Kodi Asidi Ndi Chokhacho Chimayambitsa Kutentha Pamtima Panu? Tiyeni Tikambirane za Kubwerera M'mimba kwa Bile

Kodi mumamva kutentha pamtima nthawi zonse? Kumamveka ngati kukuyaka moto, ngati kuti kukutuluka pakhosi panu. Nthawi zambiri timaganiza kuti izi ndi gastritis kapena acid reflux. Ndi zoona, ndipo nthawi zambiri ndicho chifukwa chake. Koma nthawi zina chomwe chimayambitsa kutentha kumeneku kungakhale china chake. Ndi bile reflux, kapena monga momwe timatchulira azachipatala, vuto lotchedwa bile reflux. Tiyeni tikambirane za izi lero, mwanjira yomwe mungamvetse.

Mwachidule, kodi biliary reflux ndi chiyani?

Taganizirani za dongosolo lathu logaya chakudya ngati njira imodzi yokha. Chakudya chimalowa mkamwa, chimadutsa m'mero, m'mimba, kenako chimalowa m'matumbo ang'onoang'ono. Kuti ulendowu ukhale wosalala, pali ma valve (sphincters) omwe amatseguka ndi kutseka pamalo osiyanasiyana. Izi zimathandiza kuti chakudya ndi madzi ogaya chakudya apite patsogolo ndikuletsa kuti asayende m'mbuyo.

Tsopano tiyeni tiwone tanthauzo la 'ndulu'. Nndulu ndi madzi obiriwira ngati achikasu omwe amapangidwa m'chiwindi chathu ndikusungidwa mu ndulu. Tikamadya zakudya zamafuta, ndulu iyi imalowa m'matumbo ang'onoang'ono ndipo imathandiza kugaya mafuta amenewo.

Chakudya chochokera m'mimba chimalowa m'matumbo ang'onoang'ono kudzera mu valavu yotchedwa pyloric valve. Kawirikawiri, valavu iyi imatseka bwino. Koma ngati valavu iyi yafooka kapena siitseka bwino, ndulu m'matumbo ang'onoang'ono imabwerera m'mbuyo, kupita m'mimba, komwe sikuyenera kupita. Izi ndi zomwe timatcha Bile Reflux. Nthawi zina, ndulu iyi imatha kutuluka m'mimba, mpaka ku m'mero.

Kodi kusiyana pakati pa Bile Reflux ndi Acid Reflux ndi kotani?

Anthu ambiri amasokoneza awiriwa chifukwa zizindikiro zake zimafanana kwambiri. Koma pali kusiyana kwakukulu pakati pa awiriwa. Tiyeni timvetse bwino izi.

• Kubwerera m'mimba kwa asidi/GERD: Izi zimachitika pamene asidi wamphamvu m'mimba amatuluka m'mimba. Izi zimachitika chifukwa cha kufooka kwa valavu pakati pa mimba ndi m'mimba (lower esophageal sphincter). Izi zimathandiza kuti asidi m'mimba atuluke.
• Kubwerera m'mimba: Apa ndi pamene ndulu yochokera m'matumbo ang'onoang'ono imabwerera m'mbuyo kupita m'mimba. Kenako nduluyo imatha kusakanikirana ndi asidi m'mimba ndikukwera m'mimba.

Tebulo ili lidzakupangitsani kuti mumvetse bwino kusiyana kwake.

Kodi kubwereranso kwa bile kumakhudza bwanji thupi?

Ndulu si asidi. Koma ndi mankhwala amphamvu opangidwa kuti agaye mafuta. Choncho ndulu iyi ikafika pa ziwalo zofewa za m'mimba ndi m'mero, komwe sikoyenera, imawononga makoma amenewo.

Kuwonongeka kumeneku kumayambitsa kutupa.

• Ngati izi zimachitika m'mimba: Gastritis
• Ngati zimachitika m'mero: Esophagitis

Chifukwa cha izi, mungamve kupweteka m'mimba, kupweteka pachifuwa, kupweteka pakhosi, komanso nseru pafupipafupi, kusanza bwino m'mimba, komanso nthawi zina kusanza ndulu.

Kodi mavuto ake ndi otani ngati vutoli lipitirira?

Kubwerera m'mimba m'mimba si chinthu chongofunika kuchitenga mopepuka. Ngati vutoli lipitirira kwa nthawi yayitali, lingayambitse mavuto aakulu.

• Zilonda Zam'mimba: Kukumana ndi ndulu nthawi zonse kumatha kuwononga makoma a m'mimba.
• Kuwonjezeka kwa chiopsezo cha khansa ya m'mimba: Matenda a gastritis osatha apezeka kuti akuwonjezera chiopsezo cha khansa ya m'mimba.
• Barrett's Esophagus: Chifukwa cha kukhala ndi ndulu ndi asidi kwa nthawi yayitali, maselo omwe ali m'munsi mwa mmero amayamba kusintha. Izi zitha kukhala chiyambi cha khansa ya mmero.

Anthu omwe ali ndi vuto la acid reflux nawonso ali ndi zoopsa izi. Koma kafukufuku wasonyeza kuti ngati muli ndi acid reflux pamodzi ndi bile reflux, chiopsezo cha khansa iyi chimawonjezeka kangapo . Chifukwa chake ndikofunikira kwambiri kudziwa izi.

Kodi zifukwa zazikulu za biliary reflux ndi ziti?

Kutuluka kwa bile m'thupi mwa munthu wathanzi sikuchitika kawirikawiri. Pali zifukwa zingapo zomwe zingakhudze izi.

• Opaleshoni: Opaleshoni, makamaka opaleshoni ya m'mimba ndi cholecystectomy, ndi chifukwa chachikulu. Chidendene chikachotsedwa, ndulu siisungidwanso ndipo imapita m'matumbo ang'onoang'ono. Izi zimawonjezera chiopsezo cha ndulu kusonkhana ndikubwerera m'mimba.
• Kutsekeka kwa valavu ya pyloric: Vavu iyi singagwire ntchito bwino chifukwa cha zilonda kapena zipsera m'matumbo ang'onoang'ono (duodenal ulcer).
• Kusayenda bwino: Anthu ena amakhala ndi vuto la kugaya chakudya pang'onopang'ono . Izi zingayambitse chakudya ndi ndulu kukhala pamalo amodzi kwa nthawi yayitali, zomwe zimapangitsa kuti thupi liziunjikana ndikubwerera m'mbuyo.

Kodi dokotala amazindikira bwanji matendawa molondola?

Dokotala wanu angakayikire izi mukawauza za zizindikiro zanu. Koma adzafunika kuchita mayeso ena kuti adziwe ngati ndi Acid Reflux, Bile Reflux, kapena zonse ziwiri.

• Upper Endoscopy: Iyi ndi njira yofunika kwambiri yoyezera. Chubu chopyapyala komanso chosinthasintha chokhala ndi kamera chimayikidwa kudzera pakamwa kuti chione m'mero, m'mimba, ndi chiyambi cha matumbo ang'onoang'ono. Izi zimathandiza dokotala kuwona makoma amkati kuti awone kuwonongeka, kutupa, ndi ndulu. Ngati kuli kofunikira, chidutswa chaching'ono cha minofu (biopsy) chikhoza kutengedwa kuti chikayesedwe. Mudzapatsidwa mankhwala ochepetsa ululu musanachite izi, kuti musamve kusasangalala kulikonse.
• Mayeso a Esophageal Impedance: Mayesowa amatha kudziwa bwino ngati asidi kapena madzi osakhala ndi asidi, monga ndulu, akutuluka mummero. Izi zimaphatikizapo kuyika chubu chopyapyala kudzera m'mphuno kupita mummero kwa maola 24.
• Kujambula kwa HIDA: Iyi ndi njira yapadera yoyesera x-ray yomwe ingawone momwe ndulu imayendera kuchokera ku chiwindi kupita ku matumbo ang'onoang'ono, komanso ngati pali kuchedwa kulikonse kapena kubwereranso m'mimba mu ulendowo.

Kodi mankhwala ochizira izi ndi otani?

Kuchiza ndulu yobwerera m'mimba ndi kovuta pang'ono kuposa ndulu yobwerera m'mimba. Dokotala wanu adzasankha chithandizo choyenera kwambiri kutengera vuto lanu.

Mankhwala

• Ursodeoxycholic acid: Mankhwalawa amasintha kapangidwe ka mankhwala a bile, kuchepetsa kuwonongeka komwe kumayambitsa m'thupi.
• Ma Bile acid sequestrants: Izi zimamangirira ndulu yomwe imalowa m'mimba, zomwe zimachepetsa zotsatira zake zoyipa.
• Sucralfate: Mankhwalawa amagwira ntchito ngati chophimba choteteza pakhoma la m'mimba ndi m'mero, kuwateteza ku kuwonongeka komwe kumachitika chifukwa cha ndulu.
• Mankhwala oletsa kutsekula m'mimba: Izi zimathandiza kuti m'mimba mugwire ntchito mofulumira komanso zimapangitsa kuti m'mimba mutuluke madzi ambiri.

Opaleshoni

Opaleshoni ingalimbikitsidwe kwa anthu omwe ali ndi vuto lalikulu la ndulu lomwe silingathe kuthetsedwa ndi mankhwala. Pali mitundu iwiri ikuluikulu ya opaleshoni. Imodzi ndi opaleshoni yochotsa ndulu m'mimba. Imodzi ndi opaleshoni yoletsa ndulu kulowa m'mimba yomwe imalimbitsa sphincter ya m'munsi mwa mmero, yomwe imagwiritsidwanso ntchito pochotsa ndulu m'mimba.

Kodi pali zinthu zomwe mungachite kunyumba?

Funso ili ndi lofunika kwambiri. Koma zoona zake n'zakuti, mosiyana ndi Acid Reflux, Bile Reflux ndi yovuta kuilamulira kwathunthu pogwiritsa ntchito mankhwala oletsa asidi nthawi zonse kapena kusintha kwambiri zakudya.

Komabe, pali zinthu zingapo zomwe mungachite kuti muchepetse zizindikiro za matendawa:

• Khalani mutu wanu wokwezedwa pamene mukugona: Ikani zidutswa ziwiri za matabwa pamutu pa bedi, pafupifupi mainchesi 1.5 kutalika, pa miyendo. Musamangounjikana pa mapilo okha, thupi lanu lonse lakumwamba liyenera kukwezedwa.
• Kuchepetsa thupi: Pamene thupi likulemera, kupanikizika m'mimba kumatha kuwonjezeka ndipo matenda a reflux amatha kuipiraipira.
• Idyani chakudya chochepa pafupipafupi: M'malo modya chakudya chachikulu nthawi imodzi, idyani chakudya chochepa kangapo patsiku.
• Idyani chakudya chamadzulo msanga: Idyani chakudya chamadzulo osachepera maola awiri kapena atatu musanagone.
• Pewani kusuta: Kusuta kumawonjezera kufooka kwa minofu.
• Pewani kuvala zovala zothina: Zovala zothina zimatha kukakamiza mimba.