Dzimwe nguva unonzwa kupisa pakati pechipfuva chako mushure mekudya chikafu chakawanda here? Kana kuti unonzwa kuvava pahuro pako mushure mechinguva? Vanhu vazhinji muSri Lanka vanoti izvi "gastritis". Asi izvi hazvisi gastritis nguva dzose. Ichi chimwe chinhu chakasiyana, uye chingave chirwere chatinofanira kuziva. Nhasi tiri kutaura nezveAcid Reflux neGERD, inova chirwere chakakomba.
Zvichitaurwa zviri nyore, chii chinonzi Acid Reflux?
Zviri nyore kwazvo. Dumbu redu rine marudzi akawanda emaacid anobatsira kugaya chikafu. Kazhinji, chikafu ichi neasidhi zvinofanirwa kudzika kubva mudumbu, kureva kuti, kuenda kuura. Ndiyo nzira chaiyo. Zvisinei, kana acid iyi yemudumbu ikadzoka kumusoro, kureva kuti, nemuchubhu yatinomedza chikafu (esophagus) uye kuenda kuhuro, tinoidaidza kuti Acid Reflux.
Funga nezvekuti acid iri mudumbu mako yakasimba zvakadii. Madziro edumbu rako ane chifukidziro chakakosha chinogona kutsungirira acid iyoyo. Asi pahuro nepagurokuro redu hazvina chifukidziro chakakosha ichocho. Saka kana acid iyoyo yakasimba yabuda, inopisa nyama dzakatetepa dziri munzvimbo idzodzo uye inokonzera kuzvimba. Izvi ndizvo zvatinodaidza kuti "heartburn." Zvingave zvakajairika kunzwa seizvi nguva nenguva. Asi ichi hachisi chirwere.
Saka chii chinonzi GERD?
GERD idimikira rekuti Gastroesophageal Reflux Disease . MuchiSinhala, zvinoreva chirwere chegastroesophageal reflux. Kunyange zvazvo zita racho rakaoma kunzwisisa, riri nyore kunzwisisa.
Kubuda kweacid mudumbu nguva nenguva hakusi dambudziko. Asi kana chirwere ichi chikaramba chiripo, zvichireva kuti kana ukanzwa kupisa muchipfuva nepahuro kanopfuura kaviri pasvondo, tinozviti GERD. Ichi chirwere chekurapa.
Zvichitaurwa zviri nyore, GERD chirwere chinonzi chronic acid reflux. Chinoitika pano ndechekuti pane kusasimba mukushanda kunoita kuti zviri mudumbu zvisabude.
Ndezvipi zviratidzo zveAcid Reflux uye GERD?
Vanhu vazhinji vanogona kunge vaine chimwe kana kupfuura chezviratidzo izvi panguva imwe chete. Ngatitarisei zvikuru.
| Chiratidzo | Tsananguro iri nyore |
|---|---|
| Kudzokera kumwedzi | Kunzwa chikafu, mvura, kana acid zvichidzoka kubva mudumbu zvichienda pahuro nguva pfupi mushure mekudya. Kunzwa kuvava mumuromo. |
| Kunzwa kwekutsva | Chirungurira ndicho chiratidzo chikuru. Vamwe vanhu vanogonawo kuchinzwa sekupisa mudumbu (acid indigestion). |
| Kurwadziwa kwechipfuva kusiri chirwere chemwoyo | Kune vamwe vanhu, izvi zvingasaita sekunge zviri kutsva, asi sekunge zviri kusimba muchipfuva. Vamwe vanhu vanotya nekuti kurwadziwa uku kwakafanana nekurwadziwa kwemoyo. |
| Kusvotwa uye anorexia | Asidhi yemudumbu inogona kukwira, zvichikonzera kuda kurutsa uye kushaya chido chekudya. Unogona kunzwa wakaguta kunyangwe mushure menguva yakareba uchidya. |
| Huro inorwadza uye kuoma kumedza | Kana acid ikapinda muhuro, inogona kukonzera kurwadziwa pahuro. Inogona kunzwa sekunge pane chinhu chakanamira muhuro, sebundu. Inogonawo kuoma kumedza. Izvi zvinowanzoitika husiku. |
| Zviratidzo zvakafanana neasthma | GERD inogona kukonzera zviratidzo zvakafanana neasthma, zvakaita sekukosora nguva dzose, kufemera, uye kufemera. |
Zviratidzo izvi zvinowedzera rini?
- Paunorara pasi kuti urarare husiku.
- Mushure mekudya chikafu chikuru chine mafuta akawandisa nemhiripiri.
- Kana ukakotama mberi.
- Kana uchisvuta kana kunwa doro.
Vana vadiki vanobatwa neGERD here?
Ehe. Zvakajairika kuti vacheche vasvipe mate mushure mekunwa mukaka. Haisi dambudziko guru. Asi GERD chirwere chakakomba. Chinogona kukonzera kusagadzikana uye kuramba kudya. Vacheche vanozvarwa nguva isati yakwana kana vane dambudziko mugurokuro vane mukana wekuwana GERD.
Zviratidzo zveGERD mumwana mudiki zvinogona kusanganisira:
- Kugara uchichema pasina chikonzero, kushaya zororo.
- Kuomerwa nekurara.
- Kuramba kunwa mukaka.
- Kurutsa kakawanda.
- Kufema kana kurira kwezwi kana uchifema.
- Kufema kusina kunaka.
Sei tichiwana acid reflux yakadai?
Chikonzero chikuru cheizvi kushaikwa kwemhasuru inoshanda sevharuvhu kumagumo egurokuro redu (pombi yechikafu), uko inosangana nedumbu. Mukurapa, izvi zvinonzi Lower Esophageal Sphincter (LES) .
Iyi LES yakafanana negonhi. Patinomedza chikafu, gonhi iri rinovhurika, uye kana chikafu chikapinda mudumbu, rinovharika zvakare. Kana ravharika, zviri mukati medumbu hazvigone kudzokerwa. Asi kana gonhi iri re LES rikaneta nekuda kwechimwe chikonzero, kana rikasavharika zvakanaka, ipapo acid iri mudumbu inobuda.
| Zvikonzero zvikuru zvekushaya simba kweLES | |
|---|---|
| Hernia yeHiatal | Apa ndipo apo chikamu chepamusoro chedumbu chinosundira muchipfuva. Izvi zvinowanzoitika sezvatinokura. Izvi zvinochinja kumanikidzwa kweLES uye zvinoderedza simba rayo. |
| Pamuviri | Munguva yekuzvitakura, kumanikidzwa kwedumbu riri kukura uye kuchinja kwemahormone zvinogona kukonzera kuti LES iderere. Dambudziko iri rinowanzopera mwana aberekwa. |
| Kufuta | Sezvaunowedzera uremu, mafuta emudumbu mako anowedzera, izvo zvinowedzera kumanikidzwa mukati medumbu mako. Kumanikidzwa uku kunosundira LES kumusoro, zvichiita kuti zvive nyore kuti acid ikwire. |
| Kusvuta | Makemikari ari mufodya anoita kuti LES iderere. Kusvuta kunoderedzawo kugaya chikafu uye kunowedzera kugadzirwa kweasidhi mudumbu. |
Kuwedzera kune izvi zvikuru zvinokonzera, mimwe mishonga (semuenzaniso, mimwe mishonga yeBP, mishonga inoderedza marwadzo), mimwe mishonga (chokoreti, kofi, mint, chikafu chine mafuta), uye doro zvinogona kukanganisawo izvi.
Chii chinoitika kana tikatora izvi sekuzvimba chete? (Matambudziko)
Apa ndipo patinofanira kunyatsoteerera. Kana tikasazvitora se "chirwere chegastritis" chishoma, zvinogona kukonzera matambudziko akakomba nekufamba kwenguva.
- Esophagitis: Mupendero wegurokuro unogona kuzvimba uye kuvaviwa nekuda kweacid reflux inoramba ichibuda . Izvi zvinogona kukonzera kurwadziwa kunoramba kuripo uye kuoma kumedza.
- Barrett's esophagus: Ichi chirwere chakakomba zvikuru. Nekuda kwekugara kwenguva refu uchisangana neacid, masero ari muchikamu chezasi chesophagus anotanga kuchinja. Ichi chirwere chisati chaitika kenza chinogona kukura kuita kenza .
- Kuoma kwedumbu: Sezvo kukuvara kuri kuramba kuchipora, mavanga anogona kuumbwa mugurokuro, zvichiita kuti nzvimbo yacho ive diki. Izvi zvinogona kuita kuti zviome kumedza chikafu.
- Matambudziko ehuro nekufema: Kana acid ikasvika pahuro yopinda mudumbu, inogona kukonzera zvirwere zvakaita sekukosora nguva dzose, kurira kwezwi, uye asthma, kana kuwedzera asthma iripo.
Chiremba anoongorora sei GERD?
Mushure mekuteerera zviratidzo zvako, chiremba wako anogona kukurudzira bvunzo dzinoverengeka kuti asimbise chirwere chacho uye kuona kuoma kwacho.
- Endoscopy yepamusoro: Muizvi, chubhu diki ine kamera kumagumo inopinzwa nemuromo uye mukati megurokuro nemudumbu munoongororwa. Izvi zvinogona kuona zvakajeka kana paine maronda kana shanduko.
- Kuongororwa kwepH: Izvi zvinoyera kuti inguva yakareba sei uye kuti ingani acid iri mugurokuro.
- Esophageal manometry: Bvunzo iyi inoyera kumanikidzwa uye mashandiro emhasuru dziri muLES nepasophagus.
Ndezvipi zvinorapwa izvi?
Kurapa kweGERD kunogona kukamurwa muzvikamu zvitatu zvikuru. Kazhinji, imwe kana kupfuura yenzira idzi inoshandiswa pamwe chete.
1. Kuchinja kwemararamiro netsika dzekudya
Kunyangwe tisati tashandisa mishonga, chirwere ichi chinogona kudzorwa zvakanyanya nekuchinja diki mararamiro edu.
- Kuderedza uremu: Kana wakafuta, kuderedza uremu chinhu chakakosha.
- Kudzora kudya: Pane kudya chikafu chikuru chimwe chete panguva imwe chete, idyai chikafu chidiki kakawanda mukati mezuva.
- Dzivisa zvekudya zvine mafuta akawanda uye zvinonhuhwirira:Deredza kudya kwako zvekudya zvine spicy, mafuta, chikafu chakakangwa, chokoreti, kofi, uye mint.
- Kurara pasi mushure mekudya: Usarara pasi kwemaawa maviri kusvika matatu mushure mekudya husiku.
- Kurara: Kana wakarara, rara wakasimudza musoro zvishoma. Zvingava nani kana ukakwanisa kusimudza mubhedha zvishoma nekuisa zvidimbu zviviri zvehuni pamakumbo pamusoro pemubhedha.
- Kusvuta nedoro: Zvakakosha kurega zvese izvi zvachose.
2. Mishonga (mhando dzemishonga)
Kana kuchinja mararamiro ako chete kusina kukwana kudzora zviratidzo zvako, chiremba wako anogona kukupa mishonga.
- Mishonga inorwisa maasidhi: Iyi inoshanda nekukurumidza kuderedza acidity yemudumbu. Yakanakira chirungurira dzimwe nguva, asi haisi mhinduro yenguva refu.
- H2 blockers: Izvi zvinoderedza kugadzirwa kweasidhi yemudumbu.
- Proton pump inhibitors (PPIs): Iyi ndiyo mishonga ine simba kwazvo inoderedza acid iripo. Inonyanya kumisa kugadzirwa kweacid uye inobatsira kuporesa maronda mugurokuro.
Chinhu chinonyanya kukosha: Chero mishonga iyi inofanira kushandiswa chete kana chiremba wako akupa zano. Kuitora ku pharmacy sezvaunoda kunongowedzera dambudziko racho uye kukonzera matambudziko emukati.
3. Kuvhiyiwa
Kune avo vane GERD yakanyanya isingapindure kana yapihwa mishonga, kana avo vane chirwere chakaita sehernia yemudumbu, kuvhiyiwa kunogona kukurudzirwa. Izvi zvinosanganisira kusimbisa LES isina simba.
Unofanira kuitei kana ukangoerekana wanzwa kurwadziwa pachipfuva?
- Simuka wakatwasuka: Kana wakarara pasi, simuka ugare kana kuti mira wakatwasuka. Simba regiravhiti rinobatsira kuti acid iderere.
- Inwa mvura: Kwete yakawanda, kunwa mvura shoma kunogona kubatsira kubvisa acid nekudzika.
- Sunungura mbatya dzako: Kana wakapfeka mbatya dzakasimba kana bhandi, risunungure.
- Mushonga wekudzivirira asidhi: Kana uine mushonga wekudzivirira asidhi wawakanyorerwa nachiremba, shandisa.
Mharidzo Yekuenda Nayo Kumba
- Kunyange hazvo chirungurira chiri chinhu chakajairika, kana ukaona zviratidzo izvi kanopfuura kaviri pasvondo, chirwere (GERD).
- Usangozvifuratira, uchifunga kuti i "gastritis." Kana uine zviratidzo izvi, enda kuna chiremba kuti uwane chirwere chakarurama.
- Chirwere ichi chinogona kudzorwa zvakanyanya nekuchinja mararamiro uye maitiro ekudya.
- Kana chirwere cheGERD chikasarapwa nemazvo, chinogona kukonzera matambudziko akakomba akadai sekenza yegurokuro.
- Usatore mishonga inoderedza acid kwenguva yakareba sezvaunoda usina kubvunza chiremba.
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