Unewo chirungurira uye kurwadziwa pachipfuva here? Ngatidzidzei nezve acid reflux uye GERD!

Mushure mekudya, dzimwe nguva unonzwa kupisa muchipfuva chako, kunzwa kuvava pahuro pako, kana kuoma mudumbu, kwakafanana nechirungurira? Izvi zviratidzo zvinowanzoonekwa nevanhu vazhinji zveacid reflux. Kunyange zvazvo zvakajairika kuti izvi zviitike dzimwe nguva, chinhu chekunetseka nacho kana zvikaitika kakawanda.

Chii chinonzi Acid Reflux? Ngatizvinzwisise zviri nyore!

Zvichitaurwa zviri nyore, acid reflux inguva apo zviri mudumbu medu, kunyanya gastric acid , zvinoyerera zvichikwira, ndiko kuti, zvichidzokera muhuro. Kazhinji, chikafu chatinodya chinoenda mudumbu chozodzika. Asi muchiitiko ichi, zvakapesana zvinoitika.

Funga nezvazvo, asidhi iyi iri mudumbu medu yakasimba zvikuru. Yakagadzirwa kuti igaye chikafu. Saka kana chimwe chinhu chakadai chikapinda mugurokuro - pombi yechikafu - chinogona kukuvadza nyama dzakatetepa dziri mukati megurokuro uye kukonzera kuzvimba. Vanhu vazhinji vanosangana neizvi nguva nenguva. Vamwe vanoti "kusagadzikana" , vamwe vanoti "kupisa kwemoyo" , kunova kunzwa kupisa kunonzwa pakati pechipfuva, pedyo nesternum.

Dambudziko iri rekusagadzikana kweacid harisi chirwere chakakomba. Asi kune vamwe vanhu, rinoitika nguva dzese. Nekusagadzikana kweacid kwakadaro, zvakaoma kurarama hupenyu hwakajairika, uye zvinogonawo kukuvadza gumbo redu.

Saka chii chinonzi GERD?

GERD izita pfupi rekuti Gastroesophageal Reflux Disease . Mune dzimwe nyika, inonyorwawo seGORD (Gastro-oesophageal Reflux Disease) . Zvisinei, zvinoreva mamiriro ezvinhu apo acid reflux mugumbo redu inoitika kwenguva yakareba (chronic acid reflux) . Kana acid ikabuda seizvi kanenge kaviri pasvondo, kwemavhiki akati wandei, saka vanachiremba vanoiona seGERD condition.

Asidhi inogona kukwira nekuda kwezvikonzero zvenguva pfupi. Semuenzaniso, kurara pasi mushure mekudya zvakanyanya. Asi GERD haisi chinhu chenguva pfupi. Idambudziko risingaperi, remakanika . Kureva kuti, mashandiro anodzivirira asidhi kuti isapinde mugurokuro haasi kushanda nemazvo.

Zvirwere izvi zvakajairika zvakadii?

Matambudziko ese ari maviri anonzi gastroesophageal reflux disease (GERD) neGERD akajairika. Munyika yakaita seAmerica, zvinofungidzirwa kuti vanhu vakuru vanosvika 20% nevana vanosvika 10% vane GERD. Dambudziko iri rinogona kuonekwa munyika medu zvakanyanya kana zvishoma.

Ndezvipi zviratidzo zveizvi? Tarisa kana uine izviwo!

Kune zviratidzo zvakawanda zveacid reflux uye GERD. Tarisa kana paine chimwe chezviratidzo izvi chaunoziva:

• Kugeza musana/Kudzoreredza: Mushure mekudya, unogona kunzwa sekuti acid yemudumbu, zvidimbu zvechikafu, uye mvura zvinodzoka muhuro mako. Izvi zvinonzi kudzoreredza . Dzimwe nguva zvinogona kuperekedzwa nekunaka kunovava .
• Kunzwa kupisa: Nekuti acid chinhu chakasimba, chinokonzera kunzwa kupisa mugurokuro. Kana izvi zvikanzwikwa muchipfuva, zvinonzi chirungurira . Kana zvikanzwikwa mudumbu, zvinonzi acid indigestion .
• Marwadzo echipfuva asiri emwoyo: Vamwe vanhu vanorwadziwa nechipfuva zvisingaite sekupisa. Tsinga dzinonzwa kurwadziwa mugurokuro dzakafanana netsinga dzinonzwa kurwadziwa mumoyo, saka dzimwe nguva dzinogona kufungidzirwa kuti chirwere chemwoyo.
• Kusvotwa: Kunzwa acid reflux kunogona kukonzera kuda kurutsa uye kurasikirwa nechido chekudya. Kunyangwe mushure menguva yakareba, mudumbu munogona kunge muchiri kunzwa kuguta.
• Huro inorwadza: Kana acid ikapinda muhuro, inogona kukonzera kurwadziwa pahuro, kunzwa sekuti pane chinhu chakanamira muhuro, uye kuoma kumedza. Kazhinji, acid inopinda muhuro usiku paunenge wakarara.
• Zviratidzo zveasthma: GERD inogona kuwedzera zviratidzo zveasthma kuvanhu vane asthma, uye kunyangwe kune vanhu vasina asthma, inogona kukonzera kukosora, kufemereka, uye kuoma kufema . Izvi zvinodaro nekuti zvidimbu zveasidhi zvinogona kutetepa nzira dzekufema kana zvikapinda mazviri.

Zviratidzo izvi zvinonyanya kunzwika rini?

• Kana wakarara kana kuti wakarara pasi husiku .
• Mushure mekudya chikafu chikuru kana chikafu chine mafuta akawanda .
• Kana ukakotama mberi.
• Kana uchisvuta kana kunwa doro .

Vana vacheche vanobatwawo neGERD here?

Zvakajairika kuti vacheche vadzoke mukaka. Asidhi shoma inogona kuuya nemukaka, asi hazvizokonzere matambudziko makuru kumwana. Zvisinei, GERD chirwere chakakomba. Chinogona kukonzera kusagadzikana nematambudziko pakuyamwisa.

Vana vanozvarwa nguva isati yakwana kana vane chirwere chine chekuita negurokuro vane mukana mukuru wekuva neGERD. Zvakanaka kuona chiremba wevana kana mwana wako aine chimwe chezviratidzo izvi:

• Kana uchigara uchichema pasina chikonzero .
• Kana uchinetseka kurara .
• Kana usingade kunwa mukaka .
• Kana uchigara uchirutsa zvishoma .
• Kana ukaita ruzha rwekufemera kana kuti inzwi rako rakashoshoma .
• Kana muine hwema hwakaipa hunobva mumuromo menyu .

Sei acid iyi ichibuda? Ndezvipi zvikonzero?

Kuti ipinde mugurokuro, acid inofanira kupfuura nepavharuvhu iri kumucheto wezasi wegurokuro iyo inowanzo dzivirira zvinhu kuti zvisadzoke. Vharuvhu iyi inonzi Lower Esophageal Sphincter (LES) .

Iyi LES imhasuru yakatenderera. Inovhurika patinomedza chikafu, yozovhara zvakare kuti zviri mudumbu zvirambe zviri panzvimbo yazvo. Inovhurikawo zvishoma patinoboora, sepatinokwiza, kuti mweya ubude.

Asidhi inokwira kana LES yava isina simba kana kuti yakasununguka zvakanyanya . Zvimwe zvinhu zvenguva pfupi zvinogona kukonzera LES kuzorora. Semuenzaniso, kurara pasi mushure mekudya kukuru. Asi kana uine GERD, LES yako inogara ichizorora.

Zvikonzero zvinowanzo kukonzera kushaya simba kweLES zvinosanganisira:

• Hernia yeHiatal: Apa ndipo apo chikamu chepamusoro chedumbu chinosunda nepaburi riri mu diaphragm apo gumbo rinodzika. Rinogona kunamatira pagumbo, zvichiita kuti acid iungane. Zvakare, nekuti LES iri pamusoro pedumbu, ine tsandanyama shoma dzinotsigira. Dambudziko iri rinowanzoitika nekukura uye rinogona kuwedzera zvishoma nezvishoma.
• Kubata pamuviri: Kubuda kweacid kwenguva pfupi kunowanzoitika panguva yekuzvitakura. Kumanikidzwa kwemwana ari kukura mudumbu kunogona kutambanudza nekushayisa simba tsandanyama dzinotsigira LES. Uyewo, mahormone anoburitswa panguva yekuzvitakura, akadai serelaxin ( inozorodza tsandanyama kuti ipe nzvimbo yemwana), estrogen, uye progesterone, anogonawo kuzorodza LES.
• Kufuta: Kufuta kunogonawo kuwedzera kumanikidzwa kwemuviri, izvo zvinogona kukanganisa LES, kungofanana nepamuviri. Kufuta kunogona kugara kwenguva yakareba kupfuura pamuviri, uye tsandanyama dzinogona kushaya simba zvachose. Ichi ndicho chikonzero chikuru chehernias yehuremu. Sezvo mafuta ari munyama achiburitsa estrogen, huwandu hweestrogen muvanhu vakafuta hunowedzerawo.
• Kusvuta: Zvinhu zviri mufodya zvinozorodza LES. Izvi zvinogona kuitika kunyangwe uchisvuta kana kufema utsi kana vamwe vachisvuta (utsi hwevamwe). Kusvuta kunokonzera kukosora, uye paunokosora, LES inovhurika. Kuramba uchisvuta nekukosora kunogona kunetesa tsandanyama dzemadziro edumbu uye kukonzera hernia yekusununguka kwemwana. Kwete izvozvo chete, kusvuta kunoderedzawo kugaya chikafu uye kunoita kuti mudumbu mubudise acid yakawanda .

Zvimwe zvikonzero zvinogona kukonzera GERD zvinosanganisira:

• Zvimwe zvikanganiso zvekuzvarwa nazvo: Semuenzaniso, zvirwere zvine chekuita negurokuro zvakaita se esophageal atresia .
• Zvirwere zve connective tissue: Zvirwere zvakaita se scleroderma zvinogona kukanganisa tsandanyama dzegurokuro.
• Kuvhiyiwa kwakaitwa pachipfuva kana pamusoro pedumbu kungave kwakakanganisa gumbo.
• Mimwe mishonga: Mimwe mishonga inogona kuzorodza LES.
• Benzodiazepines (inonyaradza marwadzo)
• Mishonga yekudzivirira BP (calcium channel blockers )
• Mishonga yeTricyclic antidepressants (mishonga yekuderedza kushungurudzika uye marwadzo)
• NSAIDs (Mishonga isingarwisi kuzvimba) - mishonga inoderedza marwadzo yakaita seaspirin neibuprofen
• Theophylline (mushonga unowanzo shandiswa pakurapa asthma)
• Kurapa nehomoni (HT) panguva yekuenda kumwedzi

Chikafu nechinwiwa zvinokanganisa izvi here?

Chikafu nechinwiwa chega chingasakonzere acid reflux, asi zvinogona kuita kuti zvinhu zviwedzere kuipa. Kudya zvinhu zvakawandisa zvakaita sechokoreti , kofi, doro, mint, gariki, nehanyanisi kunogona kuzorodza LES.

Zvikafu zvine mafuta zvinowedzera acid mudumbu uye zvinotora nguva yakareba kuti zvigayiwe. Saka pane mukana mukuru wekuti acid irambe ichikwira. Kana ukadya chikafu chakawanda chemanheru, chingasagayiwe usati warara.

Ndezvipi zvinetso zvingamuka kana izvi zvikaramba zvichiitika?

Asidhi iri mudumbu medu ine simba guru. Yakagadzirirwa kugaya chikafu chatinodya. Dumbu redu rine jira gobvu mukati kuti ridzivirire kubva kuasidhi iyi. Asi dzimwe nhengo dzedu hadzina dziviriro iyi.

Asidhi inobuda mumuviri inonyanya kukanganisa gurokuro. Asi dzimwe nguva asidi iyi inogonawo kufamba ichipinda mumhepo kana munzira dzekufema. Kunyangwe kana acid shoma ikabuda, inogona kukonzera kusagadzikana, asi kana ikabuda nguva dzose, inogona kukuvadza nhengo idzi.

Matambudziko angangoitika:

• Esophagitis: Uku kuzvimba kwemukati megurokuro. Kugara kwenguva refu kwegurokuro kunogona kukonzera marwadzo asingaperi uye maronda mugurokuro. Nekufamba kwenguva, kunogona kukonzera mavanga kana metaplasia yemudumbu, chirwere chisati chaitika kenza chinogona kutungamira kukenza.
• Barrett's esophagus: Iri ndiro zita rinopiwa chirwere chinonzi intestinal metaplasia mugumbo. Apa ndipo apo jira regumbo rinoshanduka uye rinoita sejira remudumbu. Izvi zvinokonzerwa nekusangana kwenguva refu neacid uye kuzvimba. Ichi chinhu chinokonzera kenza yegumbo .
• Kuoma kwedumbu: Mavanga anogona kuumbwa mugurokuro kudzivirira kuzvimba kwenguva refu uye kukuvara. Mavanga aya anogona kukonzera kuti gurokuro ritete. Izvi zvinonzi stricture . Izvi zvinogona kuita kuti zviome kumedza nekudya.
• Kubuda kweasidhi muhuro nepaburi (Laryngopharyngeal reflux - LPR):Vamwe vanhu vane GERD vanowanawo LPR, inova ndiyo nguva apo acid inokwira muhuro. Acid inogona kupinda muhuro paunenge wakarara. Izvi zvinogona kukonzera kuti pahuro pazvimbe, inzwi rako rive rakashoshoma, uye kukura kwenzwi . Zvidimbu zveasidhi zvinogonawo kupfurwa mumhepo yako.
• Asthma: Kufema neacid kunogona kuwedzera asthma muvanhu vane asthma kare, uye kunyangwe muvanhu vasina chirwere chekufema chagara chiripo, zviratidzo zvakafanana neasthma zvinogona kuitika. Zvidimbu zvidiki zveacid zvinogona kukanganisa machubhu ebronchial, zvichiita kuti atetepe, zvichikonzera kukosora uye kuoma kufema.

Ungaziva sei kuti une GERD? Ndezvipi zvinoongororwa nachiremba?

Chiremba wezvekudya achaongorora gumbo rako kuti aone kana uine GERD. Kune bvunzo dzinoverengeka dzinogona kuitwa kuti aone izvi:

• Esophagram: Iyi i X-ray test. Guroko rinoongororwa uchishandisa X-rays (fluoroscopy) inofamba-famba paunomedza. Unopiwa mvura yakaita sechoko inonzi barium kuti unwe.
• Upper endoscopy: Izvi zvinosanganisira kuisa chubhu tete ine kamera mumuromo mako kuti uongorore mukati megurokuro rako. Uchapihwa mushonga wekuzorora zvishoma uye worara.
• Kuongororwa kwepH yemudumbu: Izvi zvinoyera huwandu hweasidhi mugurokuro. Panguva ye endoscopy, chiremba anoisa sensor diki isina waya (wireless receiver) mugurokuro.
• Esophageal manometry: Iyi inoyera mashandiro emhasuru dziri mugurokuro. Izvi zvinoitwa uchishandisa ma pressure sensors akaiswa mu nasogastric tube. Izvi zvinogona kuona kana LES kana dzimwe tsandanyama dziri kushanda nemazvo.

Ndeipi mishonga yekurapa iyi?

Vamwe vanhu vanogona kuderedza acid reflux yavo nekuchinja mararamiro avo, zvakaita sekuchinja maitiro avo ekudya, kuderedza doro nekuputa fodya, uye kuderedza huremu. Vanachiremba vanokurudzirawo vanhu kuti vatevere nzira idzi.

Asi kana uine chirwere che chronic acid reflux kana GERD, vanachiremba vanogona kunyora mishonga inoderedza acid yemudumbu. Zvadaro, kunyangwe acid ikamuka, haizokuvadzi zvakanyanya. Mishonga iyi inowanikwa nyore nyore uye inoshanda zvikuru paGERD.

Mushonga

Mishonga inotengeswa kunze kwemutero (OTC) inowanikwa kubva kuzvitoro zvemishonga pasina mushonga:

• Mishonga Inorwisa Asidhi: Mishonga Inorwisa Asidhi, yakaita seTums® neRolaids®, inoderedza acid yemudumbu. Izvi zvinoreva kuti kunyangwe acid ikamuka, haizokonzere kukuvadzwa kwakanyanya kwegurokuro. Izvi zvakanaka kune dzimwe nguva acid reflux, asi zvinogona kukonzera migumisiro yakaipa kana ikatorwa nguva dzose, saka haisi mhinduro yakanaka kwenguva refu.
• MaAlginates:Alginate ishuga yechisikigo inotorwa kubva mugungwa. Inoyangarara pamusoro peasidhi, zvichiita kuti pave nechipingamupinyi pakati peasidhi negurokuro. Kune mishonga ine alginate chete, pamwe nemishonga inosanganisa alginate nemishonga inorwisa asidhi.

Mishonga inonyorerwa nachiremba:

• Mishonga inodzivirira ma histamine receptor (H2 blockers): Mishonga inodzivirira ma H2 inoderedza kugadzirwa kweasidhi yemudumbu. Izvi zvinokonzerwa nekuti inovhara kemikari (histamine) inoudza muviri kuti ugadzire asidhi. Iyi mishonga inogona kutorwa kakawanda kupfuura mishonga inoderedza asidhi, asi haishande nguva dzose kwenguva refu. Muviri unogona kuijaira.
• Proton pump inhibitors (PPIs): MaPPI imhando yemishonga inovhara acid zvinobudirira uye inokurudzira kupora kwenyama. Chiremba wako anogona kukukurudzira kutanga kana GERD yako yakanyanya kana kana uine zviratidzo zvekukuvadzwa kwenyama iri mugurokuro rako. Anoshanda ne90% pakuderedza acid reflux.
• Baclofen: Baclofen mushonga unozorodza tsandanyama. Unowanzo pihwa kuderedza kugwinha kwetsandanyama. Unogonawo kuderedza huwandu hweLES hunozorora, izvo zvinogona kuderedza huwandu hweasidhi inobuda. Hausi mushonga wekutanga wekurapa acid reflux, asi unogona kunge uri chikamu chechirongwa chako chekurapa.

Hapana nzira yekumisa kana kurapa zvachose acid reflux here?

Kunyange zvazvo mishonga ichigona kuderedza zviratidzo nemigumisiro yeGERD, haigone kuimisa zvachose. Kunyangwe kana munhu ane GERD yakanyanya ari kutora mishonga, unogona kusangana nematambudziko, kunyangwe usingazvizivi.

Muzviitiko zvakadaro, mushonga unogara kwenguva refu unodiwa kudzivirira acid kuti isabude. Izvi zvinowanzoreva kuvhiyiwa kusimbisa LES . Izvi hazviwanzo kuva maoparesheni makuru, asi maoparesheni ekunze, uye anobudirira zvikuru.

Kuvhiya

Kuvhiyiwa kweGERD:

• Nissen fundoplication: Uku ndiko kuvhiyiwa kunonyanya kuitwa neGERD. Kana zvichibvira, kunoitwa ne laparoscopically . Izvi zvinoreva kuti kunoitwa nekucheka kudiki, zvinoreva kuti nguva yekupora ipfupi. Chiremba anovhiya anotora chikamu chepamusoro chedumbu, ochiputira pachikamu chezasi chegurokuro, ochisona pamwe chete. Kuvhiyiwa uku kunoitwawo kune vanhu vane hiatal hernias.
• Mudziyo weLINX: Iyi inzira itsva. Mudziyo unonzi LINX unoiswa nekuvhiyiwa. Mudziyo weLINX idenderedzwa diki remagineti. Unobatsira kuchengetedza kubatana pakati pedumbu negurokuro kwakavharwa.

Chii chaungaita kuti uderedze acid reflux kumba?

Edza zvinhu izvi kudzora acid reflux kumba:

• Idya zvidiki:Kudya kukuru kunozadza dumbu uye kunoisa simba paLES. Kudya kudiki kunogayiwa nekukurumidza uye hakuburitse acid yakawanda mudumbu.
• Idyai kudya kwemanheru nguva isati yakwana: Zvakanaka kudya maawa mashoma usati warara pasi woenda kunorara husiku, sezvo simba remagetsi rinoita kuti acid isanyanya kuderera.
• Rara nerutivi rwako rweruboshwe: Paunorara nenzira iyi, LES yako inogara pamusoro pezviri mudumbu rako, sehomwe yemhepo. Kurara nerutivi rwako kana kurudyi kunogona kukonzera kuti vharuvhu iputsike.
• Deredza kumanikidzwa kwemudumbu: Pfeka mbatya dzisina kusimba. Kana wakafuta, edza kuderedza uremu. Izvi zvichabatsira munguva pfupi pamwe nerefu.
• Rega kusvuta nekunwa doro: Fodya nedoro zvinoderedza simba reLES. Zvinowedzerawo acid mudumbu, izvo zvinowedzera nguva yekugaya chikafu.
• Mishonga inotengeswa kunze kwemutero: Chengeta mishonga yakaita semishonga inorwisa asidhi nealginates . Shandisa izvi kunyanya kana uchiziva kuti uchadya chikafu chinorema uye chine asidhi.

Unoitei kana acid ikangoerekana yabuda?

Edza kuita zvinhu izvi panguva iyoyo chaiyo:

• Simuka: simba rinokwevera pasi riri parutivi rwako.
• Inwa mvura shoma kana mbiri: Usanwe mvura yakawanda, asi mvura shoma shoma inogona kubatsira kubvisa acid.
• Sunungura bhandi remuchiuno: Bvisa mabhatani ebhandi, kana kuchinja bhurugwa kana uchikwanisa.
• Inwa mushonga unorwisa asidhi: Kana usina mushonga uri pedyo, chimwe chinhu chakadai sePepto Bismol® chingakubatsira.

Ndinofanira kuona chiremba rini nezvenyaya iyi?

Kana uchigara uchirwara nechirungurira, enda kuna chiremba . Zvakakosha kuti unzwisise kuti chiri kukanganisa sei muviri wako. GERD haisi kungogumbura chete asi inogona kukuvadza. Uye, kune mishonga yakanaka yekurapa.

Vanhu vazhinji vanonzwa chirungurira nguva nenguva. Chirungurira, kurwadziwa mudumbu, uye acid reflux zvinogona kuita kuti zviome kupedza zuva rose. Pane zvinhu zvaunogona kuita kuti uderedze kuwanda kwezviratidzo izvi.

Asi kana uchigara uchirwara nechirungurira uye zvichikanganisa hupenyu hwako, ungangove uine GERD. Zvakakosha kutaura nachiremba nezvezviratidzo zvako. Vanogona kukubatsira kusarudza kana kurapwa kungabatsira.

Yeuka chinhu chinonyanya kukosha (Mharidzo Yekuenda Kumba)

Kurwara neacid reflux uye GERD zvirwere zvinobata vanhu vazhinji. Kunyange zvazvo zviri zvakajairika kuva nazvo nguva nenguva, zvakakosha kuziva nezvazvo kana zviri dambudziko renguva dzose.

• Ziva zviratidzo zvako. Ngwarira zvinhu zvakaita sekuvava pahuro, kurwadziwa pachipfuva, uye kuoma kumedza.
• Kuchinja mararamiro ako zviri nyore kunogona kuita mutsauko mukuru. Funga nezvezvaunodya, nguva yaunodya, uye kuti unorara sei.
• Rega kusvuta nedoro.Izvi zviri kutowedzera dambudziko iri.
• Kana usingakwanise kudzora chirwere ichi nemishonga yekumba, iva nechokwadi chekutsvaga rubatsiro rwechiremba . GERD chirwere chinorapika. Zvisinei, kana chikasarapwa, chinogona kukonzera matambudziko.
• Usazvidya moyo. Dambudziko iri rinogona kugadziriswa zvakanaka kana ukabatsirwa nemazano akakodzera uye ukarapwa. Taura nachiremba wako pachena.

Ndinovimba kuti ruzivo urwu runobatsira. Ramba uine hutano hwakanaka!

` Asidi reflux, GERD, chirungurira, kuzvimba kwemudumbu, kusagadzikana kwekugaya chikafu, esophagitis, kurapwa kwechiremba