Pamene ndinali ku yunivesite, ndinali ndi mnzanga wapamtima dzina lake Chamari. Chamari nthawi zambiri ankadandaula za kupweteka m'mimba ndi kutentha pamtima akadya, makamaka akadya chakudya chokoma chokometsera cha ku Sri Lanka kapena akadya chakudya chamadzulo. Iye ankaganiza kuti ndi kusadya bwino m'mimba. Koma pakapita nthawi, kutentha pamtima kunakula kwambiri moti kunamulepheretsa kugona usiku.
"Dokotala Priya, ndimamva kutentha pachifuwa panga usiku uliwonse. Ndimatuluka madzi okoma ngati okoma mkamwa mwanga. Sindingathe kuchira ngakhale ndi mankhwala wamba," Chamari anandifunsa tsiku lina.
Ndinafotokozera Chamari modekha kuti: "Chamari, chomwe mwakhala mukunyalanyaza, mukuganiza kuti ndi vuto la kugaya chakudya mwachibadwa, ndi vuto lotchedwa GERD (Gastroesophageal Reflux Disease) . Ili ndi vuto lomwe asidi m'mimba amabwerera mmwamba kupita kukhosi. Ili ndi matenda ofala kwambiri pakati pa achinyamata masiku ano. Koma musadandaule, lingathe kuthetsedwa kwathunthu ndi kusintha pang'ono kwa moyo ndi chithandizo choyenera chamankhwala."
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🚨 Zizindikiro zofiira zomwe zimafuna chithandizo chamankhwala mwachangu
Ngakhale kuti acid reflux nthawi zambiri siimayambitsa imfa, muyenera kuonana ndi dokotala nthawi yomweyo ngati mukukumana ndi zizindikiro zazikulu izi:
- Kuvuta kwambiri kumeza chakudya kapena malovu kapena kupweteka pomeza (Dysphagia/Odynophagia).
- Kuchepetsa thupi mwachangu popanda chifukwa (Kuchepetsa thupi mosayembekezereka).
- Kusanza kapena kusanza magazi pafupipafupi.
- Chimbudzi chakuda (chosachedwa) (chizindikiro cha kutuluka magazi m'mimba kapena m'mero).
Nchifukwa chiyani GERD imachitika? Zifukwa zake n'zosavuta
Pamalo olumikizirana pakati pa mmero ndi m'mimba mwathu pali minofu yooneka ngati mphete yotchedwa LES (Lower Esophageal Sphincter) . Imagwira ntchito ngati "valavu" yomwe imatseguka mbali imodzi yokha.
Tikamadya, valavu iyi imatseguka kuti chakudya chilowe m'mimba, kenako imatseka mwamphamvu chakudya chikadutsa, zomwe zimaletsa asidi amphamvu m'mimba kuti asabwererenso m'khosi.
Koma ngati pazifukwa zina valavu ya LES iyi yafooka kapena siitseka panthawi yoyenera, asidi m'mimba amatha kutuluka mosavuta mummero. Izi zimatchedwa acid reflux .
Pali zifukwa zingapo zazikulu zomwe zimapangitsa kuti valavu iyi ikhale yofooka:
1. Hiatal Hernia: Mbali ya kumtunda kwa mimba imatuluka m'chifuwa kudzera mu dzenje lomwe lili mu diaphragm, zomwe zimapangitsa kuti valavu isagwire bwino ntchito.
2. Kunenepa kwambiri ndi mimba: Valavu imatsegulidwa kawirikawiri chifukwa cha kupanikizika kwa m'mimba.
3. Makhalidwe oipa a kudya: Kudya chakudya chachikulu nthawi yomweyo ndikugona pansi nthawi yomweyo mutadya.
4. Mowa, kusuta fodya ndi mankhwala osokoneza bongo:Kusuta kumachepetsa valavu ya LES, ndipo mankhwala ochepetsa ululu omwe amaperekedwa mu register monga ibuprofen amathanso kuwononga makoma a m'mimba.
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Check Availability →Mayeso azachipatala kuti adziwe matenda a acid reflux
Madokotala amalimbikitsa mayeso otsatirawa kuti adziwe bwino vutoli:
- Upper Endoscopy: Chubu chokhala ndi kamera kakang'ono chimayikidwa kudzera pakamwa kuti chione makoma a mmero kuti chione ngati pali kutupa, zilonda, kapena zizindikiro za khansa.
- Kuwunika pH ya Ambulatory: Kuyesa komwe kumachitika pogwiritsa ntchito chipangizo chaching'ono chomwe chimayesa kuchuluka kwa asidi yomwe imalowa m'khosi kwa maola 24.
- Esophagram (barium x-ray): Mayesowa amagwiritsa ntchito mayeso a barium swallow kuti atenge x-ray ya m'mero kuti azindikire kuchepa kapena hernias.
Kodi mungatani kuti muchepetse acid reflux m'thupi?
Kuti achire matendawa kwamuyaya, kusintha moyo ndi chithandizo cha mankhwala ziyenera kukhala zofanana:
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