Thaum kuv kawm ntawv qib siab, kuv muaj ib tug phooj ywg zoo hu ua Chamari. Chamari feem ntau yws txog mob plab thiab mob plab tom qab noj mov, tshwj xeeb tshaj yog tom qab noj zaub mov Sri Lankan qab heev lossis tom qab noj hmo. Nws xav tias nws tsuas yog mob plab zom mov tsis zoo xwb. Tab sis thaum lub sijhawm dhau mus, qhov mob plab tau hnyav heev uas nws yuav cuam tshuam nws txoj kev pw tsaug zog thaum hmo ntuj.
"Kws kho mob Priya, kuv muaj qhov kub hnyiab hauv kuv lub hauv siab txhua hmo. Kuv muaj cov kua qaub hauv kuv lub qhov ncauj. Kuv tsis tuaj yeem zoo dua txawm tias noj tshuaj ib txwm," Chamari nug kuv ib hnub.
Kuv piav qhia rau Chamari ua siab mos siab muag tias: "Chamari, qhov koj tsis quav ntsej, xav tias nws tsuas yog kev zom zaub mov ib txwm muaj, yog ib yam mob hu ua GERD (Gastroesophageal Reflux Disease) . Qhov no yog ib yam mob uas cov kua qaub hauv plab ntws rov qab mus rau hauv caj pas. Qhov no yog ib yam mob uas cov tub ntxhais hluas niaj hnub no feem ntau muaj. Tab sis tsis txhob txhawj, nws tuaj yeem tswj tau tag nrho nrog kev hloov pauv me me ntawm kev ua neej thiab kev kho mob kom zoo."
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🚨 Cov Cim Liab uas xav tau kev kho mob tam sim ntawd
Txawm hais tias cov kua qaub ncaug reflux feem ntau tsis ua rau tuag taus, koj yuav tsum mus ntsib kws kho mob tam sim ntawd yog tias koj muaj cov tsos mob hnyav hauv qab no:
- Nyuaj heev nqos zaub mov lossis qaub ncaug lossis mob thaum nqos (Dysphagia/Odynophagia).
- Poob phaus sai sai yam tsis muaj laj thawj (Poob phaus yam tsis muaj laj thawj).
- Nquag ntuav lossis ntuav ntshav.
- Cov quav dub (tarry) (ib qho cim qhia tias muaj ntshav hauv plab lossis txoj hlab pas).
Vim li cas GERD thiaj tshwm sim? Cov laj thawj yooj yim heev.
Ntawm qhov sib tshuam ntawm peb txoj hlab pas thiab lub plab yog ib lub leeg nqaij zoo li lub voj voog hu ua LES (Lower Esophageal Sphincter) . Nws ua haujlwm zoo li lub "valve" uas tsuas qhib rau ib qho kev taw qhia xwb.
Thaum peb noj mov, lub qhov (valve) no qhib kom cov khoom noj hla mus rau hauv lub plab, thiab tom qab ntawd kaw kom nruj thaum cov khoom noj hla mus lawm, tiv thaiv cov kua qaub hauv lub plab kom tsis txhob ntws rov qab mus rau hauv caj pas.
Tab sis yog tias muaj qee qhov laj thawj uas lub qhov (LES valve) no tsis muaj zog lossis tsis kaw raws sijhawm, cov kua qaub hauv plab tuaj yeem nkag mus rau hauv txoj hlab pas tau yooj yim. Qhov no hu ua acid reflux .
Muaj ntau ntau yam tseem ceeb ua rau lub valve no tsis muaj zog:
1. Hiatal Hernia: Sab saud ntawm lub plab tawm mus rau hauv lub hauv siab los ntawm lub qhov hauv lub diaphragm, ua rau lub valve ua haujlwm tsis zoo.
2. Kev rog dhau thiab cev xeeb tub: Lub qhov (valve) qhib ntau zaus dua vim muaj kev nyem ntau ntxiv hauv plab.
3. Kev noj zaub mov tsis zoo: Noj ib pluag mov loj ib zaug thiab pw tom qab noj mov tas.
4. Cawv, haus luam yeeb thiab tshuaj yeeb:Kev haus luam yeeb ua rau lub LES valve so, thiab cov tshuaj tua kab mob uas yuav tsis tas yuav muaj daim ntawv yuav tshuaj xws li ibuprofen kuj tuaj yeem ua rau lub plab puas tsuaj.
Kev kuaj mob kom paub tseeb tias muaj kab mob acid reflux
Cov kws kho mob pom zoo kom ua cov kev kuaj mob hauv qab no kom paub tseeb tias tus mob yog dab tsi:
- Endoscopy Sab Sauv: Ib lub raj nrog lub koob yees duab me me raug ntxig los ntawm lub qhov ncauj los tshuaj xyuas phab ntsa ntawm txoj hlab pas rau kev o, cov qhov txhab, lossis cov cim ntawm mob qog noj ntshav.
- Kev Soj Ntsuam pH Thaum Mus Los: Ib qho kev sim ua los ntawm kev siv ib lub cuab yeej me me uas ntsuas qhov ntau ntawm cov kua qaub ntws mus rau hauv caj pas hauv 24 teev.
- Esophagram (barium x-ray): Qhov kev kuaj no siv barium nqos kuaj los thaij duab x-ray ntawm txoj hlab pas kom pom qhov nqaim lossis hernias.
Yuav ua li cas tswj tau tus kab mob acid reflux?
Yuav kom rov zoo los ntawm tus kab mob no mus tas li, ob qho kev hloov pauv hauv lub neej thiab kev kho mob tshuaj yuav tsum tau ua kom sib npaug:
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