pingback: ivermectin 0.08 oral solution

  77. Pingback: can you buy cialis without a prescription

  78. Pingback: ivermectin for gapeworm

  79. Pingback: side effects of ivermectin in humans

  80. Pingback: do-posle-psihologa

  81. Pingback: molnupiravir and ivermectin

  82. Pingback: bahis siteleri

  83. Pingback: DPTPtNqS

  84. Pingback: qQ8KZZE6

  85. Pingback: D6tuzANh

  86. Pingback: SHKALA TONOV

  87. Pingback: Øêàëà òîíîâ

  88. Pingback: russianmanagement.com

  89. Pingback: chelovek-iz-90-h

  90. Pingback: 3Hk12Bl

  91. Pingback: 3NOZC44

  92. Pingback: 01211

  93. Pingback: tor-lyubov-i-grom

  94. Pingback: film-tor-2022

  95. Pingback: hd-tor-2022

  96. Pingback: hdorg2.ru

  97. Pingback: ivermectin 9 mg

  98. Pingback: Psikholog

  99. Pingback: netstate.ru

  100. Pingback: 3larboard

  101. Pingback: Link

  102. Pingback: ivermectin use

  103. Pingback: tor-lyubov-i-grom.ru

  104. Pingback: psy

  105. Pingback: chelovek soznaniye mozg

  106. Pingback: buy stromectol 6mg online

  107. Pingback: bit.ly

  108. Pingback: cleantalkorg2.ru

  109. Pingback: bucha killings

  110. Pingback: War in Ukraine

  111. Pingback: Ukraine

  112. Pingback: Ukraine news – live

  113. Pingback: The Latest Ukraine News

  114. Pingback: site

  115. Pingback: what is stromectol used for

  116. Pingback: stats

  117. Pingback: Ukraine-war

  118. Pingback: movies

  119. Pingback: gidonline

  120. Pingback: mir dikogo zapada 4 sezon 4 seriya

  121. Pingback: web

  122. Pingback: stromectol australia

  123. Pingback: film.8filmov.ru

  124. Pingback: video

  125. Pingback: film

  126. Pingback: cost of cialis

  127. Pingback: liusia-8-seriiaonlain

  128. Pingback: smotret-polnyj-film-smotret-v-khoroshem-kachestve

  129. Pingback: what does cialis do

  130. Pingback: filmgoda.ru

  131. Pingback: rodnoe-kino-ru

  132. Pingback: confeitofilm

  133. Pingback: stat.netstate.ru

  134. Pingback: sY5am

  135. Pingback: Dom drakona

  136. Pingback: JGXldbkj

  137. Pingback: aOuSjapt

  138. Pingback: psikholog moskva

  139. Pingback: A片

  140. Pingback: Usik Dzhoshua 2 2022

  141. Pingback: Dim Drakona 2022

  142. Pingback: TwnE4zl6

  143. Pingback: psy 3CtwvjS

  144. Pingback: lalochesia

  145. Pingback: film onlinee

  146. Pingback: programma peredach na segodnya

  147. Pingback: psycholog-v-moskve.ru

  148. Pingback: psycholog-moskva.ru

  149. Pingback: 3qAIwwN

  150. Pingback: video-2

  151. Pingback: sezons.store

  152. Pingback: socionika-eniostyle.ru

  153. Pingback: psy-news.ru

  154. Pingback: 000-1

  155. Pingback: 3SoTS32

  156. Pingback: 3DGofO7

  157. Pingback: wwwi.odnoklassniki-film.ru

Comments are closed.