Unowanzo rwara nechirungurira here? Ngatitaurei nezvenyaya iyi (Heartburn)!

Wakambonzwa kupisa pakati pechipfuva chako here? Zvinonzwa sekunge kupisa muchipfuva chako? Vanhu vazhinji vanoti "kupisa kwemoyo," asi hachisi dambudziko remoyo. Zvinokonzerwa neacid iri mudumbu mako ichikwira mupombi yako yechikafu (esophagus). Pombi iyi yechikafu inofamba nepachipfuva chako, pedyo nemoyo wako. Ndosaka dzimwe nguva ichigona kufungidzirwa kuti idambudziko remoyo. Kune vamwe vanhu, idambudziko rinowanzoitika, asi kune vamwe, idambudziko rinogara riripo. Kana zvikaitika kakawanda, zvinogona kunge zviri chiratidzo chechirwere chinonzi GERD (Gastroesophageal Reflux Disease). Ngatitaurei zvakawanda nezveizvi, handiti?

Chii chaizvo chinonzi chirungurira?

Zvichitaurwa zviri nyore, chirungurira chinoitika kana acid yemudumbu ichidzokera mugurokuro. Dumbu redu rine mucous membrane yakakora kuti ridzivirire kubva kumaacid aya. Zvisinei, gurokuro redu harina dziviriro yakadaro. Saka, kana acid yemudumbu yasvika mugurokuro, inopisa nyama yakapfava iri imomo, zvichikonzera kuzvimba.

Vanhu vazhinji vakambosangana nechirwere chemoyo chinorwadza pane imwe nguva muhupenyu hwavo. Dzimwe nguva zvinogona kuitika mushure mekudya chikafu chine mafuta akawanda kana kuti chine zvinonhuhwirira zvakawanda, kana kana paine kumanikidzwa kwakanyanya mudumbu, senge panguva yekuzvitakura. Asi kana chinorwadza ichi chikaitika kakawanda, zuva nezuva, chingave chiratidzo chechirwere chisingaperi chinonzi `GERD (Gastroesophageal Reflux Disease). Munyika yakaita seAmerica, zvinonzi vanhu vanosvika 20% vane `GERD`.

Ndiani anonyanya kubatwa nechirwere ichi chechipfuva?

Kutaura zvazviri, munhu wese anogona kukura neizvi, asi kune vamwe vanhu, njodzi yacho yakakura zvishoma.

• Kune avo vane kufuta: Kureva kuti, avo vane body mass index (BMI) inodarika makumi matatu.
• Kune avo vakafuta: Kana kukosha kwe 'BMI' kuri kupfuura 25.
• Vanhu vanosvuta uye avo vanosvuta fodya yemumwe munhu vane mukana mukuru wekuva nayo.

Saka chirwere chechipfuva chinonzwika sei?

Kurwadziwa pachipfuva, kutaura chokwadi, kunzwa kupisa kunobva mukati mechipfuva chako, sekunge acid reflux. Gurokuro rako riri pakati pechipfuva chako. Saka kurwadziwa uku kunotangira ipapo. Asi dzimwe nguva kurwadziwa uku kunogona kupararira muchipfuva chako chose, kunyangwe kusvika pahuro pako. Kunogona kubva pakunzwa kupisa kudiki kusvika pakurwadziwa kwakanyanya.

Ndirini paunonyanya kunzwa kurwadziwa uku?

Ungave wakambosanganawo neizvi. Dzimwe nguva unonzwa kurwadziwa kwakanyanya muchipfuva.

• Paunorara pasi, kunyanya kana ukarara pasi nekukurumidza mushure mekudya.
• Paunenge wakakotama mberi.
• Kana wadya kudya kwemanheru kwanonoka.
• Kana uchidya chikafu chine mafuta, chinovava, kana chine spice.

Huro inorwadza inogona kugara kwenguva yakareba sei?

Izvi zvinogona kutora kubva pamaminitsi mashoma kusvika maawa mashoma.Kazhinji, kuzvimba uku kunopera kana chikafu chawakadya chekupedzisira chabuda mudumbu mako. Izvi zvinokonzerwa nekuti hapana chinodzoka mudumbu. Zvichienderana nezvawakadya, zvinogona kutora maawa maviri kusvika mashanu kuti zvigayiwe. Zvinogona kutora nguva yakareba kuti zvigayiwe chikafu chine mafuta akawanda.

Ndezvipi zvimwe zviratidzo zvinouya nekuzvimba kwechipfuva?

Dzimwe nguva zvinogona kuoma kuziva kana uine angina kana rumwe rudzi rwekurwadziwa kwechipfuva. Kana usina chokwadi nezvekurwadziwa kwauri kunzwa, zvakanaka kutaura nachiremba. Zvakakoshawo kutsvaga zvimwe zviratidzo zvinoperekedza kurwadziwa. Zvimwe zviratidzo izvi zvinogona kukubatsira kusiyanisa pakati pechirwere chemwoyo nechimwe chirwere chechipfuva.

Kupisa kwemoyo kunokonzerwa neacid reflux kunogona kuperekedzwa nezviratidzo zvinotevera:

• Kuita weti kakawanda.
• Kuravira kunovava mumuromo.
• Kusvotwa.
• Chikafu chichipinda muhuro.

Vamwe vanhu vanogonawo kuratidza zviratidzo zvisingawanzoitiki zvakaita se:

• Dumbu rakazara, kuzvimba.
• Kuvhunduka.
• Kukosora kunoramba kuripo.
• Kuwedzera kweasthma.
• Huro inorwadza.
• Kuzvimba kwegurokuro (`Laryngitis`).
• Kuomerwa nekumedza kana kunzwa chimwe chinhu chakanamira pahuro.
• Marwadzo echipfuva asingakonzerwi nechirwere chemwoyo, akadai se `(Angina)`.

Sei tichiwana chirwere ichi chechipfuva?

Kazhinji kacho chinokonzerwa nechirwere chakadai seGERD, chirungurira chinoitika kana majusi emudumbu, kureva acid nema enzyme, achidzokera mugurokuro. Sezvandambotaura, dumbu rine jira rinodzivirira, asi gurokuro harina. Panosangana gurokuro redu nedumbu, pane vharuvhu inonzi Lower Esophageal Sphincter (LES). Basa rayo nderekumisa zviri mudumbu kuti zvisadzoke. Asi dzimwe nguva, kana vharuvhu iyi ikaneta kana kuti ikasavhara zvakanaka, zviri mudumbu zvinogona kutanga kukwira.

Pane zvikonzero zvakawanda nei Lower Esophageal Sphincter ichigona kushaya simba kana kugadzikana zvakanyanya:

• Kufema utsi hwefodya (kusvuta).
• Kumanikidzwa kwakanyanya mudumbu kunokonzerwa nezvinhu zvakaita sekurema kwakanyanya, kupfeka mbatya dzakasimba, uye pamuviri.
• Chirwere chinonzi 'Hiatal Hernia'. Izvi zvinoitika kana chikamu chedumbu chichikwira nepadiaphragm.
• Kudya chikafu chikuru panguva imwe chete kunogona kutambanudza dumbu uye kukonzera kuti chikafu chigare mudumbu kwenguva yakareba.
• Kusagadzikana kwekugaya chikafu uye gasi. Kana mabhubhu egasi achifamba achikwira mudumbu.
• Kurara pasi nguva pfupi yadarika mushure mekudya.
• Zvimwe zvekudya: zvinhu zvakaita sekofi, chokoreti, marimu, minti, muto wematomatisi.
• Mimwe mishonga: yakaita semapiritsi ekudzivirira pamuviri uye mimwe mishonga yeBP yakakwira.

Kazhinji, zvikonzero zvakawanda izvi zvinosanganiswa kuti zvikonzere acid reflux uye chirungurira.

Sei chirwere chechipfuva chichingoerekana chaonekwa chisina zviratidzo zvekare?

Kana usati wamborwadziwa zvakanyanya pachipfuva uye zvikatanga kamwe kamwe, uye usati waita shanduko huru pakudya kwako kana mararamiro ako munguva pfupi yapfuura, zvinogona kunge zvichikonzerwa nezvimwe zvikonzero. Izvi zvinhu zvinokura zvishoma nezvishoma nekufamba kwenguva.

• Kukwegura: Sezvatinokura, tsandanyama dzedu dzinopera simba. Imwe yetsandanyama idzodzo i sphincter yepazasi pegurokuro.
• Kuwedzera huremu: Vanhu vazhinji vanowedzera huremu zvishoma nezvishoma. Zvisinei, zviratidzo zvekuwedzera huremu (sekuzvimba) zvinogona kuonekwa kamwe kamwe, kana paine mwero wadarika.
• Mishonga: Kana uchangobva kutanga mushonga mutsva kana kuchinja mishonga, bvunza chiremba wako kana mushonga iwoyo uri kukonzera kuwedzera kweacid reflux.

Chirungurira chinobva pakurwara neacid reflux yataurwa pamusoro apa here?

Kazhinji, chirungurira chinorwadza pagurokuro. Chikonzero chikuru iacid reflux. Zvisinei, kune zvimwe zvirwere zvinogona kukonzera chirungurira. Semuenzaniso:

• Maronda emudumbu: Maronda maronda anorwadza anokonzerwa nekuputsika kwemukati memudumbu. Maronda emudumbu haawanzoitiki semaronda ari mudumbu kana muura. Kana akaitika, anowanzo kukonzerwa neacid reflux. Zvisinei, acid reflux haisiriyo yega inokonzera. Kushandisa mishonga isingarwisi kuzvimba (NSAIDs) zvakanyanya senge aspirin neibuprofen kunogonawo kukonzera maronda.
• Esophagitis: Kana gumbo rikadzipwa zvakanyanya, unogona kunzwa kupisa. GERD, mavhairasi, hutachiona hwefungus, nemimwe mishonga zvinogona kukonzera izvi. Eosinophilic esophagitis, chirwere chinokonzerwa neallergy yegumbo, chinogonawo kukonzera kurwadziwa muchipfuva.
• Kunzwa kurwadziwa nechirungurira/kunzwa kusingadzoreki: Izvi zvirwere zvekubatana kweuropi nedumbu. Kureva kuti, pane dambudziko nenzira iyo sisitimu yako yetsinga inotumira zviratidzo kubva mudumbu rako kuenda kuuropi hwako. Kunzwa kurwadziwa nechirungurira kunonzwa sekunzwa kurwadziwa kwechirungurira nguva dzose. Zvisinei, bvunzo hadziratidzi kuti pane acid reflux, kutsva, kana kutsamwiswa. Kunzwa kusingadzoreki kunokonzerwa nezvinhu zvisina acid zvinopinda muhuro mako. Kunzwa kusingadzoreki pachirungurira kunogonawo kukonzera kuzvimba uku.

Utachiona hwepachipfuva uhwu hwakakomba here?

Kunyangwe chirungurira dzimwe nguva chingave chisingafadzi, hachikonzeri kukuvara kwakawanda. Kutaura zvazviri, zvakajairika kuti imwe acid iuye muhuro mako, uye vanhu vazhinji havatombozvioni. Kana ukadaro, zvinogona kunge zvichikonzerwa nekuti gumbo rako riri kuwana acid yakawanda kupfuura yarinogona kubata. Kana zvikaitika dzimwe nguva, zvinoita seronda diki rinopora nekukurumidza. Asi kana zvikaitika nguva nenguva, chikamu chegumbo rako hachina nguva yakakwana yekupora.

Sezvo chikamu chegurokuro chichiramba chichikuvara, zvinogona kukonzera matambudziko kwenguva refu, akadai se:

• Kugadzika kwedumbu: Kana nyama dzegurokuro dzichiramba dzichizvimba, mavanga anotanga kuumbwa nekufamba kwenguva. Gurokuro rakaita sechubhu refu. Kuzvimba uku nemavanga zvinogona kukonzera kuti gurokuro riite diki (stricture). Izvi zvinogona kukonzera kuoma kumedza uye chikafu chigare mugurokuro.
• Kukanganisika kwemudumbu: Dzimwe nguva, pachinzvimbo chekuva nemavanga, nyama inochinja kuita seyakavharirwa mudumbu . Izvi zvinonzi intestinal metaplasia nekuti nyama inochinja kuita seyakavharirwa mudumbu. Kana izvi zvikaitika mugurokuro, zvinonziwo Barrett's Esophagus. Izvi zvinoonekwa sechirwere chisati chakonzera kenza.
• Kenza yemudumbu: Kenza yemudumbu inowanikwa muvanhu vashoma chete. Zvisinei, pane nzira yakajeka kubva pakuzvimba kunogara kuripo (`Esophagitis`) kuenda kukuchinja kwemasero (`Barrett's Esophagus`) kuenda kukenza. Njodzi inowedzera zvichienderana nekuti kuzvimba kwako kwakanyanya sei uye kuti kwagara kwenguva yakareba sei kusina kurapwa.

Kudzoka kweacid mumuviri, uko kunokonzera chirungurira, kunogonawo kuratidza mamwe matambudziko aripo mudumbu mako. Semuenzaniso, unogona kunge uine acid yakawandisa mudumbu mako. Izvi zvinogona kukonzera matambudziko akadai segastritis nemaronda emudumbu. Kudzoka kweacid mumuviri kunogonawo kuwedzera asthma yako kana mamwe matambudziko ekufema asingaperi. Kana acid iyi ikapinda muhuro mako, inogona kukonzera kuzvimba, maronda, uye kukura kwemuviri.

Ungaziva sei kuti une chirwere che sinus?

Chirungurira ipfungwa yaunonzwa. Vanachiremba vazhinji vanogona kuiona kana ukaitsanangurira chiremba. Kana ichiitika dzimwe nguva uye isiri yakanyanya kuipa, pamwe hauzodi bvunzo huru. Zvisinei, kana vachifungidzira kuti une chirwere chisingaperi, vanogona kuita bvunzo kuti vaone kana paine kukuvara kwegurokuro rako. Panguva iyoyo, unogona kutumirwa kuna chiremba wezvekudya.

Heano mimwe miedzo inoitwa kuti utarise gumbo rako:

• Endoscopy ('Upper Endoscopy' / 'maitiro eEGD'):Endoscopy bvunzo inotarisa mukati memuviri wako. Izvi zvinosanganisira kupfuudza chubhu refu ine kamera diki (endoscope) mumuviri wako. Endoscopy yepamusoro inoongorora nzira yako yekugaya, kubva pagurokuro rako kuburikidza nedumbu rako kusvika pamusoro peura hwako hudiki. Chubhu iyi inopinzwa nepahuro pako (unopiwa mushonga wekuti isashande). Inogona kutarisa mamiriro akaita seesophagitis, hernias, uye Barrett's esophagus.
• Kuongororwa kwepH yemudumbu: Izvi zvinosanganisira kuisa kapusule kadiki, kasina waya mugurokuro rako. Inoyera pH, kana acidity, yegurokuro rako nekufamba kwenguva. Izvi zvinogona kuitwa panguva yekuongorora endoscopy yepamusoro kana kuburikidza nechubhu ye nasogastric. Data iri rinotumirwa kune receiver yaunopfeka muchiuno chako. Uchakumbirwa kunyora zviratidzo zvako uye kuzvienzanisa nedata. Mushure menguva yakati, chiremba achabvisa kapusule uye oongorora data racho.

Ndeipi mishonga yekurapa pneumonia?

Unogona kuwana zororo kubva mukurwadziwa kwechirungurira dzimwe nguva nemishonga yekumba, mishonga inotengwa kunze kwemushonga (OTC), uye shanduko dzemararamiro. Zvisinei, kuti chirungurira chinowanzoitika, ungangoda kutora mishonga yakanyorerwa nachiremba. Mishonga iyi inoshanda nekuderedza huwandu hweasidhi inobuda mudumbu ichienda kuhuro. Zvisinei, dambudziko guru rine Lower Esophageal Sphincter harigadziriswi nemishonga iyi. Kana mishonga isingashande, ungangoda mamwe marapirwo.

Mhando dzakasiyana dzemishonga yekurapa kuzvimba kwechipfuva:

• Mishonga Inorwisa Asidhi: Mishonga Inorwisa Asidhi (yakadai seTums® neRolaids®) inobvisa acid iri mudumbu mako. Izvi zvinoreva kuti kunyangwe acid ikapinda muhuro mako, haizokuvadzi gurokuro rako. Dzimwe nguva inogona kunge iine zvimwe zvinhu zvinogona kubatsira kuderedza zviratidzo. Semuenzaniso, Simethicone inogona kubatsira kuderedza marwadzo emudumbu, uye Magnesium inogona kubatsira kuderedza kuvimbiwa. Mishonga Inorwisa Asidhi yakanaka pakurapa chirungurira dzimwe nguva. Zvisinei, inogona kuva nemigumisiro yakaipa kana ikatorwa nguva dzose.
• MaAlginates: MaAlginates ishuga yechisikigo inowanikwa mugungwa. Anoyangarara pamusoro peasidhi uye anoita chipingamupinyi pakati peasidhi negurokuro, zvichibatsira kudzivirira kuti isadzokere kumusoro muhuro. Kana usingakwanise kutora mishonga inorwisa asidhi nekuda kwechimwe chirwere, unogona kutora mishonga inorwisa asidhi wega. Neimwe nzira, kune mishonga ine mishonga inorwisa asidhi pamwe chete nemishonga inorwisa asidhi kuti iwedzere kushanda kwayo.
• Vadzivisi veHistamine receptor (H2 blockers):Mishonga iyi inoshanda nekuvharira makemikari ehistamines anoratidza kuti muviri unogadzira acid. Mamwe maH2 blockers anowanikwa pasina kunyorerwa chiremba, nepo mamwe achingopihwa nachiremba chete. Kunyangwe achigona kutorwa kakawanda kupfuura mishonga inorwisa asidhi, haashande nguva dzose kwenguva refu. Kana muviri wako ukajaira, anogona kushaya simba.
• Proton Pump Inhibitors (PPIs): Iyi mishonga ine simba zvikuru inodzivisa acid. Inobatsirawo pakuporesa kwenyama. Kana chirungurira chako chakanyanya, kana paine zviratidzo zvekukuvadzwa kwenyama mugumbo rako, chiremba wako anogona kukupa mishonga iyi senzira yekutanga yekurapa. Inoshanda ne90% mukuderedza acid reflux. Kana uine maronda emugumbo, ndiwo chete mushonga unobatsira kuti apore.

Mamwe marapirwo ekurapa sinusitis:

• Kana paine hutachiona, mishonga inorwisa mabhakitiriya kana mishonga inorwisa mabhakitiriya.
• Rapa kuzvimba pachako ne `(Topical Steroids)` kana `(Dupilumab)`.
• Mishonga yekuderedza marwadzo ine mwero mudiki uye mishonga yekuwedzera yepneumonia inoshanda.
• Kana kurwadziwa kwechipfuva chako kuchikonzerwa nehernia yemudumbu, kuvhiyiwa kunogadziriswa (hernia repair surgery) kunodiwa.

Kune GERD isingapindure nemishonga - kana senzira yekurapa kwenguva refu - chiremba wako anogona kukupa zano rekuti ushandise nzira yakaita seiyi:

• Nissen Fundoplication: Uku kuvhiyiwa kudiki kunosimbisa nzvimbo iri pakati pedumbu negurokuro. Kunoshanda zvikuru mukurapa GERD nezviratidzo zvayo.
• `Transoral Inciled Fundoplication`: Uku ndiko kuvhiyiwa kwataurwa pamusoro apa pasina kuvhiyiwa, asi kuburikidza ne`endoscope`.
• `LINX device`: Uku kuvhiya kumwe kusingapindi zvakanyanya. Mukuita izvi, `LINX device`, denderedzwa diki rine magineti, rinoiswa panzvimbo inobatana dumbu negurokuro. Izvi zvinobatsira kudzivirira acid kuti isapinde muhuro.

Kurapa pahuro kuchazoipedza here?

Chirungurira chirwere chinorapika. Chinhu chakanakisa ndechekuti unogona kuchidzora nekuchinja zvishoma pakudya kwako uye mararamiro ako, uye kuchengetedza mishonga inorwisa asidhi iri pedyo kuti ushandise dzimwe nguva. Kana uchida, mishonga yenguva refu inogonawo kushanda zvakanyanya mukuderedza acid reflux. Matambudziko ekushanda kwemuviri anogona kuoma kugadzirisa. Zvisinei, nekushanda nesimba nguva dzose uye musanganiswa wemishonga, anogona kuvandudzika nekufamba kwenguva.

Ndezvipi zvatingachinja mararamiro edu kuti tidzore kuzvimba?

Kuti udzivise acid reflux, edza zvinhu izvi:

• Idya zvikafu zvidiki zvidiki mukati mezuva. Kana uine zvishoma zvekugaya panguva imwe chete, huwandu hweasidhi inoburitswa mudumbu mako hunodererawo.
• Sunungura bhandi rako. Kumanikidzwa kwedumbu kunogona kukonzera acid reflux. Kuderedza uremu kunogonawo kubatsira.
• Usarara wakaguta. Mira kwemaawa matatu kusvika mashanu usati warara pasi.
• Rara nerutivi rwako rweruboshwe. Izvi zvinoisa Lower Esophageal Sphincter yako pamusoro pezviri mudumbu rako, sehomwe yemhepo. Paunorara nerutivi rwako kana kurudyi, vharuvhu iyoyo inonyura muzviri mukati.
• Dzivisa zvekudya zvinokonzeresa kurwara. Chenjerera kuti ndezvipi zvekudya zvinoita kuti kurwadziwa kwechipfuva chako kuwedzere.
• Rega kusvuta. Kurwadziwa pachipfuva chimwe chezvikonzero zvekurega kusvuta. Chiremba wako anogona kukubatsira neizvi.

Unofanira kuona chiremba rini?

Ona chiremba kana zvinotevera:

• Kana uchirwadziwa pachipfuva kanenge kamwe chete pasvondo.
• Kana uine zviratidzo zvisingawanzoitiki.
• Kana uchinetseka kumedza kana kuti usingakwanise kuwana macalorie akakwana.
• Kana une makore anopfuura makumi matanhatu.
• Kana uine kurwadziwa kwechipfuva senge "Angina" (kwakasimba, kudzvanywa).
• Kana kurapwa kwako kusingape zororo.

Pakupedzisira, ndinofanira kutaura kuti...

Kurwadziwa pahuro dzimwe nguva kunowanzoitika. Vanhu vazhinji vanogona kuzvigadzirisa nekuchinja kushoma. Zvisinei, kana ukagara uchizviwana, ungangoda rubatsiro rwechiremba. Usaregeredza kurwadziwa pahuro nguva dzose . Kunzwa kurwadziwa pahuro pako kunowanzoreva kuti kuri kukuvara. Izvi zvinogona kukonzera kukuvara kukuru nekufamba kwenguva. Uyewo, kurwadziwa pahuro nguva dzose kunogona kuva chiratidzo chekuti kune mamwe matambudziko anoda kurapwa. Saka, taura nachiremba nezvekurwadziwa pahuro nguva dzose.

Chirungurira , GERD, Acid Reflux, Esophagus, Dumbu, Kuzvimba kweChipfuva