{"id":6524,"date":"2025-10-07T15:16:26","date_gmt":"2025-10-07T12:16:26","guid":{"rendered":"https:\/\/neolife.ro\/braila\/noutati\/ce-este-refluxul-gastroesofagian\/"},"modified":"2025-10-07T15:16:29","modified_gmt":"2025-10-07T12:16:29","slug":"ce-este-refluxul-gastroesofagian","status":"publish","type":"post","link":"https:\/\/neolife.ro\/braila\/noutati\/ce-este-refluxul-gastroesofagian\/","title":{"rendered":"Ce este refluxul gastroesofagian?"},"content":{"rendered":"<p>Refluxul gastroesofagian (RGE) este o afec\u021biune digestiv\u0103 frecvent\u0103 \u00een care con\u021binutul stomacului (alimente, acid gastric) se \u00eentoarce \u00een esofag \u2013 tubul care face leg\u0103tura \u00eentre g\u00e2t \u0219i stomac. Acest fenomen apare atunci c\u00e2nd sfincterul esofagian inferior, un mu\u0219chi circular care func\u021bioneaz\u0103 ca o valv\u0103, nu se \u00eenchide corespunz\u0103tor. Acidul gastric irit\u0103 mucoasa esofagului \u0219i poate duce la apari\u021bia unor simptome sup\u0103r\u0103toare sau chiar complica\u021bii.<\/p>\n<h3>C\u00e2nd ar trebui s\u0103 iei \u00een considerare consultul medical pentru reflux?<\/h3>\n<ol>\n<li>Dac\u0103 ai arsuri frecvente \u00een capul pieptului, mai ales dup\u0103 mas\u0103 sau \u00een timpul nop\u021bii<\/li>\n<li>Dac\u0103 ai regurgita\u021bii acide sau gust amar \u00een gur\u0103<\/li>\n<li>Dac\u0103 ai dificult\u0103\u021bi la \u00eenghi\u021bire sau senza\u021bia de nod \u00een g\u00e2t<\/li>\n<li>Dac\u0103 ai tuse cronic\u0103, r\u0103gu\u0219eal\u0103 sau senza\u021bie de irita\u021bie \u00een g\u00e2t, \u00een special diminea\u021ba<\/li>\n<li>Dac\u0103 simptomele persist\u0103 \u00een ciuda modific\u0103rii stilului de via\u021b\u0103 sau tratamentului medicamentos<\/li>\n<li>Dac\u0103 ai pierdere inexplicabil\u0103 \u00een greutate sau scaune de culoare neagr\u0103<\/li>\n<li>Dac\u0103 ai senza\u021bie de grea\u021b\u0103 sau vom\u0103 frecvent\u0103<\/li>\n<li>Dac\u0103 ai dureri \u00een piept care pot fi confundate cu cele cardiace<\/li>\n<li>Dac\u0103 ai fost diagnosticat cu esofagit\u0103, hernie hiatal\u0103 sau esofag Barrett<\/li>\n<li>Dac\u0103 simptomele afecteaz\u0103 calitatea somnului sau activit\u0103\u021bile zilnice<\/li>\n<\/ol>\n<h3>Care sunt cauzele \u0219i factorii de risc?<\/h3>\n<ul>\n<li>Relaxarea sau sl\u0103birea sfincterului esofagian inferior<\/li>\n<li>Hernia hiatal\u0103<\/li>\n<li>Obezitatea<\/li>\n<li>Sarcina<\/li>\n<li>Fumatul<\/li>\n<li>Consumul frecvent de alimente acide, picante, grase, pr\u0103jite, ciocolat\u0103, cafea, alcool sau b\u0103uturi carbogazoase<\/li>\n<li>Mesele copioase sau consumul de alimente t\u00e2rziu seara<\/li>\n<li>Anumite medicamente (antiinflamatoare, sedative, blocante de canale de calciu etc.)<\/li>\n<\/ul>\n<h3>Cum se stabile\u0219te diagnosticul?<\/h3>\n<p>Diagnosticul de reflux gastroesofagian se bazeaz\u0103 pe:<\/p>\n<ul>\n<li><strong>Consulta\u021bia medical\u0103 \u0219i evaluarea simptomelor<\/strong><\/li>\n<li><strong><a href=\"https:\/\/neolife.ro\/noutati\/endoscopia-digestiva-superioara-cand-este-recomandata-si-ce-trebuie-sa-stii\/\">Endoscopie<\/a> digestiv\u0103 superioar\u0103<\/strong>, \u00een cazul simptomelor persistente sau severe<\/li>\n<li><strong>PH-metrie esofagian\u0103<\/strong> \u2013 m\u0103surarea acidit\u0103\u021bii \u00een esofag pe 24 de ore<\/li>\n<li><strong>Manometrie esofagian\u0103<\/strong> \u2013 evaluarea motilit\u0103\u021bii esofagului<\/li>\n<li><strong>Radiografie cu substan\u021b\u0103 de contrast (tranzit baritat)<\/strong>, \u00een unele cazuri<\/li>\n<\/ul>\n<h3>Ce op\u021biuni de tratament exist\u0103?<\/h3>\n<p>Tratamentul depinde de severitatea simptomelor \u0219i de posibilele complica\u021bii:<\/p>\n<p><strong>Modific\u0103ri ale stilului de via\u021b\u0103<\/strong><\/p>\n<ul>\n<li>Evitarea alimentelor declan\u0219atoare<\/li>\n<li>Mese mai mici \u0219i mai frecvente<\/li>\n<li>Nu te culca imediat dup\u0103 mas\u0103 (a\u0219teapt\u0103 cel pu\u021bin 2-3 ore)<\/li>\n<li>Ridicarea capului patului<\/li>\n<li>Sc\u0103dere \u00een greutate (dac\u0103 este cazul)<\/li>\n<li>Renun\u021barea la fumat \u0219i reducerea consumului de alcool<\/li>\n<\/ul>\n<p><strong>Tratament medicamentos<\/strong><\/p>\n<ul>\n<li>Antiacide (pentru ameliorarea simptomelor u\u0219oare)<\/li>\n<li>Inhibitori ai pompei de protoni (IPP)<\/li>\n<li>Blocan\u021bi H2<\/li>\n<li>Prokinetice (pentru accelerarea golirii stomacului)<\/li>\n<\/ul>\n<p><strong>Tratament chirurgical<\/strong><\/p>\n<ul>\n<li>Indicat \u00een cazuri rezistente la tratament sau cu complica\u021bii (ex: fundoplicatura Nissen)<\/li>\n<\/ul>\n<h3>Ce complica\u021bii pot ap\u0103rea dac\u0103 nu este tratat?<\/h3>\n<ul>\n<li>Esofagit\u0103 \u2013 inflama\u021bia esofagului<\/li>\n<li>Ulcera\u021bii esofagiene<\/li>\n<li>Stenoze (\u00eengust\u0103ri ale esofagului)<\/li>\n<li>Esofag Barrett \u2013 modific\u0103ri precanceroase ale mucoasei<\/li>\n<li>Risc crescut de adenocarcinom esofagian<\/li>\n<li>Probleme respiratorii cronice (astm, laringit\u0103, pneumonie de aspira\u021bie)<\/li>\n<\/ul>\n<p>Refluxul gastroesofagian este o afec\u021biune frecvent\u0103, dar nu trebuie ignorat\u0103. Dac\u0103 ai simptome recurente sau care se agraveaz\u0103 \u00een timp, adreseaz\u0103-te medicului gastroenterolog. Diagnosticul corect \u0219i tratamentul adecvat pot preveni complica\u021biile \u0219i \u00ee\u021bi pot \u00eembun\u0103t\u0103\u021bi semnificativ calitatea vie\u021bii.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Refluxul gastroesofagian (RGE) este o afec\u021biune digestiv\u0103 frecvent\u0103 \u00een care con\u021binutul stomacului (alimente, acid gastric) se \u00eentoarce \u00een esofag \u2013 tubul care face leg\u0103tura \u00eentre g\u00e2t \u0219i stomac. Acest fenomen apare atunci c\u00e2nd sfincterul esofagian inferior, un mu\u0219chi circular care func\u021bioneaz\u0103 ca o valv\u0103, nu se \u00eenchide corespunz\u0103tor. Acidul gastric irit\u0103 mucoasa esofagului \u0219i poate [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":6525,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[29],"tags":[],"class_list":{"0":"post-6524","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-articole"},"acf":[],"_links":{"self":[{"href":"https:\/\/neolife.ro\/braila\/wp-json\/wp\/v2\/posts\/6524","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/neolife.ro\/braila\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/neolife.ro\/braila\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/neolife.ro\/braila\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/neolife.ro\/braila\/wp-json\/wp\/v2\/comments?post=6524"}],"version-history":[{"count":0,"href":"https:\/\/neolife.ro\/braila\/wp-json\/wp\/v2\/posts\/6524\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/neolife.ro\/braila\/wp-json\/wp\/v2\/media\/6525"}],"wp:attachment":[{"href":"https:\/\/neolife.ro\/braila\/wp-json\/wp\/v2\/media?parent=6524"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/neolife.ro\/braila\/wp-json\/wp\/v2\/categories?post=6524"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/neolife.ro\/braila\/wp-json\/wp\/v2\/tags?post=6524"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}