Asidhi Ndiyo Chete Inokonzera Chirungurira Chako Here? Ngatikurukurei Nezve Kudzoka Kwemvura Mudumbu

Unogara uchirwarawo nechirungurira here? Zvinoita sekunge zviri kupisa, sekunge zviri kubuda pahuro pako. Tinowanzo funga kuti ichi chirwere chegastritis kana kuti acid reflux. Ichokwadi, uye kazhinji ndicho chikonzero. Asi dzimwe nguva chikonzero chekunzwa uku kunopisa kunogona kunge kuri chimwe chinhu. Icho chirwere che bile reflux, kana sezvatinochidana nechiremba, chirwere chinonzi bile reflux. Ngatitaurei nezvazvo nhasi, nenzira yaunogona kunzwisisa.

Zvichitaurwa zviri nyore, chii chinonzi bile reflux?

Funga nezvegadziriro yedu yekugaya chikafu senzira imwe chete. Chikafu chinopinda mumuromo, chinopfuura nemugurokuro, chichipinda mudumbu, uye chichipinda muura hudiki. Kuti rwendo urwu rurambe rwakanaka, kune mavharuvhu (sphincters) anovhurika nekuvharika panzvimbo dzakasiyana-siyana. Izvi zvinobvumira chikafu nemajusi ekugaya chikafu kufamba mberi uye zvinodzivisa kuyerera kumashure.

Zvino ngatitarisei kuti 'bile' chii. Bile imvura yegirini-yero inogadzirwa muchiropa chedu uye inochengetwa munduru. Patinodya chikafu chine mafuta, bile iri rinopinda muura hudiki uye rinobatsira kugaya mafuta iwayo.

Chikafu chinobva mudumbu chinopinda muura hudiki kuburikidza nevharuvhu inonzi pyloric valve. Kazhinji, vharuvhu iyi inovhara zvakanaka. Asi kana vharuvhu iyi ikaneta kana kuti ikasavhara zvakanaka, nyongo iri muura hudiki inoyerera ichidzokera shure, ichipinda mudumbu, kwaisingafaniri kuenda. Izvi ndizvo zvatinodaidza kuti Bile Reflux. Dzimwe nguva, nyongo iyi inogona kubuda mudumbu, kusvika pagurokuro.

Ndeupi musiyano uripo pakati peBile Reflux neAcid Reflux?

Vanhu vazhinji vanovhiringidza izvi nekuti zviratidzo zvakafanana zvikuru. Asi pane musiyano mukuru pakati pezviviri izvi. Ngatinzwisise izvi zvakajeka.

• Acid Reflux/GERD: Apa ndipo apo acid yakasimba yemudumbu inoyerera ichikwira mugumbo. Izvi zvinokonzerwa nekushaikwa kwevharuvhu iri pakati pedumbu negumbo (lower esophageal sphincter). Izvi zvinobvumira acid yemudumbu kuti iyerere kumusoro.
• Kudzoka kweBile: Apa ndipo apo bile rinobva muura hudiki rinoyerera richidzokera kumashure richipinda mudumbu. Bile rinogona kusanganiswa neacid yemudumbu rofamba richikwira mugurokuro.

Tafura iyi ichaita kuti mutsauko uve pachena kwauri.

Kudzoka kwe bile kunokanganisa sei muviri?

Bile harisi acid. Asi ikemikari ine simba yakagadzirirwa kugaya mafuta. Saka bile iri parinosvika padumbu nepagurokuro, parisingafaniri kuva, rinokuvadza madziro iwayo.

Kukuvadzwa uku kunokonzera kuzvimba.

• Kana zvikaitika mudumbu: Gastritis
• Kana zvikaitika mugurokuro: Esophagitis

Nekuda kweizvi, unogona kurwadziwa mudumbu, kurwadziwa pachipfuva, kurwadziwa pahuro, pamwe nekunzwa kuda kurutsa nguva nenguva, kusagadzikana kugaya chikafu, uye dzimwe nguva kurutsa nyongo.

Ndezvipi zvinetso kana mamiriro ezvinhu aya akaramba aripo?

Kubuda kwenyongo hakusi chinhu chekurerutsa. Kana chirwere ichi chikaramba chiripo kwenguva yakareba, chinogona kukonzera matambudziko akakomba.

• Maronda emudumbu: Kugara uchisangana nenyongo kunogona kukuvadza madziro emudumbu.
• Kuwedzera kwengozi yekenza yemudumbu: Gastritis isingaperi yakaonekwa kuti inowedzera njodzi yekenza yemudumbu.
• Barrett's Esophagus: Nekuda kwekugara kwenguva refu uchinwa bile neacid, masero ari muchikamu chezasi chegurokuro anotanga kuchinja. Izvi zvinogona kuva chiratidzo chegomarara regurokuro.

Vanhu vane acid reflux vanewo njodzi idzi. Asi zvidzidzo zvakaratidza kuti kana uine acid reflux pamwe chete ne bile reflux, njodzi yekenza iyi inowedzera kakawanda . Saka zvakakosha kuziva izvi.

Ndezvipi zvikonzero zvikuru zve bile reflux?

Kubuda kwe bile mumunhu ane hutano hwakanaka hakuwanzoitiki. Pane zvikonzero zvakawanda zvinogona kukanganisa izvi.

• Kuvhiyiwa: Kuvhiyiwa, kunyanya kuvhiyiwa kwemudumbu nekubvisa cholecystectomy, ndicho chikonzero chikuru. Kana nduru yabviswa, nduru haichachengetwi uye inoyerera ichipinda muura hudiki. Izvi zvinowedzera njodzi yekuti nduru iungane uye ipinde mudumbu.
• Kuvharika kwevharuvhu yepyloric: Vharuvhu iyi inogona kusashanda zvakanaka nekuda kwemaronda kana mavanga muura hudiki (duodenal ulcer).
• Kusafamba zvakanaka: Vamwe vanhu vane chirwere chekugaya chikafu chinononoka . Izvi zvinogona kukonzera kuti chikafu nenyongo zvigare panzvimbo imwe kwenguva yakareba, zvichikonzera kumanikidzwa kuungana uye kudzokera shure.

Chiremba anonyatsoongorora sei chirwere ichi?

Chiremba wako anogona kufungidzira izvi paunomuudza nezvezviratidzo zvako. Asi vachafanira kuita bvunzo kuti vaone kana chiri cheAcid Reflux, Bile Reflux, kana zvese zviri zviviri.

• Endoscopy Yepamusoro: Iyi ndiyo bvunzo inonyanya kukosha. Chubhu yakatetepa, inochinjika ine kamera inopinzwa nemuromo kuti iongorore gurokuro, dumbu, uye kutanga kweura hudiki. Izvi zvinoita kuti chiremba aone madziro emukati kuti aone kana paine kukuvara, kuzvimba, uye nyongo. Kana zvichidikanwa, chidimbu chidiki chenyama (biopsy) chinogona kutorwa kuti chiongororwe. Uchapihwa mushonga wekunyaradza usati waita izvi, kuitira kuti usazonzwa kusagadzikana.
• Kuongororwa kweEsophageal Impedance: Kuongororwa uku kunogona kuona kana mvura ine acid kana isiri acidic, yakaita sebile, iri kubuda mugurokuro. Izvi zvinosanganisira kuisa chubhu tete nepamhino ichipinda mugurokuro kwemaawa makumi maviri nemana.
• HIDA Scan: Iyi i x-ray test yakakosha inogona kutarisa kuti bile rinofamba sei kubva pachiropa kuenda kudumbu diki, uye kana paine kunonoka kana reflux murwendo irworwo.

Ndezvipi zvinorapwa izvi?

Kurapa bile reflux kwakaoma zvishoma pane acid reflux. Chiremba wako ndiye achasarudza mushonga wakakodzera zvichienderana nemamiriro ako ezvinhu.

Mishonga

• Ursodeoxycholic acid: Mushonga uyu unochinja makemikari ari mu bile, zvichideredza kukuvara kwaunokonzera mumuviri.
• Zvinosanganisa bile acid: Izvi zvinosunga bile rinopinda mudumbu, zvichideredza njodzi dzaro.
• Sucralfate: Mushonga uyu unoshanda sechidziviriro pamadziro edumbu negurokuro, uchivadzivirira kubva mukukuvadzwa kunokonzerwa nenyongo.
• Zvinobatsira pakugaya chikafu: Izvi zvinokurumidzisa kushanda kwegadziriro yekugaya chikafu uye zvinoita kuti mudumbu mubude chikafu nekukurumidza.

Kuvhiya

Kuvhiyiwa kunogona kukurudzirwa kuvanhu vane chirwere chenduru chakakomba chisingagone kudzorwa nemishonga. Kune mhando mbiri huru dzekuvhiyiwa. Imwe ndeyekuvhiyiwa kwekubvisa tsvina inopinda mudumbu. Imwe ndeyekuvhiyiwa kwekuderedza kutenderera kweropa kunosimbisa sphincter yepazasi pegurokuro, iyo inoshandiswawo pakuderedza kutenderera kweropa.

Pane zvinhu zvaunogona kuita kumba here?

Uyu mubvunzo unokosha zvikuru. Asi chokwadi ndechekuti, kusiyana neAcid Reflux, Bile Reflux yakaoma kudzora zvachose nekushandisa mishonga inorwisa asidhi nguva dzose kana kuchinja zvakanyanya kudya.

Zvisinei, kune zvimwe zvinhu zvaunogona kuedza kuti ubvise zviratidzo zvechirwere ichi:

• Ramba wakasimudza musoro wako paunenge wakarara: Isa zvidimbu zviviri zvehuni pamusoro wemubhedha, kukwirira kwemasendimita maviri, pamakumbo. Usangoisa mapillow chete, muviri wako wese wepamusoro unofanira kunge wakakwira.
• Kuderedza uremu: Sezvo huremu hwemuviri huchiwedzera, kumanikidzwa mudumbu kunogona kuwedzera uye mamiriro ekufema anogona kuipa.
• Idyai zvidiki nguva nenguva: Pane kudya chikafu chikuru panguva imwe chete, idyai zvidiki kakawanda pazuva.
• Idyai kudya kwemanheru nguva isati yakwana: Idyai kudya kwemanheru maawa maviri kusvika matatu musati marara.
• Dzivisa kusvuta: Kusvuta kunowedzera dambudziko rekufema.
• Dzivisa kupfeka mbatya dzakasimba: Mbatya dzakasimba dzinogona kumanikidza dumbu.