Lung natna leh rilru na i nei bawk em? Acid reflux leh GERD chungchang i zir dawn teh ang!

Chaw i ei zawh hian a chang chuan i rilruah kang a, i rilruah a hnim a, a nih loh leh i pum chhungah a tight, heartburn ang chi i nei em? Hengte hi acid reflux chhinchhiahna tlanglawn tak tak, mi tam takin an tawn thin a ni. Hetiang thil hi a chang chuan a thleng fo thin a, mahse a thleng fo a nih chuan ngaihtuah tur a ni.

Acid Reflux hi eng nge ni? A awlsam zawngin i hrethiam ang u!

A awlsam zawngin, acid reflux chu kan pum chhunga thil awm, a bik takin gastric acid , chunglam hawia luang chhuak, chu chu kan rilru chhunga a luang kir leh hi a ni. A tlangpuiin kan chaw ei hi pum chhungah a lut a, chutah chuan a tla thla leh thin. Mahse hetiang dinhmunah hian a kalh zawngin a thleng thin.

Ngaihtuah teh, kan pum chhunga he acid hi a chak em em a ni. Chaw ei tur digest turin siam a ni. Chuvangin hetiang thil hi esophagus – food pipe – a luh chuan esophagus chhunga tissue nalh tak tak te chu a tichhia thei a, inflammation a thlen thei bawk. Mi tam takin hetiang hi a chang chuan an tawng thin. Ṭhenkhat chuan "indigestion" an ti a, ṭhenkhat chuan "heartburn" an ti a, chu chu rilru lai takah, sternum bulah kang natna a ni.

Hetianga acid reflux harsatna awm fo hi natna khirh tak a ni lo. Mahse mi thenkhat tan chuan a thleng fo thin. Chutianga acid reflux awm reng chuan nun pangngaia nun a harsa a, kan chaw kawng pawh a tichhe thei bawk.

Chuti a nih chuan GERD chu eng nge ni?

GERD hi Gastroesophageal Reflux Disease tih hming tawi a ni a . Ram thenkhatah chuan GORD (Gastro-oesophageal Reflux Disease) tiin an ziak bawk. Engtiang pawhin ziak ni se, kan chaw kawng chhunga acid reflux rei tak awm thin (chronic acid reflux) . Kar khatah vawi hnih tal, kar engemaw zat chhung hetiang hian acid a lo chhuak a nih chuan doctor-te chuan GERD condition-ah an ngai a ni.

Acid hi hun eng emaw chen atan a lo chhuak thei a ni. Entirnan, chaw ei tam hnua muthilh hi. Mahse GERD hi hun rei lote chhunga awm mai tur a ni lo. A awm reng a, mechanical problem a ni . Chu chu chaw kawng chhunga acid lo lut tur venna mechanism te chu a thawk tha lo tihna a ni.

Heng dinhmunte hi engtiang chiahin nge a awm?

Gastroesophageal reflux disease (GERD) leh GERD tia koh pahnih hi a tam hle. America ang ramah chuan puitling 20% ​​vel leh naupang 10% velin GERD an vei nia chhut a ni. Hetiang dinhmun hi kan ramah hian a tam emaw a tlem emaw pawhin kan hmu thei a ni.

Hei hi eng symptoms nge ni? Hengte pawh hi i nei em tih en rawh!

Acid reflux leh GERD symptom engemaw zat a awm. Chûng zînga pakhat tal chu i hriat chian angin a ri em tih en rawh:

• Backwash/Regurgitation: Chaw i ei zawh chuan i rilruah acid, ei tur chi hrang hrang, leh tui te chu i rilruah a rawn chho leh ang maiin i inhria thei. Hei hi regurgitation an ti a . A chang chuan sour taste nen a inzawm thei bawk .
• A burning feeling: Acid hi thil chak tak a nih avangin chaw kawng chhungah kang (burning sensation) a siam thin. Hei hi rilruah hriat a nih chuan heartburn an ti a ni. Pum chhunga hriat a nih chuan acid indigestion an ti a ni.
• Noncardiac chest pain: Mi thenkhat chuan kang ang lo takin an rilru natna an nei thin. Esophagus-a natna hre thei nerve te hi thinlunga natna hre thei nerve te nen an inang a, chuvangin a chang chuan heart attack anga ngaih sual theih a ni.
• Nausea: Acid reflux hian nausea a thlen thei a, ei duhna a hloh thei bawk. Hun rei tak a liam hnuah pawh pum chu a la khat reng thei.
• Thlarau na: I kawr chhungah acid a lut a nih chuan i kawr natna a thlen thei a, i kawr chhungah thil a inkhung tih hriatna a thlen thei a, ei harsa a ti thei bawk. A tam zawkah chuan zanah i mut laiin acid hi i rilruah a lut thin.
• Asthma symptoms: GERD hian asthma vei te tan asthma symptoms a ti na zual thei a, asthma nei lo tan pawh khuh, thawk hah, leh thawk harsatna a thlen thei bawk Hei hi a chhan chu acid particle te hian a chhunga an luh chuan boruak kawng a ti tawi thei a ni.

Engtikah nge heng symptoms te hi hriat tam ber?

• Zan lama mut emaw mut emaw hian .
• Chaw tam tak emaw, thau tamna chaw ei hnuah .
• Hma lam i ben hunah.
• Meizial zu emaw zu in emaw hian .

Naute te pawhin GERD an vei em?

Nau piang tharte hian bawnghnute an regurgitate hi a awm fo thin. Acid tlemte chu bawnghnute nen hian a lo thleng thei a, mahse naute tan harsatna lian tham a thlen dawn lo. Mahse, GERD hi a na zawk a ni. Chaw pek kawngah harsatna leh harsatna a thlen thei.

Naute piang hma emaw, eitur kawng nena inzawm damdawi lam harsatna nei emaw chuan GERD an vei tam zawk. I naute hian heng symptoms te hi a neih chuan pediatrician pan a tha ang:

• Chhan awm lovin i tap reng a nih chuan .
• Mut harsatna i neih chuan .
• Duhthusamin bawnghnute in duh loh chuan .
• Tlemte i luak chhuak reng a nih chuan .
• Thâwk i thawh laiin thawm i chhuah emaw i aw a ri emaw a nih chuan .
• I kâ atanga rimchhia lo chhuak i neih chuan .

Engvangin nge he acid hi a lo chhuah? A chhan engte nge ni?

Esophagus chhunga lut tur chuan acid hian esophagus hnuai lam tawp lama valve a paltlang a ngai a, chu chuan a tlangpuiin thil a rawn chho leh thei lo. He valve hi Lower Esophageal Sphincter (LES) an ti a.

He LES hi circular muscle a ni. Chaw kan ei hian a inhawng a, chutah chuan pum chhunga thil awmte chu a hmuna awm reng turin a khar leh thin. Kan burp hian tlem a inhawng bawk a, kan hiccup lai ang bawkin boruak bubble chhuah tir turin.

LES a chak loh emaw a lo chhuah lutuk emaw chuan acid a lo chhuak thin . Hun eng emaw chen thil thenkhat chuan LES a ti hahdam thei. Entirnan, chaw lian tak ei zawha muthilh hi. Mahse GERD i neih chuan i LES hi a relax reng a ni.

LES chak lohna thlentu tlangpui chu:

• Hiatal Hernia: Hei hi chaw kawng chunglam chu chaw kawng hnuai lam panna diaphragm chhunga khur atanga a rawn nawr chhoh hian a ni. Chumi hnuah chuan chaw kawng (esophagus)-ah a innghat thei a, chu chuan acid a siam khawm thei a ni. Tin, LES hi pum chungah a awm avangin muscle support a nei tlem zawk bawk. Hetiang dinhmun hi kum upa lam a nih chuan a tam zawk a , zawi zawiin a pung thei bawk.
• Naupai: Naupai lai hian temporary acid reflux hi a tam hle. Naute lian zel chu a pum chhunga pressure hian LES thlawptu taksa pengte chu a tizau thei a, a tichak lo thei bawk. Tin, naupai laiin hormone chhuak, relaxin ( naute tan hmun siamsaktu taksa ruh ti hahdamtu), estrogen, leh progesterone te pawh hian LES hi a ti hahdam thei bawk.
• Thau lutuk: Thau lutuk hian intra-abdominal pressure a tisang thei bawk a, chu chuan LES a nghawng thei a, naupai ang bawkin. Naupai aiin thau lutuk hi a daih rei thei a, taksa ruhte pawh a chak lo reng thei bawk. Hei hi hiatal hernias thlentu lian tak a ni bawk. Fat tissue hian estrogen a tihchhuah avangin mi thau lutuk zingah pawh estrogen level a sang chho bawk.
• Meizial zuk: Zuk leh hmuam chhunga thil awmte hian LES chu a ti relax thin. He effect hi midang meizuk laiin meikhu i in emaw, i inhnim emaw pawhin a thleng thei (second-hand smoke). Meizial zuk hian khuh a thlen a, i khuh chuan LES a inhawng thin. Meizial zu leh khuh chhunzawm zel hian pum chhung ruh a tichak lo thei a, hiatal hernia a thlen thei bawk. Chu mai pawh ni lovin, meizuk hian chaw ei a tikhawtlai a , pum chhungah acid tam zawk a siam chhuak bawk .

GERD thlen thei dangte chu:

• Nau piangsual thenkhat: Entirnan, chaw kawng (esophagus) nena inzawm natna, chaw kawng atresia .
• Connective tissue natna: Scleroderma ang chi natna hian chaw kawng ruh a nghawng thei a.
• Surgery hma: A rilru emaw, pum chunglam emaw surgery a nih chuan chaw kawng a tichhe thei a ni.
• Damdawi thenkhat: Damdawi thenkhat hian LES a ti relax thei.
• Benzodiazepines (thil ti hahdamtu) .
• Calcium channel blocker ( thisen sang damdawi) .
• Tricyclic antidepressants (lungngaihna leh natna damdawi) .
• NSAIDs (Nonsteroidal anti-inflammatory drugs) - natna tidamtu aspirin leh ibuprofen ang chi te
• Theophylline (asthma damdawi hman tlanglawn tak) .
• Menopause tan hormone therapy (HT) hmanga enkawl a ni

Ei leh in hian hei hi a nghawng em?

Ei leh in ringawt hian acid reflux a thlen lo mai thei a, mahse a ti na zual thei. Chocolate, coffee, zu, mint, garlic, leh onion ang chi thil ei tam lutuk hian LES a ti hahdam thei.

Fatty foods hian stomach acid a tipung a, ei theih nan hun a duh rei zawk. Chuvangin acid reflux chance a sang zawk. Zanriah chaw rit tak i ei chuan i mut hmain a hmin lo mai thei.

Hei hi a kal zel chuan eng harsatna nge a awm theih ang?

Kan pum chhunga acid awm hi a chak hle. Kan ei leh in tur digest tura duan a ni. Kan pum hian he acid laka ven nan a chhungah hian lining thuk tak a nei a. Mahse kan taksa peng dangte hian he venhimna hi an nei lo.

Acid reflux hian chaw kawng a nghawng tam ber. Mahse a chang chuan he acid hi thlipui emaw boruak kawng emaw chhungah pawh a kal chho thei bawk. Acid tlemte lo chhuak pawh nise, lungawi lohna a thlen thei a, a lo chhuak chhunzawm zel chuan heng taksa peng hrang hrangte hi a tichhe thei a ni.

Harsatna awm thei: 1.1.

• Esophagitis: Hei hi chaw kawng chhunga lining inflammation a ni. Hun rei tak chhunga chaw kawng natna (esophagitis) hian chaw kawng (esophagus)-ah natna leh ulcer a thlen thei a ni. Hun a kal zel a, scarring emaw intestinal metaplasia emaw a thlen thei a, hei hi cancer hmaa awm thei a ni a, cancer a thlen thei bawk.
• Barrett’s esophagus: Hei hi chaw kawng chhunga intestinal metaplasia an tih hming vuah a ni. Hei hi chaw kawng lining a inthlak a, intestines lining ang deuh a nih chuan a ni. Hei hi hun rei tak chhung acid leh inflammation avanga lo awm a ni. Hei hi chaw kawng cancer vei theihna risk factor a ni .
• Esophageal stricture: Esophagus-ah hian Scar tissue a lo awm thei a, chu chuan hun rei tak chhunga inflammation leh chhiatna 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 leh in a ti harsa thei hle.
• Acid chu ril leh larynx-ah a lut (Laryngopharyngeal reflux - LPR):GERD vei thenkhat chuan LPR an vei bawk a, chu chu acid hi rilru chhunga a rawn luh chuan a ni. Acid hi i mut laiin i rilruah a rawn lut lut thei a ni. Hei hian 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: Acid inhalation hian Asthma vei tawhte tan asthma a ti na zual thei a, thawkna lama harsatna awm tawh lote tan pawh Asthma ang chi symptoms a awm thei bawk. Acid particle te te hian bronchial tube te a kai thei a, a ti tawi a, khuh leh thawk harsatna a thlen thei a ni.

Engtin nge GERD i vei tih chiang taka i hriat theih ang? Medical test te chu engte nge ni?

Gastroenterologist chuan i chaw kawng (esophagus) chu a enfiah ang a, GERD i vei em tih a enfiah ang. Hei hi hriat chian nan hian test hrang hrang tih theih a awm a:

• Esophagram: Hei hi X-ray test a ni. Esophagus hi X-ray (fluoroscopy) hmanga enfiah a ni a, chu chu i ei rualin a che thin. Chalky liquid barium an tih chu in turin an pe che a.
• Upper endoscopy: Hei hi i hmuiah camera hmanga tube te tak te dahin i chaw kawng chhung lam enfiah a ni. Light sedation pek i ni ang a, muthilh tir i ni ang.
• Esophageal pH test: Hei hian chaw kawng chhunga acid awm zat tehna a ni. Endoscopy an tih lai hian doctor chuan chaw kawng (esophagus) chhungah wireless sensor te tak te (wireless receiver) a dah a.
• Esophageal manometry: Hei hian chaw kawng chhunga taksa peng hrang hrangte hnathawh dan a teh a ni. Hei hi nasogastric tube-a pressure sensor dah hmanga tih a ni. Hei hian LES emaw, taksa peng dang emaw a thawk tha em tih a hriat theih.

Hemi atana damdawi lam enkawlna tur engte nge ni?

Mi thenkhat chuan an nunphung tihdanglamna hmangin an acid reflux an tihziaawm thei a, chu chu an ei leh in tihdanglam te, zu leh meizuk tihtlem te, leh taksa rihna tihtlem te hi a ni. Doctor-te pawhin hengte hi zawm turin mite an fuih bawk.

Mahse chronic acid reflux emaw GERD emaw i neih chuan doctor-te chuan pum acid tihtlem thei damdawi an pe thei ang. Tichuan, acid chu lo chhuak ta se, a chhiatna a tlem zawk ang. Heng damdawi te hi awlsam taka hmuh theih a ni a, GERD tan pawh a tangkai hle.

Damdawi

Damdawi dawr atanga over-the-counter (OTC) damdawi lei theihte chu prescription tel lova:

• Antacids: Antacids, Tums® leh Rolaids® te hian pum chhunga acid hi a neutralize thin. Chumi awmzia chu acid lo chhuak mahse chaw kawng a tichhe lutuk dawn lo tihna a ni. Hengte hi a chang chuan acid reflux atan a tha a, mahse ei fo chuan side effect a nei thei a, chuvangin hun rei tak chhunga solution tha tak a ni lo.
• Alginates te chu:Alginate hi tuifinriat hnim atanga natural sugar lakchhuah a ni a. Acid chungah a float a, acid leh esophagus inkarah physical barrier a siam a ni. Alginate chauh awmna damdawi a awm a, chubakah alginate leh antacids inzawmkhawm damdawi pawh a awm bawk.

Damdawi pek tur: 1.1.

• Histamine receptor antagonists (H2 blockers): H2 blocker hian pum chhunga acid siam chhuah a ti tlem a. Hei hi taksain acid siam tura hrilhtu chemical (histamine) an block vang a ni. Hengte hi antacid aiin ei tam theih a ni a, mahse hun rei tak chhung chu a thawk thei lo. Taksa hian a thiam thei a ni.
• Proton pump inhibitors (PPIs): PPIs hi damdawi chi khat a ni a, acid hi a block tha zawk a, tissue damna a tichak bawk. I GERD a nasat emaw, i chaw kawng chhunga tissue te tihchhiat chhinchhiahna i neih chuan i doctor chuan hengte hi a rawt hmasa thei ang. Acid reflux tihziaawmna kawngah 90% in an thawk tha hle.
• Baclofen: Baclofen hi taksa ruh ti hahdamtu a ni. Muscle spasms tihziaawm nan pek a ni fo. LES relax vawi tam tak a tihtlem thei bawk a, hei hian acid lo chhuak zat a tihtlem thei bawk. Acid reflux damdawi hmasa ber a ni lo a, mahse i enkawlna ruahmannaah a tel ve thei bawk.

Acid reflux hi tihtawp vek emaw, tihdam emaw theih dan a awm lo em ni?

Damdawi hian GERD natna lan chhuah dan leh nghawng a tihziaawm thei a, mahse a titawp vek thei lo. GERD na tak nei mi pakhatin damdawi a ei a nih pawhin, i hriat loh pawhin harsatna i tawk thei tho.

Chutiang hunah chuan acid lo chhuak tur tihtawp nan solution nghet zawk a ngai a ni. Hei hian LES tihkhauh nan operation tihna a ni tlangpui. Hengte hi a tlangpuiin surgery lian tham a ni lo va, outpatient procedure a ni a, a hlawhtling hle bawk.

Inzai

GERD vei tan surgery neih dan tur:

• Nissen fundoplication: Hei hi GERD natna atana surgery neih tam ber a ni. A theih chuan laparoscopic hmanga tih a ni . Chumi awmzia chu incision tenau hmanga tih a ni a, chu chu a dam leh hun chhung a tawi zawk tihna a ni. Surgeon chuan pum chunglam chu a la a, chaw kawng hnuai lam chu a khuh a, a inzawm khawm a. He surgery hi hiatal hernia nei tan pawh tih a ni.
• LINX device: Hei hi kalphung thar a ni. LINX an tih device chu surgery hmangin an dah lut a. LINX device hi magnet ring te tak te a ni. Pum leh chaw kawng inzawmna chu khar reng turin a pui thin.

In lama acid reflux control turin eng nge i tih theih ang?

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

• Chaw te te ei thin ang che:Chaw lian tak tak ei hian pum a luah khat a, LES chu pressure a siam bawk. Chaw te te hi a hmin rang a, pum chhungah acid a siam tam lo.
• Zanriah ei hma: Zan lama mut leh mut hma darkar engemaw zat ei a tha ber a, gravity hian acid a tihhniam theih nan a pui a ni.
• I veilam sir lamah mu rawh: Hetianga i mut hian i LES chu i pum chhunga thil awm zawng zawng chungah a thu a, air pocket ang maiin a thu a ni. I sir emaw dinglam emawa mut chuan valve chu a tichhia thei a ni.
• I pum chhunga pressure tihziaawm: Thawmhnaw hlim lo ha la. I thau lutuk a nih chuan i taksa rihna tihtlem tum ang che. Hei hian hun rei lote chhung bakah hun rei tak chhung atan pawh a pui dawn a ni.
• Meizial zu leh zu in bansan rawh: Zuk leh hmuam leh zu hian LES hi a tichak lo hle. Tin, pum acid an tipung bawk a, chu chuan chaw ei hun a ti rei bawk.
• Over-the-counter damdawi: Anticids leh alginates ang chi damdawi te chu kut ah dah la . A bik takin chaw rit tak, acidic tak i ei dawn tih i hriat chuan hengte hi hmang rawh.

Acid a lo chhuak nghal a nih chuan engtin nge i tih ang?

Chutih lai tak chuan heng thilte hi tih tum ang che:

• Ding rawh: gravity chu i lamah a awm.
• Tui vawi khat emaw pahnih emaw in rawh: In tam lo la, mahse tui tlemte in tlem chuan acid chu a paih chhuak thei a ni.
• Waistband kha thlah rawh: Belt button phelh la, i theih chuan pants thlak rawh.
• Anticid ei rawh: I bulah i neih loh chuan Pepto Bismol® ang chi thil hian a pui thei ang.

Hemi chungchangah hian engtikah nge doctor ka hmuh ang?

I thinlung natna i neih fo chuan doctor pan ngei ngei tur a ni . I taksa a nghawng dan hi hriatthiam a pawimawh. GERD hi a nuam lo mai ni lo - a takah chuan a hlauhawm thei hle. Tin, a enkawlna tha tak tak a awm bawk .

Mi tam tak chuan a chang chuan thinlung natna an nei thin. Lung natna, pum na leh acid reflux te hian ni khat chhunga kal a harsat phah thei a ni. Heng symptoms te hi a awm fo thin tih tlem nan thil i tih theih a awm.

Mahse, thinlung natna i neih fo a, i nun a nghawng a nih chuan GERD i nei thei. Doctor nen i symptoms chungchang sawipui a phu hle. Enkawlnain a ṭanpui thei ang em tih ngaihtuah tûrin an ṭanpui thei che a ni.

Thil pawimawh ber (Take-Home Message) hre reng ang che .

Acid reflux leh GERD hi mi tam tak natna a ni. A chang chuan neih hi thil pangngai a nih laiin, harsatna pangngai an nih chuan hriat reng a pawimawh.

• I symptoms te chu hriatchhuah tir rawh. Kawngkhar a thlum thlum, rilru na, leh ei harsa tih ang chi thilte chu en reng ang che.
• Nunphung inthlak danglamna awlsam tak hian danglamna nasa tak a thlen thei a ni. I ei leh in te, i ei hun te, i mut dan te ngaihtuah la.
• Meizial leh zu lakah inthiarfihlim rawh.Hengte hian a takah chuan he harsatna hi a tizual sauh sauh a ni.
• In lama damdawi hmanga i thunun theih loh chuan damdawi lam thurawn la ngei ang che . GERD hi enkawl theih a ni. Mahse, enkawl loh chuan harsatna a thlen thei a ni.
• Lungngai suh. He natna hi thurawn leh enkawlna dik tak nen uluk taka enkawl theih a ni. I doctor nen zalen takin inbiakna nei rawh.

He thu hi i tangkaipui ngei ka beisei. Hrisel takin awm rawh!

` Acid reflux, GERD, lungphu, pum na, chaw ei loh, chaw kawng natna, damdawi lam enkawlna