Esime menɔ yunivɛsiti la, xɔ̃nye vevi aɖe nɔ asinye si ŋkɔe nye Chamari. Zi geɖe la, Chamari toa nyatoƒoe le dɔgbo ƒe veve kple dzimeveve ŋu le nuɖuɖu vɔ megbe, vevietɔ ne eɖu Sri Lankatɔwo ƒe nuɖuɖu nyui aɖe si me wodea nu ʋeʋĩiwoe alo ne eɖu fiẽnu vɔ. Esusu be nuɖuɖumadzroame koe wònye. Gake esi ɣeyiɣiawo va nɔ yiyim la, dzimevea va nu sẽ ale gbegbe be eɖe fu nɛ le zã me alɔ̃dɔdɔ gɔ̃ hã.
"Ðɔkta Priya, nye akɔta xɔa dzo zã sia zã. Tsi si vivina le nye nu me. Nyemate ŋu ahaya ne mezã atike edziedzi gɔ̃ hã o," Chamari biam gbeɖeka.
Meɖe eme na Chamari tufafatɔe be: "Chamari, nusi dzi nèŋe aɖaba ƒui, si nèsusu be enye nuɖuɖumadzroame si sɔ ko, nye nɔnɔme aɖe si woyɔna be GERD (Gastroesophageal Reflux Disease) . Esia nye nɔnɔme si me dɔgbo me acid trɔna yia dzi yia ŋɔti me. Esia nye dɔléle si bɔ ŋutɔ le sɔhɛwo dome le ŋkeke siawo me. Gake mègatsi dzi o, woate ŋu aɖu edzi keŋkeŋ to agbenɔnɔ ƒe tɔtrɔ suewo kple... atikewɔwɔ nyuie."
🚨 Aflaga Dzĩ siwo hiã be woakpɔ egbɔ enumake
Togbɔ be zi geɖe la, acid reflux medea ame ƒe agbe afɔku me o hã la, ele be nàyi ɖɔkta gbɔ enumake ne èkpɔ dzesi sesẽ siwo gbɔna la dometɔ aɖe:
- Nuɖuɖu alo aɖuɖɔ mimi sesẽ vevie alo vevesese ne wole nu mimim (Dysphagia/Odynophagia).
- Kpekpeme dzi ɖeɖe kpɔtɔ kabakaba le susu aɖeke manɔmee (Unexplained Weight Loss).
- Ʋu ƒe ʋuʋu alo ʋu si dona enuenu.
- Aɖuɖɔ yibɔ (tarry) (si nye ʋu ƒe dodo le dɔgbo alo nuɖuɖutome ƒe dzesi).
Nukatae GERD dzɔna? Susu siwo tae la le bɔbɔe
Lãmetsi aɖe si le abe asigɛ ene si woyɔna be LES (Lower Esophageal Sphincter) . Ewɔa dɔ abe "valve" si ʋuna ɖe mɔ ɖeka ko dzi ene.
Ne míeɖu nu la, ʋuƒo sia ʋuna be nuɖuɖu nate ŋu age ɖe dɔgboa me, eye emegbe ne nuɖuɖua nya to eŋu ko la, etua sesĩe, si wɔnɛ be aɖi sesẽ siwo le dɔgboa me la megatrɔna yia ŋɔti me o.
Gake ne le susu aɖe ta la, LES-ʋuka sia gbɔdzɔ alo metu le ɣeyiɣi nyuitɔ dzi o la, dɔgbo me acid ate ŋu age ɖe nuɖuɖutome bɔbɔe. Woyɔa esia be acid reflux .
Susu vevi geɖewo li siwo tae valvɔ sia gbɔdzɔna ɖo:
1. Hiatal Hernia: Ƒodoa ƒe akpa si le etame dona ɖe akɔta to do aɖe si le akɔta, si wɔnɛ be ʋukaa mewɔa dɔ nyuie o.
2. Lolo akpa kple fufɔfɔ: Valvɔa ʋuna enuenu le esi ƒodoa ƒe nyaƒoɖeamenu dzina ɖe edzi ta.
3. Nuɖuɖu ƒe nɔnɔme gbegblẽwo: Nuɖuɖu gã aɖe ɖuɖu zi ɖeka kple mlɔ anyi enumake le nuɖuɖu vɔ megbe.
4. Ahanono, atamanono kple atike vɔ̃ɖiwo zazã:Sigaretnono nana LES ƒe ʋukaa ɖea dzi ɖi, eye vevesesenutsitike siwo womeƒlena le atikedzraƒe o abe ibuprofen ene hã ate ŋu agblẽ nu le dɔgboa ƒe gliwo ŋu.
Atikewɔwɔ me dodokpɔwo wɔwɔ be woatsɔ anya acid reflux dɔlélea
Ðɔktawo kafui be woawɔ dodokpɔ siwo gbɔna be woatsɔ anya dɔlélea nyuie:
- Upper Endoscopy: Wodea mɔ̃ aɖe si me fotoɖemɔ̃ sue aɖe le to nu me be woatsɔ ado nuɖuɖutome ƒe gliwo kpɔ be dɔdzẽ, abi, alo kansa ƒe dzesiwo le eŋu hã.
- Ambulatory pH Monitoring: Dodokpɔ si wowɔna to mɔ̃ sue aɖe zazã me si dzidzea acid agbɔsɔsɔme si sina yia ŋɔti me le gaƒoƒo 24 me.
- Nuɖuɖutome (barium x-ray): Dodokpɔ sia zãa barium mimi dodokpɔ tsɔ ɖea nuɖuɖutome ƒe x-ray tsɔ dea dzesi nuɖuɖutome ƒe ʋuʋu alo ʋuʋudedi.
Aleke woawɔ aɖu acid reflux dɔlélea dzi?
Be woahaya tso dɔléle sia me tegbee la, ele be woada asɔ le agbenɔnɔ ƒe tɔtrɔ kple atikewo zazã siaa me:
1. Agbenɔnɔ ƒe tɔtrɔ veviwo:
- Nuɖuɖu suewo: Le esi teƒe be nàɖu nu gã aɖe be wò dɔgbo nayɔ zi ɖeka la, ɖu nu suesuesue geɖe enuenu.
- Dometsotso si le nuɖuɖu kple alɔ̃dɔdɔ dome: Ƒo asa na mlɔƒe alo alɔ̃dɔdɔ gaƒoƒo 3 ya teti le fiẽnuɖuɖu vɔ megbe.
- Abati ƒe ta kɔkɔ: Ne èkɔ abaa ƒe ta ɖe dzi abe sentimeta 6 ene la, ana acid nagadzi ɖe edzi le nuheŋusẽ ta o (kplu zazã ɖeɖe mesɔ gbɔ o).
- Kpekpeme dzi ɖuɖu: Ðe ƒodo me ami si mèdi o dzi kpɔtɔ.
2. Atikewɔwɔ: Atikewɔwɔ:
- PPIs (Proton Pump Inhibitors): Atikewo abe Omeprazole alo Esomeprazole ene ɖea acid ƒe wɔwɔ le dɔgboa me dzi kpɔtɔna ŋutɔ.
- H2 Blockers (H2 Receptor Blockers): Atikewo abe Famotidine ene hã kpɔa acid dzi.
- Atike siwo tsia acid nu: Atike siwo me tsi le siwo naa gbɔdzɔe ame enumake tso akɔtave me.
Nusiwo Nàwɔ & Nusiwo Nàwɔ O
| ✔️ Nusiwo woawɔ (Wowɔ) . | ❌ Mègawɔe o |
|---|---|
| Ne akɔta le veve sem la, yi ɖɔkta gbɔ eye nàwɔ atikewɔwɔ ƒe ɖoɖo nyuitɔ. | Ƒo asa na tomatos, citrus-kutsetsewo, tsokolet, caffeine (tii/kɔfi), kple nuɖuɖu siwo me ami ʋeʋĩ le siwo me ami sɔ gbɔ ɖo ɖuɖu. |
| Do awu siwo me mekɔ o; ƒo asa na alidziblanu sesẽwo, vevietɔ ƒo xlã ƒodo. | Ƒo asa na mlɔƒe alo bɔbɔ ɖe anyi kple dɔ sesẽ wɔwɔ le nuɖuɖu vɔ megbe teti. |
| Ne èyi edzi le kɔdzidɔ wɔnuku aɖe lém alo le ɣli dom le wò ŋɔti me la, gblɔe na wò ɖɔkta, elabena ate ŋu atso acid reflux hã gbɔ. | Mègano PPI-tikewo ɣleti geɖe ɖɔktawo ƒe aɖaŋuɖoɖo manɔmee o (ate ŋu agblẽ nu le ayikuwo ŋu). |
❓ Nyabiase bubu aɖewo siwo ate ŋu anɔ asiwò (FAQ) .
Aleke woawɔ ade vovototo dzimeve kple dzidɔ ƒe vevesese dome? ▼
Zi geɖe la, akɔtavea dzɔna ne mlɔ anyi le nuɖuɖu vɔ megbe eye atike siwo wua acid ɖenɛ dzi kpɔtɔna. Gake dzidɔ ƒe vevesese nyea akɔta si le mimim, si le kpekpem, si kakana ɖe miame alo aɖu, eye gbɔgbɔtsixe kple fifia kpena ɖe eŋu. Ne ɖikeke le eme la, ele be woawɔ ECG enumake.
Nukae dzɔna ne womegblẽ GERD ɖi ɣeyiɣi didi o? ▼
Ne womewɔ atike na acid o la, ateŋu agblẽ nu le nuɖuɖutome, si ana Esophagitis. Le ɣeyiɣi aɖe megbe la, nuɖuɖutome ate ŋu axe (Esophageal Stricture), si ana wòasesẽ be woami, eye le nɔnɔme siwo gbɔ eme me la, Barrett ƒe Nuɖuɖutome, si dzia kansa ƒe afɔku ɖe edzi la ate ŋu adze ame dzi.
Ðe acid si le ŋɔti me ate ŋu ana aɖu navuvua? ▼
Ẽ, hydrochloric acid sesẽ si le dɔgboa me ate ŋu age ɖe nu me le zã me le manyamanya me, si ana aɖuawo ƒe enamel la nalɔ, si ana aɖu navuvu eye aɖu navuvu.
Ðe wòhiã be woawɔ dɔ na ame hafi ahaya keŋkeŋ tso GERD mea? ▼
Ao, dɔnɔ siwo wu 90% hayana ne woɖu nuɖuɖu nyuie kple atikekui siwo me aɖi mele o siwo ɖɔkta ŋlɔ na wo. Dɔwɔwɔ (e.g. Fundoplication) hiã na dɔnɔ siwo ƒe ʋuʋudedi sesẽ ŋutɔ alo esiwo me ʋuʋudedi le siwo mewɔa dɔ ɖe atike aɖeke ŋu o la ko.
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