I rilruah pawh heartburn leh stomach acid a rawn lut fo thin em? (Acid Reflux & GERD) te hi a tha hle.

I rilruah kang emaw, i ei zawhah i pum atanga thil lo lut ang maia i awm tawh em? Mi tam zawk chuan hetiang hi vawi khat emaw vawi hnih emaw tal an tawng tawh a ni. Vawiin hian he ‘acid reflux’ emaw, damdawi lam atanga thlir chuan acid reflux leh GERD (gastroesophageal reflux disease) chungchang kan sawi dawn a ni. Hei hi mi tam takin harsatna an neih a nih avangin fimkhur a pawimawh hle.

Acid reflux hi eng nge ni tak tak, ka thian?

A awlsam zawngin, i pum chhunga ei leh in leh acidic fluid te hi kawng khat chauh a kal tur a ni a, chu chu a tlahniam a ni. Mahse, a châng chuan, he pum acid, chu chu acidic substances , i esophagus atanga i rilruah a luang leh chuan Acid Reflux kan ti thin.

Ngaihtuah teh, he acid hian a thlen lohna tur hmun a thlen chuan eng nge thleng? Chu chu buaina chu a ni. He acid hian i chaw kawng chhunga tissue nalh tak takte chu a kang thei a, a ti hliam thei a, a ti hring thei bawk. He esophagus hi tube ang chi a ni a, i pum atanga i rilru kaltlangin i rilru thlengin a kal a ni. Chuvangin, a chhiat chuan harsatna tam tak kan tawk thei a ni.

A hun hunah acid reflux kan nei vek a. Chaw ei loh chuan chaw ei kham loh emaw, thinlung natna emaw ang maiin a awm thei. Hetianga a chang chuan acid reflux hi a nuam lo hle a, mahse natna a ni lo. Mahse, mi thenkhat tan chuan a thleng fo thin. Acid reflux chhunzawm zel hian i nun pangngai a tibuai thei a , a takin esophagus tissue te a tichhe thei bawk .

Chuti a nih chuan GERD chu eng nge ni? Chu aia pawi zawk a ni em?

GERD hi Gastroesophageal Reflux Disease tihna a ni.A hming tawi tak chu. Ram thenkhatah chuan GORD an ti bawk a, chu chu Gastro-oesophageal Reflux Disease tihna a ni. Mahse, GERD hi i chaw kawng chhungah acid a rawn lut zel a , chu chu chronic acid reflux condition a ni. Kar khatah vawi hnih aia tam, kar engemaw zat chhung chu he acid hi i rilruah a rawn lut a nih chuan, chronic condition anga ngaih a ni a, chu chu GERD a ni.

Hun eng emaw chen atan acid reflux kan nei thei a, ni khata ei tam lutuk ang chi hi a ni. Mahse GERD hi thil dang a ni a, chu chu mechanical problem awm reng avanga lo awm a ni . Chu chu i chaw kawng chhunga acid lo lut lo tura siamtu mechanism te chu a thawk tha lo tihna a ni.

Heng dinhmun pahnih hi engtiang chiahin nge a awm?

A chang chuan, harsatna nei lo gastroesophageal reflux (GER) leh gastroesophageal reflux disease (GERD) te hi a tam hle a ni . United States-ah ringawt pawh hian puitling 20% ​​vel leh naupang 10% velin GERD an vei nia chhut a ni. Hetiang dinhmun hi Sri Lanka rama mi tam tak zingah pawh hmuh tur a awm.

Acid Reflux leh GERD hi eng symptoms nge ni?

Acid reflux leh GERD symptom engemaw zat a awm. Heng zinga pakhat tal i neih leh neih loh en rawh:

• Backwash/Regurgitation: I ei zawh hnuah i pum acid, ei tur chi hrang hrang, tui emaw i rilruah a rawn chho leh ang maiin i inhria thei. It's like vomiting , mahse a chhuak kim lo. A châng chuan, i kâah hian a thlum mak tak mai a awm thei bawk.
• Heartburn: Acid hi thil chak tak a ni. Chuvangin literally chuan esophagus tissue te a hal ang maiin a lang . Hei hi rilruah a awm a nih chuan heartburn kan ti a ni. Pum hnaih zawk a nih chuan thenkhat chuan acid indigestion .
• Noncardiac rilru natnaChest pain : Mi thenkhat chuan esophagus ah hian inflammation angin na an hre lo. He natna hian thinlunga natna hriatna nerve ang chiah kha a tichak a, chuvangin rilru natna ang maiin a awm thei a, heart attack ang chiah a ni.
• Nausea : Acid reflux emaw reflux emaw hian nausea a siam thei a, ei duhna a hloh thei bawk. Hun engemaw chen hnuah pawh i pum chhungah ei tur a la awm ang maiin, ei tur tam zawk a awm ang maiin i inhria mai thei.
• Thlarau na : I kawr chhungah acid a lut a nih chuan i kawr a ti na thei a, a ti na thei bawk . I rilruah thil a tlakbuak ang maiin a lang thei bawk a, a nih loh leh ei harsa pawh a ni thei bawk . Zanah i mut laiin acid hi a rawn chhuak fo thin.
• Asthma symptoms: GERD hian asthma vei te tan asthma symptoms a ti na zual thei a, asthma nei lo tan pawh asthma symptoms persistent coughing , wheezing, leh thawk harsatna te a thlen thei bawk. Acid particle te chu thawkna kawngah a lut a nih chuan a zim thei a ni.

A lan chhuah dan chu a na zual thei:

GERD symptoms hi hetiang hun lai hian a na zual thei a ni:

• Zanah emaw, mut lai emaw pawhin.
• Chaw tam tak emaw, chaw thau tak emaw ei hnuah.
• Hma lam i ben hunah.
• Meizial zu emaw zu in emaw hnuah.

Naute te pawhin GERD an vei em?

Ni e, naute te te pawhin GERD an vei thei. Naute hian an in hnuah tlem an regurgitate hi thil pangngai a ni. Regurgitated contents-ah hian acid engemaw zat awm mahse, naute tan harsatna lian tham thlen thei tur chuan a tawk lo. Mahse GERD hi a na zawk a ni . Naute tan harsatna leh harsatna a thlen thei a, chaw pek pawh a huam tel bawk.

Naute piang hma emaw, chaw kawng nena inzawm natna nei emaw chuan GERD an vei tam zawk. Naupang enkawltu doctor-in i naute hian ei leh in emaw mut a harsat tih a hriat chuan GERD a awm leh awm loh enfiah an duh mai thei.

Nausen (or naupang tê tê) GERD symptoms:

• Tap fo, rilru hah lutuk (Excessive fussiness).
• Mut harsat.
• Chaw ei duh lohna.
• Tlemte riltam.
• Thâwk lak laiin thawk hah emaw, thawm ri emaw.
• Thâwk rimchhia.

Acid reflux awm chhante chu engte nge ni?

Acid chu i esophagus-a a luh theih nan chuan i esophagus hnuai lama valve kaltlangin a kal a ngai a, chu chuan a tlangpuiin thil a rawn chho leh lo. He valve hi Lower Esophageal Sphincter (LES) an ti a.

I LES hi circular muscle a ni. Thil i ei hian a inhawng a, chutah chuan i pum chhunga thil awmte a rawn chhoh loh nan a khar leh thin. Tin, i burp emaw hiccup emaw hian air bubbles a chhuah theih nan a inhawng deuh bawk.

Acid reflux hi i LES a chak loh emaw a lo chhuah loh emaw chuan acid a lo chhuak thei a nih chuan a thleng thin . Hun eng emaw chen atana thil \henkhat, chaw lian tak ei hnua mut ang chi te hian LES chu a ti hahdam thei a ni. Mahse GERD i neih chuan i LES hi a lo loose reng a ni.

Engtin nge LES hi a chak loh?

LES hi hun eng emaw chen emaw, a nghetin emaw a chak lo thei chhan tam tak a awm. A châng chuan, a châng chuan acid reflux chu chronic GERD-ah a lo chang thei a, chu chu heng thilte hi a inzawm khawm emaw, rei tak a awm emaw chuan a ni. Acid reflux leh GERD thlentu tlangpui thenkhat chu hetiang hi a ni:

• Hiatal Hernia: Hei hi thil buaithlak tak angin a lang thei a, mahse a awlsam zawngin ka sawi ang. I rilru leh i pum then hrangtu diaphragm an tih muscle a awm a. I esophagus hi he diaphragm hmang hian i pum nen a inzawm a ni. Hiatal hernia-ah chuan i pum chunglam chu i esophagus-a hawnna kal tlangin i rilruah a nawr chho a . Chumi hnuah chuan i chaw kawng (esophagus)-ah a tang thei a, chutah chuan acid a awm khawm thei a ni. Tin, a hmaa kan sawi tawh LES valve pawh hi diaphragm kaltlangin a chho a, chuvangin muscle support a nei tlem zawk bawk. Hetiang dinhmun hi i tar chhoh zel chuan a tam zawk a, a lo thang zauh zauh a, hun kal zelah a na zual thei bawk.
• Naupai: Naupai lai hian acid reflux hun eng emaw chen a awm fo thin. Pum chhunga pressure leh space sang lutuk hian chaw kawng chhunga LES thlawptu thau te chu a tizau thei a, a tikhauh thei a, a chak lo thei bawk. Naupai hormone hian LES a ti relax thei bawk. Hemi hun chhung hian hormone relaxin an tih chu a tam zawkin a chhuak thin. Hei hian naute tan hmun a siam theih nan taksa ruhte a ti hahdam a ni. Estrogen leh progesterone level pawh a sang a, hei hian LES a ti relax thei a ni.
• Thau lutuk:Thau lutuk hian naupai ang bawkin pum chhunga pressure leh space a tipung bawk a, chu chuan LES a nghawng thei a ni. Mahse naupai aiin thau lutuk hi a rei zawk avangin taksa ruh chu a chak lo reng thei a ni. Hei hi hiatal hernias thlentu lian tak a ni bawk. Tin, estrogen hi thau tissue atanga chhuak a nih avangin taksa thau a san chuan estrogen level pawh a sang chho bawk.
• Meizial zuk: Zuk leh hmuam meikhu hian LES chu a ti hahdam a, nangmah ngeiin i in emaw, second-hand smoke i inhnim emaw pawh nise. Meizial zuk hian khuh a thlen bawk a, chu chuan LES a hawng a ni. Meizial zu leh khuh chhunzawm zel hian diaphragm chhunga ruh te a tichak lo thei a, hiatal hernia a thlen thei a ni. Meizial in hian i chaw ei a tikhawtlai bawk a, pum acid siamchhuahna a tipung bawk.

Persistent acid reflux (GERD) avanga harsatna awm thei te chu engte nge ni?

Stomach acid hi thil chak tak a ni. I chaw ei tur ti chhe thei tura duan a ni. I pum hian he acid laka invenna tur lining nghet tak a nei a. Mahse i taksa peng dangte hian he venhimna hi an nei lo. Acid reflux hian i chaw kawng a nghawng tam ber. Mahse, a châng chuan i thlipui emaw, i thawkna kawng emaw-ah pawh a chho thei a ni. Acid tlem te hian rei lo te chhung atan harsatna a thlen thei. Mahse acid tam lutuk hian heng taksa peng hrang hrangte hi a tichhe thei a ni.

Harsatna awm thei: 1.1.

• Esophagitis: Hei hi esophagus lining inflammation a ni a, chu chu a hring leh a na tihna a ni. Esophagitis a awm reng chuan esophagus-a natna awm reng leh ulcer awm ang chi harsatna a thlen thei a ni. Hun kal zelah tissue inthlak danglamna a thlen thei a, chu chu scarring emaw intestinal metaplasia , precancerous condition a ni.
• Barrett-a chaw kawng (Esophagus) chu:Hei hi a chunga kan sawi tawh ang khan esophagus-a intestinal metaplasia awm dan hming a ni. Chumi awmzia chu chaw kawng lining chu a inthlak a, intestine lining ang deuh a ni tihna a ni. Hei hi acid leh inflammation rei tak a awm chuan a thleng thin. Hei hi chaw kawng cancer vei theihna risk factor a ni.
• Esophageal stricture: I esophagus-ah hian scar tissue a lo awm thei a, chu chuan inflammation leh hliam kal zel laka a veng thei a ni. He scar tissue hian chaw kawng (esophagus) a ti tawi thei hle. Hei hi stricture an ti a. Hei hian ei a ti harsa thei a , chu chuan ei leh in a ti harsa thei a, harsatna dang a thlen thei bawk.
• Laryngopharyngeal Reflux (LPR): GERD vei thenkhat chuan LPR an tih natna an nei bawk. Hei hi acid chu rilru chhunga a rawn luh chuan a ni. Acid hi i mut laiin i rilruah a rawn lut lut thei a ni. I rilru a ti na thei a, i aw a ti ri thei a, vocal cord a lo thang lian thei bawk. Acid particle te pawh i thawkna kawngah i aspirate thei bawk.
• Asthma: Thlawhna kawngah acid a luh chuan Asthma vei tawhte dinhmun a tichhe thei a, a hmaa thawkna lam natna nei lo pawhin Asthma ang chi symptoms a nei thei bawk. Acid particle te te hian bronchial tube te a ti na thei a, a ti constrict thei bawk. Hei hian khuh a thlen thei a, thawk harsatna a thlen thei bawk.

GERD natna hi eng damdawi hmanga enkawlna nge ni?

Mi thenkhat chuan an nunphung siamthat te , ei leh in thlak danglam te, zu leh meizuk tihtlem te, leh taksa rihna tihtlem te hmangin acid reflux hi an tihziaawm thei a ni. Doctor ten heng step te hi zawm turin an fuih che a ni. Mahse persistent acid reflux emaw GERD emaw i neih chuan doctor-te chuan stomach acid tihtlem thei damdawi an rawt mai thei. Hei hian acid lo chhuak zat tihtlem nan a pui ang a, mahse a hlauhawm lo zawk ang.

Damdawi chi hrang hrang

Inzai

GERD na tak emaw, damdawi hmanga control loh emaw tan chuan LES muscle tihkhauh nan operation neih a tha thei a, chu chu Nissen fundoplication .

In lama acid reflux control na tur thil

In lama acid reflux control nan hengte hi han ti ve teh:

• Chaw tê ei: Chaw lian chuan i pum a khat a, LES-ah pressure a siam bawk.
• Zanriah ei hma: Zanriah mut hma darkar 2-3 tal ei tur a ni.
• Veilam sir a mut: Hei hian LES chu pum chhunga thil awmte chungah a dah a.
• Abdominal pressure tihhniam: Thawmhnaw hlim lo ha la, a tul chuan taksa rihna tihtlem rawh.
• Meizial leh zu bânsan rawh: Hengte hian LES a tichak lo va, acidity a tipung bawk.