Le Maganin gastroesophageal yana nufin hawan wani ɓangare na abubuwan ciki zuwa cikinesophagus (bututun da ke haɗa bakin da ciki). Ciki yana samar da ruwan 'ya'yan itace na ciki, waɗanda sune abubuwa masu guba sosai waɗanda ke taimakawa wajen narkar da abinci. Koyaya, ba a tsara rufin esophagus don tsayayya da acidity na abubuwan ciki. Reflux yana haifar da kumburin esophagus, wanda ke haifar da ƙonawa da haushi. Bayan lokaci, lalacewar esophagus na iya faruwa. Lura cewa ƙaramin matakin reflux al'ada ne kuma ba shi da mahimmanci, kuma ana kiran wannan azaman reflux na jiki (na al'ada).

Sanadin

A mafi yawan mutanen da ke da ita, reflux yana haifar da rashin aiki mai kyau ƙananan sphincter esophageal. Wannan sphincter shine zoben tsoka wanda yake a mahadar esophagus da ciki. A yadda aka saba, yana da tauri, yana hana abubuwan ciki daga motsawa zuwa cikin esophagus, yana buɗewa kawai don ba da damar abincin da aka cinye ya wuce ta haka yana aiki azaman bawul mai kariya.

Idan akwai reflux, sphincter yana buɗewa a lokutan da bai dace ba kuma yana barin ruwan 'ya'yan itace na ciki na ciki. Mutanen da ke shan wahala daga reflux galibi suna da regurgitation acid bayan cin abinci ko da dare. Wannan sabon abu na farfadowa yana da yawa a cikin jarirai, saboda sphincter bai balaga ba.

Hakanan ana iya danganta cutar reflux na Gastroesophageal hiatal hernia. A wannan yanayin, ɓangaren sama na ciki (wanda yake a tsakiyar mahaifa) “ya hau” tare da esophagus zuwa cikin ƙashin haƙarƙarin ta hanyar buɗe diaphragm (hiatal orifice). 

Koyaya, hiatus hernia da cutar reflux gastroesophageal ba iri ɗaya ba ne, kuma hiatus hernia ba koyaushe ake alaƙa da reflux ba.

Tsarin jima'i

A Kanada, an kiyasta cewa kashi 10 zuwa 30% na yawan jama'a za su dame su ta wasu lokuta reflux gastroesophageal⁷. Kuma kashi 4% na mutanen Kanada za su sami reflux na yau da kullun don 30% sau ɗaya a mako (13).

Wani bincike na Amurka ya nuna cewa kashi 44% na mutane suna da cutar reflux gastroesophageal aƙalla sau ɗaya a wata ().

Regurgitation ya zama ruwan dare gama gari a cikin jarirai, amma ba koyaushe bane saboda cutar cututtukan gastroesophageal. Masana sun kiyasta cewa 25% na jarirai suna da gaskiya reflux⁸. Yana kai matsakaicinsa a kusa da shekarun watanni 4⁹.

Juyin Halitta

A mafi yawan mutanen da abin ya shafa, alamun reflux na dindindin ne. Magunguna galibi suna ba da cikakkiyar, amma na ɗan lokaci, sauƙaƙa alamun. Ba su warkar da cutar.

A cikin jarirai, reflux yakan tafi tsakanin watanni 6 zuwa 12 yayin da yaron ya tsufa.

matsalolin

Tsawaitawar esophagus zuwa abubuwan ciki na acidic na iya haifar da:

• Kumburi (oesophagite), tare da ƙarin ko lessasa zurfin raunuka na esophagus da ke da alhakinulcers (ko raunuka) akan bangon hanji, wanda ake yin sahu a matakai 4, gwargwadon adadin su, zurfin su, da girman su;
• wannan kumburin ko ulcer na iya haifarwa ciwon jini ;
• Ƙuntataccen diamita na esophagus (peptic stenosis), wanda ke haifar da wahalar hadiyewa da ciwo yayin hadiyewa;
• un Hanyar Barrett. Shine maye gurbin sel a bangon esophagus ta sel waɗanda ke haɓaka cikin hanji. Wannan sauyawa yana faruwa ne saboda “hare -hare” na acid na ciki a cikin esophagus. Ba ya tare da kowane takamaiman alamu, amma ana iya gano shi ta hanyar endoscopy saboda launi na launin toka-ruwan hoda na kyallen takarda a cikin esophagus yana ɗaukar launin ruwan salmon-ruwan hoda mai ƙonewa. Barrett's esophagus yana sanya ku cikin haɗarin ulcers kuma, mafi mahimmanci, ciwon daji na esophagus.

Cutar cututtukan hanji na iya haifar da matsaloli daga nesa¹⁰ :

• kullum tari 
• wata busasshiyar murya
• laryngospasme
• ciwon daji na esophagus ko makoshi idan akwai rashin kulawa da rashin kulawa

Yaushe za a yi shawara?

A kowane yanayi da ke ƙasa, yana da kyau a ga likita.

• Abin ƙonawa da sake maimaita acid sau da yawa a mako.
• Alamomin reflux suna tsoma baki tare da bacci.
• Alamomin cutar suna dawowa da sauri lokacin da kuka daina shan magungunan antacid.
• Alamomin sun wuce sama da shekara guda kuma likita bai taɓa tantance su ba.
• Akwai wasu alamu masu firgitarwa (duba sashin alamun ƙwannafi).