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"treatment": "<p>Направлено на основное заболевание. Рекомендуют спать на большом количестве подушек, не курить и не принимать алкогольные напитки, а также щадящую диету и частое, дробное питание, прием препаратов, повышающих сокращение сфинктера нижней части пищевода, вяжущие, обволакивающие препараты.</p>",
"prevention": "<p>Чтобы избежать изжоги:</p>\r\n<ul>\r\n<li>ешьте часто и небольшими порциями;</li>\r\n<li>откажитесь от острых, жареных, жирных блюд, кислых напитков, чеснока, сырого лука, кислых фруктов, ограничьте потребление шоколада, алкоголя, кофе, не пейте крепкий чай;</li>\r\n<li>не наклоняйтесь после еды;</li>\r\n<li>ужинайте как минимум за 2 часа до сна;</li>\r\n<li>поднимите сантиметров на 10 изголовье кровати, подложив что-нибудь под ее ножки – это снизит риск изжоги во сне;</li>\r\n<li>не затягивайтесь туго ремнем, не надевайте тесную одежду, бандажи и корсеты, перетягивающие живот.</li>\r\n</ul>",
"clinical_picture": "<p>Наиболее тесно <a href=\"/symptom/izzhoga/\" title=\"Перейти на страницу симптома Изжога\">изжога</a> коррелирована с целым рядом заболеваний:</p>\r\n<ul>\r\n<li>\r\n<p>хронический гиперацидный гастрит всегда сопровождается стойкой изжогой, которая появляется в результате заброса желудочного сока, содержащего кислоту, в пищевод, раздражая и воспаляя его слизистую оболочку. В некоторых случаях <a href=\"/symptom/izzhoga/\" title=\"Перейти на страницу симптома Изжога\">изжога</a> может быть эквивалентом болевых ощущений, возникающих через полтора-два часа после еды;</p>\r\n</li>\r\n<li>\r\n<p>дуоденит – боли ощущаются постоянно, но особенно усиливаются после еды при «погрешностях» в диете, их верным спутником является <a href=\"/symptom/izzhoga/\" title=\"Перейти на страницу симптома Изжога\">изжога</a>. Однако болевые ощущения постепенно снижаются, а <a href=\"/symptom/izzhoga/\" title=\"Перейти на страницу симптома Изжога\">изжога</a> и <a href=\"/symptom/meteorizm/\" title=\"Перейти на страницу симптома Метеоризм\">вздутие</a> живота остаются и, безусловно, негативно влияют на качество жизни;</p>\r\n</li>\r\n<li>\r\n<p>хронический холецистит характеризуется сочетанием изжоги, и боли в правой верхней части желудка. Как правило, они возникают после приёма блюд из жирных продуктов или тряски во время езды на автотранспорте;</p>\r\n</li>\r\n<li>\r\n<p>язвенная болезнь. <a href=\"/symptom/izzhoga/\" title=\"Перейти на страницу симптома Изжога\">Изжога</a> и <a href=\"/symptom/boli_v_verhney_chasti_zhivota/\" title=\"Перейти на страницу симптома Боли в верхней части живота\">боль в желудке</a> могут указывать и на это заболевание;</p>\r\n</li>\r\n<li>\r\n<p>грыжа пищевого отверстия диафрагмы. В этом случае, боль появляется, когда человек принимает горизонтальное положение или при наклонах. Она локализуется в желудке и может отдавать в область сердца или в спину и сопровождаться изжогой, но болевые ощущения проходят, как только человек принимает вертикальное положение;</p>\r\n</li>\r\n<li>\r\n<p>ГЭРБ также сопровождается болью в верхней части желудка и изжогой;</p>\r\n</li>\r\n<li>\r\n<p>беременность. Спутником этого состояния может стать гастрит с повышенной кислотностью, сопровождающийся всеми характерными симптомами;</p>\r\n</li>\r\n<li>\r\n<p>расстройства пищеварения. Чаще всего беспричинные боли в желудке, сопровождающиеся изжогой, отрыжкой, а иногда тошнотой, - удел молодых. Они могут быть вызваны нарушением сокращения стенок желчного пузыря, кишечника или желудка, а также выработкой излишнего количества кислоты.</p>\r\n</li>\r\n</ul>",
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},
"code": "R12",
"name": "Изжога",
"icd_name": "Изжога",
"gender": 0,
"age_min": 0,
"age_max": 100,
"cause": [
3,
0
],
"periodicity": 1,
"slug": "r12_izzhoga",
"lead": "ощущение жжения за грудиной по ходу пищевода, обусловленное раздражением рецепторов пищевода при рефлюкс-эзофагите в связи с функциональной недостаточностью кардиального сфинктера",
"description": "",
"etiology": "<p>Вызывается рефлюксом содержимого желудка в пищевод, который возникает в результате повышения давления в брюшной полости. Чаще появляется после еды, при наклоне туловища человека вперед и перенапряжении. Возникает при переедании, заболеваниях желудочно-кишечного тракта, соединительных тканей, после приема лекарственных препаратов, при заболеваниях нервной системы, токсикозе в первой половине беременности.</p>",
"pathogenesis": "<p>Нижний сфинктер расслабляется и пропускает пищу из пищевода в желудок, и в результате воздействия каких-либо факторов повышается внутрибрюшное давление, сфинктер расслабляется и пропускает соляную кислоту и желчь в нижние отделы пищевода, слизистая оболочка раздражается, воспаляется, вызывая изжогу.</p>",
"diagnostics": "<p>Исследование верхней части желудочно-кишечного тракта с помощью эзофагоскопии, определение уровня pH в пищеводе и желудке методом pH-метрии.</p>",
"treatment": "<p>Направлено на основное заболевание. Рекомендуют спать на большом количестве подушек, не курить и не принимать алкогольные напитки, а также щадящую диету и частое, дробное питание, прием препаратов, повышающих сокращение сфинктера нижней части пищевода, вяжущие, обволакивающие препараты.</p>",
"prevention": "<p>Чтобы избежать изжоги:</p>\r\n<ul>\r\n<li>ешьте часто и небольшими порциями;</li>\r\n<li>откажитесь от острых, жареных, жирных блюд, кислых напитков, чеснока, сырого лука, кислых фруктов, ограничьте потребление шоколада, алкоголя, кофе, не пейте крепкий чай;</li>\r\n<li>не наклоняйтесь после еды;</li>\r\n<li>ужинайте как минимум за 2 часа до сна;</li>\r\n<li>поднимите сантиметров на 10 изголовье кровати, подложив что-нибудь под ее ножки – это снизит риск изжоги во сне;</li>\r\n<li>не затягивайтесь туго ремнем, не надевайте тесную одежду, бандажи и корсеты, перетягивающие живот.</li>\r\n</ul>",
"clinical_picture": "<p>Наиболее тесно <a href=\"/symptom/izzhoga/\" title=\"Перейти на страницу симптома Изжога\">изжога</a> коррелирована с целым рядом заболеваний:</p>\r\n<ul>\r\n<li>\r\n<p>хронический гиперацидный гастрит всегда сопровождается стойкой изжогой, которая появляется в результате заброса желудочного сока, содержащего кислоту, в пищевод, раздражая и воспаляя его слизистую оболочку. В некоторых случаях <a href=\"/symptom/izzhoga/\" title=\"Перейти на страницу симптома Изжога\">изжога</a> может быть эквивалентом болевых ощущений, возникающих через полтора-два часа после еды;</p>\r\n</li>\r\n<li>\r\n<p>дуоденит – боли ощущаются постоянно, но особенно усиливаются после еды при «погрешностях» в диете, их верным спутником является <a href=\"/symptom/izzhoga/\" title=\"Перейти на страницу симптома Изжога\">изжога</a>. Однако болевые ощущения постепенно снижаются, а <a href=\"/symptom/izzhoga/\" title=\"Перейти на страницу симптома Изжога\">изжога</a> и <a href=\"/symptom/meteorizm/\" title=\"Перейти на страницу симптома Метеоризм\">вздутие</a> живота остаются и, безусловно, негативно влияют на качество жизни;</p>\r\n</li>\r\n<li>\r\n<p>хронический холецистит характеризуется сочетанием изжоги, и боли в правой верхней части желудка. Как правило, они возникают после приёма блюд из жирных продуктов или тряски во время езды на автотранспорте;</p>\r\n</li>\r\n<li>\r\n<p>язвенная болезнь. <a href=\"/symptom/izzhoga/\" title=\"Перейти на страницу симптома Изжога\">Изжога</a> и <a href=\"/symptom/boli_v_verhney_chasti_zhivota/\" title=\"Перейти на страницу симптома Боли в верхней части живота\">боль в желудке</a> могут указывать и на это заболевание;</p>\r\n</li>\r\n<li>\r\n<p>грыжа пищевого отверстия диафрагмы. В этом случае, боль появляется, когда человек принимает горизонтальное положение или при наклонах. Она локализуется в желудке и может отдавать в область сердца или в спину и сопровождаться изжогой, но болевые ощущения проходят, как только человек принимает вертикальное положение;</p>\r\n</li>\r\n<li>\r\n<p>ГЭРБ также сопровождается болью в верхней части желудка и изжогой;</p>\r\n</li>\r\n<li>\r\n<p>беременность. Спутником этого состояния может стать гастрит с повышенной кислотностью, сопровождающийся всеми характерными симптомами;</p>\r\n</li>\r\n<li>\r\n<p>расстройства пищеварения. Чаще всего беспричинные боли в желудке, сопровождающиеся изжогой, отрыжкой, а иногда тошнотой, - удел молодых. Они могут быть вызваны нарушением сокращения стенок желчного пузыря, кишечника или желудка, а также выработкой излишнего количества кислоты.</p>\r\n</li>\r\n</ul>",
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