Gerd

August 30, 2022 | Author: Anonymous | Category: N/A
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Kelainan dgn gejala2 dgn atau tanpa kelainan mukosa esofagus sebabkan ggn kualitas

hidup

akibat

refluks

cairan

lambung-duodenum kedlm esofagus

 

o

30-50% adanya refluks; refluks;

penduduk

mengeluh

heartburn   dan dan 12-2!

ditemukan adanya esofagitis o

$&' iceberg

atau "2%#

 

tiologi (  ( asam lambung ) pepsin tiologi   asam empedu ) en*im pankreas

+aktor resiko $&' -merokok, alkohol, kopi -obesitas, makanan tinggi lemak -produk makanan ( coklat, pepermint, minuman bikarbonat, jus lemon -obat-obatan, dll

 





$ jala klinik khas ( h a r t b u r n  dan atau r fluks $ejala klinik &' "onerosi.e &eflu/ 'isease# dan $&' tidak berbeda

 



 The frequent of symptoms in GERD (heartburn/regurgitation) (heartburn/r egurgitation) is directly related to percentage of time that the esophageal pH is below ! and the degree of esophagitis is also also proportional proportional to degree and duration duration of esophageal acid e"posure

  

 The symptoms pattern pattern is #ery similar similar in GERD GERD patients with and without esophagitis and heartburn is the most Heartburn ($%%&) common symptom Epigastric pain

Regurgitation ithout esophagitis ith esophagitis

ausea

'elching

'loating cale  % of patients ith symptom

bdominal pain 

cale

% of patients ith symptom

 

 

 

'atu* / asma Ge+ala, laring (disfonia! suara parau globus sensasi) on. cardiac chest pain (0) Dental erosi

 

4da 3 f notip $%&' ( 1 - o n r o s i . g a s t r o s o p h a g a l r f lu lu / d i s a s "%&'# t d k d i t m u k a n k l a i n a n s t r ukt ukt u r p a d a ndoskopi "%ndoscopy-n gati. r flu/ dis as # bisa b rk mbang ( %$%&' 5 6arr tt 2 %rosif sofagitis "%$%&'# - dit mukan l si mukosa "mucosal br ak# pada ndoskopi 1 234 GE2E4 lassi5cation 3 6arr tt sofagitis l si l bih b rat

 

DIAGNOSIS GERD 7  4namnesis (

heartburn  "pirosis#, "pirosis#, refluks 7  8kur  8kur  p9  p9 esofagus 7   sofagogram 7  ndoskopi ndoskopi 7   :es empirik dgn proton pump inhibitor   "

?enghilangkan gejala

>

?enyembuhkan esofagitis ?enyembuhkan esofagi tis > ?encegah komplikasi komplikasi >

?emelihara remisi dari gejala  esofagitis

 

engobatan dgn 3 pendekatan ( 1 ?emperbaiki mekanisme patogenesis yg terlibat "hernia hiatus# hiatus# 2

?elakukan netralisasi atau supresi keasaman lambung  cegah refluks  emberian obat-obatan ( antasida, antagonis 92 reseptor, ;;
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